Saturday, July 9, 2011

H1N1 back


H1N1 is back, claims 7 lives

July 9: With the monsoons, the dreaded H1N1 fever is back. Though precautionary measures have been taken, the virus has already caused seven deaths this year in the State, five of them just in the last couple of months. It is during this time of year that we need to take precautions. But we now have experience in controlling this virus. We have already sent out monsoon advisories to all districts to ensure that every case with H1N1 like symptoms gets treated at the earliest,” said Dr T.S. Cheluvaraj, joint director, communicable diseases, department of health and family welfare.
“There was one death reported in the month of May in Bengaluru, the remaining were from Bellary, Davangere, Shimoga, Gulbarga, Udupi and Tumkur,” said Dr Cheluvaraj. He said that this year, to date, the department has received 1007 samples for testing from across the State of which 45 samples have tested positive for H1N1.
Dr Cheluvaraj emphasised that the health department is better prepared now to deal with the virus. “This year we are very well equipped and have more than sufficient stock of Tamiflu, which has been distributed to health centres even at the district level.” Instructions have been issued to healthcare professionals to be on the lookout for cases with symptoms of respiratory tract infections, cough, cold and running nose. “As of now there are five centres in the State that are equipped to test samples for H1N1: NIMHANS, Narayana Nethralaya, Command Hospital and Manipal Hospital in Bengaluru, and KMC Manipal, which takes care of samples in the coastal districts,” the doctor added.
“So far the number of cases coming to us for tests has been consistent and so too the positivity, but the monsoon is the season when there is a risk of incidence in such cases,” said Dr V. Ravi, head of the neuro-virology department at NIMHANS. At the Rajiv Gandhi Institute of Chest Diseases (RGICD) only one case of H1N1 has been reported, that of a 62-year-old male. “He has been treated and discharged from the hospital. But we know that the monsoons could be risky so we are geared up with adequate stock of medication,” said Dr Shashidhar Buggi, director, RGICD.
H1N1, popularly known at ‘swine flu’, had reached pandemic proportions in 2009. Some 1,500 people died of it in India. The virus spreads between humans through coughing or sneezing and people touching something with the virus on it and then touching their own nose or mouth.
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Friday, September 10, 2010

update by WHO

printable version 

Influenza update - 10 September 2010

Introduction

The Global Influenza Programme is regularly monitoring influenza activity worldwide and publishing an update every two weeks.
The updates are based on all available epidemiological and virological data: influenza reports from WHO Regional Offices and Member States, data collected through FluNet and FluID. Data can vary in completeness and timeliness due to differences in available resources in Member States as well as influenza seasonality.
GIP Surveilliance monitoring map
Description: Displayed data reflect the most recent information reported to FluNet, WHO regional offices or on ministry of health websites in the last 2 weeks.
The percent of specimens tested positive for influenza includes all specimens tested positive for all influenza subtypes. The pie charts show the distribution of virus subtypes among all specimens that were tested positive for influenza.
The available country data were joined in larger geographical areas (Influenza transmission zones)with similar influenza transmission patterns in order to present an overview
Map timeline for influenza activity

Open map in new window [jpg 965kb]

Influenza - Update 116

10 September 2010 - Influenza activity is currently most intense in the temperate areas of the Southern Hemisphere and southern Asia.
India is still experiencing a country-wide outbreak of H1N1 (2009) with active transmission and a substantial number of fatal cases in several states across the country.
Chile reported on a sharp increase in respiratory disease activity in the last two weeks. All age groups are affected but the age groups below 65 years appear to be more affected that the older population. The level of activity in Chile in September is very unusual for this time of the year, as the country usually experiences a peak of respiratory disease in June and July. H1N1 (2009) virus has been the most commonly detected influenza virus so far this season but in the recent weeks there has been a shift towards influenza virus type B and influenza A (H3N2), with a decreasing proportion of H1N1 (2009) viruses. Respiratory Syncitial Virus transmission has also been widespread and intense, primarily affecting young children.
Australia has reported increasing influenza activity throughout August and September, though recently, the numbers of patients seen in emergency departments for influenza-like illness seem to have levelled off in parts of the country. Overall, influenza activity is well below the activity observed in the winter of 2009. The most commonly identified influenza virus in Australia is H1N1 (2009), though influenza type B is also being detected.
In New Zealand, influenza activity has decreased in the last week of August, although activity is still well above baseline levels and with significant regional differences. The majority of influenza detections have been characterized as H1N1 (2009). Levels of influenza transmission in 2010 are below 2009 levels nationally but have exceeded 2009 in some localized areas of the country.
In Africa, the Central African Republic reported on their first ever detection of H1N1 (2009). South Africa observed a decrease in detection rate of influenza viruses in outpatients seen for respiratory disease for the second week in a row. Influenza type B has been the most commonly detected influenza virus throughout this winter season in South Africa though in recent weeks the proportion of H1N1 (2009) viruses has increased and a small, decreasing number of influenza A (H3N2) continues to be detected.
links to earlier updates

