Increase precaution, no need to panic, say experts as H3N2 claims lives in India

News Network
March 11, 2023

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There is a need for increased monitoring and precautionary measures to ward off H3N2 but no cause for panic yet, say experts as India confirms its first two deaths due to the influenza virus.

In Karnataka, 78-year-old Hiregowda. a diabetic who suffered from hypertension died due to the H3N2 seasonal influenza subtype on March 1. Another death, that of a 56-year-old lung cancer patient, was reported from Haryana.

From January 2 to March 5, 451 cases of the H3N2 have been reported in the country, according to data shared by the ministry on Friday. It also said it is keeping a close watch on the situation and cases are expected to decline from month end.

H3N2 is a non-human influenza virus that normally circulates in pigs and has infected humans, according to the US Centre for Disease Control and Prevention (CDC). Symptoms are similar to those of seasonal flu viruses and can include fever and respiratory symptoms such as cough and runny nose, and possibly other symptoms, including body ache, nausea, vomiting or diarrhoea.

As concerns mounted and some people wondered whether this could possibly turn out to be another Covid, pulmonologist Anurag Agrawal said he doesn’t expect to see a massive wave.

"Admission to hospital has not been very common and only about 5 per cent cases have been reported to be hospitalised," added Tarun Sahani, senior consultant, internal medicine, Apollo Hospitals.

While there is no need to panic yet, Sahani said it is advisable to take precautions similar to those taken during Covid times.

"... if most of the infected people recover albeit slow, it should be fine," virologist Upasana Ray, an alumni member of the Indian National Young Academy of Science (INYAS) and member of Global Young Academy (GYA), told PTI.

She noted that lockdowns and extensive use of masks for extended periods of time helped control transmission of more virulent versions of the virus, but also prevented good exposure of regular seasonal respiratory viruses.

"Due to at least two years of elaborate, expansive use of masks, we might have lost part of our immunity against the versions of these other respiratory viruses that are now getting transmitted," Ray argued.

According to Agrawal, H3N2 outbreaks can "indeed cause death" and are more severe than regular flu.

"Since there is general immunity to flu and vaccines exist, I wouldn’t expect to see a massive wave but yes, all outbreaks and deaths are of some concern," Agrawal, the dean of the Trivedi School of Biosciences at Ashoka University, told PTI.

Sahani noted that India is witnessing a huge spike in H3N2 cases since the start of 2023.

"The incidence is two to three times higher than usually seen at this time of the year. This virus is known to be a subtype of Influenza A virus which is common at this time of the year," Sahani told PTI.

Though the Covid pandemic seems to be ending, the spate of respiratory illnesses continues among adults with a significant number being infected with influenza viruses such as H3N2, adenovirus and H1N1.

According to the latest data available on IDSP-IHIP (Integrated Health Information Platform), a total of 3,038 laboratory-confirmed cases of various subtypes of Influenza including H3N2 have been reported till March 9 by the states.

This includes 1,245 cases in January, 1,307 in February and 486 cases in March till 9th, it said.

The Union Health Ministry is keeping a close watch on the seasonal influenza situation in various states/UTs through the Integrated Disease Surveillance Programme (IDSP) network on a real-time basis.

Agrawal said flu surveillance is an important part of public health.

"In coming times we will have better combined respiratory virus surveillance," Agrawal, the former director of the CSIR-Institute of Genomics and Integrative Biology noted.

Ray agreed, saying disease monitoring is urgently needed to address the situation. 

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News Network
April 22,2024

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The BJP has opened its account in the ongoing Lok Sabha elections. The party's candidate from Gujarat's Surat constituency, Mukesh Dalal, has won the polls as all his opponents are now out of the fray.

BJP's Mukesh Dalal elected unopposed from the Surat Lok Sabha seat after all other candidates withdrew from the contest, the party's Gujarat unit chief CR Paatil said today. Today was the deadline for withdrawing nominations.

The nominations of the Congress party's Surat candidate and his substitute were rejected by the returning officer over alleged discrepancies in paperwork, a development that the Congress called an attempt at "match-fixing".

"Surat has presented the first lotus to Prime Minister Narendra Modi. I congratulate our candidate for Surat Lok Sabha seat Mukesh Dalal for getting elected unopposed," Mr Paatil posted on the microblogging website X, referring to the BJP's election symbol.

Eight candidates - seven of them independents - and Pyarelal Bharti of the Bahujan Samaj Party (BSP) withdrew their papers.

The nomination papers of the Congress's Surat candidate Nilesh Kumbhani was rejected on Sunday after the district returning officer Saurabh Parghi found discrepancies in the signatures of the proposers.

The nomination form of Suresh Padsala, the Congress's substitute candidate from Surat, was also found invalid.

