Tkhdk - PowerPoint Presentation

Slide1

Tkhdk ok;jl ,Mhl ePNjksa ds dkVus ls gksuh okyh ok;jl chekjh gSA thdk ok;jl ,d vkj-,u-,-ok;jl gS tks fd Flavi viridiae iztkfr dh gS tSls fd Msaxw] fpduxqfu;k] fiRr Toj] tkikuh bUlsfQykbZfVl vkfn chekjh Hkh blh lewg ds ok;jl ds }kjk gksrh gSA ;g chekjh ,Mht ,thIVh ePNj ds }kjk QSyrh gS] orZeku esa czkthy rFkk vesfjdk esa vkmV czsd gq, gSA ftdk ok;jl igyh ckj 1947 esa ;wxs.Mk esa ik;k x;k FkkA MCyw-,p-vks- ds vuqlkj ;g 22 ns'kks esa ik;k x;kA ftdk ok;jl ds izdksi dks ns[krs gq;s fo'o LokLF; laxBu us ,d Qjojh 2016 dks oSf'od LokLF; vkikrdky ¼Public Health Emergency of International concern PHEIC ½ dh ?kks"k.kk dh gSA

Tkhdk

ok;jl

Slide2

thdk ok;jl ds y{k.k rst cq[kkj ¼380½ ls vf/kd cnu nnZcSpsuhvka[kksa esa ykfyek ¼lkekU;r% Msaxw ,oa fpdu xqfu;k esa ugha ik;s tkrs½Ropk ij yky pdRrstksM+ks es nnZ ekalisf'k;ksa es nnZ vkSj flj nnZ lkekU; rkSj ij bl chekjh ls e`R;q dh laHkkouk de gksrh gSASlide3

chekjh dk QSyko & thdk ok;jl laØfer ,fMt ePNj ds dkVus ds i'pkr ok;jl izFker% 'kjhj ds raf=dk dksf'kdk dks izHkkfor djrh gS mlds i'pkr yfldk xzaFkh ,oa jDr okfguh ds ek/;e ls vU; vaxks esa QSyko gksrk gSAthdk ok;jl laØe.k ls gksus okys chekjh ds y{k.k lkekU;r% 7 fnol esa Bhd gks tkrs gSaAlaØe.k vof/k & 2 ls 14 fnollaØe.k dk ek/;e &thdk ok;jl ls laØfer ,Mht ePNj ds dkVus ls ;kSu laØe.k Slide4

tfVyrk,a laØe.k i'pkr 'kjhj esa ydok tSlh chekjh ¼GBS½ ekbZØkslSQsyh ¼xHkZorh efgyk dks xHkZ ds izFke frekgh esa laØe.k gksus ij½ tkWp ,oa funku&,u-lh-Mh-lh- fnYyh vkSj ,u-vkbZ-Ogh- iq.ks es ftdk ok;jl dh tkWp dh lqfo/kk miyC/k gSA bldh tkWp ds fy;s vkj-Vh-ih-lh-vkj- gh lokZsRre fof/k gSA fljksykftdy VsLV blds fy;s mi;qDr ugh gSAmipkj thdk ok;jl ds laØe.k gsrq fo'ks"k mipkj nok] oSDlhu miyC/k ugha gS dsoy y{k.k vk/kkfjr mipkj fn;k tkuk gksrk gSA blds varZxr 'kjhj esa ikuh dh leqfpr ek=k cuk;s j[kus gsrq vks-vkj-,l- rFkk cq[kkj ds fy;s iSjkflVkeky dh xksyhAMsaxw ejht

ds

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,

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¼

ASPIRIN

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ugha

dh

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pkfg,ASlide5

cpko ,oa lko/kkfu;ka thdk izHkkfor ns'kks dh ;k=k djus ls cpk tkosA xHkZorh efgyk dks izFke frekgh thdk izHkkfor ns'kks ¼czkthy] vesfjdk] vQzhdk½ dh ;k=k u dh tkosA,M+ht ePNjksa dh jksdFkke gsrq ikuh tek gksus okys lzks=ks dk fu;a=.k Alksrs le; ePNjnkuh dk iz;ksx fd;k tkosAfcuk fpfdRld dh lykg ds ,Lihfju nok ¼ASPIRIN½ dk mi;ksx cq[kkj ds mipkj gsrq u fd;k tkosAMk;fcVhl] jDrpki vFkok vU; chekjh ls ihM+hr O;fDr;ksa rFkk xHkZorh efgykvksa dks fcuk fpfdRldh; lykg ds nok u yh tkosaASlide6

