Important information about swine flu

Read the latest official advice to help protect yourself, your family and others.

Last updated 9:16 AM Friday 20 November 2009

Swine flu

Symptoms of swine flu 

Are you feeling unwell?

If you have flu-like symptoms and are concerned that you may have swine flu, stay at home and check your symptoms using the online National Pandemic Flu Service.

Phone your GP if:

  • you have a serious existing illness that weakens your immune system, such as cancer,
  • you are pregnant,
  • you have a sick child under one,
  • your condition suddenly gets much worse, or
  • your condition is still getting worse after seven days (five for a child).

Note: the National Pandemic Flu Service is a new online service that will assess your symptoms and, if required, provide an authorisation number that can be used to collect antiviral medication from a local collection point. For those who do not have internet access, the same service can be accessed on:

  • Telephone: 0800 151 3100
  • Minicom: 0800 151 3200

For more information on the National Pandemic Flu Service go to Flu service: Q&A.

It is important that as swine flu spreads, you know the symptoms of the disease so you can recognise it in yourself and others at an early stage.

Please read this page and consider your symptoms carefully before using the National Pandemic Flu Service mentioned below. 

So far, most swine flu cases have been mild, with symptoms similar to those of seasonal flu. Only a small number of people have had more serious symptoms.

If you or a member of your family has a fever or high temperature (over 38°C/100.4°F) and two or more of the following symptoms, you may have swine flu:

  • unusual tiredness, 
  • headache,
  • runny nose,
  • sore throat,
  • shortness of breath or cough,
  • loss of appetite, 
  • aching muscles,
  • diarrhoea or vomiting.

Checking symptoms

It makes sense to have a working thermometer at home, as an increase in temperature is one of the main symptoms. If you are unsure how to use a thermometer, go to How to take someone's temperature.

If you are still concerned you may have swine flu, stay at home and check your symptoms using the online National Pandemic Flu Service.

Call your GP directly if: 

  • you have a serious existing illness that weakens your immune system, such as cancer,
  • you are pregnant,
  • you have a sick child under one,
  • your condition suddenly gets much worse, or
  • your condition is still getting worse after seven days (five for a child).

Note: the National Pandemic Flu Service is a new online service that will assess your symptoms and, if needed, provide an authorisation number that can be used to collect antiviral medication from a local collection point. For those who do not have internet access, the same service can be accessed by telephone on:

  • Telephone: 0800 151 3100
  • Minicom: 0800 151 3200

For more information on the National Pandemic Flu Service go to Flu service: Q&A.

High-risk groups

For most people, swine flu is a mild illness. Some people get better by staying in bed, drinking plenty of water and taking over-the-counter flu medication.

However, some groups of people are more at risk of serious illness if they catch swine flu, and will need to start taking antiviral medication as it is confirmed that they have it.

It is already known that you are particularly at risk if you have:

  • chronic (long-term) lung disease,
  • chronic heart disease,
  • chronic kidney disease,
  • chronic liver disease,
  • chronic neurological disease (neurological disorders include motor neurone disease, multiple sclerosis and Parkinson's disease),
  • immunosuppression (whether caused by disease or treatment) or
  • diabetes mellitus.

Also at risk are: 

  • patients who have had drug treatment for asthma within the past three years,
  • pregnant women,
  • people aged 65 and older, and
  • young children under five.

It is vital that people in these higher-risk groups who catch swine flu get antivirals and start taking them as soon as possible.

Outlook

For most people, the illness appears to be mild. Cases have been confirmed in all age groups, but children and younger people seem much more likely to be affected. To date, fewer cases have been confirmed in older adults.

For a minority of people, the virus has caused severe illness. In many of these cases, other factors have been identified that are likely to have contributed to the severity of the illness. 

Worldwide, just over 0.4% of the laboratory-confirmed cases reported to the World Health Organization (WHO) have died. This is a similar rate to ordinary flu. The true number of swine flu cases is likely to be significantly higher than that reported to WHO and therefore the figure of 0.4% is likely to be an overestimate of the death rate.

Where complications do occur, they tend to be caused by the virus affecting the lungs. Infections such as pneumonia can develop.

Sign up for swine flu email updates 

More on symptoms:

What is the incubation period for swine flu?

