There is no need to stop hunting waterfowl. However, waterfowl hunters should always take simple precautions to protect themselves from exposure to disease, including:

  • Do not handle obviously sick birds or birds found dead.
  • Keep your game birds cool, clean, and dry.
  • Do not eat, drink, or smoke while cleaning harvested waterfowl.
  • Wear rubber gloves when cleaning waterfowl.
  • Wash your hands with soap and water after cleaning waterfowl.
  • Clean up tools and surfaces immediately with hot, soapy water and disinfect with a mixture of 10 percent household chlorine bleach in water.
  • Thoroughly cook harvested waterfowl (165º Fahrenheit).

You don't have to be concerned that neighbor's poultry and animals will expose you to bird flu at this time. If HPAI bird flu does occur in New York, additional guidance from experts will be developed.

It is safe for a child to take part in projects that involve hatching eggs and raising chicks. Chickens that get infected with bird flu become ill and often stop laying eggs, so there is little risk of bird flu. However, chicks can carry other diseases such as salmonella. Projects involving hatching eggs and raising chicks should minimize hand contact and require thorough hand washing if contact does occur.

There is no evidence that properly cooked poultry or eggs can be a source of infection from bird flu. Because other common diseases such as salmonella infection can be spread by eating undercooked poultry or eggs, always cook them thoroughly. Wash your hands with soap and hot water after touching any raw meat. Make sure to clean cutting boards and counters used for food preparation immediately after use to prevent cross contamination with other foods.

You cannot get bird flu from Canada goose droppings in parks, ballparks, reservoirs and other public places. However, many different bacteria, viruses, and parasites are present in feces. It is best to avoid exposure to bird droppings. The following precautions should be taken:

  • Teach children to always wash their hands after playing outside.
  • If you pick up droppings, use a shovel, "pooper scooper," or gloves - never your bare hands.
  • If you are worried about exposure during swimming, swim at a regulated beach. Regular tests are conducted to make sure the water is not polluted from human, animal or farm waste.

Adenoviruses are a group of viruses that can infect the membranes (tissue linings) of the respiratory tract, eyes, intestines, urinary tract, and nervous system. They account for about 10% of fever-related illnesses and acute respiratory infections in kids and are a frequent cause of diarrhea.

Adenoviral infections affect babies and young children much more often than adults. Childcare centers and schools sometimes have multiple cases of respiratory infections and diarrhea caused by adenovirus.

Adenoviral infections can occur at any time of the year, but:

  • respiratory tract problems caused by adenovirus are more common in late winter, spring, and early summer
  • conjunctivitis (pinkeye) and pharyngoconjunctival fever caused by adenovirus tend to affect older kids, mostly in the summer

Adenoviral infections can affect children of any age, but most occur in the first years of life — and most kids have had at least one before age 10. There are many different types of adenoviruses, so some kids can have repeated adenoviral infections.

effet secondaire du remeron

Clinical and serologic evidence indicate that 2 American scientists contracted Zika virus infections while working in Senegal in 2008. One of the scientists transmitted this arbovirus to his wife after his return home. Direct contact is implicated as the transmission route, most likely as a sexually transmitted infection since none of their four children contracted the virus.

The largest outbreak of the Zika Virus began in October 2013 in French Polynesia, South Pacific with an estimated 28,000 infections. Outbreaks also occurred in Easter Island, the Cook Islands and New Caledonia.

In May 2015, the public health authorities of Brazil confirmed ZIKV infection in the north-eastern part of the country. Healthcare authorities confirmed that a previously unknown disease affecting around 500 patients with flu-like symptoms followed by rash and arthralgia was indeed an ongoing outbreak of Zika fever.

On 16 October 2015, the first cases of ZIKV infections were reported in Colombia, with nine confirmed cases in the Bolivar department. From 16 October to 21 November, Colombian authorities reported 578 confirmed cases and 2 635 suspected cases..

On 12 November 2015, the Suriname authorities reported five cases of ZIKV through IHR.

On 24 November 2015, the health authorities of French Polynesia reported an unusual increase of at least 17 cases of central nervous system malformations in foetuses and infants during 2014-2015.

On 26 November 2015, Mexico authorities acknowledged three ZIKV cases, including two autochthonous cases reported from Nuevo Leon and Chiapas. The imported cases had recently travelled to Colombia.

On 27 November 2015, the Paraguay IHR National Focal Point (NFP) reported the confirmation of six ZIKV cases in the city of Pedro Caballero - close to the border with Brazil.

On 1 December 2015, media, quoting authorities, reported 17 suspected cases of ZIKV infection in Guatemala, 14 of which were among hospital employees. Blood samples have been collected and sent to the US for analysis.

On 3 December 2015, the Ministry of Health of Panama reported three autochthonous cases of Zika virus infection. All three cases are residents of the district of Ailigandi, Guna Yala (north-east).

vente de remeron pas cher paris

  • Blood in your stool or vomit
  • High fever
  • Severe, localized stomach pain. You should be especially concerned about pain in the lower right abdomen, a possible sign of appendicitis.
  • An inability to keep food or liquids down, or losing fluids faster than you can replenish them orally
  • Vomiting that becomes more violent or lasts for more than 48 hours
  • Signs of dehydration (dry mouth, dry skin, thirst, no urination for six hours)

What can a doctor do to treat the illness?

Before doing anything else, your doctor will try to confirm the diagnosis by checking your symptoms and conducting a physical. If you've recently eaten something that might have spoiled or you've visited a place with poor sanitation, be sure to mention it. It would also be good to tell your doctor if you've been traveling recently or if you've been in contact with someone who has similar symptoms.

Once the condition has been diagnosed, your doctor can start treating the symptoms.

Doctors may suggest a bland diet (although the scientific data to suggest this is sparse), and frequent small amounts of fluids, possibly including rehydrating fluids to treat dehydration. Rehydrating fluids are a special mix of water, sugar, and salts available in pharmacies that replace the water you lost. In extreme cases, the fluid may be given intravenously.

