Mortality from Influenza A/H1N1 in a tertiary care teaching institution in North India

Background: The recent influenza A/H1N1 pandemic has caused considerable morbidity and some mortality and is therefore a severe threat to certain individuals. Up to 31 January 2010, there had been 1,229 confirmed deaths from Influenza A/H1N1 in India. Methodology: This study was a retrospective analysis of deaths caused by RT-PCR-confirmed cases of Influenza A/H1N1 in a tertiary care institution in North India from September 2009 until January 2010. Results: Among 125 patients admitted to the Influenza A/H1N1 ward of the hospital, a total of 16 deaths had occurred in patients who were positive for Influenza A/H1N1. Two deaths were in the paediatric age group. Most patients who died had some predisposing illness, such as pregnancy, underlying chronic respiratory illness, diabetes, obesity, etc. Conclusions: In the present study, deaths from Influenza A/H1N1, as with seasonal influenza, appeared to occur primarily in individuals with underlying illness. In India, such individuals may be considered first for preventive strategies, including vaccination.