Who i s Doctor Lindsey anyway?

Between January and August last year, Dr. Lindsey and her boyfriend allegedly involved the child during sex, and DeKalb County police claim they discovered photographs of Lindsey performing sex acts on a couple of her pets.
Some of you may wonder why I've chosen to discuss this story. Some may think it's in poor taste and doesn't belong in a newsletter about health. However, I believe it's relevant to be aware that someone in charge of your child's health is allegedly engaged in child abuse. Her actions raise serious questions in my mind about her level of concern for the health and well-being of children in general.

Dr. Lindsey Played Primary Role in Bogus Swine Flu Propaganda Campaign

As you may recall, the 2009 H1N1 swine flu pandemic turned out to be a complete sham, with a fast-tracked and particularly dangerous vaccine being pushed as the sole remedy. Children and pregnant women were the primary targets of this dangerous vaccine. The H1N1 flu was a perfect example of how the CDC can brazenly distort reality, and often ignore and deny the dangerous and life-threatening side effects of their solution. As a result of this bogus propaganda campaign, thousands of people were harmed (and many died) worldwide.
In August, it was revealed that the 2009 H1N1 influenza vaccine increased the risk for narcolepsy—a very rare and devastating sleeping disorder—in Swedish children and adolescents by 660 percent.
Finland also noticed a dramatic increase in narcolepsy following vaccination with Pandemrix. There, an interim report issued in January of this year found that the H1N1 vaccine increased the risk of narcolepsy by 900 percent in children and adolescents below the age of 19. In the US, the H1N1 flu vaccine was statistically linked with abnormally high rates of miscarriage and stillbirths. As reported by Steven Rubin on the NVIC's blog, the US H1N1 flu vaccine was SIXTY times more likely to be reported to VAERS to be associated with miscarriage than previous seasonal flu vaccines.
The only "winners" in this game were the pharmaceutical companies that received millions of dollars for this never-proven-effective and highly reactive vaccine, while being sheltered by our government from liability for any harm it caused.
Dr. Lindsey played an important role in that campaign, which ended in tragedy for countless many—not from a killer flu (statistically, the 2009 H1N1 flu was MILDER than usual) but from the dangerous and expensive "remedy" to this oversold non-threat.
All of that said, I do want to stress that Dr. Lindsey has not yet been found guilty, and there are still many unanswered questions relating to this case. But this is not the only shocking story raising questions about the ethics of those involved in creating the CDC's health recommendations.

The CDC's Stance on Water Fluoridation—Another Misleading Recommendation

Take water fluoridation for example.
Documents released under the Freedom of Information Act show that since the 1970's, the dental health professionals in the Centers for Disease Control (CDC) have had sole control over the agency's stance supporting water fluoridation.
The CDC is part of a larger administrative structure that provides intra-agency support and resource sharing for health issues that require the input from more than one area of expertise. Other offices that share information and expertise with the CDC include the National Center for Chronic Disease Prevention and Health Promotion, Office of Minority Health and Health Equity, and the Agency for Toxic Substances. The general assumption has been that the agency used a broad range of expert input to evaluate fluoride before reaching the decision to support water fluoridation.
After all, since fluoride is swallowed, it stands to reason it may have an impact on your whole body, not just your teeth.
Yet the documents show that no CDC toxicologists, minority health professionals, experts in diabetes, or others outside the Oral Health Division had any input into the agency's position.
This flies in the face of what the agency claims, and what water-, health- and political leaders have believed about the way the CDC operates. Without these additional experts from other fields, can we reasonably believe that the agency has properly assessed the research on whole-body harm from fluoridation? The documents have drawn attention once again to the CDC's and EPA's fluoride safety statements, which appear completely at odds with current scientific knowledge, and the fact that no outside experts from related fields were ever included may very well explain this discrepancy.

