Health

ADVISORY: SEASONAL INFLUENZA A H1N1

PUBLIC HEALTH WING, GNCT OF DELHI,

email:idspdelhi2@gmail.com, Ph: 011-22482016

By  Varun Bhardwaj

New Delhi,February 6,2019 :Seasonal Influenza ( H1N1) is a self- limiting viral, airborne disease spread from person-to-person, through large droplets generated by the act of coughing and sneezing, indirect contact by touching a contaminated object or surface (fomite transmission like telephone, cell phones, computers, door handles, doorbells, pens, toys etc) and close contact (including handshaking, hugging, kissing )

Symptoms: Fever &  Cough, Sore throat, Runny or Stuffy Nose, Difficulty in Breathing. Other symptoms may include Body Aches, Headache, Fatigue, Chills, Diarrhea and Vomiting and Blood Stained Sputum

Category- A

Ø  Mild fever plus a cough /a sore throat with or without body ache, headache, diarrhea and vomiting

Ø  No Oseltamivir and no testing is required for category- A patients

Ø  Symptomatic treatment and the patients should be monitored for their progress and reassessed at 24 to 48 hours by the doctor.

Ø  Patients should confine themselves at home and avoid mixing up with public and high-risk members in the family.

Category-B

Ø  (i) In addition to all the signs and symptoms mentioned under Category-A, if the patient has high-grade fever and severe sore throat, may require home isolation and Oseltamivir.

Ø  (ii) 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. 

Ø  No test for Influenza is required for Category-B (i) and (ii) patients

Ø  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.

Ø   Broad Spectrum antibiotics as per the Guideline for Community-acquired pneumonia (CAP) may be prescribed.

High-Risk Group:Children with mild illness but with predisposing risk factors, Pregnant women, Persons aged 65 years or older, Patients with lung diseases, heart disease, liver diseasekidney disease, blood disorders, diabetes, neurological disorders, cancer and HIV/AIDS, Patients on long term cortisone therapy. 

Category-C 

Ø  In addition to the  signs and symptoms of Category-A and B, if the patient has one or more of the following danger signs

·        Breathlessness, chest pain, drowsiness, fall in blood pressure, sputum mixed with blood, bluish discoloration of nails. 

·        Children with influenza-like illness who had a severe disease as manifested by the red flag signs (Somnolence, high and persistent fever, inability to feed well, convulsions, shortness of breath, difficulty in breathing, etc). 

·        Worsening of underlying chronic conditions

Ø  All these patients mentioned above in Category-C require testing, immediate hospitalization and treatment.

DO’s

DON’Ts

·        Cover your nose and mouth with disposable tissue or handkerchief  while coughing or sneezing

·        Frequently wash your hands with soap and water

·        Avoid crowded places

·        Person suffering from Seasonal Influenza    must be confined at home

·        Stay more than one arm’s length distance from persons sick with flu

·        Take adequate sleep and rest

·        Drink plenty of water/liquids and eat nutritious food

·        Person suspected with Influenza like illness must consult doctor

·        Touching eyes, nose or mouth with unwashed hands

·        Hugging, kissing and shaking hands while greeting

·        Spitting in public places

·        Taking medicines without consulting doctor

·        Excessive physical exercise

·        Disposal of used napkin or tissue paper in open areas

·        Touching surfaces usually used by public (Railing, door gates, etc)

·        Smoking in public places

·        Unnecessary testing