Complied for Private Circulation among the staff member of only

Complied for Private Circulation among the staff member of only

Current PhaseWidespread human infection

6

1-3

4

5-6

Predominantly animal infections, Few Human infections

Sustained Human to Human Transmission

Widespread Human Infection

Post Peak

Post Pandemic

Possibility of recurrent events

Disease Activity at seasonal Levels

What is swine flu?•Swine Influenza (swine flu) is a respiratory disease of pigs caused by Type A influenza viruses that causes regular outbreaks in pigs.

•Swine flu viruses have been reported to spread from person-to-person, but in the past, this transmission was limited and not sustained beyond three people.

Is the current swine flu virus contagious?•Various international agencies (US Centers for Disease Control & Prevention, World Health Organization) have determined that this swine influenza A (H1N1) virus is contagious and is spreading from human to human.

•WHO has escalated the world Pandemic Phase from Phase 3 to Phase 4 (in a 6-scale Phase), indicating that a worldwide pandemic due to swine flu H1N1 is possible.

6

What are the signs and symptoms of swine flu in people?•The symptoms of swine flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue.

•Some people have reported diarrhea and vomiting associated with swine flu. In the past, severe illness (pneumonia and respiratory failure) and deaths have been reported with swine flu infection in people.

•Like seasonal flu, swine flu may cause a worsening of underlying

How does swine flu spread?•Spread of this swine influenza A (H1N1) virus is thought to be happening in the same way that seasonal flu spreads.

•Flu viruses are spread mainly from person to person through coughing or sneezing of people with influenza.

•Sometimes people may become infected by touching something with live flu viruses on it and then touching their mouth or nose.

How are human infections with swine influenza diagnosed?•To diagnose swine influenza A infection, a respiratory specimen would generally need to be collected within the first 4 to 5 days of illness (when an infected person is most likely to be shedding virus). •However, some persons, especially children, may shed virus for 10 days or longer. •Identification as a swine flu influenza A virus requires sending the specimen to a hospital laboratory for testing.

How can someone with the flu infect someone else?•Infected people may be able to infect others beginning 1 day before symptoms develop and up to 7 or more days after becoming sick. •That means that you may be able to pass on the flu to someone else before you know you are sick, as well as while you are sick.

How long can an infected person spread swine flu to others?•People with swine influenza virus infection should be considered potentially contagious as long as they are symptomatic and possible for up to 7 days following illness onset. •Children, especially younger children, might potentially be contagious for longer periods.

Is there a vaccine for pandemic flu?•Because the virus is new, there will be no vaccine ready to protect against pandemic flu.•Vaccine against Swine Flu virus H1N1 needs at least 6-12 months to be produced.•Seasonal flu vaccine or past flu immunization will not provide protection.

Are there medicines to treat swine flu?•Yes. The US CDC recommends the use of oseltamivir(Tamiflu®) or zanamivir(Relenza®) for the treatment and/or prevention of infection with these swine influenza viruses. To be taken only if prescribed by Doctor.

•Antiviral drugs are prescription medicines (pills, liquid or an inhaler) that fight against the flu by keeping flu viruses from reproducing in your body.

•If you get sick, antiviral drugs can make your illness milder and make you feel better faster. They may also prevent serious flu complications.

•For treatment, antiviral drugs work best if started soon after getting sick (within 2 days of symptoms).

What surface are most likely to be sources of contamination?•The virus can be spread when a person touches something that is contaminated with the virus and then touches his or her eyes, nose, or mouth.

•Droplets from a cough or sneeze of an infected person move through the air. The virus can then be spread when a person touches respiratory droplets from another person on a surface like a desk, doorknob, child’s toy or phone handset and then touches their own eyes, mouth or nose before washing their hands.

What can I do to protect myself from getting sick?•Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.

•Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.

•Avoid touching your eyes, nose or mouth. The virus can spread this way.

•Try to avoid close contact with sick people. •If you get sick with influenza, stay home from work or school and limit contact with others to keep from infecting them.

What is the best way to keep from spreading the virus through coughing or sneezing?•If you are sick, limit your contact with other people as much as possible. Do not go to work or school if ill.

•Cover your mouth and nose with a tissue when coughing or sneezing. It may prevent those around you from getting sick. Put your used tissue in the waste basket.

