Influenza A (H1N1) Virus: A Comprehensive Guide

Influenza A (H1N1)

A) What kind of disease is it? Why?

Influenza, also known as the flu, is an infectious disease caused by pathogens. Specifically, it’s caused by the influenza virus, which has the ability to agglutinate red blood cells (hemagglutination).

B) What is the name of this disease?

The disease is caused by the influenza A/H1N1 virus, a member of the Orthomyxoviridae family. Influenza viruses are categorized into types A, B, and C, with type A being the most aggressive.

C) What is the structure of this virus?

The influenza virus is an RNA virus with a round shape, measuring approximately 100 nanometers. It has two important surface proteins: hemagglutinin and neuraminidase.

  • Hemagglutinin: Located on the surface, there are 16 known subtypes (H1-H16).
  • Neuraminidase: Also located on the surface, there are 9 known subtypes (N1-N9).

Different combinations of these subtypes create different influenza A viruses. The 2009 pandemic was caused by the H1N1 combination.

D) What is the origin of this virus?

The influenza A/H1N1 virus that caused the 2009 pandemic originated as a variant of swine flu in Mexico.

E) How is it transmitted? Why is it called a pandemic?

Influenza is transmitted in the same way as seasonal flu. It spreads from person to person, primarily through the air when infected individuals talk, cough, or sneeze. These actions release droplets containing the virus, which can be inhaled by others or land on surfaces and be transferred by touch.

A pandemic occurs when an epidemic affects a large number of people across multiple countries simultaneously. The 2009 outbreak of the A/H1N1 virus was declared a pandemic because of its widespread global impact.

F) How can we protect ourselves?

Most important:

  • Cover your mouth and nose with a tissue when coughing or sneezing, and dispose of the tissue properly.
  • Wash your hands frequently with soap and water.
  • Seek medical advice if you experience flu-like symptoms.
  • Minimize contact with people who have flu symptoms.
  • Avoid crowded areas.
  • Ensure that homes and workplaces are well-ventilated.

G) What body parts or systems are affected?

The influenza virus can affect various parts of the body, including the head, eyes, throat, respiratory system (including the lungs), digestive system, and muscles. The most common symptoms are related to these areas.

H) What are the symptoms of the disease?

Initial symptoms:

  • Fever over 38°C
  • Coughing and sneezing
  • Sore throat
  • Difficulty breathing
  • Loss of appetite, diarrhea, vomiting

Other symptoms:

  • Headache
  • Nasal congestion
  • Muscle pain
  • General malaise

These symptoms are similar to those of seasonal flu. They typically last for 5-8 days, although cough and fatigue may persist for several weeks. The severity of symptoms can vary, but most cases in healthy individuals are mild and resolve within 2-4 days.

I) What is the life cycle of the virus?

The virus infects cells by attaching to them using its hemagglutinin protein. Once inside the cell, it replicates rapidly and releases new viruses to infect other cells.

J) Can you recover from the flu?

Yes, most people recover from the flu without complications. However, it’s important to monitor symptoms and seek medical attention if they worsen or if complications arise.

K) Is there a treatment for the flu?

While vaccines are developed for seasonal flu, they may not be effective against new strains like the 2009 H1N1 virus. Antiviral medications such as oseltamivir (Tamiflu) and zanamivir (Relenza) can be used to treat influenza, but they should only be taken under the guidance of a doctor. The World Health Organization (WHO) notes that most patients recover without medication.

L) What is Tamiflu? Does it have side effects?

Tamiflu (oseltamivir) is an antiviral medication used to treat influenza. It can reduce the duration of the illness and the risk of complications. However, it can have side effects, including nausea, vomiting, and abdominal pain. These side effects are usually mild and resolve within a few days.

M) How can we prevent the flu?

Several measures can help prevent the spread of influenza:

  • If you are sick, stay home and avoid contact with others.
  • Wear a mask to cover your mouth and nose.
  • Wash your hands frequently with soap and water.
  • Avoid crowded areas.
  • Ensure good ventilation in homes and workplaces.

N) Why is there so much media coverage of this disease?

The 2009 H1N1 pandemic caused widespread concern because it was a new virus that spread rapidly across the globe, causing illness and death. Media coverage aimed to inform the public about the virus, its transmission, symptoms, and prevention measures.

O) What are the differences between the flu and the common cold?

Symptoms Comparison:

SymptomFluCommon Cold
FeverHigh (39°C)Mild or absent
HeadacheIntenseMild
ChillsFrequentOccasional
FatigueSevereModerate
Sore ThroatPronouncedMild
CoughSevere, persistentMild
Runny NoseCommon and intenseCommon
Muscle PainSevereModerate
Eye IrritationRareCommon

The flu typically causes more severe symptoms than the common cold, including high fever, intense headache, and muscle pain. Diarrhea and nausea can also occur with the flu but are less common with the common cold.

P) What are the differences between the flu and avian influenza?

Influenza vs. Avian Influenza

Avian influenza, also known as bird flu, is a viral infection that primarily affects birds but can sometimes be transmitted to humans. It’s caused by a different type of influenza A virus than the one that causes seasonal flu.

Transmission:

In birds, avian influenza spreads through saliva, mucus, and feces. Humans can become infected through direct contact with infected birds or their droppings. The H1N1 swine flu virus, on the other hand, spreads through the air like seasonal flu.

Susceptibility:

The H5N1 avian influenza virus rarely infects humans, and cases are typically limited to people who have close contact with birds. The H1N1 swine flu virus, however, can infect anyone and has spread globally.

Treatment:

There is no specific vaccine for avian influenza, although some are in development. Treatment for human cases typically involves antiviral medications like oseltamivir and zanamivir. These are the same medications used to treat seasonal flu and H1N1 swine flu.

Symptoms:

Avian influenza can cause a range of symptoms, including typical flu-like symptoms (fever, cough, sore throat, muscle aches) as well as more severe complications like eye infections, pneumonia, and acute respiratory distress syndrome. H1N1 swine flu typically causes milder symptoms similar to seasonal flu, including fever, cough, and body aches. Sometimes, abdominal pain and loss of appetite may also occur.