Swine Flu: warning signs and treatment

November 5, 3:25 PMRochester Infectious Disease ExaminerCharles Simmins

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The recent publication of a study on the outbreak of Swine Flu at the U.S. Air Force Academy in July 2009 provides a good list of the most common symptoms of pandemic flu.

• Fever of over 100 degrees - 94%
• Cough - 93%
• Fatigue - 86%
• Sore throat - 86%
• Head ache - 84%
• Chills - 81%
• Body ache - 63%

 Nine percent of those ill suffered diarrhea and / or vomiting. Keep in mind that the cadets are a healthy group of young people without any factors that would increase their risk from the Swine Flu.

California scientists recently published a study on the spring wave of illness in their state. The study covered the period of April 23 through August 11, and involved 1,088 hospitalization for pandemic H1N1. 11% of those hospitalized died.

68% of those hospitalized had conditions recognized to present a risk for complications in seasonal flu, such as asthma. This confirms previous statements from the CDC urging patients at risk to consider the Swine Flu vaccine as a preventative measure.

Rapid antigen tests were falsely negative in 34% of the cases where they were used. This confirms speculation in the medical community that the test was generating a high number of false negatives. The study urges treating physicians to use their clinical judgment when treating patients and not rely on one test for a diagnosis.

The CDC is suggesting that H1N1 be treated like seasonal flu. The patient needs lots of rest, plenty of fluids and should be isolated from members of the family or friends who are not ill. Over the counter medications can help relieve symptoms. Consult a physician if symptoms worsen, disappear and return, or if you have questions about treatment.

Anti-viral medications such as Tamiflu or Relenza are being suggested for at risk patients only. Supplies are low and the potential exists for the virus to develop resistance to the drugs if they are used indiscriminately.

For more info: More articles about Swine Flu