Will measles become the next pandemic? a book review

Diseases that haven’t occurred much in the past 20 years are making a comeback all over the world. And they are largely preventable.

Influenza has arrived in the United States with some areas already experiencing epidemics. We pretty much expect this to happen in the winter despite wide availability of influenza vaccine.

But other diseases that haven’t been seen much in the past 20 years are making a comeback all over the world. The number of measles cases continues to climb, with 5 countries accounting for half of the world’s victims- Congo, Liberia, Madagascar, Somalia and Ukraine.

In 2019 the United States almost lost its measles elimination status because of a nearly year-long measles outbreak in New York, with the greatest number of measles cases since 1992. The New York State Department of Health declared the outbreak over in October, and the Centers for Disease Control and Prevention announced it would maintain the country’s elimination status.

And in a part of the world that conjures up images of a tropical island with sunny skies and pristine beaches, Samoan children are dying of measles due to increasingly low vaccination levels, currently only 31%. Over 5,100 measles cases have been reported since the outbreak, with 74 recorded in a recent 24-hour period alone, according to Samoa’s government. 

The low vaccination rate this year was caused in part by distrust of vaccinations that spread last year after two infants died after a vaccine error- nurses incorrectly mixed vaccines with another medicine. The accident compounded the worldwide spread of misinformation about vaccines. 

The anti-vaccination movement made the list of the World Health Organization’s top threats to global health in 2019

CBS NEWS

I don’t know if anyone has suggested it , but it seems we may be entering a pandemic of measles. Here is a review of a book explaining what that means.

Pandemic by Sonia Shah

Sonia Shah , a science journalist, has built a career  writing about medical science. She explains the “what”  of her book in the subtitle-

Tracking contagions from cholera, to Ebola, and beyond

And she answers the “why” in the introduction-

“By telling the stories of new pathogens through the lens of a historical pandemic, I could show both how new pathogens emerge and spread, and how a pathogen that had used the same pathways had already caused a pandemic.”

Let me back up and define some terms.

Pathogen– any disease producing agent, but especially referring to a living  microscopic organism, such as a virus, bacteria, or  parasite; this includes the organisms that cause Lyme disease, Ebola, West Nile, HIV, bird flu, even the common cold

Epidemic– the rapid spread of infectious disease to a large number of people in a given population within a short period of time, usually two weeks or less.

Pandemic– a disease outbreak that spreads throughout a country, continent, or the world, as opposed to an epidemic, which is localized.

map of the world
In a pandemic, an infectious disease may spread all around the world.

Why infectious disease still matters

With healthcare focus on chronic diseases like heart disease, diabetes, cancer, and dementia, even physicians can get lulled into thinking that infectious disease has been conquered and no long a serious medical threat. This book reminded me that is not the case.

Ms. Shah recounts the history of cholera, which has caused epidemics on every continent except Antarctica, focussing on the epidemics which devastated London, New York City, and more recently Haiti.

Cholera is rare in the United States now, but in the past it has been deadly here and throughout the world. Cholera, an infection due to a bacteria Vibrio cholerae causes severe uncontrollable diarrhea which quickly renders its victims helpless, dehydrated and critically ill. The bacteria lives in and is spread by contaminated water, but for many years physicians did not know this; and even when some doctors recognized this, others refused to believe it. Thus the opportunity to control it and prevent thousands of deaths was delayed .

bacteria under the microscope
photo of the Vibrio cholera bacteria under a microscope; used courtesy of CDC/ Dr. William A. Clark

how disease spreads

The author explains how cholera and other infectious diseases cause so much human suffering by detailing “How disease spreads” in these  chapter titles.

Locomotion– Humans and pathogens travelling from place to place spreads disease.

Filth-Waste management and in some cases mis-management, leads to contamination of drinking water by human waste.

Crowds-People living in crowded slums creates perfect conditions to spread disease person to person.

Corruption– Public officials and business people who place profit and power above public health.

