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How to stay healthy and safe in your holiday parties this Christmas and New Years season!

 

Allstate’s latest Holiday Home Hazards poll found that a vast majority—91% of Americans—agree they can reduce risks associated with fires, accidents and theft during the holiday season through their own attention and action. More than half of those surveyed also guessed correctly that fire and theft risks are higher during the holiday season, indicating that they are aware of the increased risks and the need for vigilance this time of year.

And yet, 62% say that they are not paying any more attention to these risks.

Whether hosting or attending a holiday party, Americans should be vigilant in protecting themselves—or their friends—against some ugly holiday accidents.

Hard to believe but during the holiday season, 17% of Americans say they’ve experienced a stolen or missing valuable when attending a holiday party.

Hosts should also be diligent about cross-contamination and food poisoning risks when serving food to their guests. While hosts may spend hours preparing a delicious holiday meal, it can quickly be ruined if the food becomes spoiled. Staying aware of the temperatures of the foods and dips at a holiday buffet spread, washing foods properly, and making sure that cross-contamination does not occur during food preparations can help make the holiday party happy and healthy this year.

Deck the halls with boughs of holly—safely! While hosting a holiday party comes with making the home festive, taking the proper precautions while doing so can help hosts avoid costly and dangerous outcomes.  Unchecked smoke detectors can cause people to miss important alarms when a fire breaks out in a home, quickly turning a holiday party into a holiday disaster.  Before the holiday coming up, Allstate recommends installing new batteries in smoke alarms and carbon monoxide detectors (with fire extinguishers and not expired).

Allstate recommends that shoppers don’t advertise their shopping trips or gift purchases on social media.  Whether it is checking into a store or using a geo-location services, travel plan updates, or even uploading photos while at a holiday party, people who publicize their whereabouts and activities on social media can unknowingly give today’s “digital thieves” insights into the contents of your trunk, the times you’re away from home and the gifts hidden in your closet.

No matter how good the deals are that consumers find this holiday season, avoid publicizing purchases on social media.

Brighten the holidays by making your health and safety a priority. Take steps to keep you and your loved ones safe and healthy—and ready to enjoy the holidays.

  1. Wash hands often to help prevent the spread of germs. It’s flu season. Wash your hands with soap and clean running water for at least 20 seconds.
  2. Bundle up to stay dry and warm. Wear appropriate outdoor clothing: light, warm layers, gloves, hats, scarves, and waterproof boots.
  3. Manage stress. Give yourself a break if you feel stressed out, overwhelmed, and out of control. Some of the best ways to manage stress are to find support, connect socially, and get plenty of sleep.
  4. Don’t drink and drive or let others drink and drive. Whenever anyone drives drunk, they put everyone on the road in danger. Choose not to drink and drive and help others do the same.
  5. Be smoke-free. Avoid smoking and secondhand smoke. Smokers have greater health risks because of their tobacco use, but nonsmokers also are at risk when exposed to tobacco smoke.
  6. Fasten seat belts while driving or riding in a motor vehicle. Always buckle your children in the car using a child safety seat, booster seat, or seat belt according to their height, weight, and age. Buckle up every time, no matter how short the trip and encourage passengers to do the same.
  7. Get exams and screenings. Ask your health care provider what exams you need and when to get them. Update your personal and family history.
  8. Get your vaccinations. Vaccinations help prevent diseases and save lives. Everyone 6 months and older should get a flu vaccine each year.
  9. Monitor children. Keep potentially dangerous toys, food, drinks, household items, and other objects out of children’s reach. Protect them from drowning, burns, falls, and other potential accidents.
  10. Practice fire safety. Most residential fires occur during the winter months, so don’t leave fireplaces, space heaters, food cooking on stoves, or candles unattended. Have an emergency plan and practice it regularly.
  11. Prepare food safely. Remember these simple steps: Wash hands and surfaces often, avoid cross-contamination, cook foods to proper temperatures and refrigerate foods promptly.
  12. Eat healthy, stay active. Eat fruits and vegetables which pack nutrients and help lower the risk for certain diseases. Limit your portion sizes and foods high in fat, salt, and sugar. Also, be active for at least 2½ hours a week and help kids and teens be active for at least 1 hour a day.

QUOTE FOR FRIDAY:

  • “U.S. prevalence of inflammatory bowel disease (IBD) is estimated between 2.4 and 3.1 million, with differing burden across groups.
  • IBD prevalence and health care costs are rising.
  • In 2018, the total annual U.S. health care costs for IBD were about $8.5 billion.
  • Biologic prescription drugs have shifted the patterns of cost and service use.”

Cener for Disease Control and Prevention – CDC (IBD Facts and Stats | IBD | CDC)

Part II Know the difference of Ulcerative Colitis vs. Chron’s Disease!

Part II What is Chron’s Disease actually?

Crohn’s disease

  • Inflammation may develop anywhere in the GI tract from the mouth to the anus
  • Most commonly occurs at the end of the small intestine
  • May appear in patches
  • May extend through entire thickness of bowel wall
  • About 67% of people in remission will have at least 1 relapse over the next 5 years

(Review in Remember Ulcerative colitis is:

  • Limited to the large intestine (colon and rectum)
  • Occurs in the rectum and colon, involving a part or the entire colon
  • Appears in a continuous pattern
  • Inflammation occurs in innermost lining of the intestine
  • About 30% of people in remission will experience a relapse in the next year)

Chron’s Disease can cause other parts of the body to become inflamed (due to chronic inflammatory activity) including the joints, eyes, mouth, and skin. In addition, gallstones and kidney stones may also develop as a result of Crohn’s disease.

Moreover, children with the disease may experience decreased growth or delayed sexual development.

Crohn’s Disease is far more common than a lot of people think, and it can be a serious disease with life-threatening complications if it is not properly treated. The best way to treat Crohn’s disease is to speak with your doctor regarding Crohn’s disease symptoms and diagnosis. The more you know about the issue, the more likely you will be to recognize it in your own body.

