Swine flu - everything you need to know

Symptoms of Swine Flu

Symptoms in children, emergency warning signs that need urgent medical attention include:

· Fast breathing or trouble breathing · Bluish or gray skin color · Not drinking enough fluids · Severe or persistent vomiting · Not waking up or not interacting · Being so irritable that the child does not want to be held · Flu-like symptoms improve but then return with fever and worse cough

In adults, emergency warning signs that need urgent medical attention include:

· Difficulty breathing or shortness of breath · Pain or pressure in the chest or abdomen · Sudden dizziness · Confusion · Severe or persistent vomiting · Flu-like symptoms improve but then return with fever and worse cough

Revised Guidelines for testing of persons with flu like symptoms reporting at hospitals notified for influenza H1N1

So far, the present guidelines stipulate that a person suspected of influenza A H1N1 need

to be referred to an identified govt. health facility. He/she needs to be kept in an isolation

facility in that hospital and if found positive, is treated accordingly.

In order to make the testing facility for H1N1 more accessible at large and due to the

onset of the Influenza season in the country, it has been decided to revise the existing

guidelines.

Under the new guidelines, 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

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medical officer would decide on the need for testing. Except for cases that are severe, the

patient would be allowed to go home (This was not allowed under the existing guidelines).

The sample of the suspect case would be collected and sent to the notified laboratory for

testing. If tested as positive for H1N1 and in case the symptoms are mild, the patient would

be informed and given the option of admission into the hospital or isolation and treatment at

his own home.

In case 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.

Notwithstanding the above guidelines, the decision of the doctor of the notified hospital

about admitting the patient would be final.

In case the test is negative, the patient will accordingly be informed.

These guidelines have been issued by the Government in public interest and shall be

reviewed from time to time depending on the spread of the pandemic and its severity in the

country. These guidelines would however not apply to passengers who are identified through

screening at the points of entry. The existing policy of isolating passengers with flu like

symptoms would continue.

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Steps to Lessen the Spread of Flu in the Home

When providing care to a household member who is sick with influenza, the most important ways to protect yourself and others who are not sick are to:

· keep the sick person away from other people as much as possible (see “placement of the sick person”) · remind the sick person to cover their coughs, and clean their hands with soap and water or an alcohol-based hand rub often, especially after coughing and/or sneezing. · have everyone in the household clean their hands often, using soap and water or an alcohol-based hand rub

Placement of the sick person:

· Keep the sick person in a room separate from the common areas of the house. (For example, a spare bedroom with its own bathroom, if that’s possible.) Keep the sickroom door closed. · Unless necessary for medical care, persons with the flu should not leave the home when they have a fever or during the time that they are most likely to spread their infection to others · If persons with the flu need to leave the home (for example, for medical care), they should cover their nose and mouth when coughing or sneezing and wear a loose-fitting (surgical) mask if available. · Have the sick person wear a surgical mask if they need to be in a common area of the house near other persons. · If possible, sick persons should use a separate bathroom. This bathroom should be cleaned daily with household disinfectant

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Protect other persons in the home:

· The sick person should not have visitors other than caregivers. A phone call is safer than a visit. · If possible, have only one adult in the home take care of the sick person. · Avoid having pregnant women care for the sick person. (Pregnant women are at increased risk of influenza-related complications and immunity can be suppressed during pregnancy). · All persons in the household should clean their hands with soap and water or an alcohol-based hand rub frequently, including after every contact with the sick person or the person’s room or bathroom. · Use paper towels for drying hands after hand washing or dedicate cloth towels to each person in the household. For example, have different colored towels for each person. · If possible, consideration should be given to maintaining good ventilation in shared household areas (e.g., keeping windows open in restrooms, kitchen, bathroom, etc.).

If you are the caregiver:

· Avoid being face-to-face with the sick person. · When holding small children who are sick, place their chin on your shoulder so that they will not cough in your face. · Clean your hands with soap and water or use an alcohol-based hand rub after you touch the sick person or handle used tissues, or laundry. · Talk to your Doctor about taking antiviral medication to prevent the caregiver from getting the flu. · Monitor yourself and household members for flu symptoms and the local H1N1 Command Center if the symptoms occur.

Household Cleaning, Laundry, and Waste Disposal:

· Throw away tissues and other disposable items used by the sick person in the trash. Wash

your hands after touching used tissues and similar waste. · Keep surfaces (especially bedside

tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a

household disinfectant according to directions on the product label. · Linens, eating utensils,

and dishes belonging to those who are sick do not need to be cleaned separately, but

importantly these items should not be shared without washing thoroughly first. · Wash linens

(such as bed sheets and towels) by using household laundry soap and tumble dry on a hot

setting. Avoid “hugging” laundry prior to washing it to prevent contaminating yourself. Clean

your hands with soap and water or alcohol-based hand rub right after handling dirty laundry. ·

Eating utensils should be washed either in a dishwasher or by hand with water and soap.

