* US to release 25 percent of anti-viral stockpile
* Health chief recommends planning for school closures
* Too early to determine impact on economy (Updates to add information from CDC briefing)
By Ross Colvin
WASHINGTON, April 26 (Reuters) - The United States declared a public health emergency on Sunday because of an outbreak of swine flu that has been diagnosed in 20 people in this country -- the same strain suspected of killing 81 people in Mexico.
The outbreak is yet another distraction for President Barack Obama as he focuses on rescuing the economy from its worst crisis in decades. His administration will also be mindful of the damage to former President George W. Bush over his government's inept handling of Hurricane Katrina in 2005.
"At this point, a top priority is to ensure that communication is robust and that medical surveillance efforts are fully activated," John Brennan, assistant to the president for Homeland Security, told a White House briefing.
Dr Anne Schuchat of the Centers for Disease Control and Prevention told a separate briefing she feared that some people would die in the United States as the virus spread.
Health and Homeland Security officials announced steps to release some of the U.S. stockpiles of the anti-flu drugs Tamiflu and Relenza. They recommended that local authorities plan for possible school closures and that anyone with symptoms stay at home to reduce the possibility of transmission.
White House spokesman Robert Gibbs said it was too early to say what impact the outbreak could have on efforts to get the economy back on its feet. Spiraling healthcare costs are already a huge drain on the economy.
Homeland Security Secretary Janet Napolitano said the declaration of the public health emergency was necessary to free federal, state and local agencies' resources and authorize the release of funds to buy more antivirals.
"This is standard operating procedure," Napolitano stressed, adding that similar declarations had been issued in the past to help states cope with flooding or hurricanes.
The CDC confirmed 20 cases of swine flu in the United States and said all the patients had recovered and only one person had to be hospitalized. Officials said they were not testing air travelers from Mexico for the virus.
UPDATE 1-U.S. acts swiftly to contain swine flu outbreak
The CDC is preparing a "yellow card" for travelers explaining the flu symptoms and what precautions to take, Schuchat said. U.S. health officials are stressing frequent hand washing as the first line of defense against the virus.
Tests so far show that the H1N1 component of the seasonal flu vaccine does not protect against the new H1N1 swine flu strain, Schuchat said. It could take several months to develop a vaccine for the new virus, she added. Continued...
The virus in the U.S. cases appeared to be the same strain as the one that has killed scores in Mexico, CDC acting Director Dr Richard Besser said, although it was not yet clear why it had not proven as deadly in the United States. Health officials from the United States and Canada were now in Mexico to try to answer this "critical question," he said.
"We expect to see more cases of swine flu. As we continue to look for cases, we expect that we will find them," Besser said.
Napolitano said the United States would release 25 percent of the 50 million anti-flu drugs from the strategic national stockpile. The Department of Defense has also bought 7 million courses of Tamiflu for defense personnel, she said.
Tamiflu, a pill made by Roche AG ROG.X and Gilead Sciences Inc (GILD.O), and GlaxoSmithKline's (GSK.L) (GSK.N) and Biota's (BTA.AX) Relenza, an inhaled drug, can treat influenza if given quickly. They have been shown to work against this new flu strain.
Gibbs said Obama, who recently returned from a trip to Mexico, had shown no symptoms of the virus and had therefore not been tested. (Additional reporting by Kim Dixon, Donna Smith and Maggie Fox; editing by Eric Beech)
Many questions surround the current outbreak of swine flu, which caused the United States government on Sunday to declare a public health emergency after confirming 20 cases in this country. American officials stressed that the cases here were all mild, with only one person hospitalized.
But in Mexico, where the outbreak began, swine flu is believed to have killed at least 81 people and to have given about 1,300 serious breathing problems. The central question every flu expert in the world would like answered, Dr. Martin Cetron, director of global migration and quarantine for the Centers for Disease Control, said in an interview, is how many mild cases Mexico has had.