Qualitative indicators

The qualitative indicators monitor: the global geographic spread of influenza, trends in acute respiratory diseases, the intensity of respiratory disease activity, and the impact of the pandemic on health-care services.
The maps below display information on the qualitative indicators reported. Information is available for approximately 60 countries each week. Implementation of this monitoring system is ongoing and completeness of reporting is expected to increase over time.
List of definitions of qualitative indicators

Maps of qualitative indicators

post-pandemic guidelines


Source

Friday, May 21, 2010

18000 people killed till now


As of 16 May, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 18097 deaths, WHO said Friday.

The current situation is largely unchanged since the last update. The most active areas of pandemic influenza virus transmission currently are in parts of the Caribbean and Southeast Asia. In the temperate zone of the northern and southern hemisphere, overall pandemic influenza activity remains low to sporadic. In central Africa, there has been increased transmission of seasonal influenza type B viruses, accounting for 85% of all influenza isolates in the region. Influenza B also continues to be detected at low levels across parts of Asia and Europe, and has now been reported in Central America.

In the tropical region of the Americas, the most active areas of pandemic influenza virus transmission continue to be in parts of the Caribbean. In Cuba, a second period of active community transmission of pandemic influenza virus began during late February 2010, peaked during late April 2010, and has been declining since; this second period of transmission, although associated with severe and fatal cases, appears to be less intense overall than the first period of transmission which occurred during late September to late November 2009. In contrast, in the Dominican Republic, low to moderate intensity of respiratory diseases activity has been primarily associated with co-circulation of respiratory viruses other than influenza; only sporadic detections of seasonal influenza viruses have been reported.

Low levels of pandemic influenza viruses have been circulating across parts of Central America and tropical areas of South America, for example, in Mexico since December 2009, in Colombia and Brazil since early 2010, and in Guatemala since early April 2010. Nicaragua and Honduras have also been recently reporting geographically regional spread of influenza viruses, however, the relative proportions of seasonal influenza, pandemic influenza, and other respiratory virus detections are not known. In contrast, in Panama, low levels of respiratory disease over the past three months have been primarily associated with circulating respiratory viruses other than influenza. Of note, Bolivia experienced a recent period of low but sustained transmission of seasonal influenza type B viruses between late February and early May 2010. There continues to be evidence from several countries in this region that there is ongoing co-circulation of influenza with other respiratory viruses (including respiratory syncytial virus (RSV), and adenovirus).

In Asia, the most active areas of pandemic influenza virus transmission are in parts of South and Southeast Asia, particularly in Bangladesh, Malaysia, and Singapore. In Malaysia, limited data suggests that a second period of active pandemic influenza virus transmission has been occurring since early April 2010, but overall activity may have recently stabilized and does not appear to exceed pandemic influenza activity seen during an earlier period of transmission lasting from July until early September 2009. In Singapore, levels of ARI have remained elevated since mid April 2010; during the most recent reporting week, levels of ARI exceeded the epidemic threshold and the proportion of patients with ILI testing positive for pandemic influenza virus infection was 39%. In Bangladesh increased co-circulation of pandemic influenza and seasonal influenza type B viruses has been detected since mid April 2010 but now appears to have stabilized. Low level circulation of pandemic influenza continues to persist in Thailand and in the western and southern parts of India; sporadic detection of pandemic influenza continue to be reported in Cambodia and in the Philippines. In East Asia, only sporadic detections of pandemic influenza virus are being reported; seasonal influenza type B viruses have been predominant in this region, however circulation appears to be declining in China and the Republic of Korea.

