Tracking Fatalities in Mumbai

[Ronan Kelly]

Swine flu claims three more lives, toll rises to 17
Pratibha Masand, TNN 9 September 2009, 03:22am IST


MUMBAI: Swine flu has claimed three more lives in two days, taking the death toll to 17.


While a 20-year-old pregnant woman died at 11 pm on Sunday, another 5-year-old boy succumbed to the H1N1 virus at 2:30 pm on Tuesday. Another 50-year-old woman also died in Vashi on Tuesday night.

Sapna Kalwe (20), the 15th victim in the city, was in the last month of her pregnancy. On August 29, she was admitted to Holy Spirit Hospital in Andheri (E) with high fever and cold and cough. "We took her swab test and started giving her Tamiflu on September 2. The same day, she gave birth to a stillborn baby. By then, she had developed Acute Respirational Distress Syndrome (ARDS),'' said a hospital authority. "She tested positive for H1N1 even though she was given a full course of Tamiflu.''

The 16th victim, 5-year-old Faizan from Jari Mari slum in Saki Naka, was admitted to Kasturba Hospital on September 3. His swab test was taken and his Tamiflu course was started on the same day. "But his lungs were filled with water and he had developed other complications as well,'' said executive health officer of BMC Jairaj Thanekar. On Saturday, Faizan was shifted to Nair Hospital where he was kept on ventilator but he died on Tuesday.

A 50-year-old woman Bharti Jaisinghania died at the Vashi municipal hospital on Tuesday evening. Jaisinghania, a resident of Sector 4 in New Panvel, was hospitalised on September 3 with swine flu symptoms. Two days later, she tested positive for H1N1 and despite efforts on the part of the doctors, she died on Tuesday. Health officer of Navi Mumbai municipal corporation Deepak Paropkari confirmed the death.

http://timesofindia.indiatimes.com/news/city/mumbai/Swine-flu-claims-three-more-lives-toll-rises-to-17/articleshow/4988141.cms

[Ronan Kelly]

Re: Swine flu claims three more lives, toll rises to 17 (Mumbai)

This is another fatality from 2 days later. I have no idea why they are giving a lower total than the previous post.

Woman succumbs to swine flu, toll rises to 15 in Mumbai


Mumbai, Sept 11 (PTI) A 35-year-old woman today succumbed to swine flu at a government hospital here, taking the death toll due to the disease to 15 in the city, a top civic official said.
Fatima, a resident of Bhiwandi in neighbouring Thane district, was having swine flu symptoms since last 20 days, additional municipal commissioner Manisha Mhaiskar said.

"She died this afternoon at Nair hospital due to swine flu. She had fever, cough and cold for 20 days. The lady was also a patient of hypertension and diabetes," Mhaiskar said.

"Fatima was earlier admitted to a Thane-based private hospital after she tested positive for H1N1 virus on September 7. On September 8, she was transferred to Nair hospital where she was given Tamiflu immediately," she said.

http://ptinews.com/news/277433_Woman-succumbs-to-swine-flu--toll-rises-to-15-in-Mumbai

[Ronan Kelly]

Re: Swine flu claims three more lives, toll rises to 17 (Mumbai)

More on the most recent death: Total 18

Post-Ganpati, H1N1 deaths in state soar
Sanjeev Shivadekar, TNN 12 September 2009, 03:01am IST

MUMBAI: With swine flu claiming 20 lives in the state in the last 8 days, the government health machinery is once again on high alert. Additional
chief secretary (health) Sharwaree Gokhale admitted at a press meet on Friday that the situation was ?grim??.

Officials attribute the sudden spurt in deaths to a change in weather as well as the intermingling of huge crowds at the Ganpati festival, a fear which the government had expressed weeks ago. On September 3, the number of deaths in the state was 57, but after the Ganpati immersion, 20 more people succumbed, taking the total death toll to 77 on Friday. The majority of deaths are in the urban areas of Pune and Mumbai. ?Our fear has come true,?? Gokhale said.

