Spreading Smiles With Good Health
  • News & Events
  • Avoid colds when it is cold
  • Monsoon care for your home
  • Swine Flu

Winter is a pleasant time in a tropical city like Mumbai. Follow these tips to allow your child to enjoy the festive season without falling ill.


Keep hands clean

The easiest and most effective way to protect your children from infection is to remind them to wash their hands on a regular basis. Ensure that they clean their hands thoroughly with soap or hand wash after every toilet trip and before eating. 


Because sneezing is one of the fastest ways to spread germs,  it is important to make sure your little one uses a tissue when either sneezing or coughing. 


Discourage food and drink sharing

To reduce the chances of your child coming into contact with germs, you should teach them to avoid sharing food and drink with others.

Support healthy eating


A healthy, balanced diet is a fantastic way to help fight infections. Foods rich in Vitamin C can strengthen the immune system and speed recovery.


Exercise daily

Daily exercise will boost your child's immune system and improve their sense of wellbeing. Making sure your exercises regularly is vitally important, as overweight children are more likely to pick up bugs.


Let them rest

If your child does become ill, despite your best efforts, make sure you allow them plenty of time to rest. Sleep is one of the body's ways of fighting infections, so letting your child stay in bed will aid their recovery, as well as reduce the spread their illness to other people.


Monsoons come with a relief from the summer heat but also bring with them a risk of infections. Apart from the regular viral colds and coughs the risk of getting lung problems, wheezing, water and mosquito borne diseases increase. Through this update we will identify symptoms of diseases which increase during monsoons and also will suggest measures to keep your child protected.

Viral Infections: Children have a higher risk of getting colds and coughs and in those with a history of asthma can have an attack of asthma. Contact you doctor if you have the following symptoms


Cold and cough



Hand washing

Avoid contact with sick persons

Avoid crowded places

Good nutrition


Mosquito borne diseases: Monsoons is the time breeding of mosquitoes increase due to collection of water. Diseases like Malaria and Dengue are the most common mosquito borne diseases which become rampant during this season. These disease if not treated timely can lead to serious consequences. Contact you doctor if you have the following symptoms

High grade fever with or without chills

Red eyes

Severe body ache and weakness


Bleeding from any site

Swelling on the body

Excessive drowsiness


Use of mosquito repellents both in the day and night

Prevention of breeding of mosquitoes (Stagnating water)

Informing your local Municipality in case of patients with Malaria/ Dengue



Water borne diseases: Infections like Diarrhea, Dysentery, Jaundice and Typhoid increase during monsoons because of vectors like flies and contaminated food and water. It is best to avoid food and water from outside during monsoons. Vaccination against diseases like Typhoid and Jaundice is definitive way to prevent these diseases. Contact your doctor if you have the following symptoms

High grade Fever

Frequent loose stools

Blood in stools

Very dark urine

Nausea and weakness


Food Hygiene

Hand Washing



Rat Borne Diseases: Diseases like Leptospirosis also increase during monsoons. It spreads due to presence of rat urine from an infected rat in stagnant rain water. Wading through water without protective clothing/ shoes especially if there are cuts and wounds on the skin predisposes a person to get Leptospirosis. Contact your doctor if you have  the following symptoms


Red eyes

Vomiting and loss of appetite


Lethargy and swelling in the body

Headache and drowsiness


Avoiding walking through Stagnant rain water

Rat control

Informing Mumbai Muncipality if there is a case of Leptospirosis











What is swine flu?

Swine flu is a type of influenza A virus which has been spreading all over the world since 2009.


 What are the symptoms of ‘swine flu’?


Most patients usually have common complaints of cold and cough and may have additionally the following symptoms


• Fever
• Cough
• Sore throat
• Chills & fatigue
• Diarrhea and vomiting (possible)
• Rhinorrhea
• Headache
• Body aches & joint pains


 Is there a way to differentiate swine flu from the regular viral colds and coughs?


    No. Only doing a test can differentiate


For how long an individual remains ‘infectious’ to others?


The risk of spread of illness to contacts starts 3-4 days prior to the onset of symptoms and persists for at least 7 days after the onset of symptoms. Children may spread the virus for a longer period.


After infection, for how long an individual remains protected?


A person stays immune and hence protected from getting infection with the same virus for 8-12 months after contracting swine flu.


Is swine flu a dangerous illness? Why is the media talking so much about deaths with swine Flu?


Most patients with Swine Flu have a mild illness indistinguishable from any other viral illness. However in some patients with poor immunity it can be a rapidly progressive and can result in death. There are many reasons for the high media coverage of this pandemic. Initially when the swine flu pandemic was detected the disease was an unknown entity with the potential to spread rapidly and cause mortality like flu pandemics in the past.



Should all suspected/confirmed cases be hospitalized?


No. Only serious cases with lower respiratory system/pneumonia and individuals with high risk conditions need hospitalization.

Who should be investigated?


Priority for testing should be given to:
1. Those who require hospitalization;
2. Those who are at high risk for severe complications



Where can we do the tests?


There are only 21 laboratories for testing A (H1N1) in the entire country. Samples are collected at district hospitals of different states and send to nearby IDSP/ICMR centers having facility for Influenza virus testing. The complete list can be found at following URL: http://mohfw.gov.in/showfile. php?lid=3075. Some private labs are also conducting this test. The test in private laboratories costs 5000-6000


How should this disease be treated?

What are the medicines available to treat swine flu and who should take them?


Most patients require only symptomatic treatment. There are some anti viral medicines available, but they should not be used indiscriminately.


What are the non-pharmaceutical interventions to avoid spread of disease?


Close Contacts of suspected, probable and confirmed cases should be advised to remain at home (voluntary home quarantine) for at least 7 days after the last contact with the case. Monitoring of fever should be done for at least 7 days. Prompt testing and hospitalization must be done when symptoms are reported.                                                                                 


Preventive vaccination


What are the available vaccines against influenza?


Both inactivated injectable and live attenuated nasal influenza vaccines are available in the market.


How effective are flu vaccines? Are flu vaccines 100% effective against the disease?


No. Efficacy of vaccine may be about 70% to 80%, especially in geriatric age group.


Who should receive influenza vaccine?


According to IAP, following group of individuals should be offered the vaccine:

1-Children with certain high-risk conditions and diseases (like chronic cardiac, pulmonary (excluding asthma), hematologic, renal, liver diseases, diabetes mellitus, congenital or acquired immunodeficiency (including HIV infection), and children on long term salicylates therapy,etc)

2-Health care professional including pediatricians;

3-Laboratory personnel and healthcare workers;

4-On demand of anxious parents after one-to-one discussion.





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