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AVIAN INFLUENZA (AVIAN/BIRD FLU) AVANZA

Emergency hospital

Emergency

hospital during

during influenza

influenza

epidemic, Camp

epidemic,

Camp Funston,

Funston, Kansas.

Kansas.

Emergency hospital Emergency hospital during during influenza influenza epidemic, Camp epidemic, Camp Funston, Funston, Kansas. Kansas.

http://nmhm.washingtondc.museum/collections/archives/agalleries/1918flu/1918flu.html

Kepanikan akibat Flu burung

Kepanikan akibat Flu burung

JANGAN

JANGAN SAMPAI

SAMPAI TERULANG

TERULANG

KEJADIAN SEPERTI

KEJADIAN

SEPERTI INI….

INI….

TERIMA KASIH

TERIMA

KASIH ATAS

ATAS

PERHATIANNYA

PERHATIANNYA

Avian influenza patients in Hospital,Vietnam, 2004

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PASANG PASANG SEPATU SEPATU BOOT BOOT
PASANG
PASANG SEPATU
SEPATU
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PASANG PASANG SEPATU SEPATU BOOT BOOT
PASANG PASANG SARUNG SARUNG TANGAN TANGAN II
PASANG
PASANG SARUNG
SARUNG TANGAN
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PASANG PASANG SARUNG SARUNG TANGAN TANGAN II
PASANG PASANG BAJU BAJU OKOK IIII
PASANG
PASANG BAJU
BAJU OKOK IIII
PASANG PASANG BAJU BAJU OKOK IIII
PASANG PASANG CELEMEK CELEMEK
PASANG
PASANG
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PASANG PASANG CELEMEK CELEMEK
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PASANG PASANG SARUNG SARUNG TANGAN TANGAN IIII
PASANG PASANG GOGGLES GOGGLES IIII
PASANG
PASANG GOGGLES
GOGGLES
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PASANG PASANG GOGGLES GOGGLES IIII
CUCI CUCI CELEMEK CELEMEK
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LEPASKAN LEPASKAN CELEMEK CELEMEK
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• Human to human transmission of influenza A (H5N1) has been suggested in several household clusters and child to mother transmission

Clinical Manifestation

The clinical spectrum of influenza A (H5N1) in

human base on description of hospitalized

patients

• Incubation period may be longer than human

influenza 2-4 days, upper limit 8-17 days

• History of contact with poultry:

– Visited a poultry farm

– A household raising poultry; or a bird market

– Contact with a known or suspect human case of

imfluenza A (H5N1) in an H5N1-infected area within

10 days of symptom onset

• Temperature of >38° C

• Influenze like illness with lower respiratory

symptoms

• Dry Cough

• Sore throat

• Nasal congestion/ rhinorrhea

• Shortness of breath

• Sneezing

• Headache

• Body aches/myalgia

• Fatigue

• Irritated eyes

• Acute Respiratory Distress syndrome (ARDS)

• Tachypnea

• Diarrhea without blood

• Abdominal pain

• Temperature of >38° C

• Influenze like illness with lower respiratory

symptoms

• Dry Cough

• Sore throat

• Nasal congestion/ rhinorrhea

• Shortness of breath

• Sneezing

• Headache

• Body aches/myalgia

• Fatigue

• Irritated eyes

• Acute Respiratory Distress syndrome (ARDS)

• Tachypnea

• Diarrhea without blood

• Abdominal pain

• Radiographic changes:

– Diffuse

– Multifocal, or patchy infiltares

– Interstitial inflitrate

– Segmental or lobular consolidation

– Pleural effusions are uncommon

Pneumonia

Pneumonia

Typical
Typical

Pneumonia

Pneumonia Pneumonia Typical Pneumonia Atypical Pneumonia

Atypical

Pneumonia

Influenza A (H5N1) Pneumonia

Hien. NEJM
Hien. NEJM

2004;350:1179

Thailand, March 2004

Management

• Most hospitalized patients requires ventilatory

support

• Broad spectrum antibiotics

• Antiviral agents ± corticosteroids

– Adamtane group:

• Amantadine

• Rimantadine

– Neuromidase inhibitors

• Oseltamivir, 2 x 75 mg/daily for 5 days within 36-48 hours

after the onset of illness

• Inhaled zanamivir

Complication

• Multiorgan failure

– Renal dysfunction

– Cardiac dilatation

– Supraventricular tachyarrhythmias

• Complication have induced ventilator:

– Pneumonia

– Pulmonary hemorrhage

– Pnemothorax

– Pancytopenia

– Reye’s syndrome

– Sepsis

• Sputum sometimes bloody