A/H1N1 flu virus is not highly pathogenic: Experts

The swine flu virus is not highly pathogenic on the basis of its characteristics and mortality rate, experts have pointed out.

“The molecular-biological characteristics of the virus and the clinical forms of the disease and the mortality rate do not typify the new virus as highly pathogenic,” experts from Russian Health and Social development Ministry’s commission for flu vaccines and diagnostic strains said.

“Nevertheless, we continue to work on the vaccine, and the work is about to end,” head of World Health Organisation (WHO) National Flu Center Oleg Kiselyov said.

The commission has also suggested for additional research of biological materials and experimental series of the vaccine before starting the clinical tests expected to begin by early September on volunteers.

Around 150 volunteers are expected to take part in the project.

“Most of them are young men, from 18 years up, selected by their health status,” a source at the Flu Institute said.

“The massive production of the vaccine will start in November, before the seasonal increase of the regular cold and flu rate in the country. The first Russians will be inoculated against the new flu on October 1,” Kiselyov said.

Russia will produce 40 million doses of A/H1N1 flu vaccine by the end of this year, Chief Public Health Official Gennady Onishchenko said.

The new vaccine will be manufactured in Ufa, Irkutsk and St Petersburg, Onishchenko said, adding 22 million doses of the new vaccine will be produced next year.

Think of Your Poor Feet

.Jean-Paul Pelissier/Reuters

In Brief:

Huge numbers of people develop foot pain in their 60s, but it can start as early as the 20s and 30s.

Excessive weight, diabetes and circulation problems can contribute to foot pain.

Proper footwear and regular exercise can play a crucial role in preventing foot problems.

The average person walks the equivalent of three times around the Earth in a lifetime. That is enormous wear and tear on the 26 bones, 33 joints and more than 100 tendons, ligaments and muscles that make up the foot.

In a recent survey for the American Podiatric Medical Association, 53 percent of respondents reported foot pain so severe that it hampered their daily function. On average, people develop pain in their 60s, but it can start as early as the 20s and 30s. Yet, except for women who get regular pedicures, most people don’t take much care of their feet.

“A lot of people think foot pain is part of the aging process and accept it, and function and walk with pain,” said Dr. Andrew Shapiro, a podiatrist in Valley Stream, N.Y. Though some foot problems are inevitable, their progress can be slowed.

The most common foot conditions that occur with age are arthritic joints, thinning of the fat pads cushioning the soles, plantar fasciitis (inflammation of the fibrous tissue along the sole), bunions (enlargement of the joint at the base of the big toe), poor circulation and fungal nails. The following questions will help you assess whether you should take more preventive action as you age.

Are you overweight? The force on your feet is about 120 percent of your weight. “Obesity puts a great amount of stress on all the supporting structures of the foot,” said Dr. Bart Gastwirth, a podiatrist at the University of Chicago. It can lead to plantar fasciitis and heel pain and can worsen hammertoes and bunions. It’s also a risk factor for diabetes, leading to the next question.

Are you diabetic? Being farthest from the heart, the feet can be the first part of the body to manifest complications like poor circulation and loss of feeling, both of which can lead to poor wound healing and amputation. Diabetics should have their feet examined annually by a doctor and avoid shoes that cause abrasions and pressure.

Do you have poor circulation? If you suffer from peripheral artery disease — a narrowing of veins in the legs — your feet are more susceptible to problems, said Dr. Ross E. Taubman, president of the American Podiatric Medical Association. Smoking also contributes to poor circulation.

Do your parents complain about their feet? Family history is probably your biggest clue to potential problems.

Do you have flat feet or high arches? Either puts feet at risk. A flat foot is squishy, causing muscles and tendons to stretch and weaken, leading to tendinitis and arthritis. A high arch is rigid and has little shock absorption, putting more pressure on the ball and heel of the foot, as well as on the knees, hips and back. Shoes or orthotics that support the arch and heel can help flat feet. People with high arches should look for roomy shoes and softer padding to absorb the shock. Isometric exercises also strengthen muscles supporting the foot.

Are you double-jointed? If you can bend back your thumb to touch your lower arm, the ligaments in your feet are probably stretchy, too, Dr. Gastwirth said. That makes the muscles supporting the foot work harder and can lead to injuries. Wear supportive shoes.

