Wednesday, August 19, 2009

SWINE FLU:

2009 flu pandemic in India is the outbreak of swine flu in various parts of India. Soon after the outbreak of H1N1 virus in the United States and Mexico in March, the Government of India started screening people coming from the affected countries at airports for swine flu symptoms.[1] The first case of the flu in India was found on the Hyderabad airport on 13 May, when a man traveling from US to India was found H1N1 positive.[2] Subsequently, more confirmed cases were reported and as the rate of transmission of the flu increased in the beginning of August, with the first death due to swine flu in India in Pune,[3] panic began to spread. As of 14 August 2009, 1193 cases of swine flu has been confirmed and 719 people have been discharged with 20 deaths.[4]
Backround:
Confirmed casesThe only known drug to work against H1N1(Tamiflu) was not sold in general medical stores, to prevent the virus from developing antibiotic resistance due to excessive use. The government feared that people would pop in pills for no reason, thereby making the virus resistant to its only known cure. The problem facing the state machinery was the fact that flu infected cases were coming from across the country.

Background
: 2009 flu pandemic
A new strain of influenza virus, officially named the "new H1N1", first identified in April 2009, and commonly called "Swine flu" initially spread in Mexico and then globally by transmission. It is thought to be a mutation of four known strains of the influenza A virus, subtype H1N1: one endemic in (normally infecting) humans, one endemic in birds, and two endemic in pigs (swine). Experts assume the virus "most likely" emerged from pigs in Asia, and was carried to North America by infected persons.5 The virus typically spreads from coughs and sneezes or by touching contaminated surfaces and then touching the nose or mouth. Symptoms, which can last up to a week, are similar to those of seasonal flu, and may include fever, sneezes, sore throat, coughs, headache, and muscle or joint pains.
Swine Flu Treatment by city
Pune
The Union Government has identified the Dr. Naidu Infectious Disease Hospital for testing, isolation, and critical care of suspected/ confirmed swine flu patients in Pune. The Pune Airport(Lohegaon) Authorities have set up a screening facility at the Pune Airport(Lohegaon) for all the inbound passengers flying to Pune.67
The following centers have been identified as pre-screening centres in Pune:
1. Erandwane Hospital, Karve Road
2. Jayabhai Nanasaheb Sutar Maternity Home, Kothrud
3. Anandibai Narhar Gadgil Hospital, Mhatre Pool
4. Balaji Rakhmaji Gaikwad Hospital, Ganj Peth
5. Kalavatibai Mavale Hospital, Narayan Peth
6. Mamasaheb Badade Hospital, Lakshmi Road
7. Hutatma Babu Genu Hospital, Raviwar Peth
8. Siddharth Hospital, Alandi Road
9. Shivshankar Pote Hospital, Sahakarnagar
10. Junglerao Kondiba Amrale Hospital, Shivajinagar
11. Baburao Genba Shewale Hospital, Aundh Road
12. Damodar Raoji Galande Patil Hospital, Yerwada
13. Dr.Kotnis Arogya Kendra, Shukrawar Peth
14. Bapusaheb Genuji Kapdepatil Hospital, Koregaon Park
15. Rohidas Kirad Hospital, Ganesh Peth
Note that these centers do not take the swab tests. They just inform whether one 'might' have swine flu or not. If yes, then one has to report to either the Naidu hospital, Raja Bahadur Mills Road, near Hotel Le Meridian or the Aundh hospital in Aundh8. The positive cases are treated at the same hospitals. The critical patients are sent to any one of the following hospitals:
1. Sassoon General Hospital, Sassoon road, Pune
2. Yashwantrao Chavan Memorial Hospital, Pimpri
3. Sahyadri-Munot Hospital, Pune
4. KEM Hospital, Pune
5. Bharti Hospital, Pune
Bengaluru
Union Government has identified the SDS Hospital & Rajiv Gandhi Institute of Chest Diseases as the facility in Bangalore for testing isolation, and critical care of confirmed swine flu patients. The BIAL has set up a screening facility at the Bangalore International Airport for all the inbound passengers flying into the country to prevent the spread of H1N1. Doctors from the Hospital are round the clock screening the passengers at the Airport.9 500 American H1N1 testing kits are imported and arrived on Thursday, 13 August.10