Crohn’s disease symptoms can include:  Frequent and recurring diarrhea with,rectal bleeding,Unexplained weight loss, Fever, Abdominal pain and cramping, Fatigue and a feeling of low energy, & Reduced appetite.

Crohn’s can affect the entire GI tract — from the mouth to the anus — and can be progressive, so over time, your symptoms could get worse. That’s why it’s important that you have an open and honest conversation about your symptoms, since your doctor will use that information to help determine what treatment plan is best for you.

It might be helpful that you understand the differences between mild, moderate and severe symptoms, since your doctor may ask your similar questions in S/S your having to distinguish it you are in mild to very severe symptoms.

Crohn’s Disease Symptom Severity

Mild to Moderate

You may have symptoms such as:

  • Frequent diarrhea
  • Abdominal pain (but can walk and eat normally)
  • No signs of:
    • Dehydration
    • High fever
    • Abdominal tenderness
    • Painful mass
    • Intestinal obstruction
    • Weight loss of more than 10%

Moderate to Severe

You may have symptoms such as:

  • Frequent diarrhea
  • Abdominal pain or tenderness
  • Fever
  • Significant weight loss
  • Significant anemia (a few of these symptoms may include fatigue, shortness of breath, dizziness and headache)

Very Severe

Persistent symptoms despite appropriate treatment for moderate to severe Crohn’s, and you may also experience:

  • High fever
  • Persistent vomiting
  • Evidence of intestinal obstruction (blockage) or abscess (localized infection or collection of pus). A few of these symptoms may include abdominal pain that doesn’t go away or gets worse, swelling of the abdomen, nausea or vomiting, diarrhea, and constipation.
  • More severe weight loss

Once you and your doctor have discussed your symptoms and created a treatment plan, it’s important to follow directions and take your treatment as prescribed. If you ever have any questions or concerns about your treatment, you should contact your doctor before making any changes or adjustments.

Crohn’s disease is unpredictable. Over time, your symptoms may change in severity, or change altogether. You may go through periods of remission—when you have few or no symptoms. Or your symptoms may come on suddenly, without warning.

Complications:

Crohn’s disease may lead to one or more of the following complications:

  • Bowel obstruction. Crohn’s disease can affect the entire thickness of the intestinal wall. Over time, parts of the bowel can scar and narrow, which may block the flow of digestive contents, often known as a stricture. You may require surgery to widen the stricture or sometimes to remove the diseased portion of your bowel.
  • Ulcers. Chronic inflammation can lead to open sores (ulcers) anywhere in your digestive tract, including your mouth and anus, and in the genital area (perineum).
  • Fistulas. Sometimes ulcers can extend completely through the intestinal wall, creating a fistula — an abnormal connection between different body parts. Fistulas can develop between your intestine and your skin, or between your intestine and another organ. Fistulas near or around the anal area (perianal) are the most common kind.When fistulas develop inside the abdomen, it may lead to infections and abscesses, which are collections of pus. These can be life-threatening if not treated. Fistulas may form between loops of bowel, in the bladder or vagina, or through the skin, causing continuous drainage of bowel contents to your skin.
  • Anal fissure. This is a small tear in the tissue that lines the anus or in the skin around the anus where infections can occur. It’s often associated with painful bowel movements and may lead to a perianal fistula.
  • Malnutrition. Diarrhea, abdominal pain and cramping may make it difficult for you to eat or for your intestine to absorb enough nutrients to keep you nourished. It’s also common to develop anemia due to low iron or vitamin B-12 caused by the disease.
  • Colon cancer. Having Crohn’s disease that affects your colon increases your risk of colon cancer. General colon cancer screening guidelines for people without Crohn’s disease call for a colonoscopy at least every 10 years beginning at age 45. In people with Crohn’s disease affecting a large part of the colon, a colonoscopy to screen for colon cancer is recommended about 8 years after disease onset and generally is performed every 1 to 2 years afterward. Ask your doctor whether you need to have this test done sooner and more frequently.
  • Skin disorders. Many people with Crohn’s disease may also develop a condition called hidradenitis suppurativa. This skin disorder involves deep nodules, tunnels and abscesses in the armpits, groin, under the breasts, and in the perianal or genital area.
  • Other health problems. Crohn’s disease can also cause problems in other parts of the body. Among these problems are low iron (anemia), osteoporosis, arthritis, and gallbladder or liver disease.
  • Medication risks. Certain Crohn’s disease drugs that act by blocking functions of the immune system are associated with a small risk of developing cancers such as lymphoma and skin cancers. They also increase the risk of infections.Corticosteroids can be associated with a risk of osteoporosis, bone fractures, cataracts, glaucoma, diabetes and high blood pressure, among other conditions. Work with your doctor to determine risks and benefits of medications.
  • Blood clots.

Treatment:

There is currently no cure for Crohn’s disease, and there is no single treatment that works for everyone. One goal of medical treatment is to reduce the inflammation that triggers your signs and symptoms. Another goal is to improve long-term prognosis by limiting complications. In the best cases, this may lead not only to symptom relief but also to long-term remission.

Anti-inflammatory drugs

Anti-inflammatory drugs are often the first step in the treatment of inflammatory bowel disease. They include:

  • Corticosteroids. Corticosteroids such as prednisone and budesonide (Entocort EC) can help reduce inflammation in your body, but they don’t work for everyone with Crohn’s disease.Corticosteroids may be used for short-term (3 to 4 months) symptom improvement and to induce remission. Corticosteroids may also be used in combination with an immune system suppressor to induce the benefit from other medications. They are then eventually tapered off.
  • Oral 5-aminosalicylates. These drugs are generally not beneficial in Crohn’s disease. They include sulfasalazine (Azulfidine), which contains sulfa, and mesalamine (Delzicol, Pentasa, others). Oral 5-aminosalicylates were widely used in the past but now are generally considered of very limited benefit.

