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Swine flu the good news and the bad news; In brief the bad news is that swine flu has arrived, and is spreading rapidly, the good news, so far it is less severe than our usual “seasonal” flu. As we all know, we are in the early stages of an influenza pandemic. This pandemic has been long anticipated and planned for, experts opinion had always held that the emergence of a new influenza virus, which would spread rapidly amongst the population, was inevitable. Swine flu, or H1N1 flu fulfils that description, it spreads rapidly amongst the population, and it is a novel virus, therefore there is little protection from it from our natural immunity or previous influenza vaccinations. The symptoms of swine flu are the same as seasonal flu, sudden onset fever associated with 2 other symptoms including headache, sore throat, runny nose, muscle and joint pains , cough and diahorrea. Swine flu so far has proven to be a very mild illness, most fit healthy people feel make a recovery within a week, there is only a significant risk of serious illness in people with other health issues. Less than one patient in a hundred with swine flu has needed hospital care. Antiviral drugs reduce the length of the illness by about a day, and are currently available to high risk groups, children under 5, people with chronic lung, heart, liver or kidney disease, people with diabetes , cancer or immuno suppression, and the over 65s. If you have flu symptoms and are in one of the groups above, please contact the practice for a telephone consultation, where we will assess you and organise face to face, assessment or access to antiviral drugs as appropriate. If you are not in the high risk group, please stay at home, take regular paracetamol or other painkillers, rest and plenty of fluids. The flu virus spreads through droplets, remember to cover you mouth with you had when you cough, use tissues to manage your runny nose, and bin tissues when used. Wash you hands frequently. Please contact the practice by telephone if you think you, or one of your family or friends may have complications of swine flu, such as chest pain not relieved by simple painkillers, significant shortness of breath, significant fever ( above 38c) not controlled by cooling measures, or headache not relieved by painkillers There are no antiviral drugs available for people not in the high risk groups, or fit contacts of patients with swine flu, and the practice cannot prescribe antiviral drugs. Please bear in mind that the health service is likely to be very stretched in the next few months if the pandemic increases as we suspect it will. There will be more ill people to care for, and probably more staff absence, due to illness. Please be responsible, think carefully before booking an appointment, could it be managed on the phone? do you really need to see a doctor or a nurse? If you do book an appointment please don’t miss it. Please prepare in advance, make sure you have enough food drinks and “flu medications” in the house in the anticipation that you may become ill suddenly. Watch out for elderly or vulnerable neighbours, and friends, particularly if they live alone- every one needs a “flu buddy” Please don’t come the surgery or Hospital if you have flu like symptoms, you might spread it to the staff, or to vulnerable patients who could come to harm. Please bear with us, we aim, and have planned to maintain the service come what may, but it might become a limited service. We hope a vaccine will become available, but it will probably be late August or early September at the earliest before it is available, and those most at risk will get it first. If and when a vaccine becomes available we will do our best to make it available as soon as possible. Add websites flu lines etc