Transcript Influenza – A (H1N1) (earlier know as swine flu)

Managing Novel Influenza A H1N1
(earlier called Swine flu)
What is influenza – A(H1N1)
• Influenza – A (H1N1) (earlier know as swine flu) is a new influenza virus causing illness in people.
• Influenza A (H1N1) virus is contagious and spread from human to human
Global Scenario (as per WHO update)
• Number of countries reporting cases ~160
• Number of cases worldwide: >134,500
• Over 810 deaths as on 27 July 09
Situation in India
• The H1N1 virus or swine flu claimed its first life in India on 4 th Aug 2009 in Pune
• India has 574 positive cases of H1N1 infection, expects the number to rocket over the next few months.
First
How Influenza - AH1N1 or Swine Flu Spreads
Spread primarily through respiratory droplets
- Coughing
- Sneezing
- Contact with respiratory droplets
It can also spread through surface contacts
The majority of these cases have occurred in otherwise healthy young adults.
Incubation Period 1-7 days
Influenzas can spread quickly:
– May be contagious BEFORE developing symptoms
– Virus can survive on hard surfaces for many hours
Potential Infection Time Line
Infectious after 1 day
Severity
Protential for death
symptoms
COMPLICATIONS
Days
1
exposed
2
3
4
5
6
7
8
Asymptoatic
incubation period
9 10 11 12 13 14
Earliest return
to work
Symptoms
• Symptoms similar to seasonal flu
• Important clinical features of swine influenza include fever, and upper respiratory
symptoms such as cough and sore throat.
• Head ache, body ache,running nose or stuffy nose
•fatigue diarrhea and vomiting have also been observed.
Emergency Warning Signs
If you become ill and experience any of the warning signs, seek emergency medical care
In Children
-Fast breathing or trouble breathing
- Bluish or gray skin colour
- Not drinking enough fluids
- Severe or persistent vomiting
- Not waking up or interacting
- Flu like symptoms improve but return with fever and worse cough
In Adults
- Difficulty breathing or shortness of breath
- Pain or pressure in the chest or abdomen
- Sudden dizziness
- Severe or persistent vomiting
- Flu like symptoms improve but return with fever and worse cough
Precautions
• Follow simple steps as cough etiquettes (covering mouth & nose with handkerchief or tissue
paper while coughing)
• Stay at least an arm’s length from persons coughing or sneezing, avoid gathering and wash
your hands frequently
Wash your hands often with soap and water, especially after you cough or sneeze.
Avoid touching your eyes, nose or mouth. Germs spread this way.
• Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids and eat
nutritious food.
• Try to stay in good general health
If infected with influenza, one must stay at home, away from work or school and limit contact with others to
keep from infecting them and should seek medical assisstance at designated centres immediately
What Else Can be Done?
• Social
Isolation – Work From Home, no public gatherings
• Personal Hygiene – Hand wash, Cough etiquette
• Personal Protective Equipment (PPE) – Masks,Gloves,Hair covers,Protective clothing
(gown or apron),Boot or shoe covers.
• School Closures – Children major “spreaders”
• Home Quarantine – Stay home if family member ill
• Travel Restrictions – To follow travel advisory issued by Govt.
Medicines for Swine Flu
• Necessary medicines in sufficient quantity are available.
• The Government has, in the designated hospitals, stored medicines if required.
• It is strongly advisable not to take medicines of your own, as it will lower your
immunity
Guidelines by Health Ministry of India
• Any person with flu like symptoms such as fever, cough, sore throat, cold, running nose etc.
should go to a designated Government facility for giving his/her sample for testing for the H1N1
virus
• After clinical assessment, the designated medical officer would decide on the need for testing
• If tested as positive for H1N1 and the patient opts for home isolation and treatment, he/she
would be provided with detailed guidelines / safety measures to be strictly adhered to by the
entire household of the patient
• He/ she would have to provide full contact details of his entire household. The house hold and
social contacts would be provided with the preventive treatment.
The Union Government has identified hospitals in all cities for testing suspected swine flu patients. Also
screening facility available at all 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.
MUMBAI
Kasturba Hospital
Arthur Road, Sane Guruji Marg,
Mumbai 400011
Ph: 022- 23083901 / 23092458 / 23000889
Dr. Umesh Aigal – 09820935680
Bangalore
Dr. Rajiv Gandhi Institute of Chest Diseases and SDS TB Hospital Hosur Road,
Near NIMHANS, Bangalore-29, Karnataka
Dr. S. Buggi - 09448042579
Dr. Nagraj- 09448057093
Chennai
Communicable Disease Hospital,
87, T.H. Road, Tondiarpet,
Chennai, Tamil Nadu
Dr. Lakshmi- 044-25912688. M- 09841250567
Hyderabad
Govt. General and Chest Diseases Hospital,
Erragadda , Hyderabad
Hospital Helpline Number - 040-23814939
Dr. Prasad – 9849902995
New Delhi
Yellow Fever Quarantine Centre,
Near AAI Residential Colony,
New Delhi 91-11-25652129
Dr S.K Singh:09868252314
Influenza Ward,
Ward no 5,
Second Floor, New Building,
RML Hospital, Delhi-1
RML- 91-11-24525211,23404328,23365525- Ext 4328
Ahmedabad
Civil Hospital attached to Medical College, Asarwa,
Ahmedabad, Gujarat-380016
Dr. Ancheliah – 09426347531
Pune
Dr. Naidu Infectious Disease Hospital,
Pune, Maharastra
Dr. Barathe – 09923130909