PUBLIC HEALTH ADVISORY ISSUED

NEW DELHI: Amid the mounting cases of the H1N1 infections in the city, the Delhi government on Tuesday issued a health advisory, prescribing the do's and don'ts. Seasonal Influenza (H1N1) is a self-limiting viral, air-borne disease spread from person-to-person, through large droplets generated through coughing and sneezing, indirect contact by touching a contaminated object or surface (fomite transmission like telephone, cell phones, computers, door handles, door bells, pens, toys etc) and close contact (including hand shaking, hugging, kissing), the advisory said.

"All hospitals have been asked to keep ventilators ready, and also told to disseminate information on the prevention of the disease," the Delhi health department official said.

Health advisories in English and Hindi on seasonal Inuenza A H1N1 (swine flu) have been prepared and issued for general public in leading newspapers. The symptoms are fever, cough, sore throat, runny or stuffy nose, difficulty in breathing. Other symptoms may include body ache, headache, fatigue, chills, diarrhoea and vomiting and bloodstained sputum.

There are three categories of H1N1 influenza -- A, B and C. "No Oseltamivir (medicine) and testing is required for category A patients.

They should confine themselves at home and avoid mixing up with public and high risk members in the family," the advisory said.

In addition to all the signs and symptoms mentioned under category A, if a patient has high-grade fever and severe sore throat, he or she may require home isolation and Oseltamivir.

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, it added.

High-risk group includes, children with mild illness but with predisposing risk factors, pregnant women, persons aged 65 years or older, patients with lung diseases, heart disease, liver disease, kidney disease, blood disorders, diabetes, neurological disorders, cancer and HIV/AIDS, or those on

long-term cortisone therapy, the advisory said.

In addition to the signs and symptoms of categories A and B, if the patient has one or more danger signs, like breath

lessness, chest pain, drowsiness, fall in blood pressure, sputum mixed with blood, bluish discolouration of nails, then these patients (under category C) require testing, immediate hospitalisation and treatment, it added.

After holding a state-level review meeting on Inuenza A (H1N1), the Delhi government recently said that all government hospitals in the city are equipped with necessary

logistics required for the management of the disease and drug Oseltamivir along with personal protective equipment (PPE kits) and N95 masks are also available.

The advisory also asked people to avoid crowded places in the swine flu season and stay more than an arm's

length distance away from persons sick with flu.