swine flu !
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Swine Flu !. Dr AVK Raju. Plan. Problem statement The virus Mode of Spread Symptoms What to do Investigation Where to go Treatment Prevention. Problem statement. April 2009. Problem statement. 17 deaths so far in India (13 Aug 09). Imported Vs Local. The culprit. - PowerPoint PPT PresentationTRANSCRIPT
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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बा�बा� रा�मदे�व की� ज्ञा�न व�णी� …..
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५ से� ८ तु�लसे� की� पत्ते� + ३० बा�ल की� पत्ते� + १ चो�ट्टा� चोमचो कीलिल मिमचो!, ४ ल�टरा प�न� म$ ३० मिमनट की� लिलए उबा�ल$
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’