New Powers for Medical Health Officers over Swine Flu

I should have seen this one coming from a mile away. While a lot of people still have their heads in the sand, the New Zealand Government have made Swine Flu a notifiable disease. In itself, that just makes sense, but in fact according to a NZ Herald story this morning, this means that they have authority to demand that people isolate themselves at home, or face fines or mandatory isolation in hospital or worse. 

There are many things to start thinking now, even if you still think it won’t happen to you. If you are isolated at home, do you have everything you need for at least a week? Will this mean that your family that lives with you or your flatmates will also have to stay home too? After all they will be at a higher risk of also getting infected. So if your whole house is quarantined, how do you get your basic supplies like bread and milk?

If pundits are right and it effects up to 60% of the population, or even only 10% are isolated, what happens to business? Grocery stores and other retailers who are in spittle distance of their customers will be at high risk because they are dealing with large volumes of people all day.

The schools represent a high risk, they have always helped spread illnesses, if one child has the measles, flu or any other contagious disease, it is a given that several others will also get it.

If people disobey the isolation requirements, then there are even greater risks, because this group will very likely carry the virus, so I have no problem with the mandate. However, the risk of people not obeying the rules is also high. In today’s economy, people don’t want to risk losing their jobs and many will continue to work because they need the money. In my office for example, staff get 5 days of sick leave a year, which is pretty easy to bite into if you have a flu or cold. There are people who will therefore have no sick leave, or not enough available and don’t want to use their holidays, but can’t afford to be sick without leave, so for as long as they can, they will continue to work.

Schools have been given detailed instructions on what to do in the case of an outbreak, including hygiene instructions, but in my opinion, most businesses are thinking that Bird Flu went nowhere and Swine Flu will do the same, so they aren’t taking precautions and they don’t have contingency plans should a large group of staff fall ill. The air conditioning systems will do a good job of spreading the virus, and some businesses may have to cease trading for several weeks, because while the illness might be gone in 7 days or so, people won’t be considerate enough to all catch the Swine Flu at the same time. 

Of course they could go to a Swine Flu Party. What sort of idiots would do something like that? Well it appears they are, using the same rationale that moms use when their friends children have chicken pox, “Let’s get it over with now”. The problem with Swine Flu is that unlike traditional flu, the virus has no respect for age or health and is capable of killing people of all ages and of course the domino effect would hasten the spread of this nasty illness. 

The new powers aren’t just a NZ initiative however, the same is occuring around the world, in Australia, Mexico of course and most other countries are now drafting legislation that will help them try to fight this problem.

So, are you ready? Do you still think it won’t happen to you, your friends or family, or perhaps your work mates? How prepared are you?

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Japan closes 4,000 schools to protect them from Swine Flu

Japan has always been very sensitive to protecting people from viruses. In the western world we have been looking at masks from the perspective of keeping ourselves safe from others. When I visited Tokyo for the first time I asked about the people I saw wearing face masks and found that this is normal practice for people who have a respiratory illness such as a cold or flu, so that they could continue to work and go out while protecting other people from their germs. In NZ we don’t look at it that way, if we share our germs, its just tough luck for the recipient. 

Of course one of the problems in Japan is shear numbers of people, not dissimilar to Mexico City. I used to stay in Shinjuku and would regularly catch local trains to get around Tokyo City. Shinjuku station serves over 1 million people a day, the first time I visited Tokyo they still had men with white gloves, pushing people onto the trains to make way for more.

Today I read an announcement that Japan had closed over 4,000 schools and kindergartens as around 170 confirmed cases of Swine Flu had been found around Kobe and Osaka. It seems that there are as yet no confirmed cases in Tokyo and of course authorities are hoping that they can contain it, although chances are it has already been rushed in by bullet train.

In the meantime, downunder, it is as if it’s all over, and people are starting to think that it was all overhyped and just another case of bird flu, where there was a brief panic followed by nothing. 

It seems that there is so much confusion about Swine Flu that it makes it very difficult for the average Joe Citizen to know what to think. On one hand we hear stories that it may be more infectious than we thought, while on the other hand scientists are postulating that it is quite weak.   

Traditionally the influenza virus targets babies and elederly people, both groups having weakened immunity and comparisons with the 1918-19 flu epidemic stop here, because the Swine Flu is killing people of all ages and seems to particularly attack people in the 25-40 age group. Noone knows why that is at this stage, but it is certainly another reason why people should be more vigilent, especially given that this is probably the age group that does the most international travelling and therefore more likely to either catch the virus, or to be carriers.

As a footnote, some people are thinking that because WHO hasn’t raised the alert to Phase 6, it can’t be too serious yet. The official move to Phase 6, which is specified as a pandemic is only based on the number of countries that it has been found in, not the severity of the illness. Officially a pandemic is when the disease is global, but given that it has now been found in 40 countries, many countries are asking WHO to announce it as a pandemic now.

While this blog is starting to get a good following, I would love to get more readers and encouraging me to keep writing. If you feel that my blog is interesting I would be very grateful if you would vote for me in the category of best blog at the NetGuide Web Awards. Note that the form starts each site with www whereas my blog doesn’t and is of course https://luigicappel.wordpress.com.

