To prevent A/H1N1 must use the same steps as that for normal seasonal influenza (World Health Organization recommendations)

  • Cover nose and mouth with a tissue when you cough or sneeze. After using a towel throw in the trash.
  • Wash your hands often with soap and water, especially after you’ve sneezed or coughed.
  • Will be effective as the use of alcohol hand washing.
  • Avoid close contact with sick people.
  • Avoid touching your eyes, nose and mouth.
  • Avoid hugs, kisses and handshakes.
  • If you are sick, stay home and limit contact with other people, so as not to infect them, keep a minimum distance of 1 meter from the surrounding
  • When flu symptoms seek immediate medical help.

“Scheme of treatment and prevention of influenza caused by virus type A/H1N1,

adult



1. Nonspecific prevention of influenza in adults.

Kagotsel – scheme 2 days on 2 tables. per day, 5 days break and another 2 days to 2 tables. per day (daily dose 24 mg) .*

or

Arbidol – direct contact with sick flu or SARS – 200 mg per day for 10-14 days *

during epidemics of influenza and other acute respiratory viral infection, to prevent

exacerbations of chronic bronchitis, recurrent herpes infection –

200 mg twice a week for 3 weeks .*

or

Interferon alpha-2b in combination with interferon gamma – 1 times per day, respectively, ME 50000 and 100000ME a day for 10 days *

* Note – except for pregnant women

1.2. For pregnant women (from the 14th week of pregnancy) can be used with interferon alfa-2b in suppozitorijah 150000ME 2 times a day (daily dose 300000ME) within 5 days.

2. Treatment of adult patients with milder forms of influenza caused by virus type A/H1N1.

2.1. Arbidol – 4 times a day, 200 mg every 6 hours (daily dose 800 mg) for 7-10 days *.

or

Interferon alpha-2b (50,000 IU per vial) in combination with interferon gamma (100000 IU in vial) – 2-6 times per day (daily dose 50 000 IU and 100 000 IU, respectively) every other day for 10 days, after a break one week repeated the same pattern *

* Note – except for pregnant women

2.2. For the treatment of pregnant women (from the 14th week of pregnancy) can be used with interferon alfa-2b in suppozitorijah – by 500000 IU 2 times a day (daily dose 1000000ME) within 5 days.

2.3. Symptomatic treatment (analgesics, the means used to treat allergic reactions, vitamins) – on the testimony

3. Treatment of adult patients with moderate forms of influenza caused by virus type A/H1N1

3.1. Kagotsel in combination with Arbidol *:

kagotsel – on the first day on the 2 tables. 3 times a day (daily dose 72 mg),

next 3 days to 1 table. 3 times a day (daily dose 36 mg);

arbidol – 4 times a day, 200 mg every 6 hours (daily dose 800 mg) in

7-10 days.

or

Interferon alpha-2b (50,000 IU per vial) in combination with interferon gamma (50000 IU per vial) – 2-6 times per day (daily dose 50 000ME and 100-000ME, respectively) every other day for 10 days, after a break of one week repeats the same pattern *

or

Ingavirin – daily dose of 90 mg 1 time a day for 5 days (including the appointment of the drug in the first 2 days of onset) *

or

Oseltamivir – 75 mg twice a day (daily dose 150 mg) for 5 days (including the appointment of the drug in the first 2-3 days of onset) *

* Note – except for pregnant women

3.2. For the treatment of pregnant women (from the 14th week of pregnancy) can be used with interferon alfa-2b in suppozitorijah 500000ME 2 times a day (daily dose-1000000ME) within 5 days. Then, maintenance therapy for 150000ME 2 times a day (daily dose of 300000ME) to 2 times a week for 3 weeks.

