Recalling the 1976 Swine Flu Debacle

In the history of the United States, this is not the first time that the country is experiencing a swine flu outbreak. The first recorded incident of H1N1 infection in the US was recorded on January 27, 1976, when there was a small outbreak of mild respiratory illnesses took place at Fort Dix Army Base in New Jersey.

According to throat cultures obtained from sick soldiers, each of the patients were infected by “swine-like flu virus” which have been unknown to humans since 1930. It was believed that the same virus was also responsible for the worst flu pandemic in the United States in 1918-1919 which led to the death of half a million Americans.

To many people, the discovery of the 1976 was more of a debacle than a victory because after only 10 weeks of implementation, vaccination efforts came to a premature close as the program led to complications which were associated to the shots.

After the death of Private David Lewis after participating in a forced five-mile march the night before his demise, Dr. David Sencer and his colleagues attributed the death to strains of swine-like flu virus. Upon the advice of specialists across the United States, Dr. Sencer called on then President Gerald Ford to launch a nationwide mass inoculation.

President Ford and the US Congress heeded the call and in October implemented the $137-million National Inoculation Program. However, after only several days of implementation, there were reports that the vaccine being used for the program made the patients prone to Guillain-Barre Syndrome, a rare neurological disorder which results to temporary paralysis but could be risky.

Prior to its premature end in December 1976, the vaccine was administered to over 40 million Americans comprising almost 25% of the population. From the over 500 people who experienced Guillain-Barre Syndrome after vaccine administration, 25 people died. As a result, the Federal Government paid millions worth of damages to the families of the victims.

Meanwhile, the epidemic which some experts predicted would affect 50 to 60 million Americans during that time never happened. According to the Center for Disease Control, there were only 200 confirmed cases and one death.

It is understandable why the current H1N1 outbreak has been a source of anxiety for the public who recalls the 1976 event. It serves as a lesson for the government and health officials who needs to make a decision on the current swine flu in the days and weeks to come.

Dr. David Sencer, who is now retired and resides in Atlanta, believes that the 1976 debacle brought good things as well as bad. The belief that the 1918-19 flu epidemic resulted from swine-like virus partly contributed to the 1976 setback.

Although current studies have shown that the cause of the epidemic was bird flu, it did not ease the current anxiety prevailing in the public. The 1918-19 epidemic led to the death of 500,000 people in the United States and more than 50 million worldwide.

In Mexico, where the 2009 swine flu outbreak, originated, 22 people have died from the most recent outbreak. Government officials have been under fire for the way they have handled the situation. However, with such a mystery surrounding the threat, Dr. Peter Katona, who is an authority on infectious disease from UCLA, believes that people have failed to understand the challenges posed by such problem.

Flu and Cold in Children

Flu and cold usually accompany each other when attacking a childs immune system. It is a wide spread viral infection and the harsh truth is that there is no permanent treatment designed for it because of the involvement of many types of viruses which cannot be killed, but yes their growth rate can be suppressed. Symptomatic treatments can trigger the rate of improvement in the childs health, but it might not work for all kids.

The child can get affected by the flu and cold virus when he is exposed to an infected person. The symptoms are mild headache, feeling of tiredness, stuffy or runny nose, watery eyes, light fever, sneezing, cough, muscle aches, and sore throat. It takes two to five days for the symptoms to appear and three to five days for the complete development of the virus. It takes nearly two weeks to completely get rid of the flu. The virus attacks the upper respiratory system. These are the symptoms of cold. The symptoms of flu are more terrible than cold and grow very rapidly. They are high fever, runny nose, sore throat, nasal congestion, chills, fatigue and nausea, vomiting, eye pain and extreme headache. Symptoms are extremely important when trying to differentiate between flu and a cold. As stated before, the symptoms of flu are more severe when compared to the symptoms of cold. Also, it is easier to get over cold than flu. The biggest clue will be recalling any incident of exposure to patients having either flu or cold. Even after thorough analysis, if it is difficult to reach any clear conclusion, a doctor should be consulted. A swab is taken from the nasal track or throat and the results are determined an hour after the test is taken.