If you have severe diarrhea, your doctor may advise you to take an over-the-counter drug that slows down intestinal function and prescribe an anti-nausea drug as well. If you have been experiencing the symptoms for only a few days and the symptoms are relatively mild, your doctor will most likely suggest you try to treat the symptoms and avoid antibiotics.

If the illness is severe or lingers for more than a couple of weeks, your doctor may want to collect a stool sample to pinpoint the exact cause of the distress.

What should I do if I have the condition?

Most people with gastroenteritis just need to rest for a few days. If vomiting is a problem, you have to avoid certain solid foods for a while. As soon as you feel up to it, sip small amounts of clear liquids such as tea or broth every 15 minutes. As your stomach starts to settle down, you can move on to solid food.

Because children with diarrhea can get dehydrated very easily, they may need special care. Give sick children plenty of liquids -- offering a small amount of liquid every few minutes or so, even if they are vomiting. Infants who seem restless or unusually thirsty should be given an oral rehydration solution, water mixed with a packet of salt and carbohydrates; they are also sold in bottles (e.g. Pedialyte and Ricelyte). These packets and rehydrating liquids are widely available in supermarkets and drug stores and are even sold in popsicle form. Don't give children carbonated beverages or sports drinks. A child who needs to take these liquids for more than a day or two should probably see the doctor to be sure that he or she is not getting dehydrated.

Can the condition be prevented?

Because most cases are caused by bacteria or viruses, you can prevent much misery by taking a stand against germs. First and foremost, make sure everyone in your house washes his or her hands regularly, especially after using the bathroom and before touching food. Hand washing becomes even more important when someone in the house is having a bout of gastroenteritis.

You should also take steps to prevent food poisoning. Keep your kitchen clean, carefully watch expiration dates on food, and don't leave perishable food at room temperature for more than two hours. Be extra careful with raw chicken, a major source of Campylobacter, or any raw meats or eggs, for that matter. Clean any surfaces and kitchen tools that you use to handle raw chicken with soap and hot water before preparing another dish.

Before you leave on a trip, it's a good idea to visit your doctor to talk about what you can do to prevent problems with diarrhea when you are traveling in areas with poor sanitation. Among other things, you can get immunized against typhoid, hepatitis A, and other illnesses. Your doctor may also advise you to travel with Pepto Bismol, which has some antibacterial activity. Or he may recommend an antidiarrheal medication that can help you if you're stuck on a long bus ride in with no bathroom readily available or suggest prophylactic antibiotics in case you are somewhere without a doctor.

And if you're traveling to an area with poor sanitation, don't trust the water. Simply brushing your teeth with tap water or tossing a couple of ice cubes in a drink can be enough to make you sick. In many areas, the only safe beverages are boiled or bottled water, canned or bottled sodas, tea and coffee made with boiled water, beer, and wine. If it's not possible to boil your water, you may have to use chemical disinfectants such as iodine or chlorine.

Keep in mind that the food can be as risky as the water. You should be especially suspicious of salads, garnishes, uncooked vegetables, unpasteurized milk, raw meat, shellfish, and any foods sold by street vendors. In general, fruits that you peel yourself and hot meals are safer choices. (Some restaurants in developing countries that cater to tourists disinfect their lettuce and other vegetables before making them into salads, but salads sold on the street may not be.)

Since 2008, the American Academy of Pediatrics has recommended a rotavirus vaccine for all infants. Two vaccines given orally, not by a shot, are licensed for use in the United States: RotaTeq (RV5) is given in 3 doses at ages 2 months, 4 months, and 6 months; Rotarix (RV1) is given in 2 doses at ages 2 months and 4 months.

achat remeron en suisse ou au surinam

Pour être informé de la parution du dernier Flash Grippe, abonnez-vous à Infolettre Flash Grippe.

Dernière mise à jour: 17 avril 2018, 15:30

10 Illinois residents have been diagnosed with infections caused by a strain of Elizabethkingia anophelis that is different from the outbreak in Wisconsin
*Please note that numbers are provisional and may be subject to change.

Elizabethkingia bacteria are rarely reported to cause illness in humans. Symptoms among people diagnosed with Elizabethkingia infection can include fever, shortness of breath, chills or cellulitis. Confirmation of the illness requires a laboratory test.

IDPH is currently investigating a cluster of bacterial infections caused by Elizabethkingia anophelis. The majority of patients acquiring these infections are over 65 years old, and all patients have a history of at least one underlying serious illness.

To date, Wisconsin is reporting 59 confirmed cases, including 18 deaths; Michigan is reporting one confirmed case, including one death. Illinois has one case matching the strain found in Wisconsin. The remaining 10 cases in the current cluster are of a different strain.

At this time, the source of these infections is still unknown. IDPH is working with the Centers for Disease Control and Prevention (CDC) and the Wisconsin and Michigan Departments of Public Health to conduct a comprehensive investigation which includes:

  • Interviewing patients with Elizabethkingia anophelis infection and/or their families to gather information about activities and exposures related to healthcare products, food, water, restaurants, and other community settings
  • Obtaining environmental and product samples from facilities that have treated patients with Elizabethkingia anophelis infections
  • Conducting a review of medical records
  • Obtaining nose and throat swabs from individuals receiving care on the same units in health care facilities as a patient with a confirmed Elizabethkingia anophelis to determine if they are carrying the bacteria
  • Obtaining nose and throat swabs from household contacts of patients with confirmed cases to identify if there may have been exposure in their household environment
  • Performing a “social network” analysis to examine any commonalities shared between patients including health care facilities or shared locations or activities in the community

For more outbreak and disease information about Elizabethkingia anophelis, please visit CDC’s website.

About Virus, Bacteria and Fungus Types of Germs Causing Infection Symptoms

Bacteria, virus, fungus and other infectious germs are inescapably everywhere. These germs are the cause for your fever, runny nose, ache, pain and other signs and symptoms of your cold or flu misery.

Not all germs cause harm, but knowing more about the bacteria, viruses and fungus germs that do, will help you avoid their illness causing effects.

