UP Ibalon Bicol: Public Health

Showing posts with label Public Health. Show all posts

Politics of Health: Give the flu vaccines to those who need them most

6/15/2009 | Posted by mesiamd | Edit Post

The number of H1N1 flu infection ominously jumped from 111 to 147 cases and health authorities reported brisk community transmission in Nueva Ecija----suggesting that more cases are cropping up and the flu is getting harder to control.

As a response, the government said 8,000 Makati City employees will be given free flu shots on Monday to prevent the seasonal flu, not the H1N1 viral infection. The government thinks mass vaccination against the common flu at a cost of P2.8 million will help track down by “elimination” those with swine flu. But health authorities know that giving the vaccine doesn't completely assure seasonal flu will be avoided.

“We have prioritized the immunization against seasonal or common flu of our city workers, especially our frontline and field workers, not only to strengthen their defenses against respiratory diseases, but also to help us in promptly identifying possible cases of A(H1N1),” Makati Mayor Jejomar Binay said.---Philippine Daily Inquirer (06/14/09, Lopez, A.)

Really?

The seasonal flu vaccine is not expected to be effective in preventing the H1N1 flu. At best, the justification that swine flu can be detected by “elimination” is faulty because there are many illnesses which present with flu-like symptoms. If one means to control the viral disease, it’s not by “elimination.” Doctors need the right diagnosis, even if influenzas in general have essentially the same treatment.

To identify H1N1 flu or seasonal flu, a lab test like the one done at the Research Institute of Tropical Medicine (RITM) must be done. This makes one to consider if Mayor Binay’s decision to administer the vaccine is in line with good medical judgment. Why don't politicians like Binay leave the medical decisions to Dr. Francisco Duque III and the Department of Health (DOH?)

Government employees, unless they are in the high risk group, hardly qualify as the priority group to get the vaccines. Though workers may receive them, the government in triaging patients, must give the vaccines to those who need them most as shown below. On the process of production, it will take sometime before the new H1N1 vaccine will be readily available in the market:

2008-09 INFLUENZA PREVENTION & CONTROL RECOMMENDATIONS
Center for Disease Control

Vaccination of all children aged 6 months–18 years should begin before or during the 2008–09 influenza season if feasible, but no later than during the 2009–10 influenza season. Vaccination of all children aged 5–18 years is a new ACIP recommendation.

Children and adolescents at high risk for influenza complications should continue to be a focus of vaccination efforts as providers and programs transition to routinely vaccinating all children and adolescents. Recommendations for these children have not changed. Children and adolescents at higher risk for influenza complication are those:

•aged 6 months–4 years;
•who have chronic pulmonary (including asthma), cardiovascular (except hypertension), renal, hepatic, hematological or metabolic disorders (including diabetes mellitus);
•who are immunosuppressed (including immunosuppression caused by medications or by human immunodeficiency virus);
•who have any condition (e.g., cognitive dysfunction, spinal cord injuries, seizure disorders, or other neuromuscular disorders) that can compromise respiratory function or the handling of respiratory secretions or that can increase the risk for aspiration;
•who are receiving long-term aspirin therapy who therefore might be at risk for experiencing Reye syndrome after influenza virus infection;
•who are residents of chronic-care facilities; and,
•who will be pregnant during the influenza season.

Note: Children aged <6 months should not receive influenza vaccination. Household and other close contacts (e.g., daycare providers) of children aged <6 months, including older children and adolescents, should be vaccinated.

Annual recommendations for adults have not changed. Annual vaccination against influenza is recommended for any adult who wants to reduce the risk for becoming ill with influenza or of transmitting it to others. Vaccination also is recommended for all adults in the following groups, because these persons are either at high risk for influenza complications, or are close contacts of persons at higher risk:

•persons aged >50 years;
•women who will be pregnant during the influenza season;
•persons who have chronic pulmonary (including asthma), cardiovascular (except hypertension), renal, hepatic, hematological or metabolic disorders (including diabetes mellitus);
•persons who have immunosuppression (including immunosuppression caused by medications or by human immunodeficiency virus);
•persons who have any condition (e.g., cognitive dysfunction, spinal cord injuries, seizure disorders, or other neuromuscular disorders) that can compromise respiratory function or the handling of respiratory secretions or that can increase the risk for aspiration;
•residents of nursing homes and other chronic-care facilities;
•health-care personnel;
•household contacts and caregivers of children aged <5 years and adults aged >50 years, with particular emphasis on vaccinating contacts of children aged <6 months; and,
•household contacts and caregivers of persons with medical conditions that put them at high risk for severe complications from influenza.
Source: Center for Disease Control (Photo Credit: Healthcarewithoutharm/ Southeastasia) =0=

===========================================================

Labels: CDC, DOH, epidemic, Flu, H1N1 virus, Influenza, Makati, pandemic, politics, Public Health, RITM, seasonal flu, Swine flu, Totie Mesia, treatment, vaccination

HIV infections sweep California porn industry

6/14/2009 | Posted by mesiamd | Edit Post

As the Los Angeles County Health authorities announced of a sex worker having contracted HIV in the last five years, they say 16 more porn stars had been infected by the dreaded virus.