3.3. Symptomatic treatment (antibacterial and antifungal, analgesics, nonsteroidal anti-inflammatory drugs, the means used to treat allergic reactions, hormones, and tools that affect the endocrine system, means of affecting the respiratory, solutions, electrolytes, acid balance correction tools, power tools, vitamins and other means) – on the testimony

4. Treatment of adult patients with severe forms of influenza caused by virus type AH1N1.

4.1. Kagotsel in combination with Arbidol *:

kagotsel – on the first day on the 2 tables. 3 times a day (daily dose 72 mg),

next 3 days to 1 table. 3 times a day (daily dose 36 mg);

arbidol – 4 times a day, 200 mg every 6 hours (daily dose 800 mg) in

7-10 days.

or

Interferon alpha-2b (50,000 IU per vial) in combination with interferon gamma (100000 IU in vial) – 2-6 times per day (daily dose 50 000ME and 100-000ME, respectively) every other day for 10 days, after a break of one week repeats the same pattern *

or

Interferon gamma – 2-6 times per day (daily dose of 100,000 IU) within 15 days *

or

Ingavirin – daily dose of 90 mg 1 time a day for 5 days (including the appointment of the drug in the first 2 days of onset) *

or

Oseltamivir – 75 mg twice a day daily dose of 150 mg () within 5 days (taking into account the effectiveness of the drug in the first 3 days of onset) *

* Note – except for pregnant women

4.2. For the treatment of pregnant women (from the 14th week of pregnancy) can be used with interferon alfa-2b in suppozitorijah 500000ME 2 times a day (daily dose-1000000ME) within 10 days. Then, maintenance therapy for 150000ME 2 times a day (daily dose 300000ME) to 2 times a week for 3 weeks.

4.3. Symptomatic treatment (antibacterials, analgesics, nonsteroidal anti-inflammatory drugs, muscle relaxants, the means used to treat allergic reactions, means that affect the blood, hormones and tools that affect the endocrine system, means of influencing the cardiovascular system, solutions, electrolytes, means of correcting the acid balance, money supply, means of affecting the respiratory system, respiratory support, vitamins and other means) – if indicated.

4.4. Organization of treatment of complications – see note.

Interim guidelines

“Scheme of treatment and prevention of influenza caused by virus type A/H1N1,

children ”


1. Nonspecific prevention of influenza in children (under the threat of contracting influenza and in the foci).

Arbidol - for children aged 3-6 years 50 mg daily, 2 times for 7 days, children older than 7 years – 100 -200 mg per day, 2 times for 7 days.

or

Kagotsel - children from 7 to 12 years to 24 mg per day, 2 times for 7 days.

or

Oseltamivir (Powder for suspension for oral administration or capsules):

children from 1 to 8 years – with a weight of less than 15 kg to 30 mg, 15 to 23 kg of 45 mg, 23 to 40 kg to 60 mg over 40 kg – 75 mg 1 time a day for 5 days ;

children over 12 years – 75 mg 1 time a day for 10 days after contact with an infected person, no later than the first two days after exposure, during the influenza epidemic within 6 weeks.

Interferon gamma in combination with interferon alfa 2b (liofilizat for solution for intranasal administration, the contents of the vial or ampoule is dissolved in 5 ml of water for injections):

Interferon gamma – used in complex therapy from 0 to 18 years, 2-3 drops in each nasal passage for 30 minutes before breakfast, every other day for 10 dney.Pri necessary preventive courses povtoryayut.Pri single contact, only one burial.

Interferon alfa 2b – is used in complex therapy in contact with the patient and / or / with supercooling in accordance with the dosage of age: infants and children under 1 year (single dose of 1000 IU), 1 drop; children from 1 year to 14 years - (a single dose of 2000 IU) and 2 drops – 2 times a day for 5-7 days. If necessary preventive repeat courses. For a single contact, only one zakapyvaniya.Pri seasonal increase in incidence according to age dose in the morning after 1-2 days.

Interferon alpha-2b (suppository) (used in complex therapy) – for children under 3 years 150000ME 2 times a day every other day for 10 -14 days for children from 3 to 6 years 500000ME 2 times a day for 10 days - every other day.

2. Treatment of children with milder forms of influenza caused by virus type A H1N1.

2.1. Arbidol - children older than 7 years, the daily dose of 300 mg (100 mg 3 times daily) for 3 days

or

Oseltamivir (Powder for suspension for oral administration or capsules) not later than two days from the time of symptoms:

children from 1 to 8 years – with a weight of less than 15 kg to 30 mg, 15 to 23 kg of 45 mg, 23 to 40 kg to 60 mg over 40 kg, 75 mg 2 times a day for 5 days;

children over 12 years – 75 mg 2 times a day for 5 days. Increasing the dose of 150 mg per day does not lead to greater effect.

