‘No cause for panic’: IMA flags H1N1 rise, advises vaccination and precautions

India is seeing a seasonal rise in H1N1, or swine flu, with the Indian Medical Association (IMA) urging people to remain vigilant without giving in to panic. The medical body has also advised against self-medication and unnecessary use of antibiotics for flu symptoms.

IMA says no need to panic

"The majority of H1N1 infections are mild and self-limiting. While heightened vigilance is necessary, there is no cause for panic," the IMA said in its advisory.

The advisory said surveillance by the Indian Council of Medical Research (ICMR) has found that the circulating virus remains seasonal Influenza A (H1N1), with no novel genetic mutations detected.

The IMA stressed that H1N1 is a viral infection and antibiotics are not effective against viruses.

"Do not consume Azithromycin, Amoxicillin-Clavulanate, Cefixime, or other antibiotics for flu symptoms," it said, warning that indiscriminate antibiotic use can damage protective microbiome flora and contribute to antimicrobial resistance (AMR).

Antibiotics, it said, should only be taken when a qualified doctor diagnoses a secondary bacterial infection based on clinical and laboratory findings.

Symptoms to watch out for

Common symptoms of swine flu include fever, cough, sore throat, headache, runny nose, muscle and joint pain, lethargy and loss of appetite. Nausea, vomiting and diarrhoea may also occur.

The Ministry of Health has advised people to consult a doctor if symptoms continue beyond 5–6 days. Young children, elderly people and those with underlying medical conditions should seek medical advice if symptoms occur.

How to prevent H1N1 infection

The IMA recommended regular handwashing with soap and water for at least 20 seconds or using an alcohol-based hand sanitiser.

People should cover their mouth and nose with a tissue or bent elbow while coughing or sneezing and wear a well-fitted mask in crowded or enclosed spaces.

"Stay home when sick: Avoid schools, workplaces, and social gatherings for at least 24 hours after fever has resolved without fever-reducing medications," the advisory said.

The IMA also recommended annual seasonal influenza vaccination for healthcare workers, pregnant women, elderly people and those with chronic medical conditions.

Delhi reports over 1,770 cases

According to the IMA, Delhi has reported more than 1,770 laboratory-confirmed H1N1 cases amid the seasonal rise. Cases have also been reported in Maharashtra, Karnataka and West Bengal.

Delhi health minister Pankaj Kumar Singh has directed civic authorities and cantonment boards to step up preventive measures, particularly around schools, hospitals and other public places.