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Swine Flu/Bird Flu

Pandemic Flu Information

Fast Facts-"Pandemic Flu"

Questions and Answers from the Colorado Department of Public Health and Environment

Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South Denver, Colorado 80246-1530
303-692-2700 1-800-886-7689


What is pandemic flu?
A pandemic of influenza, or flu, occurs when a new flu virus rapidly spreads from human-to-human and country-to country around the world. A new virus can spread rapidly because most people are not immune to it. Pandemics are not just particularly bad flu seasons. In fact, they are not seasonal at all; they can happen any time of year. There is no pandemic flu anywhere in the world at this time.

What is the difference between a pandemic and an epidemic?
An epidemic is an outbreak of a disease that occurs in one or several limited areas, like a city, state, or country. Once the disease spreads beyond the borders of several countries and affects many countries across the globe, it is called a pandemic. In the last century, several pandemics of influenza occurred – the biggest one in 1918. During that pandemic, at least 500,000 Americans died. There were as many as 20-50 million deaths worldwide.

Swine Flu (H1N1) Information

Colorado Home Healthcare Guides

What is Swine Influenza?
Swine Influenza (swine flu) is a respiratory disease of pigs caused by type A influenza virus that regularly causes outbreaks of influenza in pigs. Swine flu viruses cause high levels of illness and low death rates in pigs. Swine influenza viruses may circulate among swine throughout the year, but most outbreaks occur during the late fall and winter months similar to outbreaks in humans. The classical swine flu virus (an influenza type A H1N1 virus) was first isolated from a pig in 1930.

How many swine flu viruses are there?
Like all influenza viruses, swine flu viruses change constantly. Pigs can be infected by avian influenza and human influenza viruses as well as swine influenza viruses. When influenza viruses from different species infect pigs, the viruses can reassort (i.e. swap genes) and new viruses that are a mix of swine, human and/or avian influenza viruses can emerge. Over the years, different variations of swine flu viruses have emerged. At this time, there are four main influenza type A virus subtypes that have been isolated in pigs: H1N1, H1N2, H3N2, and H3N1. However, most of the recently isolated influenza viruses from pigs have been H1N1 viruses.

What are the symptoms of swine flu in humans?
The symptoms of swine flu in people are expected to be similar to the symptoms of regular human seasonal influenza and include fever, lethargy, lack of appetite and coughing. Some people with swine flu also have reported runny nose, sore throat, nausea, vomiting and diarrhea.

What medications are available to treat swine flu infections in humans?
There are four different antiviral drugs that are licensed for use in the US for the treatment of influenza: amantadine, rimantadine, oseltamivir and zanamivir. While most swine influenza viruses have been susceptible to all four drugs, the most recent swine influenza viruses isolated from humans are resistant to amantadine and rimantadine. At this time, CDC recommends the use of oseltamivir or zanamivir for the treatment and/or prevention of infection with swine influenza viruses.

Avian Flu (H5N1) Information

What is avian flu?
An influenza virus strain that infects birds is called avian influenza or bird flu. These flu viruses occur naturally among wild birds. Usually avian flu viruses only infect birds. When an outbreak occurs, it can have a very serious impact on poultry flocks. An ongoing outbreak of avian flu in several countries has resulted in the killing of millions of chickens and other domestic birds to control the spread of avian flu.

Why should I be concerned about a virus that infects birds?
The strain of avian flu causing disease in poultry, H5N1, is troubling for several reasons:

Is there a vaccine or treatment for avian flu?
A vaccine for the H5N1 avian flu is being developed. It is not available for use at this time. The federal government is actively pursuing a vaccine development and production program to help with the public health response if a pandemic ever emerges. This will take some time to be completed. There are antiviral medications that can be used to reduce the severity of human flu. These medicines also may be effective in treating the current H5N1 avian flu. However, there are limited supplies of these antiviral medications, and their effectiveness in fighting pandemic flu is uncertain. Buying and storing these medications for personal use is strongly discouraged. If antiviral medicines are overused or used incorrectly, the flu virus could become resistant to these medications, making them less effective. The limited supply of antivirals is needed for those who may have life-threatening seasonal flu.