Interferon gamma in combination with interferon alfa 2b (liofilizat for solution for intranasal administration, the contents of the vial or ampoule is dissolved in 5 ml of water for injection):

Interferon gamma – used in complex therapy at the first signs of the disease to children from 0 to 18 years to 2 drops in each nasal passage, 5 times a day for 5-7 days;

Interferon alfa 2b – is used in complex therapy at the first signs of the disease:

infants and children under 1 year – 1 drop 5 times a day (single dose of 1000 IU daily dose of 5000 IU) for 5 days;

children from 1 year to 3 years – 2 drops 3-4 times a day (single dose of 2000 IU daily dose of 6000 – 8000 IU) for 5 days;

children from 3 to 14 years – to 2 drops 4-5 times a day (single dose of 2000 IU daily dose of 8000 – 10000 IU) for 5 days.


Interferon alpha-2b (rectal suppository) (used in complex therapy):

newborn babies – premature with gestational age less than 34 weeks – daily dose of 450,000 IU (150,000 IU for 3 times a day every 8 hours) for 5 days, after an interval of 5 days, repeated the same pattern (indication);

newborns, including preterm with a gestational age over 34 weeks – daily dose of 300,000 IU (150,000 IU in 2 times a day 12 hours) within 5 days after a break of 5 days, repeated the same pattern (indication);

children aged 1 month to 3 years – daily dose of 300000 (for 150000 IU 2 times a day 12 hours) for 7 days, after a break of 5 days, repeated the same pattern (indication of rates may be increased to three) ;

children aged 3 years to 7 years – a daily dose of 1,000,000 IU (at 500000 IU 2 times a day 12 hours) for 7 days, after a break of 5 days, repeated the same pattern (indication of rates may be increased up to three);

children aged 7 to 18 years – a daily dose of 1000000 (to 500000 IU 2 times a day 12 hours) during – 10 days after a break of 5 days, repeated the same pattern (indication of rates may be increased to three ).

2.2. Symptomatic treatment.

3. Treatment of children with moderate forms of influenza caused by virus type A H1N1.

3.1. Arbidol – children older than 7 years, the daily dose of 300 mg (3 times per day to 100 mg) for 3 days.

or

Oseltamivir (Powder for suspension for oral administration or capsules) not later than two days from the time of symptoms:

children from 1 to 8 years – with a weight of less than 15 kg to 30 mg, 15 to 23 kg of 45 mg, 23 to 40 kg to 60 mg over 40 kg – 75 mg 2 times a day for 5 days ;

children over 12 years – 75 mg 2 times a day for 5 days. Increasing the dose of 150 mg per day does not lead to greater effect.

Interferon gamma in combination with interferon alfa 2b (liofilizat for solution for intranasal administration, the contents of the vial or ampoule is dissolved in 5 ml of water for injections):

Interferon gamma – used in complex therapy at the first signs of the disease to children from 0 to 18 years to 2 drops in each nasal passage, 5 times a day for 5-7 days;

Interferon alfa 2b – is used in complex therapy at the first signs of the disease:

infants and children under 1 year – 1 drop 5 times a day (single dose of 1000 IU daily dose of 5000 IU) for 5 days;

children from 1 year to 3 years – 2 drops 3-4 times a day (single dose of 2000 IU daily dose of 6000 – 8000 IU) for 5 days;

children from 3 to 14 years – to 2 drops 4-5 times a day (single dose of 2000 IU daily dose of 8000 – 10000 IU) for 5 days.

Interferon alpha-2b (rectal suppository) (used in complex therapy):

newborn babies – premature with gestational age less than 34 weeks – daily dose of 450000 IU (3 times a day 150000 IU every 8 hours) for 7 days

newborns, including preterm with a gestational age over 34 weeks – daily dose of 300,000 IU (150,000 IU in 2 times a day 12 hours) for 7 days;

children aged 1 month to 3 years – daily dose of 300000 (for 150000 IU 2 times a day 12 hours) within 10 days after a break of 5 days, repeated the same pattern (indication of rates may be increased to three) ;

children aged from 3 to 7 years – a daily dose of 1,000,000 IU (at 500000 IU 2 times a day 12 hours) for 7 days, after a break of 5 days, repeated the same pattern (indication of rates may be increased to three);

children aged 7 to 18 years – a daily dose of 1000000 (to 500000 IU 2 times a day 12 hours) during – 10 days after a break of 5 days, repeated the same pattern (indication of rates may be increased to three) .

