Anticipating H1N1, Government of Canada Sends Body Bags to First Nations Reserves

First Nations leaders expressed outrage when dozens of body bags were delivered to remote northern communities by the Canadian Government in anticipation of H1N1. Health Canada apologized the following day.

http://www.theglobeandmail.com/news/politics/body-bags-sent-to-flu-stricken-reserves/article1290332/

Not in my Herd: Part One

So, the media reports that health care workers in NY are upset that they are required to be immunized against both seasonal and swine flu.

I have a suggestion for you, NY health care workers: perhaps you might consider a new line of work. Maybe your local Waldorf school is hiring?

I think that people who refuse vaccinations for themselves or their children for serious infectious disease are, at best, irresponsible and, at worst, criminal.

There are better sources than me for the public health perspectives involved in this issue, e.g. community health vs. individual rights regarding the concept of vaccination and herd immunity.

But what I will say: the onus is on the government to properly--and sensitively--educate the public about the benefits and risks regarding immunization against H1N1 virus. And it's on the people not to be such kneejerk dumbasses.

This means you, NY health care workers!

And here are the recommendations for swine flu vaccination. They change week to week, so consider bookmarking this page.

1976: Swine Flu Virus: History Repeats?

Part I: "60 Minutes" piece about the 1976 Swine Flu Outbreak Back Then [Youtube]

Part II [Youtube]

Click here to learn more about Guillain-Barré syndrome. [Wikipedia]

swine flu plush toy

GiantMicrobes makes stuffed animals that look like common microbes.

Here is their latest: little Swine Flu.

http://www.giantmicrobes.com/us/products/swineflu.html

Eugenicist Advising the President?

The previous American Panic Attack post dealt with poisons in our water that adversely affect reproductive health when people are exposed to them. Coincidentally, at around the same time that the story broke, a blogger broke a related story, one that had been hiding in the plain sight for 32 years: A 1,052-page policy manual called “Ecoscience” (link to full text of book) co-authored in 1977 by President Obama’s top science and technology advisor John P. Holdren. (Holdren co-wrote the book with Paul Ehrlich and Anne Ehrlich.)

“Ecoscience” proposes tyrannical (and currently illegal) measures to prevent human overpopulation, one of them being “[a]dding a sterilant to drinking water or staple foods”.

Another policy advocated in “Ecoscience” is forced abortions (as performed in Communist China). Speaking of China, Chapter 13 of "Ecoscience" starts with the following quote:

“Of all things people are the most precious.”
-- Mao Tse Tung

Ironic in that Mao holds the title of most prolific mass murderer in modern history, it would be like starting a chapter with a quote from Hitler (who acknowleges his debt of gratitude to American eugenics movement in his book "Mein Kampf").

After the defeat of Nazi Germany, "eugenics" was exposed to the world for what it was: a bogus science used as a pretext for wholesale murder. Re-branded as "Ecoscience" the central conceit remains the same: a cadre of elite scientists and technocrats will decide who gets to live and who gets to die, who gets to have kids, and who will be infertile, to save the earth for whoever is still alive once their "Final Solution" is complete.

Hysterical Pregnancy: Endocrine Disruptors in Our Water Supply

In 2008, the NYT reported that "there are traces of sedatives in NY's water. Ibuprofen and naproxen in D.C. Anti-epileptic and anti-anxiety drugs in southern California..."

And now it's reporting that there are artificial estrogens in the water that contribute (like Bisephenol in plastics) to hormonal disruption in unborn children and women of reproductive age.

Nick Kristoff writes on June 27: In heavily polluted Lake Apopka, one of the largest lakes in Florida, male alligators developed stunted genitals. In the Potomac watershed near Washington, male smallmouth bass have rapidly transformed into “intersex fish” that display female characteristics. [M]ore than 80 percent of the male smallmouth bass in the Potomac are producing eggs.