“We may just be looking at the tip of the iceberg, which would give you a skewed initial estimate of the case fatality rate,” he said, meaning that there may have been tens of thousands of mild infections, which would then make the number of deaths seemingly low. In that case, as the flu spreads, it would not be surprising if the number of people who become seriously ill remained relatively small.
Right now, the answer is unknowable. Only two laboratories the world, the C.D.C. in Atlanta and the Canadian national laboratory in Winnipeg, have developed the reagents needed to do a positive test for the new flu strain, so samples from any other country must be sent to them for confirmation.
Even in 1918, experts point out, the pandemic Spanish flu infected at least 500 million of the world’s 1.5 billion people, killing 50 million. Many of those lives would have been saved if anti-flu drugs, antibiotics and mechanical ventilators had existed.
In early April, Mexico had noticed that it had high numbers of serious respiratory illnesses and some deaths. It began sending samples to Canada and the United States, asking for help genotyping the new virus.
The ages of the victims in Mexico also concern health officials. Unlike typical flu seasons, when infants and the aged are usually the most vulnerable, none of the initial deaths in Mexico were in people older than 60 or younger than 3 years old, a spokeswoman with the World Health Organization said. Pandemic flus — like the 1918 flu and outbreaks in 1957 and 1968 — often strike young, healthy people the hardest. When a new virus emerges, deaths may occur in healthy adults who mount the strongest immune reactions. Their own defenses — inflammation and leaking fluid in lung cells — can essentially drown them from inside.
A second hypothesis, Dr. Cetron said, is that there is some other factor in Mexico that increased the lethality of the virus, such as co-infection with another microbe or an unwittingly dangerous form of treatment.
For example, a co-infection with the AIDS virus makes it much more likely that someone with tuberculosis will die of it. And Reyes syndrome emerged when infants with fevers were treated with aspirin.
However, Dr. Cetron emphasized that there is no evidence of any co-infection in Mexico or anything unusual about flu treatment there.
Flu experts would also like to know whether this year’s flu shots give any cross-protection against the new swine flu strains. There is an H1N1 human strain in this year’s flu shot, and all H1N1 flus are descendants of the 1918 pandemic strain. But flus pick up many mutations over the years, especially when they move back and forth between humans, pigs, birds and other hosts.
There will be no evidence for several days as to whether the shots are protective, until the C.D.C. can get stored blood samples with antibodies to the flu shot and test them against the new virus. Those tests are under way now, according to a flu expert who sent the C.D.C. his blood samples.
In several countries, students reported they were ill upon returning from spring break in Mexico. For example, three teachers and 22 students at Rangitoto College, a New Zealand high school near Auckland, were reported to be ill after arriving after a three-week trip to Mexico on a flight via Los Angeles.
Mexico’s annual flu season was trailing off in March, when there was a new spike in cases. That usually happens when B strain flus peak late in the season, but B strains are usually mild. Mexico sent samples to the United States and Canada after its officials realized the country was having an unusual outbreak with severe cases.
yike! i still have to go to school bc it's finals time with at least 80 kids in 1 room for each of my classes. also, i'm in a border state, and having low whites isn't a good thing either. should i start carrying masks around with me?
just got home from a dance recital and was nervous the entire time of the people sitting around me! there was a little boy who kept coughing and a woman behind me who kept sneezing and blowing her nose. ahh! definitely taking my Neupogen tonight, should have had it earlier last night!
Stay out of airports. Sigh. My son is sitting in O'Hare at the moment just having come from San Diego. I'm on my way soon to pick him up at Toronto Airport. I'm seriously thinking of quarantining him at home for 48 hours, the upper limit of the 24-48 incubation period for this.
He will be okay...I just wish he were home already too!
This is horrible....and the media is just reporting constantly.......and people are really starting to panic...and yet some arent paying it any mind at all..............
I have a huge wedding Friday evening in Coral Cables, and the brides family is coming in from OHIO!!
