Pune: toll reaches 273

[Ronan Kelly]

Re: Pune: toll reaches 75

Four more swine flu cases in Pune, toll 75 (76)
PTI 6 October 2009, 12:56pm IST

PUNE: The swine flu toll in the city has risen to 75 with four more persons succumbing to the virus, health officials said today.


The victims were identified as Soyab Shaikh (5), Sanjay Sakpal (35), Jyoti Pardeshi (45), and Trupti Magar (21), who died in different city hospitals.

The pandemic, which started in the city around three months back, has continued unabated with periodic aggravation in positive cases especially after the recent Ganesh and Navratri festivals.

The health department has started dispensing anti-viral Tamiflu tablets to almost all symptomatic cases without waiting for throat swab test reports from National Institute of Virology (NIV).

The district administration was also worried over the fall-out of overcrowding at election rallies ahead of the Maharashtra Assembly polls.

http://timesofindia.indiatimes.com/news/city/pune/Four-more-swine-flu-cases-in-Pune-toll-75/articleshow/5093279.cms

[Ronan Kelly]

Re: Pune: toll reaches 76

Two more H1N1 deaths, toll now 78
TNN 10 October 2009, 05:42am IST


PUNE: The H1N1 flu toll in the city rose to 78 on Friday with two more victims, including a woman from Ahmednagar district, succumbing to the virus.


According to Ashok Mehta, joint director of state health services, Kavita Padale (35), a resident of Sainathnagar, Pathardi in Ahmednagar district who had died on October 7, was declared H1N1 positive late on Thursday. "She was admitted to Sassoon hospital at 11.50 am on October 5. She was critical at the time and had developed acute respiratory distress syndrome (ARDS). Her throat swab report, which came in on Thursday, confirmed the presence of the H1N1 virus," Mehta said.

Another victim, Vaishali Chorage (29) of Winjar village in Velhe taluka, Pune district, passed away at 9.30 am on Friday. Chorage, who was pregnant, was initially treated at the Bharati and Navale hospitals on an OPD basis. "She was moved to Sassoon hospital at 7.30 pm on October 6. Her condition was critical at the time. She was suffering from ARDS and was also one-and-a-half-months pregnant. She too tested H1N1 positive," he stated.

Besides, Mehta added, 12 other patients tested positive for the contagion on Friday. Around 8,930 people were screened across the district, of which 479 suspected patients were administered Tamiflu. Some 28,057 people have been given the drug so far, he said.

At present, 17 patients are being treated in the isolation ICUs of various private and government-run hospitals in PMC and PCMC limits. Of these, six are in a critical condition and are on ventilator, he said.

Besides, 64 patients were discharged from various hospitals on Friday. With this, 3,994 patients have been discharged so far after treatment. This includes 3,147 suspected and 847 positive cases. Around 5.38 lakh people have also been screened across the district till date, Mehta pointed out.

http://timesofindia.indiatimes.com/city/pune/Two-more-H1N1-deaths-toll-now-78/articleshow/5107626.cms

[Ronan Kelly]

Re: Pune: toll reaches 78

Two educational Institutions report cases of H1N1 flu
TNN 13 October 2009, 03:34am IST


PUNE: Two more educational institutions in the district reported cases for H1N1 influenza on Monday. The joint director of state health services,
Ashok Mehta said that a three-year old student from Roger Nursery school, Kalewadi, Pimpri-Chinchwad and a third-year student of computer engineering of JSPM college in Hadapsar tested positive for the H1N1 virus.

"Both the students have been quarantined and their condition is improving. Screening of children and staffers was undertaken at both the institutes," Mehta added.

Meanwhile, 13 people tested positive for H1N1 influenza in the district on Monday, taking the total number of positive cases to 1,439. Over 1,833 people visited various screening centres in the district. Of these, 273 suspected people have been given Tamiflu tablets," Mehta said. So far, 29,301 patients were administered Tamiflu, while the number of people screened across the district has reached 5,56,266.

Mehta said that 20 critical patients are currently being given treatment for swine flu at various hospitals in Pune and Pimpri-Chinchwad. Of this, 11 are on ventilators. "As many as 55 patients were discharged on Monday."