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What is the new influenza A(H1N1)? This is a new influenza A(H1N1) virus that has never before circulated among humans. This virus is not related to previous or current human seasonal influenza viruses.

How do people become infected with the virus? The virus is spread from person-to-person. It is transmitted as easily as the normal seasonal flu and can be passed to other people by exposure to infected droplets expelled by coughing or sneezing that can be inhaled, or that can contaminate hands or surfaces. To prevent spread, people who are ill should cover their mouth and nose when coughing or sneezing, stay home when they are unwell, clean their hands regularly, and keep some distance from healthy people, as much as possible. There are no known instances of people getting infected by exposure to pigs or other animals. The place of origin of the virus is unknown.

What are the signs and symptoms of infection? Signs of influenza A(H1N1) are flu-like, including fever, cough, headache, muscle and joint pain, sore throat and runny nose, and sometimes vomiting and diarrhoea.

Why are we so worried about this flu when hundreds of thousands die every year from seasonal epidemics? Seasonal influenza occurs every year and the viruses change each year - but many people have some immunity to the circulating virus which helps limit infections. Some countries also use seasonal influenza vaccines to reduce illness and deaths. But influenza A(H1N1) is a new virus and one to which most people have no or little immunity and, therefore, this virus could cause more infections than are seen with seasonal flu. WHO is working closely with manufacturers to expedite the development of a safe and effective vaccine but it will be some months before it is available. The new influenza A(H1N1) appears to be as contagious as seasonal influenza, and is spreading fast particularly among young people (from ages 10 to 45). The severity of the disease ranges from very mild symptoms to severe illnesses that can result in death. The majority of people who contract the virus experience the milder disease and recover without antiviral treatment or medical care. Of the more serious cases, more than half of hospitalized people had underlying health conditions or weak immune systems.

Most people experience mild illness and recover at home. When should someone seek medical care? A person should seek medical care if they experience shortness of breath or difficulty breathing, or if a fever continues more than three days. For parents with a young child who is ill, seek medical care if a child has fast or labored breathing, continuing fever or convulsions (seizures). Supportive care at home - resting, drinking plenty of fluids and using a pain reliever for aches - is adequate for recovery in most cases. (A non-aspirin pain reliever should be used by children and young adults because of the risk of Reye's syndrome.)

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Is it safe to eat pork and pork products? Yes. influenza A(H1N1) has not been shown to be transmissible to people through eating properly handled and prepared pork (pig meat) or other products derived from pigs. The influenza A(H1N1) virus is killed by cooking temperatures of 160°F/70°C, corresponding to the general guidance for the preparation of pork and other meat.

What can I do to protect myself from catching influenza A(H1N1)? The main route of transmission of the new influenza A(H1N1) virus seems to be similar to seasonal influenza, via droplets that are expelled by speaking, sneezing or coughing. You can prevent getting infected by avoiding close contact with people who show influenza-like symptoms (trying to maintain a distance of about 1 metre if possible) and taking the following measures: · avoid touching your mouth and nose; · clean hands thoroughly with soap and water, or cleanse them with an alcohol-based hand rub on a regular basis (especially if touching the mouth and nose, or surfaces that are potentially contaminated); · avoid close contact with people who might be ill; · reduce the time spent in crowded settings if possible; · improve airflow in your living space by opening windows; · practise good health habits including adequate sleep, eating nutritious food, and keeping physically active.

What about using a mask? What does WHO recommend? If you are not sick you do not have to wear a mask. If you are caring for a sick person, you can wear a mask when you are in close contact with the ill person and dispose of it immediately after contact, and cleanse your hands thoroughly afterwards. If you are sick and must travel or be around others, cover your mouth and nose. Using a mask correctly in all situations is essential. Incorrect use actually increases the chance of spreading infection.

How do I know if I have influenza A(H1N1)? You will not be able to tell the difference between seasonal flu and influenza A(H1N1) without medical help. Typical symptoms to watch for are similar to seasonal viruses and include fever, cough, headache, body aches, sore throat and runny nose. Only your medical practitioner and local health authority can confirm a case of influenza A(H1N1).

