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Author Topic: Are you ready for pandemic flu?  (Read 6184 times)
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TheTatiana
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« on: May 01, 2009, 10:18:12 PM »

This is the best preparedness site I've seen anywhere.  It's got all kinds of specific and detailed advice about everything that might happen in a worst case scenario where we're fending for ourselves for weeks while all essential services are gone due to people being sick all at once.  I read the whole thing today, all the categories, and I plan to print them out and keep them in a binder with my emergency supplies. 

How are you guys responding?  Are you ready?  Do you think it will be mild or severe?  Here's hoping it's mild! I read about 1918 pandemic flu and it was horrible.
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Diane R
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« Reply To This #1 on: May 02, 2009, 12:04:57 AM »

News reports from AP tonight are calming the hysteria, asserting that it will likely turn out to be a lot of nothing. 

http://www.google.com/hostednews/ap/article/ALeqM5gzz357patY4-QaJFvo9O95zMM_EQD97TQKJ01

Quote
The swine flu outbreak that has alarmed the world for a week now appears less ominous, with the virus showing little staying power in the hardest-hit cities and scientists suggesting it lacks the genetic fortitude of past killer bugs.
. . .
A flu expert said he sees no reason to believe the virus is particularly lethal. And a federal scientist said the germ's genetic makeup lacks some traits seen in the deadly 1918 flu pandemic strain and the more recent killer bird flu.

It's always prudent to wash your hands frequently, avoid touching your nose and mouth, and coughing into a tissue.  Let's hope it turns into nothing.

--Diane.
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TheTatiana
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« Reply To This #2 on: May 02, 2009, 12:24:05 AM »

I hope so but "Experts say the only wise course is to prepare for the worst" seems very true to me.

For instance, the 1918 flu started out as a very mild type in the spring, and then came back the next winter in a much more deadly form. 

Obviously, we pray for the best case and prepare for the worst.  =)
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Eli
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« Reply To This #3 on: May 02, 2009, 02:28:14 AM »

We recently watched a program that was a discussion of the evolution of the mutation of the Swine flu.  It is now named the the H1N1 virus because it has evolved into a much lesser strain the further away it gets from 'the source' as it is now passed from human to human instead of swine to human.  Something was also mentioned about the genetics of this particular virus not being anything like historical flu pandemics due to the type of protein in the center of the virus, which is somehow linked to the strength of the immune response.  I won't pretend that I am a flu expert, but those discussing the topic seemed to think that it was prudent to be wary at first, but that this strain seems to be evolving into no more than a basic flu and nothing more virulent. 

It certainly has been interesting to watch evolve not just as a virus, but as a news story along with the different reactions around the world.  Sadly, Egypt has called for a slaughter of all the pigs in the country, annihilating the livelihood of many:  www.voanews.com/english/2009-05-01-voa1.cfm.
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TheTatiana
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« Reply To This #4 on: May 02, 2009, 04:18:30 AM »

Where is the idea coming from that this flu is not dangerous now?  The things I'm reading show the experts no less worried than before. 

Do you remember right after Katrina passed New Orleans when people were saying "whew, thank goodness we dodged that bullet... there are only a few places where the flood walls are leaking" ?  Did you think as I did "but it only takes a few leaks to drown a good part of the city"?  I think this may be a brief lull in the storm, but the worst is likely yet to come.

Please prepare, please prepare, please prepare.  I don't want to find out later that some of my kiva friends didn't make it through because I wasn't plain enough in explaining the very real dangers of a global pandemic. 

I just watched a great symposium on pandemic response from 2006.  They were discussing it as though it would be H5N1 but everything they say still applies to any flu pandemic.  The death rate and virulence of any new strain are subject to change as time goes by.  This could be mild this spring and come back with a vengeance this fall and winter.  Or it might be they're just dampening out the curve by their good efforts at quarantine and antiviral medicines, and the full-scale pandemic is imminent.  I'm pretty sure nobody knows.  http://www.scribemedia.org/2006/11/22/avian-flu/

If there's a 20 ton fire breathing dragon in your living room, it's not such a good idea to decide to ignore it because it just happens right now to be napping.
« Last Edit: May 02, 2009, 04:20:27 AM by TheTatiana » Logged
mejane
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« Reply To This #5 on: May 02, 2009, 06:13:04 AM »

