SlideShare une entreprise Scribd logo
1  sur  117
SWINE FLU  PANDEMIC (H1N1)
NOMENCLATURE - ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NOMENCLATURE - ,[object Object],[object Object],[object Object]
Historical context  - ,[object Object],[object Object],[object Object],[object Object]
Historical context  - Pandemic Year Influenza A virus subtype People infected (approx) Deaths (est.) Case fatality rate Seasonal flu Every year mainly A/H3N2, A/H1N1, and B 5–15% (340 million – 1 billion) 250,000–500,000 per year <0.05%
20th century flu pandemics - Pandemic Year Influenza A virus subtype People infected (approx) Deaths (est.) Case fatality rate 1918 flu pandemic 1918–19 H1N1 0.5 to 1 billion (near 50%) 20 to 100 million [ >2.5% Asian flu 1956–58 H2N2 2 million <0.1% ? Hong Kong flu 1968–69 H3N2 1 million <0.1%
1918 - 1919 Pandemic - ,[object Object],[object Object],[object Object],[object Object],[object Object]
1918 - 1919 Pandemic - ,[object Object],[object Object],[object Object],[object Object]
1918 - 1919 Pandemic -
Pandemic H1N1/09 virus - ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Virus source and name - ,[object Object],[object Object],[object Object],[object Object]
Virus origins - ,[object Object],[object Object],[object Object],[object Object]
Virus origins - ,[object Object],[object Object],[object Object]
Virulence  - ,[object Object],[object Object],[object Object]
Mutation potential - ,[object Object],[object Object],[object Object],[object Object]
Initial outbreaks  - ,[object Object],[object Object]
Role Of Mexico  - ,[object Object],[object Object],[object Object]
Spread - ,[object Object],[object Object]
Spread - ,[object Object],[object Object]
India - ,[object Object],[object Object],[object Object]
India -
Gujarat - ,[object Object],[object Object],[object Object]
Pandemic declared  - ,[object Object],[object Object],[object Object]
By July 2009 - ,[object Object],[object Object],[object Object],[object Object]
By August 2009 - ,[object Object],[object Object],[object Object]
Epidemiological factors - ,[object Object],[object Object]
Epidemiological factors - ,[object Object],[object Object],[object Object],[object Object],[object Object]
Immunity - ,[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Features –  ,[object Object]
Clinical Features – Uncomplicated influenza  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Features – Uncomplicated influenza  ,[object Object],[object Object],[object Object],[object Object]
Clinical Features – Complicated or Severe Influenza  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Features – Complicated or Severe Influenza  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Features – Complicated or Severe Influenza  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Features – Complicated or Severe Influenza  ,[object Object]
Clinical Features - Progressive disease  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Features - Progressive disease  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Features - Progressive disease  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Features - Progressive disease  ,[object Object],[object Object],[object Object]
Pneumonia  -  ,[object Object],[object Object],[object Object],[object Object]
Deaths – India ,[object Object],[object Object],[object Object],[object Object]
Cases As of August 21 – Gujarat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cases As of August 24 – Gujarat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Infection among animals - ,[object Object],[object Object],[object Object],[object Object],[object Object]
Laboratory Diagnosis – ,[object Object]
Laboratory Diagnosis – ,[object Object],[object Object],[object Object]
Specimens - ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Specimens - ,[object Object],[object Object]
Molecular diagnostics - ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Molecular diagnostics - ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Molecular diagnostics - ,[object Object],[object Object]
Virus isolation - ,[object Object]
Rapid tests or immunofluorescence - ,[object Object],[object Object]
Serology - ,[object Object],[object Object],[object Object],[object Object]
Biosafety - ,[object Object],[object Object]