In the temperate regions of the northern and southern hemisphere, overall pandemic influenza activity remains low to sporadic. In Australia and New Zealand, slight increases in ILI activity were reported; however, in Australia, these increases have been attributed primarily to circulating respiratory viruses other than influenza. In the southern temperate regions of the Americas, only sporadic detections of influenza viruses have been reported, except in Chile, which continues to report localized areas of increased ILI activity (in the Los Lagos area) associated with co-circulation of pandemic influenza and other respiratory viruses. In Europe, very low to sporadic levels of pandemic and seasonal influenza type B viruses continue to be detected. Seasonal influenza type B virus persists mainly in parts of eastern and northern Europe. Georgia reported an increase in the number of respiratory disease consultations due to influenza-like-illness (ILI), mainly in children (under age 5) and school-age children (5-14 years old age group); whether this increase is associated with pandemic influenza A (H1N1) virus is not yet known.


source

Saturday, May 15, 2010

H1N1 cases in the country had dropped

NEW DELHI: The H1N1 swine flu pandemic has killed over 1,500 Indians till now but the number of people who got infected with this novel virus is much higher — over 30,000.

However, the good news is that the outbreak seems to be weakening. Health minister Ghulam Nabi Azad said H1N1 cases in the country had dropped in the past few weeks. "Till May 2, there have been 1,501 laboratory confirmed deaths due to the pandemic, while 30,581 people have been affected with the virus in the country," he said.

India reported its first swine flu death on August 4, 2009, while the first case was recorded on May 16, 2009.

But should India be complacent? "No," said director general of Indian Council of Medical Research Dr V M Katoch. Dr Katoch said, "We will have to wait and watch very carefully this year. Till now, all the three previous pandemics this century have taught us that pandemic waves keep coming over two years of an outbreak. We could also end up seeing the pandemic peak this winter."

He added, "By next year, we expect the virus to become endemic in the country infecting people like seasonal influenza does. However the spread of the virus won't be as fast." India has till now screened over one crore passengers at 22 international airports for symptoms of influenza. Experts globally have hailed India for this massive exercise. Some say India managed to avert a major outbreak specially because of these airport checks.

India, in the meantime, also strengthened its laboratory network to test for influenza. When the outbreak first took place in India, the country had just two major labs capable of testing for H1N1 infection. At present, there are 45 labs — 24 in the government sector and 19 in the private sector — testing clinical samples.

India has also procured 40 million capsules of Oseltamivir or Tamilfu — an anti-viral drug, of which 21 million were given to states. The retail sale of the drug was later allowed in some selected outlets.



source

Wednesday, January 6, 2010

Attention! All practising Doc~ors, Nursing Homes, Dispensaries, Primary Health Centers, Government and Private Hospitals. You can help reduce the impact of the ongoing pandemic by keeping the following in mind.

YOUR CHECK LIST

· Look for 'Signs and symptoms like fever with cough, sore throat with difficulty in breathing

· In particular, look for early warning signs - In Adults: breathlessness, chest pain, drowsiness, fall in blood pressure, sputum mixed with blood, bluish discolouration of nails

- In Children: influenza like illness with somnolence, .high and p~rsistent fever, inability to feed well, convulsions, shortness of breath, difficulty in breathing, etc

· Follow GOI guidelines on categorization (category A, B and C) if you are trained to manage H1N1 cases

· Follow up cases recommended for home care

· Know your nearest Health Screening Centres and Hospitals for referral

· If your area is not reporting Influenza like illness (Ill) and if you detect a cluster of III or pneumonia, to inform the Integrated Disease Surveillance Project

, . For detailed information on categorization of cases (triage and .c1inical management protocols) refer to http://www.mohfw-h1n1.tlic.in

please call 1 075 (toll-free) or

1800-11-4377

~~
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I__~___-------------------~------------------------------
-..... - ~ - ..... - ..... -;- ./'"

Issued in public interest by Ministry of Health and Family Welfare, Government of India



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Sunday, November 29, 2009

PUNE in PANIC mode

Pune has been made the Swine Flu Capital of India!