•Cover your cough or sneeze if you do not have a tissue. Then, clean your hands, and do so every time you cough or sneeze.

How long can virses live outside the body?We know that some viruses and bacteria can live 2 hours or longer on surfaces like cafeteria tables, doorknobs, and desks.

•Frequent handwashingwill help you reduce the chance of getting contamination from these common surfaces.

What is the best technique for washing my hands to avoid getting the flu?•Washing your hands often will help protect you from germs. Wash with soap and water or clean with alcohol-based hand cleaner.

•When you wash your hands --with soap and warm water --that you wash for 15 to 20 seconds. When soap and water are not available, alcohol-based disposable hand wipes or gel sanitizers may be used. You can find them in most supermarkets and drugstores.

•If using gel, rub your hands until the gel is dry. The gel doesn't need water to work; the alcohol in it kills the germs on your hands.

What should I do if I get sick?

•If you live in areas where swine influenza cases have been identified and become ill with influenza-like symptoms, including fever, body aches, runny nose, sore throat, nausea, or vomiting or diarrhea, you may want to contact their health care provider, particularly if you are worried about your symptoms. Your health care provider will determine whether influenza testing or treatment is needed.

•If you are sick, you should stay home and avoid contact with other people as much as possible to keep from spreading your illness to others.

•If you become ill and experience any of the following warning signs, seek emergency medical care.

Symptoms of Swine flu

In children emergency warning signs that need urgent medical attention include:

•Fast breathing or trouble breathing •Bluish skin color •Not drinking enough fluids •Not waking up or not interacting •Being so irritable that the child does not want to be held •Flu-like symptoms improve but then return with fever and worse cough •Fever with a rash

In adults, emergency warning signs that need urgent medical attention include:

•Difficulty breathing or shortness of breath •Pain or pressure in the chest or abdomen •Sudden dizziness •Confusion •Severe or persistent vomiting

Steps to lessen the spread of flu in the HomeWhen providing care to a household member who is sick with influenza, the most important ways to protect yourself and others who are not sick are to:

· keep the sick person away from other people as much as possible (see “placement of the sick person”)

· remind the sick person to cover their coughs, and clean their hands with soap and water or an alcohol-based hand rub often, especially after coughing and/or sneezing.

· have everyone in the household clean their hands often, using soap and water or an alcohol-based hand rub

Placement of the sick person:. Keep the sick person in a room separate from the common areas of the house. (For example, a spare bedroom with its own bathroom, if that’s possible.) Keep the sickroom door closed.

· Unless necessary for medical care, persons with the flu should not leave the home when they have a fever or during the time that they are most likely to spread their infection to others

· If persons with the flu need to leave the home (for example, for medical care), they should cover their nose and mouth when coughing or sneezing and wear a loose-fitting (surgical) mask if available.

· Have the sick person wear a surgical mask if they need to be in a common area of the house near other persons.

· If possible, sick persons should use a separate bathroom. This bathroom should be cleaned daily with household disinfectant

Protect other persons in the home:

· The sick person should not have visitors other than caregivers. A phone call is safer than a visit.· If possible, have only one adult in the home take care of the sick person.· Avoid having pregnant women care for the sick person. (Pregnant women are at increased risk of influenza-related complications and immunity can be suppressed during pregnancy).· All persons in the household should clean their hands with soap and water or an alcohol-based hand rub frequently, including after every contact with the sick person or the person’s room or bathroom.· Use paper towels for drying hands after hand washing or dedicate cloth towels to each person in the household. For example, have different colored towels for each person.· If possible, consideration should be given to maintaining good ventilation in shared household areas (e.g., keeping windows open in restrooms, kitchen, bathroom, etc.).

If you are the caregiver:

· Avoid being face-to-face with the sick person. · When holding small children who are sick, place their chin on your shoulder so that they will not cough in your face. · Clean your hands with soap and water or use an alcohol-based hand rub after you touch the sick person or handle used tissues, or laundry. · Talk to your Doctor about taking antiviral medication to prevent the caregiver from getting the flu. · Monitor yourself and household members for flu symptoms and the local H1N1 Command Center if the symptoms occur.

