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Swine influenza (also swine flu) refers to influenza caused by any strain of the influenza virus that is endemic in pigs (swine).
According to the Centers for Disease Control and Prevention (CDC), in humans the symptoms of swine flu are similar to those of influenza and of influenza-like illness in general. Symptoms include fever, cough, sore throat, body aches, headache, chills and fatigue. A few more patients than usual have also reported diarrhea and vomiting.
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WASHINGTON (Reuters) - Fungus expert Joan Bennett did not believe in so-called toxic mold — the cause of “sick building syndrome” and many lawsuits — until her New Orleans home was flooded during Hurricane Katrina in 2005.
When she got a whiff of the foul air that the black goo had created in her home, she decided to change her research focus and try to find out how and if the fungi that took over most of the flooded homes on the Gulf Coast might make people ill.
“The overwhelming obnoxiousness of the odor and of the enveloping air made me start to believe in something that I had never believed in before — sick building syndrome,” Bennett, of Rutgers University in New Jersey, told a news conference.
But it has been more difficult than she thought.
Bennett believes that molds could potentially cause illness in certain susceptible people via volatile organic compounds — gassy versions of chemicals produced as the organisms metabolize food.
She has been unable to show this in the lab so far. But she told a joint meeting of the American Society for Microbiology and the Infectious Diseases Society of America.
She has tested various molds on the laboratory roundworm C. elegans. “Sometimes the worm swims away and sometimes the worm does nothing and sometimes the worm eats the fungus,” Bennett said.
“I am actually looking for something that has never been discovered by methods that have never been worked out.”
Yet hundreds of lawsuits have been filed — and some won — by people claiming mold in their homes or workplaces has made them ill.
Dr. David Denning of the University of Manchester in Britain said it is plausible that molds and fungi would emit volatile organic compounds.
GENETIC SENSITIVITY
If these can be found, they could form the basis of diagnosing fungal illness as well — perhaps using a breath test. People with fungal infections of the lungs, such as aspergillosis, would release these chemicals when they breathed.
“A certain group of severe asthmatics — about a million people — are sensitive to a number of different fungi,” Denning told the news conference. These include Aspergillis and Candida.
“This is almost certainly a genetic issue,” he added. “If you have (a) predisposition (to asthma), you probably have an additional predisposition to fungal sensitization.”
Dr. David Goldman, a pediatrician in the Bronx, New York, said asthma rates in his borough are disproportionately high, and he blames in part Cryptococcus neoformins, a microbe found in pigeon droppings that causes disease in immune-compromised people.
“We believe this fungus contributes to asthma by modulating the immune response,” Goldman told the news conference.
Both Goldman and Denning said treating patients with antifungal drugs such as itraconozole and fluconazole helped relieve the symptoms of patients with severe asthma. This supports evidence that fungi are contributing to symptoms.
All three experts agreed it would likely take a combination of factors — including a person genetically susceptible to molds and unusual fungal activity — to cause any disease.
“It is probably a relatively temporary disease, not a life-threatening disease,” Denning said.
“As we sit here we are probably breathing in hundreds of spores,” Bennett added. “Usually we only get sick if our immune systems are compromised or if we have this genetic susceptibility to allergy.”
(Reporting by Maggie Fox; Editing by Julie Steenhuysen and Philip Barbara)
Life is full of changes. Everyday events and our reactions to them sometimes interfere with our sense of well-being and peace of mind. It is common to get the blues or become sad when disappointed. Symptoms of depression are the most common medical problems seen by health professionals. It is estimated that feelings of depression will affect about one-third of all adults in the United States at some time in their lives.
Most people experience feelings of sadness over such losses as divorce or separation, the death of a friend or loved one, or a job change or layoff. These feelings are an expected reaction to a “triggering event,” and most people get over them in time.
Several factors increase your risk of developing feelings of depression, such as:
* Female sex. Women are twice as likely as men to experience feelings of depression. Hormonal changes may play a role in these feelings, which may be more evident during pregnancy, especially shortly after the birth of a baby (postpartum depression) or shortly before or during menopause. Some women experience feelings of sadness or depression shortly before the start of menstruation (premenstrual syndrome, or PMS).
* Age older than 60. Feelings of depression in this age group are frequently overlooked because the symptoms are similar to other diseases and problems experienced by older adults. Adults in this age group are more likely to experience social isolation. Feelings of sadness may accompany other life events, such as retirement, death of a spouse or child, or declining physical abilities.
* Personal or family history. You are more likely to experience feelings of depression if you have a history of previous depression, an anxiety disorder, or another mental illness. You are also 2 to 3 times more likely to experience feelings of depression if one or both of your parents were diagnosed with depression.
