Sun Feb 5 00:27:06 SGT 2012  
    SHIM CLINIC
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Influenza | Shim Clinic, Singapore

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Influenza | Shim Clinic, Singapore: Influenza | Shim Clinic, Singapore: Flu/influenza clinic, Singapore. Symptoms, signs, vaccination, prevention, prophylaxis & treatment with Tamiflu® & Relenza®. Definitions, references, and latest news.

Description

Table of contents

Influenza

References

Influenza Symptoms Influenza Treatment

Depending on your situation, there are a number of ways of managing influenza.

Tamiflu®

For Flu Treatment:
  Take 1 dose, twice daily, for 5 days
For Flu Prevention (prophylaxis):
  Take 1 dose, once daily, for 10 days
Adults and Children
  13 yrs. and older 1 Dose = One 75 mg capsule

References

Relenza®

For Flu Treatment
  for adults and children >5 years of age:
  Administer 2 inhalations, twice daily, for 5 days
For Flu Prevention (prophylaxis)
  for adults and juveniles >12 years of age:
  Administer 2 inhalations, once daily, for 10 days

References

Influenza Vaccine

We DO NOT stock the seasonal flu/influenza vaccine.

Questions and Answers

Question: I am travelling overseas a few weeks from now. When is a good time for me to get the flu vaccine? Shall I have the flu vaccine a week or so just before the overseas trip?

Answer: No. You should have the flu vaccine as soon as possible. The longer the time before the trip, the more time your body would have to react to the vaccination, and build up your immunity against the seasonal flu. And hence provide you better protection during your overseas trip.

Question: Why should I be vaccinated with the seasonal flu vaccine?

Answer: It is worthwhile to be vaccinated against the seasonal flu viruses, as they are the ones which are responsible for the majority of the flu related morbidity and mortality, due to the accompanying opportunistic infections and complications. Every year, worldwide, seasonal flu is responsible for 500 million to 1 billion infections, and 250,000 to 500,000 deaths.