Household Cleaning, Laundry and Waste Disposal

Throw away tissues and other disposable items used by the sick person in the trash. Wash your hands after touching used tissues and similar waste. •Keep surfaces (espbedside tables, surfaces in the bathroom, children’s toys, phone handles, doorknobs) clean by wiping them down with ahousehold disinfectant according to directions on the product label. •Linens, eating utensils, and dishes belonging to those who are sick do not need to be cleaned separately, but importantly these items should not be shared without washing thoroughly first. •Wash linens (such as bed sheets and towels) by using household laundry soap and tumble dry on a hot setting. Avoid “hugging”laundry prior to washing it to prevent contaminating yourself. Clean your hands with soap and water or alcohol-based hand rub right after handling dirty laundry. •Eating utensils should be washed either in a dishwasher or by hand with water and soap.

Guidelines for prevention of H1N1 – Influenza Virus (Swine Flu) Maintain Personal Hygiene

Wash hands with soap and water as frequently as possible Cover your mouth & nose while coughing

Build Immunity Eat healthy food, leafy vegetables, green vegetables, plenty of fruits, egg

and cereals. Drink water / beverages as hot as possible Drink plenty of liquids, fruits juices, water, tender coconut, butter milk

etc.,

Take prophylactic medicine likeVitamin C 500mg (Adult) 250mg (Children) once daily (CELIN / FRUITCEE/ LIMCEEThulasi Capsules (Himalaya / Dabour)

Stay at home minimum 10 days if any one of the following is applicable to you Any of you or your family member falls sick even with normal FLU like symptoms (Cough, Running nose, score throat, fever, body ache, lack of appetite, difficulty in breathing)

If you or any of your family members have returned from a “Foreign Trip” (any country)

Likewise if you have received any guest at home from overseas foreign country

If you are at close proximity to any affected cases that are reported near your home

The management will consider such absence as “LEAVE WITH PAY”

FAQWhat is the new influenza A(H1N1)?This is a new influenza A(H1N1) virus that has never before circulated among humans. This virus is not related to previous or current human seasonal influenza viruses.

How do people become infected with the virus?The virus is spread from person-to-person. It is transmitted as easily as the normal seasonal flu and can be passed to other people by exposure to infected droplets expelled by coughing or sneezing that can be inhaled, or that can contaminate hands or surfaces. To prevent spread, people who are ill should cover their mouth and nose when coughing or sneezing, stay home when they are unwell, clean their hands regularly, and keep some distance from healthy people, as much as possible. There are no known instances of people getting infected by exposure to pigs or other animals. The place of origin of the virus is unknown.

What are the signs and symptoms of infection?Signs of influenza A(H1N1) are flu-like, including fever, cough, headache, muscle and joint pain, sore throat and runny nose, and sometimes vomiting and diarrhoea.

Why are we so worried about this flu when hundreds of thousands die every year from seasonal epidemics?Seasonal influenza occurs every year and the viruses change each year - but many people have some immunity to the circulating virus which helps limit infections. Some countries also use seasonal influenza vaccines to reduce illness and deaths. But influenza A(H1N1) is a new virus and one to which most people have no or little immunity and, therefore, this virus could cause more infections than are seen with seasonal flu. WHO is working closely with manufacturers to expedite the development of a safe and effective vaccine but it will be some months before it is available. The new influenza A(H1N1) appears to be as contagious as seasonal influenza, and is spreading fast particularly among young people (from ages 10 to 45). The severity of the disease ranges from very mild symptoms to severe illnesses that can result in death. The majority of people who contract the virus experience the milder disease and recover without antiviral treatment or medical care. Of the more serious cases, more than half of hospitalized people had underlying health conditions or weak immune systems.

Most people experience mild illness and recover at home. When should someone seek medical care?A person should seek medical care if they experience shortness of breath or difficulty breathing, or if a fever continues more than three days. For parents with a young child who is ill, seek medical care if a child has fast or labored breathing, continuing fever or convulsions (seizures). Supportive care at home - resting, drinking plenty of fluids and using a pain reliever for aches - is adequate for recovery in most cases. (A non-aspirin pain reliever should be used by children and young adults because of the risk of Reye's syndrome.)

