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INFLUENZA A (H1N1)
PREVENTIVE MEASURES UNDERTAKEN BY THAILAND AGAINST THE SPREAD OF INFLUENZA A (H1N1)
ADVICE FOR PATIENTS WITH INFLUENZA |
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- If the patient has mild symptoms of illness such as low grade fever, non-lethargy, and being able to eat food, he/she is advised to take care of himself/herself at home. The patient should take paracetamol (aspirin is forbidden) for fever, take an adequate rest and drink a lot of water.
- The patient should suspend studying or working until he/she has fully recovered; and avoid close contact or sharing personal utensils with other people.
- While being with other people, the patient is advised to wear a face mask or use tissue paper to cover his/her mouth and nose every time he/she coughs or sneezes.
- Wash hands often with water and soap or rub them with alcohol gel, particularly after coughing or sneezing
- If the patient has difficulty breathing, exhaustion, vomiting or lethargy, he/she is advised to see a doctor.
HOME CARE FOR PATIENTS WITH MILD SYMPTOMS
Source: Ministry of Public Health Public Health Advice No. 8 dated 9 July 2009
A patient with mild symptoms of illness (low grade fever, non-lethargy or exhaustion, and being able to eat some food) can look after him/herself at home by acting in accordance with the following advice:
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The patient is advised to suspend studying or working and rest at home or his/her dormitory for at least seven days after falling ill or at least one day after getting well to pass the viral transmission period. |
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The patient is required to notify his/her educational institution or workplace of the illness in order to keep Pandemic (H1N1) 2009 under surveillance and take the disease prevention and control actions in time. |
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The patient has to take some antipyretic such as paracetamol (aspirin is forbidden) and some symptomatic treatment drugs like an expectorant and a decongestant as recommended by a pharmacist or medical clinic, or as prescribed by a physician. |
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As influenza is caused by a virus, it is unnecessary to take antibiotics except that a bacterial complication is detected. If so, all antibiotics must be taken as prescribed by a doctor. |
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The patient needs to be given a rub with a towel damped with tepid clean water to lower fever. It is advisable to initially rub from the limbs to trunk; rubbing the forehead, armpits, groins, elbow folds, and knee folds is particularly needed. While rubbing, the patient should be covered up with a blanket on his/her chest to prevent the risk for pneumonia. In case the patient is chilled, the rubbing must be stopped and he/she needs to be covered up with a blanket. |
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The patient should drink a lot of tepid clean water and fruit juice, avoid very cold water. |
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The patient should adequately eat less-spicy soft dishes like rice soup, boiled rice, eggs, vegetables and fruit. |
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The patient needs to get a lot of rest and sleep in a well-ventilated room that is not too cold. |
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In case his/her symptoms become more severe such as having high fever that does not decline within two days, being lethargic or exhausted, being unable to eat food, a lot of vomiting or diarrhoea, a lot of coughing and chest pain, rapid breath and being exhausted, the patient has to go to a hospital immediately. |
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Prevention of viral transmission to other family members
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The patient is advised to stay in a separate room all the time until he/she has been fully recovered for at least one day in order to pass the viral transmission period. |
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The patient is required to have meals separately. If his/her symptoms become less severe, he/she may possibly eat food with other people. It is, however, necessary for him/her to use serving spoons to scoop food. |
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The patient must not use personal effects such as handkerchiefs, towels, glasses, straws, etc. together with other people. |
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The patient needs to cover his/her nose and mouth with tissue paper when coughing or sneezing, and discard the used paper into a garbage bin. After that he/she has to clean his/her hands with alcohol gel or water and soap often. |
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The patient is required to wear a surgical mask to prevent the viral transmission to other people. |
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The patient’s caretaker is advised to wear a surgical mask as well and wash hands with soap and water or alcohol gel often. |
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Other family members are advised to be about 1–2 metres or at least an arm’s length away from the patient. |
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Sources of information:
Local public health agencies
If you have any further questions, there are three hotlines in service, namely, the Ministry of Public Health 24-hour Hotline at +66 2 590 1994; the Department of Disease Control Hotline at +66 2 590 3333; and the Bangkok Metropolitan Administration Health Department (Disease Control Division) at +662 245 8106.
In other provinces: Provincial Public Health Office in each of the provinces.
For more information, please visit the Ministry of Public Health’s website: www.moph.go.th
Source: Ministry of Foreign Affairs
http://www.mfa.go.th/web/2933.php
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