3.2. Symptomatic treatment (antibacterial and antifungal, antipyretics, the funds used to treat allergic reactions, drugs used in the treatment of syndrome bronhospazmolitiki, tools that reduce the swelling of mucous respiratory solutions, electrolytes, acid balance correction tools, foodstuffs, vitamins) – by testimony.

4. Treatment of children with severe forms of influenza caused by virus type AH1N1.

4.1. Arbidol – children older than 7 years, the daily dose of 300 mg (3 times per day to 100 mg) for 3 days.

or

Oseltamivir (Powder for suspension for oral administration or capsules) not later than two days from the time of symptoms:

children from 1 to 8 years – with a weight of less than 15 kg to 30 mg, 15 to 23 kg of 45 mg, 23 to 40 kg to 60 mg over 40 kg – 75 mg 2 times a day for 5 days ;

children over 12 years – 75 mg 2 times a day for 5 days. Increasing the dose of 150 mg per day does not lead to greater effect.

Interferon gamma in combination with interferon alfa 2b (liofilizat for solution for intranasal administration, the contents of the vial or ampoule is dissolved in 5 ml of water for injections):

Interferon gamma – used in complex therapy at the first signs of the disease to children from 0 to 18 years to 2 drops in each nasal passage, 5 times a day for 5-7 days;

Interferon alfa 2b – is used in complex therapy at the first signs of the disease:

infants and children under 1 year – 1 drop 5 times a day (single dose of 1000 IU daily dose of 5000 IU) for 5 days;

children from 1 year to 3 years – 2 drops 3-4 times a day (single dose of 2000 IU daily dose of 6000 – 8000 IU) for 5 days;

children from 3 to 14 years – to 2 drops 4-5 times a day (single dose of 2000 IU daily dose of 8000 – 10000 IU) for 5 days.

Interferon alpha-2b (rectal suppository) (used in complex therapy):

newborn babies – premature with gestational age less than 34 weeks – daily dose of 450000 IU (3 times per day at 150000 IU every 8 hours) within 10 days, followed by maintenance treatment: daily dose of 450,000 IU (150,000 IU for 3 times a day) on 2 times a week for 3 weeks;

newborns, including preterm with a gestational age over 34 weeks – daily dose of 300,000 IU (150,000 IU in 2 times a day 12 hours) within 10 days, followed by maintenance treatment: daily dose of 300,000 IU (150,000 IU in 2 times a day) for 2 times a week for 3 weeks;

children aged 1 month to 3 years – daily dose of 1000000 (to 500000 IU 2 times a day 12 hours) for 7 days, after a break of 5 days, repeated the same pattern (number of courses up to two can be increased if indicated) ;

children aged from 3 years to 7 years – a daily dose of 1,000,000 IU (at 500000 IU 2 times a day 12 hours) within 10 days after a break of 5 days, repeated the same pattern (number of courses up to three can be increased indication);

children aged 7 to 18 years – a daily dose of 1000000 (to 500000 IU 2 times a day 12 hours) during – 10 days, followed by maintenance treatment: daily dose of 1,000,000 IU (at 500000 IU 2 times a day) for 2 times a week for 3 weeks;

Children from 3 years to 18 years with severe forms of influenza with interferon alfa-2b can be used in conjunction with arbidol:

Interferon alpha-2b – daily dose of 500000 IU (for 1 suppository 2 times a day within 12 hours for 5 – days;

Arbidol – on 0,05 g 3 times a day for 5 days.

Then apply only Interferon alpha-2b on 500000ME 2 times a day for 5 days, if necessary, the number of courses may be increased to three, the intervals between courses of 5 days.

4.2. Symptomatic treatment (antibacterial and antifungal, antipyretics, the funds used to treat allergic reactions, drugs used in the treatment of syndrome bronhospazmolitiki, tools that reduce the swelling of mucous respiratory solutions, electrolytes, acid balance correction tools, foodstuffs, vitamins) – by testimony.

