H1N1 INFLUENZA (SWINE FLU)

Action Taken Regarding INFUENZA A(H1N1) (SWINE FLU) OF DHENKANAL DISTRICT Formation of Rapid Response Team (RRT) consisting of one DSMO-cum-ADMO(PH), Physician/Pediatrician, Microbiologist/Phathologist and Paramedical Staff to meet any emergency cases of HUMAN INFLUENZA A(H1N1) Opening of control room for HUMAN INFLUENZA A (H1N1) in PH Wing under supervision of       Dr. Pravakar Sahoo, ADMO(PH) and other paramedicals having PH No-06762-226818 Opening of Screening Team for HUMAN INFLUENZA A (H1N1) at DHH, Dhenkanal consisting of following Doctors. Dr. A.K. Tripathy (Medicines Specialist) Dr. R. K. Seth (Peadritics Specialist) Dr. B. Ram (Pathologist) Sanjukta Das (Staff Nurse) Rabi Nayak (Laboratory Tech.) Srinibas Sahu (WA) 4.  One Screening Register is being maintained in central registration unit for suspected cases of      HUMAN INFLUENZA A (H1N1) 5. One isolation ward having 4 beds for suspected cases of HUMAN INFLUENZA A (H1N1) is          functioning from 14.08.09 6. 100 nos of banners of size (8' x 4') carrying different messages on HUMAN INFLUENZA A (H1N1)     will be displayed at different prominent palaces of the district for information. 7. Emergency Swine Flu cell functioning from 8 A.M. to 8 P.M. having phone No- 06762-226818 and the following arrangement have been made accordingly. 8.00 AM to 2.00 PM 2.00 PM to 8.00 PM SI.No Name of the Staffs Designation SI.No Name of the Staffs Designation 1 Dr. G. B. Paikray DSMO 1 Dr. Pravakar Sahoo ADMO(PH) 2 Sri. Syed Mansur Rahim DEO 2 Sri. Durgadutta Satapathy Data Manager 3 Sri. Ganesh Chandra Mohapatra Pharmacist 3 Sri Nagarmohan Mohanty  FI Dhenkanal District Swine Flu Committee Specialist Name of the doctor Telephone No Dist Nodal Officer Dr. P. K. Sahoo 9439980501 Medicine Dr A.K Tripathy 9437313155 Pathology Dr B. Ram 9437093371 Paediatric Dr R.K Seth 9438177802 Other Staffs LT Rabi Naik 9556078778 SN Sanjukta Dash 9438772406 WA Srinibas Sahu 9438663763 Control room 102             State Nodal persons for Swine Flu Name Telephone No Dr S.R Panigrahi 9437086984 Dr L. Pradhan 9437120011 Dr Bikash Pattanaik 9437040564 Control room 0674-2390466       CASE DEFINITION OF H1N1 INFLUENZA — A suspected case of swine influenza A (H1N1) virus infection is defined as a person with acute febrile respiratory illness (fever = 380 C) with onset. within 7 days of close contact with a person who is a confirmed case of swine influenza A (H1N1) virus infection, or within 7 days of travel to areas where there are one or more confirmed swine influenza A(H1N1) cases, or resides in a community where there are one or more confirmed swine influenza cases. A probable case of swine influenza A (H1N1) virus infection is defined as a person with an acute febrile respiratory illness who: is positive for influenza A, but unsubtypable for H1 and H3 by influenza RTPCR or reagents used to detect seasonal influenza virus infection, or is positive for influenza A by an influenza rapid test or an influenza immunofluorescence assay (IFA) plus meets criteria for a suspected case, or individual with a clinically compatible illness who died of an unexplained acute respiratory illness who is considered to be epidemiologically linked to a probable or confirmed case. A confirmed case of swine influenza A (H1N1) virus infection is defined as a person with an acute febrile respiratory illness with laboratory confirmed swine influenza A (H1N1) virus infection at WHO approved laboratories by one or more of the following tests : Real Time PCR Viral culture Four-fold rise in swine influenza A (H1N1) virus specific neutralizing antibodies. Personal Protective Equipment • Masks (N-95) • Gloves • Protective eye wear (goggles) • Hair covers • Boot or shoe covers • Protective clothing (gown or apron) INFLUENZA  A (H1N1) (SWINE FLU) Ministry of Health & Family Welfare Guidelines as on 14.08.09        In order to prevent and contain outbreak of INFLUENZA-A H1N1 virus for screening, testing and isolation following guidelines are to be followed        At first all individuals seeking consultations for flu like symptoms should be screened at healthcare facilities both Government and private or examined by a doctor and these will be categorized as under : Category - A Patients with mild fever plus cough / sore throat with or without body ache, headache, diarrhoea and vomiting will be categorised as Category- A. They do not require Oseltamivir and should be treated for the symptoms mentioned above. The patients should be monitored for their progress and reassessed at 24 to 48 hours by the doctor. No testing of the patient for H1N1 is required. Patients should confine themselves at home and avoid mixing up with public and high risk members in the family. Category - B (I)  In addition to all signs and symptoms mentioned under Category - A, If the patient has high      grade fever and severe sore throat, may require home isolation and Oseltamivir ;   (II) In addition to all the signs and symptoms mentioned under Category - A, individuals having one or more of the following high risk conditions shall be treated with Oseltamivir ; Children less than 5 years old ; Pregnant women ; Persons aged 65 years or older ; Patients with lung diseases, heart disease, liver disease, kidney disease, blood            disorders,  diabetes, neurological disorders, cancer and HIV/AIDS Patients on long term cortisone therapy No tests for H1N1 is required for Category - B (i) and (ii) All  patients of Category - B (i) and (ii) should confine themselves at home and avoid mixing with public and high risk members in the family. Category - C In addition to the above signs and symptoms of Category - A and B, if the patient has one or more of the following : Breathlessness, chest pain, drowsiness, fall in blood pressure, sputum mixed with blood, bluish discolouration of nails ; Irritability among small children, refusal to accept feed. Worsening of underlying chronic conditions. All these patients mentioned above in Category-C require testing, immediate hospitalization and treatment.