Immune system suppressors

These drugs also reduce inflammation, but they target your immune system, which produces the substances that cause inflammation. For some people, a combination of these drugs works better than one drug alone.

Immune system suppressors include:

  • Azathioprine (Azasan, Imuran) and mercaptopurine (Purinethol, Purixan). These are the most widely used immunosuppressants for treatment of inflammatory bowel disease. Taking them requires that you follow up closely with your doctor and have your blood checked regularly to look for side effects, such as a lowered resistance to infection and inflammation of the liver. They may also cause nausea and vomiting.
  • Methotrexate (Trexall). This drug is sometimes used for people with Crohn’s disease who don’t respond well to other medications. You will need to be followed closely for side effects.

Biologics

This class of therapies targets proteins made by the immune system. Types of biologics used to treat Crohn’s disease include:

  • Vedolizumab (Entyvio). This drug works by stopping certain immune cell molecules — integrins — from binding to other cells in your intestinal lining. Vedolizumab is a gut-specific agent and is approved for Crohn’s disease. A similar medication to vedolizumab known as natalizumab was previously used for Crohn’s disease but is no longer used due to side effect concerns, including a fatal brain disease.
  • Infliximab (Remicade), adalimumab (Humira) and certolizumab pegol (Cimzia). Also known as TNF inhibitors, these drugs work by neutralizing an immune system protein known as tumor necrosis factor (TNF).
  • Ustekinumab (Stelara). This was recently approved to treat Crohn’s disease by interfering with the action of an interleukin, which is a protein involved in inflammation.
  • Risankizumab (Skyrizi). This medication acts against a molecule known as interleukin-23 and was recently approved for treatment of Crohn’s disease.

Antibiotics

Antibiotics can reduce the amount of drainage from fistulas and abscesses and sometimes heal them in people with Crohn’s disease. Some researchers also think that antibiotics help reduce harmful bacteria that may be causing inflammation in the intestine. Frequently prescribed antibiotics include ciprofloxacin (Cipro) and metronidazole (Flagyl).

Other medications

In addition to controlling inflammation, some medications may help relieve your signs and symptoms. But always talk to your doctor before taking any nonprescription medications. Depending on the severity of your Crohn’s disease, your doctor may recommend one or more of the following:

  • Anti-diarrheals. A fiber supplement, such as psyllium powder (Metamucil) or methylcellulose (Citrucel), can help relieve mild to moderate diarrhea by adding bulk to your stool. For more severe diarrhea, loperamide (Imodium A-D) may be effective.These medications could be ineffective or even harmful in some people with strictures or certain infections. Please consult your health care provider before you take these medications.
  • Pain relievers. For mild pain, your doctor may recommend acetaminophen (Tylenol, others) — but not other common pain relievers, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve). These drugs are likely to make your symptoms worse and can make your disease worse as well.
  • Vitamins and supplements. If you’re not absorbing enough nutrients, your doctor may recommend vitamins and nutritional supplements.

Surgery

If diet and lifestyle changes, drug therapy, or other treatments don’t relieve your signs and symptoms, your doctor may recommend surgery. Nearly half of those with Crohn’s disease will require at least one surgery. However, surgery does not cure Crohn’s disease.

During surgery, your surgeon removes a damaged portion of your digestive tract and then reconnects the healthy sections. Surgery may also be used to close fistulas and drain abscesses.

The benefits of surgery for Crohn’s disease are usually temporary. The disease often recurs, frequently near the reconnected tissue. The best approach is to follow surgery with medication to minimize the risk of recurrence.

Up to 20% of people with Crohns have a blood relative who has IBD!

Approximately 700,000 people are affected by Crohn’s disease in America.

Can occur at any time, but most often starts between ages

15-35 years old!

Symptoms range from mild to severe (listed above).

QUOTE FOR THURSDAY:

“Crohn’s disease and ulcerative colitis are both inflammatory bowel diseases with many similarities. Nevertheless, there are some key differences between the two conditions that affect how they are managed. Both Crohn’s diseases and ulcerative colitis cause digestive distress and inflammation in the gastrointestinal tract. However, unlike Crohn’s disease, ulcerative colitis is linked to a response of the immune system.

Crohn’s disease is a chronic inflammatory condition of the gastrointestinal (GI) tract. It belongs to a group of conditions known as inflammatory bowel diseases (IBD).

Crohn’s disease most often affects the end of the small intestine and the beginning of the colon, but it may also affect any part of the GI tract from the mouth to the anus.”

Medical News Today (Crohn’s disease versus ulcerative colitis: What is the difference? medicalnewstoday.com)

Part I Know the difference of Ulcerative Colitis vs Chron’s Disease!

  KNOW THE DIFFERENCE!

 

You’ve had stomach cramps for weeks, you’re exhausted and losing weight, and you keep having to run to the bathroom. What’s going on?

It could be an inflammatory bowel disease

But which one?  There are two: Crohn’s disease and ulcerative colitis. They have a lot in common, including long-term inflammation in your digestive system. But they also have some key differences that affect treatment.

The differences between both: 

1.)  The area of the intestines it effects:

Ulcerative colitis affects only the inner lining of the colon, also called the large intestine. But in Crohn’s disease, inflammation can appear anywhere in the digestive tract, from the mouth to the anus. And it generally affects all the layers of the bowel walls, not just the inner lining.

By the way, if you hear some people just say “colitis ,” that’s not the same thing. It means inflammation of the colon.  With “ulcerative colitis,” you have sores (ulcers) in the lining of your colon, as well as inflammation there.

2.)  Where the inflammation is.

People with Crohn’s disease often have healthy areas in between inflamed spots. But with UC, the affected area isn’t interrupted.

