1. Professor Dr Jamal R Al-Rawi
INFLEUNZA
Professor
Professor Dr Jamal R Al-Rawi
MBChB, MSc, FICMS
PROFESSOR
of Community Medicine & , Dermatovenereology College of Medicine, Al-Mustansiryia University
Jamal R Al-Rawi
MBChB, MSc, FICMS

2. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
OBJECTIVE(s)
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

3. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
VIROLOGY
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

4. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
DISCOVERY OF VIRUS
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

5. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
VIROLOGY-Continued.
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

6. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
THE VIRUS
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

7. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2013
CLASSIFCATION OF THE VIRUS
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2013

8. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
Nomenclature
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

9. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
ANTIGENIC SHIFT
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

10. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
ANTIGENIC DRIFT
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

11. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
RESORTMENT
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

12. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
RESERVOIRS
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

13. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2013
Resevoir & Transmission
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2013

14. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
CLINICAL MANIFESTATIONS
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

15. Differences between Seasonal and H1N1 Flu Symptoms
Seasonal Flu
Novel H1N1 Flu
Fever
Fever is rare with a cold.
Fever is usually present with the flu in up to 80% of all flu cases. A temperature of 100°F or higher for 3 to 4 days is associated with the flu.
Coughing
A hacking, productive (mucus- producing) cough is often present with a cold.
A non-productive (non-mucus producing) cough is usually present with the flu (sometimes referred to as dry cough).
Aches
Slight body aches and pains can be part of a cold.
Severe aches and pains are common with the flu.
Stuffy Nose
Stuffy nose is commonly present with a cold and typically resolves spontaneously within a week.
Stuffy nose is not commonly present with the flu.
Chills
Chills are uncommon with a cold.
60% of people who have the flu experience chills.
Tiredness
Tiredness is fairly mild with a cold.
Tiredness is moderate to severe with the flu.
Sneezing
Sneezing is commonly present with a cold.
Sneezing is not common with the flu.
Sudden Symptoms
Cold symptoms tend to develop over a few days.
The flu has a rapid onset within 3-6 hours. The flu hits hard and includes sudden symptoms like high fever, aches and pains.
Headache
A headache is fairly uncommon with a cold.
A headache is very common with the flu, present in 80% of flu cases.
Sore Throat
Sore throat is commonly present with a cold.
Sore throat is not commonly present with the flu.
Chest Discomfort
Chest discomfort is mild to moderate with a cold.
Chest discomfort is often severe with the flu.
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

16. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
CLINICAL DIAGNOSIS
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

17. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
LABORATORY DIAGNOSIS
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

18. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
HISTORICAL BACKGROUND OF
PANDEMICS
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

19. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
INFLEUNZA A (H3N2) VARIENT
PANDEMICS
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

20. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
PANDEMICS & THEIR
MORTLITIES
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

21. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
CONTROL MEASURES
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

22. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
SUMMARY 1
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

23. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
SUMMARY 2
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

24. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
Therapeutic Measures
TWO groups of Antiviral effective in Treatment & Prevention of Infleunza virus:
Adamananes: THEY ARE CHEAPER & LESS EFFECTIVE Amantadine
Remantadine • Inhibitors of Infleunza Neuraminidazs
Oseltamivir
Zanamivir Authorities Prefer the SECOND GROUP
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

25. Antiviral Medications specially for high risk are effective
Antiviral Medications: consult your doctors before leaving to suspected areas .
High risk travelers going to infected areas (e.g. persons with diabetes, lung disease, heart disease, and the elderly) are recommended to take antiviral medications for prevention of swine influenza during travel.
The recommended antiviral drug is Tamiflu®).
It keep flu viruses from reproducing in your body. This drug can prevent infection if taken as a preventative.
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

26. Practice healthy habits
Wash your hands often with soap and water.
Use waterless alcohol-based hand gels (containing at least 60% alcohol) when soap is not available and hands are not visibly dirty.
Cover your mouth and nose with a tissue when you cough or sneeze and put your used tissue in a wastebasket.
Professor Abdul H M Al-Hadi, MBChB, MSc, PhD, 2016

27. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
Healthy habits
If you don't have a tissue, cough or sneeze into your upper sleeve, not your hands.
Wash your hands after coughing or sneezing, using soap and water or an alcohol-based hand gel.
Wear a surgical mask if you are in contact with other people.
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

28. Other Normal Precautions
Pack a travel health kit that contains basic first aid and medical supplies.
Identify the health-care resources in the area(s) you will be visiting.
Check if your health insurance plan will cover you abroad.
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

29. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
ANTIGENIC VARIABILITY
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

30. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
TYPES OF VACCINE
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

31. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
CANDIDATE FOR VACCINATION
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

32. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
Vaccine Effectiveness
• Influenza vaccine changing so matching for an effective vaccine is difficult Because WHO needs to select the virus TWICE/year Northern & Southern hemisphere.
• The WHO recommended vaccine contains no swine virus therefore it is not effective in preventing swine flu since there is no cross antigenicity between swine & human infleunza virus
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

33. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016
flucounting.org
Country
No of cases
No of death
Case Fatality rate
Iraq
223 2
0.009
Jordan
405
Kuwait
2881 9
0.003
Lebanon
761
0.0026
Egypt
1211 3
0.0024
Bahrain
450 6
0.13 UK
14114 85
0.006
Australia
36927
185
0.005
Yemen
210
0.0285
Saudi Arabia
4119 35
0.008
Malaysia
7066 77
0.0108
Total World cases
458014
5190
1.13%
This Site Renew the world cases every 4 hours
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2016

34. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2013
SWINE FLU
Highly Contagious ARD of the pigs
Pigs Morbidity High, Mortality Low 1-4%
Droplet Spread asymptomatic carriers pigs exist
Epidemics among Pigs happen yearly therefore vaccination is routine
Swine virus killed by 70 °C 15 minutes
Droplet Spread asymptomatic carriers pigs exist
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2013

35. Professor Abdul H M Al-Hadi, MBChB, MSc, PhD, 2009
General Rules
Most of the previously reported swine influenza cases recovered fully from the disease without requiring medical attention and without antiviral medicines.
Professor Abdul H M Al-Hadi, MBChB, MSc, PhD, 2009

36. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2013
References
This research is based mainly on the following sites
www,mayoclinic.com
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2013

37. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2013

38. Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2013
THANK YOU
THANK YOU
Professor Jamal R Al-Rawi MBChB, MSc, FICMS, 2013