Swine Flu Vaccine Close To Reality According to Experts

Officials of the Federal government believe that the swine flu vaccine that would protect all Americans from future H1N1 outbreaks would be available by January or late November at the earliest.

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wever, countries outside the United States and other nations that manufacture vaccines would take several years to generate sufficient vaccines to meet global demands.

Although manufacturing of the vaccine is faster than it was a few years back, it may still not be enough to prevent death and illness if the dreaded virus begins to spread and becomes virulent, experts predict.

In the United States, the main obstacle despite long years of effort remains to be the 50-year old technology they use in manufacturing flu vaccines. The Federal government had invested time and billions of dollars shifting to a quicker and more reliable method.

One such procedure involves cultivating the vaccine viruses in vats of cells instead of hen’s eggs. There are several small companies that are developing new methods that would pave the way for the creation of large volumes of vaccines in a span of weeks.

Dr. Greg Poland, who is the head of the vaccine research program at the Mayo Clinic, admits that the cell-based cultivation technology is not yet available while the never technologies have not yet been proven to satisfy most experts.

In addition, government officials have also not yet decided on whether or not H1N1 is a potential risk that demands production of vaccine. However, they are implementing the initial steps. Andrin Oswald, Chief Executive of the Vaccine Division of Novartis, revealed that one possible problem would be the manufacture of vaccines for swine influenza could hamper the production of seasonal flu vaccines for the coming winter. The most likely thing to do is to compromise, according to Oswald.

However, Robin Robinson, who manages the Emergency Preparation Research Program of the Department of Health and Human Services, believes that majority of manufacturing efforts of vaccine makers would have been completed by June.

According to Dr. Robinson, if the manufacture of the H1N1 vaccine would commence after that, the first 50 million to 80 million would be ready by September.

Dr. Robinson continued by saying that the entire 600 million doses, which are sufficient to give the required two shots for every American would be available by January. Adding the immune stimulant adjuvant to the vaccine could greatly reduce the required dosage, paving the way for the availability of the doses by the latter part of November.

The vaccine industry in the country is now very much capable of responding to the outbreak than it was five years back, when there were only two vaccine manufacturers and encountered a severe shortage. At present, there are five manufacturers supplying vaccines to the domestic market. The vaccine industry, which is used to be the backwater of the pharmaceutical industry, is generating new investments, as a result of government subsidies and higher cost for vaccines.

Despite of this, a World Health Organization and International Federation of Pharmaceutical Manufacturers and Associations revealed that it would still require four more years of manufacturing to meet global demands for a vaccine that would provide protection against bird flu strain that has been the major concern of health officials over the last few years.

Finally, the Federal government is encouraging manufacturers to shift their production in the United States, since all except Sanofi Aventis is now importing swine flu vaccines.

Swine Flu Thousand Cases

A pandemic second quarter of 2009 outbreak of influenza A (H1N1) virus is a new strain of influenza virus identified commonly referred to as Swine Flu confirmed cases topped almost 6,000 individuals, as Belgium became the latest European nation to be hit by the influenza A(H1N1) virus. World Health Organization (WHO) officials said the number of cases of influenza A(H1N1) stood at around 6,000 and nearly 7,000 in more than 30 countries, with more than 60 people having died from the disease.

Cases were first discovered in the U.S. and officials soon suspected a link between those incidents and an earlier outbreak of late-season flu cases in Mexico. In less than a week hundreds of suspected cases, some of them serious, were discovered in Mexico. Soon thereafter, the WHO along with the Centers for Disease Control and Prevention (CDC) expressed concern that the A(H1N1) could become a worldwide flu pandemic, and WHO then raised its pandemic disease alert level to “Phase 5” out of the six maximum, as a “signal that a pandemic is at about to happen level”.

More than three thousand cases of infections including three deaths was the recorded highest number of A(H1N1) by the United States compared to Mexico where only more than two thousand reported cases of infection including 60 deaths were confirmed. The WHO said 389 people were also confirmed with the virus and one person had died in Canada who happens to be with the 19-year-old Chinese career that brings in to China a spread out. Two other cases have been confirmed in Hong Kong. Authorities there said they had quarantined six people who traveled with the second case, a 24-year-old man, by plane from San Francisco. A further 45 people who sat near him on his journey had already left Hong Kong, they said.

China, in the meantime, stepped up the search for people who came into contact with the mainland’s two confirmed Swine Flu patients. A 30-year-old man was confirmed to have the virus in the southwestern city of Chengdu. He had been in the United States before his homecoming to China. Plane (Air Canada flight to Beijing) and train (for Shandong Province with 20 people on board) travelers with a 5 meter contact with a 19-year-old student (his surname is Lu: second confirmed victim) are being haunted by Chinese Authorities in Beijing and Eastern Shandong province.

