1. mmmmm Mohamed M. B. Alnoor CHP400 COMMUNITY HEALTH PROGRAM-II Novel H1N1 (Swine) Epidemiology & Control

2. mmmmm Novel H1N1 Swine Influenza A (H1N1) Transmission Through Species Reassortment in Pigs Avian Virus Human Virus Swine Virus Avian/Human Reassorted Virus Swine/ North American swine North American avian North American human Eurasian swine

3. mmmmm Novel H1N1 How does swine flu spread? Transmission to humans:  Contact with: - infected pigs - contaminated environments - a person with swine flu  Airborne(from infected people) - coughing - sneezing Swine Influenza A (H1N1)

4. mmmmm Novel H1N1 Swine Influenza A (H1N1) Pandemic-Alert Levels Phase 1: Animals viruses, no humans infections. Phase 2: Virus in domesticated/wild animals, caused infection in humans: a potential pandemic threat.” Phase 3: Reassortant v: sporadic cases or small clusters in humans. Phase 4: Reassortant v:community-level outbreaks. Phase 5: There is human-to-human spread of the virus into at least two countries in one WHO region.WHO region Phase 6: Phase 5 + community-level outbreaks in at least one other country in a different WHO region.WHO region A global pandemic is occurring.

5. mmmmm Novel H1N1 Swine Influenza A (H1N1) Pandemic-Alert Levels Phase 1 – 3: Predominantly animal infection; few human infection Phase 4: Sustained human to Human transmission Phase 5 - 6: Widespread human infection mmmmm

6. Novel H1N1 Prevention and control of H1N1 Swine Influenza A (H1N1)  General prevention and control measures  The H1N1 Vaccine  Antiviral treatment  Antiviral Prophylaxis

7. mmmmm Novel H1N1 Prevention of H1N1 INFECTION Swine Influenza A (H1N1) General prevention and control measures Tips to Reduce the Infection Respiratory hygiene and cough etiquette Social-Distancing

8. mmmmm Novel H1N1 Prevention of H1N1 INFECTION Tips to Reduce the H1N1 Influenza Infection Use a tissue when coughing or sneezing. Frequently wash hands with warm water and soap. Try not to touch your eyes, nose or mouth. Wipe down kitchen and bathroom countertops, home and office phones, keyboards, etc If exhibiting symptoms, stay home. If coworkers or family members become ill, consider taking anti-viral medication. Swine Influenza A (H1N1)

9. mmmmm Novel H1N1 Prevention of H1N1 INFECTION Cover nose/mouth when coughing or sneezing Perform hand hygiene Respiratory hygiene and cough etiquette dispose of used tissue paper in the waste receptacle Put on a surgical mask Swine Influenza A (H1N1)

10. mmmmm Novel H1N1 Isolation: the sequestration of symptomatic patients either in the home or hospital so that they will not infect others Quarantine: the separation from circulation in the community of asymptomatic persons exposed to infection Social-Distancing: Has been used to refer to a range of non-quarantine measures that might serve to reduce contact between persons, such as, closing of schools or prohibiting large gatherings Defining Quarantine vs. Isolation vs. Social-Distancing Prevention of H1N1 INFECTION Swine Influenza A (H1N1)

11. mmmmm Novel H1N1 Prevention of H1N1 INFECTION vaccine The H1N1 Inactivated Vaccine (the shot) The H1N1 Live Attenuated Vaccine (the nasal spray) Swine Influenza A (H1N1) Specific preventive measures