Swine Flu and its recent outbreak

2. National Institute of Management
21st Mid Career Management Course
2
Current Issue Presentation
Swine Flu Epidemic : Hype or Realty?
By
M Anwar-ul-Haq ( PAS)
ADS Ms. Shagufta Waris
Faculty Advisor:
Date: 18-9-1215 April 2016

3.  Currency of the Issue
 Introduction
 Analysis
 Issues for Policy-Makers
 Way Forward with Implementation
Strategy
 Conclusion
315 April 2016

4. 415 April 2016

5. 515 April 2016

6. Currency
615 April 2016

7. 715 April 2016

8. • Video insert here
815 April 2016

9. 915 April 2016

10. • Swine flu is typically respiratory disease of pigs
• It is type of influenza like illness and pigs are the
main source of swine flu
1015 April
2016
Introduction

11. • Swine to human
• Human to human
– Through touch
– Sneezing
– Coughing
1115 April 2016
Transmission

12. Avian Virus
Human Virus
Swine Virus
Avian/Human
Reassorted Virus
Reassortment in Pigs 1215 April 2016

13. Source: WHO
1315 April 2016

14. • People who are around pigs
• Pork Sausages
• Intensive farming
• Globalization
• Video
14
15 April 2016

15. 15
0
500
1000
1500
2000
2500
3000
3500
4000
Major countries infected by swine flu
TotalnumberofDeaths
N America
South America
Europe
Asia
15 April 2016

16. Comparison with other flu
S NO FLU YEAR DEATHS
1 Spanish flu 1918-19 50-100 M
2 Asian flu 1956-58 1-4 M
3 Hong Kong flu 1968-69 1-4 M
4 Seasonal flu Every year 250000
5 Swine flu 2009-2010 16500
15 April 2016 16

17. 17
0
1
2
3
4
5
6
7
8
9
1
Rawalpindi
Multan
Lahore
Okara
Karachi
15 April 2016

18. o Runny Nose
o Cough
o Fever
o Vomiting and Diarrhea
o Difficulty in Breathing
15 April 2016 18

19. • Quarantine
• Travel precaution
• School closure
• Hand wash
1915 April 2016

20.  Tami Flu
 Plenty of Rest
 Eat Nutritious Food
 Manage Stress
 Drinking Plenty of Water
2015 April 2016

21. o Stay at home
o Utilize personal protective
equipment (PPE)
o Hand Wash
2115 April 2016

22. • False pandemic flu campaign in Mexico City
• UK, March 2010 nexus of Doctors with
Pharmaceutical companies
• Tami flu headed by Donald Rumsfeld
• Latest purchase by USA, UK and India
• No Relevance to Pakistan
2215 April 2016

23. SWOT Analysis
Strength
• No Pig farming
• Pig meat-Haram
• Hot weather conditions
Weaknesses
• Poor immunization
• No stocking of drugs
• Minimum resources
• Screening facilities
• Diagnostic facilities
2315 April 2016

24. SWOT Analysis
Opportunities
• Strengthening of EPI
• Data Collection
• Better health facilities
Threats
• Awareness
• Dense population
• Globalization
• Proximity - India and
China
2415 April 2016

25. o Swine flu is a Reality
o Few casualties and effect subsided
o Pakistan is not prepared to tackle it
2515 April 2016

26. Issue For Policy Makers
o Development of vaccine for humans
o Conflict of Interest
o General awareness
o Stocking of medicines
o Diagnostic facilities
o Inclusion in curriculum
2615 April 2016

27. Recommendations

28. Screening Facilities
Implementation strategy
• Screening facilities at
– Air ports
– Sea ports
– Land routes
Resources
• Federal government
Outcome
Spotting out carrier
2815 April 2016

29. Drug and allied facilities
Implementation strategy
• Stocking of medicine
• License to Private medical
store
• Isolation ward in Taluka and
District level
Resources
• Federal and Provincial
government
Outcome
Better Control and management
2915 April 2016

30. Linkage between veterinary expert and
epidemiologist
Implementation strategy
• Regular interaction between
epidemiologist and veterinary
expert at District and
Provincial level
Resources
• Health and Livestock
department
Outcome
Early identification
3015 April 2016

31. Implementation strategy
• Establishment of Data
collection cell at National
and provincial level
Resources
• Health Department
Outcome
Evidence base decision making
Evidence based Decision Making
3115 April 2016

32. Implementation Strategy
• Establishment of Data
collection cell at
National, Provincial and
District level
Resources
• Federal and Provincial
Ministry of health
15 April 2016 32
Outcome
Evidence based decision making

33. Awareness
Implementation strategy
• Seminar and awareness
programme
• Electronic and print media
• Inclusion in curriculum.
Resources
• Ministry of Health,
Information and
Education
Outcome
Minimization in chances of outbreak
3315 April 2016

34. Team of Expert to declare Influenza
• Team at National level
be constituted to
suggest to Government
to declare severity of
swine flu
Resources
• Team of 10 member
including 1x member
from each province, and
Federal Government and
Gilgi and AJK and two
members from Fed Govt
34
Outcome
Avoid wastage of money and confusion in public
15 April 2016

35. He has forbidden you only dead
animals, and blood, and the flesh of
swine...” (Quran 2:173)
"Truly, Allah loves those who turn to
Him constantly and He loves those who
keep themselves pure and clean." (Al
Baqarah 2:222
3515 April 2016