Similar Features of Ulcerative colitis and Crohn’s disease are:

  • Both diseases often develop in teenagers and young adults although the disease can occur at any age
  • Ulcerative colitis and Crohn’s disease affect men and women equally
  • The symptoms of ulcerative colitis and Crohn’s disease are very similar
  • The causes of both UC and Crohn’s disease are not known and both diseases have similar types of contributing factors such as environmental, genetic and an inappropriate response by the body’s immune system.

Colitis refers to inflammation of the inner lining of the colon. There are numerous causes of colitis including infection, inflammatory bowel disease (Crohn’s disease, ulcerative colitis), ischemic colitis, allergic reactions, and microscopic colitis.

All colitis means in medical terminology is Col=colon with itis=swelling so put together colitis=inflammed colon.  Now there are different causes for inflammed colon, one being Inflammatory Bowel Disease (IBD) or Irritable Bowel Syndrome (IBS)and don’t mix IBD with IBS.

Inflammatory bowel disease (IBD) is an umbrella term used to describe disorders that involve chronic inflammation of your digestive tract. Types of IBD include:

  • Ulcerative colitis. This condition causes long-lasting inflammation and sores (ulcers) in the innermost lining of your large intestine (colon) and rectum.
  • Crohn’s disease. This type of IBD is characterized by inflammation of the lining of your digestive tract, which often spreads deep into affected tissues.

Both ulcerative colitis and Crohn’s disease both usually involve severe diarrhea, abdominal pain, fatigue and weight loss.

Part I

What is ulcerative colitis actually?

Ulcerative colitis (UC) is a chronic inflammatory bowel disease (IBD) distinguished by inflammation of the large intestine (rectum and colon). The innermost lining of the large intestine becomes inflamed, and ulcers may form on the surface. UC can also affect:

  • Limited to the large intestine (colon and rectum)
  • Occurs in the rectum and colon, involving a part or the entire colon
  • Appears in a continuous pattern
  • Inflammation occurs in innermost lining of the intestine
  • About 30% of people in remission will experience a relapse in the next year

Ulcerative colitis usually affects only the innermost lining of your large intestine (colon) and rectum. It occurs only through continuous stretches of your colon, unlike Crohn’s disease which occurs in patches anywhere in the digestive tract and often spreads deep into the layers of affected tissues.

UC is like any other disease people may get…they may just get it. You don’t get it from eating something bad, like your friend but eating something bad may exacerbate the symptoms if you eat bad food.  Eating bad food will not cause you to get the disease UC.

Ulcerative colitis symptoms can include: Abdominal pain/discomfort, Blood or pus in stool, Fever, Weight loss, Frequent recurring diarrhea. Fatigue, Reduced appetite, and Tenesmus: A sudden and constant feeling that you have to move your bowels.

Mild ulcerative colitis:

  • Up to 4 loose stools per day
  • Stools may be bloody
  • Mild abdominal pain

Moderate ulcerative colitis:

  • 4-6 loose stools per day
  • Stools may be bloody
  • Moderate abdominal pain
  • Anemia

Severe ulcerative colitis:

  • More than 6 bloody loose stools per day
  • Fever, anemia, and rapid heart rate

Very Severe ulcerative colitis (Fulminant):

  • More than 10 loose stools per day
  • Constant blood in stools
  • Abdominal tenderness/distention
  • Blood transfusion may be a requirement
  • Potentially fatal complications

When discussing your UC with your doctor, it is important that you have an open and honest conversation about your symptoms, since your doctor will use that information to help decide what treatment plan is appropriate for you.

How is Ulcerative Colitis Treated:

Ulcerative colitis treatment usually involves either medication therapy or surgery.

Several categories of medications may be effective in treating ulcerative colitis. The type you take will depend on the severity of your condition. The medications that work well for some people may not work for others. It may take time to find a medication that helps you.

In addition, because some medications have serious side effects, you’ll need to weigh the benefits and risks of any treatment.

There are anti-inflammatory medications involved and are often the first step in the treatment of ulcerative colitis and are appropriate for most people with this condition  This would include:

  • 5-aminosalicylates. Examples of this type of medication include sulfasalazine (Azulfidine), mesalamine (Delzicol, Rowasa, others), balsalazide (Colazal) and olsalazine (Dipentum). Which medication you take and how you take it — by mouth or as an enema or suppository — depends on the area of your colon that’s affected.
  • Corticosteroids. These medications, which include prednisone and budesonide, are generally reserved for moderate to severe ulcerative colitis that doesn’t respond to other treatments. Corticosteroids suppress the immune system. Due to the side effects, they are not usually given long term.

Immune system suppressors

These medications also reduce inflammation, but they do so by suppressing the immune system response that starts the process of inflammation. For some people, a combination of these medications works better than one medication alone.

Immunosuppressant medications include:

  • Azathioprine (Azasan, Imuran) and mercaptopurine (Purinethol, Purixan). These are commonly used immunosuppressants for the treatment of inflammatory bowel disease. They are often used in combination with medications known as biologics. Taking them requires that you follow up closely with your provider and have your blood checked regularly to look for side effects, including effects on the liver and pancreas.
  • Cyclosporine (Gengraf, Neoral, Sandimmune). This medication is typically reserved for people who haven’t responded well to other medications. Cyclosporine has the potential for serious side effects and is not for long-term use.
  • “Small molecule” medications. More recently, orally delivered agents, also known as “small molecules,” have become available for IBD treatment. These include tofacitinib (Xeljanz), upadacitinib (Rinvoq) and ozanimod (Zeposia). These medications may be effective when other therapies don’t work. Main side effects include the increased risk of shingles infection and blood clots.

Biologics

This class of therapies targets proteins made by the immune system. Types of biologics used to treat ulcerative colitis include:

  • Infliximab (Remicade), adalimumab (Humira) and golimumab (Simponi). These medications, called tumor necrosis factor (TNF) inhibitors, work by neutralizing a protein produced by your immune system. They are for people with severe ulcerative colitis who don’t respond to or can’t tolerate other treatments. TNF inhibitors are also called biologics.
  • Vedolizumab (Entyvio). This medication is approved for treatment of ulcerative colitis for people who don’t respond to or can’t tolerate other treatments. It works by blocking inflammatory cells from getting to the site of inflammation.
  • Ustekinumab (Stelara). This medication is approved for treatment of ulcerative colitis for people who don’t respond to or can’t tolerate other treatments. It works by blocking a different protein that causes inflammation.

