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Avian FluAvian FluandandYouYou


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Avian Flu and You

What you will learn

In this course you will learn:

What causes Flu

WhyAvian and Pandemic Flu are so dangerous

How the infections Spreads and it Symptoms

What precautions and preventions you can take

When to use the Anti-viral medication, Tamiflu


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What is the Flu?

The flu is a contagious respiratory illness.

It is caused byinfluenza viruses

There are three types of flu

Seasonal flu

Avian flu

Pandemic flu

Seasonal flu viruses are only found in humansand are transmitted person to person.


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Differences Between Types of Flu

Some key differences between Seasonal, Avian and Pandemic Flu:

Avian and Pandemic flu produce more severe symptoms than Seasonal flu

Avian and Pandemic flu have a muchhigher risk of causing death

Older and younger people have higher risks with Seasonal flu but with Avianand Pandemic flu everyone is at high risk

Vaccines are available for seasonal flu -- not yet for Pandemic flu

Anti-viral supplies are available for seasonal flu but may not be available forpandemic flu


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Avian Flu and You

Avian Flu & Pandemic Flu

Avian Flu -- is a type of flu caused by a type ofinfluenza virus. The virus is transmitted

birds to birds and

birds to humans.

There is no human immunity to the avian flu.

Pandemic Flu the virus that causes the Avianflu can mutate. It may mutate into a form that willallow it to be transmitted from human-to-human.It will spread word-wide very rapidly. This iscalled a pandemic.


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Avian Flu and You

Previous Flu Pandemics

Flu pandemics have struck about three timesevery centurysince the 1500's.

During the past 100 years we have had threePandemics.

While not yet a Pandemic, Avian flu has caused

a number of deaths.

As of May 2006 there were 208 cases of Avian Flu

resulting in 115 deaths -- a 55.3% fatality rate.

Year Flu Nick-name VirusSubtype USDeaths

1918 Spanish A (H1N1) 550,0001957 Asian A (H2N2) 70,0001968 Hong Kong A (H3N2) 34,000


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Avian Flu and You

Why is it Dangerous

Avian Flu currently has a 55.3% fatality rate.

Who will be at risk? Everyone.

Severity will be great.

Historically this strain is similar to the 1918 virus strain whichresulted in world-wide deaths of about 50 million people.


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Avian Flu and You

Audio Summary and Quiz Question

Multiple choice question goes here


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Avian Flu and You

How You Become Infected

When an infected person breaths, talks, coughs or sneezes, thousands

of tiny particles containing droplet nuclei are expelled into the air.

The virus is spread by these droplets.

Droplet nuclei can remain suspended in the air forseveral hours,depending on the environment.

You can contract the virus:

1. Ifyou are within 2-3 feet of a person coughing or sneezing and youinhale these droplets.

2. Ifyou touch any surface where these droplets may be and thentouchyour eyes/nose/face.


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Avian Flu and You

Influenza Symptoms

People who become infected with the flu virus are likely to displayseveral of the following:

Very fast onset of symptoms over just a few hours

General physical discomfort or psychological depression

hills and high fevers 100 F to 105 F that peaks in 1224hours and might persist from 1 to 5 days

Headaches, aching muscles, aching joints, pain associatedwith eye movement and discomfort in bright light

A non-productive cough and a sore throat

An intense loss of appetite


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Avian Flu and You




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Avian Flu and You

Precautions and Prevention

Recall what you learned about how you can become infected

with the influenza virus:You can become infected:

1. Ifyou are within 2-3 feet of a person coughing or sneezingand you inhale infected droplets.

2. Ifyou touch any surface where infected droplets may be andthen touchyour eyes/nose/face.

The precautions and preventions we will describe apply to alltypes of flu. However, they become especially important indealing with confirmed local cases of Avian or pandemic flu.

Here are the top six things to do:


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Avian Flu and You


#1. Avoid close contact with other people

A person can be contagious before they show any flusymptoms. This makes it difficult to know who to avoid. But if

local Avian or Pandemic flu cases have been reported minimize all ofyour contacts -- better safe than sorry.

#2. Stay home when you are sick.

When you are sick, keep your distance from others to protectthem from getting sick too.


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Avian Flu and You


#3. Avoid expelling contagious droplets into the air

When an infected person breaths, talks, coughs or sneezes,thousands of tiny particles containing droplet nuclei are expelledinto the air. The virus is spread by these droplets.

overyour nose and mouth with a tissue every time you coughor sneeze.

Throw the used tissue in a waste basket.

Ifyou don't have a tissue then sneeze or cough into your sleeve.


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Avian Flu and You


#4. Wash your hands frequently.

Use soap and warm, running water. Keep fingers pointingdown under the running water. Rub hands vigorously forat least 20 seconds. Dry hands completely using a freshunused towel.

#5. Avoid touching your eyes, nose or mouthGerms are often spread when a person touches somethingthat is contaminated with germs and then touches his orher eyes, nose, or mouth.


