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Swine Flu Diary

For this week's Global Pulse episode, Swine Flu: The Vaccination, host Erin Coker asks, Will you get vaccinated? Share your thoughts and watch this episode below!

When I first learned of swine flu, I dismissed the general reaction as unnecessary panic over something no more threatening than – well, catching the flu. Inconvenient and uncomfortable, but hardly the second coming of the 1918 influenza pandemic.

Then I caught the H1N1 virus myself. After being diagnosed, I took comfort in the fact that, according to the Centers for Disease Control and Prevention, of the estimated 1 million Americans believed to have been infected with the virus between April and June, only about 593 have died. To provide a bit of perspective, seasonal flu can result in up to 500,000 deaths worldwide each year. So if you do get swine flu, chances are it will not kill you, or even result in serious symptoms. I am living proof, although there were times over the last week when I wasn’t so sure.

"Uncomfortable and inconvenient" is an understatement. I am a generally healthy young person, but I was immobilized by a high fever, chills, severe muscle pain and fatigue. I would be dishonest if I said that there weren't a few scary moments when I felt compelled to inhale deeply to make certain my lungs were still working. The normally benign shadows on my ceiling took on a menacing hallucinatory quality. Would ever feel like myself again?

Six days of bed rest, fluids and the antiviral Tamiflu later, I am starting to feel better. So, have my feelings about swine flu changed? Yes and no.

As ABC News reported earlier this week, thousands of people have contracted swine flu in recent months and have made a full recovery. Global mortality rates to date are lower than those associated with seasonal flu -- the World Health Organization (WHO) reports 2,837 H1N1 deaths worldwide -- but health experts have noted that H1N1 may cause more severe illness and death in younger adults and children than does the seasonal flu. Reuters reported that the WHO has also warned of a severe strain of swine flu that can cause acute respiratory illness in otherwise healthy young people.

More disturbing is the potential threat to developing countries, which often lack the resources to produce vaccines. A recent report released by a UK-based global risks intelligence firm (PDF) notes that while Western nations may be at the greatest risk of spreading H1N1, they also have significant resources to contain the proliferation of the virus. In contrast, Sub-Saharan Africa stands out as the area least able to contain an influenza pandemic. Underdeveloped health facilities and the difficulty of accessing doctors in rural areas could pose further risks to vulnerable populations.

Nonetheless, as I read recent reports warning of a more aggressive second wave of H1N1, or speculations of a deadly mutated super virus, I recall what Indian blogger Hariharan Krishnamurthy wrote in mid-August after a swine flu outbreak killed 20 people in Mumbai and in the western city of Pune: "There is a mass hysteria about the swine flu... The news channels are adding fuel to the fire... and newspapers showing only the negativity... I am not trying to undermine the seriousness of the issue but also so much panic is also not at all required."

A good reminder that prudence and preventative measures are best combined with a healthy dose of perspective.  Take it from one of the latest statistics.

 

 
 

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The Health Care Debate in the U.S. and Why I Care

Do you have a health care story? Visit Link TV's Real Conversations webcam site and tell us about it.

 

Health care reform is the hottest topic in U.S. news media this summer. One question that arises in this debate is whether the government should spend the money to overhaul the old system, or use the money to pay off federal deficits?
 
As one of the 47 million uninsured Americans, I think that the health care system in the U.S. is terrible. I earn barely enough to cover my expenses, and at the end of the month, I am left with very little extra cash to spend on something as important and necessary as health insurance.
 
I looked into buying insurance, and since I’m very healthy with no prior medical conditions, I expected to see insurance premiums of $50 - $85 a month. I was shocked to find that the lowest premiums started at $150 - $200, excluding dental or vision!! There was no way I could afford those prices.
 
Fortunately, I live in San Francisco, a very conscious and progressive city, where two years ago the City and County introduced a program called "Healthy San Francisco." This program covers primary care for all city residents, and the pay structure is based on income. I have now been with this program for one year and, although it doesn’t include major medical care, I’m happy.
 
But I began to wonder what would happen if I broke my leg. Would I be able to afford the hospital bills, or would they bankrupt me? A survey by the Kaiser Family Foundation [PDF link] found that: "Every week, thousands of Americans file for bankruptcy related to medical costs [and] 42% of adults report having problems accessing health care due to cost." I definitely favor a system of health care that benefits everyone, especially those that cannot afford it. After all, the rich will always be able to afford health care whether it is universal or not.

Here’s a cartoon that says it all.
 
How do other developed countries manage their citizens’ health care? PBS Frontline’s "Sick Around the World" website describes how five of the world’s developed nations go about taking care of their sick.
 
A completely socialized health care system might not work in the U.S., but universal care with regulated options that are based on fair-market values just might work. While providing access to all, it will create motivation for insurers and providers to offer the best service they can.
 
In this week's Global Pulse episode, Health Care: America and the World, host John Hamilton asks for your health care stories. Share your thoughts at Link's Real Conversations site!

 

 
 

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Swine Flu: Time to Panic?

We're feeling a bit calmer about the swine flu today. Planes are flying empty to Mexico and 30,000 restaurants lie quiet across the Mexican capital. But as the first week of swine flu hysteria draws to a close, the Mexican death toll appears to have stabilized and fears of a mounting global apocalypse have yet to materialize.

 

We're more prone now to heed the words of pandemic skeptics, like virologists that contend the swine flu mortality rate is likely to be not far off the typical seasonal flu death rate. We are also swayed by histories of the epic false alarm that was the last swine flu outbreak in 1976.

 

Still, for panic-watchers we do note the beta launch of Google Flu Trends for up-to-date tracking of swine flu spread across Mexico. And for those who opt to don a face mask when venturing out of home, recognize that a mask can fast become porous as it absorbs humidity.

 

Does the arrival of swine flu constitute real reason for alarm? Or like SARS and the avian flu before it, is this more a minor local than major global tragedy?

 

Watch the Global Pulse episode on swine flu here.

 
 

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