Flu forces closure of Bandra school

Arya Vidya Mandir School in Bandra has been shut until September 18 after two students tested positive for swine flu on Friday. Authorities said the school would be fumigated before
it is reopened.

Bhiwandi woman dies, city toll 18

A 35-year-old Bhiwandi woman, Fatima Momin, has become Mumbai?s 18th swine flu victim. Momin, who had a history of diabetes and hypertension, died at Nair Hospital, where she was rushed in a critical state, on Friday.

http://timesofindia.indiatimes.com/news/city/mumbai/Post-Ganpati-H1N1-deaths-in-state-soar/articleshow/5001383.cms

[Ronan Kelly]

Re: Swine flu claims three more lives, toll rises to 17 (Mumbai)

More on the situation in Mumbai;

Mumbai swine flu toll rises to 18
Sanjeev Shivadekar , TNN 12 September 2009, 02:52am IST


MUMBAI: Even as the city's swine flu toll touched 18 on Friday with a Bhiwandi resident, Fatima Momin, becoming the latest victim, 106 people were
admitted in a single day, Thursday, to isolation facilities across the state.

Momin, who had a history of diabetes and hypertension, was admitted to three hospitals before she was brought on Tuesday to civic-run Nair Hospital where she died. There was some confusion over another death that took place in civic-run Kasturba Hospital on Thursday. Additional secretary (health) Sharwaree Gokhale told reporters on Friday that "there was one death in Kasturba Hospital reported on Thursday but it has not been included in the state toll yet as we are still awaiting the diagnostic report.'' However, civic officials told TOI that the patient had died of dengue haemorrhagic fever.

According to the civic health records, 35-year-old Momin had a cough and cold for 20 days before she was admitted to Criticare Hospital in Thane on September 6. The hospital authorities sent her swab samples for testing to Ranbaxy Laboratory and got the H1N1-positive status a day later, said Dr Santosh Rathi of Criticare Hospital. "We moved her to Kasturba the next day,'' he said, adding that she had developed pneumonia.

However, as she was in a critical state by the time she reached Kasturba, Momin was moved to the Nair Hospital swine flu ICU where she died on Friday, said civic officials. "She was given Tamiflu as well as antibiotics. But she had developed severe bacterial infection and was also a known case of hypertension and diabetes,'' said Dr J Thanekar, executive health officer of the BMC.

The number of patients on ventilators in Mumbai and Pune put together have gone up to 19 from last week's figure of 12. "A total of 12 patients are on ventilators in Mumbai and seven in Pune,'' Gokhale said. Schools in Lonavala have decided to stay closed till September 19 after the detection of fresh H1N1 cases.

However, Gokhale reiterated that most of the swine flu deaths in the state were due to negligence on the part of patients or medical history like respiratory problems, blood pressure and other illness. "Around 95 per cent of the patients who succumbed to the viral infection were swine flu cases who were administered Tamiflu 36 hours after the infection,'' Gokhale added.

According to hospital sources, of the total swine flu deaths, around four to five were HIV-positive. "To deal with such patients, the government has instructed doctors to follow a separate protocol,'' said a senior doctor from the state health department.

Incidentally, the government has also informed doctors to adopt a new protocol in dealing with pregnant women who are tested or suspected to have swine flu. Admitting that the state health department has given such instructions, Gokhale said, "We have decided to save the mothers.'' The website of KEM hospital has been uploaded with the measures that private doctors should follow while dealing with the patients if they find them to be H1N1 suspect, she added.

http://timesofindia.indiatimes.com/news/city/mumbai/Mumbai-swine-flu-toll-rises-to-18/articleshow/5000938.cms

[Ronan Kelly]

Re: Swine flu claims three more lives, toll rises to 17 (Mumbai)

Mumbai total at 20

http://timesofindia.indiatimes.com/news/city/mumbai/Two-infants-die-of-swine-flu-toll-20/articleshow/5004278.cms

Two infants die of swine flu, toll 20
Sukhada Tatke, TNN 13 September 2009, 03:20am IST
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MUMBAI: In what is being termed as a shocking lapse on the part of a renowned paediatric hospital in the city, two infants died of swine flu within
hours of each other on Saturday.