CDC Doctor who "Debunked" Vaccine-Autism Link Indicted on Fraud

Another shocking case involving the CDC is that of Dr. Poul Thorsen, who, after being found to have falsified documents, was indicted on fraud, money laundering and tax evasion after stealing somewhere between $1-2 million in research grant money from the CDC.
Here you might wonder why I'm faulting the CDC, as the organization was the victim of fraud. The reason I fault them is because they hired Dr. Thorsen to debunk the link between thimerosal in vaccines and autism—which he did to their satisfaction. However, CDC officials may have played a significant role in "guiding" this research to their desired end, and now that Thorsen has been exposed as a fraud, the agency still upholds his research as being of high caliber.
As explained in a 2010 article by Robert F. Kennedy Jr.:

"Thorsen was a leading member of a Danish research group that wrote several key studies supporting CDC's claims that the MMR vaccine and mercury-laden vaccines were safe for children. Thorsen's 2003 Danish study reported a 20-fold increase in autism in Denmark after that country banned mercury based preservatives in its vaccines. His study concluded that mercury could therefore not be the culprit behind the autism epidemic.
His study has long been criticized as fraudulent since it failed to disclose that the increase was an artifact of new mandates requiring, for the first time, that autism cases be reported on the national registry. This new law and the opening of a clinic dedicated to autism treatment in Copenhagen accounted for the sudden rise in reported cases rather than, as Thorsen seemed to suggest, the removal of mercury from vaccines.
Despite this obvious chicanery, CDC has long touted the study as the principal proof that mercury-laced vaccines are safe for infants and young children. Mainstream media, particularly the New York Times, has relied on this study as the basis for its public assurances that it is safe to inject young children with mercury -- a potent neurotoxin -- at concentrations hundreds of times over the U.S. safety limits."

Were CDC Officials in on the Fraud?

Emails released in response to FOIA filings by parents also show that Kreesten Madsen, one of Dr. Thorsen's research partners, had acquiesced to the wishes of CDC officials who wanted to cherry pick facts in order to prove vaccine safety. Furthermore, according to an April 28 report by Natural News:

"From February 2004 through June 2008, says the DOJ indictment, Thorsen allegedly submitted over a dozen fraudulent invoices requesting reimbursement for expenses that were fabricated. Interestingly, these allegedly fraudulent invoices were signed by a laboratory section chief at the CDC, indicating that someone inside the CDC was either duped by Thorsen or potentially involved in the alleged fraud.
… This is the great untold story of an alleged criminal ring operating inside the CDC, with the purpose of falsifying research that would "disprove" any links between vaccines and toxic side effects."

Why Does the CDC Not Invalidate Dr. Thorsen's Research?

Dr. Thorsen's studies are frequently quoted in rebuttals to the claim that vaccines may play a role in the disorder. The studies in question were riddled with flaws, yet despite the fact that Thorsen's studies may actually be a complete sham, the CDC has not officially declared them invalid. In fact, they're still listed on the CDC website as part of the scientific backing of their stance on autism and vaccine safety.
Nor has the media jumped on this story and exposed how vaccine-safety claims have been based on junk science by a scam artist. They've also failed to question why none of the journals have denounced Dr. Thorsen's studies, which support the claim that vaccines are safe, while Dr. Wakefield's research was denounced after the mere insinuation of wrong-doing.
Furthermore, according to research by Dan Olmsted and Mark Blaxill writing for AgeOfAutism.com, Dr. Thorsen has also been working with the American Psychiatric Association (APA) on an updated definition of "autism" for the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is slated for release in May 2013. I believe it would be prudent to take a deeper look at his input, to make sure his connections to the CDC and his role in protecting vaccine safety has not tainted the new definition of autism.
The sad fact is that conflicts of interest color most of the ties between our government and the pharmaceutical industry, and conventional media repeatedly fails to report the truth on these matters.
So, who can you trust?
I would recommend trusting yourself. Do your own research, and make your own decisions accordingly. The National Vaccine Information Center (NVIC) is an excellent resource on all things relating to the controversial topic of vaccines. They have been compiling objective evidence showing both sides of the issue and have been one of the strongest voices for vaccine safety and true informed consent.

