Tuesday, November 30, 2010

Japan: Gearing Up To Tackle Bird Flu

 

 

 

# 5101

 

 

For the first time in more than a year, Japan yesterday announced the detection of what they believe to be the highly pathogenic H5N1 virus on their soil. 

 

While early PCR testing showed H5N1, final laboratory confirmation is still awaited.

 

The last reported incident before this was in the spring of 2009 when several infected swans were discovered in Aomori Prefecture (see Japan Finds Two More H5N1 Infected Swans).

 

Today, the Mainichi Daily News is reporting that in the face of this latest outbreak, Prime Minister Naoto Kan has ordered officials to do everything in their power to prevent the further spread of the virus.

 

 

Over 20,000 chickens to be culled at bird flu-hit farm in Shimane Pref.

MATSUE (Kyodo) -- The Shimane prefectural government said Tuesday that it plans to begin destroying from the afternoon about 23,000 chickens at a poultry farm in the prefecture suspected of having Japan's first bird flu cases since early last year.

(Continue . . . )

 

 

While H5N1 infected chickens represent a potential (but likely small) human health threat, the immediate concern is the containment of this virus before it severely impacts Japan’s poultry industry.

 

Massive culling of infected flocks and disinfection of farms are the only containment recourse, and enhanced surveillance must now be imposed on poultry operations in Shimane and neighboring prefectures.

 

Millions of chickens at dozens of farms are to be closely watched in the coming days for signs of H5N1 infection.

 

Movement of poultry and eggs within 10 kilometers of the infected farm are restricted, and vehicles and personnel entering or leaving the area are subject to decontamination procedures.  

 

As of this writing, I can find no report posted on the OIE website for this outbreak.  My assumption is they are still waiting on final test results.

IOM Report On Vitamin D

 

 



# 5100

 

 

The IOM (Institute of Medicine) released a lengthy report today giving their recommendations regarding the Dietary Reference Intakes (DRI) of what a lot of doctors have touted as practically a miracle supplement;  Vitamin D.

 

The IOM’s Food and Nutrition Board substantially increased their daily recommendations for Vitamin D, but they fell well short of endorsing the high daily doses that have become in vogue over the past decade.

 

Given the popularity of this supplement, particularly  among alternative and complementary medicine practitioners, I expect we’ll see a fair amount of controversy and discourse over these findings.

 

The entire 999 page report is available online for free, or may be ordered as PDF files, or as a hardback from the National Academies Press.

 

Luckily, for those of us with time only to deal with the condensed version, we have some alternatives.

 

First Dick Knox of NPR, has a story called:

 

Medical Panel: Don't Go Overboard On Vitamin D

by Richard Knox

 

 

We’ve also a press release from the IOM.

 

News from the National Academies

Nov. 30, 2010


FOR IMMEDIATE RELEASE

IOM Report Sets New Dietary Intake Levels for Calcium and Vitamin D To Maintain Health and Avoid Risks Associated With Excess

WASHINGTON — Most Americans and Canadians up to age 70 need no more than 600 international units (IUs) of vitamin D per day to maintain health, and those 71 and older may need as much as 800 IUs, says a new report from the Institute of Medicine. The amount of calcium needed ranges, based on age, from 700 to 1,300 milligrams per day, according to the report, which updates the nutritional reference values known as Dietary Reference Intakes (DRIs) for these interrelated nutrients.

 

The report's recommendations take into account nearly 1,000 published studies as well as testimony from scientists and stakeholders. A large amount of evidence, which formed the basis of the new intake values, confirms the roles of calcium and vitamin D in promoting skeletal growth and maintenance and the amounts needed to avoid poor bone health. The committee that wrote the report also reviewed hundreds of studies and reports on other possible health effects of vitamin D, such as protection against cancer, heart disease, autoimmune diseases, and diabetes. While these studies point to possibilities that warrant further investigation, they have yielded conflicting and mixed results and do not offer the evidence needed to confirm that vitamin D has these effects. Rigorous trials that yield consistent results are vital for reaching conclusions, as past experiences have shown. Vitamin E, for example, was believed to protect against heart disease before further studies disproved it.

 

"There is abundant science to confidently state how much vitamin D and calcium people need," said committee chair Catharine Ross, professor and Dorothy Foehr Huck Chair, department of nutritional sciences, Pennsylvania State University, University Park. "We scrutinized the evidence, looking for indications of beneficial effects at all levels of intake. Amounts higher than those specified in this report are not necessary to maintain bone health."

(Continue . . .)

 

 

The IOM has also released a relatively short Report Brief, which may be accessed at the following link.

Report Brief
Released: 11/30/2010
Download: PDF
Dietary Reference Intakes for Calcium and Vitamin D

Calcium and vitamin D are two essential nutrients long known for their role in bone health. Over the last ten years, the public has heard conflicting messages about other benefits of these nutrients—especially vitamin D—and also about how much calcium and vitamin D they need to be healthy.

 

To help clarify this issue, the U. S. and Canadian governments asked the Institute of Medicine (IOM) to assess the current data on health outcomes associated with calcium and vitamin D. The IOM tasked a committee of experts with reviewing the evidence, as well as updating the nutrient reference values, known as Dietary Reference Intakes (DRIs). These values are used widely by government agencies, for example, in setting standards for school meals or specifying the nutrition label on foods. Over time, they have come to be used by health professionals to counsel individuals about dietary intake.

(Continue . . . )

 

And finally, we’ve this handy chart summarizing the new DRI recommendations for both Vitamin D & Calcium.

 

image

 

 

While this report will undoubtedly upset a lot of people who have embraced high dose Vitamin D as beneficial, it is important to remember that this isn’t necessarily the final word on the subject.

 

This simply represents the IOM’s best judgment based on the evidence available to date.

 

There are studies underway that could conceivably alter these recommendations sometime in the future.

 

Good science takes time, and is constantly evolving.

 

Until then, however, the IOM finds that the existing evidence of health benefits from high daily doses of Vitamin D remains inconsistent and inconclusive.

 

 

 

Full Disclosure:  While I don’t promote Vitamin D in this column, I have blogged on several flu-related Vitamin D studies over the years, Including:

Study: Vitamin D And Flu-Like Illnesses
Scientists To Study Vitamin D And The Flu
Vitamin D To Ward Off Flu?

