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Bextra

Disturbing what Pfizer did with Bextra, now on American Greed. Sales representatives got financial incentives to push the drug for off label uses: tropical getaways, seats at sporting events, expensive wine, etc all based on marketing. All for a drug that didn’t solve pain any better, but just had extra risk like heart attack, stroke, renal failure, and also might actually lead your skin to fall off. The $2.3 billion fine accounts for only 3 weeks worth of sales and was paid in one wire transfer. No one went to jail, but a compliance program was put in place.

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An electron microscope image shows an H1N1 swine flu virus culture obtained from a California patient suffering from the current international outbreak. (U.S. Centres for Disease Control)

An electron microscope image shows an H1N1 swine flu virus culture obtained from a California patient suffering from the current international outbreak. (U.S. Centres for Disease Control)

Now that the World Health Organization has taken to calling Swine Flu simply influenza A (H1N1), the Centers for Disease Control here in the United States will not follow suit, because they believe changing the name now will only serve to confuse people. They want to be as clear as possible in such an anxious time. Of course now many in the media have just started tacking the H1N1 name onto swine flu to help be even more clear about it.

Also Rhode Island Officials have just sent two more probable cases of Swine Flu to the Health Department for testing bringing the total of probable cases in Rhode Island up to 6 pending results which I imagine should be coming back very soon for at least that one from North Kingstown. One of the other probable cases is also at Johnson and Wales, and they are now canceling classes and activities for Monday at JWU at the request of the state department.

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Thermal Image taken by a scanner in an Airport, to help determine whether traveler have swine flu

Thermal Image taken by one of many scanners used in airports around the world to help determine whether travelers have swine flu

Airports are currently trying new high tech detection techniques (actually many installed them back during the SARS (Severe Acute Respiratory Syndrome) and bird flu scares). Still they are fairly new. The only problem with their fancy thermal image scanners is that they can only detect swine flu after the early stages of entry and uncoating, before it triggers all of our bodies defenses. However, during this incubation period which can last up to 6 days the virus can still be contagious.

Unfortunately, for recognizing the limitations of these thermal images scanner and using them sparing here in the US many have officials have come under fire.

Now Rhode Island is still awaiting results on swine flu tests, but we are now up to 4 probable cases here, as there has now been the addition of one from Johnson and Wales University, along with the one from North Kingstown High School and the two others from around the state. There are now somewhere around 19 states and 149 cases in the US, along with 34 in Canada, 14 in Spain, 8 in UK, 2 in France, and 1 in Hong Kong (Mexican citizen). There are of course cases in a number of other countries too.

President Obama reportedly sought $1.5 from congressional leaders to help fight swine flu. They are now moving forward towards a vaccine hopefully by the fall. Although, they still do not know for sure if it is possible to create a safe and appropriate vaccine. Further, they do now believe the origins of swine flu now to be a million hog farm in Perote, Mexico run by Smithfield Foods.

Fortunately swine flu seems to lack some of the genetic traits of the 1918 flu and bird flu despite being of the same subtype H1N1. They now believe swine flu to be less variable then first feared. Now that it seems we have very much overreacted to this swine flu, and are now proceeding with cautious optimism. Let us just hope that next time something comes down the pipe we do not under react to what may be the proverbial bubonic plague of our time.

As I have said before the only known prevention methods for swine flu H1N1 thus far are the same ones you would use for the common flu. However, we are thus far only guessing that this flu has the same vectors (methods of transmission) as the common flu, which would make sense being that it is so similar.



Again just to summarize some prevention methods that can and have been taken at the level of the organization or company are:

  • Place hand sanitizers strategically around in public areas to provide easy access for people to make sure their hands are clean.*
  • Post signs will be in restrooms reminding people of the importance of hand washing as a means of prevention for cold and flu.
  • Take extra steps to clean all public areas with solutions specializing in prevention of flu bacteria, wiping down door knobs, elevator buttons, handrails, phones and other places that are considered high touched areas.

