Thursday, August 23, 2018

Pandemic Flu 100 years ago

The ‘greatest pandemic in history’ was 100 years ago – but many of us still get the basic facts wrong, so starts the story at the Conversation.com  written by Richard Gunderman,  Chancellor's Professor of Medicine, Liberal Arts, and Philanthropy, Indiana University.

I like many of my generation was dimly aware of the great Pandemic of 1918-1919 and had put it out of my mind. In school, we studied the Black Plague (the 1300's) which devastated Europe, but we did not spend much time on the Pandemic of 1918. Perhaps we should have studied it to see if there are any lessons we can learn to protect ourselves from the influences attacking us today. 

In his article, Professor Gunderman lists the top ten myths and goes into details about why they are wrong.  In his introduction, he says,  "By correcting these 10 myths, we can better understand what actually happened and learn how to prevent and mitigate such disasters in the future."

I am listing the Myths below for more information go to his article, here.

1. The pandemic originated in Spain
No one believes the so-called “Spanish flu” originated in Spain. The pandemic likely acquired this nickname because of World War I, which was in full swing at the time. 

2. The pandemic was the work of a ‘super-virus’
The 1918 flu spread rapidly, killing 25 million people in just the first six months. However, more recent study suggests that the virus itself, though more lethal than other strains, was not fundamentally different from those that caused epidemics in other years.

3. The first wave of the pandemic was most lethal
Actually, the initial wave of deaths from the pandemic in the first half of 1918 was relatively low. It was in the second wave, from October through December of that year, that the highest death rates were observed. 

4. The virus killed most people who were infected with it
In fact, the vast majority of the people who contracted the 1918 flu survived. National death rates among the infected generally did not exceed 20 percent. Of course, even a 20 percent death rate vastly exceeds the typical flu, which kills less than one percent of those infected.

5. Therapies of the day had little impact on the disease
No specific anti-viral therapies were available during the 1918 flu. That’s still largely true today, where most medical care for the flu aims to support patients, rather than cure them.

6. The pandemic dominated the day’s news
Public health officials, law enforcement officers, and politicians had reasons to underplay the severity of the 1918 flu, which resulted in less coverage in the press. 

7. The pandemic changed the course of World War I
It’s unlikely that the flu changed the outcome of World War I because combatants on both sides of the battlefield were relatively equally affected.

8. Widespread immunization ended the pandemic
Immunization against the flu as we know it today was not practiced in 1918 and thus played no role in ending the pandemic. In addition, the rapidly mutating virus likely evolved over time into less lethal strains. 

9. The genes of the virus have never been sequenced
In 2005, researchers announced that they had successfully determined the gene sequence of the 1918 influenza virus. The virus was recovered from the body of a flu victim buried in the permafrost of Alaska, as well as from samples of American soldiers who fell ill at the time.

10. The 1918 pandemic offers few lessons for 2018
Severe influenza epidemics tend to occur every few decades. Experts believe that the next one is a question not of “if” but “when.”  While few living people can recall the great flu pandemic of 1918, we can continue to learn its lessons, which range from the commonsense value of handwashing and immunizations to the potential of anti-viral drugs. 

Wednesday, August 22, 2018

Dealing with a family member who is dying

My friend's younger brother (he is 63) has malignant mesothelioma, which is a type of cancer that has affected the tissue lining his lungI asked my friend how his brother is doing. He said he puts on a brave face, but when he is tired, he looks like a dying man. My friend continued I don't know how long he has, the doctors think that he could have a week, a month or two or three months, but it is not good. We talked about how hard it must be on my friend and his sisters and his brothers family.

My friend agreed and he told me his brother was talking about ending his life, with assisted suicide but that his brother had not done anything concrete or taken any other action except to talk about it at this point. I could see that the discussion of his brother was not one my friend wanted to continue, so we changed the topic, and discussed the home renovations we both had to complete.


I started thinking, how do we talk about death and dying. My friends' brother had, according to my friend, made peace with the fact he was dying as my friend and his family have made peace with the pending loss of their brother. Losing a family member is not easy, but when a family member is dying the strain on the rest of the family is tremendous, and there is not much help.


My friend told me that his sisters, as part of their volunteerism, go to the hospice in their hometown and provide vigils and sit with the patients who are dying. I thought this was wonderful as it helps those who are dying to know they are not alone but came back to the question, who helps the family dealing with this loss.


