Showing posts with label illness. Show all posts
Showing posts with label illness. Show all posts

Monday, April 16, 2018

Goldman Sachs Analyst: Curing Patients Not a Sustainable Medical Business Model

Goldman Sachs Analyst: Curing Patients Not a Sustainable Medical Business Model | medical-doctor-money | Economy & Business General Health Medical & Health Sleuth Journal Special Interests


By Carey Wedler, The Anti-Media



One of the most reviled companies in the United States recently gave Americans yet another reason to distrust their power: A recent Goldman Sachs report reveals the company questioning whether or not curing chronic illness is compatible with a sustainable business model.


In an internal report viewed by CNBC about the potential of the biotech industry and gene therapy titled “The Genome Revolution,” analysts asked: “Is curing patients a sustainable business model?”


“The potential to deliver ‘one shot cures’ is one of the most attractive aspects of gene therapy, genetically-engineered cell therapy and gene editing,” wrote analyst Salveen Richter. “However, such treatments offer a very different outlook with regard to recurring revenue versus chronic therapies,” analyst Richter wrote in the April 10 report.


“While this proposition carries tremendous value for patients and society, it could represent a challenge for genome medicine developers looking for sustained cash flow.“


Richter cited a Hepatitis C drug manufactured by Gilead Sciences that achieved a 90% cure rate. As CNBC noted:


“The company’s U.S. sales for these hepatitis C treatments peaked at $12.5 billion in 2015, but have been falling ever since. Goldman estimates the U.S. sales for these treatments will be less than $4 billion this year, according to a table in the report.”


In light of the reduced profits as a result of the success of the drug, Richter wrote:


“GILD is a case in point, where the success of its hepatitis C franchise has gradually exhausted the available pool of treatable patients. In the case of infectious diseases such as hepatitis C, curing existing patients also decreases the number of carriers able to transmit the virus to new patients, thus the incident pool also declines … Where an incident pool remains stable (eg, in cancer) the potential for a cure poses less risk to the sustainability of a franchise.”


Indeed, cancer is a highly profitable disease. In 2015, the world spent $107 billion on cancer drugs, and according to 2016 projections, that number was expected to grow to $150 by 2020. Further, Gilead Sciences, which Richter singled out as a company losing profits due to cures, was still the second-most profitable pharmaceutical/biotech company in the world in 2017, earning over $12 billion in net income.


Richter, who did not respond to CNBC’s request for comment, offered several ideas to cope with the ‘problem’ of healing patients. He suggested targeting large markets, such as those suffering from hemophilia, because “Hemophilia is a $9-10bn WW market (hemophilia A, B), growing at ~6-7% annually.” in addition, he advised clients to target disorders with high incidences, such as spinal dystrophy, as well as focus on “[c]onstant innovation and portfolio expansion.”


Additionally, Ars Technica reported, the analysis “hints that, as such cures come to fruition, they could open up more investment opportunities in treatments for ‘disease of aging.’”


Goldman Sachs confirmed the authenticity of the report to Ars Technica but declined to comment on its contents.




The post Goldman Sachs Analyst: Curing Patients Not a Sustainable Medical Business Model appeared first on The Sleuth Journal.

Friday, March 30, 2018

Selco: The Dirty Truth About Water and Sanitation When the SHTF

This article was originally published by Selco at The Organic Prepper



Note from Daisy Luther: The biggest concerns in any long-term emergency are water and sanitation because the lack of these things can cause serious illness or even death. Because water and sanitation aren’t nearly as glamorous as guns and gadgets, they’re often overlooked in a preparedness plan. I asked Selco some questions about these important issues in this interview. The truth about it is dirty, unpleasant, and something for which you absolutely must plan.


Once there was no more running water, how did you get drinking water?


Just like most other things (especially when it comes to non-preppers) it was a matter of levels and layers.


The tap water was going on and off for a few days before service went completely off, so people had a few bottles of drinking water stored. But of course, most of us thought everything going to be restored very soon so nobody had thought about storing big amounts of water.


When it comes to lack of water and being unprepared, the levels and layers that I am mentioning meant that you first looked and asked for tap water (clean) for drinking. Then collecting water from rooftops sounded like a good idea. Then drinking directly from the river was good if there was no other source. And then, finally, when there was no other source. you simply drink dirty water even when you were sure it is quite dirty.


It was a matter of low resources, desperation, and of course low skill levels.


Our main sources were rain and the river.


Can you tell us about your rainwater collection system?


It was not anything smart, especially in the beginning.


The gutter system normally took water from the roof through pipes into the underground collectors and sewers. When we concluded that the running water was not coming back, we simply sawed off a piece of gutter and pushed it inside the main gutter that led from the roof system (on the side of the house that looked inside the yard). Then we collected water inside a barrel.


We just used the water collectment system that was existing there already, and just cut it off at a lower point, before the water was “lost” and redirected the water into a barrel.


It is actually pretty amazing how much water you can collect from the roof during one summer storm. A lot.


When it comes to that system of water collecting our main problem was lack of containers, because even if there is a huge amount of water to “catch” from the rain, we did not have enough adequate containers for that.


Probably if we were prepared in a smart way for that, our water problems would have been easier.


How did you purify/filter water for drinking and cooking?


Two main ways: boiling and filtering.


Filtering of the water was very rudimentary. We did not use any real filters, and people did not know how to make anything too complicated.


The most complicated filter that I saw in those times was a slightly changed version of a “bottle ” filter with rocks and sand with added cloth inside.


We used cloths for filtering, or gauze. If water was visibly contaminated (particles) we would repeat the procedure until the water looked satisfying for us.


Boiling was a widespread method of making water drinkable, and often the quality of stoves and fuel for it were “measured” by the time needed for water to boil.


Were the rivers and streams contaminated? If so, how quickly after things went bad?


River and streams in cities were polluted (if we talk about drinking) before the war because poor care was taken of it, and it was mainly because of industry.


When SHTF that kind of pollution went down because of obvious reasons (everything stopped working) but other kinds of pollutants were there. City services did not work and many people lived next to that river (upstream too). So it was polluted with everything, including bodies from time to time.


We drink it, sometimes even without boiling and filtering. I survived it, but I was sick many times, probably because of that.


How did you keep yourself clean?


By the standards from before SHTF and standards today we were not clean most of the time, because most of the time we did not have enough water for that.


By the standard of that time (SHTF) we managed to use very small amounts of water to keep ourselves as clean as possible.


Most of the time it was something like sponge bathing with a bottle of water.


It was a joke at that time. Often people would say, “I just had shower using wet napkin only(from MRE)”


Years later I saw a similar scene in a movie, and it brought memories back.


And actually it is a great thing to have a huge stash of those ready for SHTF.


When it was safe, we used the river for that, or people sometimes simply get naked in their yard during the rain.


What did you do for a toilet?


Very close to our house, through the destroyed building, there was small piece of land, which was “hidden” from all sides. We used that as a simple “dig a hole” latrine. Later we built something like primitive field latrine.


It was a simple hole in the ground covered with wooden boards, with channels leading away.


It worked more or less, but we had the good luck of having that place with enough “ground” close to home where it was pretty safe for spending that time there.


Folks use toilet everywhere that was available. Inside toilets were mostly out of use mainly because of the lack of water.


Of course. it contrubituted greatly to the city being a very dirty place.


Did you see an increase in sanitation-related illnesses like typhus, cholera? How did you treat those illnesses?