Case Definitions - ,[object Object],[object Object],[object Object],[object Object]
Case Definition –  suspected case ,[object Object],[object Object],[object Object],[object Object]
Case Definition –  probable case ,[object Object],[object Object],[object Object],[object Object]
Case Definition –  confirmed case ,[object Object],[object Object],[object Object],[object Object]
Stratification of patients - ,[object Object]
Stratification of patients  - (Ministry of H&FW 14 th  August 2009) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stratification of patients  - (Ministry of H&FW 14 th  August 2009) ,[object Object],[object Object],[object Object]
Stratification of patients  - (Ministry of H&FW 14 th  August 2009) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stratification of patients  - (Ministry of H&FW 14 th  August 2009) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Stratification of patients  - (Ministry of H&FW 14 th  August 2009) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Stratification of patients  - (Ministry of H&FW 14 th  August 2009) ,[object Object],[object Object],[object Object]
Management of H1N1 – (Ministry of H&FW guidelines) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pharmacological Management – ,[object Object]
Pharmacological Management – (WHO guidelines 20 August 2009) ,[object Object],[object Object],[object Object]
Pharmacological Management – (WHO guidelines 20 August 2009) ,[object Object],[object Object]
Antiviral susceptibilities of circulating   viruses ( June 2009 ) Oseltamivir  Zanamivir   M2 inhibitors Pandemic A(H1N1) 2009  S S R Seasonal A (H1N1)  R S S Seasonal A (H3N2)  S S R Influenza B  S S R Avian influenza (H5N1)  S S Variably resistant
Severe or Progressive symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Uncomplicated - ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Uncomplicated - ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oseltamivir - ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oseltamivir - ,[object Object],[object Object],[object Object]
Oseltamivir - ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oseltamivir - ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Zanamivir – (VIRENZA, Cipla) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Zanamivir – (VIRENZA, Cipla) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Zanamivir – (VIRENZA, Cipla) ,[object Object],[object Object],[object Object]
Supportive therapy - ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Discharge Policy - ,[object Object],[object Object],[object Object],[object Object]
Oseltamivir resistant virus - ,[object Object],[object Object],[object Object],[object Object]
Prevention –   Personal Protection Equipment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Respiratory Hygiene/Cough Etiquette - ,[object Object],[object Object],[object Object]
Hand Hygiene - ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Close Contact&quot; ,[object Object],[object Object],[object Object],[object Object],[object Object]
Containment  - ,[object Object],[object Object],[object Object]
Quarantines  - ,[object Object],[object Object],[object Object],[object Object]
Pre-screening advisories by some governments ,[object Object],[object Object],[object Object]
Other measures - ,[object Object],[object Object],[object Object]
Chemo Prophylaxis - ,[object Object]
Chemo Prophylaxis - Indications  ,[object Object],[object Object],[object Object]
Chemo Prophylaxis -  Oseltamivir ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chemo Prophylaxis -  Zanamivir ,[object Object],[object Object],[object Object],[object Object]
Chemo Prophylaxis - ContraIndications  ,[object Object],[object Object],[object Object],[object Object]
Vaccine - ,[object Object],[object Object],[object Object],[object Object]
Vaccine - ,[object Object],[object Object],[object Object],[object Object]
Vaccine - ,[object Object],[object Object]
Vaccine – safety?? ,[object Object],[object Object],[object Object]
Vaccine - ,[object Object],[object Object]
Global surveillance of pandemic – ( WHO guidelines) ,[object Object],[object Object],[object Object],[object Object]
Estimates of total cases - ,[object Object],[object Object],[object Object]
THANK YOU

