My friend forwarded this letter to educate, not facilitate a panic...don't take
it too lightly!
Liz Alaniz
www.wowartistry.com
210.771.1878
From: [email protected]
Date: Thu, 30 Apr 2009 17:23:07 -0400
Subject: Fwd: FW: Interesting letter on the Flu
To: [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected];
[email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]
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--Forwarded Message Attachment--
From: [email protected]
To: [email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
[email protected]; [email protected]; [email protected];
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[email protected]
Subject: FW: Interesting letter on the Flu
Date: Thu, 30 Apr 2009 15:39:38 -0500
I received this over lunch and thought it was worth sharing. I looked on line,
Dr. Gitterle is listed as Emergency Medicine – Family Practice at Christus
Santa Rosa Hospital, New Braunfels.
Kathy Nobles
Sr. Product Scheduler
Petrochemical Mrktg
Valero Marketing & Supply Company
(210) 345-2800 wk
(210) 362-7959 fax
Subject: FLU INFO FROM DR. GITTERLE
Friends, this is from an ER doctor in New Braunfels
It is more comprehensive than other things I've seen.
Date: Wed, 29 Apr 2009 08:55:31 -0500
Subject: Flu Update from Dr. Marcus Gitterle
After I returned from a public health meeting yesterday with community leaders
and school officials in Comal County, Heather suggested I send an update to
everyone, because what we are hearing privately from the CDC and Health
Department is so different from what you are hearing in the media. Some of you
know some or maybe all of this, but I will just list what facts I know.
- The virus is infectious for about 2 days prior to symptom onset
- Virus sheds more than 7 days after symptom onset (possibly as long as 9 days)
(this is unusual)
- Since it is such a novel (new) virus, there is no "herd immunity," so the
"attack rate" is very high. This is the percentage of people who come down with
a virus if exposed. Almost everyone who is exposed to this virus will become
infected, though not all will be symptomatc. That is much higher than seasonal
flu, which averages 10-15%. The "clinical attack rate" may be around 40-50%.
This is the number of people who show symptoms. This is a huge number. It is
hard to convey the seriousness of this.
- The virulence (deadliness) of this virus is as bad here as in Mexico, and
there are folks on ventilators here in the US, right now. This has not been in
the media, but a 23 month old near here is fighting for his life, and a
pregnant woman just south of San Antonio is fighting for her life. In Mexico,
these folks might have died already, but here in the US, folks are getting
Tamiflu or Relenza quickly, and we have ready access to ventilators. What this
means is that within a couple of weeks, regional hospitals will likely become
overwhelmed.
- Some of the kids with positive cases in Comal County had more than 70
contacts before diagnosis.
- There are 10-25 times more actual cases (not "possible" cases -- actual),
than what is being reported in the media. The way they fudge on reporting this
is that it takes 3 days to get the confirmatory nod from the CDC on a given
viral culture, but based on epidemiological grounds, we know that there are
more than 10 cases for each "confirmed" case right now.
- During the night, we crossed the threshold for the definition of a WHO, Phase
6 global pandemic. This has not happened in any of our lifetimes so far. We are
in uncharted territory.
- I expect President Obama will declare an emergency sometime in the next 72-96
hours. This may not happen, but if it doesn't, I will be surprised. When this
happens, all public gathering will be cancelled for 10 days.
- I suggest all of us avoid public gatherings. Outdoor activities are not as
likely to lead to infection. It is contained areas and close contact that are
the biggest risk.
- Tamiflu is running out. There is a national stockpile, but it will have to be
carefully managed, as it is not enough to treat the likely number of infections
when this is full-blown. I don't think there is a big supply of Relenza, but I
do not know those numbers. If I had to choose, I would take Relenza, as I think
it gets more drug to the affected tissue than Tamiflu.
- You should avoid going to the ER if you think you have been exposed or are
symptomatic. ER's south of here are becoming overwhelmed -- and I mean that --
already. It is coming in waves, but the waves are getting bigger.
- It appears that this flu produces a distinctive "hoarseness" in many victims.
The symptoms, in general, match other flu's; namely, sore throat, body aches,
headache, cough, and fever. Some have all these symptoms, while others may have
only one or two.
- N-Acetyl-Cysteine -- a nutritional supplement available at the health food
store or Wimberley Pharmacy, has been shown to prevent or lessen the severity
of influenza. I suggest 1200mg, twice a day for adults, and 600mg twice a day
in kids over 12. It would be hard to get kids under 12 to take it, but you
could try opening the capsules and putting it on yogurt. For 40 pounds and up,
300-600 mg twice a day, for less than 40 pounds, half that.
- Oscillococinum, a homeopathic remedy, has been vindicated as quite effective
in a large clinical trial in Europe, with an H1N1 variant. You can buy this at
Hill Country Natural Foods, or the Wimberley Pharmacy.
I will try to keep everyone posted if I have any new information. Meanwhile,
don't be afraid just avoid infection. The fewer people infected the easier it
will be for our public officials to manage it.
