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INFLUENZA A H3N2 and H1N1 Outbreak


We have been seeing substantial numbers of patients with influenza "A" in the past 2 weeks. Many have been tested and confirmed having Influenza A, (By onsite Binax Now Flu A B rapid test, not a PCR confirmed) you may have the flu if you have some or all of these symptoms:

1.      Fever  (mostly high fever)

2.      Sore throat but not everyone with flu will have a fever

3.      Cough

4.      Runny or stuffy nose

5.      Body aches

6.      Headache

7.      Chills

8.      Fatigue

9.      Sometimes diarrhea and vomiting

What should you do if you get sick?

Most people with the flu have mild illness and do not need medical care or antiviral drugs. If you get sick with flu symptoms, in most cases, you should stay home and avoid contact with other people except to get medical care.

You should:

1.      Drink lots of fluid ( water , juice ,Electrolyte is particularly important especially those who develop high fever tend to get dehydrate very easily)

2.      Rest

3.      Take some high doses of vitamin C or eat lots of Vitamin C enriched fruits.

4.      Medication: some fever lowering medication like Tylenol and decongestant might be helpful to ease the symptoms.

5.      Stay away from others as much as possible to keep from infecting them. If you must leave home, for example to get medical care, wear a facemask if you have one, or cover coughs and sneezes with a tissue. Wash your hands often to keep from spreading flu to others.

If, however, you have symptoms of flu and are in a high risk group, are very sick or worried about your illness, contact your doctor.

Certain people are at greater risk of serious flu-related complications (including young children, elderly persons, pregnant  women, patient  with heart disease and people with certain long-term medical conditions: If you are in the high risk group and develop flu symptoms, it’s best for you to contact your doctor.            

Warning Signs for possible high risk influenza’s complication

There is no need to go to doctor if you are only a little sick with flu, if you have the following sign and symptoms you might need to seek emergency care.

In children

1.      Fast breathing or trouble breathing

2.      Bluish skin color

3.      Not drinking enough fluids

4.      Not waking up or not interacting

5.      Being so irritable that the child does not want to be held

6.      Flu-like symptoms improve but then return with fever and worse cough

7.      Fever with a rash

In addition to the signs above, get medical help right away for any infant who has any of these signs:

1.      Being unable to eat

2.      Has no tears when crying

3.      Significantly fewer wet diapers than normal

In adults

1.      Difficulty breathing or shortness of breath

2.      Pain or pressure in the chest or abdomen

3.      Sudden dizziness

4.      Confusion

5.      Severe or persistent vomiting

6.      Flu-like symptoms that improve but then return with fever and worse cough

If you have warning signs as above, you should go to the emergency room, or seek advice from your doctor/ professional health care provider.

There are drugs your doctor may prescribe for treating the flu called “antivirals.” These drugs can make you better faster and may also prevent serious complications. In the other hand it may as well has side effect and not necessary in most mild-moderate severe flu. 

 

How long should you stay home if you are sick with flu?

CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or other necessities. Your fever should be gone without the use of a fever-reducing medicine, such as Tylenol®. You should stay home from work, school, travel, shopping, social events, and public gatherings.

 


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