Blame No one willing to take responsibility for making hard choices, and too willing to blame someone else.

Ms. Shah uses examples from her personal life, like her annual family trips to India to visit relatives who lived in less than clean and sanitary neighborhoods. She also shares her and her sons’ battle with skin infections due to  MRSA, a form of staph (staphylococcal) that is resistant to many antibiotics and can be difficult to eradicate.

Pandemic includes extensive footnotes and a glossary of terms used in the book.

If you like history, current events, medical science, or just want to be more knowledgeable about why we should be concerned about infections , antibiotic resistance and vaccine phobia, you should read this book.

Here are other resources about how infections spread and how they can be stopped

For a visual lesson on how pandemics occur, watch this video.Warning: it is rather graphic. 

“How Pandemics Spread”

created by Mark Honigsbaum and animated by Patrick Blower 

 

When Germs Travel: Six major epidemics that have invaded America since 1900 and the fears they have unleashed

by Howard Markel

“Medical historian and pediatrician Howard Markel, author of Quarantine! tells the story of six epidemics that broke out during the two great waves of immigration to the United States—from 1880 through 1924, and from 1965 to the present—and shows how federal legislation closed the gates to newcomers for almost forty-one years out of fear that these new people would alter the social, political, economic, and even genetic face of the nation.”  (quote from Goodreads)

 At this link read how Dr. Gretchen LaSalle

blows the whistle on anti-vax false claims

an excerpt-

“Vaccines are recommended for personal health and required for the greater good. To protect those who can’t be vaccinated and to preserve the health of our communities, many vaccines are required for school entry. If you choose to participate in the community (ie, attend school), you have a duty not to harm those you come into contact with. And if you can’t make that decision for yourself, sometimes the states have to step in and make that decision for you. But still, you always have the choice to keep your kids out of school. The consequence for you is that you are now in charge of educating your own children. The consequence for your child is that their health is at risk and they are deprived of socialization and interaction with their peers. But, hey. You always have a choice! “

For a review of vaccine preventable diseases read my previous post

Vaccination prevents disease

exploring the HEART of preventing disease through vaccination

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

To start following Watercress Words , use this form to get an email notification of new posts . Please find and follow me on Facebook, Pinterest and LinkedIn. Thanks so much.

                              Dr. Aletha 

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October Timely Topic- INFLUENZA

In this part of the world the influenza season is starting, even though influenza can occur year round. Once again, the majority of physicians and other health professionals recommend vaccination as the most effective way to lower one’s risk of getting influenza. No matter how many people would like to believe otherwise, for most people the risk of influenza is greater than the risk of the influenza vaccine.

This post is not very “timely” as October is halfway through. My husband and I have been dealing with some health challenges of our own as well as getting ready for a wedding. However, the topic is no less timely.

(This post has affiliate links; I hope they help you find information and inspiration and help me fund this blog by the commission they will generate. )

a woman taking her temperature
This photograph depicted a woman who was using a modern, battery-powered oral thermometer, in order to measure her body temperature. In order to return an accurate reading, this particular type of thermometer needed to be placed beneath the user’s tongue, for a set amount of time, beeping when the ambient, sublingual temperature was reached. Photo credit-James Gathany, CDC, public domain

Influenza

In this part of the world the influenza season is starting, even though influenza can occur year round. Once again, the majority of physicians and other health professionals recommend vaccination as the most effective way to lower one’s risk of getting influenza. No matter how many people would like to believe otherwise, for most people the risk of influenza is greater than the risk of the influenza vaccine.

I recommend you read Dr. Gretchen LaSalle‘s thorough review

FLU VACCINE 101

Managing influenza and other winter illness

Most of the winter respiratory illnesses are not influenza, but can still make us feel miserable. Most of the time most of us recover uneventfully, but these diseases can cause more severe disease in certain people, like infants, elderly, and those with compromised immune systems. Here are some previous posts with info you need to know about keeping you and your family well and safe.

