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Tamiflu (Tam-ih-flew) is indicated for the treatment of influenza who have had symptoms for no more than 2 days. Tamiflu belongs to a group of medicines called neuraminidase inhibitors. These medications attack the influenza virus and prevent it from spreading inside your body. Tamiflu treats flu at its source by attacking the virus that causes the flu, rather than simply masking symptoms. So far, the newer flu drugs, Tamiflu and Relenza, do work. Tamiflu, by the way, is the only drug known to be effective against avian flu. So if you can find some, buy Tamiflu.

Bird Flu Q&A

Q. Is it safe to keep a bird feeder in the yard?

A. Yes. Bird flu has not been found in the United States. But in other countries, experts say migrating birds have spread the disease since it appeared in Southeast Asia two years ago.

Q. If I see a dead bird, should I report it?

A. Maybe. While there has been avian flu in the United States, it has not been the H5N1 strain that has spread through poultry farms in southeast Asia and into Eastern Europe. But in tracking a different concern, health departments across California have been collecting information about dead birds as they monitor the West Nile virus, a mosquito-borne disease that can infect and kill birds.

Q. We keep a small flock of chickens. Should we get rid of them?

A. No. Bird flu is just now infecting poultry in Eastern Europe. Although the virus is highly contagious among birds, it is difficult for humans to contract.

Q. If I feel flu symptoms, should I ask my doctor to perform a particular test to check for the bird flu virus?

A. You may ask your doctor to conduct either a rapid diagnostic flu test or a lab test for influenza. If you have a recent travel history to an area where bird flu is endemic, inform your physician.

Q. Should I buy Tamiflu for my home?

A. Tamiflu is effective at treating ordinary flu and scientists believe it may help combat human infections caused by the H5N1 virus. However, the effectiveness of any anti-viral medicines such as Tamiflu could change depending on how the virus changes.

Q. Is it safe to eat poultry? Does freezing or cooking destroy the bird flu virus? Is it safe to serve turkey for Thanksgiving?

A. Eating properly handled and cooked poultry is safe. The U.S. government has banned imported poultry from countries affected by bird flu, including H5N1. In addition, European health officials say cooking kills the virus, and they are assuring Europeans it is safe to eat chicken.

Source: Mercury News

Swine Flu Q&A

Q. What is swine flu?

A. Swine Influenza (swine flu) is a respiratory disease of pigs caused by type A influenza viruses. Until recently, the disease very rarely spread to humans. In late March and early April 2009, cases of human infection with swine influenza A (H1N1) viruses were reported in Mexico and then in Southern California and near San Antonio, Texas. Since then, 40 confirmed cases have been reported in the United States in California, Kansas, New York City, Ohio and Texas. An updated case count is available on the cdc Web site at

Q. Is this swine flu virus contagious?

A. CDC has determined that this swine flu virus is spreading from person to person, but it is unknown how easily it spreads.

Q. What are the symptoms of swine flu in people?

A. The symptoms of swine flu, which are similar to symptoms of regular flu, include fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting associated with swine flu. In the past, pneumonia and respiratory failure and deaths have been reported with swine flu infection. Like seasonal flu, swine flu may cause chronic medical conditions to worsen.

Q. How does swine flu spread?

A. This swine flu virus is thought to spread mainly by coughing or sneezing of people with the illness. Sometimes people may become infected by touching something with flu viruses on it and then touching their mouth or nose. Infected people may be able to infect others one day before symptoms develop and up to seven or more days after becoming sick. That means that you may be able to pass on the flu germs before you know you're sick as well as while you're not feeling well.

Q. What should I do to keep from getting the flu?

A. Most important for preventing the spread of flu is washing your hands. Also, try to stay in good general health. That means get plenty of sleep, be physically active, drink plenty of fluids and eat nutritious foods and manage your stress. Also, try to avoid contact with people who are sick.

Q. What is the best technique for washing my hands to avoid getting the flu?

A. Wash with soap and water for 15 to 20 seconds If soap and water is not available, use an alcohol-based hand cleaner, rubbing your hands until the gel is dry. The alcohol kills the germs on your hands without water.

Q. How long can viruses live outside the body?

A. Some germs can live for two hours or longer on surfaces such as doorknobs, desks, cafeteria tables. Washing your hands frequently can reduce your chances of getting sick after touching these common surfaces.

