1. Prevention of Swine Flu
Information sources-
In public interest by
DISTRIBUTED BY

2. General precautions: Frequent hand washing Covering coughs and sneezes
Avoidance of crowded settings when possible
advising ill persons to stay home (except to seek medical care) and minimize contact with others in household
voluntary home quarantine of members of households with confirmed or probable swine influenza cases

3. Hand washing technique

4. When contact is unavoidable
* consider Facemasks (disposable, single use masks) for persons who enter crowded settings
* consider Respirators (N95 or higher filtering facepiece respirator) for persons who have unavoidable close contact with infectious person
No clear scientific evidence regarding the effectiveness of facemasks and respirators in protecting against influenza

5. indications for antiviral chemoprophylaxis
* household close contacts (of confirmed, probable, or suspected case) at high-risk for complications of influenza
+ chronic medical conditions
+ aged ≥ 65 years
+ aged ≤ 5 years
+ pregnant women
* school children or children in daycare at high-risk for complications of influenza (certain chronic medical conditions) who had close contact (face-to-face) with confirmed, probable, or suspected case

6. indications for antiviral chemoprophylaxis
* Any healthcare worker at high-risk for complications of influenza (persons with certain chronic medical conditions, elderly) working in area with confirmed swine influenza A (H1N1) cases, or who is caring for patients with any acute febrile respiratory illness
* Non-high risk travelers to Mexico, first responders, or border workers who are working in areas with confirmed cases of swine influenza A (H1N1) virus infection

7. Chemoprophylaxis treatment
Pre-exposure –
treat during exposure period and for 10 days after last known exposure to ill confirmed case of swine influenza A (H1N1) virus infection
Post-exposure –
treat for 10 days after last known exposure to ill confirmed case of swine influenza A (H1N1) virus infection

8. Dosing of Antivirals Zanamivir
10 mg (2 inhalations) once daily for adults and children ≥ 5 years old
Oseltamivir orally
adults and children ≥ 13 years old - 75 mg once daily
children aged 1-12 years - dose based on weight
≤ 15 kg mg once daily
15-23 kg mg once daily
23-40 kg mg once daily
> 40 kg mg once daily

9. Vaccination No vaccine available to protect humans from swine flu
Vaccine for human seasonal influenza does not protect against H1N1 swine flu viruses due to antigenic differences, but may provide partial protection against swine H3N2 virus

10. Compiled by-
Dr. Neelesh Bhandari
MD (Path), PGP Human Rights
Advisor (Medical Communications)
Mark IV Medical Communications.

11. DISTRIBUTED BY