tetano
Editor, Senior Moderator
According to forecasts of medical, it just may take several months and carry a lot of lives, so now we must think how to survive the attack with minimal losses
05/02/2010
I well remember the fall prevailed among the familiar confusion, transition smoothly into a panic. In a world rampant "swine flu" (H1N1), influenza, or "California", as it often called specialists. On the TV every now and then reported new victims of the outbreak of the pandemic in the world. Here she gets up to Russia. Some schools are closed, others continue to work ... Someone carelessly considered a disease of "duck", launched by the Society resourceful pharmacists, "nazhivshimisya on people in a panic were buying up drugs. Someone scared and hysterical, alas, not always literate materials in the media, fanned the sensation of "deadly contagion, specially bred in secret laboratories. Unfortunately, very few people really understand, from what they encountered. And it was the understanding and knowledgeable approach to the problem may reduce the number of casualties to a minimum.
Now a wave of disease is stopped. But, given the experience of previous pandemics that have always been two "peak incidence, medics are predicting a new wave. This means a new wave of deaths from pneumonia, a fast-! After all, severe complications in the form of pneumonia "swine flu" differs from the usual "seasonal". Unfortunately, the experience of last fall showed: if competent treatment with antiviral drugs of the new generation does not start on time, then save the patient on the last stage of doctors is very difficult. And this is the last stage comes too quickly - the virus is very aggressive - people sometimes have already died on the tenth day after infection.
According to some forecasts, will soon begin to gain momentum a new wave of "swine flu".That is why, without waiting for the second round of panic "carousel", we decided to examine the experience of experts, to draw conclusions and to enable their readers to meet the infection returned fully armed.
So what conclusions should be done ...
IN HOSPITALS:
Professor, Honored Doctor of Russia, head of the department of infectious diseases medfaka St. Petersburg State University, the chief doctor Botkin Hospital - Alex Yakovlev.
. Professor, Honored Doctor of Russia, head of the department of infectious diseases medfaka St. Petersburg State University, the chief doctor Botkin Hospital - Alex Yakovlev.
"I first saw the horror in the eyes of their resuscitation ..."
So says the peak of the epidemic, Professor, Honored Doctor of Russia, head of the department of infectious diseases medfaka St. Petersburg State University, the chief doctor Botkin Hospital - Alex Yakovlev.
- In St. Petersburg, the death rate from complications of "swine flu" was minimal, though, say yourself, patients with severe you have had a lot of ...
- I first saw the horror in the eyes of their resuscitation! After all, at one time 18 people - all the intensive care unit - lay on the artificial respiration apparatus! This has never happened before, and I more than thirty years of work. You read the Internet blogs resuscitation: "I have not been out that day from work ..." The outbreak was very serious. Usually during the autumn-winter flu are sick for about two million people, and in November-December 2009 for Russia ill with some six million!
- What has helped you handle it?
- Literate and well-coordinated actions of doctors and administration. We have a serious training of health of the city was launched in May, as soon as the first imported cases have appeared. In the Botkin hospital were purchased seventeen new breathing apparatus and fifteen special monitors for monitoring severely ill patients. For the first time in many years, this fall had to deploy additional hospitals - have been redeveloped urban hospitals. And in November, when was the peak incidence to us at 180 people a day received! However, we did not let the person on the next day back home, we had time to give it full support. All intensive care units of these hospitals have been downloaded. At first, the second of November, only a half per cent of the hospitalized were in need of intensive therapy, then on November 27 in need of it was already eight and a half per cent. This complication rate from influenza had not been observed ...
- That is right, those who called "swine flu" deadly disease?
- No, it's not the "dead", and in severe complications. "California", like any other flu, all take different forms. Someone - in the light, someone - in a heavy, ie, with complications. You see, almost everyone who has had the flu in the autumn, hurt by this new, "pork" strain. But someone coughed house and all passed, while others were in intensive care with pneumonia. And to know in advance that it threatens you, it is impossible.
- But there are "at risk"?
