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Bird Flu

 

Information - NHS Public health advice for those going to or returning from Bird flu-affected areas

Poster
Leaflet

Overview of the situation
Useful websites / sources of guidance
Reduce the risk of catching or spreading flu
What to do if you catch flu
Advice to travellers

-------------------------------------

Overview of the situation / Useful websites

A pandemic is the worldwide spread of a disease with outbreaks or epidemics occurring in many countries and most regions of the world.

An influenza (flu) pandemic occurs when a new virus emerges which is markedly different from recently circulating strains. It can infect people and spread readily; causing illness in a high proportion of those infected as they have little or no immunity to it.

The bird flu virus currently affecting poultry and some people in Asia and other areas is the highly pathogenic H5N1 strain of influenza.

Experts are concerned that the H5N1 virus could either:

• adapt, giving it greater affinity for humans, or;
• exchange genes with a human flu virus, thereby producing a completely new virus strain capable of spreading easily between people, and causing a pandemic.

The University, in conjunction with the Health Protection Agency (HPA) are putting into place a contingency plan to reduce the impact of the flu pandemic.

Past flu pandemics have taught us that a new flu pandemic may not necessarily follow the pattern of seasonal flu: it could strike at any time of the year.

Many important features of a new flu pandemic virus and how it will spread are uncertain. Plans are made using “working estimates” which are derived from theoretical modelling. The time of year of the outbreak, age groups affected and speed of spread of the virus will all influence the overall impact of the pandemic.

Past experience suggests that a new pandemic flu virus will emerge from China or the Far East. However, it could emerge from anywhere, including the UK. If it does emerge in the Far East, it is thought that the pandemic will spread to the UK within a month of the first outbreak. After it is has reached our shores, it will probably take 2 – 3 weeks to spread across the UK This wave of influenza could last 3-5 months with a peak of cases around week 6. Subsequent waves are likely to occur weeks or months later. It is estimated that 25% of the population may become unwell and that 50,000 people may die. Annually in the UK, approximately 12,000 people die from ‘ordinary’ seasonal flu. These are mainly elderly or vulnerable members of the population. Pandemic flu can seriously affect anyone of any age.

As a pandemic flu virus will be significantly different from recently circulating strains, a new vaccine will need to be developed to give protection against this new strain. This can only be done once it becomes known. It will take time before a vaccine can be produced on a large scale and it may not be available at all for the first wave of the pandemic.

Antiviral drugs may be used in the absence of, or in adjunct to, a vaccine.
The Department of Health (DH) is currently building up a stockpile of suitable antiviral drugs, such as Tamiflu. These will be used to gain maximum benefit according to their availability. However, there is no guarantee of their effectiveness against a new flu virus: some avian variants in China have already shown resistance to Tamiflu.

The flu virus is spread by respiratory droplet infection. Flu viruses are easily passed from person to person when an infected person talks, coughs or sneezes, which expels the virus into the air. Some of these can linger in the air for some time. The virus may also be spread from hand to face contact. For example, if someone touches a contaminated surface and then inadvertently inhales the virus from their hand when it is in close proximity to their face.

Adults are thought to be infectious from just before the symptoms develop until approximately 4 – 5 days after the onset of symptoms. Children may be infectious for longer, typically up to seven days after the onset of symptoms.

The incubation period is thought to be 1 – 3 days. Not everyone who is infected will become symptomatic.

Schools and other educational establishments will probably experience a higher rate of infection than the general population. As part of the plan, the Department of Health and NHS Direct will provide national materials and clinical management guidelines.

Useful websites / Sources of guidance

http://www.dh.gov.uk/pandemicflu
http://www.immunisation.nhs.uk
http://www.hpa.org.uk
http://www.who.int/csr/disease/avian_influenza/en/

 

Reduce the risk of catching or spreading flu:

·      Cover nose and mouth with a tissue when coughing or sneezing

·      Dispose of tissues promptly (bag or bin them)

·      Avoid non-essential travel and large crowds where possible

·      Maintain good basic hygiene – washing hands frequently with soap and water, particularly after going out.

·      Cleaning hard surfaces such as kitchen worktops and door handles frequently with normal cleaning products.

·      Making sure that your children also follow this advice.

What to do if you catch Flu:

·      Stay at home and rest

·      Drink plenty of fluids

·      Paracetamol eases pain and fever. Regular full doses (2 tablets four times a day for adults. Max 8/day) are better than ‘now and then’.

·      Antiseptic lozenges, sprays and gargles may also bring some relief if you have a sore throat
If symptoms are severe Paracetamol can be alternated with Ibuprofen until the maximum daily dose of ibuprofen has been reached – this will ease sore throats and muscle aches without risking an overdose of either drug. Maximum dose of ibuprofen is 1200mg/day (6 x 200 mg tablets or 3 x 400 mg tablets)

·      If you are taking any other medication, check to see if it is OK to take it with ibuprofen

·      Ibuprofen should not be taken if you are pregnant, breast feeding, have had previous peptic ulceration or bleeding or have coagulation problems

·      If you have liver, kidney or heart problems check with your doctor to see if it is OK to take ibuprofen

·      If you have any allergic disorders such as asthma, ibuprofen can make them worse

·      Return to see Nurse or GP if condition deteriorates or does not begin to improve in 2-3 days
Drink plenty of fluids

Children under the age of 16 years must not be given aspirin or ready made flu remedies containing aspirin.
Visit www.nhsdirect.nhs.uk
Or phone NHS Direct on 0845 46 47
Or go to NHS Direct Interactive on digital satellite TV.
Further information can be sought from the Department of Health website:
http://www.dh.gov.uk/pandemicflu

 

Advice to Travellers

WHO does not at present recommend any restrictions on travel to any country currently experiencing outbreaks of bird flu in poultry flocks, including countries which have also reported cases in humans.

If you are visiting countries with reported outbreaks of H5N1 bird flu among poultry, you should observe the following measures:

·      do not visit bird or poultry farms or live animal markets

·      avoid close contact with live or dead poultry

·      do not eat raw or poorly-cooked poultry or poultry products, including blood

·      wash your hands frequently with soap and water.

Public health advice for those going to or returning from bird flu affected areas

If you have been in contact with live or dead poultry in an affected country be aware of the symptoms of bird flu in humans. They are similar to ordinary flu symptoms and can appear suddenly. They may include:

·      a fever (temperature of 38°C or more)

·      cough

·      shortness of breath

·      headache

·      sore throat

·      sore eyes

·      muscle aches

If you have these symptoms whilst abroad and have been in close contact with live or dead poultry you should seek medical advice locally.

If you develop the above symptoms within seven days of leaving an affected country and you had close contact with live or dead poultry, it is very important that you seek immediate medical attention.

Either telephone your doctor, or ring NHS Direct on 0845 4647

 

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