The most important way to "fight your enemy" is to "know your enemy."  Knowledge is power.  Bernice (Alaska Pack) was kind enough to give me a link to the CDC site that is posting and updating information daily on the swine flu.  The link is here:
http://www.cdc.gov/h1n1flu/  (Thanks Bernice!!)
While I don't think (from a nurse's point of view) that this is really going to be a terrible pandemic, I also know that being lax in doing simple things for prevention and containment is a bad idea.  Everyone doing their part will make this a better outcome.  What we do need to do is avoid panic.  We also need to not get our information from newscasters but reliable health sources.  News media have a flare for the dramatic and "making news" is their business. 

Given the right circumstances and conditions, anyone can die from influenza.  It will hit the elderly and those with chronic health issues the hardest as they will not be able to fight the virus effectively.  I think this influenza will run it's course like the ones preceding it.  Just remember to do the effective measures that have been recommended.

Stay well!
Jane
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I have learned silence from the talkative, toleration from the intolerant, and kindness from the unkind...  Kahlil Gibran

Be kinder than necessary.  Everyone is fighting some kind of battle.  Unknown
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« Reply To This #6 on: May 02, 2009, 01:00:27 PM »

The 1918 epidemic had some factors which made it worse than it would now.  First, the war factors.  Ships, facilities, and trenches were crowded, and one person  with the flu could spread it.  Secondly, many doctors and other medical personnel were overseas for the war effort, leaving insufficient medical staff to deal with the crisis.  Thirdly, they didn't even have knowledge of viruses!  Finally, about 10% of flu patients came down with pneumonia, and penicillin didn't exist back then.

In Mexico, patients who are low on resources may wait a week or so to see a doctor, thinking it will get better.  This one is different, but early treatment works.  Access to medical care is much better here, and we now know that this is not to be taken lightly.

Colette
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charity
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« Reply To This #7 on: May 02, 2009, 04:13:10 PM »

I am trying to be a little more vigilant in washing hands and not touching my face, etc, but it's not so easy for me.  No one ever told me to not touch my face as a child, so I do it all the time now, and have been unable to stop despite warnings about illnesses and acne, etc.  People always look at me and they're like, "OMG get your fingers out of your eyes!" or "did you wash your hands before you started eating that with your fingers!?!"  And I'm like "oh, my fingers are in my eye?"  "Wash my hands? Uh.." 

Cross-my-fingers and knock-on-wood, I usually don't get sick nearly as often as some other people. 

Even with this flu, I will not use antibacterial soaps or gels.   I don't work in the health field (where I can see arguments for their use), and I know water treatment plants don't remove triclosan, and know these soaps only lessen the ability of humans to treat real problematic infections when they need to.   I remember at one point in elementary school seeing a short video clip of a human arm and hand absolutely crawling and covered with beneficial bacteria, and showing how quickly they recolonize our hands after we wash them.  At first I was creeped out, but then I realized they are there to protect me, so I try not to hurt them.   Smiley

As a side note, I don't know exactly what to think about it but a coworker at my boyfriends work is going to Mexico this week for two weeks.  She has been listening to spanish language Mexican news, and apparently there have been no H1N1 in the southern state she is going to or any of the surrounding three states.  She did change her flight so it doesn't stop in Mexico City...

What I wish we'd all learn from this is that factory farming is no good and dangerous for lots of reasons - reports are saying this all could have started at a huge factory pig farm in Mexico owned by a U.S. company. 
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TheTatiana
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« Reply To This #8 on: May 02, 2009, 05:21:08 PM »

http://www.stanford.edu/group/virus/uda/   Here's a good and fairly brief overview of the 1918 flu.  This is what a bad pandemic is like during a time when the population is much smaller, the world is much less interdependent, and our local economies were not run on just-in-time principles.  So here's a bad one.  Hopefully this one will be a mild one. 