Hes not feeling well, a couple of days after his arrival in Beijing but still continue to travel by train with a fever, sore throat and a headache. They believed that virus highlighted in China and Hong Kong could be a mix of bird and human flu which came together in pigs.

Belgium confirmed its first case of Swine Flu in a 28-year-old man who also had been in the United States. Jose Angel Cordova (Health Minister of Mexico) moved to reassure tourists, saying that the country’s beaches and resorts an important source of foreign income — were safe for visitors. “There’s no risk to tourists,” he said, noting that most of the flu cases detected in holiday hotspots like Cancun and Acapulco dated back nearly two weeks.

The Swine Flu outbreak was expected to cost Mexico’s economy of more than 2 billion dollars or about 0.3 percent of gross domestic product.

YOGA AND ARTHRITIS: A REVIEW

YOGA AND ARTHRITIS: A REVIEW
Dr. Manoj Dash, BHMS, DYT,Ph.D.

Yoga is an ancient Indian science and way of life, which influences the functioning of the brain and the rest of the body. Several studies have shown that the practice of yoga has a definite role in the promotion of positive health, including mental health, characterized by improved cardio-respiratory efficiency, autonomic responses to stressors, sleep, muscular endurance, and `higher brain functions. With an increase in the incidence of stress-related ailments, related to the rapid pace of life today, yoga has been evaluated as a treatment for such disorders in several controlled trials. The disorders, which were most likely to respond to yoga, with reduced symptoms and need for medication, were bronchial asthma, non-insulin dependent diabetes mellitus, anxiety neurosis, and rheumatoid arthritis. THE CONCEPT OF HEALTH According to the World Health Organization (WHO) the state of health is defined as a state of complete physical, mental, social and spiritual well being and not merely an absence of disease or infirmity. It is clear from this definition that health and ill-health are not two discrete entities as commonly understood but health should be conceived as a continuous function indicating the state of well being.The ancient Indian science, Yoga, has its origin in the Sankhya philosophy of Indian culture, which is about 8000 years old (Nagarathna, 2001). Yoga includes a wide range of techniques (e.g., physical postures, regulated breathing, cleansing techniques, meditation, philosophical principles, and devotional sessions, surrendering to the Supreme). These techniques bring about a calm and balanced state of mind, and are expected to help the spiritual evolution of the individual. However, yoga has more pragmatic applications in medicine. In order to understand these, it is important to know the concepts of health and disease in Yoga texts. According to yoga, man is in perfect health and homeostasis at his subtle levels of existence. All diseases are classified as (i) stress-related (adhija) and (ii) not stress related, e.g., injuries (anadhija) (Vasudeva, 1937). Yoga has been considered especially useful in the management of stress related disorders by getting mastery over the excessive speed of the mind. The technique to reducing the rate of flow of thoughts with deep internal awareness is yoga. This review will describe the therapeutic applications of yoga in the management of arthritis. Physical activity is an essential part of the effective treatment of osteoarthritis (OA) and rheumatoid arthritis (RA), according to treatment guidelines published by the American College of Rheumatology (Hochberg, 1995; Newsome, 2002). In persons with arthritis, exercise is safe and does not exacerbate pain or worsen disease (Ettinger,1997; Minor,1999; O’Grady,2000;Bearne,2002). In fact, exercise may play a key role in promoting joint health (Forrest,1994) , since those who do not exercise often suffer more joint discomfort than those who do (Nordemar,1981). However, regular physical activity is especially important for people with arthritis, who often have decreased muscle strength, physical energy, and endurance (Lyngberg,1988). The psychological benefits of exercise such as stress reduction, fewer depressive symptoms, improved coping and well-being and enhanced immune functioning (Taylor,1985;Scully,1998;Fox,1999 Paluska,2000) also contribute to greater overall health.Scientific studies on yoga Yoga has been used in the management of a wide range of diverse ailments. While there is a great deal of anecdotal evidence of the benefits of yoga, to date only a handful of scientific studies have been conducted on persons with OA and RA (though several more are currently underway). The study conducted in England demonstrated that hand grip strength significantly improved following yoga in rheumatoid arthritis patients (Haslock,1994). It was subsequently proven that yoga resulted in similar benefits in rheumatoid arthritis patients in an Indian population (Dash, 2001). Studies in osteoarthritis of the hands and carpal tunnel syndrome show greater improvement in pain during activity, tenderness and finger range of motion (Garfinkel, 1994). These above studies have shown promising results with some improvement in joint health, physical functioning, and mental/emotional well-being. Perhaps most importantly, yoga has an important positive effect on quality of life. People with arthritis may also