Im not happy about this for my sake or anyone else's.
What a wedding this will be depending upon what happens by then.
Then the bride and groom are flying to Nappa Valley with their 5 month old son???????
I sure hope they change their mind about Nappa Valley.
But I doubt they will!!
Great I will be surrounded by at least 100 people coming from the airport!
I have a sequined top so maybe I should! I dont want to go I really dont!
Im not a paranoid person however under the circumstances who would want to be around a hundred people who just got off the plane...Everyone will be kissy huggy!!
If I could get out of this I would but I cant.
"Trish, probably not an unreasonable thing to do. Trouble will be getting him to agree with you. :) "
No kidding, eh? :) Just back in Canada after 8 months gone (except for Christmas) and first thing he's going to want to do is go see all his friends. He's pretty level-headed so we'll see. I just remember that guy who flew with TB and *knew* about it and didn't quarantine himself.
Charm - I know he'll be okay, just will be nice to have him home and thanks for the good words. As for your wedding, could be that *everyone* will be wearing masks at the wedding. I'd bring your sequined one just in case. Pictures though please! :)
Seriously, I hope this gets contained quickly. The comforting thing, albeit not for Mexico, is that there don't seem to be any deaths outside of Mexico so far, the subsequent infections seem relatively mild.
Yikes. Just thought....maybe should bring a mask myself. Will have to watch the board and see if there are flights coming back from Mexico. They say it's not airborne, it's personal contact. Okay, getting a grip. I'm off to the airport.
How does swine flu spread?
Influenza viruses can be directly transmitted from pigs to people and from people to pigs. Human infection with swine flu viruses are most likely to occur when people are in close proximity to infected pigs, such as in pig barns and livestock exhibits at fairs.
Human-to-human transmission of swine flu can also occur. This is thought to occur in the same way as seasonal flu occurs in people, which is mainly person-to-person transmission through coughing or sneezing of people infected with the flu virus. People may become infected by touching something with flu viruses on it and then touching their mouth or nose.
"Roche Holding AG's Tamiflu, known generically as oseltamivir, and GlaxoSmithKline Plc's Relenza, or zanamivir, are both recommended drugs for seasonal flu and have been shown to work against viral samples of the new disease.
Tamiflu is expected to be in greatest demand should swine flu develop into a pandemic, as experts fear it may, since it is given as a tablet. Relenza must be inhaled.
Roche said it has a stockpile of 3 million packages of Tamiflu ready for use by the World Health Organization (WHO), half held in the United States and half in Switzerland."
So who bought a surgical mask today? Who bought some of that instant hand cleaner? Well, call me paranoid, but I bought the instant hand cleaner to carry along which is good to use even without Swine Flu in the neighborhood.
2. What will happen if this outbreak gets classified as a pandemic?
Moving the world to pandemic phase 4 would be the signal for serious containment actions to be taken on the national and international level. Given that these actions would have major implications for the global economy, not to mention the effects of the public fear that would ensue, there is concern that the WHO may be considering politics along with science. "What the WHO did makes no sense," says Osterholm. "In a potential pandemic, you need to have the WHO be beyond question, and (April 25) was not a good day for them."
Of course, declaring a pandemic isn't a decision that should be taken lightly. For the WHO, phase 4 might trigger an attempt to keep the virus from spreading by instituting strict quarantines and blanketing infected areas with antivirals. But we appear to have missed the opportunity to contain the disease at its source since the virus is already crossing borders with ease. "We cannot stop this at the border," said Anne Schuchat, the CDC's interim director for science and public health. "We don't think that we can quench this in Mexico if it's in many communities now."
