INFLUENZA A (H1N1) ADVISORY 1. WHAT IS INFLUENZA A (H1N1)? ANSWER: This Disease is caused by an Influenza A (H1N1) virus that constantly change its shape and composition thus making it difficult to make vaccine to protect humans. This is just like the ordinary or seasonal Influenza however if you have the virus A (H1N1) you need an antiviral (Tamiflu) to shorten the length and the infectivity. 2. IS THIS CONTAGIOUS? ANSWER: Yes, the virus is very contagious and TRANSMISSION is through: 1. Droplets from sneeze and cough of infected persons 2. Close Physical contact with an infected person whose droplets from cough and sneeze had been place into nose, mouth or eyes. THE VIRUS IS ALIVE FOR A MAXIMUM OF TWO HOURS OUTSIDE THE HUMAN BODY. 3. IS THE VIRUS TRANSMITTED THROUGH THE AIR? ANSWER: NO. 4. IS INFLUENZA A (H1N1) transmitted by eating pork? ANSWER: NO. However, cook pork thoroughly before eating. You cannot get the virus even from eating any other food. 5. WHAT ARE THE SIGNS AND SYMTOMS IN HUMANS? ANSWER: Symptoms are similar to the regular or seasonal flu : 1. Fever 2. Headache
3. 4. 5. 6. 7. 8. 9.
Fatigue Muscle or joint pains Lack of appetite Runny nose Sore throat Vomiting Diarrhea
6. WHEN AM I CONSIDERED A SUSPECT CASE FOR A
(H1N1)? ANSWER: 1. If you have traveled to an infected countries in the world and you develop the signs and symptoms of flu within ten days from your arrival to the Philippines. 2. If you have been exposed to a confirm A (H1N1) case and you develop the signs and symptoms of flu 3. If you are a contact of an H1N1 case with flu like symptoms 7. WHAT SHOULD I DO IF I AM EXPOSED AND DEVELOP FLU? ANSWER: 1. SEEK IMMEDIATE CONSULTATION AT THE NEAREST HEALTH CENTER (RURAL HEALTH AND CITY HEALTH OFFICE) OR IN A HOSPITAL 2. YOU MAY CALL PROVINCIAL EPIDEMIOLOGICAL SURVEILLANCE UNIT (PESU) AT TELEPHONE NO. 323-3118 (PESU HOTLINE). THIS IS 24 HOURS AND 7 DAYS A WEEK OPERATION (7/24) FROM 8:00 AM to 5:00 PM. THERE IS AN ASSIGNED OPERATION CENTER PERSONNEL FOR THE DAY. 3. AFTER 5PM CONTACT DR. EDGARDO DAYA (PESU CHAIR AND PROVINCIAL A H1N1 FOCAL PERSON) THROUGH CELLPHONE NO. 09209175694.
8. HOW CAN I PREVENT THE VIRUS FROM ENTERING MY
BODY? ANSWER: 1. ALWAYS WASH HANDS WITH SOAP AND WATER 2. USE ALCOHOL (70% ISOPROPYL) AND DISINFECT YOUR HANDS. OR YOU MAY USE ALCOHOL BASED SANITIZERS. 3. AVOID CLOSE CONTACT WITH SICK PEOPLE 4. COVER YOUR NOSE AND MOUTH WHEN YOU SEE SOMEONE COUGHING AND SNEEZING. YOU ALSO DO THE SAME WHEN YOU COUGH OR SNEEZE. 5. DRINK PLENTY OF FLUIDS 6. EAT NUTRITIOUS FOOD 7. DRINK VITAMIN C The virus can easily be killed with washing hands with soap and water. Also with the use of 70% alcohol and alcohol based disinfectants. AS LONG AS THE DROPLETS FROM SNEEZE AND COUGH OF INFECTED PERSON WILL NOT BE IN CONTACT WITH YOUR HANDS AND YOU DO NOT TOUCH YOUR NOSE, MOUTH OR EYES, YOU WILL NOT GET THE VIRUS. 9. WHO ARE THOSE PEOPLE INDICATED TO WEAR FACE MASK? ANSWER: 1. The Patient (Confirmed case) to prevent shedding or transmitting the virus through the droplets from the cough or sneeze. 2. Health workers and caretakers of patients in the Hospitals. They must wear complete Personal Protective Equipment (PPE) - CAP, GOGGLE, FACE MASK, HAND GLOVES, GOWN and BOOTS. 3. General Population with co-morbid or existing conditions
such as heart disease, diabetes, cancer, tuberculosis,
kidney disease, liver disease, etc. 10. IF I DO NOT BELONG TO THE 3 INDICATED PERSONS WHO MUST WEAR FACE MASK, SHOULD I WEAR ONE? ANSWER: NO 11. IS A (H1N1) here in the Philippines and in Leyte fatal? ANSWER: NO. PATIENTS ARE RESPONDING WITH THE ANTIVIRAL (TAMIFLU). EVEN THE CASES WE HAD IN LEYTE. THE FIRST DEATH IN THE COUNTRY IS ONE WITH CO-MORBID CONDITIONS (SHE HAD CONGESTIVE HEART FAILURE, DIABETES AND PULMONARY TUBERCULOSIS). 12. IF I AM VACCINATED FOR A FLU SHOT OR PNEUMOCOCCAL PNEUMONIA VACCINE SHOT, WILL I BE SPARED FROM GETTING THE A (H1N1) VIRUS? ANSWER: NO. YOU WILL STILL GET THE VIRUS. IN THE FLU SHOT THAT YOU RECEIVED, IN IT ARE VIRUSES FOR THE KNOWN FLU VIRUSES BUT NOT FOR A (H1N1). However, since the signs and symptoms are that of Ordinary or Seasonal Influenza, then it is highly recommended that you have the flu shot or the Pneumococcal Vaccine to prevent Pneumonia. 13. IS THERE A TREATMENT FOR A (H1N1)? ANSWER: YES. YOU ARE GIVEN AN ANTIVIRAL OSELTAMIVIR (TAMIFLU). FOR ADULTS, 75 MG 1 CAPSULE 2X A DAY FOR FIVE DAYS. FOR CHILDREN, THERE IS A CORRESPONDING DOSAGE BASE ON WEIGHT.
14. CAN I TAKE TAMIFLU AS CHEMOPROPHYLAXIS SO I
WONT GET THE VIRUS? ANSWER: NO. TAKING THE TAMIFLU WILL NOT HAVE ITS EFFECT BECAUSE YOU DONT HAVE THE VIRUS. THE ANTIVIRAL IS EFFECTIVE ONCE YOU HAVE THE VIRUS. 15. WHAT MUST THE FAMILY MEMBERS OBSERVE IF ONE GETS THE VIRUS? ANSWER: IF HOUSE CONFINEMENT IS ADVISED BY HEALTH AUTHORITIES, THE FOLLOWING MUST BE COMPLIED: 1. LET THE PATIENT WEAR FACE MASK AT ALL TIMES. 2. DONT GO NEAR THE PATIENT. MAINTAIN DISTANCE OF 1.8 METERS. IF YOU GO NEAR THE PATIENT, WEAR GOGGLES AND FACE MASK. 3. PLACE THE PATIENT COMFORTABLY INSIDE THE BEDROOM WITH OPEN WINDOWS 4. IF FAMILY MEMBER HAVE FEVER AND OTHER SIGNS AND SYMPTOMS OF FLU, REPORT AND CONSULT IMMEDIATELY. PREPARED BY: DR. EDGARDO E. DAYA, MPH (NSW) PROVINCIAL HEALTH OFFICER I PROVINCIAL H1N1 FOCAL PERSON