In the wake of threat posed by the A (HINI) influenza, the government has authorised a number of hospitals across the country to test and treat cases of swine flu:
All India Institute of Medical Sciences -- Ansari Nagar, Aurobindo Marg Ring Road, New Delhi
Phone: (011) 26594404, 26861698 Professor R C Deka 9868397464.
National Institute for Communicable Diseases, 22, Sham Nath Marg, New Delhi - 54
Phone: (011) 23971272/060/344/524/449/326.
Dr Ram Manohar Lohia Hospital, Kharak Singh Marg, New Delhi - 01
Phone: (011) 23741640, 23741649, 23741639, Dr N K Chaturvedi 9811101704.
Vallabhai Patel Chest Institute University, Enclave, New Delhi- 07
Phone: (011) 27667102, 27667441, 27667667, 27666182
Kasturba Gandhi Hospital, Arthur Road, N M Joshi Marg, Jacob Circle, Mumbai - 11
Phone: (022) 23083901, 23092458, 23004512
Sir J J Hospital, J J Marg, Byculla, Mumbai - 08
Phone: (022) 23735555, 23739031, 23760943, 23768400 / 23731144 / 5555 / 23701393 / 1366
Haffkine Institute, Acharya Donde Marg, Parel, Mumbai - 12
Phone: (022) 24160947, 24160961, 24160962
ID Hospital, 57,Beliaghata, Beliaghata Road, Kolkata - 10
Phone: (033) 23701252
Victoria Hospital, K R Market, Kalasipalayam, Bangalore - 02
Phone: (080) 26703294 Dr. Gangadhar - 94480-49863
SDS Tuberculosis & Rajiv Gandhi Institute of Chest Diseases, Hosur Road, Hombegowda Nagar, Bangalore - 29
Phone: (080) 26631923 Dr. Shivaraj - 99801-48780.
Chennai King Institute of Preventive Medicine (24/7 Service) Guindy, Chennai 32
Phone: (044) 22501520, 22501521 & 22501522
Communicable Diseases Hospital Thondiarpet, Chennai
Phone: (044) 25912686/87/88, 9444459543
Government General Hospital, Opp Central Railway Station, Chennai 03
Phone: (044) 25305000, 25305723, 25305721, 25330300
Hospital Nr Le''Meridian, Raja Bahadur Mill, GPO, Pune - 01
Phone: (020) 26058243
National Institute of Virology, 20A Ambedkar Road, Pune - 11
Phone: (020) 26006290
Government Medical College, Gandhi Nagar P O, Kottayam - 08
Phone: (0481) 2597311,2597312
Government Medical College, Vandanam P O, Allapuzha - 05
Phone: (0477) 2282015
Taluk Hospital, Railway Station Road, Alwaye, Ernakulam
Phone: (0484) 2624040 Sathyajit 09847840051,
Taluk Hospital, Perumbavoor PO, Ernakulam 542
Phone: (0484) 2523138, Vipin - 09447305200
Government General Hospital, near Railway Station, Trichy Road, Coimbatore - 18
Phone: (0422) 2301393, 2301394, 2301395, 2301396
Govt General and Chest Diseases Hospital, Erragadda, Hyderabad
Phone: (040) 23814939
(C)
Saturday, August 15, 2009
10 Home remedies to avoid swine flu
Are the rising swine flu casualties giving you jitters?
Not sure how you can avoid falling prey to the growing epidemic?
First and foremost, there is absolutely no need to panic. Watching television to keep tabs on the progress of H1N1, particularly in the badly affected areas like Pune, is all right. But don't let the hysterical anchors get under your skin and start wearing a mask each time you step out of the house, unless you are visiting a very crowded area. Then too, the mask will protect you only for a specified period. Without giving in to the swine flu panic and creating a stockpile of Tamiflu and N-95 masks at home and enriching pharma companies, there are a number of other measures you can take to ensure that the virus is not able to get you, irrespective of which part of the world you are in. It is essential to remember that all kinds of viruses and bacteria can attack you when your immune system is weak, or they can weaken it easily. Hence, building your own defences would be a better, more practical, long-lasting and much more economical idea. Here are some easy steps you can take to tackle a flu virus of any kind, including swine flu. It is not necessary to follow all the steps at once. You can pick and choose a combination of remedies that suit you best. However, if you are already suffering from flu, these measures can help only up to an extent. And, if you have been infected by H1N1, visiting a hospital and staying in solitary confinement is a must.
