To: Road Walker who wrote (475557 ) 4/27/2009 10:39:26 PM From: tejek Respond to of 1574373 My cousin just forwarded this email he got regarding the swine flu. While the number of cases and locations is dated, the info and links on how to react to the flu is not......the info might prove useful. The President's Weekly Report Steven R. West, MD, FMA President FMA Online | FMA PAC | EMR Florida | FMA Alliance April 27, 2009 On Tuesday, April 21, the Centers for Disease Control and Prevention (CDC) reported that two recent cases of febrile respiratory illness in children in southern California had been caused by a novel strain of influenza A (H1N1) that had not been reported previously in the United States or elsewhere. The novel virus contains genetic segments from North American swine influenza A (H1N1), European/Asian swine influenza A (H1N1), and North American avian and human influenza viruses. By April 24, additional cases were being reported in southern California and Texas. At the same time, health authorities in Mexico announced an influenza outbreak from this virus in southern and central Mexico. I am sending this to you for you to become familiar with this potentially very serious outbreak of the flu. This outbreak is very fluid at the moment and changes are occurring daily. Interim guidance is available on the CDC web site at cdc.gov . Current Situation The World Health Organization (WHO) reports that 1000+ cases and approximately 81 deaths have occurred in Mexico due to infection with a novel swine influenza virus. Twenty-three cases have been confirmed as swine influenza (H1N1) and are genetically identical to the California cases. In the US, confirmed cases have been identified in California (7), Texas (2), Kansas (2) and suspect cases have been identified in New York City (8) and Ohio (4) One of the Kansas cases had a history of travel to Mexico and had transmitted the virus to a close family member Other cases, but not all, had travel histories to Mexico None of the cases report exposure to swine No swine or avian outbreaks with this virus stain have been reported in the U.S. or elsewhere Transmission appears to be human-to-human All US cases have been mild with one case requiring a brief hospitalization WHO is meeting to determine if the Pandemic Level should be changed Increased surveillance for influenza has been initiated by the CDC and other states The current seasonal influenza vaccine may not provide protection Clinical Information Consider the possibility of swine influenza in patients who present with a febrile respiratory illness who: Live in an area where swine influenza cases have been confirmed Have traveled to Mexico or areas were the virus has been reported Had contact in the past 7 days with ill individuals who have a recent history of travel to Mexico, or states reporting swine influenza Clinical symptoms of swine flu in people are similar to those of seasonal influenza and may include: Fever (greater than 100 degrees F) Sore throat Cough Stuffy nose Chills Headache and body aches Fatigue Nausea and vomiting have also been reported Severe illness (respiratory distress and pneumonia) have been reported in people with this virus Treatment/Guidance The virus is sensitive to Tamiflu (oseltamivir) and Relenza (zanamivir) and guidance for the use of those drugs in ill individuals is presented at cdc.gov Isolation is recommended for those who are ill Quarantine for contacts of cases may be used in limited circumstances on a voluntary basis Infection control for care of patients confirmed or suspected of having an infection with swine influenza A (H1N1) in health care settings can be found at cdc.gov Interim guidance on the use of facemasks in community settings can be found at cdc.gov Patient Education Resources (some contain printable materials for patients) CDC Influenza page: cdc.gov Taking Care of a Sick Person in Your Home cdc.gov Seasonal Flu: What To Do If You Get Sick: cdc.gov Preventing the Flu: Good Health Habits Can Help Stop Germs: cdc.gov Until next week, Steven R. West, MD