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PANDEMIC ALERT LEVEL
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Tracking the next pandemic: Avian Flu Talk

Are we ready for a Pandemic?

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Medclinician2013 View Drop Down
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Post Options Post Options   Thanks (2) Thanks(2)   Quote Medclinician2013 Quote  Post ReplyReply Direct Link To This Post Topic: Are we ready for a Pandemic?
    Posted: November 21 2013 at 10:41am

Some of this data is dated but remains accurate and perhaps this is time to increase our vigilance as the CDC map of the spread of flu through the U.S. is 5 days overdue and the last map showed it had spread to all but 3 states in the U.S. The last video has precise quotes from CDC documents on the plan that will be used to triage and implement health care this fall, if we have a functioning health care system, which is yet to be seen.

http://www.today.com/video/today/12418143/#12418143


It will take more than 6 months to develop a vaccine, if one can be developed.

The last Pandemic announcement in China, which I was cyber present at and live, was on April 29, 2009 and by Dr. Margaret Chan of WHO.

http://www.who.int/mediacentre/news/statements/2009/h1n1_20090429/en/index.html


CDC: 'Fall 2013 H7N9 Outbreak Will Overwhelm US Health Care


https://www.youtube.com/watch?v=AhcMjOl6zco

This is a long video - 22 minutes. POTRblog

more to be posted

Medclinician




Medclinician - not if but when - original
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jacksdad View Drop Down
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Post Options Post Options   Thanks (1) Thanks(1)   Quote jacksdad Quote  Post ReplyReply Direct Link To This Post Posted: November 21 2013 at 11:57am
Individually, some of us may be ready. But as a nation, or even as a species? No way, no how. A major one in today's society would be an event so profound that it would redefine everything as either being "before the pandemic" or "after the pandemic".
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"Any community that fails to prepare, with the expectation that the federal government will come to the rescue, will be tragically wrong." Michael Leavitt, HHS Secretary.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote arirish Quote  Post ReplyReply Direct Link To This Post Posted: November 21 2013 at 1:43pm
Originally posted by jacksdad jacksdad wrote:

Individually, some of us may be ready. But as a nation, or even as a species? No way, no how. A major one in today's society would be an event so profound that it would redefine everything as either being "before the pandemic" or "after the pandemic".



I believe you are absolutely right. The 1918 pandemic was almost an extension of WWI and people were very used to reading lists of the dead and seeing friends and neighbors names listed there. I don't think most people would handle it well today.
Buy more ammo!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jacksdad Quote  Post ReplyReply Direct Link To This Post Posted: November 21 2013 at 5:01pm
Yep, I totally agree. People were much more resilient and self sufficient back then. As a society we don't even know how to grow our own food anymore, so we rely on farmers who themselves are heavily dependent on manufacturers of pesticides, herbicides and chemical fertilizers, are now buying hybrid seeds from Monsanto every year, and who's farm equipment runs on gas/diesel/electricity. Stores are able to keep their shelves stocked with essentials only because factories have enough raw materials, power and healthy workers to manufacture them, enough truck drivers to deliver them, and in the case of international trade, enough dockworkers to load the ships (which are themselves dependent on a full crew to sail). Few people in major cities have access to a well, spring or even a clean river, so we rely completely on stores having bottled water on hand and faucets that work whenever we need them to. Heat and light come at the flick of a switch thanks to utility companies that require an uninterrupted supply of fuel and enough employees to man the power plants and maintain the grid.
The list goes on, but the point is that every piece of infrastructure would be crippled by absenteeism upwards of 30% due to illness and social distancing, and that would be devastating to a society like ours, especially given the interdependence between energy production, food cultivation/delivery, clean water supply, etc. And something else to bear in mind is that a major pandemic (equal to, or worse than 1918) peaking during the coldest winter months in the north could create a whole world of problems of it's own if people were struggling to survive without heat. Imagine Boston, Detroit, New York or Chicago in the middle of winter with no electricity or fuel deliveries Confused
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"Any community that fails to prepare, with the expectation that the federal government will come to the rescue, will be tragically wrong." Michael Leavitt, HHS Secretary.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: November 21 2013 at 7:16pm
jacksdad, You are so right we are in deep doo doo. I have put in plenty of wood to keep my house warm. If I have to I will move it indoors to protect it.   It will be needed by many if TSHTF.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Elver Quote  Post ReplyReply Direct Link To This Post Posted: November 22 2013 at 10:33pm
I don't think that anybody on this forum can be truly ready for a pandemic.  You would have to isolate yourself for years.  These pandemics come in waves and can come back for several years.  H1N1 has stuck around since 2009.  We are going on at least 5 years with this one.
 
Don't anyone here be fooled into thinking that you are prepared, because none of us are or could ever be.  We can only do our best.  The best preparation is to have lots and lots and lots of face masks.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jacksdad Quote  Post ReplyReply Direct Link To This Post Posted: November 23 2013 at 12:17pm
Elver, while it's true that good face masks will protect you from the virus, I consider the actual disease event to be a fairly short term threat - I firmly believe that a major pandemic unleashed on today's world has the potential to knock society back to a pre-industrial state and that's what worries me more. Pandemics have traditionally appeared in waves, but after the end of the last wave (the second or third typically) most of the susceptible hosts are either dead or immune and the danger of infection passes, and while a virus can mutate and return in a form that's sufficiently different that it can once again cause significant illness (as H1N1 has), I don't personally worry about one with a really high fatality rate coming back. It's society's reaction - or inability to react - to the aftermath of a major pandemic strain that I prep for as much as anything. When the food and water run out and the lights don't come on at the flick of a switch, then we get to see just how civilized we really are.