Do your shoes fit? In the podiatric association’s survey, more than 34 percent of men said they could not remember the last time their feet were measured. Twenty percent of women said that once a week they wore shoes that hurt, and 8 percent wore painful shoes daily. Feet flatten and lengthen with age, so if you are clinging to the shoe size you wore at age 21, get your feet measured (especially mothers — pregnancy expands feet).

Do you wear high heels? “The high heel concentrates the force on the heel and the forefoot,” Dr. Gastwirth said. Heels contribute to hammertoes, neuromas (pinched nerves near the ball of the foot), bunions and “pump bump” (a painful bump on the back of the heel), as well as toenail problems. Most of the time, wear heels that are less than two and a half inches high.

Do your feet ever see the light of day? Fungus thrives in a warm, moist environment. Choose moisture-wicking socks (not cotton), use antifungal powders and air out your toes at home.

Have you seen a podiatrist? Minor adjustments, using drugstore foot pads or prescription orthotics, can relieve the pressure on sensitive areas, rebalance the foot and slow the progress of a condition.

Do you walk? Putting more mileage on your feet is the best way to exercise the muscles and keep them healthy.

Important Information for Swine Flu Treatment in Hyderabad

The Union Government has identified the Govt. General and Chest Diseases Hospital, Erragadda as the facility in Hyderabad for testing, isolation and critical care of suspected/confirmed swine flu patients. The Hyderabad Airport Limited has set up a screening facility at the Hyderabad International Airport for all the inbound passengers flying into the country to prevent the spread of H1N1. Doctors from the Hospital are round the clock screening the passengers at the Airport.

Govt. General and Chest Diseases Hospital, Erragadda , Hyderabad
Hospital Helpline Number – 040-23814939

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Makeup Lesson : The Foundation of Good Mak

There’s no going about it the quick way. If you want a great made-up face, you’ve got to start at the base.

Granted that you have made your makeup purchases with your skin tone and desired look in mind, you should not have any trouble going through with the makeup application. There are many ways to do it. However, I will be sharing a routine that is commonly done, simply because it would be easier to add or subtract, even tweak, your own elements into it.

We start with the base – which is the application of foundation. There are those who protest that having good skin can eliminate the need to apply foundation. That is all well and good – but if you plan to put on blush and eye color, even contour your face, I must warn you that it won’t glide on as smoothly without foundation. There is a reason why it’s called a base. And need I remind you what can happen to various products on the face when you start sweating or getting whipped about in the wind? A good foundation – and it doesn’t even have to be a heavy application, could even be a more long-lasting pressed powder – blends everything in and helps hold everything in place long after you’ve finished with your makeup application.

Before beginning, make sure that the shade you have exactly matches you skin. If not, you can mix two shades to get the exact shade you want. This is easier done with liquid foundation. Have a plastic makeup palette and small makeup spatula on hand for this. To save time, ask the makeup consultant in the makeup counter what shades you can mix, so that you won’t be experimenting too much when you’re on your own. Better let the consultant know as well if you are acidic (somehow, the face powder that’s supposedly in your shade turns dark minutes after you apply it) so that she can give you (or mix for you) a shade that’s one shade lighter than your skin tone.

To start, have your cake, cream, or liquid foundation at hand, as well as the necessary tools – sponges, wedges, or liquid foundation brush – needed to apply it. As a rule, get only a small amount of product. It would be better to add on as needed rather than attempt to smudge a fraction of the product off when you realize you have overestimated. Start applying over the forehead, then the eyes, under the eyes, the cheeks, the chin area, and then the undersides of the jaw and around the neckline. It simply won’t look good if your face is a different color than your neck, after all.

Whether through the use of a sponge or brush, apply in gentle, light, circular motions. This will settle in the product well, and will ensure that you cover all the areas. While you may later on apply the other makeup products in rapid succession, make sure that you take your time in applying foundation. Do not rush, and make sure that you are making an even application.

Makeup Lesson: Setting Your Priorities

Approach your makeup purchases as you would any other product: research, look around, canvass, and be practical!

