Overview of Avian in addition to P in addition to emic Influenza Preparedness in addition to Response Recorded Infl

Overview of Avian in addition to P in addition to emic Influenza Preparedness in addition to Response Recorded Infl www.phwiki.com

Overview of Avian in addition to P in addition to emic Influenza Preparedness in addition to Response Recorded Infl

Soto, Jeff, Executive Producer has reference to this Academic Journal, PHwiki organized this Journal Overview of Avian in addition to P in addition to emic Influenza Preparedness in addition to Response Recorded Influenza P in addition to emics Influenza P in addition to emics Data as on 1st July, 2009

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Deaths due to Influenza in India-1918 Source: Annual Report of The Sanitary Commissioner with the Government of India Source: Annual Report of The Sanitary Commissioner with the Government of India Influenza -Weekly Death Rate in India 1918 Avian Influenza Panzootic 63 countries have reported avian influenza (H5) among birds/animals (as on May, 2009)

Avian Influenza outbreak among poultry in last six months Avian Influenza Poultry Outbreaks in India

Avian Influenza Poultry Outbreaks in India Transmission of Avian Influenza Migratory water birds Domestic birds Human Cases of Avian Influenza (as on 30th June, 2009)

Current H1N1 P in addition to emic Virus Influenza A (H1N1) virus (initially called swine flu) Re-assorted segments from American swine, Eurasian swine, Avian in addition to Human virus Have not been previously detected in pigs or humans Sensitive to oseltamivir, but resistant to both amantadine in addition to rimantadine Public Health Concern Number of affected countries with influenza A H1N1 increasing rapidly Number of human cases of influenza A H1N1 increasing rapidly The majority of the human population has no immunity to this virus Potential to further mutate to a lethal novel influenza virus Pre-requisites as long as an Influenza P in addition to emics Emergence of a novel virus to which all humans are susceptible New virus is able to replicate in addition to cause diseases in humans New virus is transmitted efficiently from human-to-human All Criteria Met as long as the Novel Influenza A H1N1

Influenza P in addition to emics—Global Health Implications Disease in addition to death About 500 million are expected to fall ill A significant proportion will require medical care 6.4–28.1 percent hospitalizations 2 to 7 million deaths, even with low case fatality rate of 0.6 percent Few weeks duration Several waves (Source: WHO) Influenza P in addition to emic—Impact Will affect essential medical services Will equally affect other essential community services Public transport, police, fire brigade, food supplies, air traffic, petrol stations, teachers, administrative functions, in addition to many other sectors Social in addition to political disruption may occur Considerable economic loss Strategic Approach 1. New influenza virus in animals low risk as long as human Surveillance, risk communication., case management, Surveillance in addition to investigation, contain outbreak at source, manage cases, Quarantine, social distancing increase risk com. Sectoral coordination C&C Surge capacity to h in addition to le large number of cases, Triage, Domicillary care, Maintain essential services Continuity of business Prevent infections Contain outbreaks Minimize losses Source: WHO

; Narrow window of opportunity Build-up of P in addition to emic AI/PI Preparedness in addition to Response Strategies Planning activities started in 2004 in India Highest political commitment as long as preparedness National consultation as long as strategy development Multi sectoral involvement as long as AI preparedness & response Knowledge gap filled through WHO guidelines AI/PI Preparedness in addition to Response Strategies Legal in addition to Institutional Framework National Disaster Management Act-2005 Epidemic Act 1897 National Crisis Management Committee National Influenza P in addition to emic Committee Inter-ministerial Task Force as long as Sectoral Coordination Joint Monitoring Group as long as monitoring National Task Force on Communications in I&B Ministry Technical Committee as long as laboratory strengthening, vaccines, import of poultry products etc.

AI/PI Preparedness in addition to Response Strategies AI/PI Plans National p in addition to emic preparedness plan Contingency plan as long as managing avian influenza in poultry Contingency plan as long as management of human cases of avian influenza Plan as long as management of cases of H1N1 influenza Prioritisation of Strategies as long as Action Plan-1 Surveillance-Human in addition to Animal Health Short term Surveillance – representative sample, focus on vulnerable states Poultry surveillance both backyard in addition to farms Surveillance of wild/migratory birds, major water bodies Human influenza surveillance in selected areas Active event based house to house surveillance during avian influenza outbreak/or during containment of cluster of cases caused by influenza A H1N1 IDSP to report cluster of influenza like illness (ILI) in addition to severe acute respiratory illness (SAR) Long term Integrated Disease Surveillance Program both as long as animal in addition to human health Prioritisation of Strategies as long as Action Plan-2 Laboratory Surveillance-Human in addition to Animal Health Short term Establish adequate BSL-3 labs in human health sector to cover the country on regional basis Establish five BSL-3 in addition to the existing BSL-4 in animal health Long term Nation-wide laboratory network under Integrated Disease Surveillance Program

Soto, Jeff CBS 2 News at 11 PM - KCBS-TV Executive Producer www.phwiki.com

Prioritization of Strategies as long as Action Plan-3 Training Human Resource as long as P in addition to emic Preparedness Table Top Exercises (TTX) to review the state plan Training of Rapid Response Teams (RRT) both in human in addition to animal sector at National, state in addition to district Level Clinicians training on respiratory/ventilatory management Mock drill of preparedness plans Health worker training in PPE/field surveillance/home care CME as long as medical practitioners on management of AI/PI Training of security agencies on the non-pharmaceutical interventions Training of volunteers on home care Prioritisation of Strategies as long as Action Plan-4 Building Capacity as long as Drugs in addition to vaccines Oseltamivir Five manufacturers licensed as long as bulk/ as long as mulations About ten million capsules in stock. Another six million in banking arrangement with manufacturers Vaccine Serum Institute of India (SII) one of the six companies supported to manufacture a P in addition to emic Influenza Vaccine by WHO SII, Bharat Biotech (BB) in addition to Panacea Biotech (PB) have been issued licence to import the seed virus by the Drug Controller General of India. BB in addition to PB have technical know how to produce p in addition to emic influenza vaccine on cell based technology Prioritisation of Strategies as long as Action Plan-5 Hospital Strengthening Short term Stockpiling of ventilators, blood analysers Long term Strengthening of hospital infrastructure as long as isolation facility in addition to critical care

Prioritisation of strategies as long as Action Plan-6 Risk communication Avian Influenza Target groups Live poultry markets, backyard poultry, poultry farms, community, high risk personnel Communication clusters Preventing an outbreak of bird flu; controlling an outbreak; emergency response to a p in addition to emic Influenza A H1N1 Flu wise campaign Flu care campaign AI/PI Plan-Indian Perspective Critical Issues Sectoral coordination Surveillance Augmenting critical care Stockpiling tamiflu as long as cluster containment Quarantine/social distancing as long as containment Management of mass casualties Disposal of dead bodies Border/port/airport control Imposing trade in addition to travel restrictions Influenza P in addition to emic Influenza p in addition to emics cause global health emergencies, but the damage can be reduced with adequate preparedness Various scenarios of health impact of influenza p in addition to emics exist. Even the most optimistic one causes concern National p in addition to emic preparedness is the key An influenza p in addition to emic was overdue, with the last one occurring in 1968 As expected a p in addition to emic (due to H1N1) emerged suddenly in addition to rapidly These preparedness activities are helping in our response to the H1N1 p in addition to emic The window of opportunity to act was used in preparing as long as an expected p in addition to emic due to H5N1

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