Sunday, August 9, 2009

Influenza A (H1N1) High Risk Group And H1N1 Symptoms And List of Hospitals

Influenza A (H1N1) or ‘Swine Flu’ in Malaysia death up to 38 on 11/Aug/2009 (link) and most of them death in high risk group. The number of H1N1 cases in Malaysia increase rapidly, and Malaysia government still not really tighten the rules like other country, example China. US or Europe people are very difficult to apply the China Visa now, and China government take it seriously to force every airport to check passengers from every Airline and even take those people from hotel or office or their home back to special assigned hospital to quarantine them for 7 days if suspected within 1 ~ 2 day after left the airport.

I have a post in last month on how to differentiate the Influenza A H1N1 vs Common Flu, but looks like most of the children or senior citizen won’t able to notice by themselves as they still act as usual before turn it to serious situation, and sometime is too late.

What is the high risk group for Influenza A (H1N1)?

  • Senior citizen age from 65 years and older (more than 60 years old need to take note)
  • Children below age 5 years (below 10 years old need to take note)
  • People on long-term aspirin therapy
  • Pregnant women
  • People with asthma, organ failure, diabetes mellitus, and other disease
  • People leave near by or in the nursing home or other chronic care facilities
  • People work in crowded areas like shopping centers, airports, governments service centers, tourists areas, restaurants, hotels, etc

* Wear mask as possible as you can! Take care your hygiene!

If you have common flu by viruses or not sure is the H1N1 symptoms, there are few important steps you need to be care at home and act it accordingly.

  • If you have fever and less than 38, then take medicine as usual, but if you have fever time to time more than 38 and has H1N1 symptoms, then you may decide to go to hospital asap
  • You need to rest especially rest on bed more to get yourselves recover faster
  • Drink more water or soup or any fluids to avoid dehydration
  • Keep good ventilation in your house
  • Always check your temperature using the home monitoring tool, and try to check every half an hour if possible, if not every hour and record it down as you need to show to doctor if you visit to hospital
  • If you start notice as below and looks like H1N1 Symptoms, then quick go to hospital or clinic to check
    • Shortness of breath
    • Rapid breathing
    • Purple or blue discoloration of lips
    • Coughing out blood or blood-streaked sputum
    • Always chest pains
    • Always diarrhea or vomiting
    • Fever more than 38 persistent for 1 or 2 days
    • Less responsive, confusion or abnormal behavior for your children or senior person
    • Dizziness when standing
    • Reduce urine production

So far we don’t have the H1N1 antigens yet, and target to get the H1N1 antigens ready by end of year 2009 or beginning of year 2010. You can ready Why Is Vaccination Necessary Against Some Diseases?

Below are the list of hospitals that you could go to in the event you have been referred by a doctor to have further tests done.


Jalan Residensi

No. Telefon : 04-2225333
No. Fax : 04-2281737


41200 Klang

No. Telefon : 03-33757000
No. Fax : 03-33749557

47000 Sungai Buloh

No. Telefon : 03-61454333
No. Fax : 03-61454222


Jalan Rasah
70300 Seremban

No. Telefon : 06-7623333/ 7684000
No. Fax : 06-7625771



No. Telefon : 03-26155555
No. Fax : 03-26911681

Jalan Pahang
50586 Kuala Lumpur

No. Telefon : 03-40232966 (IPR)
No. Fax : 03-40218807 (IPR)

Lembah Pantai,
59100, Kuala Lumpur.

No. Telefon : 03-79494422
No. Fax: 03-79572253
Email :

Wilayah Persekutuan KL & Selangor


Gleneagles Intan Medical Centre


Pantai Hospital Kuala Lumpur


Prince Court Medical Centre


Pantai Hospital Cheras


Sunway Medical Centre


Tropicana Medical Centre


Tung Shin Hospital


Sime Darby Medical Centre Subang Jaya Sdn. Bhd


Assunta Hospital, PJ


KPJ Ampang Puteri Specialist Hospital KL


Sri Kota Specialist Medical Centre, Klang

Pulau Pinang


Gleneagles Medical Centre


Island Hospital


Loh Guan Lye Specialist Centre


Penang Adventist Hospital

Earlier symptom on H1N1:-

When children has fever, the doctor will prescribe the fever medicine to consume either in 4 or 6 hours period. I think all of you guys know very well on this. Normally the fever will go down after taken the medicine, and it will come back after 3 or 6 hours. But if it for H1N1 infectious, the fever will not be going down after taking the medicine and it will consistantly stay at high temperature for hours. And if this condition continous for 48 hrs, then the possibility of H1N1 infectious will be very high. For this case, it mean consistent high fever for 48 hrs, doctor will straight away give the patient the H1N1 antiviral treatment, i.e. Tamiflu treatment for period of 7 days.


Please ensure you take the following precautions:
•    Seek medical attention the moment you show symptoms of Influenza A (H1N1) which are similar to seasonal influenza. An early symptom is high fever, and followed by cough, sore throat, runny nose, and sometimes breathlessness a few days later.
•    Stay home when you are sick. Do not go out, to work or to school. Discuss alternative work arrangements with your manager should this be required.
•    Avoid crowded places if you are unwell and wear a surgical mask to cover your nose and mouth.
•    Wash your hands regularly and thoroughly with soap and water, especially before touching your eyes, nose or mouth. Alcohol-based hand cleaners are also effective.
•    Cover your nose and mouth with a piece of tissue paper when coughing or sneezing. Dispose of the tissue paper immediately and properly in the dust bin after use.

H1N1 Symptoms! Mostly Death in High Risk Group!