2015 Indian swine flu outbreak refers to an outbreak of the

H1N1 virus In virology, influenza A virus subtype H1N1 (A/H1N1) is a subtype of influenza A virus. Major outbreaks of H1N1 strains in humans include the Spanish flu, the 1977 Russian flu pandemic and the 2009 swine flu pandemic. It is an orthomyxovirus ...

in India, during early 2015. The states of

Gujarat Gujarat (, ) is a state along the western coast of India. Its coastline of about is the longest in the country, most of which lies on the Kathiawar peninsula. Gujarat is the fifth-largest Indian state by area, covering some ; and the ninth ...

and

Rajasthan Rajasthan (; lit. 'Land of Kings') is a state in northern India. It covers or 10.4 per cent of India's total geographical area. It is the largest Indian state by area and the seventh largest by population. It is on India's northwestern s ...

were the worst affected. India had reported 937 cases and 218 deaths from swine flu in the year 2014. By mid-February 2015, the reported cases and deaths in 2015 had surpassed the previous numbers. The total number of laboratory confirmed cases crossed 33,000 mark with death of more than 2,000 people.

Background

The

H1N1 In virology, influenza A virus subtype H1N1 (A/H1N1) is a subtype of influenza A virus. Major outbreaks of H1N1 strains in humans include the Spanish flu, the 1977 Russian flu pandemic and the 2009 swine flu pandemic. It is an orthomyxoviru ...

virus outbreak had previously occurred in India during the

2009 flu pandemic The 2009 swine flu pandemic, caused by the H1N1 influenza virus and declared by the World Health Organization (WHO) from June 2009 to August 2010, is the third recent flu pandemic involving the H1N1 virus (the first being the 1918–1920 Span ...

. The virus killed 981 people in 2009 and 1,763 in 2010. The mortality decreased in 2011 to 75. It claimed 405 lives in 2012 and 699 lives in 2013. In 2014, a total of 218 people died from the H1N1 flu, India recorded 837 laboratory confirmed cases in the year. Every year, there was a rise in number of cases and deaths during winter as temperature affects virus. During 2014–15 winter, there was a spurt in cases at the end 2014. In 2015, the outbreak became widespread through India. On 12 February 2015, Rajasthan declared an

epidemic An epidemic (from Greek ἐπί ''epi'' "upon or above" and δῆμος ''demos'' "people") is the rapid spread of disease to a large number of patients among a given population within an area in a short period of time. Epidemics of infectious ...

Reported cases by states

By 20 March, according to the data released by the

Health Ministry A health department or health ministry is a part of government which focuses on issues related to the general health of the citizenry. Subnational entities, such as states, counties and cities, often also operate a health department of their o ...

, 31,974 cases had been reported and 1,895 person had died to the disease. Although Delhi, Karnataka, Telangana reported a large number of cases, the death toll was lower due to better awareness and a better developed health care sector.

Timeline

On 13 February 2015, the

began the procurement process of 60,000 units of

Oseltamivir Oseltamivir, sold under the brand name Tamiflu, is an antiviral medication used to treat and prevent influenza A and influenza B, viruses that cause the flu. Many medical organizations recommend it in people who have complications or are at high ...

(Tamiflu) and 10,000 units of N-95 masks. A tender for 10,000 diagnostic kits was floated. The Health Ministry on 18 February 2015 said in a press release that there was no shortage of drugs or

logistics Logistics is generally the detailed organization and implementation of a complex operation. In a general business sense, logistics manages the flow of goods between the point of origin and the point of consumption to meet the requirements of ...

problems. By 22 February 2015, more than 13,688 had been infected and death toll was reported to be 812 in the year 2015. The President of the North West Chemist Association, Hakim Kapasi said in mid-February 2015 that, private pharmacies were facing a shortage because Oseltamivir was a controlled Schedule X drug and very few pharmacies had the license to sell it. Aligarh Muslim University and

National Law University National Law Universities (NLU) are public law schools in India, founded pursuant to the second-generation reforms for legal education sought to be implemented by the Bar Council of India. The first NLU was the National Law School of India Univ ...

Jodhpur Jodhpur (; ) is the second-largest city in the Indian state of Rajasthan and officially the second metropolitan city of the state. It was formerly the seat of the princely state of Jodhpur State. Jodhpur was historically the capital of the ...

suspended classes in mid-February after some of their students tested positive. In mid-February, the

Government of Delhi The Government of Delhi, officially the Government of the National Capital Territory of Delhi (GNCTD) is the governing body of the Union Territory of Delhi, whose urban area is the seat of the Government of India. It also governs the city or l ...

fixed the price of swine flu diagnostics tests at and the labs charging more that were issued

show cause Show or The Show may refer to: Competition, event, or artistic production * Agricultural show, associated with agriculture and animal husbandry * Animal show, a judged event in the hobby of animal fancy ** Cat show ** Dog show ** Horse show ** ...

notices subject to cancellation of license. On 24 February, the

District Collector A District Collector-cum-District Magistrate (also known as Deputy Commissioner in some states) is an All India Service officer of the Indian Administrative Service (IAS) cadre who is responsible for ''land revenue collection'', ''canal reven ...

of Ahmedabad,

, prohibited

unlawful assembly Unlawful assembly is a legal term to describe a group of people with the mutual intent of deliberate disturbance of the peace. If the group is about to start an act of disturbance, it is termed a rout; if the disturbance is commenced, it is then ter ...

under Section 144 of the CrPC to prevent spread of the disease.

March

A paper published in ''

Cell Cell most often refers to: * Cell (biology), the functional basic unit of life Cell may also refer to: Locations * Monastic cell, a small room, hut, or cave in which a religious recluse lives, alternatively the small precursor of a monastery ...

Host and Microbe'' stated that the virus had acquired a mutation which made it easier to infect humans, and called for real time surveillance with genetic and phenotypic analysis made available quickly, noting "Given the global reach of influenza, there is an urgent need to develop a comprehensive and at least somewhat standardized response to influenza epidemic outbreaks." This is contrary to the Indian government's claim that no mutations had been found. On 2 March, Maharashtra government announced that the cost of treatment of swine-flu patients in the state will be paid by the state government.

References

External links