 

And . . .  on the advice of my doctor I’ve been taking 2000-3000 IU/Day of Vitamin D for a couple of years now.  I am pleased to find that this falls short of the IOM’s Maximum daily intake.

 

Admittedly, I have no direct evidence of benefit, but for the time being (and since I have at least a year’s supply in the cupboard) I have no plans of changing this regimen.

 

Not a recommendation or an endorsement.  Just what I plan to do.

Monday, November 29, 2010

Japan: Bird Flu Investigation At Poultry Farm

 

 

 

# 5099

 

 

 

Earlier today Makoto on FluTrackers started a thread about reports of bird flu being detected at a poultry farm near the city of Yasugi  in Japan’s Shimane Prefecture.  

 

image

 

You can view those reports here.

 

The latest information came from a press release from the  Ministry of Agriculture, Forestry and Fisheries (MAFF).

 

Translations (h/t Makoto) of the highlights listed below:

 

spot: Yasugi city, Shimane prefecture
fowls: egg-laying hens(20000 gallus domesticus, 3300 biddies)


details


1, Shimane prefecture inspected the poultry farm today
2, death rate not rises rapidly, H5 detected 3/5 dead fowls by simple-test
3, animal health section of Shimane requested restriction on movement of fowls, collected specimens for more inspection
4, animal disease laboratory of Shimane detected H5N1 by PCR
5, about 30 fowls died tonight, they became suspected affected animals

from now on
MAFF took "Specific Domestic Animal Infectious Disease Quarantine Guidelines"
-Prefectural governors and mayors of municipalities shall take measures to prevent the outbreak or spread of domestic animal infectious diseases under the provisions of this Act, based on the Specific Domestic Animal Infectious Disease Quarantine Guidelines-
establishment of H5N1 emergency response headquarters

 

 

While not providing any more detail, in the past half hour Japan Today has printed an English language report.  It indicates that while H5N1 is suspected, final testing won’t be available until Wednesday.

 

 

Bird flu suspected at Shimane chicken farm

Tuesday 30th November, 05:36 AM JST

Study: Bisphenol A, Triclosan and The Hygienic Hypothesis

 

 

# 5098

 

 

From the University of Michigan today a study that addresses growing concerns over two commonly used chemicals – Triclosan and Bisphenol A (BPA) - and their possible impacts on our immune systems.

 

The `Hygienic Hypothesis’ is a multi-faceted school of thought that contends that some of the allergies and autoimmune diseases common to modern man come about due to a lack of exposure to certain biological agents (bacteria, viruses, and even parasites)  . . . particularly in early childhood.

 

Additionally, over the last decade research has increasingly linked the use of household cleaners (bleach, disinfectants, carpet cleaners, etc) and other chemicals (turpentine, insecticides, etc) to childhood onset asthma and allergies (see MedNews Today Asthma in kids linked to household cleaning products and chemicals).

 

Essentially, the hygienic hypothesis says we may be trying to be `too clean’ for our own good.

 

First excerpts from the press release to the study - "The Impact of Bisphenol A and Triclosan on Immune Parameters in the U.S. Population," which appears online in Environmental Health Perspectives Nov. 30th, followed by a 4-minute audio interview with EM Clayton, one of the authors of the study.

 

Allison E. Aiello of the University of Michigan, is the lead researcher on this project. If the name sounds familiar it is because I’ve featured her work in the field of influenza research in the past.

Michigan NPI Study: A Closer Look
Study: Effectiveness of NPIs Against ILI's
Study: NPI's Can Help Prevent Spread Of Flu-Like Illnesses

 

 

I’ll follow up with some recent developments in the BPA controversy.

 

 

Study suggests that being too clean can make people sick

ANN ARBOR, Mich.---Young people who are overexposed to antibacterial soaps containing triclosan may suffer more allergies, and exposure to higher levels of Bisphenol A among adults may negatively influence the immune system, a new University of Michigan School of Public Health study suggests.

 

Triclosan is a chemical compound widely used in products such as antibacterial soaps, toothpaste, pens, diaper bags and medical devices. Bisphenol A (BPA) is found in many plastics and, for example, as a protective lining in food cans. Both of these chemicals are in a class of environmental toxicants called endocrine-disrupting compounds (EDCs), which are believed to negatively impact human health by mimicking or affecting hormones.

 

Using data from the 2003-2006 National Health and Nutrition Examination Survey, U-M researchers compared urinary BPA and triclosan with cytomegalovirus (CMV) antibody levels and diagnosis of allergies or hay fever in a sample of U.S. adults and children over age 6. Allergy and hay fever diagnosis and CMV antibodies were used as two separate markers of immune alterations.

 

"We found that people over age 18 with higher levels of BPA exposure had higher CMV antibody levels, which suggests their cell-mediated immune system may not be functioning properly," said Erin Rees Clayton, research investigator at the U-M School of Public Health and first author on the paper.

 

Researchers also found that people age 18 and under with higher levels of triclosan were more likely to report diagnosis of allergies and hay fever.

 

There is growing concern among the scientific community and consumer groups that these EDCs are dangerous to humans at lower levels than previously thought.

(Continue . . . )

 

image

(Click to listen)

 

 

BPA is used primarily to make plastics, including baby bottles and the liners of some food-grade metal cans, and it has been in common use for more than 50 years. 

 

In recent years growing concerns over the chemical’s ability to leach synthetic estrogen-like hormones from the plastic into food and liquids has prompted numerous studies.

 

In 2009 (see US NWR Studies Report More Harmful Effects From BPA) linked it to cardiac arrhythmias and fertility problems in babies whose mothers were exposed to the chemical.

 

Chemical industry experts, however, disputed these findings and criticized some of the testing methods used.

 

In November of 2009, the WHO and FAO released a report stating that while some `uncertainties’ existed pertaining to the risk of BPA exposure, that there has been no evidence of adverse affects in humans from exposure to BPA.

image

 

The debate continued into 2010, when in January the FDA released a document that expressed reservations over the ongoing use of products that utilize BPA (Update on Bisphenol A for Use in Food Contact Applications: January 2010)

 

A few excerpts from the overview include:

 

Overview

Bisphenol A (BPA) is an industrial chemical that has been present in many hard plastic bottles and metal-based food and beverage cans since the 1960s.

 

Studies employing standardized toxicity tests have thus far supported the safety of current low levels of human exposure to BPA.

