Men who made history

Sanofi Pasteur Global leaders of vaccines, headquarters at Lyon, France It’s the Vaccine division of Sanofi Aventis Group A company entirely devoted to vaccines A proud history of innovation in vaccines A company with the broadest range of vaccines. More than 1.6 billion doses of vaccines provided to immunize more than 500 million people in the world

Global leaders of vaccines, headquarters at Lyon, France

It’s the Vaccine division of Sanofi Aventis Group

A company entirely devoted to vaccines

A proud history of innovation in vaccines

A company with the broadest range of vaccines.

More than 1.6 billion doses of vaccines provided to immunize more than 500 million people in the world

Sanofi Pasteur’s Vaccines against 20 diseases Bacterial diseases: Pertussis Diphtheria Haemophilus influenzae type b i nfections Meningococcal meningitis Pneumococcal infections Tetanus Tuberculosis Typhoid fever Cholera Viral diseases: Yellow fever Mumps Poliomyelitis Measles Rubella Influenza Hepatitis A Hepatitis B Rabies Japanese encephalitis Chickenpox

Flu a burden in School-Going Children Annual attack rate exceeds 30% , during outbreaks Influenza attack is associated with: Average 3 days of fever Average 5 days of absenteeism from school Influenza contributes to parental absenteeism 73% of parents with children aged 3-6years 34% of parents with children aged 7 years or more Neuzil KM et al. The effect of influenza on hospitalizations,outpatient visit and courses of antibiotics in children,NEJM 2000,342:225-31 Heikkinen T et al.Illness symptoms and absences due to influenza in different age groups of children ICS 2004, 1263:101-4

Annual attack rate exceeds 30% , during outbreaks

Influenza attack is associated with:

Average 3 days of fever

Average 5 days of absenteeism from school

Influenza contributes to parental absenteeism

73% of parents with children aged 3-6years

34% of parents with children aged 7 years or more

Neuzil KM et al. The effect of influenza on hospitalizations,outpatient visit and courses of antibiotics in children,NEJM 2000,342:225-31

Heikkinen T et al.Illness symptoms and absences due to influenza in different age groups of children ICS 2004, 1263:101-4

Flu ‘ A varying disease caused by varying virus’ School going children are specially at risk. Can carry the virus to household and infect other family members.

School going children are specially at risk.

Can carry the virus to household and infect other family members.

Common Symptoms of Flu High Fever Chills Sore throat Muscle pain Headache Coughing General weakness & discomfort Flu/ Influenza is not a Common Cold

High Fever

Chills

Sore throat

Muscle pain

Headache

Coughing

General weakness & discomfort

Flu is Highly Contagious Spreads quickly within a group of people: Family, schools, public transport, hostels are the ideal setting for the spread of Flu. Flu is a major problem in collective facilities.

Spreads quickly within a group of people:

Family, schools, public transport, hostels are the ideal setting for the spread of Flu.

Flu is a major problem in collective facilities.

How does it spread? Flu virus is transmitted in tiny droplets as people Sneeze Cough Talk Infection is facilitated by close contact There is 1-2 days gap between getting the virus and getting the disease. One can pass on the virus to others by any of the above before and after getting sick.

Flu virus is transmitted in tiny droplets as people

Sneeze

Cough

Talk

Infection is facilitated by close contact

There is 1-2 days gap between getting the virus and getting the disease.

One can pass on the virus to others by any of the above before and after getting sick.

How to differentiate flu from common cold ? JAMA 2000; 284 (13): 1740

Impact of Flu 1 infected child Infected Teachers Internal contagiousness External contagiousness Family contagiousness Infected Family members Infected co-students Disease control costs Treatment Costs Missing imp classes Missing exams No extra curricular activities Medical Costs Absenteeism

Cost of Treatment (Hidden) Direct Costs Medical costs Diagnostic cost Indirect Costs Missing out exams Missing out the Dusshera / Diwali

Direct Costs

Medical costs

Diagnostic cost

Indirect Costs

Missing out exams

Missing out the Dusshera / Diwali

Why flu is important to discuss? Flu more common in children Flu more severe in children Flu more severe in children with conditions Effect on asthma Effect on Otitis Media (pain in the ear) Effect on antibiotics used Effect in high risk diseases Children shed virus for longer time and are important source of transmission

Flu more common in children

Flu more severe in children

Flu more severe in children with conditions

Effect on asthma

Effect on Otitis Media (pain in the ear)

Effect on antibiotics used

Effect in high risk diseases

Children shed virus for longer time and are important source of transmission

Flu cost matches Flu-ridden Sri Lanka looking to wrap up series Charlie Austin Cricinfo’s Sri Lankan correspondent, July 21, 2005 (.…) Muttiah Muralitharan was confined to his bed trying to shake off the flu . The other flu-ridden players - Mahela Jayawardene, Thilan Samaraweera, Chaminda Vaas and Sanath Jayasuriya- looked perkier than the previous day but hardly pictures of good health as they worked out gently in the morning. (…) The only hope is that no -one else succumbs to a virus that started from the top, the manager and captain, before spreading like wildfire. Sachin, Yuvi , pacers battle flu Bristol, August 23, 2007 – The Tribune Sachin Tendulkar, Zaheer Khan, Ajit Agarkar, R P Singh and Yuvraj Singh are suffering from influenza or body ache or both on the eve of the second ODI against England on Friday. This, beside the distraction of the burgeoning confrontation between the BCCI and the Indian Cricket League.

Vaccination in School: a win-win program SCHOOL BENEFITS Healthy & satisfied students (prevention program offer) Better productivity (Not missing exams and other activities due to flu) STUDENT BENEFITS Medical benefits (disease risk and contagiousness is reduced) Social benefits (possible extension of the vaccination program to other family members) Indirect protection to other family members, friends & teachers. Better Learning Absentism due to flu is minimised A flu free school A flu free community

Key benefits for School By avoiding absenteeism and missing out important classes due to flu By avoiding missing out of exams & other school activities By demonstrating your interest in social and health benefits towards students Ensures better results from the students (better athletes & academicians. Better participation in school activities A Flu free school