No antibiotics work on these viruses. Intake of antibiotics cannot better the condition in any way whatsoever. Also, there are chances of secondary bacterial infections like sinus or ear infection. The child should be administered with fluids and a cool mist humidifier to suppress the symptoms and to help him feel better. Medications are available over the counter which can be bought depending on the symptoms of the infected. Antiviral medicines are available for the treatment of flu, which hasten the recovery process. But the medicines are effective only when given within forty eight hours after the onset of flu symptoms. Runny nose, especially of infants and kids who cannot blow their nose, can be taken care of with the help of a bulb syringe or nasal drop. If flu isnt treated at the right time, it can worsen the health of the infected and can also lead to pneumonia.

Flu is a very commonly spreading infection among school going kids. According to a research, nearly twenty percent of Americans are infected with flu every year and nearly twenty thousand people die because of it. The only way to prevent the child from contracting these virus is by getting him/her a flu shot before the flu season or as recommended by the physician. The vaccine is either administered through a shot or nasal spray. Regular dosage will strengthen the immune system by constructing antibodies. The nasal spray vaccine contains live weakened viruses and shots contain completely dead viruses. By any chance, if the child does get exposed to the virus, he/she should be given medicine meant for flu patients, immediately. More than hundred viruses are known which cause cold. A lesser number of viruses are known to causes flu. That is the reason why there is a shot for flu and not cold.

But flu shot cannot be taken by anyone or everyone. People who complain of allergic reactions from previous flu shots, people who have the Guillain-Barre syndrome and people allergic to eggs are not eligible for flu shots. It is highly recommended to take advice from a physician before getting vaccinated. Children and elderly should be given nasal spray vaccination, but instead they should opt for flu shots. Out of total population, there are certain people who have a greater probability of getting flu. Children up to five years of age, elders older than sixty five years, nursing home residents, pregnant women, patients with long term problems regarding health, and health care workers who come directly in contact with flu patients.

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Common Cold in Children

Common Cold is caused because of upper respiratory system infection due to cold virus. This infection affects parts such as ears, nose and throat. There are about two hundred known viruses which are responsible for common cold, out of which rhinovirus is the most common. Because of this great number of viruses, there isnt any shot or vaccination available which helps in preventing cold. The best solution to the cold is human body immune system. Majority of a childs visit to the doctor will be because of cold. According to an estimate, a child catches cold nearly eight times in a year and each time it last up to a week or so.

Cold viruses usually spread by sneeze or cough from the infected person. The wet and slimy substance inside the nose, called mucus, is the carrier of the virus. When a person cough or sneeze, the mucus drops come out of the mouth and when other persons breaths in these droplets they catch cold. Cold can also spread by handling of contaminated stuffs like towel, door knobs, school desk, etc. If a person touches a contaminated towel and then touches his nose or eyes, there is a great chance of getting an infection. Therefore, it is a good habit to wash the hands regularly and keep them germ-free.

The cold viruses have docking points which helps it to stick to the interior of the nose. It then controls the noses cell lining and begins to multiply into more viruses. White cells are responsible to fight these viruses inside the nose. They even kill them and finally get victory after seven days. Sneeze and runny nose actually prevent the viruses to affect the rest of the body parts. A person sneezes when the nerves inside the nose detect irritation and take the help of the lungs to push them out by letting out a blast of air through the mouth and the nose. The air, while sneezing, comes out at the speed of hundred miles per hour faster than cars on the road.

Once the child contracts cold viruses, they take two to three days to develop and show symptoms. There are many symptoms of cold. The child becomes cranky. He will complain of headache, blocked nose, cough, sneeze, sore throat, muscle ache, nasal cavity congestion and will become exhausted. Low fever can also accompany, along with body chills. Medicines do not speed up the process of healing as the viruses complete their cycle irrespective of the intake. But they do suppress further growth and make the child feel better.