Category » Editorial Posted On Sunday, November 29, 2009
About 110 persons are reported to have died of Swine Flu in Pune till now. Living in Pune, I have also personally experienced the respiratory disease that is called swine flu. I can now confidently claim that I know the most important cause of this respiratory disease, which many medical scientists wrongly believe is due to some virus.
As mentioned by medical scientists, the symptoms of swine flu can include a cold (watery nose), sore throat, coughing and gasping, headache, aches and pains in other parts of the body, fatigue, fever, shivering (chills), and in some cases diarrhoea and vomiting. Many patients who get pneumonia can even die of the disease.
For many years, I have known the respiratory disease that produces many of the above-mentioned symptoms, but only now I have realized that it is the same disease which is being called swine flu by medical scientists. I can identify the real cause of this respiratory disease, which should not be called Swine Flu.
Can anyone believe that some common products which have really caused the Influenza of 2009 are freely available to the consumers of Pune? I suspect that there is a conspiracy to spread the disease through a Chemical and Biological Warfare among the people of Pune and the rest of India. I can identify some of the toxic chemicals that are found in the foods and drinks of the people of Pune. I have even discovered the exact ways by which these toxic chemicals get into the foods and drinks of millions of people in India and other countries.
We must expose the criminals who have introduced the toxic chemicals in the consumer goods used by the common people. We should also expose their links with the Big Pharmaceutical Companies, which are hell-bent on selling their toxic drugs and vaccines for treating the millions of people who are deliberately being made sick through the consumption of foods and drinks that contain extremely harmful chemicals.
Drugs, Vaccines & Administration of Oxygen Don't Help
The Influenza of 2009 is wrongly called Swine Flu, even though it is not spread by any pigs. The H1N1 virus should not be considered as being responsible for causing the so-called Swine Flu, Spanish Flu of 1918-19, or Influenza A. Any vaccination against the disease is useless and can even be very harmful. The vaccines cannot provide us any immunity to diseases that are caused by chemical poisons.
The face-masks also cannot provide much protection against the Influenza of 2009, as it is not due to any virus. The doctors of many hospitals in Pune have not been able to help in preventing more than a 100 deaths in the last few months. Even the patients put on oxygen in ICUs have not benefited from the treatment given by highly qualified doctors. The doctors cannot save the patients because they are ignorant of the real cause of the disease. In Pune, even some doctors have died due to contracting the Influenza of 2009. Thousands of people are likely to die of this Flu, and other related diseases, in the next few months in Pune.
Till a few months back, I was not ready to believe that the disease described as the Swine Flu could be so dangerous that it could kill millions of people in the world. Now I have realized that I was wrong. Many thousand people have already died in 2009 apparently due to the spread of the so-called Swine Flu all over the world. The Respiratory Pandemic of 2009 can really kill millions of people over a period of time, just as it happened during the worldwide Respiratory Pandemic of 1918-19, which was named as the Spanish Flu.
As the medical scientists of the world do not know its real cause, the affliction should be called as the Respiratory Pandemic of 2009 till its identification is properly confirmed. I believe that mass chemical poisoning can make millions of people suffer from respiratory diseases, which are given names like Spanish Flu, Swine Flu, Influenza A, Bird Flu, Chicken Flu and SARS by the medical scientists.
There are many medical scientists who have been regularly warning us about the existence of a conspiracy with a secret plan of committing genocide on a massive scale through a Chemical and Biological Warfare, which is being waged in many parts of the world.
I have decided to wait for a couple of weeks to release my article in which I shall give details about the real cause of the Respiratory Pandemic of 2009. The article will be sent to the persons who are interested in reading such articles.
My findings can also be used for scientifically understanding the real causes of the Respiratory Pandemics of 1918-19 (Spanish Flu), 1957-58 (Asian Flu), 1968-69 (Hong Kong Flu), etc.
Ashok T Jaisinghani





