1. Pandemic Responses & activities Sri Lanka

2. Activities initiated in Sri Lanka A Fact sheet (English pdf),(Sinhala pdf) has been prepared and distributed to all government and private health institutions, provincial and regional directors of health, regional epidemiologists, medical officers/maternal & child health and medical officers of health motivating them to suspect illness according to the case definitions developed by the WHO, giving instructions for notification.Fact sheet(English pdf)(Sinhala pdf) A health alert has been sent to all government and private health institutions to initiate surveillance of suspected cases and collection of laboratory samples.health alert A special alert with guidelines has been sent to Airport health officer and the Port health officer to initiate specified vigilance and surveillance activities at these entry points.

3. Activities…. contd Steps have been taken to strengthen the already available stocks of anti viral drugs and Personal Protective Equipment (PPE) at the identified sentinel hospitals Two Laboratory technologists were trained at NIH Thailand on real time PCR assay in early June.

4. 1 st confirmed case reported on 16/6/09. Immediate contacts who presented with symptoms were isolated at IDH for laboratory investigations & Management. Prophylaxis treatment was initiated. Home quarantine of all family members of the patient who remained symptom less done Initiated contact tracing & strengthened screening mechanism at the Airport. -Distribution of health declaration forms, -Strengthening the staff at health Desk at the Air port etc Two meetings were held at Ministry level & discussed strengths & weaknesses on different aspects on surveillance, Laboratory diagnosis, case management & communication.

5. Summary of Pandemic flu cases 71/229 were Positive 71 from r RT PCR, DFT -10 62 arrivals from abroad, 28 from Aus, 8-UK, 9- Middle Eastern, 4-USA, 2 from- India, Sing, Thailand, Malaysia, 4 transit Passengers 9-local transmission, Family/ close contacts All Mild to moderate infection, No deaths Sex F:M =1:1, Predominant Age 11-20 HKU- all 10 positives confirmed, No mutations in 274 gene