It is your immune system that protects you against these infection causing agents, but sometimes they make it across its barrier. When an infection causing germ enters your body and begins to multiply, your immune system immediately goes into action to it fight off.

Sending out white blood cells, antibodies and other environment adjusting resources in its effort to get rid of whatever is. For example, this is why your body reacts with fever, coughing and sneezing in its battle against a common cold virus.

There is a notable difference between infection and disease. Infection occurs when bacteria, viruses, fungus or other microbes multiply in your body. Disease is the resulting cell damage of this infection. It is at this cell damage point when your signs and symptoms of an illness are noticed.

Bacteria is a very small, self-sufficient, one-celled organism that thrives in a variety of environments. However, many bacteria thrive in the mild 98.6 healthy body environment.

acheter du remeron pas cher forum

Chest Pain or Chest Discomfort: Few symptoms are more alarming than chest pain. In the minds of many people, chest pain equals heart pain. And while many other conditions can cause chest pain, cardiac disease is so common - and so dangerous - that the symptom of chest pain should never be dismissed out of hand as being insignificant. "Chest pain" is an imprecise term. It is often used to describe any pain, pressure, squeezing, choking, numbness or any other discomfort in the chest, neck, or upper abdomen, and is often associated with pain in the jaw, head, or arms. It can last from less than a second to days or weeks, can occur frequently or rarely, and can occur sporadically or predictably. This description of chest pain is obviously very vague, and as you might expect, many medical conditions aside from heart disease can produce symptoms like this.

Lightheadedness or Dizziness: Episodes of lightheadedness or dizziness can have many causes, including anemia (low blood count) and other blood disorders, dehydration, viral illnesses, prolonged bed rest, diabetes, thyroid disease, gastrointestinal disturbances, liver disease, kidney disease, vascular disease, neurological disorders, dysautonomias, vasovagal episodes, heart failureand cardiac arrhythmias. Because so many different conditions can produce these symptoms, anybody experiencing episodes of lightheadedness or dizziness ought to have a thorough and complete examination by a physician. And since disorders of so many organ systems can cause these symptoms, a good general internist or family doctor may be the best place to start.

Syncope (Fainting/Loss of Consciousness): Syncope is a sudden and temporary loss of consciousness, or fainting. It is a common symptom - most people pass out at least once in their lives - and often does not indicate a serious medical problem. However, sometimes syncope indicates a dangerous or even life-threatening condition, so when syncope occurs it is important to figure out the cause.

Fatigue, Lethargy or Daytime Sleepiness: Fatigue, lethargy or somnolence (daytime sleepiness) are very common symptoms. Fatigue or lethargy can be thought of as an inability to continue functioning at one's normal levels. Somnolence implies, in addition, that one either craves sleep - or worse, finds oneself suddenly asleep, a condition known as narcolepsy - during the daytime. While fatigue and lethargy can be symptoms of heart disease (particularly, of heart failure), these common and non-specific symptoms can also be due to disorders of virtually any other organ system in the body. Similar to lightheadedness and dizziness, individuals with fatigue and lethargy need a good general medical evaluation in order to begin pinning down a specific cause. Somnolence is often caused by nocturnal sleep disorders such as sleep apnea, restless leg syndrome or insomnia. All these sleep disturbances, however, are more common in patients with heart disease.

Treatment of the Common Cold in Children and Adults

JULIA FASHNER, MD; KEVIN ERICSON, MD; and SARAH WERNER, DO, St. Joseph Family Medicine Residency, Mishawaka, Indiana

Am Fam Physician. 2012 Jul 15;86(2):153-159.

Patient information: See related handouts on treating the common cold in adults and in children, written by the authors of this article.

The common cold, or upper respiratory tract infection, is one of the leading reasons for physician visits. Generally caused by viruses, the common cold is treated symptomatically. Antibiotics are not effective in children or adults. In children, there is a potential for harm and no benefits with over-the-counter cough and cold medications; therefore, they should not be used in children younger than four years. Other commonly used medications, such as inhaled corticosteroids, oral prednisolone, and Echinacea, also are ineffective in children. Products that improve symptoms in children include vapor rub, zinc sulfate, Pelargonium sidoides (geranium) extract, and buckwheat honey. Prophylactic probiotics, zinc sulfate, nasal saline irrigation, and the herbal preparation Chizukit reduce the incidence of colds in children. For adults, antihistamines, intranasal corticosteroids, codeine, nasal saline irrigation, Echinacea angustifolia preparations, and steam inhalation are ineffective at relieving cold symptoms. Pseudoephedrine, phenylephrine, inhaled ipratropium, and zinc (acetate or gluconate) modestly reduce the severity and duration of symptoms for adults. Nonsteroidal anti-inflammatory drugs and some herbal preparations, including Echinacea purpurea, improve symptoms in adults. Prophylactic use of garlic may decrease the frequency of colds in adults, but has no effect on duration of symptoms. Hand hygiene reduces the spread of viruses that cause cold illnesses. Prophylactic vitamin C modestly reduces cold symptom duration in adults and children.

The common cold, or upper respiratory tract infection, usually is caused by one of several respiratory viruses, most commonly rhinovirus. These viruses, which concentrate in nasal secretions, are easily transmitted through sneezing, coughing, or nose blowing. Signs and symptoms of the common cold include fever, cough, rhinorrhea, nasal congestion, sore throat, headache, and myalgias.

Antibiotics should not be used for the treatment of cold symptoms in children or adults.

Over-the-counter cough and cold medications should not be used in children younger than four years because of potential harms and lack of benefit.

Treatment with buckwheat honey, Pelargonium sidoides (geranium) extract (Umcka Coldcare), nasal saline irrigation, vapor rub, or zinc sulfate may decrease cold symptoms in children.

Codeine is not effective for cough in adults.

Antihistamine monotherapy (sedating and nonsedating) does not improve cold symptoms in adults.

Decongestants, antihistamine/decongestant combinations, and intranasal ipratropium (Atrovent) may improve cold symptoms in adults.

acheter remeron sans ordonnance en belgique

Older adults and people who have serious illnesses or weak immune systems may have fewer and milder symptoms. They may even have a lower than normal temperature. If they already have a lung disease, it may get worse. Older adults who have pneumonia sometimes have sudden changes in mental awareness.

