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What is Swine Flu?

Swine influenza (also called swine flu, hog flu, and pig flu) . Swine flu in another name is known as H1N1 virus flu detected in 2009. It is actually a respiratory disorder, symptom of pigs that is caused by ‘type A’ influenza viruses.  Influenza viruses that are commonly circulating among pigs/swine are actually the ‘swine influenza viruses’ or the ‘swine flu viruses’.

As there are many subtypes and strains in these particular flu viruses, there are three types as the major virus causing factors – which was found in the US in the recent years:

    

How humans get infected?

Humans are being affected by influenza illness on a major cause. As per science, the influenza viruses of type A, B & C have actually encased RNA viruses with a segmented genome of 8 (eight) different RNA segments. An influenza virus that affects humans might cause & affect the respiratory system of swine actually as swine influenza virus. That is with reproduced RNA strands from the humans affecting virus which got enclosed by mistaken inside the encased swine influenza virus. For better understanding, it is that of one cell can hold 8 (eight) numbers of swine flu and human flu RNA segments. There are actually 16 types of RNA variations, hence four for each swine and the humans – which could find incorporated into one single particle.

Various RNA segment combinations can result in new subtypes (antigenic shift) wherein the higher possibilities to affect humans. And on the other part, pigs play a big role as transitional host to catch hold of new varieties of bird flu causes (pigs respiratory cells are down with immune power hence the get infected by the bird flu easily and almost easily get infected by other mammalian flu viruses even). Its respiratory bag will look like a pot with mixed viruses; hence, it transmits the disease to the humans easily when anyone gets in direct handling of swine.

INCUBATION PERIOD

The incubation period for swine flu (time between infection and appearance of symptoms) can be up to seven days, but is most likely to be between two and five days. It is, however, at this stage there is no certainty about the incubation period.

Swine flu Symptoms

The symptoms of H1N1 flu might actually develop within 1 to 3 days of being infected. Most of the people will show in a day as we discussed early. However, when you notice any a persistent cough, with prolonging tiredness for more than a week, then you have to be serious in taking care of you. The symptoms of HIN1 flu virus (human swine flu) are very similar to those of seasonal human influenza.

Appending below are few of the core infection.

    A sudden fever with increasing temperature, generally more than 39 C and/or 103 F Dry and chest a persisting cough Lingering headache Prolonging tiredness & weakness Feeling very chill in the palms and the toes Pain in muscles and bones Joints pain and limbs pain Diarrhea with abdominal pain Vomiting and nausea Sore throat Running nose or blocked nose Unremitting sneezes Disturbed sleep Loss of appetite

The severity of symptoms can vary from mild to severe and sometimes require hospitalization. In some cases, severe complications such as pneumonia and respiratory failure can cause death. Like the seasonal flu, swine flu may worsen existing chronic medical conditions. The symptoms that occur commonly among flu infection and cold are the following:

There are quite a few of these that occur in the human bodies and finding out whether it is just cold or is it flu is a challenging factor. Appending below are the main differences:

Flu Symptoms

    Come on immediately Unusual increasing of fever temperature and pain muscles & joints Feeling damn tired that will not let the infected individual to carry on his/her daily routine simple jobs

Common Cold Symptoms

    Come on gradually but not often and a persistent one Particularly affect the nose and throat areas The cold infected individual can get around once after taking necessary mild treatments

Swine flu complication

Most probably, tricky situations of swine flu can be seen on the people with higher medical risks, say for instance; pregnant women, elderly citizens, those who have weakened the immune system and those who are all under long-term medications. It is highly recommended and important that the above groups must go for annual vaccination without any excuses.