6 tips to cope during a flu epidemic

a man taking his temperature
Photo credit Lauren Bishop-CDC/ National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)

How you can cope with winter illness

6 smart facts about antibiotic use
graphic created by the Centers for Disease Control, http://www.cdc.gov

And here is how to know when to seek emergency medical help.

When should you call 911?

Hand hygiene saves lives. a sign reading "please wash your hands"
One of the most effective ways to prevent and stop the spread of infectious disease.

sharing the HEART of health

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

To start following Watercress Words , use this form to get an email notification of new posts . Please find and follow me on Facebook, Pinterest and LinkedIn. Thanks so much.

Dear friends, I hope all is well with you and that you are as healthy in body as you are strong in spirit. 

3 John 2 , NLT

Stay well this winter, or what ever season you are enjoying now.

                              Dr. Aletha 

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myReader Rewards club- photo of woman on a bench reading a book

My Reader Rewards Club is a great way to earn free books and Bibles for yourself, friends, and family! Your journey to earning free faith-based products starts HERE.
(When you sign up through these links, I can earn free books too.)

As a member, you’ll have access to inspiring literature, Bibles, special promotional offers, and much more. Earning points is easy—you’ll receive 25 points just for signing up!

Get active

Becoming and staying fit may also help you fight off infection. I’ve been using this fitness app on my phone, Aaptiv. Consider trying it. I’d appreciate you using this affiliate link through which you can help fund this blog. Thanks and enjoy.

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The Good Samaritans fighting Ebola

Five years ago the world watched as Africa grappled with a deadly epidemic as the Ebola virus swept through Liberia, infecting hundreds of people, including healthcare workers.

2019-Another Ebola epidemic

Five years ago the world watched as Africa grappled with a Ebola deadly epidemic as the virus swept through Liberia, infecting and killing scores of people, including healthcare workers.

Now the Democratic Republic of the Congo (DRC) and Uganda find themselves in the midst of the second largest Ebola outbreak in history. It began in the DRC last year, and has now spread to Uganda, since the countries share a border and people travel freely between them.

an electron image of the Ebola virus
this colorized transmission electron microscopic (TEM) image revealed some of the ultrastructural morphology displayed by an Ebola virus virion. credit-CDC/ Frederick A. Murphy, microbiologist, public domain

The 2014 Liberian Epidemic

In 2014, the Ebola virus came to the United States when a volunteer physician working in Liberia contracted the virus and flew home for treatment which proved successful. His illness and recovery from what is usually a fatal disease caught the world’s attention. Here is a summary of the dramatic story.

Dr. Kent Brantly -physician and patient

Dr. Kent Brantly awoke feeling ill- muscle aches, fever, sore throat, headache and nausea. As his condition progressively worsened to include difficulty breathing, he learned the cause of his illness- the Ebola virus. Having spent the past few weeks caring for patients caught up in the Ebola epidemic that swept Liberia in the spring of 2014, Dr. Brantly had contracted the disease himself, and would likely die, as almost all victims do.

Dr. Brantly, a graduate of Indiana University’s School of Medicine, had volunteered to work at ELWA Hospital in Liberia which was receiving aid from Samaritan’s Purse, an international relief organization. This hospital served as Monrovia’s Ebola treatment center and Dr. Brantly headed the unit.

As his condition deteriorated, his physicians decided his only hope for recovery was use of an experimental drug, ZMapp, previously untested on humans. Since otherwise he was likely to die, he received the drug by infusion into a vein. By the next morning he felt well enough to arise from bed and shower. Unknown to him, thousands of people around the world had been praying for him.

During this time his colleague, nurse Nancy Writebol, was battling her own Ebola infection. She also was treated with ZMapp.

Samaritan’s Purse arranged for both of them to be evacuated to the United States. There, they could continue receiving supportive medical care, as well as allow infectious disease specialists to learn from their conditions. It also would relieve the workload on the doctors who continued to care for Ebola patients at ELWA.

Hear Dr. Brantly describe what it is like to be ill from the Ebola virus.