Everybody was at least once really sick from diseases that probably were caused by lack of hygiene, bad water and bad food.


Diarrhea, vomiting, exhaustion…


A lot of people had a couple of times heavy episodes of that, because simply, the whole chain of hygiene was really bad and broken.


Either you had problems with waste disposal, or bad water, or bad food, or simply you lacked personal hygiene.


It was a constant problem.


Sanitation problems were solved in a way that people would just throw away garbage from their own houses, as far as possible, or burn it when it was possible.


Because the system was out (of taking out garbage from that point) the result was that city was suffocating in garbage.


Diseases were inevitable.


Just like any other diseases they treated depending on knowledge and resources. In essence, people would try to cover it with medicines if possible and available, and with natural remedies.


Also, the sick person would be separated from other folks if possible.


Often method (and pretty stupid in that time because other bad factors) was to just leave a sick man to clean on itself, without food or anything, just a really small amount of water.


Do you have suggestions for some ways we can prepare for water and sanitation needs?


People usually do not understand how much consideration they need to take into solving the problem of a working toilet.


It is partly because it is maybe not a cool topic to discuss, but also it is something that we have taken for granted for many years.


Forget about jokes like, “If the SHTF forget about the toilet, it will be all over the place.”


If you are living together with 4 members of your family and one day the SHTF and your toilet is not working anymore it is quite a big topic to think about because you suddenly realize how often you need to go to the toilet and problems that it can bring. (However that may sound funny now).


With improper toilet techniques you are at a high risk for diseases, and when the SHTF, any kind of disease or illness will cripple you because you might need to perform heavy tasks.


Not to mention that “a small cut can kill you” because most probably, you are going to be your own physician, pharmacist, nurse etc.


There is lots of advice about how to deal with human waste: portable camping toilets, digging a latrine, even using it as a fertilizer or using it as a fuel (drying it) etc.


Some of this advice is clearly from people who do not have a clue about urban SHTF. Others are cool, but they are like more advanced solution (still the basic problem exists), and some of them work only in a wilderness situation.


I like to start with a very basic solution that solves my number one problem: what to do if my toilet does not work in my house or my apartment in an urban area.


A very cool and simple solution (and no, I did not “invent” it, it was there for quite some time) is having plastic buckets (the size that a toilet lid can be installed on it) and many plastic (heavy duty) bags that can be “installed” inside that bucket.


You still need to get rid of those bags later, but it is doable.


That is your immediate urban survival latrine. You can add some ash inside to make it more usable.


Often people if you ask them “how will you use the toilet when SHTF.” they  talk about composting human waste, but your real problem is what do you do if SHTF and your toilet is not working, and you can not go out in woods (remember, you are in the city) or anywhere  because it is not safe.


People often mention the fact that your toilet might work even when SHTF, you are just gonna need water to flush it.


That is actually a problem and the reason why you need to look for alternate ways. Water is going to be a big problem, and it is gonna be hard to get for other even more important things not to mention toilet. (unless you are living right next to a river or similar).


Just try to figure out today how much water you “spend” daily for flushing the toilet and you’ll get the point.


And do not forget that there is a chance that your toilets might be flooded, depending of what kind of collapse it is and area where you live.


So the “bucket toilet” technique is a start. Everything else is an upgrade if you have the means, space, and solutions.


If you have close space to your home where it is possible to dig a hole and make outhouse it is a good solution. Again, it will work for some time.


We are talking now about urban survival, and no matter how wrong or funny it looks to you, the point is to get it done in the fastest and cleanest and simplest possible way, and in a way that is the easiest possible to get rid of that waste.


By that you are minimizing the risk of many diseases.


Go with simplest solutions first and then upgrade on that.


All of you can figure pretty easily how much water you spend every day for all of your needs.


Then use that number when you plan how much of water you need to acquire per day when SHTF (through rain, river, wells, your already “stashed” tanks of water etc.) and you’ll see that there is probably scary difference between liters (or gallons) that you are using today and what you are going to be able to get when SHTF.


That means few things.


First and actually most important that you need to understand differences between necessity and comfort, in a way that for example having hot tub is great thing, but you won’t die if you do not have it, while not drinking enough water will get you killed.


So using water when the SHTF gets a new dimension if you think in that way. Maybe you are not gonna be able to be clean all the time, but you’ll survive.


Another thing is that you need to have a stash of water. Often people forget it and concentrate on food only (not to mention weapons only).


It is really cheap and easy to store some amount of water in canisters or barrels and keep it fresh by “refreshing it”  on schedule.


There are calculations of how much time a man can live without water, but usually, there are no calculations of how much time a man can “operate” in hard conditions. You need to be able to run, hide, fight, be scared, be under stress, work hard. So, you need to have a stash of water immediatelly ready when SHTF.


Collecting water from your roof collection system and purifying it sounds cool maybe, but try being thirsty for a week looking at the sky while you are waiting for rain.


I use 50-liter barrels and 20-liter canisters for water stash, on the balcony and in the basement. And I have small bottles of water everywhere. Nothing smart or spectacular but it will do the job, at least until rain falls.


Pay attention to water containers, not only that they need to be usable for water, but also that you need to have them in big numbers and not only big barrels.


Big stuff is hard to move, and once you fill it (for example from the roof system) you may find out it is not possible to move it.


Also having too much “manipulation” with big containers means more chance that you are gonna pollute the water, so think about that too. For example, find a way how you are gonna fill your bottles from big containers and similar.


One more thing that comes to mind when it come to water collecting is tarps.


Tarps (nylon) are something that you absolutely need to have in order to help yourself during water collecting (collection and also for directing what you have collected).


Tarps have many uses in survival so you should have decent amount of them anyway.


It all comes to the levels and degree of SHTF that you might experience, but know that in some periods you’ll be forced to use a very low amount of water for hygiene.


A good method is using a sprinkler watering can and sponge for a bath.


Also, have other methods as a means of water-saving for hygiene for when times get really hard with water (like wet wipes, and hand sanitizers).


Ways to disinfect water to make it usable for drinking are numerous and all around the web. Sometimes the discussion about best method is so fierce that remind me of “best caliber for SHTF” discussion.


It is important to understand that some of the methods kill germs but do not make water completely safe for drinking.


I personally prefer a few ways for making water safe (or safer) to drink: bleach, iodine tincture, boiling ,homemade filters (sand, stone, charcoal…).


I did try few portable purifiers like steripen and hand pump filters during the physical survival courses) and they worked (I did not get sick). It would be interesting to test it in a long term situation, and yes, it is good to have them.


In the end, your plan all comes to the availability of water. For example, if you live close to a creek or river it changes your perspective completely in the long run.


About the Author


Selco survived the Balkan war of the 90s in a city under siege, without electricity, running water, or food distribution. In his online works, he gives an inside view of the reality of survival under the harshest conditions. He reviews what works and what doesn’t, tells you the hard lessons he learned, and shares how he prepares today. He never stopped learning about survival and preparedness since the war. Regardless what happens, chances are you will never experience extreme situations like Selco did. But you have the chance to learn from him and how he faced death for months. Real survival is not romantic or idealistic. It is brutal, hard and unfair. Let Selco take you into that world. Read more of Selco’s articles here: https://shtfschool.com/blog/ And take advantage of a deep and profound insight into his knowledge and advice by signing up for the outstanding and unrivaled online course. More details here: https://shtfschool.com/survival-boot-camp/

Wednesday, March 21, 2018

Selco: The Shocking Reality of SHTF Medicine and How to Prep for When the Medical System is GONE

This article was originally published by Selco at The Organic Prepper



Editor’s Note: Something difficult to plan for – or even wrap your brain around – is a world in which medical care is not available. Even though it’s outrageously expensive here in the United States, we can still access care. We may be in debt forever, but it exists.


