Dealing with the new flu Influenza A, H1N1, swine flu
If flu strikes your household, there are some practical steps you can take to look after a
patient and to keep your household are free as possible from germs.
Signs and symptoms of the new flu are similar to the symptoms of seasonal flu and can
• fever (a temperature of, or over, 38 °C)
Looking after babies and children
Care for a baby or child with the flu, in a separate, well aired room away from other members
If they have a temperature, give paracetamol in the dose recommended on the package, or
ibuprofen (Nurofen) every four to six hours, unless your doctor says otherwise. Do not give
medication containing aspirin to children under 14. Offer them cool fluids frequently,
Dress the child in lightweight clothing, and you can give lukewarm baths or showers. Don’t
give cold baths or showers, which can be unpleasant and distressing for a child, and does
not lower body temperature. Use salt-water (saline) drops to treat a stuffy nose – these are
available from your chemist. Sick children should be kept at home until they have recovered,
unless you need to take them to the doctor.
You should urgently seek medical or nursing attention when a baby or child has any of the
Breathing is fast or noisy, possibly with wheezing or grunting
Is working hard to breath – you can recognize this when the area below the ribs
sucks inward (instead of expanding as normal) as baby breathes in
Lips or skin are purple or bluish, particularly the fingers and toes Is limp (floppy) or unable to move Is drowsy or difficult to wake Is severely irritable, not wanting to be held Has a seizure (convulsion/fit) Is not drinking enough fluids, for instance nappies remain dry or there are fewer than
The child has been improving but then suddenly becomes worse.
If you are pregnant you are at greater risk of complications from the swine flu, and need to
be particularly watchful for signs and symptoms of the virus. This is because your immune
system (how you protect yourself from infection) is different while a new baby is growing
inside you. Your baby inside may also be at increased risk, due your response to infection,
Practical steps you can take to reduce your chances of exposure to influenza include:
• washing and drying hands frequently (wash hands with soapy water for 15 seconds
and dry with paper towel, or if you cannot do this, use a 65%-70% alcohol gel to
• staying away from people who are sick • avoiding
If you have influenza symptoms you should call your GP or Healthline for advice and
• Both seasonal influenza and swine flu may make other medical problems worse • Don’t take any antiviral medication without consulting your doctor • Treat any fever right away with paracetamol • Drink plenty of fluids.
Don’t stop breastfeeding if you are ill, because breast milk protects babies by passing on
antibodies, which help fight off infection. Limit formula feeds if you can. If you are too sick to
breastfeed, express milk and have someone give it to your baby.
Your doctor will decide if you need antiviral drugs such as Tamiflu or Relenza. These
medicines work best when started soon after symptoms begin (within two days), but they
may also be given to very sick or high risk people (including pregnant women) even after 48
hours. While there is little information about the effect of antiviral drugs in pregnant women
or their babies, no serious side effects have been reported.
Looking after adults
If you have or develop an influenza-like illness you should stay home until you are well, and
be sure to let a relative or friend know you are home. Rest in a room that is well aired and
away from other members of the household. Here are steps you can take or help others
Be sure to drink enough water or other cold drinks
Take drugs that relieve pain and fever, such as paracetamol or ibuprofen
Gargle with a glass of warm water and/or suck on sugarless hard sweets or
Use saline drops, nasal spray or decongestants for soothing and clearing your
Clean your teeth regularly and keep your mouth clean and moist
Cover coughs and sneezes with a tissue and dispose of them immediately in a
Keep your bedding and nightwear clean and dry, shower or bath regularly, or use
a cloth to wash with warm water and soap
Wash your hands often with soap and water or antiseptic rubs, and dry them well
If you don’t feel like eating solid food, try light fluid-type nutritional snacks such as
chicken soup, yoghurt, an ice block or jelly.
Sick people should stay home and away from others until they recover, unless they need to
Be sure to take care to protect your own health, as you have an increased risk of becoming
infected. Make sure you get enough rest, eat and drink regularly. Regularly wash your hands
with soap and water and dry them well, or use an alcohol-based hand rub, including after
you touch a sick person or handle their used tissues or laundry. Do not sleep in the same
room as a sick person and spend the least amount of time possible in close contact with
When to call for help Seek medical advice if you, or the person you are caring for starts to feel better, then gets
A persistent temperature of 38 degrees or more Difficulty breathing, chest pain or shortness of breath Coughing up bloody or green phlegm Purple or blue skin around the lips and on fingertips or toes Severe ear pain Severe vomiting and unable to keep liquids down Slow to respond, is unusually quiet, or becomes confused Shows signs of dehydration, such as dizziness when standing, absence of urination Seizures or convulsions.
Anyone who has other significant underlying health problems should also seek medical
It’s important to keep anyone in your household with the flu away from the rest of the family,
in a separate room with the door closed. If possible, they should use a separate bathroom
which should be cleaned daily with household disinfectant.
Sick people should stay home, unless they must go out for medical care, which will lessen
the chance of spreading the virus to others. They should not have visitors other than
caregivers, and if possible, only one person should take care of them. Don’t share anything
Everyone in the household should frequently wash their hands with soap and water and dry
them well, or use an alcohol-based hand rub. Use paper towels for drying hands after hand
washing, or dedicate cloth towels to each person in the household.
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