Slide 2 Acute infection respiratory tract caused by influenza virus; Included in the group of acute respiratory viral infections (ARVI); Known since late XVI
century;
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History of the discovery of influenza
The first mention of influenza was noted many centuries ago - back in 412 BC. - It was then that Hippocrates described a flu-like disease.
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An epidemic is a widespread spread of an infectious disease.
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Year Subtype Distribution
1889 – 1890 H2N8 Severe epidemic
1900 – 1903 H3N8 Moderate epidemic
1918 – 1919 H1N1 Severe pandemic (Spanish flu)
1933 – 1935 H1N1 Medium epidemic
1946 – 1947 H1N1 Medium epidemic
1957 – 1958 H2N2 Severe pandemic (Asian flu)
1968 – 1969 H3N2 Mild pandemic (Hong Kong flu)
1977 – 1978 H1N1 Medium pandemic
1995 – 1996 H1N1 and H3N2 Severe pandemic
2009 A(H1N1), so-called "swine flu" Moderate pandemic
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The influenza virus has a spherical shape with a diameter of 80-120 nm.
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Influenza A virus Causes moderate to severe illness. It affects both humans and some animals (horse, pig, ferret, birds). It is influenza A viruses that are responsible for the emergence of pandemics and severe epidemics.
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Spreading Everyone is susceptible to the flu age categories of people. The source of infection is a sick person who releases the virus by coughing, sneezing, etc. The patient is contagious from the first hours of the disease until the 3rd - 5th day of the disease. High-risk groups are children, the elderly, pregnant women, people with chronic diseases
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Routes of transmission of the virus
Characterized by an aerosol transmission mechanism and extremely rapid spread
Physiological acts Number of particles formed, thousand Particle ratio, % Particle ratio, %
Physiological events Number of particles formed, thousand more than 100 microns less than 100 microns
Sneezing (strong, with open mouth) 100–800 50 50
Sneeze (held, with mouth closed) 10–15 80 20
Cough medium strength 10–50 90–85 10–15
Number and ratio of bacterial aerosol particles during coughing and sneezing
Clinical manifestations
All manifestations of the disease can be divided into several groups: Fever – i.e. increased body temperature, usually with chills. Sweating occurs when the temperature drops quickly.
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Treatment
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Prevention measures
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Slide 16 3. It is necessary to take ascorbic acid and multivitamins, which help increase the body's resistance. Largest quantity
Vitamin C is found in sauerkraut, cranberries, lemons, kiwi, tangerines, and oranges.
4. For prevention during flu epidemics, you can take 2 - 3 cloves of garlic daily. It is enough to chew a clove of garlic for a few minutes to completely cleanse your mouth of bacteria. Eating onions also has a positive effect.
Parainfluenza
Etiology There are 4 types of parainfluenza viruses (PG-1, PG-2, PG-3, PG-4). Parainfluenza viruses contain RNA and are unstable in external environment
Epidemiology
The gateway of infection is the mucous membranes of the respiratory tract, especially the larynx and nose, where the virus reproduces, causing inflammatory changes. As a result of swelling and inflammation of the laryngeal mucosa, children may experience false croup.
Incubation period – 2–7 Clinic days. The disease often begins gradually, with moderate intoxication, low-grade fever, after which catarrhal syndrome develops, which is the leading syndrome in parainfluenza. The occurrence of laryngitis should be considered typical, which is accompanied by a dry “barking” cough, hoarse voice, and often aphonia. The cough persists for a long time, sometimes up to the 12th–21st day of illness. Quite often, parainfluenza laryngitis occurs without fever and begins with hoarseness or aphonia.
In children, parainfluenza is complicated by croup. In these cases, the disease begins acutely with high temperature, rough cough, hoarseness. Laryngeal stenosis develops suddenly, often at night, and lasts several hours. Other complications of parainfluenza are viral bacterial pneumonia, as well as otitis media and damage to the paranasal sinuses.
similar to that for all acute respiratory viral infections. During epidemic outbreaks, diagnosing influenza is not difficult. Sporadic cases of the disease require laboratory confirmation, which is carried out in the same way as for influenza - by immunofluorescence, RSK.
Deytiforin acts on the PG-3 virus (see “Influenza”). Pathogenetic and symptomatic agents are usually used. Antigrippin, thermal procedures, and desensitizing agents are used. For laryngeal stenosis, it is necessary to provide first aid - distractions (hot foot baths), and prescribe desensitizing and antispasmodic drugs. Hospitalization is indicated. Specific prevention has not been developed.
an extremely contagious acute infectious disease characterized by symptoms of specific intoxication and catarrh of the upper respiratory tract.
