H1N1 Influenza Strain

Greetings!  I think we’ve all seen or heard quite a bit regarding the H1N1 Influenza strain (formerly called Swine Flu) in the media over the past several months.  I’d like to summarize where we are with this new virus:

** What is H1N1 Influenza? 

H1N1 Flu is a novel strain of Influenza A that was first detected in Mexico in early 2009.   It is a readily transmissible virus, and it has become prevalent in this region. 

** What are the typical symptoms? 

Symptoms are similar to other influenza strains that traditionally affect this region in the winter months.  Fever, sore throat, cough, congestion, muscle aches, and decreased energy level are common.  We have also seen some cases of nausea and vomiting with H1N1 infections. 

** How is H1N1 treated?  

Rest, fever and pain control, fluids, and Grandma’s chicken noodle soup.  Basically, most of us simply need to ride it out if we happen to catch this virus.   While it’s no fun to get sick, most of us who catch the H1N1 Flu will be just fine.   Some people, however, are at higher risk of getting a little sicker if they catch the H1N1 Flu virus, and they may benefit from additional treatment with an antiviral medicine called oseltamivir (Tamiflu.)  Children under 2, people with chronic disease (especially those with lung disease, including asthma,) pregnant women, and adults > 65 years old fall into this category.  Tamiflu can also be considered for children age 2-4 years, especially ones who are particularly sick.   If Tamiflu is indicated, it is most effective at reducing symptoms if started within 24-48 hours after symptoms begin.

** What about preventing disease?  Is there a vaccine? 

The most effective ways of preventing disease are good hand washing and minimizing sick contacts.  In addition, three manufacturers are producing a vaccine designed specifically for H1N1 Flu.  The vaccine is produced much the same way as the standard seasonal flu vaccines, and should be considered just as safe.  Docs 4 Kidz has submitted a request for this vaccine to the Missouri Department of Health, but we HAVE NOT yet received any.  We will update this site when it is available in our office. 

** Will the traditional seasonal flu vaccine protect against H1N1 Flu?

It is not thought at this time that the traditional vaccine will significantly help prevent H1N1 Flu. 

** Who should get vaccinated for H1N1 Flu?

The following is a direct quote from the CDC’s website (www.cdc.gov:) 

“Advisory Committee on Immunization Practices (ACIP) has recommended that certain groups of the population receive the 2009 H1N1 vaccine when it first becomes available. These target groups include pregnant women, people who live with or care for children younger than 6 months of age, healthcare and emergency medical services personnel, persons between the ages of 6 months and 24 years old, and people ages of 25 through 64 years of age who are at higher risk for 2009 H1N1 because of chronic health disorders or compromised immune systems.”

** Is there an H1N1 Flumist (nasal spray) as well as the shot?

Yes, and some children may be eligible for the Flumist.  To date, however, we have no knowledge as to what our office will be receiving from the Health Department, whether it is shots, nasal sprays, or both.  Again, we’ll keep you posted.

We will continue to update as information becomes available.  If you have additional questions feel free to give us a call.  You can also find more information at www.cdc.gov.