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  Medical report:

Unpublicized Tips on H1N1 Prevention-from a doctor

Friends,
Thanks to media hype about H1N1, several people who trust me have either approached or called me to advise. The hype in media about the utility of face masks and N95 respirators as a tool for general protection against H1N1 can't be deplored enough. Yesterday, a friend who listened wanted me to write down briefly what I advised so that he could tell others in similar words. Hence this short email to friends whom I have advised recently (and others whom I haven't yet). Please realize that this is not an official advice, especially the one about face masks or N95.

Most N95 respirators are designed to filter 95% particulates of 0.3µ, while the size of H1N1 virus is about 0.1µ. Hence, dependence on N95 to protect against H1N1 is like protecting against rain with an umbrella made of mosquito net.

Tamiflu does not kill but prevents H1N1 from further proliferation till the virus limits itself in about 1-2 weeks (its natural cycle). H1N1, like other Influenza A viruses, only infects the upper respiratory tract and proliferates (only) there. The only portals of entry are the nostrils and mouth/ throat. In a global epidemic of this nature, it's almost impossible not coming into contact with H1N1 in spite of all precautions. Contact with H1N1 is not so much of a problem as proliferation is.

While you are still healthy and not showing any symptoms of H1N1 infection, in order to prevent proliferation, aggravation of symptoms and development of secondary infections, some very simple steps – not fully highlighted in most official communications - can be practiced (instead of focusing on how to stock N95 or Tamiflu):

1. Frequent hand-washing (well highlighted in all official communications).

2. "Hands-off-the-face" approach. Resist all temptations to touch any part of face (unless you want to eat, bathe or slap).

3. Gargle twice a day with warm salt water (use Listerine if you don't trust salt). H1N1 takes 2-3 days after initial infection in the throat/ nasal cavity to proliferate and show characteristic symptoms. Simple gargling prevents proliferation. In a way, gargling with salt water has the same effect on a healthy individual that Tamiflu has on an infected one. Don't underestimate this simple, inexpensive and powerful preventative method.

4. Similar to 3 above, clean your nostrils at least once every day with warm salt water. Not everybody may be good at Jala Neti or Sutra Neti (very good Yoga asanas to clean nasal cavities), but blowing the nose hard once a day and swabbing both nostrils with cotton buds dipped in warm salt water is very effective in bringing down viral population.

5. Boost your natural immunity with foods that are rich in Vitamin C (Amla and other citrus fruits). If you have to supplement with Vitamin C tablets, make sure that it also has Zinc to boost absorption.

6. Drink as much of warm liquids as you can. Drinking warm liquids has the same effect as gargling, but in the reverse direction. They wash off proliferating viruses from the throat into the stomach where they cannot survive, proliferate or do any harm.

All these are simple ways to prevent, within means of most households, and certainly much less painful than to wait in long queues outside public hospitals.

Happy breathing!
  • Medical report: alcohol worse than ecstasy

    Alcohol worse than ecstasy on shock new drug list
    James Randerson, science correspondent
    Friday March 23, 2007
    The Guardian
    http://www.guardian .co.uk/drugs/ Story/0,, 2040886,00. html
    VERSES FROM THE QUR'AN RELATING TO ALCOHOL:
    Surah 5:90
    O ye who believe ! Wine and the game of chance and idols and divining arrows are only the abomination of Satan's handiwork. So shun each one of them that you may prosper.

    Surah 2:219
    They ask you about intoxicants and games of chance. Say: In both of them there is a great sin and means of profit for men, and their sin is greater than their profit. And they ask you as to what they should spend. Say: What you can spare. Thus does Allah make clear to you the communications, that you may ponder.

    Surah 4:43
    O you who believe! do not go near prayer when you are intoxicated until you know (well) what you say.....

