Border, Foreign Affairs and Tourism Work Group
FAQs on Influenza

I. Disease

1. What is influenza?
It is a highly contagious respiratory disease of viral origin.

2. Is the virus a bacteria? If not, how long can it remain active outside a human carrier?
The virus is not a bacteria. Rather it is known as a complex supra-molecular structure which to replicate or reproduce itself requires a suitable host cell. It is possible for the influenza virus to remain active on different surfaces, which is why it is recommendable to follow the hygiene measures that the Ministry of Health has made public.

3. What type of influenza is affecting Mexico? Is it the same as seasonal influenza?
No. This influenza, known as swine influenza, is different from those known so far which have affected human beings. The virus is A (H1N1).

4. What are the symptoms of this virus?

  • Fever higher than 39 degrees centigrade (102.2°F)

  • Dry cough and runny nose

  • Sore muscles and headache

  • Nausea or diarrhea

5. How is influenza diagnosed?
The diagnosis is done by a doctor by identifying the virus in nose or throat secretions (viral isolation) in the first 24-72 hours after the illness has begun, or by means of a blood test to identify antibodies.

6. How does a doctor confirm the presence of influenza in a patient?
Through a special laboratory test.

7. What can happen to me if I catch this virus?
The swine influenza virus can be controlled if detected in time, which is why it is very important to see a doctor as soon as the symptoms appear.

8. Is it possible to be ill from influenza without yet showing any symptoms?
Yes. The symptoms can appear after you have caught the virus.

9. They say young people between the ages of 25 and 45 are the most vulnerable. Why?
The groups at highest risk are children under 5 and the aged, or people with manifestations that diminish their immunological capacity. People who smoke, live with diabetes or some other chronic disease are at greater risk. In the current epidemic young adults have been in closer contact with the virus because of their mobility.

10. How is influenza transmitted from one person to another?
By direct contact between people or with objects containing the virus which then have access to the respiratory tract.

11. Is it possible for the virus to travel and be transmitted by means other than human contact? For example, is it possible for the virus to be suspended in the air or contained in food or export goods?
The virus is transmitted from person to person, whether by contact with saliva droplets (coughing or sneezing) or with contaminated surfaces and materials, including hands, toys, plates, glasses, computer keyboards, telephones, door handles, bathroom faucets and other commonly used utensils.

12. Will the rainy season represent a major problem in terms of transmission of the virus?
There is no relation whatsoever.

13. Where do I go if I have symptoms?
To Health Sector clinics or any clinic or hospital.

14. Is it possible to acquire the illness through Mexican export products, whether fresh or canned, or through correspondence and parcels from Mexico?
No. The virus is active only for a few minutes outside the organism. Canned goods are not virus transmitters. Fresh produce should be handled with the usual hygiene measures to avoid transmission of diverse diseases.

15. Can I eat pork?
Infection is viral, transmitted from person to person, so there is no problem with eating pork.

16. Can I become infected if I live or work near farms where there are pigs and poultry?
No. The virus is transmitted from person to person.

II. Prevention

17. How can I prevent this virus?

  • Avoid contact with sick people with respiratory symptoms

  • Avoid attending mass events

  • Wash your hands constantly

  • Do not greet anyone with a handshake or a kiss

  • Use masks in public places

  • Do not under any circumstances take drugs not prescribed by a doctor

  • Follow the Mexican government’s indications
     

18. How can the influenza affecting Mexico today be prevented?
In general, we recommend good eating habits and regular rest as the basis for a healthy life. Specifically, avoid sudden changes of temperature, wash your hands frequently, avoid crowded places, stay away from people with symptoms of respiratory infection, do not share food, glasses or cutlery, ventilate the rooms where you are, maximize hygiene with items of common use (telephones, bathrooms, elevators), avoid greeting people with a handshake or kiss, use masks and gloves and, when coughing or sneezing, cover your mouth with a handkerchief or with the inner elbow. Do not smoke.


III. Treatment

19. Is there a vaccine for the influenza affecting Mexico?
No. Since it is a different strain from those known so far, there is no vaccine, although scientific work is under way to begin developing one and making it available in the next few months.

20. If I need treatment, can I go to a government clinic so I don’t have to pay?
Yes. Federal, state and municipal authorities have implemented measures to make this possible.

21. If influenza is detected, does the patient require hospitalization or can he/she go back home and convalesce there?
Depending on how serious the illness is, the medical authorities will decide whether the patient should be isolated and stay in the hospital or clinic. If the patient is at home, he/she should maintain complete rest and follow doctor’s orders.

22. What is the antiviral that Mexico is using to treat influenza? Are there enough doses to deal with an escalation of the epidemic?
Oseltamivir, which is an inhibitor of neurominidase, used for the treatment or prevention of influenza. It is available in capsules or suspension. It is made by the Roche pharmaceutical company under the trade name Tamiflu. Its use is not recommended in infants under 1 year. Another possible antiviral is Zanamivir. At present we have one million treatments of Oseltamivir, so we believe we will not have any problems in dealing with demand in Mexico, even if more cases arise.
23. How long does treatment with the antiviral last?

