ID Consult

Summer flu? Think variant swine influenza virus infection


 

• Don’t take food or drink into pig areas; don’t eat, drink or put anything in your mouth in pig areas.

• Don’t take toys, pacifiers, cups, baby bottles, strollers, or similar items into pig areas.

• Wash your hands often with soap and running water before and after exposure to pigs. If soap and water are not available, use an alcohol-based hand rub.

• Avoid close contact with pigs that look or act ill.

• Take protective measures if you must come in contact with pigs that are known or suspected to be sick. This includes wearing personal protective equipment like protective clothing, gloves, and masks that cover your mouth and nose when contact is required.

• To further reduce the risk of infection, minimize contact with pigs in the pig barn and arenas.

It shouldn’t be surprising that flu viruses spread from pigs to people in the same way that regular seasonal influenza spread from person to person. An infected pig coughs or sneezes influenza-containing droplets, and these droplets are inhaled or swallowed by a susceptible human. That makes avoiding contact with pigs that look or act ill especially important. For the record, a pig with flu might have fever, depression, cough, nasal or eye discharge, eye redness, or a poor appetite.

On the bright side, you can’t get H3N2v or any other variant virus from eating properly prepared pork meat. Fairgoers can feel free to indulge in a deep-fried pork chop or one of this year’s featured food items: a basket of French fries topped with smoked pork, cheddar cheese sauce, red onions, jalapeño peppers and barbecue sauce.

Or maybe not. The CDC has a web page devoted to food safety at fairs and festivals. It notes that cases of foodborne illness increase during summer months, and usual safety controls “like monitoring of food temperatures, refrigeration, workers trained in food safety and washing facilities, may not be available when cooking and dining at fairs and festivals.”

The public is urged to seek out “healthy options” from fair vendors first. If healthy options aren’t available, we’re advised to consider bringing food from home to save money and calories.

Sigh. I remember when summer used to be more fun.

Dr. Bryant is a pediatrician specializing in infectious diseases at the University of Louisville, Ky. and Kosair Children’s Hospital, also in Louisville.

Pages

Recommended Reading

Better use of lab testing tools needed to beat HIV/AIDS
MDedge Infectious Disease
Integrated PrEP and ART prevents HIV transmission in couples
MDedge Infectious Disease
Most sepsis cases begin outside of the hospital
MDedge Infectious Disease
Zika virus pits pregnant women against time, knowledge gaps
MDedge Infectious Disease
Eradication strategies for chronic hepatitis B infection
MDedge Infectious Disease
Rotavirus vaccine again linked to small increase in risk of intussusception hospitalization
MDedge Infectious Disease
Clinical decision tree pinpointed risk of extended-spectrum beta-lactamase bacteremia
MDedge Infectious Disease
Zika virus persists in serum for more than 2 months in newborns
MDedge Infectious Disease
With HIV PrEP, benefits outweigh resistance risk
MDedge Infectious Disease
Proper treatment of herpes zoster ‘a work in progress’
MDedge Infectious Disease