However, on the basis of results from recent studies using novel approaches to test for subtle effects, both the National Toxicology Program at the National Institutes of Health and FDA have some concern about the potential effects of BPA on the brain, behavior, and prostate gland in fetuses, infants, and young children.

In cooperation with the National Toxicology Program, FDA’s National Center for Toxicological Research is carrying out in-depth studies to answer key questions and clarify uncertainties about the risks of BPA.

In the interim:

  • FDA is taking reasonable steps to reduce human exposure to BPA in the food supply. These steps include:
    • supporting the industry’s actions to stop producing BPA-containing baby bottles and infant feeding cups for the U.S. market;
    • facilitating the development of alternatives to BPA for the linings of infant formula cans; and
    • supporting efforts to replace BPA or minimize BPA levels in other food can linings.

 

 

Canada, meanwhile, has declared BPA to be a toxic substance, and is calling for its removal from food packaging and polycarbonate bottles likely to be used by infants (see Globe & Mail Story  Canada first to declare bisphenol A toxic).

 

Some researchers are urging an even broader ban.

 

Not all scientists are in agreement over the dangers to human health from the exposure to BPA, however.

 

Australia and New Zealand’s Food Standards agency (FSANZ), as recently as Nov. of 2010, have stated:

    • FSANZ has evaluated the safety of BPA in food, including that consumed by infants and concluded that levels of intake of BPA are very low and do not pose a significant human health risk for any age group

Last September the European Food Safety Authority (EFSA) published its latest scientific opinion, stating that there is no `convincing evidence’ for it to revise current exposure limits for BPA.

 

However, just 4 days ago (Nov 25th) it was announced that BPA would be banned from the manufacture of baby bottles starting in 2011 (see Reuters EU to ban Bisphenol A in baby bottles in 2011).

 

While the evidence against BPA is both sparse and mixed, many researchers point out that it can take years – even decades – to establish an absolute link between any chemical and its long-term health effects.

 

Meanwhile -as research into the matter proceeds and governments decide how to react - for better or worse, billions of pounds of BPA continue to be used in the manufacturing of plastics each year around the globe.

Sunday, November 28, 2010

India: Looking For A Plan To Combat Dengue

 

 

 

# 5097

 

 

Although mosquito borne diseases have constituted a considerable heath burden in India for many years, 2010 saw big jumps in the number of dengue and chikungunya cases reported – particularly in the bigger cities.

 

The Commonwealth Games last October– which were supposed to show India in a favorable light – were tarnished by almost daily stories about dengue cases during the months leading up to the games  (see Time Magazine’s India's Commonwealth Games Mess).

 

The Indian press has carried numerous reports claiming that dengue cases are deliberately undercounted, and that agencies charged with controlling mosquitoes have failed in their duties (see Media Claim: Delhi Hiding Dengue Cases).

 

And in October, we saw a journal article (see Lancet: India's Invisible Malaria Burden) that maintained that the true mortality burden from malaria in India was more than 10 times higher than generally acknowledged.

 

Mortality and morbidity from dengue, chikungunya, and Japanese encephalitis are almost certainly underreported as well.

 

This constant drumbeat of negative news reports surrounding these diseases have pronounced social, economic, and political ramifications.

 

As these illnesses make inroads into more populous areas of the country, and as public awareness of the problem grows, politically they become much harder to ignore.

 

 

So the Delhi government has announced their intent to formulate some (as yet, unstated) action plan against India’s mosquito borne disease threats. The timetable for coming up with a plan is stated to be 3 to 4 months.

 

This from DNA news.

 

Centre to prepare action plan to fight dengue, chikungunya

Published: Sunday, Nov 28, 2010, 13:52 IST
Place: New Delhi | Agency: PTI

Concerned over the rising cases of dengue, chikungunya and Japanese encephalitis, the government has put immediate focus on development of vaccines and other actions to deal with such ailments that create widespread scare.

(Continue . . . )

Preparedness: How To Chill When It’s Cold Outside

 

 

image


# 5096

 

 

Although I’m a 2nd generation Floridian, I spent 10 years living in the backwoods of Missouri.   Thankfully, the statute of limitations expired, and in 2005 I was finally able to return to my home state.

 

My back-to-the land decade taught me many things. I learned how to fell trees, how to split and stack cords of wood every summer, and how to maintain and operate a wood furnace.

 

But most of all . . .  I learned  to appreciate the comparatively mild winters in Florida. 

 

For those who live outside of tropical climes, preparing for winter should be a yearly routine.   The hazards that come with cold weather are considerable.

 

Hypothermia, carbon monoxide poisoning, heating-related house fires, falls on icy walkways, cold-stress heart attacks, snow blower mishaps, car accidents due to inclement weather . . .  the list is long.

 

Winter, quite simply, claims a lot of lives each year, although the exact number is subject to considerable debate.    According to the SDR’ Grand Challenges for Disaster Reduction.

 

. . .  two different datasets of weather-related mortality report opposite findings.  One dataset (the National Climatic Data Center’s Storm Data) records more heat-related deaths per year than cold-related deaths, whereas another dataset (the National Center for Health Statistics Compressed Mortality Database) records the opposite, with nearly four times the number of cold-related deaths than heat-related deaths.

 

One of the factors that helps tip the scales towards cold related morbidity and mortality are winter weather influenced vehicular accidents.  Again from the SDR report.

 

Weather information providers and consumers have
not embraced a probabilistic approach to these
forecasting challenges that would help significantly
decrease the nearly 7,000 deaths, 600,000 injuries, and 1.4 million accidents a year that occur due to adverse winter driving conditions, by extending winter weather watch and warning lead times.

 


Something I saw with disturbing regularity as a paramedic was carbon monoxide poisoning.

 

Faulty furnaces, snow blocked car exhaust pipes, attempts to use generators inside the house or garage . . . and the use of CO producing emergency heat sources all contribute to the winter body count.

 

The CDC’s MMWR released a report in 2005 called Unintentional Non--Fire-Related Carbon Monoxide Exposures --- United States, 2001—2003 that stated:

 

During 2001--2003, an estimated 15,200 persons with confirmed or possible non--fire-related CO exposure were treated annually in hospital EDs. In addition, during 2001--2002, an average of 480 persons died annually from non--fire-related CO poisoning. Although males and females were equally likely to visit an ED for CO exposure, males were 2.3 times more likely to die from CO poisoning. Most (64%) of the nonfatal CO exposures occurred in homes. Efforts are needed to educate the public about preventing CO exposure.