World Health Organisation (WHO)'s flu expert 'paid by drug firms'

Health body blasted for lack of transparency

THE STRAITS TIMES SATURDAY,JUNE 5 2010 PAGE C26
PARIS:The World Health Organisation's handling of the Influenza A (H1N1) pandemic was deeply marred by secrecy and conflict of interest with drug companies, a top medical journal said yesterday.

The British Medical Journal (BMJ) said that WHO guidelines on the use of antiviral drugs were prepared by experts who had received consulting fees from the top two manufacturers of these drugs, Roche and GlaxoSmithKline (GSK).

In apparent violation of its own rules, the WHO did not publicly disclose these conflicts when the guidelines o how to respond to a pandemic were drawn up in 2004, according to the report, jointly authored by the non profit Bureau of Investigative Journalism, based in London.

A draft assessment prepared for the Council of Europe, also released yesterday, likewise lambasts the WHO for lack of transparency, wasting huge sums of public money and provoking "unjustified fears". It also points to potential health risks stemming from the "fast track" manufacture of vaccines.

Decisions by the global health organisation led governments to stockpile vast quantities of antivirals, and its decision to declare a pandemic in June last year(2009) triggered the purchase of billion of dollars worth of hastily manufactured (purported) vaccines. ( Respected readers can read previous posts regarding the H1N1 vaccines scandalous syndicate in this blog, just type H1N1 and search)

The BMJ report reveals that at least one expert on the secret, 16-member "emergency committee" formed last year(2009) to advise the WHO on whether and when to declare a pandemic had received payment last year(2009) from GlaxoSmithKline.

A World Health Organisation spokesman responded to the BMJ report in general terms, but did not comment on the committee that was set up last year(2009). "Declarations of interest are submitted by all experts who attend WHO expert committee meetings, " said Mt Gregory Haertl.

He added that the recommendations on how to respond to a pandemic were drafted by 20 people and that the WHO released them on the Web for six months to seek public comment before revising them and publishing them in 2004.

Mr David Reddy, who heads Roche's influenza task force, said :"In disease areas like this, there is only a limited number of people who have got direct clinical investigational experience and virology experience, so it is not surprising that we are going to be seeking advice from the same groups of people."

On Thursday, WHO head Margaret Chan announced that the pandemic-level alert would be kept in place despite mounting expectations of a downgrade. While outbreaks have largely disappeared in the northern hemisphere, new cases of Influenza A (H1N1) were expected in the coming weeks south of the equator, she said.
AGENCE FRANCE-PRESSE, BLOOMBERG
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We are very fortunate to be given access to these vital facts before we have unknowingly exposed our children and adults relatives and ourselves to further vaccines dangers.

Thanks to James for these comment and links below:
Has the Ministry read these reports? It is a leap of faith to believe that the H1N1 vaccine can effectively protect Singaporeans, when potential financial conflicts of interest are kept secret at the WHO.

http://abcnews.go.com/Health/SwineFlu/swine-flu-pandemic-world-health-organization-scientists-linked/story?id=10829940

http://www.washingtonpost.com/wp-dyn/content/article/2010/06/04/AR2010060403034.html

http://www.guardian.co.uk/business/2010/jun/04/swine-flu-experts-big-pharmaceutical

http://www.straitstimes.com/World/Story/STIStory_535882.html

Eve of 2010 eve News : H1N1 jab :

Cases of serious reactions in Singapore

Some side effects of H1N1 jab :
*Puffy eyes
*Flushing
*Breathing difficulties
*Hypersensitive reaction involving skin and joints
*Dystonia, an involuntary jerking of the limbs
*Vomiting
*Milder reactions like itchiness, swollen eyelids, sore throat, fever, diarrhea and dizziness.

I refuse to be vaccinated?

Vaccine Creators Refuse to Take H1N1 Vaccine
Russia Today

Journalist Wayne Madsen tells Russia today scientists involved in creating previous vaccinations are telling family and friends not to take the H1N1 vaccine. Madsen also warns that the government may make the vaccination mandatory.

