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  • Ronan Kelly
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    Re: Cases dropping in India?

    A(H1N1) epidemic on a downward curve, says Health Secretary



    Ramya Kannan
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    CHENNAI: The A(H1N1) epidemic is on a definite down curve in the State, Principal Secretary, Health, V.K. Subburaj, has said.

    ?The dip has begun and clearly, we can say that the epidemic is reaching a milestone in Tamil Nadu,? S. Elango, Director of Public Health, told The Hindu. Every epidemic has a down curve and the A(H1N1) has finally got there. The tapering off has taken place over the last month. The total number of suspected cases of A (H1N1) in Tamil Nadu was 18,564 as of October 31. The number of positive cases was 1814.

    There have been eight deaths in the State directly attributed to A(H1N1) and though there have been insinuations of other deaths that were not reported, Dr. Elango said all those claims were verified and found to be false. The number of cases had certainly dropped since the first case was recorded in June and subsequently rose over the months, peaking at 716 cases in September. In October it dropped to 404.

    The deaths occurred in some cases even after the treatment was completed, indicating that drug resistance was a bigger problem than was being recorded formally, Dr. Elango said. Also, public health officials had gathered ample evidence to prove that there was a carrier stage in the epidemic during which people harbouring the virus might not necessarily be ill.

    He indicated that the State was interested in examining the validity of chloroquinine (used in the treatment of malaria) in treating this influenza.

    While Chennai initially led the epidemic, the surrounding districts caught up over the months. The capital city continues to be the top, with 781 out of the total cases coming from here. As many as 250 cases are from neighbouring Kancheepuram and 98 from the northern neighbour Tiruvallur. The largest percentage of cases (35) affected the 6-14 age group, followed by the 21-40 age group, 29 per cent.

    Mr. Subburaj said that the number of cases in Coimbatore, however, seemed to have gone up, comparatively. ?Even if we are on a down curve, it does not mean we can slacken. The vigil is up. Laboratories will continue to test and in Coimbatore, specially, we have taken up screening in schools as a preventive measure.?

    Monitoring


    Airports and seaports were being monitored by health officials in order to detect infections. Twenty-two airports across the nation continued to be under the scanner and the total passengers screened till date was 78,92,245.

    Till date, samples from 73,149 persons have been tested for Influenza A(H1N1) in government laboratories and a few private laboratories across the country and 13,861 (18.9 per cent) of them found to be positive, according to data from the Ministry of Health and Family Welfare. The Ministry?s update also mentions an increasing number of ?indigenous? cases as opposed to the beginning of the epidemic when travellers from abroad brought the flu into the country.

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  • Ronan Kelly
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    Re: Cases dropping in India?

    H1N1 on the wane in city, cases down to 10-12 a day
    TNN 1 November 2009, 11:42pm IST

    NEW DELHI: Five months after the first case of H1N1 influenza was reported in India, the panic surrounding it has almost subsided and the number of
    new cases, too, has drastically gone down. Till a month back, close to 100 new cases were confirmed every day while at present the number is around 10-12
    . Experts feared that the second wave of the infection, which is going to be more virulent, might hit India in October-November. Luckily, they are seeing no sharp changes in the H1N1 influenza strain, but caution that it might come anytime.

    Lack of awareness about the infection, its treatment modalities, etc, resulted in the initial panic. "But now the panic is gone. People know about H1N1 and are reporting in the early stages of the infection. Now, the number of cases have also come down. Initially, we were testing a large number of people for the infection, as little was known about it and the number of people coming for screening were more. But now, doctors are not testing people showing mild symptoms,'' said Dr Randeep Guleria, professor, medicine, AIIMS.

    So far in Delhi, 3,588 cases have tested positive, including the 17 people who succumbed to the infection. "Till a month ago, we were getting 50-80 cases every day, but now the number is very less around 10-12,'' said Dr Anjan Prakash, additional nodal officer, Delhi government. The government's decision to give permission to private labs and hospitals to test and treat H1N1 patients has been instrumental in bringing down the panic level among general public.

    But experts don't rule out the second wave of the infection. Though it was predicted to hit India in October-November, it is yet to arrive. "We call it a `wave' as it will have its high and low points. This could be the low point of the first wave. Winter has just begun to set in and and this infection will spread faster in cold temperature,'' said a scientist at National Institute of Communicable Diseases (NICD). But luckily, the H1N1 influenza strain seen in India has not mutated ever since it entered the country. "But it can mutate anywhere and anytime,'' added the scientist.