oSDVj fu;a=.k thdk ok;jl ds ladze.k dks fu;af=r djus ds fy;s ,dhd`r okgd izca/ku dh vko';drk gSA,sls LFkku ij tgkW ij Msaxw dk izdksi T;knk gS ogkW vfrjDr fuxjkuh lqfuf'pr djuh pkfg,aAekfuVfjax ,oa fjiksZfVax &thdk izHkkfor ns'kks dj ;k=k djus okys O;fDr;ksa dk lfoZysal ¼de ls de 14 fnol rd½ fd;k tkos Athdk ok;jl izHkkfor ns'kks dh ;k=k djus okys O;fDr;ksa dks 14 fnu ds Hkhrj rhoz Toj tSls y{k.k gksus ij LFkkuh; LokLF; foHkkx dks lwfpr fd;k tkos rFkk laØe.k jksdus gsrq vklikl ePNjksa dh jksdFkke dh dk;Zokgh dh tkosASlide7

leqnk; vk/kkfjr losZysal %,dhd`r jksx fuxjkuh dk;Zdze ¼vkbZ-Mh-,l-ih-½ }kjk {ks= es rhcz Toj ds ejhtksa dh igpku dj losZysal fd;k tkosA ekbdzks lsQyh @ th-ch-,l- izHkkfor ejhtksa dh fjiksfVZax o lfoZysal fd;k tkosaAvkokxeu laca/kh losZysal %thdk izHkkfor ns'k dk Hkze.k lkekU;r% ugh fd;k tkosAefgyk,a tks fd xHkZorh gS vFkok xHkZ/kkj.k dk fopkj j[krh gS mUgs bu ns'kks ds Hkze.k ls cpuk pkfg,AHkze.k ds nkSjku O;fDrxr cpko dk mi;ksx fd;k tkosAvarjkZ"Vªh; LokLF; fu;eu ds vuqlkj ,;jiksVZ vFkok vU; vkokxeu ek/;eksa ds }kjk losZysal fd;k tkuk pkfg,aASlide8

jSfiM jsLikal Vhe %jkT; losZysal vf/kdkjh@losZysal vf/kdkjh ekbdzksck;ksykftLVjkT; ,UVkseksykftLVesMflu@f'k'kqjksx fo'ks"kKifCyd gsYFk fo'k"kKvU; iSjkesfMdy LVkQuxj fuxe@fudk; rFkk LFkkuh; iz'kklu ds }kjk &Model Civic Bylaws.Building Construction Regulation.Environment Health Act.Health Impact Assessments.Slide9

^^fefMy bZLV jsfLijsVjh flUMªkse dksjksuk ok;jl ¼MERS-CoV ½** Slide10

^^fefMy bZLV jsfLijsVjh flUMªkse dksjksuk ok;jl ¼MERS-CoV½** uked uohu fo’kk.kq varjkZ’Vªh; fpark dk fo’k; cuk gqvk gS A MERS-CoV fo’kk.kq ladze.k 'olu ra= dks izHkkfor djrk gS ,oa Severe Acute Respiratory Infection (SARI) dk dkjd gS ftlesa mPp izdj.k e`R;q nj ¼High case fatality rate ½ gksrk gS A MERS-CoV ladze.k dk laca/k ^ fefMy bZLV* ns'kksa ls gS] tgkW ls 536 iz;ksx'kkyk tkWp esa iqf’Vd`r izdj.k ,oa 145 yksxks dh e`R;q fo'o LokLF; laxBu ¼WHO½ esa izfrosfnr gq, gSA vU; ns'kksa esa ik;s x;s izdj.kksa es fefMy bZLV ns'kksa dh VªsOky fgLVªh gksuk ik;k x;k gS A ^^fefMy bZLV jsfLijsVjh flUMªkse dksjksuk ok;jl ¼MERS-CoV ½** Slide11

