swine flu guide

SWINE FLU FACTFILE

What are the symptoms?

Swine flu symptoms are similar to the symptoms of regular flu and include fever of over 100.4°F, fatigue, lack of appetite, and cold. Some people with swine flu have also reported runny nose, sore throat, nausea, vomiting and diarrhoea. Nearly everyone with flu has at least two of these symptoms.

So, how do you know if you have flu or just cold?
There is one clue: when you have the flu, you feel flu symptoms sooner than you would cold symptoms, and they come on with much greater intensity. With the flu, you may feel very weak and fatigued for up to 2 or 3 weeks. You'll have muscle aches and periods of chills and sweats as fever comes and goes. You may also have a stuffy or runny nose, headache, and sore throat.

Can I compare flu symptoms with cold symptoms?
Yes. The following chart can help you compare flu symptoms with cold symptoms. Use it to lean the differences and similarities between flu and cold symptoms. Then, if you get flu symptoms, call your doctor and ask about an antiviral drug.

Symptoms	Cold	Flu
Fever	Rare	Characteristic, high 100-102 degrees F); lasts 3-4 days
Headache	Rare	Prominent
General aches, pains	Slight	Usual; often severe
Fatigue, Weakness	Quite mild	Can last up to 2-3 weeks
Extreme Exhaustion	Never	Early and prominent
Stuffy Nose	Common	Sometimes
Chest Discomfort,Cough	Mild to moderate; hacking cough	Common; can become severe

You cannot confirm if you have swine flu just based on your symptoms. Like seasonal flu, pandemic swine flu can cause neurologic symptoms in children. These events are rare, but, as cases associated with seasonal flu have shown, they can be very severe and often fatal.

Doctors may offer a rapid flu test, but what you need to understand is a negative result doesn't necessarily mean you don't have the flu. Only lab tests can definitively show whether you've got swine flu. State health departments can do these tests.

Source: WebMD

What should you do immediately?

Those of you who have travelled from the affected countries in the past ten days and show symptoms swine flu like fever, cough, sore throat and difficulty in breathing should immediately contact the telephone number given below or visit the nearby Government Hospital.

Important contact numbers:
Outbreak Monitoring Cell (Control Room, NICD): 011-23921401

Websites: www.mohfw.nic.in and www.nicd.nic.in
You can also contact a toll free number 2392 1401 at the National Institute of Communicable Disease

Contact number for each cities:
Bangalore
BIAL Swine Flu Center - 91-80-22001490

SDS TUBERCULOSIS & RAJIV GANDHI INSTITUTE OF CHEST DISEASES(Govt. of Karnataka), Hosur Road, Bangalore - 560029
Helpline No: 91-80-26631923

Chennai
Communicable Disease Hospital, 87, T.H. Road, Tondiarpet, Chennai, Tamil Nadu

Hyderabad
Govt. General and Chest Diseases Hospital, Erragadda , Hyderabad
Hospital Helpline Number - 040-23814939

Kolkata
Beliaghata Infectious Diseases Hospital, 57, Beliaghata Main Road, Kolkata

Mumbai
Kasturba Hospital, Arthur Road, Sane Guruji Marg, Mumbai 400011
Ph: 022- 23083901 / 23092458 / 23000889

New Delhi
Yellow Fever Quarantine Centre, Near AAI Residential Colony, New Delhi
Ph: 91-11-25652129

Influenza Ward, Ward no 5, Second Floor, New Building, RML Hospital, Delhi-1
RML- 91-11-24525211,23404328,23365525- Ext 4328

Source: Swine Flu India website

What is the treatment?

Antiviral drugs can be used to treat swine flu or to prevent infection with swine flu viruses. The anti-viral medicines oseltamivir (Tamiflu) and zanamivir (Relenza) are being used to treat people with swine flu. Antiviral drugs work by preventing the flu virus from reproducing. To be effective you need to take them within 48 hours of the symptoms beginning. These flu drugs can decrease the duration of the flu by 1 to 2 days if used within this early time period. These antivirals are usually given for a period of about 5-7 days. It's unclear whether these drugs can prevent complications of the flu. Tamiflu is approved for prevention and treatment in people 1 year old and older. Relenza is approved for treatment of people 7 years old and older and for prevention in people 5 years old and older. These medications must be prescribed by a health care professional.