So, what do you do in a world in which it no longer exists? A world in which there aren’t emergency rooms or doctor’s walk-in clinics? A world in which there aren’t any well-stocked pharmacies?


Today, Selco shares the brutal reality of SHTF medicine. ~Daisy


Since there were no hospitals, how did you treat people who were ill?


Organized (system) of professional medical help ceased to exist.


Hospitals, health centers, EMS, and everything similar was gone. The most advanced medical help that you could find in the hardest period was more or less primitive medical care that some military units had, such as medics and low-level trauma care. But this was not available to common folks.


People with medical knowledge became very important because of this fact, but even the most skilled people were often completely useless because all of the other help that the system offers you is simply non-existent.


One of my old colleagues told me story that could point out some things.


His friend called him to help him with his father, who had fallen from the roof. The man climbed on the roof to repair broken tiles, and he was there in the middle of the night (which was the safest way). He fell down, and his sons found him unconscious. They brought him in the house and called my ex-colleague, a nurse, for help.


When he arrived, he checked the old man, then called his sons in other room. He explained to them that their father was going to die very soon because most probably he had internal bleeding.


The sons were mad at him and they started to threaten him, asking him that he help the old man in any possible way.


My colleague told them that only way possible was to ask for help from the local paramilitary unit who had some medical stash, but even that was very questionable because man need specialized medical care, and at that moment that kind of care was not available in the whole city.


The sons took a trip that night to the headquarters of that unit, and guys there told them to visit the “hospital” which was situated in the basement of a destroyed apartment building.


They later told my colleague that the “hospital” actually was 3 basement rooms with oil lamps and a stench so bad that they both immediately vomited.


The “doctor” who listened to their story about the old man’s injuries asked the two of them ” Do you have weapons?” They answered  “Yeah, sure”.


They were surprised, and started to yell at him, then “doctor” pulled a gun and said, “Get the f…. out of here or I’ll shoot both of you. Your old man is already dead”


They went home. Their old man was not yet dead but he died in the morning.


Some things can be taken care with basic knowledge and a little bit of inventiveness, for example, taking care of a broken rib or similar, but other conditions and traumas were simply too much to take care for most of the folks.


The point of this story is not to scare you. Maybe in your case, the whole situation is going to be much better. Maybe there is going to be some organization, some kind of bigger system when SHTF. I do not know.


Usually, a person who was ill was placed in a separate room and people did as best as they could to help him.


If we managed to get real medication we did that, if not we tried natural remedies.


Honey was one ingredient that was in most of the home remedies, or at least people stated that, pine needles were sometimes there, chamomile mixture, garlic…


Where did you acquire medications? Were you able to buy things like antibiotics on the black market?


Just like all other resources, they were there ( in very low amounts, of course) to take, steal, or barter.


Antibiotics were very valuable on the black market, and usually, you could dictate the price with if you owned any.


Antibiotics were used even with expired dates, and people did not care because sometimes it was the only medicine that you could find.


Natural remedies also jumped in, and yes people who had any knowledge about herbal remedies became important. Also, there were a lot of scams. For example, you heard that some man had a good herb mixture for asthma, and if that was your only choice, of course, you would try it.


A lot of people used that and scammed people with “homemade herb mixtures”.


Sometimes you could find a man who offered you 15 pills, not packaged, not in a box, just 15 pills, which he stated were antibiotics, and you really need them, so what could you do?


Did people with chronic illnesses like diabetes die?


It was a full scale collapse. People were dying from a lot of things (even if we do not mention violent death). There were no doctors, no hospitals, no X rays no lab results.


One day you are good, next day you feel sick and you are vomiting, your skin is yellow, you have a fever…


And then a few days later, you are dead.


Maybe you died from food poisoning, maybe renal failure, maybe your blood sugar went down or up. Who knew?


Lot of ordinary folks did not know why someone died.


A lot of people with chronic illnesses died.The majority of them did not have a stash of medication needed for their condition, and when you add to that fact that overall life quality went down very sharply and very deeply, people who were chronically ill and needed medical attention had serious problems.


In some cases and for some illnesses, certain people managed to pull through with acquiring medication from the black market or using some substitutes like herbs. But for example, if you were an older man who lived with his older wife, and you had insulin-dependent diabetes, and you do not have friends or family to help, and you had no stash, your chances were really low. 


Was there an increase in mental illness?


Yes, but if we are talking about real mental illnesses, people who had serious mental problems that were under control by medication simply lost it without their meds and went completely “mad”.


You could see people hallucinating out in the street more often than in peacetime, or breaking down in their rooms. I knew cases when families locked in their loved one who had mental illness in a room, controlling him in that way because there was no other way.


A lot of those cases were connected to the people who were heavy drug users (addicts). When the SHTF some of them simply went “wild” or, even worse, some groups used those people for very dirty jobs in exchange for a drug supply. Bigger organized groups had more power and more connections, which meant they could find drugs even in those circumstances. This meant drug addicts were ready to do whatever they had to for them, and very violent things were usually what was needed for a gang to keep power. It is not too different from “peacetime” criminal organizations, but when the SHTF stakes are higher. Violence is much worse and much more frequent.


If we are talking about people who simply went crazy because the world as they knew it collapsed around them, then no, not really. Not too many people lost their minds because of the eruption of violence and collapse.


Of course there was increase in suicides and cases of people simply giving up because they thought it was not worth it to continue to live on that way, but not in numbers that people would imagine.


I think the instinct to fight for survival is stronger then we think.


People mostly pushed through, day by day. There was an increase in alcohol consumption or marijuana, sedatives were good thing to have or some herbal substitutes… but people pushed on. 


What diseases became common when the SHTF? How did you treat them? 


When the SHTF, all aspects of life changed, and that included aspects of life that you did not even think about, simply because the system had always taken care of those aspects of life.


For example how much physical work you are doing today-if you are average citizen who work as an clerk somewhere, or truck driver, or housewife or whatever, you are used to some physical activity and certain food quality and quantity.


You are used to having an operating bathroom, and to being pretty warm in your home, etc.


When the SHTF, all that changed.


Food became different. The quality and quantity of it went down. Physical activities went up very sharply. Add to that fact that one day, it was stressful not to find your favorite yogurt in few stores. Then suddenly, the next day when the SHTF, the levels of stress were about seeing people shot for fun or asking yourself whether your kid was going to survive eating plants only.


All of that contributed to people getting sick simply because people were almost always exhausted.


If we are mentioning the most common illnesses, then those were gastrointestinal illnesses connected with bad food, bad water, and low hygiene (both personally and in the home).


Second to that, a lot of problems were connected with secondary complications of a minor injury.


For example, you might get some nasty cut while you were working in some abandoned storage, trying to scavenge some useful material.


That cut looked nasty, but basically it could be taken care with iodine, peroxide, sterile dressings and antibiotic treatment. But you did not had any of those so you bandaged it with a dirty bandana. Then, a day later you got a nasty infection which was a huge problem.


A small cut could kill you.