- Yes, it is a person with obesity, cancer, chronic diseases, people with reduced immunity and pregnant women. And the hardest battered pregnant women. Of the eighty-five patients with laboratory-confirmed diagnosis, who were in the department of intensive care units, every fifth patient was a pregnant woman. Every third patient in need of prolonged artificial respiration - from several weeks to two months.
- "Swine flu" gives complications in the lungs?
- Exactly! In severe cases, it turns into pneumonia. But it is not caused by bacterial components, and the virus itself, that is, flows more heavily, according to the new scheme, and did not respond to antibiotics. Previously it was thought that the virus is active in the human body the first three days, and from the fifth day he was "like a natural way is already disappearing." "California" at the same strain of ill behaved quite differently. On the eighth day of illness a person acted on the tenth - was dying, and the virus can be isolated from the lungs posthumously ... But if a person received antiviral therapy, the virus ceased to stand out. This means that we should start therapy, regardless of the timing of the disease, but the sooner, the better the treatment. Moreover, a new generation of drugs. After remantadin and its modern counterparts, which are generally known antiviral drugs are ineffective for this strain. The town was established reserve in advance the most effective antiviral drugs that are effective in
чthose with "swine influenza". Now these drugs are already in the final drug formulary Health Committee: Tamiflu and Relenza. We have developed a new scheme of so these heavy influenza pneumonia. The idea is that we use a combination of new, proven antiviral therapy, with resuscitation prescribed for the treatment of respiratory failure. Due to this we are able to save the pregnant women, to save patients with severe pneumonia, because the hardware breathing many are almost months. And of course, we compared our results with the regions that did not have modern antiviral drugs. So, even according to official data Rospotrebnadzor, where mortality is many times higher.
HOME:
What should I do to not get sick ...
1. Vaccination against "swine flu", many are skeptical. They have just developed, and people doubt their effectiveness. . But vaccination against "influenza in general," no one has repealed. By the spring may increase the incidence of influenza. And, of course, need to remember that for the formation of immunity requires at least two or three weeks.
2. . There are in the same room with a sneeze and cough patients and generally try to be in smaller areas with large concentrations of people.
3. Wash your hands 15 times a day. Hand washing reduces the risk of 35-60%, despite the fact that the wearing of masks - all at 25-40%. Remember: the mask should be changed every 2 hours.
4. Take preventive:
. Eleutherococcus, ginseng tincture aralia, possessing tonic and tonic properties. Applied courses of 25-30 days;
Vitamins. Applied ascorbic acid, multivitamins in age dosages; same applies to the fortification preventive eating onions and garlic.
Mazhte nose oxolinic ointment 0.25% and regularly rinse the salt solutions. For example, Aqua Maris.
If you still sick ...
1. Immediately call your doctor so that he had diagnosed and - if confirmed "flu" - appointed with modern antiviral treatment means. Keep in mind that most of the dead from the "swine flu" is simply too late turned to the doctors and end up in hospital with the already developed a severe form of pneumonia, which previously could have been prevented with antiviral drugs. By the way, to create a "strategic reserve" of drugs is better in advance. For anti-virus, the same Tamiflu, should be taken in the first two days of illness, and better - in the early hours. The only way to avoid unwanted complications. And, as experience shows, during the height of the pandemic and, accordingly, the mass rush, the required medicines are often simply not provided in the pharmacy.
2. Keep bed rest and drink plenty of fluids. But avoid fizzy, sugary and alcoholic beverages.
3. The temperature of the undercut only paracetamol - to use doctors do not recommend aspirin as taking aspirin with an increased risk of hemorrhagic complications.
4. If you experience shortness of breath, came blood-streaked sputum, convulsions or fourth day the temperature drops do not necessarily call for an ambulance and did not resist admission.
HOTLINE
Get advice on treatment and prevention of influenza among experienced health professionals can and by phone. Call from Monday to Friday, during working hours, from 9.00 to 20.00, tel. 8 (800) 200 17 71
GLOSSARY KP
"Swine flu" - is not an epidemic, namely the pandemic. A pandemic is different from the epidemic to a pandemic that covers the whole world, and the epidemic broke out in a single country.
FIGURE
Economic damage from the flu is more than 10 billion rubles annually.
