[phpBB Debug] PHP Notice: in file /viewtopic.php on line 988: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone.
[phpBB Debug] PHP Notice: in file /viewtopic.php on line 988: getdate(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone.
[phpBB Debug] PHP Notice: in file /includes/functions.php on line 4284: Cannot modify header information - headers already sent by (output started at /includes/functions.php:3493)
[phpBB Debug] PHP Notice: in file /includes/functions.php on line 4286: Cannot modify header information - headers already sent by (output started at /includes/functions.php:3493)
[phpBB Debug] PHP Notice: in file /includes/functions.php on line 4287: Cannot modify header information - headers already sent by (output started at /includes/functions.php:3493)
[phpBB Debug] PHP Notice: in file /includes/functions.php on line 4288: Cannot modify header information - headers already sent by (output started at /includes/functions.php:3493)
LLRM Medical College • View topic - Influenza A(H1N1)

Influenza A(H1N1)

लाला लाजपतराय मेमोरियल मेडिकल कॉलिज फोरम मे आपका स्वागत है ।

Lala Lajpat Rai Memorial (L.L.R.M) Medical, is located in Meerut (U.P) India. Since its inception in the year 1966, this college has produced thousands of distinguished medical professionals. This is an effort to bring together the alumni of L.L.R.M Medical College, Meerut, India. Please register to login and post a message. Feel free to post as many messages as you want.

For any problem during registration or login email - webmaster@llrmc.com.
To start a new thread, moderate a forum or to start a new batch forum, contact web site administrator through the above mentioned email or post a message in this 'L.L.R.M' forum.


*This forum is exclusively for L.L.R.M Medical College, Meerut (India) alumni and is not open for general public. Present and past students and staff members of L.L.R.M Medical College Meerut are welcome to register and join this forum. Registration attempts by others who are not L.L.R.M Medical College alumni is strictly prohibited and will be considered illegal under section 43 of the Indian Information Technology Act, 2000 (No. 21 Of 2000)
.


Download Easy Hindi Typing tool
http://tdil.mit.gov.in/download/hwiter.htm

Influenza A(H1N1)

Postby ARVIND MATHUR » Sat May 02, 2009 8:00 pm

Dear Colleagues and friends,
Please find Update 9: 2nd May

2 May 2009 -- The situation continues to evolve. As of 06:00 GMT, 2 May 2009, 15 countries have officially reported 615 cases of influenza A(H1N1) infection.

Mexico has reported 397 confirmed human cases of infection, including 16 deaths. The 241 rise in cases from Mexico compared to 23:30GMT of 1 May reflects ongoing testing of previously collected specimens. The United States Government has reported 141 laboratory confirmed human cases, including one death.

The following countries have reported laboratory confirmed cases with no deaths - Austria (1), Canada (34), China, Hong Kong Special Administrative Region (1), Denmark (1), France (1), Germany (4), Israel (2), Netherlands (1), New Zealand (4), Republic of Korea (1), Spain (13), Switzerland (1) and the United Kingdom (13).

Further information on the situation will be available on the WHO website on a regular basis.

WHO advises no restriction of regular travel or closure of borders. It is considered prudent for people who are ill to delay international travel and for people developing symptoms following international travel to seek medical attention, in line with guidance from national authorities. There is also no risk of infection from this virus from consumption of well-cooked pork and pork products. Individuals are advised to wash hands thoroughly with soap and water on a regular basis and should seek medical attention if they develop any symptoms of influenza-like illness.

There is also no risk of infection from this virus from consumption of well-cooked pork and pork products. Individuals are advised to wash hands thoroughly with soap and water on a regular basis and should seek medical attention if they develop any symptoms of influenza-like illness.
*********************************************************************************************

Please note that there is no reason for panic as it is simple measures which need to be taken for protection.
Stock piling of Tamiflu is being ensured in the countries. Please refer to Dos and Donts sheet that i have sent.

Shall keep posting latest updates.
Cheers and ciao
Arvind
Dr Arvind Mathur
MD, DHA, DNB
Medical Officer
Family & Community Health
WHO-DPR Korea
Pyongyang
User avatar
ARVIND MATHUR
Forum Senior Consultant
 
Posts: 550
Joined: Tue Oct 02, 2007 12:12 am
Location: DPR Korea (1985 Batch)
Occupation: Service
Address: 14, Munsudong
Pyongyang, DPR Korea
Batch: 0

Re: Influenza A(H1N1)

Postby ARVIND MATHUR » Sun May 03, 2009 12:33 pm

Dear friends,
Update as of 3rd May
cheers and ciao
Arvind
************************************************************************************************************
Influenza A(H1N1) - update 10
2 May 2009 -- The situation continues to evolve. As of 18:00 GMT+1, 2 May 2009, 16 countries have officially reported 658 cases of influenza A(H1N1) infection.