Surgery

Surgery can eliminate ulcerative colitis and involves removing your entire colon and rectum (proctocolectomy).

In most cases, this involves a procedure called ileoanal anastomosis (J-pouch) surgery. This procedure eliminates the need to wear a bag to collect stool. Your surgeon constructs a pouch from the end of your small intestine. The pouch is then attached directly to your anus, allowing you to expel waste in the usual way. This surgery may require 2 to 3 steps to complete.

In some cases a pouch is not possible. Instead, surgeons create a permanent opening in your abdomen (ileal stoma) through which stool is passed for collection in an attached bag.

Cancer Surveillance

You will need more-frequent screening for colon cancer because of your increased risk. The recommended schedule will depend on the location of your disease and how long you have had it. People with inflammation of the rectum, also known as proctitis, are not at increased risk of colon cancer.

If your disease involves more than your rectum, you will require a surveillance colonoscopy every 1 to 2 years.

Who gets ulcerative colitis?

Up to 20% of people with UC have a blood relative who has IBD

Get it!  It also affects men and women equally!

Learn about Chron’s Disease tomorrow with what it actually is, the symptoms, the symptoms based on the various intensities, with who is more prone to it with in what percentage!

 

 

QUOTE FOR WEDNESDAY:

CDC states the following:

  • “Influenza (flu) and the common cold are both contagious respiratory illnesses, but they are caused by different viruses.
  • Colds and flu share many symptoms, so it can be difficult to tell the difference between them based on symptoms alone.
  • Cold symptoms are usually milder than flu.
  • Special tests can tell if a person is sick with flu.”

Centers for Disease Control and Prevention (https://www.cdc.gov/flu/about/coldflu.html)

Knowing the facts and treatment on the cold and Influenza!

-flu-transmission2  flu

 

FLU FACTS:

-Both colds and flu usually last the same seven to 10 days, but flu can go three to four weeks; the flu virus may not still be there, but you have symptoms long after it has left. Allergy can last weeks or months.  The CDC states regarding the rise of the flu since the past 40 years from the date provided in this sentence with updating this article from Sept 20, 2022 the following: “During this 40-year period, flu activity most often peaked in February (17 seasons), followed by December (7 seasons), January (6 seasons) and March (6 seasons).”

-The winter flu epidemic will be coming around us again and in a given locality it reaches its peak in 2 to 3 weeks and lasts 5 to 6 weeks. Then is disappears as quickly as it arrived. The reason for this is not completely clear. The usual pattern is for a rise in the incidence of flu in children, which precedes an increase in the adult population.  Know this it repeats again certain seasons as listed above by the CDC.

-The flu virus can lead to serious complications, including bronchitis, viral or bacterial pneumonia and even death in elderly and chronically ill patients. Twenty thousand or more people die of the flu in the America each year. Know this that the frequency of human contact across the world and the highly infectious nature of the virus make this explanation difficult to accept. Moreover there is no evidence of persistent or latent infection with influenza viruses. In any case, this idea is not really very difficult from the notion that the virus circulates at a low level throughout the year and seizes its opportunity to cause an outbreak when conditions allow.

-Even harder to explain is why the flu disappears from a community when there are still a large number of people susceptible to infection. Than even harder than that is why flu is a winter disease, which is not fully understood or known. However, flu is spread largely by droplet (aerosol) infection from individuals with high viral level in their nasal and throat secretions, sneezing, and coughing on anyone close at hand. The aerosol droplets of the right size (thought to be about 1.5 micrometers in diameter) remain airborne and are breathed into the nose or lungs of the next victim.

-Situations in which people are crowded together are more commonly in cold or wet weather and so perhaps this contributes to spreading the flu at these times. It is interesting that in equatorial countries, flu occurs throughout the year, but is highest in the monsoon or rainy season. Enough about facts but onto logical thinking for when we or someone we know has it and what questions we might be asking ourselves.  

LOGICAL QUESTIONS YOU MAY ASK YOURSELF:

Are the treatments for these illnesses the cold or the flu different?

For any of these things, if it affects the nose or sinus, just rinsing with saline that gets the mucus and virus out is a first-line defense. It’s not the most pleasant thing to do, but it works very well.

There are classes of medicines that can help the flu — Tamiflu and Relenza — antivirals that block viruses’ ability to reproduce and shorten the length and severity of the illness. But they have to be taken within 48 hours or the cat is proverbially out of the bag [because by then] the virus has done the most of its reproduction.

For a cold or flu, rest and use decongestants and antihistamines, ibuprofen, acetaminophen, chicken soup and fluids. Zinc supposedly helps the body’s natural defenses work to their natural capacity and decrease the severity and length of a cold. Cells need zinc as a catalyst in their protective processes, so if you supply them with zinc, it helps them work more efficiently.

You should also withhold iron supplements. Viruses use iron as part of their reproductive cycle, so depriving them of it blocks their dissemination. The majority of these infections are not bacterial and do not require [nor will they respond to] antibiotics. My rule of thumb is that a viral infection should go away in seven to 10 days. If symptoms persist after that, you’d consider if it’s bacteria like Strep or Haemophilus.  Those bacteria cause illnesses that are longer lasting and need antibiotics for ranging 3 to 14 days, depending on the med used.

Is that treatment approach the same for kids versus adults? In general, the same rules apply: Most children will have six to eight colds a year in their first three years of life, and most are viral. Adults have 3 or more a year. It’s very easy to test for strep and for that you should have a [positive] culture [before treating with antibiotics]. The principle behind that is knowing the organism the doctor will know what antibiotic to use to fight off the bacterial infection and you won’t build up antibodies from the antibiotic that you didn’t need in the first place if you are given the wrong antibiotic in the beginning.

