Lok Sabha Question No. 105 (STARRED), answered on 2019-06-28
Subject: Cases of H1N1 Virus
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Adoor Prakash

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

## LOK SABHA STARRED QUESTION NO. 105 TO BE ANSWERED ON THE 28 TH JUNE , 2019 CASES OF H1N1 VIRUS

## *105. ADV. ADOOR PRAKASH:

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

- (a) whether the cases of H1N1 virus have been reported from various States recently;
- (b) if so, the number of cases reported and deaths occurred during this yea UT - wise; a nd
- (c) the details of measures taken/ proposed to be taken to combat the disease

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE ( SHRI ASHWINI KUMAR C HOUBEY )

- (a) to (c) A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 105 * FOR 28 TH JUNE , 2019

(a)& (b): Yes.In 2019 ,a total 26,140 cases and 1,076 deaths have been reported the  Country  due  to Seasonal  Influenza  (H1N1)  till 23.06.2019.A  Tabular Statement  indicating  State/UT  wise  number  of  cases  and  deaths  reported Seasonal Influenza A(H1N1)/Swine flu for 2019 is at Annexure.

(c):As  per  the  Constitutional  provisions,  health  is  a  State  subje ct  and  primary responsibility  of  health  matters  rest  with  the  States/UTs.    However,  the Government has been closely monitoring the Seasonal Influenza situation and been in regular touch with the States/UTs on the issues and have taken nume measures to contain and manage the Seasonal Influenza (H1N1), as under: -

- i. The situation was reviewed by the Hon'ble Union Minister for Health and Family  Welfare  on  25.04.2018  and  16.10.2018  and  by  Union  Health Secretary on 06.02.2019 and at the level of Un ion Additional Secretary (Health) on 21.01. 2019.
- ii. Regular Video conferences are held with the nodal officers for H1N1 high case reporting States and preparedness is reviewed on regular b The  Video  conferences  by  Union  Secretary  (HFW)  with  the  Princ ipal Secretaries  of  States/UTs  were  held  on  17.10.2018,  25.10.2018  an 11.02.2019.
3. iii.The situation of the Seasonal Influenza is also regularly reviewed b Joint  Monitoring  Group (JMG)  under  the  chairmanship  of  Director General of Health Service (DGHS). Last meeting of JMG was held on 12.06.2019.
- iv. Ministry  of  Health  and  Family  Welfare  has  provided  guidelines  o categorization of patients, treatment protocol and guidelines venti latory management to the States/UTs which are also available on t website  of  the  Ministry  ( www.mohfw.nic.in )  and  National  Centre  for Disease  Control  (NCDC)  (ncdc.gov.in).  State  Governments  have  also been advised fo r vaccination of health care workers dealing with H1N1 cases.
- v. All the States have been advised to complete the procurement of requ logistics for managing seasonal influenza A (H1N1) from State budge However,  during  crisis  in  States,  Govt.  of  India  is supplying  logistics (drugs, PPE kits, N - 95 face masks). In 2019, Govt. of India has supplied
6. the logistics  to  Bihar,  Haryana,  Jammu  &  Kashmir,  Himachal  Pradesh Delhi, Punjab, Meghalaya, Andhra Pradesh, Uttar Pradesh, and Chandigarh.
- vi. A  Public  Health  Team was  deputed  in  2019  to  Rajasthan,  Madhya Pradesh,  Punjab,  and  Uttarakhand  to  assess  the  situation  and  assis States in strengthening response to the increase in cases.
- vii. Advisory  for  preparedness  to  seasonal  influenza  A  (H1N1)  was  issue time to time. L ast advisory was issued on 13.03.2019 to major affected States.
9. viii.Integrated  Disease  Surveillance  Programme  (IDSP)  and  its  State  uni have enhanced the surveillance for Influenza like Illness (ILI) and S Acute Respiratory Infections (SARI).
- ix. During the year 2018, 3 batches of training were organized on ventilat management  and  management  of  critically  ill  influenza  patients  in months of May and June,2018 in which 14 States with 102 participant were oriented.
- x. IEC  material  i.e.  info  graphics  on  seaso nal  flu  for  general  public  was shared with all States on 05.10.2018. Other IEC materials including a spot is available on MoHFW website since 2015.