Once a person dies, there are supports in place to help the family, but I wonder if there are supports in place to help family members as the person is dying. I also realized that if a family is dealing with this issue, they may not have the energy to find out more information or to seek help. So I thought I would list some ideas here. There are many supports available:


Ireland has information at http://hospicefoundation.ie/wp-content/uploads/2013/08/Supporting-Families.pdf where there are links to further supports.


Palliative Care Australia has information at http://palliativecare.org.au/resources/how-can-i-support-my-friendfamily-member 


In England, the National Health Authority has done some interesting research into this issue at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4436280/

In Canada, the Virtual Hospice has information on dealing with death and dying including an article on  how to talk to a dying person
 http://www.virtualhospice.ca/en_US/Main+Site+Navigation/Home/Topics/Topics/Communication/Tips+for+Talking+with+Someone+Who+is+Dying.aspx 
https://www.canada.ca/en/employment-social-development/programs/ei/ei-list/reports/compassionate-difficult-times.html

Other organization also have information for families who are dealing with a person who is dying. Here are some: 
https://oceansidehospice.com/coping-tasks-for-the-family/
https://www.dyingmatters.org/
http://www.ohtn.on.ca/rapid-response-impact-of-medical-assistance-in-dying-on-family-and-friends/

Tuesday, August 21, 2018

Protect yourself from Frauds and Scams

To avoid being scammed you have to remain diligent and follow these steps: 
  • Assess the validity of all messages that you receive from people and business that you do not know. That includes any unsolicited phone calls, people knocking on your door, emails sent you—even those that look like they are from a company you do business with, or family and friends—and letters received in the mail that look like they are official.
  • Any emails and links sent to you that seem off should be checked first, by rolling your cursor over them with your mouse before actually clicking on the link. Look at the destination URL is to see if it looks legitimate or not.
  • Scammers will also pose as imposters from businesses or organizations and call or approach you in person. The Consumer Financial Protection Bureau (CFPB) recently warned people about scammers posing as CFPB employees.
  • Criminals will go to great lengths to try to pressure you with demands for money or payments. If you feel you are being victimized, make sure to report the scam to the proper government agency, your local Better Business Bureau office, and your local police department.
Here are some resources in Canada to help
PhoneBusters: 1-888-495-8501 www.phonebusters.com  
Canadian Antifraud Centre: 1-888-495-8501 www.antifraudcentre.ca
Canada Revenue Agency: 1-800-267-2384 

www.cra-arc.gc.ca/charities
Better Business Bureau of Mainland BC: 604- 682-2711 http://mainlandbc.bbb.org


Monday, August 20, 2018

Frauds and Scams Part 4

Scams are repeated because they work. The ones that work are often driven by financial life moments such as taxes, holiday shopping, and utility scams. Identity thieves and scammers often try new twists on old scams that worked in the past. So far this year, a number of different and new scams have made the news, listed here in alphabetical order, not by ranking.

Tax Prep Scam
Not only are U.S. taxpayers the targets of scammers this tax season, so are the tax professionals that prepare tax returns. Tax fraud is big business for fraudsters that can steal the tax preparers information and turn around and sell it on the dark web for money.  This year scammers are sending a lot more phishing emails in an attempt to gain access to the accountant’s computer. By doing so, the scammer can get access to that tax professional’s client list and computer IP address to file fake tax returns on their behalf. Once submitted, the scammer will have the refund check sent to an address that they can pick up the check.

Tech Support Fraud
In 2017 there were 11,000 complaints related to tech support fraud that resulted in claimed losses of nearly $15 million – an 86% increase in losses from 2016. These tech support scams have prompted the Internet Crime Complaint Center (IC3) to warn consumers about criminals claiming to provide a customer, security, or technical support as a cover in an effort to defraud individuals.  The scam can take place through a phishing email, phone calls, pop-up ad or even a locked screen on your device with a phone number to call to fix. The IC3 offers several tips and guidance on how to handle situations like this and reminds people that legitimate customer, security, or tech support companies will not initiate unsolicited contact with individuals.

Veterans Scams
Fake charity scams are nothing new, and the Veterans Affairs Department and U.S. Postal Inspection Service warn that veterans of the armed forces are particularly vulnerable. The scammers reportedly offer pension buyouts to veterans or ask veterans to donate to a charity that sounds and looks real but isn’t. The scammers use the donations or cash the pension checks.


The scammers will also take the donor’s personal information to create a new fake identity or commit more crimes under that person’s name. According to an AARP survey, 16% of veterans have lost money to fraudsters, compared to 8% of non-veterans.