Side effects: Side effects of antiviral drugs may include nervousness, poor concentration, nausea, and vomiting. Relenza is not recommended for people with a history of breathing problems, such as asthma, because it may cause a worsening of breathing problems. Discuss side effects with your doctor.

Self medication: Antibiotics are a no-no. Chances are that antibiotics will not help your flu symptoms. That's because flu, colds, and most sore throats and bronchitis are caused by viruses. In addition, taking antibiotics when you have a virus may do more harm than good. Taking antibiotics when they are not needed increases your risk of getting an infection later that resists antibiotic treatment. Antibiotics only cure certain infections due to bacteria -- and if taken carelessly, you may get more serious health problems than you bargained for.

Is there a vaccine to treat swine flu virus? No, there isn’t a vaccine yet. But vaccines are being made in large quantities. Clinical tests will begin in August 2009. Depending on how long federal officials wait for the results of these tests, tens of millions of doses of swine flu vaccine could be ready as soon as September 2009, with more vaccine becoming available each month thereafter. The first doses of vaccine likely will go to pregnant women and young children ages 6 months to 4 years, with older school kids to follow.

Source: Centres for Disease Control and Prevention (CDC), National Health Service, UK website, WebMD

Who is at risk?

Those who are more at risk from becoming seriously ill with swine flu are people with:

• chronic (long-term) lung disease, including people who have had drug treatment for their asthma within the past three years,
• chronic heart disease,
• chronic kidney disease,
• chronic liver disease,
• chronic neurological disease (neurological disorders include motor neurone disease, Parkinson's disease and multiple sclerosis),
• suppressed immune systems (whether caused by disease or treatment),
• diabetes,
• pregnant women,
• people aged 65 or older, and
• young children under five.

Source: National Health Service, UK website

How does it spread?

The new swine flu virus is highly contagious, that is it spreads from person to person. The virus is spread through the droplets that come out of the nose or mouth when someone coughs or sneezes. If someone coughs or sneezes and they do not cover it, those droplets can spread about one metre (3ft). If you are very nearby you might breathe them in.

Or, if someone coughs or sneezes into their hand, those droplets and the virus within them are easily transferred to surfaces that the person touches, such as door handles, hand rails, telephones and keyboards. If you touch these surfaces and touch your face, the virus can enter your system, and you can become infected.

Source: National Health Service, UK website

Can it be prevented?

Influenza antiviral drugs also can be used to prevent influenza when they are given to a person who is not ill, but who has been or may be near a person with swine influenza. When used to prevent the flu, antiviral drugs are about 70% to 90% effective. When used for prevention, the number of days that they should be used will vary depending on a person’s particular situation.

Follow this general procedure to reduce the risk of catching or spreading the virus, you should:

• Cover your mouth and nose when coughing and sneezing, using a tissue
• Throw the tissue away quickly and carefully
• Wash your hands regularly with soap and water
• Clean hard surfaces (like door handles and remote controls) frequently with a normal cleaning product
• Keep away from others as much as possible. This is to keep from making others sick. Do not go to work or school while ill
• Stay home for at least 24 hours after fever is gone, except to seek medical care or for other necessities. (Fever should be gone without the use of a fever-reducing medicine.)
• Drink clear fluids (such as water, broth, sports drinks, electrolyte beverages for infants) to keep from being dehydrated
• Wear a facemask – if available and tolerable – when sharing common spaces with other household members to help prevent spreading the virus to others.

Source: CDC, National Health Service, UK website

Will it help to wear a mask?

Information on the effectiveness of facemasks and respirators for decreasing the risk of influenza infection in community settings is extremely limited. So, it is difficult to assess their potential effectiveness in decreasing the risk of Swine Flu virus transmission in these settings. However, a well-fitted, FDA-approved mask together with other preventive measures MAY reduce the risk of contracting the flu. Those who are sick or caring for someone who is ill should consider using a mask or respirator if leaving the house becomes necessary.