    RELATED ARTICLE: One glass too many...
    The Prohibition of Alcohol
    http://www.themoder nreligion. com/misc/ booze/alcohol_ glass.htm
    Some of Britain's leading drug experts demand today that the government's classification regime be scrapped and replaced by one that more honestly reflects the harm caused by alcohol and tobacco. They say the current ABC system is "arbitrary" and not based on evidence.

    The scientists, including members of the government's top advisory committee on drug classification, have produced a rigorous assessment of the social and individual harm caused by 20 substances, and believe this should form the basis of any future ranking.

    By their analysis, alcohol and tobacco are rated as more dangerous than cannabis, LSD and ecstasy.

    They say that if the current ABC system is retained, alcohol would be rated a class A drug and tobacco class B.

    "We face a huge problem," said Colin Blakemore, chief executive of the Medical Research Council and an author of the report, which is published in the Lancet medical journal. "Drugs ... have never been more easily available, have never been cheaper, never been more potent and never been more widely used.

    "The policies we have had for the last 40 years ... clearly have not worked in terms of reducing drug use. So I think it does deserve a fresh look. The principal objective of this study was to bring a dispassionate approach to what is a very passionate issue."

    David Nutt, a psychopharmacologis t at Bristol University and member of the Advisory Council on Misuse of Drugs (ACMD) which advises ministers on drug policy, added: "What we are trying to say is we should review the penalties in the light of the harms and try to have a more proportionate legal response.

    "The point we are making is that all drugs are dangerous, even the ones that people know and love and use regularly like alcohol."

    Professor Nutt and his team analysed the evidence of harm caused by 20 drugs including heroin, cocaine, cannabis, ecstasy, LSD and tobacco.

    They asked a group of 29 consultant psychiatrists who specialise in addiction to rate the drugs in nine categories. Three of these related to physical harm, three to the likelihood of addiction and three to social harms such as healthcare costs. The team also extended the analysis to another group of 16 experts spanning several fields including chemistry, pharmacology, psychiatry, forensics, police and legal services.

    The final rankings placed heroin and cocaine as the most dangerous of the 20 drugs. Alcohol was fifth, the class C drug ketamine sixth and tobacco was in ninth place, just behind amphetamine or "speed".

    Cannabis was 11th, while LSD and ecstasy were 14th and 18th respectively. The rankings do take into account new evidence that specially cultivated "skunk" varieties of cannabis available now are two to three times stronger than traditional cannabis resin.

    Evan Harris MP, the Liberal Democrats' science spokesman, said the paper undermines the government's claim that drug policy is evidence- based. "This comes from the top echelons of the government's own advisory committee on the misuse of drugs. It blows a hole in the government's current classification system for drugs." He said the ACMD should make recommendations to ministers on how to change drug policy based on the findings.

    But the shadow home secretary, David Davis, rejected any changes that would confuse the public. "Drugs wreck lives, destroy communities and fuel other sorts of crime - especially gun and knife crime. Thanks to the government's chaotic and confused approach to drugs policy, young people increasingly think it is OK to take drugs," he said, adding that he was against downgrading of ecstasy. "It is vital nothing else leads young people to believe drugs are OK."

    The position of ecstasy near the bottom of the list was defended by Prof Nutt, who said that apart from some tragic isolated cases ecstasy is relatively safe. Despite about a third of young people having tried the drug and around half a million users every weekend, it causes fewer than 10 deaths a year. One person a day is killed by acute alcohol poisoning and thousands more from chronic use.

    Prof Nutt said young people already know ecstasy is relatively safe, so having it in class A makes a mockery of the entire classification system for them. "The whole harm-reduction message disappears because people say, 'They are lying.' Let's treat people as adults, tell them the truth and hopefully work with them to minimise use."

    Another advantage of the new system, according to Professor Blakemore, is that it would be easy to tweak the rankings based on new evidence.

    The public furore over the downgrading of cannabis from B to C, he said, showed how hard it is to change drug classifications once they are fixed. "[Our system] would be easy to use on a rolling basis, to reassess the harms of drugs as evidence developed," he said.

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