The civic authorities immediately instituted an inquiry into the delay in administering Tamiflu to both children who were admitted to B J Wadia Children's Hospital in Parel for about a week before being transferred to other hospitals.

Both eight-month-old Atharva Dongre and one-year-old Gaurav Ghai died within a few hours of being transferred from Wadia hospital on Friday. The administrators of Wadia Hospital were unavailable for comment despite repeated attempts.

The infants had respiratory distress and were on ventilator while at Wadia hospital before their throat swab samples were sent for swine-flu testing. Once they tested positive, Atharva and Gaurav were transferred to Nair Hospital's swine-flu ICU near Mumbai Central and Dr L H Hiranandani Hospital in Powai where they died.

The infants' deaths have taken the city's toll to 20.

"Prima facie, it appears that there was a delay in administering the drug. At a time when there is so much awareness about Tamiflu, we don't understand why it was not given in time,'' said additional municipal commissioner Manisha Mhaiskar. "We have asked Dr Sanjay Oak, director of medical education and research, to ask the Wadia hospital staff to give their explanation in writing, about the delay in starting treatment,'' she added.

While in the first case, the infant was brought almost a week too late to the civic body's ICU facility, the second child was admitted after four days to Hiranandani hospital. Given the shocking delay in providing Tamilflu to the infants in time, the civic administration has instituted an inquiry to ascertain the reasons.

Dongre was brought to Nair Hospital on Friday in a critical condition. He was admitted to Wadia hospital on September 3. This is where mechanical ventilation was started, albeit four days later, after his having developed Acute Respiratory Distress Syndrome (ARDS). Although the child's throat swab was collected, the Tamiflu course was not started as is the established protocol.

According to civic officials, the Tamiflu course was finally started only on his admission to Nair Hospital on Friday. But as the patient was already critical, he died within a few hours of admission at 5:15 am.

Gaurav, on the other hand, a resident of Bhiwandi, was admitted to Wadia hospital on September 7 and was subsequently put on ventilator the following day. Throat swabs were also collected on the same day and the reports confirmed that he had tested positive on Friday. On Saturday morning, he was transferred to Hiranandani hospital, where the Tamiflu course was finally started. According to hospital sources, he expired within a couple of hours of being admitted.

According to Dr Sujit Chatterjee, CEO of Hiranandani hospital in Powai, "Gaurav was referred from Wadia hospital in an extremely ill condition. We put him on ventilator and gave him Tamiflu but it was too late.''

[Ronan Kelly]

Re: Swine flu claims three more lives, toll rises to 17 (Mumbai)

Two women succumb to swine flu in Mumbai
STAFF WRITER 23:8 HRS IST
Mumbai, Sep 15 (PTI) Two women have died due to swine flu at a private hospital here, taking the death toll in the Mumbai Metropolitan Region to 22, officials said today.

A 50-year-old woman from Vasai in neighbouring Thane district and a 29-year-old woman from Kandivali succumbed on September 14 and September 12 respectively at Nanavati Hospital in suburban Vile Parle.

"Both patients had tested positive for H1N1 virus and died on Saturday and Monday respectively," Nanavati's Medical Superintendent Dr Ashok Hatolkar said.

One of them, Munira Ujjainwala (50), was earlier admitted to Cardinal Gracious Hospital in Vasai and shifted to Nanavati Hospital on September 12 in a critical condition. Her throat swab was taken the same day and she was immediately given Tamiflu," Hatolkar said.

Ujjainwala, who died yesterday, had hypertension, diabetes and asthma, he said.

http://ptinews.com/news/284309_Two-women-succumb-to-swine-flu-in-Mumbai

[Ronan Kelly]

Re: Swine flu claims three more lives, toll rises to 17 (Mumbai)

2 more die of swine flu, toll is 22
DNA CorrespondentWednesday, September 16, 2009 2:38 IST Email

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A 29-year-old woman, Minal, died on September 12 at Nanawati Hospital. She was admitted to Lifeline Hospital in Malad, with symptoms of cough, cold and fever on September 3 and was later shifted to Nanawati Hospital.

