Swine Flu !
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Transcript of Swine Flu !
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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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’