Are there strategies for avoiding cold and flu different? Avoidance is very similar for both: Strict hand washing, not sharing drinking cups or utensils, and avoiding direct contact with people who are sneezing. Their transmission is similar. As long as someone has a fever, they have the possibility to transmit infection. After they’ve had no fever for 24 hours, they’re not infectious anymore.

The U.S. Centers for Disease Control and Prevention (CDC) now recommends that just about everyone get the flu shot: kids 6 months to 19 years of age, pregnant women, people 50 and up, and people of any age with compromised immune systems. Is the shot beneficial to anyone who gets it? Unless you have a contraindication, there’s no reason not to get it=PREVENTION. Contraindications include egg allergy (because the vaccine is grown from egg products), any vaccines within a last week or two, and active illness at the time of your vaccine.

The best to do is PREVENTION so you can avoid the cold or flu in its active phase or post phase, so doing the following will help prevent it:

Get vaccinated yearly if your a candidate and live a healthy lifestyle overall=Good dieting, living good healthy habits and maintaining exercise with rest daily or 2 to 3 times a week including get a vaccine yearly for the flu with maintaining good clean anti-infection habits like as simply as washing the hands as directed above.

****Recommended is to check with your MD on any changes with diet or exercise especially if diagnosed already with disease or  and on medications especially; for your safety.****

References on The FLU and The COLD:

1-Wikipedia “the free encyclopedia” 2013 website under the topic Influenza.

2-Kimberly Clark Professional website under the influenza.

3-Web MD under “COLD, FLU, COUGH CENTER” “Flu or cold symptoms?” Reviewed by Laura J. Martin MD November 01, 2011

4-2013 Novartis Consumer Health Inc. Triaminic “Fend off the Flu”

5-Scientific American “Why do we get the flu most often in the winter? Are viruses virulent in cold weather? December 15, 1997

 

 

 

 

QUOTE FOR TUESDAY:

“Influenza has a long history of devastating epidemics throughout human history, most notably the 1918 Spanish Flu pandemic which infected a large portion of the world’s population and caused millions of deaths; today, the influenza vaccine is crucial because the virus constantly mutates, requiring annual vaccination to prevent widespread outbreaks and reduce the severity of illness in individuals, especially those at high risk of complications. The flu pandemic lasts from 1918 to 1920. From spring of 1918 to spring of 1919, the flu causes more than 550,000 deaths in the U.S. and more than 20 million deaths worldwide.

In the fall of 1918 at Mayo Clinic, people with the flu and other contagious illnesses are cared for in the isolation hospital. Keeping patients with these illnesses isolated and keeping high standards of cleanliness likely prevented infections and saved lives.

 From 2020 Flu vaccines prevent about 7.5 million illnesses, 3.7 million doctor visits, 105,000 hospital stays and 6,300 deaths.”

MAYO CLINIC (https://www.mayoclinic.org/diseases-conditions/history-disease-outbreaks-vaccine-timeline/flu)

Know the history (epidemics) to the present about Influenza and why the vaccine is so important, especially knowing how to preventing epidemics!

Influenza A (H1N1), Influenza A (H3N2), and one or two influenza B viruses (depending on the vaccine) are included in each year’s influenza vaccine now.

FLU Pandemics

In the 20th century, three influenza pandemics occurred:

Spanish influenza in 1918 (~50+ million deaths),

Asian influenza in 1957 (two million deaths) and

Hong Kong influenza in 1968 (one million deaths).

How Influenza got started:

1918 Spanish Flu

Influenza was discovered not by a direct study of the disease in humans, but rather from studies on animal diseases. In 1918, J.S. Koen, a veterinarian, observed a disease in pigs which was believed to be the same disease as the now famous “Spanish” influenza pandemic of 1918.  If not the most severe pandemic than one of the most severe pandemics in history was the 1918 influenza virus, often called “the Spanish Flu.” The virus infected roughly 500 million people—one-third of the world’s population—and caused 50 million deaths worldwide (double the number of deaths in World War I). In the United States, a quarter of the population caught the virus, 675,000 died, and life expectancy dropped by 12 years. With no vaccine to protect against the virus, people were urged to isolate, quarantine, practice good personal hygiene, and limit social interaction.  The World Health Organization declared an outbreak of a new type of influenza A/H1N1 to be a pandemic in June 2009=Swine FluSwine flu (H1N1) is a type of viral infection.  Swine flu it resembles a respiratory infection that pigs can get. Influenza—more specifically the Spanish flu—left its devastating mark in both world and American history that year. The microscopic killer circled the entire globe in four months, claiming the lives of more than 21 million people. The United States lost 675,000 people to the Spanish flu in 1918-more casualties possibly compared to World War I,  the Korean War and the Vietnam War combined not World War 2.   Pharmaceutical companies worked around the clock to come up with a vaccine to fight the Spanish flu, but they were too late. The virus disappeared before they could even isolate it.  It took 1/3 of the lives on earth.

Until February 2020, the 1918 epidemic was largely overlooked in the teaching of American history, despite the ample documentation at the National Archives and elsewhere of the disease and its devastation. Over 100-years-old, from 1918, that just months ago seemed quaint and dated now seem oddly prescient. We make these records more widely available in hopes that they contain lessons about what to expect over the coming months and ideas about ways to avoid a repeat and prepare for what may follow.  H1N1-RX=VACCINE is the answer!

In 2009, an H1N1 pandemic infected millions of people worldwide. Today, you can prevent H1N1 with an annual flu shot. You can treat it with rest, fluids and antiviral medications.  The 2009 H1N1 flu pandemic, also known as the swine flu, was the first major influenza outbreak of the 21st century.   Swine flu first appeared in Mexico and the United States in March and April 2009 and has swept the globe with unprecedented speed as a result of airline travel.

