Sunday, December 23, 2018
Saturday, December 22, 2018
100 years ago, the flu killed 50 million people worldwide. Here's how it affected Utah
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Influenza victims crowd into an emergency hospital near Fort Riley, Kansas, in this 1918 photo.
For many of us, the flu is a seasonal nuisance that emerges each year as the days grow shorter and people huddle indoors — annoying but not truly threatening.
A century ago, however, the flu was much more than a minor inconvenience. This year marks the 100th anniversary of the deadly 1918 influenza pandemic, also known as the Spanish flu, which infected half a billion people (one-third of the world's population at the time) and killed at least 50 million.
This pandemic was so lethal that it took more lives than all the combined military deaths of World War I and World War II, and life expectancy in the United States fell by about 12 years from 1917 to 1918.
Where did the Spanish flu come from?
A century later, we know much more about influenza pathology and prevention. But scientists are still trying to pin down exactly where the 1918 flu pandemic started and why mortality rates were so high.
Although it was called the Spanish flu, experts believe it didn't start in Spain. This nickname was likely a side effect of World War I, which was also afflicting the globe at the time. Most major countries engaged in battle suppressed reports of influenza's devastation to avoid appearing as weakened targets to their enemies.
But neutral Spain had no reason to hide the effects of the virus, creating the false impression that its population suffered from the pandemic earlier and more intensely than the rest of the world.
In reality, the pandemic ravaged nearly every area on Earth — from Japan to Australia to South Africa — though some countries fared better than others. China, while affected, experienced significantly lower mortality rates than the United States and Britain. Yet an estimated 17 million died in India while 14 percent of the population died in the Fiji Islands in only 16 days.
Experts don't yet agree where the first outbreak occurred. Many studies point to an origin in the United States, yet other scientists suggest China and some France. But there is general consensus that the H1N1 virus that caused the pandemic likely emerged from a bird virus.
Spanish flu in Utah
Like the rest of the world, Utah could not escape the 1918 influenza. Globally, the pandemic occurred in three major waves during the spring, fall and winter of 1918, with the third wave finally subsiding by the summer of 1919. The first signs of outbreak in Utah were reported in the beginning of October 1918.
According to historian Leonard Arrington, Utah state health officer Dr. T.B. Beatty acted quickly on Oct. 10, issuing a ban on all public gatherings, including church meetings and theater shows, and directing schools to close (which they did, with most remaining closed until January 1919).
Despite these measures, the virus tore through Salt Lake City, likely due to its larger population and frequent visitors, Arrington notes. By early November, more than 1,500 cases were documented there and 117 people had died.
Most other communities throughout Utah also felt the pandemic's impact. In Ogden, 2,626 influenza cases and 73 deaths were reported by Oct. 26. An Oct. 30 Desert Evening News
headline stated that "Every county now reports influenza," though the
article insisted health officials remained optimistic so long as Utahns
adhered to the board of health's guidelines.
Prevention and treatment
In addition to Beatty's ban on public gatherings, the Utah State Board of Health took out an advertisement in the Deseret News urging Utahns to avoid public transportation, crowded places and "common towels." They also advised frequent handwashing, plenty of rest and staying home as soon as any illness struck, no matter how slight.
Utahns were also instructed to wear gauze masks in public and around those who were sick. Homes with influenza victims had to display quarantine signs. Park City and Ogden tried to keep the disease out by requiring people who entered the cities to present signed doctor's certificates indicating they weren't infected.
Moreover, stores weren't allowed to hold sales and funeral services were limited to a half hour (and later 15 minutes). The November 1918 funeral of Joseph Fielding Smith, Latter-day Saint church president, was restricted to only a few close family members.
At this time, very little was known about what caused the influenza virus and how it spread.
"There were no vaccines to protect against flu virus infection, no antiviral drugs to treat flu illness, and no antibiotics to treat secondary bacterial infections like pneumonia," according to the Centers of Disease Control and Prevention.
Scientists and doctors also had very little understanding about what made the 1918 virus so virulent. Not only did it spread quickly, it also — quite alarmingly — often killed otherwise healthy young adults. Typically, small children and older adults are the groups most likely to die from influenza.
Today, scientists theorize
that the inflammatory immune response the Spanish flu triggered in the
lungs was likely more robust in healthy young people, leading to more
fluid buildup and a higher likelihood of deadly pneumonia for this age
group.
Because the virus affected both the upper respiratory tract and deep within the lungs, coughing and congestion were common side effects, along with more severe (and often fatal) symptoms. These included blue-tinged faces from lack of oxygen accompanied by lung hemorrhages and infections that literally caused victims to drown in their own fluids.
Lacking modern medicine, doctors prescribed liquids, hot compresses to ease chest congestion and alcohol (even in dry Utah). With so many infected, hospitals quickly filled and staff ran short. To keep up with growing demand, impromptu infirmaries were set up in Utah church buildings and teachers whose schools were closed served as volunteer nurses.