What should I do if I think I have the illness? If you feel unwell, have high fever, cough or sore throat: · stay at home and keep away from work, school or crowds; · rest and take plenty of fluids; · cover your nose and mouth when coughing and sneezing and, if using tissues, make sure you dispose of them carefully. Clean your hands immediately after with soap and water or cleanse them with an alcohol-based hand rub;

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· if you do not have a tissue close by when you cough or sneeze, cover your mouth as much as possible with the crook of your elbow; · use a mask to help you contain the spread of droplets when you are around others, but be sure to do so correctly; · inform family and friends about your illness and try to avoid contact with other people; · If possible, contact a health professional before traveling to a health facility to discuss whether a medical examination is necessary.

Should I take an antiviral now just in case I catch the new virus? No. You should only take an antiviral, such as oseltamivir or zanamivir, if your health care provider advises you to do so. Individuals should not buy medicines to prevent or fight this new influenza without a prescription, and they should exercise caution in buying antivirals over the Internet.

What about breastfeeding? Should I stop if I am ill? No, not unless your health care provider advises it. Studies on other influenza infections show that breastfeeding is most likely protective for babies - it passes on helpful maternal immunities and lowers the risk of respiratory disease. Breastfeeding provides the best overall nutrition for babies and increases their defense factors to fight illness.

When should someone seek medical care? A person should seek medical care if they experience shortness of breath or difficulty breathing, or if a fever continues more than three days. For parents with a young child who is ill, seek medical care if a child has fast or labored breathing, continuing fever or convulsions (seizures). Supportive care at home - resting, drinking plenty of fluids and using a pain reliever for aches - is adequate for recovery in most cases. (A non-aspirin pain reliever should be used by children and young adults because of the risk of Reye's syndrome.)

Should I go to work if I have the flu but am feeling OK? No. Whether you have influenza A(H1N1) or a seasonal influenza, you should stay home and away from work through the duration of your symptoms. This is a precaution that can protect your work colleagues and others.

Source : WHO

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Airport Command Centre Below are the contact details of the BIAL and Rajiv Gandhi Institute of Chest Diseases BIAL Contact Details – 91-80- 66782258/52 BIAL Swine Flu Center - 91-80-22001490 SDS Hospital & Rajiv Gandhi Institute of Chest Diseases 91-80-26568834/26631928

Keep it handy Information that you need to keep handy Your Passport Number Your Flight Number Your Seat No Date of Journey Boarding Port Transit Port if any Destination Port Telephone Contact Details - Mobile No / Landline No if any Local Address

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H1N1 Testing Procedure at the Hospital

H1N1 Testing Procedure at the Hospital 1. First you will have to meet the Doctor informing him/her that you have come for H1N1 test.

2. After that you will have to register at the OPD of the Hospital

3. The Hospital guards will be your best friend while you are at the facility and will guide you through the registration and Lab Procedures

4. Typically the doctor will ask you to get a chest X Ray and Blood test done

5. When you go for the X Ray center make sure that you breathe in when the X Ray is performed, the technician may forget to tell you this and your X Ray may not be of any use and you will have to wait for another day.

6. Get your Chest X Ray done before 1:30 pm as the X Ray center closes after that

7. The Blood collection and testing center is adjacent to the OPD and you may have to go there and give your blood sample. Do not forget to ask the Technician the time when you can collect the report.

8. After you have given your blood sample and got you chest X Ray done, the doctor will advise you to go and wait in the Swine Flu Isolation Ward.

9. In the mean time if you are hungry, you are free to go and have food.

10. After you go back to the Swine Flu Isolation Ward, a Intern will take the details mentioned in the ‘Information that you need to keep handy’ from you, he/she will check your BP, Heart Beat, Weight and other relevant medical details.

11. In case your Blood report has not come to the Isolation Ward and the ward is under staffed, you will have to go and collect your report from the Lab, make sure you reach the Lab before 4 pm.

12. Around 3:30 pm the Doctor will come to the Isolation ward and check your reports and will examine you for the Flu Symptoms

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13. In case you have some of the Flu Symptoms you will be given a mask immediately and your swab sample will be sent to National Institute for Communicable Diseases, New Delhi or the National Institute of Virology, Pune.

14. Depending on the severity of your symptoms you may be allowed to go home or you may be isolated at the Quarantine facility

15. If your tests are normal you will be allowed to go home and you can heave a sigh of relief that you did not contact the Virus.

