Prospector
Not a scaredy cat anymore
- Joined
- 18 January 2006
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But why are they in short supply ?
It is unethical for a doctor to prescribe relenza to a healthy individual, with no obvious risk of developing swine flu, and hence restrict the availability to people who have or are at high risk ( social justice )
Thank you Prospector for the ingredient. I'll buy it from Herbies some wonderful receipe for anise
The thing is, everyone has the same risk of developing swine flu, or the prevailing flu, if they associate with others, once the virus is known to be in the same geographical area. Certainly if they travel in planes, or lifts, or trains.....
In this particular case, people with a weakened immune system are at no more risk than others who seem otherwise healthy. Given we cannot dose everyone, do we give all the medications to people in Nursing Homes, which might mean that young people at University, or schools, or work in large public areas for example, who are probably most at risk, don't receive treatment?
I agree with your last point, re nursing homes, no we do not give it to anyone, it is a treatment, not a preventative, so obviously we give ( and doctor's should only prescribe) it to people who will have any benefit.
Tamiflu and Relenza are proven as prophylactic -ie they can be given preventively. Indeed, this is probably what is planned in the event of a pandemic; people in emergency care services (Doctors/Nurses/essential suppliers) may well be given the drugs as a precaution.
Swine flu: what did you expect?
...
Another thing that most people and probably most clinicians expect is that we know a lot about influenza. Perhaps because of the increased scientific interest since bird flu (an increased interest which will pay off handsomely in this outbreak, by the way) we do know quite a bit, but we also now know many of the things we thought we knew about flu, like the main ways it is transmitted from person to person, we don't really know. For example, how likely is it that you can get flu by touching a door knob or arm rest that someone with the flu just touched? Or that you can get the flu by sitting in the same emergency department waiting room (but not next to) other flu cases? These are open questions (see some of our many posts on this here, here, here, here). Why is flu seasonal? We don't know. We'll try to get to some more of these questions in the days ahead, since we have many new readers, but one big thing to know was emphasized by Acting CDC Director Richard Besser at the White House briefing yesterday: the influenza virus is highly unpredictable and our certain knowledge of it very scant. If you've seen one flu pandemic, you've seen one flu pandemic.
...
http://scienceblogs.com/effectmeasure/2009/04/swine_flu_what_did_you_expect.php#more
They do not prevent at all, there is no modification of immune system.
They are drugs which treat infection ( ie they inhibit synthesis of viral rna ) therefore the virus needs to be in the body.
I can see that the earlier the better, in appropriate groups.
The concept has nothing to do with social justice, just good medical practice. I think even I can work that out!Unfortunately if you do not understand medical ethics and the concept of social justice, then you will struggle to understand this.
OK, Have done some more checking and it can be given prophylactically, but not in the strict sense as in taking blood thinners for reducing blood clotting. Tamiflu is recommended when people have been exposed to the flu - as opposed to simply 'just taking it in case'. I dont think (but maybe they would) people would take it without having faced a risk through contact. Which is why hospital workers would receive it as a preventive, because they most likely would have had contact.
http://www.rxlist.com/tamiflu-drug.htm
Standard Dosage – Prophylaxis of Influenza
Adults and Adolescents
The recommended oral dose of TAMIFLU for prophylaxis of influenza in adults and adolescents 13 years and older following close contact with an infected individual is 75 mg once daily for at least 10 days. Therapy should begin within 2 days of exposure. The recommended dose for prophylaxis during a community outbreak of influenza is 75 mg once daily. Safety and efficacy have been demonstrated for up to 6 weeks. The duration of protection lasts for as long as dosing is continued.
Not sure what your point is here though!
The concept has nothing to do with social justice, just good medical practice. I think even I can work that out!
First confirmed death from swine flu in the States - Texas a child. Just on CNBC
The toddler was a Mexican who crossed the border for treatment, officials said.
wonder how long before the GW nuts start claiming GW caused the swine flu?
First confirmed death from swine flu in the States - Texas a child. Just on CNBC
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