Once prompted and prodded in the right direction, women who’ve somehow gotten excited over makeup tend to get too excited. There are still the practicalities to think about. And before you start scowling at getting all worked up then being asked to slow down, planning your makeup kit before rushing in and buying everything that looks too nice to pass up will save you a lot of money and disappointment. As with everything else, canvass. Not just from mall stores, but also online ones. Great deals are out there if only you’d look for it.

And not only that – make sure that you do a skin test for the brands that you’re eyeing. It just wouldn’t do for you to buy their entire line only to find out that you’ll break out into rashes within minutes of applying their products on. Go to the makeup counters, and apply a bit of what you plan to purchase on the inside of your wrist, or the inner part of your upper arm, or on the underside of your jaw. These are sensitive areas. If ever you would expect to see some reaction, it would be from these locations. Wait twenty-four hours before you decide to purchase.

The tools:

Before you buy the products, make sure you have the tools used to apply them on your skin. A great makeup brush set will come a long, long way. These, oftentimes, will consist of a foundation brush, a powder brush, a blush brush, a concealer brush, a lip color applicator, three sizes of eye color brush (one for the brows, one for the lids, and one for contouring), a brow brush (one that comes with a comb) and a mascara wand. At first, you’ll be overwhelmed at the sheer number of brushes, but as you learn to apply makeup and start experimenting, you’ll appreciate the precision and accuracy by which you can wield these tools. This brush set need not be expensive. Just opt for the ones made of sable or sturdy synthetic materials. Examine the handles well. Are they easy to grip? Will they still look good after several washings? Opt for a set with black or white handles. These ones age well, and will not show too much wear and tear through the years, with proper care.

Drugstore or designer brands?

Be honest about your budget. Would you really want to blow away one makeup set’s worth of money just to be able to purchase a high-end designer-brand makeup palette that you couldn’t wait to show off but would leave you with no room to experiment? Opt for a good drugstore brand as a start. The reason why testing is recommended is so that you can see for yourself (well, beyond the no-allergies test) how long the product can stay on your skin without fading after being exposed to wind, sun, and perspiration.

Makeup Lesson : The Must Have Prod

Too many products whirling around your head? Let’s break it down to the basics.

Versatility is one of the key features of today’s makeup products. You want a certain look, you can definitely have it. From the no-makeup makeup to the seductive siren to the glam-fab looks of today’s magazine covers, there’s a look that’s bound to suit everyone’s skin type, tone, face shape, and personal preference.

Flip through some magazines and look for certain looks that you like. Gone are the days when this and that color are only “suited” to certain skin types. If you find a look that you think will suit you, and you find that you’ll be comfortable with it, by all means – go for it. Just like trying on clothes at the mall, you’ll never really know what you’ll feel comfortable in until you’ve tried it on. Don’t hesitate to go over to the makeup counters. There’s a wide array of products to choose from, and trying them on are free!

Foundation – comes in a wide range of shades and also comes in powder, liquid, and cream form. Used as a base, and one of the first products you apply, foundation evens out the skin and covers the less challenging blemishes. Can be applied using a liquid foundation brush or a makeup sponge.

Concealer – Usually comes in liquid or cream form. This product is marvelous in covering those pesky blemishes and making them blend with your natural skin tone. There are specific concealers which can be used to hide eye bags and uneven skin tone around the area. Works with a concealer brush, especially for spot applications.

Eye shadows and pencils – Used to put color on and/or around the eye area. Brighter ones help to illuminate and lighten, while darker ones contour and bring focus to certain parts of the eye, even bring out its color beautifully. Comes in power, liquid, pencil, and cream form, and can be applied several ways.

Blush – A product that comes in varying shades of pinks, reds, and oranges. Can be used on the hollows or apples of the cheeks and gives definition to the cheekbones and side of the face. This product can bring out a more angular look, or can merely be used to put a spot of “healthy” glow to a normally pale face.

Mascara – Applied on the upper and/or bottom lashes of the eyes. This product, when used properly, elongates and thickens the strands of hair so that they frame and accentuate the eyes nicely. A wide range of mascara types are out in the market, some more basic than others, others which can “volumize” and “lengthen” the lashes. It comes in liquid form, in a variety of colors.

Lipstick and lip liners – Gives color to the lips, whether to emphasize the contours or to curb the shape into a thinner appearance. The lipstick and lip liners work in great tandem to highlight your lips into how you want it to look for every given occasion.

