Full disclosure: I'm not a doctor, I do have a medical background... but this is all pretty much common sense. Apply liberally.
There are a lot of people, globally, caught up in fear of the Swine Flu (H1N1). According to the World Health Organization, there have been 5,000 documented deaths caused by Swine Flu to date. That may seem like a lot, but let's put it into context with other diseases. In Trinidad and Tobago, the present deaths can be counted with fingers.
The CDC averages annual deaths from the seasonal flu in the United States alone is roughly 36,000. Really. Put into that context, how bad is the Swine Flu?
It's all in how you look at the figures.
But the popular reaction to the Swine Flu hasn't been that scientific, and it shouldn't be expected to be. It's a threat to the health gives an emotional response which can and should be capitalized on. How do you prevent the spread of the Swine Flu?
The very same way you're supposed to avoid spreading any disease. Wash your hands. Cover your mouth when you cough, cover your nose when you sneeze. Don't believe me? Check the Trinidad and Tobago Ministry of Health website, or any other website. It's all in plain view.
Did anyone really think it was possible that a country wouldn't have cases of the Swine Flu? I'm not saying that the deaths in Trinidad and Tobago weren't due to lack of proper care - I don't know - but what I am saying is that some deaths should be expected.
Why hasn't the media written something like this? I have no idea. It took me about 10 minutes to look up the statistics.
Prevention is as simple as what people should be teaching their children anyway.
As far as the medical system, or lack thereof, in Trinidad and Tobago - the first thing that should be asked for from the Ministry of Health are their statistics for deaths and causes of death - across the board. That it isn't on their website doesn't mean that it isn't available... though, having some insight in how medical institutions actually track such information in Trinidad and Tobago, we can expect the data to be questionable.
To put this even more into perspective: By the World Health Organization Statistics (XLS spreadsheet), Leprosy has accounted for 213,373 cases worldwide in 2007. Of those, 30 were in Trinidad and Tobago. Have you heard about those 30 cases? Unlikely. The statistics don't show whether people died of the cases, so lets agree that they didn't and the lepers are still running amok. Or would you prefer them dead?
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February 15, 2010 by On H1N1 in Trinidad and Tobago | KnowTnT.com (Beta) | Drakz (not verified), 28 weeks 4 days ago
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[...] original post here: On H1N1 in Trinidad and Tobago | KnowTnT.com (Beta) Share and [...]
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October 29, 2009 by Swine Flu: Sanitise our minds instead, MoH | KnowTnT.com (Be (not verified), 44 weeks 1 day ago
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[...] though children are more at risk from being killed by leptospirosis than swine flu, the general paranoia has left parents inclined to keep their children at home until they are sure [...]
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October 28, 2009 by On H1N1 in Trinidad and Tobago | KnowTnT.com (Beta) | H1N1SH (not verified), 44 weeks 1 day ago
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[...] a case for her to get a flu shot , except insofar as the risk she poses to … Read more: On H1N1 in Trinidad and Tobago | KnowTnT.com (Beta) Posted in H1N1 Shot Information, US H1N1 Shot Statistics. Tags: and-promptly, board, [...]
Naming it...
October 23, 2009 by Ian Ramjohn, 45 weeks 4 hours ago
Comment id: 27
As for naming the flu, it seems that "swine flu" is at least as good a name as H1N1 - or correctly A(H1N1). "Mexican flu" might have been the most accurate name. See this explanation (scroll down to the last question).
I called it "H1N1" to a virologist friend a couple weeks ago, and got a LONG explanation as to why it's not a good name for the virus.
I hear you.
October 23, 2009 by Taran Rampersad, 45 weeks 1 hour ago
Comment id: 29
Unfortunately, to disseminate the information, you have to call it what other people are calling it. But I didn't know... and it's cool that you did!
How many people have virologist friends? I need a few. :-)
Virologist friends...
October 23, 2009 by Ian Ramjohn, 45 weeks 28 min ago
Comment id: 31
If you comment at her blog she'll probably accept your friend request on Facebook. That counts as friendship these days, right? :)
Swine Flu Vaccine
October 23, 2009 by admin, 45 weeks 5 hours ago
Comment id: 25
is supposed to be coming for the second wave. Read about it here.