A medical interviewing  City Ambulance Service, learned about the behind the scenes of the profession. THREE DAYS OF PANIC. The first, which was felt at all the “charms” of panic associated with the flu, doctors were ambulances. After twenty days they say: it was Oct. 30, when Health Minister Andry Knyaz said that the country’s epidemic of A/H1N1, after dinner, a boom rings. All phones are central dispatch urban ambulance called incessantly. “The most interesting is that influenza and acute respiratory disease were only a five per cent of callers, – say at the headquarters of the city ambulance – all other calls – panic. Doctors whisper: the people whom they had searched in those days were very strange, as if hypnotized.“They did not realize what was happening, it’s alarming – recalls on duty in those days paramedic crews Valentine. With her and her colleagues from the first division correspondent “Today” went on several trips. “Test case – a call from state institutions:” Come. Catastrophe.We have a patient with a temperature “- recalls the doctor. - We go, we go to the office. There – the work is paralyzed, officials huddled on the ground floor, all those sad faces, we thought it was too late to come and help the patient can not. The patient was isolated in a separate room, and no one ventured to enter it. She asked from the doorway: “I have something that we here all think?” When are we to measure her temperature – were stunned.

On the thermometer – 36,8, peremeryali – the same thing. We are talking to her, they say, a girl, what’s wrong, you have no same temperature that you invented? What was she like zaoret: “Can not you hear that on TV said: at the slightest symptoms to see a doctor? Or maybe I already fatally infected, and the temperature will be more? “Such a state of stress is kept to the second of November, say doctors. After quietly stopped apart by phone, and people began to return to common sense.“We also noticed that for three days, lasted until this mad panic, there was virtually no accidents on the streets, fights and robberies. It turns out, everything is so scared that ceased to violate the traffic rules, to fight and plunder “- surprised doctors. Epidemic in 79-M. “Have you seen worse! - Says the head of the first branch of the city ambulance Larisa – exactly 30 years ago in L is already raging epidemic of influenza. And the numbers of serious cases was really ambitious. I then worked as a visiting physician, and I can say that most of these patients were ill with flu. Emergency not cope, had to use taxi service, almost all taxi drivers were on duty with us. Attract students of the Medical Institute to help. The doctor of one of the ambulance services of the city of Kharkov Andrew remembers that he had flu has claimed 28 lives only in the L region (at present, victims of the disease in the area – 6 – Auth.): “Of course, we did not advertise, the authorities have forbidden to make up for the panic. But the panic then, as now, still was. I then worked in the district hospital.

I remember that in the wards lay whole families, we even had to move the bed. Places sorely lacking. Lans remember that gauze bandages then not been claimed, on the streets and on public transport people went with the garlic in cheek. It is noteworthy that in 1980, influenza generally does not occur – only a few cases. According to doctors, fearful of influenza-1979, carefully conducted to prevent disease. PLUS flu. The doctors are happy – finally people are reminded of the culture of behavior: “Just imagine how it was before – a human flu, it calls for an ambulance, waiting for the doctor, not even wearing a bandage, that is, he does not think that can infect a doctor or paramedic is not thinks about his family. And after all this panic, people stopped going to the temperature at work, put on masks. In addition, people finally began to be prevented. I think that garlic, onion and snowball with honey all ate at the year ahead. ” Employees of the ambulance saying that instruction on the “Swine Flu” they had back in May and then they began to strengthen their immunity. In Western countries, all employees have quick and vaccinated. In order to inculcate 2500 employees ambulance, to about 30 thousand UAH.

But no money.“By the way, these vaccinations are very tricky, – warn doctors of the emergency” – before it decided, do immunogram organism, or it may just hurt. ” About visitors and intellectuals.Patients were members of an ambulance is divided into several groups. The most unpleasant considered “newcomers”. “It is very brazen, – says Serg nurse, with whom we went to watch. - Come from the villages, and “Pont” shake the king’s. In addition, we have because of them twice as much work. It is pleasant to deal with the same “intellectuals” here in central L are many such families: the professors, military, writers, artists. They and tea to drink, and talk with them is always possible.

Let us not reduce to an absurdity! Be Healthy!