PORTRAIT OF INFECT
"Swine flu" - is a "mixture" of four strains: porcine virus (Eurasian and North American), human and avian influenza. That is why we have no immunity to it and all previous antigrippoznye vaccines ineffective.
Symptoms are similar to symptoms of seasonal illness: fever, cough, sore throat, runny nose or nasal congestion, headache, chills and weakness. Many begin diarrhea, vomiting, shortness of breath, sudden dizziness. Often a few days the symptoms diminish, but then returned with high fever and heightened cough.
Experienced the
"Our whole family is infected with, including a baby - and alive!"
Levins picked up the "pig" plague on holiday in Egypt, but escaped with "slight shock" and the mother of the family agreed to share the painful experience with our readers
Valentina Alexander and two children - a son and a five-year-old daughter. Given that died, mostly it is the people in this age category, and the children just small and weak, then the whole company exactly falls under the neck "at risk".
- I think that saved us only what my husband - both doctors - smiles Valentine. - . - Taking a risky decision, as a journey with their children on holiday abroad during a pandemic, we stocked up the necessary drugs. However, first aid kit differed little from that which we have always taken: antipyretics with paracetamol, rinse for the nose drops. Is that anti-virus software - remantadin, which usually took, this time switched to Tamiflu, to treat because a new strain of influenza, WHO recommended this particular product, indicating that the good old remantadin outdated. Of course, all this is taken "just in case." Nobody could not have imagined that really zaboleem. First ill father Sasha. This happened even on vacation at the hotel. . I went up high fever, started torturing headache and nausea. Initially Levins even thought it is not poisoned by what? Потом появился кашель. Then he started coughing. After watching her husband a few hours, Valentine decided to start antiviral therapy. . The second youngest daughter became ill. Then Mom
not a little alarmed:
- Masha's temperature soared just above 39. Clearly, any infection that kids carry much heavier than adults, but given that patients in our family was already two, hopes that this - the common cold, is not perpetuated. Before leaving home - a little more than a day and our room turned into a hospital. Retire to a local hospital no meaning. I knew it and tried to score flu medicine before the virus grows strong. The first day began to receive antiviral drugs in the child form in a suspension. Thanks to good weather window, we almost did not close, the room continuously ventilated. The eldest son went, dissatisfied with a broken rest, smeared with oxolinic ointment and also began to cough. Because of the fear of contracting the same, we had both just started to swallow antiviral. My panic grew. The most difficult challenge, according to Levin, was a flight to Moscow. By the time Alexander succeeded to bring down the temperature, although the mood remains ugly. Little girl is still thrown into a fever, and a sick child came in crying the whole flight. Of course, in Moscow, the first thing Levins went to the hospital where her daughter was hospitalized without talking with my mother as an escort. Alas, the diagnosis of "swine flu" was confirmed. . But when this frightening news reached the ears of parents, Masha has become much better. Temperature slept till 37 and three and knock it already should not - recalls Valentine. ! And how can I praised the Machines physician for timely initiated competent treatment!
In the hospital Levins spent about two weeks (so much time took a survey and the expectation of the analytical results). . And after she fell ill and Masha Valentine. But against the backdrop of timely admission "of anti-virus, intimidated the whole planet manifestations of influenza were not terrible. According to Wali: "Personally, I moved it, like any other normal seasonal influenza. There were no complications." Also, under the supervision of physicians, but the house got cold father and son. All this "medical adventure" with the Levins took a little less than a month and has taken a lot of nerves. First of all, because of fear.
- Of course, it was terrible - admits mum Valentine. - Especially for the children ... The disease is extremely difficult, even if no complications occur notorious for light. But as I will give instructions to mothers: do not be afraid, but simply to approach the problem correctly. "Swine" influenza - not fatal, if it is properly and timely treat! Do not give in to provocations and not hysterical. Health of your children - in your hands.