FAQIs it safe to eat pork and pork products?Yes. influenza A(H1N1) has not been shown to be transmissible to people through eating properly handled and prepared pork (pig meat) or other products derived from pigs. The influenza A(H1N1) virus is killed by cooking temperatures of 160°F/70°C, corresponding to the general guidance for the preparation of pork and other meat.

What can I do to protect myself from catching influenza A(H1N1)?The main route of transmission of the new influenza A(H1N1) virus seems to be similar to seasonal influenza, via droplets that are expelled by speaking, sneezing or coughing. You can prevent getting infected by avoiding close contact with people who show influenza-like symptoms (trying to maintain a distance of about 1 metre if possible) and taking the following measures:· avoid touching your mouth and nose; · clean hands thoroughly with soap and water, or cleanse them with an alcohol-based hand rub on a regular basis (especially if touching the mouth and nose, or surfaces that are potentially contaminated); · avoid close contact with people who might be ill; · reduce the time spent in crowded settings if possible; · improve airflow in your living space by opening windows; · practise good health habits including adequate sleep, eating nutritious food, and keeping physically active.

What about using a mask? What does WHO recommend?If you are not sick you do not have to wear a mask. If you are caring for a sick person, you can wear a mask when you are in close contact with the ill person and dispose of it immediately after contact, and cleanse your hands thoroughly afterwards. If you are sick and must travel or be around others, cover your mouth and nose. Using a mask correctly in all situations is essential. Incorrect use actually increases the chance of spreading infection.

How do I know if I have influenza A(H1N1)?You will not be able to tell the difference between seasonal flu and influenza A(H1N1) without medical help. Typical symptoms to watch for are similar to seasonal viruses and include fever, cough, headache, body aches, sore throat and runny nose. Only your medical practitioner and local health authority can confirm a case of influenza A(H1N1).

FAQWhat should I do if I think I have the illness?If you feel unwell, have high fever, cough or sore throat: · stay at home and keep away from work, school or crowds; · rest and take plenty of fluids; · cover your nose and mouth when coughing and sneezing and, if using tissues, make sure you dispose of them carefully. Clean your hands immediately after with soap and water or cleanse them with an alcohol-based hand rub; · if you do not have a tissue close by when you cough or sneeze, cover your mouth as much as possible with the crook of your elbow; · use a mask to help you contain the spread of droplets when you are around others, but be sure to do so correctly; · inform family and friends about your illness and try to avoid contact with other people; · If possible, contact a health professional before traveling to a health facility to discuss whether a medical examination is necessary.

Should I take an antiviral now just in case I catch the new virus? No. You should only take an antiviral, such as oseltamivir or zanamivir, if your health care provider advises you to do so. Individuals should not buy medicines to prevent or fight this new influenza without a prescription, and they should exercise caution in buying antivirals over the Internet.

What about breastfeeding? Should I stop if I am ill?No, not unless your health care provider advises it. Studies on other influenza infections show that breastfeeding is most likely protective for babies - it passes on helpful maternal immunities and lowers the risk of respiratory disease. Breastfeeding provides the best overall nutrition for babies and increases their defense factors to fight illness.

When should someone seek medical care? Difficulty in breathing, or if a fever continues more than three days. For parents with a young child who is ill, seek medical care if a child has fast or labored breathing, continuing fever or convulsions (seizures). Supportive care at home - resting, drinking plenty of fluids and using a pain reliever for aches - is adequate for recovery in most cases. (A non-aspirin pain reliever should be used by children and young adults because of the risk of Reye's syndrome.)

Should I go to work if I have the flu but am feeling OK?No. Whether you have influenza A(H1N1) or a seasonal influenza, you should stay home and away from work through the duration of your symptoms. This is a precaution that can protect your work colleagues and others.

Important information for swine flu treatment in Chennai & Other Places

Communicable Disease Hospital, 87, T.H. Road, Tondiarpet, Chennai, Tamil NaduPh- 91-44- 25912686/87/88

Chennai King Institute of Preventive Medicine(24/7 Service) Guindy, Chennai – 32 Ph- 91-44- 22501520, 22501521 & 22501522

Government General HospitalOpp. Central Railway Station, Chennai – 03Ph- 91-44- 25305000,25305723,25305721,25330300

Hitech LaboratoriesBharath ScansApollo Hospitals Diagnostic Services

Micro labs in Coimbatore, Rathi's Laboratories in Tiruchi and Kamaraj University in Madurai

http://timesofindia.indiatimes.com/news/city/chennai/8-pvt-labs-in-TN-may-be-allowed-to-test-for-H1N1-test/articleshow/4892184.cms

HITECH DIAGNOSTIC CENTRE

CENTRAL LAB

#1, Millers Road ,

Kilpauk, Chennai - 600 010.