A/H1N1 virus under the electron microscope. The diameter of the virus – 80-120 nm
Throughout its existence, humanity is faced with the threat of global epidemics – pandemics. Smallpox, plague, dysentery, tuberculosis, and lots of other known diseases. But it would seem than can be dangerous flu? Headache, joint pain, fever and other symptoms that are not very frightening people. Several days of bed rest, delicious, hot tea and many fruits contain vitamin C, not the most complicated recipe for health, is not it? In fact, we should not forget that it was influenza – “king” of epidemics. It is this virus (and not some kind of plague) is capable of in a few weeks to reach billions of people and virtually stop life on the planet! And if all people are sick, then who will we be treated? Frightening? Yet?

swine flu

swine flu

A/H1N1 virus under the electron microscope. The diameter of the virus – 80-120 nm

In 1933, the influenza virus was officially opened, described and since then the progressive mankind knows how about “work” that nasty virus and why it can be so dangerous.
First of all, influenza is of three types – A, B and C. This causes a pandemic, is rarer and is “only” of the epidemic, and influenza type C, even more rare, and talk about it in light of the pandemic has not yet worth it.
Secondly, the virus – a living creature, and he is able to change, to adapt. How does this happen? Inner part of a small living organism – the flu virus – RNA nucleotide contains odnonitchatuyu (in fact, the genome of the virus), enclosed in a protein sheath. The genome is stable and the same for influenza viruses of the same type. But the additional outer shell – it contains two proteins – hemagglutinin (HA) and neuraminidase (NA) – it is not like that. But when the flu virus enters the human body, our protective forces, fostered the evolution, with terrible force snatch on the virus and … Yes, a person would have been impregnable immunity to influenza. If the flu, for example, was smallpox – if these two proteins did not change with such astonishing speed.


Thus, influenza in 1933 for clarity (and simply to indicate, without any mental reservation) called N0N1 (hemagglutinin H0, neuraminidase N1). However, in 1947, a new variant of the virus – H1N1: neuraminidase remained the same, and hemagglutinin changed beyond recognition. As a result – the immunity acquired by the virus in 1933 N0N1, was in 1947, not a useless old age, but because the disease has changed. “Asian” flu in 1957 was caused by a virus, which replaced both the protein – its formula H2N2, in 1968, the formula would look like H3N2. It has been suggested that the “Spanish flu” H1N1 was the same and they were confirmed: in 1997, Research Institute of AFIP (U.S.) received a sample of the “Spanish” of the virus in 1918 from the corpse of native women in Alaska, buried in the permafrost 80 years ago. It appeared to be strain H1N1. By the way, the last major outbreak of H1N1 influenza was recorded in New Jersey, USA, in 1976


Raises the question – how and where these changes are occurring in the envelope of influenza virus?
And then come to the rescue of our smaller brethren – namely, pigs and poultry. In the early twentieth century, many researchers have observed: almost every epidemic of influenza in humans is accompanied by a similar epizootic diseases among animals. Several years ago the planet was shocked phrase “bird flu”, which turned out to be nothing more than a close relative of H1N1 – H5N1 – although not so close to be transmitted from person to person. And it is good, because deaths from the virus was not a good figure of 50%. Gradually, the bird flu changed, changed – becoming less dangerous for humans, but retaining a small fraction of avian genetic material in RNA. Then one fateful meeting took place – in one organism, one cell met ordinary swine influenza virus (and, of course, pig, human viruses can get sick) and human H1N1 influenza virus with the memory of avian influenza. There was an exchange of gene material and get a new influenza subtype H1N1. And there was this flu chief newsmaker of recent days: April 29, WHO officially confirmed 114 human cases of swine influenza (for officially unconfirmed reports of the disease have died 152), eight cases have died: one, seven in Mexico, one – in the U.S. . Cases of possible infection reported from all continents, and the panic is growing.


So whether the risk of fatal?
The main trouble threatening from this strain of virus – a human has not developed immunity to it. Of course, gradually formed, of course, the virus will change and everything will be new – so history teaches. But there is one weighty and no small “but”: the stages of transmission from human to human virus most often weakens. All other speculation – and the deadly, and on some special features – mass hysteria and nothing more. While hiding under the hysteria and a sad moment – at risk by virtue of state immunity are weakened (and it is the children and the elderly) and people with chronic illnesses (who do not?). For them, the disease can occur especially hard, and possible death. Adult (healthy) people are likely to transfer the swine flu influenza is common – fever, ache in the whole body, cough, headache.
Unfortunately, in this situation, the situation of the inhabitants of post-Soviet space is very similar to the Mexicans took the first blow of the new virus: poor nutrition, neglect of sport, leadership, alcohol and smoking (respectively, the immune system suffers from) and – must admit – care attitude to generally accepted rules of sanitation and hygiene, and health as their own and their loved ones – it is almost a national trait. While, perhaps, yet we’ll even give odds to Mexicans – traditional Russian “maybe” and the recently acquired “I will take the” much worse than the lack of habit of washing hands before eating.