New Year's Levins said at full strength and full health. And, best of all, a new wave of the pandemic is no longer scary, because in the body of all four antibodies have been elaborated to a new infection. But, alas, yet many of us with you. Therefore, one can only wish: Dear readers, please be careful, literate, and always healthy.
http://www.kp.ru/daily/24436/603265/
05/02/2010
I well remember the fall prevailed among the familiar confusion, transition smoothly into a panic. In a world rampant "swine flu" (H1N1), influenza, or "California", as it often called specialists. On the TV every now and then reported new victims of the outbreak of the pandemic in the world. Here she gets up to Russia. Some schools are closed, others continue to work ... Someone carelessly considered a disease of "duck", launched by the Society resourceful pharmacists, "nazhivshimisya on people in a panic were buying up drugs. Someone scared and hysterical, alas, not always literate materials in the media, fanned the sensation of "deadly contagion, specially bred in secret laboratories. Unfortunately, very few people really understand, from what they encountered. And it was the understanding and knowledgeable approach to the problem may reduce the number of casualties to a minimum.
Now a wave of disease is stopped. But, given the experience of previous pandemics that have always been two "peak incidence, medics are predicting a new wave. This means a new wave of deaths from pneumonia, a fast-! After all, severe complications in the form of pneumonia "swine flu" differs from the usual "seasonal". Unfortunately, the experience of last fall showed: if competent treatment with antiviral drugs of the new generation does not start on time, then save the patient on the last stage of doctors is very difficult. And this is the last stage comes too quickly - the virus is very aggressive - people sometimes have already died on the tenth day after infection.
According to some forecasts, will soon begin to gain momentum a new wave of "swine flu".That is why, without waiting for the second round of panic "carousel", we decided to examine the experience of experts, to draw conclusions and to enable their readers to meet the infection returned fully armed.
So what conclusions should be done ...
IN HOSPITALS:
Professor, Honored Doctor of Russia, head of the department of infectious diseases medfaka St. Petersburg State University, the chief doctor Botkin Hospital - Alex Yakovlev.
. Professor, Honored Doctor of Russia, head of the department of infectious diseases medfaka St. Petersburg State University, the chief doctor Botkin Hospital - Alex Yakovlev.
"I first saw the horror in the eyes of their resuscitation ..."
So says the peak of the epidemic, Professor, Honored Doctor of Russia, head of the department of infectious diseases medfaka St. Petersburg State University, the chief doctor Botkin Hospital - Alex Yakovlev.
- In St. Petersburg, the death rate from complications of "swine flu" was minimal, though, say yourself, patients with severe you have had a lot of ...
- I first saw the horror in the eyes of their resuscitation! After all, at one time 18 people - all the intensive care unit - lay on the artificial respiration apparatus! This has never happened before, and I more than thirty years of work. You read the Internet blogs resuscitation: "I have not been out that day from work ..." The outbreak was very serious. Usually during the autumn-winter flu are sick for about two million people, and in November-December 2009 for Russia ill with some six million!
- What has helped you handle it?
- Literate and well-coordinated actions of doctors and administration. We have a serious training of health of the city was launched in May, as soon as the first imported cases have appeared. In the Botkin hospital were purchased seventeen new breathing apparatus and fifteen special monitors for monitoring severely ill patients. For the first time in many years, this fall had to deploy additional hospitals - have been redeveloped urban hospitals. And in November, when was the peak incidence to us at 180 people a day received! However, we did not let the person on the next day back home, we had time to give it full support. All intensive care units of these hospitals have been downloaded. At first, the second of November, only a half per cent of the hospitalized were in need of intensive therapy, then on November 27 in need of it was already eight and a half per cent. This complication rate from influenza had not been observed ...
- That is right, those who called "swine flu" deadly disease?
- No, it's not the "dead", and in severe complications. "California", like any other flu, all take different forms. Someone - in the light, someone - in a heavy, ie, with complications. You see, almost everyone who has had the flu in the autumn, hurt by this new, "pork" strain. But someone coughed house and all passed, while others were in intensive care with pneumonia. And to know in advance that it threatens you, it is impossible.
- But there are "at risk"?
- Yes, it is a person with obesity, cancer, chronic diseases, people with reduced immunity and pregnant women. And the hardest battered pregnant women. Of the eighty-five patients with laboratory-confirmed diagnosis, who were in the department of intensive care units, every fifth patient was a pregnant woman. Every third patient in need of prolonged artificial respiration - from several weeks to two months.