Influenza was first described by E. Pasquier in 1403; since that time, 18 pandemics have been registered, which mainly originated on the Asian continent.
Thus, the influenza pandemic in 1918-1919. called the “Spanish Flu” claimed more than 20 million lives, i.e. 2 times more than the first World War. In 1957, the Asian flu pandemic swept the world. The losses from the epidemic amounted to about 1 million lives.
Influenza pathogens belong to the orthomyxovirus family, which includes 3 genera of influenza viruses: A, B, C. Influenza viruses contain RNA, an outer shell, which contains 2 antigens - hemagglutinin and neuraminidase, which can change their properties, especially in type A viruses. Changes in hemagglutinin and neuraminidase causes the emergence of new subtypes of the virus, which usually cause more severe and more widespread diseases.
According to the International Nomenclature, the designation of virus strains includes the following information: genus, place of isolation, isolate number, year of isolation, type of hemagglutinin (H) and neuraminidase (N). For example, A/Singapore/l/57/H2N2 denotes a genus A virus isolated in 1957 in Singapore, which has the H2N2 antigen variant.
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Influenza epidemics occur annually, usually during the cold season, and affect up to 15% of the population globe. Influenza and ARVI make up 95% of all infectious diseases in the world. Every year, up to 500 million people get sick in the world, 2 million of whom die. In Russia, from 27.3 to 41.2 million cases of influenza and other acute respiratory viral infections are registered annually (WHO data).
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Influenza (lat. Influentia): an acute infectious disease of the respiratory tract caused by the influenza virus. Included in the group of acute respiratory viral infections (ARVI). Periodically spreads in the form of epidemics and pandemics.
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The name of the disease comes from the Russian word “wheezing” - the sounds made by patients. During the Seven Years' War (1756-1763), this name spread into European languages, denoting the disease itself, and not a separate symptom. Then there was a secondary borrowing into the Russian language from the French “grippe”.
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The first mention of influenza was noted many centuries ago - back in 412 BC. a description of the influenza-like illness was made by Hippocrates. Influenza-like outbreaks were also noted in 1173. The first documented influenza pandemic, which claimed many lives, occurred in 1580. People talk about an epidemic when people get the flu at the same time. a large number of people in one country.
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The duration of an influenza epidemic is usually 3-6 weeks. In the event of a pandemic, influenza affects a large number of people simultaneously different countries. In this case, the disease is caused by new serotypes of the influenza virus, to which the vast majority of the population is susceptible. Therefore, the virus spreads very quickly high speed and causes very severe disease.
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Transmission of infection occurs by airborne droplets. The virus is released from the mucous membranes of the respiratory tract when breathing, sneezing, coughing, or talking in huge concentrations and can remain suspended for several minutes. There is also a possibility of transmission of infection through household items, pacifiers, toys, underwear, and dishes.
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The “infectious” period reaches its maximum 1-2 days after the onset of the disease. After the 5-7th day of illness, the concentration of the virus in the exhaled air decreases sharply, and the patient becomes practically harmless to others (Pokrovsky V.I., “Epidemiology and Infectious Diseases”).
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In 1918-1920 the infamous “Spanish Flu” (H1N1 influenza virus) claimed, according to conservative estimates, more than 20 million lives. In 1957 – 1958 The pandemic called “Asian flu” (H2N2 influenza virus) killed more than 70 thousand people in the United States alone.
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In 1968-1969 A moderately severe “Hong Kong flu” (H3N2 influenza virus) occurred, which killed more than 34 thousand people over 65 years of age. The emerging bird flu pandemic, according to various sources killed about 40 million people. The majority of those who died were healthy young people between 25 and 45 years old, which is an extremely alarming sign.
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In April of this year, news about the epidemic of a new deadly looking H1N1. The virus that affects pigs is similar to humans, and its mutation can occur quite quickly. Moreover, pigs are often infected with different influenza viruses, after which they become a kind of “laboratories” for crossing strains that are dissimilar to each other.
Influenza epidemics occur every year
usually in the cold season and
affect up to 15% of the world's population
ball. Flu and ARVI make up 95%
all infectious diseases in
world. Every year, up to
500 million people, 2 million of
who die.
In Russia, every year they register from
27.3 to 41.2 million sick with influenza and
other ARVI (WHO data).
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