As a point of reference, I don't consider minor pandemics like the ones that occurred in 1957, 1968 and 2009 to be a threat - my biggest fear is an event like Spanish Flu or worse. Prepping far beyond the 72 hours that most authorities recommend is what gets you through the extended period of unrest that would follow the worst pandemic wave, and hopefully compensates well enough for the long term shortages of food and clean water, the loss of rule of law, no access to healthcare, etc, and keeps you and your loved ones alive and healthy.

When I started prepping, I found a couple of articles that really hit home and made me think not only about dealing with the virus at the time, but also about preparing for the extended societal hits we'd take after the fact with respect to various key infrastructures failing and essential services being severely impacted. Dated as they are, the two I'd recommend are by Dr Grattan Woodson, and a guy who goes by the name of Dr. Dave. Here are a couple of links, but if they don't work you can search for both of them by name. They reference H5N1 specifically (which was getting everyone's panties in a bunch about the time both were written) but they apply to any pandemic, and indeed any major disaster - Dr. Dave's article actually details how to prep for six months.

http://www.fluwiki.info/uploads/Consequences/NewGuideOct7b.pdf

http://www.urbanprepping.com/download/Food%20Storage/Becoming_Self-Sufficient_for_Six_Months.pdf

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"Any community that fails to prepare, with the expectation that the federal government will come to the rescue, will be tragically wrong." Michael Leavitt, HHS Secretary.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Seawolfe Quote  Post ReplyReply Direct Link To This Post Posted: November 23 2013 at 8:38pm
Just finished a few FEMA courses dealing with continuity of operations for businesses planning for pandemics. Pretty good basic courses. FEMA is recommending prep for a 40 percent absentee rate for a 6 week period for each wave. No predictions for number of waves. 1918 had three waves.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jacksdad Quote  Post ReplyReply Direct Link To This Post Posted: November 23 2013 at 9:36pm
You're absolutely right, Seawolfe - Spanish Flu was different from Asian and Hong Kong flu in having three waves instead of two, although in every case the second was the worst. It's good to hear that FEMA's being realistic and thinking about absenteeism rates that high. Do they envision anything happening beyond the six week period, or they assuming everything will go back to normal pretty quickly?
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"Any community that fails to prepare, with the expectation that the federal government will come to the rescue, will be tragically wrong." Michael Leavitt, HHS Secretary.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Elver Quote  Post ReplyReply Direct Link To This Post Posted: November 23 2013 at 11:32pm
Quoted from Wikipedia, the plague was around for decades or hundreds of years!  There is absolutely no way we can prepare for that.  The black plague had a death rate of 80%!
 
Wikipedia, under the subheading "Recurrence"
"According to Biraben, plague was present somewhere in Europe in every year between 1346 and 1671.[66] The Second Pandemic was particularly widespread in the following years: 1360–63; 1374; 1400; 1438–39; 1456–57; 1464–66; 1481–85; 1500–03; 1518–31; 1544–48; 1563–66; 1573–88; 1596–99; 1602–11; 1623–40; 1644–54; and 1664–67. "
 
 
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Seawolfe Quote  Post ReplyReply Direct Link To This Post Posted: November 24 2013 at 9:53am
Originally posted by jacksdad jacksdad wrote:

You're absolutely right, Seawolfe - Spanish Flu was different from Asian and Hong Kong flu in having three waves instead of two, although in every case the second was the worst. It's good to hear that FEMA's being realistic and thinking about absenteeism rates that high. Do they envision anything happening beyond the six week period, or they assuming everything will go back to normal pretty quickly?
  Jacksdad - - The FEMA courses make the point that the pandemic will not end the human race and that there will be something to come back to.  That's the reason for the need for proper planing for Continuity of Operations (COOP).  Everyone can see and take the FEMA courses by searching on "FEMA Courses" and then checking out course 520 - Continuity of Ops Planning for Pandemic Influenzas and course 522 - Exercising Continuity Plans for Pandemics.  Lots of other courses on the list 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jacksdad Quote  Post ReplyReply Direct Link To This Post Posted: November 25 2013 at 11:12pm
Seawolfe - Thanks for the info. I'll check out the courses you mentioned. Still not sure I share their optimism though. We have viruses circulating that have demonstrated far higher CFRs than Spanish Flu ever did, and I still believe that the way we've structured our society makes us much less able, not better able, to cope than in years gone by.
Elver - I know bubonic plague has resurfaced many times, but that was before it could be treated with antibiotics. It hasn't caused any significant illness for a long time. Warnings about plague in squirrels have been posted at campgrounds in our local mountains for a number of years now, and all we're advised to do is avoid sick or dead animals, and watch for symptoms so we can get early treatment for ourselves and pets.
Influenza is by far the likeliest pandemic candidate by virtue of it's extremely rapid mutation rate, it's ability to exchange genetic material with other viruses, it's highly infectious nature, and the vast number of strains circulating in human and animal populations at any given time. 2009 H1N1 was a minor pandemic at best (or worst) and while it continues to infect, it's not done so to any significant degree (that is to say, it hasn't achieved pandemic status again). That said, if it mutated far enough it may once again pose a problem, but I really don't think that's likely at this point. There are, however, a number of other strains that could step up and cause significant illness and death in humans because of their novel nature and our lack of antibodies to them.

http://www.sdcounty.ca.gov/deh/pests/plague.html


"Buy it cheap. Stack it deep"
"Any community that fails to prepare, with the expectation that the federal government will come to the rescue, will be tragically wrong." Michael Leavitt, HHS Secretary.
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