- "Swine flu" gives complications in the lungs?
- Exactly! In severe cases, it turns into pneumonia. But it is not caused by bacterial components, and the virus itself, that is, flows more heavily, according to the new scheme, and did not respond to antibiotics. Previously it was thought that the virus is active in the human body the first three days, and from the fifth day he was "like a natural way is already disappearing." "California" at the same strain of ill behaved quite differently. On the eighth day of illness a person acted on the tenth - was dying, and the virus can be isolated from the lungs posthumously ... But if a person received antiviral therapy, the virus ceased to stand out. This means that we should start therapy, regardless of the timing of the disease, but the sooner, the better the treatment. Moreover, a new generation of drugs. After remantadin and its modern counterparts, which are generally known antiviral drugs are ineffective for this strain. The town was established reserve in advance the most effective antiviral drugs that are effective in
чthose with "swine influenza". Now these drugs are already in the final drug formulary Health Committee: Tamiflu and Relenza. We have developed a new scheme of so these heavy influenza pneumonia. The idea is that we use a combination of new, proven antiviral therapy, with resuscitation prescribed for the treatment of respiratory failure. Due to this we are able to save the pregnant women, to save patients with severe pneumonia, because the hardware breathing many are almost months. And of course, we compared our results with the regions that did not have modern antiviral drugs. So, even according to official data Rospotrebnadzor, where mortality is many times higher.
HOME:
What should I do to not get sick ...
1. Vaccination against "swine flu", many are skeptical. They have just developed, and people doubt their effectiveness. . But vaccination against "influenza in general," no one has repealed. By the spring may increase the incidence of influenza. And, of course, need to remember that for the formation of immunity requires at least two or three weeks.
2. . There are in the same room with a sneeze and cough patients and generally try to be in smaller areas with large concentrations of people.
3. Wash your hands 15 times a day. Hand washing reduces the risk of 35-60%, despite the fact that the wearing of masks - all at 25-40%. Remember: the mask should be changed every 2 hours.
4. Take preventive:
. Eleutherococcus, ginseng tincture aralia, possessing tonic and tonic properties. Applied courses of 25-30 days;
Vitamins. Applied ascorbic acid, multivitamins in age dosages; same applies to the fortification preventive eating onions and garlic.
Mazhte nose oxolinic ointment 0.25% and regularly rinse the salt solutions. For example, Aqua Maris.
If you still sick ...
1. Immediately call your doctor so that he had diagnosed and - if confirmed "flu" - appointed with modern antiviral treatment means. Keep in mind that most of the dead from the "swine flu" is simply too late turned to the doctors and end up in hospital with the already developed a severe form of pneumonia, which previously could have been prevented with antiviral drugs. By the way, to create a "strategic reserve" of drugs is better in advance. For anti-virus, the same Tamiflu, should be taken in the first two days of illness, and better - in the early hours. The only way to avoid unwanted complications. And, as experience shows, during the height of the pandemic and, accordingly, the mass rush, the required medicines are often simply not provided in the pharmacy.
2. Keep bed rest and drink plenty of fluids. But avoid fizzy, sugary and alcoholic beverages.
3. The temperature of the undercut only paracetamol - to use doctors do not recommend aspirin as taking aspirin with an increased risk of hemorrhagic complications.
4. If you experience shortness of breath, came blood-streaked sputum, convulsions or fourth day the temperature drops do not necessarily call for an ambulance and did not resist admission.
HOTLINE
Get advice on treatment and prevention of influenza among experienced health professionals can and by phone. Call from Monday to Friday, during working hours, from 9.00 to 20.00, tel. 8 (800) 200 17 71
GLOSSARY KP
"Swine flu" - is not an epidemic, namely the pandemic. A pandemic is different from the epidemic to a pandemic that covers the whole world, and the epidemic broke out in a single country.
FIGURE
Economic damage from the flu is more than 10 billion rubles annually.