1957 – Asian Flu

In February 1957, a new influenza A (H2N2) virus emerged in East Asia, triggering a pandemic (“Asian Flu”). This H2N2 virus was comprised of three different genes from an H2N2 virus that originated from an avian influenza A virus, including the H2 hemagglutinin and the N2 neuraminidase genes. It was first reported in Singapore in February 1957, Hong Kong in April 1957, and in coastal cities in the United States in summer 1957. The estimated number of deaths was 1.1 million worldwide and 116,000 in the United States.

Asian flu pandemic was a global pandemic of influenza A virus subtype H2N2 that originated in Guizhou in Southern China. The number of excess deaths caused by the pandemic is estimated to be 1–4 million around the world (1957–1958 and probably beyond), making it one of the deadliest pandemics in history.

1968 – Hong Kong Flu

The Hong Kong flu, also known as the 1968 flu pandemic, was a flu pandemic that occurred in 1968 and 1969 and which killed between one and four million people globally.  It is among the deadliest pandemics in history, and was caused by an H3N2 strain of the influenza A virus. The virus was descended from H2N2 (which caused the Asian flu pandemic in 1957–1958) through antigenic shift, a genetic process in which genes from multiple subtypes are reassorted to form a new virus.  The first recorded instance of the outbreak appeared on 13 July 1968 in British Hong Kong. It has been speculated that the outbreak began in mainland China before it spread to Hong Kong;[10] On 11 July, before the outbreak in the colony was first noted, the Hong Kong newspaper Ming Pao reported an outbreak of respiratory illness in Guangdong Province, and the next day, The Times issued a similar report of an epidemic in southeastern China.[13] Later reporting suggested that the flu had spread from the central provinces of Sichuan, Gansu, Shaanxi, and Shanxi, which had experienced epidemics in the spring.  However, due to a lack of etiological information on the outbreak and a strained relationship between Chinese health authorities and those in other countries at the time, it cannot be ascertained whether the Hong Kong virus was to blame.  The outbreak lasted around six weeks, affecting about 15% of the population (some 500,000 people infected), but the mortality rate was low and the clinical symptoms were mild.

There were two waves of the flu in mainland China, one between July–September in 1968 and the other between June–December in 1970.  The reported data were very limited due to the Cultural Revolution, but retrospective analysis of flu activity between 1968 and 1992 shows that flu infection was the most serious in 1968, implying that most areas in China were affected at the time.

The epidemic became widespread in December, involving all 50 states before the end of the year.  Outbreaks occurred in colleges and hospitals, in some places the disease attacking upwards of 40% of their populations. Reports of absenteeism among students and nurses grew. Schools in Los Angeles, for example, reported rates ranging from 10 to 25%, compared to a typical 5 or 6%.  The Greater New York Hospital Association reported absenteeism of 15 to 20% among staff and urged its members to impose visitor restrictions to safeguard patients.  Economic activity was also hampered by high levels of industrial absenteeism.

Peak influenza activity for most states most likely occurred in the latter half of December or early January, but the exact week was impossible to determine due to the holiday season. Activity declined throughout January. Excess pneumonia-influenza mortality passed the epidemic threshold during the first week of December and increased rapidly over the next month, peaking in the first half of January. It took until late March for mortality to return to normal levels. There was no second wave during this season.  Following the epidemic of influenza A, outbreaks of influenza B began in late January and continued until late March. Mostly elementary-school children were affected.  This influenza B activity fit within the pattern of epidemics every three to six years, but the 1968–1969 flu season became the first documented instance of two major influenza A epidemics to occur in successive seasons.  Given the widespread epidemic levels of influenza A activity in 1968–1969, the CDC in June 1969 predicted little more than “sporadic cases” of influenza A in the 1969–1970 season.

The Hong Kong flu was the first known outbreak of the H3N2 strain, but there is serologic evidence of H3N1 infections in the late 19th century. The virus was isolated in Queen Mary Hospital located in Poc Fu Lam on Hong Kong Island of Hong Kong.

The estimates of the total death toll due to Hong Kong flu (from its beginning in July 1968 until the outbreak faded during the winter of 1969–70 vary:

  • The World Health Organization and Encyclopaedia Britannica estimated the number of deaths due to Hong Kong flu to be between 1 and 4 million globally.
  • The United States Centers for Disease Control and Prevention (CDC) estimated that, in total, the virus caused the deaths of 1 million people worldwide

However, the death rate from the Hong Kong flu was lower than most other 20th-century pandemics.

2009

The 2009 swine flu pandemic, caused by the H1N1/swine flu/influenza virus and declared by the World Health Organization (WHO) from June 2009 to August 2010, was the third recent flu pandemic involving the H1N1 virus (the first being the 1918–1920 Spanish flu pandemic and the second being the 1977 Russian flu).   The first identified human case was in La Gloria, Mexico, a rural town in Veracruz. The virus appeared to be a new strain of H1N1 that resulted from a previous triple reassortment of bird, swine, and human flu viruses which further combined with a Eurasian pig flu virus,  leading to the term “swine flu” in this pandemic.

On June 11, 2009, the World Health Organization raised its pandemic level to the highest level, Phase 6, indicating widespread community transmission on at least two continents. The 2009 H1N1 virus contains a unique combination of gene segments from human, swine and avian influenza. This new H1N1 virus contained a unique combination of influenza genes not previously identified in animals or people. This virus was designated as influenza A (H1N1) virus. Ten years later work continued to better understand influenza, prevent disease, and prepare for the next pandemic.

Influenza may also affect other wild life which are horses, chickens and birds along with the pigs. In late 1917, military pathologists reported the onset of a new disease with high mortality that they later recognized as the flu. The overcrowded camp and hospital — which treated thousands of victims of chemical attacks and other casualties of war — was an ideal site for the spreading of a respiratory virus; 100,000 soldiers were in transit every day. It also was home to a live piggery, and poultry were regularly brought in for food supplies from surrounding villages. Oxford and his team postulated that a significant precursor virus, harbored in birds, mutated so it could migrate to pigs that were kept near the front.