  • On a personal level some prevention methods are again:

  • Cover your mouth when coughing to prevent the spread of germs
  • Wash your hands regularly, and carry or use conveniently located hand sanitizers*
  • Make wise choices about places you choose to frequent where large crowds might be present
  • Stay home from work or school when you are sick, and visit the doctor at the first indication of the flu like symptoms
  • * (Make sure hand sanitizers are at least 60% alcohol (typically ethanol) content or better, there are some discount brands out there which are only 40% and can actually mobilize the bacteria and worsen the problem. (as indicated by an informal classroom experiment at East Tennessee State University))

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    The WHO and others are now discussing a new name for swine flu because of the adverse affects it is having on the pig markets. As many of you know I mentioned in a previous post that Egypt has ordered the slaughter of all their pigs. Also I imagine this does not help the pigs rap much as it is also considered unclean in Judaism and Islam. The dietary laws of Kosher or Kashrut under Jewish tradition and Halal under Islamic tradition, because it does not ruminate or chew the cud. Of course under most Christian tradition the pig is now considered clean because Jesus freed us from the obligation of the dietary laws.

    So how has swine flu affected pigs, well it is known to affect them, but there are no know pigs in the United States with swine flu, at the moment. Also, pork is still completely safe to eat so long as you cook it properly.

    This is affecting really hard pig export from North American nations to places such as Russia and China who have imposed bans on exports of live pigs and pork.

    Currently the WHO thinks their name was appropriate because there is a large competent of swine influenza in the flu virus, along with genes from North American avian influenza, human influenza and a form of swine influenza normally found in Asia and Europe, according to Nancy Cox, chief of the CDC’s Influenza Division.

    As of right now it remains to be seen whether the WHO and others will end up deciding to change the name of swine flu to something more straightforward name like “H1N1 flu”. Although, that name wouldn’t be anywhere near as catchy or as fun for the news media to throw around.

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    This 2009 image taken through a microscope and provided by the Center for Disease Control and Prevention, shows a negative-stained image of the swine flu virus. (AP Photo/Center for Disease Control and Prevention, C. S. Goldsmith and A. Balish)

    This 2009 image taken through a microscope and provided by the Center for Disease Control and Prevention, shows a negative-stained image of the swine flu virus. (AP Photo/Center for Disease Control and Prevention, C. S. Goldsmith and A. Balish)

    Swine Flu continues to spread throughout the world today, and is now confirmed in 13 nations and suspected in up to 27 more nations all over the world. Today we remain at phase 5 alert status out 6 phases on the World Health Organization’s warning system. Below is a chart of their warning system.

    Still no one knows for sure where swine flu orginated, but it is suspected to have come from Mexico, altough Mexico has sought to point to its orgins elsewhere. It is through to have Zoonotic ogrins, meaning the disease likely crossed over from animals. There are prevention mentions for Zoonotic disease you which you can find here. Unforutnately it is a little late for them now, unless you are going to visit the pig farm, then make sure you take a look at them.

    Swine flu is currently treatable with the flu drugs Tamiflu or Relenza, but not with two older flu medications. Currently there are no vaccines for swine flu.

    The only prevent methods are the good old fashion ones such as covering your mouth when you cough washing your head regularly, and staying away from others when you are sick.

    Still no one knows for sure where swine flu originated, but it is suspected to have come from Mexico, although Mexico has sought to point to its origins elsewhere. It is through to have Zoonotic origins, meaning the disease likely crossed over from animals.

    There are prevention mentions for Zoonotic disease you which you can find here. Unfortunately it is a little late for them now, unless you are going to visit the pig farm, then make sure you take a look at them.

    The current strain going around is called the H1N1 H and N stand for the two viral proteins, hemagglutinin (H) and neuraminidase (N), characteristic of all influenza A viruses the numbers after the viral proteins represent genetic mutations in the structure of the proteins. For some reason the virus has been more lethal in Mexico thus far; perhaps because of reduced access to health care and the poor living conditions in much of Mexico.

