Swine flu

Author: Dr. Wojo
April 27, 2009

A recently released report shows that over 100 people in Mexico have died from causes related to Swine Flu.  There have been 73 confirmed cases worldwide with 40 cases documented in the United States, primarily in California, Texas, and Kansas.  The last reported U.S. concern for this illness was in 1976, during the Ford Administration. Let’s take a look at an illness that is governing present news media coverage.

What is swine flu? This is a respiratory illness in pigs caused by a strain of Influenza A. This usually only affects pigs, but sometimes humans can get it from close contact with pigs. While it previously was not passed from human to human, this time the virus has mutated and is able to do so. This respiratory illness is spread from infected pigs and from humans through respiratory droplets.  At this time, it is not known how easily it can be transmitted from human to human.

What are the symptoms? The symptoms are similar to those of Influenza A - fever, dry cough, sore throat, body aches, headache, chills and fatigue. Rarely, there are gastrointestinal symptoms. It should be noted that this illness could be serious in chronically ill people with multiple medical problems. Death has occurred in rare cases - one pregnant Wisconsin woman died from Swine Flu in 1988.

How is this treated?  As with Influenza A, symptomatic treatment including rest, fever control, and fluids are recommended.  Good hand washing and respiratory protection - such as wearing a medical mask - can help prevents its spread.  Medications used for Influenza A such as Tamiflu (oseltamivir) or Relenza (zanamivir) can be used. These antiviral medications stop the reproduction of the flu virus. It is best if they are prescribed within 24 - 48 hours of onset of the illness.

If you are ill, stay home and avoid contact with others to prevent spreading your illness. See your health care provider so they can determine whether or not you in fact have Swine Flu - but wear a mask to the clinic at all times. 

If you are ill and experience the following symptoms, seek immediate medical help:

  •        Severe shortness of breath.
  •        Chest pain or severe abdominal pain
  •        Dehydration.
  •        Altered mental status or confusion.
  •        Confusion
  •        Uncontrollable vomiting

At the present time, the Centers for the Disease Control and the government are watching this virus very closely.  There is no reason to be alarmed, but you should be aware of the symptoms, seek medical attention to be tested for confirmation of the virus (please wear a mask), and then stay at home if you are ill. The CDC has also advised that people at least start thinking about what preparations they need to make in the event that their child’s school is closed due to the Swine Flu. While the CDC is not stating that this is imminent, they do advise that parents be prepared and determine whether they can work from home or who could care for their children.


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