Called for Life: How Loving Our Neighbor Led Us into the Heart of the Ebola Epidemic.

(affiliate link)

An update about Dr. Brantly, July 2019

Five years after contracting the deadly virus in Liberia, the Christian doctor will serve at Mukinge Mission Hospital in Zambia. Read the story here-

Dr. Kent Brantly returns to Africa

It’s not a matter of not fearing. It’s a matter of choosing to have compassion despite fear.

Dr. Kent brantly, christian chronicle.org

The Ebola Fighters

Dr. Brantly and hundreds of other professionals who treated Ebola victims in 2014, the “Ebola fighters”, were named Time magazine’s PERSON of the YEAR for 2014.

Ebola is a war, and a warning. The global health system is nowhere close to strong enough to keep us safe from infectious disease, and “us” means everyone, not just those in faraway places where this is one threat among many that claim lives every day. The rest of the world can sleep at night because a group of men and women are willing to stand and fight. 

Nancy Gibbs, TIME magazine
An African doctor viewing xrays and MRI image.
World Medical Mission branch of Samaritan’s Purse serves as a lifeline to dozens of mission hospitals by providing millions of dollars worth of critically needed equipment and supplies.

Samaritan’s Purse

Once again, Samaritan’s Purse is working to contain and stop the Ebola epidemic , now in the DRC.

“Samaritan’s Purse opened an Ebola Treatment Center on Jan. 17 in Komanda, Democratic Republic of the Congo (DRC), to meet the needs of suffering people as this deadly disease continues to spread. We are running the center with dedicated national Congolese staff under the oversight of a small international team.

As of July 2, over 2,300 people in DRC have been infected with Ebola, and 1,586 have died from the disease. Sadly, those numbers continue to rise. The fatality rate of the current Ebola outbreak in DRC is a staggering 67 percent—a rate that is elevated due to ongoing violence and resistance among community members.”

You can help Samaritan’s Purse fight Ebola by donating at the link above or

You can also make a donation by mail. Send to: Samaritan’s Purse, PO Box 3000, Boone, NC 28607

(Neither Dr. Aletha nor this blog are affiliated with Samaritan’s Purse nor compensated for mentioning their work.)

“The story of the Good Samaritan (Luke 10:30-37) gives a clear picture of God’s desire for us to help those in desperate need wherever we find them. After describing how the Samaritan rescued a hurting man whom others had passed by, Jesus told His hearers, “Go and do likewise.”

Samaritan’s Purse website

You can read the Good Samaritan story in my previous post at this link

What happens when we stop to help -being a Good Samaritan

sharing the HEART of health

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

To start following Watercress Words , use this form to get an email notification of new posts . Please find and follow me on Facebook, Pinterest and LinkedIn, links are on the left side bar here and the Home page. Thanks so much.

                              Dr. Aletha 

Measles- not gone, not forgotten

After the measles vaccine was introduced in 1963 the number of reported cases was reduced by 99%. In 2000 measles was declared no longer endemic ( occurring routinely) in the United States. U.S. public health officials consider an outbreak a major setback in the control of infectious disease.

A “RASH” OF MEASLES CASES

Measles in the U.S. has climbed to its highest level in 25 years, closing in on 700 cases this year in a resurgence largely attributed to misinformation that is turning parents against vaccines.

“This is alarming,” said Dr. William Schaffner, a Vanderbilt University vaccine expert. Not only is measles dangerous in itself, but its return could mean other vaccine-preventable diseases seemingly consigned to the past may be coming back as well, he said.

APNEWS.COM, APRIL 24, 2019

The rash of measles, also known as rubeola, starts on the head and spreads to the trunk (chest and upper back) , arms, and legs over a few days .

What is measles?

At one time, measles was one of the “usual childhood diseases” that most of us over age 55 years contracted as children, prior to the use of the vaccine. It is caused by a virus in the Paramyxoviridae family and spread by person to person contact.