* Medical problems—such as cancer, kidney disease, heart disease, or Parkinson’s disease—or alcohol or substance abuse or withdrawal.
* Stressful life events, such as changing jobs, the loss of a job, or children leaving home.
* Lack of family or social support.
* Having less than a high school education.
Symptoms of depression that may indicate a need for treatment vary from person to person. If you experience feelings of sadness or loss of interest in pleasurable activities plus 4 or more of the following symptoms for 2 weeks or longer, you may be depressed.
* Changes in appetite or weight
* Restlessness or decreased activity that is noticed by others
* Feeling tired or sleepy all of the time
* Trouble sleeping or sleeping more than usual
* Inability to concentrate or make decisions
* Feelings of hopelessness
* Feelings of worthlessness or guilt
* Preoccupation with death or recurrent thoughts of suicide
Because “mood swings” and other emotional changes are considered a normal part of growing up, depression in children and teens often goes unrecognized. Children and teens do develop depression, and it can affect a child’s quality of life. If prolonged or severe depression is left untreated, it can lead to serious outcomes, including suicide attempts and even completed suicide.
Depression is the most important risk factor for suicide. For more information, see the topic Depression.
Review the Emergencies and Check Your Symptoms sections to determine if and when you need to see a health professional.
Emergencies
Do you have any of the following symptoms that require emergency treatment? Call 911 or other emergency services immediately.
* Seriously considering suicide with a plan that includes:
o Having the means, such as weapons or medicines, available to commit suicide or do harm to another person
o Having set a time and place to commit suicide
o Thinking there is no other way to solve your problem or end your pain
Check Your Symptoms
If you answer yes to any of the following questions, click on the “Yes” in front of the question for information about how soon to see a health professional.
Review health risks that may increase the seriousness of your symptoms.
If you have any of the following symptoms, evaluate those symptoms first.
* Thoughts of suicide: Go to the topic Suicidal Thoughts or Threats.
* Feelings of extreme sadness after having a baby: Go to the topic Problems After Delivery of Your Baby.
Yes
Do you feel sad or blue?
See significance of feeling sad or blue if you need information to help you answer the questions below.
Review health risks that may increase the seriousness of your symptoms.
Call your health professional immediately if you answer “Yes” to the following question.
Yes
Do you have frequent thoughts of death or suicide?
Call your health professional today if you answer “Yes” to any of the following questions.
Yes
Are you no longer interested in activities that you once enjoyed?
Yes
Have you had feelings of unusual sadness for 2 weeks or longer?
Yes
Do you find it difficult to concentrate?
Yes
Do you often feel restless or anxious?
Yes
Are you troubled with feelings of worthlessness or guilt?
Yes
Have you had a change in your sleep pattern, either an inability to sleep or wanting to sleep all the time?
Yes
Have you had a recent change in your appetite?
Yes
Have you gained or lost 10 lb (4.5 kg) or more in the past 6 weeks without trying?
If you have answered “No” to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
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Yes
Are you being treated for depression, but you are not getting better?
See significance of not getting better with treatment for depression if you need information to help you answer the questions below.
Review health risks that may increase the seriousness of your symptoms.
Note:
* Be sure to follow your doctor’s instructions about when to call if you are not feeling better.
* It may take several weeks before you notice much of a change, especially if you have been depressed for a long time. But you should start to feel better in 2 to 3 weeks and see the full effects in 12 weeks.
Call your health professional immediately if you answer “Yes” to the following question.
Yes
Do you have frequent thoughts of death or suicide?
Call your health professional today if you answer “Yes” to any of the following questions.
Yes
Have your symptoms of depression gotten worse since starting treatment or a medicine for depression?
Yes
Have your symptoms of depression not gotten better as expected?
Yes
Have your symptoms of depression not gotten better after starting treatment or medicine for depression, but you are not sure about when you should start to feel better?
If you have answered “No” to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
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Yes
Do you think that your feelings of sadness may be caused by a medicine?
See significance of a medicine causing feelings of depression if you need information to help you answer the question below.
Review health risks that may increase the seriousness of your symptoms.
Call your health professional today if you answer “Yes” to the following question.
Yes
Do you think that your feelings of sadness may be caused by a medicine?
Note: If you answered “Yes“:
* Call the health professional who prescribed the medicine to determine whether you should stop taking the medicine or take a different one. An appointment may not be necessary.
* If you are taking a nonprescription medicine, stop taking it. Call your health professional if you feel you need to continue taking the medicine.
If you have answered “No” to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
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Other Symptoms to Watch For
Do you have any of the following symptoms?
* Feelings of anxiety: Go to the topic Anxiety.