Often, people who have pneumonia can be successfully treated and do not have complications. Possible complications of pneumonia may include:

  • Bacteremiaand septic shock.Bacteremia is a serious complication in which bacteria from the initial site of infection spread into the blood. It may lead to septic shock, a potentially fatal complication.
  • Lung abscesses.Lung abscesses usually are treated with antibiotics. Sometimes surgery or drainage with a needle is needed to remove the pus.
  • Pleural effusions, empyema, and pleurisy. These painful or even potentially fatal complications can occur if pneumonia is not treated. The pleura is a membrane that consists of two large, thin layers of tissue. One layer wraps around the outside of your lungs and the other layer lines the inside of your chest cavity. Pleurisy is when the two layers of the pleura become irritated and inflamed, causing sharp pain each time you breathe in. The pleural space is a very thin space between the two pleura. Pleural effusions are the build-up of fluid in the pleural space. If the fluid becomes infected, it is called empyema. If this happens, you may need to have the fluid drained through a chest tube or removed with surgery.
  • Renal failure
  • Respiratory failure

Sometimes pneumonia is hard to diagnose because it may cause symptoms commonly seen in people with colds or the flu. You may not realize it's more serious until it lasts longer than these other conditions. Your doctor will diagnose pneumonia based on your medical history, a physical exam, and test results. Your doctor may be able to diagnose you with a certain type of pneumonia based on how you got your infection and the type of germ causing your infection.

Your doctor will ask about your signs and symptoms and how and when they began. To find out whether you have bacterial, viral, or fungal pneumonia, your doctor also may ask about:

  • Any recent traveling you've done
  • Your hobbies
  • Your exposure to animals
  • Your exposure to sick people at home, school, or work
  • Your past and current medical conditions, and whether any have gotten worse recently
  • Any medicines you take
  • Whether you smoke
  • Whether you've had flu or pneumonia vaccinations

Your doctor will listen to your lungs with a stethoscope. If you have pneumonia, your lungs may make crackling, bubbling, and rumbling sounds when you inhale. Your doctor also may hear wheezing. Your doctor may find it hard to hear sounds of breathing in some areas of your chest.

If your doctor thinks you have pneumonia, he or she may recommend one or more of the following tests.

  • Chest x ray to look for inflammation in your lungs. A chest x ray is the best test for diagnosing pneumonia. However, this test won't tell your doctor what kind of germ is causing the pneumonia.
  • Blood tests such as a complete blood count (CBC) to see if your immune system is actively fighting an infection.
  • Blood culture to find out whether you have a bacterial infection that has spread to your bloodstream. If so, your doctor can decide how to treat the infection.

Your doctor may recommend other tests if you're in the hospital, have serious symptoms, are older, or have other health problems.

  • Sputum test. Your doctor may collect a sample of sputum (spit) or phlegm (slimy substance from deep in your lungs) that was produced from one of your deep coughs and send the sample to the lab for testing. This may help your doctor find out if bacteria are causing your pneumonia. Then, he or she can plan your treatment.
  • Chest computed tomography (CT) scan to see how much of your lungs is affected by your condition or to see if you have complications such as lung abscesses or pleural effusions. A CT scan shows more detail than a chest x ray.
  • Pleural fluid culture. For this test, a fluid sample is taken from the pleural space (a thin space between two layers of tissue that line the lungs and chest cavity). Doctors use a procedure called thoracentesis to collect the fluid sample. The fluid is studied for bacteria that may cause pneumonia.
  • Pulse oximetry. For this test, a small sensor is attached to your finger or ear. The sensor uses light to estimate how much oxygen is in your blood. Pneumonia can keep your lungs from moving enough oxygen into your bloodstream. If you're very sick, your doctor may need to measure the level of oxygen in your blood using a blood sample. The sample is taken from an artery, usually in your wrist. This test is called an arterial blood gas test.
  • Bronchoscopy is a procedure used to look inside the lungs' airways. If you're in the hospital and treatment with antibiotics isn't working well, your doctor may use this procedure. Your doctor passes a thin, flexible tube through your nose or mouth, down your throat, and into the airways. The tube has a light and small camera that allow your doctor to see your windpipe and airways and take pictures. Your doctor can see whether something is blocking your airways or whether another factor is contributing to your pneumonia. Your doctor may use this procedure to collect samples of fluid from the site of pneumonia (called bronchoalveolar lavage or BAL) or to take small biopsies of lung tissue to help find the cause of your pneumonia.

Your doctor may also diagnosis you with a certain type of pneumonia. Pneumonia is named for the way in which a person gets the infection or for the germ that causes the infection.

  • Community-Acquired Pneumonia (CAP). CAP is the most common type of pneumonia and is usually caused by pneumococcus bacteria. Most cases occur during the winter. CAP occurs outside of hospitals and other health care settings. Most people get CAP by breathing in germs (especially while sleeping) that live in the mouth, nose, or throat.
  • Hospital-Acquired Pneumonia (HAP). HAP is when people catch pneumonia during a hospital stay for another illness. HAP tends to be more serious than CAP because you're already sick. Also, hospitals tend to have more germs that are resistant to antibiotics that are used to treat bacterial pneumonia.
  • Ventilator-associated pneumonia (VAP). VAP is when people who are on a ventilator machine to help them breathe get pneumonia.
  • Atypical pneumonia. Atypical pneumonia is a type of CAP. It is caused by lung infections with less common bacteria than the pneumococcus bacteria that cause CAP. Atypical bacteria include Legionella pneumophila, Mycoplasma pneumoniae, or Chlamydia pneumoniae.
  • Aspiration pneumonia. This type of pneumonia can occur if you inhale food, drink, vomit, or saliva from your mouth into your lungs. This may happen if something disturbs your normal gag reflex, such as a brain injury, swallowing problem, or excessive use of alcohol or drugs. Aspiration pneumonia can cause lung abscesses.

