td avian influenza
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FLU BURUNGAVIAN INFLUENZA
Pada Perkuliahan Mahasiswa Semester 3 !
Ilmu "e#erawatan02/16/15
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A$ian In%uen&a
'e(niti)ns* E#idemi+,-he )++urren+e ). +ases ). an
illness in a +)mmunit/ )r re0i)n whi+h is in
e1+ess ). the num2er ). +ases n)rmall/e1#e+ted .)r that disease in that area atthat time
Pandemi+,An e#idemi+ that strikes a $er/
wide area4 usuall/ hemis#here5wide )rw)rld5wide
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A$ian In%uen&a
-hree in%uen&a #andemi+s durin0 thelast +entur/* 6789 :;3N :;
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1920 1940 1960 1980 2000
H1N1
H2N2
H3N2
1918: Spanish Flu 1957: Asian Flu 1968: Hong Kong Flu
20-40 million deaths 1-4 milliondeaths
http://www.i-s-b.org/wissen/broschuere/32.gif -
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A$ian In%uen&a
A$ian in%uen&a is+auses 2/ the;!N6 in%uen&a
$irus In%uen&a A $irus
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A$ian In%uen&a
A$ian in%uen&a ;!N6* S#)radi+ transmissi)n t) humans in
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A$ian In%uen&a
;i0hl/5#ath)0eni+N!;6 in%uen&a$irus n)w endemi+
am)n0 2ird and#)ultr/ #)#ulati)nsin Asia
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A$ian In%uen&a
S#)radi+ transmissi)n .r)m 2irds t)humans ). ;!N6 raises +)n+erns* ;!N6 ma/ mutate
;!N6 ma/ +)m2ine with 0eneti+ material .r)mhuman in%uen&a $irus +reatin0 a new strain+a#a2le ). human5t)5human transmissi)n and#)tential #andemi+
; des+ri2es the ;!N6 as a C#u2li+health +risisD and de+lared that the w)rldis as +l)se as e$er t) the ne1t #andemi+
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A$ian In%uen&a
Aian !" !#man !2
!#man !"
$ol#tion o% 1968 !"N2 In%l#en&a 'andemi(02/16/15 9T_Disease/NK/STIKMA
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A$ian In%uen&a
Virus* Ultrami+r)s+)#i+
in.e+ti)us a0ent thatre#li+ates its sel.
)nl/ within +ells ).li$in0 h)sts
Man/ are#ath)0eni+
A #ie+e ). nu+lei+a+id :'NA )r RNA=wra##ed in a thin+)at ). #r)tein
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A$ian In%uen&a
In%uen&a $irusesare RNA $iruses
Se0mented
0en)me thus0reat anti0eni+di$ersit/
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A$ian In%uen&a
In%uen&a $irus +lassi(+ati)ns* )re #r)tein*
A
B
S#e+ies ). )ri0in :swine4 a$ian4 et+=
Ge)0ra#hi+ site ). is)lati)n
Serial Num2er
Gl/+)#r)tein su2t/#es :In%uen&a A )nl/=
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T_Disease/NK/STIKMA
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A$ian In%uen&a
-w) ma)r anti0eni+0l/+)#r)teins
em2edded inmem2rane* ;ema00lutinin :;A=
Neuramidase :NA=
Indu+e anti2)d/res#)nse inhumans
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A$ian In%uen&a
A$ian in%uen&a* 68 ;A su2t/#es
7 NA su2t/#es
Man/ su2t/#es#)ssi2le
All su2t/#es .)und in2irds
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A$ianIn%uen&a In%uen&a A*
Res#)nsi2le .)r .reuent:usuall/ annuall/=)ut2reaks )r e#idemi+s). $ar/in0 intensit/
++asi)nal #andemi+s Su2t/#es +ir+ulatin0*
;6N6 N6N< ;3N strains +a#a2le ). e$)l$in0 int)
hi0hl/ #ath)0eni+ strains4
Re+ent ;! $irus strains in+reasin0l/#ath)0eni+
Virulen+e related t) ;A m)le+ules
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A$ian In%uen&a
lini+al Features ;!N6*
677>*
9 ). 69 O 6< /ears )ld All 2ut )ne had mild disease
6< /ears )ld Fe$er :6??J= U##er res#irat)r/ tra+t s/m#t)ms :8>J= Pneum)nia :!9J= GI s/m#t)ms :!?J=
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A$ian In%uen&a
lini+al Features ;!N6*
677>* Risk .a+t)rs
lder a0e 'ela/ed admissi)n t) h)s#ital Pneum)nia Leuk)#enia L/m#h)#enia
)m#li+ati)ns M'S
Renal .ailure ardia+ +)m#r)mise Pulm)nar/ hem)rrha0e Pneum)th)ra1 Pan+/t)#enia
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A$ian In%uen&a
Primar/ +ause ).death is res#irat)r/.ailure
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A$ian In%uen&a
lini+al .eatures ;!N6
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A$ian In%uen&a
lini+al .eatures ;!N6
In+u2ati)n #eri)d )nun+ti$itis
;!N< hildren sh)w mild4 limited URI s/m#t)ms
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A$ian In%uen&a
'ia0n)sis Viral +ulture
P)l/merase hair Rea+ti)n :PR= assa/ .)r
a$ian in%uen&a A :;!N6= RNA Immun)%u)res+en+e .)r anti0en with use ).