That would leave the WHO and individual countries to fall back on damage control, using antivirals and old-fashioned infection control - like closing schools, limiting public gatherings and even restricting travel - to slow the spread of the virus. But such efforts would likely inflict serious damage on an already faltering global economy - and the truth is, we don't know how well those methods will work.
talk about yikes! 2 confirmed in my state and 5 under testing. and i'm at school. yep, the only schools canceled here are the ones that already have confirmed cases. and the largest school district here says they are still not considering closure, only to keep their nurses "more alert." i don't want to have to wait until there is a case in my school before they close, that will be too late for the public, staff members, and the STUDENTS!
I'm a little surprised by the level of alarm regarding this issue on this board. You'd think folks who have been through what most of us have been through might be a little more restrained in our judgements. Oh well, I guess it's the nature of discussion boards to veer toward the sensational.
I recommend the following helpful article just published in the on-line magazine Salon entitled "Swine Flu: Don't Panic:
Hmmm... I don't buy it. I have learned that our government loves to perpetuate a "so called crises" in order to usurp the constitution. (both parties). Time to look behind this story and see what they are trying to sneak by.
It is real and we are all going to die..............YIKES!
Marc: You'd think folks who have been through what most of us have been through might be a little more restrained in our judgements.
Ribavirin restraining judgement? I think you've got the pills mixed up. LOL. But seriously, as President O. said, it's nothing to be alarmed about but it is something to be *concerned* about, especially if you're walking around a deck short of WBCs and on a college campus like Lalapple where they probably pack the classrooms like sardines in a can.
If your on TX, chances are the virus doesn't have a chance in h e l l to take hold.
This is just a ploy to get everybody on IFN before the new drugs get released.
Seriously, I look at it a little bit like Gauf. I'm surprised after all; weren't we all supposed to be dead from the avian flu 3 years back?
As rosanna rossanandanna used to say; it's always something. I hope this turns out to be benign and usually it is.
Well; I've got to go fill the tub in my fallout shelter with drinking water and buy all the ramen and oatmeal at the grocery store, and get fresh gas for my Y2K gas generator.......and some tang for the rickets and some masking tape to seal my doors.
(Walks out whistling)..... "Good Bye It's Been Good To Know You",
The virus quickly spread around the globe Monday. There are now 40 confirmed cases in the U.S. - twice the number reported over the weekend by the Centres for Disease Control and Prevention in Atlanta.
Let me say a few further words about why I disagree with the alarmist tone of many posting on this thread.
Folks, we are all victims of this sort of hysteria and rush to judgment in another context. Remember? We have HCV. There are all sorts of rumors floating out there about HCV – that it is the sign of a sinful life, that it is sexually transmitted, etc. etc. All of us spend time trying to combat these misunderstandings and promote a more balanced and accurate understanding of the illness.
So let's take our experience and apply it to this case. Let's be patient and wait to hear what the experts come up with rather than rushing to judgement. I am sure that hysterical calls for extreme measures are not constructive. As I said before, I'm really surprised that folks who are combatting HCV and the negative social stereotypes that come with it, would be alarmist. Seems to me to be the last group of people who would respond in this way.
The facts are this is a new deadly disease that is going to spread all over the world...its only a matter of time...influenza is VERY contagious....i think being overly caitious is a smart move....not saying one should panic...but this cause for some SERIOUS action....its not contained..its in the public
"you wouldn't say that if the swine flu was in the same state as you "
I just spent three days working our biggest trade show of the year - at the Jacob Javits Center by the river in New York City and let me tell you, people are wearing MASKS. Not a lot of them (and most looked like immigrants) but it was VERY unnerving and when you think about the thousands of people that passed by us in that old stale recycled air.................
It reminded me of the Steven King book/movie THE STAND
And yes it was scary - my two kids were working a booth and they wanted to leave.
BUT this is not the plague so we just stayed and kept our heads like every other rational person there. Living in a metropolitan area you have to get used to the concept of threats (whether bio or bombs or whatever) because seriously you have to live your life and to ponder and worry about it all the time well - not going to work.
