Swine flu has spread across the world since emerging in
Symptoms of swine flu in humans appear to be similar to those produced by standard, seasonal flu. A fever - which is a temperature of 38ºC (100.4ºF) - is the key symptom, combined with other complaints which may include a cough, sore throat, body aches, chills and aching limbs. Some people with the virus have also reported nausea and diarrhea. As with normal flu, the severity of symptoms will depend on treatment and the individual. Many people have only suffered mildly and have begun to recover within a week. People are most infectious soon after they develop symptoms, but they cease to be a risk once those symptoms have disappeared. The incubation period may be as little as two days.
Apparently healthy people are dying from the virus. Does that means it is getting worse?
Experts say this does not change anything and that if anything it is surprising that it has taken this long in the
Flu expert Professor Peter Open Shaw, of Imperial College London, says about one in every three people who become infected will not realize they have had swine flu because they will have had no or only very few symptoms. "About 98% of people who get infected will recover fully without any hospital treatment so I think the public needs to be reassured." The real fear is that the strain will mutate and become more virulent which would pose a greater threat. This has been the feature of previous flu pandemics. But this has not yet happened - and in any event it is worth remembering that seasonal flu often poses a serious threat to public health - each year it kills 250,000 - 500,000 around the world.
What should I do if I think I have it?
Anyone with flu-like symptoms who suspects they might have the swine flu virus are being advised to stay at home and use the "swine flu symptom checker" on the NHS Direct website, or phone NHS Direct - NHS 24 in Scotland. If swine flu is suspected, your GP should be contacted - and he or she will issue a voucher for anti-flu drugs. The infected person would then be expected to arrange for a friend or family member to pick up the anti-viral treatment for them from a collection point, most probably a pharmacy. In the initial phase of the outbreak, lab testing was done to diagnose the flu but this is no longer happening routinely.
How is it treated?
Two drugs commonly used to treat flu, Tamiflu and Relenza, are effective at treating infection. However, the drugs must be administered at an early stage to be effective. Use of these drugs may also make it less likely that infected people will pass the virus on to others. The
However, there is concern that if too many people start taking anti-virals as a precaution, it could raise the risk of the virus developing resistance, reducing the drugs' effectiveness. There is however no evidence at present that this is happening.
In any event there is little point taking these drugs as a precaution as each tablet only provides a day's worth of cover. Given that the virus may be with us for many months - or indeed years - taking a regular pill is ill-advised as the long-term side effects are not known.
What measures then can I take to prevent infection?
As yet there is no vaccine, but manufacturers are trying to develop one. Good progress is being made and the first doses may be available in the
In the meantime, avoid close contact with people who appear unwell and who have fever and cough. General infection control practices and good hygiene can help to reduce transmission of all viruses, including the human swine influenza. This includes covering your nose and mouth when coughing or sneezing, using a tissue when possible and disposing of it promptly.
It is also important to wash your hands frequently with soap and water to reduce the spread of the virus from your hands to face or to other people, and cleaning hard surfaces like door handles frequently using a normal cleaning product. In