Latest News about Swine Flu (“Pig Flu”)

Information Sheet

Background

According to a CNN report, 103 deaths are suspected to be from swine flu in Mexico. You have probably heard about the outbreaks of swine flu (“pig flu�) in Mexico (claiming more than 80 fatalities to date), the United States and now being reported in other countries. It is possible that we are witnessing the beginning of the next influenza pandemic. Time will tell.

International SOS has launched a special website http://urgent.internationalsos.com that has the latest information, travel advice and questions and answers and should be used as a resource for relevant information. Below is a summary for your information with more details available on the site above.

FAQ

There is a lot that is not yet known about the nature of this illness. The following is based on the latest available, although limited, information.

· What is swine flu?
Swine flu is a group of influenza viruses that causes flu in pigs. Usually an infection in humans is uncommon.

The current swine flu which is infecting people is a new strain of influenza A/H1N1. It is not certain how it developed. Its genetic makeup shows parts of human flu, avian (bird) flu and swine flu.

· What are the symptoms?
Limited information is available at this stage. It appears that the early symptoms are similar to seasonal flu – cough, fever, sore throat, headache, runny nose general fatigue, and muscle pains. Vomiting and diarrhea have also been noted. Severe cases have progressed quickly (within 5 days) to pneumonia-like illness (shortness of breath and difficulty breathing).

· Is this swine flu a severe illness?
It appears that the virus is capable of causing severe disease. However it is currently unknown how likely it is that those who get sick will suffer a severe illness.

Most cases in the United States to date have been mild. There have been no fatalities.

In Mexico there have been fatal cases, apparently in previously healthy young adults. The proportion of severe cases appears to be much higher than with regular seasonal flu.

Why the disease appears to be more severe in Mexico is unknown.

· How is this swine flu spreading?
It is most likely spreading from person to person through infectious respiratory droplets (droplets generated when a person coughs, sneezes or talks)

· How can I prevent getting sick?
By observing good hygiene. Avoid people who are obviously sick. Be sure to wash your hands frequently. Avoid touching your face, and if you do, be sure your hands are clean.

· Is there a vaccine?
All evidence to date shows that the virus is sensitive to the antiviral medications oseltamivir (Tamiflu®) and zanamivir (Relenza®) . If taken this should be done so based on the recommendation of a doctor.

Whilst Seasonal flu vaccine is ineffective against this strain of swine flu, nevertheless, those who have not had a seasonal flu vaccine should consider doing so.

As a general good health practice, people should make sure all their routine vaccinations are up-to-date. This includes pneumococcal vaccination for certain adults. This vaccine is usually recommended for all people over 65 years old and younger people with serious long-term health problems (heart disease, diabetes, alcoholism, COPD, emphysema, asthma, cancer treatment, HIV/AIDS). This CDC information can help people work with their doctor to decide if vaccination is the right choice for them.

Travel and employees

If an employee has travelled to a destination where the virus has been reported, or been in contact with a traveler from the reported virus areas, they should be cautious and be aware of the symptoms and immediately consult a doctor if they experience any of the symptoms.

Should I travel to an infected area?

See the Travel Recommendations page for the latest travel advice.


Issued by International SOS Indonesia Region

Date: April 27, 2009