1. Have five duly washed leaves of Tulsi (known as Basil in English; medicinal name Ocimum sanctum) everyday in the morning. Tulsi has a large number of therapeutic properties. It keeps throat and lungs clear and helps in infections by way of strengthening your immunity.
2. Giloi (medicinal name Tinospora cordifolia) is a commonly available plant in many areas. Take a one-foot long branch of giloi, add five to six leaves of Tulsi and boil in water for 15-20 minutes or long enough to allow the water to extract its properties. Add black pepper and sendha (salt used during religious fasts), rock or black salt, or Misri (crystalised sugar like lumps to make it sweet) according to taste. Let it cool a bit and drink this kadha (concoction) while still warm. It will work wonders for your immunity. If giloi plant is not available, get processed giloi powder from Hamdard or others, and concoct a similar drink once a day.
3. A small piece of camphor (kapoor) approximately the size of a tablet should be taken once or twice a month. It can be swallowed with water by adults while children can take it along with mashed potatoes or banana because they will find it difficult to have it without any aides. Please remember camphor is not to be taken everyday, but only once each season, or once a month.
4. Those who can take garlic, must have two pods of raw garlic first thing in the morning. To be swallowed daily with lukewarm water. Garlic too strengthens immunity like the earlier measures mentioned.
5. Those not allergic to milk, must take a glass of hot or lukewarm milk every night with a small measure of haldi (turmeric).
6. Aloe vera (gwarpatha) too is a commonly available plant. Its thick and long, cactus-like leaves have an odourless gel. A teaspoon gel taken with water daily can work wonders for not only your skin and joint pains, but also boost immunity.
7. Take homeopathic medicines — Pyrogenium 200 and Inflenzium 200 in particular — five tablets three times a day, or two-three drops three times a day. While these are not specifically targeted at H1N1 either, these work well as preventive against common flu virus.
8. Do Pranayam daily (preferably under guidance if you are already not initiated into it) and go for morning jog/walk regularly to keep your throat and lungs in good condition and body in fine fettle. Even in small measures, it will work wonders for your body’s resistance against all such diseases which attack the nose, throat and lungs, besides keeping you fit.
9. Have citrus fruits, particularly Vitamin C rich Amla (Indian gooseberry) juice. Since fresh Amla is not yet available in the market (not for another three to four months), it is not a bad idea to buy packaged Amla juice which is commonly available nowadays.
10. Last but not the least, wash your hands frequently every day with soap and warm water for 15-20 seconds; especially before meals, or each time after touching a surface that you suspect could be contaminated with flu virus such as a door handle or a knob/handle, especially if you have returned from a public place or used public transport. Alcohol-based hand cleaners should be kept handy at all times and used until you can get soap and warm water.
(Compiled)
Not sure how you can avoid falling prey to the growing epidemic?
First and foremost, there is absolutely no need to panic. Watching television to keep tabs on the progress of H1N1, particularly in the badly affected areas like Pune, is all right. But don't let the hysterical anchors get under your skin and start wearing a mask each time you step out of the house, unless you are visiting a very crowded area. Then too, the mask will protect you only for a specified period. Without giving in to the swine flu panic and creating a stockpile of Tamiflu and N-95 masks at home and enriching pharma companies, there are a number of other measures you can take to ensure that the virus is not able to get you, irrespective of which part of the world you are in. It is essential to remember that all kinds of viruses and bacteria can attack you when your immune system is weak, or they can weaken it easily. Hence, building your own defences would be a better, more practical, long-lasting and much more economical idea. Here are some easy steps you can take to tackle a flu virus of any kind, including swine flu. It is not necessary to follow all the steps at once. You can pick and choose a combination of remedies that suit you best. However, if you are already suffering from flu, these measures can help only up to an extent. And, if you have been infected by H1N1, visiting a hospital and staying in solitary confinement is a must.