Mexico has reported 397 confirmed human cases of infection, including 16 deaths. The higher number of cases from Mexico in the past 48 hours reflects ongoing testing of previously collected specimens. The United States Government has reported 160 laboratory confirmed human cases, including one death.

The following countries have reported laboratory confirmed cases with no deaths - Austria (1), Canada (51), China, Hong Kong Special Administrative Region (1), Costa Rica (1), Denmark (1), France (2), Germany (6), Israel (3), Netherlands (1), New Zealand (4), Republic of Korea (1), Spain (13), Switzerland (1) and the United Kingdom (15).

WHO advises no restriction of regular travel or closure of borders. It is considered prudent for people who are ill to delay international travel and for people developing symptoms following international travel to seek medical attention, in line with guidance from national authorities.

There is also no risk of infection from this virus from consumption of well-cooked pork and pork products. Individuals are advised to wash hands thoroughly with soap and water on a regular basis and should seek medical attention if they develop any symptoms of influenza-like illness
*********************************************************************************************************************************
Dr Arvind Mathur
MD, DHA, DNB
Medical Officer
Family & Community Health
WHO-DPR Korea
Pyongyang
User avatar
ARVIND MATHUR
Forum Senior Consultant
 
Posts: 550
Joined: Tue Oct 02, 2007 12:12 am
Location: DPR Korea (1985 Batch)
Occupation: Service
Address: 14, Munsudong
Pyongyang, DPR Korea
Batch: 0

Re: Influenza A(H1N1)

Postby ARVIND MATHUR » Sun May 03, 2009 12:45 pm

Dear Friends,
Please find attached a useful document that you may refer for Pandemic Influenza prevention and mitigation measures in low resource settings.
Best wishes

Arvind
Attachments
PI_summary_low_resource_02_05_2009.pdf
(205.13 KiB) Downloaded 830 times
Dr Arvind Mathur
MD, DHA, DNB
Medical Officer
Family & Community Health
WHO-DPR Korea
Pyongyang
User avatar
ARVIND MATHUR
Forum Senior Consultant
 
Posts: 550
Joined: Tue Oct 02, 2007 12:12 am
Location: DPR Korea (1985 Batch)
Occupation: Service
Address: 14, Munsudong
Pyongyang, DPR Korea
Batch: 0

Re: Influenza A(H1N1)

Postby Sadhu » Sun May 03, 2009 1:40 pm

Hi !
It is gratifying to know that swine-flu can be contained by simple measures & there is no real need to panic even if one does get the infection.

And, of course, you must have a plan in place, just in case disaster does strike. In fact, after going through the info one can't help but comment that managing swine-flu is akin to disaster management. And, we as doctors, have a primary responsibility to educate the people & draw plans for disaster management.

And, if I may add, we as doctors, have not been paying enough attention to patient education. Just prescribing medication, so as the patient gets symptomatic relief, is not practising medicine. Health Education has been a neglected field & all of us must make efforts to highlight this aspect of management. Nip the evil in the bud, as they say.
Bye for now & GOD Bless.

Rakesh.
(Dr.Rakesh Sadhu)
MD(Anaesth.)
User avatar
Sadhu
Forum Specialist
 
Posts: 159
Joined: Mon Mar 09, 2009 1:15 am
Location: Jammu (1988 Batch)
Occupation: Anaesthesiologist.
Address: House No. 70/3, Sector 1-A, South Extension, Trikuta Nagar, Jammu - 180012.
Batch: 1988

Re: Influenza A(H1N1)

Postby ARVIND MATHUR » Sun May 03, 2009 9:01 pm

Dear colleagues,
Here is the latest update.
Please note that increased number of cases from Mexico is the result of ongoing testing on previously collecgted specimens. These may not be considered as new cases.

Sadhu very rightly said that managing Influenza A (H1N1) is no less than disasater management. For this reason only WHO has assisted most member countries to have 'influenza contingency plan'. In such situation continengency plan gets activated. I have uploaded an attachment earlier which may be found useful. Also the details of various components of plans could be found on WHO website.

