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disaster 5th 1108_5th ed 2011 - Homeland Security and Emergency ...

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Spanish flu p<strong>and</strong>emic of 1918-1919 which may have kill<strong>ed</strong> up to 50 million<br />

people worldwide.<br />

Things to watch for (flu)…<br />

Possible symptoms - fever (usually high), headache, sore<br />

throat, cough, runny nose, body aches, weakness, diarrhea<br />

or puking (more common in children)<br />

Possible complications - bacterial pneumonia (lung<br />

inflammation), shortness of breath, hospitalization<br />

Avian flu (bird flu) is an influenza A virus subtype that occurs mainly in<br />

birds, is highly contagious among birds, <strong>and</strong> can be deadly to them.<br />

According to the CDC there are many different subtypes but one of them is<br />

the H5N1 virus. H5N1 does not usually infect people, but infections have<br />

occurr<strong>ed</strong>. To date, most human cases caught this flu from domestic<br />

chickens or ducks <strong>and</strong> over 50% of those patients di<strong>ed</strong>.<br />

The recent H1N1 (swine flu) scare demonstrat<strong>ed</strong> how quickly virulent flu<br />

strains can spread globally, <strong>and</strong> that strain will continue to spread for years<br />

to come, like a regular seasonal influenza virus.<br />

According to a recent worst-case scenario outlin<strong>ed</strong> by the World Bank, a flu<br />

p<strong>and</strong>emic of avian or other origin could kill more than 70 million people<br />

worldwide <strong>and</strong> lead to a “major global recession” costing more than<br />

$3 trillion. 10 Several vaccines are currently in development for avian <strong>and</strong><br />

swine flu plus there are some antiviral drugs available for treatment.<br />

Things to watch for (avian, H1N1 or other variants)…<br />

Flu-like symptoms - fever, headache, sore throat, cough,<br />

runny nose, body aches, fatigue, puking or diarrhea<br />

Possible complications - eye infections (avian flu),<br />

pneumonia, severe breathing problems or death<br />

C. diff (Clostridium difficile or C. difficile) is a toxin-producing<br />

bacterium that causes diarrhea <strong>and</strong> more serious conditions like colitis<br />

(inflammation of the colon). There are many different strains <strong>and</strong> most<br />

make only two toxins that cause minor symptoms that are easily treat<strong>ed</strong>.<br />

However, a mutat<strong>ed</strong> strain call<strong>ed</strong> NAP1 (or the 027 or BI strain) makes<br />

about 20 times more toxins so symptoms are much more severe. And now<br />

NAP1 is starting to show signs of becoming drug-resistant.<br />

Experts estimate C. diff sickens about 500,000 Americans a year <strong>and</strong> the<br />

rate of infection grows by about 10% each year. C. diff is fairly common<br />

among older adults in hospitals or in long-term care facilities <strong>and</strong> typically<br />

occurs after using antibiotics. One out of five people who get the infection<br />

will get it again, <strong>and</strong> recurrences can be more severe or even deadly.<br />

www.itsa<strong>disaster</strong>.net or call 1-888-999-4325<br />

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