Some Important Links

WHO : http://www.who.int/csr/disease/swineflu/en/index.html

MoHFW Swine Flu Site: http://mohfw.nic.in/SWINEFLU.htm

Wikipedia : http://en.wikipedia.org/wiki/2009_flu_pandemic

Important Information for Swine Flu Treatment in Mumbai

The Union Government has identified the Kasturba Hospita,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. Doctors from the Hospital are round the clock screening the passengers at the Airport. Kasturba Hospital Arthur Road, Sane Guruji Marg, Mumbai 400011 Ph: 022- 23083901 / 23092458 / 23000889, The Government has also identified the following hospitals as the facilities for Swine Flu testing Sir JJ Hospital J J Marg, Byculla, Mumbai – 08 Ph- 91-22- 23735555, 23739031, 23760943,23768400 / 23731144 / 5555 / 23701393 / 1366 Haffkine Institute Acharya Donde Marg, Parel, Mumbai – 12 Ph- 91-22- 24160947, 24160961, 24160962

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Important Information for Swine Flu Treatment in Pune

The Union Government has identified the Dr. Naidu Infectious Disease Hospital, Pune the facility in Pune for testing, isolation, and critical care of suspected/ confirmed swine flu patients. The Pune Airport(Lohegaon) Authorities have set up a screening facility at the Pune Airport(Lohegaon) for all the inbound passengers flying to Pune, to prevent clock. Dr. Naidu Infectious Disease Hospital Pune Ph:91-20-26683232

Important Information for Swine Flu Treatment in 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. Doctors from the Hospital are round the clock screening the passengers at the Airport. Yellow Fever Quarantine Centre, Near AAI Residential Colony, New Delhi 91-11-25652129 Influenza Ward, Ward no 5, Second Floor, New Building, RML Hospital, Delhi-1 RML- 91-11-24525211,23404328,23365525- Ext 4328

The Government has also identified the following hospitals as the facilities for Swine Flu testing All India Institute of Medical Sciences(AIIMS) Ansari Nagar, Aurobindo Marg Ring Road, New Delhi- 29 Ph- 91-11- 26594404, 26861698 National Institute for Communicable Diseases 22, Sham Nath Marg, New Delhi- 54 Ph- 91-11- 23971272/060/344/524/449/326 Vallabhai Patel Chest Institute University Enclave,New Delhi-07 Ph- 91-11- 27667102, 27667441, 27667667, 27666182

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Airport Command Centre Below are the contact details of the BIAL and Rajiv Gandhi Institute of Chest Diseases BIAL Contact Details – 91-80- 66782258/52 BIAL Swine Flu Center - 91-80-22001490 SDS Hospital & Rajiv Gandhi Institute of Chest Diseases 91-80-26568834/26631928

Important Information for Swine Flu Treatment in 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. Doctors from the Hospital are round the clock screening the passengers at the Airport. Beliaghata Infectious Diseases Hospital, 57, Beliaghata Main Road, Kolkata Ph:91-33-23701252

Important Information for Swine Flu Treatment in 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. Doctors from the Hospital are round the clock screening the passengers at the Airport. Govt. General and Chest Diseases Hospital, Erragadda , Hyderabad Hospital Helpline Number - 040-23814939

Important Information for Swine Flu Treatment in 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. Communicable Disease Hospital, 87, T.H. Road, Tondiarpet, Chennai, Tamil Nadu Ph- 91-44- 25912686/87/88 The Government has also identified the following hospitals as the facilities for Swine Flu testing

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Chennai King Institute of Preventive Medicine (24/7 Service) Guindy, Chennai – 32 Ph- 91-44- 22501520, 22501521 & 22501522 Government General Hospital Opp. Central Railway Station, Chennai – 03 Ph- 91-44- 25305000,25305723,25305721,25330300

Important Information for Swine Flu Treatment in 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.

Airport Command Centre Below are the contact details of the BIAL and Rajiv Gandhi Institute of Chest Diseases BIAL Contact Details – 91-80- 66782258/52 BIAL Swine Flu Center - 91-80-22001490 SDS Hospital & Rajiv Gandhi Institute of Chest Diseases 91-80-26631923

H1N1 Testing Procedure at the Airport 1.Each passenger flying in from an International Location is required to fill in a Form which he or she will be given at the airport. 2.Passengers flying in from USA,Mexico,Germany, Canada,Austria,New Zealand, Spain,Israel, Ireland,El Salvador, Republic of Korea, China, Italy and UK are specially examined for Swine Flu symptoms 3.A passenger who has Flu symptoms such as Fever, Cold and Cough is immediately handed a mask. 4.The passenger is then sent to Rajiv Gandhi Institute of Chest Diseases, Bangalore. 5.The passenger is kept in isolation for 24 hours or till the time his or her routine test results are available. 6.If the tests are positive the person is quarantined and kept in the isolation ward. 7.If the tests are negative then the person is allowed to go home.