 

 

Accordingly, FEMA and the CDC have a winter safety and preparedness websites, filled with useful preparedness information.

 

First from FEMA.

 

Winter Storms and Extreme Cold

Heavy snowfall and extreme cold can immobilize an entire region. Even areas that normally experience mild winters can be hit with a major snowstorm or extreme cold. Winter storms can result in flooding, storm surge, closed highways, blocked roads, downed power lines and hypothermia.

How can I protect myself from winter storms and extreme cold?

 

And this from the CDC.

 

Extreme Cold: A Prevention Guide to Promote Your Personal Health and Safety

The Extreme Cold Prevention Guide combines all of the key content of the CDC Winter Weather website into one downloadable, printable file. Printing this PDF file ensures that you will have important winter weather health and safety information available even when you're without power or Internet service.

 

Although the PDF is not Section 508-compliant, all content in the PDF is available in a 508-compliant HTML version on this site. Links to those HTML versions are provided below.

Download the Prevention Guide

List of Webpages Included in the Prevention Guide:

 

 

It doesn’t take an earthquake or a hurricane to quickly plunge you and your family into a survival situation. 

 

Every day threats . . .  like severe thunderstorms, summer heat waves, and wintery blasts of weather . . .  can all create hazards that can threaten your health and safety.


With winter closing in, today would be a good day to review and update your emergency plans.


Some resources to get you started on the road to `all threats’ preparedness include:

 

FEMA http://www.fema.gov/index.shtm

READY.GOV http://www.ready.gov/

AMERICAN RED CROSS http://www.redcross.org/

 

And a few of my (many) preparedness essays include:

 

An Appropriate Level Of Preparedness
Inside My Bug Out Bag
Red Cross Unveils `Do More Than Cross Your Fingers’ Campaign
 

You can search this blog for more preparedness information by clicking this link.

Saturday, November 27, 2010

Weekly Flu Surveillance Reports

 

 


# 5095

 

 

Flu Activity remains low across the United States and Canada, although there are signs that the number of cases are starting to increase. 


First a look at the CDC’s latest FluView Surveillance report, then a peek at international flu trends, and we’ll wrap up with this week’s FluWatch report from Canada.

 

2010-2011 Influenza Season Week 45 ending November 13, 2010

All data are preliminary and may change as more reports are received.

Synopsis:

During week 45 (November 7-13, 2010), influenza activity remained low in the United States.

  • Of 2,876 specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories and reported to CDC/Influenza Division, 220 (7.7%) were positive for influenza.
  • The proportion of deaths attributed to pneumonia and influenza (P&I) was at the epidemic threshold.
  • No influenza-associated pediatric deaths were reported.
  • The proportion of outpatient visits for influenza-like illness (ILI) was 1.3%, which is below the national baseline of 2.5%. All 10 regions reported ILI below region-specific baseline levels; one state experienced moderate ILI activity; one state experienced low ILI activity, and 48 states experienced minimal ILI activity.
  • Geographic spread of influenza in Puerto Rico and four states was reported as local; the District of Columbia and 34 states reported sporadic activity; Guam and 12 states reported no influenza activity, and the U.S. Virgin Islands did not report.

 

U.S. Virologic Surveillance:

WHO and NREVSS collaborating laboratories located in all 50 states and Washington D.C. report to CDC the number of respiratory specimens tested for influenza and the number positive by influenza type and subtype. The results of tests performed during the current week are summarized in the table below.

image

image

Pneumonia and Influenza (P&I) Mortality Surveillance

During week 45, 7.0% of all deaths reported through the 122-Cities Mortality Reporting System were due to P&I. This percentage was at the epidemic threshold of 7.0% for week 45.

Pneumonia And Influenza Mortality

image

 

 

Perhaps the most telling graphic from this week’s FluView is the 3-year pediatric flu-related mortality rate.  So far this fall, only 1 child in the US has been reported to have died from influenza.

 

Compare that to this time last fall, when we were seeing 20 or more deaths each week.

 

image

 

 

In much of the world, the H3N2 virus (signified by red in graph below) continues to be the predominant influenza A strain, while the 2009 H1N1 virus continues to be detected at low to moderate levels.

 

Influenza B is the second most commonly reported flu strain around the world at this time.

 

image

 

 

And finally, from Canada’s FluWatch, this latest summary of influenza activity through November 20th.

 

Summary of FluWatch Findings for the Week ending November 20, 2010

  • During week 46, the overall influenza activity in Canada has slightly increased. However, most of the influenza surveillance regions have reported no activity.
  • The proportion of positive influenza specimens reported during week 46 has increased with 53 specimens out of 2,021 (2.62%) testing positive. Of the 53 positive tests, 17 specimens were reported as influenza A/H3N2 (ON & QC), 30 as unsubtyped influenza A (MB, ON & QC), one as pandemic H1N1 2009 (ON) and five as influenza B (BC & ON).
  • Since the beginning of the season, A/H3N2 has been the predominant strain circulating in Canada representing 96% of the subtyped positive influenza A specimens. Seasonal influenza B and A/H3N2 viruses continued to co-circulate worldwide, with the later slightly predominant; pandemic H1N1 2009 virus circulation continued to be detected at low to moderate levels across Asia, and sporadically in other parts of the world. 
  • The Canadian Food Inspection Agency (CFIA) has confirmed the presence of low pathogenic H5N2 avian influenza virus in a commercial poultry operation in the rural municipality of Rockwood, Manitoba on November 25, 2010. The infected farm remains under quarantine and all birds in the operation will be humanely destroyed. The human health risk posed by this avian influenza virus strain is low and there have been no reports of human illness associated with this outbreak.
    http://www.inspection.gc.ca/english/corpaffr/newcom/2010/20101125e.shtml

Preparedness: Solar Power On A Budget

 

 

 

# 5094

 

 

Note: This is an update to of one my preparedness columns that has been very popular in the past. Instructions on how to set up a simple solar charging system for your home.

 

I re-run it about once a year.

 

As former live-aboard boater, I lived off the grid – using a solar system like I describe in this essay  – for many months at a time.

 

During my 10 years living in Rural Missouri, we had several storm related power outages that lasted more than 24 hours, and were grateful for the 12 volt backup system I maintained.

 

Earthquakes, tornadoes, hurricanes, and other localized disasters can disrupt power supplies for hours or even days.

