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Published 13 November 2009, doi:10.1136/bmj.b4831
Cite this as: BMJ 2009;339:b4831
John Zarocostas
1 Geneva
| The first 150 words of the full text of this article appear below. |
People in groups at high risk of complications—such as pregnant women, children under 2 years old, and people with underlying medical conditions—and who are suspected of having swine flu should be treated promptly with antiviral drugs, the World Health Organization said on 12 November.
The updated clinical management guidelines were announced amid an upsurge in cases of pandemic flu in some countries in Europe and Asia.
Previously, WHO guidance focused on how to treat severe cases and limited use of antivirals because of poor access to the drugs in some regions. But experience of the virus has taught doctors the importance of early treatment to prevent progression of severe diseases, said Nikki Shindo, a WHO specialist in the clinical aspects of flu.
In some countries, including Ukraine, Afghanistan, and Mongolia, health authorities are reporting that "hospitals and clinics are overwhelmed with the number of patients they are treating," said Dr
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