Appending below are the complications that lead from swine flu infection:

    Chest complication: The most commonly seen swine flu chest complications are bronchitis and pneumonia on the serious condition. A course of heavy dosage will treat bronchitis; however the other one is indeed risk curing off, wherein it is life-threatening on few factors especially for the ages of weak and elderly ones. Thus, the likely cause of pneumonia can be prevented by proper vaccination on right age.
    Pregnancy complication: Swine flu infection during pregnancy is highly risk factor, wherein it can affect the pregnancy which will lead to miscarriage, stillbirth, or premature labor and might result in low birth weight during delivery. Hence, the medical foundation is insisting the pregnant women go for annual vaccination without missing.
    Deteriorating of current health conditions: People who are under long-term medical supervision are at high risk when they are affected by swine flu, in which it will worsen their current health condition very badly.When people with lung diseases say for asthma or chronic obstructive pulmonary disease might find their health condition very bad when they got affected by swine flu infection.People with diabetes, when get affected by swine flu might see increasing blood sugar levels which will then lead to hyperglycemia (risks of higher blood sugar) and for those who are all in type 1 diabetes might affect from diabetic ketoacidosis (a fatal condition caused by swine flu infection where insulin level in their body might go very down).
    Other complications: Appending below are a list of medical worries that happen rarely but of very serious and dangerous.
  • Encephalitis: Inflammation of the brain
  • Febrile Seizures (convulsions): Fits that can affect children when having high temperature
  • Meningitis: An infection that affect the spinal cord and the brain
  • Otitis media: An infection that affect the ear (especially that worsening the middle part of the ear)
  • Tonsillitis: Inflammation of tonsils, which is uncommon from the normal tonsil infection
  • Sinusitis: Inflammation in the sinus (tiny & air filled cavities found behind the cheekbones and the forehead part on the human body) linings

Fortunately, the mortality rates and the fatal syndromes are lowered down by proper awareness of vaccination, increased hygiene level, the rapid development of a new vaccine, and well-understood self-isolation by affected individuals.

  • Cover mouth & nose areas when sneezing or coughing
  • Throwing away the used tips into trash bins properly

Swine flu vaccine: Taking up of annual swine flu vaccine will help to fight against such H1N1 type of virus and will reduce the risk of being affected by this disease.

  • A swine flu vaccine is open for the below-appended persons:
  • Any individual who is more than 60 years of old
  • Any individual who is of overweight
  • Pregnant ladies
  • Adults and children who are all with underlying health condition
  • Adults and children with weakened immune system

Adults above 18 and children aged between 6 months to 2 years are generally given an annual vaccine injection, wherein children below 2 years are given annual nasal spray. The right time to go for swine flu vaccination is that autumn (September to November). Taking up of the vaccination is very important in each year, as the virus of winter may vary & change from last winter’s. Hence by annual vaccination, you can stay safe.

Side-effects: Almost all the vaccinations are accompanied with minimal side effects. Common side effects of H1N1 vaccines both single or with a combination of other flu viral strands show below appending side effects.

Flu vaccination: In another term as known as flu shots show redness, soreness, mild swelling on the injected area, muscle pain, the low-grade temperature for less than 24 hours.

Nasal spray: Nasal spray for children below 2 years will show the side effect signs of a runny nose, low-level temperature, cough, sore throat, vomiting for not more than 1 day.

Intradermal vaccination: Redness, soreness, muscle pain, headache accompanied by fatigue can be seen as side effects.

Antiviral treatment: To prevent from being affected by the flu in the following conditions, antiviral medicines of Oseltamivir (for Tamiflu) or Zanamivir (for Relenza) are to be taken necessarily.

  • When there is flu infection in the society
  • When you are pregnant, or age of 65+
  • When you are under any such medical circumstances that left you at the risk of flu complications, which include but not just limited to diabetes, lung diseases, heart diseases, neurological diseases et al
  • When you have contact with the individuals having flu & flu kind illness (must start the anti-viral treatment within 36-48 hours)
  • When you are not taken any set of effective vaccination so far

The CDC realtime RT‐PCR (rRTPCR) protocol for the detection and characterization of Swine Influenza includes a panel of oligonucleotide primers and dual labeled probes to be used in real time RT‐PCR assays for the invitro qualtitative detection and characterization of swine influenza viruses in respiratory specimens and viral cultures. The first primer‐probe set, Influenza A is designed for universal detection of type A influenza viruses. The swInfA primer and probe set is designed specifically to detect all swine influenza A viruses. The swH1 set is designed specifically to detect swine H1 influenza. The fourth set detects the human Rnase P gene and reflects that the assay has been carried out properly without any inhibition of PCR.

