View source for 2009 swine flu pandemic in India

{{See also|Swine influenza|2009 flu pandemic|2009 flu pandemic in Asia}}
{{Use dmy dates|date=June 2020}}
{{Use Indian English|date=October 2019}}
[[File:H1N1 India map.svg|right|thumb|300px|Outbreak evolution in India <br/> {{legend|black|Deaths}}{{legend|red|Confirmed cases}}]]
'''2009 flu pandemic in India''' was the outbreak of [[Swine influenza|swine flu]] in various parts of [[India]]. Soon after the outbreak of [[Influenza A virus subtype H1N1|H1N1]] virus in the United States and Mexico in March, the Government of India started screening people coming from the affected countries at airports for swine flu symptoms.<ref name="thehindu">{{cite news|url=http://www.hindu.com/2009/04/28/stories/2009042855911100.htm|archive-url=https://web.archive.org/web/20090501055053/http://www.hindu.com/2009/04/28/stories/2009042855911100.htm|url-status=dead|archive-date=1 May 2009|title=Swine flu: India on alert |last=Dhar|first=Aarti|date=28 April 2009|work=[[The Hindu]]|accessdate=2009-08-13}}</ref> The first case of the flu in India was found on the [[Hyderabad International Airport|Hyderabad airport]] on 13 May, when a man traveling from US to India was found H1N1 positive.<ref name="IBNLive">{{cite news|url=http://www.ibnlive.com/news/india/swine-flu-india-from-ians-316186.html|title=First case of swine flu confirmed in India|date= 16 May 2009 |publisher=IBNLive|accessdate=2009-08-13}}</ref> Subsequently, more confirmed cases were reported and as the rate of transmission of the flu increased in the beginning of August, with the first death due to swine flu in India in [[Pune]],<ref name="Livemint">{{cite news|url=http://www.livemint.com/2009/08/04094251/First-swine-flu-death-confirme.html|title=First swine flu death confirmed in India|date=4 August 2009|publisher=PTI|accessdate=2009-08-13}}</ref> panic began to spread. As of 24 May 2010, 10193 cases of swine flu have been confirmed with 1035 deaths.

The only known drug to work against H1N1 ([[Oseltamivir|Tamiflu]]) was not sold in general medical stores, to prevent the virus from developing [[antibiotic resistance]] due to excessive use. The government feared that people would pop in pills for no reason, thereby making the virus resistant to its only known cure. The problem facing the state machinery was the fact that flu infected cases were coming from across the country.

Generic version of [[Tamiflu]] (Oseltamivir) was made available in Indian market, after several months of [[swine flu]] attack. Natco Pharma and Strides Arcolabs have launched their generic version of Oseltamivir, Natflu and Starflu. These drugs were made available to the customers directly under prescription.<ref name="DD India">{{cite news|url=http://www.ddinews.gov.in/Homepage/Homepage+-+Other+Stories/SWINE+FLU.htm |title=Anti-swine flu drug Tami flu now available across India |publisher=[[Doordarshan|Door Darshan, India]] |accessdate=10 November 2009 |archiveurl=https://web.archive.org/web/20091125100055/http://www.ddinews.gov.in/Homepage/Homepage%2B-%2BOther%2BStories/SWINE%2BFLU.htm |archivedate=25 November 2009 |url-status=dead }}</ref><ref name="OneIndia">{{cite news|url=http://news.oneindia.in/2009/09/15/health-ministry-h1n1-retail-sale-of-tamiflu.html|title=Retail sale of Tamiflu from next week|date= 15 September 2009 |publisher=One India| accessdate= 10 November 2009 <!--DASHBot-->}}</ref><ref name="DanceWithShadows">{{cite news|url=http://www.dancewithshadows.com/pillscribe/india-allows-retail-sale-of-swine-flu-drugs-oselatamivir-and-zanamivir/|title=India allows retail sale of swine flu drugs oselatamivir and zanamivir|date=16 September 2009|publisher=Dance With Shadows|accessdate=10 November 2009 |archive-url=https://web.archive.org/web/20090927034921/http://www.dancewithshadows.com/pillscribe/india-allows-retail-sale-of-swine-flu-drugs-oselatamivir-and-zanamivir/|archive-date=27 September 2009|url-status=dead}}</ref><ref name="theMedGuru">{{cite news|url=http://www.themedguru.com/20090923/newsfeature/swine-flu-drug-fluvir-available-retail-market-86128029.html|title=Swine flu drug FLUVIR available in retail market|date=23 September 2009|publisher=The Med-Guru|accessdate=10 November 2009 <!--DASHBot-->|archive-date=27 September 2009|archive-url=https://web.archive.org/web/20090927185904/http://www.themedguru.com/20090923/newsfeature/swine-flu-drug-fluvir-available-retail-market-86128029.html|url-status=dead}}</ref>

