H1N1???? «Swine Influenza A (H1N1)»

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H1N1????Swine Influenza A (H1N1)
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H1N1????Swine Influenza A (H1N1)
??????????
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?? ???

• ??????????
• ????H1N1
• ???H3N2
• ????H1N1
• ???H1N2

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• ??,???????????????????????????????????????,???????
  ????????????????,????????????????????????

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Global cycle of swine influenza virus in animal
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1976????????????

• ???????????,??????????????????
• 1976?1?6????,18????.?????????????????,?????????2?4
  ????????????????????,?13??????,??500??????????????
  
• 1976?10?1?,?????????????????? ??10?,100????????10
  ?11?,???????????????,????????????
• ???????,???????

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WHO??H1N1????????

• ????(Clinical criteria)
• ????(Laboratory criteria)
• ??????(Epidemiology criteria)
• ????(Case classification)
• ????(Person under investigation)
• ?????(Probable case)
• ????(Confirmed case)

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????(Clinical criteria)

• ???????????(Acute febrile respiratory
  illness)(??????38?),???????????????(influenza-like
  illness)????????(pneumonia)??

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????(Laboratory criteria)

• ????????????????????????????????(?)??????????,??H1
  N1????????,?????????????
• 1.real-time RT-PCR?
• 2.?????
• 3.H1N1??????????4????
• ??????????????????????

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??????(Epidemiology criteria)

• ?????????
• ?????????????????????(close contact),?????????????
  ????????????????
• ???????????????????????

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????(Person under investigation)

• ??????????????

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?????(Probable case)

• ??????,?????????A???,????????????????????
• ?????????????,??????????????????,?????????????????
  ??

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????(Confirmed case)

• ????????????

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???????,?????????????????
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H1N1????QA
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??H1N1?????

• A?????H1N1,???????????,??????????????????,????????
  ?,????????

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H1N1?????????

• ???H1N1????,?????????,????38.5???,??????,?????????
  ???????,???????????,???????????

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H1N1????????

• ????,?????????,????67,???????25?40??????

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????H1N1?????

• ????????????,????????,?????????????????,???????,??
  ????

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H1N1????????

• ?????????????????,????????????????,???????????????
  ?

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H1N1??????

• ??????????????,?????????????,??????,?????????,???1
  9?????,???75????????????

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H1N1??????????? ?

• ?????(Tamiflu)????(Relenza)?????H1N1????,?????????
  ?????

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??????H1N1??????

• ?????????(WHO)??,???????????????,??????????

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???????
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H1N1????????

• H1N1?????????????????????????????,
  H1N1?????????????,??????????????,??????,??????????
  ??????

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• ?????????????, H1N1???????????,??????????,???????,
  ?????????????????????H1N1???????,??????????????,??
  ??????????????,?H1N1?????????

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• ?????,???????????????,??????????,??????????,??????
  ?????,???????????,???????????????,???????,????????
  ???????

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H1N1???????? ,??????????!

• ???????,??????????,?????????????????,????????????,
  ???11????,?????,?????????,????????????,???????????
  ,??????????,?????????,?????????????????

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H1N1????????
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H1N1??????????????

• ?????????????????????????H1N1???,???????4?26???H1N
  1?????????,????????????????????,???????????????,??
  ????????????????????????????,??????????????????

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• ???????H1N1??????????????,?????????????,??????????
  ,???????????????????,???????,??????????,??24??????
  ?????????????????????????????

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????

• ??????,??????????????????,??????,???????????????,?
  ??????????????????????????H1N1??????,????????????
  ??????
• ???????????????,???????????,?????????????

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??????

• ?????????????????????????????????,???????????,????
  ????????????,??????,????????????????????????????
• ?????????,??????????1922???

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???????????????
?????2008?2???,?????? ???????????

• ????
• ??????
• ??????
• ??????
• ?????

• ?????
• ??????
• ??????
• ????????
• ??????
• ??????????

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?????????????????

• ??????????????????????????????????????????????????
  ????,???4?26????????,????????????,24?????????
• ????4?27?10?????????????????,?????????????????????
  ?????

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????????????

• ???H1N1??????,???????????17?????????????,?????????
  ?4?28? ?????????,??????

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• ??????????????????,??
• ?????
• ?????????,??????????,
• ??????????
• ????NCC??SARS??????????,
• ?????????
• ?????????????????????
• ???,??????????????
• ???,????????
• ?????????24???????????
• ?????

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?????????,?????

• ??????????,??H1N1???????????????????,?????????????
  ???,??????????????????????,?????????????????,?????
  , H1N1???????????????????????,?????,????????,?????
  ???(98.04.28)

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• ???????????????????,??????,?????(Tamiflu)??????,??
  ?(Relenza)????????????????????????????,?????????

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? ?

• ????H1N1????????????????????????,?????????????????
  
• H1N1????????????????,???????H1N1??????24?????,????
  ??,???????????????????????????,?????????,????????
  ??????????????,???????????????

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• ??????????,????????,??????,?????H1N1?????????????,
  ?????????????,??http//www.cdc.gov.tw,????????????
  ????,??????????????????1922???

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