Sunday, 6 September 2009

Ministry's advise means more guaranteed deaths

Advising ILI sufferers to contact hospitals on the third day if it
worsens will ensure certain death because Tamilflu is no longer

If you recover it is more of luck, since the fatality rate for those
who got worse on the third day is very high. Most will die on the
fifth day even in ICU. Unless there is sufficient lung machines. Even
then, it will take you years to fully recover from the other bacterial

The manufacturer of Tamilflu does not allow the usage of Tamilflu over
48 hours on the onset of symptoms. Using it will mean that it is
useless and can cause damages in the form of Tamilflu resistant flu

Of course not all those who suffer on third day will die, but a high
percentage of them. Certainly more than 1% which is much higher than
0.1% that is normal for Swine Flu with easily available Tamilflu
nations such as UK.

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Sunday September 6, 2009
When we have influenza-like illnesses ...

THOSE of us who have symptoms of influenza-like illness (ILI) should
focus on getting better and avoiding contact with others.

I. Do we need to see a doctor?

·Not all patients with suspected influenza A(H1N1) infections need to
be seen by a healthcare provider. This is because for most of us, the
disease is mild and self-limiting.

·However, if we are from one of the high-risk groups (see below), we
should seek immediate medical attention when we have influenza-like

·If we are not considered high-risk, we should monitor our symptoms
and seek medical help if they worsen or do not get better by day
three. If we experience any of the emergency warning signs (see IV),
we should also seek medical attention IMMEDIATELY.

·That said, not everyone needs to be tested for the influenza A(H1N1)
virus as current recommendations for the prescription of anti-virals
do not depend on a positive diagnosis.

·Anti-virals will be given to those who are admitted for moderate/
severe influenza-like illnesses, those who are in the high-risk
groups, and those whose high-fever has not gone away for more than two

II. What can we do to help ourselves recover?

·If the fever is uncomfortable, paracetamol can be taken at standard
recommended doses. Lowering the fever will not make the illness go
away faster, but it may make us feel more comfortable. However, you
need to follow instructions on the label or talk to your healthcare
provider about products you could use, their dosage, possible side
effects, and conditions when you should not use the remedy.

·Eat well, rest well and stay active

III. How can we stop spreading the influenza A(H1N1) virus?

When we are not feeling well or when we have influenza-like illnesses,
we should:

·Remain home and avoid going to the workplace, educational institution
or any public places.

·Practise good cough etiquette – We should cover our mouths and noses
with tissues when coughing or sneezing and dispose of the tissues
appropriately. After that, we should clean our hands with soap and
water or a hand sanitiser. If a tissue is not within reach, we can use
our sleeves or scarves to cover our mouths and noses. You can wear a
mask if you come into close contact with others.

·Improve personal hygiene: We should clean our hands often, using soap
and water or a hand sanitiser, especially after we cough or sneeze.
Paper towels should be used to dry our hands after hand washing but
avoid sharing cloth towels with others. We should also clean commonly
used household items or frequently touched surfaces regularly with
household detergents.

·Do not share personal utensils and linen: Linen, eating utensils and
dishes used by those of us who are sick need not be cleaned
separately, but these items should not be shared without washing
thoroughly first with water and soap.

·Social distancing:

i. We should try not to leave our homes when we have fever or during
the time we are most likely to spread the infection to others. (We are
likely to spread the virus from one day before we develop symptoms to
up to seven days after we get sick.)

ii. Staying in a room separate from other household members when we
are sick is a good idea.

iii. If we need to leave home (eg for medical care), we should wear a
surgical mask and practise cough etiquette and good hand hygiene.

IV. How do we know if we are getting worse?

If anyone has any of the following emergency signs, please SEEK

·Signs of breathing problems: We feel short/out of breath, have chest
pains or have difficulty breathing. In children, this may appear as
fast or troubled breathing.

·Signs of lack of oxygen: Our lips have gradually turned bluish or

·Signs/risks of dehydration: We have severe or persistent vomiting,
feel dizzy when standing, and do not pass urine as much as we are used
to. Children may lack tears when crying.

·Signs of neurological problems: We are less responsive, drowsy or
confused than normal. Children may not be waking up as frequent, be
irritable or interacting as usual.

V. How do we know if we are recovering?

·Usually, the fever will subside, appetite will return, and the
headaches will go away in about three days. Generally we will feel
better and are no longer very lethargic, and gradually, the cough and
influenza-like symptoms will go away.

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