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S-OIV (SWINE ORIGIN INFLUENZA VIRUS)
Team members
Shabana
Priyadarsini.suresh
Dr.R. Saraswati Jayanthi
Himanshu
Content:
Introduction Hazard Identification Dose Response Exposure Assessment Risk Characterization Conclusion References
Introduction: Acute respiratory illness due to influenza viruses
are the major causes of morbidity and mortality in early childhood
The first case of swine flu was reported in April 2009 ever since that day the virus has spread rapidly
Hazard Identification: The influenza virion is roughly spherical. It is an enveloped virus. Inserted into the envelope are two proteins HA &
NA, that determine the subtype of influenza virus for example A/H1N1
There are many subtypes of influenza A known as H1N1, H1N2, H2N1, H3N1, H3N2, and H2N3
The recent pandemic H1N1 virus which emerged in 2009 in Mexico and spread worldwide is a reassortment of 3 or 4 virus strains i.e American swine, Eurasian swine, North American avian and human influenza virus strains
The incubation period for swine influenza infection appears to range from 2 to 7 days
Most patients with swine influenza infection might shed virus from 1 day before the onset of symptoms through 5 to 7 days after the onset of symptoms or until symptoms resolve
In young children and in immunocompromised or severely ill patients, the infectious period might be longer
Patients susceptible to severe disease are
- children's(below 5 years)
- Elderly persons (above 60)
- Pregnant women
-Those with systemic illnesses ,immune suppressed
YEAR CASES DEATHS
2009 27236 981
2010 20604 1763
2011 603 75
2012 5044 405
2013 5253 405
2014 937 218
2015 31974 1895
Dose Response
The existing dose response model shown below in the table was used in this study.
Experiment serial
number
Host type
Agent strain
Route# of
dosesDose units
Response
Best fit model
Optimized
parameter(s)
LD50/
ID50
257, 258*
Human
H1N1,A/
California/10/78 attenuat
ed strain,
intranasal
9 TCID50
infection
beta-Poisson
α = 5.81E-
01 , N50=9.4
5E+05
9.45E+05
Exposure Assessment
This risk assessment can be broken down into two basic parts:
The risk analysis due to the intranasal exposure of higher concentration of influenza virus
The risk analysis due to intranasal exposure of lower range concentration
RISK CHARACTERISATION
Age P(DAILY risk of infection) P (risk of illness)
P (Risk of mortality)
3 to <6 1.06E-06 0.0000 1.05103E-07
6 to<11 1.33E-01 0.0596 0.0131
16 to <21 2.12E-02 0.0095 0.00209
41 to <55 1.72E-01 0.0773 0.017008
61 to <71 1.49E-01 0.0668 0.014703
Risk due to the lower dose range
RISK CHARACTERISATION
Risk due to the higher dose range
Age P(response) P(DAILY risk of infection)
P (risk of illness)
P (Risk of mortality)
3 to <6 6.46E-01 1.35E-04 0.0001 1.33315E-05
6 to<11 7.12E-01 1.61E-04 0.0001 1.5945E-05
16 to <21 8.16E-01 2.19E-04 0.0001 2.17295E-05
41 to <55 8.21E-01 2.23E-04 0.0001 2.20383E-05
61 to <71 7.61E-01 1.85E-04 0.0001 1.83326E-05
Risk Management:
Keeping distance from infected patients Visit a doctor as soon as you see the
symptoms
Washing hand
Wearing mask
Use hand sanitizers
CONCLUSION:
It is important to consider that the risk of acquiring influenza is
determined by both the concentration of the influenza A virus infectious
particles in the air and the immune status of the exposed individuals.
It is important to consider that the air exhaled by the healthy person
also contains influenza virus particles.