Marc
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--- Begin Message ---
I received this over lunch and thought it was worth sharing. I looked on line,
Dr. Gitterle is listed as Emergency Medicine – Family Practice at Christus
Santa Rosa Hospital, New Braunfels.
Kathy Nobles
Sr. Product Scheduler
Petrochemical Mrktg
Valero Marketing & Supply Company
(210) 345-2800 wk
(210) 362-7959 fax
Subject: FLU INFO FROM DR. GITTERLE
Friends, this is from an ER doctor in New Braunfels
It is more comprehensive than other things I've seen.
Date: Wed, 29 Apr 2009 08:55:31 -0500
Subject: Flu Update from Dr. Marcus Gitterle
After I returned from a public health meeting yesterday with community leaders
and school officials in Comal County, Heather suggested I send an update to
everyone, because what we are hearing privately from the CDC and Health
Department is so different from what you are hearing in the media. Some of you
know some or maybe all of this, but I will just list what facts I know.
- The virus is infectious for about 2 days prior to symptom onset
- Virus sheds more than 7 days after symptom onset (possibly as long as 9 days)
(this is unusual)
- Since it is such a novel (new) virus, there is no "herd immunity," so the
"attack rate" is very high. This is the percentage of people who come down with
a virus if exposed. Almost everyone who is exposed to this virus will become
infected, though not all will be symptomatc. That is much higher than seasonal
flu, which averages 10-15%. The "clinical attack rate" may be around 40-50%.
This is the number of people who show symptoms. This is a huge number. It is
hard to convey the seriousness of this.
- The virulence (deadliness) of this virus is as bad here as in Mexico, and
there are folks on ventilators here in the US, right now. This has not been in
the media, but a 23 month old near here is fighting for his life, and a
pregnant woman just south of San Antonio is fighting for her life. In Mexico,
these folks might have died already, but here in the US, folks are getting
Tamiflu or Relenza quickly, and we have ready access to ventilators. What this
means is that within a couple of weeks, regional hospitals will likely become
overwhelmed.
- Some of the kids with positive cases in Comal County had more than 70
contacts before diagnosis.
- There are 10-25 times more actual cases (not "possible" cases -- actual),
than what is being reported in the media. The way they fudge on reporting this
is that it takes 3 days to get the confirmatory nod from the CDC on a given
viral culture, but based on epidemiological grounds, we know that there are
more than 10 cases for each "confirmed" case right now.
- During the night, we crossed the threshold for the definition of a WHO, Phase
6 global pandemic. This has not happened in any of our lifetimes so far. We are
in uncharted territory.
- I expect President Obama will declare an emergency sometime in the next 72-96
hours. This may not happen, but if it doesn't, I will be surprised. When this
happens, all public gathering will be cancelled for 10 days.
- I suggest all of us avoid public gatherings. Outdoor activities are not as
likely to lead to infection. It is contained areas and close contact that are
the biggest risk.
- Tamiflu is running out. There is a national stockpile, but it will have to be
carefully managed, as it is not enough to treat the likely number of infections
when this is full-blown. I don't think there is a big supply of Relenza, but I
do not know those numbers. If I had to choose, I would take Relenza, as I think
it gets more drug to the affected tissue than Tamiflu.
- You should avoid going to the ER if you think you have been exposed or are
symptomatic. ER's south of here are becoming overwhelmed -- and I mean that --
already. It is coming in waves, but the waves are getting bigger.
- It appears that this flu produces a distinctive "hoarseness" in many victims.
The symptoms, in general, match other flu's; namely, sore throat, body aches,
headache, cough, and fever. Some have all these symptoms, while others may have
only one or two.
- N-Acetyl-Cysteine -- a nutritional supplement available at the health food
store or Wimberley Pharmacy, has been shown to prevent or lessen the severity
of influenza. I suggest 1200mg, twice a day for adults, and 600mg twice a day
in kids over 12. It would be hard to get kids under 12 to take it, but you
could try opening the capsules and putting it on yogurt. For 40 pounds and up,
300-600 mg twice a day, for less than 40 pounds, half that.
- Oscillococinum, a homeopathic remedy, has been vindicated as quite effective
in a large clinical trial in Europe, with an H1N1 variant. You can buy this at
Hill Country Natural Foods, or the Wimberley Pharmacy.
I will try to keep everyone posted if I have any new information. Meanwhile,
don't be afraid just avoid infection. The fewer people infected the easier it
will be for our public officials to manage it.
Marc
_____
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<http://toolbar.aol.com/aolradio/download.html?ncid=emlcntusdown00000003> the
Radio Toolbar!
_____
Confidentiality Note: This email and any attachment to it are confidential and
protected by law and intended for the use of the individual(s) or entity named
on the email. If the reader of this message is not the intended recipient, you
are hereby notified that any dissemination or distribution of this
communication is prohibited. If you have received this communication in error,
please notify the sender via return email and delete it completely from your
email system. If you have printed a copy of the email, please destroy it
immediately. Thank you.
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