Homemade remedies were used a lot, again with varying levels of success. Home mixtures were used for cuts and infections, and of course, people searched for antibiotics.


If someone broke his arm, for example, you could try to find someone who had a clue about setting the bones, but you can still today find people with funny looking fingers, or bit twisted arm, or not so functioning leg, simply because they splinted it alone at home during that time without any real medical help.


How can we prepare for medical issues?


We can be prepared to some extent, but it is more important to understand that very often ( in case of serious collapse) you can not do too much.


Much more important is to understand “from what end” you need to start your medical preparedness.


Most of the discussions about medical preparedness in prepping community today have few common characteristics. They are talking mainly about:



  • Taking care of patients in short period of time in until advanced help arrives

  • Specialized training is given by very specialized instructors (for example combat medics will train you how to take care of a wounded person until evacuation helicopter arrives)

  • Students who are driven to learn things that look “cool and flashy”, for example, you’ll be given the task of stopping bleeding on mankind  (or animal meat) while instructors pointing a flashlight in your eyes or using firecrackers to simulate gunshots.


Those are only examples, or one analogy could be that medical preparedness experts teaching you how to suture wounds even if that wound can be taken care of with simple Steri strip (adhesive tape that gonna connect wound edges).


Nobody mentions the complications that can occur from the wound, prolonged care of an infected wound. This is the material and knowledge that you are gonna need.


One of the reasons is that it looks cool to suture a wound or to train how to use tourniquet untill help arrives in form of an ambulance or a helicopter. The other reason is that most of the trainings assume that help is 10 minutes or one hour away.


It may not be like that when real SHTF happens and it is completely different. Then, most probably nobody is going to arrive, and you’ll have to take care of everything.


You need to start with basics and go gradually to more complicated things.


Do not misunderstand me. I know how to suture, and I am combat medic and nurse, too, so I am not talking against that knowledge.


But before learning how to suture as a part of your medical preparedness you need to learn what to do with your waste when SHTF, how to build latrine, how much water you need, and ways to have it in order to keep a minimum of hygiene.


Before you buy 20 suturing kits you need to learn wound care in prolonged terms, including antibiotic treatment for that wound.


You need to know ways to keep yourself clean and protected in order to minimize the risk of getting injured or getting ill.


Another example would be that lot of  people are fixated with buying antibiotics without real knowledge of how antibiotics work and the differences between groups of antibiotics.


Get gloves, face masks, working gloves, hand sanitizers, and alcohol pads. Then go with antibiotics and tourniquets.


It is about preparation and common sense. So if you have, for example, a person with high blood pressure problems in your family, you need to learn all you can about that condition including proper diet, natural remedies, what to do in a possible crisis, and you need to have serious stash of medications for that condition.


Think outside of the box.


Just like with all other fields of prepping, here too, you need to think a bit outside of the box.


A lot of medical skills can be learned. Some of them are online, free to research and learn.


For example, sometimes it is simply not enough to give oral antibiotics, sometimes you’ll have to give it through an IV or intramuscular, or sometimes best choice is to rehydrate person through IV solutions.


Yes, it is probably illegal to do that if you are not a medical professional, but when the SHTF, that is gonna be not so important. On the other side, your skills are gonna be very important.


Learn skills no matter what system says about who can practice those skills. You are preparing for a time when system is gone so it makes sense.


About the Author


Selco survived the Balkan war of the 90s in a city under siege, without electricity, running water, or food distribution. In his online works, he gives an inside view of the reality of survival under the harshest conditions. He reviews what works and what doesn’t, tells you the hard lessons he learned, and shares how he prepares today. He never stopped learning about survival and preparedness since the war. Regardless what happens, chances are you will never experience extreme situations like Selco did. But you have the chance to learn from him and how he faced death for months. Real survival is not romantic or idealistic. It is brutal, hard and unfair. Let Selco take you into that world. Read more of Selco’s articles here: https://shtfschool.com/blog/ And take advantage of a deep and profound insight into his knowledge and advice by signing up for the outstanding and unrivaled online course. More details here: https://shtfschool.com/survival-boot-camp/



The Pantry Primer


Please feel free to share any information from this article in part or in full, giving credit to the author and including a link to The Organic Prepper and the following bio.


Daisy Luther is the author of The Pantry Primer: A Prepper’s Guide To Whole Food on a Half Price Budget.  Her website, The Organic Prepper, offers information on healthy prepping, including premium nutritional choices, general wellness and non-tech solutions. You can follow Daisy on Facebook and Twitter, and you can email her at daisy@theorganicprepper.ca</e


Friday, March 16, 2018

Venezuela Faces the Return of Forgotten Diseases

This report was originally published by J. G. Martinez D. at The Organic Prepper



Dear fellows, I want to tell a little story of this last week.


My son had a rash in his little armpits and other parts. So his mom took him to the doctor, within walking distance from our subdivision (our SUV is still busted). After the subsequent blood test (according to my wife it was a real spectacle. He is a strong kid and a task force between my wife, the doctor and a nurse was needed to get the blood sample…well at least we know he is able to defend himself.) The lab result (freaking expensive because the reactants are scarce) was salmonella.


I started to worry a lot, as it is logical. That was Thursday. I got immediately into fast-forward mode, and found the money, while I was extremely concerned about the availability of the needed antibiotics. My wife woke up early, and with a neighbor in his car went with the kiddo to the pharmacy. After visiting two pharmacies with negative results, they headed up to a state-owned pharmacy next to the state hospital, controlled by Cubans or party members, who betray the hospital personnel that dares to report malnutrition deaths or similar events. This is happening.


She was finally able to find the medicines on Saturday morning, at a really inflated price, but the neighbor works for an official government, with a flash of his badge she could buy them without the employees giving it a second look.


I emailed a copy of the doctor’s report to Daisy, so she can confirm my history for those who feel the need to do so.


To me, this was a major achievement under the actual circumstances. I used some of the money from your donations, to exchange it for the needed Bolivares to buy the medications, but the important thing to note here is that they were found. And that is not easy in this country.


Forgotten diseases are returning


Recent reports from these last few days have been, for someone who understands the importance of the endemic diseases that had been under control, spreading quickly.


I am talking about serious stuff: Tuberculosis, Diptheria, Leishmaniasis. There have been adults and children who died because of these things. The diseases themselves, under normal conditions can be healed. But without the appropriate medications and proper nutrition, they become deadly.


Leishmaniasis


One of the worst endemic diseases that has been reported (this information arrived via social networking from confirmed, known sources) is Leishmaniasis. This is a parasite to which you should pay a lot of attention. With the lack of proper balanced feeding, a person’s natural defenses get lower, and it is much easier for them to get sick.


Traditionally there were programs all over the country to fumigate and keep the vectors under control. However, the last fumigation was a long time ago and this allowed the vectors to spread themselves again, reaching densely populated areas, and now without any modern medication to contain it.


Rodents, canines, are affected too. The main transmission vector is the mosquito, and their first manifestation is a skin lesion in the place of the bite. There are several forms of the disease, and most of them are deadly. This is a disease associated with the malnourishment, population displacement, poor living conditions, weak immune systems, and a general lack of resources. This is the exact scenario we have been living through and the description of an SHTF situation. It affects the liver and has permanent consequences if not treated properly.


Ehrlichiosis


Another disease we have present in our area is the Ehrlichiosis, a tropical variation of Lyme disease. Fortunately, we could find the antibiotics for this as well, but of course at incredible prices. Thankfully with a 2nd income, it could be obtained. My wife got better after weeks of feeling sick once we knew what it was.