enjoy yoga more than traditional forms of exercise, and exercise enjoyment is an important predictor of adherence(Ryan,1997;Trost,2003).This is particularly important considering that, on average, 50% of sedentary individuals will drop out of exercise within 6 months (Dishman,1990).In summary, yoga can be a meaningful and enjoyable alternative to traditional forms of exercise such as aerobics or aquatic exercise with important health benefits. Yoga can play an important role in reducing stress and frustration that results from pain and disability, and increasing positive feelings and wellbeing. Drug treatments for OA and RA have improved markedly in the last few years. Despite this, arthritis cannot be cured, and even the best medications and medical care can only help a little. There is a great need for additional activities patients can do to reduce pain, disability, and take control of the overall impact arthritis may have on their lives. Thus, the evidence suggests that, when combined with a program of good medical care, yoga may provide important additional physical and psychological health benefits for arthritis patients. Finally, it has to be emphasized that while yoga has important therapeutic benefits, the practice of yoga is very important in the promotion of positive health and human potential in body, mind, and spirit (Scott, 1999).References:1.Nagarathna R. Yoga in medicine. API Text book of medicine (6th ed), 2001. 2.Vasudeva Sharma PL. Laghu yoga vasistha (in Sanskriit); Nirnaya sagar prakashan, Bombay 1937,P 684.3.Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR et al. Guidelines for the medical management of osteoarthritis. Part II. Osteoarthritis of the knee.American College of Rheumatology. Arthritis Rheum 1995; 38(11):1541-1546.4.Newsome G. Guidelines for the management of rheumatoid arthritis: 2002 update. J Am Acad Nurse Pract 2002; 14(10):432-437.5.Minor MA. Exercise in the treatment of osteoarthritis. Rheum Dis Clin North Am 1999; 25(2):397-415, viii.6.Bearne LM, Scott DL, Hurley MV. Exercise can reverse quadriceps sensorimotor dysfunction that is associated with rheumatoid arthritis without exacerbating disease activity. Rheumatology (Oxford) 2002; 41(2):157-166.7.O’Grady M, Fletcher J, Ortiz S. Therapeutic and physical fitness exercise prescription for older adults with joint disease: an evidence-based approach. Rheum Dis Clin North Am 2000; 26(3):617-646.8.Ettinger WH, Jr., Burns R, Messier SP, Applegate W, Rejeski WJ, Morgan T et al. A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). JAMA 1997; 277(1):25-31.9.Forrest G, Rynes RI. Exercise for rheumatoid arthritis. Contemp Intern Med 1994; 6(11):23-28.10.Nordemar R, Ekblom B. [Effects of long-term physical therapy in rheumatoid arthritis]. Lakartidningen 1981; 78(15):1561-1564.11.Lyngberg K, Danneskiold-Samsoe B, Halskov O. The effect of physical training on patients with rheumatoid arthritis: changes in disease activity, muscle strength and aerobic capacity. A clinically controlled minimized cross-over study. Clin Exp Rheumatol 1988; 6(3):253-260.12.Paluska SA, Schwenk TL. Physical activity and mental health: current concepts. Sports Med 2000; 29(3):167-180.13.Fox KR. The influence of physical activity on mental well-being. Public Health Nutr 1999; 2(3A):411-418.14.Scully D, Kremer J, Meade MM, Graham R, Dudgeon K. Physical exercise and psychological well being: a critical review. Br J Sports Med 1998; 32(2):111-120.15.Taylor CB, Sallis JF, Needle R. The relation of physical activity and exercise to mental health. Public Health Rep 1985; 100(2):195-202.16.Haslock I, Monro R, Nagarathna R, Nagendra HR, Raghuram NV. Measuring the effects of yoga in rheumatoid arthritis. Br J Rheumatol 1994; 33(8):787-788.17.Dash M, Telles S. Improvement in hand grip strength in normal volunteers and rheumatoid arthritis patients following yoga training. Indian J Physiol Pharmacol 2001; 45(3):355-360.18.Garfinkel MS, Schumacher HR, Jr., Husain A, Levy M, Reshetar RA. Evaluation of a yoga based regimen for treatment of osteoarthritis of the hands. J Rheumatol 1994; 21(12):2341-2343.19.OConnor D, Marshall S, & Massy-Westropp N. Non-surgical treatment (other than steroid injection) for carpel tunnel syndrome. Cochrane Database Syst Rev. 2003; (1): CD003219.20.Trost SG, Sallis JF, Pate RR, Freedson PS, Taylor WC, Dowda M. Evaluating a model of parental influence on youth physical activity. Am J Prev Med 2003; 25(4):277-282.21.Ryan RM, Frederick CM, Lepes D, Rubio N, Sheldon KM. Intrinsic motivation and exercise adherence. International Journal of Sports Psychology 1997; 28(4):335-354.22.Dishman R. Determinants of participation in physical activity. In: Bouchard C, Shepard R, Stephens T, Sutton J, McPherson B, editors. Exercise, Fitness, and Health. Champaign : Human Kinetics, 1990: 75-102.23.Scott AH. Wellness works: community service health promotion groups led by occupational therapy students. Am J Occup Ther. 1999; 53(6): 566-74. About the Author
I am a Doctor, doing my Ph.D.in Yoga. My topic of interest is to conduct Yoga Retreat, take class for Yoga Teacher and Medical professionals for in depth Research findings, and also Interest to conduct research in various field of yoga, both experimental and theoretical. I have been Traveling to all EUROPIAN countries.My contact: [email protected] web page:http://www.geocities.com/manojrieneke/Research.html