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Makeup Lesson : Good Skin Versus Makeup

Who says who can or cannot put on makeup? Feeling a bit drab with your flawless skin? Time to get creative!

There are those who will say that good skin requires no makeup. After all, what is there to conceal when your face is already flawless? While there is no arguing that going au naturel has its own appeal, it may not be appropriate at all times.

Even a good skin needs makeup

Can you really imagine going to a formal evening occasion barefaced? If there is photography involved, how exactly will your pale cheeks and even paler lips look when lighting hits it to be captured for all eternity? You see, women eventually get to realize that they have a natural “angle,” that side where you know you’ll naturally look good. You know this side. You’ve turned this way and that in the mirror observing this part of your face, and have decided that it’s at this front that you look best.

At some point, you’re going to acknowledge that all of us have a natural angle, and would naturally want to project it, especially on days when we’re having bad anything (hair, clothes, weight) days. Makeup helps us in projecting and highlighting our best sides, flawless skin or not. Heck, even supermodels have acknowledged that they have good and bad angles, and have maximized it for their profession. Why shouldn’t we adapt a bit of optimism ourselves? To presuppose that makeup is just there to conceal our flaws would be downright narrow-minded, and this is not even mentioning the fact that you are missing out a lot on jazzing yourself up and being creative with your looks.

Makeup is such a diverse world. It’s a culture all on its own. Before you venture into it, though, you must set your sights on what exactly you’ll be doing with its products.

Do you want to make yourself over?
Have you been feeling bored with your looks and want a variation?
Do you want your overall look to complement your outfits and reflect your moods?
Are there skin imperfections that you want to conceal?
Are you just plain curious about how makeup would look on you?

Good news! All of these probable goals can be met by experimenting with makeup. Welcome to a fun world, where there are very basic rules – most of which can be broken, reinvented, and redefined in the name of personal artistry! With the latest crops of makeup artists and even more makeup products, almost every look you might want to go for is doable, and you’re going to have a very enjoyable time attempting to do so.

Here’s where good skin comes in. If you are the wake-up-and-dash-out-the-door type, spending a lot of time concealing those blemishes will add a lot to your makeup routine. Before venturing into makeup, try to consult a dermatologist first so that you can deal with any “emergency” situations. If you’re in a rush, however, there are many hypoallergenic products out there. And soon, enter stage left – your new best friend – the concealer!

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Makeup Lesson : Why Should I Put on Makeup, and When?

You’re pretty much a late bloomer in makeup and makeup application. If you’ve missed out on this very essential part of a woman’s experimentation, here’s how you can hope on and spruce up with the best of them.

You’ve always been the au naturel kind of girl and you’ve never felt the need to dress up in any other way than in your usual keep-it-simple approach to life. Surely, you’ve experimented with a lip gloss or two, and there was your prom night in high school, but that pretty much sums up your “glamorizing” history. College kept you pretty busy and you hung out with a laid back crowd who mostly studied and gallivanted around campus in comfy clothes and even barer faces, so you never needed to splurge on your appearance the way other girls (obsessively, in your opinion) used to do.

But along comes corporate life, and you figured out that there are times when you really need to keep up with the times appearance-wise. Between the usual meet-and-greet power meetings with clients and speed-dating you’ve been doing, you’ve bought some outfits to spruce up your wardrobe to reflect who you are. You didn’t stop there. You bought some accessories for times when you felt you wanted to dress down but have several key pieces to highlight your ensemble. You have even ventured into buying jewelry for more formal occasions, and found them to be good investments as well.

With the way things are going, it’s no wonder that you were eventually led to a path that leads smack to makeup. At some point, experimenting with fashion to redefine who you are will make you wonder how you can also emphasize your facial features, as well as conceal marks brought on by stress and key components in your physical environment.

Here is where you feel the road stopped, however. You have finally been intrigued into venturing into the cosmetic world, yet you have no clue on where and how to start. This is perfectly understandable. If you haven’t been listening to your girlfriends gabbing in the past, then it’s truly easy for you to get lost in this world. For starters, there are more makeup brands than ever before. You’ve also got the suitability to think about. Do you want to wear makeup during the day – at the office or for a simple day event, at night – for the occasional date or office dinner, or for special events such as weddings, formal evening parties, and such?