The duration of the illness varies from person to person. The antiviral reduces its duration by a day or a day and a half and isolates the influenza in the organism so that its natural defenses can more efficiently combat the disease, preventing the appearance of respiratory complications that could require antibiotics.

24. I know that Roche laboratories’ Tamiflu is an effective antiviral for these cases. Can it be acquired as a generic drug?
In 2005 Cipla Industries of India began research for the production and marketing of Oseltamivir by means of sub-licenses from Roche to manufacture the generic drug. At the moment in Mexico no generic drug is available to substitute Tamiflu.

25. Are any treatments with alternative medicine recommended for this case of influenza?
The recommendation is to consult a physician or go to a health center as soon as the symptoms appear and carefully follow recommendations.

26. Is any medication or food contraindicated should an influenza infection be suspected?

You should go to your doctor for a reliable diagnosis and to receive instructions on the medicines and measures indicated for your case.

IV. Mexico’s response

27. What control measures is the authority establishing to avoid contagion from the mortal remains of those who died from influenza?
Proven cases of people who died have received special treatment to eliminate any risk and danger.

28. Does the government have sufficient doses of antiviral medicine to treat patients in case of a pandemic?
There are sufficient doses to confront a situation of greater gravity and the Government has allocated extra funds to contend with the situation.

29. The toll-free number 01 800 123 1010 asks me to call back in 10 minutes. Are they going to provide it with greater response capacity? If I dial from a cellular phone, will it cost me?
Measures have been taken to increase response capacity on that number. In case of saturation, you may need a little patience. There is no cost whatsoever for users.

30. The President of Mexico announced that the Health Ministry would be empowered to enter any dwelling to control the epidemic. If I receive a visit, how do I know that the people are authorized personnel?
You must demand to see an official ID issued by the Ministry of Health from the technicians who visit homes. The Ministry itself will widely distribute a bulletin announcing and explaining the start of a program of visits.

31. Where and to whom can I report any abuses during the course of these inspections?
The Health Ministry itself will place at citizens’ disposal the phone numbers for contact to respond to this type of complaints.

V. Considerations for travelers and international aspects

32. Can I visit Mexico in spite of the epidemic?
Yes. The Government of Mexico has taken coordination measures with the World Health Organization (WHO) which allow travel by tourists, businessmen and women, family members and all types of people to Mexico. WHO is following up constantly on Mexico’s situation and should the situation change it will be made public immediately.

33. I have ‘flu and I need to go to Mexico. Will they let me in?
Yes. We recommend that you see a specialist as soon as possible to eliminate any suspicion of swine influenza.

34. I was vaccinated this year against influenza. Am I protected if I travel to Mexico?
No. Swine influenza is different from other types of influenza.

35. Which are the cities currently affected by the virus?
In Mexico cases have been reported mainly in Mexico City and its metropolitan area in the State of Mexico, as well as in the states of San Luis Potosí, Baja California, Hidalgo and Oaxaca.

36. If I already have plans to travel to Mexico, would you recommend postponing the trip?
No. The influenza epidemic has been detected and seen to in a timely manner. Sufficient information exists to know about its evolution. For the time being the cases have been identified and all government institutions are working to provide safety to visitors.

37. If more and more cases of influenza are detected in Mexico, is it possible that international health authorities will ask the Government of Mexico to close the country’s borders?
Should the World Health Organization decide to raise the category of the incidence of influenza in Mexico, WHO, based on its authority as an organization of which our country forms part, would adopt the contingency measures agreed on by its members. Controlling cross-border flows of people is a measure whose application will be determined by WHO in coordination with our country’s sanitary authorities.

38. Have checkpoints been established on the country’s highways to inspect passengers suspected of being carriers of the virus?

The Ministry of Health, in coordination with the federal government agencies responsible, would make the corresponding announcement if a program of this nature were to be initiated.

39. Can the airlines prevent me from traveling to Mexico?
The trip cannot be prevented as long as WHO does not decree a quarantine and the International Civil Aviation Organization (ICAO) does not issue instructions in that regard to the airlines to prevent travel to Mexico.

40. Do I have to get vaccinated against influenza before going to Mexico?
So far there is no vaccine against swine influenza. We suggest you get the recommended vaccines.

41. Is it safe to travel to Mexico with children?
Yes. It is important to know the applicable sanitary recommendations and restrictions.

42. I want to travel to Mexico. What happens if I get influenza? Will they let me out?
You would be cared for immediately to safeguard your health. Once you are out of danger you could continue your journey.

43. Have the airlines that operate flights to different cities in Mexico implemented protection measures for their passengers in the event that a passenger might be infected?
Yes. Transportation authorities and companies have coordinated measures to confront the influenza epidemic. Also, special counters have been put into operation in Mexico’s airports.
 

 

 

 


 
 
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