Verbal Autopsy of Swine Flu Confirmed Cases in Surat City
Journal Title: National Journal of Community Medicine - Year 2017, Vol 8, Issue 12
Abstract
Background: Delay in seeking treatment or delayed referral to higher centre, co-morbid conditions as well as low suspicion index in the early phases of epidemic were common reasons of poor patient outcome. Objective of the study was to assess the epidemiologic charac-teristics and high-risk profiles among reported deaths with H1N1 influenza in Surat city. Method: Verbal autopsy audit of 30 swine flu positive cases were car-ried by household visit and check-ing medical records from respected hospitals of Surat Municipal Corpo-ration area as well as Tapi district. Results: Deaths were higher among age group of 18-45 years and among male population. Out of total 30 deaths, only 4 swine flu positive pa-tients had reported to hospital with-in 48 hours after onset of signs & symptoms. More than 90%% swine flu death patients did not take Osel-tamivir within 48 hours after onset of signs & symptoms. Diabetes, hy-pertension and IHD were major co morbid conditions associated with H1N1 fatality. Conclusion: Mortality was higher in patient having co-morbid condi-tions like hypertension, diabetes, and IHD. Longer interval between onset of signs and symptoms to di-agnosis as well as referral and initi-ation of Oseltamivir may be the possible reason for higher mortality during swine flu epidemic 2017.
Authors and Affiliations
Rachana Prasad, Anupam Verma
Keywords
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