HANIS HANINY MOHD SAID EIZZATI BINTI ARIPIN Mid

HANIS HANINY MOHD SAID EIZZATI BINTI ARIPIN

Mid March – a new strain of flu virus similar to one seen in pigs was infecting human in Mexico. Mid April – the confirmed cases started popping out in US and around the world. June, 11 th – WHO officially declared the flu pandemic. As the flu was spreading, WHO named Influenza Type A (H 1 N 1) and now refers to it as Pandemic (H 1 N 1) 2009. OUTSIDE MALAYSIA Based on Ministry of Health, the total cases are 1460 cases with 8 death. From 1460 cases, 574 are imported cases (39. 4%) and 886 are local cases (60. 6%). 1410 (96. 5%) cases have been recovered, 27 (1. 8%) cases are having the antiviral treatment at hospital, 10 of them in Intensive Care Unit, 23 (1%) are having antiviral treatment at home. IN MALAYSIA

Subtype of influenza virus A and the most common cause of influenza flu in human. H 1 N 1 strains caused roughly half of all human flu infections in 2006. Other strains are endemic in pigs (swine flu) and in birds (avian flu). It is categorized according to 2 types of proteins found on the surface of the virus: Hemagglutinin(H) and neuraminidase(N) All influenza A virus have these proteins but the structures differ from due to rapid genetic mutation in viral genome.

THE TOTAL CASES FROM APRIL-AUGUST 2009 MONTH CASES TOTAL CASES LOCAL IMPORT DEATH April - - - 0 May - 2 June 25 133 - 158 July 797 574 4 1371 August 854 601 67 1522

This new virus was first detected in people in the United States in April 2009. This virus is spreading from person -to- person worldwide, in much the same way that regular seasonal influenza viruses spread. Influenza A, H 1 N 1 caused particular strain of the influenza virus. This particular strain A- H 1 N 1/09 originated in pigs (swine) but has changed itself to be infective to humans. This originally infected only pigs and they spread it from one infected hog to other hogs the same way it spreads in people, by direct contact or by droplets holding the virus in the air after a pig coughed or sneezed. Because pigs are physiologically very similar to humans, when they have been living closely with humans, some microbes that can infect them are able to be changed or mutated into strains that people can catch.

Cough and sneeze WAYS Touching the infected objects

Children younger that 5 years old Pregnant women Persons aged 65 years old and above Adults and children with immunosuppressant (due to medications or HIV infected persons) Adults and children with asthma, chronic obstructive pulmonary disease, organ failure cardiovascular disease etc. Residents of nursing homes and other chronic facilities.

Since the Nipah virus outbreak in 1999, the Malaysian Health Ministry have put in place processes to be better prepared to protect the Malaysian population from the threat of infectious diseases. Malaysia was fully prepared during the Severe Acute Respiratory Syndrome (SARS) situation (Malaysia was not a SARS affected country) and the episode of the H 5 N 1 (bird flu) outbreak in 2004.

National Influenza Pandemic Preparedness Plan (NIPPP) • Time bound guide for preparedness and response plan for influenza pandemic. • Policy and strategic framework for multisectoral response with specific advice and actions to be taken Health Screening • Carried out on passengers traveling to and from Mexico via sea, air and land beginning April 17, 2009.

Thermal Scanners • Had been installed at the entry point of Kuala Lumpur International Airport (KLIA), the border of Thailand Singapore following the start of the global alert on the flu. Quarantine rooms • Allocated in 28 hospitals and the country has stockpiled more than 2 million doses of Tamiflu, as of May 2009.

Health Declaration • The visitors and Malaysians returning from abroad will be required to fill the health declaration form. Mask Use • The Minister of Health urged the public to wear a mask of showing symptoms of the flu.

Strict Hygiene Procedures in Schools • On May 16, 2009 – to prevent outbreak among the students and teachers. School Closure • For school with student suspected to have H 1 N 1. To prevent the spreading of the disease.

Wash your hands Cover your cough Stay away from people who are sick Don’t touch your face

http: //en. wikipedia. org/wiki/2009_flu_pandemi c_in_Malaysia http: //www. scribd. com/doc/26146506/reportabout-H 1 N 1 -in-Malaysia http: //www. myhealth. gov. my/myhealth/eng/te mplate. jsp? show. Me=36&catalogid=11724597 97381 http: //www. squidoo. com/preventing-swine-flu http: //www. bernama. com/bernama/v 5/h 1 n 1. ph p