Hog Flu gets wild; Medical warnings & preperations for Swine Flu

I’ve heard the rumbling fears of our medical health academia in the past about the potentials for Global Pandemics since the Avian Influenza (Bird Flu) out breaks a few years ago. With such a diverse and openly traveled globe, the probability to spread disease from community to community, continent to continent is dramatically salient. The Swine Flu outbreaks as of late have resurfaced fears of a new viral pandemic and in New York, openly have been of concern as I watched NY1 yesterday when they mentioned 8 kids came back from Spring break last week from Mexico, and shortly returning to Saint Francis Prep in Fresh Meadows, 150 students went home with flu like symptoms.

I received a message from my doctor on the concern over this very new and potentially threatening outbreak, so and thought I would pass it on (my comments are in [ ]).

The Bad News
First, this is not a new disease. It was known to circulate amongst pigs and most cases previously occurred in people who were in contact with pigs. The first human case in the US was registered in 1976;

Second, it appears that virus was able to “jump” from “animal to human” to “human to human” transmission. This is considered worrisome, because most of us would not have immunity against it, since we never come close to pigs and we come in contact with other humans all the time in a course of our regular daily activities;

Third, in Mexico, it is so far affected young adults, but not children or elderly people, who are usually considered to be more vulnerable. This is also considered a worrisome sign of epidemic;

Forth, there is no vaccine against it to be used in humans;

Fifth, the typical flu incubation period is 24-48 hours, but can be longer in some cases;

Sixth, infected people may be contagious for up to 7 days.

Good News?
First, most infected people would have nothing more than regular flu-like symptoms: fever, lethargy, aches, runny nose, sore throat, etc. There are no specific symptoms of the disease. No deaths were registered in the U.S. at this time;

Second, the virus is susceptible to four different antiviral drugs available in the US, which are effective both for treatment and prophylaxis of the disease.

What should we do at this time.
First, do not panic;

Second, avoid crowded places, non-essential travel, contact with sick people; [Great, this is New York City. Practically unavoidable unless we all be come shut ins]

Third, use protective masks if you have to visit someone sick, or traveling to known epidemic areas;

Forth, wash your hands frequently; [I do this frequently anyway – have you ever touched a sweaty subway poll?]

Fifth, stay home if sick and let your children miss school, if any reasonable suspicion arises regarding epidemic; [YES! I find it ridiculous that employees feel they can work through their sickness by going into work, while at the same time feel completely comfortable with infecting the entire office with their sickness. We should all have laptops and VPN to be able to work from home in today’s technology age]

Sixth, contact you doctor immediately upon developing flu-like symptoms;

Seventh, if you believe you came in close contact with people (within 6 feet) who might have been infected or who were confirmed to be infected, you should contact your doctor and start chemoprophylaxis immediately. [if you live in NY and ride the subway, just get to the doctor now]

Eighth, there is no instant diagnostic test to definitively confirm swine flu, but your doctor will be able to arrange a confirmatory test with the County public health department. The test is usually a nasal swab. There are quick tests to confirm the presence of the flu virus by type A or B although (Swine virus is Type A).

Special Considerations for Children
Aspirin or aspirin-containing products (e.g. bismuth subsalicylate – Pepto Bismol) should not be administered to any confirmed or suspected ill case of swine influenza A (H1N1) virus infection aged 18 years old and younger due to the risk of Reye syndrome. For relief of fever, other anti-pyretic medications are recommended such as acetaminophen or non steroidal anti-inflammatory drugs.

Please find the following Centers for Disease Control and World Health Organization documents attached for your information:

CDC Health Advisory April 28th
Influenza-like illness in the United States and Mexico
Swine Influenza and You
Swine Influenza Recommendations

Google has long stated they wanted to get into the Pandemic tracking business. Here we have a Global Map for tracking Swine Flu cases.

