Health News and Scoops

The Commonwealth of Pennsylvania is working with federal officials to contain the impact of an outbreak of swine flu in Mexico that resulted in the declaration of a national public health emergency in the United States.

The Department of Health is working to educate the public and health care providers of recommended steps to prepare for potential cases of swine influenza in Pennsylvania.

“At this point we do not have any confirmed cases of swine influenza in Pennsylvania, but we remain in constant communication with health officials at all levels,” said Health Secretary Everette James. “We are committed to keeping our health care providers, local health agencies, and the public informed as this situation develops.”

“The federal public health emergency declaration is simply a tool that allows for preparation and mobilization of resources to plan for and respond to this virus outbreak if we begin to see cases in Pennsylvania,” said Pennsylvania Emergency Management Agency Director Robert French. “We are coordinating our activities closely with our federal partners and all the public health and emergency agencies across the state,” said French.

The Department of Health has notified health care providers across Pennsylvania to be watchful for patients with influenza-like illness who may have been exposed to the new swine flu strain and to immediately inform the local health department of any suspected cases. The department will assist all health care providers in evaluating the patients, recommending control measures, and assisting in specimen collection and testing when indicated.

This notification follows confirmation of a new strain of swine influenza A/H1N1 virus in Mexico and five locations in the U.S., including New York and Ohio. To date, all U.S. cases were “mild” with only one person requiring brief hospitalization.

According to the U.S. Centers for Disease Control and Prevention, swine influenza A/H1N1 is a new strain of influenza that has not previously been detected in swine or humans. The virus has also been confirmed in Canada and Mexico. It is still safe to eat pork and pork products.

The Department of Health provided information to all of the state’s health care providers and hospitals late Friday regarding the swine flu, including how to quickly report possible cases and how to submit samples for testing. Anyone who has traveled to or from the affected areas and has a respiratory illness should contact their health care provider or local health department before seeking health care.

Swine influenza is a respiratory disease of pigs caused by type A influenza viruses. Outbreaks of swine flu happen regularly in pigs. Before the current outbreak, people rarely got swine flu, and usually only if they were in very close proximity to infected pigs. However, during the current outbreak, the virus is able to spread from person-to-person.

Symptoms of swine flu in people are similar to those of regular or seasonal flu and include fever, lethargy, lack of appetite and coughing. Some with swine flu also have reported runny nose, sore throat, nausea, vomiting and diarrhea. Although winter is over, there is still a low level of seasonal influenza occurring in the state.

There is no vaccine available at this time, but the swine flu can be treated with certain antiviral drugs. Persons with swine flu are contagious for up to seven days or longer after the onset of illness, so it is important to take the following steps to prevent spreading the virus to others:

• Stay home when you are sick to avoid spreading illness to others;
• Cough or sneeze into the bend of your elbow or a tissue and properly dispose of used tissues;
• Wash your hands frequently and thoroughly with soap and warm water or use an alcohol-based hand sanitizer;
• Avoid touching your eyes, nose and mouth;
• Stay healthy by eating a balanced diet, drinking plenty of water and getting plenty of rest and exercise; and
• Seek care if you have influenza-like illness.

The CDC is asking that those individuals who have a recent history of travel and experience mild, flu-like symptoms to stay home. However, if you feel your symptoms worsen or become severe, call or visit your health care provider.

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In response to confirmed cases of swine flu in Mexico, Canada, and the United States, European Union health officials are advising against travel to North America. At airports in Japan and several other Asian countries, thermal scanners are being used to identify fever among passengers from North America.

But in the U.S. the disease is already among us. The severity and extent are unknown. The SARS outbreak (severe acute respiratory syndrome) in 2003 teaches that rigorous infection control in hospitals may be key to limiting deaths from swine flu in the U.S. Much will depend on what hospitals do when the first seriously ill victims arrive.” If hospitals have effective infection controls in place, the disease can be prevented from spreading to visitors, healthcare workers and their families,” warns Betsy McCaughey, Ph.D., and Chairman of the Committee to Reduce Infection Deaths (RID), a national organization that educates the public and medical community about preventing infection. McCaughey explains that “77% of the people who contracted SARS in the Canadian outbreak were patients, visitors or workers in hospitals. SARS was almost entirely a hospital infection epidemic.”

SARS — four letters that filled the headlines in the spring of 2003, and then disappeared. “A report issued after the fact by the government of Ontario (The SARS Commission, Spring of Fear, December 2006) shows how hospitals in one city thwarted an epidemic while hospitals in another city made deadly mistakes” says McCaughey, an expert on preventing infection.

Many hospitals in the U.S. are under-prepared for a similar challenge. As many as ten percent of patients contract infections in the hospital, according to the Centers for Disease Control and Prevention. Bacteria such as MRSA (methicillin-resistant Staphylococcus aureus) and Clostridium difficile race through hospitals, spread by unwashed hands and unclean equipment. How can hospitals that are failing to prevent ordinary infections spread by touch contain a new, unknown virus that can spread whenever someone coughs or sneezes?

“The best defense against swine flu and other unknown pathogens is rigorous hospital hygiene and routine infection prevention. That is the lesson of SARS,” says McCaughey.

Dr. McCaughey is available to speak about the precautions that should be taken in hospitals, schools, day care centers, nursing homes and other places where the disease can spread easily.

Betsy McCaughey, Ph.D., is founder of the Committee to Reduce Infection Deaths and former Lt. Governor of New York State.

Source

About 10% of women, or about 6.1 million women between the ages of 15 and 44 in the United States, have difficulty getting pregnant or staying pregnant according to the Centers for Disease Control and Prevention (CDC). Between 10% and 15% of recognized pregnancies end in miscarriage reports the American College of Obstetricians and Gynecologists (ACOG) in an ACOG Practice Bulletin (#24) in 2001, which was reaffirmed in 2008.

Undiagnosed celiac disease increases the risk of miscarriage by 800-900% according to a Celiac Sprue Association USA, Inc. Fact Sheet. Couples struggling with infertility can get help in the form of a new video and tip sheet offered by motivational speaker and author, Lisa A. Lundy, which you can download free from her website.

And just who is Lisa A. Lundy to be talking about infertility tips? In 1994 and 1995 Lundy had a fibroid tumor in her uterus that was over 19 centimeters in size, which equates to being about 8 times larger than the normal size of the uterus itself. In cases of fibroid tumors of this size, which is in the 95th percentile, a complete hysterectomy is the most likely outcome of a myomectomy, the surgery to remove the fibroid. Lundy sought out the skills of a highly trained surgeon, one who routinely did myomectomies of this size, and increased her chances of keeping her uterus.

While Lundy missed having a hysterectomy by a hairline according to the surgeon, most of the tissue needed to support a pregnancy was removed during surgery, leaving her as a patient that was unlikely to be able to carry a baby to term. Lundy surprised the three physicians working with her, her OB-GYN, the neonatologist, and the surgeon who had removed the fibroid, by not only carrying her baby to term but also by growing back her uterine tissue to normal thickness – something that medical science can not explain.

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