PORTRAIT OF INFECT
"Swine flu" - is a "mixture" of four strains: porcine virus (Eurasian and North American), human and avian influenza. That is why we have no immunity to it and all previous antigrippoznye vaccines ineffective.
Symptoms are similar to symptoms of seasonal illness: fever, cough, sore throat, runny nose or nasal congestion, headache, chills and weakness. Many begin diarrhea, vomiting, shortness of breath, sudden dizziness. Often a few days the symptoms diminish, but then returned with high fever and heightened cough.
Experienced the
"Our whole family is infected with, including a baby - and alive!"
Levins picked up the "pig" plague on holiday in Egypt, but escaped with "slight shock" and the mother of the family agreed to share the painful experience with our readers
Valentina Alexander and two children - a son and a five-year-old daughter. Given that died, mostly it is the people in this age category, and the children just small and weak, then the whole company exactly falls under the neck "at risk".
- I think that saved us only what my husband - both doctors - smiles Valentine. - . - Taking a risky decision, as a journey with their children on holiday abroad during a pandemic, we stocked up the necessary drugs. However, first aid kit differed little from that which we have always taken: antipyretics with paracetamol, rinse for the nose drops. Is that anti-virus software - remantadin, which usually took, this time switched to Tamiflu, to treat because a new strain of influenza, WHO recommended this particular product, indicating that the good old remantadin outdated. Of course, all this is taken "just in case." Nobody could not have imagined that really zaboleem. First ill father Sasha. This happened even on vacation at the hotel. . I went up high fever, started torturing headache and nausea. Initially Levins even thought it is not poisoned by what? Потом появился кашель. Then he started coughing. After watching her husband a few hours, Valentine decided to start antiviral therapy. . The second youngest daughter became ill. Then Mom
not a little alarmed:
- Masha's temperature soared just above 39. Clearly, any infection that kids carry much heavier than adults, but given that patients in our family was already two, hopes that this - the common cold, is not perpetuated. Before leaving home - a little more than a day and our room turned into a hospital. Retire to a local hospital no meaning. I knew it and tried to score flu medicine before the virus grows strong. The first day began to receive antiviral drugs in the child form in a suspension. Thanks to good weather window, we almost did not close, the room continuously ventilated. The eldest son went, dissatisfied with a broken rest, smeared with oxolinic ointment and also began to cough. Because of the fear of contracting the same, we had both just started to swallow antiviral. My panic grew. The most difficult challenge, according to Levin, was a flight to Moscow. By the time Alexander succeeded to bring down the temperature, although the mood remains ugly. Little girl is still thrown into a fever, and a sick child came in crying the whole flight. Of course, in Moscow, the first thing Levins went to the hospital where her daughter was hospitalized without talking with my mother as an escort. Alas, the diagnosis of "swine flu" was confirmed. . But when this frightening news reached the ears of parents, Masha has become much better. Temperature slept till 37 and three and knock it already should not - recalls Valentine. ! And how can I praised the Machines physician for timely initiated competent treatment!
In the hospital Levins spent about two weeks (so much time took a survey and the expectation of the analytical results). . And after she fell ill and Masha Valentine. But against the backdrop of timely admission "of anti-virus, intimidated the whole planet manifestations of influenza were not terrible. According to Wali: "Personally, I moved it, like any other normal seasonal influenza. There were no complications." Also, under the supervision of physicians, but the house got cold father and son. All this "medical adventure" with the Levins took a little less than a month and has taken a lot of nerves. First of all, because of fear.
- Of course, it was terrible - admits mum Valentine. - Especially for the children ... The disease is extremely difficult, even if no complications occur notorious for light. But as I will give instructions to mothers: do not be afraid, but simply to approach the problem correctly. "Swine" influenza - not fatal, if it is properly and timely treat! Do not give in to provocations and not hysterical. Health of your children - in your hands.
New Year's Levins said at full strength and full health. And, best of all, a new wave of the pandemic is no longer scary, because in the body of all four antibodies have been elaborated to a new infection. But, alas, yet many of us with you. Therefore, one can only wish: Dear readers, please be careful, literate, and always healthy.
http://www.kp.ru/daily/24436/603265/