The other childhood diseases were

  • Rubella, or  German measles
  • Chicken pox, or  varicella
  • Roseola
  • Fifth Disease, or erythema infectiosum

These all cause a rash, called an exanthem.

Mumps was also a common childhood disease but does not usually cause a rash.

Symptoms of measles include cough, nasal drainage, reddened, inflamed eyes, and a rash as pictured below.

the rash of measles
image courtesy of the CDC- Centers for Disease Control , U.S. government

There is no specific treatment and it runs its course in about 1-2 weeks. Antibiotics are not effective .

Most of those infected recover uneventfully but there can be serious complications including pneumonia and encephalitis (inflammation of the brain).

Preventing measles and other exanthems

After the measles vaccine was introduced in 1963 the number of reported cases was reduced by 99%. In 2000 measles was declared no longer endemic ( occurring routinely) in the United States. U.S. public health officials consider an outbreak a major setback in the control of infectious disease.

Measles vaccine is usually administered as a “3 in 1” vaccine- the MMR, which has been vilified as a possible cause of autism, although that has been thoroughly discredited.

The other two letters in the mix stand for mumps and rubella (also known as German measles) both of which are also caused by viruses and for which no treatment exists.

No vaccine exists for roseola or Fifth Disease, but we have an effective vaccine for varicella, commonly called chickenpox.

MEASLES OUTBREAK ELSEWHERE

According to the World Health Organization, WHO, Europeans are also contracting the most measles cases in 30 years.

The WHO European Region comprises 53 countries, from Andorra to Ukraine. According to data from the WHO, 41,000 measles cases were reported from January to June 2018 across those countries, including 37 deaths — a record-high number of fatalities since the 1990s.

CBSNEWS.COM, JUNE 17, 2019

sharing the HEART of health

My family receives vaccines and believe any potential risk is worth the benefit. I urge you to think carefully and talk to a trusted physician before you decide to forgo vaccination for yourself and especially for your children.

Thanks for visiting this blog and considering this vital information as we explore the HEART of health together.

To start following Watercress Words , use this form to get an email notification of new posts . Please find and follow me on Facebook, Pinterest and LinkedIn, links are on the left side bar here and the Home page. Thanks so much.

Dr. Aletha 

2019 women’s health update- new meds to control pain and prevent disease

In this post I review some new drugs that treat conditions exclusive to or common in women.

In a previous post I gave you updates about hormones, the heart, and HPV. Here is the link-

Women’s health update, part 1

In this post I’ll review some new drugs that treat conditions exclusive to or common in women.

I’m illustrating this post with covers of books written by women; I have reviewed all of these books on my blog, so I’ll include those links also. Please note these are affiliate links, so if you do happen to use them for a purchase you will help me fund this blog.

Photo by rawpixel.com on Pexels.com

Relieving the pain of endometriosis

Women with endometriosis suffer infertility, excessive bleeding, painful periods and pelvic pain unrelated to periods. In endometriosis, uterine tissue grows outside the uterus. It can be difficult to diagnose, requiring invasive procedures to discover. Treatment depends on the goal, whether pregnancy, pain relief, or both. Short of surgery, hormonal therapy has been the mainstay of treatment.

A new hormonal drug released last year, elagolix, brand name Orilissa, is the first of its kind specifically developed and approved to treat “moderate to severe” endometriosis pain. It does not help with infertility. AbbVie, the pharmaceutical company which developed the drug, has priced it at $844 per month, or about $10000 per year, retail.( per Reuters report) Patients may pay less depending on insurance.

 

Stop bleeding fibroids

Researchers are studying elagolix and another hormonal drug ulipristal for treating uterine fibroids. Fibroids are growths within the uterine that can cause pain and excessive bleeding. Initial trials show both of these drugs can significantly decrease bleeding and pain. However, neither is currently FDA approved for treating fibroid.