What you need to know
- There is only one group of drugs effective against swine flu – this is the neuraminidase inhibitors II (zanamivir) and III (oseltamivir) generations. Unfortunately, other drugs may well proven in other cases, there will not help.
- More fluid – Pamper yourself with warm tea with raspberries, rosehip decoction, drink just water. Avoid fizzy, sugary and alcoholic beverages.
- Temperature undercut only paracetamol, since the H1N1 strain of increased risk of hemorrhagic complications while taking aspirin.
- Bed rest and, of course, quarantine. And do not hesitate to call an ambulance.


Chronicles spread
March / April 2009 – a massive outbreak of influenza-like illness in Mexico, which was almost immediately dubbed the swine influenza (later the name was changed to a more accurate medical H1N1). The authorities of the country until the end of April confirmed 81 fatalities. The virus affects mainly adults, which is characteristic of a pandemic disease. 30 April, WHO has identified a new disease for the 5-th, the penultimate, the level of danger.
May 2009 – flu reaches Japan, Australia, by the end of the month, May 22, the first case of H1N1 infection recorded in Russia. U.S. and Europe are taking extraordinary measures to prevent, but the virus is spreading. June 11, WHO announced the threat of a pandemic. There is development of a vaccine, but at best, waiting for her only by October-November this year.
situation in the world in August 2009
ill – more than 230 thousand people
dead – more than 2200 people
Cases H1N1 recorded in almost all countries of the world, the unit managed to avoid infection. Governments of all countries and international humanitarian organizations to provide funds to prevent the spread of the virus. United States, Australia, Germany, Great Britain, Mexico, Canada leaders in the number of cases. In Russia formally recognized sick flu strain H1N1 180 people, mostly – tourists returning from abroad.
August 21 reported that the H1N1 virus found in birds – turkeys on farms in Chile.

Prevention
In view of the primary specific prophylaxis (primarily those categories of risk) in Russia and abroad is carried out to accelerate the development and registration of specific vaccines based on selected strains. Epidemiologists also welcome the vaccination of “seasonal” influenza, containing antibodies against the damaging agents (proteins) of three different from the “pork” strain of the virus.
In the memo about the high pathogenic flu, WHO identified the need to eliminate close contact with people who “seem to be unhealthy, with a high body temperature and a cough. We recommend thoroughly and frequently wash hands with soap and water. “Stick to a healthy lifestyle, including full sleep, consumption of healthy food, physical activity. With proper heat treatment will kill the virus. Primary prevention is not specifically aimed at preventing the virus in the body, and not on strengthening specific immune response to prevent development of disease.


Treatment
Treatment of disease caused by strains of the virus “swine flu is not fundamentally different from the treatment of so-called” seasonal “flu. When expressed phenomena of intoxication and violation of the acid-alkaline balance is held detoxification and corrective therapy. Of the drugs acting on the virus itself and its reproduction of the proof of the effectiveness of oseltamivir (Tami-Flew). In its absence, WHO experts recommended that the drug Zanamivir (Relenza), with a relatively mild course of disease doctors recommend that post-Soviet countries arbidol, despite the fact that it applies to drugs with unproven efficacy, and WHO does not consider it as an antiviral drug.

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Synonims: Oseltamivir


Treatment of severe and moderate severity cases directed at the prevention of primary viral pneumonia, usually flowing heavily and causing hemorrhage and raised respiratory failure, and adherence to prevention of secondary bacterial infection, also often causes the development of pneumonia.
Shown as symptomatic therapy. From antipyretic drugs most experts recommend medications containing ibuprofen and paracetamol (not recommended to use products which contain aspirin, because of the risk of the syndrome of Ray).
Emergency treatment in hospitals (call the ambulance) is necessary if signs of severe respiratory failure, oppression and violations of the brain function of the cardiovascular system: dyspnea, shortness of breath, cyanosis (blue in the face of the skin), a swoon, the appearance of stained sputum, low blood pressure, the appearance of pain in the chest.
Mandatory access to a doctor (usually at the clinic at the place of residence) must be at a high temperature, not decreasing at the 4-day, pronounced degradation after a temporary improvement.

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Health to you and your family!