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#143113 - 08/07/08 01:47 AM Re: Bacteria were real killers in 1918 flu pandemic [Re: Henry_Porter]
Jeff_M Offline
Addict

Registered: 07/18/07
Posts: 665
Loc: Northwest Florida
Originally Posted By: Henry_Porter
This week's (August 6, 2008) issue of The New Yorker magazine has an article by Jerome Groopman on "Superbugs," which I found helpful for getting caught up on the use of antibiotics and the rise of antibiotic resistant bacteria in recent years.(snip)


We may be living in what turns out to be a unique period in the history of public health. Most epidemic and pandemic diseases, like polio and smallpox, have been all but wiped out. We have antibiotics effective against almost all infectious bacteria and even effective vaccines and treatments for virii. Medicine is currently is enjoying the zenith of its unprecedented success in the war on disease.

But evolution is on the side of the bugs, since they can potentially change far more rapidly than medical science can come up with new drugs to treat them. We are only seeing the tip of this looming iceburg with the new superbugs like MRSA and polyresistant turbuculosis. We may be entering an age akin that our great-grandparents knew, where a small cut could take your life, parents had good reason to fear whether or not their children would survive to adulthood without being stricken down with some dreaded disease, and infectious diseases are a leading cause of death.

Jeff

Jeff

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#143119 - 08/07/08 02:14 AM Re: Bacteria were real killers in 1918 flu pandemi [Re: Jeff_M]
Arney Offline
Pooh-Bah

Registered: 09/15/05
Posts: 2485
Loc: California
Originally Posted By: Jeff_McCann
We may be entering an age akin that our great-grandparents knew, where a small cut could take your life...

We're already there. Recently, I was talking to a lot more of the 65+ year old crowd than I normally do, asking how so-and-so was doing, and I was amazed by how many of these folks had contracted an infection during a surgical procedure (bypass, hip replacement, angioplasty, etc.) and the surgery went fine but they died from the infection because it was antibiotic-resistant. Shocked me how common it seemed just from this small group of people.

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#143129 - 08/07/08 03:37 AM Re: Bacteria were real killers in 1918 flu pandemi [Re: Arney]
BobS Offline
Old Hand

Registered: 02/08/08
Posts: 924
Loc: Toledo Ohio



I would guess this somewhat more common with older folks because they are partaking of medical procedures in a place that is infested with germs, the hospital, or at least my heart doctor said, there are more germs in a hospital then almost anyplace else. And that they are frailer and more vulnerable to infections. Also the doctors are playing it safe and trying to not get sued so they load them up with antibiotics.


I agree antibiotics are overused.

But for a vast majority of people, were are able to fight off germs fine without them.

I recently was stupid and tried to take part of my right index finger off with a 10-inch table saw. . I cut ½ way through my finger from the top. I lost ¼ of my nail.

All I did to take care of it was to go wash it off with water from the garden hose and wrap it in a paper towel and continue to work on my project. Later that evening I put some ointment on it and a gauze pad on it. No infection and it’s slowly growing back most of the fingernail. Had I went to the hospital they would have made me sit for 2-hrs, loaded me up with antibiotics, put gauze on it and charged a few hundred dollars. It would have looked the same as it does now.
_________________________



You can run, but you'll only die tired.


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#143139 - 08/07/08 05:38 AM Re: Bacteria were real killers in 1918 flu pandemi [Re: BobS]
redflare Offline
Addict

Registered: 12/25/05
Posts: 647
Loc: SF Bay Area, CA
... as far as stockpiling antibiotics for (insert disaster), please read my post here:
http://forums.equipped.org/ubbthreads.ph...0640#Post124193

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#143143 - 08/07/08 11:08 AM Re: Bacteria were real killers in 1918 flu pandemi [Re: redflare]
AROTC Offline
Addict

Registered: 05/06/04
Posts: 604
Loc: Manhattan
A question that hasn't been asked, but that came straight to mind when I read the article is, "How do I get a vaccine for bacterial pneumonia?" Does it makes sense to get one, how long does one last...