Could not agree more with your observation that community education (not alone patients) is important for avoiding any panic. Simple and effective measures shall make a difference. I would even think that leading by examples of practising some of these simple measures by doctors, nurses and allied health workers would itself be a good way of teaching the people.

We continue to be in phase 5!

Keep the spirit of educatiing patients, families and general people at large.

Cheers and ciao

Arvind
*****************************************************************************************************************************************
3 May 2009 -- As of 0600 GMT, 3 May 2009, 17 countries have officially reported 787 cases of influenza A(H1N1) infection.

Mexico has reported 506 confirmed human cases of infection, including 19 deaths. The higher number of cases from Mexico in the past 48 hours reflects ongoing testing of previously collected specimens. The United States Government has reported 160 laboratory confirmed human cases, including one death.

The following countries have reported laboratory confirmed cases with no deaths - Austria (1), Canada (70), China, Hong Kong Special Administrative Region (1), Costa Rica (1), Denmark (1), France (2), Germany (6), Ireland (1), Israel (3), Netherlands (1), New Zealand (4), Republic of Korea (1), Spain (13), Switzerland (1) and the United Kingdom (15).

Further information on the situation will be available on the WHO website on a regular basis.

WHO advises no restriction of regular travel or closure of borders. It is considered prudent for people who are ill to delay international travel and for people developing symptoms following international travel to seek medical attention, in line with guidance from national authorities.

Canada on 2 May reported the identification of the A(H1N1) virus in a swine herd in Alberta. It is highly probable that the pigs were exposed to the virus from a Canadian farm worker recently returned from Mexico, who had exhibited flu-like symptoms and had contact with the pigs. There is no indication of virus adaptation through transfer from human to pigs at this time.

There is no risk of infection from this virus from consumption of well-cooked pork and pork products.

Individuals are advised to wash hands thoroughly with soap and water on a regular basis and should seek medical attention if they develop any symptoms of influenza-like illness.
****************************************************************************************************************************
Dr Arvind Mathur
MD, DHA, DNB
Medical Officer
Family & Community Health
WHO-DPR Korea
Pyongyang
User avatar
ARVIND MATHUR
Forum Senior Consultant
 
Posts: 550
Joined: Tue Oct 02, 2007 12:12 am
Location: DPR Korea (1985 Batch)
Occupation: Service
Address: 14, Munsudong
Pyongyang, DPR Korea
Batch: 0

Re: Influenza A(H1N1)

Postby ARVIND MATHUR » Sat May 09, 2009 12:24 am

Dear friends,
Latest update as more number of cases get reported but certainly World is better prepared for influenza pandemic!
****************************************************************************************
Influenza A(H1N1) - update 8 May 2009 -- As of 16:00 GMT, 8 May 2009, 25 countries have officially reported 2500 cases of influenza A (H1N1) infection.

Mexico has reported 1204 laboratory confirmed human cases of infection, including 44 deaths. The United States has reported 896 laboratory confirmed human cases, including two deaths.

The following countries have reported laboratory confirmed cases with no deaths - Austria (1), Brazil (4), Canada (214), China, Hong Kong Special Administrative Region (1), Colombia (1), Costa Rica (1), Denmark (1), El Salvador (2), France (12), Germany (11), Guatemala (1), Ireland (1), Israel (7), Italy (6), Netherlands (3), New Zealand (5), Poland (1), Portugal (1), Republic of Korea (3), Spain (88), Sweden (1), Switzerland (1) and the United Kingdom (34).

WHO is not recommending travel restrictions related to the outbreak of the influenza A(H1N1) virus.

Individuals who are ill should delay travel plans and returning travelers who fall ill should seek appropriate medical care. These recommendations are prudent measures which can limit the spread of many communicable diseases, including influenza.
************************************************************************************

Cheers and ciao

Arvind
Dr Arvind Mathur
MD, DHA, DNB
Medical Officer
Family & Community Health
WHO-DPR Korea
Pyongyang
User avatar
ARVIND MATHUR
Forum Senior Consultant
 
Posts: 550
Joined: Tue Oct 02, 2007 12:12 am
Location: DPR Korea (1985 Batch)
Occupation: Service
Address: 14, Munsudong
Pyongyang, DPR Korea
Batch: 0

Re: Influenza A(H1N1)

Postby ARVIND MATHUR » Sat May 09, 2009 12:27 am

Dear friends,
Some useful info.

