Swine Flu menace in Delhi, 103 fresh cases reported

Delhi on Tuesday had recorded one death due to swine flu and 1,019 positive cases.

Till Monday, the Delhi government had not reported any death due to the flu, but it recorded one death of a Delhi resident on Tuesday, the report said,

However, two Centre-run hospitals here have reported 13 deaths due to swine flu this year. According to senior officials at Safdarjung Hospital, three deaths due to swine flu have been recorded this season, while RML Hospital has reported 10 fatalities.

Nine of the 10 people who died at RML Hospital were from Delhi, and the other one was from outside the city, officials said.

Seasonal Influenza (H1N1) is a self-limiting viral, air-borne disease spread from person-to-person, through large droplets generated through coughing and sneezing, indirect contact by touching a contaminated object or surface (fomite transmission like telephone, cell phones, computers, door handles, door bells, pens, toys etc) and close contact (including handshaking, hugging, kissing), the advisory said.

The symptoms are fever, cough, sore throat, runny or stuffy nose, difficulty in breathing. Other symptoms may include body ache, headache, fatigue, chills, diarrhoea and vomiting and blood-stained sputum.

There are three categories of H1N1 influenza -- A, B and C.

"No Oseltamivir (medicine) and testing is required for category A patients. They should confine themselves at home and avoid mixing up with public and high-risk members in the family," the advisory said.

In addition to all the signs and symptoms mentioned under category A, if a patient has the high-grade fever and severe sore throat, he or she may require home isolation and Oseltamivir.

In addition to all the signs and symptoms mentioned under category A, individuals having one or more of the high-risk conditions shall be treated with Oseltamivir, it added.

High-risk group includes, children with mild illness but with predisposing risk factors, 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, or those on long-term cortisone therapy, the advisory said.

In addition to the signs and symptoms of categories A and B, if the patient has one or more danger signs, like breathlessness, chest pain, drowsiness, fall in blood pressure, sputum mixed with blood, bluish discolouration of nails, then these patients (under category C) require testing, immediate hospitalisation and treatment, it added.

After holding a state-level review meeting on In?uenza A (H1N1), the Delhi government recently said that all government hospitals in the city are equipped with necessary logistics required for the management of the disease and drug Oseltamivir along with personal protective equipment (PPE kits) and N95 masks are also available.

The advisory also asked people to avoid crowded places in the swine flu season and stay more than an arm's length distance away from persons sick with flu.