On 8 August 2010 the Indian government reported there had been 1833 deaths from swine flu in the country.<ref>{{Cite web |url=http://www.mohfw-h1n1.nic.in/documents/PDF/SituationalUpdatesArchives/august2010/Situational%20Updates%20on%2008.08.2010.pdf |title=Archived copy |access-date=2010-08-17 |archive-url=https://web.archive.org/web/20110721173556/http://www.mohfw-h1n1.nic.in/documents/PDF/SituationalUpdatesArchives/august2010/Situational%20Updates%20on%2008.08.2010.pdf |archive-date=2011-07-21 |url-status=dead }}</ref>

On 18 October 2010 a biotechnology firm announced the launch of India's first indigenously developed cell culture H1N1 Swine Flu Vaccine under the brand name HNVAC.<ref name="SwineFlu">{{cite web|title=India's first swine flu vaccine launched|url=http://business.rediff.com/report/2010/oct/18/indias-first-swine-flu-vaccine-launched.htm|publisher=business.rediff.com|accessdate=18 October 2010| archiveurl= https://web.archive.org/web/20101022050926/http://business.rediff.com/report/2010/oct/18/indias-first-swine-flu-vaccine-launched.htm| archivedate= 22 October 2010 | url-status= live}}</ref>

==Background==
{{Main|2009 flu pandemic}}
A '''[[Pandemic H1N1/09 virus|new strain]]''' of [[Orthomyxoviridae|influenza virus]], officially named the "new H1N1", first identified in April 2009, and commonly called "Swine flu" initially spread in Mexico and then globally by transmission. It is thought to be a [[mutation]] of four known strains of the [[influenza A virus]], [[influenza A virus subtype H1N1|subtype H1N1]]: one [[endemic (epidemiology)|endemic]] in (normally infecting) humans, one endemic in birds, and two [[Swine influenza|endemic in pigs]] (swine). Experts assume the virus "most likely" emerged from pigs in Asia, and was carried to North America by infected persons.<ref name="NYT">{{cite news|url=https://www.nytimes.com/2009/06/24/health/24flu.html?_r=1&hp|title=In New Theory, Swine Flu Started in Asia, Not Mexico |last=McNEIL|first=Donald|date=23 June 2009 |work=[[The New York Times|New York Times]]|accessdate=2009-08-13}}</ref> The virus typically spreads from coughs and sneezes or by touching contaminated surfaces and then touching the nose or mouth. Symptoms, which can last up to a week, are similar to those of seasonal flu, and may include fever, sneezes, sore throat, coughs, headache, and muscle or joint pains.

==Deaths==
The first death was a 14-year-old girl in Pune, Maharashtra. On 8 and 9 August a 43-year-old man in [[Ahmedabad]], [[Gujarat]], a 42-year-old teacher in [[Pune]] and a 53-year-old woman in [[Mumbai]] died. On 10 August a 53-year-old doctor in [[Pune]] and a 4-year-old in [[Chennai]] died.<ref>[http://news.bbc.co.uk/2/hi/south_asia/8192646.stm BBC 10 Aug 2009] {{webarchive |url=https://www.webcitation.org/5ivV9JaXt?url=http://news.bbc.co.uk/2/hi/south_asia/8192646.stm |date=10 August 2009 }}</ref> On 11 August a 7-year-old girl in [[Vadodara]], [[Gujarat]] died. On 13 August, a 26-year-old woman became [[Bangalore]]'s first victim of swine flu. An eleven-month-old boy, a 75-year-old woman and a 37-year-old woman died taking the toll in Pune, severely hit by the virus, to 15 and across the country, to 24.A lady having a young daughter of 5 yrs died near Mumbai in Khopoli on 14 August. On 13 August, three people died at different hospitals in Bangalore, according to the reports.<ref>[http://news.rediff.com/report/2009/aug/13/bangalore-records-first-swine-flu-death.htm] {{webarchive |url=https://www.webcitation.org/6WnDjqfoQ?url=http://news.rediff.com/report/2009/aug/13/bangalore-records-first-swine-flu-death.htm |date=5 March 2015 }}</ref>