Acute chest pain and Flu-like symptoms
Symptom Checker

  • Acute chest pain AND Flu-like symptoms - Causes of All Symptoms
  • Acute chest pain OR Flu-like symptoms - 184 causes

Results: Causes of Acute chest pain AND Flu-like symptoms

Note: Do not use for diagnosis; see limitations of results.

acheter remeron en ligne paypal

Synonyme: "echte" Grippe, Virusgrippe
Englisch: influenza, flu

Influenza ist eine durch das Influenzavirus verursachte Erkrankung der Atemwege. Hierdurch wird die Schleimhaut (Mucosa) der Atemwege angegriffen und das Eindringen anderer pathogener/toxischer Erreger erleichtert. Das Influenzavirus ist sehr ansteckend.

Die Infektion erfolgt meist durch das Einatmen (Inhalation) von infizierten Partikeln (Tröpfcheninfektion bei Husten und Niesen). Es sind aber auch Schmier- und Kontaktinfektionen möglich.

Die Viren binden an Rezeptoren von Zellen im Atemtrakt, dringen in diese ein, vermehren sich dort und führen schließlich zu einer Zerstörung der betroffenen Zellen. Hierbei werden viele neue Viren freigesetzt. Es kommt zu einer ausgeprägten Entzündungsreaktion. Die Inkubationszeit beträgt 1-4 Tage.

Eine niedrige Luftfeuchtigkeit und Kälte begünstigen die Übertragung der Viren. Deshalb kommt es zu einer Häufung von Infektionen während der Herbst- und Wintermonate. Als mögliche Ursachen dafür werden diskutiert:

  • Austrockung der Schleimhäute
  • Verdickung des Nasenschleims durch Kälteexposition
  • Schnellere Zersetzung der Viren bei hoher Luftfeuchtigkeit

Influenzaviren sind allgemein behüllte Einzelstrang-RNA-Viren. Je nach auslösendem Virustyp unterscheidet man:

  • Influenza A: Es gibt 16 H-Subtypen (H1-H16) und 9 N-Subtypen (N1-N9). Die Buchstaben H und N stehen dabei für die Pathogenitätsfaktoren Hämagglutinin und Neuraminidase. Durch die jährliche Veränderung der H- und N-Antigene kommt es zu einer fehlenden Wirksamkeit von bestehenden Antikörpern und damit zu jährlichen Grippeepidemien. Beispiele für Influenza A sind:
    • Influenza-A-(H1N1)
    • Influenza-A-(H5N1)
    • Influenza-A-(H7N9)
  • Influenza B
  • Influenza C

Typisch ist ein plötzlicher und heftiger Ausbruch der Krankheit. Die Symptome gleichen zum Teil denen einer starken Erkältung (die im Volksmund auch oft fälschlicherweise als Grippe bezeichnet wird), meist sind sie jedoch stärker ausgeprägt:

Mehrtägiges Fieber von 39 bis 40 Grad ist möglich. Komplikationen können Kreislaufschwäche, Entzündung des Nervensystems und der Lunge sein.

In der nördlichen Hemisphäre tritt Influenza bevorzugt in den Wintermonaten, also saisonal, auf ("Grippesaison"). Die genaue Inzidenz ist bei Grippe nur schwer abschätzbar, da inapparente und leichtere Krankheitsverläufe die Abgrenzung erkrankter Personen erschweren. Vom CDC (Center for Disease Control) wird geschätzt, dass ca. 15% der Bevölkerung betroffen ist (oft aber ohne Symptome). Die stationäre Inzidenz liegt etwa bei ca. 60 Personen auf 100.000 Fälle.

Die Mortalität der Influenza ist abhängig vom zirkulierenden Subtyp. Sie schwankte nach Schätzungen des RKI im Zeitraum von 1985-2006 zwischen 0,1 und 38 Todesfällen pro 100.000 Einwohner.

  • Spanische Grippe: Durch eine spezielle Variante des H1N1-Erregers ausgelöste Influenza, die weltweit etwa 20-40 Millionen Opfer forderte (1918).
  • Vogelgrippe: Seit schätzungsweise knapp 10 Jahren ist in Asien die Vogelgrippe verbreitet. Hierbei traten Influenza-A-Viren des Subtyps H5N1 von Hühnern auf Menschen über. Durch Schlachtung Tausender Tiere ist ein Ausbruch einer Pandemie verhindert worden. Nichtsdestotrotz herrscht in Expertenkreisen nach wie vor die große Angst vor, dass der H5N1-Virus mutiert, von Mensch zu Mensch übertragbar und damit hoch gefährlich wird. Eine neue Pandemie wie die Spanische Grippe, so fürchtet man, könnte ebenfalls Millionen von Menschenleben fordern.

Der direkte Nachweis von Virus-Antigenen kann mittels Immunfluoreszenz, ELISA oder PCR erfolgen. Als Probenmaterial wird Nasenspülwasser, Rachenspülwasser oder durch eine bronchoalveoläre Lavage (BAL) gewonnenes Bronchialsekret verwendet.

Der indirekte Nachweis einer Infektion wird durch Bestimmung der Influenza-Antikörper (IgA, IgG, IgM) im Serum mittels ELISA erbracht.

Wie bei anderen Influenzaformen bietet die Impfung nur einen relativen Schutz. Das Problem dabei ist, dass sich Grippe-Viren ständig verändern und deswegen Impfungen jedes Jahr aufgefrischt werden müssen. Schutzimpfungen sind für ältere Menschen und besonders gefährdete Personen empfohlen (Patienten mit chronischen Lungen-, Herz-, Leber-, Nierenerkrankungen, medizinisches Personal).

Eine effektive, aber häufig unterschätzte Maßnahme ist das gründliche Händewaschen, da die Erreger durch Seifen abgetötet werden. Es minimiert vor allem das Risiko einer Schmierinfektion.

