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What to Do if You Are in an H1N1 High Risk Group

By , About.com Guide

Updated January 04, 2010

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Certain people are at higher risk for complications and severe symptoms from H1N1 (swine flu) than others. Age itself is a risk factor, for example. Let's take a look at each of the H1N1 high risk groups in more detail. Keep in mind that the CDC recommends preventive vaccination for these groups (with the exception of obesity), as well as early treatment if symptoms arise.

1. Pregnant Women

Pregnant women are at high risk for complications and severe symptoms from H1N1 (swine flu).

2. People With Severe Lung Disease

Those with lung disease - such as severe asthma, COPD and emphysema - are at very high risk for complications from H1N1. One of the most common complications is pneumonia, including secondary infections with bacterial pneumonia, which affects the already weakened lungs in these people and can make them very sick. Fortunately, there are steps you can take to protect yourself from this virus if you have a lung disease.

3. People With Heart Disease

People with heart disease are also at high risk for complications from H1N1. If you have heart disease and you develop any symptoms of H1N1, you should contact your health care provider right away to determine if you need to take antiviral medications.

You should also stay away from over-the-counter cold and flu medications unless your doctor has specifically told you which ones to take. Many of these medications contain ingredients that could be dangerous to people with heart problems.

4. People with Diabetes

Adults and children with diabetes (both types 1 and 2) are at high risk for complications from H1N1. These diseases make it harder for the body to fight off infections and to heal when you do get sick. This can make you more susceptible to secondary infections. If you have diabetes and you think you may have the flu, contact your health care provider as soon as possible to discuss your treatment options.

5. People With Chronic Kidney Disease

People with chronic kidney disease generally have weakened immune systems and are at high risk for complications from H1N1. If you have kidney disease, you should start preparing now for the possibility that the flu pandemic could impact you. This is especially important if you are on dialysis because it could impact your treatment.

The Kidney Community Emergency Response Coalition has developed an excellent checklist for people with chronic kidney disease to help prepare for the flu pandemic according to your specific needs.

6. Anyone with a Compromised Immune System

When the immune system is compromised (whether from illness, infection, medication or other causes), it isn't able to fight off infections as well as it should. This puts people at high risk for most common illnesses, including H1N1. This can lead to more serious symptoms and complications, such as pneumonia.

7. People with Neurological Disorders and Developmental Delays

Neurological disorders and developmental delays cover a whole range of medical issues. It covers everything from autism and Down syndrome to multiple sclerosis and cerebral palsy.

The reason people in these groups may be at higher risk for complications from H1N1 vary. Many people with neurological disorders and developmental delays cannot handle respiratory secretions well. In some cases, they also have other chronic illnesses that put them at high risk. Some also just get sick more easily than others and are not able to recover as quickly. Whatever the reason, caregivers should pay attention to symptoms and contact the appropriate health care provider if signs of H1N1 are noticed.

8. Those Who are Morbidly Obese

One additional risk factor that has emerged during the H1N1 pandemic is obesity. Although many people who are morbidly obese also have chronic illnesses, such as diabetes and heart disease, complications of H1N1 have been seen in obese people who do not have other risk factors. There are currently no specific recommendations for vaccination or treatment for obesity alone, but further study is ongoing.

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