Lok Sabha Question No. 1109 (UNSTARRED), answered on 2015-12-04
Subject: Cases of Influenza-A H1N1
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAOSAHEB PATIL DANVE, ASADUDDIN OWAISI, VIJAY KUMAR HANSDAK, YOGI ADITYANATH, SUBHASH RAMRAO BHAMRE, RAMA DEVI, PINAKI MISRA, RAYAPATI SAMBASIVA RAO, CHANDRAKANT BHAURAO KHAIRE, RAMDAS CHANDRABHANJI TADAS, K. GOPAL, CHAND NATH, PONNUSAMY VENUGOPAL

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1109 TO BE ANSWERED ON 4 TH DECEMBER, 2015

## CASES OF INFLUENZA - A H1N1

## 1109. SHRI RAOSAHEB DANVE PATIL:

SHRI ASADUDDIN OWAISI:

SHRI VIJAY KUMAR HANSDAK:

SHRI YOGI ADITYA NATH:

DR. SUBHASH BHAMRE:

SHRIMATI RAMA DEVI:

SHRI PINAKI MISRA:

SHRI RAYAPATI

SAMBASIVA RAO:

SHRI CHANDRAKANT KHAIRE:

SHRI RAMDAS C. TADAS:

DR. K. GOPAL:

SHRI CHAND NATH:

DR. P. VENUGOPAL:

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

- (a) the number of cases of Influenza -A H1N1 (Swine Flu) and related deaths reported in the country during each of the last three years and the current year, State/ UT - wise;
- (b) whether t he Government has reviewed the preparedness of the States/ UTs and adequacy of availability of drugs and vaccines to deal with this seasonal disease ahead of winter;
- (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 Influenza - A H1N1, State/UT - wise; and
- (d)  the  further  measures  being  taken  by the  Government  for  proper  management of  seasonal epidemic  like  Influenza - A  H1N1 and  creation  of  health  infrastructure  for  its detection  and treatment?

## ANSWER

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

- (a): The State/UT - wise details  of  cases  of  Influenza  A  H1N1  and  related  deaths  reported from various parts of the country for last three years and current year are given at Annexure. All the reported deaths may not have occurred only due to Influenza A H1N1 infection but may be due to co - morbid conditions and due to patients being immuno - compromised.
- (b )& (c): Meetings  have  been  held  at  the  level  of  Union  Minister  of  Health  and  Fami Welfare, Union Secretary (H) and DGHS to review preparedness for Influenza A H1N1 for th

ensuing winter months. Advisories have been issued in the month of September and Octo 2015 to the Chief Secretaries and Principal Secretaries of Health of the States/ UTs. The Senior officers  of  the  Ministry  of  Health  &  Family  Welfare  held  video  conferences  with  He Secretaries / Directors of Health Services of the affected States on 6.10.2015  and 24.11.2015 . MOHFW  is  in  regular  touch  with  affected  State  Governments/UTs  to  ascertain  and  resol difficulties, if any.

States  have  provided  details  of  drugs  available with  th m.  As  per  the  information provided by 18 States , the y have  maintained stock of drugs.

The States of Punjab, Jammu and Kashmir and Chattisgarh have been provided with th drug Oseltamivir from the Central stock.

(d): The Central stock of drug Oseltamivir  and laboratory reagents have been reviewed addition  to  the  existing  stock  3,00,000  adult  and  30000  pediatric  formulations  have procured.  Further,  15000  laboratory  diagnostics  have  been  procured,  part  of  which  i supporting    29  Virus  Research  Diagnostic  Laboratories  (under  Indian  Council  of  M edical Research) that have the capacity for testing Influenza A H1N1.

The affected States have identified isolation and cr tical treatment facilities for detection and treatment of Influenza.

Guidelines for vaccination of high r iskgroups, risk categoriz ation, clinical management and ventilator management have been reviewed and circulated among the States. These ha been also posted on the Ministry's website.

Training for Master Trainers in Ventilatory/ ICU management is also provided to doc from State Governments by MoHFW.

To  raise  the  awareness  about  Influenza  among  general  public,  IEC  campaign  i undertaken in national and local newspapers and through R adio and Television.

A  control  room  is  functioning  from  Ministry  of  Health  and  Family  Welfare.  Th situation is being monitored on daily basis.

Influenza A H1N1 (Swine Flu) -State/UT -wise, Year -wise from 2012 to till date (As on 29 th November, 2015)

