India & N1H1 Virus (Swine Flu)

2. total confirmed cases worldwide
162380
* Last Updated Date and Time, 09/08/2009 (13:12 IST)
** Source: WHO, Indian Media Reports

3. total confirmed cases worldwide
162380
total deaths worldwide
1154
* Last Updated Date and Time, 09/08/2009 (13:12 IST)
** Source: WHO, Indian Media Reports

4. total confirmed cases worldwide
162380
total deaths worldwide
1154
total confirmed cases in india
721
* Last Updated Date and Time, 09/08/2009 (13:12 IST)
** Source: WHO, Indian Media Reports

5. total confirmed cases worldwide
162380
total deaths worldwide
1154
total confirmed cases in india
721
total deaths in india
4
* Last Updated Date and Time, 09/08/2009 (13:12 IST)
** Source: WHO, Indian Media Reports

6. swine flu is spreading

7. “33% indians likely to
get h1n1”:
union health minister
ghulam nabi azad
But most people would suffer only
mild symptoms of the disease, he
added.

8. what is our
government saying?

9. “It's a global pandemic. If countries across the
world - around 168 till now - are suffering from
a H1N1 outbreak, so will India”.

10. “there is no need to panic as India is still much
better off than most countries across the globe
who ha been hit harder by the pandemic”.
ve

11. “We will see many more positive cases of H1N1
infection and maybe more deaths, exactly similar
to what is happening across the globe. The virus is
highly contagious. People should self report and
not wait for government to track them down”.

12. “it hasn't even reached the pandemic stage in
India. We ha been able to keep the virus quiet
ve
for so long, the industrialized countries such as
UK, US, Canada, Australia and Argentina were
reporting positive cases in lakhs every week”.

13. “In England, there were 30,000 cases of H1N1 last
week and 1.10 lakh cases the week before. Around
36 people ha died there so far.
ve
In Argentina, they ha registered a total of 7.62
ve
lakh cases of flu of which 93% are H1N1
infections. They ha had 337 deaths”.
ve

14. “The US, which has stopped recording positive
cases, has at present 6,506 people hospitalized with
H1N1 infection and 436 deaths.
In Australia, there are around 30,000 confirmed
H1N1 cases with 85 deaths”.

15. india’s answer to
n1h1 (swine flu)

16. “two of India's innovative interventions - entry
screening at airports and ports and mass scale
contact tracing - ha proved a sa
ve ver. `` r else, by
O
now we would ha had crores of H1N1 infected
ve
people”.

17. “We ha till now screened over 45 lakh passengers
ve
in 22 international airports.
Every third H1N1 positive case in India was
identified through airport screening. And then
we tracked down every single person the infected
patient may ha come in contact with, looking
ve
for H1N1 symptoms in them.
Till now, over 8,000 contacts of infected patients
ha been traced and given prophylactic
ve
treatment besides those who were found to be
H1N1 positive”.

18. “Till now, it is clear that the virus is city centric.
Not a single case has come up from the villages.
Shutting a school wouldn't mean you can stop
students from attending parties and meeting
friends in the evening where they can get the
infection.
Schools must stay open”.

19. steps by the indian
government to check
n1hi (swine flu)

20. More thermal scanners at all international airports in the country, besides
Delhi. They would be installed on an emergency basis.

21. More thermal scanners at all international airports in the country, besides
Delhi. They would be installed on an emergency basis.
The national stockpile of Oseltamivir or Tamiflu will be
increased by another 20 million capsules.

22. More thermal scanners at all international airports in the country, besides
Delhi. They would be installed on an emergency basis.
The national stockpile of Oseltamivir or Tamiflu will be increased by another
20 million capsules.
The testing capacity of existing 19 designated laboratories
would be doubled.

23. More thermal scanners at all international airports in the country, besides
Delhi. They would be installed on an emergency basis.
The national stockpile of Oseltamivir or Tamiflu will be increased by another
20 million capsules.
The testing capacity of existing 19 designated laboratories would be doubled.
Guidelines for granting approval to private diagnostic
laboratories for testing influenza A H1N1 ha been finalised
ve
and communicated to the states. Only labs that conform to
these guidelines would be allowed to testing for influenza A
(H1N1).