Source: CDC

What precautions should one take at home?

Two things - soap and water can reduce the chance of infection by 30 per cent. All you need to do is keep washing your hand with soap and water frequently. Wash hands frequently with soap and water or use alcohol-based hand cleaner when soap and water are not available. Avoid touching your eyes, nose and mouth

Eat healthy: Proteins are essential to help your body maintain and build strength. Lean meat, poultry, fish, legumes, dairy, eggs, and nuts and seeds are good sources of protein.

The Food and Drug Administration recommends that adults eat 50 grams of protein per day. Pregnant and nursing women need more. By eating foods high in protein, we also get the benefit of other healing nutrients such as vitamins B6 and B12, both of which contribute to a healthy immune system.

Vitamin B6 is widely available in foods, including protein foods such as turkey and beans as well as potatoes, spinach, and enriched cereal grains. Proteins such as meats, milk, and fish also contain vitamin B12, a powerful immune booster.

Minerals such as selenium and zinc work to keep the immune system strong. These minerals are found in protein rich foods such as beans, nuts, meat, and poultry.

Exercise: Regular exercise may help prevent the flu. According to recent findings, when moderate exercise is repeated on a near daily basis, there is a cumulative immune-enhancing effect. That is, your strong immune system can fight flu better. When you exercise, your white blood cells -- the blood cells that fight infections in the body -- travel through your body more quickly, fighting bacteria and viruses (such as flu) more efficiently. To maintain good health, experts recommend at least 30 minutes of aerobic activity such as walking, swimming, biking, or running each day.

Source: Flu India website, CDC, WebMD

What precautions should one take at schools?

• Avoid close contact with people who are sick
• People who are sick with an influenza-like illness should stay home and keep away from others as much as possible, including avoiding travel, for at least 24 hours after fever is gone except to get medical care or for other necessities. (Fever should be gone without the use of fever-reducing medicine). Cover your mouth and nose with a tissue when coughing or sneezing
• Wash your hands often
• Avoid touching your eyes, nose or mouth

Source: CDC

Is it safe to travel?

Avoid travelling unnecessarily. However, if you must travel, check how the country you're going to handles swine flu. Although, the WHO doesn't recommend travel restrictions, many countries have set up their own H1N1 policies, and some travellers have been screened or quarantined in other countries because of swine flu concerns.

Source: WebMD.com

videos:

How to use SUPPORT2FRIENDS

Simplicity is a very important aspect of design and we have tried to be as simple as possible.

If in case you are unable to figure out how to use the site, below are the directions.

Posting any request for BLOOD/ NEED HELP just takes 2 easy steps!

1. Click on the ‘WAT YOU NEED LABLE’ tab and enter the information about the type of assistance you require

2. Submit your post by clicking ‘Submit’ button

After an individual(s) expresses his/her interest in the request, the requester will receive an email with their contact information, which will enable them to coordinate with the individual(s) further.

Responding to any request for BLOOD/HELP TO FRIENDS just takes 2 easy steps!

1. Click on the ‘WAT YOU INTERSTING LABLE’ tab and select the category of your choice.

3. Choose the request of your choice, click-‘Details’ and respond.

Let us know if this was useful.

1 donation = 3 lives

Most donated blood is separated into its components—plasma, red blood cells, white blood cells, and platelets—before being stored. This allows the blood of a single donor to be used for several patients who have different needs. Blood is separated by means of centrifugation, a process in which the blood is rapidly spun so that the heavier blood cells and platelets separate out from the lighter plasma.

Plasma, the liquid part of blood, can be dried into a powder or frozen. Fresh frozen plasma and freeze-dried preparations containing clotting factors are used to treat patients with hemophilia. Hemophilia is an inherited disorder in which certain clotting factors are missing in the blood, resulting in excessive bleeding. Concentrated red blood cells are used to transfuse patients with anemia, a condition in which the blood contains an insufficient number of red blood cells. White blood cells and platelets are used for transfusions in patients who have a deficiency of these components in their blood.