Children shouldnt take any medicines on their own, thinking that its just a cold. Parents should supervise the dosage and medicine being taken. And in turn, the parents should follow a doctors prescription. Decongestants help to decrease the wise of the swollen nose lining, which makes breathing easier. Antihistamines help to dry the mucus and stops sneezes and runny noses. Ibuprofen and acetaminophen can be given if the child is experiencing headache and muscle ache.

At home, parents should give hot food and drink to the child as they help to soothe soar throats and coughs. The heat also clears up the mucus. Chicken soup is an age old remedy for common cold. Steamy showers are another good option as they help with stuffy nose. Itchy eyes, scratchy throat and stuffy throats can also be treated with humidifiers which spray cool and fine mist. They also loosen the mucus. The nose should be blown regularly to let the mucus out of the body. It is a good idea to use disposable tissues instead of regular handkerchiefs. Complete bed rest for a day or two is greatly suggested.

The best precaution that can be taken is eating healthy food and balanced diet so as to strengthen the immune system. The child must exercise regularly in order to stay fir and sleep adequately. Children who are stressed out more frequently are more prone to have cold. Therefore, it is good if the kid takes extra rest and goes to bed early on some days. And when the child is suffering from cold, he should relax and take bed rest as much as possible.

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Chicken Pox in Children

A typical childhood disease in children chicken pox is very notorious for being contagious. A kid infected with chickenpox virus will develop numerous itchy blisters which are filled with fluid. These blisters burst later, which lead to crusts formation. Children get approximately five hundred such blisters which grow over a red skin spot. They show up on the face first and then spread to the trunk, scalp and the rest of the body. After a day of appearance, the fluid filled blisters become cloudy and later on, scabby.

The itchiness caused due to chicken pox is really intense and irritating. And the crust, if not treated, can leave marks for life. Within forty eight hours of getting infected, the symptoms begin to surface. It is only after ten to twenty days after contamination, that the pox appears. Symptoms include fever, abdominal pain, headache, loss of appetite and finally the pox rash. The condition can be confirmed by testing the pox blisters and by even taking blood test. The medical history of the child can be helpful in determining the severity of the condition.

The virus blameworthy for infecting a person with chicken pox is varicella-zoster or simply, varicella. The virus spreads through airborne transmission, droplet transmission and direct contact. Not only the infected carry these viruses and should be avoided, also people or kids who have taken the vaccination recently should also be avoided. Since the invention of chicken pox vaccine, there has been a decline in the chicken pox cases. Children who are under the age of ten should be highly prepared as they are more prone to getting infected by this virus. But on the contrary, when older children or adults catch chicken pox, they become sicker when compared to young kids.

A child or a person who has been infected by chicken pox virus becomes host to the virus for lifetime. But the number is kept under control by the bodys immune system. Infants, sometimes, get partial immunity from the blood of their mother, if the mother was already infected by chicken pox. Kids of mothers, who havent been infected by chicken pox, tend to get severe chickenpox. Children who have been administered with chicken pox vaccination get mild chicken pox. Skin condition of children with skin problems like eczema or sunburn can worsen. Such kids can be getting above one thousand and five hundred poxes. Children who have taken steroids can also face bad situation.

Along with the application of the prescribed lotion and intake of oral medication containing antihistamine, the itchiness can be eased by bathing the child in lukewarm water and oatmeal. The antiviral medications should be started within the first day itself. Other people living in the same household as of the patient should also take antiviral medicines recommended by a doctor. It is a must for everyone to take chicken pox vaccination as a part of immunization routine schedule. There is a hundred percent chance of not developing moderate to severe chickenpox and nearly ninety percent chance of not developing mild chicken pox. Chicken pox vaccine is the only vaccine which doesnt demand a booster. But a higher dose can be given to adolescents so as to avoid shingles or herpes zoster. But a doctor should be consulted before opting for the higher dose.

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