<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> The 2009 H1N1 influenza (swine flu) outbreak was first observed in Mexico in early 2009. In June 2009, the WHO declared the outbreak to be a pandemic. subtype of influenza A - most common cause of flu in humans. 2009 pandemic was caused by a new strain of the H1N1 virus. ''particularly at risk'' patients with chronic illnesses and those on immunosuppressants pregnant women young children under 5 years old ''Features'' - typical of flu fever greater than 38ÂșC myalgia lethargy headache rhinitis sore throat cough diarrhoea and vomiting minority go on to develop ARDS which may require ventilatory support. ''Treatment'' //Oseltamivir (Tamiflu)// oral medication a neuraminidase inhibitor which prevents new viral particles from being released by infected cells common side-effects include nausea, vomiting, diarrhoea and headaches //Zanamivir (Relenza)// inhaled medication or IV if acutely unwell also a neuraminidase inhibitor may induce bronchospasm in asthmatics