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The Delhi High Court Wednesday issued a notice to the union health ministry on introduction of vaccines without proper medical research. A division bench of Chief Justice Ajit Prakash Shah and Justice S. Muralidhar said, “This is a serious issue. It shows that medical facilities provided by the government are just mockery.” The court asked the health ministry to respond to the notice by Jan 13. The court was hearing a petition that alleged that vaccines are being introduced in the public health system by the government under the influence of vaccine manufacturers and international agencies like the World Health Organization (WHO), without proper epidemiological and medical studies. “We just want to highlight how in the absence of a rational vaccine policy, newer and newer vaccines are being pushed by the government into the national immunization programme. Vaccines which are either of little utility or not required at all are being introduced and promoted by the government at the behest of these vested interests,” advocate Prashant Bhushan said in his petition.
Source: http://www.thaindian.com
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Global Immunization Data As per WHO and UNICEF these are the following data about immunization released in October 2009. Summary: Global immunization coverage in 2008 Based on the latest World Health Organization (WHO)/UNICEF global estimates for 2008, trends related to global vaccination coverage continue to be positive. Immunization currently averts an estimated 2.5 million deaths every year in all age groups from diphtheria, tetanus, pertussis (whooping cough), and measles. More children than ever before are being reached with immunization. In 2008, an estimated 106 million children under the age of one were vaccinated with three doses of diphtheria-tetanus-pertussis (DTP3) vaccine.
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Treatment The guiding principles are: · Early implementation of infection control precautions to minimize nosocomical / household spread of disease · Prompt treatment to prevent severe illness & death. · Early identification and follow up of persons at risk. 1 Infrastructure / manpower / material support · Isolation facilities: if dedicated isolation room is not available then patients can be cohorted in a well ventilated isolation ward with beds kept one metre apart. Manpower: Dedicated doctors, nurses and paramedical workers. Equipment: Portable X Ray machine, ventilators, large oxygen cylinders, pulse oxymeter Supplies: Adequate quantities of PPE, disinfectants and medications (Oseltamivir, antibiotics and other medicines)
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Vaccine information on Swine Flu Dear friends, I am in UK & EU since diwali & interacting with lot of official on vaccine issue & observing how they are implementing & giving swine flu vaccine programme To start with every health care worker has to take swine flu. For which they have been given brief of vaccine, side effect, company information. History is taken on illness, allergies, sensitivities chemotherapy, steroids, neurological problem, diabetes, medication. Every person (doctor/nurses/supportive & technical staff) has to sign written consent. I have visited Brussels, Geneva, Austria & Slovenia for this purpose also Two vaccine are introduced in UK GSK – (pandemrix) & BAXTER (celvapan) Here is recommendation of JVCI (joint commission on vaccination & immunization) uk · Both vaccine are available in multi dose only & are in activated contain same strain-wild type a/ California/07/2009-h1 n1 strain. · Baxter is non Thiomersal non egg protein whole cell, whole viron · GSK -needs reconstitution with adjuvant & contains Thiomersal& egg- is split cell or spilt viron hence cannot be given to sensitive & allergic pt · Swine flu vaccine can be given simultaneously with seasonal flu. · Same needle used to withdraw & give vaccine(which is not regular guideline in uk)
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Recently, human cases of swine influenza A (H1N1) virus infection have been recently reported in several countries. This is a novel influenza A virus that has not been identified in people before, and human-to-human transmission of the virus appears to be ongoing and thus represents a real pandemic threat. TRANSMISSION · Influenza viruses can be directly transmitted from pigs to p eople and from people to pigs. · Human infection with flu viruses from pigs are most likely to occur when people are in close proximity to infected pigs, such as in pig barns and livestock exhibits housing pigs at fairs. · Human-to-human transmission of swine flu can also occur. This is thought to occur in the same way as seasonal flu which is mainly person-toperson transmission through coughing or sneezing by people infected with the influenza virus.
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GUIDELINES FOR SCHOOLS/COLLEGES/INSTITUTIONS ON INFLUENZA A/H1N1 There have been some cases of Influenza A H1N1 virus among students and staff in certain schools, primarily in Delhi and Maharashtra. There has been considerable speculation over the need for closure of schools to control the outbreak. This matter has been considered by the Joint Monitoring Group in the Ministry of Health and Family Welfare. All schools and colleges are advised to observe the following guidelines for managing cases of infection of Influenza AH1N1. (i) Any student or staff member showing flu like symptoms such as fever, cough, running nose and difficulty in breathing should be allowed to stay at home for a period of 7 to 10 days.
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10 FACTS ON IMMUNIZATION 1. For the first time in documented history, the number of children dying every year has fallen below ten million — partly the result of improved access to immunization, integrated delivery of essential health interventions, as well as clean water and sanitation. 2. Immunization prevents an estimated 2.5 million child deaths every year in all age groups from diphtheria, tetanus, pertussis (whooping cough), and measles. It is one of the most successful and cost-effective public health interventions. 3. More children than ever are being reached with immunization. In 2008, an estimated 106 million children under the age of one were vaccinated with three doses of diphtheria―tetanus―pertussis (DTP3) vaccine. These children are protected against infectious diseases that can have serious consequences like illness, disability or death.
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Novel H1N1 Influenza: Resources for Clinicians Guidance for Patient Management Guidance for Specific Settings
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Post Exposure Prophylaxis Post exposure prophylaxis is indicated for close contacts who were exposed to a probable or confirmed case during the period when the case was symptomatic AND the contact’s last exposure occurred no more than SEVEN days previously. Category of Contact · Individuals who live in the same household as the case, including those who stayed overnight. · Individuals who provided informal care to the case, coming within speaking distance (<1 meter). · Health or social care workers who provided direct clinical or personal care or who examined a symptomatic patient without wearing appropriate personal protective equipment (PPE).
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