Das Tragen von Gesichtsmasken ist nur sinnvoll, wenn es sich um Masken handelt, die den ungefilterten Lufteinstrom ausreichend vermindern, wie z.B. FFP3-Masken. Einfache Gesichtsmasken (Mundschutz) sind als Schutzmaßnahme unwirksam, da sie den Atemstrom nicht filtrieren, weil Luft frei an den Seiten ein- und austreten kann.

  • remeron 7,5 mg sommeil

    Rosemary (Rosmarinus) works as an antiseptic and an antimicrobial agent. In The Complete Book of Essential Oils and Aromatherapy, Valerie Ann Worwood suggests using a blend of rosemary, lemon and eucalyptus oils to massage the nose, cheekbones and temples in order to relieve congestion and discomfort.

    9. Thieves

    Thieves is a blend of clove (syzygium aromaticum), lemon, cinnamon bark (cinnamomum), eucalyptus and rosemary that was created by 15th century thieves during the plague. The oil blend is antiviral, antiseptic and antibacterial. It works well in a diffuser to help purify the air in your home or as a throat spray to soothe a sore throat.

    A great way to get the benefits of essential oils is by breathing them so that they enter your body through the nose and lungs. You can use them in a diffuser or you can simply add four or five drops of the oil to a pot of boiled water. Cover your head with a towel while carefully leaning over the liquid and breathing in the steam.

    Another option is to place a drop or two of the oils on a warm damp washcloth and then place the washcloth on your chest or your forehead to help relieve pain and congestion. Or add five to eight drops of oil to the water as you run your bath for a soothing, relaxing effect.

    Essential oils are not a substitute for other proven methods for fighting colds such as getting enough fluids, getting enough rest or seeing your doctor if your symptoms worsen. However, if you are looking for natural ways to boost your body’s defenses during cold and flu season, it is well worth your time to investigate the impact essential oils can have on your health.

    Which is your favorite essential oil to fight colds and flu? Share your tips in the section below:

    Stomach Flu (Tummy Bug) – Signs, Symptoms and Treatment

    Infectious gastroenteritis is often referred to as a tummy bug or the stomach flu. It may be caused by bacteria, viruses or protozoa. The incubation period and duration of the infection may vary depending on the causative microorganism and the action of the microbe or toxins.

    The signs and symptoms of acute gastroenteritis should be discernible from other gastrointestinal conditions like irritable bowel syndrome (IBS). Proper management is crucial and most of the time, treatment for acute infectious gastroenteritis is only necessary in prolonged cases or immunocompromised patients.

    Refer to the article on Causes, Incubation Period and Duration of Infectious Gastroenteritis for further details on these aspects.

    The common signs and symptoms include:

    • Nausea
      • Constant and does not always ease after vomiting.
      • Retching is the involuntary but unproductive effort to vomit.
      • Heartburn and chest pain may be present as gastric contents rise up the esophagus coupled with muscle spasm from retching.
    • Vomiting
      • Severe with recurrent retching after expulsion.
      • May settle in the latter stages of the infection although nausea may still be present.
      • Eating solid foods usually aggravates nausea and vomiting.
      • Bloody vomit (hematemesis) is not always present and may only occur with persistent or violent vomiting (refer to gastritis caused by a Mallory-Weiss tear).
    • Diarrhea
      • Frequent, watery stools (large volume) often accompanied by intestinal cramps.
      • Certain infections and persistent diarrhea may result in bloody stools (melena

        black, tarry; hematochezia

        red, bloody).

      • Diarrhea may be mild in some infections.
      • Constant urging (tenesmus) may persist between evacuations.
    • Abdominal discomfort
      • Ranging from a dull ache, to colicky or severe abdominal pain.
      • Bloating and tenderness often present, especially in bacterial infections.
    • Fever
      • Fever may be absent in some cases of infectious gastroenteritis – bacterial toxins may not cause a fever.
      • Other microorganism may cause a low, moderate or high fever.
      • Varies from >100F/37.7C to 104F/40C – temperatures in excess of 104F/40C requires immediate medical attention.
    • Dehydration
      • Complication of fluid loss – vomiting, diarrhea, perspiration.
      • May be moderate to severe and may lead to death if left untreated.
      • Dizziness, dry mouth, poor skin turgor and fainting.
      • Signs of shock due to severe dehydration – immediate medical attention necessary.

  • acheter remeron en ligne paypal

    This brings us to consider the third classic cause of illness--the phenomenon known to indigenous healers as soul loss.

    Among the traditionals, soul loss is regarded as the most serious diagnosis and the major cause of premature death and serious illness, yet curiously, it's not even mentioned in our Western medical textbooks. The closest acknowledged context is “He/she has lost the will to live”.

    In Western society, soul loss is most easily understood as damage to a person's life essence, a phenomenon that usually occurs in response to trauma. When the trauma are severe, this may result in a fragmentation of that person's soul cluster, with the shattered soul parts dissociating, fleeing an intolerable situation. In overwhelming circumstances, these soul parts may not return.

    Soul loss can also occur when a child is mercilessly bullied or teased at home or at school, day after day, or when a young person is molested by the one who is supposed to be caring for them. When someone has been raped or assaulted, has suffered a shocking betrayal, a bitter divorce, a traumatic abortion, a terrible car accident, or even a serious surgery, soul loss is assured.

    Many of the young men and women who were sent to war in Afghanistan, Iraq, Kuwait, Viet Nam, Korea and beyond, came home personally damaged because they had suffered terrible soul loss. Our medical specialists labeled their disorders as post-traumatic stress syndrome, but they had little to offer these "walking wounded" in terms of true healing, and many who survived are still deeply traumatized at the soul level by what happened to them in war.

    Soul loss is easily recognizable if you know what you're looking for. Here's a checklist of some of the classic symptoms:

    • feelings of being fragmented, of not being all here.
    • blocked memory--an inability to remember parts of one's life.
    • an inability to feel love or receive love from another.
    • emotional remoteness.
    • a sudden onset of apathy or listlessness.
    • a lack of initiative or enthusiasm.
    • a lack of joy.
    • a failure to thrive.
    • an inability to make decisions.
    • an inability to discriminate.
    • chronic negativity.
    • addictions.
    • suicidal tendencies.
    • melancholy or despair.
    • chronic depression.

