SWINE FLU LESSONS LEARNT

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SWINE FLULESSONS LEARNT FUTURE PREPAREDNESS

• David Walker MEPS
• Emergency Planning Public Health Manager

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SCOPE

• Journey so far
• Reflections
• Look forward
• Questions

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HOW DOES A PANDEMIC OCCUR?

• A novel virus
• Able to transmit easily from human to human
• Most of the worlds population is susceptible

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FLU AS WE KNOW IT

• Seasonal Flu
• Constantly circulating in the human population
• Typically peaks in the winter months
• Normally affects around 10 of the population
  over a period of a year
• Vaccine available for the elderly and those with
  high risks
• Kills around 12,000 people per year in the UK

• Avian Flu
• A disease of birds, caused by strains of the
  virus endemic in wild birds
• Can periodically cause destructive epidemics
  among poultry
• Isolated reports of human to human spread
• No strong evidence of sustained transmission
  across communities

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SWINE FLU

• Influenza A (H1N1v)
• This particular strain of the virus usually
  infects pigs but can infect humans
• Appears to be less severe than anticipated

• Symptoms - similar to regular human seasonal flu,
  include
• fever,
• fatigue,
• lack of appetite,
• coughing,
• sore throat,
• pain in muscles and joints,
• headache and chills
• Some people with swine flu have also reported
  vomiting and diarrhoea

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WHO PANDEMIC PHASES
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CONTAINMENT TO TREATMENT
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CONTAINMENT TO TREATMENT

• Containment
• Slowing the spread HPA led
• Clinical testing of suspect patients
• Antiviral medication for suspected or confirmed
  patients
• Detailed data collection
• Contact tracing prophylaxis
• School closures

• Treatment
• Treatment NHS-led
• Clinical assessment of suspect patients
• Give antivirals to those patients at higher risk
  of serious illness
• Stop contact tracing prophylaxis
• Continue to collect data
• Schools remain open

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REFLECTIONS
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REFLECTIONS

• Benefits of early planning
• Antiviral distribution
• PPE distribution
• Regional Flu Response Centre
• Assessment Collection Points
• Containment - managing the outbreaks treatment
• Communications
• Ongoing appreciation and flexible response

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LOOK FORWARD
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EoE H1N1 Age Distribution
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EoE H1N1 Age Distribution by HPU
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INFLUENZA CARE

• Key messages
• Stay at home
• Dont spread it around
• Follow advice and seek help via your GP/NHS
  Direct or the National Flu Service
• - Vaccinations

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PATIENT PATHWAY
Contact GP or NHS Direct or National Flu Service
for assessment
Contact www.nhs.uk Flu Information Line 0800 1
513 513
Flu Friend collects antivirals from PCT operated
Collection Points OR self help
Voucher or Unique Reference Number or GP visit or
self help advice as appropriate
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CONTINUITY

• Treatment of cases
• Management of services
• HR arrangements
• Multi-agency support
• Communications

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ANY QUESTIONS?
david.walker_at_eoe.nhs.uk 01223 597583