DIRECTORATE OF ISM & HOMOEOPATHY
CSC-III, B – Block, Preet Vihar, New Delhi-110092
Telephone no- 22440019/20/21/22
GUIDELINES FOR DIAGNOSIS AND PREVENTION OF SWINE FLU
[Compiled by- Dr. Surender Verma, Deputy Director (H), Dr. Mridula Pandey, Chief Medical Officer (H) and Dr. Leena. V. Chhatre, Chief Medical Officer (H)]
Swine Influenza (swine flu) is a respiratory disease of pigs caused by type A influenza viruses that regularly cause outbreaks of influenza in pigs. Swine flu viruses do not normally infect humans. However, sporadic human infections with swine flu have occurred. When this happens, these viruses are called "variant viruses." The disease originally was nicknamed swine flu because the virus that causes the disease originally jumped to humans from the live pigs in which it evolved. The virus is a "reassortant" -- a mix of genes from swine, bird, and human flu viruses.
The swine flu in humans is most contagious during the first five days of the illness, although some people, most commonly children, can remain contagious for up to ten days.
It spreads like common flu directly from airborne droplets from the cough or sneeze of an infected person or contact with an object contaminated by the cough or touch of an infected person and then touching your eyes, mouth, or nose. Infected persons are assumed to be shedding virus and potentially infectious from the day prior to illness onset until resolution of fever. Infected persons should be assumed to be contagious up to 7 days from illness onset. Some persons who are infected might potentially shed virus and be contagious for longer periods (e.g. young infants, immune suppressed persons).
SIGNS AND SYMPTOMS
- High grade fever
- Unusual tiredness
- Runny nose
- Sore throat
- Shortness of breath or cough
- Loss of appetite
- Aching muscles
- Diarrhoea or vomiting
People at higher risk of serious complications include those aged over 65, children below 5 years , pregnant women (especially during the third trimester) and those of any age with underlying medical conditions, such as asthma, diabetes, obesity, heart
disease, or a weakened immune system (e.g., taking immunosuppressive medications or infected with HIV).
Symptoms in severe cases
The following constitute "emergency warning signs" and immediate care is advisable if a person experiences any one of these signs:
- Difficulty in breathing or shortness of breath
- Pain or pressure in the chest or abdomen
- Sudden dizziness
- Severe or persistent vomiting
- Low temperature
- Fast breathing or working hard to breathe
- 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 which improve but then return with fever and worse cough
- Fever with a rash
- Being unable to eat
- Having no tears when crying
A confirmed case of novel influenza A (H1N1) virus infection is defined as a person with an influenza-like illness with laboratory confirmed novel influenza A (H1N1) virus infection by one or more of the following tests:
- real-time RT-PCR
- viral culture
The following are DOs & DON’Ts to prevent the further spread of Swine Flu among healthy people:
- Cover your nose and mouth with a disposable tissue when coughing and sneezing. Throw the tissue in the trash after you use it.
- Regularly wash your hands with soap and water especially after you cough or sneeze. You can also use alcohol-based hand cleaners.
- Avid crowded places
- Stay more than one arm’s length distance from persons sick and flu
- Get plenty of sleep
- Drink plenty of fluids and eat nutritious food
- Hugging and shaking hands when greeting.
- Spit in public
- Take medicines without consulting a physician
- Avoiding touching your eyes, nose or mouth. Germs spread this way.
Some of the commonly used Homoeopathic medicines like ARSENIC ALB, BELL, BRYONIA ALBA, HEPAR SULPH, MERC. SOL, GELSEMIUM, RHUS TOX, EUPATORIUM PERF, SABADILLA, INFLUENZINUM can be given on the basis of the individual totality.
Always take homoeopathic medicine under supervision of qualified homoeopathic Physician.
The testing and Allopathic treatment facilities of Swine Flu are also available in the following government Hospitals-
- GTB hospital
- Lok Nayak hospital
- Deen Dayal Upadhaya hospital
- Sanjay Gandhi Memorial hospital
- Lal Bahadur Shastri hospital
- Pandit Madan Mohan Malviya hospital
- Baba Saheb Ambedkar hospital
- hacha Nehru Bal Chikitsalya
- Bhagwan Mahavir hospital
- Maharishi Balmiki hospital
- Babu Jagjiwan Ram Memorial hospital
- Aruna Asaf Ali hospital
- RML hospital
- Safdarjung hospital
- Sucheta Kriplani hospital
- Airport hospital
- Hindu Rao hospital.
The private hospitals which are also providing testing and Allopathic treatment are Action Balaji Hospital, Apollo Hospital, Moolchand Hospital, Sir Ganga Ram Hospital and St Stephens hospital.