    Perhaps the most common symptom of soul loss is depression. In the early 1990s, Time magazine did a cover story on depression in America that revealed 60 million Americans were taking anti-depressant drugs on a daily basis, representing about 30% of our population.

    Today that number is closer to 80 million, representing about 40% of society at large, and sometimes that number jumps in response to a national trauma. On the Friday following 9/11, a television newscast revealed that 7 out of 10 Americans polled were experiencing significant depression in response to the tragedy, an indicator of soul loss on a national scale.

    Although the term “soul loss” is not familiar to most Westerners, examples of it are expressed daily in our language and descriptions of personal hardships. Media interviews and news reports include individuals’ comments such as “I lost a part of myself when that (trauma) happened” and “I have not been the same since.” When discussing soul loss with inquiring individuals, most everyone has a sense of having lost a “part” of themselves at some time in life, yet virtually no one has the awareness that the missing part(s) could be recovered.

    Watch a video of Hank discussing the three causes of spiritual illness:

  • acheter remeron en ligne paypal

    Poisoning is most often due to contaminated food or water. Arsenic is a natural compound that occurs in the soil, sometimes in dangerously high concentrations. Many cities and municipalities filter and test their water, but not all do; people who drink from private, particularly old, wells may also be at risk. Drinking only filtered, tested water is a good way to rule out this possibility. In rarer cases, people are intentionally poisoned, usually by a caretaker or someone else with direct access to food and water supply. Anyone who suspects intentional tampering should seek help from local authorities. Arsenic poisoning isn’t always fatal, but it can have life-altering consequences if left untreated for long periods of time.

    43) To the lady that said she can not think of anyone who would want to hurt her. My own sister.

    41) What poison acts slowly? I have been had tummy problems off and on for over a year now. I've been to the ER and the doctor never found an issue, although for the last 4 months not hardly a day goes by that I am not ill?

    I suspect I am being given something, but what, I have no idea.

    40) If you believe someone is poisoning you, there is an easy test. When he pours coffee for you and him, switch cups on him.

    39) Are you people serious? I never dreamed this kind of thing was so widespread!

    The reason that I'm here is because, I just read about that doctor whose trial is going on about him poisoning his wife with cyanide! That always piques my interest, because I truly believe my mother was murdered years ago by a con artist (his ex-wife and their daughter) that she married, but I could never prove anything because, I didn't know what type of poison he used.

    It's a very long story, but it involved a substantial amount of money and property and as soon as the property was paid off, he talked my mother into purchasing a pre-need plan (for her burial plot and funeral) and within less than a year she was suddenly diagnosed with breast cancer! All the years before she'd been as healthy as a horse, with no health problems at all! Anyway, she died a few years later and I knew he had done something to hasten her death so, he could get all the money and property, which he did!

    It has taken a great toll on me not being able to get any help or be able to prove anything, but what is still disturbing is how her skin had turned yellowish with tiny purple dots after she died (along with some other similar things described here). At the time, I can remember asking why her skin was so yellow and her husband repeatedly said it was from all of the carrot juice she'd been drinking! Then, years later, I learned that the purple dots are definitely tell-tale signs of someone being poisoned, yet nobody seemed to have even noticed!

    Anyway, it turns out that even if I could find out for sure what he did to her, there's nothing I could do about it now, because he's dead and he passed down all of the money/assets to his evil daughter, who, ironically, had a husband that suddenly dropped dead of cancer too!

    So, all of you who keep having strange things happen to you (especially, on a consistent basis), if I were you, I'd try to set him/her up with a hidden camera/video, a recorder, setting up the containers in a specific manner so that you can see if they've been moved/used, marking the levels of fluid, etc., as well as, saving some of the things like shampoo, drinks, etc. that you think have made you ill by pouring small amounts in bottles, so if necessary, they can be tested later.

  • achat en ligne remeron antidépresseur prozac

    This checklist is by no way all-inclusive, but it will help you identify experiences you may want to investigate into with the other person at a more meaningful level.

    • An overwhelming sense of love, affection and attraction that compels you beyond reason or sense.
    • A sense of completion that goes beyond words, it’s impossible to explain why or how you feel so whole once you’ve met this person.
    • A sense of honor, or integrity, or desire to share – but a reticence to burden or pressure the other with your experiences.
    • A magnetism to the other stronger than anything you have ever experienced. In fact you feel it for this person long after he or she leaves your space.
    • You find that your skills and knowledge perfectly complement one another.
    • The ability to literally feel one another whether you are with them physically or not. You’ve had that feeling from the moment you’ve met, and maybe you made a psychic connection even before you met physically.
    • A feeling you have to be in a certain place at a certain time, with no other reason, only to find that person in these places and times.
    • A feeling that you are so close you just might feel related – like a brother or a sister, but deeper than that level of relationship.
    • A feeling you intimately know every detail about this person but you want to hear all about them.
    • You love listening to each other’s stories.
    • You want to find out everything you can about the other.
    • You read between the lines and try to discover what they really mean or what they really desire and if you can fill that space for them.
    • A beginning of a breakdown of your lives as you knew them upon finding one another.
    • The power to touch the other and affect a response at any time without physical contact from any distance.
    • Over the course of your life you may have dreams of a “mystery man/woman.” When you meet them, it’s not necessarily a physical similarity, although many report that, it’s the eyes, and the smile, or maybe the overall presence of that person that feels exactly like that person you dreamed about.
    • Synchronicity will be abundant. You may find yourselves calling, emailing and texting one another at the exact same time. You may also find yourselves buying each other gifts at the same time or thinking about one another at the exact same time.
    • You may feel your heart wanting to jump out of your chest at the sound of his or her voice, or the mention of his or her name or casual thought of his or her essence.
    • The ability to feel each other’s emotions, whether they be happy or sad ones, from any distances.
    • The ability to contact one another through meditation and share the same experiences together.
    • An intense desire to ultimately be together no matter the obstacles blocking your way.
    • The ability to dream of your partner in their current state and verify the accuracy of that dream, later.
    • You may notice the ability to collapse time as you knew it. Upon your coming together, time and space both will cease to exist.
    • When you and your partner are out and about, you may notice the eyes of everyone are upon you. Your deep connection for one another will shine so greatly, that it is not uncommon for the eyes of everyone to be upon the two of you.
    • You may find yourselves completing each others sentences, sometimes even before you have the chance to begin them.
    • You are stunned, sometimes blown away by their sheer presence that seems to constantly surround you.
    • You never feel possessed, merely comforted by their presence. You feel instantly reassured that everything is right with the world as long as you can sense them.
    • Upon connecting with your twin flame, you may find that you are practically mirror images of one another and that you may want to even run from your partner because of the things you see from the reflection of his/her eyes. You may push your twin away for a time, while you work to get comfortable with the experiences and feelings you feel near them.
    • Sometimes you feel unable to communicate verbally, because you feel the relationship is so far along energetically. There is a gap between the energetic and the physical relationship.
    • If you currently live apart, (even at great distances) you may notice the power to be intimate without ever physically touching the other or being on the phone together, and verify the experience later.
    • You may notice that any of your bad habits, ie. smoking, drinking, or whatever they be, will deeply and adversely effect you. Even in your diet, food that you used to be able to eat, will have to be set aside. Sometimes you can’t eat, drink, or do what you used to do to bring yourself pleasure.