'''Swine flu death toll crosses 500 in India. '''
''New Delhi, 10 November''—The death toll of the H1N1 flu in India is rising in leaps and bounds with 18 new fatalities reported Monday. Within the short space of a little over three months, the mortality figure has shot up to 503.<ref>[http://www.themedguru.com/20091110/newsfeature/swine-flu-death-toll-crosses-500-india-86130885.html Swine flu death toll crosses 500 in India] {{webarchive |url=https://www.webcitation.org/5lBlZNymj?url=http://www.themedguru.com/20091110/newsfeature/swine-flu-death-toll-crosses-500-india-86130885.html |date=10 November 2009 }}</ref>

=== Influenza A H1N1 status ===
As of 8 August 2010 there had been 1833 deaths from H1N1 swine influenza reported.

As of 31 January the death toll of A/H1N1 influenza was 1229, and the number of laboratory confirmed cases of A/H1N1 (including uncomplicated cases) was 28,810.<ref>{{cite web|url=http://netindian.in/news/2010/01/31/0005110/8-more-h1n1-deaths-india-toll-rises-1229 |title=8 more H1N1 deaths in India, toll rises to 1229 &#124; NetIndian |publisher=Netindian.in |date=2010-01-31 |accessdate=2012-02-14 |archiveurl=https://www.webcitation.org/5nCXaDmID?url=http://netindian.in/news/2010/01/31/0005110/8-more-h1n1-deaths-india-toll-rises-1229 |archivedate=2010-01-31 |url-status=live }}</ref>

As of 8 February, the number of confirmed deaths due to A/H1N1 in India had risen to 1270.<ref>{{cite web|url=http://netindian.in/news/2010/02/08/0005243/2-swine-flu-deaths-gujarat-take-india-toll-1270 |title=2 swine flu deaths in Gujarat take India toll to 1270 &#124; NetIndian |publisher=Netindian.in |date=2010-02-08 |accessdate=2012-02-14}}</ref>

As of 12 February, the number of confirmed deaths from A/H1N1 pandemic influenza had risen to 1302.<ref>{{cite web|url=http://netindian.in/news/2010/02/13/0005325/6-more-swine-flu-deaths-india-toll-rises-1302 |title=6 more swine flu deaths in India, toll rises to 1302 &#124; NetIndian |publisher=Netindian.in |date=2010-02-12 |accessdate=2012-02-14 |archiveurl=https://www.webcitation.org/5nWKed1QW?url=http://netindian.in/news/2010/02/13/0005325/6-more-swine-flu-deaths-india-toll-rises-1302 |archivedate=2010-02-13 |url-status=live }}</ref>

As of 24 February 1357 confirmed deaths from H1N1 have been reported in India, and 29,583 confirmed cases of H1N1 have been reported.<ref>{{cite web|url=http://netindian.in/news/2010/02/24/0005498/11-more-swine-flu-deaths-india-toll-rises-1357 |title=11 more swine flu deaths in India, toll rises to 1357 &#124; NetIndian |publisher=Netindian.in |date=2010-02-24 |accessdate=2012-02-14 |archiveurl=https://www.webcitation.org/5nn7uXgVY?url=http://netindian.in/news/2010/02/24/0005498/11-more-swine-flu-deaths-india-toll-rises-1357 |archivedate=2010-02-24 |url-status=live }}</ref>

As of 12 March 2010, 1404 confirmed deaths from H1N1 influenza have been reported, and at least 29,904 laboratory-confirmed cases of H1N1 have been reported.<ref>{{cite web|url=http://www.themedguru.com/20100312/newsfeature/swine-flu-claims-3-more-lives-india-toll-1404-86132777.html |title=Swine flu claims 3 more lives in India, toll 1404 |publisher=TheMedGuru |date=2010-03-12 |accessdate=2012-02-14 |archiveurl=https://www.webcitation.org/5oBK8EHCq?url=http://www.themedguru.com/20100312/newsfeature/swine-flu-claims-3-more-lives-india-toll-1404-86132777.html |archivedate=2010-03-12 |url-status=live }}</ref>
[[File:H1N1 India map by confirmed deaths.svg|right|thumb|200px|States of India per confirmed deaths <br/> {{legend|#88bb88|0 deaths}}
{{legend|#e6e6e6|1+ deaths}}
{{legend|#cccccc|10+ deaths}}
{{legend|#b3b3b3|100+ deaths}}
{{legend|#999999|200+ deaths}}]]