What are the complications of swine flu?

How long are symptoms expected to last?

What if I don't recover within a week?

Scientific information on the high-risk groups (links to external site). 

If you feel unwell...

If you have flu-like symptoms and are concerned that you may have swine flu:

  • Stay at home and check your symptoms using the National Pandemic Flu Service.
  • Call your GP directly if:
    - you have a serious underlying illness,
    - you are pregnant,
    - you have a sick child under one year of age,
    - your condition suddenly gets much worse, or
    - your condition is still getting worse after seven days (five for a child).

Note: the National Pandemic Flu Service is a new online service that will assess your symptoms and, if required, provide an authorisation number that can be used to collect antiviral medication from a local collection point. For those who do not have internet access, the same service can be accessed by telephone on:

  • Telephone: 0800 1 513 100
  • Minicom: 0800 1 513 200

For more information, go to the Flu Service - Q&A.

Last reviewed: 19/11/2009

Next review due:

What are these?

2hotxxx said on 18 November 2009

Hi it is very interesting to find that the the apparant outbreak of swine flu began in late march early april! As in the middle of december 2008 i actually had every one of the swine flu symptoms listed.
It had all started on the wednesday night with my 3 yr old son! He was up all night with sikness and dihorea. Then i started to feel unwell and had the sickness and dihorea then came the aches in my legs and hips and my top half of my body was roasting and my legs where like ice ( no kid like ice) . By the fri i was still in bed and was feeling worse i have never experienced pain like this in my life! by the fri night my throat was very sore and i couldnt breath properly ( i'am also asthmatic) this wouldnt ease and eventuallly my partner had to phone an ambulance so wnen the paramedics arrived they put me on the oxygen and took my temperature which was 40.8 even though i couldnt feel the heat that was coming from me. I was then taken to a +e and they said to me it was flu, i was bed riding for the next week and couldnt even look after my child properly my mum had to look after him,but to me that wasnt seasonal flu so does it not make you wonder that swine flu has been around longer than they claim and did i actually have swine flu or just seasonal flu? who knows!!!!

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SloJoe said on 10 November 2009


Please consider other people if you do start to feel unwell . Following just basic hygene rules can ease the spread of this illness

Plain old ordinary 'flu can make you feel very ill indeed and indeed can kill.

.Save a thought for those with ME/CFS who have suffered those 'flu like symptoms which can last for years.

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anne09 said on 04 November 2009

My experience has been within the last seven days. I began with a cough about two weeks ago. Then came the temperature which went up to 38.5 C for 2 days, one minute i would be hot then freezing. Pains shooting down the front of my legs. The cough got worse, i went to my GP day 2 saying i thought i had a chest infection, he said it is a virous due to having a temperature. He advised me to stay in bed plenty of fluids. He did give me a prescription for antibiotics if my symptoms got worse. I have been in bed for 6 days, feelings of complete exhaustion, waves of tiredness appear as soon as i move. Headaches from coughing and feeling very dizzy, with very slow reaction times. Also complete loss in appetite and overall interest in food. This is probably my first encounter with flu, i am 30 and would not wish this on anyone.

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dont know what to do for the best said on 25 October 2009

My 5 year old is suffering from a constant annoying cough and has a sniffly nose, and although he feels hot and looks sweaty and pale his temperature is fine ???
It's so hard to decide whether he could be suffering from just a normal cough and cold ( afterall it is October ) or Swine Flu, especially as one of his friends is just recovering from it.

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keavney21 said on 24 October 2009

I thought I was coming down with a common cold and was sceptical about the hype over 'swine' flu, however, I now take it all back.

After starting with the ususal, dry throat/back of nose, sneezing and general aches last sunday, i stayed away from work on the monday, I said several times, it didnt feel like a normal cold! Went back to work Tues and a temperature started and lasted through to Thurs (last day in work Weds). Rang my GP but they wouldnt let me go into sugery with my symptoms, GP called me and went through a health check of which I ticked the boxes. Got anti-virals collected and have never felt so bad. I dont take time off work and this has kicked my ass big time. I've developed a lovely gravel sounding cough in which it feels like I'm going to cough up my lungs everytime, its awful, as someone said, if I was a horse I'd have been shot by now!