1. Have five duly washed leaves of Tulsi (known as Basil in English; medicinal name Ocimum sanctum) everyday in the morning. Tulsi has a large number of therapeutic properties. It keeps throat and lungs clear and helps in infections by way of strengthening your immunity.
2. Giloi (medicinal name Tinospora cordifolia) is a commonly available plant in many areas. Take a one-foot long branch of giloi, add five to six leaves of Tulsi and boil in water for 15-20 minutes or long enough to allow the water to extract its properties. Add black pepper and sendha (salt used during religious fasts), rock or black salt, or Misri (crystalised sugar like lumps to make it sweet) according to taste. Let it cool a bit and drink this kadha (concoction) while still warm. It will work wonders for your immunity. If giloi plant is not available, get processed giloi powder from Hamdard or others, and concoct a similar drink once a day.
3. A small piece of camphor (kapoor) approximately the size of a tablet should be taken once or twice a month. It can be swallowed with water by adults while children can take it along with mashed potatoes or banana because they will find it difficult to have it without any aides. Please remember camphor is not to be taken everyday, but only once each season, or once a month.
4. Those who can take garlic, must have two pods of raw garlic first thing in the morning. To be swallowed daily with lukewarm water. Garlic too strengthens immunity like the earlier measures mentioned.
5. Those not allergic to milk, must take a glass of hot or lukewarm milk every night with a small measure of haldi (turmeric).
6. Aloe vera (gwarpatha) too is a commonly available plant. Its thick and long, cactus-like leaves have an odourless gel. A teaspoon gel taken with water daily can work wonders for not only your skin and joint pains, but also boost immunity.
7. Take homeopathic medicines — Pyrogenium 200 and Inflenzium 200 in particular — five tablets three times a day, or two-three drops three times a day. While these are not specifically targeted at H1N1 either, these work well as preventive against common flu virus.
8. Do Pranayam daily (preferably under guidance if you are already not initiated into it) and go for morning jog/walk regularly to keep your throat and lungs in good condition and body in fine fettle. Even in small measures, it will work wonders for your body’s resistance against all such diseases which attack the nose, throat and lungs, besides keeping you fit.
9. Have citrus fruits, particularly Vitamin C rich Amla (Indian gooseberry) juice. Since fresh Amla is not yet available in the market (not for another three to four months), it is not a bad idea to buy packaged Amla juice which is commonly available nowadays.
10. Last but not the least, wash your hands frequently every day with soap and warm water for 15-20 seconds; especially before meals, or each time after touching a surface that you suspect could be contaminated with flu virus such as a door handle or a knob/handle, especially if you have returned from a public place or used public transport. Alcohol-based hand cleaners should be kept handy at all times and used until you can get soap and warm water.
(Compiled)
Revised guidelines for swine flu patients
The Centre late on Friday night issued revised guidelines for treatment of the A (H1N1) influenza patients in the wake of a large number of people turning up at the hospitals for testing.
In order to prevent and contain outbreak of Influenza-A H1N1 virus for screening, testing and isolation all individuals seeking consultations for flu like symptoms will be screened at healthcare facilities both Government and private or examined by a doctor and categorized as patients with mild fever plus cough and sore throat with or without body ache, headache, diarrhoea and vomiting as category-A. They do not require Oseltamivir and will be treated for the symptoms shown. The patients will, however, be monitored for their progress and reassessed at 24 to 48 hours by the doctor. No testing is required in such cases.
The second category of patients in addition to all the signs and symptoms of the normal influenza has high grade fever and severe sore throat, may require home isolation and Oseltamivir; Children less than 5 years old; pregnant women; people aged 65 years or older; patients with lung diseases, heart disease, liver disease, kidney disease, blood disorders, diabetes, neurological disorders, cancer and HIV/AIDS; and those on long term cortisone therapy will be included in the second category. No tests are required for such people but they should confine themselves to home and avoid socializing.