Further,  Integrated  Disease  Surveillance  Programme(IDSP) assisted  lab network of 12 Laboratories are pr oviding laboratory support in terms of testing, quality  assurance,  guidance,  providing  viral  transport  mediums  and  diagn reagents. The diagnostic capacity has also been strengthened by Indian Counc Medical  Research  (ICMR)  through  more  than  41  Vir us  Research  Diagnostic Laboratories (VRDL) to test clinical samples (6 labs are common to both IDSP ICMR).

****

## Annexure

| State/UT-wise Cases and Death sdue toSeasonal Influenza (H1N1) during the year   | State/UT-wise Cases and Death sdue toSeasonal Influenza (H1N1) during the year   | State/UT-wise Cases and Death sdue toSeasonal Influenza (H1N1) during the year   | State/UT-wise Cases and Death sdue toSeasonal Influenza (H1N1) during the year   |
|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|
| S. No.                                                                           | States/UTs                                                                       | Cases                                                                            | Deaths                                                                           |
| 1                                                                                | Andaman & Nicobar                                                                | 0                                                                                | 0                                                                                |
| 2                                                                                | Andhra Pradesh                                                                   | 309                                                                              | 13                                                                               |
| 3                                                                                | Arunachal Pradesh                                                                | 0                                                                                | 0                                                                                |
| 4                                                                                | Assam                                                                            | 45                                                                               | 1                                                                                |
| 5                                                                                | Bihar                                                                            | 51                                                                               | 1                                                                                |
| 6                                                                                | Chandigarh                                                                       | 54                                                                               | 3                                                                                |
| 7                                                                                | Chhattisgarh                                                                     | 144                                                                              | 28                                                                               |
| 8                                                                                | Dadra & Nagar Haveli                                                             | 6                                                                                | 2                                                                                |
| 9                                                                                | Daman & Diu                                                                      | 8                                                                                | 1                                                                                |
| 10                                                                               | Delhi                                                                            | 3,573                                                                            | 31                                                                               |
| 11                                                                               | Goa                                                                              | 95                                                                               | 2                                                                                |
| 12                                                                               | Gujarat                                                                          | 4,772                                                                            | 149                                                                              |
| 13                                                                               | Haryana                                                                          | 1,033                                                                            | 16                                                                               |
| 14                                                                               | Himachal Pradesh                                                                 | 333                                                                              | 41                                                                               |
| 15                                                                               | Jammu & Kashmir                                                                  | 438                                                                              | 27                                                                               |
| 16                                                                               | Jharkhand                                                                        | 74                                                                               | 4                                                                                |
| 17                                                                               | Karnataka $                                                                      | 1,736                                                                            | 87                                                                               |
| 18                                                                               | Kerala                                                                           | 593                                                                              | 22                                                                               |
| 19                                                                               | Lakshadweep                                                                      | 0                                                                                | 0                                                                                |
| 20                                                                               | Madhya Pradesh                                                                   | 653                                                                              | 146                                                                              |
| 21                                                                               | Maharashtra                                                                      | 1,692                                                                            | 189                                                                              |
| 22                                                                               | Manipur                                                                          | 0                                                                                | 0                                                                                |
| 23                                                                               | Meghalaya                                                                        | 0                                                                                | 0                                                                                |
| 24                                                                               | Mizoram                                                                          | 0                                                                                | 0                                                                                |
| 25                                                                               | Nagaland                                                                         | 0                                                                                | 0                                                                                |
| 26                                                                               | Odisha                                                                           | 203                                                                              | 5                                                                                |
| 27                                                                               | Puducherry                                                                       | 9                                                                                | 0                                                                                |
| 28                                                                               | Punjab                                                                           | 534                                                                              | 31                                                                               |
| 29                                                                               | Rajasthan                                                                        | 5,021                                                                            | 205                                                                              |
| 30                                                                               | Sikkim                                                                           | 8                                                                                | 0                                                                                |
| 31                                                                               | Tamil Nadu                                                                       | 410                                                                              | 2                                                                                |
| 32                                                                               | Telangana                                                                        | 1,215                                                                            | 20                                                                               |
| 33                                                                               | Tripura                                                                          | 31                                                                               | 0                                                                                |
| 34                                                                               | Uttarakhand                                                                      | 243                                                                              | 6                                                                                |
| 35                                                                               | Uttar Pradesh                                                                    | 1,972                                                                            | 25                                                                               |
| 36                                                                               | West Bengal #                                                                    | 885                                                                              | 19                                                                               |
|                                                                                  | Total                                                                            | 26,140                                                                           | 1,076                                                                            |

$-As on 20.06.2019 , # -As on 21.04.2019.