E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Epidemiological characteristics of H1N1 positive deaths: A study from tertiary care hospital in western India

Chandrashekhar Shivaji Taklikar, Mangesh Balu Nanaware.

Cited by (2)

Abstract
Background: In India as of 31st March 2010, there were 30917 laboratory confirmed H1N1 positive cases out of which 1453 were deaths with positivity index of 22.87% and mortality was 4.8%. But there was alarming sign after comparing these figures with those on 3rd October 2010 which showed 44687 confirmed H1N1 Positive cases with 2574 deaths with rise in positivity index to 23.3% and mortality rate of 5.7%. From the available data core issue of deaths occurring due to H1N1 positivity in short period of time in this year and risk factors associated with fatality were needed to look in detail.

Aims & Objective: To study the epidemiologic characteristics of reported deaths, high-risk profiles linked with underlying disease among reported deaths who died after infection with H1N1 influenza.

Material and Methods: Retrospective Record based study. Data was collected from prescribed format for swine flu patients admitted in IIW (Identified Isolation Ward) of Tertiary care hospital in Pune, State Maharashtra, India. Epidemiological characteristics like age, gender, residential address, time lag of Oseltamivir (Tamiflu) initiation, co morbidities, etc. were included. Confirmation of H1N1 positivity among cases was done by conducting Real Time PCR at National Institute of Virology, Pune. Trend of Occurrence of positive cases and death was drawn. Results were presented in the form of percentages for the respective variables. Case fatality rate was calculated for H1N1 Deaths.

Results: Maximum positive cases and deaths were in the month of August 2010. Deaths were more among age group of 20 years and above and female’s proportion was high. Thirty one deaths were in Pune urban area from April 2010 to September 2010. Time lag in initiation of Oseltamivir (Tamiflu) was seen among 63 (79%) deaths. Asthma, Diabetes and hypertension were co morbid condition and pregnancy was associated condition with H1N1 fatality.

Conclusion: Mortality was seen among adult population. Time lag in initiation of Oseltamivir (Tamiflu) was seen among majority of deaths.

Key words: H1N1 positive deaths, Tamiflu Lag, Obesity, Pregnancy, Pune


 
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REFERENCES
1. DGHS, Government of India. Human Swine Influenza: a pandemic threat. CD Alert, National Institute of Communicable diseases, DGHS, Government of India. March –April 2009;Vol 12(8):1-8.
2. Mishra AC, Chadha MS, Choudhary ML, Potdar VA. Pandemic Influenza (H1N1) 2009 Is Associated with Severe Disease in India. PLoS one 2010;5(5): e10540. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
3. Lee EH, Wu C, Lee EU, Stoute A, Hanson H, Cook HA et al. Fatalities Associated with the 2009 H1N1 Influenza A Virus in New York City. Clinical Infectious Diseases 2010; 50(11):1498–1504
4. Vaillant L, La Ruche G, Tarantola A, Barboza P, for the Epidemic Intelligence Team at InVS. Epidemiology of fatal cases associated with pandemic H1N1 influenza 2009. Euro Surveill 2009; 14(33):1–6.
5. Press Information Bureau (Govt. of India).Consolidated status of Influenza H1N1 as on 31st March 2010. Ministry of Health and Family Welfare. Government of India. Available at: URL: http://pib.nic.in/newsite/erelease.aspx?relid=59998
6. Donaldson LJ, Rutter PD, Ellis BM, Greaves FEC, Mytton OT, Pebody RG, et al. Mortality from pandemic A/H1N1 2009 influenza in England: Public health surveillance study. BMJ 2009; 339:b5213. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
7. Fuhrmann C. The Effects of Weather and Climate on the Seasonality of Influenza: What We Know and What We Need to Know. Geography Compass 2010;4(7):718–730.
8. Chacko J, Gagan B, Ashok E, Radha M, Hemanth HV. Critically ill patients with 2009 H1N1 infection in an Indian ICU. Indian Journal of Critical care Medicine 2010;14(2):77-82. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
9. Sharma V, Verma P, Gupta S, Sharma A. Mortality from Influenza A/H1N1 in a tertiary care teaching institution in North India. J Infect Dev Ctries 2010; 4(8):468-471. [DOI via Crossref]    [Pubmed]   
10. CDC. Updated Interim Recommendations for the Use of Antiviral Medications in the Treatment and Prevention of Influenza for the 2009-2010 Season. Available at: URL: http://www.cdc.gov/h1n1flu/recommendations.htm