Lets hope that by vaccine creators becoming "refuseniks", that those of us in the general public will also retain the right to choose for ourselves if the risks outweigh any benefit for getting the H1N1 vaccine

blessings,
Zoe


youtube video link~~

http://www.youtube.com/watch?v=B4SmFxyust0

Bear in mind: Drugs Kill,Water Cures.

GENEVA (AFP) - - Countries can expect to pay between 2.50 and 20 dollars for a dose of swine flu vaccine depending on their ability to meet the costs, a WHO official said in remarks published Wednesday.

Marie-Paule Kieny, the head of vaccine research at the World Health Organisation, also warned that there would not be enough vaccines for the world's population and that people should not rely entirely on the vaccine.

Rather, they should take other preventive measures against the A(H1N1) virus, such as avoiding large gatherings, closing schools and observing personal hygiene.

"Coverage will be partial and not only in developing countries. But we should not be 'hypnotised' by vaccines," said Kieny in the interview published Wednesday in the WHO's Bulletin, a health journal.

"There are other measures, such as social distancing, school closure, avoidance of large gatherings, antibiotics and personal hygiene. This is not like rabies, which is 100 percent fatal: we are talking about a disease from which most people recover very well," she added.

Kieny reiterated that the WHO will help countries to get as much vaccine as possible, and that the wealthiest countries may have to pay up to 20 dollars.

"The industry will use tiered pricing, so high-income countries might pay between 10 and 20 dollars per dose, middle-income countries may pay about half that and low-income half that price again," she said.

"These are ballpark figures but this is the order of magnitude," she added.

Britain and France have received their first batches of swine flu vaccine in late August, as governments began to arm themselves against an expected second wave of the pandemic in the northern winter.

At least 2,185 people have died after contracting the swine flu virus which has overtaken other viruses to become the most prevalent flu strain.

The scandalous promotion for H1N1 vaccines is dying naturally, so...

The scandalous promotion for H1N1 vaccines is dying naturally, so...

By Maggie Fox, Health and Science Editor

GAITHERSBURG, Md., July 23 - The U.S. Food and Drug Administration wants to help rush through approval of new vaccine to fight the pandemic H1N1 virus, promising to watch more closely than ever bad effects from the immunization, officials said on Thursday.
The FDA said it would help companies design ways to quickly test experimental versions of the vaccine, which experts say is likely to be given to people alongside the seasonal flu vaccine.

Getting a vaccine approved as soon as possible is important, the FDA's Dr. Wellington Sun told a committee of experts who advise the FDA on vaccine policy.
"Time is really not on our side," Sun said. "We have to prepare for the worst."
He noted that the companies making H1N1 swine flu vaccine had a proven track record of safety and had been making seasonal flu vaccines for the U.S. market for years.
But FDA's Dr. Hector Izurieta said the agency would watch carefully for what are called adverse events from vaccination.

"If something happens after vaccination, the vaccine will be accused," Izurieta told the meeting. "There will be many, many reports of things that could be, or not, associated with vaccination."

Five companies making H1N1 vaccine laid out their plans for testing various formulas for the U.S. market.
AstraZeneca's MedImmune unit,
Australia's CSL Ltd ,
GlaxoSmithKline Plc ,
Novartis AG and
Sanofi-Aventis SA all are making H1N1 vaccines.

LOWER YIELD
The U.S. Health and Human Services Department said it had bought 195 million doses of H1N1 swine flu vaccine for a possible autumn vaccination campaign, and the National Institutes of Health outlined its plan, announced on Wednesday, to start testing swine flu vaccines in people.

Dr. Robin Robinson of HHS predicted 160 million doses of vaccine could be ready for the U.S. public in October.

Most of the vaccine makers are struggling to make the swine flu vaccine because they get a yield of 30 percent from H1N1 compared to seasonal flu vaccine strains, Dr. Jerry Weir, the FDA's director of the division of viral products told the meeting.

This means makers may end up with fewer doses than expected to fight the pandemic strain. But MedImmune's Dr. Raburn Mallory said his company was getting a better vaccine yield than other companies -- and could make more vaccine than it could put into spray bottles to deliver.