 

A little bit of preparedness now, can make things a whole lot easier to deal with later.

 

 

I’ve had several requests for information on how to construct a down and dirty (read : Cheap) solar power system for those with light duty requirements. If you are looking for a system to run power tools, a microwave oven, refrigerator, freezer, or your desktop computer   . . . the system described below will be woefully inadequate.

 

However, if what you want is something cheap, easy to built, and that will allow you to recharge Ni-cad batteries and cell phones, run LED lights or 12 volt fans, and maybe give you a few hours a day on your laptop computer . . .  then I present an inexpensive and easy to put together alternative.

 

With a bit of judicious shopping, a simple solar power setup can be had for a little over $200, and can be put together in an afternoon or two.

 

Increase your budget to $300 and you can more than double your capacity.

 

The price of solar panels continues to come down, with newer panels providing more watts per dollar.  Deals can often be found by looking in surplus stores, by buying discontinued models, or by purchasing panels with cosmetic blemishes. 

 


Is Solar for Me?

Solar power, of course, requires a good exposure to sunlight. The more sunlight you can access, the more efficient the output from your panels. If you live somewhere that has few sunny days, or you have no place to mount a solar panel that will catch good direct sunlight for 5 or 6 hours each day, the odds are that solar is not a good investment.

 

panel

 

Simply put, solar panels generate small amounts of electricity from direct exposure of the cells to sunlight. Most solar panels generate 14 to 17 volts, enough to charge a 12 volt battery, and their ability to charge is rated in watts. A 15-watt panel generates 15 watts of electricity at roughly 15 volts each hour. This is roughly the equivalent of 1 amp of charging per hour into your battery.

 

Larger (more expensive) panels may produce 30, 40, 80, 120 watts of power (or more). For each 15 watts, think (roughly) 1 additional amp/hr. A 60-watt panel would therefore generate about 4 amps per hour during prime sunlight hours.

 

Of course, the electricity generated from a solar panel only is available when the sun is shining. At night, or when clouds obscure the sun, the power output stops. This is not very handy for those who would like to have lights at night. So to our solar panel we must add a storage device, a 12-volt battery or quite often, a bank of batteries. This allows us to bank electricity during the day, and draw it out, as needed, even during the night.

 

When we draw electricity from the battery bank, we can do so either as 12 volt or, with the aid of a device called an inverter, as 110 volt house current.

 

 

Think of a fully charged battery like a bucket filled with water. When you run LED lights, or convert power to 110v with the inverter, you are removing water. Sometimes, like with the LED's you take little sips, other times, when using the inverter, you take massive gulps. Either way, the amount of the water in the bucket goes down until it is empty.

 

 

The solar panel adds very small amounts of water to your bucket every hour the sun shines on it. The amount of water it adds is determined by the amount of direct sunshine and the watt rating of the solar panel.

 

As long as you add as much back to your bucket each day as you draw out, the battery remains fully charged. If you draw out too much, the battery is partially discharged, and you will have to wait several days for the solar panel to catch up.

 

The Solar Triad +1

 

To create a Solar Power system, you need basic components. The solar panel, a battery, and an inverter. You could get by without an inverter and only draw out 12 volt power from your batteries, but that is very limited, and as you will find, small inverters are very inexpensive. I would also add a 4th item, an inexpensive battery charger, for those times when the grid is up, so you can quickly recharge your batteries.

 

A 15 watt solar panel can often be purchased for around $100. A suitable battery, for less than $60. And a 400watt inverter will run you about $22. All totaled, you can be in business for roughly $200. Not bad.


If your solar panel is larger than 15 watts, you'll probably want to add a solar panel charge controller. These run around $30, and can prevent overcharging of your batteries. If you use a small solar panel, they are not necessary.

 

To that, I would recommend an automotive battery charger, which will run about $25, although they can often be found for much less in yard sales. A 6/2 amp charger is fine. This will allow you to top off your battery during those times the grid is functioning. And by adding a 2nd battery, you can be using one battery while charging another. Total cost? Right at $300.

 

 

Most batteries will tell you how many amp/hrs they are rated for. This is not the same thing as cranking amps. Those are for short duration, and are for turning a starter on a car or engine. The best batteries are called deep cycle, or marine batteries, and typically can hold 105 amps or more. But they are heavy. Smaller batteries may only hold 10 or 20 amps. As long as your daily energy needs never exceed that, they could be used.

 

solar1

 

An LED light array will draw very little from the battery. Probably .1 amps an hour. 1 amp every 10 hours. You could go a long time without recharging.

 

But the inverter, which provides 110v, draws amps from the battery at an astounding rate. A 100 watt light bulb will pull 10-12 amps out of your battery in an hour. Using an appliance that uses the full 400 watt output would pull 40+ amps out in an hour. It would take days for the solar panel to replenish that much power.

 

The best use for the inverter is for running battery chargers for ni-cad batteries, or very occasionally to run a small portable tv, radio, or laptop computer. You will not be able to run a microwave, or a toaster, or power tools.

 

Of course, bigger solar panels and bigger batteries, and a bigger inverter would allow you to do these things. But based on what you are likely to have, you need to have low expectations.

 

A good investment are Ni-cad or Nickle-Hydrate (expensive, but better) rechargeable AA and AAA batteries, with a charging stand. This will allow you to have rechargeable batteries (using the inverter) to run cell phones, radios, even walkie-talkies.

 

Where possible, you should use the battery for the lowest possible power consumption. LED lighting, or charging AA and AAA batteries. A windup radio will take a burden off of your system.

 


Warning: Batteries can offgas Hydrogen gas, which can be explosive, and should be kept in a ventilated area. You will also need to check the electrolyte levels of the batteries and keep the plates covered with distilled water.

 

Solar panels, batteries, and inverters produce electrical currents and (even at low voltages) can be a dangerous shock hazard.  Always read and follow the instructions that come with your solar panels, batteries, chargers, and inverters.

 

If you are unsure of how to safely deal with these components, have someone who knows how give you instruction.

Friday, November 26, 2010

Bandung, Indonesia: Bird Flu Suspect

 



# 5093

 

 

From newshound extraordinaire Dutchy, we’ve a new thread this afternoon on FluTrackers following reports of a 21 year-old woman from from West Java, Indonesia who has been on a ventilator for several days and is suspected of being infected with the H5N1 virus.

 

As always, until we get laboratory confirmation, this is only a suspected case of bird flu. 