    The magnitude of second wave, the virulence of the virus and how it will behave is something experts are uncertain about. "With this pandemic, we were fortunate. We fought the pandemic with a drug. A large number of people (close to 90-95%) get infected but show no symptoms of the disease and develop anti-bodies. And those who tested positive have developed anti-bodies against the infection. Even if the second wave comes, we are well-prepared and not many people will suffer. In the first wave also, the strain was fairly virulent, but complications were seen in a very small percentage of people, mostly those who were immuno-compromised,'' said Dr VM Katoch, DG-ICMR. But experts say it is too early to make predictions about the second wave.
    Five months after the first case of H1N1 influenza was reported in India, the panic surrounding it has almost subsided and the number of new cases, to

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  • Ronan Kelly
    replied
    Re: Cases dropping in India?

    Suspected swine flu admissions continue
    Snehlata Shrivastav, TNN 20 October 2009, 03:28am IST

    NAGPUR: Although the swine flu positive cases have been on the decrease, the number of admitted suspected cases continue to range between 5-7 from
    the last couple of months as the private hospitals are in no mood to take any risk and continue to refer every suspected case (even a simple pneumonia) to the Government Medical College and Hospital (GMCH). The proof of this is an increase in H1N1 negative deaths in the swine flu isolation ward. Out of the 18 deaths so far, only seven tested positive for H1N1, as per reports from the National Institute of Virology (NIV), Pune. Even the H1N1 positive number has long been stagnant at 77.
    On Monday the ward had six admitted patients, including one new admission of a 71-year-old suspected woman from Trimurti Nagar, who has complications like hypertension, and diabetes on late Sunday night.

    Two girls, aged 4 and 7, continue to be on high flow oxygen.
    Out of the 18 deaths so far, only seven tested positive for H1N1, as per reports from the National Institute of Virology (NIV), Pune.

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  • Ronan Kelly
    replied
    Re: Cases dropping in India?

    Swine flu: State urged to send team to study situation



    Special Correspondent

    Number of positive cases in the district on the rise
    Three die so far in the district
    Awareness campaign continues

    VISAKHAPATNAM: The district administration has asked the State government to send a team of senior officials to the district to study the swine flu situation and give suggestions and support to control it, according to district Collector J. Syamala Rao.

    Three so far died due to swine flu, two of them in the last few days, and more number of positive cases are being reported in the district in the recent past. Nineteen swine flu positive cases have been reported, including three deaths, while nine are being treated at the Government Hospital for Chest and Communicable Diseases here. Even as the number of swine flu cases is reportedly on decline in other parts of the State, including Hyderabad from which many positive cases and deaths have been reported, swine flu positive cases are on the rise in the district. Cases are also being reported form rural areas. If a team from the State government, including a Principal Secretary visited the district, it could understand the situation and give suggestions, Mr. Syamala Rao said at a press conference he addressed along with District Medical and Health Officer J. Sarojini, Joint Collector S. Satyanarayana and District Revenue Officer D.V. Reddy here on Monday.

    Meanwhile the awareness campaign about swine flu symptoms and the need to approach a designated testing centre would be stepped up and the number of beds in the Chest Hospital had been doubled to 20.

    Ten beds in KGH


    King George Hospital has allotted 10 beds, the officials said.

    On the awareness campaign, Mr. Syamala Rao and Dr. Sarojini said Medical Officers and ANMs of PHCs and Sub-Centres were told to continue the programme. The private hospitals and nursing homes were told to refer all swine flu cases to the chest hospital. Awareness camps were being conducted for the RMPs, to whom the rural people approach mostly.

    Mr. Syamala Rao said that establishing a swine flu testing centre would be an expensive affair but treatment for suspected cases was started even before the result of the test was received from Hyderabad.

    Dr. Sarojini said a patient from Arilova was being discharged on Monday and staff from here had gone to the area to explain to the locals that the patient?s presence would not cause them any problem. The staff would also check the area for swine flu cases.

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  • Ronan Kelly
    replied
    Re: Cases dropping in India?

    10 test +ve in PMC, PCMC areas
    TNN 17 October 2009, 05:48am IST|

    PUNE: Five students were among the 10 people who tested positive for the H1N1 flu in Pune and Pimpri-Chinchwad on Friday.


    The infected students include one each from Vidyaniketan, Pimple Nilakh; Abhinav Mandir, Ajinthanagar; a PCMC school in Akurdi; St Josheph school, Pashan; and MIT, Kothrud.

    "Three students have been quarantined at a designated H1N1 flu treatment centre, while the other two have been home-quarantined," Ashok Mehta, joint director of state health services, said.

    Around 6,675 people were also screened for the virus across the district, of which 379 suspected patients were administered Tamiflu. Nearly 30,863 patients have been given the drug so far, Mehta added.

