Transcript H1N1 IN MALAYSIA

HANIS HANINY MOHD SAID
EIZZATI BINTI ARIPIN



Mid March – a new strain
of flu virus similar to one
seen in pigs was infecting
human in Mexico.
Mid April – the confirmed
cases started popping out
in US and around the
world.
June, 11th – WHO officially
declared the flu pandemic.
As the flu was spreading,
WHO named Influenza
Type A (H1N1) and now
refers to it as Pandemic
(H1N1) 2009.
OUTSIDE MALAYSIA



Based on Ministry of
Health, the total cases are
1460 cases with 8 death.
From 1460 cases, 574 are
imported cases (39.4%)
and 886 are local cases
(60.6%).
1410 (96.5%) cases have
been recovered, 27 (1.8%)
cases are having the
antiviral
treatment
at
hospital, 10 of them in
Intensive Care Unit, 23
(1%) are having antiviral
treatment at home.
IN MALAYSIA
 Subtype
of influenza virus A and the most
common cause of influenza flu in human.
 H1N1 strains caused roughly half of all human
flu infections in 2006.
 Other strains are endemic in pigs (swine flu)
and in birds (avian flu).
 It is categorized according to 2 types of
proteins found on the surface of the virus:
Hemagglutinin(H) and neuraminidase(N)
 All influenza A virus have these proteins but
the structures differ from due to rapid genetic
mutation in viral genome.
THE TOTAL CASES FROM APRIL-AUGUST
2009
MONTH
CASES
TOTAL
CASES
LOCAL
IMPORT
DEATH
April
-
-
-
0
May
-
2
-
2
June
25
133
-
158
July
797
574
4
1371
August
854
601
67
1522
This new virus was first detected in people in the United
States in April 2009. This virus is spreading from
person-to- person worldwide, in much the same way
that regular seasonal influenza viruses spread.
 Influenza A, H1N1 caused particular strain of the
influenza virus. This particular strain A- H1N1/09
originated in pigs (swine) but has changed itself to be
infective to humans.
 This originally infected only pigs and they spread it from
one infected hog to other hogs the same way it spreads
in people, by direct contact or by droplets holding the
virus in the air after a pig coughed or sneezed. Because
pigs are physiologically very similar to humans, when
they have been living closely with humans, some
microbes that can infect them are able to be changed or
mutated into strains that people can catch.

Cough and
sneeze
WAYS
Touching the
infected
objects
Children younger that
5years old
Pregnant women
Persons aged 65 years
old and above
Adults and children with
immunosuppressant (due
to medications or HIV
infected persons)
Adults and children with
asthma, chronic
obstructive pulmonary
disease, organ failure
cardiovascular disease
etc.
Residents of nursing
homes and other chronic
facilities.
 Since
the Nipah virus outbreak in 1999, the
Malaysian Health Ministry have put in place
processes to be better prepared to protect the
Malaysian population from the threat of
infectious diseases. Malaysia was fully
prepared during the Severe Acute Respiratory
Syndrome (SARS) situation (Malaysia was not
a SARS affected country) and the episode of
the H5N1 (bird flu) outbreak in 2004.
National Influenza Pandemic Preparedness
Plan (NIPPP)
• Time bound guide for preparedness and response
plan for influenza pandemic.
• Policy and strategic framework for multisectoral
response with specific advice and actions to be
taken
Health Screening
• Carried out on passengers traveling to and from
Mexico via sea, air and land beginning April 17,
2009.
Thermal Scanners
• Had been installed at the entry point of
Kuala Lumpur International Airport (KLIA),
the border of Thailand and Singapore
following the start of the global alert on the
flu.
Quarantine rooms
• Allocated in 28 hospitals and the country
has stockpiled more than 2million doses of
Tamiflu, as of May 2009.
Health Declaration
• The visitors and Malaysians returning
from abroad will be required to fill the
health declaration form.
Mask Use
• The Minister of Health urged the
public to wear a mask of showing
symptoms of the flu.
Strict Hygiene Procedures in
Schools
• On May 16, 2009 – to prevent outbreak
among the students and teachers.
School Closure
• For school with student suspected to have
H1N1. To prevent the spreading of the
disease.
Wash your hands
Cover your cough
Stay away from
people who are sick
Don’t touch your
face
 http://en.wikipedia.org/wiki/2009_flu_pandemi
c_in_Malaysia
 http://www.scribd.com/doc/26146506/reportabout-H1N1-in-Malaysia
 http://www.myhealth.gov.my/myhealth/eng/te
mplate.jsp?showMe=36&catalogid=11724597
97381
 http://www.squidoo.com/preventing-swine-flu
 http://www.bernama.com/bernama/v5/h1n1.ph
p