Will you work during a Pandemic? - page 43
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Jun 19, '09I personally think this is all hype in order for pharmacutical companies to sell more flu vaccines next year.
Oh and "lamazteacher" i'm sure you'll have alot of opinions about what i said. I stand behind what i said earlier...no PPE, no workie work for me.
Jun 19, '09Anyone providing ER care HAS BEEN WORKING IN A PANDEMIC! However, already there are reasons not to trust one's facility. In my ER if you become ill with flu like symptoms you must take off two weeks, HOWEVER that is 14 sick days (or whatever) and punitive action is taken for over 3 days sick time and you are written up. Lovely right?
So for all the stupid adults that come in hacking all over us, and the kids who are sick and are coming in EVEN AFTER SEEING THE PEDIATRICIAN, and they are told to rest, rehydrate, and medicate for fever BUT THEY DO NOT AND THEN NEED EMERGENT CARE FOR DEHYDRATION-THANKS PARENTS! The RNs are getting sick too and working that way because we are so short staffed!
People have been impatient, ridiculous, demanding, and outright argumentative when other people are taken ahead of them. No one has a grandma anymore. Everyone comes to the hospital for a belly ache and mild flu symptoms. I can't stand the media, and I can only imagine if this was a truly horrible illness. It would be anarchy!
So for those of you not on the front line, you haven't got a clue. People have been occasionally like animals, pushing, shoving, screaming, and evil. I am more sure than ever I will not go in unless I know I am going to die then what the hell! I know I am coming on strong, but I am sure we will require protection from the public, they won't want just help, they'll want miracles. Not only the sick will die, but those with the ability to heal will probably need mob control protection just to operate safely.
Sorry for the downer, but I am sick of this already.
Jun 19, '09Quote from rockenmomRNI don't think the parents, children, relatives, friends, etc. of the dozens of healthy vibrant adults and children that have died from H1N1 would agree that this pandemic is a conspiracy by pharmaceutical companies.I personally think this is all hype in order for pharmacutical companies to sell more flu vaccines next year.
Jun 19, '09lamazeteacher, the OP was written in reference to an H5N1 outbreak, and was written over a year ago. Many of the people answering the question are answering it as it was presented in the OP, and we are aware that the current situation is not extremely deadly at present.
As to those who feel that they'd be OK being martyred to the cause, well, to each their own, I guess. Not this nurse. I will work if the environment is safe(i.e. there is adequate PPE, and I and my family will be as safe as is possible in such a situation). It's not asking too much. Not much else to say.Last edit by DeepFriedRN on Jun 19, '09 : Reason: spelling
Jun 20, '09Get proper rest, eat well, stay hydrated, take vitamins and vit C for your health, Keep you immune system in top fighting form. I live and swear by this formula.
Jun 20, '09I will go but will petition to have my wife stay with the kids (she will soon be a nurse also.)
Jun 20, '09Quote from winterbot428I think you are very astute winterbot428, when both parents are involved in health care or public protection (ie fire dept. police, medics) only one parent should go not both.I will go but will petition to have my wife stay with the kids (she will soon be a nurse also.)
Bless you and I hope your wife does well.
Jun 20, '09Quote from HippyGreenPeaceChickIn what regard is WHO overreacting? It's their mission to gather information, and report it regarding pandemics.Over Reacting on the part of the WHOLast edit by lamazeteacher on Jun 20, '09 : Reason: clarity
Jun 20, '09Perhaps a forum moderator could be asked to change the subject line of this thread to read something more like "Will you work in a pandemic (please read first post before posting)" because I'm getting the impression that many of the misunderstandings happening here are due to people who are posting thinking that it's in reference to the current H1N1 situation, instead of a hypothetical H5N1 pandemic.
Jun 21, '09Quote from Girl ScoutWhen Goju first posed his question in 2007 the mostly likely influenza virus to cause a pandemic was H5N1. His hypothetical question really had two questions rolled into one. Will you work during a pandemic and will you worked during a pandemic with a high CFR? We are now in a pandemic. So the question still remains, will you work during a pandemic?Perhaps a forum moderator could be asked to change the subject line of this thread to read something more like "Will you work in a pandemic (please read first post before posting)" because I'm getting the impression that many of the misunderstandings happening here are due to people who are posting thinking that it's in reference to the current H1N1 situation, instead of a hypothetical H5N1 pandemic.
The CFR for confirmed H5N1 cases is currently around 60% and for a hypothetical H5N1 pandemic it could still be that high. The CFR for the current H1N1 pandemic is unknown because of the opacity in the reporting of health officials, but seems to be under .01% right now. That could change for the next wave which is expected in the northern hemisphere in a few months.