In a funny side note, we had to go to a veterinary lab, as it was the only one in town that was able to do such testing. This gave me floor for a LOT of imaginative, creative jokes to her. Lol.


We used the recipes to buy some extra blisters packs of medication, just in case, for our medicine box will be donated once the family can come with me.


Tuberculosis


Another disease that had an incredible increase is tuberculosis. It is known that tuberculosis is linked to malnutrition (source) and it is becoming increasingly widespread in Venezuela. As it is more or less known,  improper nutrition is the main cause of this once-eradicated sickness in Venezuela. The cases were very few, and widely spread, mainly among drug addicts, homeless people, or even patients of psychiatric hospitals. This is a bacteria, and the infection damage is located especially in lungs.


A weakened immune system makes it easy for the disease to take hold. There are a lot of ways to prevent our defenses from getting too low, but proper nutrition is the best prevention. Whole foods, of course, provide more leverage to our immune system than processed foods.


Mosquito-transmitted diseases


Another important and significant increase has been in the mosquito-transmitted diseases. With the main insecticides factories financially strangled, their production is scarce, and the well-known government mafia takes over whatever they can.


Finding a can of insecticide is not easy. This is another item that should be stockpiled. It is not going to lose efficiency. I could afford to buy a fumigation machine, able to provide a clouding of droplets with a very small size, the needed size to float in the air for hours (I don´t remember how many microns, I think about 0.5 or so). It is useful for house fumigation as well as greenhouse or crops, despite being electrical. It does not use a heating element, so it is much more simple to maintain and fix, and this allows to use a wider variety of insecticides that do not need to be burned to remain as a cloud for keeping their effectiveness.


Salmonella


Our recent experience with salmonella last week opened our eyes to how bad sanitation conditions have become. Of course, this is to be expected. There are no cleaning products at affordable prices, and therefore the hygiene decreases significantly, and salmonella is a disease very closely linked to hygiene.


According to my research for this article, salmonella can be transmitted by infected hens, even before teggshellell is formed, and this seemed to us something very likely because the chicken farmers can’t afford the mandatory vaccines or medications for the animals.


Another salmonella infection source is raw poultry. We noticed that in the place we buy our fresh poultry and cheese, these are stored in the same freezer. This is not what we could call ideally sanitary, but it is our first time facing such an illness.


According to our doctor, that same day there were 2 other cases of salmonella before our son. This is alarming, to me. Never had seen even one case, except very rare instances, and suddenly three persons in a row in a doctor’s office?


This is highly suspicious, at a minimum.


What can we do given that we are not regular people but preppers?


Let’s see.


My first thought is, given that the readers are spread worldwide, is research what diseases are endemic to your area. Statiscally speaking, the probability of picking up a disease that is not typical of your region should be low.


Once the hazard your group maybe exposed to is identified, then proceed with the neutralization measures by finding out which medications would be needed if the normal supply is no longer available.


Some prepper-friendly doctor could extend the needed prescriptions, and your stashed medicines would be one of the stuff that should be already in your secluded BOL, under the proper conditions. [Alternatively, if you can’t get those, look for herbal remedies you can create yourself – this book is a reference every prepper should own ~ Daisy]


Given what we have experienced, I would not try to save money on this issue. It will be worth every penny if you need it. Oh, and I don’t work or have any relationship with any medical company other than swallowing their stuff from time to time if needed.


This said, I would calculate, depending on the medical history of the family (for example, urinary infections, bacterial stomach infections like amoebas in my case) and the endemic disease information, then go about stockpiling two complete treatments a year, for each family member.


Other possible treatments could be those for botulism. Some antidote against this toxin should be stockpiled. This is very serious, and the probability of appearing is not because it is endemic, but because of things like decomposing canned food.


Skin burn ointments and other common medications would be needed, too. Our scarcity began about 4 years ago, but mostly because of the inflation. If you have the money, you can find anything you need, even under these conditions.


Therefore, I strongly suggest you find a good, suitable way, optimized for your particular conditions to store wealth.


This is worst case scenario and you may adjust it to your own medical knowledge and location. It would be great to receive comments from people in the know.


Thank you.


I give special thanks to those who have prayed for my family, because your prayers, my fellow preppers, really worked.


I don´t have words to describe how grateful I am for all of you.


We faced this issue, came through the other side almost unharmed, knowing this could have become serious if the medicine were not found, and I am sure your prayers for us were heard…


I don’t have words to thank you. God Bless you all, people!


Jose


About the Author


Jose is an upper middle class professional. He is a former worker of the oil state company with a Bachelor’s degree from one of the best national Universities. He has a small 4 members family, plus two cats and a dog. An old but in good shape SUV, a good 150 square meters house in a nice neighborhood, in a small but (formerly) prosperous city with two middle size malls. Jose is a prepper and shares his eyewitness accounts and survival stories from the collapse of his beloved Venezuela. If you’d like to donate to help Jose get his family out of Venezuela, you can do so here: paypal.me/JoseM151



The Pantry Primer


Please feel free to share any information from this article in part or in full, giving credit to the author and including a link to The Organic Prepper and the following bio.


Daisy Luther is the author of The Pantry Primer: A Prepper’s Guide To Whole Food on a Half Price Budget.  Her website, The Organic Prepper, offers information on healthy prepping, including premium nutritional choices, general wellness and non-tech solutions. You can follow Daisy on Facebook and Twitter, and you can email her at daisy@theorganicprepper.ca

Tuesday, January 30, 2018

Broken Brain Epidemic and How to Fix it (VIDEO)

Broken Brain Epidemic and How to Fix it (VIDEO) | brain | General Health Medical & Health Multimedia Special Interests


 


(The Real Agenda News) An unbalanced broken brain is responsible for many mental diseases.


The result of those diseases in children, teenagers, adults and the elderly are usually untreated or not even discovered by mainstream medicine.


Most doctors aren’t capable of diagnosing most brain-related diseases, much less treat them or cure them.


Perhaps the main reason why mental disease is wrongfully treated or not treated at all is that brain health does not necessarily start from the brain itself, but from outside of it.


The lack of proper diagnosis and treatment causes the number of people with mental disabilities to rise out of control.


Broken brain count surpasses 1 billion


Today, that number stands at 1.1 billion patients. From those millions of people who are mentally ill, 1 in 6 are children who suffer from mental disorders.


Estimates show that 1 in 2 elderly are most likely suffering from mental disease and along with them, the global average is 1 in 4 people.


The current epidemic of brain disorders is what Dr. Mark Hyman calls the Epidemic of Broken Brains.


Hyman is a practicing physician with 10+ best selling books. His documentary shows how humanity, at least western populations arrived at the current state of mental imbalance.


During the documentary series, Hyman shows the assessment of several medical doctors who explain how normal-looking people are actually mentally ill and they got there.


More importantly, they explain how to attack and overcome the current epidemic of broken brains.


No, it is not through conventional medicine.


The documentary series promises to show how Alzheimer’s, Dementia, ADHD, Autism, Depression, Anxiety, and Brain Fog have common origins.


In its preview, Dr, Hyman also promises to show people steps to “optimize” their brain function and “reclaim” their mental health, energy and mental clarity.


If you are interested in learning more about brain function and how to keep it sharp, make sure to watch the preview below and then subscribe to watch the complete documentary series.