Source

Wednesday, October 28, 2009

33% Indians likely to get H1N1

: AzadKounteya Sinha, TNN 10 August 2009, 03:50am IST


NEW DELHI: Admitting that the no government measure could prevent the spread of the H1N1 influenza in India, Union health minister Ghulam Nabi Azad

said on Sunday that around one-third of the Indian population was likely to get infected with the virus over the next two years, in accordance with WHO predictions. But most people would suffer only mild symptoms of the disease, he added. ``It's a global pandemic. If countries across the world - around 168 till now - are suffering from a H1N1 outbreak, so will India. We are, however, lucky that it didn't start from here,'' Azad told TOI in an interview. However, Azad had one clear message - there is no need to panic as India is still much better off than most countries across the globe who have been hit harder by the pandemic. Azad said India, which till Sunday recorded 864 positive cases of H1N1 with four deaths, was still in the early days of the outbreak.

``We will see many more positive cases of H1N1 infection and maybe more deaths, exactly similar to what is happening across the globe. The virus is highly contagious. People should self report and not wait for government to track them down,'' he added. According to him, it hasn't even reached the pandemic stage in India. Azad, praising India's phenomenal job in keeping the virus quiet for so long, said industrialized countries such as UK, US, Canada, Australia and Argentina were reporting positive cases in lakhs every week. `

`In England, there were 30,000 cases of H1N1 last week and 1.10 lakh cases the week before. Around 36 people have died there so far. In Argentina, they have registered a total of 7.62 lakh cases of flu of which 93% are H1N1 infections. They have had 337 deaths,'' the minister said. "The US, which has stopped recording positive cases, has at present 6,506 people hospitalized with H1N1 infection and 436 deaths. In Australia, there are around 30,000 confirmed H1N1 cases with 85 deaths. So you can understand the intensity of the virus spread. In comparison, till yesterday India had 782 positive H1N1 cases of which 511 have been treated and discharged and 271 are under treatment. We have recorded four deaths till now,'' he added. According to the health minister, two of India's innovative interventions - entry screening at airports and ports and mass scale contact tracing - have proved a saver. ``Or else, by now we would have had crores of H1N1 infected people,'' Azad said. He said India's interventions had been applauded globally. ``We have till now screened over 45 lakh passengers in 22 international airports. Every third H1N1 positive case in India was identified through airport screening. And then we tracked down every single person the infected patient may have come in contact with, looking for H1N1 symptoms in them. Till now, over 8,000 contacts of infected patients have been traced and given prophylactic treatment besides those who were found to be H1N1 positive,'' he said. On what discussions took place when he met Prime Minister Manmohan Singh after the latest deaths, Azad said, ``It was a simple review meeting.

The PM wanted to know what the ministry was doing. He made no suggestions.'' On what India was doing as part of its control and containment operations, he said, ``We are starting an exclusive H1N1 influenza website on Monday which will tell people about do's and don'ts, where to go for clinical assessment and testing, statewise situation of the pandemic, phone numbers and names of labs and hospitals one should approach and total number of cases and deaths being reported due to H1N1. However it will not have a flu tracker as of now which will tell you whether you should report to authorities on typing down your symptoms,'' Azad said.

Meanwhile, Azad wasn't happy about schools across India shutting down because their students tested positive. In Delhi, the privately run Sanskriti School closed down for a week after three students tested positive for swine flu, including one who recently visited Britain. ``Till now, it is clear that the virus is city centric. Not a single case has come up from the villages. Shutting a school wouldn't mean you can stop students from attending parties and meeting friends in the evening where they can get the infection. Schools must stay open,'' Azad told TOI. WHO had earlier said that by the end of the pandemic, anywhere between 15-45% of a population will have been infected by the new pandemic virus. If one takes the mid-point figure, 30%, it'll mean 2 billion people getting the infection, WHO said. India on Sunday recorded 82 new cases of H1N1 - Delhi 13, Pune 34, Mumbai 12, Chennai 7, Goa 4, Vadodara 3, Calicut 2, Hyderabad 2, Gurgaon 2, Trivandrum 1, Sirsa (Haryana) 1 and Trissur 1. In Delhi out of the 13 cases, 12 are contact cases. All the 34 cases in Pune are indigenous cases, mostly school and social contacts with no travel history. In Mumbai, out of 12 cases, 11 cases are indigenous ones.

