Wednesday, June 24, 2009

Only 500 of 1000 (total of 1400) clinics in Singapore are ready?

But only half meet the criteria — that is, they have been trained to deal with a flu pandemic, and have Internet access.

Experts say the lack of Internet access will hinder the ministry’s pandemic response plan.

Dr Chong Yeh Woei, president of Singapore Medical Association, said: "The broadband connection is necessary for them to check the system; there will be a health—stats system to check if the patient had already been prescribed Tamiflu in the last few days. I think this is to prevent doctor—hopping; we certainly don’t want patients moving from clinic to clinic, picking up boxes of Tamiflu."

What are GPs main concern? Profitability or public health protection?

Since 1954, the ostensible mission of Plum Island's Animal Disease center has been to protect America's $100 billion livestock industry and defend it from foreign viruses, like the foot-and-mouth disease virus epidemic that ravaged Europe in 2001. After September 11, 2001, its mission returned to biological warfare. Michael Christopher Carroll spent seven years researching and writing LAB 257 . He is now general counsel of a New York-based finance company. He lives on Long Island and in New York City.

Helping people to learn and know the human body physiology is the better way to stay in sanity than to just take any drug-based medication. See and learn more again, recommend to friends again.

WARNING :before taking Tamiflu vaccine read this link
This article may save your life if you have the flu.

Wednesday, June 17

SINGAPORE : Medical practitioners have warned that the next wave of the H1N1 flu is already here, with the Southern hemisphere experiencing cooler months.
And in Singapore, they predict the country could move away from its containment strategy to the mitigation phase — that is, caring for those who are ill — as early as in a week or two.

In a span of just under three weeks, Singapore has detected some 50 confirmed H1N1 flu cases. And the numbers are expected to surge with the rapid movement of the virus brought about by travel patterns during Singapore’s traditional mid—year school holidays.
Health experts said Singapore’s current strategy of containment — that is, quarantining H1N1 cases — may no longer be sustainable.

The Health Ministry has said it will move to the mitigation stage only when there is sustained community spread. So far there has only been one local H1N1 transmission in the country.

Dr Chong Yeh Woei, president, Singapore Medical Association, said: "We will be going into the mitigation phase sooner rather than later. I say this because I think that the resources of contact tracing, and quarantining people and isolating people — all these resources, I believe are being stretched to the limit right now.
"We have 74 countries that have the H1N1 virus, we have 10 countries that are put on the hot list. I think it is a matter of time before our resources are overwhelmed and we will have to go to the mitigation phase. Coupled by the fact the we have the school holidays, and the children coming back from holidays will be coming back to school."

The infection rate for H1N1 is relatively high — for every confirmed case, the virus may infect another 2.2 or 3 patients.

Mortality rate is about double that of seasonal flu. So death occurs in about two in every 1,000 patients.

So as a precautionary measure, doctors said it may be practical to keep schools closed for at least another week.

Dr Lee Yik Voon, family physician, said: "This may be based on what is experienced by other countries when the students come back from school have a very high infection rate, like Japan, like Australia.

"For flu to spread, it requires close proximity. School is a place where kids get together. If you can prevent that for two weeks, I think you can break the chain of infection."

And since Home Quarantine Orders will no longer be enforced once mitigation sets in, experts said the onus is on the individual to act responsibly — meaning voluntary home quarantine if you are infected.

Dr Chong said: "The onus will be on the individual. He will have to make sure that if he is unwell, he will be getting early treatment, he will be looking after his loved ones and family members. He will make sure that he isolates himself, he will not infect his family members and he waits till he is completely well before he goes back to work."

Dr Philippe Barrault, group medical director, Asia, International SOS, said: "We need to remember this is very much an unknown virus with the ability to mutate very rapidly, to catch the patterns of virus it may meet in the process of going from, for example, one hemisphere to the other one.

"So far the severity is not one of the main issues, but it may become a big problem."

Doctors said they would be looking out for certain groups of vulnerable patients, including pregnant women, those between the ages of 30 and 50, and those with respiratory and cardio diseases. Also at risk are immuno—compromised patients such as those undergoing chemotherapy.

Dr Lee said: "You no longer have the fear of being ferried or pushed to Tan Tock Seng Hospital anymore. What happens is that you will probably be tested in that clinic. We will probably do a swab to test to see whether you are Influenza positive, and if you are, and you belong to a high risk group, we start treating you with Tamiflu."

Doctors here said that as soon as the alert button is pushed and Singapore moves to the mitigation stage, the Health Ministry will issue a stockpile of Tamiflu to all 900 or so Pandemic Preparedness Clinics. Already, the clinics have been issued Personal Protection Gears by the the Ministry, in an exercise conducted about two weeks ago.

Some virologists are warning of a potentially more lethal and stronger spread of the virus when the Northern hemisphere experiences winter at the end of the year.
They are watching to see how the virus mutates and reacts. But doctors said the hope could really lie in the development of a vaccine to counter—act against the effects of the H1N1 flu. — CNA/ms


Its ME said...

Most medical doctors mistakenly believe in the "anti-body" response of the immune system as the method by which the body fights viral infections. But not so. The body causes a fever above 101 degrees which stops the telomeres on the ends of the virus from allowing any viral replication.

The fever is the human or mammalian body's primary generalized immune system response to any viral infection. Any palliative treatment which reduces the fever of flu infections will prolong the infection and may lead to irreparable damage or death, mostly from the resulting viral pneumonia. But the pneumonia was caused by lowering the fever and allowing uncontrolled viral replication in the lungs. Most cold and flu medications, including aspirin and Tamiflu are in this palliative class.

Appeal:Doctors please stop adding insult to the present injury of the body. Let it alone and monitor the patient's hydration, salinity and sunlight exposure to help. Remember , we are not to inflict further causes to the body if we do not quite understand the situation, but to observe and let nature takes it full course. Thank you.

Its ME said...

Humans have seasonal flu with high fever.

So why human have viral flu and even higher fever?

What is the purpose of high feverish temperature?

When body undergoing virus warfare inside, the body knows what to produce to defend itself :citizens-red blood cells into soldiers-white blood cells for combat.

But until the" war" signal is triggered, those soldiers-white blood cells could not fight well, so the body has to declare "War" and on purpose raise up the body temperature so the soldiers-white blood cells can engage those bandits-viruses and kill them instantly.

This natural warfare may take a short /long period, depending on the stockpile of water and sunshine(for vitamin D, hormones production). Please help the body by giving it the daily water quota, not flooding it, neither droughting it, just enough(31.42 ml for every 1 kilogramm of present body weight, daily, intake 10 % every 90 minute)

But, if you take any drug product or vaccine, then the natural warfare system is interrupted and your body may seem to be winning the warfare but not for long, cause those preservatives laced drugs will introduced another kind of new agents for the initial virus to work with (mutate) and grow stronger the second round.

The biologic strategy is to help the body keep its correct ammunition(water, salt and sunshine) and relax. Panic or confusion will only trigger more conducive environment for the virus to act more fiecely/terror.

Don't believe those quack-GPs who keep harping that we must keep the temperature down, not above 40 degree celsius or brain damage will occurr. Ask those GPs for proof if they have any. Not proven, so they are just parroting a myth. A myth we have cherish, doctors know best it seems. But is it true?

Your body is smarter than all those doctors you ever know. The body core temperature (internal optimal temperature) is suitable for normal function, but not suitable for virus warfare.

Once the warfare is over, your body will return to this core temperature on itself.

If you can get fresh young coconut juice, that will help your body hydration-ammunition best.

Wish your body all the best in this simple virus warfare.