Her throat swab was collected on the September 7 and the report, received a day later, confirmed swine flu. Although a full course of Tamiflu was given, she died on Saturday.

Another woman, 50-year-old Munira succumbed to swine flu on September 14 at Nanawati Hospital. She was rushed to the hospital on September 13, where her throat swab was collected and Tamiflu administered immediately. However, being a patient of hypertension, diabetes and asthama, her condition worsened and she succumbed to the disease.

"Of the 22 swine flu victims in the ctiy, 16 were women, four were kids and two were men," said Thanekar.

http://www.dnaindia.com/mumbai/report_2-more-die-of-swine-flu-toll-is-22_1290588

[Ronan Kelly]

Re: Swine flu claims three more lives, toll rises to 22 (Mumbai)

Nine-month-old dies
TNN 18 September 2009, 02:05am IST


MUMBAI: A nine-month-old child from Mankhurd died of swine flu on Thursday, taking the city death toll to 23. The child, Apeksha, was admitted to
KEM Hospital on September 11 with complaints of fever, cold and cough. Three days later, when she developed breathlessness, samples of her throat swabs were sent for H1N1 testing.
"We immediately started Tamiflu on her, without waiting for the results, which came positive 48 hours later,'' said Dr Sanjay Oak, dean of KEM Hospital.

The girl was transferred to Nair Hospital on Wednesday where she died at 4 pm on Thursday. "We are still looking into the reasons for her death,'' he added.

http://timesofindia.indiatimes.com/news/city/mumbai/Nine-month-old-dies/articleshow/5024319.cms

[Ronan Kelly]

Re: Swine flu claims three more lives, toll rises to 22 (Mumbai)

Mumbai: Swine flu claimed the life of a 9-month-old baby girl on Thursday, taking the toll in the city to 23. This time, the civic-run KEM Hospital staff is under the scanner for not realising for three crucial days that the child was showing symptoms of swine flu.

Apeksha, a resident of Mankhurd and the fifth child in the city to die of swine flu, was suffering from cold and fever since September 9. She was admitted to KEM Hospital on September 11 and was being treated for normal fever.

It was only after she developed breathlessness that doctors sent her throat swabs for testing. "Tamiflu was started the same day and doctors did not wait for her reports to arrive," said dean of KEM Hospital Dr Sanjay Oak.

Apeksha's reports reached the hospital on Wednesday and she was immediately shifted to Nair Hospital ICU. She died on Thursday.

Dr Oak said he was looking into the details of the report to find out if it was a case of negligence. "The child was put on high doses of antibiotics as soon as she was admitted," he said. Her initial symptoms were very vague, he added.

The child developed a patch within two days and was immediately administered Tamiflu. By the time her reports came, she had finished taking Tamiflu for 3 days. "I am still analysing the case and talking to the respective doctors," he said. The child had to be shifted to Nair Hospital as she would have needed isolated ICU.

(with inputs from Surendra Gangan)

http://www.dnaindia.com/mumbai/report_infant-dies-of-swine-flu-kem-docs-in-the-dock_1291183

[Ronan Kelly]

Re: Swine flu claims three more lives, toll rises to 23 (Mumbai)

Pregnant woman is 24th H1N1 victim
SUKHADA TATKE, TNN 19 September 2009, 05:12am IST

MUMBAI: A woman in the ninth month of her pregnancy died of swine flu on Thursday, taking the toll in and around Mumbai to 24. Neha (25) from
Ghatkopar was admitted to a private hospital for cold and high fever on Tuesday. She was shifted to Rajawadi Hospital and put on a ventilator on Wednesday. Her throat swab was collected the same day and she was put on a course of Tamiflu. The positive test result came on Friday.