More serious cases have been put under the third category and will include those who have all the above symptoms and complain of breathlessness, chest pain, drowsiness, fall in blood pressure, sputum mixed with blood, bluish discolouration of nails; irritability amongsmall children, refusal to accept feed; and worsening of underlying chronic conditions. Such people require testing, immediate hospitalization and treatment.
The guidelines were finalized after a five-hour long meeting chaired by the Union Health and Family Welfare Minister Ghulam nabi Azad. These guidelines will be reviewed and revised from time to time as per need and on the basis of spread of the disease.
The meeting was attended by the officials of the Ministry of Health and Family Welfare, Directorate General of Health Services, and representatives and experts of private and public hospitals. During the meeting various guidelines and protocols developed by the World Health Organization Geneva, Centre for Disease Prevention and Control, Atlanta, USA and National Health Service, United Kingdom were also discussed.
In order to prevent and contain outbreak of Influenza-A H1N1 virus for screening, testing and isolation all individuals seeking consultations for flu like symptoms will be screened at healthcare facilities both Government and private or examined by a doctor and categorized as patients with mild fever plus cough and sore throat with or without body ache, headache, diarrhoea and vomiting as category-A. They do not require Oseltamivir and will be treated for the symptoms shown. The patients will, however, be monitored for their progress and reassessed at 24 to 48 hours by the doctor. No testing is required in such cases.
The second category of patients in addition to all the signs and symptoms of the normal influenza has high grade fever and severe sore throat, may require home isolation and Oseltamivir; Children less than 5 years old; pregnant women; people aged 65 years or older; patients with lung diseases, heart disease, liver disease, kidney disease, blood disorders, diabetes, neurological disorders, cancer and HIV/AIDS; and those on long term cortisone therapy will be included in the second category. No tests are required for such people but they should confine themselves to home and avoid socializing.
More serious cases have been put under the third category and will include those who have all the above symptoms and complain of breathlessness, chest pain, drowsiness, fall in blood pressure, sputum mixed with blood, bluish discolouration of nails; irritability amongsmall children, refusal to accept feed; and worsening of underlying chronic conditions. Such people require testing, immediate hospitalization and treatment.
The guidelines were finalized after a five-hour long meeting chaired by the Union Health and Family Welfare Minister Ghulam nabi Azad. These guidelines will be reviewed and revised from time to time as per need and on the basis of spread of the disease.
The meeting was attended by the officials of the Ministry of Health and Family Welfare, Directorate General of Health Services, and representatives and experts of private and public hospitals. During the meeting various guidelines and protocols developed by the World Health Organization Geneva, Centre for Disease Prevention and Control, Atlanta, USA and National Health Service, United Kingdom were also discussed.
SWINE FLU - Updates
What are the symptoms?
Swine flu symptoms are similar to the symptoms of regular flu and include fever of over 100.4°F, fatigue, lack of appetite, and cold. Some people with swine flu have also reported runny nose, sore throat, nausea, vomiting and diarrhea. Nearly everyone with flu has at least two of these symptoms.
So, how do you know if you have flu or just cold?
There is one clue: when you have the flu, you feel flu symptoms sooner than you would cold symptoms, and they come on with much greater intensity. With the flu, you may feel very weak and fatigued for up to 2 or 3 weeks. You'll have muscle aches and periods of chills and sweats as fever comes and goes. You may also have a stuffy or runny nose, headache, and sore throat.
Can I compare flu symptoms with cold symptoms?
Yes. The following chart can help you compare flu symptoms with cold symptoms. Use it to lean the differences and similarities between flu and cold symptoms. Then, if you get flu symptoms, call your doctor and ask about an antiviral drug.