Hospital Details SDS TUBERCULOSIS & RAJIV GANDHI INSTITUTE OF CHEST DISEASES

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(Govt. of Karnataka) Hosur Road Bangalore - 560 029 Karnataka, India Helpline No: 91-80-26631923

Victoria Hospital

K R Market, Kalasipalayam, Bangalore-02, Ph- 91-80-26703294

Important Information for Swine Flu Treatment in cities across India

Below are the list of Hospitals identified by Government of India as the facalities for Swine Flu isolation and critical care.

Ahmedabad

Civil Hospital attached to Medical College, Asarwa, Ahmedabad, Gujarat-380016 Ph- 91-79-22681024/ 22680074

Goa

Cottage Hospital, Chikalem, Goa (Isolation Ward) 0832-2540864 Goa Medical College & Hospital, Panjim, Goa (Critical Care) Ph-91-832-2458721, 2752438

Srinagar

Govt Medical College, Sri Maharaja Hari Singh Hospital, Karan Nagar, Srinagar-190010, J&K (both isolation and critical care) Sher-e-Kashmir Institute of Medical Sciences, Srinagar, Jammu & Kashmir

Thiruvanathanapuram

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General Hospital, Thiruvanathanapuram, Kerala-695025 (Isolation and Critical care) Ph- 91-471-2444270

Malappuram

District Hospital, Manjeri, Malappuram, Ph- 91-483-766880 Kerala

Ernakulum

Taluk Head Quarter Hospital, Perumbavoor, Ernakulum District, Kerala-683542 (Isolation) Ph- 91-484- 2523138 Taluk Head Quarter Hospital, Railway Station Road, Alwaye, Ernakulam Ph 91- 484-2624040 Government Medical College Vandanam P O, Allapuzha - 05 Ph- 91- 477-2282015 Government Medical College Gandhi Nagar P O, Kottayam - 08 Ph- 91- 481-2597311, 2597312

Mangalore

District Wenlock Hospital, Mangalore, Karnataka (Isolation and critical care) Ph- 91-824-2425038 (Causality)

Nagpur

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Govt Medical College and Hospital, Nagpur,Maharastara-444003 (Isolation and critical care) Swine Flu Ward: 0712-2750730 [GMC- MS -0712- 2750427, 2749311]

Amritsar

Jallian Wala Bagh Memorial Civil Hospital, Ram Bagh, Amritsar, Punjab Ph-91-183-2552464

Jaipur

Infectious District Hospital, Near Charak Bhawan, SMS Medical College, Jaipur, Rajasthan Ph- 91-141-2564434 ( Dr. Vyas)

Coimbatore, Trichy and Mannapari

Annal Gandhi Memorial Hospital, Puthur, Trichy-17, Tamil Nadu (Isolation and Critical care) Ph- 91-431-2771168/2771445 Dist. Headquarter Hospital, Mannapari (Isolation Facility) Ph-91-4332-260518 Coimbatore Medical College Hospital, Trichy Road, Coimbatore, Tamil Nadu (Isolation and Critical care) Ph 91-422-2301393, 2301394, 2301395, 2301396

Lucknow

Balrampur District Hospital, Lucknow, Uttar Pradesh-226001 (Isolation and Critical care)

Varanasi

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Shree Shiv Prasad Gupta District Hospital, Kabir Chaura, Varanasi Uttar Pradesh (Isolation and critical care) Pandit Deen Dayal Upadhya Govt Hospital, Pandeypur, Varanasi, Uttar Pradesh-221002 (Isolation and Critical care) Ph 91-9451006046 (Dr Kanta Prasad) Source : Ministry of Health and Family Welfare, Govt of India. PS: Personal contact numbers are displayed with prior consent of the individual.

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Influenza H1N1 List of State Nodal Officers and contact details of Control Room

STATE CONTROL ROOM (ADD. & CONTACT) NODAL OFFICER ANDHRA PRADESH Office of The Addl. Director (Health Services),

Hyderabad. 040-24656852(T) [24x7]

Dr Ramswarup [09989923781]

ARUNACHAL PRADESH

SSU IDSP, Directorate of Health Services, Naharlagun, Arunachal Pradesh. Tel: 0360-2245460 Telefax:: 0360-2244271 (During office hours)

Dr.L.Jampa [09436055743] [24x7]

ASSAM Office of the Director (Health Services), Guwahati. 0361-2235577 0361-2261630 0361-2261089 [24x7]

Dr Doley 0361-2642008 09854066560

BIHAR Office of the Executive Director, State Health Society, Sheikhpura, Patna. 0612-2280562 0612-2281232 0612-2290322(F) [24x7]