And then, there are the tools to think about. What should you buy? What can wait for another time? Should you buy from just one particular brand or buy several pieces from different ones and mix them up? And how do you even know what brands to buy?

Before your head starts spinning, however, here is a most practical approach to plunging into the very, very old art of makeup artistry: read about it and dip your hands (with colorful makeup pallete) on it!

IPM gets swine flu test kit




Students and employees participating a swine flu awareness rally in Jubilee Hills on Monday.

HYDERABAD: Providing treatment to the patients of swine flu at corporate and private hospitals in the twin cities might take time longer than promised.The State Government has decided to involve p r i v a t e hospitals in checking the A(H1N1) influenza that has reportedly claimed a few lives and affected several hundred persons across the State as the government hospitals in the capital, the chest hospital in particular, are unable to cope with the rush. It has been decided to allow corporate hospitals to test and treat patients for swine flu provided they have the capacity to do so.Speaking to Expresso, District Medical and Health Officer, Hyderabad, Jaya Kumari said that corporate hospitals which wanted to treat swine flu patients had to follow the norms and guidelines stipulated by the Union Ministry of Health and the World Health Organisation (WHO). They should comply with the guidelines which include creation of isolation wards, having separate paramedical staff and doctors, and separate out-patient departments and wards, she said.“We are going to send the guidelines to corporate hospitals soon on establishing the isolated wards for treating the swine flu cases. A meeting with corpoare and private hospitals is going to be held on August 20 on establishing isolation wards’’ she said.Already two corporate hospitals have come forward to treat swine flu cases as they have established separate wards. The authorities would inspect and gauge the clinical capability of these hospitals to know whether they have been established as per the guidelines or not.Involving corporate hospitals would ensure availability of additional diagnostic capacity for testing for this influenza, she said. However, people will have to pay for the tests and treatment provided at private hospitals. A test, that is done free of cost at government hospitals, may cost between Rs 10,000 and 15,000 at private hospitals.At present, samples of throat swab and others are sent to Delhi and Pune for testing as the State lacks diagnostic facilities.According to Jaya Kumari, the latest diagnostic equipment for testing swine flu cases has arrived at the Institute of Preventive Medicine (IPM) at Narayanguda in the city. Hereafter, all the samples handed by the government hospitals will be tested at the IPM instead of being sent to Pune or Delhi.Currently, only government-run medical institutions are allowed to handle swine flu cases.

DMHO to intensify drive against swine flu




With the swine flu scare gripping the city, surgical masks have come into great demand.

HYDERABAD: Even as the authorities have begun to issue notifications and visual displays through Hyderabad about swine fu and its effects and methods of prevention, there have been no end to queries about suspected cases with district health officials. In this connection, a number of developments have come to pass at the Hyderabad district administration. While the push for extending the scope in the process of screening swine flu cases has seen the State extend the number of nodal centres, the district health authorities may be considering roping in private players if the crisis escalates.Planned across two phases, the intensification drive would see the department bring out pamphlets and visual media for raising awareness levels at the local level, while training programmes for doctors and lab technicians are presently under way. Officials at the District Medical HealthOffice (DMHO) indicate that it is currently in the process of negotiating the inclusion of private and corporate hospitals in dealing with patients suspected of having contracted the disease. “Along with giving out guidelines on maintaining isolation wards for suspected cases, the department will be embarking on the issue of verification of existing facilities in private centres and then moving the matter ahead for necessary permissions,” revealed a senior official at the Hyderabad District Medical Health Department. Guidelines would be issued to not only the bigger corporate hospitals but also to smaller establishments like nursing homes, provided they have adequate facilities, space and equipment to handle suspected cases. In this regard, the necessary talks with the Institute of Preventive Medicine (IPM) will commence shortly.Incidentally, officials further revealed that the Department will be roping in the GHMC for stepping up the existing awareness programme on swine flu at the circle level. “Awareness drives will likewise be conducted in this regard, under the directions of the GHMC Commissioner, to intensify the drive to educated people about the disease,” officials said. The department “is prepared to handle a possible increase in the number of swine flu victims,” officials claimed. The present move is being viewed as a strategy to offload the load on the Nodal Centre for Swine Flu at the Chest Hospital at Erragadda.