Meanwhile, a two-year-old girl of Urali-Kanchan died at the Sassoon hospital on Monday. "Her throat swab has been sent to the National Institute of Virology for testing and the report is awaited," Mehta said.

http://timesofindia.indiatimes.com/city/pune/Two-educational-Institutions-report-cases-of-H1N1-flu/articleshow/5117689.cms

[Ronan Kelly]

Re: Pune: toll reaches 78

Two more deaths take swine flu toll to 80
TNN 14 October 2009, 04:12am IST

PUNE: With the deaths of a two-year-old girl from Urali Kanchan in Pune district and a 27-year-old woman from Rahuri in Ahmednagar district, the
H1N1 flu toll in the city has risen to 80.

According to Ashok Mehta, joint director of state health services, the throat swab report of Aishwarya Somnath Kotwal (2), a resident of Urali Kanchan, Haveli taluka, confirmed the presence of the H1N1 virus. She died at the Sassoon hospital at 10.10 am on Monday.

"Before being admitted to the Sassoon hospital on October 11, Aishwarya was treated at a private hospital in Urali Kanchan and later at a private hospital in Hadapsar. She was critical at the time of admission and put on a ventilator. She had developed acute respiratory distress syndrome (ARDS)," said Mehta.

Jayshree Hanumant Waghmare (27), a resident of Rahuri, died on Tuesday. "She had delivered a baby through Caesarean section at Rahuri on September 1. She suffered a serious post-operative complication, following which she sustained suture wounds," said Rajshekhar Iyer, medical director of Pimpri-Chinchwad Municipal Corporation (PCMC). "She was moved to the YCM hospital on September 9 and developed a bilateral pneumonic patch, following which administration of Tamiflu was started. Her throat swab was also sent to the National Institute of Virology (NIV) the same day for testing. The report confirmed the presence of the H1N1 virus on September 11."
Waghmare's condition was critical and she was put on a ventilator from September 9 to 22. Her condition stabilised and she was taken off the ventilator on September 23. Her throat swab was again sent to NIV for testing, but she again tested positive on September 24. Her condition was stable between September 22 and October 9, but deteriorated from October 10 and she was again put on a ventilator. Her throat swab was sent for retesting and the report declared her negative on October 11. "However, she had developed septicemia, a serious life-threatening infection due to the post-operative non-healing wound associated with the H1N1 infection and died at 4.30 pm on Tuesday," said Iyer.

Meanwhile, according to Mehta, 11 people tested positive for the H1N1 virus on Tuesday. Around 6,501 people were screened across the district, of which 529 suspected patients were administered Tamiflu. Some 29,830 people have been given the drug so far.

http://timesofindia.indiatimes.com/city/pune/Two-more-deaths-take-swine-flu-toll-to-80/articleshow/5121762.cms

[Ronan Kelly]

Re: Pune: toll reaches 80

H1N1 claims 4 more lives in Pune, toll 84
TNN 18 October 2009, 04:13am IST

PUNE: Four more people have succumbed to the H1N1 flu here, pushing the toll due to the contagion in Pune district to 84. While two H1N1 confirmed
patients died on Saturday, two others lost their lives on Friday and their throat swab reports showing them positive came in on Saturday.

Ashok Mehta, joint director of state health services, said Suresh Vaidya (25) of Pradhikaran-Nigdi died at the Yeshwantrao Chavan Hospital at 2.30 pm on Saturday. He was admitted to the hospital on October 14 in a critical condition and was put on the ventilator.

Popat Baburao Kanchan of Uralikanchan (50) died at the Noble hospital at 6 pm the same day, Mehta said, adding that he was admitted to the hospital on October 7 in a critical condition.

The third casualty, Sachin Gonjari (27), was reported on October 16 at the Command hospital in the Pune Cantonment area, but the report of his throat swab came only on October 17. He had been on the ventilator for the last few days. He was a defence personnel and was admitted on September 28, Mehta said.

Raghunath Vitthal Gaware (62) of Varud village in Shirur taluka died at 12.15 am on October 16, but his swab report showing him H1N1 postitive came on Saturday, Mehta said, adding that he was admitted to hospital on October 14 in critical condition. ?He had medical history of heart disease,? he said.

Meanwhile, nine people tested positive for the H1N1 flu in Pune district on Saturday. A total of 5,442 people were screened across the district, of whom 391 suspected patients were administered Tamiflu. Around 5.83 lakh people have been screened across the district so far.