And yes, I watched the Bird Flu movie of the week a few years back and nobody died of that that I knew personally and the world is still here and I still eat chicken ;) Of course come 2012 when the world blows up I'll be shocked then - but to worry about this stuff is just ridiculous unless you have the ability to move to a deserted island for the rest of your life.
Hey, Rocker – you're exactly what I'm talking about. It is not at all clear that this new virus is deadly. In every place but Mexico it's been quite mild. They are still trying to figure out why. Chill out, dude. There are plenty of viruses that do not become virulent.
I tend to agree with Marc that the current situation is not a huge deal unless you are a cable news outfit. On the other hand, it has potential but as a disrupting event. Except for Mexico so far the mortality rate is nothing like avian flu. I find it all very interesting becuase a lot of this planning is what I do. The biggest problem is the govenment regulators that many industries must deal with. Talk about a bunch of Chicken Littles
Although there are less than 70 confirmed cases, at this time, I can assure you that many businesses are ducks on ponds. That is, it's business as usual on the surface but beneath the surface there is a lot of frantic activity which is mostly already planned well in advance.
The best thing to do is to chill, stay hygienic and keep informed.
Honestly guys, I don't see anyone here jumping out of their their computers cept maybe "Rocker". LOL. Personally, if I were on treatment, I'd be concerned about being in a crowded situation until more is known about this. "Panic" is what happens when you're not prepared, not when you are. Confucius say.
JD: "I think I'll go sneeze in public, see if I can get the mall shut down! "
LOL i think i'll go to school and sneeze and cough so they can shut done and i won't have to take finals and can sleep all day until i finish treatment. wait until my reds and whites grow back up, then i probably won't be as worried. but i've always been a worry bug.
NY: "the world is still here and I still eat chicken"
i can live without pork (not that it matters) but thank goodness we still have chicken in this world!
JMJM: yay CONFUCIUS!
but i'm still a little scared :(
*no arguments please*
Big man, pig man, ha ha, charade you are
You well heeled big wheel, ha ha, charade you are
And when your hand is on your heart
You're nearly a good laugh
Almost a joker
With your head down in the pig bin
Saying "keep on digging"
Pig stain on your fat chin
What do you hope to find?
When you're down in the pig mine
You're nearly a laugh
You're nearly a laugh
But you're really a cry.
Bus stop rat bag, ha ha, charade you are
You ****** up old hag, ha ha, charade you are
You radiate cold shafts of broken glass
You're nearly a good laugh
Almost worth a quick grin
You like the feel of steel
You're hot stuff with a hat pin
And good fun with a hand gun
You're nearly a laugh
You're nearly a laugh
But you're really a cry.
Hey you Whitehouse, ha ha, charade you are
You house proud town mouse, ha ha, charade you are
You're trying to keep our feelings off the street
You're nearly a real treat
All tight lips and cold feet
And do you feel abused?
You gotta stem the evil tide
And keep it all on the inside
Mary you're nearly a treat
Mary you're nearly a treat
But you're really a cry.
"What do i do if i see someone coming towards me with a pet pig?...run or kill the little fella? "
A shot of Interferon and a couple of Riba pills will knock those flu virions on their a**
"ahh! definitely taking my Neupogen tonight, should have had it earlier last night! "
Neupogen increases neutrophils....and neutrophils protect you against BACTERIAL infections, NOT viral. And swine flu is a virus.
Plus, you're already taking a great antiviral...Riba. Riba was initially used for respiratory infections.
"should i start carrying masks around with me? "
If you wear one, make sure you change it often. Breathing can make it moist (as well as spitting when you talk)....and having something moist in front of your nose and mouth would make it easier for a virus to infect you if let's say, somebody with swine coughs right in front of you.
Neupogen increases neutrophils....and neutrophils protect you against BACTERIAL infections, NOT viral. And swine flu is a virus.
