(精选)Pandemic H1N1 (pH1N1)教学课件.pptVIP

Pandemic H1N1 (pH1N1)‘State of the Union’ Alfred Gin, BScPharm, PharmD Objectives pH1N1 Update Guidance documents Risk Groups Antivirals availability Pharmacare Special groups Key Points Pandemic Influenza 2009 pH1N1 - official designation influenza A Timeline 2009 February – respiratory illness, La Gloria, Mexico Mid-April – CDC, PAHO notified severe resp. illness June 11 – WHO Alert 6 – global pandemic Canada 1st wave – April–Aug 2nd wave - now FluWatch October 17, 2009 pH1N1 Origins Garten et al. Science. May 2009 pH1N1 Symptoms Almost always Sudden onset of cough and fever Common Fatigue Muscle aches Sore throat Headache Decreased appetite Runny nose Sometimes Nausea Vomiting Diarrhea pH1N1 Different from Seasonal Flu children and young adults pregnant women severe cases rapid respiratory deterioration Aboriginal ancestry H1N1 in Canada 1,604 hospitalized cases 312 (19.5%) cases admitted to ICU 164 (10.2%) cases required ventilation 83 deaths 90% hospitalized cases and 85% of deaths in 4 provinces QC, ON, MB, AB FluWatch October 17, 2009 H1N1 in Manitoba New 13 Cases to date 905 Deaths 7 as of Oct. 19, 2009 Guidance for Clinicians Public Health Agency of Canada (PHAC) Manitoba Health Regional Health Authorities Winnipeg Regional Health Authority MB Health Clinical Management*October 21, 2009 Interim Guidance adults and adolescents Pregnancy and post-partum women Clinical Decision Algorithm adult and adolescents pediatric *new or updated Manitoba Health Mild ILI risk conditions for severe ILI should get prompt assessment and care within 24 hours (including antivirals) even if they only have symptoms of mild ILI Severe ILI symptoms of severe ILI should get immediate medical and/or hospital care Severity Indicators Shortness of breath Chest pain cyanosis Bloody or coloured mucus/spit Sudden dizziness or confusion severe vomiting High fever 3days hypotension Additional symptoms to watch for in children: Not drinking enough fluids or eating Not waking up or in