fpfdRldksa (Clinicians) ds fy, lykg nh tkrh gS fd osa 'olu ra= jksx xzLr xaHkhj ejhtksa esa MERS-CoV ds ladze.k ds laHkkouk dks /;ku es j[krs gq, muls Travel History ,oa Exposure History dh tkudkjh izkIr djsa A MERS-Co ladze.k ds Suspected / Probable / Confirmed ejhtksa ds fudV laidZ eas vkus okys O;fDr;ksa dks 'olu ra= ds ladze.k ds y{k.kksa ds fy, fuxjkuh esa j[kk tkosa AlfnX/k ejht ik;s tkus dh n'kk esa iz;ksx'kkyk tkWp gsrq leqfpr uewus ,df=r dj fpfdRlk egkfo|ky; ] jk;iqj ds ekbdzksck;ksykth foHkkx dh iz;ksx 'kkyk esa Hkstus dh O;oLFkk djus gsrq funsZf'kr djsa

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cpko

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Slide12

MERS-CoV ds lafnX/k ejhtksa ds tkWp uewuksa dh iz;ksx'kkyk tkWp dh lqfo/kk NIV, Pune rFkk NCDC, Delhi esa miyC/k gS A lsEiy ,d=hdj.k ,oa ifjogu ds laca/k esa tkudkjh fuEukuqlkj gS^^fefMy bZLV jsfLijsVjh flUMªkse dksjksuk ok;jl ¼MERS-CoV ½** MERS Corona Virus Type of sample to be collected Lower respiratory tract specimens Transport Medium No transport medium required for Lower respiratory tract specimens. In case Lower respiratory tract specimens are not available, Upper respiratory tract specimens can be collected in Viral Transport Media (VTM) Storage and Transporatation of Sample Sample should be transported at 2-8° C within 24 hours. If there is a delay then samples shoude be stored in (-) 70° C. Packing Triple layer packing system Slide13

lafnX/k MERS-CoV ds ejhtksa dh tkWp ,oa Isolation eas HkrhZ djds mipkj dh O;oLFkk gsrq ftyk fpfdRlky;ksa dks lqn`< djsa ,oa Isolation ard dks fpUgkfdr dj lHkh vko';d midj.k ,oa vkikrdkyhu nokbZ;kas ls lqlfTTkr j[kus gsrq funsZf'kr djas A fpfdRlky;ksa esa ladzkedrk ¼Hospital Aquired Infections½ ds jksdFkke ,oa fu;a=.k ds leqfpr mik;ksa ¼ Standard Operating Procedures½ dk ikyu djk;k tkuk lqfuf'pr djsa A 'kkldh; ,oa futh fpfdRlky;ksa dks Hkh mijksDrkuqlkj lwfpr djsa ,oa lafnX/k izdj.k ik;s tkus ij rRdky lwpuk nsus gsrq funsZf'kr djsaA i)fr ¼Hand Hygine½ dks fof/kor ikyu djsa ,oa O;fDrxr lqj{kk midj.k ¼Personnal Protective Equipment PPE½ dk mi;ksx vo';

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ls cpsaA lafnX/k ejhtksa ds 'kkjhfjd rjy inkFkksZ ds lh/ks laidZ esa vkus ls cpsA

cpko

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Slide14

bcksyk ok;jl jksx ¼EVD½ ds iz;ksx'kkyk tkWp dh lqfo/kk National Institute of Virology (NIU) Pune esa miyC/k gksus dk mYys[k djrs gq;s iz;ksx'kkyk tkWp ds fy;s Hksts tkus okys uewuks ds laca/k esa fuEukuqlkj tkudkjh nh xbZ gSabcksyk ok;jl jksxType of Sample to be collectedBlood/serumStorage & TransportationSample should be transported at 2-8oC within 25 hrs. if delay serum should be stored at -70 oCPackagingTriple layer packaging systemSamples from patients are an extreme biohazard risk; testing should be conducted under maximum biological containment conditions.