This is correct and hopefully the antivirals offer some protection but not sure we can count on that. That said, the flu can open the door to invasive bacterial infections per the below citation. One could also argue (as I have per study data) that low ANC is not associated with more bacterial infections on tx but not sure if the study backup on this took into account the swine flu. Of course we shouldn't panic, but all in all, I don't think erring on the side of caution is overdoing it.
The potential for exacerbation of underlying chronic medical conditions or invasive bacterial infection with swine influenza virus infection should be considered.
They are waiting on test results for 2 more possible cases in Pittsburgh. I feel bad for the very young, very old and the immune compromised, which is many on this forum (I think) I hate to be one to fall into the hype but you just never know. & no I am not wearing a mask..................yet LOL
More and more countries are reporting new cases....soon this will be in every country on the planet....there is no stopping this...sorry if i sounf so negative...but facts are facts...prety soon Mexico will be shut down...no travel in or out
They made roasted pork and potatoes for lunch here today (we get free food) - a few weeks ago a note went out asking anyone if they wanted to take a package for early retirement..........anybody see a connection here?
lal, can you get in, take your test and get the heII out. Just remember DO NOT touch your eyes nose or mouth. Sit as far as you can from anyone sniffling or coughing, It would be a crying shame for you to miss finals and like trin said the ribavairin is a strong antiviral. What about a special arrangement for you to tak your finals in a seperate room under the circumstances with a note from your doc? even in the principals office, the nurses area or empty room? I am wishing the best for you!!!!
Me too lal, but we are taking antivirals which hopefully are giving us a bit more bump in resisting the Swine Flu. Whites fight off bacterial infections, which at this point is of less concern to me than attack from H1N1 virus, Mexican Flu, North American Virus just to name a few.
Can you imagine throughout all this some groups are offended because swine makes reference to pork among other things. To remain politically correct they are referring to it using various other names. Oh yes, political correctness....
1) proceed as normal, attending classes and writing your finals
2) get a deferral if possible on the basis of your medical condition (maybe ask Dr. Choi about this on the chat starting now)
3) check into Tamiflu pills, which some students are being offered on a school-wide basis, even if they don't have symptoms (I don't know anything about them)
Your healthy apprehension can serve you well to take extra precautions. Bring lots of that alcoholic wash with you and keep your hands away from your eyes, nose and mouth. We have to be prepared but so far the cases in the U.S. have been mainly mild.
The little 23 month old who died so tragically in Texas already had underlying health problems and had very recently arrived from his home in Mexico City.
I myself would probably go ahead and write my exams, given that I have so much ribavirin in my system. I'd hate not to get my exams behind me, which would keep me from celebrating spring. And in your case, celebrate the near-end of your tx!
so apparently the child passed away in a hospital about 15miles away from my house. first death from the swine flu in America.
am i going to school today? HECK NO
but i have 2 final exams tomorrow, 1 on the 4th, 1 on the 8th, 1 on the 11th, and 1 on the 12th. some exams are assigned seats, a lot of students in small classrooms. most finals are mandatory, and i am a premedical student so failing is not an option.
i have to stay full time student to stay on insurance for treatment
I am no way shape or form in the medical profession... although did sleep at the Grey Bar Inn Express last night...and studied some biology...lmao
Seriously, have done tons of reading on our HCV and ifn therapy. Not sure its all true, but it has lead my to believe a couple things. IFN and Riba are very strong anti virals. IIRR, HR even said something about ifn and many other virus being susceptible to ifn.
As my above post said, being on TX, is not virally immune compromised...just the opposite.
While no one would recommend ifn therapy to ward of the swiney flu, once on tx you are probably protected from many virus infections. Don't misunderstand this to mean tx will 'cure' all virus.
lalapple, The swine flu is a virus, not bacteria. On tx our bacterial immunity is compromised since our anc count goes south from ifn.
This might leave us open to possible bacterial infections, not viral infections. Ask your Hepatologist, he will tell you. IMO it would be a mistake to use this swine flu thing as an excuse to miss your finals.
