H1N1 FLU OUTPATIENT / EMERGENCY PATIENTS What is H1N1? H1N1 is a virus that is part of a family of viruses called Influenza A. Influenza A viruses belong to a collection of viruses that are responsible for our annual flu season. This particular H1N1 is a new Influenza A virus. It was previously called Swine Influenza. This virus passes from human to human. What are the symptoms of H1N1? H1N1 Flu Virus is a respiratory illness that causes symptoms similar to those of the regular seasonal flu. The symptoms include the following: Almost Always: Common: Sometimes: Sudden onset of cough and fever Fatigue Headache Muscle aches Decreased appetite Sore throat Runny nose Nausea Vomiting Diarrhea Should I be tested and treated for H1N1? Only patients who are at high risk of complications or require hospitalization will be tested and treated. Patients who are low risk with mild symptoms will not be tested. Who are at high risk for developing complications? Patients who are considered more at risk of developing complications if they get sick with H1N1 are: 1. Children under five years of age (especially those less than two years old) 2. Women who are pregnant 3. People with chronic conditions such as: Heart disease Kidney disease Diabetes Asthma and chronic lung disease Neurological disorders Liver disease Blood disorders Severe obesity Immunosuppressed (people taking cancer drugs or people with HIV AIDS) -1- How is testing performed if I am considered high risk? Testing is performed by using a swab to take a sample from the back of your nose. It takes a few days for the results to come back from the lab. How is H1N1 Influenza treated if I am considered at risk of developing complications? There are a number of different treatments which include drinking plenty of fluids and medication to relieve fever or aches and pains. If you are at risk of developing complications you will receive an antiviral drug. Other treatments may be used in consultation with your doctor. Please talk to your doctor if you have any questions. Should I receive antiviral medication if I have no symptoms? No. Antivirals are not recommended for patients who are not suspected of having or do not have symptoms of H1N1 flu.. This applies to all patients including those at risk of developing complications. Should I receive antiviral medication if I have been in contact with someone with H1N1 flu? No. Antivirals are not recommended for people who are not suspected or do not have symptoms of H1N1 influenza even if they have been in contact with an individual with H1N1 influenza. This applies for everyone including those at risk of developing complications. Antiviral medication may be considered for outbreaks in closed settings affecting vulnerable patients. Public Health would be consulted for these cases. Can I spread the virus to others? Yes, but there are some things you can do to prevent this: Clean your hands with soap and water or an alcohol based hand sanitizer Cough and sneeze into your sleeve. Avoid touching your face with unwashed hands If you do not feel well, stay at home (do not go to work, parties, or other social gatherings) Keep 2 meters (6 feet) away from people who are coughing and sneezing Keep high touch areas at home and work (phones, door knobs, etc.) clean Do not visit patients or residents of health care facilities if you are sick What if I am not getting better? Most people who get sick with H1N1 influenza get better after a few days. If you feel you or your child's condition is worsening or if you are experiencing any of the following symptoms, return to the emergency room for reassessment increasing difficulty breathing Worsening cough Sudden worsening of the fever Confusion -2-