Public Health Officials said the 16 cases of HIV/AIDS were not investigated and unpublicized because of privacy rules enforced before 2006 which prohibited the disclosure of names to government agencies. It was unclear whether all of them got their illness at work.

“No state laws specifically require condom use and the vast majority of heterosexual porn movies are shot "bareback," an industry term for unprotected sex.

State labor codes, however, do require use of personal protective equipment and protection against blood or bodily fluids in the workplace. Since 2004, five adult entertainment companies have been cited for a variety of violations. Each case has been settled, state officials said.

Since 2004, 2,378 people who identified themselves as adult film industry performers have tested positive for chlamydia in Los Angeles County. An additional 1,357 tested positive for gonorrhea and 15 for syphilis, according to data released Thursday by the county's health department.” Los Angeles Times (06/12/09, Kimi Yoshino and Rong-Gong Lin II

Since the San Fernando Valley is a leading pornography capital which has an annual income of $12 billion dollars, employs more than 1,200 sex performers under at least 200 productions. The HIV outbreak is looked upon with worry because it has the capacity to spread quickly in the community. (Photo Credit: www.rogallery.com) =0=

=============================================================

Labels: Aids, California, film, Health, HIV, infection, Los Angeles, movie star, movies, pornography, Public Health, sex, sex worker, STD, Totie Mesia, virus

WHO about to declare H1N1 flu as a worldwide pandemic

6/04/2009 | Posted by mesiamd | Edit Post

In spite of close monitoring and containment, the H1N1 virus has spread to sicken render about 20,000 individuals in 66 countries. The World Health Organization (WHO) is weighing in if it’s the right time that the viral infection be called a pandemic, the highest level of threat for a highly transmissible disease.

At present, the spread of the disease is mostly among travelers, in schools, and close contacts, but not much within the community. However, with the start of winter in the Southern Hemisphere, health authorities worry if the swine flu will infect more people than last year’s similar strain (H1N1 flu) which is resistant to the anti-viral medication Tamiflu.

The WHO is now "getting closer" to declaring the outbreak had reached phase six, the highest level on their alert scale.---said WHO’s flu chief Keiji Fukuda. Guardian.co.uk (06/03/09 Carrell, S.)

The same consideration has been reported in New York Times (06/03/09, A9, McNeil)

To declare the flu as a pandemic requires many considerations. People who don’t fully understand the disease may panic so the logistics to inform and prepare them must be put in place. In a pandemic, there may be trade and travel restrictions that my impact the economy of a country. A bigger budget and personnel to fight the illness must be readied.

The WHO is preparing an additional $500 million to aid poor countries. Pres. Barack Obama has asked the US legislature for $2 billion in anticipation of a full blown pandemic.

The virus which behaves like a mild seasonal flu at this time may mutate, grow in virulence and cause more deaths than generally expected as it moves along. With all these considerations, WHO calls on its experts---public health officials and academics to think what is best in the fight against the infection. They’re trying to figure if raising the level of disease threat to 6 is warranted and will be for the benefit of the people. (Photo Credit: Healthcare without Harm) =0=

==========================================================

Labels: antiviral, budget, diseases, Flu, H1N1 virus, Health, illness, Influenza, influenza virus, pandemic, Public Health, Swine flu, Tamiflu, Totie Mesia, WHO

H1N1 flu cases in RP jump to a total of 6

5/28/2009 | Posted by mesiamd | Edit Post

The Department of Health (DOH) announced 4 more Filipinos testing positive for the H1N1 flu bringing the number of cases to a total to 6 of May 27, 2009. Two of the four got their illnesses after attending a wedding in Zambales where the infected Taiwanese woman and her child were present.

A one-year old girl from USA also exhibited signs and symptoms of flu 5 days after her arrival on May 19, 2009. Another is a 13 year old boy who became ill after a trip from Hongkong.

The increase in swine flu cases is a cause of concern knowing that the virus is highly transmissible. With the anticipated opening of classes in the Philippines, the public is advised to take the needed precaution to avoid the disease.

In a tally of the World Health Organization (WHO) as of 06:00 GMT, 27 May 2009, the number of those who contracted the disease has reached 13,398 in 48 countries. It has caused death to 95 people.(Photo Credit: Benedicte Desrus) =0=

RELATED BLOGS: "2nd H1N1 flu case reported in the Philippines" Posted by mesiamd at 5/25/2009; "RP reports its first H1N1 virus infection" Posted by mesiamd at 5/22/2009

==============================================================

Labels: diseases, DOH, epidemic, H1N1 virus, illness, Influenza, influenza virus, Philippines, Public Health, Swine flu, Totie Mesia, WHO

UP Ibalon Bicol

Politics of Health: Give the flu vaccines to those who need them most

HIV infections sweep California porn industry

WHO about to declare H1N1 flu as a worldwide pandemic

H1N1 flu cases in RP jump to a total of 6

Blog Archive

About Me

UP Ibalon Newsmakers

Topics/Categories

Feedjit Live Blog Stats

Topics/Categories

Featured

Ateneo de Naga HS Batch 74

ABS-CBN News

Recent Posts

GMA News.tv

Philippine Commentary

Inquirer Breaking News