Even when not faced with a large scale disaster, pneumonia is a statistically significant risk.
_________________________
A gentleman should always be able to break his fast in the manner of a gentleman where so ever he may find himself.--Good Omens

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#143148 - 08/07/08 12:32 PM Re: Bacteria were real killers in 1918 flu pandemic [Re: Yuccahead]
Russ Offline
Geezer

Registered: 06/02/06
Posts: 5357
Loc: SOCAL
IANAD, but your GF needs to Google "Cipro side effects" and read up before relying on it as a cure-all.
_________________________
Better is the Enemy of Good Enough.
Okay, what’s your point??

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#143155 - 08/07/08 02:07 PM Re: Bacteria were real killers in 1918 flu pandemic [Re: Henry_Porter]
Yuccahead Offline
Member

Registered: 07/24/08
Posts: 199
Loc: W. Texas
Originally Posted By: Henry_Porter
This week's (August 6, 2008) issue of The New Yorker magazine has an article by Jerome Groopman on "Superbugs," which I found helpful for getting caught up on the use of antibiotics and the rise of antibiotic resistant bacteria in recent years.


That story is available online here
_________________________
-- David.

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#143156 - 08/07/08 02:17 PM Re: Bacteria were real killers in 1918 flu pandemi [Re: AROTC]
Arney Offline
Pooh-Bah

Registered: 09/15/05
Posts: 2485
Loc: California
Originally Posted By: AROTC
"How do I get a vaccine for bacterial pneumonia?"

There is a common vaccine called pneumococcal polysaccharide vaccine (PPV). You can read more about it on this CDC webpage. Commonly given to the 65+ year old crowd. Just note that the bacterial strains covered by this vaccine aren't the only bacteria that can cause secondary bacterial pneumonia, so it's not a foolproof protection against a repeat of a Spanish Flu-type pandemic.


Edited by Arney (08/07/08 07:26 PM)

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#143172 - 08/07/08 06:02 PM Re: Bacteria were real killers in 1918 flu pandemi [Re: AROTC]
redflare Offline
Addict

Registered: 12/25/05
Posts: 647
Loc: SF Bay Area, CA
Originally Posted By: AROTC
A question that hasn't been asked, but that came straight to mind when I read the article is, "How do I get a vaccine for bacterial pneumonia?" Does it makes sense to get one, how long does one last...

Even when not faced with a large scale disaster, pneumonia is a statistically significant risk.


Just ask your doctor.

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#143225 - 08/08/08 03:46 AM Re: Bacteria were real killers in 1918 flu pandemic [Re: Jeff_M]
beadles Offline
Member

Registered: 04/09/06
Posts: 105
Loc: Richardson, TX
Originally Posted By: Jeff_McCann
Not so long ago, our government did maintain rapidly deployable pharmaceutical stockpiles, including antibiotics. However, there has been much political tinkering, blundering and loss of readiness of late, in federal programs designed for disaster response and mitigation, including disease outbreaks or bio-terrorism. Several years ago, the system was in pretty good shape, and I participated in an exercise ("Bioshield") to practice receiving one of the stockpiles and distributing them to hospitals, county health clinics, etc. It went very well. Today? Who knows?


In the past few years, we in the ham radio community have been working with the Medical Reserve Corps. In the event of a pandemic requiring mass antibiotic release, the MRC is preparing to open lots of "PODs" (Points of Dispensing) for the fast release of antibiotics. The initial release would come from the "SNS" or Strategic National Stockpile, which is composed of air freight containers that can be delivered anywhere in the country no longer than 12 hrs after activation. Follow on drug releases would come from slower national and state stockpiles. The PODs are in public areas other than hospitals & clinics, to take the load off those facilities.

That's not to say that all points in the US could be reached that quickly, but here in the N. Texas area, we've been drilling for it.
_________________________
John Beadles, N5OOM
Richardson, TX

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