The returning officer had said the four nomination forms submitted by the two Congress candidates did not appear genuine. The proposers, in their affidavits, had said they had not signed the forms themselves, the returning officer said in the order.

Congress lawyer Babu Mangukiya said the party will approach the high court and the Supreme Court for relief.

Congress leader Jairam Ramesh in a post on X said the Surat developments indicate "democracy is under threat". "Our elections, our democracy, Babasaheb Ambedkar's Constitution - all are under a generational threat. This is the most important election of our lifetime," Mr Ramesh said.

Mr Ramesh alleged the "distress" of micro, small and medium enterprise (MSME) owners and the business community in PM Modi's "Anyay Kaal" and their anger have "spooked the BJP so badly that they are attempting to match-fix the Surat Lok Sabha polls, which they have won consistently since the 1984 Lok Sabha elections."

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News Network
April 23,2024

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Mangaluru, Apr 23: As an outbreak of avian flu has been reported in some districts of neighbouring Kerala, the border areas of Karnataka, including Mangaluru, have been put on high alert, officials of the Karnataka Animal Husbandry department said.

At present, the situation in Kerala is being monitored before any action can be taken, they said.

“Our Kerala counterparts have assured us that the avian flu has been contained within Alappuzha district. However, loading, booking and carrying poultry and poultry products on trains and at railway stations are still under consideration (surveillance), the officials said.

Not only railways but also road transport ferrying chicken loads from Kerala to Mangaluru are under surveillance. Mangaluru, being one of the largest consumers of chicken from Kerala, has halted chicken procurement from Kerala-based suppliers.

Sudhakar Shetty, a market functionary, stated, “The animal husbandry department of Kerala has advised containment of avian flu within a few districts in Kerala. We are closely monitoring the situation.” Despite this, the market has not experienced significant fluctuations in supply yet, as local stocks have been adequate to meet the demand for the next few days.

Demand for chicken could fall for a few days due to a series of temple festivals in coastal areas, where many consumers refrain from consuming meat-based meals until Saturday. Nevertheless, Sunday could witness a change, as consumers may desire hot chicken curry for their Sunday meals, according to the local people.

As officials in the animal husbandry department in Dakshina Kannada have raised awareness in the market about avian flu in the neighbouring state, the question arises whether prices will fall if demand decreases.

“We do not want to contribute to the hysteria surrounding avian flu until our local stock falls below the level of demand,” said Aston D’Souza, a farm owner.

Dakshina Kannada also serves as a good market for suppliers from Shivamogga, Hassan, and Chikkamagaluru.

“In case supplies dwindle due to an unlikely prolonged shutdown of Kerala supplies, we can always purchase from those districts, albeit at a slightly higher cost than Kerala stock,” Shetty said.

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News Network
April 20,2024

Union Finance Minister Nirmala Sitharaman, on Friday, said that the Bharatiya Janata Party (BJP) plans to reintroduce electoral bonds in some capacity following extensive consultations with all stakeholders, should it come back to power in the 2024 general elections, according to a report in the Hindustan Times (HT).

HT cited Nirmala Sitharam as saying, “We still have to do a lot of consultation with stakeholders and see what is it that we have to do to make or bring in a framework which will be acceptable to all, primarily retain the level of transparency and completely remove the possibility of black money entering into this.”

However, the Centre has not yet decided whether to seek a review of the ruling made by the Supreme Court (SC), she said.

She further added, “What the scheme, which has been just thrown out by the Supreme Court, brought in was transparency. What prevailed earlier was just free-for-all.”

Launched in 2018, electoral bonds were accessible for acquisition at any State Bank of India (SBI) branch. Contributions made through this programme by corporations and even foreign entities via Indian subsidiaries received full tax exemption, while the identities of the donors remained confidential, safeguarded by both the bank and the recipient political parties.

On February 15, a five-judge Constitution Bench struck down the scheme, deeming it ‘unconstitutional’ due to its complete anonymisation of contributions to political parties. Additionally, the Bench stated that the articulated objectives of curbing black money or illegal election financing did not warrant disproportionately infringing upon voters’ right to information.

FM Sitharaman said, some aspects of the scheme need improvement and they will be brought back following consultations.

She also lashed out at the Opposition’s claims that the BJP disregarded criminal charges against leaders who switched from other parties to join the ruling party.

The HT quoted her as saying, “The BJP can’t sit here and say, you come to my party today, and the case will be closed tomorrow. The case has to go through the courts that have to take a call; they will not just say, “Oh, he’s come to your party, close the case.” Doesn’t happen that way. So is this washing machine a term they want to use for the courts?”

She further said that the Union government plans to simplify the process of taxation and make it easy for investments to come through into the country.

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