?Around 31,254 patients have been administered Tamiflu in the district so far. At present, eight people are on ventilators at the isolation ICUs of private and government-run hospitals in the PMC and PCMC limits,? Mehta said.

Mehta said that 48 patients were discharged on Saturday. In all, 4,426 patients have been discharged after treatment from various hospitals till date.

http://timesofindia.indiatimes.com/city/pune/H1N1-claims-4-more-lives-in-Pune-toll-84/articleshow/5135546.cms

[Shiloh]

Re: Pune: toll reaches 85

Source: http://timesofindia.indiatimes.com/c...ow/5137116.cms

Satara man dies of H1N1; toll 85
TNN 19 October 2009, 05:30am IST

PUNE: A 55-year-old man from Satara died of swine flu at the KEM Hospital here early on Sunday, taking the total number of deaths in the city to 85.

The man, Balkrishna Desai, of Chafal village in Patan taluka of Satara died at 3 am.

According to Ashok Mehta, joint director of the state health services, Desai was critical when he brought to the hospital. He was put on the ventilator.

Meanwhile, six people tested positive for the H1N1 virus on Sunday. With this, the total number of infected people in the district reached 1,491.

Around 1,916 people were screened across the district, of which 183 suspected patients were administered Tamiflu. Some 31,437 people have been administered the drug so far.

Eighteen patients are being treated in the isolation ICUs of various private and government-run hospitals in Pune and Pimpri-Chinchwad. Of these, 10 are in a critical condition and are on the ventilator.

Thirty-three patients were discharged from various hospitals on Sunday. Around 5.85 lakh people have been screened across the district till date.

Meanwhile, a 21-year-old suspected H1N1 patient from Karandi village in Shirur taluka died at the Noble hospital at 4.15 pm on Sunday. "His throat swab report is awaited," D D Chandakkar, deputy health officer of the Pune Municipal Corporation, said.

[Ronan Kelly]

Re: Pune: toll reaches 85

H1N1 claims 2 more lives, toll 87
TNN 21 October 2009, 02:50am IST
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PUNE: Two more have people succumbed to the H1N1 influenza in the city, pushing the death toll to 87. While one confirmed H1N1 patient died late on
Monday evening, the throat swab report of another person who died on October 17 came in on Tuesday, testing positive for the flu.

According to Ashok Mehta, joint director of the state health services Sunita Raju Gaikwad (30), a resident of Sambhajinagar, Dhankawdi, died at 6.50 pm on October 17. "Her throat swab report declared the presence of H1N1 virus on Tuesday (October 20)," he said.

Before moving to the isolation ICU of Sassoon Hospital on October 16, Sunita was treated at a private hospital in Dhankawdi. She had a fever, rhinorrhoea (runny nose), sore throat and orthopnoea breathing difficulty experienced while lying flat. She was also suffering from obesity. Her condition was critical at the time of admission. She was put on a ventilator but her condition deteriorated on

October 17. She had developed acute respiratory distress syndrome (ARDS).

Vijaykumar Ratanlal Gandhi (45), a resident of Anthurne village, taluka Indapur in Pune district, died at 9.40 pm on October 19. Gandhi also took treatment at private hospitals in Indapur and Baramati and was later moved to the isolation ICU of Deenanath Mangeshkar Hospital (DMH) on October 6. His condition was critical at the time of admission. He was put on a ventilator and had also developed acute respiratory distress syndrome (ARDS).

Meanwhile, one person tested positive for the H1N1 influenza on Tuesday. A total of 1,674 people were screened across the district. "As many as 148 suspected patients are being administered Tamiflu tablets. Around 31,730 people have been given Tamiflu tablets so far," Mehta said, adding that 14 patients are being treated at the ICUs of various private and government hospitals. "Four of them are on ventilators," Mehta said. "Twelve patients were discharged on Tuesday."

http://timesofindia.indiatimes.com/city/pune/H1N1-claims-2-more-lives-toll-87/articleshow/5143199.cms

[Ronan Kelly]

Re: Pune: toll reaches 87

One more H1N1 death takes toll to 90
TNN 25 October 2009, 05:32am IST


PUNE: The H1N1 flu toll in the city went up to 90 with a patient who was admitted in Sassoon hospital's intensive care unit succumbing to the virus
at 10.15 pm on Friday night.

