Procedures If You Identify Symptoms

What to do if you think you are infected with swine flu? Please follow these guidelines as recommended by the Health Ministry of India.

At first all individuals seeking consultations for flu like symptoms should be screened at healthcare facilities both Government and private or examined by a doctor

If you suffer from

mild fever
cough or sore throat
with or without body ache,
headache,
diarrhoea
vomiting

These patients do not require Oseltamivir (Tamiflu) and should be treated for the symptoms mentioned above. The patients should be monitored for their progress and reassessed at 24 to 48 hours by the doctor. No testing of the patient for H1N1 is required.

In addition to all the signs and symptoms mentioned above, if you have high grade fever and severe sore throat, you may require home isolation and Oseltamivir (Tamiflu)

In addition to all the signs and symptoms mentioned under above, individuals having one or more of the following high risk conditions shall be treated with Oseltamivir (Tamiflu)

Children less than 5 years old;
Pregnant women;
Persons aged 65 years or older;
Patients with lung diseases, heart disease, liver disease, kidney disease, blood disorders, diabetes, neurological disorders, cancer and HIV/AIDS;
Patients on long term cortisone therapy.
No tests for H1N1 is required for the above symptoms.

All patients with the above symptoms should confine themselves at home and avoid mixing with public and risk members in the family.

In addition to the above signs and symptoms, if you have one or more of the following:

Breathlessness
chest pain
drowsiness
fall in blood pressure
sputum mixed with blood
bluish discolouration of nails
Irritability among small children, refusal to accept feed
Worsening of underlying chronic conditions

You will require testing, immediate hospitalization and treatment based on test results.

These are the procedures recommended by the Health Ministry's Public Information Bureau website which we have tried to simplify. To read the original text go to http://pib.nic.in/release/release.asp?relid=51875

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Reader Comments

Taarak from Singapore on 23-Aug-2009 22:40

1. Oseltamivir (Tamiflu) causes suicidal tendencies.
Already over a dozen kids have committed suicide due to that & hence it's banned in Japan for children.

2. It only reduces the duration of symptoms by 2 days, as per clinical records.

3. It's side effects are the same as the symptoms of swine flu.

4. The only good thing inside it is "star anise". Why not have it directly. Rest all is chemical poison.
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jaspalsingh from Not Specified on 1-Sep-2009 19:46

i had sorethroat and cold about six days back,presently having headache andweakness and sinusitis .Iwant to know if antiviral treatment will be effective now
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DR.MAULIK SHAH from JAMNAGAR.(GUJARAT) on 1-Sep-2009 22:39

Why do you need to take antiviral drugs? you do not seem to have even fever.The primery impression of the symptoms it seems more of conventional sinusitis mostly postviral.You need to see a physician FIRST.
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Newn from Not Specified on 3-Sep-2009 13:33

http://mohfw.nic.in/press_releases_on_swine_flu.htm
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amit from karad on 11-Sep-2009 0:08

I had mild fever on 17th August(less than 98) had medicine by physician, then second day fever subsided, i was feeling weak, a bit of breathless, then i took second opinion from other physician ( feeling of swine flu ) both felt no swine flu, on 22nd august 2009 i had chest pain been to hospital and had ECG - which was normal - doc said due to accidity, then today 30th august feeling stomach upset, today doc prescribed me omez & domastal, now i m feeling better, but still i m scared of swine flu.

there are no other symtoms continuous - some time something, but my nails are purple - they are having purple tone at them ( not pink - may be bluish)

doc says it can be somethign else !

after above all things, i have done my CBC count, and Sugar Blood Test, which came normal,
Hymoglobin 14.4
WBC Count : 6600
Platelet Count : 368000
RBC Cont : 5.22
PCV : 43.7
MCV : 83.7
MCH : 27.50
MCHC : 32.90
R D W-CV : 12.2
Neutro : 60 % - 3960
Eosino : 4 % - 264
Baso : 0 %
Lympho : 32 %
Mono : 4 % - 264
Other / Atypical cells : 0 %
Peripheral Smear Study
RBC Morphotology : normocytic, normochromic
WBC Abnormalities : not detected
Platelets : Adequate

then i had a complaint of throat pain - which doc prescribed me Centriz

Today 9th sept. still complainting about smaller throat pain, some discomfortness like
>Smaller Throat Pain
>sometimes feverish (neverbeen more than 98 while counting)
>sometimes - nausa - like vomiting (sometimes)
>sometimes - chest pains - very smaller

> my nails are discolored this moment.(which i have shown to doctor-he doesnt give importance to it, as no other symptoms

today doc prescribed me
nerubion & Prodept 20 mg (each oen at night)

then today shown to ENT, he sais its Pharyngitis and prescibed antibiotics?
Tab Odoxil 500 mg. , Diofiam, Becasule â€“ Z, serraiopeptidase, Betadine -gaggles

so is it normal ? or to check further? or what to do?

really tired with these stufff, please guide me over this, waiting for your help asap
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NANDINI A.V from mumbai on 26-Sep-2009 18:01

excellent
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KV Nagendra Prasad from Chennai on 29-Sep-2009 17:49

Dear Doctor,

I have fever (above 100 degres C), body pains, dizziness, sour throat and tongue, occassional chills, etc, since last 3 days. I do not have cold, sneezing or cough. I consulted a local doctor yesterday, who prescribed the following medicines - (1) T. Ark AP; 0 ---0, 3 days; (2) T. Indclav 625; 1 --- 1; 5 days; (3) T. Pan 40; -- 0 --; 5 days. There is no relief, except for 1 or 2 hours after taking the medicines. Are these symptoms of Swine flu?, please advice next course of action.

Thanking you

Yours truly,

Nagendra Prasad
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