Chennai
The Union Government has identified the Communicable Disease Hospital, 87, T.H. Road, Tondiarpet, as the isolation facility, for testing and isolation of suspected swine flu patients in Chennai. The government has set up a screening facility at the Chennai International Airport for all the inbound passengers to prevent the spread of H1N1. Doctors from the Hospital are round the clock screening the passengers at the Airport.11
Hyderabad
The Union Government has identified the Govt. General and Chest Diseases Hospital, Erragadda as the facility in Hyderabad for testing, isolation and critical care of suspected/confirmed swine flu patients. The Hyderabad Airport Limited has set up a screening facility at the Hyderabad International Airport for all the inbound passengers flying into the country to prevent the spread of H1N1.12
Kolkata
The Union Government has identified the SDS Beliaghata Infectious Diseases Hospital,as the facility at Kolkata, for testing and isolation of suspected swine flu patients. The government has set up a screening facility at the Kolkata International Airport for all the inbound passengers to prevent the spread of H1N1.13
Mumbai
The Union Government has identified the Kasturba Hospital,as the facility at Mumbai, for testing and isolation of suspected swine flu patients. The government has set up a screening facility at the Chatrapati Shivaji International airport for all the inbound passengers to prevent the spread of H1N1.14
Screening has also been set up at several other centers all over Mumbai, including the state-government run Grant Medical College and Sir Jamshedjee Jeejebhoy Group of Hospitals and the Haffkine Institute.
The others include:
1. Cooper hospital in Vile Parle
2. V N Desai in Santacruz
3. S K Patil in Malad
4. Bhabha hospital in Kurla
5. Kannamwar Nagar in Vikhroli
6. Saptapadi in Govandi
7. Bhabha Hospital in Bandra
8. Rajawadi Hospital in Ghatkopar
9. Bhagwati Hospital in Borivli
10. M T Agarwal Hospital in Mulund
11. Siddharth Hospital in Goregaon
Delhi
The Union Government has identified the Yellow Fever Quarantine Centre and Influenza Ward, Ward no 5, Ram Manohar Lohiya Hospital as the facilities at New Delhi, for testing, isolating and critical care of confirmed swine flu patients. The government has set up a screening facility at the Indira Gandhi International Airport, New Delhi for all the inbound passengers to prevent the spread of H1N1. 15
In East Delhi Lal Bahadur Shastri Hospital has the facilities for H1N1 Test. This hospital is not so crowded than other hospitals(for H1N1 Test).
Deaths
The first death was a 14-year-old girl. On 8th and 9th of August a 43-year-old man in Ahmedabad, Gujarat, a 42-year-old teacher in Pune and a 53-year-old woman in Mumbai died. On August 10 a 53-year-old doctor in Pune and a 4-year-old in Chennai died.16 On august 11th a 7-year-old girl in vadodara,gujarat. On August 13, a 26-year-old woman became Bangalore's first victim of swine flu. An eleven-month-old boy, a 75-year-old woman and a 37 year old women died taking the toll in Pune, severely hit by the virus, to 15 and across the country to 24.A lady having a young daughter of 5 yrs died near Mumbai in Khopoli on August 14. On August 16, Shilpa Hegde(26), Samshad Begam(26), Sagaya(43), all three died at different hospitals in Bangalore, according to the reports.
Deaths by city
• Pune - 1317
• Bangalore - 518
• Mumbai - 319
• Vadodara - 2 20
• Ahmedabad, Chennai,Thiruvananthapuram,Nashik, Bilaspur,Raipur- 1 each.21
Deaths by date
• August 3, 2009 - 122
• August 8, 2009 - 123
• August 9, 2009 - 22425
• August 10, 2009 - 3262728
• August 11, 2009 - 529
• August 12, 2009 - 530
• August 13, 2009 - 431
• August 14, 2009 - 432
• August 15, 2009 - 333
• August 16, 2009 - 334
• August 17, 2009 - 135
Total Deaths till Date
• August 17, 2009 - 2917