Tamil Nadu, India.

+91 44 2642 5726, 2642 7389, 2661 3878, 2661 5878

Working Hours : 24 Hours Service

MYLAPORE

#148, Luz Church Road,

Mylapore , Chennai - 600 004.

Tamil Nadu, India.

+91 44 2499 5109, 2467 1657, 2467 1658

Working Hours : 07:30 AM - 06:30 PM (IST)

Sunday : Holiday

ANNA NAGAR

AC-12, 2nd Avenue,

Anna Nagar, Chennai - 600 040.

Tamil Nadu, India.

+91 44 2621 3587, 2621 0874


Sunday : Holiday

AMBATTUR

#1, Pallam Road,

Ambattur, Chennai - 600 053.

Tamil Nadu, India.

+91 44 2658 3587


Sunday : Holiday

WASHERMENPET

#732/551, T.H Road,

Washermenpet, Chennai - 600 021.

Tamil Nadu, India.

+91 44 4269 9661, 2597 3878


Sunday : Holiday


TRIPLICANE

#220/264, Triplicane High Road,

Triplicane, Chennai - 600 005.

Tamil Nadu, India.

+91 44 2858 2221

Working Hours : Morning : 07:00 AM - 12:00 PM (IST)

Evening : 04:00 PM - 07:00 PM (IST)

Sunday : Holiday

LAB AND CORPORATE HEALTH CENTRE

#13, Dr. Nair Road,

T.Nagar , Chennai - 600 017.

Tamil Nadu, India.

+91 44 2815 1247, 2815 1348, 2815 2348, 2815 1248


Sunday : 07:30 AM - 11:30 AM (IST)

SALIGRAMAM

#72, Arcot Road ,

Saligramam, Chennai - 600 093.

Tamil Nadu, India.

+91 44 2376 2941, 2376 1434, 2376 2181, 2376 4304


Sunday : 07:30 AM - 11:30 AM (IST)

TAMBARAM

#23, Duraisamy Reddy Street,

Tambaram , Chennai - 600 045.

Tamil Nadu, India.

+91 44 2226 5726


Sunday : Holiday


TAMBARAM

#23, Duraisamy Reddy Street,

Tambaram , Chennai - 600 045.

Tamil Nadu, India.

+91 44 2226 5726


Sunday : Holiday

P.H.ROAD

Flat No. 1, Anand Complex,

194, P.H.Road, Chennai - 600 031.

Tamil Nadu, India.

+91 44 2661 5726


Sunday : Holiday

VILLIVAKKAM

#64, Reddy Road,

Villivakkam, Chennai - 600 049.

Tamil Nadu, India.

+91 44 2617 5726



Sunday : Holiday

SOWCARPET

#43, Audiappanaiken Street, "SHANTHINIKETAN",

Sowcarpet, Chennai - 600 079.

Tamil Nadu, India.

+91 44 2529 7389



Sunday : Holiday

Bharat scans Chennai, Tamil Nadu

Bharat Scans

197, First Floor, Peters Road, Royapettah, Chennai, Tamil Nadu 600014 - 044 28418333

Bharat Scans

84, Near Ashok Pillar, Ashok Nagar, Chennai, Tamil Nadu 600083 - 044 24710777

Bharat Scans

2nd Avenue, Anna Nagar, Chennai, Chennai, Tamil Nadu 600040 - 044 26267000

Bharat Scans

Ab-1, Anna Nagar, Chennai, Tamil Nadu 600040 - 044 26267005

GOVERNMENT AUTHORIZED HOSPITALS FOR TREATMENT OF SWINE FLU

City Hospital Address Contact

Chennai

King 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

Pune Naidu 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

Bangalore

Victoria 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

Documents

Complied for Private Circulation among the staff member of only