Home
Welcome

Please select your city:


Username
Password
Remember
Click here to register
Forgot Password?
     
Move to Turkey
Relocation Companies
Where To Stay
Hotels, Aparts, Suites
Learn Turkish
Instructors, Courses

Member interviews
What about yours?
Lisa from Kadıköy
Sarah from Sisli
Claudia from Fenerbahce
Nilgün from Suadiye
Aaron from Çekmeköy

From Members' Pen
Members' columns
Be a Correspondent
A Weekend Escape to Edirne
Siirt in Istanbul
Lemon Cheesecake
A Visit to Aya Yorgi and Heybeliada
Angelique´s Latest Trips
Advertisement Advertise here/Buraya reklam verin

Forums
Moving to Turkey
Relocation
Law & Legal
Health
Money affairs
Vehicles (Cars, boats, motocycles etc)
Communications, electronics, media
Children / Les enfants
Pets
Turkish Language
Tourism / Travel / Sightseeing
Educational Topics


e-coupons

Free newsletter

Your Name

Your Email

We will send regular newsletters to our members who have signed up for receiving it during the registration. In 'mymerhaba' newsletter, our editorial staff provides updates, with regard to any information related to places worth visiting, viewing, or otherwise worth knowing, for those who care to know more....

Swine Flu Experiences So Far

by Beril Bayrak Bulucu, MD – October  2009

I  am not sure what we would be talking this past year if there were no swine flu. There is no one day without swine flu news in the papers and on TV, there is no one day without swine flu talk. Swine flu worries reached Turkey way before the disease itself. And at this point, many months and some thousand cases later the height of swine flu worries is far more prominent than the disease itself.

When I say `I see swine flu cases` many people would say `Oh really !` with wide open eyes. Because I have an international practice I have been seeing swine flu cases for the last three months. And despite the news and common opinion, my worries get less and less as I see more cases. That is why I wanted to share with you my experience so far as well as the common knowledge about swine flu.

What is H1N1? It is another Influenza A virus. And because of its ability to spread very very rapidly, it has gotten itself a` level 6 epidemic`reputation.
It is a new virus! Most of our initial assumptions were based on the characteristics of seasonal influenza viruses and most are being proven to be wrong. Yes, H1N1 can present without fever. It can be a pretty mild illness and this seems to be making it more confusing and easy to spread. The antigenic structure has not been altering itself yet like the other flu viruses.

Most of the people who have H1N1 have a  mild illness. Some have a more severe illness and a great minority might have a fatal illness. The common symptoms are a nasty runny nose, cough, listlessness, fever(from mild to 39-40`ies and shivering chills)The illness seems to be running a course of 3-10 days. Even though 3 days of fever is more usual, like all other flu it can cause 7 days of continuous fever.

It is becoming more and more common. Actually 99% of the flu activity nowadays is H1N1.Many people on the street have H1N1 and really, there isn’t such a big reason to worry.

Febrile or sick looking children should see a doctor. Diagnosing is important especially to follow up for complications. Rapid flu tests can be used when the limitations are kept in mind. The advantage of the rapid flu test is that the result comes in a timespan of five minutes and positive is a positive. However if the result is negative, depending on the test there is 20-50 (usually 20% though) % chance of missing swine flu. H1N1 PCR is a very accurate test, is done at some state hospitals as well as some private hospitals. The result usually takes somewhere between 24-48 hours. The test is somewhat expensive in the private hospitals. In the state hospitals prices are much lower, however there might be a waiting period. Viral culture is not very practical as it takes a very long time. Because of the load PCR is not recommended on any case who has a positive rapid test. It is saved for severe cases or ones undiagnosed despite high fever.

Amazingly H1N1 is milder on the elderly but hits kids harder. The most common
Complication seems to be pneumonia and this is something that we watch kids closely for. The data shows that negative X rays in the beginning of illness are really not reassuring to rule out later pneumonia. It is really important to follow kids closely for this. Most commonly they get better without any complications though.

Many providers including myself seem to be loosing the `Tamiflu reflex`. Increasing viral resistance as well as the mild course of the illness make tamiflu `not so necessary` in a lot of cases. However the decision to treat needs to be done by the medical doctor on a case-by-case basis. Kids younger than 2 or those with chronic illness are candidates for treatment. Also, even though our knowledge from seasonal flu dictates that tamiflu is meaningful only when started early, apparently in swine flu treatment can make the course milder even when started later.

As for protection: We need to teach our kids to wash their hands properly, cover their cough and of course not send them to school when they are sick. Many schools are relaxing their rules and allowing kids to stay out of school even when they have mild symptoms. This of course can help slow down the spread.