Now scientists are connecting the dots with evidence of increasing abnormalities among humans, particularly large increases in numbers of genital deformities among newborn boys. For example, up to 7 percent of boys are now born with undescended testicles, although this often self-corrects over time. And up to 1 percent of boys in the United States are now born with hypospadias, in which the urethra exits the penis improperly, such as at the base rather than the tip.

Apprehension is growing among many scientists that the cause of all this may be a class of chemicals called endocrine disruptors. They are very widely used in agriculture, industry and consumer products. Some also enter the water supply when estrogens in human urine — compounded when a woman is on the pill — pass through sewage systems and then through water treatment plants.

These endocrine disruptors have complex effects on the human body, particularly during fetal development of males.

Some are even positing that the decrease in male children is a result of this phenomenon. And there is a big fossil fuel link... no surprise there, I guess.

How does a woman who wants children or who is pregnant even respond to this? Can't drink bottled water, the plastic is full of estrogens. Can't drink tap water, now we learn that it ,too, has estrogens. Paddle to the middle of a lake, lean over and drink? God!...

Visit the Endocrine Disrupters Exchange for even more troubling reportage...
http://www.endocrinedisruption.com/home.php

Peak Oil Blues Blog

The Peak Oil Blues Blog: "Exploring Emotional Reactions to Peak Oil, Climate Change, and Economic Collapse"

A one stop shop for your American Panic Attack.

Raw Deal

So I'm reading Bill Marler on the Nestle cookie dough e. coli outbreak. While I agree with his stance on blaming the victim (apparently, Nestle is faulting the parents who let their children eat the raw dough--nice, right?), I'm also wondering who are these freaking people who eat raw dough or let their kids eat raw dough? At my house, my child has to don a Biohazard suit whenever she's near anything raw. Meat, when I allow it to cross my threshold, is cooked to 2,000 degrees Fahrenheit.

What really got me, however, was this post on his blog. His point in listing the numerous food terrorist incidents is to point out how inadequate and inept our current food safety systems are no matter the cause. It's so incredibly infuriating, particularly when you read about the severity of the illness, and most particularly in children.

BUT, what really got me was the food terrorism list in that post. I mean, I'm aware of Alexander Litvinenko and his polonium-laced food. FINE. That kind of thing happens when you're a KGB agent. It's an occupational hazard. But wait...what's this about cyanide-laced grapes from Chile, or a Michigan supermarket employee tainting hundreds of pounds of ground beef with an insecticide. Say what?? Why didn't I hear about that?

When he gets to the botulism modeling at Stanford, I could barely keep reading, because I was totally freaking out. It's things like this that edge me closer than ever to Julianne Moore-at-the-end-of-the-movie-Safe-porcelain-igloo territory.

But really, there's nothing funny about it. And tonight I'm having spaghetti for dinner--again.

Coyotez in the 'Hood

While the nation is focused on the active shooter scenario and the weird DHS booklet that identifies what an active shooter is ("...an individual actively engaged in killing or attempting to kill people in a confined and populated area," just FYI), I'm more worried about the 2009 coyote uprising.

Canis latrans is mad as hell and he's not going to take it. This blog is keeping tabs on this phenomenon and other animal uprisings. In Denver it's been building to a fever pitch all spring. Here's my favorite quote:

"These are coyotes that were born and raised in the 'hood," said Liza Hunholz, an area manager with the Colorado Division of Wildlife.

Soundtrack by Eazy-E.

X-Ray Specs

Because I have a (relatively mild) form of autoimmune arthritis, I've had a lot of x-rays in my life. I'm very familiar with my skeleton, and sometimes read diagnostic radiology journals online for fun.

This past fall, I took an introductory course in Principles of Epidemiology. We were discussing study design, and the issue of exclusion criteria. In one of our examples, subjects with spondylitis (my particular form of arthritis) were excluded from a study about bladder cancer. My professor asked why people with this condition might be excluded from the study. Of course, my hand shot up immediately because I knew the answer: multiple x-rays. That is, people with spondylitis have an abnormal amount of x-rays in their pelvic and hip region and are at a higher risk for bladder cancer. They don't represent subjects with 'normal' exposure.

