Question : CASES OF SARS



(a) the number of cases of Severe Acute Respiratory Syndrome (SARS) detected in the country, State-wise;

(b) the details of such patients alongwith the position of their treatment;

(c) whether the Government propose to set up one cell in each major city for the treatment of such cases by constituting a team of health specialists;

(d) if so, the details thereof, State-wise; and

(e) the further action plan of the Government to deal with this disease?

Answer given by the minister

MINISTER OF HEALTH AND FAMILY WELFARE AND PARLIAMENTARY AFFAIRS (SMT. SUSHMA SWARAJ)

(a)to(e): A Statement is laid on the Table of the House.

STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 570 FOR 30.4.2003

As on 28th April, 2003 nine laboratory positive SARS cases have been registered. Details of these cases are contained in Annexure-I.

Keeping in view the implications of an epidemic, Government of India has taken necessary steps which include the following:

A High level Centre-State Joint Committee has been formed for close monitoring of the situation and providing technical assistance to all the State Governments. Related technical inputs including patient management protocol, standard operating protocol and transfer protocol have been provided to the State Governments.

Mandatory Screening has been introduced on all the International Airports and a proforma has been prescribed for all the persons disembarking in India for symptoms of suspected/probable SARS. The health care facilities at International Airports and Ports have been strengthened by deploying additional doctors and evolving a standard operating protocol. Health counters for screening have been opened in all the international airports. The health staff is monitoring passengers of flights and ships arriving in India.

Facilities for treatment of Severe Acute Respiratory Syndrome in isolation have also been arranged in the Central Government Hospitals as also in other infectious Diseases Hospitals. The State Governments have identified hospitals with isolations facilities for treatment of SARS, details of which are given in Annexure-II. To meet the immediate requirements, Central Government is procuring special respirators from Defence Research Development Organisation for distribution to the State Governments. Indian Council of Medical Research (ICMR) has obtained the required primers for preparing reagents to diagnose the viruses believed to be causing SARS. National Institute of Communicable Diseases, Delhi and National Institsute of Virology, Pune have been identified as the nodal agencies for laboratory investigation of any suspected/probable case.

ANNEXURE-I

Treatment details of laboratory positive patients (PCR - Test) for SARS As on 28.4.2003

Sl.	State and	Name of	Treatment details
No.	City	the patient
1 Goa (Goa) Mr. Supportive therapy. Treated Prasheel at isolation ward of Goa Vardhe Medical College. Patient became symptom free, discharged on 18.4.2003 and advised home quarantine. 2 Maharashtra Mr. Admitted to Siddharth (Pune) Stanley Hospital, Pune on D`silva 17.4.2003. Shifted to Naidu Hospital, Pune. Treated at isolation with supportive therapy. Patient symptom free.


3 Mrs. Vimla Admitted to Siddharth D`silva Hospital, Pune on (mother of 19.4.2003. Shifted to Naidu Mr. Hospital, Pune. Treated Stanley at isolation with D`silva) supportive therapy. Patient symptom free. 4 Ms. Julie Admitted to Siddharth D`silva Hospital, Pune on (Sister of 17.4.2003. Shifted to Naidu Mr. Hospital, Pune. Treated Stanley at isolation with D`silva) supportive therapy. Patient symptom free 5 Mr. Joseph Admitted to Naidu Hospital, Pawar Pune on 25.4.2003. Treated in isolation with supportive therapy. Patient symptom free 6 Mumbai Mr. Admitted to Kasturbha Bhaskar Infectious Diseases Murthy Hospital, Mumbai on 22.4.2003. Patient became symptom free and discharged. He was readmitted in Delhi in the Infectious Diseases Hospital on the basis of positive PCR test report. Patient symptom free 7 Mr. Kawaza Close contact case of index Sheik case Mr. Stanley D`silva. Admitted to Kasturbha Hospital, Mumbai on 24.4.2003 with the complaints of cough and fever. PCR test positive reported on 28.4.2003. Patient symptom free. 8 West Bengal Mr. Admitted on 20.4.2003 in (Kolkata) Ashitava Sunflower Nursing. Home, Purkayastha Kolkata as a case of acute myocardial infarction. He later developed fever and pneumonitis for which he was referred to I.D. Hospital, Kolkata. Subsequently, the patient got shifted to AMRI Apollo Hospital, Kolkata. Patient is stable and symptom free. Patient has been given the standard treatment regimen for myocardial infarction. His heart functions are being monitored. 9 Shri Admitted to ID Hospital, Radhey Kolkata on 19.4.2003. Shyam Samples tested at NIV Pune, Gupta reported positive by PCR test on 28.4.2003. Patient under supportive treatment.
ANNEXURE-II
LIST OF IDENTIFIED HOSPITALS IN THE STATES

S.No Name of the Name of the identified hospital State
1 Delhi 1. Safdarjung Hospital 2. Dr. RML Hospital 3. LHMC & SSK Hospital 4. AIIMS 5. Infectious Diseases Hospital 6. Hindu Rao Hospital 7. L.N. Hospital 8. G.T.B. Hospital 9. Deen Dayal Upadhyay Hospital 2 Maharashtra 1. Kasturbha Infectious disease Hospital, Mumbai 2. V.N. Desai Hospital, Mumbai 3. Naidu Hospital, Pune 3 West Bengal 1. Infectious Disease Hospital, Kolkata 4 Tamil Nadu 1. Madras Medical College Hospital, Chennai 2. Communicable Disease Hospital, Tondiarpet, Chennai 3. Coimbatore Medical College Hospital 4. Tuticorin Medical College Hospital, Tuticorin 5. Trichy Medical College Hospital, Trichy. 5 Kerala 1. General Hospital, Thiruvananthapuram 2. Calicut Medical College Hospital 3. General Hospital, Ernakulum 6 Gujarat 1. New Civil Hospital, Ahmedabad 2. V.S. General Hospital, Ahmedabad 3. Govt. Hospital, Bhuj 7 Karnataka 1. Epidemic Disease Hospital, Bangalore 2. Rajiv Gandhi Institute of Chest Diseases 3. District Govt. Wenlokc Hospital, Mangalore 8 Andhra 1. Govt. General & Chest Hospital, Pradesh Hyderabad 2. Govt. Hospital for Chest & Communicable Diseases Hospital, Vishakapatnam 9 Punjab Guru Nanak Dev Hospital, Amritsar 10 Goa Goa Medical College, Panaji 11 Rajasthan SMS Medical College Hospital, Jaipur 12 Uttar 1. Balrampur Hospital, Lucknow Pradesh 2. SSPG District Hospital, Varanasi 3. Deen Dayal Hospital, Varanasi 13 Bihar Infectious Diseases Hospital, Gaya 14 Assam Guwahati Medical College Hospital, Guwahati 15 Orissa SCB Medical College Hospital, Cuttack 16 Chandigarh PGI, Chandigarh 17 Pondicherry JIPMER, Pondicherry 18 Manipur 1. J.N. Hospital, Prompat 2. Regional Institute of Medical Sciences, Imphal. 19. Sikkim STNM Hospital, Gangtok. 20. Jammu & K Sher-i-Kashmir Hospital, Srinagar. 21. Himachal 1. Zonal Dist. Hospital, Kangra. Pradesh 2. Zonal Dist. Hospital, Hamirpur. 3. Zonal Dist. Hospital, Mandi. 4. Zonal Dist. Hospital, Shimla.