Easing dyspareunia

After menopause many women develop atrophy of the vagina, making it thin, dry, and easily irritated, leading to painful sex, or dyspareunia. A new intravaginal medication, prasterone,brand name Intrarosa, can help relieve the discomfort. Studies show it may also help improve sexual desire and arousal, but it is not labeled for this.

Manufactured by AMAG Pharmaceuticals, it is for “moderate to severe” symptoms. Also known as DHEA, it is a steroid that transforms into estrogen in the vagina ,administered as a once daily vaginal insert at bedtime, applied with an applicator. According to goodrx.com,a 30 day supply costs about $213.

DHEA can be purchased as an over-the-counter, non-regulated product, whose effectiveness and safety are unknown. A one-month supply of 50 mg tablets may cost $5.

Other options for treating vaginal atrophy symptoms are oral or vaginal estrogen and/or vaginal lubricants.

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Prevention of migraine pain and disability

Migraine, although not exclusive to women,occurs much more frequently in them than men. For infrequent headaches,non opiate pain relievers are effective and recommended. But for severe, frequent, or persistent symptoms prevention is recommended to improve quality of life. Several oral meds are effective but two new injectable drugs show promise.

Botox, onabotulinumtoxin A, has been FDA approved for treating chronic migraine, meaning patients with frequent headaches and other migraine symptoms for at least 3 months.

Yes the same drug used to treat wrinkles,Botox, can prevent migraine

Manufactured by Allergan, a vial containing 200 units costs $1452, per goodrx.com. For migraine, the drug is injected in the upper facial muscles by a physician specifically trained in its use.

Another novel therapy uses the immune system to fight migraine. Monoclonal antibodies bind to a calcitonin gene-related peptide receptor which is responsible for transmitting migraine pain. The antibodies are produced in a laboratory but work like antibodies naturally produced by the body. They are being used to treat cancers and some forms of arthritis.

Three of these drugs are available

  • Erenumab-brand
  • Fremanezumab-Ajoovy
  • Galcanezumab-Emgality

 

They are administered as subcutaneous injections (under the skin) monthly. According to a Medscape, average cost is $600 per month.

You may want to review my previous post about non-drug ways to manage migraine.

Simple and effective ways to manage chronic pain

Preventing cervical cancer with the HPV vaccine

I mentioned this in my previous post about women’s health but it fits here also.

Infection with the HPV, human papillomavirus, causes genital warts and changes in the cervix called CIN which can lead to cervical cancer.

According to a review of clinical trials by Cochran, vaccination against this virus effectively prevents infection and thus fewer cases of CIN. Since a significant percentage of CIN progresses to cancer, we can expect fewer women will develop invasive cervical cancer, the 4th most common cancer in women worldwide.

The vaccine, Gardasail 9, originally approved for use in females ages 9 to 26 years,received FDA approval for use up to age 45 years.

Stopping shingles with the zoster vaccine

And speaking of vaccines, a new zoster (shingles) vaccine, Shingrix, prevents the painful rash much more effectively than the original vaccine Zostavax. It ranges in effectiveness from 91% to 97% at preventing shingles, depending on age. The first vaccine was 51% effective.

Zoster is a reactivation of the varicella virus that causes chickenpox. It causes a painful rash known as shingles;the pain may continue after the rash is gone. It can happen at any age, but symptoms tend to be worst in older persons.

exploring the HEART of health through books

Thanks for joining me to review new steps in women’s health and review some fine women authors. I hope you will follow the links to my reviews and read some or all of these books. When you do, I would love to know your reaction. I might use your comments in an update.

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

To start following Watercress Words , use this form to get an email notification of new posts . Please find and follow me on Facebook, Pinterest and LinkedIn. Thanks so much.

                              Dr. Aletha 

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Why we should love our neighbor

Dr. Kent Brantly awoke feeling ill- muscle aches, fever, sore throat, headache and nausea. As his condition progressively worsened to include difficulty breathing, he learned the cause of his illness- the Ebola virus.

Mark 12:32-34 New International Version (NIV)

 “Well said, teacher,” the man replied. “You are right in saying that God is one and there is no other but him.

