281 The outbreak of the novel H1N1 influenza A, which began in Mexico, has attracted global attention due to the initial high mortality rate and rapid spread since April 2009. Zoonotic infection from pig to human was initially considered as most of the infected cases in Mexico had a history of close contact with pigs. By genotyping and sequencing the causative virus, it was found that the candi...

Although the 2009 Swine flu (H1N1) pandemic has apparently been abolished, there are still lessons to be learnt. We reviewed the clinical and pathological manifestations of CNS involvement of influenza A virus infection. Neurologic disorders were most commonly seen as underlying medical conditions in swine flu, and neurological complications of the H1N1 vaccination. The major point with regard ...

Swine flue is a highly contagious acute respiratory disease caused by a subtype of influenza A virus. Herein we present three patients with H1N1 infection complicated with pulmonary thromboembolism. The patients had chest pain and unexplained dyspnea. Imaging studies showed bilateral hilar predominance. Computed tomographic angiography confirmed bilateral thromboembolism (an unusual presentatio...

Case Based Reasoning (CBR) has become a successful methodology for problem solving, reasoning and learning. It is applied for diagnosis and decision support in the medical field in several areas. This is because CBR methodology is analogous to the process of human reasoning and natural problem solving. In this paper, a Swine Flu Medical Recommender (SFMR) prototype is applied using CBR that ass...

We read with interest the article by Das, et al. [1]. The article has lucidly elaborated the clinical profile of confirmed swine flu positive cases. However, authors state that the data might not be representative of the cases who were not tested for swine flu [1]. We share our data of children presenting as category ‘C’ cases collected retrospectively from August to December 2009 [2]. Category...

Whenever a public health official utters the word ‘pandemic’ in a deliberately calm tone of voice, it’s understandable that many people decide that it’s time to panic. The surprise, in the big flu panic/ pandemic of 2009, is not how quickly we panicked, but how quickly the news media declared that we were overreacting. Health officials raised the alarm on the last Sunday in April, and already t...

BACKGROUND Swine workers may play a key role in transmission of zoonotic influenza viruses. At the same time, little is known about the extent and effectiveness of influenza prevention programs for these at-risk workers. OBJECTIVES To characterize practices and attitudes regarding zoonotic influenza transmission among swine workers in Romania. METHODS We conducted a convenience survey of sw...

OBJECTIVE To study the clinical profile and outcome of children screened and diagnosed for Swine flu at a tertiary care hospital. METHODS All Children with suspicion of swine flu infection attending our hospital during the epidemic from August 2009 through January 2010 were screened and categorized into A, B and C as per guidelines of National Health and family welfare. Patients in Category A...