Benifits and Facts about Blood Donation

When we need blood for ourself or for a relative, we think that its our right to receive blood. We are ready to pay money for a few bottles of blood but unfortunately it is not something that can be manufactured in a factory as needed. If you expect to receive blood during emmergency or as a part of treatment, then you should certainly do the noble act of blood donation regularly to save life of others. If even half of the people who are eligible to donate blood do it once or twice a year, then we will not have blood shortages. It takes just half hour to donate blood, then why not take that short time from our busy lives and participate in a nearby blood donation program.
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June 14th is the World Blood Donor Day, blood donation might sound like a scary thing to many, but frankly it is very easy task. People often compare that what if they lost that same amount of blood in an injury or accident, frankly both are incomparable situations, because during an accident there are other bodily injuries which cause most pain and not just the loss of blood. The demand for blood is increasing as surgeries that require more transfusions become common. Often hospitals around the world have to postpone surgeries because of a lack of available blood.
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There are several benefits of blood donation to the donor himself:

1. The Kansas University Medical Center found that men who participate in blood donation experience a 30 percent fewer incidents of heart disease and stroke compared to those people who did not.
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2. In 1998 American Journal of Epidemiology published that blood donation can reduce the overall iron levels in blood, which may protect against heart attack. But this applies to people who had high iron in their blood to begin with.
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3. Blood donation forces your body to replace the lost blood with fresh NEW cells.
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4. Men do not have menstrual period, therefore they store iron in their bodies, often its more than they need.
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5. A healthy body replaces blood within 48 hours and creates NEW red blood cells within a week.
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6. Most blood donation sites check your heart rate, hemoglobin, blood pressure etc.. for FREE. If you get those checked in a regular doctor's clinic, it will cost you money.
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7. You hardly lose blood, average adult has 10 pints of total blood, we donate just 1 pint. Giving blood will not decrease your strength.
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8. Most employers usually give time off when you want to donate blood.
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Types of Blood Groups:

There are four blood groups: Type A, Type B, Type AB, and Type O. Additionally there are positive and negative types of each blood group. Type O negative is are "universal donors", which means all blood types can usually receive Type O negative blood donation. Blood centers often run short of types O and B red blood cells.Blood donation Pre-Screening:The nurse (or medical expert) taking your blood will ask you some questions which will determine whether or not you are eligible to donate blood and then perform some basic health checks. Questions include any medication you are taking, your current and health in recent days/months, your age, height, weight, recent travel, sex and tattooing history. Blood donor requirements change very frequently. Anyone who is in good health, is at least 17 years old, and weighs at least 110 pounds (about 50 kgs) may donate blood every once in 2-3 months.Snacks and drinks are provided to the blood donors to help restore blood sugar. It is advisable to sit for a few minutes, then eat well and drink enough water for the next few days. You cannot get AIDS or any other blood disease by donating blood if a new needle before you donate blood. Blood makes up about 7 percent of your body's weight.
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Products derived from whole blood:

Red blood cells >> carry oxygen
-Platelet concentrates >> body's clotting system to help control bleeding.
- Plasma (yellow liquid portion) an helps to restores fluid volume.
- Cryoprecipitate and Fractionation.It is rare to have any adverse effects from blood donation.

Blood Cells and its History

Where are blood cells made?

Blood cells are made in the bone marrow. The bone marrow is the soft, spongy material in the center of the bones that produces about 95 percent of the body's blood cells.
There are other organs and systems in our bodies that help regulate blood cells. The lymph nodes, spleen, and liver help regulate the production, destruction, and differentiation (developing a specific function) of cells. The production and development of new cells is a process called hematopoiesis.
Blood cells formed in the bone marrow start out as a stem cell. A "stem cell" (or hematopoietic cell) is the initial phase of all blood cells. As the stem cell matures, several distinct cells evolve such as the red blood cells, white blood cells, and platelets. Immature blood cells are also called blasts. Some blasts stay in the marrow to mature and others travel to other parts of the body to develop into mature, functioning blood cells.

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What are the functions of blood cells?