Janet Napolitano, head of the Homeland Security Department said “[The United States is] proceeding as if we are preparatory to a full pandemic,”. Mexico has already closed schools nation wide and is considering a full country shut down of public transportation [yahoo news].

UPDATE: Sadly, Obama had included $900 Million in the stimulus bill for pandemic events and after GOP fought the inclusion of this money (Sen. Susan Collins stated on the floor “What does that have to do with an economic stimulus package?” – CNN Jan 31, 2009) and Karl Rove Mocked the president for looking out for US citizens in the WSJ, the Obama administration capitulated to the objection, conceded it’s removal. House Appropriations Committee chairman David Obey had justified the funding as a global pandemic would be detrimental to the needs to expand the nations and our global partner’s economies. This seems now to be justified as CNBC reports:

Oil prices fell more than 2 percent to close to $50 a barrel as investors feared a new blow to an already fragile global economy if trade flows are curbed and manufacturing is hit.

The MSCI world equity index fell 0.8 percent and U.S. stocks also slipped.

Flu fears hit U.S. airline stocks hard as investors worried that the travel industry would suffer. Shares prices for UAL Corp, the parent of United Airlines, shed 14 percent, while Continental Airlines Inc lost 16 percent.

Yet again, the GOP is on the wrong side of policy that would help Americans. They are increasingly the party of the elite and not surprisingly don’t give a real flyingfuck about the welfare of the citizens of the United States.

Meet your Meat

How often do you get to meet the chickens that birth your eggs? This is what I get when I opened my latest purchase of organic, range free, antibiotic free, vegetable feed and weekly jerked off chickens: The LesOeufs Sisters

Thanks for the omelet Bitches!!! Now get to squatin!

New York is now the 5th Fattest City in America

Fat vs. Fit AmericaI heard this on the news this morning and looked up the source. Men’s Health announced their annual Fittest vs. Fattest survey of major US cities. Miami tops the list this year of the Fattest – it must be all that Cuban and Latin food (now remember SoBe isn’t technically in the city of Miami).

Topping the list for Fittest surveyed is Salt Lake City, Utah!? I guess being bored might actually translate to health? Here’s the rest of the FIT list:

1. Salt Lake City, UT
2. Colorado Springs, CO
3. Minneapolis, MN
4. Denver, CO
5. Albuquerque, NM
6. Portland, OR
7. Honolulu, HI
8. Seattle, WA
9. Omaha, NE
10. Virginia Beach, VA
11. Milwaukee, WI
12. San Francisco, CA
13. Tucson, AZ
14. Boston, MA
15. Cleveland, OH
16. St. Louis, MO
17. Austin, TX
18. Washington, DC
19. Sacramento, CA
20. Oakland, CA
21. Atlanta, GA
22. Fresno, CA
23. Tampa, FL
24. Nashville-Davidson, TN
25. Pittsburgh, PA

From Men’s Health:

In our exclusive 11th annual survey, a western city reached the top of the (ski) mountain, while a surprising sun-drenched Mecca needs to pull its head (and belly) out of the sand

For those familiar with the region, Salt Lake City’s selection as the Fittest City in America might not be much of a surprise. But even we were stunned when our Fattest City turned out to be 2,539 miles away from Salt Lake City, in Miami. Yes, Miami. Home of South Beach, with its images of tight bodies and scantily attired denizens. Yet despite a wide availability of local running and biking trails, Miamians are 35% less likely than the national average to actually use them.

This is just one of the many gaps between the Fittest and Fattest Cities in America. As we’ve done for more than a decade, MF collected and analyzed reams of data on the 50 most populated areas in the nation in an effort to determine just which cities take fitness the most seriously.

