Lok Sabha Question No. 122 (UNSTARRED), answered on 2017-12-15
Subject: Swine Flu
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAYAPATI SAMBASIVA RAO, ELUMALAI VELLAIGOUNDER, ANBUMANI RAMADOSS, RAJESH VERMA

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

## LOK SABHA UNSTARRED QUESTION NO. 122 TO BE ANSWERED ON   15 TH DECEMBER, 2017

## SWINE FLU

## 122. SHRI RAYAPATI SAMBASIVA RAO:

SHRI V. ELUMALAI:

DR. ANBUMANI RAMADOSS:

SHRI RAJESH VERMA:

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

- (a) the number of cases of swine flu and attributable deaths reported in the cou try during each of the last three years and the current year, State/UT - wise;
- (b) whether the Government has reviewed the preparedness of the States/ UTs and adequacy of availability of drugs and vaccines to deal with the disease;
- (c) if so, the details and the outcome there f indicating the financial and technical assistance including drugs/vaccines provided to the States/UTs for prevention, diagnosis and treatment of swine flu State/ UT - wise; and
- (d) the details of major schemes being implemented/proposed by the Government in this regard?

## ANSWER THE MINISTER OF S TATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

- (a) : The number of cases and deaths due to Seasonal Influenza H1N1 (swine flu) as repor by the States/UT during last three years ,and current year is annexed.
- (b): Health is a State subject; however, the Central Government has been closely monitorin the Seasonal Influenza (swine flu) situation and is in regular touch with the States on and has taken following steps:
- Prior to the onset of Influenza season, the situation was reviewed by the Minister for Health and Family Welfare on 13 th October, 2016 and 9 th November, 2016. The situation was again reviewed on 18 th August 2017 and on 1 st December 2017.
- Regular Video conferences are being held with the nodal offi cers for H1N1 in high case reporting States and preparedness is being reviewed on re gular basis. A Video conference by Secretary (HFW) with the Principal Secretaries of 11 States/UTs was held on 25.09.2 and 23.11.2017.
- The  situation  of  the  Seasonal  Infl uenza  is  also  being  regularly  reviewed  by  the  Joint Monitoring Group under the chairmanship of DGHS. Last meeting of this Expert group wa held on 05/09/2017. The situation was also monitored at the level of Additional Sec (Health) on 31.08.2017.
- To  ensure  wider  availability  and  accessibility  of  Oseltamivir,  the  drug  for  treat Influenza has been put in Schedule H1 so that it can be sold by all licensed chemis prescription.

(c )& (d): Under Integrated Disease Surveillance Programme (ID SP), funds are released to States/UTs as grant - in - aid  (GIA)  to  perform  surveillance  and  outbreak  investigation  activit with  respect  to  epidemic  prone  diseases  including  Seasonal  Influenza  H1N1  (swine  flu) 12 laboratories under Integrated Disease Survei llance Programme (IDSP) and 35 laboratories under Indian Council of Medical Research (ICMR) are providing diagnostic services for detectio Influenza virus to the states.

Following National Guidelines on Seasonal Influenza has been prepared and circul ated to all States/UTs :

- Guidelines for Providing Home Care
- Clinical Management Protocol for Seasonal Influenza
- Guidelines on Risk Categorization
- Guidelines on use of masks for health care workers, patients and members of public

Vaccine Guidelines includi ng composition of the vaccine is issued every year.  For the current season, the guidelines were updated on 25. 04.2017 and provided to the States. Training Workshops  attended  by  Directors  of  Health  Services  and  Directors  of  Medical  Education States were organized at New Delhi on 24.11.2016 and 30.01.2017.

The drug for seasonal influenza H1N1 (swine flu) 'Oseltamivir' tablets and suspension are  procured  by  States.  However,  in  case  of  shortage  of  drug  in  the  State,  the  same also provided by Government of India.

To  further  strengthen  and  support  the  surveillance  activities  by  the  State, Ministry  of Health  and  Family  Welfare had  deputed  senior  level  Public  Health  Teams  to  Maharashtra, Gujarat, Kerala and Telangana in this year.