The primary function of red blood cells, or erythrocytes, is to carry oxygen and carbon dioxide. Hemoglobin (Hgb) is an important protein in the red blood cells that carries oxygen from the lungs to all parts of our body.
The primary function of white blood cells, or leukocytes, is to fight infection. There are several types of white blood cells and each has its own role in fighting bacterial, viral, fungal, and parasitic infections.

Types of white blood cells that are most important for helping protect the body from infection and foreign cells include the following:
neutrophils
eosinophils
lymphocytes
monocytes
granulocytes

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White blood cells:

help heal wounds not only by fighting infection, but also by ingesting matter such as dead cells, tissue debris, and old red blood cells.
are our protection from foreign bodies that enter the blood stream, such as allergens.
are involved in the protection against mutated cells, such as cancer.
The primary function of platelets, or thrombocytes, is blood clotting. Platelets are much smaller in size than the other blood cells. They group together to form clumps, or a plug, in the hole of a vessel to stop bleeding.

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What is a complete blood cell count (CBC)?

A complete blood cell count is a measurement of size, number, and maturity of the different blood cells in a specific volume of blood. A complete blood cell count can be used to determine many abnormalities with either the production or destruction of blood cells. Variations from the normal number, size, or maturity of the blood cells can be used to indicate an infection or disease process. Often with an infection, the number of white blood cells will be elevated. Many forms of cancer can affect the bone marrow production of blood cells. An increase in the immature white blood cells in a complete blood cell count can be associated with leukemia. Anemia and sickle cell disease will have abnormally low hemoglobin.

Blood Facts

*There are four main blood types: A, B, AB and O.

*The gift of blood is the gift of life. There is no substitute for human blood.

*Every year our nation requires about 4 Crore units of blood, out of which only meager 40 Lakh units of blood are available.

*One blood donation can save as many as three lives. One unit of blood can be separated into several components, including red blood cells,plasma and platelets. Red blood cells carry oxygen to the body's organs and tissue. Plasma is a pale yellow mixture of water, salts and proteins, including solvable clotting factors; plasma is 90 percent water and constitutes 55 percent of blood volume. Platelets are small blood cells that initiate blood clotting, controlling bleeding.

*Every three seconds, someone needs blood. Blood fights against infection and helps heal wounds, keeping you healthy. Anemic patients need blood transfusions to increase their iron levels. Cancer, transplant and trauma patients and patients undergoing open-heart surgery require platelet transfusions to survive. People who have been in car accidents and suffered massive blood loss can need transfusions of 50 units or more of red blood cells.

*The average bone marrow transplant requires 120 units of platelets and about 20 units of red blood cells. Severe burn victims can need 20 units of platelets during their treatment. Children being treated for cancer, premature infants, and children having heart surgery need blood and platelets from donors of all types.

*Apheresis (ay-fur-ee-sis) is a special kind of blood donation that allows a donor to give specific blood components, such as platelets. Platelets must be used within five days of collection, hence blood donations are especially needed around 3-day weekends. Red blood cells must be used within 42 days. Plasma can be frozen and used for up to a year.

*Blood makes up about 7 percent of your body's weight, and the average adult has 10 pints of blood in his or her body. Since a pint is pound, you lose a pound every time you donate blood.

WHAT TYPE ARE YOU ???

FREQUENCY OF BLOOD TYPES

O+ 1 person in 3 O- 1 person in 15
A+ 1 person in 3 A- 1 person in 16
B+ 1 person in 12 B- 1 person in 67
AB+ 1 person in 29 AB- 1 person in 167





*Those belonging to the O- blood group are called universal blood donors. The red blood cells of a universal blood donor may be transfused to anyone regardless of their blood type.

*The plasma of those belonging to the AB blood group may be transfused to anyone regardless of blood type.