Mr. Santosh Mathew (IAS) Dr D K Gupta (Addl.Nodal officer)- 09430057795 Control Room In-charge (Dr BK Singh: 9470003023)

CHHATISHGARH State Surveillance Unit (IDSP), Directorate Health services, Old Nurses Hostel, DKS Mantralya Campus,Raipur 0771-2220011 [24x7]

Dr T K Agarwal (Deputy Director, Epidemic)-Nodal officer: 09926624162 Dr S N M Murti (Addl.N.O) 09425564418

GUJARAT Office of Dy.Director (Epid) Commisionerate of Health Services Block No:5, Dr.Jivaraj Mehta Bhawan, Old Sachivalaya , Ahmedabad, Gujarat Tel: 079-23253334 Fax: 079-23250818 [24X7]

Dr.S.J.Gandhi [09825342899]

GOA Call Centre: 0832- 2458458 Dr.Tamba (09822123801)

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Influenza H1N1 List of State Nodal Officers and contact details of Control Room

[24X7]

HIMACHAL PRADESH

IDSP Cell, Directorate of Health Services, Kasumti, Shimla-9 Tel/Fax: 0177-2628046 [ during office hours]

Dr.Vinod Mehta(09418163500) [24x7]

HARYANA Office of the Director (Health Services),Sector-6, Panchkula 0172-2587346 [During office hours]

Dr.Aparajita Sondh (Nodal Officer) 09417931024 [24x7]

JAMMU-KASHMIR Office of DHS, Srinagar, J& K Tel/Fax. No (0194) 2452697 (main) 2452052,2454706,2430141 (24x7)

Dr.M.Ahmed (09419012355) Dr.Bashir Ahmed Dar (Addl.N.O) (09419017716)

JHARKHAND RIMS, RANCHI Chamber of Dr. A. K. Mathur (HOD Medicine) (09431176496) (RIMS acting as Control Room)

Dr C.B Sharma (094311740820 Dr.Pradeep Baski (09431102461)

KERALA Office of Addl.DHS (Public Health), Near Govt. General Hospital Trivandrum TF:(0471) 2466828 [24X7]

Dr. Amar 09447451846 DR. SHAUKAT ALI (Joint Director,NICD)-09447702444 Dr K K Mohammad-09447327569

KARNATAKA Office of the Director (Health and Family Welfare),Anand Rao Circle, Bangalore-9 Phone no: 080-1056 [24X7]

Dr.Chelluraj 09901060584 Dr.Vasudev Murthi 09880024329

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Influenza H1N1 List of State Nodal Officers and contact details of Control Room

MAHARASHTRA

Mumbai Room no.137,First Floor, Swasthaya Bhawan,Mumbai. 022-22029070 022-22025830 [24X7]

Dr. Gawande (09420711426) Dr Awate-09423337556

Pune Office of the Joint Director (Health Services), Central Building , Pune 020-26124299 [24X7]

Dr. Desai-09822429266 Dr. Suresh Bohatre 09881364656

MEGHALAYA Office of DHS, Medical Institutions Nokrek Bldg. 3rd

Dr.R.R.Lanong, (09436102763)

Secretariat, Shillong, Meghalaya TF:(0364)2506498 [Office hour only] Control room no 0364-2505842 Civil hospital Shilling [24x7]

MANIPUR Medical Directorate, Office of DHS, Manipur Room no-23 Lamphelpat Manipur-795004 0385-2411668 (9am-6pm)

Dr Bhubon Chandra [09436021607]

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Influenza H1N1 List of State Nodal Officers and contact details of Control Room

MADHYA PRADESH State Surveillance Unit, Directorate Health Services,

Satpura Bhavan, Bhopal 0755-4094192(TF) [Office hours only]

Dr. B N Chauhan 09826282249

MIZORAM Civil hospital Aizwal 0389-2322318 102

Dr Sangawalar 0389-2313721

NAGALAND SSU IDSP, Directorate of Health Services& FW, T.R .Hill, KOHIMA-797001. Tel:(0370)2245016 [Office hours only]

Dr.Kebichusa (09436000463) [24x7]

ORISSA State Surveillance Unit, Director of Health Services, Heads of the Department Buildings, Bhubaneshwar. 0674-2390466 (TF) [24x7]

Dr. V. Patnaik 0674-2390466

PUNJAB Pariwar Kalyan Bhawan, Sector-34A, Chandigarh. Tel:(0172) 2621506

Dr. Deepak Bhatia 09814302403 [24x7] 0172-2621506(0)/0172-2620234(Fax)