To love him with all your heart, with all your understanding and with all your strength, and to love your neighbor as yourself is more important than all burnt offerings and sacrifices.”

 When Jesus saw that he had answered wisely, he said to him, 

“You are not far from the kingdom of God.” 

And from then on no one dared ask him any more questions.

New International Version (NIV)Holy Bible, New International Version®, NIV® Copyright ©1973, 1978, 1984, 2011 by Biblica, Inc.® Used by permission. All rights reserved worldwide.

WHY WE SHOULD LOVE OUR NEIGHBOR

Dr. Kent Brantly, missionary physician to Liberia

 

Dr. Kent Brantly awoke feeling ill- muscle aches, fever, sore throat, headache and nausea. As his condition progressively worsened to include difficulty breathing, he learned the cause of his illness- the Ebola virus.

Having spent the past few weeks caring for patients caught up in the Ebola epidemic that swept Liberia in the spring of 2014, Dr. Brantly had contracted the disease himself, and would likely die, as almost all victims do.

Dr. Brantly, a graduate of Indiana University’s School of Medicine, had volunteered to work at ELWA Hospital in Liberia which was receiving aid from Samaritan’s Purse, an international relief organization. This hospital served as Monrovia’s Ebola treatment center and Dr. Brantly headed the unit.

As his condition deteriorated, his physicians decided his only hope for recovery was use of an experimental drug, ZMapp, previously untested on humans. Since otherwise he was likely to die, he received the drug by infusion into a vein.

By the next morning he felt well enough to arise from bed and shower. Unknown to him, thousands of people around the world had been praying for him.

During this time his colleague, nurse Nancy Writebol, was battling her own Ebola infection. She also was treated with ZMapp.

Samaritan’s Purse arranged for both of them to be evacuated to the United States. There, they could continue receiving supportive medical care, as well as allow infectious disease specialists to learn from their conditions. It also would relieve the workload on the doctors who continued to care for Ebola patients at ELWA.

Dr. Brantly and his wife Amber, who had just left Liberia to return home for a visit, wrote a book about their experience,

Called for Life: How Loving Our Neighbor Led Us into the Heart of the Ebola Epidemic.

I hope you enjoyed these words of faith, hope, and love; please share and follow watercress words as we explore the HEART of health.

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Learn more about how you can Share the HEART of health.

Dr. Aletha WATERCRESSWORDS.COM-exploring the HEART of health

 

 

 

 

 

 

 

 

 

 

 

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6 tips to cope during a flu epidemic

The flu is bad, but don’t panic; basic tips to cope with the risk #influenza#CDC

In the United States we are in the midst of a brutal influenza epidemic that is sickening thousands of people , hospitalizing hundreds, and may  kill a hundred children. As scary as that sounds, there is no need to panic. 6 tips to cope during an influenza epidemic

 

Even those who get the flu will likely fully recover. Children are still more likely to die from a motor vehicle accident than influenza. But parents should still be vigilant about protecting their families.

Here is a repeat of information I’ve shared before. Due to the enormous number of flu cases I’ve been treating in my clinic, I get home late and am exhausted. I will have some new content developed when this is over, which should be soon.

 

 

 

  1. If you think you have “the flu”, you probably don’t. (This season may be an exception.) 

Another doctor posted on Twitter , “If you feel like you’ve been run over by a truck, but you haven’t , then you have the flu.”

To many people “the flu” is any respiratory illness characterized by some combination of fever, cough, congestion, headache, fatigue,  and body aches. That term has become so nonspecific even we doctors use it that way. But it more correctly refers to influenza, which is  one of many viruses that cause illness. The illnesses caused by the other viruses are usually called “colds”, upper respiratory infections, aka URIs, bronchitis, pharyngitis, sinusitis and pneumonia.