Deputy director of state health services Ashok Mehta said, "Sahindra Dattatray Karale (60), a resident of Sadavat in Maval tehsil in Pune district died on Friday night at the Sassoon general hospital. Earlier, he was admitted to the Aditya Birla hospital in Pimpri-Chichwad area on October 20. He tested positive and was kept under observation. On October 23, he was shifted to the Sassoon hospital in a critical condition."

Meanwhile, a 10-year-old student from the Zilla Parishad school in Malkhed village in Maval tehsil was one among 10 people in the district who tested positive for H1N1 flu on Saturday. A medical team visited the school and is screening the students.

The total number of positive cases now stands at 1,526. As many as 22 patients are being treated for H1N1 flu at ICUs of designated hospitals in Pune and Pimpri-Chinchwad, of which five patients are on ventilators.

Mehta said, "5,678 people visited screening centres across the district on Saturday. More than 10.11 lakh people so far have visited screening centres in district. Around 344 suspected patients were administered Tamiflu on Saturday. More than 32,900 people have been given Tamiflu doses so far. Fifty patients were admitted to various designated hospitals in Pune and Pimpri-Chinchwad for H1N1 flu treatment on Saturday. As many as 49 patients have been discharged from different hospitals.

http://timesofindia.indiatimes.com/city/pune/One-more-H1N1-death-takes-toll-to-90/articleshow/5158097.cms

[Ronan Kelly]

Re: Pune: toll reaches 90

One more succumbs to H1N1 in city; toll 91
TNN 26 October 2009, 05:16am IST

PUNE: Thirty-year-old Manju Ashok Kalya, a resident of Dalvinagar in Chinchwad, succumbed to the H1N1 influenza on Sunday, taking the death toll in
the city to 91.

Before being admitted to the Sassoon Hospital on October 20, Manju was taken to private hospitals in Pimpri and then to the government-run YCM hospital on October 19. "The health authorities of the YCM hospital referred her to the Naidu hospital which in turn asked her to go to the Sassoon. She was admitted to the Sassoon hospital at 3 am on October 20," said Ashok Mehta, joint director of the state health services.

"Her condition was critical at the time of admission. She was immediately put on a ventilator. She had developed acute respiratory distress syndrome (ARDS), following which she died at 6 am on Sunday," said Mehta.

Rajshekhar Iyer, medical director of the Pimpri-Chinchwad Municipal Corporation said, "The swine flu ward at the YCM hospital was fully occupied the day Manju was brought to the hospital. Therefore, we asked her relatives to go to Naidu hospital which in turn sent them to the Sassoon. We can accommodate only 10 people in our swine flu ward at a time. The day she was brought to our hospital, we had 12 patients."

Meanwhile, a four-year-old student from Jagjivan primary school in Dapodi was among the five people who tested positive on Sunday. "The kindergarten student has been quarantined at the D Y Patil Medical College. The medical surveillance of other students of the school will be carried out on Monday as a precautionary step."

"Currently, 345 suspected patients across various screening centres in Pune district are being administered Tamiflu tablets while around 20,418 people have been given the tablets so far," said Mehta. Forty-five patients were discharged on Sunday. As many as 23 critical patients are being treated at the isolation ICUs of various private and government hospitals. Of them, seven patients are on ventilator, Mehta added.

http://timesofindia.indiatimes.com/city/pune/One-more-succumbs-to-H1N1-in-city-toll-91/articleshow/5161303.cms

[Ronan Kelly]

Re: Pune: toll reaches 91

One more H1N1 death
TNN 27 October 2009, 05:37am IST

PUNE: Twenty-two-year-old Priya Vikram Gaikwad, a resident of Pandharpur in Solapur district, succumbed to the H1N1 influenza on Monday, taking the
death toll in the city to 92.

Before being admitted to Sassoon Hospital on October 23, Priya, who was six months pregnant, was taken to private hospitals in Pandharpur and in Pune. She was admitted to the Sassoon hospital at 10 am on October 23," said Ashok Mehta, joint director of the state health services.

"Her condition was critical when she was admitted. She was immediately put on a ventilator and developed acute respiratory distress syndrome (ARDS). She breathed her last 1.30 pm on Monday," said Mehta.