 

Here is Dutchy’s machine translation of the report from http://us.bandung.detik.com/.

 

 

 

Unexpected First Bird Flu Patient Treated in RSHS

Oris Riswan Budiana – detikBandung


Bandung - The first patient suspected H5N1 virus or bird flu in West Java this year, being treated at Hasan Sadikin (RSHS) since 22 November. K, 21-year-old woman was living in Bandung Kulon area.

 

This was confirmed by CEO RSHS Bayu Wahyudi when found in RSHS, Pasteur Road, on Friday (11/26/2010).

 

"Yes, there is a patient being treated, the situation is serious. She came 22 November with the state of pneumonia (inflammation of the lung - editor), shortness of breath, decreased consciousness, and other symptoms," said Bayu.

 

He explained that K Flamboyan treated at the Isolation Room. K is placed in that space because the symptoms of respiratory disease severe enough.

 

As is known, space is a special place for the treatment of patients with severe respiratory disease. For example, patients with H1N1 or swine flu (now called influenza A H1N1) and H5N1 or bird flu.

 

"We still do the examination and the results hopefully in the near future can be known," he said.

 

Based on the information collected, the woman suspected of contracting bird flu. That's because the clinical condition of the patient's body become heavy overnight. In fact, patients fitted with a ventilator or a ventilator since the first day of treatment.

 

 

Additional reports, when they are released, will be placed in this thread.  You may also wish to follow @Dutchy on Twitter.

 

I will update this story when we have more information.

 

Currently outbreaks of H5N1 occur primarily in birds, although sporadic,widely scattered human cases are reported around the world as well – most commonly in Egypt and Indonesia.

 

Most (but not all) have been linked to close contact with infected poultry or birds. The source of infection in a small number of human cases isn’t known.

 

While the virus has yet to adapt well enough to human hosts to transmit effectively between people, scientists still fear the virus could mutate into a pandemic strain someday.

Eurosurveillance: The Temporary Immunity Hypothesis

 

 

# 5092

 

 

In September of 2009, news of an (at that time) unpublished Canadian study began to surface that suggested that those who had received a seasonal flu shot the previous year were more susceptible to the new pandemic virus than those who hadn’t.

 

Helen Branswell, science and medical reporter for the Canadian Press, was among the first to report on it (see Branswell On The Canadian Flu Shot Controversy).

 

This bombshell – which began to be known as `the Canadian problem’, sent shockwaves through public health circles.  Many agencies were just days away from starting up their seasonal flu vaccination campaigns as they waited for the arrival of the H1N1 pandemic vaccine expected later in the fall.

 

Suddenly, there was genuine concern that maybe  . . .  just maybe  . . .  with a pandemic virus on the way, that rolling out the seasonal vaccine was the wrong thing to do. 

 

The CDC and the World Health Organization both scrambled to look at their available data, and stated that they could find no correlation between the seasonal vax and susceptibility to the pandemic flu . . . but that they would continue to look.

 

Meanwhile, with concerns rising, a number of Canadian Provinces halted or announced delays in rolling out the seasonal flu shot, even though the study had yet to be published (see Ontario Adjusts Vaccination Plan).

 

October saw a number of new reports and studies that failed to corroborate the (still unpublished) findings, including a study published in the BMJ (British Medical Journal) that suggested exactly the opposite - that getting the seasonal flu vaccination may be slightly protective against the swine flu  (see When Studies Collide).

 

Which, admittedly, ran contrary to what we’d heard previously from the CDC, who maintained that the seasonal vaccine was not expected to offer any protection against the novel H1N1 swine flu virus.

 

By November, with no compelling corroboration of the `Canadian Problem’, Canada’s National Advisory Committee on Immunization (NACI) came out in favor of resuming seasonal flu jabs (see NACI: Canada Should Resume Seasonal Flu Vaccinations).

 

The controversy wasn’t over, however.

 

In April of this year these Canadian studies were finally published by PLoS Medicine. Writing for CIDRAP, Maryn McKenna   detailed their findings.

 
New Canadian studies suggest seasonal flu shot increased H1N1 risk

Maryn McKenna * Contributing Writer

Apr 6, 2010 (CIDRAP News) – Despite a rapidly launched range of studies, investigators in Canada are still unable to say—or to rule out—whether receiving a seasonal flu vaccination in the 2008-09 season made it more likely that Canadians would become ill from 2009 pandemic H1N1 flu.

(Continue . . .)

 

Other studies continued to fail to show any correlation, leaving us with a bit of a mystery on our hands. 

 

Why were these Canadian findings so different than all the others?

 

Which bring us to today’s story regarding a hypothesis that appeared in yesterday’s Eurosurveillance journal, suggesting a mechanism that might explain the `Canadian Problem’.

Eurosurveillance, Volume 15, Issue 47, 25 November 2010

Perspectives

Seasonal influenza vaccination and the risk of infection with pandemic influenza: a possible illustration of non-specific temporary immunity following infection

H Kelly , S Barry, K Laurie, G Mercer

 

You’ll probably want to read the entire paper, but for those not inclined to wade through the whole article, I’ll attempt to summarize their hypothesis.

 

Unlike the Canadian researchers, Australian scientists could find no increased susceptibility to the pandemic H1N1 virus among those who had been vaccinated the previous year against seasonal flu.

 

The difference between the two findings, they suggest, comes from three separate factors:

  • A theory regarding temporary immunity following any influenza infection
  • The timing of the arrival of the pandemic virus in Canada
  • And the protective effects of seasonal flu vaccination against seasonal - but not pandemic - flu.

 

We’ll take these one at a time.

 

It has been theorized that infection by any influenza (or perhaps, any respiratory) virus ramps up the body’s immune system for weeks or even months after the illness has passed, making that person temporarily less susceptible to infection by another virus.

 

Researchers, looking back at the infection patterns from the 1918 and 1957 pandemics, have used this theory to explain why pandemics come in waves.

 

And given that each year we usually see two A strains of influenza, a B strain, and a veritable rogues gallery non-influenza respiratory viruses circulating, this may also help explain why we all don’t endure non-stop ILI’s every winter.

 

Which bring us to the timing element.

 

In Canada, the first wave of the virus arrived on the heels of the 2008-2009 seasonal flu epidemic, which had peaked only 3 months earlier.

 

Australia, however, was nearing the end of their summer, and the peak of their flu season had occurred a full 9 months before.