    At present, 14 persons are being treated at the isolation ICUs of private and government-run hospitals in PMC and PCMC limits. Nine of them are critical and have been put on ventilators, Mehta said. "Forty eight patients were discharged on Friday," he added.

    A total of 4,378 patients have been discharged after treatment so far. Of these, 913 were positive and 3,465 were suspected cases. Around 5.77 lakh people have been screened across the district till date, Mehta said.
    Five students were among the 10 people who tested positive for the H1N1 flu in Pune and Pimpri-Chinchwad on Friday.

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  • Ronan Kelly
    replied
    Re: Cases dropping in India?

    Heat brings down incidence of H1N
    TNN 17 October 2009, 04:11am IST

    MUMBAI: The October heat, which has been giving Mumbaikars a tough time, has helped in reducing the number of swine flu cases in the city. According
    to the World Health Organisation (WHO) predictions, the incidence of swine flu has drastically reduced this month because of the heat wave.


    In the first fortnight of October, only 3,793 patients were screened and 531 throat samples were sent for testing. Of these, only 20 people or a mere 3% tested positive. This is in sharp contrast to the 33% and 46% positivity rate recorded in August and September respectively.

    "The positivity is increasingly going down. This is because the H1N1 virus thrives in cooler temperatures. Fortunately, the heat came to our rescue,'' said additional municipal commissioner Manisha Mhaiskar.

    "The fact that we started administering Tamiflu to those with symptoms resulted in a dip in the number of swab throats in September,'' said Mhaiskar.

    Meanwhile, the BMC is preparing for the second H1N1 wave, likely to hit the city in the winters. "We have trained 400 doctors. A 10-bedded ICU is ready at KEM and Nair hospitals. Another in Sion will also be ready soon,'' he said.

    Malaria stings city

    Intermittent rainfall, said civic executive health officer Dr Jairaj Thanekar, resulted in an increase in malaria cases. This year, 6,63,046 blood samples were collected as against last year's 5.5 lakh.
    According to the World Health Organisation (WHO) predictions, the incidence of swine flu has drastically reduced this month because of the heat wave.

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  • Ronan Kelly
    replied
    Re: Cases dropping in India?

    Three more swine flu deaths, 152 fresh cases

    --------------------------------------------------------------------------------
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    Share Print E-mail Comment[ - ] Text [ + ]STAFF WRITER 19:29 HRS IST
    New Delhi, Oct 15 (PTI) Three more persons succumbed to swine flu in the country today, taking the toll to 405, even as 152 fresh cases of the disease were reported.

    Delhi reported the maximum of 46 fresh swine flu cases, followed by Kerala (19), Tamil Nadu and Maharashtra (19 each), Karnataka (17) and Haryana (14).

    One death was reported from Maharashtra which has seen the maximum number of people succumbing to the disease. Two deaths have been reported from Gujarat.

    The total number of deaths due to swine flu in the country rose to 405 and the number of infected people touched 12,486.

    Till date, samples from 66388 people have been tested for swine flu. Of the 152 cases reported today, six have foreign travel history and the rest are indigenous cases.

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  • Ronan Kelly
    replied
    Re: Cases dropping in India?

    26 new swine flu cases in Delhi
    Swine flu cases in the Capital have reached the 3,230 mark after 26 swab samples tested positive for the respiratory disease on Tuesday.

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  • Ronan Kelly
    replied
    Re: Cases dropping in India?

    Kerala - Thrissur

    Swine flu: 25 fresh cases reported

    Thrissur: In the wake of increase in swine flu cases in the district, the collector has called an emergency meeting of private hospital authorities on Wednesday. Twenty five more suspected swine flu cases were reported from the district on Tuesday. Throat and nasal swabs of four cases were sent for test, according to district medical office sources.?Staff Reporter

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  • Ronan Kelly
    replied
    Re: Cases dropping in India?

    Drop in swine flu cases

    Staff Reporter

    Number of H1N1 positive patients comes down from 60 to single digit in the last fortnight

    Authorities ask people to be alert, as second phase of H1N1 virus turns active in US, Europe


    HYDERABAD: The swine flu epidemic in the State capital and elsewhere is gradually getting contained going by the drop in number of cases and deaths reported for last few days.

    This was stated by Government Chest Hospital Superintendent S.V. Prasad in an interactive session on H1N1 organised by the Federation of Andhra Pradesh Chambers of Commerce and Industry on Monday. The numbers of H1N1 positive patients have come down from 60 to single digit number in the last fortnight.

    The fatalities due to H1N1 virus have also come down drastically, authorities informed.

    Preventive measures

    Authorities, however, requested public to be on alert, as the second phase of the H1N1 virus is becoming active in United States and Europe.