My own opinion is that influenza vaccines are typically for previous versions of the virus. While they're making the vaccine, the virus evolves in the wild. At $7 U.S. a vaccination, someone's making some money...
It only needs to be somewhat predictable
October 23, 2009 by Ian Ramjohn, 45 weeks 4 hours ago
Comment id: 26
From what I've read, I think flu vaccines work pretty well. They definitely reduce your chance of getting sick.
As far as virus evolution goes - they don't need to predict all of the antigens on the surface of the virus, just enough of them for your immune system to recognise them. So picking the prevalent ones from the end of the last flu season might well be enough to do the job.
As for $7 a dose? I think it's $25 a shot here...
Well, don't forget...
October 23, 2009 by Taran Rampersad, 45 weeks 1 hour ago
Comment id: 28
When you get an immunization for one shot, it effectively decreases your bodies ability to handle other diseases for the period where it is building the immunity.
And as far as the antigens - yes and no. If it were true, then people who got the flu before would never, ever get it again. But they do. Why? the mutation.
I'm not saying that flu vaccinations don't work. I am saying that there doesn't seem to be sufficient evidence that they do work. Myself? I haven't had a flu shot since 1996 (which I administered myself). I haven't been sick more than once a year, sometimes going more than one year without being ill (longest stretch, 3 years). Maybe I'm just a resistant sort of person, but... I'm also not selling influenza vaccinations. ;-)
Flu vaccines...
October 23, 2009 by Ian Ramjohn, 45 weeks 31 min ago
Comment id: 30
I've never had a flu vaccine. And I'm pretty sure I haven't had flu any time in the last 25 years or so. I've had a variety of colds (fewer than most people, and I usually don't get as sick as most people), but not influenza. But that's no an argument against the vaccine. After all, my risk of getting seasonal flu has got to be relatively low - I don't spend a lot of time around children (undergrad, yes, but even they are usual at a safe distance, especially when they're sick), I'm not a child, I'm not elderly. And, for me, I can really only count 12 of those 25 years as "not getting the flu", since the other 13 were spent in Trinidad, where the risk of seasonal flu is much lower. (Of course, Trinidadians call colds "the flu". But that's a different matter.)
The CDC says you get a 70-90% reduction in risk with a flu vaccine. Granted, reduction in risk isn't exactly the easiest thing to measure. And, of course, there is the risk of getting sick just after you get vaccinated. My wife (who, as a school teacher, is one of the people who really should get vaccinated) has gotten a flu shot twice in the last five years, and promptly got sick. It's hard to make a case for her to get a flu shot, except insofar as the risk she poses to others. If she worked with little kids or elderly people, it would be irresponsible not to get the shot. Working with high schoolers it's less clear-cut. But she's in a school with over 2000 students, and there are times when she has to negotiate the crowded halls between classes, or supervise the cafeteria.
Anyway, I don't remember what my point was, and now I'm just rambling... :)
New multi-strain flu vaccine being tested in UK
October 23, 2009 by Edmund Gall, 44 weeks 6 days ago
Comment id: 32
A new multi-strain flu vaccine is being tested at Oxford. As you (or Taran) said above, he current vaccines react to the proteins on the surface of the virus, which are prone to mutation. This new vaccine is targetting the proteins inside the vius,which re mo in common aross multiple strains.
See http://news.bbc.co.uk/1/hi/health/7577501.stm
Whoa
October 23, 2009 by Taran Rampersad, 44 weeks 6 days ago
Comment id: 34
Now that's a brilliant find... and would remove some of my doubt on the mutation. And it's a year old. I wonder how far they got with it.
Cool
October 23, 2009 by Ian Ramjohn, 44 weeks 6 days ago
Comment id: 33
Very cool. Looks interesting.
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October 23, 2009 by Global Voices Online » Jamaica, Trinidad & (not verified), 45 weeks 7 hours ago
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[...] KnowTnT.com and Jamaica's Girl With a Purpose blog about the H1N1 virus in their respective countries, Cancel this reply [...]