Tracking the next pandemic: Avian Flu Talk |
Did I just hear that right? |
Post Reply |
Author | |
Guests
Guest Group |
Post Options
Thanks(0)
Posted: April 26 2006 at 2:57pm |
I live in Colorado and at about 3:45 p.m. today, Wolfe Blitzer was talking to Jackie Schacter who was talking about bird flu. Did I hear it right? Because I thought I heard her say that estimates were that 1 out of 3 Americans could become ill with it. If it has a 50% death rate, well.....I was just a little surprised to hear the 1 in 3 estimate. Did I hear that? Maybe I didn't. Or has something changed?
|
|
Guests
Guest Group |
Post Options
Thanks(0)
|
Please don't scare yourself with the present 50% case fatality rate. The avian flu has not yet mutated to an H2H form - which might well have a much lower rate, especially where good medical care is available. There also are still lots of unknown factors, such as the effectiveness of vaccines and antivirals on a mutated strain.
|
|
Guests
Guest Group |
Post Options
Thanks(0)
|
You heard correctly. The information came from the computer model that was done regarding a pandemic (the printed article is located on another thread as well with discussion/comments):
Computer model suggests bird flu would infect one third of U.S. population http://www.kare11.com/news/health/health_article.aspx?storyid=123767 |
|
janetn
V.I.P. Member Joined: February 04 2006 Location: United States Status: Offline Points: 333 |
Post Options
Thanks(0)
|
The 1 in 3 infected is from what you usually see in any influenza outbreak. Think back to this last winter how many people did you know who got the flu this year. Flu viruses are adept at transmission they are effecient little boogers, thats why its going to be pandemic
|
|
tonseck
Adviser Group Joined: March 06 2006 Location: United States Status: Offline Points: 316 |
Post Options
Thanks(0)
|
The model they set up had a lot of assumptions concerning the virulence of an H5N1 strain with facilitated human to human infectivity. At this point, there is no easy transmission among humans.
Birds spreading the virus are a particularly nasty vector because they cover vast distances rapidly and can carry the virus without symptoms for a long time.
The WHO figures show 55% mortality, but that is for humans infected with the avian strain. The fact that the number of deaths is only 113 is evidence of how hard it is for humans to get this bug.
Computer models are speculation useful for planning only. Don't panic. But don't get complacent, either. Do what they say to do. Prepare for a possible pandemic by storing supplies needed for 3-6 months home quarantine. Do what you can, not immediately, but slow and steady.
|
|
Don't be afraid to be afraid; it keeps you on your toes.
|
|
Scott
V.I.P. Member Joined: February 06 2006 Location: United States Status: Offline Points: 131 |
Post Options
Thanks(0)
|
Let's not forget, the fatality rate to date is over 50%. That rate is
sustained! My point is......All or most of those folks had the best
care available, ventilators etc. And still over 50% died. If it
goes pandemic, very few of us will have access to the 10,000
ventilators in the US. Only about 10,000 of us. So, I would think that
the fatality will be much greater in the end .....The fatality rate
will actually increase as health care will not be as intensive as it
has been for the folks that have already contracted the virus. If the
final version of the virus weakens, like suggested by some scientists
to below 50%, the final fatality percentage will still be higher
because only a very few will have access to the best care. i.e.
ventilators etc.
Hate to be gloom and doom, but it's important to realize this I think. Scott |
|
As the Dark Horse Approaches.
Improvise Adapt and Overcome! |
|
Gravitation
Valued Member Joined: April 13 2006 Status: Offline Points: 202 |
Post Options
Thanks(0)
|
Just 10,000 in USA. I would have thought more. Dont know how many in UK but must be tiny compared with USA.
|
|
Inscriptions and Birddroppings are the only two things in Egypt that give any indication of life - Flaubert
|
|
Scott
V.I.P. Member Joined: February 06 2006 Location: United States Status: Offline Points: 131 |
Post Options
Thanks(0)
|
Yes, 10,000 ventilators. And according to officials they are already in
use everyday for other health emergencies. The doctors will have to
make tough decisions.....Do they take the 70 year old man off the
ventilator for a 15 year old girl that has BF?
|
|
As the Dark Horse Approaches.
