Dr AVK Raju 1

 Problem statement  The virus  Mode of Spread  Symptoms  What to do  Investigation  Where to go  Treatment  Prevention 2

3 April 2009

17 deaths so far in India (13 Aug 09) 4

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 Influenza virus A (H1 N1) “It is a common cold virus” 7

 Influenza A (H1 N1) virus result of mutation of virus found in pigs  “Quadruple reassortant virus”  No harm in eating pork  Unlike in Bird Flu culling of pigs not warranted 8

 Human to Human !  Mode of spread: sneeze/cough  Contact (oro-nasal secretions) 9

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 Children and young adults  Doctors and Para Medics  Chronic Diseases: Cancers, High BP, Diabetes, HIV, Pulm TB, Malnutrition  Other Occupations: crowded and dinghy places, ? Contact with pigs 11

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 1 to 2 days  1 day prior to development of illness to days Period of infectivity 13

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No…. not these ! 15

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 Fast breathing or trouble breathing  Skin developing bluish discolouration  Not eating or drinking properly  Excessive Irritability  Flu recurs with fever and worsened cough  Fever with rash 17

 Difficulty in breathing or shortness of breath  Chest or Abdominal pain  Sudden dizziness  Confusion  Severe or persistent cough 18

 Protection  Consult Doctor immediately 19

 Investigation and treatment – “Govt designated centres & Govt approved private hospitals”  Investigations  Real Time PCR  Viral Culture, Virus Genome Sequencing  Four fold rise in Swine Flu Influenza A (H1 N1) virus specific neutralising Antibodies 20

City Hospital Address Contact Chennai King Institute of Preventive Medicine (24/7 Service)Guindy, Chennai – 32(044) , & Communicable Diseases HospitalThondiarpet, Chennai(044) /87/88, Government General HospitalOpp. Central Railway Station, Chennai – 03(044) , , , Pune Naidu HospitalNr Le'Meridian, Raja Bahadur Mill, GPO, Pune - 01(020) National Institute of Virology20A Ambedkar Road, Pune - 11(020) Kolkata ID Hospital57,Beliaghata, Beliaghata Road, Kolkata - 10‎(033) Coimbatore Government General Hospital Near Railway Station, Trichy Road, Coimbatore - 18 (0422) , , , Hyderabad Govt. General and Chest Diseases Hospital,Erragadda, Hyderabad(040) Mumbai Kasturba Gandhi HospitalArthur Road, N M Joshi Marg, Jacob Circle, Mumbai - 11(022) , , Sir J J HospitalJ J Marg, Byculla, Mumbai - 08 (022) , , , / / 5555 / / 1366 Haffkine InstituteAcharya Donde Marg, Parel, Mumbai - 12(022) , , Kochi Government Medical CollegeGandhi Nagar P O, Kottayam - 08(0481) , Government Medical CollegeVandanam P O, Allapuzha - 05(0477) Taluk HospitalRailway Station Road, Alwaye, Ernakulam(0484) Sathyajit Taluk HospitalPerumbavoor PO, Ernakulam 542(0484) Vipin Gurgaon & Delhi All India Institute of Medical Sciences (AIIMS)Ansari Nagar, Aurobindo Marg Ring Road, New Delhi - 29(011) , Prof. R C Deka National Institute for Communicable Diseases 22, Sham Nath Marg, New Delhi - 54 (011) /060/344/524/449/326 Dr. Ram Manohar Lohia Hospital Kharak Singh Marg, New Delhi - 01 (011) , , Dr. N K Chaturvedi – Vallabhai Patel Chest InstituteUniversity Enclave, New Delhi- 07(011) , , , Bangalore Victoria HospitalK R Market, Kalasipalayam, Bangalore - 02(080) Dr. Gangadhar SDS Tuberculosis & Rajiv Gandhi Institute of Chest DiseasesHosur Road, Hombegowda Nagar, Bangalore - 29(080) Dr. Shivaraj

 It is a treatable condition  Drug of choice – Tamiflu (Oseltamivir) - Relenza (Zanamivir)  Prophylaxis till 10 days post exposure  Do not take medicine unless advised by Doctor ! 22

23 ५ से ८ तुलसी के पत्ते + ३० बेल के पत्ते + १ चोट्टा चमच कलि मिर्च, ४ लीटर पानी में ३० मिनट के लिए उबालें इस मिश्रण का १ कप दिन में २ बार पियें आपको Swine Flu कभी नहीं होगा !

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 One arm’s distance from indl with resp infection  Sick pers – isolation for 7 days  Used tissues – proper disposal  Plenty of rest/sleep  Plenty of water  Good nutritious food  Linen used by sick – proper laundry 25 Avoid hand shake, just say hello !

 Gargling  Blowing nose hard  Drinking warm fluids  Jal neti, Sutra neti… if you can  Swabbing nostrils with warm salt water solution  Vit C (Citrus fruits, Amla )  Chavanprash 26

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32 Best treatment to any disease is PREVENTION !

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34 Pass the information

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36 HURRY UP Let us out! ‘Rex’ just sneezed, I think he has ‘Swine Flu’