Influenza A H1N1

INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)STATE SURVEILLANCE UNIT

NAMKUM, RANCHI.

State Preparedness regarding Seasonal Influenza A (H1N1)CURRENT STATUS AS ON 23rd FEBRUARY, 2015

STATE NODAL OFFICER Dr. Ramesh Prasad, Director-cum-SSO, IDSP, Jharkhand

ISOLATION FACILITY Isolation facilities for Influenza A H1N1 is available at Medical College Hospitals and

District Hospitals.

AVAILABILITY OF PPE ,TRIPLE LAYER MASK AND N-95 MASK

Name of item Total availablility at State HQ.

PPE 707

Triple Layer Mask 11900

N-95 (Industrial Respirators Filter) 640

N-95 (Respirators Contra Particulas) 367

PPE, Triple Layer Mask & N-95 Mask have been made available to all Medical

Colleges & District Hospitals.

AVAILABILITY OF DRUGS

Order for procurement has been given by CS, Ranchi.

VACCINE Requisition sent for supply of Vaccine of Influenza A H1N1 for Healthcare providers.

VTM KITS

Name of itemTotal Nos.

received

Total Nos.

distributed

Total availablility

at State HQ.

VTM kits 100 83 17

VTM kits have been made available to all Districts & Medical colleges.

Requisition sent for supply of 100 nos. of VTM Kits.

SURVEILLANCE Surveillance of Influenza like Illness/ Severe Acute Respiratory Infection is being

done.

Daily reporting of Influenza A H1N1 is being done.

One suspected patient is admitted in Isolation Ward in RIMS, Ranchi. Sample has

been sent to NCDC, New Delhi for lab confirmation. Report is expected on Monday.

Steps taken for establishment of Screening Centres in Medical College Hospitals.

TRAINING

Training of Lab Technicians of all districts – done at Microbiology

Department, RIMS, Ranchi.

Training of District RRT’s & Medical College Doctors – done at IPH, RCH

Campus, Namkum, Ranchi.

DIRECTIVES

Letter issued by Director in-chief to Director, RIMS; Suptd. MGM

Jamshedpur & PMCH Dhanbad, Civil surgeons/DSOs of all districts and

Suptd. of Private Hospitals and Nursing Homes of Ranchi regarding

preparedness of Influenza A H1N1.

Letter issued by Director in-chief to DRM/ Railway Suptd. / Station Master /

Chief Medical Suptd., Ranchi, Dhanbad, Bokaro & Tata Nagar, Director

Airport/ Airport Manager, Ranchi regarding screening of Influenza A H1N1

and referring suspected cases to Medical College Hospitals.

Letter issued by Director in-chief to Director, RIMS, Suptd. MGM,

Jamshedpur & PMCH, Dhanbad for procurement of Oseltamivir for their

hospitals.

Sl.No.

District/ Medical College Nodal Person Contact Number

1 Bokaro Dr. Sanjay Kumar 81023282452 Chatra Dr. Sanjay Kumar Siddharth 80020012363 Deoghar Dr. R.K. Pandey 88099451584 Dumka Dr. Ramesh Prasad Verma 94301672445 E. Singhbhum Dr. Swarn Singh 72508351116 Garhwa Dr. J.P. Singh 97718534617 Giridih Dr. S.K. Singh 94317433968 Godda Dr. Anant Kumar Jha 99345662609 Gumla Dr. Sugendra Say 9431116624

10 Hazaribagh Dr. Gopal Das 943136657711 Jamtara Dr. Nilesh Kumar 943128170612 Koderma Dr. S.K. Jha 943114206013 Latehar Dr. A.K. Oreya 930836455014 Lohardaga Dr. U. Ram 947112065215 Pakur Dr. S.K. Jha 943143793816 Palamu Dr. R.K. Ranjan 829204117817 Sahibganj Dr. Dinesh Murmu 943177152418 Saraikela Dr. Barial Mardi 970912757619 Simdega Dr. Binod Oraon 983516948920 W. Singhbhum Dr. Birendra Kumar Singh 943119637321 Khunti Dr. Binay Mishra 943121476622 Ramgarh Dr. Pradeep Kumar Singh 943192977623 RIMS, Ranchi Dr. Narayan Prasad Sahu 943158940724 MGM, Jamshedpur Dr. Mohan Kumar 943130066725 PMCH, Dhanbad Dr. Rabi Bhushan 995520605726 TMH, Jamshedpur Dr. Sudhir Mishra 9204058032

List of Nodal Person for Influenza A H1N1 in Jharkhand

DISTRICT – GODDA

Isolation Ward Team1. Dr. Ram Prasad, DSO – Infection Control

Officer

2. Dr. P.K. Sinha, MO, DTC, Godda – MO Isolation Ward

3. Dr. Ujjawal Kr. Sinha, Epidemiologist, Godda

4. Sri Milan Kumar Nag, Lab. Technician, Sadar Hospital, Godda

5. Smt. Indu Bala Kumari, ANM, SadarHospital, Godda

6. Smt. Mina Kumari, GNM, DLO Office, Godda.

DISTRICT – GODDA

DISTRICT – HAZARIBAGH

Isolation Ward Team1. Dr. A.K. Ranjan, Medical Officer

2. Mrs. Savita Malik, A Grade Nurse

3. Mr. Manoj Kumar Das, Lab. Technician

DISTRICT – HAZARIBAGH

DISTRICT – PAKUR

Isolation Ward Team1. Dr. Sural Mardi, MO, Sadar Hospital,

Pakur.