Ten more people tested positive for the H1N1 influenza on Monday. A total of 1,324 people were screened across the district and 138 suspected patients are being administered Tamiflu tablets. So far, around 33,448 people have been given the tablets," said Mehta. He added that 30 people had been discharged and that 21 patients are being treated in the isolation wards of various private and government hospitals. Of them, eight patients are critical and have been put on ventilators, Mehta added.

http://timesofindia.indiatimes.com/city/pune/One-more-H1N1-death/articleshow/5166183.cms

[Shiloh]

Re: Pune: toll reaches 93

Source: http://timesofindia.indiatimes.com/c...ow/5174169.cms

H1N1 death toll rises to 93
TNN 29 October 2009, 03:03am IST

PUNE: Vilas Siddhu Bengale (54), a resident of Sahakarnagar fell victim to the H1N1 influenza early on Wednesday, taking the death toll in the
city to 93.

"Before being admitted to the YCM hospital on October 27, Bengale was treated at a private hospital in Sahakarnagar for three days," said Rajshekhar Iyer, medical director of the Pimpri-Chinchwad Municipal Corporation (PCMC). The X-ray report showed a pneumonic patch and he went to Poona Hospital but found treatment there unaffordable. He then came to YCM hospital. His condition deteriorated and he died at 2.15 am on Wednesday," said Iyer.

A three-year-old girl from a nursery play group was among three persons who tested positive for the H1N1 influenza on Wednesday. "She has been quarantined at the YCM hospital in Pimpri. The medical screening of other children will be carried out as a precautionary measure," said Ashok Mehta, joint director of the state health services.

"A total of 450 suspected patients are being administered Tamiflu tablets. Around 34,275 people in the district have been given Tamiflu tablets so far," Mehta said, adding that as many as 21 patients, who are in a critical condition, are being treated at various private and government hospitals. "Four of them are on ventilators and 45 patients were discharged from hospitals on Wednesday," he added.

[Roehl_JC]

Pune: toll reaches 96 after 3 children's deaths from H1N1

PUNE: Three kids, including two with severe underlying medical conditions, succumbed to the H1N1 influenza at YCM hospital in Pimpri in the last two days. Their throat swab reports confirming the presence of the H1N1 virus came after their deaths, said Rajshekhar Iyer, medical director of the Pimpri-Chinchwad Municipal Corporation (PCMC). With this, the total number of the swine flu casualties in the city has reached 96.

According to Iyer, four-year-old Mahesh Kale of Kalewadi died at 10.45 pm on Wednesday. He was suffering from osteopetrosis, a severe medical condition. The throat swab test report, showing him positive for the flu, came on Thursday.

Osteopetrosis, literally stone bone', also known as marble bone disease and Albers-Schonberg disease, is an extremely rare inherited disorder , whereby the bones harden and become denser," said Iyer. "The boy had taken blood transfusion at the YCM hospital for seven times in the recent past. He was at the end-stage of his life when he was admitted to the hospital on Monday."

The second victim, Praniti Lohakare of Ambegaon, died at 10.30 pm on Thursday. "She also had an underlying medical condition of ventricular septal defect a congenital heart disease in which the patient has a hole in the wall between the right and left ventricles of the heart," Iyer said. Praniti was admitted to the hospital on Tuesday. Her condition was critical at the time of admission.
Amar Ingale, a one-month-old infant from Mehtrewadi, Chikhli, was the third victim of the flu. He died at 7 am on Friday. "He was admitted to the YCM hospital for aspiration pneumonia on Thursday," Iyer said.

The daily update on swine flu in respect of positive cases detected, total patients screened, etc, was not prepared by the state health officials late on Friday.

http://timesofindia.indiatimes.com/city/pune/Three-more-H1N1-deaths-in-city/articleshow/5181985.cms

[Ronan Kelly]

Re: Pune: toll reaches 96

One more succumbs to H1N1
TNN 2 November 2009, 02:49am IST

PUNE: A 29-year-old youth from Katkewadi in Wagholi was the latest to succumb to the Influenza A H1N1 virus in the city on Sunday afternoon. With
this death, the city's toll has reached 97.

State health department officials identified the victim as Santosh Ramchandra Narute, who was initially admitted to a private hospital at Wagholi, about 15 km from here on the Pune-Ahmednagar highway, for flu symptoms.

Narute was moved to the Sassoon hospital on Friday after his condition deteriorated, said the officials. He succumbed to the ailment around 2 pm on Sunday.