Though more men have tested positive for swine flu, more women have succumbed to the disease. Of the 23 swine flu deaths the BMC is counting, more than three-fourths (18) have been women. The data compiled by the BMC's health department revealed that 59% of those who tested positive were men. "Though more men have tested positive, the number of deaths has been more in women, primarily because women have a habit of trying to bear with their problems before actually doing something about them. At first, they ignore a fever thinking it is a minor flu, but the delay becomes crucial,'' said additional municipal commissioner Manisha Mhaiskar.

The analysis of deaths also shows that only three people did not fall in the high-risk category. Nine victims suffered from co-morbidity (underlying conditions already present) such as asthma, respiratory disorders, hypertension and diabetes, four were pregnant, five were infants and one had obesity. Also, it was seen that if Tamiflu was administered within 48 hours of symptoms surfacing, there was almost 100% recovery. Where Tamiflu was given between 48 and 72 hours, there was one death. In one case, the drug was not given at all and the remaining patients were given Tamiflu after 72 hours.

http://timesofindia.indiatimes.com/news/city/mumbai/Pregnant-woman-is-24th-H1N1-victim/articleshow/5028849.cms

[Ronan Kelly]

Re: Swine flu claims three more lives, toll rises to 23 (Mumbai)

Two succumb to swine flu in MMR

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Share Print E-mail Comment[ - ] Text [ + ]STAFF WRITER 22:36 HRS IST
Mumbai, Sept 29 (PTI) A pregnant woman and an infant succumbed to swine flu in Mumbai metropolitan region, taking the toll due to the virus to 27, civic officials said today.

Sharda (21), a resident of Bhayander, was suffering from flu-like symptoms and was admitted to a private hospital.

However, her condition worsened and she was transferred to Riddhi Vinayak hospital in Malad, from where she was taken to Kokilaben Ambani hospital, the officials said, adding Sharda died on September 27.

Meanwhile, 11-month-old Jayesh of Raigad district died at the KEM hospital on September 26, they said.

Jayesh was brought to the hospital on September 24 with breathlessness, fever, cold and cough. The boy was ill since past seven days, they said.

http://ptinews.com/news/306220_Two-succumb-to-swine-flu-in-MMR

[Ronan Kelly]

Re: Tracking Fatalities in Mumbai (Total = 25)

H1N1 kills 3, city braces for 2nd wave
Clara Lewis, TNN 29 September 2009, 11:54pm IST|

MUMBAI: The city and its suburbs registered three deaths due to H1N1 even as the state announced steps to contain a possible second wave of the
swine flu epidemic in winter. The state also presented an analysis of H1N1 deaths that suggested unlike in the West where the elderly were vulnerable people in the productive age group of 16 to 46 were hit worst in Maharashtra.

The city H1N1 update, meanwhile, said that a 22-year-old pregnant woman from Mira-Bhayander, Sharada Bhanushali, passed away on Sunday after spending over 17 days in hospital. An 11-month-old boy, identified only as Jayesh from Neral, died at KEM Hospital on Saturday and four-year-old Aniket Ved died at MGM Hospital in Kamothe on Tuesday, taking the Mumbai Metropolitan Region toll to 30.
BMC chief health officer Jairaj Thanekar said: "Swine flu seems mainly under control but these deaths reveal that vulnerable groups such as children and pregnant women are still susceptible.'' Any fever should not be ignored in these groups, he added.

Additional chief secretary (health) Sharwaree Gokhale, said at a press briefing that the state was educating medical staff, increasing accessibility to Tamiflu (the antiviral drug against H1N1) and buying equipment in a bid to contain a possible second wave of swine flu. "We have approved the sale of Tamiflu at 122 wholesalers and 408 retailers across the state apart from the state and corporation centres that provide the drug,'' she said.

Doctors are being trained and 30 ventilators have already been commissioned in various hospitals-cum-isolation centres across the state. "We are in the process of acquiring 30 more ventilators,'' she said.

The state has registered 123 deaths, with 30 in Mumbai and 62 in Pune.

H1N1 & PRODUCTIVE AGE GROUPS

Gokhale provided a detailed analysis of 117 deaths since August 3. "Of these, 70 were in the 16-45 age group,'' she said. Other groups included 14 children in the 0-5 age group, 10 in the 6-15 age group and 22 in the 46-65 age group. "In Maharashtra, maximum deaths are seen in the productive age group of 15-45 age group. This in a contrast to the Western countries where maximum deaths are seen in the elderly,'' she said.

