lunes, 27 de abril de 2009

Prevention and treatment Swine flu pandemic

Recommendations to prevent infection by the virus consist of the standard personal precautions against influenza. This includes frequent washing of hands with soap and water or with alcohol-based hand sanitizers, especially after being out in-public. People should avoid touching their mouth, nose or eyes with their hands unless they've washed their hands. If people do cough, they should either cough into a tissue and throw it in the garbage immediately or, if they cough in their hand, they should wash their hands immediately.[79]

The previously recommended influenza vaccines for the southern and northern hemispheres, including that for the 2009/2010 flu season, are ineffective against the new strain.[80] Current development, large-scale manufacturing, distribution and delivery of a new vaccine takes several months.[71]

US based medical product company Baxter International has requested a virus sample from the WHO in order to begin development of a new vaccine.[81] Baxter has patented a cell-based technology that may allow the company to develop a vaccine in half the time it usually takes, possibly cutting development time from six months to three.[82]

Of the available antiviral treatments for influenza, the WHO stated that the viruses obtained from the human cases with swine influenza in the United States were sensitive to oseltamivir (Tamiflu)[83] and zanamivir (Relenza) but resistant to amantadine and remantadine.[84]

Tamiflu and Relenza also have a preventative effect against Influenzavirus A.[85] Roche and the US government have extended the shelf-life of stock-piled Tamiflu from the original five years to seven years because studies indicated that the medication continues to maintain its effectiveness.[86]

Some physicians in the US are recommending the use of masks when in public.[87] The purpose of a face mask is to effectively cover a person's mouth and nose so that if a person is around someone who is infected, there is a decreased likelihood of transmission. Recommendations to protect against the avian flu indicated that using a face mask with a rating of N99, N100 or P100 in the United States or a rating of FFP3 in Europe should be effective in protecting against transmission.[88] While face masks with these ratings provide 99% or greater efficiency in protecting against flu transmission, N95 or FFP2 face masks provide about 94% efficiency.[89] N95 and FFP2 rated face masks may therefore also be effective.

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