Background of swine flu (Novel H1N1 Flu)

World Health Organization (WHO) signaled that a global pandemic of novel influenza A (H1N1) was underway by raising the worldwide pandemic alert level to Phase 6. This action was a reflection of the spread of the new H1N1 virus, not the severity of illness caused by the virus. At the time, more than 70 countries had reported cases of novel influenza A (H1N1) infection and there were ongoing community level outbreaks of novel H1N1 in multiple parts of the world.

Since the WHO declaration of a pandemic, the new H1N1 virus has continued to spread, with the number of countries reporting cases of novel H1N1 nearly doubling. The Southern Hemisphere’s regular influenza season has begun and countries there are reporting that the new H1N1 virus is spreading and causing illness along with regular seasonal influenza viruses. In the United States, significant novel H1N1 illness has continued into the summer, with localized and in some cases intense outbreaks occurring. The United States continues to report the largest number of novel H1N1 cases of any country worldwide, however, most people who have become ill have recovered without requiring medical treatment.

Given ongoing novel H1N1 activity to date, CDC anticipates that there will be more cases, more hospitalizations and more deaths associated with this pandemic in the United States over the summer and into the fall and winter. The novel H1N1 virus, in conjunction with regular seasonal influenza viruses, poses the potential to cause significant illness with associated hospitalizations and deaths during the U.S. influenza season.

A Virus Emerges

Novel influenza A (H1N1) is a new flu virus of swine origin that first caused illness in Mexico and the United States in March and April, 2009. It’s thought that novel influenza A (H1N1) flu spreads in the same way that regular seasonal influenza viruses spread, mainly through the coughs and sneezes of people who are sick with the virus, but it may also be spread by touching infected objects and then touching your nose or mouth. Novel H1N1 infection has been reported to cause a wide range of flu-like symptoms, including fever, cough, sore throat, body aches, headache, chills and fatigue. In addition, many people also have reported nausea, vomiting and/or diarrhea.

The first novel H1N1 patient in the United States was confirmed by laboratory testing at CDC on April 15, 2009. The second patient was confirmed on April 17, 2009. It was quickly determined that the virus was spreading from person-to-person. On April 22, CDC activated its Emergency Operations Center to better coordinate the public health response. On April 26, 2009, the United States Government declared a public health emergency and has been actively and aggressively implementing the nation’s pandemic response plan

By June 19, 2009, all 50 states in the United States, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands have reported novel H1N1 infection. While nationwide U.S. influenza surveillance systems indicate that overall influenza activity is decreasing in the country at this time, novel H1N1 outbreaks are ongoing in parts of the U.S., in some cases with intense activity.

CDC is continuing to watch the situation carefully, to support the public health response and to gather information about this virus and its characteristics. The Southern Hemisphere is just beginning its influenza season and the experience there may provide valuable clues about what may occur in the Northern Hemisphere this fall and winter.

What to Do If You Get Flu-Like Symptoms

Background

The novel H1N1 flu virus is causing illness in infected persons in the United States and countries around the world. CDC expects that illnesses may continue for some time. As a result, you or people around you may become ill. If so, you need to recognize the symptoms and know what to do.

Symptoms

Photo of woman with fluThe symptoms of novel H1N1 flu virus in people are similar to the symptoms of seasonal flu and include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. A significant number of people who have been infected with novel H1N1 flu virus also have reported diarrhea and vomiting.  The high risk groups for novel H1N1 flu are not known at this time, but it’s possible that they may be the same as for seasonal influenza. People at higher risk of serious complications from seasonal flu include people age 65 years and older, children younger than 5 years old, pregnant women, people of any age with chronic medical conditions (such as asthma, diabetes, or heart disease), and people who are immunosuppressed (e.g., taking immunosuppressive medications, infected with HIV).

Avoid Contact With Others

If you are sick, you may be ill for a week or longer. You should stay home and keep away from others as much as possible, including avoiding travel and not going to work or school, for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone without the use of fever-reducing medicine.)  If you leave the house to seek medical care, wear a facemask, if available and tolerable, and cover your coughs and sneezes with a tissue. In general, you should avoid contact with other people as much as possible to keep from spreading your illness, especially people at increased risk of severe illness from influenza. With seasonal flu, people may be contagious from one day before they develop symptoms to up to 7 days after they get sick. Children, especially younger children, might potentially be contagious for longer periods.  People infected with the novel H1N1 are likely to have similar patterns of infectiousness as with seasonal flu.

