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Govt changes swine flu testing strategy
Mohuya Chaudhuri, Tuesday August 4, 2009, New Delhi

If you have flu like symptoms, it's best to report to a government-designated hospitals to rule out swine flu. As the virus spreads within the community, the best way to avoid complications is early detection.

From Wednesday onwards, most patients will not be quarantined in isolation wards. The government hopes more people will now come forward to get tested.

"We are trying to ease the norms so that people are not apprehensive about testing. If they don't have symptoms they can go home. The doctor will examine him and take a call whether the patient can go home. They can stay in home quarantine," said Vineet Chowdhry, Joint Secretary, Union Health Ministry.

The guidelines to manage the pandemic have been notified to all states and they also include private hospitals as well as private practitioners. In case private institutions come across patients with flu like symptoms, they must notify the government facility dealing with H1N1, irrespective of whether the patients travelled abroad or came into contact with an infected person.

Testing can only be done at designated government facilities. Private tests are not authorised and incorrect.

But with more and more people approaching private hospitals, the government is now planning to train the private sector to identify and manage H1N1 cases.

"We will be meeting the private sector hospitals next week to discuss training and case management," Chowdhary said.

With the arrival of the monsoon, the flu season has begun. And the government is anxious that swine flu cases are diagnosed and treated early to prevent tragic deaths like that of Reeda.

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Tags: government, hospital, Swine flu, testing
Comments
Posted by Swapnil Vyas on Aug 07, 2009
Yesterday I have checked up three major hospitals in Indore for Swine Flu testing and surprised by hearing this answer from medical practitioners over there that till date in Indore there is no facility of testing swine flu so how they will treat don't know . All hospitals are major hospitals and I have checked with critical care unit in charges over there so this is hopeless when in India's Top Ten city or MP's no.1 business city don't have facility of testing as well as handling guidelines how you expect much from other cities . I have heard government doing lot but still they are not prepared for pandemic . As in Indore still doctor's awareness is questionable and how they will make diagnosis and treat patient this is the another question is every one's mind and same in doctor's mind . Kindly full fill duties especially in this condition as many people are going to face such kind of problem . One more thing govt. Must arrange some testing centers in major cities so that people can easily access same ' while in current condition infected person need to catch flight to Delhi / Bangalore .
Posted by Medha Khanna on Aug 05, 2009
I do not agree with the strategy of designating Govt hospitals for treatment of swine flu. It is not hidden that the Govt hospitals in India do not even have enough infrastructure to meet patient demands under normal circumstances. How would they cope in this pandemic situation? When swine flu patients would enter the hospital premises, the patients who are already at greater risk of catching infections would be more exposed to the virus. Moreover, the way people are gathering outside hospitals, the virus would spread even faster. Currently, I am studying in London and when I suspected swine flu and went to a medical centre, they had put up circulars at the gates to prevent entry patients with flu-like symptoms in order to minimise transmission of the virus. I was told to stay at home and use telephonic or web based services like http://www.direct.gov.uk/en/index.htm I think the Govt. should set up separate Swine flu centres and antiviral collection points. These should not be located in or around hospital premises. It is not sensible to expose immunocompromised patients to greater risk.
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