Annexure Seasonal Influenza number of cases and deaths from 2014 to 2017

| S. No.           | States/UTs          | 2014   | 2014   | 2015   | 2015   | 2016   | 2016   | 2017 (as on 26.11.2017 )   | 2017 (as on 26.11.2017 )   |
|------------------|---------------------|--------|--------|--------|--------|--------|--------|----------------------------|----------------------------|
| S. No.           | States/UTs          | C      | D      | C      | D      | C      | D      | C                          | D                          |
| 1                | Andaman & Nicobar   | 0      | 0      | 4      | 0      | 0      | 0      | 2                          | 1                          |
| 2                | Andhra Pradesh      | 10     | 5      | 258    | 36     | 12     | 5      | 476                        | 14                         |
| 3                | Arunachal Pradesh   | 0      | 0      | 0      | 0      | 0      | 0      | 5                          | 1                          |
| 4                | Assam               | 0      | 0      | 31     | 4      | 0      | 0      | 199                        | 5                          |
| 5                | Bihar               | 0      | 0      | 352    | 6      | 0      | 0      | 26                         | 0                          |
| 6                | Chandigarh          | 0      | 0      | 23     | 7      | 6      | 0      | (As on 62                  | 26.11.2017) 6              |
| 7                | Chhattisgarh        | 0      | 0      | 239    | 53     | 6      | 4      | 305                        | 64                         |
| 8                | Dadra &Nagar Haveli | 0      | 0      | 26     | 6      | 1      | 0      | 15                         | 4                          |
| 9                | Daman &Diu          | 0      | 0      | 5      | 1      | 0      | 0      | 6                          | 2                          |
| 10               | Delhi               | 38     | 1      | 4307   | 12     | 193    | 7      | 2832                       | 12                         |
| 11               | Goa                 | 1      | 1      | 193    | 19     | 6      | 0      | 260                        | 12                         |
| 12               | Gujarat             | 157    | 55     | 7180   | 517    | 411    | 55     | 7690                       | 431                        |
| 13               | Haryana             | 5      | 0      | 433    | 58     | 68     | 5      | 252                        | 9                          |
| 14               | Himachal Pradesh    | 0      | 0      | 123    | 27     | 14     | 5      | 75                         | 15                         |
| 15               | Jammu &Kashmir      | 0      | 0      | 495    | 20     | 2      | 0      | 71                         | 9                          |
| 16               | Jharkhand           | 0      | 0      | 16     | 6      | 1      | 1      | 35                         | 2                          |
| 17               | Karnataka           | 303    | 33     | 3565   | 94     | 110    | 0      | 3257                       | 15                         |
| 18               | Kerala              | 62     | 15     | 928    | 76     | 23     | 1      | 1411                       | 76                         |
| 19               | Lakshadweep         | 0      | 0      | 0      | 0      | 0      | 0      | 0                          | 0                          |
| 20               | Madhya Pradesh      | 17     | 9      | 2445   | 367    | 38     | 12     | 800                        | 146                        |
| 21               | Maharashtra         | 115    | 43     | 8583   | 905    | 82     | 26     | 6121                       | 752                        |
| 22               | Manipur             | 0      | 0      | 5      | 2      | 0      | 0      | 8                          | 1                          |
| 23               | Meghalaya           | 0      | 0      | 1      | 0      | 0      | 0      | 0                          | 0                          |
| 24               | Mizoram             | 0      | 0      | 4      | 0      | 0      | 0      | 0                          | 0                          |
| 25               | Nagaland            | 0      | 0      | 4      | 0      | 0      | 0      | 0                          | 0                          |
| 26               | Odisha              | 0      | 0      | 76     | 13     | 1      | 0      | 413                        | 54                         |
| 27               | Pondicherry         | 0      | 0      | 57     | 4      | 1      | 0      | 166                        | 9                          |
| 28               | Punjab              | 27     | 6      | 300    | 61     | 177    | 64     | 292                        | 86                         |
| 29               | Rajasthan           | 64     | 34     | 6858   | 472    | 197    | 43     | 3186                       | 242                        |
| 30               | Sikkim              | 0      | 0      | 0      | 0      | 0      | 0      | 0                          | 0                          |
| 31               | Tamil Nadu          | 58     | 8      | 898    | 29     | 122    | 2      | 3294                       | 17                         |
| 32               | Telangana*          | 78     | 8      | 2956   | 100    | 166    | 12     | 2162                       | 21                         |
| 33               | Tripura             | 0      | 0      | 0      | 0      | 0      | 0      | 44                         | 0                          |
| 34               | Uttarakhand         | 0      | 0      | 105    | 15     | 20     | 5      | 184                        | 22                         |
| 35               | Uttar Pradesh       | 2      | 0      | 1578   | 50     | 122    | 16     | 3856                       | 132                        |
| 36               | West Bengal         | 0      | 0      | 544    | 30     | 7      | 2      | 715^                       | 26^                        |
| Cumulative Total | Cumulative Total    | 937    | 218    | 42592  | 2990   | 1786   | 265    | 38220                      | 2186                       |

^As on 19.11.2017

Abbreviations:  C-Cases, D- Deaths

*Telangana State has reporting separately since Nov ember, 2014 after separation from Andhra Pradesh.