The Top FATTIES List:

1. Miami, FL
2. Oklahoma City, OK
3. San Antonio, TX
4. Las Vegas, NV
5. New York, NY
6. Houston, TX
7. El Paso, TX
8. Jacksonville, FL
9. Charlotte, NC
10. Louisville-Jefferson, KY
11. Memphis, TN
12. Detroit, MI
13. Chicago, IL
14. Dallas-Fort Worth, TX
15. San Jose, CA
16. Tulsa, OK
17. Baltimore, MD
18. Columbus, OH
19. Raleigh, NC
20. Philadelphia, PA
21. L.A.-Long Beach, CA
22. Phoenix-Mesa, AZ
23. Indianapolis, IN
24. San Diego, CA
25. Kansas City, MO
~~~~~~

New York, as you can see, is on the chubby chaser list, and this after correctly avoiding the top 10 for the last 2 years. This is wack and easily disproven by visual interpretation of the populous and of course rational thought. Some of MH’s reasoning:

  • The local commute is much more oppressive than in most cities — 54 percent more oppressive than average, leaving less time to exercise and prepare healthy meals. – Comparatively commutes are just as long in the subways as they are in other cities but I don’t think this survey takes into account the stress relief it is, to not have to drive to work, figure out parking, gas, car maintenance etc. Plus we’re open to concentrate on personal time while we commute, read or add some sleep.
  • Our survey has found 87 percent fewer sporting-goods stores in New York than average an indicator of an inactive populace. – Another reason this survey is flawed. This is a walking city and given the considerable amount of open/park space for the largest population in the nation, a count of sports stores in the concrete jungle is not indicative of actual use/purchases. Did they check sales figures too?
  • New York has one pool for every 135,648 residents — 207 percent fewer than average in our survey. – This is a personal peeve of mine as well, but not only pool action but clean, warm beach action is very sparse in these parts. Just because we’re not in the pool showing off, doesn’t mean we’re not laying out in the park getting naked.

Here’s more of the FATTEST List and some detail on New York:

1. Miami, FL
2. Oklahoma City, OK
3. San Antonio, TX
4. Las Vegas, NV
5. New York, NY
6. Houston, TX
7. El Paso, TX
8. Jacksonville, FL
9. Charlotte, NC
10. Louisville-Jefferson, KY

Additional details of some of my favorite cities including NYC, also on the the 2009 veeter’s list:

#4 Las Vegas, NV (I guess there’s not enough anorexic strippers and crackheads in this town to counter balance out the fat lazy gamblers)

# Fitness Centers & Sport Stores: A-
# Nutrition: B-
# Sports Participation: F+
# TV Viewing: F
# Overweight/Sedentary: F+
# Junk Food: F
# Air Quality: C-
# Geography: B
# Commute: D+
# Parks & Open Space: D-
# City Rec Facilities: F+
# Access to Healthcare: F
# Motivation: C-
# Mayor & City Initiatives: C+
# State Obesity Initiatives: D+

#5 New York, NY

# Fitness Centers & Sport Stores: F – Do Duane Reade stores count?
# Nutrition: D – eh, there are way too many good restaurants here. People binge and purge.
# Sports Participation: D+
# TV Viewing: B – no one is home to watch TV
# Overweight/Sedentary: C-
# Junk Food: A – YES! not having a BB King or Taco Hell on every corner helps.
# Air Quality: C-
# Geography: F+
# Commute: F+ – again, I walk for a commute so how is this not healthy?
# Parks & Open Space: F – Note they didn’t review the link above = Fail
# City Rec Facilities: F+
# Access to Healthcare: F+ – I can attest to this one
# Motivation: B – If seeing a Victoria Secret model walk down the street every day is not motivation to get fit, I’m sure you can find you’re own here.
# Mayor & City Initiatives: C-
# State Obesity Initiatives: A

What’s Good
Fast food, widely implicated as a contributor to obesity, is less common in New York than most places in our survey. In a per capita comparison there are 73 percent fewer fast-food joints here than average.

New York has “snack tax” laws aimed at reducing obesity and improving nutrition.

