S W I N E F L U What Parents Need to Know For Katie and Satham for making it possible. For Lucy and Patrick. I think of you every day. Professor Terence Stephenson DM, FRCP, FRCPCH President, Royal College of Paediatrics and Child Health S W I N E F L U What Parents Need to Know Jessica Kingsley Publishers London and Philadelphia Disclaimer: Whilst every eff ort has been made to ensure all medicine doses quoted are correct for the UK at the time of going to press, products can change and countries vary. Always check the label and packaging of any medicine you buy or are prescribed. The views expressed in this book are the author’s personal opinions and are not necessarily the views of other organizations, including the Royal College of Paediatrics and Child Health. First published in 2009 by Jessica Kingsley Publishers 116 Pentonville Road London N1 9JB, UK and 400 Market Street, Suite 400 Philadelphia, PA 19106, USA www.jkp.com Copyright © Terence Stephenson 2009 All rights reserved. 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Library of Congress Cataloging in Publication Data A CIP catalog record for this book is available from the Library of Congress British Library Cataloguing in Publication Data A CIP catalogue record for this book is available from the British Library ISBN 978 1 84905 085 2 ISBN pdf eBook 978 0 85700 196 2 Printed and bound in Great Britain by Athenaeum Press, Gateshead, Tyne and Wear Contents C 1 Introduction 7 HAPTER C 2 What is swine flu? 10 HAPTER C 3 What is a pandemic and what can we learn HAPTER from previous pandemics? 25 C 4 What are the symptoms of swine flu? 36 HAPTER C 5 Treatment of swine flu symptoms 49 HAPTER C 6 Antiviral drugs and the role of antibiotics 68 HAPTER C 7 Swine flu vaccine 99 HAPTER C 8 Preventing the spread of swine flu 123 HAPTER C 9 How dangerous is swine flu? 132 HAPTER C 10 Frequently asked questions 144 HAPTER USEFUL RESOURCES 154 INDEX 156 Disclaimer Whilst every eff ort has been made to ensure all medicine doses quoted are correct for the UK at the time of going to press, products can change and countries vary. Always check the label and packaging of any medicine you buy or are prescribed. The views expressed in this book are the author’s personal opinions and are not necessarily the views of other organizations, including the Royal College of Paediatrics and Child Health. Chapter 1 Introduction It is estimated that up to 30% of children in the world may contract swine fl u. Yet a shortage of reliable information about the virus and a bewildering array of media speculation has left many parents anxious and confused. This book presents the key facts about swine fl u and explains in plain and simple English what every parent needs to know about the virus, how it may aff ect their children and the measures to combat it. Some of the most pressing questions include: • What is swine fl u? • Just how dangerous is it? • What are the symptoms? • What treatments are available? • Is swine fl u more dangerous in children and, if so, why? • What can we learn from past fl u pandemics? Swine fl u is the fi rst major pandemic to sweep across the world since 1968. Inevitably, therefore, much of the evidence I use to draw out answers to these questions is based either on previous fl u pandemics over the last century or by extrapolation from seasonal winter fl u. Most of the information we have on whether antiviral drugs and fl u vaccine benefi t children comes from experience with ordinary fl u occurring every winter. This book gives clear guidance on where parents should go for help and advice. It also includes simple tips to help 7 8 SWINE FLU – WHAT PARENTS NEED TO KNOW children avoid contracting swine fl u and a list of Frequently Asked Questions (Chapter 10) with clear and down-to-earth answers. If you are confused about swine fl u or worried about how best to protect your child over the coming months, read on. For those who want to know the details, I have provided the research evidence where possible to back up the answers. For those of you who want to get straight to the answers, I have provided summary boxes for quick and easy reference. Sources of information for the public The views expressed in this book are my personal opinions. They are not necessarily the views of other organizations, including the Royal College of Paediatrics and Child Health. If you have severe symptoms which are not like fl u you should contact your GP or call: NHS Direct on 0845 4647 (England) NHS 24 on 08454 24 24 24 (Scotland) NHS Direct Wales on 0845 4647 I hope this book brings together the essential information you need to know as a parent. Much of it is just common sense and already widely available in many diff erent books, leafl ets and websites, but it would obviously take many hours to fi nd it and many more to decipher it. Not an easy thing to do in the middle of the night when you are worried about your ill child. I have tried to pull it together for you, to explain the science behind the swine fl u pandemic and to sort the wheat from the chaff . In the text of this book, I have tried to explain the medical and scientifi c terms and to avoid jargon. This is one problem with accessing information from the internet, which can often
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