MedImmune's FluMist uses a live, weakened virus that is sprayed into the nose.

MedImmune's Ben Machielse told Reuters the company could make 200 million doses of bulk vaccine but only had 40 million sprayers.

GlaxoSmithKline's Dr. Bruce Innes told the meeting his company would test a vaccine with and without adjuvant -- a compound that stimulates the body's response to the vaccine -- while Dr. Theodore Tsai of Novartis said tests on 3,000 young children showed no bad side-effects from its seasonal flu vaccine with adjuvant.

H1N1 flu, first identified in March, spread globally in a matter of weeks to cause the first pandemic of the 21st century. It is still causing illness globally, including in the Southern Hemisphere, which is in its winter influenza season.

While it is about as bad as a moderate seasonal flu, it is attacking younger people than seasonal flu usually does. Seasonal influenza kills between 250,000 and 500,000 people globally in an average year.

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Forewarned is forearmed:premature death under the hands of 'sick'care systems in the country. Unlike many of its predecessors, "Hippocraic Oaths": Medicine and its Discontents, on the ills of present medicine is not so much a polemic as a balanced and highly personal search for the reasons why a profession that has achieved so much for the benefits of patients during my lifetime is now at such a low ebb.

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I concentrate much of my attention on the rise of consumerism and with it the inexorable rise of political interference and control in matters which i see as best belonging to the profession.

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This blogger knows his subject intimately, writes beautifully and is very very angry.

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As a doctor, it is not often that I read as clear and thoughtful an analysis of the medical profession and the National Health Service as that given in this blog . . . a brilliant analysis of modern medicine.

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ECHINACEA - From Snake Oil to Modern Medicine

Echinacea is also known as purple coneflower.

The Native Americans - 'Indians' who first embraced the healing power of echinacea. They used echinacea internally as a treatment for colds, measles, mumps, and arthritis. As an external poultice they applied it to wounds, insect bites, stings and even snakebites.

Later date, white settlers arrived, then employed their pioneer mentality and soon adopted echinacea as their own.

Indeed, one travelling salesman of patent medicine, a doctor Meyer used it in his 'Meyer's Blood Purifier'. He claimed this medicine to be 'an absolute cure' for rattlesnake bite, blood poisoning and we may guess 'whatever else ails you'. It was claims like this that gave patent medicines the term 'snake oil'.

The medical establishment of the 1870s was understandably sceptical
of such medicine and their claims.
Dr Meyer was so confident of echinacea's capacity to protect against rattlesnake bite that he offered to let a rattlesnake bite him in another doctor's presence and then use his 'Blood Purifier' to cure him. Dr Meyer was not taken up on his offer but soon echinacea had been taken up by the establishment as a medicine.

The same is happening to water-cure protocol formula: not many doctors wanted to teach the public about it's proven claims that water cured may incurable diseases where drugs approach had failed.

Echinacea is useful in treating wounds, venomous bites and stings, blood poisoning, meningitis, chicken pox, malaria, influenza, syphilis and gangrene. (Source: M.Castleman, The Healing Herbs, Bookman, Melbourne,1991)

Echinacea enjoyed a prized place in medicine for some time which only waned with the advent of antibiotics in the 1930s.
In the late 20th and early 21st centuries, echinacea has made a comeback. This plant is certainly effective in boosting the body immune system and is a useful healing tool.

Healing with Echinacea

Its benefits for humans are varied and impressive. It decrease the amount of colds caught and also to have the effect of making symptoms that do appear less severe and shorter in duration.

One study of 80 adults found that echinacea shortened cold duration by 33 per cent. (Source: B.Schulten et al., Arzneimittel-forschung Drug Research, 51(7), 2001,pp.563-68.)

The effects of echinacea on the common cold are due to a twofold action.
1.In the first place, echinacea boosts your body immunity so it is better able to deal with infection. Echinacea does this by stimulating the release of certain chemicals, such as interferon, which get your immune system going.