What is the state health department doing to prepare for pandemic flu?
If there is a widespread flu outbreak, Colorado and every other state in the country will respond with some new procedures, and many standard, time tested disease control methods.


Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, CO 80246-1530
303-692-2700 1-800-886-7689

Pandemic Influenza: Questions and Answers

Reliable sources of information

Colorado HELP hotline
877-462-2911 (toll-free)
M-F 7 a.m. – 11 p.m.; S-S 9:30 a.m. – 8 p.m.

Colorado Department of Public Health and Environment

Colorado Influenza and Pneumococcal Alert Coalition
303-692-2332 (business)
888-692-0269 or 303-692-2633 (clinics)

Centers for Disease Control and Prevention
800-CDC-INFO (800-232-4636)
888-232-6348 (TTY)

Getting ready for pandemic influenza
A pandemic is caused by a strain of virus that is new – no one would be immune and it would be highly contagious. During a pandemic, you might be advised to stay home for a period of time to reduce the spread of the disease. Prepare yourself and your family with this checklist that could be helpful for any emergency. More information on home preparedness is available from:
Ready Colorado

Home preparedness checklist
These particular items are especially important if you cannot leave your home and people cannot enter.

U.S. Department of Health and Human Services

Ready Colorado
800-639-READY (7323)

  • The H5N1 virus is a highly pathogenic strain, which means it makes birds very sick or kills them.
  • This flu strain rarely spreads from birds to people. So far, the H5N1 virus does not spread easily from person-to-person.
  • Whenever an avian flu strain infects people, there is a chance that the virus could mutate, or change, to a new flu virus that spreads easily from person-to-person and causes serious illness.
  • Infections with new human flu strains cannot be prevented by the flu vaccine that people get each year. Making a safe vaccine that can prevent infection with a new human virus will take several months.
  • Because the virus can’t be controlled easily, it could spread rapidly around the world and cause a pandemic.
  • The state’s Department of Public Health and Environment and local health agencies across the state monitor influenza in our communities by working with doctors, hospitals, laboratories, and nursing homes to identify unusual numbers of people with flu-like illnesses.
  • The state laboratory checks samples from patients with flu-like illnesses to help identify which flu viruses are circulating in our state.
  • The Department of Public Health and Environment and your local public health agency work together to plan for public health emergencies. Staff practice the procedures in the plans to better prepare for disease outbreaks.
  • Food and water: Have a supply of canned and dried food and drinking water on hand – enough for several days or even weeks. Although basic utilities like electricity and water should remain on, there may be disruptions in some services. Grocery stores may not have enough staff to remain open. Items for personal comfort: You may want to have extra items on hand to make your time at home more comfortable like, soap, shampoo, toothpaste, toilet paper, cleaning supplies, and activities for children.
  • Cash: Make certain to have some cash on hand. If necessary, you may be able to have items delivered to your door.
  • Pets: Make certain you have enough food and water for your pets, and other necessities like extra litter.
  • Phone: If there are disruptions to power, you will need to have a phone that does not run on power from an electrical outlet, such as a standard “wired” phone. Cordless phones will not operate when the power is out. Cellular phones still may be in service.
  • Medications and equipment: If you must take medications on a regular basis, be certain to have enough of a supply to last for several days.
  • Large trash bags: Garbage service may be disrupted or postponed for many days. Have bags on hand to store garbage safely.
  • Family emergency plan: Talk to your family about emergency plans. Make certain you have a plan to check in with elderly parents and friends; that children know who to contact in an emergency; and that you know your family’s medical histories, social security numbers, and other basic information.
  • Personal hygiene: Start now to teach your family and practice good hygiene.
  • Wash your hands frequently. If you can’t wash, use alcohol-based hand rubs.
  • Show your children how to “cover your cough” by coughing and sneezing into your sleeve instead of your hands.
  • Stay home when you are sick and keep the children home from school.