Meanwhile, six more H1N1 positive cases were reported in the city on Sunday while seven of the 21 patients under treatment at the intensive care unit were put on ventilator.

http://timesofindia.indiatimes.com/city/pune/One-more-succumbs-to-H1N1-/articleshow/5186980.cms

[Ronan Kelly]

Re: Pune: toll reaches 97

H1N1 claims 2 more lives
TNN 4 November 2009, 05:17am IST

PUNE: Two more people, including a pregnant woman, died of H1N1 influenza in the city, taking the death toll to 99.


According to Rajshekhar Iyer, medical director of the Pimpri-Chinchwad Municipal Corporation (PCMC), Navnath Motiram Thobre (29), a resident of Rohkal village, Khed taluka, died at 1 pm on Tuesday. The throat swab report of Surekha Dattatray Chaure (28), from Dhamani village in Ambegaon taluka, came in on Monday, showing her positive for the H1N1 influenza. Surekha, who was eight months' pregnant, died at the YCM hospital at 7 pm on October 31.

"Thobre was admitted to the YCM hospital in Pimpri on October 30. His condition was critical at the time of admission. He was put on a ventilator. His condition deteriorated further, following which he succumbed to the flu on Tuesday," said Iyer. He had been sick since October 24 and took treatment from three local medical practitioners, he added.

Meanwhile, seven people tested positive for the H1N1 influenza on Tuesday. With this, the total number of infected people in the city has reached 1,587, said Kalyan Deshpande, medical officer of the state health services.

"Currently, 383 suspected patients across various screening centres in Pune district are being administered Tamiflu tablets, while around 36,501 people have been given the tablets so far," said Deshpande. Forty-three patients were discharged on Tuesday. As many as 16 critical patients are being treated at the isolation ICUs of various private and government hospitals. Of them, eight patients are on ventilators, added Deshpande.

http://timesofindia.indiatimes.com/city/pune/H1N1-claims-2-more-lives/articleshow/5194079.cms

[Ronan Kelly]

Re: Pune: toll reaches 99

H1N1 toll rises to 100, fears of 2nd wave loom
Umesh Isalkar & Sarang Dastane, TNN 6 November 2009, 02:35am IST
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PUNE: On the day the district administration and the state health services announced they were working on an action plan to tackle a possible second
outbreak of the H1N1 influenza, Pune reported its 100th swine flu death.

The H1N1 toll figures in Pune district have seen a steady, almost day-to-day climb since August 3 when 14-year-old city schoolgirl Reeda Shaikh became the country?s first casualty to the virus.

For the record, the 100th H1N1 casualty was Mohini Undre (28), a resident of Manjari Khurd village, 13 km from the city. She died at a hospital in Hadapsar here on Thursday morning. Mohini was admitted to the hospital in a critical condition and was immediately put on the ventilator. Like many of the earlier deaths, Mohini too died of acute respiratory distress syndrome (ARDS).

Ten more people tested positive for swine flu on Thursday, taking the number of infected people in Pune district to 4,244. The number of people on the Tamiflu regime stood at 37,357 on the day, and a whopping 6.7 lakh people have been screened so far. Fourteen patients are still in a critical condition in various hospitals. Five of them are on the ventilator.

Meanwhile, the district administration and the state health department are bracing for a second possible wave of the influenza. However, the National Institute of Virology (NIV) here cannot tell for certain whether or not a second wave would come and, if it indeed does happen, whether its intensity would be strong or mild. The experts there say that a second wave is usually seen five to six months after the first outbreak.

The administration, for its part, is planning more intensive care units, isolation wards, medical as well as paramedical workers and a surveillance system in both the rural and urban areas. An action plan is to be submitted to the state government in the next four days.

?As per our present estimates, we will require 17 additional ICUs and 47 quarantine wards for an estimated infected population of one lakh during a possible second outbreak of the flu,? Pune?s resident deputy collector Anil Pawar told TOI. ?As per estimates set by the World Health Organisation (WHO), around 20 per cent of the population in the district is likely to be infected if a second wave happens.?

The approximate population in Pune district is 80 lakh. ?This means around 1.6 lakh of the population could get infected during the second phase of the flu. We are, therefore, preparing a concrete action plan visualising the potential impact of the flu so that we are not caught off-guard,? Pawar said.

http://timesofindia.indiatimes.com/city/pune/H1N1-toll-rises-to-100-fears-of-2nd-wave-loom/articleshow/5201626.cms