FACT FILE
Symptoms Cold Flu
Fever Rare Characteristic, high 100-102 degrees F); lasts 3-4 days
Headache Rare Prominent
General aches, pains Slight Usual; often severe
Fatigue, Weakness Quite mild Can last up to 2-3 weeks
Extreme Exhaustion Never Early and prominent
Stuffy Nose Common Sometimes
Chest Discomfort, Cough Mild to moderate; hacking cough Common; can become severe
You cannot confirm if you have swine flu just based on your symptoms. Like seasonal flu, pandemic swine flu can cause neurologic symptoms in children. These events are rare, but, as cases associated with seasonal flu have shown, they can be very severe and often fatal.
Doctors may offer a rapid flu test, but what you need to understand is a negative result doesn't necessarily mean you don't have the flu. Only lab tests can definitively show whether you've got swine flu. State health departments can do these tests.
What should you do immediately?
Those of you who have traveled from the affected countries in the past ten days and show symptoms swine flu like fever, cough, sore throat and difficulty in breathing should immediately contact the telephone number given below or visit the nearby Government Hospital.
Important contact numbers:
Outbreak Monitoring Cell (Control Room, NICD): 011-23921401
Websites: www.mohfw.nic.in and www.nicd.nic.in
You can also contact a toll free number 2392 1401 at the National Institute of Communicable Disease
Contact number for each cities:
Bangalore
BIAL Swine Flu Center - 91-80-22001490
SDS TUBERCULOSIS & RAJIV GANDHI INSTITUTE OF CHEST DISEASES(Govt. of Karnataka), Hosur Road, Bangalore - 560029
Helpline No: 91-80-26631923
Chennai
Communicable Disease Hospital, 87, T.H. Road, Tondiarpet, Chennai, Tamil Nadu
Hyderabad
Govt. General and Chest Diseases Hospital, Erragadda , Hyderabad
Hospital Helpline Number - 040-23814939
Kolkata
Beliaghata Infectious Diseases Hospital, 57, Beliaghata Main Road, Kolkata
Mumbai
Kasturba Hospital, Arthur Road, Sane Guruji Marg, Mumbai 400011
Ph: 022- 23083901 / 23092458 / 23000889
New Delhi
Yellow Fever Quarantine Centre, Near AAI Residential Colony, New Delhi
Ph: 91-11-25652129
Influenza Ward, Ward no 5, Second Floor, New Building, RML Hospital, Delhi-1
RML- 91-11-24525211,23404328,23365525- Ext 4328
Source: Swine Flu India website
Who is at risk?
Those who are more at risk from becoming seriously ill with swine flu are people with:
• chronic (long-term) lung disease, including people who have had drug treatment for their asthma within the past three years,
• chronic heart disease,
• chronic kidney disease,
• chronic liver disease,
• chronic neurological disease (neurological disorders include motor neurone disease, Parkinson's disease and multiple sclerosis),
• suppressed immune systems (whether caused by disease or treatment),
• diabetes,
• pregnant women,
• people aged 65 or older, and
• young children under five.
Source: National Health Service, UK website
How does it spread?
The new swine flu virus is highly contagious, that is it spreads from person to person. The virus is spread through the droplets that come out of the nose or mouth when someone coughs or sneezes. If someone coughs or sneezes and they do not cover it, those droplets can spread about one metre (3ft). If you are very nearby you might breathe them in.
Or, if someone coughs or sneezes into their hand, those droplets and the virus within them are easily transferred to surfaces that the person touches, such as door handles, hand rails, telephones and keyboards. If you touch these surfaces and touch your face, the virus can enter your system, and you can become infected.
Source: National Health Service, UK website
Can it be prevented?
Influenza antiviral drugs also can be used to prevent influenza when they are given to a person who is not ill, but who has been or may be near a person with swine influenza. When used to prevent the flu, antiviral drugs are about 70% to 90% effective. When used for prevention, the number of days that they should be used will vary depending on a person’s particular situation.