After this class it suddenly occurred to me that I was in this higher risk category. I had never really thought about my condition in this way before. To date, while it's been irritating and has had an impact on my life to an extent, it never really made me feel anxious about my overall health prospects because my case is comparatively mild and while there's no cure, it's probably not going to kill me. I'm much more afraid of swine flu, or cancer, or Hanta virus, or water scarcity causing global unrest.

But suddenly I've been much more cognizant of the number of x-rays that I am prescribed. Rheumatologists love to send me to the radiology lab--dentists love to give me the bitewing x-rays--and of course there are mammograms (and while the researchers are arguing about whether women should start at age 40 or 50 for annual screening mammograms, most obgyns follow the recommendations that send patients at age 40).

So I've spent the last week or so reading up on radiation and risk, and found that there are some interesting tools that one can use to calculate your annual radiation dose.

Here is the EPA's calculator:

http://www.epa.gov/rpdweb00/understand/calculate.html

Here is one from the American Nuclear Society:

http://www.ans.org/pi/resources/dosechart/

And yet another one by the Neighborhood Environmental Watch Network:

http://newnet.lanl.gov/info/dosecalc.asp

Some of the questions they ask to calculate exposure are pretty interesting. I'm not sure, for example, if I live within 50 miles of a nuclear power plant or a coal-fired power plant. I never really thought about how living in the Colorado Plateau gives you 63 mrems a year (as opposed to 16 mrems on the Atlantic coast). Having a gas camping lantern gives you 0.2 mrems annually and sharing a bed with someone gives you 1 mrem.

Here's what the American Nuclear Society says about dose:

The average dose per person from all sources is about 360 mrems per year. It is not, however, uncommon for any of us to receive far more than that in a given year (largely due to medical procedures we may undergo). International Standards allow exposure to as much as 5,000 mrems a year for those who work with and around radioactive material.

Because of my x-rays, my dose is twice as much as the norm. But I'm comforted by the fact that it's 4,373.93 rmems less than the allowable annual maximum permissible dose under the (somewhat frighteningly generous) International Standards.

CDC on Twitter

I must have died and gone to alarmists' heaven. You can now receive emergency alerts from the CDC on Twitter.

Climate Change Apocalypse: 'Extremely Frightening and Turbulent'

I never really thought of global warming as a public health issue...until now. Expect many more updates about my new favorite fear.

Thanks to Lydia M. for the warning:

CLIMATE: Warming may be world's biggest health threat -- study (Thursday, May 14, 2009)

Global warming has surpassed infectious disease, poverty and water shortages as the largest threat to public health, according to a new study from climatologists and medical professionals.

While poorer countries will be the first to feel the effects of a changing climate -- such as exacerbated food and water shortages and humanitarian crises of environmental refugees -- the problem will later cause real and lasting damage in wealthier Western nations, said Anthony Costello, a pediatrician at University College London, which conducted the report published today in The Lancet journal.

"Climate change is a health issue affecting billions of people, not just an environmental issue about polar bears and deforestation," Costello said. "We are setting up a world for our children and grandchildren that may be extremely frightening and turbulent."

The researchers said disruptions in climate could cause food, water and energy shortages and population shifts, resulting in wars over increasingly scarce resources (Cortez/Morales, Bloomberg, May 14). -- PR

Not a Fan of Watersports: N. fowleri

Sometimes people are like, Kim, why'd you start this blog? And I'm like, because where else can I describe my fear of Naegleria fowleri and how it keeps me out of lakes?

With summer coming up, I thought it was time for a PSA about my least favorite protist. Note that it has all of the features that I love to hate the most--it's rapidly fatal. Cases typically cause death within a week. And most horrible to my ears are these two words: delayed diagnosis.

