Monday, Oct. 9

Logan County Health Department leads in addressing potential flu outbreak

Part 2          Send a link to a friend

[OCT. 9, 2006]  Local public and private health officials, emergency responders, volunteer and government agencies are working together to make decisions about how to care for the sick and help stop the spread of a disease in the event of an epidemic outbreak. The Logan County Health Department is leading in those preparations.

The current focus is on flu, but the work being prepared covers a number of other potential biohazard situations as well.

What's the difference between the flu that comes around every year and one that might cause an epidemic?

Seasonal flu:

  • Symptoms: fever, cough, runny nose, muscle pain

  • Affects 10 percent of the population

  • Most susceptible: elderly, very young and individuals with compromised health

  • Prevention and treatment available

  • Deaths often caused by complications, such as pneumonia

  • Low mortality rate: 36,000 deaths per year

Pandemic or epidemic flu:

  • Requires an unknown flu strain that spreads easily

  • Occurs rarely (Spanish flu, 1918; Asian flu, 1957; Hong Kong flu, 1968)

  • More severe symptoms

  • Could affect 25 percent to over 30 percent of the population

  • Risk to all ages

  • A period of time for viral medications or vaccine to be developed and mass production to meet population need

  • High mortality rate (The CDC lists the U.S. 1918 flu death toll at 675,000. The world population in 1918 was 1 billion. The world population in 2006 is 6 billion.)

According to a biosecurity report by the Saint Louis University School of Public Health, a severe outbreak of disease without control measures could cause:

  • 90 million people to become sick.

  • 30 percent infected.

  • Social disruption.

  • Absenteeism could reach 40 percent.

  • An economic impact between $160 billion to $800 billion.

The flu epidemic of 1918 was the worst seen in the 20th century. It shut down businesses; food and medical help were in short supply; and there were numerous other ramifications.

In Lincoln, every school, theater and public place was ordered closed for 11 days in December. Adults and children were discouraged from going out in the streets during the Christmas and New Year holidays that year.

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Logan County Health Department research of death certificates in the county revealed that an estimated 18 percent of the deaths that year, 97 of approximately 550, were attributed to the flu.


Molly Jo Ehlert of the Logan County Health Department presents new findings taken from Logan County death certificates from 1902 to 1930. The chart shows all deaths on the upper line and flu deaths on the lower line.
This information has added to previous numbers from 1930 to today.  

Could that happen again, nearly 200 years later?

Even in this modern age of technology, it might take six months to identify new strain of flu and develop a vaccine against it. Public health officials recognize that a communicable disease could spread rapidly and sicken or even kill 25 percent of the population. An epidemic could occur, and it would affect daily life even here in the U.S.

Worldwide communications, improved medical care and technologies give us a better means of controlling the spread of flu.

What can you do to protect yourself and your family?

At the personal level, people are encouraged to stop the spread of germs and use good hygiene.

It is also advisable to create your own all-purpose emergency kit that would take care of family needs several days or even weeks. It should include water and nonperishable food, such as canned goods; medications and prescriptions; and don't forget food for Fido and kitty. [See more details of what to include in your home kit (second page of the PDF file).] [To download Adobe Acrobat Reader for the PDF file, click here.]

While it impossible to predict just what might happen, local leaders are now sorting through the next set of decisions that they may face, in hopes of being more prepared. Steve Siltman, director of the Logan County Paramedic Association, suggested that the unanswered questions be addressed by subcommittees of those who would be most involved in those areas.

LDN will continue to bring you more information on this important subject. In the meantime, follow Mom's advice: Cover your mouth when you cough or sneeze, and wash your hands.

[Jan Youngquist]

[Part 1, posted Oct. 6]


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