Follow this general procedure to reduce the risk of catching or spreading the virus, you should:
• Cover your mouth and nose when coughing and sneezing, using a tissue
• Throw the tissue away quickly and carefully
• Wash your hands regularly with soap and water
• Clean hard surfaces (like door handles and remote controls) frequently with a normal cleaning product
• Keep away from others as much as possible. This is to keep from making others sick. Do not go to work or school while ill
• Stay home for at least 24 hours after fever is gone, except to seek medical care or for other necessities. (Fever should be gone without the use of a fever-reducing medicine.)
• Drink clear fluids (such as water, broth, sports drinks, electrolyte beverages for infants) to keep from being dehydrated
• Wear a facemask – if available and tolerable – when sharing common spaces with other household members to help prevent spreading the virus to others.
Source: CDC, National Health Service, UK website
Will it help to wear a mask?
Information on the effectiveness of facemasks and respirators for decreasing the risk of influenza infection in community settings is extremely limited. So, it is difficult to assess their potential effectiveness in decreasing the risk of Swine Flu virus transmission in these settings. However, a well-fitted, FDA-approved mask together with other preventive measures MAY reduce the risk of contracting the flu. Those who are sick or caring for someone who is ill should consider using a mask or respirator if leaving the house becomes necessary.
Source: CDC
What precautions should one take at home?
Two things - soap and water can reduce the chance of infection by 30 per cent. All you need to do is keep washing your hand with soap and water frequently. Wash hands frequently with soap and water or use alcohol-based hand cleaner when soap and water are not available. Avoid touching your eyes, nose and mouth
Eat healthy: Proteins are essential to help your body maintain and build strength. Lean meat, poultry, fish, legumes, dairy, eggs, and nuts and seeds are good sources of protein.
The Food and Drug Administration recommends that adults eat 50 grams of protein per day. Pregnant and nursing women need more. By eating foods high in protein, we also get the benefit of other healing nutrients such as vitamins B6 and B12, both of which contribute to a healthy immune system.
Vitamin B6 is widely available in foods, including protein foods such as turkey and beans as well as potatoes, spinach, and enriched cereal grains. Proteins such as meats, milk, and fish also contain vitamin B12, a powerful immune booster.
Minerals such as selenium and zinc work to keep the immune system strong. These minerals are found in protein rich foods such as beans, nuts, meat, and poultry.
Exercise: Regular exercise may help prevent the flu. According to recent findings, when moderate exercise is repeated on a near daily basis, there is a cumulative immune-enhancing effect. That is, your strong immune system can fight flu better. When you exercise, your white blood cells -- the blood cells that fight infections in the body -- travel through your body more quickly, fighting bacteria and viruses (such as flu) more efficiently. To maintain good health, experts recommend at least 30 minutes of aerobic activity such as walking, swimming, biking, or running each day.
Source: Flu India website, CDC, WebMD
What precautions should one take at schools?
• Avoid close contact with people who are sick
• People who are sick with an influenza-like illness should stay home and keep away from others as much as possible; including avoiding travel, for at least 24 hours after fever is gone except to get medical care or for other necessities. (Fever should be gone without the use of fever-reducing medicine). Cover your mouth and nose with a tissue when coughing or sneezing
• Wash your hands often
• Avoid touching your eyes, nose or mouth
Source: CDC
Is it safe to travel?
Avoid traveling unnecessarily. However, if you must travel, check how the country you're going to handles swine flu. Although, the WHO doesn't recommend travel restrictions, many countries have set up their own H1N1 policies, and some travelers have been screened or quarantined in other countries because of swine flu concerns.
Source: WebMD.com
Swine flu symptoms are similar to the symptoms of regular flu and include fever of over 100.4°F, fatigue, lack of appetite, and cold. Some people with swine flu have also reported runny nose, sore throat, nausea, vomiting and diarrhea. Nearly everyone with flu has at least two of these symptoms.
So, how do you know if you have flu or just cold?
There is one clue: when you have the flu, you feel flu symptoms sooner than you would cold symptoms, and they come on with much greater intensity. With the flu, you may feel very weak and fatigued for up to 2 or 3 weeks. You'll have muscle aches and periods of chills and sweats as fever comes and goes. You may also have a stuffy or runny nose, headache, and sore throat.