Treatment is Available for Those Who Are Seriously III

It is expected that most people will recover without needing medical care.

If you have severe illness or you are at high risk for flu complications, contact your health care provider or seek medical care. Your health care provider will Photo of sick childdetermine whether flu testing or treatment is needed. Be aware that if the flu becomes widespread, less testing will be needed, so your health care provider may decide not to test for the flu virus.

Antiviral drugs can be given to treat those who become severely ill with influenza. These antiviral drugs are prescription medicines (pills, liquid or an inhaler) with activity against influenza viruses, including novel H1N1 flu virus. These medications must be prescribed by a health care professional.

There are two influenza antiviral medications that are recommended for use against novel H1N1 flu. The drugs that are used for treating novel H1N1 flu are called oseltamivir (trade name Tamiflu ®) and zanamivir (Relenza ®). As the novel H1N1 flu spreads, these antiviral drugs may become in short supply. Therefore, the drugs may be given first to those people who have been hospitalized or are at high risk of severe illness from flu. The drugs work best if given within 2 days of becoming ill, but may be given later if illness is severe or for those at a high risk for complications.

Aspirin or aspirin-containing products (e.g., bismuth subsalicylate – Pepto Bismol) should not be administered to any confirmed or suspected ill case of novel influenza A (H1N1) virus infection aged 18 years old and younger due to the risk of Reye’s syndrome. For relief of fever, other anti-pyretic medications are recommended such as acetaminophen or non steroidal anti-inflammatory drugs. For more information about Reye’s syndrome, visit the National Institute of Health websiteExternal Web Site Policy..

  • Check ingredient labels on over-the-counter cold and flu medications to see if they contain aspirin.
  • Children 5 years of age and older and teenagers with the flu can take medicines without aspirin, such as acetaminophen (Tylenol®) and ibuprofen (Advil®, Motrin®, Nuprin®), to relieve symptoms.
  • Children younger than 4 years of age should NOT be given over-the-counter cold medications without first speaking with a health care provider.

Emergency Warning Signs

If you become ill and experience any of the following warning signs, seek emergency medical care.

In children, emergency warning signs that need urgent medical attention include:

  • Fast breathing or trouble breathing
  • Bluish or gray skin color
  • Not drinking enough fluids
  • Severe or persistent vomiting
  • Not waking up or not interacting
  • Being so irritable that the child does not want to be held
  • Flu-like symptoms improve but then return with fever and worse cough

In adults, emergency warning signs that need urgent medical attention include:

  • Difficulty breathing or shortness of breath
  • Pain or pressure in the chest or abdomen
  • Sudden dizziness
  • Confusion
  • Severe or persistent vomiting
  • Flu-like symptoms improve but then return with fever and worse cough

Protect Yourself, Your Family, and Community

  • Photo of familyStay informed. Health officials will provide additional information as it becomes available. Visit the CDC H1N1 Flu website.
  • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
  • Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners* are also effective.

Interim Guidance for Novel H1N1 Flu (Swine Flu): Taking Care of a Sick Person in Your Home

This document has been updated in accordance with the CDC Recommendations for the Amount of Time Persons with Influenza-Like Illness Should be Away from Others . This document provides interim guidance and will be updated as needed.

Novel H1N1 flu virus infection (formerly known as swine flu) can cause a wide range of symptoms, including fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting associated with novel H1N1 flu. Like seasonal flu, novel H1N1 flu in humans can vary in severity from mild to severe. Severe disease with pneumonia, respiratory failure and even death is possible with novel H1N1 flu infection. Certain groups might be more likely to develop a severe illness from novel H1N1 flu infection, such as pregnant women and persons with chronic medical conditions. Sometimes bacterial infections may occur at the same time as or after infection with influenza viruses and lead to pneumonias, ear infections, or sinus infections.

The following information can help you provide safer care at home for sick persons during a flu outbreak or flu pandemic.

