Swine Flu: Questions and Answers

Swine Flu: What You Need to Know
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Swine Flu: Questions and Answers

What is the Swine Flu? How do I avoid It? What do I do if I have flu symptoms? These are all questions that came into our clinic today and over the weekend. Also, you can read a couple of my other blogs: Is It a Cold or Sinus Infection?, 7 Ways to Protect Yourself from the Flu (in general) or the Swine Flu (in particular), and Swine Flu: What You Need to Know.
More Information:
Influenza, or “the flu,” generally, is a much more serious illness than most people appreciate. Even a “typical” flu season results in 36,000 American deaths each year, according to CDC statistics.
The situation with swine flu is rapidly evolving, but here are some answers to questions on the top issues. Get the latest from the U.S. Centers on Disease Control and Prevention here.  
What is the swine flu?
The swine flu is a type of influenza virus usually found in pigs. The most common version is H1N1, and the current virus causing concern is a new variation of an H1N1 virus.
Swine flu does not typically pass to humans directly, but such transmission can occur. The current swine flu virus is concerning to health experts because it has shown the ability to pass from human to human.
How big a threat is this new swine flu virus?

Scientists around the globe are working hard to determine the threat level of the current swine virus. Right now, the virus is said to have “pandemic potential” because it is a new virus that can spread from person-to-person. But if it turns out the virus does not spread easily among people, the threat level will go down. Similarly, if it turns out the virus can spread easily among people, the threat becomes more serious and the virus is more likely to trigger a pandemic.
What defines a flu pandemic?

A flu pandemic occurs when a new virus emerges that can spread easily among people. When a flu virus mutates in such a way that it forms a novel version, it means people typically have little-to-no protection because their immune systems have no experience fighting the virus in the past. Flu viruses can spread quickly and potentially cause more severe illness when the population lacks immunity.
But all pandemics are not equally deadly. Some kill millions more people than usual, while others are roughly on par with seasonal flu in terms of deaths.
It is not possible to predict a pandemic in advance so health officials keep a close watch on viruses that have “pandemic potential” — new viruses that have shown at least some ability to transmit to humans. The current H5N1 bird flu circulating in Asia is an example of a virus that has pandemic potential, but has not yet caused a pandemic.
What does a pandemic mean in terms of the death rate? Would it necessarily be severe?

Pandemics can vary quite a bit in severity. The 1918 pandemic killed many more Americans than an ordinary flu, while the 1968 version killed about 34,000 people — about the same number killed each year by seasonal flu, according to CDC statistics.
The world generally experiences at least two flu pandemics each century. Historically, the 20th century saw 3 pandemics of influenza:

  •  The 1918 influenza pandemic caused at least 675,000 U.S. deaths and up to 50 million deaths worldwide.
  •  The 1957 influenza pandemic caused at least 70,000 U.S. deaths and 1-2 million deaths worldwide.
  •  The 1968 influenza pandemic caused about 34,000 U.S. deaths and 700,000 deaths worldwide.

Why have there been reported swine flu deaths in Mexico but not in the United States?

Scientists have not yet determined the reason why there are reported swine flu deaths in Mexico while cases in the United States have thus far been mild. The World Health Organization notes that the U.S. cases have all been confirmed by laboratory analysis, while those in Mexico have not all been confirmed by lab analysis as yet. This means that health officials do not know how many people who died in Mexico perished because of the new swine flu virus. However, the CDC is concerned that — because the virus is genetically similar in the U.S. and Mexico — the U.S. will see more severe illness as new cases emerge, including some deaths.
How does the swine flu spread?

Researchers are still investigating how easily the swine flu virus spreads, but experts say that transmission likely occurs the same way people pass on the usual flu: coughing or sneezing from sick people, shaking hands or otherwise touching persons who are infected with the virus, touching surfaces and objects that sick people have touched.
Can I get the swine flu from eating pork?

No, there are no signs that people can get the swine flu from eating pork.
How can I protect myself?
The CDC recommends the following steps to protect yourself from flu:

  • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it. 
  • Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hands cleaners are also effective. 
  • Avoid touching your eyes, nose or mouth. Germs spread that way.
  • Try to avoid close contact with sick people.  Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people. 
  • If you get sick, CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.

You can read more in my blogs: 7 Ways to Protect Yourself from the Flu (in general) or the Swine Flu (in particular), and Swine Flu: What You Need to Know.
What are the symptoms of swine flu? How do I know if I have it?
The World Health Organization is working to develop a profile of the “typical case” of swine flu, but thus far, the symptoms appear to be essentially the same as those for the usual winter flu. Hallmark symptoms of flu include high fever, muscle aches, headache, and fatigue. People may also experience coughing and a runny nose, or less commonly, vomiting and diarrhea.
The only way to definitively diagnose swine flu is to have laboratory testing done to determine the exact subtype of the virus.
Can the swine flu be treated? What if I develop symptoms?

Yes, the swine flu can be treated with antiviral medications such as Tamiflu and Relenza, but treatment must be started within the first 48 hours after symptoms appear. If you have symptoms of flu, talk to your health care provider right away.
Sources: The medical staff at ABC News collected this information from the CDC, the World Health Organization, and the National Institute of Allergy and Infectious Diseases.  


  1. Phillip Janssen says:

    How close is the current H1N1 (Swine) flu to the Swine Flu of 1976? I have been looking for information on the type but have not been able to find it as of yet. I had a patient ask me if it was the same or a different virus, and if there was any immunity from the old vaccine from 1976 that had been given to over 200 million people in the US. He had heard on a News report that the reason fewer older people had been getting sick was because they had left over immunity from the vaccine. I told him I didn’t think that the viruses were the same but I would check on it and I assured him that there was no immunity that would have been left over from the 1976 vaccine. I didn’t bother to tell him that there had been more death and complications due to the vaccine that had been given then ever occurred from the virus. I already have enough problems with getting parent to vaccinate their children. I went through and explained to him how to prevent the spread of the virus. And that the symptom that he needed to watch for was a high fever to go along with the body aches and that we had medications (Tamiflu) to treat him if he developed the H1N1 flu. I look forward to your reply.
    MAJ Phillip Janssen AP-C

  2. Dr. Walt says:

    I don’t know the answer to your question. But, let me run it by a couple of epidemiologists, and see what I can find out for you.
    Dr. Walt

  3. Dr. Walt says:

    Major Janssen,
    My epidemiologist friend says, “Flu vaccine antibody is good for about a year. Receipt of swine flu vaccine in 1976 would be of no consequence.” Hope this helps.
    Dr. Walt

  4. Phillip Janssen says:

    Yes that does help. It is always nice to know that you are putting out the correct information. Another question I have, do you think that the H1N1 will come back stronger this fall during the normal cold and flu season? Thus causing a need for a vaccine to be made? Thanks and have a good day.
    MAJ Phillip Janssen PA-C

  5. Dr. Walt says:

    You can keep up with the H1N1 Swine flu virus at the CDC website. The URL is http://www.cdc.gov/h1n1flu. My guess is that our best indicator of what will happen this fall is what will happen this spring in the southern hemisphere. But, that’s just a guess.
    Dr. Walt

  6. Poppy Keant says:

    I can’t seem to get your RSS feed to work with my program. Do you mind telling me the url so I can read your posts on my own program?

  7. Dr. Walt says:

    Hi Poppy,
    Sorry for the trouble. Let me ask the web guys to look into it.
    Dr. Walt

  8. admin says:

    Here is the RSS Feed http://feeds.feedburner.com/drwalt/uYKC
    Should be working now.

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