Monday, November 09, 2009

I know that it seems like a good idea

I know that the mass immunization of the whole world seems like the right answer. Seems like the right course to take. Like the best way to prevent deaths. I worry, however that it will become a "well it seemed like a good idea at the time". I worry this is another example of how our preventative culture is causing serious harm, and dangerously putting our health and well being at risk.

I don't think this vaccine is dangerous. I think it is pretty innocuous. It may help you not get sick this year. Good. It may even prevent 10,000 people from dying each week from flu related complications. Good. But, I think it is the wrong course to take and I think it is the wrong way to handle this situation.

And there are two reasons why: one Influenzas A B and C are easily prevented and treated though cheap and readily available means and practices; two it is misdirected effort that may have a "boy who cried wolf effect" should that really zombie virus ever rear its head.

Reason one.

Of course, we are scared with that big what if out there. What if I get sick? Or worse my child or my mother or my wife...but isn't it better to teach and find ways to deal with that what if? Wouldn't it be better to find out what are the best things to do when that what if comes to fruition? Why are we giving up on the sick so easily?

What are the complications that lead to death in people who contract this virus? Respiratory failure, electrolyte imbalance, dehydration... Why are we spending billions of dollars on vaccines, and the equivalent of trillions of dollars in lost productivity and time spent waiting at clinics etc...to prevent a very common, and usually innocuous illness. Why not spend half that money on more effective treatment? Isn't that the way to save lives? Treat the sick?

Prevention:
I know none of us like to miss work (especially those of us who are paid by the working hour, rather than a set salary). But we need to change that mentality. Further, I know none of us like to accept we are sick and that perhaps we have to do something about it, something that will take time and effort. (we have to drink lots, we have to eat lots, we have to deal with the discomfort of illness). but we need to come to accept this discomfort. And i know that none of us wants to die, or wants anyone we know to die. But it is time we accept the truth about life being the deadliest of all sexually transmitted diseases. (I don't think life is a disease, but i think it is a funny way to think of life as an STD with 100% mortality rate...no one gets out alive...but many people get out happy...and we should embrace this and accept it as the best we can hope for. I can't live forever, but at least I can be happy).

We need to accept that even though we CAN keep working in those early hours of a flu or cold, we shouldn't. At the outset we should take some rest. A good 12 hours of sleep can do amazing things for your immune system. We should be justified in taking it at the onset of a cold. We should be supported and encouraged in it. Because this early treatment can be the difference between heading off an major infection and causing it to develop into a possibly fatal illness. Maybe it feels silly when you aren't seriously ill but stay home, and the next day wake up healthy as ever, and go to work, people think you were just skipping off. Well we should allow this not to make us feel so guilty (unless you were skipping off of course, cause then you should feel guilty it is very inconsiderate of your customers, coworkers and employer who all support your life everyday). That day of rest at the onset of illness is vital. And we must value it. And we must take it.

Next, as I said before, we really need to make hand washing the coolest thing on the block. You aren't lame if you wash your hands. Daily. Hourly. Often and thoroughly. You are clever. You are kind. You are considerate for it. And I thank you. Because you are helping keep yourself healthy, and helping keep me healthy, and together we can help take care of all the sickies out there. You don't have to wash your hands. We should want to wash them. It is proven effective. When surgeons started washing their hands and tools before surgery success rates and survival rates multiplied exponentially. Hand washing prevents contamination. It is inexpensive, and above all it is absolutely safe...no one has ever died from complications due to hand washing (unless they really deserved it) and it has a long long track record of complication free users (unlike most vaccination programs). And you don't need anything fancy. A little bit of water. Maybe a squidge of soap, if you have some to spare. Finally you can do it yourself, which is empowering. And self empowerment if key in all forays of life.

It is the best preventative medicine for an array of illnesses (unlike a vaccine which targets one small group of illnesses at a time). What is more, it also improves your public image, making you more likely to get a higher paying job, find a good spouse, raise well bred children, and have useful ways to contribute to society. There are numerous useless studies that say so..."women like men with clean fingernails" "don't judge a book by its cover, check out it's hands" etc etc.

Next we need to learn about advanced stages treatment. How do you treat a flu that is advancing to higher levels? How do you treat a fever? Respiratory distress? Diarrhea? Of course this is why we have hospitals, but this is knowledge for the masses not just the specialists. We should all know about electrolyte balance, it should be the general knowledge of school-children things like if you drink 7L of water you can die because you electrolyte levels will be too low. Or the reason you feel sick from drinking too much sweet stuff or milk is again that imbalance. We should know about respiratory distress and how breathing exercises are important and can help stage off this distress. We should also feel free to talk about our bowel activity, because if our caregivers don't know the extent of our diarrhea they might not notice our level of dehydration. We should better know how to recognize the signs of dehydration. This should be household knowledge. We shouldn't need specialists for this stuff.

Of course we need the specialists, too. Because we don't have this knowledge. Because there are myriad complications. Because there are many other illness that also signpost the same symptoms. And we are very fortunate that there are specialists in this world who can help us. But we need to help ourselves too.

Reason two:

Will this kind of hysteria and back and forthing lead to public apathy about global health, so called pandemics, and communicable diseases? Can taking a fairly innocuous illness too seriously lead us to underestimate another illness when it presents a more serious threat. Or another illness that may actually call for a medical intervention like vaccination rather than an lifestyle intervention...like hand washing...

There are a myriad of science fiction novels that take on this theme. Perhaps with good reason. To keep us on edge. We do have the knowledge, the skills, the tools and the imagination to handle this catastrophic situation...but I'm not sure the that swine flu pandemic is the monster illness set to wipe out 90% of the world's population...I worry that we are wasting resources and creating a bad mindset with this kind of treatment of the pandemic...

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