Improvise Adapt and Overcome! |
|
Guests
Guest Group |
Post Options
Thanks(0)
|
One report estimates that if a pandemic occurs in the US from avian flu there will be twice as many people needing hospitalization as there are hospital beds. That is alot of sick people in the hallway with a transmissible disease.
|
|
Ironstone
Valued Member Joined: March 13 2006 Status: Offline Points: 383 |
Post Options
Thanks(0)
|
I read enough about those poor people in india going to crowded hospitals with their sick children and begging doctors to help them. I will not be taking anyone to the hospital unless they have a broken leg or something. The only reason i would do it then is because i don't think the hospitals are going to be much of a factor in this...if it hits. There have been many "hints" that most people will never see a hospital. They will be put into wards in schools or perhaps tents and such. With 40% of the hospital personnel not willing to show up, do you really think the medical workers will be any help at all with this? There have also been statements to the effect they expect many to have home care. When someone gets to the ARDS stage with this there are very few survivors. Without Tamiflu, and there is precious little of it, the chances are not good and Tamiflu is only good if taken in the first few hours. Force fluids, keep the temps down and look for ways to cut the viral load. We really don't have many otions in this. Reread some of the reports and advisories on this....very little out there.
Wash your hands, every surface you see and stay away from other people and bird droppings. I must sound like a bit of a nut on this but they have been telling us this for some time. Never saying it flat out but dropping little bits of info.
|
|
Ironstone
|
|
Guests
Guest Group |
Post Options
Thanks(0)
|
Scott,
Sorry but your numbers are WAY OFF!!! The US currently has 105,000 ventilators with 100,000 in use during flu season. The CDC has another 4,000 to 5,000 in reserve. The US Pandemic Plan is estimating that a total of 742,500 ventilators will be needed if BF hits 109,000 ventilators is a whole lot more than 10,000, but still seriously inadequate!!
|
|
Noah's Friend
Valued Member Joined: March 24 2006 Status: Offline Points: 3 |
Post Options
Thanks(0)
|
I do not want to frighten any one. You can have 1 million ventilators but it requires a skilled ICU Nurse to take care of the patient. We are already at an extreame shortage of skilled nurses. On top of that, ARDS is not that easy to reverse...mortality is high. Best bet is to forget about the vents and rely on your own preps and isolation...if it should come to this.
|
|
Guests
Guest Group |
Post Options
Thanks(0)
|
I have read gov. surveys that stated 60% of hospital staff will not be working due to sick family members, their own illness or fear. Currently, one nurse cares for 5 to 9 patients. With 60% less staff, that computes to 15 to 27 patients per one exhausted nurse.
Will they be able to afford one nurse to two ventilators? Mary Kay RN |
|
Scott
V.I.P. Member Joined: February 06 2006 Location: United States Status: Offline Points: 131 |
Post Options
Thanks(0)
|
Diane your right. My bad! I forgot to add a zero. Sorry. You are
correct 100,000 ventilators. 10,000 was just too few. Not much sleep
lately.
Sorry about that everyone. Scott |
|
As the Dark Horse Approaches.
Improvise Adapt and Overcome! |
|
Guests
Guest Group |
Post Options
Thanks(0)
|
Actually, we have a grand total of 10,500. Now doesn't that make you feel better??? And to top if off, the main manufacturer is in Germany, if I remember correctly. There maximum capacicity for production is 10000 per year. CDC has estimated that we'd need at least 110,000 to deal with the BF. Now you add in that 40-50% of the HCW's won't be reporting for work and most are not trained to operate a ventilator.
|
|
Guests
Guest Group |
Post Options
Thanks(0)
|
The strike rate - percentage of the population to become infected - is estimated to be quite high because its a novel virus meaning we have no immunity.
I understand the strike rate will be closer to 40% not 33.333% - that means its not 1 in 3 people but 2 out of 5.
The strike rate every year varies from 5 to 20 percent but we have immunity to may if the viruses circulating the globe.
In 1918, the US has a population of 80 million and 20 million got the virus H1N1 Thats a strike rate of 25%
We will just have to wait and see what happens but i am expecting 40% because thats what Klaus Stohr said.
|
|
Post Reply | |
Tweet
|
Forum Jump | Forum Permissions You cannot post new topics in this forum You cannot reply to topics in this forum You cannot delete your posts in this forum You cannot edit your posts in this forum You cannot create polls in this forum You can vote in polls in this forum |