Microsoft word - final.5.13.09.doc

Los Angeles County Department of Public Health New Flu A H1N1 Update Noon, Wednesday, May 13, 2009 New Flu A H1N1 (Previously called Swine Flu) Update
Noon, Wednesday, May 13, 2009


There are 28 confirmed cases of new flu A H1N1 in the Los Angeles County; 36 probable cases are
pending confirmation (case counts exclude Long Beach and Pasadena). Public Health continues to
investigate possible cases, illness clusters, and monitor for severe cases by tracking patient visits and
hospitalizations. To date in the U.S., illness from this new flu has been mostly mild to moderate—
similar to seasonal flu. Most new flu illnesses have resolved without complications and without the
need to see a doctor or receive treatment.
Incorrect and overuse of antivirals is dangerous and can lead to antiviral resistance. Remember: • Nearly all cases of new flu in the U.S. have resolved without complications and without the need to take tamiflu® (oseltamivir). • Many other illnesses have similar symptoms as flu (fever, cough, fatigue), but are not flu,
and are not effectively treated with antivirals.


Certain people should take extra precaution against colds and flu.
Some people can become seriously ill if they get the flu, this includes: pregnant women, infants, the
elderly, people with HIV or cancer who may have weakened immune systems, and those with heart or
lung disease. It is very important that these people take extra care to avoid close contact with other
people who are sick, and contact their healthcare provider immediately if the do become sick.
The pandemic phase level was raised to 5. What does that mean, should I be concerned?
Phase 5 describes how clusters of cases have been found in several countries around the world and
that the illness is likely to spread. This description does not reflect the current situation in LA County
and does not describe the severity of illness. However, this change in phase level does stress the
importance of doing your best to reduce the spread of illness in our communities: stay home if you are
sick, wash your hands often, cover your coughs, and avoid touching your eyes, nose and mouth.

How do I know if I have new flu A H1N1 (previously called swine flu)?
The symptoms of this flu are the same as those for regular flu: fever, cough, sore throat, body aches,
chills, headache, and fatigue. Some cases also have had vomiting and diarrhea.
Los Angeles County Department of Public Health
New Flu A H1N1 Update
Noon, Wednesday, May 13, 2009
How do I keep from getting this new flu?
Prevention recommendations are the same as seasonal flu: wash your hands often, avoid close
contact with people who are sick, avoid touching your face (eyes, nose, and mouth).
Should I avoid going out and going to events?
No. There is no reason to avoid public gatherings or events. But as always, stay home if you are sick;
and practice healthy habits like washing your hands.
Should I keep my child out of school?
No. But children that are sick should stay at home until better—not just now, but always.
What should I do if I have flu-like symptoms?
Anyone that is sick (fever, cough sore throat) should stay home—not just now, but always! If you
become sick, go home as soon as possible and stay home until 24 hours after your fever ends. A mild
cough may continue after many illnesses have stopped and should not be the only reason for sending
a person home or refusing readmission.
How do I care for someone with
flu-like illness?
The same as always: provide
• People with mild illnesses should not go to ERs or • Most people with flu-like illness will get better without the need to see a doctor or take special medicines. fever and make people feel better. Precautions to limit the spread of flu-like illness when caring for someone are the same as what you should do for regular colds and flu: • Limit contact with the sick person and avoid close contact (kissing, hugging) • Do not share personal hygiene items (toothbrushes, towels) • Wash your hands often
Should I buy medicines to treat flu?
Antiviral medications should be taken only under the guidance of a medical doctor since medicines
can have side effects, especially if they are not taken correctly. It is important to remember that most
flu-like illness resolves without the need to see a doctor or to take medication (besides basic over-the-
counter medicines to reduce fever and make you feel better). It is also important to remember that
many other illnesses cause flu-like symptoms—and if your illness is not caused by the flu, flu antivirals
will not make you better. Incorrect and overuse of antivirals is not only dangerous, but can also lead to
further viral resistance.
Should I wash surfaces to avoid getting sick with flu?
Germs can spread when a person touches something that’s contaminated with germs and then
touches his or her eyes, nose, or mouth. Cleaning common surfaces can help kill germs and reduce
infections, but it’s not practical or possible to clean surfaces continuously—it is impossible to clean
everything as well as have it stay clean all the time. The best way to avoid getting the flu does not
include special cleaning procedures beyond normal. But it is especially important to wash your hands
and avoid touching your face (eyes, nose, and mouth).
Los Angeles County Department of Public Health
New Flu A H1N1 Update
Noon, Wednesday, May 13, 2009
What are more serious signs of flu illness?
While to date most new flu cases in the U.S. have been mild to moderate, and in general people with
flu-like illness will get better without complications, seek medical care if you experience any of these
more severe symptoms:
For children, watch for:
• If flu-like symptoms do not get better after
• Over-the-counter cold and flu medications used according to package instructions may help infectious a person is. These medicines might make feel better, but you can still spread germs. Not waking up, not interacting; Confusion, • Don’t use medication that contains aspirin (acetylsalicylic acid) because it can cause a rare but serious illness called Reye’s syndrome. For adults:
medicines without aspirin, such as:
• Difficulty breathing or shortness of breath • Pain or pressure in the chest or abdomen o Ibuprofen (Advil®, Motrin®, Nuprin®) • Don’t give children younger than age 2 any Can people who have just come from
over-the-counter cold medications without first Mexico be allowed to return to school or
speaking with a doctor. Safest care includes using a cool-mist humidifier and a suction bulb people from any public events or interaction
simply due to recent travel to affected areas,
even Mexico. Thousands of people travel to and from Mexico daily, and quarantine recommendations
for these people have not been enacted by local, state or federal agencies. As mentioned during our
press conference (it's on YouTube), we are beyond containment and now focusing on limiting the
number of cases. Instead, ALL people should monitor their health. Everyone should avoid all public
activities if they are sick; and not just now, but always.
Instead of singling out people who have traveled to Mexico, focus should be on identifying those with
flu-like symptoms (fever, cough, fatigue, etc.). This is a great opportunity for schools and businesses
to stress the importance of staying home when sick, and basic respiratory hygiene practices (wash
your hands, cover your cough, etc.).
Where can I get more information?
911 is not for health information!
For more information about this illness call: California Department of Public Health hotline: 888-865-0564 Or visit these websites: • Los Angeles County Department of Public Health: • Centers for Disease Control and Prevention (CDC): If you need help finding medical care, please call the Los Angeles County Infoline: 2-1-1.


Microsoft word - new patient papers web.doc

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Chapter 6 organic acids

Organic Acids autonomic and pain signals.262 Formation of both serotonin and 5-HTP within the spinal cord have been shown to be stimulated by administration of 5-HTP, and the increase is enhanced in experimentally induced encephalomyelitis (EAE), an experimental model system for human multiple sclerosis.263 Spinal cord generation Figure 6.13 —.Formation.and.Clearance. of.Serotonin o

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