    With Avian flu I recall it was the H5N1 variant they were really worried about, and I believe they are still concerned about the possibility of the H6N1 crossing over to humans. Likewise with swine flu I think our biggest concern is if it mutates into another variant that cannot be treated with our current antiviral medications.

    There are also theory circulating that the swine flu may have been cooked up in lab somewhere, as some sort of population control method to help curve global warming. This is because of its high geographical diversity. Although, that is not necessarily true in today’s world of globalization it is still a possibility, as no one knows for sure the origins.

    What they do know is the characteristics:
    The new virus has genes from North American swine influenza, avian influenza, human influenza and a form of swine influenza normally found in Asia and Europe, said Nancy Cox, chief of the CDC’s Influenza Division.

    Now as I have said before I am opposed to many aspects of Darwin’s theory of evolution. Mutations here are solely a micoevolutionary thing they will lead to any new species or any radically different virus. If it mutates the virus will still have the same basic structure and the two same proteins hemagglutinin and neuraminidase just slightly different organization.

    Within the virus genome they are not creating new genes they are simply rearranging current and preexisting genetic materials. The influenza A viral genome consists of eight negative-sense RNA segments that can generate new variants by genetic reassortment.1

    In fact virus are not even alive, as they cannot even function without a host organism. They are stripped down parasites. In fact it is likely their simplicity, and not their complexity that allows them to be so adaptable. As they don’t need much material of their own. Granted they are still very complex for our understanding but comparative to the genetic material in the human genome they are not. Also, being that influenza is an RNA virus it is much more flexible than a DNA based virus, RNA while only a half helix and therefore replicates much easier.


    WHO PANDEMIC ALERT PHASES
    # Phase 1: No viruses circulating among animals causing infections in humans
    # Phase 2: Animal influenza virus causes infection in humans, and is considered potential pandemic threat
    # Phase 3: Influenza causes sporadic cases in people, but no significant human-to-human transmission
    # Phase 4: Verified human-to-human transmission able to cause community-level outbreaks. Significant increase in risk of a pandemic
    # Phase 5: Human-to-human transmission in at least two countries. Strong signal pandemic imminent
    # Phase 6: Virus spreads to another country in a different region. Global pandemic under way
    ‡ Not all cases have been confirmed to be due to this strain.
    Some are cases of influenza-like illness (ILI) that have not been confirmed through testing to be due to this strain.
    Untied States Cases
    State Laboratory
    confirmed
    Probable Suspected‡ Deaths Confirmed
    (unconfirmed)‡
    Total 94 143+ 477+ 1
    Texas 16 14+ 6+ 1
    New York 51 8+ 75 0
    California 14 29 - 0
    Maine 3 - 12+ 0
    Michigan 2 1 2 0
    Massachusetts 2 - 2 0
    Kansas 2 - 0 0
    Indiana 1 2 0 0
    Ohio 1 1 9 0
    Arizona 1 - 24+ 0
    Nevada 1 - 0 0
    South Carolina 0 17 - 0
    Arkansas 0 12 0 0
    Delaware 0 10 0 0
    Illinois 0 9 0 0
    New Jersey 0 7 0 0
    Louisiana 0 6 0 0
    Maryland 0 6 0 0
    Washington 0 6 0 0
    Connecticut 0 3 5 0
    Wisconsin 0 3 0 0
    Iowa 0 2 150 0
    Colorado 0 2 0 0
    Minnesota 0 1 50+ 0
    Tennessee 0 1 10 0
    Nebraska 0 1 6 0
    Missouri 0 1 0 0
    Pennsylvania 0 1 0 0
    Utah 0 1 0 0
    Rhode Island 0 3 0 0
    Alabama 0 2 29 0
    Florida 0 0 80 0
    Oregon 0 0 14 0
    North Carolina 0 - 11 0
    Mississippi 0 - 10 0
    New Mexico 0 0 5 0
    Idaho 0 - 4 0
    Hawaii 0 0 3+ 0
    Oklahoma 0 - 1 0
    New Hampshire 0 - TBD 0