Luckily, there's a way to avoid this brain-eating amoeba: stay out of fresh water lakes, especially when the weather is hot! And if you do have to wade into such a body of water, don't let it get up your nose, because that's how it gets you!

It's rare, for sure, but I'm not taking any chances:

'Naegleria fowleri, a free-living ameba, is the causal agent of primary amebic meningoencephalitis (PAM), which is an acute, fulminant, and rapidly fatal CNS infection. PAM develops within several days of exposure to the contaminated water source and typically causes death within 1–2 weeks after admittance to the hospital. Few individuals survive the infection, partly because of its rapid onset and partly because of delayed diagnosis.'

Facts about Viruses - Swine Flu (NYT)

The NYT had a great piece last Tuesday about viruses and Swine Flu. Here's part of it:

"The current outbreak shows how complex and mysterious the evolution of viruses is. Some viruses use DNA, like we do, to encode their genes. Others, like the influenza virus, use single-strand RNA. But viruses all have one thing in common, said Roland Wolkowicz, a molecular virologist at San Diego State University: they all reproduce by disintegrating and then reforming.

A human flu virus, for example, latches onto a cell in the lining of the nose or throat. It manipulates a receptor on the cell so that the cell engulfs it, whereupon the virus’s genes are released from its protein shell. The host cell begins making genes and proteins that spontaneously assemble into new viruses. 'No other entity out there is able to do that,” Dr. Wolkowicz said. “To me, this is what defines a virus.'

The sheer number of viruses on Earth is beyond our ability to imagine. “In a small drop of water there are a billion viruses,” Dr. Wolkowicz said. Virologists have estimated that there are a million trillion trillion viruses in the world’s oceans. A tank of 100 to 200 liters of sea water may hold 100,000 genetically distinct viruses.

Viruses are diverse because they can mutate very fast and can mix genes. They sometimes pick up genes from their hosts, and they can swap genes with other viruses. Some viruses, including flu viruses, carry out a kind of mixing known as reassortment. If two different flu viruses infect the same cell, the new copies of their genes get jumbled up as new viruses are assembled."

Read the whole story:
http://www.nytimes.com/2009/05/05/health/05virus.html?_r=1&scp=1&sq=virus&st=cse

Some Thoughts about ALS, BFS, and Darcy Wakefield

About three years ago I developed this total irrational fear that I was developing ALS. It wasn't totally out of the blue; a grad school friend/acquaintance of mine, Darcy Wakefield, had died that year at age 35 from ALS. Her death really threw me. She was super-athletic and just kind of low-key and cool and quietly accomplished, the last person you'd expect to have to suffer such a terrible and rare disease. Her son was 2 or 3 when she passed away, and she'd been paralyzed nearly since his birth.

That summer was incredibly hot in LA, and I fainted one night outside a Mexican restaurant and had to be taken to the ER and evaluated for a seizure disorder (it turned out to be just dehydration). I then started having terrible panic episodes, and was positive that I had ALS. I was terrified all the time. My muscles were twitching and I had periods of numbness in my leg where I had trouble walking and climbing stairs. I sought comfort on the AboutBFS online forum (BSF stands for 'benign fasciculation syndrome,' which is, as the name suggests, a benign syndrome in which your muscles contract and twitch--but because of the similar symptomology to ALS, at least in the beginning of the disease, BFS sufferers are all really paranoid about ALS (on the site, they won't even write it out and refer to it as AL* or A*S or 'the disease'). Mind you, there's no real evidence that BFS leads to or is a risk factor for ALS. There is some minor overlap of symptoms, but most of what people with BFS suffer is different in nature than early onset of ALS. It just feels dire.

Anyway, after a few months, my twitching and numbness resided and my doctor figured I might have done some nerve damage exercising which caused the bodily uproar. With rest, and, I admit, a pretty good arsenal of anti-anxiety medication, I recovered and was fine.

