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MedicOC
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Posted: 1/3/2014 9:24:06 AM
[Last Edit: 1/3/2014 9:26:03 AM by MedicOC]
pH1N1 hits children and young adults really hard. Watch your yutes carefully this season. The flu vaccine offered this year will cover pH1N1, so if you don't get vaccinated and die......then you are a fucking retard.

This is an official
CDC HEALTH ADVISORY
Distributed via the CDC Health Alert Network
December 24, 2013, 14:30 ET (2:30 PM ET)
CDCHAN-00359
Notice to Clinicians: Early Reports of pH1N1-Associated Illnesses for the 2013-14 Influenza Season
Summary
From November through December 2013, CDC has received a number of reports of severe respiratory illness among young and middle-aged adults, many of whom were infected with influenza A (H1N1) pdm09 (pH1N1) virus. Multiple pH1N1-associated hospitalizations, including many requiring intensive care unit (ICU) admission, and some fatalities have been reported. The pH1N1 virus that emerged in 2009 caused more illness in children and young adults, compared to older adults, although severe illness was seen in all age groups. While it is not possible to predict which influenza viruses will predominate during the entire 2013-14 influenza season, pH1N1 has been the predominant circulating virus so far. For the 2013-14 season, if pH1N1 virus continues to circulate widely, illness that disproportionately affects young and middle-aged adults may occur.
Seasonal influenza contributes to substantial morbidity and mortality each year in the United States. In the 2012-13 influenza season, CDC estimates that there were approximately 380,000 influenza-associated hospitalizations [1]. Although influenza activity nationally is currently at low levels, some areas of the United States are already experiencing high activity, and influenza activity is expected to increase during the next few weeks.
The spectrum of illness observed thus far in the 2013-14 season has ranged from mild to severe and is consistent with that of other influenza seasons. While CDC has not detected any significant changes in pH1N1 viruses that would suggest increased virulence or transmissibility, the agency is continuing to monitor for antigenic and genetic changes in circulating viruses, as well as watching morbidity and mortality surveillance systems that might indicate increased severity from pH1N1 virus infection. In addition, CDC is actively collaborating with state and local health departments in investigation and control efforts.
CDC recommends annual influenza vaccination for everyone 6 months and older. Anyone who has not yet been vaccinated this season should get an influenza vaccine now. While annual vaccination is the best tool for prevention of influenza and its complications, treatment with antiviral drugs (oral oseltamivir and inhaled zanamivir) is an important second line of defense for those who become ill to reduce morbidity and mortality. Antiviral treatment is recommended as early as possible for any patient with confirmed or suspected influenza who is hospitalized; has severe, complicated, or progressive illness; or is at higher risk for influenza complications.
Background
The risk of severe disease and complications from influenza is higher among children younger than 5 years of age, adults aged 65 years and older, pregnant women, and those with underlying medical conditions. In most influenza seasons, the majority of influenza-associated hospitalizations and deaths are among adults aged 65 years and older [2, 3]. However, during the 2009 pandemic, pH1N1 caused more illness in children and young adults than in older adults [4]. This was likely due in part to protection in older adults provided by cross-reactive immunity to pH1N1 caused by prior infection with antigenically-related viruses. The pandemic also was notable for reports of severe illness among pregnant women infected with pH1N1 and adverse neonatal outcomes [5].
Early observations from the 2013-14 influenza season indicate that some persons infected with pH1N1 virus have had severe illness. While most of these people with severe illness have had risk factors for influenza-associated complications, including pregnancy and morbid obesity, several have not.
CDC recommends annual vaccination as the best tool for prevention. However, for persons with suspected or confirmed influenza, treatment with neuraminidase inhibitor antiviral drugs (oral oseltamivir and inhaled zanamivir) can be an important component of clinical care. Evidence from past influenza seasons and the 2009 H1N1 pandemic has consistently shown that treatment with antiviral medications reduces severe outcomes of influenza when initiated as soon as possible after illness onset. Clinical trials and observational data show that early antiviral treatment may (1) shorten the duration of fever and illness symptoms, (2) reduce the risk of complications from influenza (e.g., otitis media in young children, pneumonia, respiratory failure and death), and (3) shorten the duration of hospitalization.
Recommendations for Healthcare Providers
· Clinicians should encourage all patients 6 months of age and older who have not yet received an influenza vaccine this season to be vaccinated against influenza. There are several flu vaccine options for the 2013-2014 flu season (see http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6207a1.htm?s_cid=rr6207a1_w#Tab1), and all available vaccine formulations this season contain a pH1N1 component; CDC does not recommend one flu vaccine formulation over another.
· Clinicians should encourage all persons with influenza-like illness who are at high risk for influenza complications (see list below) to seek care promptly to determine if treatment with influenza antiviral medications is warranted.
Summary of CDC Recommendations for Influenza Antiviral Medications for Health Care Providers for the 2013-2014 Influenza Season
· CDC guidelines for influenza antiviral use during 2013-14 season are the same as during prior seasons. Clinical benefit is greatest when antiviral treatment is administered early. When indicated, antiviral treatment should be started as soon as possible after illness onset, ideally within 48 hours of symptom onset. However, antiviral treatment might still be beneficial in patients with severe, complicated, or progressive illness, and in hospitalized patients and in some outpatients when started after 48 hours of illness onset, as indicated by clinical and observational studies.
· Antiviral treatment is recommended as early as possible for any patient with confirmed or suspected influenza who
  • is hospitalized;
  • has severe, complicated, or progressive illness; or
  • is at higher risk for influenza complications. This list includes:
§ children aged younger than 2 years;
§ adults aged 65 years and older;
§ persons with chronic pulmonary (including asthma), cardiovascular (except hypertension alone), renal, hepatic, hematological (including sickle cell disease), metabolic disorders (including diabetes mellitus), or neurologic and neurodevelopment conditions (including disorders of the brain, spinal cord, peripheral nerve, and muscle such as cerebral palsy, epilepsy [seizure disorders], stroke, intellectual disability [mental retardation], moderate to severe developmental delay, muscular dystrophy, or spinal cord injury);
§ persons with immunosuppression, including that caused by medications or by HIV infection;
§ women who are pregnant or postpartum (within 2 weeks after delivery);
§ persons aged younger than 19 years who are receiving long-term aspirin therapy;
§ American Indians/Alaska Natives;
§ persons who are morbidly obese (i.e., body-mass index is equal to or greater than 40); and
§ residents of nursing homes and other chronic-care facilities.
· Antiviral treatment can also be considered for suspected or confirmed influenza in previously healthy, symptomatic outpatients not at high risk on the basis of clinical judgment, especially if treatment can be initiated within 48 hours of illness onset.
o Clinical judgment, on the basis of the patient’s disease severity and progression, age, underlying medical conditions, likelihood of influenza, and time since onset of symptoms, is important when making antiviral treatment decisions for outpatients.
· Decisions about starting antiviral treatment should not wait for laboratory confirmation of influenza.
· Rapid influenza diagnostic tests (RIDTs) have limited sensitivities and predictive values; negative results of RIDTs do not exclude influenza virus infection in patients with signs and symptoms suggestive of influenza. Therefore, antiviral treatment should not be withheld from patients with suspected influenza, even if they test negative.
· While influenza vaccination is the best way to prevent influenza, a history of influenza vaccination does not rule out influenza virus infection in an ill patient with clinical signs and symptoms compatible with influenza.
FUCK CANCER. RIP
Tactical_Jew
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Posted: 1/3/2014 9:30:14 AM
In before the I got the flu shot and still get the flu types.