I think that people can get too scared about the differences between a cold and flu, I'm 38 yrs old and have never ever had flu just mosty a bad cold. However after being knocked off my feet for the last week, I never want flu in whatever format again. I just hope the cough subsides and doesnt complicate matters for me.

I had all the symptoms with one additional, my eyes hurt my head when moving them in whatever direction, as my brother had just got over meningitis this worried me, but this now seems to have passed. Fingers crossed!

Dont take your health for granted, get checked especially if you have had the cold symptoms for at least 3-4 days with sign of letting up. Stay off work and limit your contact with everyone, stay clean and we should all be able to put this to a bad memory very soon! I personally cant wait to feel 'normal'!

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buuuug said on 21 October 2009

Hi,

I dont recall having a fever either (unfortunately i do not have a thermometer so not an empirical claim) but i had a sore chest on the Sunday whilst feeling achy and tired. I put the latter two down to me doing some decorating and the sore chest as a nuisance however, by Monday morning (5.30am) i had no voice. By midmorning it had worsened and i was in and out of sleep all day.

Tuesday a voice had returned and i had a real sore chest still, i had now started to cough which hurt and produced phlegm and since then to today, Weds has subsided. I now seem to have the runny nose, occasional cough, chest has eased a lot and only occasionally feels stiff, i go hot and cold, shivery and lightheaded.

Unsure if this is swine flu and/or if i can go back to work tomorrow would i be irresponsible and pass it around or not but for all intents it would seem my symptoms have presented themselves in reverse order to what seems to be the conventional norm.

Glad others report no fever too as thats been a big concern to me. Unfortunately the website is ambiguous when following the questionairre as you have to answer yes to fever and that clearly cannot be accurate and so dissuaded me from having Tamiflu, too late now.

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Mrs Derby said on 17 October 2009

Do not believe that you have to have a fever. I had a terrible flu for a week. No one thought it was the flu because I had no fever. The next week I could not breathe. I went to ER and the doctor initially had no idea what was wrong with me because I did not have a fever or any symptoms besides decreased lung sounds. He flat out said it was not pnemonia or bronchitis because there was no fever. That is until he got the xrays. I had terrible pnemonia.

I have not run a fever my entire adult life. That may seem great but a fever is a sign your body is fighting the infection. No fever, no fight.

Anyway, You don't always have to have a fever. Trust me.

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kateedunlanf said on 10 October 2009

Hi, it came on very quickly,it started with a headache and coughing, although i'd been coughing for several days berfore then.i became very hot at it's highest it was 39. and i felt dizzy and sick. i took myself off to bed, i started being sick and was very concerned that i was coughing up blood or red mucus, my vomit (sorry) was thick flem like and greenish with red i asume was blood,I've become very short of breath even just rolling over. i've stopped being sick now but havent stopped coughing, my whole body aches.i'm on day three of being in bed not moving.i've done the online questionare and got given a code, but then my computer froze and i lost it, can i re regester? does it sound like swine flu? my partner doesn't think i should be concerned.

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CelticDesign said on 03 October 2009

One of your questions is not clear. This is the one about kidney disease. I visit the renal unit at the Q.E. for check ups, as I have glomerulonephritis but at this stage I do not have kidney failure. So whilst I do not receive treatment for kidney failure the renal centre do of course provide care for this. Could you please reword this question? I answered 'no' and have authorisation for tamiflu,, but as I am left wondering if I answered the kidney question correctly and if I should take tamiflu or the other inhaled anti-viral I am tying up a phone line, trying to get advice. Not that I can get to speak to 'anyone', anywhere, as yet and it's Saturday, so no G.P.

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kevinski said on 05 September 2009

Is it possible to have swine flu without a high temperature? My wife has been very unwell for the past 24 hours with all the symptoms of flu except the fever. An article form the NY Times in May says that an unusual feature of swine flu is that one third of patients present without a fever. http://www.nytimes.com/2009/05/13/health/13fever.html

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brie333 said on 30 August 2009

I have had all of these symptoms since wednesday and all but my runny nose has worn off. All I took was some Nyquil and Robitussin. Don't fret if you get a lot of signs of swine flu, wait it out for at least three days (if you are of usual health).

