Lok Sabha Question No. 5 (STARRED), answered on 2018-02-02
Subject: H1N1 Influenza
Ministry: HEALTH AND FAMILY WELFARE
Asked by: HARI OM PANDEY, G. HARI

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 5 TO BE ANSWERED ON THE 2 ND FEBRUARY , 2018 H1N1 INFLUENZA

## *5. SHRI HARI OM PANDAY: SHRI G. HARI:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether it is true that Michigan strain H1N1 virus has been detected i parts of the country and if so, the details thereof;
- (b) the number of deaths reported across the count ry attributed to said virus;
- (c) whether the said virus is likely to infect more people who have not dev immunity  to  it  yet  and  if  so,  the  details  thereof  along  with  the  steps prevent more people from being affected by it;
- (d) whether the Government has launched any monitoring system for detection o H1N1 influenza in the country, if so, the details thereof and if not, th therefor  along  with  the  steps  taken/  being  taken  by  the  Government  to  s monitoring system for the pur pose; and
- (e) the extent to which the said system is likely to improve the community he the country particularly in Ambedkar Nagar in Uttar Pradesh?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE ( SHRI JAGAT PRAKASH NADDA )

- (a)to ( e) : A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 5* FOR 2 ND FEBRUARY , 2018

(a) As  per  the  studies  done  at  National  Institute  of  Virology  (NIV),  P Influenza A (H1N1) pdm09, A/Michigan/45/2015 like viruses have been detected in  India  since  February  2016,  when  it  co - circulated  with  A/California/07/2009 (25%). Since April 2017, all viruses detected have been A/Michigan/45/2015.

Like in 2016 A/Michigan/45/2015 like strains were reported from Maharashtra (Pune, Sholapur, Dhule) & Tamil Nadu (Chennai). In 2017 all t circulating viruses from Maharashtra (Pune, Buldhana Dhule, Sholapur, Nande Jammu Kashmir (Srinagar, Jammu), Gujarat (Ahmadabad, Rajkot), Tamil Nadu (Chennai), And hra Pradesh (Hyderabad), Rajasthan (Jaipur), West Bengal(Kolkata), Delhi and Assam (Guwahati, Dibrugarh) have been Influenza (H1N1) pdm09 A/Michigan/45/2015 like.

(b) The number of cases and deaths of seasonal influenza (H1N1) as reported States/UTs under the Integrated Disease Surveillance Programme of the Minis of  Health  and  Family  Welfare  during  the  last  five  years  and  current  year under:

| Year   |   2013 |   2014 |   2015 |   2016 |   2017 |   2018 Up to 28.01.2018 |
|--------|--------|--------|--------|--------|--------|-------------------------|
| Cases  |   5253 |    937 |  42592 |   1786 |  38810 |                     726 |
| Deaths |    699 |    218 |   2990 |    265 |   2264 |                      55 |

(c) Yes. Individuals not immune to the A/Michigan/45/2015 strain are likel get infected. Adoption of general hygienic measures, vaccination of the high risk population  and  timely  management  of  patients  are  the  recommended  steps  f prevention to said virus.

(d) Under IDSP, the National Centre for Disease Control undertakes surveillance  for  Influenza  like  Illness  (ILI)  and  Severe  Acute  Respi Infections (SARI) supported by two large networks of laboratories, viz:

(i) A network of 12 labs supported by IDSP/NCDC and

(ii) Another  networkof  41  labs  supported  by  Indian  C ou cil  of  Medical R esearch (Out of which 6 are common to IDSP and ICMR).

The weekly  status  of  seasonal  Influenza  H1N1  is  collected,  collated analyzed and is also available in the public domain.

- (e) The  existing  surveillance  system  is  capable  of  detecting  early  war signals through which the steps/remedies are taken at the community level s major  outbreaks  are  prevented.  In  the  same  manner  early  warning  signals  w detected  and  States  were  s upported  by  deputing  central  teams  to  Maharashtra, Gujarat,  Kerala  and  Telangana  in  2017  and  Rajasthan  in  2018.  The  number cases and deaths during the last three years reported by District Ambedkar in Uttar Pradesh is as under:

to

| Year   |   2015 |   2016 |   2017 |   2018 (up 28.01.2018) |
|--------|--------|--------|--------|------------------------|
| Cases  |      0 |      0 |     20 |                      0 |
| Deaths |      0 |      0 |      1 |                      0 |

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