No matter what we do, at this point the spread of the virus is inevitable. I feel that the fear and anxiety related to the virus can be even more damaging than the effects of the virus. I think being conscious of the swine flu can help prevent complications however such a high anxiety level is really not necessary.
I think we all need a little bit of cool!

Wishing best of health to all of you.

Beril Bayrak Bulucu, MD FAAP
Pediatrician




Crimean-Congo Hemorrhagic Fever (CCHF)
Hepatitis A Disease and Immunization
Influenza A(H1N1)
Swine Flu Experiences So Far
Ambulances
Beauty and Therapy Clinics
Dentists
Doctors
Health Clubs
Labs & Clinics
Medline HealthBox
Opticians
Pharmacies
Precautions for Hot Weather
Private Hospitals
State Hospitals
Thermal Centers

Would you like to add your comment about this article? Click here!


Editor's Picks

Dried Fruit Shops Small shops called Kuruyemişçi are found throughout town and in each neighborhood. more...

How to tip Here are some clues on tipping in Turkey... Who to tip and how much? more...

Alexandre Vallaury - Architect Alexandre Vallaury was born into a Levantine family in İstanbul in 1850. Apart from the years he spent on architecture education in Paris, he lived in İstanbul for the rest of his life. more...

Catholic Churches in Istanbul The list of Catholic Churches serving in Istanbul. more...

Nahıl Store, Istanbul December is the month of gifts…Nahıl at Beyoğlu offers you unique handicrafts and interesting objects and products. more...

Kartalkaya Kartalkaya ski resort is located southeast of Bolu, in the North west of Turkey in the pic-turesque pine forests of Köroğlu mountains. more...


Latest Articles
!f Istanbul 2017
CRR Jazz Feb.
Opus Amadeus Chamber Music Festival
Bilkent Chamber Music Days
Akbank Guitar Days
Chrismas Masses in Istanbul 2016
Istanbul Bach Days
Festival on Wheels
Şefika Kutluer Festival
Sustainable Living Film Festival






 

Health
Crimean-Congo Hemorrhagic Fever (CCHF)
Hepatitis A Disease and Immunization
Influenza A(H1N1)
Swine Flu Experiences So Far
Ambulances
Beauty and Therapy Clinics
Dentists
Doctors
Health Clubs
Labs & Clinics
Medline HealthBox
Opticians
Pharmacies
Precautions for Hot Weather
Private Hospitals
State Hospitals
Thermal Centers




Rhythm of Town

Events calendar
Valentine's Day
Istanbul Live
This Weekend in Istanbul
Ankara Live
This Weekend in Ankara
Social Clubs in Ankara
Restaurants and Cafes in Istanbul
Restaurants and Cafes in Ankara
Sightseeing in Istanbul
Sightseeing in Ankara
Various Discoveries
Best of...
Art and Culture in Istanbul
Art & Culture in Ankara
For Kids - Istanbul
For Kids - Ankara
Hobbies Istanbul
Hobbies Ankara
Sports
Biletix System
Films on cnbc-e


Turkeywide

Turkish Ruins
Mount Ararat Trek
Seeing the Truth
Filmekimi 2016
Sustainable Living Film Festival
Festival on Wheels
!f Istanbul 2017
In Other Cities
Baksı Museum
It´s Time to Take Pictures!!
Photo of the Month
Inside Out in Istanbul
Sand Sculpture Festival
Mandatory Health Insurance for Expats
Impossible Fairies - Out Now
Istanbul Contemporary Cuisine
Changes on Work Permit
New Year
Turkey's TOP 10s
Anzac Day
İzmir Wild Life Park
Antalya State Opera and Ballet - March
Izmir State Opera and Ballet - March
Registration of Canadians Abroad
News From The Expat Harem
Latest Amendments in Land Registry Law


Events Calendar

<< Feb 2017 >>
Su
Mo
Tu
We
Th
Fr
Sa
 1
 2
 3
 4
 5
 6
 7
 8
 9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28

Shopping
Shopping in Istanbul
Shopping in Ankara
Product showcase
Shopping corner

Weather

Istanbul

Ankara



Advertising/Reklam
Add "mymerhaba" to my favorites | make "mymerhaba" my homepage
About "mymerhaba"
| Thanks to | Contact Us | Links | FAQ
copyright "mymerhaba" All Rights Reserved. Privacy Policy | Terms of Service
This site is best viewed with Internet Explorer 5 or greater with minimum 800*600 resolution

powered by IDserv