I disagree that we'll be able to handle it far better now with our modern medicine.  Reading what doctors and hospital administrators say, we won't.  There aren't nearly enough respirators to treat people who need it in a pandemic.  There aren't enough hospital beds.  There isn't enough Tamiflu to go around, and no guarantees that the virus won't mutate to become resistant to all our antiviral drugs.  A vaccine can't be made ready for probably nine months after the pandemic hits, which for this H1 N1 outbreak means this December 2009 or January 2010.  The first doses of the new vaccine will most likely go to health care workers, the highest levels of government, and maybe some essential workers in key industries like power and natural gas.  But who is more essential?  The question is bound to cause a whole lot of contention among people desperate for the vaccine.  I can imagine protests and possibly riots from people who are grieved at the death of loved ones and desperate for protection for their kids. 

The science journal Nature did a full issue a couple of years ago on bird flu and many articles discussed how unready we are.  Since then we've gotten a little bit more ready.  We have some plans in place and a bit more drug stockpiled.  But the authorities, the people in charge of hospitals, etc., all say we can't handle it, we can't help most people.  In the event of a bad pandemic, everyone will be on their own.

The thing is, nobody knows.  There's not anyone on earth who can tell you at this point if this will be mild or bad.  If it's bad, it can be bad in whole new ways that we've never before experienced, because of the way society has changed in the meantime to a form that happens to be much more vulnerable to flu-like infectious diseases.

Again, I'm not trying to scare people for no reason.  I'm trying to motivate people to prepare, I'm trying to educate them about how things will be, and I'm trying to encourage them to be strong, self-reliant, and capable in emergencies and disasters.

If you start your food storage now, you could be ready by next winter.  The way to start is to fill up any good plastic jug (not milk bottles) with clean tap water and store it somewhere on the ground floor of your house.  Every gallon or half gallon or 2 liter bottle of juice, water, soda, etc. you use, recycle it as water storage.  Rinse, fill, and store.  If you buy bottled water, buy an extra bottle or case for storage each time. 

As for food, dried beans and brown rice are probably the best options.  Buy an extra bag of each of these every time you go to the grocery store and keep them in a cool dry place.  You can choose black beans, lima beans, black-eyed peas, lentils, chick peas, or whichever you like best.  Learn to cook these foods if you don't already do so regularly.  They're healthy, cheap, and delicious.  You can also store flour, sugar, salt, spices, anything that's dry and doesn't need refrigeration.  Store canned goods.  Store extra toilet paper, garbage bags, baby wipes, soap, detergent, etc.  The way to do this is slow and steady.  Add one or two storage items to your cart each time you go to the store, and over time your storage will grow.  Try gather a 3 day supply of things you would need in an emergency, including food and water.  Then try for a 3 week supply of everything you regularly use that's nonperishable.  Then go for a 3 month supply.  Over time you will build up a year's supply.

Then you'll be ready for not just pandemic flu but many types of disasters like a collapse of the global banking system, a job loss or layoff, a regional disaster like an earthquake, etc.  It won't protect you from 100% of things that can happen, but it will put you in far better shape to face lots of things, and then there will be no need for panic because you'll be prepared.  You'll be able to reach out and help your neighbors because your own family will be taken care of. 

We're going to need strong, self-reliant, capable people in any worldwide or nationwide disaster.  Realize that no authorities can step in and help you in that case.  Don't count on anyone else to plan for you.  It's your responsibility.  You're going to be mostly on your own.
« Last Edit: July 31, 2009, 07:27:48 AM by TheTatiana » Logged
Soriak
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« Reply To This #9 on: May 05, 2009, 08:54:02 AM »

The swine flu unfortunately combines two irrationalities:
1. People are bad with probabilities and automatically assume the worst. A cough stops being a cough and becomes whatever the worst possible outcome could be. (Given the media reporting, it's now the swine flu! It would have been SARS or the bird flu before...)
2. People overestimate the threat of violent or unusual deaths. Every year, about 35,000 Americans die from the seasonal flu. It transmits exactly in the same way as the swine flu, but there is no panic surrounding it. There's even a (more or less effective) seasonal vaccine, but most people (even in at-risk groups) choose not to get it.

On the upside, it's a good distraction from the economic troubles. Maybe the break will be long enough for markets to return to some form of sanity.

I think the virus was always called H1N1, by the way. "Swine flu" was just the name the media gave it and the pork industry requested that they use the scientific label. Especially since there is no evidence that eating pork can transmit the disease.
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