[[File:H1N1 India map per confirmed cases.svg|right|thumb|200px|States of India per confirmed cases<br/>
{{legend|#2D0202|4000+ cases}}
{{legend|#550000|2000+ cases}}
{{legend|#8C0000|1000+ cases}}
{{legend|#D40000|500+ cases}}
{{legend|#E24040|100+ cases}}
{{legend|#FF6666|1+ cases}}
{{legend|#C0C0C0|no case confirmed}}]]

Consolidated Status of Influenza A H1N1 : '''2 January 2011'''<ref name="pib.nic.in">{{cite web|url=http://pib.nic.in/release/release.asp?relid=56719 |title=Press Information Bureau English Releases |publisher=Pib.nic.in |accessdate=2012-02-14}}</ref>

{| class = "wikitable sortable" style="text-align:center"
|-
! colspan="6"  style="background:#c2d6e5; text-align:center;"| '''Consolidated Status of Influenza A H1N1 : 8 August 2010'''
|-
! Sl.
! style="width:200px" |State
! Lab confirmed cases reported during the week
! Lab confirmed cases cumulative
! Death of Lab confirmed cases during the week
! Death of Lab confirmed cases cumulative
|-
| 1 || [[Delhi]] ||style="background:#ffe1e1;"| 106 || 11156 || 0 ||style="background:#e2bee5;"| 0
|-
| 2 || [[Andhra Pradesh]] || 105 || 1506 || 6 ||style="background:#e2bee5;"| 0
|-
| 3 || [[Karnataka]] ||style="background:#ffe1e1;"| 200 || 4409 || 12 ||style="background:#e2bee5;"| 0
|-
| 4 || [[Tamil Nadu]] ||style="background:#ffe1e1;"| 36 || 3143 || 0 ||style="background:#e2bee5;"| 0
|-
| 5 || [[Maharashtra]] ||style="background:#ffe1e1;"| 400 || 9943 || 51 ||style="background:#e2bee5;"| 0
|-
| 6 || [[Kerala]] ||style="background:#ffe1e1;"| 17 || 2850 || 121 ||style="background:#e2bee5;"| –
|-
| 7 || [[Punjab, India|Punjab]] ||style="background:#ffe1e1;"| 1 || 205 || 0 ||style="background:#e2bee5;"| 0
|-
| 8 || [[Haryana]] ||style="background:#ffe1e1;"| 2 || 2070 || 0 ||style="background:#e2bee5;"| 0
|-
| 9 || [[Chandigarh]] ||style="background:#ffe1e1;"| 0 || 331 || 0 ||style="background:#e2bee5;"| 0
|-
| 10 || [[Goa]] || 15 || 129 || 1 ||style="background:#e2bee5;"| 1
|-
| 11 || [[West Bengal]] || 23 || 256 || 1 || 0
|-
| 12 || [[Uttarakhand]] || 0 || 152 || 0 ||style="background:#e2bee5;"| 1
|-
| 13 || [[Himachal Pradesh]] ||style="background:#ffe1e1;"| 0 || 24 || 0 ||style="background:#e2bee5;"| 1
|-
| 14 || [[Jammu and Kashmir (state)|Jammu and Kashmir]] || 0 || 112 || 0 ||style="background:#e2bee5;"| 4
|-
| 15 || [[Gujarat]] ||style="background:#ffe1e1;"| 21 || 2243 || 7 ||style="background:#e2bee5;"| 4
|-
| 16 || [[Manipur]] || 0 || 2 || 0 || 0
|-
| 17 || [[Meghalaya]] || 0 || 8 || 0 || 0
|-
| 18 || [[Mizoram]] || 0 || 4 || 0 ||style="background:#e2bee5;"| 1
|-
| 19 || [[Assam]] || 0 || 52 || 0 ||style="background:#e2bee5;"| 2
|-
| 20 || [[Jharkhand]] || 0 || 2 || 0 || 0
|-
| 21 || [[Rajasthan]] ||style="background:#ffe1e1;"| 2 || 3932 || 0 ||style="background:#e2bee5;"| 2
|-
| 22 || [[Bihar]] || 0 || 7 || 0 || 0
|-
| 23 || [[Uttar Pradesh]] ||style="background:#ffe1e1;"| 5 || 1601 || 1 ||style="background:#e2bee5;"| 4
|-
| 24 || [[Puducherry (union territory)|Puducherry]] || 0 || 132 || 0 ||style="background:#e2bee5;"| 1
|-
| 25 || [[Chhattisgarh]] || 0 || 96 || 0 ||style="background:#e2bee5;"| 1
|-
| 26 || [[Madhya Pradesh]] ||style="background:#ffe1e1;"| 3 || 410 || 1 ||style="background:#e2bee5;"| 0
|-
| 27 || [[Daman and Diu]] || 0 || 1 || 0 || 0
|-
| 28 || [[Odisha]] || 4 || 118 || 2 ||style="background:#e2bee5;"| 3
|-
| 29 || [[Nagaland]] || 0 || 2 || 0 || 0
|-
| 30 || [[Andaman and Nicobar Islands]] || 0 || 27 || 0 || 2
|-
| 31 || [[Dadra and Nagar Haveli]] || 2 || 3 || 0 || 1
|-
|colspan="2" style="text-align:center;" |'''Total'''|| 942 || 44987 ||  83 || 28
|}