Can I compare flu symptoms with cold symptoms?
Yes. The following chart can help you compare flu symptoms with cold symptoms. Use it to lean the differences and similarities between flu and cold symptoms. Then, if you get flu symptoms, call your doctor and ask about an antiviral drug.
FACT FILE
Symptoms Cold Flu
Fever Rare Characteristic, high 100-102 degrees F); lasts 3-4 days
Headache Rare Prominent
General aches, pains Slight Usual; often severe
Fatigue, Weakness Quite mild Can last up to 2-3 weeks
Extreme Exhaustion Never Early and prominent
Stuffy Nose Common Sometimes
Chest Discomfort, Cough Mild to moderate; hacking cough Common; can become severe
You cannot confirm if you have swine flu just based on your symptoms. Like seasonal flu, pandemic swine flu can cause neurologic symptoms in children. These events are rare, but, as cases associated with seasonal flu have shown, they can be very severe and often fatal.
Doctors may offer a rapid flu test, but what you need to understand is a negative result doesn't necessarily mean you don't have the flu. Only lab tests can definitively show whether you've got swine flu. State health departments can do these tests.
What should you do immediately?
Those of you who have traveled from the affected countries in the past ten days and show symptoms swine flu like fever, cough, sore throat and difficulty in breathing should immediately contact the telephone number given below or visit the nearby Government Hospital.
Important contact numbers:
Outbreak Monitoring Cell (Control Room, NICD): 011-23921401
Websites: www.mohfw.nic.in and www.nicd.nic.in
You can also contact a toll free number 2392 1401 at the National Institute of Communicable Disease
Contact number for each cities:
Bangalore
BIAL Swine Flu Center - 91-80-22001490
SDS TUBERCULOSIS & RAJIV GANDHI INSTITUTE OF CHEST DISEASES(Govt. of Karnataka), Hosur Road, Bangalore - 560029
Helpline No: 91-80-26631923
Chennai
Communicable Disease Hospital, 87, T.H. Road, Tondiarpet, Chennai, Tamil Nadu
Hyderabad
Govt. General and Chest Diseases Hospital, Erragadda , Hyderabad
Hospital Helpline Number - 040-23814939
Kolkata
Beliaghata Infectious Diseases Hospital, 57, Beliaghata Main Road, Kolkata
Mumbai
Kasturba Hospital, Arthur Road, Sane Guruji Marg, Mumbai 400011
Ph: 022- 23083901 / 23092458 / 23000889
New Delhi
Yellow Fever Quarantine Centre, Near AAI Residential Colony, New Delhi
Ph: 91-11-25652129
Influenza Ward, Ward no 5, Second Floor, New Building, RML Hospital, Delhi-1
RML- 91-11-24525211,23404328,23365525- Ext 4328
Source: Swine Flu India website
Who is at risk?
Those who are more at risk from becoming seriously ill with swine flu are people with:
• chronic (long-term) lung disease, including people who have had drug treatment for their asthma within the past three years,
• chronic heart disease,
• chronic kidney disease,
• chronic liver disease,
• chronic neurological disease (neurological disorders include motor neurone disease, Parkinson's disease and multiple sclerosis),
• suppressed immune systems (whether caused by disease or treatment),
• diabetes,
• pregnant women,
• people aged 65 or older, and
• young children under five.
Source: National Health Service, UK website
How does it spread?
The new swine flu virus is highly contagious, that is it spreads from person to person. The virus is spread through the droplets that come out of the nose or mouth when someone coughs or sneezes. If someone coughs or sneezes and they do not cover it, those droplets can spread about one metre (3ft). If you are very nearby you might breathe them in.
Or, if someone coughs or sneezes into their hand, those droplets and the virus within them are easily transferred to surfaces that the person touches, such as door handles, hand rails, telephones and keyboards. If you touch these surfaces and touch your face, the virus can enter your system, and you can become infected.