* Inability to sleep or early waking: Go to the topic Sleep Problems, Age 12 and Older.
* Feelings of profound weakness or fatigue: Go to the topic Weakness and Fatigue.
* Problems with alcohol or substance abuse: Go to the topic Alcohol and Drug Problems.
If a visit to a health professional is not needed immediately, see the Home Treatment section for self-care information.
Home Treatment
Positive actions and feelings can help lift your spirits. Although thinking positively may be very difficult when you are feeling depressed, try to consider the positive side of situations and events in your life.
Appreciate any moments when you have positive thoughts. The following tips may help.
* Practice positive thinking. Make statements that promote good thoughts. Replace negative self-talk with positive comments.
* Take action to put more fun into your life:
o Exercise. Running, brisk walking, and other forms of aerobic exercise improve symptoms of mild to moderate depression.
o Work in the garden or play with a pet. Plants and pets can be very therapeutic. When you pet an animal, your blood pressure goes down and your heart rate slows. Filling the needs of animals and plants can help you feel useful.
o Visit a friend. Spending time with a good friend may help you forget about your problems for a while and help you see the brighter side of life.
o Have a massage or a manicure, or get your hair cut.
o Rearrange your furniture.
* Talk with your health professional about nonprescription medicines, such as St. John’s wort or SAM-e.
o Talk to your health professional or pharmacist before taking St. John’s wort if you are taking any other medicines. St. John’s wort may change the way other medicines work. In some cases, it may decrease how well medicines work. In other cases, it may make medicines poisonous.
o Do not use alcohol or other mood-altering drugs while you are taking a nonprescription medicine.
o Follow the directions on the label. Do not exceed the recommended dose.
o If you are or could be pregnant, talk with your health professional before taking any medicine or supplement.
o For more information on dietary supplements, visit the Web site of the Office of Dietary Supplements, within the National Institutes of Health, at http://ods.od.nih.gov/index.aspx.
* Take a class or go to a free lecture at the public library or local hospital.
* Take a vacation. Sometimes just getting away for the afternoon will brighten your mood.
* Go to the movies or rent a funny movie.
* If nothing feels fun, try doing something that you used to enjoy.
Symptoms to Watch For During Home Treatment
Use the Check Your Symptoms section to evaluate your symptoms if any of the following occur during home treatment.
* You feel sad, lonely, or unhappy for weeks or months.
* Your symptoms become more severe or frequent.
* You are not getting better as expected after starting treatment for depression.
Prevention
Life is full of changes. Everyday events and our reactions to them sometimes interfere with our sense of well-being and peace of mind. While it is common to get the “blues” or to feel sad occasionally, you may be able to prevent feelings of depression.
* Have a regular checkup with your health professional. Your health professional may evaluate your thyroid function and other factors. Many other diseases, such as coronary artery disease and diabetes, can increase your risk of feeling depressed.
* Talk to your health professional about light therapy if you think that you feel worse during the winter months. Just 30 minutes of light therapy each day improves mood in many people with seasonal affective disorder (SAD).
* Maintain regular sleep and eating patterns. Do not skip meals.
* Try to get some exercise every day. Walking is a good way to start.
* Get involved in social groups or volunteer to help others. Being alone makes things seem worse than they are.
* Do not use alcohol or illegal drugs, such as cocaine, amphetamines, or heroin, to “self-treat” your symptoms. A treatment plan that includes prescription medicine and regular visits to a health professional is much safer and more effective.
* Do not smoke or use other tobacco products. Smoking increases your risk of developing coronary artery disease. The use of smokeless (spit) tobacco increases your risk of developing cancer of the mouth, neck, throat, and digestive tract. Your risk of developing depression increases if you have coronary artery disease or cancer.
This is continuation of our previous post on traveller’s immunization.
Immunizations are among the most important and effective ways to prevent travel-related infections. Immunizations for travellers include the “routine” childbirth and adult immunizations that you would receive in Canada. Vaccines like shots against meningococcal meningitis, will also be recommended at childhood, others like typhoid shots or flu shots are strongly encouraged when there is risk of infection.
For Canadians who travel abroad, there is a very small risk of requiring emergency medical treatment in a foreign country. Very few travelers die of serious preventable illnesses. Infectious diseases account for 1% of travel-related deaths whereas almost 50% die from motor vehicle accidents or drowning.
The most common illness to strike Canadian tourists in developing countries is travel diarrhea (TD), which can, in case of some drinks, even lead to bladder cancer. This is also known as Montezuma’s revenge, turista, or Delhi belly. That’s why it’s very important to check with a health care professional or travel clinic about preventable diseases before travelling in order to obtain a prescription for self-treatment.
