Girl dies of swine flu in Pune

Last Updated: Tuesday, August 4, 2009 - 10:38

Zeenews Bureau

Pune: India registered its first
swine flu death on Monday after a 14-year-old school girl from
Pune fell victim to the virus, a week after she was admitted
to a private hospital with symptoms of the disease.

The girl was suffering from the flu for over a fortnight and died due to "delayed treatment", health officials said.

The death occurred even as health officials in Pune said
three more persons including two students tested positive for
the H1N1 virus last night, taking the total number of Swine
flu cases in the city to 101. Several schools were also shut
down after Pune came on the country`s swine flu map with 558
cases reported in several parts of the country.

Confirming the death, Union Health Secretary Naresh
Dayal said the girl who has not been identified yet could have
been "saved" if there was medical intervention in time
suggesting there was a delay in treatment.

"The deceased patient, Riya Shaikh, had been admitted to Jehangir Hospital, a private hospital, July 21. As per preliminary information, she passed away this evening," a health official in Pune told news agencies.

The girl first started showing symptoms of sore throat,
running nose, headache on July 21 after which she consulted a
doctor, a health ministry official said, adding she had
improved following which she resumed going to school.

"She again developed fever on July 25, for which she consulted another private practitioner. Her fever continued and she was admitted to a private nursing home in Pune July 27," according to a Health Ministry statement.

As the patient`s condition worsened, she was shifted
to ICU and was put on ventilator on July 29 and she tested
positive for swine flu on July 30.

Despite being on Oseltamivir, an anti-swine flu drug,
her condition deteriorated leading to multi-organ failure and
she expired at 5 PM today, a senior health ministry official
said in New Delhi.

Health authorities in New Delhi and Mumbai said there
was no reason for panic but counselled schools not to allow
students showing symptoms of the disease like severe cold,
bodyache and cough. Pune Divisional Commissioner Dilip Bhand
said swine flu patients must take treatment in government
hospitals.

Authorities in dark

Health officials are flummoxed how a serious patient of H1N1 could remain under treatment in a private hospital and are inquiring whether the case was notified to the authorities or not, especially since Pune had been declared a `pandemic` city last month.

Dilip Bhan, divisional commissioner of Pune, maintained: "We were not aware of the patient. She had taken private treatment. People should not go to private hospitals and instead get themselves admitted to government hospitals."

"After the death we have all become very conscious and alert. We are taking every precautionary measure to ensure that no more deaths take place," he added

The health ministry said the Pune hospital staff, including three doctors and a nurse, who had treated the girl and had developed respiratory symptoms were being treated with Oseltamivir.

"About 85 other hospital contacts have been put on prophylaxis, while 31 contacts, including 11 family contacts, have also been put on chemoprophylaxis," it added.

Dayal said they have already issued guidelines regarding swine flu to schools as it is mostly affecting children.

Asked if the government has issued any guidelines of closing down the schools, he said: "Guidelines are very clear. If a child is suffering from swine flu virus he should not come to school and get himself isolated. We have not recommended closing down of schools."

He said they are monitoring the situation and would take action and review the situation following the girl`s death.

Dayal also said the government has enough stock of anti-flu medicines and if the need arose they would be able to acquire more. Since Tamiflu is available only in select government hospitals, Dayal said the government would review the situation.

Most of the cases are being reported from the metros as the infected people were returning from foreign jaunts.

"(More cases) will happen," he said, adding that at the time people return to India they do not exhibit symptoms of the flu, which has an incubation period of seven-10 days. "The symptoms develop later," Dayal said.

He added that one third of the people who test positive for swine flu are those identified at the entry point, while the rest are cases who report themselves later.

Dayal stressed that testing for swine flu can`t be done in private hospitals.

"Testing can`t be done in every hospital lab. Certain care has to be taken while taking samples. The doctor or the technician has to wear protective gear. If it is not taken carefully, more people could be infected," he added.

India report

Asked if India has handled the swine flu cases properly, he said: "We have handled it better than other countries. We have only one death from the virus."

On Monday, seven positive cases were reported in the country - Delhi (2), Pune (3), Chennai (1) and Ahmedabad (1).

Health officials said an 11-year-old boy in Delhi contracted the virus from another person.

Pune continued to report swine flu, with three new cases, including two children. They contracted the virus in school.

In Chennai, an eight-year-old boy, who had arrived from Muscat on July 29, tested positive.

In Ahmedabad, a 27 year-old woman doctor who was on airport screening duty, reported with flu-like symptoms on July 30.

In Maharashtra, the number of cases rose to 147 Monday - with 102 in Pune, 20 in Mumbai, 23 in the hill-station of Panchgani, and two in Thane.

A total of 2,361 people have been tested so far out of which 525 are positive for swine flu. Of the 525 positive cases, 369 have been discharged.

According to the World Health Organization (WHO) till July 27, about 134,503 laboratory confirmed cases of influenza A (H1N1) have been reported. About 816 deaths have been reported, mostly from Mexico and the US.



First Published: Tuesday, August 4, 2009 - 10:38

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