===Deaths in cities===
* [[Pune]] – 144
* [[Bangalore]] – 74
* [[Mumbai]] – 18
* [[Nashik]]- 9
* [[Ahmedabad]] – 9
* [[Vadodara]] – 5
* [[Chennai]] – 4
* [[Delhi]] – 149
* [[Bilaspur, Chhattisgarh|Bilaspur]] – 2
* [[Dehradun]] – 2
* [[Aurangabad]] – 2
* [[Bijapur]] – 2
* [[Hyderabad]] – 2
* [[Raipur]] – 1
* [[Panaji]] – 1
* [[Thiruvananthapuram]] – 1
* [[Rajkot]] – 1
* [[Gandhinagar, Tamil Nadu|Gandhinagar]] – 1
* [[Jaipur]] – 1
* [[Chandigarh]] – 1
* [[Dhule]] – 1
* [[Latur City|Latur]] – 1
* [[Mussoorie]] – 1
* [[Surat]] – 2
* [[Nagpur]] – 1
* [[Ludhiana]] – 1
* [[Jodhpur]] and [[Sirohi]] – 34

=== Total deaths till date ===
* 24 March 2010 – 1,444
* Maharashtra reported the maximum number of 487 cases and 20 deaths; Andhra Pradesh reported 115 cases and 12 deaths; Rajasthan reported 116 cases with 12 deaths; Karnataka had 171 cases were reported, including eight deaths.

=== Total cases till date ===
* 24 March 2010 – 20,164<ref>[https://web.archive.org/web/20110721173413/http://www.mohfw-h1n1.nic.in/documents%5CPDF%5CSituationalUpdatesArchives%5Cjanuary2010%5CSituational%20Updates%20on%2010.01.2010.pdf]</ref><ref>[[2009 flu pandemic in Asia]]</ref>
* India has reported 1000 cases of swine flu (H1N1) virus, including 59 deaths which occurred in spring of 2012

==External links==
* [https://web.archive.org/web/20110721173507/http://www.mohfw-h1n1.nic.in/August2010.html Click on a enabled date to get that week's press release on Swine Flu status from Indian Health Ministry]
* [https://www.cdc.gov/H1N1flu/qa.htm Swine flu and you – CDC]
* [https://web.archive.org/web/20091112151506/http://mohfw-h1n1.nic.in/Epidemiological.html Swine Flu trend Graphs from Ministry of Health]
* [https://web.archive.org/web/20100113084316/http://swinefluindia.com/index.html Swine flu symptoms and instructions]
* [https://web.archive.org/web/20100326134008/http://www.bolohealth.com/news/2779-swine-flu-is-receding-in-india Swine flu is receding in India]

==References==
{{Reflist}}

{{2009 flu pandemic}}
{{Disasters in India in 2009}}

{{DEFAULTSORT:2009 Flu Pandemic in India}}

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[[Category:2009 disasters in India|Flu Pandemic in India, 2009]]
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