Chennai too reported seven cases, all indigenous. According to the ministry, there are six cases who are still admitted in Sassoon Hospital, Pune, out of which the condition of three are critical. QnA: How would one know whether they have swine flu? Is the Indian healthcare system equipped sufficiently to tackle swine flu?

SOURCE

Friday, September 11, 2009

3, 205 deaths

Swine flu death toll reach 3,205: WHO

GENEVA — The World Health Organisation said Friday that at least 3,205 people have died from swine flu since the new A(H1N1) virus was uncovered in April.

Most of the deaths occured in the Americas region, where 2,467 fatalities have been reported to the UN health agency.

The Asia-Pacific region recorded 527 deaths, followed by Europe where at least 125 people have succumbed to the infection.

The death toll in the Middle East reached 51 while the number of deaths in Africa climbed to 35, said the WHO in an update posted on its website.

The figure represents a jump of more than a 1,000 on a fortnight ago when the WHO said the overall toll stood at 2,185.

The WHO reiterated that the new flu virus is now the most prevalent form of influenza, having swiftly overtaken other flu viruses.

According to the WHO's flu database, 76 percent of flu detections reported during August 23 to 29 have been found to be of the pandemic strain.

The UN health agency also noted that flu activity appeared to be increasing in some parts of the northern hemisphere, which is about to enter the flu-prone winter season.

Parts of eastern Europe and south-east United States are reporting increases in infections.

In tropical South America and Asia, the caseload is also increasing. Countries such as Bolivia, Ecuador, Venezuela, India, Bangladesh and Cambodia are all reporting more flu cases, said the WHO.

Meanwhile, in Central America, the Caribbeans and the temperate regions of the southern hemisphere, the number of flu infections appear to be declining, it added.




SOURCE

Tuesday, September 8, 2009

FLU in Singapore


Update on Influenza A (H1N1-2009)

18th Influenza A (H1N1-2009) related death case
Last updated on 07 Sept 09

A 61 year-old Chinese male with a medical history of hypertension, diabetes, and end-stage renal failure passed away on 6 Sep 09. The cause of death was Influenza A (H1N1-2009) infection with chronic renal failure and diabetes, and hypertension.

Cases in Hospital
Last updated on 07 Sept 09

Public HospitalHospitalised (in ICU*)



SOURCE

Tuesday, September 1, 2009

Forget H1N1 here's H5N1!

Forget H1N1, there’s H5N1 for you to worry about now! In all the panic about swine flu, doctors across the globe are warning of confusing the
H5N1
H5N1 (Getty Images)
symptoms of H1N1 for meningitis – a far more deadly and dangerous disease, and also one without a vaccine.


The symptoms for swine flu and meningitis are largely the same – ranging from fevers, body aches, fevers and cold hands and feet. As the vacation period across the world comes to an end and people return from holidaying in far flung places, holiday makers are thought to be potentially contagious and capable of spreading the disease, making doctors brace for a second global outbreak.

This year in April, 2009, a severe meningitis outbreak hit Tripura and Meghalaya, with the government undertaking a drive to vaccinate the entire population with the World Health Organisation chipping in with 3.5 lakh vaccines. The fatal bacterial infection had sprung up in Tripura since January 2009 which recorded 126 confirmed meningitis cases and 33 deaths by April. The last major meningitis outbreak to strike India was in 2005, with over 80 people dying in the capital alone.

Meningitis is usually caused by either bacteria or a virus. Viral meningitis is more common than bacterial but is rarely life-threatening. Meningitis caused by bacteria tends to be more serious. Broadly, there are two types of bacterial disease: meningococcal and pneumococcal. Vaccines exist for both. Most cases of meningococcal meningitis can be treated with antibiotics, but it is important to catch the disease early.

Meningitis can kill in under four hours and parents should be watchful for the disease, Steve Dayman, chief executive of the charity Meningitis UK, told a UK-based newspaper. The disease, which affects children and teenagers the most, can be fatal if not immediately diagnosed. Typical symptoms of meningitis include a headache, stiff neck and a dislike of bright light. Other symptoms are difficulty supporting own weight, fever, vomiting and diarrhoea, confusion and drowsiness



SOURCE