This Article Cited By the following articles

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Indian Journal of Medical Specialities 2017; 8(3): 118.

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Demographic and laboratory variables and their effect on mortality in influenza A (H1N1)pdm09 outbreak in 2015 in Rajasthan, India
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How to Cite this Article
Pubmed Style

Chandrashekhar Shivaji Taklikar, Mangesh Balu Nanaware. Epidemiological characteristics of H1N1 positive deaths: A study from tertiary care hospital in western India. Int J Med Sci Public Health. 2013; 2(2): 305-308. doi:10.5455/ijmsph.2013.2.303-306


Web Style

Chandrashekhar Shivaji Taklikar, Mangesh Balu Nanaware. Epidemiological characteristics of H1N1 positive deaths: A study from tertiary care hospital in western India. http://www.ijmsph.com/?mno=31197 [Access: December 17, 2018]. doi:10.5455/ijmsph.2013.2.303-306


AMA (American Medical Association) Style

Chandrashekhar Shivaji Taklikar, Mangesh Balu Nanaware. Epidemiological characteristics of H1N1 positive deaths: A study from tertiary care hospital in western India. Int J Med Sci Public Health. 2013; 2(2): 305-308. doi:10.5455/ijmsph.2013.2.303-306



Vancouver/ICMJE Style

Chandrashekhar Shivaji Taklikar, Mangesh Balu Nanaware. Epidemiological characteristics of H1N1 positive deaths: A study from tertiary care hospital in western India. Int J Med Sci Public Health. (2013), [cited December 17, 2018]; 2(2): 305-308. doi:10.5455/ijmsph.2013.2.303-306



Harvard Style

Chandrashekhar Shivaji Taklikar, Mangesh Balu Nanaware (2013) Epidemiological characteristics of H1N1 positive deaths: A study from tertiary care hospital in western India. Int J Med Sci Public Health, 2 (2), 305-308. doi:10.5455/ijmsph.2013.2.303-306



Turabian Style

Chandrashekhar Shivaji Taklikar, Mangesh Balu Nanaware. 2013. Epidemiological characteristics of H1N1 positive deaths: A study from tertiary care hospital in western India. International Journal of Medical Science and Public Health, 2 (2), 305-308. doi:10.5455/ijmsph.2013.2.303-306



Chicago Style

Chandrashekhar Shivaji Taklikar, Mangesh Balu Nanaware. "Epidemiological characteristics of H1N1 positive deaths: A study from tertiary care hospital in western India." International Journal of Medical Science and Public Health 2 (2013), 305-308. doi:10.5455/ijmsph.2013.2.303-306



MLA (The Modern Language Association) Style

Chandrashekhar Shivaji Taklikar, Mangesh Balu Nanaware. "Epidemiological characteristics of H1N1 positive deaths: A study from tertiary care hospital in western India." International Journal of Medical Science and Public Health 2.2 (2013), 305-308. Print. doi:10.5455/ijmsph.2013.2.303-306



APA (American Psychological Association) Style

Chandrashekhar Shivaji Taklikar, Mangesh Balu Nanaware (2013) Epidemiological characteristics of H1N1 positive deaths: A study from tertiary care hospital in western India. International Journal of Medical Science and Public Health, 2 (2), 305-308. doi:10.5455/ijmsph.2013.2.303-306





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