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Swine flu engulfs India as pig-headed govt fumbles, fails its people
WSN Bureau 

PUNE/NEW DELHI: What did you expect when a virus as deadly as Swine Flu hit a country as poorly equipped to deal with even a minor healthcare emergency as India? Complete breakdown of all so-called arrangements, chaos, panic coupled with failure to disseminate information, lethargic official machinery and a shameful record of coping with a crisis.

Well, all of this happened, and more. Worse: worse will happen.

News of deaths are pouring in from Pune, Delhi and Mumbai, tens of new cases are coming out as positive, number of suspected are going up by hundreds and the queues outside the hospitals across the country are now running into their thousands.

India is in panic. In certain cities, including Pune, schools, colleges, theatres, tuiton centres are being shut down for a week, and may be more. The Indian Council of Medical Research said the Pune situation had been declared a pandemic with transmissibility at the highest level (Level 6) but virulence still at the lowest (Level 1) — a “community spread” to denote that the flu virus was circulating freely in the city.

“By community spread, we mean that you can now pick up the virus anywhere and not necessarily by exposure to a known case. Health authorities there will not wait for confirmation of results but will administer Tamiflu if a person reports with symptoms and the doctor thinks it is a suspected H1N1 case,” said Dr V M Katoch, Director General of ICMR and Secretary, Health Research.

It took the government massive public and media outcry to even think of authorising private hospitals to carry out tests to confirm swine flu. After the two designated hospitals crumbled under the burden of testing thousands, and state government was found clearly ill equipped to deal with the situation, the Prime Minister's Office got into the act, terse messages went out and some damage control was put in action.

Maharashtra then marked a few private hospitals where treatment for H1N1 virus will now be available in addition to the existing facilities at Naidu Hospital, Aundh General Hospital and the Sassoon General Hospital.

But crisis may get a new and drastic turn as people gather in hundreds of thousands for a Hindu festival called Srikrishna Jayanti (Dahi Handi) on August 14 another big-ticket event Ganesh Chaturthi on August 23. The Ramzan period also starts thereafter.

Samples for verification of the flu are now taking 48 hours. Fresh guidelines from the government are missing. Doctors want guidelines like in Mexico, where gatherings have been curbed.

Hundreds of people in many cities are being seen with home-made masks which could be washed and used again.

With a sharp rise in the numbers for testing, the government is planning to manufacture an indigenous reagent to bring down costs. The ICMR is looking at the possibility of developing a low-cost testing kit which can bring the cost down to a tenth of the current cost. Each positive test costs the government Rs 10,000 and a negative Rs 5,000.

12 August 2009
 

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