Goju hasn't checked in for a while, but I imagine he is interested in your response to working during the current, apparently low CFR H1N1 pandemic and if you will work in a high CFR H1N1 pandemic if this virus changes or recombines in the next several months.
When Goju first posted his question, it was a mental exercise for members of allnurse.com. Now, today, Since June 11, 2009, when WHO declared the first pandemic of the 21st century, it becomes a much more relevant question for each and everyone of us: Will you work during a pandemic or not?
Jun 21, '09
- be as informed as possible before deciding (from reliable sources)
- take approporiate precautions (have your n95 mask fitting properly)
- stay home at the first sign of your own illness (usually sore throat)
- isolate possibly infected patients with their companions who came with them, "at the front door" (a stand with masks and a sign saying
- "please wear this if you have a sore throat, cough, or other signs of flu, and be sure it fits closely to your face" that saves money!
- do not take your child(ren) to their regular childcare setting, if they have s/s of flu, or expose anyone who has an existing healthcare problem, to them.
- opinion: the who's askew flu fears
- swine flu: complete coverage
if a large-scale outbreak of the virus recurs this fall, a similar infection rate could cause significant problems -- not only because it would limit the number of workers available to care for the sick, but also because the infected nurses, doctors and others could transmit the virus to debilitated patients before their own symptoms become apparent. already-ill patients would be more likely to develop life-threatening side effects from the flu.
the report in the morbidity and mortality weekly report studied 48 cases that occurred from the beginning of april to may 13, and concluded that "probably half were related to the healthcare setting," said dr. michael bell of the cdc's center for preparedness, detection and control of infectious diseases. an additional 33 cases have been observed since then, but not studied in depth.
one of the key findings of the study, he said, is that potential patients with so-called swine flu "need to be identified at the front door" of the hospital so that personnel will know they need to take preventive measures, such as wearing masks, isolating the patients and paying particular attention to hand hygiene.
it is also "absolutely essential that healthcare personnel be vaccinated annually, for their own protection and to protect patients in hospitals," he added.
the agency is not recommending that all hospital personnel receive the antiviral drug tamiflu, but that it be used prophylactically in personnel who have been exposed to the virus.
agency officials are mildly surprised that the new flu virus is continuing its spread in the summer months, well after the normal end of the flu season.
to date, there have been more than 17,800 laboratory-confirmed cases in the u.s., with 1,600 patients hospitalized and 44 deaths, according to dr. daniel jernigan, an epidemiologist in the cdc's influenza division.
worldwide, there have been nearly 40,000 confirmed cases in 88 countries, with 167 deaths.
in the u.s., the spread appears to be tapering off throughout most of the country but is continuing at relatively high levels in new england and new york state. and the confirmed cases may be the tip of the iceberg, jernigan said. in areas such as new england and new york, an estimated 7% of the population has been infected, suggesting that hundreds of thousands of americans have contracted the virus to date.
note: those people are not necessarily hcws, so hospitals aren't a great source of infection.(by lamazeteacher)
"the fact that we are seeing ongoing transmission now indicates that there is something different with the virus," jernigan said. "it may also have to do with the complete lack of immunity among the younger population."
the spread in the northeast may be because of cooler weather there, which favors transmission of the virus.
note: good air conditioning may be helpful in lessening transmission. (by lamazeteacher)
as schools have closed for the summer, the focus of transmission has shifted to summer camps, another place where children congregate. a boy scout camp in asheville, n.c., for example, sent 19 scouts from florida and georgia home after they got sick and 10 tested positive for novel h1n1. other students were quarantined.
bell said the cdc had the same recommendations for camps as it did for schools: sick children should be sent home and not allowed to return for a week or for 24 hours after the last symptoms disappeared.
in the week that ended june 6, the most recent period for which figures were available, 89% of laboratory tests for influenza viruses revealed the presence of h1n1. only 1.8% of the tests revealed seasonal viruses. the rest were not sub-typed, which generally means that they were also novel h1n1.
the cdc is closely monitoring outbreaks in the southern hemisphere, which is now at the beginning of its flu season. outbreaks are becoming more widespread in several places, such as australia and chile. preliminary results suggest that most laboratory tests in the southern hemisphere are revealing the novel virus, implying that seasonal flu is being displaced.
such findings suggest that seasonal flu may not be a significant problem during the coming winter flu season, but that the novel virus will. but jernigan cautioned that the labs might not be looking for the seasonal virus, biasing the findings.
virologists received a bit of a scare this week when researchers at the adolfo lutz bacteriological institute in sao paulo, brazil, reported that they had isolated a mutated h1n1 virus from a patient who had recovered.
but academic researchers and scientists at the cdc discounted the report, noting that there were no changes in the portions of the virus that would alter its ability to spread or its pathogenicity.
Last edit by lamazeteacher on Jun 21, '09 : Reason: additions and emphasis