2. Mr. Anil Kumar Singh, Pharmacist (Paramedical Staff), Sadar Hospital, Pakur.

3. Ms. Poonam Nemrata Murmu, ANM / Nurse (A Grade), Sadar Hospital, Pakur.

4. Ms. Baby Renubala Tudu, ANM / Nurse (A Grade), Sadar Hospital, Pakur.

DISTRICT – PAKUR

DISTRICT – SIMDEGA

Isolation Ward Team1. Dr. Binod Oraon, DS, Sadar

Hospital, Simdega.

2. Dr. P.S. Linda, Pathologist, SadarHospital, Simdega

3. Smt. Subardani Guria, A Grade Nurse

DISTRICT – SIMDEGA

DISTRICT – SAHEBGANJ

Isolation Ward Team1. Dr. Dinesh Murmu, MO, Sadar

Hospital, Sahebganj.

2. Smt. Chandrakala Kumari, A Grade Nurse, Sadar Hospital, Sahebganj

DISTRICT – SAHEBGANJ

DISTRICT – WEST SINGHBHUM

Isolation Ward Team1. Dr. V.K. Pandit, MO, Sadar Hospital,

Chaibasa.2. Dr. B.K. Pandey, MO, Sadar Hospital,

Chaibasa.3. Dr. Prakash Ram, MO, Sadar Hospital,

Chaibasa.4. Dr. A.N. Dey, MO, Sadar Hospital,

Chaibasa.5. Ms. Roma Roy, A Grade Nurse, Sadar

Hospital, Chaibasa6. Ms. Krishna Bhattacharya, A Grade

Nurse, Sadar Hospital, Chaibasa7. Ms. Anita Ranoi , A Grade Nurse, 8. Sadar Hospital, Chaibasa9. Ms. D. Bodra, A Grade Nurse, Sadar

Hospital, Chaibasa10. Ms. Nutan Toppo, A Grade Nurse,

Sadar Hospital, Chaibasa11. Nilam Mundu, ANM, Sadar Hospital,

Chaibasa

DISTRICT – WEST SINGHBHUM

DISTRICT – JAMTARA

DISTRICT – JAMTARA

DISTRICT – KHUNTI

DISTRICT – GIRIDIH

DISTRICT – GIRIDIH

DISTRICT – SARAIKELA

DISTRICT – PALAMU

DISTRICT – DEOGHAR

DISTRICT – LOHARDAGA

DISTRICT – LOHARDAGA

DISTRICT – GUMLA

DISTRICT – LATEHAR

RIMS, RANCHI

PMCH, DHANBAD

Categorization of Influenza A H1N1 CASES:

In order to prevent and contain outbreak of Influenza-A H1N1 virus for screening, testing

and isolation following guidelines are to be followed:

At first all individuals seeking consultations for flu like symptoms should be screened at

healthcare facilities both Government and private or examined by a doctor and these will be

categorized as under:

Category- A

Patients with mild fever plus cough / sore throat with or without body ache, headache,

diarrhoea and vomiting will be categorised as Category-A. They do not require

Oseltamivir and should be treated for the symptoms mentioned above. The patients should

be monitored for their progress and reassessed at 24 to 48 hours by the doctor.

No testing of the patient for H1N1 is required.

Patients should confine themselves at home and avoid mixing up with public and high risk

members in the family.

SOURCE : GOI, GUIDELINES – SECRETARY, HEALTH, GOI, NEW DELHI

Category-B

• 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

• In addition to all the signs and symptoms mentioned under Category-A,

individuals having one or more of the following high risk conditions shall be

treated with Oseltamivir:

(i) Children less than 5 years old;

(ii) Pregnant women;

(iii) Persons aged 65 years or older;

(iv) Patients with lung diseases, heart disease, liver disease, kidney disease,

blood disorders, diabetes, neurological disorders, cancer and HIV/AIDS;

(v) Patients on long term cortisone therapy.

(vi) No tests for H1N1 is required for Category-B (i) and (ii)

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.

SOURCE : GOI, GUIDELINES – SECRETARY, HEALTH, GOI, NEW DELHI

Category-C

In addition to the above signs and symptoms of Category-A and B,

if the patient has one or more of the following:

• Breathlessness, chest pain, drowsiness, fall in blood pressure,

sputum mixed with blood, bluish discolouration of nails

• Irritability among small children, refusal to accept feed

• Worsening of underlying chronic conditions

All these patients mentioned above in Category-C require testing,

immediate hospitalization and treatment.

SOURCE : GOI, GUIDELINES – SECRETARY, HEALTH, GOI, NEW DELHI