The flu truthers
silver_back110
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Posted: 1/3/2014 9:32:00 AM
I had the flu three weeks ago, it ain't no joke.
"A man who can't uphold hid beliefs is pathetic dead or alive." Nobuhiro Watsuki
rizzo5586
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Posted: 1/3/2014 9:33:42 AM
[Jump To Reply]Originally Posted By Tactical_Jew:
In before the I got the flu shot and still get the flu types.

The flu truthers


Fluthers?
cubanchurchill
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Posted: 1/3/2014 9:36:34 AM
I've got it right now so does my daughter and wife- the wife gave it to us
millsusaf
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Posted: 1/3/2014 9:42:15 AM
I have the flu right now as well. It isn't any joke but I'm not in the hospital either. Lots of rest and Tamiflu have helped. Shitty way to spend New Years though.
Mr_Psmith
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Posted: 1/3/2014 9:44:03 AM
[Jump To Reply]Originally Posted By Tactical_Jew:
In before the I got the flu shot and still get the flu types.

The flu truthers


I hate OMG!WTFBBQ Flu Truthers as much as the next guy, but you do realize that even vaccinated people can get the flu right?

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by thy side.
MedicOC
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Posted: 1/3/2014 9:45:22 AM
[Jump To Reply]Originally Posted By rizzo5586:
Originally Posted By Tactical_Jew:
In before the I got the flu shot and still get the flu types.

The flu truthers


Fluthers?
It does have a nice ring to it.
FUCK CANCER. RIP
_DR
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Posted: 1/3/2014 9:46:07 AM
[Last Edit: 1/3/2014 9:49:11 AM by _DR]
[Jump To Reply]Originally Posted By Tactical_Jew:
In before the I got the flu shot and still get the flu types.

The flu truthers



Because that never happens, right?