A sobering toll
After many long months, the number of reported influenza cases eventually began to ease up. Though a massive Salt Lake City Armistice Day celebration on Nov. 11, 1918, led to a predictable outbreak, by December many public spaces in the state began reopening. The epidemic greatly diminished in the spring and summer of 1919 and by the spring of 1920, the last of the Spanish flu finally left Utah.
After the pandemic had run its course, at least 91,799 Utahns had been infected and 2,915 had died, though Arrington points out that these reported numbers likely grossly underestimate the true breadth of the disease.
Experts aren't sure what caused the Spanish flu's end, though many speculate the virus eventually mutated into a less lethal strain.
Comment on this story Could a deadly influenza pandemic happen again? It's certainly possible, scientists say. A new influenza virus could emerge that humans have no previous resistance to, which is likely what happened in 1918.
Fortunately, we are better equipped to face a deadly virus than we were 100 years ago and could possibly develop a vaccine quickly enough to stave off a pandemic. But there is still so much about the 1918 flu and influenza in general we don't yet understand.
As Anne Schuchat, deputy director of the Centers for Disease Control and Prevention, said at a seminar on the Spanish flu, "We have many more tools than we had before, but they are imperfect tools."
A century ago, however, the flu was much more than a minor inconvenience. This year marks the 100th anniversary of the deadly 1918 influenza pandemic, also known as the Spanish flu, which infected half a billion people (one-third of the world's population at the time) and killed at least 50 million.
This pandemic was so lethal that it took more lives than all the combined military deaths of World War I and World War II, and life expectancy in the United States fell by about 12 years from 1917 to 1918.
Public Domain via Wikimedia Commons
Seattle policemen are photographed wearing masks made by the Red Cross during the influenza epidemic in December 1918.
A century later, we know much more about influenza pathology and prevention. But scientists are still trying to pin down exactly where the 1918 flu pandemic started and why mortality rates were so high.
Although it was called the Spanish flu, experts believe it didn't start in Spain. This nickname was likely a side effect of World War I, which was also afflicting the globe at the time. Most major countries engaged in battle suppressed reports of influenza's devastation to avoid appearing as weakened targets to their enemies.
But neutral Spain had no reason to hide the effects of the virus, creating the false impression that its population suffered from the pandemic earlier and more intensely than the rest of the world.
In reality, the pandemic ravaged nearly every area on Earth — from Japan to Australia to South Africa — though some countries fared better than others. China, while affected, experienced significantly lower mortality rates than the United States and Britain. Yet an estimated 17 million died in India while 14 percent of the population died in the Fiji Islands in only 16 days.
Like the rest of the world, Utah could not escape the 1918 influenza. Globally, the pandemic occurred in three major waves during the spring, fall and winter of 1918, with the third wave finally subsiding by the summer of 1919. The first signs of outbreak in Utah were reported in the beginning of October 1918.
According to historian Leonard Arrington, Utah state health officer Dr. T.B. Beatty acted quickly on Oct. 10, issuing a ban on all public gatherings, including church meetings and theater shows, and directing schools to close (which they did, with most remaining closed until January 1919).
Despite these measures, the virus tore through Salt Lake City, likely due to its larger population and frequent visitors, Arrington notes. By early November, more than 1,500 cases were documented there and 117 people had died.
Utah State Historical Society
The Tintic
Hospital in Mammoth, Utah, is pictured in this undated photograph. Many
Utahns were treated here during the 1918 influenza epidemic.
Prevention and treatment
In addition to Beatty's ban on public gatherings, the Utah State Board of Health took out an advertisement in the Deseret News urging Utahns to avoid public transportation, crowded places and "common towels." They also advised frequent handwashing, plenty of rest and staying home as soon as any illness struck, no matter how slight.
Utahns were also instructed to wear gauze masks in public and around those who were sick. Homes with influenza victims had to display quarantine signs. Park City and Ogden tried to keep the disease out by requiring people who entered the cities to present signed doctor's certificates indicating they weren't infected.
Moreover, stores weren't allowed to hold sales and funeral services were limited to a half hour (and later 15 minutes). The November 1918 funeral of Joseph Fielding Smith, Latter-day Saint church president, was restricted to only a few close family members.
Utah State Historical Society
The Red
Cross unit of the Mountain States Telephone and Telegraph Company is
photographed outside the Salt Lake Theatre on May 21, 1918.
"There were no vaccines to protect against flu virus infection, no antiviral drugs to treat flu illness, and no antibiotics to treat secondary bacterial infections like pneumonia," according to the Centers of Disease Control and Prevention.
Scientists and doctors also had very little understanding about what made the 1918 virus so virulent. Not only did it spread quickly, it also — quite alarmingly — often killed otherwise healthy young adults. Typically, small children and older adults are the groups most likely to die from influenza.
Utah State Historical Society
Portrait of
David Day (1896-1918) taken at Layton, Utah. Day joined the military
forces during World War I but died of Spanish influenza at the military
hospital at Camp Mills, New York.
Because the virus affected both the upper respiratory tract and deep within the lungs, coughing and congestion were common side effects, along with more severe (and often fatal) symptoms. These included blue-tinged faces from lack of oxygen accompanied by lung hemorrhages and infections that literally caused victims to drown in their own fluids.
