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By Chimfumnanya Nwanze, MPH Student Walden University PUBH 6165-2 Instructor: Dr Rebecca Heick. Fall Quarter, 2009. To educate and equip pregnant women on the effects of the pandemic flu and how they can prevent and/or take care of themselves during the flu season. Flu refers to illnesses caused by a number of different influenza viruses. Flu can cause a range of symptoms and effects, from mild to deadly. The three common strains of flu are: the seasonal flu virus, the H1N1 (commonly known as swine flu) and the H5N1 (avian or bird) flu. (Reference: Flu.gov (2009a). About the flu. Retrieved October 18, 2009 from http://pandemicflu.gov/individualfamily/about/) From person to person From person to an object Sharing personal belongings with infected persons e.g. eating utensils (Reference:) CDC (2009, September 30). How flu spreads. Retrieved October 18, 2009 from http://www.cdc.gov/flu/about/disease/spread.htm Fever, coughing, sore throat, runny or stuffy nose, headaches, body aches, chills and fatigue. Vomiting, diarrhea Eye infections, pneumonia, severe respiratory diseases (e.g. acute respiratory distress), and other severe and life-threatening complications. References: Flu.gov (2009b). Flu symptoms. Retrieved October 18, 2009 from http://pandemicflu.gov/individualfamily/about/symptoms/index.html Flu.gov (2009c). H5N1 (Bird flu). Retrieved October 19, 2009 from http://pandemicflu.gov/individualfamily/about/h5n1/index.html Increased heart rate Increased stroke volume Increased oxygen consumption and Decreased lung capacity Vulnerability to pathogens due to immunologic changes during pregnancy (Reference: Rasmussen, S, Jamieson, D, & Bresee, J. (2008). Pandemic influenza and pregnant women. Emerging Infectious Diseases, 14(1), retrieved October 17, 2009 from http://www.cdc.gov/EID/content/14/1/pdfs/95.pdf ) Increased risk for birth defects - cleft lip with or without cleft palate, and neural tube and congenital heart defects. Childhood leukemia, schizophrenia, and Parkinson’s disease Hyperthermia is associated with an increased risk for neural tube defects (Reference: Rasmussen, S, Jamieson, D, & Bresee, J. (2008). Pandemic influenza and pregnant women. Emerging Infectious Diseases, 14(1), retrieved October 17, 2009 from http://www.cdc.gov/EID/content/14/1/pdfs/95.pdf ) Cover nose and mouth with a tissue when coughing or sneezing. Dispose of the tissue in the trash after use. Wash hands often with soap and water, especially after coughing or sneezing or use alcohol-based hand sanitizers. Avoid touching the eyes, nose or mouth Avoid close contact with sick people. Heed public health advice such as avoiding crowds and social gatherings. (Reference: Flu.gov (2009d). Prevention and treatment. Retrieved October 19, 2009 from http://pandemicflu.gov/individualfamily/prevention/index.html) Vaccines Antiviral medications – such as Oseltamivir [oral] (Tamiflu) and Zanamivir [inhaler] (Relenza). Antibiotics to prevent bacterial pneumonia and antipyretic medications to reduce fevers. (Reference: Rasmussen, S, Jamieson, D, & Bresee, J. (2008). Pandemic influenza and pregnant women. Emerging Infectious Diseases, 14(1), retrieved October 17, 2009 from http://www.cdc.gov/EID/content/14/1/pdfs/95.pdf ) Pregnant women should be of top priority during flu seasons The use of anti-fever medications should be used by pregnant women who get sick Set up strategies and plans to educate and rapidly assess pregnant women during the flu season Plan of care & interventions to ensure the safety of pregnant women and their fetuses. Thank you for giving me the opportunity to give this presentation. Are there any questions? CDC (2009, September 30). How flu spreads. Retrieved October 18, 2009 from http://www.cdc.gov/flu/about/disease/spread.htm Flu.gov (2009a). About the flu. Retrieved October 18, 2009 from http://pandemicflu.gov/individualfamily/about/) Flu.gov (2009b). Flu symptoms. Retrieved October 18, 2009 from http://pandemicflu.gov/individualfamily/about/symptoms/index.ht ml Flu.gov (2009c). H5N1 (Bird flu). Retrieved October 19, 2009 from http://pandemicflu.gov/individualfamily/about/h5n1/index.html Flu.gov (2009d). Prevention and treatment. Retrieved October 19, 2009 from http://pandemicflu.gov/individualfamily/prevention/index.html Rasmussen, S, Jamieson, D, & Bresee, J. (2008). Pandemic influenza and pregnant women. Emerging Infectious Diseases, 14(1), retrieved October 17, 2009 from http://www.cdc.gov/EID/content/14/1/pdfs/95.pdf