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Old 06-July-2006, 11:20 PM
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Default Avian Flu--What is the deal?

What is the consensus regarding the possibility the Avian Flu will morph into an all out human to human pandemic killing millions of people? It appears to me, the media bandwagon has vacilitated each week as to whether to make it a topic of high importance or not. Not many of the common folk I run around with do not seem to make it their top concern. In this world of knowledge, I would appreciate your enlightment on this subject. Is this a conspiracy or something we should all be ready for...or can we even be? As I am the neophyte in this realm, my eyes are in need of enlightening.
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Old 07-July-2006, 12:15 AM
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Forgive the newbie. I should have checked the search engine for previous threads regarding avian flu before I wrote this one. Still responses are welcome.
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Old 07-July-2006, 12:47 PM
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The reason for the concern is that a lethal virus (H5N1) jumped from birds to humans (and cats apparantly). As the virus is new to mammals we have little defense against it, I believe that currently the virus has a fatality rate of around 50% in humans. Thankfully the virus is currently unable to transmit from person to person, thus limiting exposure to bird-->human, but if the virus mutates while in a human host to be able to transmit human to human then we are on the verge of a pandemic that could kill millions. That doesn't mean that it is guaranteed to happen, but the possibility is such that any outbreak of H5N1 in birds or people is taken very seriously.

The World Health Organization is the key group responsible for monitoring the Avian Flu situation, you can find a lot of good information on their website.
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Old 07-July-2006, 01:02 PM
Ronald Brak Ronald Brak is offline
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I think the vast majority of humanity is likely to be safe from bird flu. One of the reasons I think this is because there are a great number of talented people working hard to make it so.
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Old 07-July-2006, 01:24 PM
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The most powerful preventive measure for bird flu [or any other flu, for that matter] is: wash your hands. That simple measure can cut the contamination likeliness by 90%.
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Old 07-July-2006, 02:03 PM
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This is a World Health Organization FAQ about Avian flu.
Quote:
How serious is the current pandemic risk?

The risk of pandemic influenza is serious. With the H5N1 virus now firmly entrenched in large parts of Asia, the risk that more human cases will occur will persist. Each additional human case gives the virus an opportunity to improve its transmissibility in humans, and thus develop into a pandemic strain. The recent spread of the virus to poultry and wild birds in new areas further broadens opportunities for human cases to occur. While neither the timing nor the severity of the next pandemic can be predicted, the probability that a pandemic will occur has increased.
and

Quote:
The severity of disease and the number of deaths caused by a pandemic virus vary greatly, and cannot be known prior to the emergence of the virus. During past pandemics, attack rates reached 25-35% of the total population. Under the best circumstances, assuming that the new virus causes mild disease, the world could still experience an estimated 2 million to 7.4 million deaths (projected from data obtained during the 1957 pandemic). Projections for a more virulent virus are much higher. The 1918 pandemic, which was exceptional, killed at least 40 million people. In the USA, the mortality rate during that pandemic was around 2.5%.
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Old 07-July-2006, 02:06 PM
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Quote:
Originally Posted by Argos
The most powerful preventive measure for bird flu [or any other flu, for that matter] is: wash your hands. That simple measure can cut the contamination likeliness by 90%.
Interesting, I always thought that most people are infected with influenza via the air not by touch.
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Old 07-July-2006, 06:28 PM
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Yeah, any close contact will do. But people generally underestimate the benefit of keeping hands clean.
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Old 07-July-2006, 07:28 PM
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Since influenza is a virus, it doesn't live long outside a host. However, when you touch your mucous membranes, you may be scooping up virus a-plenty fresh.
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Old 07-July-2006, 07:37 PM
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Isn't it true also, that if/and when it mutates to a human-to-human virus, it may by then also undergo mutations that make it far less deadly?

Or maybe far more deadly? (Though it would be bad form for a virus to be so deadly as to wipe out it's host).
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Old 08-July-2006, 02:06 AM
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It may; that's the thing. We don't know what mutations will or will not happen. We do know, however, that it's better to be prepared than to not. Odds are very good a pandemic will hit us eventually. We just don't know if H5N1 will be it.
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Old 08-July-2006, 02:02 PM
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Quote:
Originally Posted by Gillianren
Since influenza is a virus, it doesn't live long outside a host. However, when you touch your mucous membranes, you may be scooping up virus a-plenty fresh.
I´d say that a virus is inactive or inert, if you will, in the absence of a host. Some viruses [not sure about flu] can 'live' [I mean, keep their molecular integrity] long enough outside a host and still pose a threat, like the hepatitis A and B viruses.
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Old 14-July-2006, 09:53 PM
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Quote:
Originally Posted by Argos
The most powerful preventive measure for bird flu [or any other flu, for that matter] is: wash your hands. That simple measure can cut the contamination likeliness by 90%.
Bingo!

That, combined with not picking one's nose (except after one has washed his/her hands thoroughly), reduce the likelihood of cross-contamination by more like 96%.

That's a 20x reduction.

That's hugely significant, and could easily reduce the number of projected long-term deaths from 50 Million to 2.5 Million
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Old 14-July-2006, 10:17 PM
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Quote:
Originally Posted by mugaliens
Bingo!