U. S. Trade In: E. R. Nurses and Health Professionals

U. S. Trade In: E. R. Nurses and Health Professionals

The following article lists some simple, informative tips that will help you have a better experience with nurses.

There are several hospitals in the United States that are experiencing immense shortages of registered nurses, emergency nurses and other health care professionals. There is approximately a whooping 80 to 85 percent of American hospitals mention shortage while 15 percent expresses concern about the severe shortage they are experiencing.

According to the United States Department of Health and Human Services, United States commit need 2. 8 million nurses. This estimated demand will be a million more than the projected supply of nurses. U. S. is not quickly replacing nurses at the same misfortune they are square one the profession.

Currently, the average age of nurses working in America is 45 years old. By year 2010, and estimated 40 percent of all the working registered nurses will be more than 50 years old. Between 2010 and 2020, the largest group of registered nurses in the United States labor force will be between 50 to 60 years old. By this point, the nursing shortage would be exceeding 36 percent.

Whats happening to United Case is not an isolated case. Several countries are already reporting similar problem. In Ontario, Canada ( Toronto Gallant ) lost 14, 000 of its 81, 000 nurses well-suited to retirement last 2004. While over pristine because December 2000, the World Health Organization already reported that Poland was graduating more than 10, 000 nurses annually. But the figure dropped to 3, 000. In Chile, out of 18, 000 nurses in the country, only 8, 000 are dash in the field.

So what are the steps being done by the United States government to address this problem?

In April 2008 a bill was proposed in the United States House of Representatives by Congressman Robert Wexler from Florida and co – sponsored by Private James Sensenbrenner ( R – WI ). This bill is called F. R. 5924 of The Emergency Nursing Supply Relief Act. As of the day, this bill has currently 11 co – sponsors.

Basically, this bill will allow additional visas to be set – aside for foreign compassionate nurses and physical therapists. The H. R. 5924 would save 20, 000 employment based visas in each of the next three years for independent trained registered nurses and physical therapists.

This bill will also provide funds to help U. S. nursing schools expand the domestic supply of nurses by coming from the $1, 500 fee for those who would be applying for the visa. This would also establish a three – year pilot program aimed in keeping U. S. nurses in the workforce.

Immigrant visa applicants leave need to attest that they do not owe their country of residence a financial obligation that was incurred for their education so that they would remain in that sovereignty. Both the American Hospitals Association ( AHA ) and the American Society for Healthcare Human Resources Administration support expressed their support for the bill.

Due to visa retrogression, a lot of foreign professionals who are interested in working in the United States are turned down. The U. S. government makes only a certain symbol of immigrant visas ( green card ) available each year and these are allocated among the various immigrant visa categories.

Recently, there are more immigrants approved for employment – based immigrant visas and has break out of visa numbers causing temporary backlog or retrogression. The U. S. has a waiting list for employment – based visas for nurses, and its nurse education programs overripe away more than 150, 000 qualified applicants last year due to lack of faculty and clinical space.

With the H. R 5924., it aims that the nursing shortages will be resolved. With this statement, the visa retrogression could be lift due to nurses and physical therapists who have pragmatic prior to September 30, 2011. Hopefully, well see more therapists, nurses, E. R. attendants and nurses, and other health professionals taking care of the nation.
Hopefully the sections above have contributed to your understanding of nurses. Share your new understanding about nurses with others. They’ll thank you for it.