Influenza A virus subtype H5N1, also known as A(H5N1) or simply H5N1, is a subtype of the influenza A virus which can cause illness in humans and many other animal species.  A bird-adapted strain of H5N1, called HPAI A(H5N1) for highly pathogenic avian influenza virus of type A of subtype H5N1, is the highly pathogenic causative agent of H5N1 flu, commonly known as avian influenza (“bird flu“).  It is enzootic (maintained in the population) in many bird populations, especially in Southeast Asia.

CDC Centers for Disease Control blog site states, “There are four types of influenza viruses: A, B, C and D. Human influenza A and B viruses cause seasonal epidemics of disease almost every winter in the United States. The emergence of a new and very different influenza A virus to infect people can cause an influenza pandemic. Influenza type C infections generally cause a mild respiratory illness and are not thought to cause epidemics. Influenza D viruses primarily affect cattle and are not known to infect or cause illness in people.

Influenza A viruses can be further broken down into different strains. Current subtypes of influenza A viruses found in people are influenza A (H1N1) and influenza A (H3N2) viruses. In the spring of 2009, a new influenza A (H1N1) virus (CDC 2009 H1N1 Flu website) emerged to cause illness in people. This virus was very different from the human influenza A (H1N1) viruses circulating at that time. The new virus caused the first influenza pandemic in more than 40 years. That virus (often called “2009 H1N1”) has now replaced the H1N1 virus that was previously circulating in humans.

Influenza B viruses are not divided into subtypes, but can be further broken down into lineages and strains. Currently circulating influenza B viruses belong to one of two lineages: B/Yamagata and B/Victoria. Unlike type A flu viruses, type B flu is found only in humans. Type B flu may cause a less severe reaction than type A flu virus, but occasionally, type B flu can still be extremely harmful. Influenza type B viruses are not classified by subtype. However, influenza B viruses do not cause pandemics.

CDC follows an internationally accepted naming convention for influenza viruses. This convention was accepted by WHO in 1979 and published in February 1980 in the Bulletin of the World Health Organization, 58(4):585-591 (1980) (see A revision of the system of nomenclature for influenza viruses: a WHO Memorandum[854 KB, 7 pages]). The approach uses the following components:

  • The antigenic type (e.g., A, B, C)
  • The host of origin (e.g., swine, equine, chicken, etc. For human-origin viruses, no host of origin designation is given.)
  • Geographical origin (e.g., Denver, Taiwan, etc.)
  • Strain number (e.g., 15, 7, etc.)
  • Year of isolation (e.g., 57, 2009, etc.)
  • For influenza A viruses, the hemagglutinin and neuraminidase antigen description in parentheses (e.g., (H1N1), (H5N1)

For example:

  • A/duck/Alberta/35/76 (H1N1) for a virus from duck origin
  • A/Perth/16/2009 (H3N2) for a virus from human origin

Getting a flu vaccine can protect against flu viruses that are the same or related to the viruses in the vaccine. Information about this season’s vaccine can be found at Preventing Seasonal Flu with Vaccination. The seasonal flu vaccine does not protect against influenza C viruses. Additionally, flu vaccines will NOT protect against infection and illness caused by other viruses that also can cause influenza-like symptoms. There are many other non-flu viruses that can result in influenza-like illness (ILI) that spread during flu season.  If people got vaccines high odds there would be less influenza spreading throughout the country you live in or globally with travelers for both pleasure and business.

  • Flu vaccines have been updated to better match circulating viruses [the B/Victoria component was changed and the influenza A(H3N2) component was updated].
  • For the 2018-2019 season, the nasal spray flu vaccine (live attenuated influenza vaccine or “LAIV”) is again a recommended option for influenza vaccination of persons for whom it is otherwise appropriate. The nasal spray is approved for use in non-pregnant individuals, 2 to 49 years old. There is a precaution against the use of LAIV for people with certain underlying medical conditions. All LAIV will be quadrivalent (four-component).”

PMC U.S. National Library of Medicine (National Institutes of Health) states, “the announcement in 2005 that a virus causing fatal influenza during the great influenza pandemic of 1918–1919 had been sequenced in its entirety [], in the laboratory of co-author JKT, has prompted renewed interest in the 1918 virus. The ongoing H5N1 avian influenza epizootic, and the possibility that it might also cause a pandemic [], increase the importance of understanding what happened in 1918. However, in reviewing the scientific approach to unlocking an old puzzle, it is important to note that the sequencing of the 1918 virus took place after more than century of exhaustive and sometimes disheartening efforts to discover the cause of influenza (Figure 1). Indeed, the influenza search not only pre-dated the great pandemic of 1918, but also attracted the efforts of some of the greatest researchers of the 19th and 20th centuries. Along the way, the new fields of bacteriology and virology were advanced, and a productive marriage between microbiology, epidemiology and experimental science began. In describing here the 10-year effort (1995–2005) to sequence the genome of the 1918 pandemic influenza virus, we attempt also to place it within this important historical perspective.”

Influenza virus C is a genus in the virus family Orthomyxoviridae, which includes the viruses that cause influenza.  Nearly all adults have been infected with influenza C virus, which causes mild upper respiratory infections. Cold-like symptoms are associated with the virus including fever (38-40ᵒC=100.4 to 104F), dry cough, rhinorrhea (nasal discharge), headache, muscle pain, and achiness. The virus may lead to more severe infections such as bronchitis and pneumonia.  Lower tract complications are rare.  There is no vaccine against influenza C virus.

The species in this genus is called Influenza C virus. Influenza C viruses are known to infect humans and pigs.

Influenza D viruses primarily affect cattle and are not known to infect or cause illness in people.