Thursday, April 30, 2009

Swine Flu / Schmine Flu??

I've just been itching to jump in on the whole Swine Flu discussion.

Here is what I think.

(Drumroll, please.)

I think we should cancel the rest of the school year. I do. I really do. As of tomorrow, TAKS will be over. We're on the downhill slope of the year -- a school year that started off with a hurricane and is ending in a pandemic.

I think it's only a matter of time until a child that goes to Keith is diagnosed with this flu -- but of course that won't happen until all the other children in his / her class are exposed.

I'm not being an alarmist, but I am being a realist. People keep quoting numbers -- X-number of people die of the regular flu every year. That's right. They do. But how many more people would die without the vaccine?

Where Porcine Flue is concerned, there is no vaccine. (Porcine is a Fancy Nancy word for Swine. Of course, Swine is a Fancy Nancy name for Pig. But I digress.)

I'm a FIRM believer in vaccines. The girls and I get a flu shot EVERY year. Biggs, who can't be drug into the pediatrician's office, is on his own and sometimes forgets.

The lack of a vaccine worries me.

So does the lag time involved here. From the time you're exposed, think of the all the time that passes before I know about it. You have to go through incubation, getting sick, getting to a doctor, waiting for the blood test, and then getting that reported.... And then it has to make it to the media. In that time, how many people have you had contact with?

I spend many, many of my days in Kindergarten. Do you have any idea how many times I've been asked to open a cheesestick, only to find out immediately that the child first tried to open it with his teeth? Or how many times someone has sneezed on me? Or how many times I've taken a child's hand only to have it be wet for no apparent reason? Did they lick it??

I really do think we should close our schools for the rest of the year. There are no germier places than schools. If instructional time is such a big deal, send work home with the kids. Taks is over after tomorrow, so what's the big deal anyway?

My friend Kelly just sent me this. While it's the first email I've seen about Pig Flu, I'm sure it's not the only one out there. He raises some valid points:

This is from a Dr. in Wimberley, Texas

Subject: Flu Update from Dr. Gitterle

After I returned from a public health meeting yesterday with community leaders and school officials in Comal County, Heather suggested I send an update to everyone, because what we are hearing privately from the CDC and Health Department is so different from what you are hearing in the media. Some of you know some or maybe all of this, but I will just list what facts I know..

- The virus is infectious for about 2 days prior to symptom onset
- Virus sheds more than 7 days after symptom onset (possibly as long as 9 days) (this is unusual)
- Since it is such a novel (new) virus, there is no "herd immunity," so the "attack rate" is very high. This is the percentage of people who come down with a virus if exposed. Almost everyone who is exposed to this virus will become infected, though not all will be symptomatc. That is much higher than seasonal flu, which averages 10-15%. The "clinical attack rate" may be around 40-50%. This is the number of people who show symptoms. This is a huge number. It is hard to convey the seriousness of this.
- The virulence (deadliness) of this virus is as bad here as in Mexico, and there are folks on ventilators here in the US, right now. This has not been in the media, but a 23 month old near here is fighting for his life, and a pregnant woman just south of San Antonio is fighting for her life. In Mexico, these folks might have died already, but here in the US, folks are getting Tamiflu or Relenza quickly, and we have ready access to ventilators. What this means is that within a couple of weeks, regional hospitals will likely become overwhelmed.
- Some of the kids with positive cases in Comal County had more than 70 contacts before diagnosis.
- There are 10-25 times more actual cases (not "possible" cases -- actual), than what is being reported in the media. The way they fudge on reporting this is that it takes 3 days to get the confirmatory nod from the CDC on a given viral culture, but based on epidemiological grounds, we know that there are more than 10 cases for each "confirmed" case right now.
- During the night, we crossed the threshold for the definition of a WHO, Phase 6 global pandemic. This has not happened in any of our lifetimes so far. We are in uncharted territory.
- I expect President Obama will declare an emergency sometime in the next 72-96 hours. This may not happen, but if it doesn't, I will be surprised. When this happens, all public gathering will be cancelled for 10 days.
- I suggest all of us avoid public gatherings. Outdoor activities are not as likely to lead to infection. It is contained areas and close contact that are the biggest risk..
- Tamiflu is running out. There is a national stockpile, but it will have to be carefully managed, as it is not enough to treat the likely number of infections when this is full-blown. I don't think there is a big supply of Relenza, but I do not know those numbers. If I had to choose, I would take Relenza, as I think it gets more drug to the affected tissue than Tamiflu.
- You should avoid going to the ER if you think you have been exposed or are symptomatic. ER's south of here are becoming overwhelmed -- and I mean that -- already. It is coming in waves, but the waves are getting bigger.
- It appears that this flu produces a distinctive "hoarseness" in many victims. The symptoms, in general, match other flu's; namely, sore throat, body aches, headache, cough, and fever. Some have all these symptoms, while others may have only one or two.
- N-Acetyl-Cysteine -- a nutritional supplement available at the health food store or Wimberley Pharmacy, (Whole Foods or Sun Harvest) has been shown to prevent or lessen the severity of influenza. I suggest 1200mg, twice a day for adults, and 600mg twice a day in kids over 12. It would be hard to get kids under 12 to take it, but you could try opening the capsules and putting it on yogurt. For 40 pounds and up, 300-600 mg twice a day, for less than 40 pounds, half that.
- Oscillococinum, a homeopathic remedy, has been vindicated as quite effective in a large clinical trial in Europe, with an H1N1 variant. You can buy this at (Whole Foods, Sun Harvest) Hill Country Natural Foods, or the Wimberley Pharmacy.


I will try to keep everyone posted if I have any new information. Meanwhile, don't be afraid just avoid infection. The fewer people infected the easier it will be for our public officials to manage it

1 comment:

Kayren said...

I totally laughed out loud when you wrote about taking a child's hand only to find out is was wet and wondering if they licked it! HAHA Thanks for your input. Pig Pandemonium