Lacking modern medicine, doctors prescribed liquids, hot compresses to ease chest congestion and alcohol (even in dry Utah). With so many infected, hospitals quickly filled and staff ran short. To keep up with growing demand, impromptu infirmaries were set up in Utah church buildings and teachers whose schools were closed served as volunteer nurses.
A sobering toll
After many long months, the number of reported influenza cases eventually began to ease up. Though a massive Salt Lake City Armistice Day celebration on Nov. 11, 1918, led to a predictable outbreak, by December many public spaces in the state began reopening. The epidemic greatly diminished in the spring and summer of 1919 and by the spring of 1920, the last of the Spanish flu finally left Utah.
Utah State Historical Society
Salt Lake City Armistice Day celebrations are photographed on Nov. 11, 1918.
Experts aren't sure what caused the Spanish flu's end, though many speculate the virus eventually mutated into a less lethal strain.
Comment on this story Could a deadly influenza pandemic happen again? It's certainly possible, scientists say. A new influenza virus could emerge that humans have no previous resistance to, which is likely what happened in 1918.
Fortunately, we are better equipped to face a deadly virus than we were 100 years ago and could possibly develop a vaccine quickly enough to stave off a pandemic. But there is still so much about the 1918 flu and influenza in general we don't yet understand.
As Anne Schuchat, deputy director of the Centers for Disease Control and Prevention, said at a seminar on the Spanish flu, "We have many more tools than we had before, but they are imperfect tools."
Wednesday, December 19, 2018
9 products banned abroad but widely available in India
Where are the Ache Din, we ask that was promised to us. Forget the fact that Narendra Modi said he will bring back all black money stashed in overseas banks. They are busy with a world tour and banning inconsequential things but what about the hundreds of other things that are also banned. But, in this list we will focus on products that are banned abroad but are easily available in India.
1. Honey
Reputed brands like Dabur, Himalaya, Baidyanath among others have been named in a 2010 story by The Hindu stating that the honey they sell is contaminated. There were tests conducted and extremely harmful anti-biotics were found in over 10 samples. Honey continues to be sold by all these brands. The strict food safety regulations disallow Indian made honey to be sold abroad.
2. Chyawanprash
The morning spoonful of Chyawanprash may do more harm than the intended good. The Canadian government banned sale of the health supplement meant for everybody in 2005. The ban was invoked citing that there are high levels of lead and mercury in the product.
3. Drugs
No, not just recreational drugs! Several drugs like D-Cold, Vicks Action 500, Enteroquinol, Analgin, Syspride among others are banned in many countries outside India. Vicks Action 500 was banned for a short period in India as well but sales promptly restarted.
4. Cars
The most popular car on Indian roads, the Alto K10 and the tata Nano is not allowed to be imported to other countries because they don’t meet the safety regulations in case of a crash. The Nano barely has any crumple zone if there is a high speed crash but that doesn’t bother Indian safety standards as long as the car is cheap to buy. Alto and Nano drivers please be very careful because the presence of airbags has shown negligible improvement in safety of the driver and occupants in case of a crash.
5. Pesticides
Nearly 70 different products that work as pesticides in India are banned abroad. A committee gave guidelines to continue use of most pesticides while some pesticides were recommended to be used moderately.
6. Kinder Surprise, not Kinder Joy
Kinder Joy is not banned in India or abroad but a bigger variant of the tasty treat with a toy is banned in USA. If you are in possession of the toy and treat even in a sealed pack, you are liable for a hefty fine. The toy is a choking hazard according to the USA authorities but Indian authorities don’t mind it.
7. Haldiram’s
The Food and Drug Administration in USA has banned the sale and import of Haldiram’s snacks that have been made in India. The tests conducted on Haldiram’s biscuits, wafers and cookies found high levels of adulterants. They termed the Haldiram’s products as “filthy, putrid or decomposed otherwise unfit” for consumption.
8. Unnamed Snack
Another snack maker who goes nameless manufactured in Gujarat has been banned in USA. The sales continue in India but the same reason as given for banning Haldiram’s products is given for the products of this snack maker as well.
9. Dairy Products
Ghee mainly is banned in USA if the ghee is made in India. It is a common practice to brush chapatis against ghee in India but that opportunity is not easily available to Indians in USA. The FDA has banned the butter oil because the contents are not mentioned on the label of the bottle or jar.
Tuesday, December 18, 2018
That gentle stimulation dupes the brain into thinking that the
stomach is full after only a few nibbles of food. “The pulses correlate
with the stomach’s motions, enhancing a natural response to help control
food intake,” said Xudong Wang, a UW-Madison professor.
Unlike gastric bypass, which permanently alters the capacity of the
stomach, the effects of the new devices also are reversible. When
researchers removed the devices after 12 weeks, the study’s rats resumed
their normal eating patterns and weight bounced right back
questions:-
what are side effects?
gastritis?
ulcer?
cancer?
??
Saturday, December 15, 2018
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