Low-tech H1N1 Tips

These aren't mine - they came across from Isabelle's school this evening, but since they were simple, low-tech and made lots of sense, I figured out I would pass along:
The only portals of entry are the nostrils and mouth/throat. In a global epidemic of this nature, it's almost impossible to avoid coming into contact with H1N1 in spite of all precautions. Contact with H1N1 is not so much of a problem as proliferation is. While you are still healthy and not showing any symptoms of H1N1 infection, in order to prevent proliferation, aggravation of symptoms and development of secondary infections, some very simple steps, not fully highlighted in most official communications, can be practiced (instead of focusing on how to stock N95 or Tamiflu):
1. Frequent hand-washing (well highlighted in all official communications).
2. "Hands-off-the-face" approach. Resist all temptations to touch any part of face (unless you want to eat or bathe..)
3. Gargle twice a day with warm salt water (use Listerine or Hydrogen Peroxide if you don't trust salt). H1N1 takes 2-3 days after initial infection in the throat/ nasal cavity to proliferate and show characteristic symptoms. Simple gargling prevents proliferation. In a way, gargling with salt water has the same effect on a healthy individual that Tamiflu has on an infected one. Don't underestimate this simple, inexpensive and powerful preventative method.
4. Similar to 3 above, clean your nostrils at least once every day with warm salt water, or hydrogen peroxide. Not everybody may be good at Jala Neti or Sutra Neti (very good Yoga asanas to clean nasal cavities), but *blowing the nose softly once a day and swabbing both nostrils with cotton buds dipped in warm salt water is very effective in bringing down viral population.
5. Boost your natural immunity with foods that are rich in Vitamin C (Amla and other citrus fruits). If you have to supplement with Vitamin C tablets, make sure that it also has Zinc to boost absorption.
6. Drink as much of warm liquids (tea, coffee, etc) as you can. Drinking warm liquids has the same effect as gargling, but in the reverse direction. They wash off proliferating viruses from the throat into the stomach where they cannot survive, proliferate or do any harm.
Thank you to Mr. Delaune for passing this on to the school community (and for having the foresight to hire an additional custodian!).

Breastfeed your children - especially this flu season

Let's call it H1N1 day at the doudoubebe.com blog :). Here's La Leche League Canada's press release on breastfeeding and the swine flu.

Does the Vaccine Matter? - The Atlantic (November 2009)

There are a lot of articles out there right now about H1N1 and vaccination in particular. With the approval this week of Canada's H1N1 vaccine, the time for decision-making has come for many of us still on the fence. I've been doing a lot of reading and thinking about this - there's plenty to.

This article from the Atlantic offers some good and original insights - not so much into the decision about this particular vaccine, but just in general about how we approach pandemics and what that might mean at a macro-level. Read it - really before you make the call (or even if you have).

Kids aren't grimy, their schools are

It seems like the swine flu (A.K.A. H1N1, aporkalypse, snoutbreak and hamdemic) has lost the collective interest of the media - or perhaps I've just stopped listening because there was nothing interesting being printed about it anymore. Like most big crises, the first wave of hysteria passed quickly and time will tell whether it was warranted or not.
In the lull, it does end up that something very interesting has come to light that matters whether the swine flu is the next 1918 virus or not. Since SARS, we've done a fairly good job of impressing the importance of handwashing - which controls the spread not only of potentially serious illnesses like influenza (of all kinds), but also common colds, stomach bugs and all manner of annoying and time-consuming illnesses. I'm consistently disappointed to see the flu vaccine touted as the primary step in public health campaigns, but simple public hygiene has made inroads. The fact that there's currently no vaccine for the swine flu leaves only hygiene to prevent the spread and I think that's a good thing no matter what - it doesn't matter whether you have a vaccine that works if you prevent the spread to begin with, after all.
I worked in a large office building in Toronto during the SARS outbreak - it was an eye opener for many workers to realize how much simple hygiene could be improved. Suddenly, cleaners wiped down door handles and bathrooms several times a day - and it made you think about why that wasn't done before. Standards rose and stayed that way (at least in our building) because businesses and the workers they employed realized how simple steps could help contain all kinds of grossness.
This time around I work out of my safe little home cocoon, so I'm not worried about grimy elevator buttons. However, Isabelle is in junior kindergarten (society's largest Petri dish) and the outbreak has brought to light serious deficiencies in hygiene within the school. In an informal poll of my mommy circle, it appears that few of us know how often schools are thoroughly cleaned or bathrooms disinfected. While handwashing is a key, in many schools, bathrooms are poorly stocked or kept in a state of disrepair. Children may avoid using them entirely, meaning that they go an entire day without rinsing the building eco-system of germs off their hands. A good discussion of this was on the parentcentral.ca section of the Toronto Star today: http://ow.ly/6gnd
In other cases, teachers and students end up relying primarily on hand sanitizer because of a lack of facilities - alcohol based hand sanitizers are not the same as hand washing and while they may be safe for an occasional use, try licking your hand after using some and see if that's what you'd want on your preschooler 6 times a day.
Parents of children in their first years of school have learned to expect a year or two of next constant illness running through their house - because, we assume, kids have bad hygiene habits and there's no way around it. Well, having seen enough snotty, drippy noses on the playground and sneezes into the communal cookie plate, I can concede that kids are definitely at a disadvantage over office workers. So, why then, do we freak out about elevator buttons and copy machines, but few of us know how often the counters in the boys' room get disinfected or the tissues are replaced? The very few who have any idea wouldn't be too happy with the answer.

Mom was right - WASH YOUR HANDS

With all this talk about swine flu, I had a brief moment where I wondered whether I had doomed us all to death by vetoing the flu vaccine - what's a little mecury compared with a deadly pandemic virus? In my past life as an employee benefits manager, I did lots of planning work on pandemic preparedness. I have had plenty of exposure to the doomsday scenarios that most people are just beginning to think about again.

Well, I'm feeling a little better now - it looks like the flu vaccine will have no impact on the swine flu. So, I haven't doomed us... I think.

And I have taught the kids some good lessons that should serve them well. It's the same stuff I always sent out the flu vaccine clinic emails at work - I felt ethically obligated to do something that would actually be likely to keep our employees from getting sick since I was inviting them to get stuck with a needle that probably wouldn't).

- Wash your hands frequently with mild soap and water. Washing hands is less irritating to your skin and highly effective - bacteria and viruses don't 'stick' well and water will wash away germs that are not killed.
- Alcohol-based hand sanitizers can be a back-up when there's no running water - but proper washing is always best. Frequent use can be irritating and cause cracking skin (not good when you are trying to keep germs out of your body, plus ouch!). Use only as needed, rub hands well and stick to unscented versions that are at least 60% ethyl alcohol. Rinse your hands as soon as you can thereafter, too.
- Cough into your elbow - not your hands.
- Don't shake hands if you are ill and politely decline if someone appears ill (pretend you are sick).
- After contact with others or surfaces in public places, avoid touching your mouth, nose and eyes. Many viruses (like colds) are easily introduced to your body from your fingertips to your eyes because by rubbing your eyes you circumvent many of the bodies natural barricades to infection. Pay attention!
- Finally, if you are ill, stay home. As important as each of you are, if you fell your entire department with that nasty cold, you'll all regret it more than using up a sick day.