Tuesday, April 28, 2009

Swine Flu

Forget avian influenza, it is swine flu that could ravage the world as Mexicans are warned not to shake hands in church and have been told to keep at least six feet of separation between each other, and to wear protective masks. Large public gatherings, such as sporting events and concerts, have been banned and schools closed.

As I’ve discussed previously on Sciencebase, there are countless latent diseases in hosts as rodents, birds, and cattle lying ready and willing to make the species leap to humans and decimate our populations. Whereas for the last ten years or so bird flu has been the focus of much research it was always more likely that a potentially lethal strain of virus would emerge from another species and not necessarily in Asia.

Now, swine flu is on the rise in Mexico and already taking the first inroads into the USA just across the border. It’s already killed more than 80 people and made hundreds ill. While some observers are suggesting serious caution others are advising that there is no reason for real concern yet. We are not quite at the danger levels of the worldwide SARS epidemic.

The World Health Organization (WHO) has declared the Mexican/US swine flu outbreak as a “public health emergency of international concern”.

What is swine flu?

Swine flu is a type A influenza virus present in pigs. Human infection is usually uncommon except among people who work and live closely with pigs.

What is unusual about the present strain?

The new strain is a hybrid of swine, human and avian flu viruses and the US Centers for Disease Control and Prevention (CDC) says it can spread from human to human but the level of virulence is not yet clear.

What are the symptoms?

Symptoms are similar to regular human flu: fever and chills, a cough, sore throat, aching limbs, headaches, and general malaise. However, there are reports of swine flu also causing diarrhoea and vomiting. Pneumonia and respiratory failure can occur leading to death as also happens in regular human flu, which kills thousands of people every year.

Are there warning signs in children?

Children having trouble breathing, being averse to drinking, lethargy not waking up or not interacting, being so irritable that the child does not want to beheld, flu-like symptoms improve but then return with fever and worse cough, fever with a rash.

Are there any drugs to treat swine flu?

Oseltamivir (Tamiflu) and zanamivir (Relenza) are the possible pharmaceutical frontline defence and are proving effective in treating patients diagnosed early enough. There is no vaccine.

Has the disease spread to the USA?

Cases in California, Texas, and Kansas, have already been confirmed and tests are being carried out on students at a school in New York.

How can we prevent the spread of swine flu?

People at risk should cover their mouth when they cough. They should regularly wash their hands with an alcohol-based cleaner and and avoid close contact with the sick. Patients with the disease should stay at home. There is no need to avoid eating pork.

Will there be a global flu epidemic?

“We do not know whether this swine flu virus or some other influenza virus will lead to the next pandemic,” says, Richard Besser, acting director of the CDC, “However, scientists around the world continue to monitor the virus and take its threat seriously.”

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