The cases of swine flu in the United States have been milder than those in Mexico. The CDC is recommending the use of oseltamivir or zanamivir for the treatment of swine influenza infections, so you will need to see your physician. Clinicians are encouraged to consider swine flu infection in patients with febrile respiratory illness and who 1) live in San Diego or Imperial counties, California, or Guadalupe County, Texas, or traveled to these counties or 2) who traveled recently to Mexico or were in contact with persons who had febrile respiratory illness and were in one of the three U.S. counties or Mexico during the 7 days preceding their illness onset.
Persons with febrile respiratory illness should stay home from work or school to avoid spreading infections (including influenza and other respiratory illnesses) to others in their communities. In addition, frequent hand washing can lessen the spread of respiratory illness.
Tips to help prevent the spread of swine flu influenza
* Wash your hands often with soap and water.
* Use waterless alcohol-based hand gels (containing at least 60% alcohol) when soap is not available and hands are not visibly dirty.
* Cover your mouth and nose with a tissue when you cough or sneeze. Try to cough or sneeze into your elbow / upper sleeve rather than your hand. If you use a tissue, dispose of it in a wastebasket and then wash your hands.
* Follow all local health recommendations. For example, you may be asked to put on a surgical mask to protect others.
Seek medical care if you feel sick
* If you are ill with fever and other symptoms of swine flu like cough and sore throat, see a doctor, especially if you think you may have had contact with someone with swine flu or severe respiratory illness in the past 7 days before becoming ill.
* Antiviral Medications: Persons traveling within the US that are at high risk of severe illness from influenza (for example persons with chronic conditions such as diabetes, lung disease, heart disease, and the elderly) are recommended to take antiviral medications for prevention of swine influenza during travel. The recommended antiviral drugs for swine influenza are oseltamivir (brand name Tamiflu®) and zanamivir (brand name Relenza®). Both are prescription drugs that fight against swine flu by keeping flu viruses from reproducing in your body. These drugs can prevent infection if taken as a preventative. Talk to your doctor about correct indications for using influenza antiviral medications. Always seek medical care if you are severely ill.
* Antiviral chemoprophylaxis can be considered for the following:
1. Any health care worker who is at high-risk for complications of influenza (persons with certain chronic medical conditions, elderly) who is working in an area with confirmed swine influenza A (H1N1) cases, and who is caring for patients with any acute febrile respiratory illness.
2. Non-high risk persons who are travelers to Mexico, first responders, or border workers who are working in areas with confirmed cases of swine influenza A (H1N1) virus infection.
After you return from your trip
* Closely monitor your health for 7 days
* If you become ill with fever and other symptoms of swine flu like cough and sore throat and possibly vomiting and diarrhea during this period, call your doctor or clinic for an appointment right away. Your doctor may test you for influenza and decide whether influenza antiviral treatment is indicated.
* When you make the appointment, tell the doctor the following:
o Your symptoms,
o Where you traveled, and
o If you have had close contact with a person infected with swine flu.
* Avoid leaving your home while sick except to get local medical care, or as instructed by your doctor. Do not go to work or school while ill. If you must leave your home (for example, to seek medical care) wear a surgical mask to keep from spreading your illness to others.
* Always cover your nose and mouth with a tissue when you cough or sneeze. Throw away used tissues in a trash can.
* Wash your hands with soap and water often and especially after you cough or sneeze. If soap and water are not available, use an alcohol-based hand gel containing at least 60% alcohol.
* Avoid close contact with other people as much as possible.
* Wear a surgical mask if you are in contact with other people.
Source
CDC Health Advisory 000281
For more information about swine flu: http://www.cdc.gov/swineflu
Additional information is also available by calling 1-800-CDC-INFO (1-800-232-4636)
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