The H1N1 infection showed no sign of abating in Madhya Pradesh where eight more deaths were reported in the last two days from Bhopal and Indore.
On Monday, four patients died in Indore taking the toll to 15 in the city. Incidentally, the first fatalities of this year were reported from Indore. The other four deaths were reported from various hospitals in Bhopal in the last 48 hours. Bhopal has seen 13 patients succumb to the viral disease this year.
So far, 124 people have tested positive for H1N1 virus this year in the two cities. Last year, Indore and Bhopal had reported seven and three deaths, respectively.
A six-month pregnant woman was among the four persons who died in Indore. The 23-year-old woman from Shajapur was undergoing treatment at Bombay hospital.
The remaining three patients, men aged 60, 45 and 23, were admitted in critical condition at the MY Hospital on Sunday, doctors said, adding the cases were difficult as the trio had reached the final stage of infection.
Three women - a 32-year-old woman from Piplani, a 28-year-old woman from Vidisha district and a 32-year-old woman from Bhopal - were among the four swine flu casualties in Bhopal. They were undergoing treatment at National hospital, Hamidia hospital and People's hospital. The Hamidia hospital also reported the death of a male patient,
"It is important that the patients get medical supervision as soon as they show symptoms of swine flu. People are coming to Indore...but they are not visiting the screening centres opened in every district," said Dr Sanjay Dixit, vice dean of Mahatma Gandhi Memorial Medical College, Indore.
Treatment in the first 48 hours after contracting the flu is important for the patients, he added.
Chief medical and health officer (CMHO), Bhopal, Dr Veena Sinha said swine flu patients are coming to hospitals every day. The only thing we can do is to ensure them best possible treatment, the CMHO said.
The health department has categorized the swine flu cases into three groups – Category A, B and C. In the first category, patients don’t require Oseltamivir. They should be monitored and their medical condition reassessed by a doctor. No testing for H1N1 is required.
People in Category B may require Oseltamivir. Patients should confine themselves at home and avoid mixing with public and high- risk members in the family.
Category C is marked by breathlessness, chest pain, drowsiness, drop in blood pressure, sputum mixed with blood, bluish discolouration of nails. Immediate hospitalisation and treatment are must for such patients.