GENDER DIVIDE

More women than men have fallen prey to H1N1 in the city but state-wide statistics show that H1N1 has claimed an equal number from both sexes. Gokhale provided data of 120 deaths, stating that 69 were men and 51 were women.
DELAY IN TREATMENT

Doctors have held that patients who were started on Tamiflu within 28 hours of onset of symptoms have had a better chance of recovery. Gokhale said that an analysis of 95 deaths on the basis of the time lag between the onset of disease and the date of admission showed that most had turned for help only on the fourth day. "Four deaths occurred on the same day as onset of symptom, 10 after two days, 14 after three days, 26 after four days,'' she said. Eleven deaths occurred after five days of onset of symptoms, nine after six days, 11 after seven days and 14 after eight days.

(Inputs from Malathy Iyer)

http://timesofindia.indiatimes.com/news/city/mumbai/H1N1-kills-3-city-braces-for-2nd-wave/articleshow/5069818.cms

[Ronan Kelly]

Re: Tracking Fatalities in Mumbai (Total = 30)

HIV victim succumbs to swine flu in Mumbai

STAFF WRITER 22:26 HRS IST
Mumbai, Sep 30 (PTI) A five-year-old girl, suffering from HIV and tuberculosis, died of swine flu at a civic run hospital, taking the toll due to the virus in the Mumbai Metropolitan Region to 28, civic officials said today.

The girl, resident of suburban Santacruz, who tested positive for the H1N1 virus on September 23, died yesterday at the civic-run Nair hospital, they said.

"The victim's throat swabs were taken and the reports came positive for swine flu," an official said.

The victim, who was suffering from fever, was first admitted on September 21 to the KEM hospital. She was shifted to the intensive care unit of the Nair hospital on September 23, where her condition worsened.

http://ptinews.com/news/308173_HIV-victim-succumbs-to-swine-flu-in-Mumbai

[Ronan Kelly]

Re: Tracking Fatalities in Mumbai (Total = 30)

Boy succumbs to H1N1 virus

STAFF WRITER 19:43 HRS IST
Mumbai, Oct 1 (PTI) A five and a half-year-old boy from Ratnagiri died here today of swine flu at a civic run hospital, taking the death toll to 28 in the Mumbai Metropolitan region.

The boy identified as Dhanesh was suffering from fever, cold and cough since September 20 and was earlier undergoing treatment at a private hospital in Ratnagiri. He had tested H1N1 positive.

Since his condition was worsening he was admitted to Sion Hospital late night on September 24. He was given Tamiflu and his throat swab was also taken.

However, the boy died this morning at 6 am at the hospital, civic officials said

http://ptinews.com/news/309764_Boy-succumbs-to-H1N1-virus

[Ronan Kelly]

Re: Tracking Fatalities in Mumbai (Total = 32)

Woman succumbs to swine flu

STAFF WRITER 20:18 HRS IST
Mumbai, Nov 20 (PTI) One person died due to swine flu at a civic-run hospital today, taking the death toll in the pandemic in the Mumbai Metropolitan Region to 30.

According to civic officials, the victim Rehana Mohammed Sheikh (34) died today at Nair hospital after she tested positive for the H1N1 strain.
"Sheikh was brought in a critical condition to the government-run Nair Hospital and was immediately put on ventilator. She developed breathless," Executive Health Officer Jairaj Thanekar said.

"Her throat swab was taken and she was immediately given Tamiflu," Thanekar said.

The victim earlier underwent treatment at a private hospital in Mira Road since November 11 but as her health worsened she was transfered to Nair hospital on November 14 with symptoms of H1N1.

Though experts have predicted a second wave of swine flu cases in winter, the Municipal Corporation of Greater Mumbai (MCGM) said it was prepared.

"There is no need to panic.

http://ptinews.com/news/386880_Woman-succumbs-to-swine-flu