If there is any real risk to our general population at all, in my laymen opinion, ones here most risk, are those that just finished tx.
Without ifn and riba, we now lack viral protection. And we are still bacterial immune compromised till the white cells build back up, and adjust back to normal. This took a couple months for me to get back to normal blood counts.
Also at risk are tp patients from their immune suppressant drugs, and maybe those of us with advanced liver disease.
"Flu infections can lead to or occur with bacterial infections. In that case, people will likely need to also take antibiotics. A long or severe case of the flu that seems to get better, but then gets worse again, may be a sign of a bacterial infection."
for more information go to: www.cdc.gov/swineflu/general_info.htm
so yes, a weak immune system and low whites is a very bad thing, don't you just love how one thing leads to another?
I submitted this question to the live chat with Dr. Choi:
"Does taking 1000 mg daily of ribavirin as part of HCV therapy for the last 45 weeks afford any protection against the swine flu?"
This was his reply:
Dr. Enoch Choi:
"not that i understand"
What do your parents think you should do about your two finals tomorrow? Given how mild it's been so far for the vast majority of people in North America, I'd advise my own kids to take hand sanitizer (knowing them, they wouldn't use it) and write their exams. Your school may already have put precautions in place.
It would be a real shame for you to miss your finals after struggling through the semester on treatment. I recommend that you go to the exams. Wash your hands a lot and don't touch your face, especially your eyes. Keep to yourself as much as possible. Just do the test and go straight home. Wash your hands before and after the test, and on any breaks you take. Use a paper towel to open the door when you leave the restroom. Maybe bring some of those clorox disinfectant wipes and wipe the surface of your desk.
Most important is handwashing and not touching your face.
Good luck. Exams will be over soon and then you can relax.
Anyway, I bet you'll be fine and will ace those two exams tomorrow. The added stress will give you an adrenalin surge and the right answers will pop right into your head. And then make a quick exit, hand sanitizer held close.
Your school probably bought out all the masks in town and will be handing them out tomorrow at the door. :)
Best of luck. I remember once having three exams in one day. That was a killer but I did fine.
On a side note Ann, knowing you just finished tx, as I have recently also, here is my anecdotal report...lol
There might be something to what HR said about IFN abrupt stopping leaves our viral immune systems in a weakened state till systems get back up to normal. And that this could take some time.
About 4 weeks after I stopped tx, was in plane from pbi to phx, 5 hours of a women right behind me, non stop coughing.
I have not been sick in years and I travel constantly.
I can't remember the last time I had a cold or the flu, maybe 20years?
Well had a 100* fever, non stop cough, bad bad congestion, whizzing, etc, for 8-10 days. Thank God its gone. Hey maybe stopping TX has nothing to do with me getting that cold, flu or whatever it was, don't know, just saying.
Pandemic Imminent Level Raised to five out of six........
But don't get too excited-
In Mexico City, the epicenter of the epidemic, the mayor said Wednesday the outbreak seemed to be stabilizing and he was considering easing the citywide shutdown that closed schools, restaurants, concert halls and sports arenas.
The regular flu kills people every year so don't get carried away - really. It's not The Stand quite yet.
I'm very disturbed that Tony has been turned into a villain. Do you see any way how he can end up be vindicated? I mean "deep cover" is one thing but killing the head of the FBI and trying to kill Jack is another LOL Yeah, ack is going psycho on the psycho, yes!
What about the president's daughter? She has something up her sleeve, no?
The way things are going, I'm even starting to suspect Aaron, the secret service guy. I always read those pained glances one way, but now, who knows. Must say though, the show has great casting.
I'm very disturbed that Tony has been turned into a villain
I JUST said the same thing to JD Jim - I am SO upset by this and if it turns out to be "evil twin" tony or "deep undercover and everyone was in the dark and Larry is alive Tony" either way it will still have me pissed off cause he s the one who would NEVER do something like this = shoot I'd believe Chloe first! But in order for it to be deep undercover Tony Bill would have to be not dead too!!!!!!!!!!!!!!