Bumblebee_Bob
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Posted: 1/3/2014 9:55:01 AM
[Jump To Reply]Originally Posted By Tactical_Jew:
In before the I got the flu shot and still get the flu types.

The flu truthers


That used to be me when I was younger. But last year I got a cold I couldn't shake and finally did something unheard of. I went to the doc to see what she could do. Come to find out I tested positive for the flu. Thanks to getting the flu shotit was only a bad cold for me. I felt guilty when she said I had to take the rest of the week off from work. Really, I did. But I also followed doctor's orders.
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Posted: 1/3/2014 9:55:29 AM





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cubanchurchill
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Posted: 1/3/2014 10:15:28 AM
[Jump To Reply]Originally Posted By Mr_Psmith:
Originally Posted By Tactical_Jew:
In before the I got the flu shot and still get the flu types.

The flu truthers


I hate OMG!WTFBBQ Flu Truthers as much as the next guy, but you do realize that even vaccinated people can get the flu right?




My daughter had the shot at school and she still caught it with the rest of us. She's no better off than me
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Posted: 1/3/2014 10:19:02 AM
When the annual press release is always doom & gloom (not just flu, but hurricane season is another example) people tend to tune it out.
eracer
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Posted: 1/3/2014 10:20:01 AM

1918 Spanish Flu outbreak killed 50-100 million people - mostly otherwise healthy young adults.

Joke all you want.
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Posted: 1/3/2014 10:25:20 AM
[Jump To Reply]Originally Posted By eracer:

1918 Spanish Flu outbreak killed 50-100 million people - mostly otherwise healthy young adults.

Joke all you want.


More than 40% of children who died from the flu in the past decade were otherwise healthy
somaliskinnypirate
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Posted: 1/3/2014 10:41:55 AM
The NSA adds tracking nano pods into the vaccine. Now the aliens can track me easier and I'm being abducted more. On the plus side, my sniffles have gone away
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Posted: 1/3/2014 10:45:17 AM


That would be an extinction level event especially if it was spread through porn
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Posted: 1/3/2014 10:53:32 AM
Tag
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Posted: 1/3/2014 11:36:49 AM
[Jump To Reply]Originally Posted By rizzo5586:
Originally Posted By Tactical_Jew:
In before the I got the flu shot and still get the flu types.

The flu truthers


Fluthers?



This!
fcat
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Posted: 1/3/2014 12:37:32 PM
[Jump To Reply]Originally Posted By cubanchurchill:
I've got it right now so does my daughter and wife- the wife gave it to us


I have it too. So do a bunch of people I know.

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Posted: 1/3/2014 12:39:43 PM
Our whole family gets the flu mist every year, as soon as they offer it. None of us have had the flu since we began that tradition several years ago. Knock on wood!

American by the grace of God
Conservative by the power of intellect
ElectricSheep556
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Posted: 1/3/2014 12:40:52 PM
WE ALL GONNA DIE!

Or maybe just poop and throw up a little bit. Whatever.
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Posted: 1/3/2014 12:53:11 PM
[Jump To Reply]Originally Posted By eracer:

1918 Spanish Flu outbreak killed 50-100 million people - mostly otherwise healthy young adults.

Joke all you want.


It really can be a serious matter. It's worth paying attention to.
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Posted: 1/3/2014 12:55:18 PM
Vaccinated here.
B2k4E
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Posted: 1/3/2014 1:00:12 PM
Lol @ vaccines. Nearly everyone I know that's gotten one got a nasty case of the flu.

Fuck that. Eat healthy, unprocessed veggies and fruits. Wash your hands before eating or preparing food. Not a single ailment this year, or last.
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Posted: 1/3/2014 9:33:09 PM
[Jump To Reply]Originally Posted By eracer:

1918 Spanish Flu outbreak killed 50-100 million people - mostly otherwise healthy young adults.

Joke all you want.



Eventually it'll happen again. It's going to have to, just to get everyone to take it seriously again.
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Posted: 1/3/2014 9:41:35 PM
How old is young adult?

I'm I going to die at 24?
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Posted: 1/3/2014 9:42:41 PM
[Last Edit: 1/3/2014 9:43:11 PM by bhintz10]
My wife had it, I started getting it so I started drinking heavy, worked like a champ. Alcohol killed it
macro
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Posted: 1/3/2014 9:47:03 PM
I had H1N1 back in 2009....it was bad.
Also had a confirmed (and reported) case about ten years ago.....came close to being hospitalized.