RAJASTHAN Office of the Director (Public Health), Swasthaya Bhawan, Jaipur. 0141-2225624 0141-2224831(F) [

Mr. R K Meena ,IAS, Principal Sect.(Health)- Nodal Officer Dr. O P Gupta(Addl.Nodal Officer)-0141-2229858 09829333936

SIKKIM SSU IDSP, Health & F.W. Govt. of Sikkim 03592-204199 [Office hours only]

Dr.Y.D.Chingappa (09832079576) Tel:(03592)204199

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Influenza H1N1 List of State Nodal Officers and contact details of Control Room

TRIPURA DHS building

PN Building Gurkha Basti Agartala Tel/Fax:(0381) 2215879

Dr P Chatterjee (09436120711) Dr.R.K. Dhar (09436137652)

TAMILNADU Office of the Director (Public Health &Preventive Medicine), Central Malaria Laboratory, 359,Annasalai,Chennai-6 044-24321569 (TF) [24X7]

DR. Elango, DHS, (09940610123)

UTTARAKHAND Office of DHS, IDSP, 107,Chander Nagar, Dehradun TF: 0135-2721792 0135-2729897 [Office Hours only]

Dr.Pankaj Jain(09412969502) [24x7]

UTTAR PRADESH Swasthaya Bhawan,Luknow Control Room No-Tel:(0522)2616482 Fax:(0522)2622819 [24X7]

Dr Pyaremohan Srivastava 0522-2629106(TF) (09415181629)

WEST BENGAL Chamber of Joint Director (Health Services), Swasthaya Bhawan, Sector-5,GN Block, Kolkata-91 (033)-23571192 [ 10 am to 7 pm on working days] [11 am to 4:30 pm on Saturday and Holidays]

Dr.Bhaskar Bhattacharya, Jt.DHS 033-23330180 (09831187818)

ANDAMAN AND NICOBAR

G.B.Pant Hospital, Port Blair Tel:03192-230622,233473

Dr.Abhijit Roy,Dy.Director (H) (09474269315) T/F: (03192-232797)

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Influenza H1N1 List of State Nodal Officers and contact details of Control Room

CHANDIGARH Govt. Multispecialty Hospital,

Sector-16, Chandigarh. Call Centre:102 Tel:(0172) 2700255

Mr. H.C. Gera (09988212139) (0172)-2740408

DADRA AND NAGAR HAVELI

Office of DHS, Silvassa. T/F (0260)2642061,2641759 CONTROL ROOM NO- 0260-2642120

Dr.L.M.Patra DHS (09426117593)

DAMAN AND DIU CHC, Daman. Tel:(0260)2230080 Fax:(0260)2230570 [24x7]

Dr.B.Hansraj (Daman) (09825142600) Dr.Das (Silvassa) Tel:0260-2642961,26422120

DELHI DHS Office Tel:22307145 (24X7)

Dr.R.P.Vashist (09212222456)/22305657(O),23646049(O),23646173(F)

LAKSHADWEEP Office of DHS, Tel:(04896)262316 [Office hours only]

Dr.K P Hamza Koya (DHS)-Nodal officer(09496429027,04896-262113) 04896-262089,04896-262209(F) Dr K. Attakoya (Addl.Nodal officer)-04896-262109,262317

PUDUCHERRY Call Centre:(24X7) Tel: (0413)1070 (0413)1077

Dr.G.S.Naidu (09443729783) Tel:(0413)2249357

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Influenza H1N1 List of airports along with identified Isolation/Critical care Facilities

City Airports Isolation/Critical Care Facility Hyderabad (Andhra Pradesh)

Govt. General and Chest Diseases Hospital, Erragadda , Hyderabad, Andhra Pradesh 040-23814939 [Dr. Prasad – 9849902995]

Ahmedabad (Gujarat)

Civil Hospital attached to Medical College, Asarwa, Ahmedabad, Gujarat-380016 [Dr. Ancheliah – 09426347531]

Goa 1. Cottage Hospital, Chikalem, Goa (Isolation Ward) [0832-2540864] 2. Goa Medical College & Hospital, Panjim, Goa (Critical Care) [Dr. Suhas- 09011025066]

Srinagar (Jammu & Kashmir)

1. Govt Medical College, Sri Maharaja Hari Singh Hospital, Karan Nagar, Srinagar-190010, J&K

[SMHS - Dr. Wasim Qureshi – 09419000231] (both isolation and critical care) 2. Sher-e-Kashmir Institute of Medical Sciences, Srinagar, Jammu & Kashmir [Prof. Dr Bhukhari 09419000318]

