2 Though mortality is low (0.4%), the one who dies, dies 100 %: and that is significant.
3 All those who are supposed to handle the epidemic are passing the buck. Nobody knows what to do.
4 A national disaster management policy decision on H1N1 is urgently required.
5 Standardized case and community management protocols are to be evolved.
6 H1N1 PCR test. Is unsatisfactory. Is not diagnostic. PCR negative person can have H1N1 infection. Is not FDA approved. Emergency manufacturing license will expire in April 2010. Is manufactured by Focus Diagnostics, a subsidiary of American company Quest. Said to be costing Rs 10,000 per test. Is the cost true? The company Quest has to be booked for exploitation under monopoly and restrictive trade practices act: unless government is hand in glove with the company. Over-reliance on laboratory is the problem. The H1N1 epidemic should be handled like any other viral epidemic eg. measles, chicken pox, mumps. In these diseases we do not go for lab diagnosis.
7 Viral culture is a more specific and reliable test. Govt should allocate emergency funds to develop viral culture centers all over India, in private and government sector.
8 Tamiflu (Fluvir) is manufactured by ROSCHE. Supposed to cost Rs 10000 per strip of 10 tablets. Who has decided this cost? Is there any Government control on cost? The ROSCHE has to be booked for exploitation under monopoly and restrictive trade practices act: unless government is hand in glove with the company.
9 Isolation intensive care units (Real, not on paper) be established in private and government sector. Trained medical, paramedical manpower is as important as equipment.
10 Private hospitals be allowed to admit, treat H1N1 cases. Government spends for tests and tamiflu.
11 A special impunity ( Protection against legal action) be declared for those who handle H1N1 cases. The H1N1 mortality is not equal to medical negligence.
12 Vaccine development be encouraged in private and government sector using all possible economic measures.
13 Any activity related to H1N1 be 100 % tax free.
14 Government takes this seriously. The matter needs more attention than a ‘T V channel byte’
Linus Orakles
http://www.authorclub.info/