Most people think they have had the flu....they haven't.
There is a vast difference between a confirmed case of influenza and a stomach virus.
The flu (as in the real thing) is bad news...and it kills a lot of people every year.
If getting the shot even slightly improves the likelihood of me not ever catching it again, you can bet I'll keep getting it.
I know it's not a silver bullet, but it can help...and having had the experiences I've had, I'll take whatever help I can get.
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Posted: 1/3/2014 9:54:38 PM
I have a very close friend who is dealing with a nasty outbreak of H1N1 in St Louis in the ICU she works in. It is killing otherwise healthy adults. This shit is no joke this year. Apparently it is causing severe inflammation of the lungs basically rendering them useless. The patients in her area are on ECMO(sp?) machines to breath for them as their lungs are no longer capable of absorbing/transferring oxygen or carbon dioxide.
OVERKILL GOOD!

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Posted: 1/3/2014 9:56:53 PM
I'm extra safe; I got a flu shot, and I never venture outside the ammo fort .
Originally Posted By KingRat:
Huff some gasoline, then do an interpretive finger painting of the Spanish Civil War on your living room walls.
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Posted: 1/3/2014 9:59:19 PM
[Jump To Reply]Originally Posted By Tactical_Jew:
In before the I got the flu shot and still get the flu types.

The flu truthers



I got a flu shot via my employer. I still got the flu. This thing sucks, avoid if possible.
columbia10
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Posted: 1/3/2014 10:09:49 PM
[Last Edit: 1/3/2014 10:10:01 PM by columbia10]
Never gotten a flu shot, and don't ever plan to. Can't even recall the last time I had anything except a standard cold.

Probably just jinxed myself
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Posted: 1/3/2014 10:10:14 PM
106 fever, and transitioned into pneumonia for me!

I havnt been this sick since the swine flu!

Nearly two weeks on and I'm still hacking up buckets full! At least its productive, unlike the first stage.
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Posted: 1/3/2014 10:12:24 PM
[Jump To Reply]Originally Posted By columbia10:
Never gotten a flu shot, and don't ever plan to. Can't even recall the last time I had anything except a standard cold.

Probably just jinxed myself
Dibs on everything except your disease ridden corpse.
OVERKILL GOOD!

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Remember it's just the internet. If you take it too seriously, we will make fun of you.
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Posted: 1/3/2014 10:27:06 PM
[Jump To Reply]Originally Posted By macro:
I had H1N1 back in 2009....it was bad.
Also had a confirmed (and reported) case about ten years ago.....came close to being hospitalized.

Most people think they have had the flu....they haven't.
There is a vast difference between a confirmed case of influenza and a stomach virus.
The flu (as in the real thing) is bad news...and it kills a lot of people every year.
If getting the shot even slightly improves the likelihood of me not ever catching it again, you can bet I'll keep getting it.
I know it's not a silver bullet, but it can help...and having had the experiences I've had, I'll take whatever help I can get.


This. WHEN, not if you get the real flu, there is no mistaking it. It is not a cold and it is not rotavirus (stomach flu). I had the real flu about 8 years ago, one of the years I was too busy to get the shot. Woke up with it on one of those days when there was a gig I had to shoot that had been a year in the making. Rented sound stage, rented camera gear, dancers flown in, yada yada. Not showing up was just not an option. And I had to set lights (DP) and operate a steadicam. Which is no fun when every joint aches, you are on fire and might just puke or shit your brains out at any given moment... I would go to bed with a towel in the evenings that I used to wipe to sweat off. Would roll to the dry side of the bead when I was chilled and back to the sweat soaked side when the fever hit. At some point, it crosses your mind that, "This is the shit that kills people." Pretty sure I was pissing blood at some point. Ended up with a mild case of pneumonia.

Haven't missed a flu shot since and haven't had anything like that since. The deal is, if you can afford to take the time to deal with it, have a nice warm house and so on you will probably live. But why take the chance?
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Posted: 1/3/2014 10:35:24 PM
[Jump To Reply]Originally Posted By cubanchurchill:
Originally Posted By Mr_Psmith:
Originally Posted By Tactical_Jew:
In before the I got the flu shot and still get the flu types.

The flu truthers


I hate OMG!WTFBBQ Flu Truthers as much as the next guy, but you do realize that even vaccinated people can get the flu right?




My daughter had the shot at school and she still caught it with the rest of us. She's no better off than me




Curious, and this applies to many others here, but how do you know it is in fact influenza?

Was a culture screened?
"...optimism is dangerously immune to simple facts and the hard lessons of experience." --John Krakauer
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Posted: 1/3/2014 10:36:08 PM
[Jump To Reply]Originally Posted By eracer:

1918 Spanish Flu outbreak killed 50-100 million people - mostly otherwise healthy young adults.

Joke all you want.



Spanish Flu is also an H1N1 strain.
"...optimism is dangerously immune to simple facts and the hard lessons of experience." --John Krakauer