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WorstPills.org - Swine Flu: Important Advice from WorstPills.org
Swine Flu: Important Advice from WorstPills.org
As of the end of April 2009, swine flu (H1N1) had sickened almost 100 people in the UnitedStates. While it's normal to be anxious about the spread of this disease, taking medications toprevent or treat the disease without having a full understanding of the medications' side effectscould have a serious impact on your health. The most effective ways to avoid any infectiousillness are safer and cheaper than any medication. To avoid disease, the
Washing your hands or using hand sanitizer frequentlyAvoiding sick people and surfaces that they have touched, sneezed or coughed onNot touching your nose, mouth or eyes
What drug treatments are available to treat swine flu?
You may be tempted to take zanamivir (RELENZA) or oseltamivir (TAMIFLU) as a cautionarymeasure to prevent swine flu. However, these medications are not very effective against typicalflu strains. A 2006 Cochrane review concluded that for prevention of influenza, "compared toplacebo, [these drugs] have no [significant] effect against influenza-like illnesses."
Further, not everyone should consider using these drugs to prevent swine flu.
The that only two specific groups of people take the antiviral medicationsRELENZA or TAMIFLU to prevent infection with the swine flu:
1. Household close contacts who are at high-risk for complications of influenza (e.g., persons
with certain chronic medical conditions, persons 65 or older, children younger than 5 yearsold, and pregnant women) of a confirmed or probable case
2. Health care workers or public health workers who were not using appropriate personal
protective equipment during close contact with an ill confirmed, probable, or suspect case ofswine-origin influenza A (H1N1) virus infection during the case's infectious period.
The that a limited number of other groups may consider using these drugs toprevent infection:
1. Household close contacts who are at high-risk for complications of influenza (e.g., persons
with certain chronic medical conditions, persons 65 years or older, children younger than 5years old, and pregnant women) of a suspected case.
2. Children attending school or daycare who are at high-risk for complications of influenza
(children with certain chronic medical conditions) and who had close contact (face-to-face)with a confirmed, probable, or suspected case.
3. Health care workers who are at high-risk for complications of influenza (e.g., persons with
certain chronic medical conditions, persons 65 or older, and pregnant women) who are
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WorstPills.org - Swine Flu: Important Advice from WorstPills.org
working in an area of the healthcare facility that contains patients with confirmed swine-origin influenza A (H1N1) cases, or who is caring for patients with any acute febrilerespiratory illness.
4. Travelers to Mexico who are at high-risk for complications of influenza (e.g., persons with
certain chronic medical conditions, persons 65 or older, children younger than 5 years oldand pregnant women).
5. First responders who are at high-risk for complications of influenza (e.g., persons with
certain chronic medical conditions, persons 65 or older, children younger than 5 years old,and pregnant women) and who are working in areas with confirmed cases of swine-origininfluenza A (H1N1) virus infection.
It is not known whether these drugs would be more or less effective against swine flu. Althoughthese drugs have been proven in laboratory tests to have an effect on swine flu, the drugshave, of course, never been proven in clinical trials in humans for this particular strain.
Patients should also be aware that RELENZA can cause asthma. Warning: Aspirin and Reye's Syndrome
Patients under the age of 40 who are experiencing flu-like symptomsneed to be extremely careful not to take aspirin.
Taking aspirin will increase the risk of contracting Reye's syndrome, arare but often fatal disease that causes brain and liver damage.
Copyright 2000-2009 Public Citizen's Health Research Group. All rights reserved.
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Emerging Infectious Diseases: Biology, Historical Significance and Public Policy Name of Person(s) Submitting Report : Paula B. Lessem, Ph.D., Maren B. Reiner, M.S. E-mail Institution: University of Richmond Title of Project : Emerging Infectious Diseases: Biology, Historical Significance and Public Policy Date(s) of Projec t: Course offered Fall term 2006, Spring term 2007 &a