Swine Flu !

D r AV K R a j u

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Plan

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

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Problem statement.....

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April 2009

Problem statement.....

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

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Imported Vs Local

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The culprit.....

Infl uenza virus A (H1 N1)

“It is a common cold virus” 7

Virus....

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

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So, how does virus spread ?

Human to Human !

Mode of spread: sneeze/cough

Contact (oro-nasal secretions)

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Virus goes to...

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Who are at risk ?

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

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Age wise...

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Incubation period

1 to 2 days

1 day prior to development of illness to 7 - 10 days

Period of infectivity

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Symptoms...

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Symptoms...

No…. not these !15

Symptoms

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Emergency Warning Signs - Children

Fast breathing or trouble breathingSkin developing bluish discolourationNot eating or drinking properlyExcessive IrritabilityFlu recurs with fever and worsened

coughFever with rash

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Emergency Warning Signs - Adults

Difficulty in breathing or shortness of breath

Chest or Abdominal painSudden dizzinessConfusionSevere or persistent cough

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What to do ?

Protection

Consult Doctor immediately

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Investigations...

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

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Govt Authorised Hospitals City Hospital Address Contact

ChennaiKing Institute of Preventive Medicine (24/7 Service) Guindy, Chennai – 32 (044) 22501520, 22501521 & 22501522

Communicable Diseases Hospital Thondiarpet, Chennai (044) 25912686/87/88, 9444459543

Government General Hospital Opp. Central Railway Station, Chennai – 03 (044) 25305000, 25305723, 25305721, 25330300

PuneNaidu Hospital Nr Le'Meridian, Raja Bahadur Mill, GPO, Pune - 01 (020) 26058243

National Institute of Virology 20A Ambedkar Road, Pune - 11 (020) 26006290

Kolkata ID Hospital 57,Beliaghata, Beliaghata Road, Kolkata - 10‎ (033) 23701252

Coimbatore Government General Hospital Near Railway Station,Trichy Road, Coimbatore - 18 (0422) 2301393, 2301394, 2301395, 2301396

Hyderabad Govt. General and Chest Diseases Hospital, Erragadda, Hyderabad (040) 23814939

Mumbai

Kasturba Gandhi Hospital Arthur Road, N M Joshi Marg, Jacob Circle, Mumbai - 11 (022) 23083901, 23092458, 23004512

Sir J J Hospital J J Marg, Byculla, Mumbai - 08 (022) 23735555, 23739031, 23760943, 23768400 / 23731144 / 5555 / 23701393 / 1366

Haffkine Institute Acharya Donde Marg, Parel, Mumbai - 12 (022) 24160947, 24160961, 24160962

Kochi

Government Medical College Gandhi Nagar P O, Kottayam - 08 (0481) 2597311,2597312

Government Medical College Vandanam P O, Allapuzha - 05 (0477) 2282015

Taluk Hospital Railway Station Road, Alwaye, Ernakulam (0484) 2624040 Sathyajit - 09847840051

Taluk Hospital Perumbavoor PO, Ernakulam 542 (0484) 2523138 Vipin - 09447305200

Gurgaon & Delhi

All India Institute of Medical Sciences (AIIMS) Ansari Nagar, Aurobindo Marg Ring Road, New Delhi - 29 (011) 26594404, 26861698 Prof. R C Deka - 9868397464

National Institute for Communicable Diseases 22, Sham Nath Marg,New Delhi - 54 (011) 23971272/060/344/524/449/326

Dr. Ram Manohar Lohia Hospital Kharak Singh Marg, New Delhi - 01

(011) 23741640, 23741649, 23741639Dr. N K Chaturvedi – 9811101704

Vallabhai Patel Chest Institute University Enclave, New Delhi- 07 (011) 27667102, 27667441, 27667667, 27666182

BangaloreVictoria Hospital K R Market, Kalasipalayam, Bangalore - 02 (080) 26703294 Dr. Gangadhar - 94480-49863

SDS Tuberculosis & Rajiv Gandhi Institute of Chest Diseases Hosur Road, Hombegowda Nagar, Bangalore - 29 (080) 26631923 Dr. Shivaraj - 99801-48780

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Medicine ?

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 !

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बा�बा� रा�मदे�व की� ज्ञा�न व�णी� …..  

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५ से� ८ तु�लसे� की� पत्ते� + ३० बा�ल की� पत्ते� + १ चो�ट्टा� चोमचो कीलिल मिमचो!, ४ ल�टरा प�न� म$ ३० मिमनट की� लिलए उबा�ल$ 

इसे मिमश्रणी की� १ कीप दिदेन म$ २ बा�रा पिपयें$ 

आपकी� Swine Flu कीभी� नहीं0 हीं�गा� !

Vaccine... ETA - Oct ‘09

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Prevention

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

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Avoid hand shake, just say hello !

Prevention…

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

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Prevention

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Proper hand wash

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Travel precautions...

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What helps....

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Wear Mask

Never hesitate to consult...

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Remember....

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Best treatment to any disease is...

. . . P R E V E N T I O N !

Do not panic.....

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Last but not the least....

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Pass the information

Questions......

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Thank you

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HURRY UPLet us out! ‘Rex’ just sneezed,

I think he has ‘Swine Flu’