How does Bird Flu spread in Birds?

ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI
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How does Bird Flu spread in Birds?
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Contact with nasal and
respiratory secretions
Contact with faeces of
infected birds
Contamination of feed and water
Bird Flu affects mainly the domestic poultry
(chickens, ducks, etc.) and less commonly in
animals like pigs.
Very occasionally, humans may also be
infected with this virus.
Flu spread
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How d
s?
to Human
By close contact with „ infected poultry (chickens, ducks etc.)
and their droppings.
Contact with contaminated
equipments
Signs in Bird
s infected wit
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Bird Flu Viru
s
Lack of energy and appetite
Swelling of the head, eyelids, combs & legs
Purple discolouration of the combs / “dirty”
feathers
Nasal discharge
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Coughing and sneezing u
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Common Symptom
Bird Flu in Humans
ƒ Fever (380C or higher)
ƒ Sore throat
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ƒ Muscle aches
ƒ Difficulty in breathing, pneumonia
ƒ Pain in abdomen, diarrhoea
How can w
e protect
ourselves fr
om Bird Flu
?
Avoid close contact with
infected or suspected birds and animals, specially
their droppings, saliva and other secretions.
Avoid consuming raw / uncooked / partially cooked
poultry products such as chickens and eggs.
Cooking (half an hour & 700C) kills the bird flu virus.
It makes food safe.
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Poultry and poultry products can
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After handling poultry and eggs,
wash hands and other exposed parts
with soap and water.
(All India Institute of Medical Sciences, New Delhi)
Patient
Infection control precautions
Patient enters triage / OPD with
symptoms of acute
respiratory illness with fever and h/o
exposure (contact with infected poultry /
travel to affected areas)
1. Place a mask (e.g. surgical) on the
patient. If no masks are available – ask
the patient to cover mouth and nose with
a tissue or cloth when sneezing or
coughing
2. Place patient in a place that is separate
from other patients
< 4 hr (Emergency Ward*)
Patient admitted for
investigation of influenza A/H5
(Medicine*/ Paediatrics*/ENT*/
Ballabhgarh*)
< 24 hrs (including
reporting of direct IF test
by Microbiology/ Virology*)
1. Single room accommodation – with
negative pressure if possible
2. Staff should wear full personal protection
gear when entering room
Alternate
diagnosis
Reassess management
&
precautions
Patient confirmed as having
influenza A/H5 infection
*Contact Persons at AIIMS and Telephone Numbers:
MS:
Emergency:
Dr. D.K. Sharma (26594700, 26594789)
Dr. S. Bhan (3341)
AIIMS Exchange
Dr. P. Aggrawal (4631)
26588500
26588700
Medicine:
Dr. S.K. Sharma (4415)
26588900
Dr. G.C. Khilnani (3488;
DR. Randeep Guleria (3676)
Paediatrics:
Dr. V. Kalra (3209, 4424)
Dr. S.K. Kabra (3621)
ENT:
Dr. R.C.Deka (4862)
Dr. K.K. Handa (4922)
Microbiology:
Dr. J.C. Samantaray (3288,3279)
Dr. S. Broor (4926)
Dr. L. Dar (3376)
Virology Laboratory (4340)
Centre for Community Medicine (Main Department):
Dr. C.S. Pandav (9810038423)
Dr. Sanjiv Gupta (9811939035)
Dr. Kiran Goswami (9810829890)
Centre for Community Medicine (Ballabhgarh):
Dr. Shashi Kant (9810464064)
Dr. Sanjay Rai (9313992629)
Full infection control precautions to
remain in place for duration required
Adult
> 12 Years
Child
< 12 Years
Infection control
precautions
remain in place
for 7 days after
resolution of
fever
Infection control
precautions remain in
place for 21 days after
the onset of illness
(Shedding of virus
can be at high titres
for up to 21 days in
young children)