Best wishes
Arvind
*******************************************************************************

Use of antiviral drugs against influenza A(H1N1)
5 May 2009

For what purposes can antiviral drugs be used against influenza A(H1N1)?
So far most people who have contracted the new A (H1N1) virus have experienced influenza-like symptoms (such as sore throat, cough, runny nose, fever, malaise, headache, joint/muscle pain) and recovered without antiviral treatment.

Antiviral drugs may reduce the symptoms and duration of illness, just as they do for seasonal influenza. They also may contribute to preventing severe disease and death. Influenza A (H1N1) is a new virus and only a small number of people with the infection have been treated for it with antiviral drugs. WHO is in touch with public health authorities and clinicians in affected countries and is gathering information about how effective the drugs are.

To which antiviral drugs does this influenza virus respond?
There are two classes of antiviral drugs for influenza: inhibitors of neuraminidase such as oseltamivir and zanamivir; and adamantanes, such as amantadine and rimantadine. Tests on viruses obtained from patients in Mexico and the United States have indicated that current new H1N1 viruses are sensitive to neuraminidase inhibitors, but that the viruses are resistant to the other class, the adamantanes.

Could the virus become resistant to oseltamivir and zanamivir?
Resistance can develop to antiviral drugs used for influenza. Therefore, WHO and its partners are monitoring antiviral drug resistance.

Under what circumstances should antiviral drugs be administered?
Antiviral drugs are to be used according to national pandemic influenza preparedness plans. Public health authorities in some countries have decided to treat patients likely to have this disease as a part of public health measures.

Where antiviral drugs are available for treatment, clinicians should make decisions based on assessment of the individual patient's risk. Risks versus benefits should also be evaluated on a case by case basis.

What is WHO doing about getting antiviral drugs to countries as preparation for a pandemic?
WHO’s first priority is to provide an emergency stock of antiviral drugs to countries that have no or insufficient stock of the drugs and lack the capacity to procure these drugs themselves.

WHO is also working with Member States, donors and other groups that have stockpiles and are willing to share these with WHO for distribution to countries in need.

Which drug will be provided, and how much of it does WHO have available?
WHO had a global stockpile of approximately 5 million adult treatment courses of oseltamivir. Part of this stockpile has already been distributed through the WHO Regional Offices, which are handling allocation and distribution. WHO is currently distributing the remaining 3 million adult treatment courses of this stockpile to developing countries in need.

WHO continues to assess needs and to work with manufacturers to secure more donations of antivirals. More antiviral drugs will be distributed once these donations are received.

Which countries will receive the drug, and how will they be selected?
WHO has arranged the first deployment of antiviral drugs from the WHO stockpile to 72 countries. Priority was given to vulnerable countries, taking into consideration national manufacturing and procurement capacity. As necessary, other countries will be supported through regional office stockpiles.

What if the initial emergency deployment turns out to be inadequate?
WHO is in discussion with manufacturers regarding the potential need for scaling up production. It is WHO’s understanding that manufacturers have plans for producing large numbers of treatments quickly.

WHO will work on behalf of its Member States to secure further antivirals as needed, either through donations or purchase at the lowest possible price.
Dr Arvind Mathur
MD, DHA, DNB
Medical Officer
Family & Community Health
WHO-DPR Korea
Pyongyang
User avatar
ARVIND MATHUR
Forum Senior Consultant
 
Posts: 550
Joined: Tue Oct 02, 2007 12:12 am
Location: DPR Korea (1985 Batch)
Occupation: Service
Address: 14, Munsudong
Pyongyang, DPR Korea
Batch: 0

Re: Influenza A(H1N1)

Postby ARVIND MATHUR » Tue May 26, 2009 9:08 am

Dear friends,
As of 25 May 2009 -- As of 06:00 GMT, 25 May 2009, 46 countries have officially reported 12 515 cases of influenza A(H1N1) infection, including 91 deaths.
For more details; please visit http://www.who.int

Arvind
Dr Arvind Mathur
MD, DHA, DNB
Medical Officer
Family & Community Health
WHO-DPR Korea
Pyongyang
User avatar
ARVIND MATHUR
Forum Senior Consultant
 
Posts: 550
Joined: Tue Oct 02, 2007 12:12 am
Location: DPR Korea (1985 Batch)
Occupation: Service
Address: 14, Munsudong
Pyongyang, DPR Korea
Batch: 0

Re: Influenza A(H1N1)