Q. How does a doctor test for swine flu?

A. A health care provider takes a nasal swab, which is then used to test for the disease.

Q. Are there medicines to treat swine flu?

A. Yes. CDC recommends the use of oseltamivir (sold as Tamiflu) or zanamivir (sold as Relenza) for the treatment and/or prevention of infection with these swine flu viruses. These antiviral drugs are prescription medicine that keep the flu viruses from reproducing in your body, thus helping you feel better quicker. For treatment, antiviral drugs work best if started within two days of symptoms first developing.

Q. Is there a vaccine available to prevent swine flu?

A. No. There is no available vaccine for this swine flu at this time.

Q. What should I do if I get sick?

A. If you live in an area where swine flu cases have been identified and become ill with symptoms including fever, body aches, runny nose, sore throat, nausea or vomiting or diarrhea, you may want to contact your doctor, who will determine whether you need to be tested or treated for the illness. While you are sick, you should stay home and avoid contact with people as much as possible.

Q. Is it safe to travel to Mexico, where more than 1,600 people have been sickened and 149 people have died from swine flu?

A. Government officials have issued a travel advisory suggesting "non-essential travel to Mexico be avoided.'' In addition, several airlines including American, United, Continental, US Airways, Mexicana and Air Canada, have waived the usual penalties for changing reservations for anyone traveling to, from, or through Mexico, but had not canceled flights.

Q. What are public health officials doing to inhibit the disease's spread?

A. U.S. customs officers at airports, seaports and border crossing have begun watching for signs of illness, according to Customs and Border Protection spokesman Lloyd Easterling. If a traveler appears to be ill or reports not feeling well, the person will be questioned about symptoms and, if necessary, referred to a CDC official for additional screening, Easterling said. The CDC can send someone to the hospital if they suspect a case, but no one is being refused entry. Also, the CDC is readying "yellow cards" with disease information for travelers, in case they later experience symptoms.

Q. Can I get swine flu from eating or preparing pork?

A. No. You can not get swine flu from pork products. Eating properly handled and cooked pork products is safe.

Source: Centers for Disease Control and Prevention, Associated Press, Mercury News

What is the difference between an epidemic and a pandemic?

Epidemics and pandemics refer to the spread of infectious diseases among a population. The difference between an epidemic and a pandemic is two-fold. First a pandemic is normally used to indicate a far higher number of people affected than an epidemic, and a pandemic refers to a much larger region affected. In the most extreme case, the global population is affected by a pandemic.

An epidemic is defined by an illness or health-related issue that is showing up in more cases than would be normally expected. However, in the case of a pandemic, even more of the population is affected than in an epidemic. Let's take a hypothetical example and assume several people contract the same flu-like symptoms in a particular area. Let's further assume that cases show up across the state, but the concentration remains localized in a few original cities. Some cases even turn up elsewhere in the nation, but the illness doesn't catch on elsewhere. In the hubs where it is seen the infection rate remains more than you would expect to normally see. This is a classic example of an epidemic.

Now let's take that same scenario but imagine the rate of infection started growing exponentially so that more and more cases were cropping up locally. When the rate of infection grows very fast it is likely, given favorable circumstances, that the epidemic grows into something more. Now we start seeing cases across the nation and the rate of infection is exceeding even that of an epidemic. It turns out in our hypothetical scenario that most of the population in the nation becomes affected by this flu. This is a pandemic.

To put a finer point on it, if the entire nation was affected but the rate of incidence never rose above that of an epidemic, it would still be considered an epidemic, even though the disease was nationwide. Conversely, you might have a small population in a remote area of Africa, for example, that is nearly 100% affected by an illness or health problem. Because the incidence is so high, and the area relatively widespread in that it is affecting an entire population, this could be termed pandemic.

You can see with these subtle but significant differences how the terms might be confusing, but normally epidemics that grow out of hand due to the nature of the disease and other factors, turn into pandemics. A pandemic may be regionally localized if it involves more cases than a simple epidemic; and an epidemic may be widespread if not enough of the population is affected to term it pandemic. Though in this latter case, you might still see it termed pandemic by some, just because the geographical area is so widespread.

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