Apollohospitals.com
Swine Flu:
What You Need to Know
strains endemic in humans, birds 
6. What can I do to prevent 
and swine. This new strain was not 
reported in pigs previously, and is 
• Avoid contact with people who are 
sub typed as H1N1, though other 
subtypes exist. It is contagious, and spreads from human-to-human 
• Wash your hands frequently with 
2. How do symptoms of swine flu 
• Try to stay in good health and be 
differ from other types of flu?
physically active
 Not much. The basic symptoms for 
• Cover your mouth when you 
swine flu are similar to the seasonal 
flu, which may include, fever, sore 
• Stay at home if you are ill. 
throat, cough, stuffy nose, chills, 
Dr Lavanya Nutankalva, 
headache and body aches, and 
• If you develop symptoms 
Consultant – Infectious Diseases, 
fatigue, and sometimes, vomiting 
suggesting the flu, stay away from 
Apollo Health City, Hyderabad
and diarrhea.
work or public transportation, call and see a doctor immediately
1. What is swine flu?
3. How does it spread? 
7. Is there confirmation of 
 Swine Influenza (swine flu) is a 
 The virus is actually transmitted by 
transmission between pigs and 
respiratory disease of pigs caused by 
airborne droplets from an infected 
type A influenza virus that regularly 
person's sneeze or cough; or from 
causes outbreaks of influenza in 
germs on hands.
pigs. Swine influenza viruses may 
4. Is there medication or a vaccine 
8. Is it safe to eat pork and pork 
circulate among swine throughout 
for swine flu?
the year, but most outbreaks occur during the late fall and winter 
 The vaccine is being developed 
 Yes. The virus is killed by cooking 
months, similar to outbreaks of flu in 
and will not be available for the 
temperatures of 160 F/ 70C
humans. The classical swine flu virus 
next several months. Medications 
9. Are some people more at risk?
(an influenza type A H1N1 virus) 
are available not only to treat the 
was first isolated from a pig in 1930.
infection but also to prevent the 
 More data is needed regarding this, 
disease. But these medications 
but in general, younger people, 
 People usually do not get swine flu, 
need to be used under a physician's 
older people, people who are 
though there have been a few cases 
immunocompromised and pregnant 
reported in persons working in close 
women are more vulnerable.
proximity with pigs. Since the virus 
5. How can human infections with 
from the pigs has to mutate so it can 
swine influenza be diagnosed?
10. Is it safe to travel?
infect humans, and because people 
 To diagnose swine influenza A 
 As of now there are no travel 
do not usually contract the virus, 
infection, a respiratory specimen 
restrictions. Limiting travel would 
they have no immunity against it. 
would need to be collected within 
have little effect on stopping the 
So when they do contract it, it can 
the first 4 to 5 days of illness (when 
virus from spreading, but would 
become hazardous.
an infected person is most likely to 
be highly disruptive to the global 
 The current 2009 swine flu outbreak 
be shedding virus). However, some 
community. The focus now is on 
is due to a new strain of the virus, 
persons, especially children, may 
minimizing the impact of the virus.
which is a reassortment of different 
shed virus for 7 days or longer.
TDr Lavanya Nutankalva 
he current swine flu alert 
among pigs in Midwestern US, Mexico, 
But the current strain of the microbe is 
sweeping across the globe 
Canada, South America, Europe, 
resilient and fast-moving, and what's 
has health organizations 
Kenya, Mainland China, Taiwan, Japan 
even more worrying is that it spreads 
doing their best to prevent 
and other parts of Asia.
from human-to-human contact, unlike 
a full-blown pandemic. 
the earlier reported cases. This means 
The challenge for them is to prevent 
Transmission of the swine flu virus 
that none of us are immune to the 
the virus from crossing borders and 
from pigs to humans is not common, 
possibility of infection.
infecting other populations.
though there have been some reported cases earlier among people who work 
Reports indicate that the current strain 
So what exactly is swine flu?
in close proximity with pigs. Since the 
is a new one of influenza A virus 
mid-twentieth century, only about fifty 
subtype H1N1. The origin of this strain 
Swine flu is a form of influenza that is 
such transmissions have been reported, 
is unknown. World Organization of 
caused by strains of virus that usually 
the spread and disappearance being 
animal health reports that this strain 
infects pigs. It's a common infection 
is not isolated in pigs, and other initial 

Besides antivirals, palliative care 
focused on controlling fevers and 
maintaining fluid balance goes 
a long way to ensure recovery. 
In fact, the majority of people 
infected with swine flu make a 
full recovery without requiring 
medical intervention or antiviral 
reports describe it as an apparent re-
Prevention of transmission to humans
assortment of at least four strains from humans, birds and swine. 
If diagnosed early, swine flu is easy 
• Farmers working with pigs and 
to treat, so there is no need for panic. 
veterinarians must use a face mask 
The US Center for Disease Control and 
when dealing with infected animals.
Prevention and the WHO recommend 
Since symptoms mimic those for 
the use of Tamiflu (oseltamivir) or 
• Wearing gloves when working with 
common flu, for a layperson, it is 
Relenza (zanamivir) for treating swine 
hard to tell them apart. Medically, 
flu. Besides antivirals, palliative care 
the virus is diagnosed by: (1) Throat/ 
Prevention of human to human 
focused on controlling fevers and 
nasopharyngeal swab, and (2) blood 
maintaining fluid balance goes a 
samples for the antibodies.
long way to ensure recovery. In fact, 
• Frequent washing of hands with 
the majority of people infected with 
soap and water or with alcohol-
swine flu make a full recovery without 
based hand sensitizers, especially 
requiring medical intervention or 
after being out in the public.
antiviral drugs.
• Anyone with flu-like symptoms 
such as sudden fever, cough or muscle aches should stay away from 
A new virus being developed is slated 
work or public transportation, and 
to be available only mid-2009. Till then, 
contact a doctor to be tested. B
adequate precautions against infection is absolutely essential in order to prevent a global pandemic. Prevention has three components: (1) Prevention in swine, (2) Prevention of transmission to humans, and (3) Prevention of it spreading among humans.
Prevention in swine
• Facility management
Dr Lavanya Nutankalva 
• Herd management
Consultant – Infectious Diseases, 
Apollo Health City, Hyderabad
Source: https://www.apollohospitals.com/apollo_pdf/Swine_Flu.pdf
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