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Public Health Agency of Canada Recommendations for Avian Flu

At least one Canadian group formed after Co-ordinate services: Agricultural,
SARS hit Toronto is working with the veterinary and health services (along
World Health Organization (WHO), Centers with other sector services deemed as
for Disease Control and Prevention (CDCP) appropriate) should exchange lab
and other organizations to help boost information and other data.* Vaccination
public safety.That group is the Public for public health reasons: Health
Health Agency of Canada (PHAC), which was authorities may consider vaccination
formed in 2004. It acts independently but against more common, seasonal influenza
is responsible to Canada's health for persons at risk of occupational
minister. exposure to the H5N1 virus. Vaccination
PHAC is in the midst of creating a against seasonal influenza is a public
pandemic plan for Canada, said Aggie health measure aimed at slashing the
Adamczyk, media relations officer with progression of HN51 along with the
the agency.The plan is not being seasonal flu. Even so, vaccination
formulated just for the Avian Flu but for against seasonal influenza will not
any disease that could reach pandemic protect people against infection with the
proportions, although PHAC is monitoring H5N1 virus.* Protection of persons at
the Bird Flu situation. risk of occupational exposure: This is
The agency recommends "good respiratory aimed at helping protect people who work
etiquette," she said, which includes on farms or other businesses wherein
using a tissue or sleeve when a sneeze contact with fowl is common. Such people
comes upon you. Plenty of hand washing is should wear personal protective equipment
also a PHAC suggestion.Where the regular as follows:1. Protective clothing,
Influenza A symptoms include aching preferably coveralls plus an impermeable
muscles, sore nose, high fever and apron or surgical gown with long-cuffed
coughing, people wary of the Bird Flu sleeves plus an impermeable apron.2.
should be on the watch for symptoms Heavy-duty rubber work gloves that can be
pinpointed in a 1997 Hong Kong outbreak. disinfected.3. Standard well-fitted
In that outbreak, people "developed surgical masks should be used if
symptoms of fever, sore throat, cough high-efficiency respiratory masks are not
and, in several of the fatal cases, available. Masks should be fit-tested and
severe respiratory distress secondary to training in their use should be
viral pneumonia. Previously healthy provided.4. Goggles.5. Rubber or
adults and children, and some with polyurethane boots that can be
chronic medical conditions, were disinfected or protective foot covers
affected," according to WHO Web that can be discarded.Tamiflu should be
information.As with the WHO, PHAC isn't made available to people who work in
rushing to recommend the use of at-risk conditions, the WHO recommends.
SARS-style face masks to ward off the In addition, people in such occupations
Avian Flu, Adamczyk said, although that should be aware of the early clinical
could change depending on the course the signs of H5N1 infection and check for
H5N1 virus takes. them daily (as well as for two weeks
"It's a little bit early (for masks or after the last exposure to
antiviral drugs) at this point," she potentially-dangerous conditions), with
said. the caveat that many of those signs are
Even so, global health officials need to also apparent in more common diseases.The
be ready for whatever new infectious following symptoms should be reported to
disease comes their way, she said. a doctor, according to the WHO:
"No one really knows if it will be Avian "Most patients infected with the H5N1
Flu or something like SARS. You have to virus show initial symptoms of fever (38
be ready for (any disease)," Adamczyk C or higher) followed by influenza-like
said.It is possible to create a vaccine respiratory symptoms, including cough,
for a pandemic flu, although making it rhinorrhea, sore throat, and (less
ahead of time is risky because the flu frequently) shortness of breath. Watery
could mutate, limiting the vaccine's diarrhea is often present in the early
effectiveness. The amount of vaccine that stages of illness, and may precede
would be needed for a pandemic could also respiratory symptoms by up to one week.
prove to be a problem, although research Gastrointestinal symptoms (abdominal
is underway to find technologies to pain, vomiting) may occur and headache
streamline the vaccine production has also been reported. To date, one
process.In the event of a pandemic, report has described two patients who
public health officials could ask people presented with an encephalopathic illness
to remain in their homes and refrain from and diarrhea without apparent respiratory
gathering in public places. Other viral symptoms."People suspected of carrying
outbreaks have led to similar scenarios the virus should be put in isolation and
in North America in the past.The WHO virus samples should be sent to WHO
recommends the following to public health laboratories, the group said.
groups dealing with cases of Avian Flu:*




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