The President's daughter is a rat - I bet she is getting revenge on her family for not getting enough attention or cookies when she was ten or something.........remember the year it was the blonde one and the sister had to help bring her down?
Jack get your act together there are only a few weeks left and it had BETTER have a good conclusion and everybody better not just pop back alive and go ooops sorry we were alive all along!
PS I started so suspect the secret service guy too they made him make some pretty odd faces and did some odd "bad guy like" camera work on him.........then I started to think why easy it's Renee that is why Larry is pretending to be dead he coudln't trust her - so ok we've nailed it down to "it's everybody except Jack".
No, it CANNOT be Jack. That would be be so dark...like a dark mushroom cloud over America TV. So dark.. well, anyway it CANNOT be Jack. I thought about Renee as well. But what about the dumb blonde (sorry smart blondes) daughter of Jacks? She seemed to high tale out of town real quick with her bone marrow in tact.
Diffidently they will try and vindicate Tony under the guise of saving the USA from the laptop forum that voted to do the one canister thingy. Tony is after them to make Bills death worthwhile and save the country from take over.
pigs represent the people whom Roger Waters considers to be at the top of the social ladder, the ones with wealth and power; they also manipulate the rest of society and encourage them to be viciously competitive and cutthroat, so the pigs can remain powerful. Waters suggests that the pigs manipulate the dogs in the lines "Gotta admit, that I'm a little bit confused/Sometimes it seems to me, as if I'm just being used" in the song "Dogs.
The swine flu has hit America, as you've no doubt heard. It hit Reno this morning and soon will be in Las Vegas. I got a prescription for Tamiflu for me and my family. When people find out there's two drugs to kill this virus, they will swarm to every pharmacy. There will then be none available. Get on the band wagon NOW for you and the family before it's too late!
The drug you need to go to your doctor and request, is called Tamiflu (by Roche). You want the 75mg capsules. It comes in a prepared dosage box of 10. You take two a day for 5 days if you get the flu now. The Surgeon General this morning posted a warning that this is NOT the flu season, so if you get the flu, it will be swine flu!
Remember there's NOTHING else out there to kill this flu virus. If you don't take care of this, it could be fatal! Most times, it develops into pneumonia and death will soon follow. 159 people have already died in Mexico and one in Texas.
In Las Vegas, doctors are scrambling to find it for patients, as most drug stores are out. Walgreen's still has it. Check Walgreen's in your area before it's too late. Remember what Dr. Brenell said in "Invasion Of The Body Snatchers", "You're next, you're next, you're next!"
Don't delay on this or you will be left out without the available drug...
Magnum: Most times (swine flu) develops into pneumonia and death will soon follow.
Swine flu is potentially very serious but at the present time this is absolutely nothing to substantiate that the current swine flu strain is any more deadly than normal influenza. Let's be careful about alarmist and false statements unless you have authoritative back up.
When healthy adults die of the flu, it is usually because it becomes pneumonia. It can develop about 5 days after the flu symptoms of fever, cough, and muscle aches start. There is swelling (inflammation) in the lungs, and the person has trouble breathing that gets worse and worse until they die. Taking antiviral medications within 48 hours of the flu symptoms starting can help reduce the symptoms but may not prevent the person from developing pneumonia.
As I understand it the fatalities have been in Mexico with the exception of the little boy who died today in Texas. He was a recent arrival from Mexico. In the US, it appears that people are experiencing something much milder, at least right now they are.
I believe that in Mexico the death rate is elevated because many poor people there have had little or no medical care, and many are coinfected with respiratory illnesses like TB. Hygene is substandard in the poorer neighborhoods in Mexico and poor people who seldom see doctors are less likely to understand the hygenic practice necessary to prevent the spread of the flu.