How Flu Spreads

Photo of sick child with motherThe main way that influenza viruses are thought to spread is from person to person in respiratory droplets of coughs and sneezes. This can happen when droplets from a cough or sneeze of an infected person are propelled through the air and deposited on the mouth or nose of people nearby. Influenza viruses may also be spread when a person touches respiratory droplets on another person or an object and then touches their own mouth or nose (or someone else’s mouth or nose) before washing their hands.

People with novel H1N1 flu who are cared for at home should:

  • check with their health care provider about any special care they might need if they are pregnant or have a health condition such as diabetes, heart disease, asthma, or emphysema
  • check with their health care provider about whether they should take antiviral medications
  • keep away from others as much as possible. This is to keep from making others sick. Do not go to work or school while ill
  • stay home for at least 24 hours after fever is gone, except to seek medical care or for other necessities. (Fever should be gone without the use of a fever-reducing medicine.)
  • get plenty of rest
  • drink clear fluids (such as water, broth, sports drinks, electrolyte beverages for infants) to keep from being dehydrated
  • cover coughs and sneezes. Clean hands with soap and water or an alcohol-based hand rub often and especially after using tissues and after coughing or sneezing into hands
  • wear a facemask – if available and tolerable – when sharing common spaces with other household members to help prevent spreading the virus to others. This is especially important if other household members are at high risk for complications from influenza.  For more information, see the Interim Recommendations for Facemask and Respirator Use
  • be watchful for emergency warning signs (see below) that might indicate you need to seek medical attention.

Symptoms of Swine Flu – Swine Flu India

Symptoms In children, emergency warning signs that need urgent medical attention include:

· Fast breathing or trouble breathing
· Bluish or gray skin color
· Not drinking enough fluids
· Severe or persistent vomiting
· Not waking up or not interacting
· Being so irritable that the child does not want to be held
· Flu-like symptoms improve but then return with fever and worse cough

In adults, emergency warning signs that need urgent medical attention include:

· Difficulty breathing or shortness of breath
· Pain or pressure in the chest or abdomen
· Sudden dizziness
· Confusion
· Severe or persistent vomiting
· Flu-like symptoms improve but then return with fever and worse cough

Pilgrims to get masks in Tirupati from today

Tirupati

Aug 13: The Tirumala Tirupati Devasthanams (TTD) authorities on Thursday held an in-camera meeting at the administrative building and discussed ways to procure masks in bulk and supply them to devotees.
This decision was taken in the wake of swine flu alert all over the country.
According to the TTD public relations officer, Mr T. Ravi, the temple administration is looking at ways to procure masks in bulk.
“The TTD will have to procure stocks in large quantities,” he said.
As a preliminary step, the limited distribution of masks will begin on Friday.
The authorities also studied the feasibility of setting up a screening zone for pilgrims infected with swine flu at Alipiri at the foothills.
Meanwhile, a Tirupati-based youth who returned from Chennai was admitted to the SVRR government hospital here with symptoms of swine flu. Samples were collected from the youth and sent to Pune for testing for swine flu.

Dr Reddy’s remedy for flu: Amrutanjan

Hyderabad
Aug. 13: Based on the feedback from the H1N1 nodal centre coordinator, Dr K. Subhakar, the Chief Minister, Dr Y.S. Rajasekhar Reddy, on Thursday asked people not to panic about swine flu, which does not necessarily lead to death.
The Chief Minister said swine flu is likely to cause problems only in people who have already been suffering from ailments related to diabetes and heart besides children below the age of five.
He requested people not to rush to give samples in designated swine flu treatment centres till a physician ruled out normal flu.
While Dr Subhakar said the flu would subside in a week, even without treatment, among healthy people, the Chief Minister, in jest, said they could remain at home and apply “Amrutanjan” or “Zinda Tilismath.”
However, the government is on a high alert and citizens need not panic, he added.
Dr Subhakar refused to comment on treatment options for swine flu in homeopathy as it would invite criticism from experts of alternative medicine. “It is all about belief. Some people opt for allopathy, others homeopathy and yet some others go to Tirupati if nothing works out,” he said.
The Chief Minister asked the information commissioner, Mr C. Parthasarthi, to launch a campaign detailing the symptoms, dos and dont’s.
Officials have been asked to supply material to schools to spread awareness among children.
The Chief Minister had convened a joint review meeting on the state’s preparedness to tackle swine flu with a Central observer, Mr Sundaresan.