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    While searching around for swine flu related marital I found this graphic, I apologize for the somewhat ghastly nature of it. Nonetheless I think it sums up Swine Flu well, and focuses draws us to problem. The graphic was originally created for a video game entitled Biohazard (the Japanese name of Resident Evil)
    While searching around for swine flu related marital I found this graphic, I apologize for the somewhat ghastly nature of it. Nonetheless I think it sums up Swine Flu well, and the powerful nature of it focuses us to the problem while not overwhelming us too greatly. The graphic was originally created for a video game entitled Biohazard (the Japanese name of Resident Evil)


    So far there are 91 confirmed cases of Swine Flu in the United States as of 11:24 a.m. ET and the World Health Organization (WHO) has raises their alert level for swine flu to phase 5.

    In Egypt they are slaughtering all of their pigs, roughly 300,000 as a preemptive precaution against swine flu. Egyptian farmers are very unhappy and some have even refused to slaughter their pigs. Also there are now 6 probably cases in Maryland according to the governor there, and possible cases in Chicago Illinois.

    Also now google has put their flu tracker to work on Swine Flu in Mexico, and I imagine they will probably have one for the US soon or maybe they already do. You can see the Mexican flu tracker here

    Update 8:30 p.m. EST
    Wow I am not sure how I missed this one, but I just found from my neighbor and then got hit with a comment on Facebook as soon as I walked back in. Now North Kingstown High School has a probably case of swine flu, and that is my town! Now school at NKHS has been canceled for the rest of the week, as a precautionary measure.

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    “Be anxious for nothing, but in everything by prayer and supplication, with thanksgiving, let your requests be made known to God; and the peace of God, which surpasses all understanding, will guard your hearts and minds through Christ Jesus.” Philippians 4:4-7

    Worry comes from a word meaning “to strangle”. Although, this may not be what we think of when we think of the word worry today, if we are really honest we can recognize the fact that worry can indeed strangle us.

    “Word History: Worrying may shorten one’s life, but not as quickly as it once did. The ancestor of our word, Old English wyrgan, meant “to strangle.” Its Middle English descendant, worien, kept this sense and developed the new sense “to grasp by the throat with the teeth and lacerate” or “to kill or injure by biting and shaking.” This is the way wolves or dogs might attack sheep, for example. In the 16th century worry began to be used in the sense “to harass, as by rough treatment or attack,” or “to assault verbally,” and in the 17th century the word took on the sense “to bother, distress, or persecute.” It was a small step from this sense to the main modern senses “to cause to feel anxious or distressed” and “to feel troubled or uneasy,” first recorded in the 19th century.” Dicitonary.com


    Considering this negative etymological connotation of the word worry we can say quite confidently that worry is not generally a good thing. Although, there are certain contexts in which worry is positive in the sense that it is a deterrent form wrong action, such as when you worry because you are doing something wrong or have an unsettled feeling about a wrong choice. Also worry can be positive when it applied to the essential; not the incidental, which is usually out of our hands anyway. However, when worry does not lead to a positive action or pray; and there is simply nothing that can be done to change the situation it is only detrimental. Worry has this uncanny ability to bring out the worst in us by triggering our emotions and producing anxiety. Anxiety being the physiology state produced by worry; including symptoms such as increased blood pressure and heart rate, sweat, nausea, chest pain, headache, decreased immune function, and the overall stress placed on all our body systems by disturbing homeostasis. Psychologists often term this disruption of homeostasis that brings about anxiety a fight or flight response. This literally put our bodies on edge, which can be helpful if we are facing a life or death situation and really need to take action; however most of the time that is not the case. So, there really is no sense in worrying; for unnecessary worry just produces stress, caused distraction from the task at hand, impairs our ability to function properly, and leaves us torn apart emotionally.