Contenu connexe

Tendances (20)

Corona virus infection
Corona virus infectionCorona virus infection
Corona virus infection
 
Rhinovirus
RhinovirusRhinovirus
Rhinovirus
 
Influenza (Common Cold)
Influenza (Common Cold)Influenza (Common Cold)
Influenza (Common Cold)
 
Influenza
Influenza Influenza
Influenza
 
Influenza(Virology)
Influenza(Virology)Influenza(Virology)
Influenza(Virology)
 
Adeno virus
Adeno virusAdeno virus
Adeno virus
 
Coronavirus (COVID 19)
Coronavirus (COVID 19)Coronavirus (COVID 19)
Coronavirus (COVID 19)
 
Bird flu
Bird fluBird flu
Bird flu
 
Dengue
DengueDengue
Dengue
 
Rhino virus notes
Rhino virus notesRhino virus notes
Rhino virus notes
 
Arbovirus part 2
Arbovirus part 2Arbovirus part 2
Arbovirus part 2
 
Dengue=total uptodate
Dengue=total uptodateDengue=total uptodate
Dengue=total uptodate
 
Nipah virus
Nipah virusNipah virus
Nipah virus
 
Infleunza
InfleunzaInfleunza
Infleunza
 
Corona virus
Corona virusCorona virus
Corona virus
 
Influenza
InfluenzaInfluenza
Influenza
 
Rhinovirus
RhinovirusRhinovirus
Rhinovirus
 
Ebola virus ppt
Ebola virus pptEbola virus ppt
Ebola virus ppt
 
EPIDEMIOLOGY OF INFLUENZA
EPIDEMIOLOGY OF INFLUENZAEPIDEMIOLOGY OF INFLUENZA
EPIDEMIOLOGY OF INFLUENZA
 
COVID-19 I Coronavirus Disease I Harshit Jadav
COVID-19 I Coronavirus Disease I Harshit JadavCOVID-19 I Coronavirus Disease I Harshit Jadav
COVID-19 I Coronavirus Disease I Harshit Jadav
 

En vedette

Swine Flu H1N1 Info, Symptoms, Prevention & Treatment
Swine Flu H1N1 Info, Symptoms, Prevention & TreatmentSwine Flu H1N1 Info, Symptoms, Prevention & Treatment
Swine Flu H1N1 Info, Symptoms, Prevention & TreatmentTopDocto
 
Epidemiology H1N1 Influenza (Swine Flu)
Epidemiology  H1N1  Influenza (Swine Flu)Epidemiology  H1N1  Influenza (Swine Flu)
Epidemiology H1N1 Influenza (Swine Flu)Prabesh Ghimire
 
Influenza Ppt 10 09
Influenza Ppt 10 09Influenza Ppt 10 09
Influenza Ppt 10 09Walleye10p
 
Ebola virus disease/ Ebola outbreak
Ebola virus disease/ Ebola outbreakEbola virus disease/ Ebola outbreak
Ebola virus disease/ Ebola outbreakRizwan S A
 
Ebola presentation
Ebola presentationEbola presentation
Ebola presentationJon Brown
 
Ebola Virus Disease
Ebola Virus DiseaseEbola Virus Disease
Ebola Virus Diseaseguimera
 
Ebola virus disease [ bio project ]
Ebola virus disease [ bio project ] Ebola virus disease [ bio project ]
Ebola virus disease [ bio project ] Abhishek Nayak
 

En vedette (16)

Swine Flu H1N1 Info, Symptoms, Prevention & Treatment
Swine Flu H1N1 Info, Symptoms, Prevention & TreatmentSwine Flu H1N1 Info, Symptoms, Prevention & Treatment
Swine Flu H1N1 Info, Symptoms, Prevention & Treatment
 
Pandemic Flu Presentation
Pandemic Flu PresentationPandemic Flu Presentation
Pandemic Flu Presentation
 
H1N1 Influenza booklet
H1N1 Influenza bookletH1N1 Influenza booklet
H1N1 Influenza booklet
 
H1N1 Basics
H1N1 BasicsH1N1 Basics
H1N1 Basics
 
H1n1
H1n1H1n1
H1n1
 
Ebola virus disease
Ebola virus diseaseEbola virus disease
Ebola virus disease
 
Influenza A (H1N1)
Influenza A (H1N1)Influenza A (H1N1)
Influenza A (H1N1)
 
Ebola virus disease
Ebola virus diseaseEbola virus disease
Ebola virus disease
 
Epidemiology H1N1 Influenza (Swine Flu)
Epidemiology  H1N1  Influenza (Swine Flu)Epidemiology  H1N1  Influenza (Swine Flu)
Epidemiology H1N1 Influenza (Swine Flu)
 
Influenza Ppt 10 09
Influenza Ppt 10 09Influenza Ppt 10 09
Influenza Ppt 10 09
 
Ebola virus disease/ Ebola outbreak
Ebola virus disease/ Ebola outbreakEbola virus disease/ Ebola outbreak
Ebola virus disease/ Ebola outbreak
 