Source: National Health Service, UK website
Can it be prevented?
Influenza antiviral drugs also can be used to prevent influenza when they are given to a person who is not ill, but who has been or may be near a person with swine influenza. When used to prevent the flu, antiviral drugs are about 70% to 90% effective. When used for prevention, the number of days that they should be used will vary depending on a person’s particular situation.
Follow this general procedure to reduce the risk of catching or spreading the virus, you should:
• Cover your mouth and nose when coughing and sneezing, using a tissue
• Throw the tissue away quickly and carefully
• Wash your hands regularly with soap and water
• Clean hard surfaces (like door handles and remote controls) frequently with a normal cleaning product
• Keep away from others as much as possible. This is to keep from making others sick. Do not go to work or school while ill
• Stay home for at least 24 hours after fever is gone, except to seek medical care or for other necessities. (Fever should be gone without the use of a fever-reducing medicine.)
• Drink clear fluids (such as water, broth, sports drinks, electrolyte beverages for infants) to keep from being dehydrated
• Wear a facemask – if available and tolerable – when sharing common spaces with other household members to help prevent spreading the virus to others.
Source: CDC, National Health Service, UK website
Will it help to wear a mask?
Information on the effectiveness of facemasks and respirators for decreasing the risk of influenza infection in community settings is extremely limited. So, it is difficult to assess their potential effectiveness in decreasing the risk of Swine Flu virus transmission in these settings. However, a well-fitted, FDA-approved mask together with other preventive measures MAY reduce the risk of contracting the flu. Those who are sick or caring for someone who is ill should consider using a mask or respirator if leaving the house becomes necessary.
Source: CDC
What precautions should one take at home?
Two things - soap and water can reduce the chance of infection by 30 per cent. All you need to do is keep washing your hand with soap and water frequently. Wash hands frequently with soap and water or use alcohol-based hand cleaner when soap and water are not available. Avoid touching your eyes, nose and mouth
Eat healthy: Proteins are essential to help your body maintain and build strength. Lean meat, poultry, fish, legumes, dairy, eggs, and nuts and seeds are good sources of protein.
The Food and Drug Administration recommends that adults eat 50 grams of protein per day. Pregnant and nursing women need more. By eating foods high in protein, we also get the benefit of other healing nutrients such as vitamins B6 and B12, both of which contribute to a healthy immune system.
Vitamin B6 is widely available in foods, including protein foods such as turkey and beans as well as potatoes, spinach, and enriched cereal grains. Proteins such as meats, milk, and fish also contain vitamin B12, a powerful immune booster.
Minerals such as selenium and zinc work to keep the immune system strong. These minerals are found in protein rich foods such as beans, nuts, meat, and poultry.
Exercise: Regular exercise may help prevent the flu. According to recent findings, when moderate exercise is repeated on a near daily basis, there is a cumulative immune-enhancing effect. That is, your strong immune system can fight flu better. When you exercise, your white blood cells -- the blood cells that fight infections in the body -- travel through your body more quickly, fighting bacteria and viruses (such as flu) more efficiently. To maintain good health, experts recommend at least 30 minutes of aerobic activity such as walking, swimming, biking, or running each day.
Source: Flu India website, CDC, WebMD
What precautions should one take at schools?
• Avoid close contact with people who are sick
• People who are sick with an influenza-like illness should stay home and keep away from others as much as possible; including avoiding travel, for at least 24 hours after fever is gone except to get medical care or for other necessities. (Fever should be gone without the use of fever-reducing medicine). Cover your mouth and nose with a tissue when coughing or sneezing
• Wash your hands often
• Avoid touching your eyes, nose or mouth
Source: CDC
Is it safe to travel?
Avoid traveling unnecessarily. However, if you must travel, check how the country you're going to handles swine flu. Although, the WHO doesn't recommend travel restrictions, many countries have set up their own H1N1 policies, and some travelers have been screened or quarantined in other countries because of swine flu concerns.
Source: WebMD.com
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