    An average person’s anxiety is focused on :
    40% — things that will never happen
    30% — things about the past that can’t be changed
    12% — things about criticism by others, mostly untrue
    10% — about health, which gets worse with stress
    8% — about real problems that will be faced

    “Do not worry if you have built your castles in the air. They are where they should be. Now put the foundations under them.” Henry David Thoreau (American Essayist, Poet and Philosopher, 1817-1862)

    Bill Belichick gave his team a mental exercise a few months ago. He told his players to imagine a two-by-four on the ground and think about walking across it while keeping their balance. No big deal, right?

    Then he said to imagine the same piece of wood suspended 300 feet above the ground. Suddenly, walking the plank seems a lot more daunting.

    “You shouldn’t [feel more pressure], it’s the same two-by-four, but your mind is letting you know that if I slip or I fall, any miscalculation of a step, that’s it for you,” Patriots receiver Donte’ Stallworth said. “You stay focused on walking across that two-by-four, and then there’s no pressure.” (newsday.com)

    Bill Belichick

    Right now the New England Patriots are not worrying, because they have built their castles in the air, and are now prepared to build their foundation under the castle of Superbowl XLII. Donte’ Stallworth will be approaching the Superbowl just like any other game. He said he is always able to block out pressure(ie worry), and that you can’t worry about how big the game is, but you just have to go out there and play like any other game. Tom Brady talked the other day of resting and not allowing the anxiety to get to him throughout the day as he prepares for the game. He said the game can be very emotionally draining, and so he does not want to drain himself before game time. When we see that the pressures of the world are on our shoulders it is so important for us not to become overly worried about what the future may hold, or what the past held, because it will just drive you crazy. I know when I start thinking ahead about all these things which I am facing in the future it becomes very overwhelming. When I am able to tune all those worries out and focus solely on the situation at hand it always comes out better in the end. We cannot live on yesterday’s successes or failures, for we can never know the ifs of tomorrow. Every day is a clean slate, and a past failure holds no psychological bearing on today unless we allow it to, just like a success of the past will not guarantee you any future success today. The old adage of approaching it one day at a time is so true, for each day holds enough worries. We can only take it one day at a time. The past cannot be moved and the future cannot be known.

    We can easily manage if we will only take, each day, the burden appointed to it. But the load will be too heavy for us if we carry yesterday’s burden over again today, and then add the burden of the morrow before we are required to bear it. ~John Newton

    There are two days in the week about which and upon which I never worry… Yesterday and Tomorrow. ~Robert Jones Burdette

    How to conquer worry:
    Get plenty of rest; troubles often look smaller as you get closer; distinguish between those parts of life you can control and those you can’t; check your goals–are you worrying about unrealistic ambitions? Depend on God. .
    (Happiness is a Choice, p. 171.)

    Worry never robs tomorrow of its sorrow, it only saps today of its joy. ~Leo Buscaglia

    Do not anticipate trouble or worry about what may never happen. Keep in the sunlight. ~Benjamin Franklin

    If you can’t sleep, then get up and do something instead of lying there worrying. It’s the worry that gets you, not the lack of sleep. ~Dale Carnegie

    I’ve developed a new philosophy… I only dread one day at a time. ~Charlie Brown (Charles Schulz)

    Troubles are a lot like people – they grow bigger if you nurse them. ~Author Unknown

    If you want to test your memory, try to recall what you were worrying about one year ago today. ~E. Joseph Cossman

    You can’t wring your hands and roll up your sleeves at the same time. ~Pat Schroeder

    Worrying is like a rocking chair, it gives you something to do, but it gets you nowhere. ~Glenn Turner

    If you treat every situation as a life and death matter, you’ll die a lot of times. ~Dean Smith

    As a cure for worrying, work is better than whiskey. ~Thomas A. Edison

    Worry often gives a small thing a big shadow. ~Swedish Proverb

    It is the little bits of things that fret and worry us; we can dodge a elephant, but we can’t dodge a fly. ~Josh Billings

