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Influenza A: How well will treat

1. Recognizing Influenza A
According to the Institute for Public Health: "A possible case of influenza A H1N1 is a person with an acute respiratory syndrome with sudden onset of general symptoms such as fever over 38 ° C or aches or asthenia (fatigue) AND respiratory signs [cough or dyspnea [breathing disorder]]. " Some cases of influenza A have also presented a sore throat, runny nose, headaches or digestive problems (diarrhea, nausea or vomiting).

2. H1N1: When to contact their doctor?
Fatigue, discontinuous headache, fever ... you have symptoms. But when should we contact the doctor? "If the temperature is above 39° C with general symptoms like headache, body aches, extreme fatigue. If it is associated with respiratory disorders [dyspnea] basithoraciques or pain, or if it is associated with neurological signs, "says a doctor of the French Society of General Medicine. In all cases, if the fever persists for more than three days, the World Health recommends consulting a physician.


3. H1N1: Drugs effective
Paracetamol, ibuprofen or aspirin attention! Some drugs known to fight against the 'flu can do more harm than good! "We must avoid using acetyl salicylic acid [aspirin] because it increases the risk of Reyes syndrome [disease affecting the liver and brain]," said a doctor of the French Society of General Medicine. Also, do not take antiviral drugs (Tamiflu ®, Relenza ®) without consulting a doctor. In fact, "the only drug that can be taken to relieve pain and fever paracetamol [acetaminophen]. The risk / benefit ratio is much higher than that of ibuprofen and ketoprofen." Dosage of paracetamol ( adults and children over 50 kg): 1 g per dose to renew after 6 to 8 hours. Not more than 3 g per day.

4. When taking Tamiflu and Relenza?
Tamiflu and Relenza are antiviral drugs that can alleviate the symptoms of influenza A, shorten its duration and possibly prevent complications. However, "we must take if a doctor prescribes them," he recalled recently the WHO. Especially for Tamiflu, "making its routine may cause nausea, diarrhea and hallucinations," said the HPA (High Health Authority English). They are prescribed to people at risk of complications (respiratory ...) and must be taken within 48 hours after onset of illness to be effective. For other patients, the doctor prescribed symptomatic treatment (paracetamol ...). Note: In a declared pandemic (Phase 6), Tamiflu and Relenza can be prescribed to pregnant women.

5. What if symptoms persist?
Sometimes the symptoms persist or worsen (reprise fever, difficulty breathing, chest pain ...) even being under medical treatment. In this case, nothing should be overlooked! "The risks of complications are pulmonary [lung] and myocarditis [inflammation of the myocardium," said Dr. Patrick Pelloux, an emergency physician. "There is also a risk of meningo-encephalitis [inflammation of the meninges simultaneous and brain in the brain]," added a doctor of the French Society of General Medicine. Do not hesitate to remind your doctor. Avoid, however, go there directly because the risk of contagion runs until 48 hours after symptoms disappear.

6. How long is it contagious?
The influenza A, like other forms of influenza (B, C) is a highly contagious disease. The authorities also expect that 20 million people, nearly one third of the national population could be infected by the end of the year! To avoid infection, be aware that the incubation period (time from infection to onset of symptoms) could go, according to the Ministry of Health, up to 7 days. "A person infected with the virus influenza A is contaminating five days before the onset of symptoms," said Dr. Patrick Pelloux, an emergency physician. She stays until 48 hours after symptoms. In general, influenza A lasts 5 to 8 days.

7. New symptoms in the fall?
"Because the virus influenza A H1N1 is new, we might fear that causes symptoms ... never seen " qoted by a french doctor "Yes, I am not a soothsayer but one can imagine that could fall soon occur greater virulence with mutation of the virus and complications more frequent [pneumonia, meningo-encephalitis]. As to Professor Bernard Debre, a physician and member UMP: "Of course, this virus can mutate and become virulent although for now this is not the view expressed by the majority of virologists." (July 26, 2009-JDD). Conclusion: no need for alarm yet, but remain cautious while respecting their c onseils anti influenza A.

8. How to stem the epidemic?
If you do not feel well, show a high fever, cough and / or sore throat, you should take some preventive measures to avoid contaminating your friends! The first: stay home! The transmission of the virus being by air, leaving you spread it everywhere! If you are forced to go out, wear a mask. Do the same, if you're visiting. Then, it is advised to wash their hands regularly (at least after coughing or sneezing) with soap or alcoholic solution (sold in pharmacies and supermarkets) for 40 to 60 seconds, and cover the mouth and nose with a tissue (disposable after each use) when coughing or sneezing. Finally, regularly ventilate the rooms.