 

If the temporary immunity theory is correct (`if’ being the operative word), Canadians who had contracted seasonal flu earlier in the year, may still have carried some generic immunity against infection.

 

Australians, on the other hand, saw the pandemic virus arrive long after any such temporary protective benefits would have decayed.


The third element is the protective benefits of the seasonal flu vaccine. 

 

The 2008-2009 vaccine was reasonably protective against seasonal flu, but offered little or no protection against the novel H1N1 virus.

 

Since those that eschewed the seasonal vaccine were more likely to catch the flu, it increased their opportunity to develop the (hypothesized) temporary generic immunity discussed above. 

 

The authors suggest that those who took the vaccine, lacking the `temporary protection’ from a recent bout with the flu, may have appeared to be more susceptible to the pandemic virus.

 

It’s an attractive solution, and many of the elements do seem to fit. 

 

But to make it work, you have to accept the temporary immunity hypothesis as being valid - and while gaining acceptance – it hasn’t been fully proven.

 

And if this explanation is correct, you would also expect to find a similar pattern in other vaccinated regions of the northern hemisphere where novel H1N1 arrived shortly after the peak of their flu season. 

 

So far, that hasn’t been demonstrated.

 

But good science takes time, which means that more research will be needed on several fronts before this theory can be accepted as a resolution to the `Canadian Problem’.

Thursday, November 25, 2010

OIE Report: Manitoba Bird Flu Identified As H5N2

 

 

 

# 5091

 

 

My thanks to Ironorehopper on FluTrackers for posting the link to this OIE notification detailing the avian flu outbreak at a turkey farm in Rockwood, Manitoba.

 

I’ve excerpted part of the report below.

 

 

Low pathogenic avian influenza (poultry), Canada

Information received on 25/11/2010 from Dr Brian Evans, Chief Food Safety Officer/Chief Veterinary Officer, Office of the President, Canadian Food Inspection Agency, OTTAWA, Canada

image

New outbreaks

Outbreak 1 (NAI-2010-MB-001)
Rockwood municipality, MANITOBA

Date of start of the outbreak
17/11/2010

Outbreak status
Continuing (or date resolved not provided)

 

Affected Population

Turkey breeders farm, with four barns on site. Barn 1 is empty, barn 2 contains 600 toms (approx.), barn 3 contains 3,000 hens (approx.) and barn 4 contains 3,800 hens (approx.). The hens in both barn 3 and 4 are 44 weeks old and were lethargic with a 45% decrease in egg production but the egg production has improved since the start of the event. No respiratory disease was observed. The mortality in the flock has not increased.

Epidemiology

Source of the outbreak(s) or origin of infection

  • Unknown or inconclusive

Epidemiological comments


This is the first outbreak of Notifiable Avian Influenza (NAI) detected in the province of Manitoba.

The farm has been quarantined by the Canadian Food Inspection Agency (CFIA) and investigation will be conducted in compliance with the Canada's Notifiable Avian Influenza Hazard Specific Plan. A stamping out policy will be applied.


Preliminary results from the National Center for Foreign Animal Diseases in Winnipeg indicate the presence of a H5N2 subtype avian influenza virus (PCR).


Sequence analysis of the PCR products indicates that the cleavage site is consistent with low pathogenic avian influenza virus H5. Closest matches (99% identity) in Genbank are to North American H5N2 viruses from wild birds.


Virus isolation is underway and additional testing is to come, including the intravenous pathogenicity index test.


NAI surveillance has been in place in domestic poultry in Canada for many years and this outbreak is limited to the province of Manitoba.


Note by the OIE Animal Health Information Department: H5 and H7 avian influenza in its low pathogenic form in poultry is a notifiable disease as per Chapter 10.4. on avian influenza of the Terrestrial Animal Health Code (2010).

Control measures

Measures applied

  • Quarantine
  • Movement control inside the country
  • Screening
  • Vaccination prohibited
  • No treatment of affected animals

Measures to be applied

  • Stamping out
  • Disinfection of infected premises/establishment(s)

Haiti: Updated Cholera Outbreak Map

 

 

 

# 5090

 

 

A week ago I posted a map prepared by OCHA showing the extent of the Haitian cholera outbreak as of November 17th, 2010.

 

At the time, there were close to 19,000 confirmed cases and more than 1,100 deaths.

 

Today, OCHA and ReliefWeb have published a new map, updated through November 23rd.  They now list 25,000 hospitalized, and more than 1,400 fatalities.

 

Follow the links to view the full sized maps.

 

 

HAITI: Cholera Outbreak (as of 23 Nov 2010) - Location Map

 

 

Map of 'HAITI%3A%20Cholera%20Outbreak%20(as%20of%2023%20Nov%202010)%20-%20Location%20Map'

  • Date: 25 Nov 2010
  • Type: Natural Disaster
  • Keyword(s): Epidemic; Health; Affected Population
  • Format(s):

    EP-2010-000210-HTI_1125.pdfPDF *, 163 Kb


    EP-2010-000210-HTI_1125.jpg JPG, 71 Kb

  • Source(s):
    - United Nations Office for the Coordination of Humanitarian Affairs - ReliefWeb
    - United Nations Office for the Coordination of Humanitarian Affairs (OCHA)
  • Related Document:
    - Haiti: Cholera Situation Report #20 - 23 November 2010
    - Haiti: Cholera Outbreak in Haiti, 2010
  • The EM Daily

     

     


    # 5089

     

     

    A relatively new resource some of you may not yet be familiar with is the Emergency Management (EM) Daily, a `twitter newspaper created using paper.li.


    The EM Daily contains recent posts from dozens of emergency management, homeland security, and public health bloggers and displays them in newspaper format.

     

    It is put together by @AllHandsDotNet, which is the twitter  account for http://www.all-hands.net. They bill themselves as:

     

    The All Hands Network is a unique community of emergency management, homeland security, and continuity professionals who come together via a web-based community.

     

    This is a clever and convenient way to tap into the wealth of emergency management/public safety related material being published each day on the web. 

     

    The Daily is divided into sections, including Headlines, Health, Business, Education, Environment, etc. You may even come across some of my efforts there from time to time. 

     

    But don’t let that dissuade you from checking it out.

     

     

    image

    Referral: NEJM Perspective On Influenza Vaccine Uptake

     

     


    # 5088

     

     

     

    On what is hopefully the start of a quiet Thanksgiving morning, we’ve an interesting perspective article appearing in the NEJM on the public’s distrust of flu vaccines, and ways public health agencies might try to assuage them.