    ?We have to continue taking preventive measures because the H1N1 virus can become virulent in the coming winter in the State. So we have to be prepared for the worst,? Mr. Prasad said.

    He suggested that the business community should come forward in containing the infection from spreading to others and ensure that timely treatment was given to the affected persons instead of depending on the government for help.

    Mr. Prasad explained in detail the symptoms of the virus and its treatment along with precautionary measures to be taken. He later answered various questions raised by participants, especially students on swine flu during the interactive session.

    Principal Secretary (Health) L.V. Subramanyam said 2.49 lakh persons were screened at Rajiv Gandhi International Airport at Shamshabad after the flu outbreak and 1,888 throat swabs were collected. Of them, 679 tested positive and 42 deaths were reported till now.

    As travellers and marketing people were more vulnerable for the infection, the managements should provide at least one room for those having flu symptoms in the companies. He advised people to maintain personal hygiene to prevent its spread.

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  • Ronan Kelly
    replied
    Re: Cases dropping in India?

    169 fresh cases of swine flu across country

    STAFF WRITER 20:58 HRS IST
    New Delhi, Oct 12 (PTI) No deaths due to swine flu occurred today but 169 new cases of the disease was reported from across the country with the maximum number being from Kerala.

    The new cases were reported from Delhi (42), Tamil Nadu (20), Kerala (47), Maharashtra (35) and Uttar Pradesh (7).

    Of the 169 cases reported today, two have a foreign travel history and the rest are indigenous.

    Till date, 12,043 people have been afflicted with swine flu and 389 patients have succumbed to the H1N1 virus nationwide.


    Maharashtra, which is one of the worst affected states in the country, has cured and discharged 3,586 patients.

    Till date, 10,19,886 people were examined for swine flu and 50,193 suspected patients were put on Tamiflu treatment in the state.

    After examining, 3,822 persons were found positive. Of these, 3,586 persons are cured and discharged.

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  • Ronan Kelly
    replied
    Re: Cases dropping in India?

    96 fresh cases of swine flu reported

    STAFF WRITER 20:33 HRS IST
    New Delhi, Oct 11 (PTI) Ninety-six fresh cases of swine flu were reported today from across the country, according to the Union Health Ministry.

    The largest number of cases were from Maharashtra which reported 44 cases followed by Delhi (24) and Kerala (nine).

    Of the 96 cases reported during the day, two have foreign travel history and rest are indigenous cases.

    However, no deaths were reported due the disease today, it said.

    With the fresh infections the total number of cases reported in the country has risen to 11,874. The total number of deaths is 389, the ministry said.

    Samples from 50,049 persons have been tested for H1N1 in government laboratories and a few private laboratories across the country of which 11,874 (23.7 per cent) have been found positive, it said.

    "47,748 passengers have been screened at 22 airports with 83 counters manned by 225 doctors and 172 paramedics.

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  • Ronan Kelly
    replied
    Re: Cases dropping in India?

    I have not come across any, and believe me, I have been looking. From the numbers of confirmed cases and fatalities, it seems like the initial wave crested in mid September. Cases are down in Delhi, Andhra Pradesh, Karnataka, Mumbai, Nagpur. Pune seems to be still fairly high, but not growing. Kerala, Puducherry and Tamil Nadu are reporting more cases, but still only in single digits. As the weather cools, authorities fear it will pick up again, but it seems to be a bit of a lull right now.

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  • gsgs
    replied
    Re: Cases dropping in India?

    do they have charts in India ?

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  • Ronan Kelly
    replied
    Re: Cases dropping in India?

    Two more test positive for swine flu
    TNN 11 October 2009, 04:12am IST

    PUNE: Two more schools in the district reported positive cases for H1N1 influenza on Saturday. The joint director of state health services, Ashok
    Mehta said that an eight-year-old student from Dnyandeep Vidya Mandir and a six-year-old student of Zilla Parishad primary school, Brahmanwadi, tested positive.

    "Both the students have been quarantined at the designated hospitals in Pimpri and their condition is improving. Screening of children and staffers was undertaken at both the schools on Saturday," Mehta added.

    "Over 111 schools and colleges in the district have reported positive cases of swine flu in last one-and-a-half month," said Mehta.

    "As many as 19 people tested positive for H1N1 influenza in the district on Saturday, taking the total number of positive cases to 1,419. Over 10,677 people visited various screening centres in the district. Of these, 479 suspected people have been given Tamiflu tablets," Mehta added.

    He said that 23 critical patients are currently being given treatment for swine flu at various hospitals in the PMC and the PCMC limits. Of this number, 12 patients are on ventilators. There are 149 patients admitted at various designated hospitals in PMC and PCMC for the treatment of H1N1 flu. On Saturday some 94 people were discharged after completing the treatment.

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