New York is one of 28 states that participate in a CDC-sponsored program to reduce obesity and other chronic diseases.

New York has 78 percent fewer pizza places per capita than the average among cities in our survey (this is shocking – I guess they didn’t go into Brooklyn for this survey?).

Donuts are 68 percent less popular here than average (Hello! Dunkin Donuts > Starbucks here), according to a comparison of places where they are sold. New York has the 7th lowest number of donut outlets per capita in our survey.

Ice cream shops are 82 percent less popular in New York than average. (We have helado carts)

What’s Not
The local commute is much more oppressive than in most cities – 54 percent more oppressive than average, leaving less time to exercise and prepare healthy meals. Commuter stress may also raise levels of cortisol, a hormone linked to weight gain and other health problems. (It should be noted that many New Yorkers walk regularly during segments of their commute.)

New York has 1,800 municipal parks, among the fewest of any city on a per capita basis, according to our exclusive survey of municipal park departments. (WOW! so they went by number of parks, not by size. In that case shouldn’t Central and Prospect be 200 each?)

New York’s park acreage per capita is 79 percent lower than average and the 6th lowest in our survey. Research has found a connection between access to parks and green space and reduced obesity rates.

Health-food stores are rare in New York: There’s one for every 28,632 residents, nowhere near the national average of one store per 12,118 people.

Golfers are limited to 12 city-owned courses. Relative to population, that’s less than almost anywhere else we surveyed. (YES! TELL ME ABOUT IT -THIS SUCKS!)

Feel like hitting the public pool for a morning swim? Good luck finding one. New York has one pool for every 135,648 residents – 207 percent fewer than average in our survey.

There are 143 percent fewer tennis courts per capita here than average among cities in our survey. (YES! TELL ME ABOUT IT -THIS ALSO SUCKS!)

Our survey has found 87 percent fewer sporting-goods stores in New York than average an indicator of an inactive populace.

On a per capita basis, New York has 66 percent fewer gyms and health clubs than average, the 3rd lowest in our survey.

More on the Fatties list of interest:

13) Chicago, IL

# Fitness Centers & Sport Stores: F
# Nutrition: F+
# Sports Participation: B
# TV Viewing: B
# Overweight/Sedentary: B-
# Junk Food: B
# Air Quality: F+
# Geography: B-
# Commute: F
# Parks & Open Space: F
# City Rec Facilities: C+
# Access to Healthcare: C-
# Motivation: A
# Mayor & City Initiatives: C-
# State Obesity Initiatives: D-

15) San Jose, CA

# Fitness Centers & Sport Stores: F+
# Nutrition: C
# Sports Participation: C-
# TV Viewing: C+
# Overweight/Sedentary: C+
# Junk Food: B+
# Air Quality: D
# Geography: A-
# Commute: D-
# Parks & Open Space: F
# City Rec Facilities: F
# Access to Healthcare: F
# Motivation: C+
# Mayor & City Initiatives: B
# State Obesity Initiatives: A

21) Los Angeles/Long Beach

# Fitness Centers & Sport Stores: F
# Nutrition: C
# Sports Participation: C
# TV Viewing: B+
# Overweight/Sedentary: D
# Junk Food: A-
# Air Quality: F+
# Geography: A
# Commute: F
# Parks & Open Space: F
# + City Rec Facilities: F
# Access to Healthcare: A-
# Motivation: F
# Mayor & City Initiatives: C-
# State Obesity Initiatives: A

24) San Diego, CA (I still can’t believe there’s some healthy surfers and students in this SoCal spot to push them out of the FAT list)

# Fitness Centers & Sport Stores: C
# Nutrition: A-
# Sports Participation: D+
# TV Viewing: A-
# Overweight/Sedentary: B
# Junk Food: B-
# Air Quality: F+
# Geography: A
# Commute: F
# Parks & Open Space: B+
# City Rec Facilities: F
# Access to Healthcare: F+
# Motivation: F
# Mayor & City Initiatives: C-
# State Obesity Initiatives: A