Fill out the form and subscribe to watch the documentary series here.


The connection between the brain and the immune system


In a stunning discovery that overturns decades of textbook teaching, researchers at the University of Virginia School of Medicine have determined that the brain is directly connected to the immune system by vessels previously thought not to exist.


The fact that such vessels could have escaped detection when the lymphatic system has been so thoroughly mapped throughout the body is surprising on its own, but the true significance of the discovery lies in the effects it could have on the study and treatment of neurological diseases ranging from autism to Alzheimer’s disease to multiple sclerosis.


“Instead of asking, ‘How do we study the immune response of the brain?’ ‘Why do multiple sclerosis patients have the immune attacks?’ now we can approach this mechanistically.


Because the brain is like every other tissue connected to the peripheral immune system through meningeal lymphatic vessels,” said Jonathan Kipnis, PhD, professor in the UVA Department of Neuroscience and director of UVA’s Center for Brain Immunology and Glia (BIG).


“It changes entirely the way we perceive the neuro-immune interaction. We always perceived it before as something esoteric that can’t be studied. But now we can ask mechanistic questions.”


“We believe that for every neurological disease that has an immune component to it, these vessels may play a major role,” Kipnis said.


“Hard to imagine that these vessels would not be involved in a [neurological] disease with an immune component.”


The unexpected presence of the lymphatic vessels raises a tremendous number of questions that now need answers, both about the workings of the brain and the diseases that plague it. For example, take Alzheimer’s disease.


“In Alzheimer’s, there are accumulations of big protein chunks in the brain,” Kipnis said. “We think they may be accumulating in the brain because they’re not being efficiently removed by these vessels.”


He noted that the vessels look different with age, so the role they play in aging is another avenue to explore. And there’s an enormous array of other neurological diseases, from autism to multiple sclerosis, that must be reconsidered in light of the presence of something science insisted did not exist.


The post Broken Brain Epidemic and How to Fix it (VIDEO) appeared first on The Sleuth Journal.

Thursday, November 9, 2017

Viral Meningitis Outbreak: The Virus Can Be Spread For NINE WEEKS After Recovery!


Washoe County Nevada has experienced a viral meningitis outbreak. So far, 47 people have contracted the disease and 43 have had to be hospitalized and the outbreak is still ongoing.


Health officials expect the outbreak to get worse. “The outbreak is still ongoing,” says Washoe County Health District spokesperson Phil Uliabarri said. Uliabarri added that the cases are all still being investigated. Ulibarri says the county is working with the Center for Disease Control (CDC) during its investigation. According to the Washoe County Health District, there are now 47 cases of viral meningitis in the county since July 15, up from the more than 30 cases reported in October 2017.


What makes this challenging is that the virus may be passed on from an infected person for up to two to nine weeks after they feel better and have returned to normal activities,” Ulibarri said. “So even if people do [an] environmental cleaning in certain areas, that area could be contaminated by another individual who was previously ill or who had contact with a sick person.”


And getting the vaccine won’t do you any good. Nevada students enrolled in seventh grade after June 30 were required to be immunized with the quadrivalent meningococcal conjugate vaccine, commonly referred to as the MCV4. That current vaccine targets only bacterial meningitis and would not work against a viral outbreak such as this one.


Seventy-five percent of the cases were in children ages 0 to 17 years old. Fifty-five percent of them were found in school-age children ranging from 5 to 17 years old.


Viral meningitis is an inflammation of the tissue that covers the brain and spinal cord that is caused by a virus. It is typically less severe than bacterial meningitis, and most people recover on their own within 7-10 days.


If you live in or near Washoe County, you can take steps to prevent contracting the virus. Wash your hands often with soap and water, especially after changing diapers, using the toilet, or coughing or blowing your nose and avoid touching your face with unwashed hands. Avoid common playing areas for children such as inflatable bounce houses and slides and avoid close contact such as kissing, hugging, or sharing cups, water bottles, sports drinks, or eating utensils with others who may be sick. Cover your coughs and sneezes with a tissue or your upper shirt sleeve, not your hands. Clean and disinfect frequently touched surfaces, such as doorknobs, handrails, light switches, desks, keyboards, computer mice, phones, toys, playground equipment, bathrooms, etc., and, always stay home when you are sick.


Symptoms of viral meningitis include a stiff neck, trouble waking from sleep, nausea, vomiting, sensitivity to light, and sleepiness.

Thursday, September 7, 2017

ALERT: An Incredibly Fast And Deadly Super Bug Is Spreading In China






September 7th, 2017

Read by 60 people







outbreak


There is a substantial threat to human health in China, and it could become a global epidemic if not contained. As an antibiotic resistant super bug is making its way across the country and the new deadly illness spreads, the mainstream media remains tightlipped about this potential epidemic.


Infowars’ editor note reads:



We’re horrified to learn that we’re the first international news outlet to bring massive attention to this story. This superbug was first revealed in The Lancet, a peer-reviewed medical journal. Until now, this story went underreported in the media, with only a handful of regional outlets providing limited coverage.



The Lancet has titled their article: A fatal outbreak of ST11 carbapenem-resistant hypervirulent Klebsiella pneumoniae in a Chinese hospital: a molecular epidemiological study.  It bears to reason that this may be something that the general public should be concerned about, and the silence by mainstream media is telling.


Scientists in Hangzhou, China have discovered a new strain of antibiotic-resistant pneumonia which spreads incredibly fast. They completed a study following a 2016 outbreak in a hospital ICU (intensive care unit) which led to the deaths of five patients ranging in age from 53 to 73.


According to The Lancet:



 Hypervirulent Klebsiella pneumoniae strains often cause life-threatening community-acquired infections in [a] young and healthy host but are usually sensitive to antibiotics. In this study, we investigated a fatal outbreak of ventilator-associated pneumonia caused by a new emerging hypervirulent K pneumoniae strain. The outbreak occurred in the integrated intensive care unit of a new branch of the Second Affiliated Hospital of Zhejiang University (Hangzhou, China).


We collected 21 carbapenem-resistant K pneumoniae strains from five patients and characterised these strains for their antimicrobial susceptibility, multilocus sequence types, and genetic relatedness using VITEK-2 compact system, multilocus sequence typing, and whole genome sequencing. We selected one representative isolate from each patient to establish the virulence potential using a human neutrophil assay and Galleria mellonella model and to establish the genetic basis of their hypervirulence phenotype.



According to Infowars, the findings in the published piece by The Lancet are obviously less than enticing. Researchers concluded that the triple-threat posed by this new superbug poses a “substantial threat to human health because they are simultaneously hypervirulent, multidrug resistant, and highly transmissible.”


K. pneumoniae  (ST11 CR-HvKP) is a deadly combination of two previously known strains of pneumonia; one which shrugs off all but the toughest antibiotics, and the other which is classified as “very severe” and “hypervirulent” in terms of lethality and how quickly it spreads.  And failure to control the spread of this super bug will make it a global epidemic. 


The new report also reveals that samples from several other areas of China were tested and came back positive for the new superbug. The researchers also stated clearly: “Control measures should be implemented to prevent further dissemination of such organisms.”  This means there’s a potential for a global outbreak if China cannot contain this new suber bug.


