Swine Flu and Its symptoms
The cause of the 2009
swine flu was an influenza A virus type designated as H1N1. In 2011, a new
swine flu virus was detected. The new strain was named influenza A (H3N2) only
a few people (mainly children) were first infected, but officials from the U.S.
Centers for Disease Control and Prevention (CDC) reported
increased numbers of people infected in the 2012-2013 flu season. Currently,
there are not large numbers of people infected with H3N2v. Unfortunately,
another virus termed H3N2 (note no "v" in its name) has been detected
and caused flu, but this strain is different from H3N2v. In general, all of the
influenza A viruses have a structure similar to the H1N1 virus; each type has a
somewhat different H and/or N structure.
Symptoms of swine flu are
similar to most influenza infections: fever(100 F or greater), cough, nasal
secretions, fatigue, and headache,
with fatigue being reported in
most infected individuals. Some patients may also get a sore throat, rash, body aches, headaches, chills, nausea, vomiting, and diarrhea. In Mexico, many of the
initial patients infected with H1N1 influenza were young adults, which made
some investigators speculate that a strong immune response, as seen in young
people, may cause some collateral tissue damage. The incubation period from
exposure to first symptoms is about one to four days, with an average of two
days. The symptoms last about one to two weeks and can last longer if the
person has a severe infection.
Some
patients develop severe respiratory symptoms and need respiratory support (such
as a ventilator to breathe for the patient). Patients can get pneumonia(bacterial
secondary infection) if the viral infection persists, and some can develop seizures,
Death often occurs from secondary
bacterial infection of the lungs appropriate antibiotics need to be used
in these patients. The usual mortality (death) rate for typical influenza A is
about 0.1%, while the 1918 "Spanish flu" epidemic had an estimated
mortality rate ranging from 2%-20%. Swine (H1N1) flu in Mexico had about 160
deaths and about 2,500 confirmed cases, which would correspond to a mortality
rate of about 6%, but these initial data were revised and the mortality rate
worldwide was estimated to be much lower. Fortunately, the mortality rate of
H1N1 remained low and similar to that of the conventional flu (average
conventional flu mortality rate is about 36,000 per year; projected H1N1 flu
mortality rate was 90,000 per year in the U.S. as determined by the president's
advisory committee, but it never approached that high number).
Fortunately,
although H1N1 developed into a pandemic (worldwide) flu strain, the mortality
rate in the U.S. and many other countries only approximated the usual numbers
of flu deaths worldwide. Speculation about why the mortality rate remained much
lower than predicted includes increased public awareness and action that
produced an increase in hygiene (especially hand washing), a fairly rapid
development of a new vaccine, and patient self-isolation if symptoms developed.
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