INTERPRETATION

A sample is said to be positive for Swine flu (H1N1) if all three targets i.e. Influenza A, H1N1 Influenza A, and H1N1 Influenza A subtype H1 are detected. If a sample is positive for only two of the above targets a repeat sample is recommended. If all four targets are negative, a repeat sample should be done.

A negative result does not preclude the presence of Influenza A H1N1 infection because results depend on adequate specimen collection, absence of inhibitors, and sufficient RNA to be detected.

Treatment

HOW SWINE FLU IS TREATED?

After testing positive for swine flu , patient should immediately quarantined in an isolated room or in hospital . National institute of communicable disease(NICD) information says that the swine flu can be treated if caught very early with two of the anti‐viral medications oseltamivir (Tamiflu/Fluvir) and zanamivir (Relenza). Tamiflu is for treatment in adults and children aged 1 year and older, and must be taken within 48 hours of the first symptom.

Till now this strain of influenza virus is in a dynamic state means there is no consistency( in scientific terms it keeps on mutating) in its level of occurrence because evidently in some patients its being treated successfully with Tamilflu and in some tamilflu is ineffective. And moreover at present there is no effective vaccine present.

So basically precaution is the best treatment.

PRECAUTION

As the flu is now spreading via person ‐to‐person contact; the infection primarily spreads when a person comes in close contact with an infected person. The simple way to minimize the risk is by covering the mouth and nose while coughing and sneezing and wearing a mask while going close to the infected person.

Maintaining high level of hygiene is also important and one should always wash hands frequently with soap and water.

Since influenza spreads through both air and contact with contaminated surfaces, surface sanitizing may help prevent some infections. For that alcohol is an effective sanitizer, bleach can also be used to sanitize rooms or equipment that have been occupied by patients with influenza symptoms.

Few FAQs to clarify you

    Can I get affected with swine flu by eating pork?

No, not exactly the H1N1 virus spreads by eating pork and pork-related food stuff. However, it is advised to have completely cooked and boiled pork foodstuff.

    Is the vaccine safe?

Absolutely yes! However, some people may react with allergic conditions once after getting the vaccine. You can inform your doctor if you ever had an allergic symptom during your earlier vaccination. No need to panic, wherein the allergic conditions are having a slight fever, or could be an allergic reaction against intake of egg or chicken for some few days.

    What is the situation to consider going, to a doctor?

Though you are falling under the group of risk fellows, but still you feel a fear of H1N1 infection, you should notice the following signs & symptoms of swine flu to give immediate medical attention. For adults: difficulty while breathing, convulsions and breath shortness. For children: difficulty in waking up, could not drink enough fluids, subsequent temperature of fever, persistent cough & cold, fever accompanied by rashes, and punishing irritability that even makes the elder push away them.

    What are all the factors for swine flu prevention?

Apart from vaccination, you can run yourself in following the below-appending checklist to safeguard yourself in getting catch hold from this deadly disease.

  • Don’t touch the surfaces randomly when the atmosphere is occupied by any affected individuals
  • Avoid them for few days
  • Try not to share any set of things

If you are an affected individual, please stop spreading the virus

  • Don’t come out of your home until you recover
  • Use tissues or napkins while sneezing, coughing and trash the used tissues properly
  • Wash your hands in warm water by using antibiotic hand wash
  • Try using sanitizers
  • Don’t touch your mouth, nose and eyes (the dwelling parts of the virus)
  • Don’t share your personal items or the stuff and things that you used with anyone until you recover
Swine Flu – Causes, Symptoms, Treatments, Complications & Precautions
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