Ebola virus
Ebola virus Ebola virus
Ebola virus
 
Ebola ppt
Ebola pptEbola ppt
Ebola ppt
 
Ebola presentation
Ebola presentationEbola presentation
Ebola presentation
 
Ebola Virus Disease
Ebola Virus DiseaseEbola Virus Disease
Ebola Virus Disease
 
Ebola virus disease [ bio project ]
Ebola virus disease [ bio project ] Ebola virus disease [ bio project ]
Ebola virus disease [ bio project ]
 

Similaire à swine flu

The Osteopathic Approach to the Flu Pandemic
The Osteopathic Approach to the Flu PandemicThe Osteopathic Approach to the Flu Pandemic
The Osteopathic Approach to the Flu PandemicPaula Chmielewski
 
2009 H1N1: Overview of a Pandemic
2009 H1N1: Overview of a Pandemic2009 H1N1: Overview of a Pandemic
2009 H1N1: Overview of a PandemicChrissyCarlson
 
H1 n1influenza virus
H1 n1influenza virusH1 n1influenza virus
H1 n1influenza virusMohamed Esmat
 
Swine flu overview
Swine flu overviewSwine flu overview
Swine flu overviewAjay Agade
 
Seasonal influenza - current perspective with special reference to India - au...
Seasonal influenza - current perspective with special reference to India - au...Seasonal influenza - current perspective with special reference to India - au...
Seasonal influenza - current perspective with special reference to India - au...Gaurav Gupta
 
Respiratory viruses 8 november 2014 wagdy
Respiratory viruses 8 november 2014 wagdyRespiratory viruses 8 november 2014 wagdy
Respiratory viruses 8 november 2014 wagdyWagdy Amin
 
2009 Sept 1 Nwrc H1 N1
2009 Sept 1 Nwrc H1 N12009 Sept 1 Nwrc H1 N1
2009 Sept 1 Nwrc H1 N1egermann
 
H1 n1 influenza a disease information for health professionals lindsey_nejm 2009
H1 n1 influenza a disease information for health professionals lindsey_nejm 2009H1 n1 influenza a disease information for health professionals lindsey_nejm 2009
H1 n1 influenza a disease information for health professionals lindsey_nejm 2009Ruth Vargas Gonzales
 
Travel related infectious disease 2.pptx
Travel related infectious disease 2.pptxTravel related infectious disease 2.pptx
Travel related infectious disease 2.pptxGovindRankawat1
 
Poster Presentation of Swine Flu
Poster Presentation of Swine FluPoster Presentation of Swine Flu
Poster Presentation of Swine FluTapeshwar Yadav
 
Swine Flu & Aids
Swine Flu & AidsSwine Flu & Aids
Swine Flu & Aidspravinpawal
 

Similaire à swine flu (20)

H1 n1 aftermath
H1 n1 aftermathH1 n1 aftermath
H1 n1 aftermath
 
The Osteopathic Approach to the Flu Pandemic
The Osteopathic Approach to the Flu PandemicThe Osteopathic Approach to the Flu Pandemic
The Osteopathic Approach to the Flu Pandemic
 
H1 N1
H1 N1H1 N1
H1 N1
 
2009 H1N1: Overview of a Pandemic
2009 H1N1: Overview of a Pandemic2009 H1N1: Overview of a Pandemic
2009 H1N1: Overview of a Pandemic
 
Swine Flu In US and Mexico
Swine Flu In US and MexicoSwine Flu In US and Mexico
Swine Flu In US and Mexico
 
H1 n1influenza virus
H1 n1influenza virusH1 n1influenza virus
H1 n1influenza virus
 
Swine flu overview
Swine flu overviewSwine flu overview
Swine flu overview
 
Seasonal influenza - current perspective with special reference to India - au...
Seasonal influenza - current perspective with special reference to India - au...Seasonal influenza - current perspective with special reference to India - au...
Seasonal influenza - current perspective with special reference to India - au...
 