Postby ARVIND MATHUR » Tue May 26, 2009 9:19 am

Dear friends and colleagues,
You may find some of these documents useful.
Best regards
Arvind
Attachments
Adviceusemaskscommunityrevised.pdf
(42.04 KiB) Downloaded 736 times
ah1n1_checklist.pdf
(534.64 KiB) Downloaded 754 times
clinical_managementH1N1_21_May_2009.pdf
(202.58 KiB) Downloaded 747 times
Dr Arvind Mathur
MD, DHA, DNB
Medical Officer
Family & Community Health
WHO-DPR Korea
Pyongyang
User avatar
ARVIND MATHUR
Forum Senior Consultant
 
Posts: 550
Joined: Tue Oct 02, 2007 12:12 am
Location: DPR Korea (1985 Batch)
Occupation: Service
Address: 14, Munsudong
Pyongyang, DPR Korea
Batch: 0

Re: Influenza A(H1N1)

Postby ARVIND MATHUR » Sun Jun 21, 2009 6:24 pm

Dear All,
You are aware that on 12th June, WHO DG had declared phase 6 for Influenza A(H1N1). Just thought of providing a useful link for those who are interested in further reading and understanding the preparedness and response:

http://www.who.int/entity/csr/disease/i ... index.html

Also, please find some notes on severity of pandemic:


At this time, WHO considers the overall severity of the influenza pandemic to be moderate. This assessment is based on scientific evidence available to WHO, as well as input from its Member States on the pandemic's impact on their health systems, and their social and economic functioning.
The moderate assessment reflects that:
* Most people recover from infection without the need for hospitalization or medical care.
* Overall, national levels of severe illness from influenza A(H1N1) appear similar to levels seen during local seasonal influenza periods, although high levels of disease have occurred in some local areas and institutions.
* Overall, hospitals and health care systems in most countries have been able to cope with the numbers of people seeking care, although some facilities and systems have been stressed in some localities.
WHO is concerned about current patterns of serious cases and deaths that are occurring primarily among young persons, including the previously healthy and those with pre-existing medical conditions or pregnancy.
Large outbreaks of disease have not yet been reported in many countries, and the full clinical spectrum of disease is not yet known.
Assessing the severity of an influenza pandemic
Considerations for assessing the severity [pdf 318kb]
Does WHO expect the severity of the pandemic to change over time?
The severity of pandemics can change over time and differ by location or population.
Close monitoring of the disease and timely and regular sharing of information between WHO and its Member States during the pandemic period is essential to determine future severity assessments, if needed.
Future severity assessments would reflect one or a combination of the following factors:
* changes in the virus,
* underlying vulnerabilities, or
* limitations in health system capacities.

The pandemic is early in its evolution and many countries have not yet been substantially affected.
More about the new influenza A(H1N1)
What is WHO doing to respond?

WHO continues to help all countries respond to the situation. The world cannot let down its guard and WHO must help the world remain and become better prepared.
WHO's support to countries takes three main forms: technical guidance, materials support, and training of health care system personnel.
WHO's primary concern is to strengthen and support health systems in countries with less resources. Health systems need to be able to prevent, detect, treat and mitigate cases of illness associated with this virus.
WHO is also working to make stocks of medicines (such as antivirals and antibiotics) and an eventual pandemic vaccine more accessible and affordable to developing countries.
Both antivirals and vaccines have important roles in treatment and prevention respectively. However, existing stocks of antivirals are unlikely to meet the demand. 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.
Therefore, rational use of the limited resources will be essential. And medicines are only part of the response. WHO is also deploying diagnostic kits, medicines and masks and gloves for health care settings, teams of scientific experts, and medical technicians so countries in need can respond to local epidemics.
A pandemic sets national authorities in motion to implement preparedness plans, identify cases as efficiently as possible, and minimize serious illness and deaths with proper treatment.
The goal is to reduce the impact of the pandemic on society.


**********************************************************************************************************
Best wishes and regards
Arvind
Dr Arvind Mathur
MD, DHA, DNB
Medical Officer
Family & Community Health
WHO-DPR Korea
Pyongyang
User avatar
ARVIND MATHUR
Forum Senior Consultant
 
Posts: 550
Joined: Tue Oct 02, 2007 12:12 am
Location: DPR Korea (1985 Batch)
Occupation: Service
Address: 14, Munsudong
Pyongyang, DPR Korea
Batch: 0


Return to L.L.R.M. Forum

Who is online

Users browsing this forum: No registered users and 1 guest

cron