    Any concern too small to be turned into a prayer is to small to be made into a burden. ~Corrie ten Boom, Clippings from My Notebook

    A day of worry is more exhausting than a day of work. ~John Lubbock

    As a rule, what is out of sight disturbs men’s minds more seriously than what they see. ~Julius Caesar

    No man ever sank under the burden of the day. It is when tomorrow’s burden is added to the burden of today that the weight is more than a man can bear. ~George MacDonald

    We are, perhaps, uniquely among the earth’s creatures, the worrying animal. We worry away our lives. ~Lewis Thomas, The Medusa and the Snail, 1979

    There are people who are always anticipating trouble, and in this way they manage to enjoy many sorrows that never really happen to them. ~Josh Billings

    Only man clogs his happiness with care, destroying what is with thoughts of what may be. ~John Dryden

    Love looks forward, hate looks back, anxiety has eyes all over its head. ~Mignon McLaughlin, The Neurotic’s Notebook, 1960

    Worry is interest paid on trouble before it comes due. ~William Ralph Inge

    “Worry is spiritual short sight. Its cure is intelligent faith.” Paul Brunton

    “It only seems as if you’re doing something when you worry.” Lucy Maud Montgomery quotes (Canadian Writer, 1874-1942)

    “If pleasures are greatest in anticipation, just remember that this is also true of troubles” Elbert Hubbard quotes (American editor, publisher and writer, 1856-1915)

    “If you ask what is the single most important key to longevity, I would have to say it is avoiding worry, stress and tension. And if you didn’t ask me, I’d still have to say it.” George F. Burns quotes (American comedian 1896-1996)

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    One of the biggest questions currently facing our administration is the level of health care the United States government should provide its citizens. Some call for complete health care, that no one would pay for their health care. This system is already in place in many countries, including England and Canada. Other’s claim that all health care should be done privately, whether through an employer or from one’s own personal funds. This decision needs to be made, as currently the state of American health is steadily declining. The best way to address this problem is to look at Canada, which is following its North American Neighbors by expanding its waisting, sick time, and medical cash flow.

    Currently, Ontario is plagued by chronic diseases. The numbers are startling:

    One in three Ontario residents is currently fighting a chronic disease. . . at least 60 per cent of health-care costs are already associated with chronic diseases. . . almost four in five Ontario residents over the age of 65 have at least one chronic disease, and of them, 70 per cent suffer from two or more conditions. . . getting people to eat better, stay active and giving them safe and meaningful work would prevent 80 per cent of the cases of coronary heart diseases, Type 2 diabetes, and over 85 per cent of lung cancer cases. . . 50,000 new cases of Type 2 diabetes diagnosed in Ontario every year. . . Preventing these cases alone would free up about 2,900 hospital beds … per year in Ontario.

    This situation is similar to the United States. In both countries asthma, arthritis, diabetes and heart failure are on the rise. Obesity is growing at an unimaginable rate with the deterioration of healthy eating habits. Many of these diseases are preventable. There is one difference between the two situations, the provider of health care. In the United States the patients are left to fend for themselves, leaving a large population of people (mostly elderly) that have a chronic disease and are struggling to get treatment. However, In Canada all of these cases are jamming the system, preventing immediate health care from reaching many. The problem with chronic disease is that it lingers and takes up a lot of the doctor’s time and the patent’s money.
    Patients with acute sicknesses cannot find immediate care to cure their ailments. They are forced to suffer because of a large group of citizens are too lazy to keep up their own health. I see the same problem to a much larger extent in America. We are just as lazy, and in fact are most likely spreading our lifestyle to Canada. Therefore I have doubt about the effectiveness of a mass health care system. Such a system may not ensure the greatest health of all patients involved. However, a socialistic medical system would be better if the kinks could be fixed. However it is questionable that these problems will ever be fixed. Currently the government should continue Medicare and Medicaid to an extent to prevent one’s class definition by one’s health. America needs to remain free and equal, therefore the government should continue to research answers to this growing problem.

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