Probable case of swine flu identified in young adult; precautions emphasized

4-30-09
The Alabama Department of Public Health announces the first swine flu case in Montgomery
County. An individual in their 20s was evaluated by a local physician and is recuperating at
home. The individual has no history of travel nor known exposure to anyone who has traveled
recently. Eighty-five percent of known cases in the U.S. are not linked to out-of-country travel.

Prescription antiviral drugs such as Tamiflu and Relenza provide effective treatment and should
be taken within the first 48 hours of illness. All persons are reminded to follow these
precautions:

• Cover your cough or sneeze with a sleeve or tissue.
• Wash your hands often with soap and water, especially after you cough or
sneeze. Alcohol-based hand sanitizers are also effective.
• Avoid touching your mouth, eyes and nose with your hands.
• Try to avoid close contact with sick people.
• If you get sick, stay home from work or school and limit contact with others to
avoid infecting them. Patients experiencing severe symptoms, such as difficulty
breathing, should seek health care and treatment. The Alabama Department of
Public Health does not recommend cancelling large group events based on
concerns of swine flu. Individuals should try to curtail the spread of influenza by
realizing the virus is circulating in the population.

“Those with underlying medical conditions may want to avoid large group gatherings,” Dr.
Donald Williamson, state health officer, said. “We control our own individual risk of acquiring
infection. If you are a parent, we encourage you to keep sick children home from school and
other activities until they are well and to follow their doctors’ recommendations.”

The Alabama Department of Public Health does not recommend cancelling any large group
events based on concerns of swine flu. Individuals should try to curtail the spread of influenza
by realizing the virus is circulating in the population. Individuals who are ill should not attend
group events to avoid spreading the virus to others. Persons with health risk factors which
would put tham at greater potential risk are also advised to avoid group events.

The symptoms of swine flu in people appear to be similar to the symptoms of regular human
influenza and include fever, cough, sore throat, body aches, headache, chills and fatigue. Some
people have reported diarrhea and vomiting associated with swine flu. Ill persons should
voluntarily isolate themselves from others for seven days after they experience symptoms.
Close contacts should limit their contact with others for a period of seven days from the time
they were exposed.

The incubation period from the moment of exposure to swine flu until symptoms develop is two
to seven days. Individuals are infectious to others one day before until seven days after
symptoms develop. Persons who develop symptoms of respiratory illness should contact their
medical provider who can arrange for tests to determine whether the disease is due to swine flu.

Swine influenza virus is a respiratory infection caused by influenza type A viruses that typically
cause outbreaks of influenza in pigs. People do not normally get swine flu, but human infections
can occur. Human cases typically involve people who have had direct contact with pigs, but
person-to-person transmission is suspected among recent cases.

Eating pork or pork products does not lead to the transmission of swine influenza. As with
seasonal flu, swine flu may cause a worsening of underlying chronic medical conditions.

Updates for the news media will be held on a regular basis. For information about swine flu,
please visit www.adph.org.

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4/30/09

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