References

Influenza Vaccine History

History of past WHO seasonal influenza vaccine composition recommendations
Year &
Season
123Shim
Clinic
stock
2012 SH
(addendum)
A/California/07/2009(H1N1) A/Perth/16/2009(H3N2) B/Brisbane/60/2008
2011-2012 NH
(addendum)
A/California/07/2009(H1N1) A/Perth/16/2009(H3N2) B/Brisbane/60/2008
2011 SH
(addendum)
A/California/07/2009(H1N1) A/Perth/16/2009(H3N2) B/Brisbane/60/2008
2010-2011 NH
(addendum)
A/California/07/2009(H1N1) A/Perth/16/2009(H3N2) B/Brisbane/60/2008
2010 SH
(addendum)
A/California/07/2009(H1N1) A/Perth/16/2009(H3N2) B/Brisbane/60/2008
2009-2010 NH
(addendum)
A/Brisbane/59/2007(H1N1) A/Brisbane/10/2007(H3N2) B/Brisbane/60/2008
2009 SH
(addendum)
A/Brisbane/59/2007(H1N1) A/Brisbane/10/2007(H3N2) B/Florida/4/2006
2008-2009 NH
(addendum)
A/Brisbane/59/2007(H1N1) A/Brisbane/10/2007(H3N2) B/Florida/4/2006
2008 SH
(addendum)
A/Solomon Islands/3/2006(H1N1) A/Brisbane/10/2007(H3N2) B/Florida/4/2006
2007-2008 NH
(addendum)
A/Solomon Islands/3/2006(H1N1) A/Wisconsin/67/2005(H3N2) B/Malaysia/2506/2004
2007 SH
(addendum)
A/New Caledonia/20/1999(H1N1) A/Wisconsin/67/2005(H3N2) B/Malaysia/2506/2004
2006-2007 NH
(addendum)
A/New Caledonia/20/1999(H1N1) A/Wisconsin/67/2005(H3N2) B/Malaysia/2506/2004
2006 SH
(addendum)
A/New Caledonia/20/1999(H1N1) A/California/7/2004(H3N2) B/Malaysia/2506/2004
2005-2006 NH
(addendum)
A/New Caledonia/20/1999(H1N1) A/California/7/2004(H3N2) B/Shanghai/361/2002
2005 SH A/New Caledonia/20/1999(H1N1) A/Wellington/1/2004(H3N2) B/Shanghai/361/2002
2004-2005 NH A/New Caledonia/20/1999(H1N1) A/Fujian/411/2002(H3N2) B/Shanghai/361/2002
2004 SH
(addendum)
A/New Caledonia/20/1999(H1N1) A/Fujian/411/2002(H3N2) B/Hong Kong/330/2001
2003-2004 NH
(addendum)
A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Hong Kong/330/2001
2003 SH A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Hong Kong/330/2001
2002-2003 NH A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Hong Kong/330/2001
2002 SH A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Sichuan/379/99
2001-2002 NH A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Sichuan/379/99
2001 SH A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Sichuan/379/99
2000-2001 NH A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Beijing/184/93
2000 SH A/New Caledonia/20/1999(H1N1) A/Moscow/10/99(H3N2) B/Beijing/184/93
B/Shangdong/7/97
1999-2000 NH A/Beijing/262/95(H1N1) A/Sydney/5/97(H3N2) B/Beijing/184/93
B/Shangdong/7/97
1999 SH A/Beijing/262/95(H1N1) A/Sydney/5/97(H3N2) B/Beijing/184/93
1998-1999 A/Beijing/262/95(H1N1) A/Sydney/5/97(H3N2) B/Beijing/184/93
1997-1998 A/Bayern/7/95(H1N1) A/Wuhan/359/95(H3N2) B/Beijing/184/93
1996-1997 A/Singapore/6/1986(H1N1) A/Wuhan/359/95(H3N2) B/Beijing/184/93
1995-1996 A/Singapore/6/1986(H1N1) A/Johannesburg/33/94(H3N2) B/Beijing/184/93
1994-1995 A/Singapore/6/1986(H1N1) A/Shangdong/9/93(H3N2) B/Panama/45/90
1993-1994 A/Singapore/6/1986(H1N1) A/Beijing/32/92(H3N2) B/Panama/45/90
1992-1993
(addendum)
A/Singapore/6/1986(H1N1) A/Beijing/353/89(H3N2) B/Yamagata/16/88
1991-1992 A/Singapore/6/1986(H1N1) A/Beijing/353/89(H3N2) B/Yamagata/16/88
1990-1991 A/Singapore/6/1986(H1N1) A/Guizhou/54/89(H3N2) B/Yamagata/16/88
1989-1990 A/Singapore/6/1986(H1N1) A/Shanghai/11/87(H3N2) B/Yamagata/16/88
1988-1989 A/Singapore/6/1986(H1N1) A/Sichuan/02/87(H3N2) B/Beijing/1/87
1987-1988
(addendum)
A/Singapore/6/1986(H1N1) A/Leningrad/360/1986(H3N2) B/Ann Arbor/1/86
1986-1987
(addendum)
A/Chile/1/83(H1N1)
A/Singapore/6/1986(H1N1)
A/Christchurch/4/1985(H3N2)
A/Mississippi/1/85(H3N2)
B/Ann Arbor/1/86
1985-1986 A/Chile/1/83(H1N1) A/Philippines/2/82(H3N2) B/USSR/100/83
1984-1985
(addendum)
A/Chile/1/83(H1N1) A/Philippines/2/82(H3N2) B/USSR/100/83
1983-1984 A/Brazil/11/78(H1N1) A/Philippines/2/82(H3N2) B/Singapore/222/79
1982-1983 A/Brazil/11/78(H1N1) A/Bangkok/01/1979(H3N2) B/Singapore/222/79
1981-1982 A/Brazil/11/78(H1N1) A/Bangkok/01/1979(H3N2) B/Singapore/222/79
1980-1981 A/Brazil/11/78(H1N1) A/Bangkok/01/1979(H3N2) B/Singapore/222/79
1979-1980 A/USSR/90/77(H1N1) A/Texas/1/77(H3N2) B/Hong Kong/05/1972
1978-1979 A/USSR/90/77(H1N1) A/Texas/1/77(H3N2) B/Hong Kong/05/1972
1977-1978 A/Victoria/3/75(H3N2) B/Hong Kong/05/1972
1976-1977 A/Victoria/3/75(H3N2) B/Hong Kong/05/1972
1975-1976 A/Port Chalmers/1/1973(H3N2)
A/Scotland/840/74(H3N2)
B/Hong Kong/05/1972
1974-1975 A/Port Chalmers/1/1973(H3N2) B/Hong Kong/05/1972
1973-1974 A/England/42/72(H3N2) B/Victoria/98926/70
B/Hong Kong/05/1972
1972-1973 A/Hong Kong/1/1968(H3N2)
A/England/42/72(H3N2)
1971-1972 A/Hong Kong/1/1968(H3N2)
1970-1971 A/Hong Kong/1/1968(H3N2)
1969-1970 A/Hong Kong/1/1968(H3N2)
1968-1969 A/Hong Kong/1/1968(H3N2)

References

2009 Influenza Pandemic

The name of the disease has changed from "Swine Flu" to "Influenza A (H1N1)" and now to "Pandemic (H1N1) 2009". Now,

  • "pandemic (H1N1) 2009" refers to the disease, and
  • "pandemic H1N1/09 virus" refers to the agent.
For example: "Hundreds of new cases of pandemic (H1N1) 2009 were reported."

