Protocol to follow for infection with H1N1 Virus

Source of information: program by Dr. Oz of September 15, 2009 with expert guests, besides himself.

Dr. Mehmet OZ (cardiac surgeon at Columbia University, NY): the H1N1 Virus is a pandemic disease and it is expected that a second wave will hit harder coming up this fall. It is a highly contagious virus and the proof is in how it spread from Mexico, to the USA/Canada, and from there, jumped to Europe and to the entire 6 continents. In the US alone we have had 1,000,000 persons infected so far. It is chilling to think that it reminds the experts of the Spanish pandemic of 1918 which killed 40 million people. It acted the same way: a light spread in the spring and huge in the fall. It is expected that this year, 150 million people will be infected by H1N1 with possible 90,000 deaths.

This swine flu came about when a virus from human origin and one from birds came to reside in pigs and formed this new H1N1 virus.

Dr. Anthony Fauccia, top infectious disease specialist at the INH -à “Younger people are the most vulnerable, possibly because the older population has some cross reactive immunity from exposure to previous flu viruses. So, small children are also at risk.”

Dr. Oz: Actual infection course:

Days 1 and 2, the person is infected but does not know it. No symptoms, yet, this person may pass the virus to others through the hands and body fluids like in sneezing.

Day 3: Body aches, pains and symptoms of a regular flu.

Days 4 and 5:  cough, sore throat, diarrhea, vomiting

Days 6 to 7: symptoms start getting better.  OR

Days 6 to 7: symptoms get worse and there are breathing problems…. Also dizziness and or confusion, vomiting. For a baby: breathing too fast; a bluish or gray skin color or becoming too sleepy.

Treatment from an expert ER physician:

Treat as a common cold at the beginning with hydration and treatment of fever. Take precautions not to get infected; if your child has it, even wear a face mask if needed.

If days 6 or 7 show worsening as described above, go to the ER and ASAP.

Vaccination discussed by Mayo Clinic Prevention Medicine specialist Oreg Poland, MD.

The vaccination takes two weeks to give proper protection… It is not immediate. A new vaccine takes 5 to 6 months to be developed and be tested to provide proper immunity and also tested in a small number of humans. The fear is that this new vaccine may have secondary effects. One of them is that it may cause a very well known syndrome of Guillan Barre, a temporary paralysis of body parts, like it happened with the vaccine against the flu virus of 1966-1972. The incidence is of 1 in1, 000,000 people. However, with this H1N1 virus, it is expected that the incidence of acute emergency room treatment is higher; that is, 25 in 1,000,000 will get hospitalized.

The most important groups of population at risk for this virus and who should get vaccinated:

1. Pregnant women

2. Young children

3. People who take care of children

4.  In general terms: people from 6 months of age to 24 years old.

5. People 24 years old to 65, if they have other serious medical problems.

Written by a retired physician

Disclaimer: to the best of my ability, I transcribed these notes from the taped program of Dr. Oz. You may check his website: www.doctoroz.com

On Sept. 23 Dr. Sanjay Gupta, medical reporter for CNN, disclosed that he had been infected in this virus while in Afghanistan.

His main symptoms:

1. Day No. 1 – Cough that hurt when he tried to clear his throat.

2. Day No. 2 – he was not able to stand up. He was lightheaded and freezing cold in a 100 degrees weather ouside his tent. He was nauseated and his body ached all over.

3. His cameraman was also very sick and even worse. They went to the battlefield hospital as “patients” and were diagnosed as being infected with H1N1 virus. They received intravenous fluids since they could not keep anything down and some anticongestants plus Tylenol. Two days later they were almost O.K… and back to normal.

3.


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