EXAMPLES OF BLOOD USE

1. Automobile Accident 50 units of blood

2. Heart Surgery 6 units of blood / 6 units of platelets

3. Organ Transplant 40 units of blood / 30 units of platelets

4. 20 bags of cryoprecipitate 25 units of fresh frozen plasma

5. Bone Marrow Transplant 120 units of platelets/ 20 units of blood

6. Burn Victims 20 units of platelets

Blood Types

A blood type (also called a blood group) is a classification of blood based on the presence or absence of inherited antigenic substances on the surface of red blood cells (RBCs). These antigens may be proteins, carbohydrates, glycoproteins, or glycolipids, depending on the blood group system, and some of these antigens are also present on the surface of other types of cells of various tissues. Several of these red blood cell surface antigens, that stem from one allele (or very closely linked genes), collectively form a blood group system

Blood types are inherited and represent contributions from both parents. A total of 30 human blood group systems are now recognized by the International Society of Blood Transfusion

Many pregnant women carry a fetus with a different blood type from their own, and the mother can form antibodies against fetal RBCs. Sometimes these maternal antibodies are IgG, a small immunoglobulin, which can cross the placenta and cause hemolysis of fetal RBCs, which in turn can lead to hemolytic disease of the newborn, an illness of low fetal blood counts which ranges from mild to severe.

Serology

If an individual is exposed to a blood group antigen that is not recognized as self, the immune system will produce antibodies that can specifically bind to that particular blood group antigen, and an immunological memory against that antigen is formed. The individual will have become sensitized to that blood group antigen. These antibodies can bind to antigens on the surface of transfused red blood cells (or other tissue cells), often leading to destruction of the cells by recruitment of other components of the immune system. When IgM antibodies bind to the transfused cells, the transfused cells can clump. It is vital that compatible blood is selected for transfusions and that compatible tissue is selected for organ transplantation. Transfusion reactions involving minor antigens or weak antibodies may lead to minor problems. However, more serious incompatibilities can lead to a more vigorous immune response with massive RBC destruction, low blood pressure, and even death.

ABO and Rh blood grouping

Anti-A and Anti-B, the common IgM antibodies to the RBC surface antigens of the ABO blood group system, are sometimes described as being "naturally occurring"; however, this is a misnomer, because these antibodies are formed in infancy by sensitisation in the same way as other antibodies. The theory that explains how these antibodies are developed states that antigens similar to the A and B antigens occur in nature, including in food, plants, and bacteria. After birth an infant gut becomes colonized with normal flora that express these A-like and B-like antigens, causing the immune system to make antibodies to those antigens that the red cells do not possess. So, people who are blood type A will have Anti-B, blood type B will have Anti-A, blood type O will have both Anti-A and Anti-B, and blood type AB will have neither. Because of these so called "naturally occurring" and expected antibodies, it is important to correctly determine a patient's blood type prior to transfusion of any blood component. These naturally occurring antibodies are of the IgM class, which have the capability of agglutinating (clumping) and damaging red cells within the blood vessels, possibly leading to death. It is not necessary to determine any other blood groups because almost all other red-cell antibodies can develop only through active immunization, which can occur only through either previous blood transfusion or pregnancy. A test called the Antibody Screen is always performed on patients who may require red-blood-cell transfusion, and this test will detect most clinically significant red-cell antibodies.

The RhD antigen is also important in determining a person's blood type. The terms "positive" or "negative" refer to either the presence or absence of the RhD antigen irrespective of the presence or absence of the other antigens of the Rhesus system. Anti-RhD is not usually a naturally occurring antibody as the Anti-A and Anti-B antibodies are. Cross-matching for the RhD antigen is extremely important, because the RhD antigen is immunogenic, meaning that a person who is RhD negative is very likely to make Anti-RhD when exposed to the RhD antigen (perhaps through either transfusion or pregnancy). Once an individual is sensitised to RhD antigens, his or her blood will contain RhD IgG antibodies, which can bind to RhD positive RBCs and may cross the placenta.

Rhesus blood group system

The Rhesus system is the second most significant blood-group system in human-blood transfusion. The most significant Rhesus antigen is the RhD antigen because it is the most immunogenic of the five main rhesus antigens. It is common for RhD-negative individuals not to have any anti-RhD IgG or IgM antibodies, because anti-RhD antibodies are not usually produced by sensitization against environmental substances. However, RhD-negative individuals can produce IgG anti-RhD antibodies following a sensitizing event: possibly a fetomaternal transfusion of blood from a fetus in pregnancy or occasionally a blood transfusion with RhD positive RBCs. Rh disease can develop in these cases.