References

2009 Influenza Pandemic Vaccine

We DO NOT stock Pandemic (H1N1) 2009 Vaccine.

References

References
Latest News

U.S. flu levels low, except in Midwest
Sat, 04 Feb 2012 03:25:51 +0100 | Health News - UPI.com
MINNEAPOLIS, Feb. 3 (UPI) -- U.S. flu activity increased slightly last week and the Midwest showed higher evidence of influenza but flu activity is low nationwide, health officials said. (Source: Health News - UPI.com)

[News & Analysis] Avian Influenza: The Limits of Avian Flu Studies in Ferrets
Fri, 03 Feb 2012 17:34:11 +0100 | Science: Current Issue
How concerned should people be that what happened in the controversial experiments that exposed ferrets to H5N1 avian influenza viruses engineered to be more transmissible will apply to humans?Author: Jon Cohen (Source: Science: Current Issue)

Scientists call for curbs on own research on deadly bird flu virus
Fri, 03 Feb 2012 15:06:00 +0100 | Guardian Unlimited Science
Virus experts in the US say outbreak of genetically engineered bird flu could be worst influenza pandemic in historyA group of the leading virus experts in the US has called for new, permanent restrictions on research in the face of a new genetically engineered flu virus that could kill half the population of the world.Scientists are currently observing a 60-day moratorium on research into the bird flu virus, after two groups found a way to make it infectious through airborne transmission.An outbreak of this virus could be worse than the 1918 Spanish flu that killed tens of millions of people, warned Michael Osterholm – who has led research into previous dangerous outbreaks – at a public meeting on censorship in science in New York on Thursday night."Frankly, I don't want a virus out t...

Comparison of Pandemic and Seasonal Influenza A InfectionsComparison of Pandemic and Seasonal Influenza A Infections
Fri, 03 Feb 2012 04:00:00 +0100 | Medscape Today Headlines
This study compares the clinical and epidemiological features. Influenza and Other Respiratory Viruses (Source: Medscape Today Headlines)

Vaccination against influenza a virus (H1N1) among Spanish healthcare workers.
Fri, 03 Feb 2012 00:24:32 +0100 | European Journal of Internal Medicine
Authors: Olalla J, de Ory F, Casas I, BenĂ­tez N PMID: 22284261 [PubMed - in process] (Source: European Journal of Internal Medicine)

Influenza virus vaccine: Palmoplantar keratoderma and ichthyosis: case report
Thu, 02 Feb 2012 18:34:27 +0100 | Reactions
(Source: Reactions)

U.S. Advisors Explain Call to Censor Bird Flu Research
Thu, 02 Feb 2012 11:44:30 +0100 | RWJF News Digest - Public Health
The U.S. National Science Advisory Board for Biosecurity’s (NSABB) main concern "is that publishing these experiments in detail would provide information that could help some person, organization or government to develop similar mammal-adapted influenza A/H5N1 viruses for harmful purposes," the advisers said in a statement Tuesday. (Source: RWJF News Digest - Public Health)

Key Peptides Identified That Could Lead To A Universal Vaccine For Influenza
Thu, 02 Feb 2012 08:00:00 +0100 | Health News from Medical News Today
Researchers at the University of Southampton, University of Oxford and Retroscreeen Virology Ltd have discovered a series of peptides, found on the internal structures of influenza viruses that could lead to the development of a universal vaccine for influenza, one that gives people immunity against all strains of the disease, including seasonal, avian, and swine flu. Influenza, an acute viral infection, affects hundreds of thousands of people a year and puts an enormous strain on healthcare providers globally... (Source: Health News from Medical News Today)

Improved serological response to H1N1 monovalent vaccine associated with viral suppression among HIV‐1‐infected patients during the 2009 influenza (H1N1) pandemic in the Southern Hemisphere
Thu, 02 Feb 2012 05:00:00 +0100 | HIV Medicine
ConclusionsA high prevalence of HI H1N1 antibodies was found before vaccination in the cohort, consistent with previous exposure to H1N1 influenza virus. The response to vaccination was considered adequate, as more than two‐thirds of patients achieved a fourfold or more increase in antibody titre after vaccination. The response to vaccination was significantly greater in those patients who were aviraemic for HIV, suggesting that antiretroviral therapy improves the humoral response, which is important in optimizing vaccine effectiveness. (Source: HIV Medicine)


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