So effective is echinacea at doing this that it has even been shown to reduce the incidence of leukaemia in mice. I know we humans are not mice, hence the detractors downplay this study. I wonder what those same drug manufacturers used in their drug experiments and studies prior to their synthetic drugs can be approved for human consumption? (Source:I.Hayashi et al., Nihon Rinsho Meneki Gakkai Kaishi, 24(1), February 2001,pp.10-20.)

Echinacea also stimulates various cells of your immune system. In net effect then, echinacea gets your body as ready as it can be to defend against infection and it also goes a step further in warding off disease.

This herb is safer and more effective than the World Health Organisation's approved Tamiflu (proven not effective )vaccine/drug for the H1N1 pandemic.

2.Echinacea has the valuable capacity to restrict the activity of viruses. This is an unusual quality, which echinacea achieves by blocking the release of a substance known as hyaluronidase.

It is this hyaluronidase that viruses use to cut out the highways and byways by which they move about your body and spread their infection. Echinacea then is a very viable treatment for the common cold or flu since viruses cause a majority of these conditions.

One particular species of echinacea (Echinacea angustifolia ) also appears to have a mild antibiotic effect, which is capable of directly killing bacteria such as golden staph (Staphylococcus aureus ).(ource: A.Menograph Alternative Medicine Book, 6(4), August 2001, pp. 411-14)

For one moment, it is worth considering claims made in some quarters that a lot of echinacea's effect may arise from a placebo effect because people taking it expect it to work. How about Tamiflu,then? As we know, the human mind does play an undeniable role in the body's physical responses but it only takes a quick look at one study to demonstrate that echinacea has a real physical effect.(Source: W.O'Neill, Equine Vet, 34(3), May 2002, pp. 222-27)

Horses were given echinacea for a period of 12 weeks. At the end of this time the horses had boosted levels of immune cells and the cells were more active. We can assume that the horses had no knowledge of what they were taking and no expectations that it would work. This will rule out the placebo effects, if there is any at all.
I challenge the Tamiflu promoters to try this same experiment on the horses and report their result.

Finally, since the immune system is also involved in wound healing, echinacea is very useful to help heal everything from cuts to burns and ulcers. (Source:R.Bauer et al., Economic and Medicinal Plant Research, 5, 1991, pp.253-321.)

As a final bonus, echinacea has also been shown to have antioxidant properties. (Source: B.D. Sloley et al., Journal of Pharmacy and Pharmacology, 53(6), June 2001, p.849-57.)

DOSAGE with echinacea is not a simple issue.

To begin with, there are three(3) species of echinacea that have the medicinal qualities outlined here. They are :
1. Echinacea angustifolia,
2. Echinacea purpurea, and
3. Echinacea pallida.

The root of the plant has traditionally been used medicinally although the flowers, stems and leaves (aerial portions) have also shown immune boosting properties.

Dosage is very different for the varying varieties available.

Echinacea root should be taken at a level of 500-1000 mg three times a day.

Dry, powered extract (standardised to 3.5 per cent echinacoside) should be taken at 300 mg three times per day.

The juice of the aerial portions of echinacea should be taken at 3-4 mls (3/4 to 1 teaspoon) three times a day.

Always look for a standardised product. On a long-term basis, take echinacea on a three-month rotation of two months on, one month off, two months on, etc.

Be aware that if you have an allergy to daisies, then you should use echinacea with caution as it is a member of he daisy family and may induce an allergic response.

Do check your daily water-quota requirement is met regularly. Many cases of allergies were due to chronic dehydration of the body. Use water-cure protocol formula then. You can find it in previous posts at Health Wealth blog here http://theinnozablog.blogspot.com

As echinacea can increase fever, do not take it during an active fever. Since enchinacea is an immune stimulant, caution should be used in combining it with immunosuppressive drugs (if you are taking them) such as corticosteroids, cyclo-sporine, amiodarone, methotrexate and ketoconazole.

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 http://theinnozablog.blogspot.com to friends again.

WARNING :before taking Tamiflu vaccine read this link
This article may save your life if you have the flu. http://www.brojon.org/frontpage/the_tamiflu_myth.html

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 holidays...you 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