Thiruvanathanapuram (Kerala)

1. General Hospital, Thiruvanathanapuram, Kerala-695025 [Dr. Suresh - 09447030291] { Isolation and Critical care} 2. District Hospital, Manjeri; District-Malappuram, Kerala

Dr. Ramani – 09447157128, Krishna – 9388014526] {Isolation}

3. Taluk Head Quarter Hospital, Perumbavoor, Ernakulum District, Kerala-683542 {Isolation} [Dr. Rosy Sebastian - 09846948926

Dr. Sudha Karan – 9446505990]

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Influenza H1N1 List of airports along with identified Isolation/Critical care Facilities

Bangalore (Karnataka) Mangalore (Karnataka)

1. Dr. Rajiv Gandhi Institute of Chest Diseases and SDS TB Hospital Hosur Road, Near NIMHANS, Bangalore-29, Karnataka {Isolation and critical care}

[Dr. S. Buggi - 09448042579 Dr. Nagraj- 09448057093] 2. District Wenlock Hospital, Mangalore, Karnataka

{Isolation and critical care} [Dr. Prabhudev- 09480015944 Dr. Jagannath - 09448166113 Fax – 08242445664]

Mumbai (Maharastra)

Kasturba Hospital, Sane Guruji Marg, Mumbai-11,Maharastara {Isolation and critical care} [Dr. Umesh Aigal – 09820935680, 022-23083901, 02,03,04]

Pune (Maharastra)

Dr. Naidu Infectious Disease Hospital, Pune, Maharastra {Isolation and critical care} [Dr. Barathe – 09923130909]

Nagpur (Maharastra)

Govt Medical College and Hospital, Nagpur,Maharastara-444003 {Isolation and critical care} Swine Flu Ward: 0712-2750730 [GMC- MS -0712- 2750427, 2749311, Dr. Khade- 09422139720]

Amritsar (Punjab)

Jallian Wala Bagh Memorial Civil Hospital, Ram Bagh, Amritsar, Punjab [Dr. Kakkar – 09815576862]

Jaipur (Rajasthan)

Infectious District Hospital, Near Charak Bhawan, SMS Medical College, Jaipur, Rajasthan [Dr.P. D.Vyas - 0141-2564434, 518392 2605148 Dr. Sen - 9887806450, Dr. Girdhari - 9414772483 Dr. Somundra – 9829620508]

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Influenza H1N1 List of airports along with identified Isolation/Critical care Facilities

Chennai (Tamil Nadu) Tiruchirapalli (Tamil Nadu) Coimbatore (Tamil Nadu)

1. Communicable Disease Hospital, 87, T.H. Road, Tondiarpet, Chennai, Tamil Nadu {Isolation Facility}

[Dr. Lakshmi- 044-25912688. M- 09841250567]

2. Annal Gandhi Memorial Hospital, Puthur, Trichy-17, Tamil Nadu {Isolation and Critical care} [Dr. Veerapande – 09443913446]

3. Dist. Headquarter Hospital, Mannapari {Isolation Facility}

[Dr. Veerapande – 09443913446] 4. Coimbatore Medical College Hospital, Trichy Road, Coimbatore, Tamil Nadu

{Isolation and Critical care} [Dr. Kumaran – 09442012555]

Lucknow (Uttar Pradesh) Varanasi (Uttar Pradesh)

1. Balrampur District Hospital, Lucknow, Uttar Pradesh-226001 {Isolation and Critical care}

[Dr. P. N. Srivastva – 9415181629] 2. Shree Shiv Prasad Gupta District Hospital, Kabir Chaura, Varanasi

Uttar Pradesh {Isolation and critical care} 3. Pandit Deen Dayal Upadhya Govt Hospital, Pandeypur, Varanasi, Uttar Pradesh-

221002

{Isolation and Critical care}

[Dr. Kanta Prasad - 9451006046, Dr. R. S. Verma – 09415301513]

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Influenza H1N1 List of airports along with identified Isolation/Critical care Facilities

Kolkata (West Bengal)

Beliaghata Infectious Diseases Hospital, 57, Beliaghata, Main Road, Kolkata {Isolation and Critical Care} [Dr. Vishwanath 09433392182 Dr. Vishwas -09434009077]

DELHI Yellow Fever Quarantine Centre, Near AAI Residential Colony, New Delhi [APHO- 25652129, Dr S.K Singh:09868252314]

Influenza Ward, Ward no 5, Second Floor, New Building, RML Hospital, Delhi-1 [RML- 24525211,23404328,23365525- Ext 4328]

24x7

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