I recommend this resource  from the Centers for Disease Control and Prevention to understand

influenza symptoms 

emergency warning symptoms that warrant an emergency room visit 

influenza complications 

 

 

 

The human respiratory system
The respiratory tract including the nose, sinuses, mouth, throat, trachea, bronchi in blue and the lungs (pink). Infections can involve the breathing organs from the nose all the way down to the lungs. (photo complimentary from Pixabay)

  1. If your doctor thinks you have “the flu”, you probably do.

Prior to the availability of the “rapid flu” test, we doctors diagnosed influenza by the characteristic symptoms, confirmatory findings on exam, and knowing there was an outbreak in the community. The test is not absolutely necessary but is helpful for confirmation in the event the illness doesn’t progress as expected.

3. The best way to prevent influenza is by vaccination.

The World Health Organization (WHO), Centers for Disease Control and Prevention(CDC) , the National Foundation for Infectious Disease and every other reputable medical organization recommends vaccination against influenza.

My family and I always get vaccinations which have successfully protected us without side effects or adverse reactions. There are risks, just like there are with any medical procedure, or lots of other things we do in life. In this case we have decided the benefit outweighs the risk.

 

  1. If you want to avoid getting influenza, avoid being around people who may be infected.

This means everyone, since one may be contagious 2 to 3 days before symptoms. It’s not a coincidence that influenza outbreaks coincide with the American holiday season (approximately November through January). So to protect us all,

  • Stay home if you are sick, and ask your family, co-workers and employees to do the same.
  • If you absolutely must go out among other people, put a mask over your nose and mouth.
  • Cover your nose and mouth when coughing or sneezing
  • Wash your hands frequently.
  • Wash frequently touched surfaces frequently.

Hand hygiene saves lives.
a common sight now in public restrooms

  1. If you do get sick, don’t ask your doctor for an antibiotic.It will not help. 

    Antibiotics attack bacteria. Influenza and 99% of all respiratory illnesses are due to viruses.

The antiviral drug Tamiflu, generic oseltamivir,  will “shorten the duration and severity of symptoms” by 1-2 days, if started early (within 24-48 hours). There is some evidence that it will also lessen the risk of serious complications , especially in higher risk people (see below ).

I warn people that even with Tamiflu they will still feel miserable for a few days. But if it gets you back to school or work a day earlier, it may be worth the cost.

Oseltamivir can also be prescribed for prevention, if you know you have had close contact with someone with confirmed influenza, such as a household member. It’s only effective though for that episode, a 10 day course taken as soon as possible after exposure.

Otherwise, the treatment is“symptomatic” or “supportive” care:

  • Rest; eat and drink as normally as possible; extra fluids if running a fever 
  • Non-prescription cough/congestion /pain/fever meds

 

Don’t confuse Tamiflu (generic oseltamivir) a prescription anti-viral drug with Theraflu, an over the counter drug that treats symptoms.

Theraflu does not affect the course of the illness.

 

Here are  general guidelines  on what to do if you get a respiratory illness.

  1. You can die from influenza, but you probably won’t.

Influenza causes uncomfortable disabling symptoms but most people recover fairly quickly and fully. In some cases influenza can progress rapidly and overwhelm the respiratory and/or nervous systems,  leading to death.

People also die from complications of influenza, and infants, young children and the elderly have greatest risk.The most common fatal complication is bacterial pneumonia, infection in the lung. Influenza can also attack the nervous system causing brain inflammation (encephalitis and/or meningitis) and paralysis in the form of Guillain Barre syndrome .

an xray of healthy lungs with no signs of pneumonia.
Healthy lungs with no signs of pneumonia.

 

 

High risk persons- use caution when dealing with influenza

Persons with chronic illnesses like diabetes, lung disorders, chronic liver or kidney disease, depressed immune systems and cancer , as well as infants and persons of advanced age are at greater risk of complications and should always consult a physician if feeling ill. If you are not sure if you fall into that category, ask your doctor.

 

Please share this important information , you may save someone’s life.

Thanks and stay well.

                                                                    Dr. Aletha 26952564_10213093560871954_4239554644472378905_o