While Allergan’s U.S. approved antibiotic of last resort “Avibactam” can likely handle the ST11 CR-HvKP strain, yet the antibiotic is not available in China, which currently has nothing in its pharmaceutical arsenal to battle this particular infection. This is highly concerning to epidemiologists, Liang Chen and Barry Kreisworth. Both are calling the new strain of pneumoniae an “alarming evolutionary event.” According to Chen, “The microbe can fight off all drugs available in China. We don’t have anything in China to stop it. There is a drug available in the U.S. that should be effective against it, but we haven’t tested it yet.” Until China approves Avibactam or a similarly effective antibiotic of last resort, doctors and health officials can only prevent the spread of hypervirulent pneumonia by quickly identifying outbreaks and isolating the infected persons.


Chen went on to say “the disease progresses very fast. It starts in the lungs and then infects other organs, like the liver.” The five patients who have died from this strain were all older than 53. They were all on ventilators after undergoing major surgeries and they died from severe lung failure, multiorgan failure, or septic shock, the researchers found.



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Tuesday, June 13, 2017

Rates of this Preventable Disease Quadrupled in 35 Years

Type 2 diabetes, a serious disease (especially if left untreated) that can result in amputations and lifelong complications, can usually be prevented through healthy diet and exercise, and that’s exactly what needs to happen, the World Health Organization (WHO) warns. The number of people with the condition has quadrupled in less than 40 years, with approximately 422 million people now suffering from the ailment.


diabetesnumbers


The researchers behind the WHO study, released last year, shows one of the largest of diabetes trends to date. The agency notes how the aging population and increasing levels of obesity make the disease “a defining issue for global public health.”




Majid Ezzati, a professor at Imperial College London who led the WHO research, said:


“Obesity is the most important risk factor for type 2 diabetes and our attempts to control rising rates of obesity have so far not proved successful.”


The study used data from 4.4 million adults in various regions of the world to estimate the prevalence of age-adjusted diabetes for 200 countries.


Researchers discovered that between 1980 and 2014, more men than women developed diabetes, and rates of the disease rose significantly in many low- and middle-income nations, including China, India, Indonesia, Pakistan, Egypt, and Mexico.


Shockingly, no significant decrease in diabetes was observed in any country.


The findings make it clear that there is an urgent need to address unhealthy lifestyles globally, as appropriately stated by Margaret Chan, the WHO’s director-general.


“If we are to make any headway in halting the rise in diabetes, we need to rethink our daily lives: to eat healthily, be physically active, and avoid excessive weight gain.”


Diabetes-prevention550
Source: Self Chec

Other findings of the study include:


  • Northwestern Europe has the lowest rates of diabetes among both adult sexes, with age-adjusted prevalence lower than 4% among women, and about 5-6% among men in Switzerland, Austria, Denmark, Belgium, and the Netherlands.

  • Pacific Island nations saw the largest increase in diabetes rates, followed by the Middle East and North Africa, in countries such as Egypt, Jordan, and Saudi Arabia.

  • Half of the adults with diabetes in 2014 lived in 5 countries – China, India, the United States, Brazil, and Indonesia.

  • Rates of diabetes more than doubled for men in India and China between 1980 and 2014. [1]

  • Nearly a quarter of adults in 2010 (18 and older) were classified as “insufficiently physically active.”

  • 84% of female adolescents and 78% of male adolescents fall under the category of “insufficiently physically active.”

  • In 2014, nearly 1 in 4 adults was overweight, and more than 1 in 10 were obese. [2]

The WHO said in its Global Diabetes Report that a “whole-of-government and whole-of-society approach” is needed to tackle diabetes, which racks up an estimated $827 billion annually in patient care and medicine.


Some of the risk factors for Type 2 diabetes are not modifiable, such as genetics, ethnicity, and age. But these risk factors do not mean an individual will go on to develop the disease. Each person can modify his or her diet and eating habits, and physical activity level to help fend off the disease.


Read: Halt Diabetes with These 8 Natural Foods


The WHO said:


“At the individual level, intensive interventions to improve diet and physical activity can prevent or delay the onset of type 2 diabetes in people at high risk.”


In the report, the WHO calls on government sectors to “systematically consider the health impact of policies in trade, agriculture, finance, transport, education and urban planning — recognizing that health is enhanced or obstructed as a result of policies in these and other areas.”


Dr. Etienne Krug, of the WHO, said:




“Diabetes is a silent disease, but it is on an unrelenting march that we need to stop. We can stop it, we know what needs to be done, but we cannot let it evolve like it does because it has a huge impact on people’s health, on families, and on society.” [3]


Sources:


[1] The Huffington Post


[2] CNN


[3] Daily Mail


Self Chec



Storable Food


About Julie Fidler:


Author Image
Julie Fidler is a freelance writer, legal blogger, and the author of Adventures in Holy Matrimony: For Better or the Absolute Worst. She lives in Pennsylvania with her husband and two ridiculously spoiled cats. She occasionally pontificates on her blog.

Thursday, May 11, 2017

Could Yellow Fever be the U.S.’s Next Zika?

The yellow fever outbreak currently sweeping the jungles of Brazil could be the next Zika virus in the United States, health officials say. The Latin American country has seen an increase in the disease over the past few weeks in some of its rural areas. [1]


Health officials with the Pan American Health Organization have confirmed 371 cases of yellow fever, including 241 deaths. The group is investigating hundreds of other potential cases.


In a recently-published letter found in the New England Journal of MedicineAnthony Fauci, M.D., director of the National Institute of Allergy and Infectious Diseases (NIAID) and colleague Catharine Paules, M.D., say that number of cases is unusual in the course of a year.




The fear is that yellow fever could spread to Brazilian cities for the first time in decades because the areas currently affected by the outbreak are so close to urban areas, including Rio de Janeiro and Sao Paulo. [2]


Like the Zika virus, yellow fever is spread through the bite of the Aedes aegypti mosquito. History has shown that Zika, dengue, yellow fever, and other mosquito-borne illnesses can morph into full-blown epidemics through populations lacking preexisting immunity, which describes the United States.


It was reported last week that Rio de Janeiro state intends to vaccinate its entire population against yellow fever. These diseases could easily spread beyond Brazil via global travel, Fauci and Paules write. [2] [3]


Read: Zika Virus is “Scarier than the CDC Initially Thought”


“In an era of frequent international travel, any marked increase in domestic cases in Brazil raises the possibility of travel related cases and local transmission in regions where yellow fever is not endemic.” [2]


Fortunately, the authors write, there is currently no evidence that human-to-human transmission has occurred through Aedes aegypti mosquitoes in urban areas of Brazil.



The two admit it’s “highly unlikely” the continental U.S. will have to contend with a yellow fever outbreak, but “it is possible that travel-related cases of yellow fever could occur, with brief periods of local transmission in warmer regions such as the Gulf Coast states, where Aedes aegypti mosquitoes are prevalent.”


U.S. territories – including Puerto Rico, which was affected by the Zika outbreak last year – could also be at risk.


Fauci and Paules say doctors in the U.S. should be vigilant in asking patients for recent travel history, and be suspicious of yellow fever if the outbreak spreads to urban areas of Brazil.


“As with all potentially reemerging infectious diseases, public health awareness and preparedness are essential to prevent a resurgence of this historical threat.”


The authors of the letter say yellow fever would be difficult for doctors in the U.S. to identify, because they’ve never had to contend with the virus before. Yellow fever is typically suspected based on clinical presentation and confirmed later, as definitive diagnosis requires testing available only in specialized laboratories.


Around this time last year, an outbreak of yellow fever in Angola had World Health Organization officials concerned that the disease could spread well beyond the country’s borders, but it was fortunately contained.