That, combined with not picking one's nose (except after one has washed his/her hands thoroughly), reduce the likelihood of cross-contamination by more like 96%.
I would hope the person who picked their nose washes their hands after their little excavation. Who wants snot matter all over the place?
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Old 15-July-2006, 01:02 AM
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Now that I know if I don't pick my nose, the chances of getting the Avian Flu have drastically diminished relieves me. Hmmm.

Is it possible to genetically engineer a less virulent form of the strain of H5N1 and spread it similarly to a weakened innoculation? Would this not prevent casualties?

Per a "professional friend' I am certain I don't wish my self or loved ones to die like this young boy did: a 3-year-old symptomatic male
Admitted to Pediatric ward 17/05/97 (Day 1) from the Emergency department.
Previously healthy. Sore throat, rhinorrhoea, and dry cough one week prior to admission. Fever four days prior to admission. Examination - Alert, febrile, no respiratory distress. Lung auscultation - decreased breath sounds and crepitations in R lung base.
Complete blood count - WBC 4700/microL, Platelets 62 000/microL Blood culture - negative Sputum culture - nil of note Viral titre - nil of note
Diagnosis of atypical pneumonia - Clarythromycin orally.
Following day - haemoptysis. Cefotaxime added. In evening cough, increasing respiratory rate and distress and hypoxia despite oxygen therapy.

Admitted to ICU on 18/05/97 (Day 2).
Mechanical ventilation for hypoxia 6 h after admission. Clinical R lower and middle lobe crepitations and audible "rub". Rapid deterioration over next 3 days with ARDS, multiple organ dysfunction.
Upper gastrointestinal bleeding. Worsening ARDS requiring prone position ventilation
Died 21/05/97. cause of death intractable respiratory failure (hypoxia).
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Old 15-July-2006, 04:16 AM
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"Now that I know if I don't pick my nose, the chances of getting the Avian Flu have drastically diminished relieves me. Hmmm."



Is it possible to genetically engineer a less virulent form of the strain of H5N1 and spread it similarly to a weakened innoculation? Would this not prevent casualties?

Possibly, I'm not in that field so I can't give a professional opinion.

IMHO, however, I would be concerned that this engineered strain would become the very human-spreadable virus we're trying to avoid. Flu vaccines as they stand now are not 100% effective and cause adverse reactions in some people. They also have to be "re-built" every flu season to compensate for mutation, so an "initial round" AF vaccine may be rendered ineffective should the virus mutate.

The most powerful preventive measure for bird flu...is: wash your hands. That simple measure can cut the contamination likeliness by 90%.

Where I work (major hotel chain--we're in contact with lots of people all the time) there are signs everywhere compelling you to wash your hands. Yet some people still choose to not wash, even after sneezing or coughing on said hands. Then they touch the same computer, desk, or paperwork everyone else does.

[Edit: Woo-hoo! Post 30: I've now graduated from the Junior Member class!]
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Old 15-July-2006, 01:32 PM
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It´s interesting that even if don´t inhale the "cloud" sprayed by one´s sneeze, the droplets containing the virus can land on your skin (arms, face) if you go through the cloud. So, you can infect yourself later, as well as others. Hence the importance of washing upper limbs and face.
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Old 15-July-2006, 08:41 PM
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Quote:
Originally Posted by Argos
The most powerful preventive measure for bird flu [or any other flu, for that matter] is: wash your hands. That simple measure can cut the contamination likeliness by 90%.
Actually Argos, H5N1 works a little bit differently from other forms of influenza. Not that hand washing before you eat is a bad idea. Other forms of the flu still kill about 2 million people a year worldwide. What makes H5N1 so deadly and different from other forms is it doesn't infect the upper respiratory tract and upper lungs, thus making it hard to catch. BUT unlike the other forms of the flu it attacks the lower lungs, which causes all kinds of lethal complications. (Its just harder for it to reach down that far.) That 50% death rate is with hospitalization. Untreated victims are pretty much hosed.

Children tend to be the main victims because of their habit of picking up pets including pet chickens and nuzzling them. This drives the pathogens deep into the lungs where the virus attachs to specific cell types.The other victims tend to be in crowded coops that have a lot of dander in them thus facilitating the inhalation of the virons deep into the lungs. Also there is very strong evidence that eating undercooked or raw infected poultry is another important route of infection. Hand washing does is no good there either.

Just so you know.

BD
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Old 16-July-2006, 12:35 AM
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So the best preventative care we have at this time is to:

1. Religiously wash one's hands after contact with others.

2. Religiously wash one's hand prior to contact with others.

3. Ensure governmental agencies are empowered to derive a viable vaccine which is effective in preventing the spread of this virus among the human population.
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Old 16-July-2006, 02:14 AM
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Yet is overwashing our hands truly a good idea. I believe on one of the network news programs I heard that a little dirt or germs may actually be beneficial...that in fact if we "overclean" ourselves we may become more susceptible to harsh strains of infections, because of an over sterile enviroment? (I realize that now I am asking a query beyond Avian Flu.) Is this true or a myth?

By the way if the relief effort to Hurricane Katrina by FEMA is any indication in regards to the Avian Flu, of the effectiveness of the Feds to meet the needs of the populace, how can I be certain they will be able to provide a vaccine in time to safely protect the population? Or will we as a nation be selectively triaged? What will the factors for determining who is protected and who is not? Sounds like the lifeboat exercise we practiced in Junior High. Who is shoved out first, and who can stay in the boat?
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