For the past couple weeks recently, I've had a return of my twitching, except this time in my eardrums. Tonight I went back and visited AboutBFS and it was pretty much the same old postings, frightened people relatively new to the site delineating their symptoms and asking if it sounded like AL* while old-timers comforted them and said no, it didn't, that ALS was this or that while they had classic BFS symptoms. It is repeated so often it's ritualistic. I wanted to post a comforting email about how once I had managed to control my obsession about having ALS, I got better as my body calmed down and healed.

Since then, I've looked into the statistics of ALS, which has an incidence rate of 2-5 per 100,000 in the US. That's extraordinarily low. Even though the odds are very stacked in their favor, BFS'ers might want to look the disease in the eye (as Darcy did) and just confront what may or may not happen to them and make their choices from there.

I wish that I were more involved with ALS support, like donations or walks, etc. But I admit that I'm not. I do check in from time to time with the BSF folks because I really feel like they are my peeps--American Panic at its most vulnerable and often eloquent. I always try to help them because, despite my sometimes-continued craziness, I think I'm a lot better.

Anyway, without wanting to be maudlin or exploitative of Darcy's death, I do just want to say that I still think about her even though I really only glancingly knew her back in the mid-90's. I know that I probably will not suffer from a motor neurone disease, but being sick that summer made me realize that you can or should never discount what could happen to you. We're not that special. Bad things will, eventually happen to you as they will to everyone. So keep that in mind and live your life.

http://www.amazon.com/I-Remember-Running-Everything-Wanted/dp/1569243530

Swine Flu tracker app for iPhone

This is just what I need. Not really.

Swine flu tracker app for iPhone allows you to panic anywhere.
more...

Breezy, with a Chance of Cytokine Storms...

Cytokine Storm is my new least favorite phrase.

Here's a primer for you:

http://www.fluwikie.co/index.php?n=Science.PrimerCytokineStorm

And please bookmark this site. It's an important one:

http://www.pandemicflu.gov/

holy swine flu, batman!

it's time to break out the face masks!

NEW YORK (Reuters) - Tests have confirmed that eight New York City schoolchildren had a type A influenza virus, likely swine flu, city Health Commissioner Dr. Thomas Frieden said Saturday.

Samples have been sent to the U.S. Centers for Disease Control and Prevention for further testing to see if they are indeed the unusual H1N1 flu strain that has killed up to 68 people in Mexico and may have sickened others, Frieden told a news conference.

"In every single case, illness was mild. Many of the children are feeling better," Frieden said.

"What is concerning about this is that it is likely swine flu and second that it is spreading person to person," Frieden said. He added, "We have seen no increase citywide in flu-like cases."

About 100 students at a school in the New York City borough of Queens became sick last week, prompting the tests, according to local media reports.

A quick throat swab test can tell if a person has influenza but further testing is usually required to determine the strain.

The World Health Organization has declared the swine flu outbreaks in Mexico and the United States a "public health event of international concern," but says more information is needed before raising the pandemic threat level.

The U.S. Centers for Disease Control and Prevention has confirmed eight people from California and Texas were infected with the H1N1 strain, but all had recovered.

Everyday Preppers

I've long been fascinated by survivalism and all of its subtypes: flu preppers, peak oil preppers, and now economic survivalists. I have to admit, while I'm too lazy to do it myself, there is something very appealing and comforting about the idea of stockpiling food "to last two winters," as they say. Having a flour and grist mill is apparently very important, and there are some fancy ones out there that I've found recommended on prepper sites. It's kind of hard to imagine grinding flour to make -what? bread? matzoh?- during the apocalypse when there's a war of all against all. But I have a feeling that survivalists will be eating well in the fraught future while the rest of survive on cold cans of Spaghetti-o's.

Here's a few favorite sites to get you started:

http://everydayprepper.wordpress.com/

http://www.peakoil.com/

http://www.survivalistnews.com/

Constantly Updated List of Potentially Hazardous Asteroids

Fortunately there's only a few...

http://www.cfa.harvard.edu/iau/lists/Dangerous.html