Sources:


[1] CBS News


[2] New England Journal of Medicine


[3] New York Daily News



Storable Food


About Julie Fidler:


Author Image
Julie Fidler is a freelance writer, legal blogger, and the author of Adventures in Holy Matrimony: For Better or the Absolute Worst. She lives in Pennsylvania with her husband and two ridiculously spoiled cats. She occasionally pontificates on her blog.

Tuesday, May 9, 2017

Odd New Marijuana-Related Illness Sending People to the ER

There are few medical conditions marijuana can’t help, including nausea. But reports of a new marijuana-related illness are on the rise, characterized by cyclic episodes of nausea and vomiting. [1]


The illness, deemed cannabinoid hyperemesis syndrome, or CHS, is an illness acquired by people who, well, smoke a lot of weed. It is linked to heavy, prolonged cannabis use. The only remedy appears to be a hot shower, and it has become the key warning sign for physicians trying to diagnose the syndrome. In fact, many CHS patients have a compulsive need to shower. [2]


Vomiting cycles typically last about 30 minutes, but can resume if the person starts smoking marijuana again.




Physicians say people come into the emergency room sometimes 3 or 4 times before finally being correctly diagnosed, because the symptoms so closely resemble stomach bugs. [1]


Emergency rooms in Colorado have seen a steady rise in puking pot users in recent years, according to Dr. Kenneth Heard, an ER doctor in the state, who said:


“It is certainly something that, before legalization, we almost never saw. Now we are seeing it quite frequently.”


Denver physician Dr. Eric Lavona said:


“These folks are really suffering. People can get pretty sick.”


Heard and a team of doctors documented this rise in CHS cases in a 2015 paper published in Academic Emergency MedicineThey looked at 120,000 patient visits – half of which were studied in 2008 to 2009 (the “pre-liberalization” period of marijuana) and the other from 2010 to 2011. The team discovered that the number of patients exhibiting cyclical vomiting doubled in that time frame. [2]


Cases of CHS have also been reported in other states where pot has been legalized, including the District of Columbia. [1]


Doctors are getting fairly good at diagnosing CHS in states where marijuana is legal, but patients in states without legalization would be hard-pressed to get a correct diagnosis. Doctors in those states are more likely to diagnose patients with Cyclic Vomiting Syndrome, which has nearly identical symptoms.


A correct diagnosis is important, though, because CHS can cause kidney failure in extreme cases. But the good news is stopping cannabis use ends symptoms within days. [3]


Heard explained:


“Patients are given IV fluids and medication to resolve the vomiting and help with the pain. But the treatment really is to stop using marijuana, or at least cut back severely, and that’s really the only way to make it better.”





It is unknown how many people have CHS, because the syndrome was only discovered 10 years ago.


Heard said:


“The science behind it is not clear. The most likely cause is that people using marijuana frequently and in high doses have changes in the receptors in their bodies, and those receptors become dysregulated in some way, and it starts causing pain.”


It’s something to keep in mind when you’re packing that third or fourth bowl.


Sources:


[1] The Daily Caller


[2] Inverse


[3] The Huffington Post



Storable Food


About Julie Fidler:


Author Image
Julie Fidler is a freelance writer, legal blogger, and the author of Adventures in Holy Matrimony: For Better or the Absolute Worst. She lives in Pennsylvania with her husband and two ridiculously spoiled cats. She occasionally pontificates on her blog.

Saturday, October 15, 2016

CDC Warning: Thousands of Heart Patients at Risk from Contaminated Surgical Devices

On October 13, officials with the U.S. Centers for Disease Control (CDC) warned that bacteria may have contaminated special devices used during open heart surgery, putting more than half a million heart surgery patients at risk. [1]

Source: The Seattle Times

The devices, LivaNova PLC (formerly Sorin Group Deutschland GmbH) Stockert 3T heater-cooler devices, might have been contaminated with Mycobacterium chimaera bacteria during manufacturing, according to the CDC. [2]




In a news release, the agency said that people who have had open heart surgery should seek immediate medical care if they develop any signs of infection, including night sweats, muscle aches, weight loss, fatigue, or unexplained fever.


Additionally, the CDC said that doctors and hospitals should identify and inform patients who might have been put at risk.


Dr. Michael Bell, deputy director of the CDC’s Division of Healthcare Quality Promotion, said:


“It’s important for clinicians and their patients to be aware of this risk so that patients can be evaluated and treated quickly.


“Hospitals should check to see which type of heater-coolers are in use, ensure that they’re maintained according to the latest manufacturer instructions, and alert affected patients and the clinicians who care for them.”


The heater-cooler devices are used in more than 250,000 heart bypass procedures each year. The devices use water to help keep a patient’s blood circulating and organs at a specific temperature during surgery. The water does not come into contact with the patient, but bacteria can be transmitted through the air from the device’s exhaust vent.


Bell explained:


“Some smart engineer designed it because surgeons said they need to keep this cool and that warm. But no one probably said, it needs not to have a fan because it wasn’t part of the calculation. The person who wanted this machine, they weren’t thinking about maintenance and repair.” [1]


Contaminated Stockert 3T heater-cooler devices infected at least 12 individuals at a hospital in York, Pennsylvania, last year. Six of the individuals died, though officials initially said they weren’t positive that infection was the primary cause of the deaths. [3]




The infection was identified at other hospitals, as well, and DNA testing confirmed the presence of the bacteria.


Risk is Low


Fortunately, the risk of infection is very low, according to Bell – from about 1 in 100 to 1 in 1,000 in hospitals where at least 1 infection had been identified. However, the CDC said:


“Although thousands of patients in the United States have been notified regarding potential exposure to contaminated heater-cooler devices, the number who were exposed might be much larger.” [1]


Rather than stop using the Stockert 3T heater-cooler devices, the CDC is simply recommending that healthcare workers and patients be aware of the potential for contamination. [3]


Mycobacterium Chimaera isn’t the Worst Bacteria Around – If You’re Healthy


Mycobacterium chimaera, also known as nontuberculous mycobacterium, or NTM, is found in nature and is not usually harmful for people with normal immunity; however, it can cause serious illness and death in people who are seriously ill or have compromised immune systems. The infection is slow-growing, and can worsen over the course of months or years. It is treatable, if caught in time.


Source: ePainAssist

Several individuals were diagnosed with the infection in Europe. Some of them sickened there were diagnosed almost 4 years after surgery. [1]


Surgical devices have been implicated in past infection outbreaks. An outbreak of Carbapenem resistant enterobacteriaceae, or CRE, spread by endoscopes, infected people in 42 states. The superbug can kill up to half of infected people who get bloodstream infections.


In the case of the endoscopes, the contamination was found to be caused by improper sterilization procedures. The devices were notoriously difficult to clean thoroughly.


Additionally, contaminated colonoscopes, devices used to perform colonoscopies, put nearly 300 people at a Massachusetts hospital at risk for HIV and hepatitis, due also to improper sterilization procedures.


Sources:


[1] The Washington Post


[2] HealthDay


[3] The New York Times


The Seattle Times


ePainAssist


Storable Food


About Julie Fidler:


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Julie Fidler is a freelance writer, legal blogger, and the author of Adventures in Holy Matrimony: For Better or the Absolute Worst. She lives in Pennsylvania with her husband and two ridiculously spoiled cats. She occasionally pontificates on her blog.