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Avian Flu and You


#6. Practice work-related hygiene

Ifyou work at home or at an office, it is a good idea to:

Keep disinfectant wipes and gels handy use as appropriate

Disinfect Hard Surfacessuch as Phones, Desks and omputer Keyboards

Insure Trash Receptacles have removable plastic linersIf not consider using a disinfectant spray)

Keep protective personal equipment handy includingdisposable gloves and a good disposable respirator). earnproper removal and disposal techniques.

Become familiar with the proper technique for using arespirator and its limitations.


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Avian Flu and You

Treatment Ideas

Ifyou develop flu-like symptoms it is always best to consult a doctor.

A seasonal flu is likely to go away on its own in about 7 to 10 days.

In the meantime, you can take several steps to feel better:

* Get extra rest

* Drink plenty of fluids to replace those lost from fever.

* If fever is uncomfortable, take acetaminophen or ibuprofen

* To relieve body aches and headache, take aspirin, acetaminophen, or ibuprofen. Do not takeaspirin ifyou are younger than 20 unless your doctor tells you to do so. Also, aspirin andibuprofen can upset your stomach, while acetaminophen does not.

* Use a decongestant or nasal spray ifyour main symptom is a stuffy nose. Do not usemedicated nasal sprays or drops more often than directed and not for longer than 3 days.

* Avoid antihistamines. They do not treat flu symptoms and may make nasal drainage thicker.

* Use cough drops or plain, hard candy to help ease coughing.

* levate yourhead at night with an extra pillow if coughing keeps you awake.


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Avian Flu and You

Treatment -- Anti-viral Medications

Anti-viral medications mayhelp in prevention before exposure)

as well as in treatment after infection).

urrently there are fourmedications that can be used againstinfluenza viruses.

Name Brand Name Amantadine Sysmmatrel

Rimantadine FlumadineZanamavir RelenzaOseltamivir Tamiflu

All are controlled medications that require a physiciansprescription. There are no over the counter anti-influenzamedications.


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Avian Flu and You

Why Tamiflu?

Tamiflu

Of all current anti-viral medications, Tamiflu is most likely tobe effective against Avian and Pandemic flu.

Tamiflu has the least side-effects in the general population.

Tamiflu can be stored and remain effective for up to fiveyears.


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Avian Flu and You

Tamiflu Pointers

Here are 3 reasons why it is criticallyimportant that

you do not take Tamifluprior to a confirmedoutbreakofavian fluor a pandemic.

#1 There will simply not be enough Tamiflu for everyoneto have a full supply for themselves and their families. Ifyou use your supply prematurely, you may not be able toobtain a replacement.

# 2. Over time viruses become resistant to specific andwidely used anti-viral medications. Ifyou take Tamifluprematurelyyou will be allowing the virus to becomeresistant to Tamiflu.

# 3 You should not take any prescription medication

without consulting a doctor. It certainly is possible that youmight misdiagnose yourself.


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Avian Flu and You

When To Take Tamiflu

It is not always easy to tell the difference between a severe cold,

certain bacterial infections and the flu.

Before you take Tamiflu review this checklist.

A. Arelocal andnational health officials confirming an outbreak ofAvian flu or a pandemic?

B. Have you orhas anyone in yourhousehold) been exposed tosomeone with flu-like symptoms within the past 48 hours?

. If I or members of myhousehold are not able to stay at home, willwe be coming into contact with others who are likely to be infected?

D. Have I consulted with my doctor about taking the medication now?


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Anti-viral Medications

Remember

Youshould not take Tamifluunless there is a

confirmedoutbreakofAvian fluor a Pandemic.

Even then, youshouldconsult a Doctor

whoisfamiliar with yourmedical history

and householdsituation.


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Avian Flu and You




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Avian Flu and You

Almost done!

You have almost completed this course.

Here are the final steps:

1. On the next screen we ask that yougive us your opinion about this course.

2. Following that, you can print yourcourse completion certificate.

3. On the final screen you will find a listof useful references. These will help youdevelop your own personalized flu plan.


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Please give us your opinion about this course

lick next foryour ertificate of ompletion

1=Poor 10=Excellent1 2 3 4 5 6 7 8 9 10

Amount of information

Usefulness of Information

Accuracy of information

I would recommend this site to someone else

Suggestions, questions comments

Thank You


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Avian Flu and You

Certificate ofCompletion


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Avian Flu and You

References For FurtherStudy

A Pandemic Flu Planning hecklist for Individuals & Families

http://www.pandemicflu.gov/plan/tab3.html#checklist

Antiviral Drugs and Influenzahttp://www.cdc.gov/flu/protect/antiviral/

Influenza Symptoms, Protection, and What to Do If You Get Sickhttp://www.cdc.gov/flu/symptoms.htm

autions in Using Rapid Tests for Detecting Influenza A Viruseshttp://www.fda.gov/cdrh/oivd/tips/rapidflu.html

Selecting the "Right" Respiratorhttp://www.health.state.mn.us/divs/idepc/dtopics/infectioncontrol/rpp/

respselect.html

NOTE: This page should be outside of the course. From time to time it will beupdated by affiliated. The actual course will need to contain a link to this page.

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