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Tamiflu | Flu Treatment and Prevention

Name: TAMIFLU

Presentation:
- Capsules (yellow: 30 mg; gray: 45 mg, yellow and gray: 75 mg)
- Powder for oral suspension (12 mg / ml).

Directions:
- In the treatment of influenza, it can be used in patients who show symptoms of the flu, when we know that the virus circulates within the community.
- In the prevention of influenza, it can be used in patients who had contact with a person sticking.
This use is generally determined on a case by case but may, in exceptional circumstances, take the form of a season. For example, vaccination against influenza, and insufficient pandemic (epidemic influenza worldwide).
Caution: Tamiflu does not replace vaccination against influenza and its use must be based on official recommendations.


Dosage:
- Treatment of influenza (initiated within two days after onset of symptoms): a dose taken twice daily for five days.
- Prevention of influenza (initiated within two days after contact with someone with the flu): One dose taken once daily for at least 10 days after contact with an infected person.
- Epidemic influenza: a dose of Tamiflu may be taken for a maximum period of six weeks.
The dose of Tamiflu ® is 75 mg for an adult or child over 40 kg. For a child under 40 kg, the dose is adjusted according to weight using low-dose capsules (30 or 45 mg) or suspension (if the child can not swallow capsules).

Administrative Procedures:
Oral

Caution:
Tamiflu ® should not be used in children under one year. Doses should be reduced in patients suffering from kidney problems.

Drug Interactions:
Tamiflu ® should not be used in people who are hypersensitive (allergic) to oseltamivir.

Side effects:
- Headache
- Nausea
- Vomiting and diarrhea (especially children)

Policy Statement:
The active ingredient of Tamiflu ®, oseltamivir, acts specifically on the virus of influenza by inhibiting certain enzymes present on its surface, called neuraminidase. When neuraminidase is inhibited, the spread of infection is halted. Oseltamivir acts both on the neuraminidase of virus influenza type A (most common) and those of virus influenza type B.

Pregnancy and lactation:
There are no adequate data on the use of oseltamivir in pregnant women. Oseltamivir should be used during pregnancy only if the benefit to the mother justifies the potential risk to the fetus. Oseltamivir should be used during breastfeeding if the benefit to the mother justifies the potential risk to the breastfed infant.

Studies to date:
- Treatment: The effects of Tamiflu ® were first tested in experimental models before being studied in humans. In it, Tamiflu ® was compared with placebo (a dummy treatment) in studies evaluating the treatment of influenza (2 413 adults and adolescents, 741 patients and 1 033 children). Efficacy was measured using a scorecard on which the patients recorded their symptoms (feeling of fever, muscle aches, headache, sore throat, cough, malaise and runny nose).
- Prevention of influenza: Tamiflu ® has been studied in people who were exposed to the disease after a family member had contracted the flu (962 cases) or during an epidemic (1 562 individuals aged 16 55 years and 548 elderly people in nursing homes). The study measured the incidence of influenza as demonstrated by laboratory tests. One study also examined the use of Tamiflu ® in a family (277 families), both for treating the person with the flu for the treatment or prevention of influenza among persons in contact with the patient.

The effects shown to date:
- Treatment in adults: the use of Tamiflu ® has reduced the duration of illness of 4.2 days against 5.2 days for patients on placebo. Among children aged one to six years, duration of disease was reduced by 1.5 days.
- Prevention: Tamiflu ® reduced the incidence of influenza among persons in contact with a person sticking. In the study during an epidemic, 1% of people taking Tamiflu ® have developed the flu after contact, against 5% of those on placebo. In families with a person with the flu, 7% of household members have developed the flu after receiving preventive treatment with Tamiflu ®, as against 20% among those who did not receive preventive treatment.

Why Tamiflu ® has been approved?
The flu is seasonal normally handled through vaccination. The Committee for Medicinal Products for Human Use (CHMP) concluded that the benefits of Tamiflu ® outweigh its risks for treatment and prevention of influenza, as a complementary method used in a pandemic or when vaccines against the flu are not effective against the virus of avian origin with seasonal epidemics.

More information on Tamiflu:
The European Commission has granted a permission marketing valid throughout the European Union for Tamiflu ® Roche Registration Limited June 20, 2002. Permission marketing was renewed June 20, 2007.

Issue:
The drug is issued with a prescription.


Influenza A: Are you at risk?