     

     

    Perspective

    Influenza Vaccine — Safe, Effective, and Mistrusted

    Katherine M. Harris, Ph.D., Jürgen Maurer, Ph.D., and Arthur L. Kellermann, M.D., M.P.H.

    November 24, 2010 (10.1056/NEJMp1012333)

     

    Wednesday, November 24, 2010

    CFIA Statement On Manitoba’s Avian Flu Outbreak

     

     

    # 5087

     

    The CFAI (Canadian Food Inspection Agency) has released the follow statement on the detection of bird flu on a Manitoba turkey farm.

     

    As opposed to the earlier news story out of Winnipeg, no mention of the strain is made in this release.

     

     

    CANADIAN FOOD INSPECTION AGENCY
    CANADIAN FOOD INSPECTION AGENCY

    Nov 24, 2010 17:00 ET

    Canadian Food Inspection Agency: Avian influenza Confirmed in Manitoba

    OTTAWA, ONTARIO--(Marketwire - Nov. 24, 2010) - The Canadian Food Inspection Agency (CFIA) has confirmed the presence of an avian influenza virus in a commercial poultry operation in the Rural Municipality of Rockwood, Manitoba.

     

    Further testing is underway to determine the precise subtype and pathogenicity of the virus. Pathogenicity refers to the severity of the illness caused in birds. Clinical assessment and laboratory analysis to date suggests this is likely a low pathogenic virus.

     

    Avian influenza viruses do not pose risks to food safety when poultry and poultry products are properly handled and cooked. Avian influenza rarely affects humans, unless they are of specific types and there has been close contact with infected birds.

     

    All birds on the infected premises will be humanely euthanized and disposed of, in accordance with provincial environmental regulations and internationally accepted disease control guidelines. Once all birds have been removed, the CFIA will oversee the cleaning and disinfecting of the barns, vehicles, equipment and tools to eliminate any infectious material that may remain.

     

    The CFIA is conducting a thorough epidemiological investigation, including tracing any recent movement of birds, bird products and equipment onto and off of the infected property. To limit any potential virus spread, the CFIA is also applying restrictions on the movement of poultry and poultry products within three kilometres of the infected premises.

     

    Animal health and public health authorities from the Province of Manitoba, local poultry specialists and industry are actively collaborating on the response to avian influenza in the Manitoba poultry operation, and in supporting the producer.

     

    All poultry owners are urged to take an active role in protecting their flocks. This includes employing strict biosecurity measures on their property and immediately reporting sick or dead birds to their veterinarian or the nearest CFIA office. Further information on biosecurity is available on the CFIA website at www.inspection.gc.ca/biosecurity.

     

    The CFIA is notifying the World Organisation for Animal Health (OIE) and international trading partners of this situation.

     

    New information will be provided to the public as it becomes available.

     

    For information on safe food handling, please visit: http://www.inspection.gc.ca/english/fssa/concen/concenrol/rolsafe.shtml

     

    For more information, please contact

    Canadian Food Inspection Agency
    Media Relations
    613-773-6600

     

    CTV Reporting Low Path H5 On Canadian Turkey Farm

     

     


    # 5086

     

     

    Although first announced several hours ago, details remain sketchy on the type avian flu strain detected in number of turkeys at a farm in the rural municipality of Rockwood, Manitoba.

     

    CTV Winnipeg is reporting this as an H5 strain, likely low path, and not the highly pathogenic H5N1.

     

    Other media outlets are not specifying a strain, so these details could change or evolve over the next few hours. 

     

    A hat tip to Ironorehopper on FluTrackers who posted the following report.   An ongoing thread (started by Shiloh) tracking new developments is available at this link.

     

     

     

    Turkeys in RM of Rockwood test positive for form of bird flu, officials believe strain is non-deadly

    Officials have not yet said how many of the animals tested positive for an H5 strain of bird flu.

    Updated: Wed Nov. 24 2010 14:19:36
    ctvwinnipeg.ca

    Provincial and federal officials have quarantined a turkey farm in the RM of Rockwood.

     

    Some turkeys have tested positive for an H5 strain of bird flu, but there is no evidence it is the deadly form known as the Asian strain of the H5N1 influenza, said provincial officials.

     

    There has been no indication of human illness.

    (Continue . . .)

     

     

    Low path outbreaks of avian influenza have been recorded in North America (and around the globe) in the past, and rarely present a human health threat.

     

    CIDRAP’s overview on avian influenza Avian Influenza (Bird Flu): Agricultural and Wildlife Considerations  details many of these outbreaks.

     

    Low Pathogenic avian viruses, if left  unchecked, have the potential to mutate into a more highly pathogenic strain. For that reason low path outbreaks of the H5 and H7 variety are taken seriously, and are a reportable disease to the OIE.

     

    Culling is generally the recommended response.

    The FEMA Community Preparedness Challenge

     

     

    # 5085

     

     

     

    Last year, as you may recall, the HHS sponsored a very successful contest calling on the public to create a winning pandemic public service announcement (see Last Call For Voting On The HHS PSA Contest.)

     

    This month FEMA has announced a challenge to the public to come up with creative ideas to help their communities get better prepared before a disaster strikes.

     

    For details, follow the link below.

     

     

    Preparing our Communities Before a Disaster Strikes

    Come up with ideas on how we can all help prepare our communities.

    Detailed description

    Sharing the Responsibility to Protect Communities Against the Impacts of Disasters


    THE CHALLENGE


    To come up with ideas on how we can all help prepare our communities before disaster strikes and how the government can support community-based activities to help everyone be more prepared.

     

    The sky is the limit. We want ideas from across the spectrum, from within whichever field you work, for whatever community in which you live. If you’re a doctor, what role can the medical community play? If you’re an artist, how can you use your medium to contribute?

     

    This could be a new project or means of engaging the public to prepare for disasters on the individual or family level; a public service announcement about business preparedness to play on local radio or TV stations; or a new device, technology, application or piece of equipment to mitigate the effects of disaster.

     

    Submissions will be judged based on originality, level of community engagement, and ease of implementation.

    (Continue . . . )

     

     

    Just about everyone complains that the government never listens to them. 

     

    Well, here’s your chance to give FEMA your best ideas on how we call all work to better prepare our communities against disasters.