24. More thermal scanners at all international airports in the country, besides
Delhi. They would be installed on an emergency basis.
The national stockpile of Oseltamivir or Tamiflu will be increased by another
20 million capsules.
The testing capacity of existing 19 designated laboratories would be doubled.
Guidelines for granting approval to private diagnostic laboratories for
testing influenza A H1N1 ha been finalised and communicated to the states.
ve
Only labs that conform to these guidelines would be allowed to testing for
influenza A (H1N1).
Teams of senior officers from the central government will
visit every state headquarter to assess the preparedness in terms
of isolation capacity and clinical assessment in different
hospitals both in the private and government sectors.

25. More thermal scanners at all international airports in the country, besides
Delhi. They would be installed on an emergency basis.
The national stockpile of Oseltamivir or Tamiflu will be increased by another
20 million capsules.
The testing capacity of existing 19 designated laboratories would be doubled.
Guidelines for granting approval to private diagnostic laboratories for
testing influenza A H1N1 ha been finalised and communicated to the states.
ve
Only labs that conform to these guidelines would be allowed to testing for
influenza A (H1N1).
Teams of senior officers from the central government will visit every state
headquarter to assess the preparedness in terms of isolation capacity and
clinical assessment in different hospitals both in the private and government
sectors.
To ensure availability of adequate testing reagents, it was
decided that another 22,000 kits would be procured immediately
in addition to the 27,000 kits recently procured.

26. More thermal scanners at all international airports in the country, besides
Delhi. They would be installed on an emergency basis.
The national stockpile of Oseltamivir or Tamiflu will be increased by another
20 million capsules.
The testing capacity of existing 19 designated laboratories would be doubled.
Guidelines for granting approval to private diagnostic laboratories for
testing influenza A H1N1 ha been finalised and communicated to the states.
ve
Only labs that conform to these guidelines would be allowed to testing for
influenza A (H1N1).
Teams of senior officers from the central government will visit every state
headquarter to assess the preparedness in terms of isolation capacity and
clinical assessment in different hospitals both in the private and government
sectors.
To ensure a vailability of adequate testing reagents, it was decided that
another 22,000 kits would be procured immediately in addition to the 27,000
kits recently procured.
Three Indian companies are already working for development
of vaccines for influenza A H1N1.

27. More thermal scanners at all international airports in the country, besides
Delhi. They would be installed on an emergency basis.
The national stockpile of Oseltamivir or Tamiflu will be increased by another
20 million capsules.
The testing capacity of existing 19 designated laboratories would be doubled.
Guidelines for granting approval to private diagnostic laboratories for
testing influenza A H1N1 ha been finalised and communicated to the states.
ve
Only labs that conform to these guidelines would be allowed to testing for
influenza A (H1N1).
Teams of senior officers from the central government will visit every state
headquarter to assess the preparedness in terms of isolation capacity and
clinical assessment in different hospitals both in the private and government
sectors.
To ensure a vailability of adequate testing reagents, it was decided that
another 22,000 kits would be procured immediately in addition to the 27,000
kits recently procured.
Three Indian companies are already working for development of vaccines for
influenza A H1N1.
It is for the states to decide about closure of schools after
assessing the situation prevailing in the affected areas.

28. symptoms &
precautions

29. Symptoms In children
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

30. Symptoms In Adults
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

31. Precautions: Lessen Spread of Flu at Home
keep the sick person away from other people as much
as possible (see “placement of the sick person” – next
slide)
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.
ha everyone in the household clean their hands
ve
often, using soap and water or an alcohol-based
hand rub

32. Placement of 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 lea the home when they ha a
ve ve
fever or during the time that they are most likely
to spread their infection to others
Ha the sick person wear a surgical mask if they
ve
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

33. Protect other person at home
A phone call is safer than a visit.
If possible, ha only one adult in the home take
ve
care of the sick person.
A void ha ving pregnant women care for the sick
person.
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.
If possible, consideration should be given to
maintaining good ventilation in shared household
areas (e.g., keeping windows open in restrooms,
kitchen, bathroom, etc.).

34. If you are a care giver
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.

35. Household cleaning & waste management
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.

36. Let’s fight it out. Together we can.