1. Cardiac, diabetic, smokers more at risk ...!
Several risk factors for H1N1 viruses tend to emerge. "To date [July 22, 2009], in addition to known risk situations [...] whose asthma and COPD [chronic pulmonary obstructive], pregnant women and children under 5 years seem more vulnerable to the virus influenza A, "updated by a doctor of the French Society of General Medicine. As for WHO she said on July 24, 2009 that "cardio-vascular diseases, respiratory diseases, diabetes and cancer are among the risk factors for severe forms of influenza H1N1 pandemic of 2009." Finally, smokers may be more at risk for the influenza A as cigarette smoke reduces airway defense against external aggressions, including those of the flu.


2. Overweight: greater risk of influenza A?
D of the French Society of General Medicine said"The people of obesity appear to be more sensitive to the virus influenza A H1N1,". The WHO also recalled "high prevalence of obesity has been reported early in very serious cases or deaths by clinicians in Mexico. Again explains: "A recent report has reported: from 10 ventilated patients in ICUs in Michigan (USA), 9 had a BMI ≥ 30 and 7 BMI ≥ 40 [...]. Of the 50 cases fatalities recorded in California, 30 had a BMI ≥ 30. Among them, 11 showed no known risk factors for complications. " Since then, WHO has requested that further studies be conducted to understand the role played by obesity in the severity of the flu.

3. The over 60s are not immune!
According to a study published in June 2009, severe pneumonia and deaths from H1N1 viruses observed in Mexico in April 2009 involved mainly people aged 5 to 59 years. Scientific hypothesis: the more than 60 years would be more likely to have been exposed during their life to a virus similar to H1N1 (eg flu epidemic of 1957), which would have enabled them to generate a protective antibody But ... Dr Patrick Pelloux, emergency physician, said that "the elderly are most at risk from complications of influenza A because they already suffer frequent infections of the heart, kidneys, immune problems ... what with the virus of influenza, leads to superinfection.

4. H1N1: how to recognize symptoms
"No symptoms does differentiates influenza A to influenza seasonal," said a doctor of the French Society of General Medicine. Clearly, the signs that should alert are: fever over 38 ° C and / or stiffness and / or tiredness associated with dry cough and / or respiratory and / or sore throat or runny nose . Even if it's more casual, the virus of influenza A can also cause digestive disorders (nausea, diarrhea, vomiting). "In the elderly, the symptoms are often misleading, but fever and respiratory signs are often absent," said our interlocutor. In case of doubt or symptoms persist more than 48 hours, contact your doctor.

5. Influenza A: When to consult?
"If the temperature is above 39 ° C with general symptoms like headache, body aches, extreme fatigue. If it is associated with respiratory disorders [dyspnea] basithoraciques or pain, or if it is associated with neurological signs, should go see a doctor, "said a doctor of the French Society of General Medicine. Moreover, according to the World Health must in all cases consult a doctor if the fever persists for more than three days. Beware, if you're one of those at risk of virus influenza A (over 65 years, diabetes, cardiovascular disease or lung, respiratory disorders, obesity ...) you must not hesitate to contact your doctor as soon as you experience these symptoms .

6. Should he wear a mask?
Since July 23, 2009, pharmacies issue free prescription masks of projections (called "surgical mask"). However, do not bother to run to your doctor to prescribe you one if you're not sick! Indeed, the wearing of masks is recommended only if we take care of a sick person or if one is ill and we have contacts with people, inside or outside. Do not touch when you wear it and wash your hands after having removed. And take the mask after each use.

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Swine Flu







Swine Flu, Tests, New Type Of Swine Flu

Swine flu, easily overtakes other strains. Put swine flu in a room with other strains of influenza and it doesn't mix into a new super bug — it takes over. The animals who caught both kinds of flu, however, had worse symptoms. And they easily spread the new swine flu, what scientists formally call the 2009 H1N1 virus, to their uninfected ferret neighbors — but didn't spread regular winter flu strains nearly as easily. The new swine flu virus that has killed up to 159 people in Mexico and one Mexican baby in the United States remains tiny in scale compared to other global epidemics. An influenza pandemic can occur when a new influenza virus subtype emerges and spreads easily among human beings. An influenza pandemic can begin at any time of the year and any place in the world, and is expected to spread to the rest of the world within several weeks or months. A single wave of pandemic could last several weeks to a few months, but will likely vary from country to country and even by community. Most communities are expected to experience multiple waves of a pandemic. Increased hospitalizations, deaths and other effects are expected to vary widely among countries and communities. Vulnerable populations are expected to be affected more severely.

The articles talk about :
1) Swine Flu.
2) Tests.
3) New Type Of Swine Flu.

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Secrets of Swine Flu : H1N1 Pendemic
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