Thanks so much for your support:)

Should we be so quick to dispense Tamiflu?

As the Swine Flu progresses to Level 5 on the 6 point WHO Pandemic scale, in New Zealand they have decided to sell Tamiflu from Pharmacies to anyone that goes in and shows symptoms, without having to see a doctor. I’m not sure if that is a good thing or not, because it is likely that the majority of people who buy and use it won’t have the virus.

The biggest concern being expressed about this is that mass use of vaccines can encourage viruses to mutate and evolve into strains which resist vaccines and antibiotics. It seems to me that as it travels around the world it will evolve anyway, but why give it a helping hand. I just hope that there isn’t a rush on it so that people who do need it can’t get it. Tonight’s TV News did say that there was only a small increase in demand for Tamiflu. 

It’s funny watching the news on CNN and other international (read American) TV channels, who seem to almost forget about New Zealand, because early on we were one of the countries that had early exposure in fairly large numbers. Even in the last couple of days, more people have gone into quarantine, now around 500, and we are now in a situation where we actually know people who are in quarantine. It’s no longer 6 points removed.

Mexico is obviously the place that is mostly in the news, and lets hope that their plans for a 5 day national shut down will help contain things until people are no longer contagious.

According to the Google Swine Flu map, the density of infection in the countries where they have confirmed cases, is growing fast. Spain is one of the biggest outside of the US and Mexico for obvious reasons. Switzerland and The Netherlands are the latest countries to get hit.

I was watching the news last night and they were saying that they were lucky that it is spring because viruses don’t spread as much when it is warm, but of course down here in New Zealand it is cooling down and we are heading into the flu season, so it could be potentially worse here. 

Please participate in my poll. Do you know anyone who has been quarantined? It would be really interesting to see how this progresses. The feeling of it won’t happen to me may dissapear as we get to a point where we either know someone or are only 1 place removed. 

While this blog is starting to get a good following, I would love to get more readers and encouraging me to keep writing. If you feel that my blog is interesting I would be very grateful if you would vote for me in the category of best blog at the NetGuide Web Awards. Note that the form starts each site with www whereas my blog doesn’t and is of course https://luigicappel.wordpress.com.

Thanks so much for your support:)

The Swine Flu isn’t going away any time soon

So the story continues. It seems a long time ago (Monday of this week!) when I asked the question, Is the Swine Flu going to be a pandemic? Well on level 4 indicating a significant increased risk of a pandemic, a global outbreak of a serious disease.  It isn’t yet a Pandemic, but it doesn’t show any signs of abating. As it appears that secondary transmission of human to human may now be occurring, a Reuters story says that they may soon raise to Level 5.

Another Reuters story also mentions that many countries have imposed a ban on US pork imports, this could lead to similar bans on pork exports from all countries where Swine Flu has been confirmed. This is despite WHO announcing that you can not catch A/N1H1  Swine Flu from eating pork, and in fact there is no evidence of pigs in Mexico or the USA being sick. There is conjecture that they may have captured the virus from Asian birds, possibly imported into Mexico, but the mystery is if the pigs aren’t sick, how is it that humans have caught it from them. It’s no wonder that conspiracy theories abound, while we have no real answers. A team of WHO specialists are now in Mexico trying to unravel this mystery.

On Tuesday I commented that Swine Flu is a bit close to home as New Zealand is one of the early significant areas where Swine Flu was strongly suspected to exist. This was confirmed yesterday and 360 odd passengers on Air New Zealand Flight 1 from Los Angeles were asked to quarantine themselves.

On Wednesday I blogged about how to get Swine Flu and within 24 hours most large corporates had emailed their staff with instructions about personal hygiene and how to minimise the risk of infection. Whether people are concerned or not is difficult to gauge and I suspect a lot of people are still thinking, this wil never happen to me. Despite this 2 hours ago the number of confirmed infected was increased to 14 and the suspect list includes an additional 56  people according to New Zealand’s TV3 News.

According to the Google Swine Flu Map the Kiwi’s affected are spread from Auckland in the North Island to Otago deep into the South Island. They of course had to use confined public transport to get there, so it is likely they may have spread the virus further.

One question I have is why have people died in Mexico but not in other countries. It also seems that the symptoms have been worse for people in Mexico. One theory is that it is attenuating as it spreads from one person to the other and weakening in the process. This could explain why the people in Mexico, including expats, have suffered far more than people in other countries, although this ios contraindicated by the fact that most if not all of those in New Zealand contracted the virus whilst personally in Mexico. There have been a very small number of people suspected to have Swine Flu who had not been to Mexico, but had been on flights together with people who have been confirmed as having Swine Flu. I have yet to hear of anyone who has been confirmed with the virus who were noton a flight with people who had been to Mexico or hadn’t been to Mexico themselves.

There are still some unsolved mysteries and it is the secondary nature of the spread of this virus that holds the greatest risk of a pandemic.

While this blog is starting to get a good following, I would love to get more readers and encouraging me to keep writing. If you feel that my blog is interesting I would be very grateful if you would vote for me in the category of best blog at the NetGuide Web Awards. Note that the form starts each site with www whereas my blog doesn’t and is of course https://luigicappel.wordpress.com.

Thanks so much for your support:)

And please do leave a comment!