1. الحمد لله والصلاة والسلام على رسول الله صلى الله عليه وسلم
بسم الله الرحمن الرحيم
الحمد لله والصلاة والسلام على رسول الله صلى الله عليه وسلم

2. ”يرفع الله الذين آمنوا منكم والذين أوتوا العلم درجات“.
”قل هل يستوى الذين يعلمون والذين لا يعلمون“.

4. H1N1 Flu (Swine Flu) and You
Prof. Dr.
Mohammad El-Sayed El-Desoky
Professor & Head of Chest Medicine, Mansoura University

5. Flu Terms Defined
H1N1 Influenza (H1N1flu) is a respiratory disease of pigs caused by type A influenza viruses that causes regular outbreaks in pigs. People do not normally get swine flu, but human infections can and do happen
Bird flu is commonly used to refer to Avian flu. Bird flu viruses infect birds, including chickens, other poultry and wild birds such as ducks.
Avian flu (AI) is caused by influenza viruses (H5N1).

6. Flu Terms Defined
Pandemic flu is virulent human flu that causes a global outbreak, or pandemic, of serious illness. Because there is little natural immunity, the disease can spread easily from person to person. Currently, there is no pandemic flu.
Seasonal (or common) flu is a respiratory illness that can be transmitted person to person. Most people have some immunity, and a vaccine is available.

7. Case definition
A confirmed case of swine origin influenza virus (S-OIV) infection is defined as a person with an acute febrile respiratory illness with laboratory confirmed S-OIV infection at CDC by one or more of the following tests
- Real–time RT-PCR
- Viral culture

8. Case definition
Suspected case is a person with an acute febrile respiratory illness who
- Have had close contact with a person who is a swine-origin influenza confirmed case or
- Traveled to a community in USA or internationally where there are one or more confirmed swine-origin influenza cases or
- Reside in a community where there are one or more confirmed swine-origin influenza A(H1N1) cases

9. What is H1N1 (swine flu)?
H1N1 (referred to as “swine flu” early on) is a new influenza virus causing illness in people.
First detected in people in April 2009 in the U S.
Other countries.
This virus is spreading from person-to-person

10. Why called “swine flu”?
Genes in this new virus were very similar to influenza viruses that normally occur in pigs in North America.
But further study has shown that this new virus is very different from what normally circulates in North American pigs.
It has two genes from flu viruses that normally circulate in pigs in Europe and Asia and avian genes and human genes. Scientists call this a “quadruple reassortant” virus.

11. Are there human infections with this H1N1 virus in the U.S.?
Yes Cases of human infection with this H1N1 influenza virus were first confirmed in the U.S. in Southern California and near Guadalupe County, Texas. The outbreak intensified rapidly from that time and more and more states have been reporting cases of illness from this virus.

12. Is this new H1N1 virus contagious?
CDC has determined that this new H1N1 virus is contagious and is spreading from human to human. However, at this time, it is not known how easily the virus spreads between people.

13. What are the signs and symptoms of this virus in people?
Fever, cough, sore throat, body aches, headache, chills and fatigue
Diarrhea and vomiting.  
Death

14. How does this new H1N1 virus spread?
Spread of this H1N1 virus is thought to be happening in the same way that seasonal flu spreads. Flu viruses are spread mainly from person to person through coughing or sneezing by people with influenza. Sometimes people may become infected by touching something with flu viruses on it and then touching their mouth or nose.

15. Can I get infected with this new H1N1 virus from eating or preparing pork ?
No. H1N1 viruses are not spread by food. You cannot get this new H1N1 virus from eating pork or pork products. Eating properly handled and cooked pork products is safe.

16. تبارك الله أحسن الخالقين

17. How long can an infected person spread this virus to others?
At the current time, CDC believes that this virus has the same properties in terms of spread as seasonal flu viruses.
With seasonal flu, studies have shown that people may be contagious from one day before they develop symptoms to up to 7 days after they get sick. 
Children, especially younger children, might potentially be contagious for longer periods.

18. Infection Control Measures

20. In adults, emergency warning signs that need urgent medical attention include:
Difficulty breathing or shortness of breath
Pain or pressure in the chest or abdomen
Sudden dizziness
Confusion
Severe or persistent vomiting

21. Complications
Mild upper respiratory illness( Sinusitis, Otitis media, Croup)
Lower respiratory tract illness (Pneumonia, Bronchiolitis, Status asthmaticus
Cardiac ( Myocarditis , Pericarditis)
Muscloskeletal (Myositis, Rhabdomyolysis)

22. Complications
Neurologic( Acute and post-infectious encephalopathy, Encephalitis, Febrile siezures, Status epilepticus)
Toxic shock syndrome, and secondary bacterial pneumonia with or without sepsis.
Dehydration
Exacerbation of underlying chronic medical conditions
Death

23. ” إِنَّمَا أَمْوَالُكُمْ وَأَوْلَادُكُمْ فِتْنَــةٌ وَاللَّهُ عِنـدَهُ أَجْـرٌ عَظِيـمٌ “

24. High risk groups for seasonal influenza complications
Children less than 5 years old
Persons aged 50 years or older
Children and adolescents (aged 6 m – 18 yr) who are receiving long-term aspirin therapy and who might be at risk for experiencing Reye syndrome after influenza virus infection

25. High risk groups for seasonal influenza complications
Pregnant women
Chronic diseases
Immunosuppression
Residence of nursing homes and other chronic-care facilities.

26. الطــــب
الإصـلاح
الحذق
العـادة
المسحور

27. وَقُل رَّبِّ زِدْنِي عِلْمًا
جزاكم الله خيرا ً