Four days after a woman died of swine flu, the H1N1 virus claimed another life in the city when a resident of Kaimbwala village died in Government Medical College and Hospital on Monday.
Immediately, the health officials started surveillance of 300 houses in the vicinity of the place where the 36-year-old man lived. Eight persons in close contact with him were administered tamiflu tablets.
The patient had reported to the Government Multi-Speciality Hospital in Sector 16 on Sunday. Later, he was shifted to GMCH when his condition deteriorated. In the morning, he died.
An official said that both fatal cases had been reported from slum areas — the first case was from Bhaskar Colony — where awareness of the disease was low. Both patients came to the hospital when their condition had deteriorated.
So far, a total of nine swine flu cases have been reported in the city. On Monday, one patient from Sector 15 was tested positive of H1N1.
The isolation ward at PGI is packed with patients from the adjoining states of Punjab and Haryana.
As many as 20 H1N1 positive cases (nine from Punjab, six from Haryana, and five from Chandigarh) have been reported at PGI to date. Of them, six patients died.
In the city, swine flu cases have been reported from different areas. “There might be several cases of H1N1 influenza, but it is not severe in all. In only a few cases where the patients have very low immunity, the influenza is causing complications,” said Dr Anil Garg, nodal officer of the National Vector Borne Disease Control Programme.
He said that in the areas where deaths had been reported, the transmission of H1N1 had been prevented in the community by the administration by taking effective measures.
CATEGORIES OF PATIENTS
Swine flu patients are divided in three categories.
Patients with mild fever plus cough and sore throat with or without bodyache, headache, diarrhoea and vomiting fall in category A. They neither require oseltamivir nor testing for H1N1.
Category B has two sub-categories, and these patients may require home isolation and oseltamivir, but no H1N1 testing is required.
Patients in sub-category B (i) are those who have high-grade fever and severe sore throat, in addition to category A symptoms. High-risk individuals are placed in sub-category B (ii). They include children with mild illness but with predisposing risk factors, pregnant women, persons aged above 65, patients on long-term cortisone therapy, patients with lung/heart/liver/kidney diseases, blood disorders, diabetes, cancer, HIV/AIDS, and neurological disorders.
Patients in category C require testing, immediate hospitalisation and treatment. These are patients who, in addition to the symptoms of category A and B, have additional symptoms of breathlessness, chest pain, drowsiness, fall in blood pressure, sputum mixed with blood, bluish colouration of nails, and worsening of underlying chronic conditions.