;! m)n)+l)nal anti2)d/
F)ur5.)ld rise in ;!5s#e+i(+ anti2)d/
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A$ian In%uen&a
h) sh)uld 2e tested ;i0h5risk #atients
Patients with a hist)r/ ). tra$el within 6? da/s
). s/m#t)m inset t) a +)untr/ withd)+umented ;!N6 a$ian in%uen&a in #)ultr/and)r humans
AN'
Patients with #neum)nia )n AR'S4 )r )therse$ere res#irat)r/ illness .)r whi+h an eti)l)0/has n)t 2een esta2lished
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A$ian In%uen&a
h) sh)uld 2e tested L)w5risk #atients
Patients with hist)r/ ). +)nta+t with d)mesti+ #)ultr/)r a kn)wn )r sus#e+ted human +ase in an ;!N65
in.e+ted +)untr/ within 6? da/s ). s/m#t)m )nset AN'
')+umented .e$er Q39
AN'
ne )r m)re ). the .)ll)win0* )u0h
S)re thr)at
Sh)rtness ). 2reath
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A$ian In%uen&a
Va++inati)n N) li+ensed $a++ine
Area ). intense resear+h
Bi)se+ure .a+ilities
reuired 2e+ause ). $iral#ath)0eni+it/
Viruses are lethal t)e00s whi+h #re$entsmass $a++ine
#r)du+ti)n A$ian $a++ines a$aila2le
alth)u0h in+)nsistentl/administered
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A$ian In%uen&a
-reatment Ee+ti$e dru0s*
M< +hannel 2l)+kers
Amantadine :S/mmetrel= Rimantadine :Flumadine=
Neuraminidase inhi2it)rs seltami$ir :-ami%u=
Zanami$ir :Relen&a=
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A$ian In%uen&a
-reatment ;!N6 in -hailand has de$el)#ed mutati)ns in
the M< #r)tein whi+h makes it resistant t)amantadine and rimantadine :neuraminidaseinhi2it)rs remain ee+ti$e=
seltami$ir :-ami%u= ee+ti$e when 0i$en earlyin the +)urse ). the in.e+ti)n
seltami$ir :-ami%u= inee+ti$e when 0i$enlatein the +)urse ). the in.e+ti)n
-reat .)r !59 da/s
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A$ian In%uen&a
Pre$enti)n P)ultr/ )ut2reak*
Tuarantine 'e#)#ulati)n Area sur$eillan+e
)rkers* PPE :0)wns4 0l)$es4 .reuent hand washin0= N7! mask Pr)#h/la1is Va++inati)n with +urrent in%uen&a $a++ine
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A$ian In%uen&a
P)st5E1#)sure Pr)#h/la1is ;)useh)ld +)nta+ts ). ;!N6 #atients
sh)uld re+ei$e )seltami$ir dail/ .)r >56?
da/s M)nit)r tem#erature
Tuarantine
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A$ian In%uen&a
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Sem)0aBerman.aat
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