Influenza
InfluenzaInfluenza
Influenza
 
Respiratory viruses 8 november 2014 wagdy
Respiratory viruses 8 november 2014 wagdyRespiratory viruses 8 november 2014 wagdy
Respiratory viruses 8 november 2014 wagdy
 
Swine Influenza
Swine InfluenzaSwine Influenza
Swine Influenza
 
Pandemic101
Pandemic101Pandemic101
Pandemic101
 
A/h1n1
A/h1n1A/h1n1
A/h1n1
 
2009 Sept 1 Nwrc H1 N1
2009 Sept 1 Nwrc H1 N12009 Sept 1 Nwrc H1 N1
2009 Sept 1 Nwrc H1 N1
 
H1 n1 influenza a disease information for health professionals lindsey_nejm 2009
H1 n1 influenza a disease information for health professionals lindsey_nejm 2009H1 n1 influenza a disease information for health professionals lindsey_nejm 2009
H1 n1 influenza a disease information for health professionals lindsey_nejm 2009
 
Swine Flue
Swine FlueSwine Flue
Swine Flue
 
Swine flu
Swine fluSwine flu
Swine flu
 
Travel related infectious disease 2.pptx
Travel related infectious disease 2.pptxTravel related infectious disease 2.pptx
Travel related infectious disease 2.pptx
 
Poster Presentation of Swine Flu
Poster Presentation of Swine FluPoster Presentation of Swine Flu
Poster Presentation of Swine Flu
 
Swine Flu & Aids
Swine Flu & AidsSwine Flu & Aids
Swine Flu & Aids
 

Dernier

ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxSwetaba Besh
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Sheetaleventcompany
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Oleg Kshivets
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...TanyaAhuja34
 
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Sheetaleventcompany
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Sheetaleventcompany
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...rajnisinghkjn
 
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...Sheetaleventcompany
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Sheetaleventcompany
 
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...call girls hydrabad
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Sheetaleventcompany
 
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Sheetaleventcompany
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Dipal Arora
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Janvi Singh
 
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan 087776558899
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Sheetaleventcompany
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableJanvi Singh
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...Sheetaleventcompany
 

Dernier (20)

ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
 
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
 
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
 
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
 
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
 
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
 

swine flu

  • 1. SWINE FLU PANDEMIC (H1N1)
  • 2.
  • 3.
  • 4.
  • 5. Historical context - Pandemic Year Influenza A virus subtype People infected (approx) Deaths (est.) Case fatality rate Seasonal flu Every year mainly A/H3N2, A/H1N1, and B 5–15% (340 million – 1 billion) 250,000–500,000 per year <0.05%
  • 6. 20th century flu pandemics - Pandemic Year Influenza A virus subtype People infected (approx) Deaths (est.) Case fatality rate 1918 flu pandemic 1918–19 H1N1 0.5 to 1 billion (near 50%) 20 to 100 million [ >2.5% Asian flu 1956–58 H2N2 2 million <0.1% ? Hong Kong flu 1968–69 H3N2 1 million <0.1%
  • 7.
  • 8.
  • 9. 1918 - 1919 Pandemic -
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73.
  • 74.
  • 75.
  • 76.
  • 77.
  • 78.
  • 79. Antiviral susceptibilities of circulating  viruses ( June 2009 ) Oseltamivir  Zanamivir   M2 inhibitors Pandemic A(H1N1) 2009  S S R Seasonal A (H1N1)  R S S Seasonal A (H3N2)  S S R Influenza B  S S R Avian influenza (H5N1)  S S Variably resistant
  • 80.
  • 81.
  • 82.
  • 83.
  • 84.
  • 85.
  • 86.
  • 87.
  • 88.
  • 89.
  • 90.
  • 91.
  • 92.
  • 93.
  • 94.
  • 95.
  • 96.
  • 97.
  • 98.
  • 99.
  • 100.
  • 101.
  • 102.
  • 103.
  • 104.
  • 105.
  • 106.
  • 107.
  • 108.
  • 109.
  • 110.
  • 111.
  • 112.
  • 113.
  • 114.
  • 115.
  • 116.