| S. No.           | State                | Jan,2012 - Dec,2012   | Jan,2012 - Dec,2012   | Jan, 2013 - Dec, 2013   | Jan, 2013 - Dec, 2013   | Jan, 2014 - Dec, 2014   | Jan, 2014 - Dec, 2014   | Jan, 2015 - 29 th Nov, 2015   | Jan, 2015 - 29 th Nov, 2015   |
|------------------|----------------------|-----------------------|-----------------------|-------------------------|-------------------------|-------------------------|-------------------------|-------------------------------|-------------------------------|
| S. No.           | State                | C                     | D                     | C                       | D                       | C                       | D                       | C                             | D                             |
| 1.               | Andaman & Nicobar    | 0                     | 0                     | 0                       | 0                       | 0                       | 0                       | 4                             | 0                             |
| 2.               | Andhra Pradesh       | 326                   | 34                    | 71                      | 8                       | 10                      | 5                       | 256                           | 36                            |
| 3.               | ArunanchalPradesh    | 0                     | 0                     | 0                       | 0                       | 0                       | 0                       | 0                             | 0                             |
| 4.               | Assam                | 0                     | 0                     | 0                       | 0                       | 0                       | 0                       | 31                            | 4                             |
| 5.               | Bihar                | 0                     | 0                     | 0                       | 0                       | 0                       | 0                       | 352                           | 6                             |
| 6.               | Chandigarh(UT)       | 1                     | 0                     | 37                      | 5                       | 0                       | 0                       | 23                            | 7                             |
| 7.               | Chhattisgarh         | 10                    | 3                     | 1                       | 1                       | 0                       | 0                       | 238                           | 53                            |
| 8.               | Dadra & Nagar Haveli | 0                     | 0                     | 0                       | 0                       | 0                       | 0                       | 26                            | 6                             |
| 9.               | Daman & Diu          | 0                     | 0                     | 0                       | 0                       | 0                       | 0                       | 5                             | 1                             |
| 10.              | Delhi                | 78                    | 1                     | 1511                    | 16                      | 38                      | 1                       | 4288                          | 12 #                          |
| 11.              | Goa                  | 9                     | 0                     | 0                       | 0                       | 1                       | 1                       | 193                           | 19                            |
| 12.              | Gujarat              | 101                   | 30                    | 989                     | 196                     | 157                     | 55                      | 7149                          | 509                           |
| 13.              | Haryana              | 18                    | 5                     | 450                     | 41                      | 5                       | 0                       | 430                           | 57                            |
| 14.              | Himachal Pradesh     | 2                     | 2                     | 0                       | 0                       | 0                       | 0                       | 117                           | 26                            |
| 15.              | Jammu & Kashmir      | 0                     | 0                     | 76                      | 2                       | 0                       | 0                       | 495                           | 20                            |
| 16.              | Jharkhand            | 0                     | 0                     | 0                       | 0                       | 0                       | 0                       | 16                            | 6                             |
| 17.              | Karnataka            | 878                   | 48                    | 122                     | 19                      | 303                     | 33                      | 3548                          | 91                            |
| 18.              | Kerala               | 623                   | 14                    | 10                      | 1                       | 62                      | 15                      | 923                           | 76                            |
| 19.              | Lakshadweep          | 0                     | 0                     | 0                       | 0                       | 0                       | 0                       | 0                             | 0                             |
| 20.              | Madhya Pradesh       | 151                   | 26                    | 113                     | 32                      | 17                      | 9                       | 2426                          | 363                           |
| 21.              | Maharashtra          | 1551                  | 135                   | 643                     | 149                     | 115                     | 43                      | 8568                          | 897                           |
| 22.              | Manipur              | 0                     | 0                     | 0                       | 0                       | 0                       | 0                       | 5                             | 2                             |
| 23.              | Meghalaya            | 0                     | 0                     | 0                       | 0                       | 0                       | 0                       | 1                             | 0                             |
| 24.              | Mizoram              | 0                     | 0                     | 20                      | 1                       | 0                       | 0                       | 4                             | 0                             |
| 25.              | Nagaland             | 0                     | 0                     | 0                       | 0                       | 0                       | 0                       | 4                             | 0                             |
| 26.              | Orissa               | 2                     | 0                     | 0                       | 0                       | 0                       | 0                       | 75                            | 13                            |
| 27.              | Pondicherry          | 63                    | 2                     | 0                       | 0                       | 0                       | 0                       | 57                            | 4                             |
| 28.              | Punjab               | 13                    | 4                     | 183                     | 42                      | 27                      | 6                       | 294                           | 57                            |
| 29.              | Rajasthan            | 343                   | 60                    | 865                     | 165                     | 64                      | 34                      | 6818                          | 463                           |
| 30.              | Sikkim               | 0                     | 0                     | 0                       | 0                       | 0                       | 0                       | 0                             | 0                             |
| 31.              | Tamil Nadu           | 750                   | 40                    | 37                      | 6                       | 58                      | 8                       | 826                           | 26                            |
| 32               | Telangana*           | -                     | -                     | -                       | -                       | 78                      | 8                       | 2926                          | 97                            |
| 33.              | Tripura              | 0                     | 0                     | 0                       | 0                       | 0                       | 0                       | 0                             | 0                             |
| 34.              | Uttarakhand          | 1                     | 1                     | 24                      | 7                       | 0                       | 0                       | 98                            | 13                            |
| 35.              | Uttar Pradesh        | 124                   | 0                     | 98                      | 8                       | 2                       | 0                       | 1573                          | 48                            |
| 36.              | West Bengal          | 0                     | 0                     | 3                       | 0                       | 0                       | 0                       | 542                           | 30                            |
| Cumulative Total | Cumulative Total     | 5044                  | 405                   | 5253                    | 699                     | 937                     | 218                     | 42311                         | 2942                          |

Abbreviations:  C

-Cases, D -Deaths

*Telangana State has reporting separately since 2014 after separation from Andhra Pradesh # Deaths reported by Govt. of NCT of Delhi, are that of residents of Delhi