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Anony-mouse said on 21 August 2009

I have had a similar experience to Pusis. I wanted to add though that when I phoned the flu line and then NHS direct as I was concerned that I had been given the prescription code when I may not need it, I was told that I should pick up the Tamiflu but not take it as I would not be authorised with any again - so if what I have now is not swine flu but I do get it in the future, I would not be allowed Tamiflu.

I found this whole process really distressing. I was not being hysterical in going on the website, only cautious as I had been in contact with someone who was then diagnosed as having swine flu and I didn't want to spread it around my office. There really should be a second check before the codes are given out. I now feel guilty for taking up a prescription that I don't want to use but forced to collect it due to the 'now or never again' policy

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~Katherine said on 12 August 2009

Hi, concernedj.

Fevers go in cycles. When you're chilled the fever temp is high compared to when you're sweating when it's likely to to be lower. With a viral or bacterial infection, the population of the virus or bacteria will rise and fall and the immune system will respond in a number of ways: one is by raising body temp. So sweats are part of the fever cycle unless you're overheated for some other reason.

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concernedj said on 08 August 2009

Thinking logically??? might some people not take their temperature earlier enough, when they first get symptoms (to capture a high reading)? Temperatures can also change with time of day, what you are doing, time of menstrual cycle…etc etc. When I was diagnosed on the phone I felt like a furnace and clothes etc were getting warm around me although temp was only 37.5 on thermometer I had used (which I guess could have been inaccurate) - I had all the only many symptoms…..Not all the first 175 laboratory-confirmed cases included fever, though most did – Please see http://www.nhs.uk/news/2009/07July/Pages/Swinefluearlyepidemiology.aspx [on 17/07/09] (a great checklist) which said “By May 31, 175 of first laboratory-confirmed cases were entered in the FF-100 database. Study of these initial cases revealed that presentation involved a variety of features: Over 90% of cases had fever, Between 70% and 80% of cases had a sore throat, headache, dry cough, and generally felt tired and unwell, Chills, sneezing and runny nose, muscle and joint aches, and loss of appetite were present in 50% to 70%, Less common was nausea, vomiting and diarrhea, a productive cough, difficulty breathing, conjunctivitis or a rash.

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Scround said on 08 August 2009

According to the CDC, like seasonal flu, symptoms of swine flu infections can include:

fever, which is usually high, but unlike seasonal flu, is sometimes absent !!!
cough
runny nose or stuffy nose
sore throat
body aches
headache
chills
fatigue or tiredness, which can be extreme
diarrhea and vomiting, sometimes, but more

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sezzajayne said on 08 August 2009

i am unsure what to do as im 26 weeks pregnant and my fiancee is having swine flu symptoms but without the fever, but the has been someone at his work with swine flu! what should i do?

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avallen said on 07 August 2009

sorry! me again!! Just contacted helpline and nice girl said even if i have all other symptoms and sweats if don't have temperature, i cannot have the flu.
Wish that comforted me but, with my child due back... she is prone to chest infections you see and suffered from pneumonia a few years ago which was horribly and scary and the worst week of my life so far...
Would so like to be with our old doctor - he would have have chatted to me about worries and either reassurred me or given me wise advice...
Have no one else around that could look after my child.. Its all very horrible and very worrying!!

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noname876 said on 06 August 2009

Of the symptoms listed I have every one, except the upset stomach, for the past three days. Whats bothered me most is I've been super achy, had chills, shakes, and just really bad spikes in fever (jumping as high as 102.3F, steady over 100F the rest of the time). I visited my doctor today and he's fairly sure I have the flu or a bad bug and I'm fortunate enough that he was able to prescribe me some medicine to help treat all this. He also did a test that is being sent off to determine if it is swine flu, I'll try to post back here if I remember after I get my results. If it is, I'd say this, you'll know if you have it when you get the fever spikes and when you are laying in bed covered with blankets and its 90 degrees in your house and your wife is complaining you have the air conditioner turned off. This thing has truly kicked my rear the past few days, hopefully this tamiflu will do the trick. Other than going to visit my doctor I've been staying clear of everyone (and missing work cus of it).. I'd suggest if you think you have it that you do the same.

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