    • A realization that this isn’t the first time the two of you have met… Past life experiences and memories start to flood you. You have dreams and experiences or flashbacks to lives or experiences filled with this person. Maybe you make the mistake of calling them by a name you once knew them by or they do that to you.
    • If the both of you have similar interests, you may discover that you have been drawn to the same tastes or have been expressing similar frustrations long before your Twin Flame reunification. Sometimes you don’t realize you have the same interests until one of you introduces the other to a new interest or hobby.
    • You’ll either have similar body challenges or reflective ones. You might be able to feel when the other is weakened, or ill, or hurting. It may also affect you physically.
    • You find that your twin is the only one to alleviate you completely of your suffering, your pain, or heal your emotional or spiritual ails fully.
    • The individual twins become more as one, without losing their unique identities.
    • There may be obstacles to overcome to be together, but there are no barriers between twin flames. The relationship is a totally open one, and evolves naturally and often rapidly.
    • You almost always meet through unusual circumstances or situations that were totally unplanned and unexpected.
    • The two of you know without doubt that you have been brought together for some deeper purpose.
    • It feels as though you have been awakened since your reunion occurred. You feel more alive than you’ve ever felt.
    • You give to the other in ways to bring them joy, relief or nurture them and never think of receiving in return. Giving is the nature of the twin flame relationship and you feel the rewards in your giving.
    • You receive gifts from the other and never think it inappropriate or uncomfortable. In fact the gift is often something you’ve been lacking, in great need of or desiring for sometime but never voiced it before.
    • There is a strong sense you will be together for all eternity… even when you pass on in this life.
    • The relationship is immediate, as though no time had been lost since you were last together.
    • There is a very sacred sense of intimacy and feeling of divinely inspired wholeness that one finds within a twin soul relationship. It is not by accident nor is it without purpose.
    • You may still have karma with your twin from previous lives, but the two of you resolve it with total forgiveness and unconditional love.
    • There is nothing hidden between the two of you. You don’t hide secrets. You are truthful and respectful to one another.
    • Your conversations seem to go on forever. There is nothing you won’t discuss with your twin flame.
    • Your twin seeks your guidance and advice, and likewise before they go anywhere else.
    • There is no need to build walls or barriers between one another from pain or fear the other causes. Your twin will treat you as someone sacred.
    • However, if one half of the twin is not ready to access the relationship, or has been traumatized in some way, the other half senses that and may either demonstrate an unusual sense of sensitivity or protectiveness over that person.
    • The two of you are inseparable. No matter if there are distances between you physically there is no distance energetically for the twin souls.
    • Even if you don’t speak for weeks or months, even years, there’s always an inevitable drawing that eventually brings you back in touch with your twin.
    • Neither one of you are dependent on the other for your sense of self. You know who you are with or without your twin flame in the physical.
    • Your sexuality with one another is a sacred act that celebrates the unconditional love you have for one another. You feel a deep spiritual oneness with all that is.
    • Trust, patience and acceptance of each other’s weaknesses happen automatically. You will never intentionally use that weakness against your twin in anger or hurt.
    • There is a special sacredness to your relationship that transcends anything you’ve ever experienced before. You feel a deep sense of sacredness and unity that you’ve have never known before.
    • There are no restrictions within the relationship. All is freedom without the need for ownership or control.
    • You will feel inspired to create and your twin flame inspires your creativity.
    • You do not compete with one another nor do you pretend to be other than who you are. You love each other for their individuality and uniqueness. You understand that some things are better left to your twin’s strengths rather than competing
    • You recognize there is a deeper spirituality that you manifest and find that you’ve become reconnected to the higher self. You will gain knowledge of what your soul’s higher purpose is and will serve for that purpose.
    • In spite of your similarities as well as your differences, there is no doubt you feel a sense of completion through the other.
    • You will recognize you two are truly meant for one another. You will know you are one with everything in the universe and beyond.

    Find immediate answers to commonly asked questions about the diseases mosquitoes carry, transmit and spread.

    Frequently Asked Questions about Eastern Equine Encephalitis

    Q: Can people die from Eastern Equine Encephalitis here in the United States?

    A: Yes, sadly enough, this is one of the diseases mosquitoes transmit that can cause death in humans. Although many people who are infected with EEE virus have no symptoms or slight flu-like symptoms, there are some people who will develop life-threatening symptoms, including inflammation of the brain, coma, and ultimately, death. 1 in 3 people who contract a serious case of the disease will die from it, and those that do survive may end up with permanent damage to the nervous system, requiring lifelong care.

    Q: Is there a vaccine or antibiotic that can cure people who become sick with EEE?

    A: Any of the arboviral encephalitides are viral, so antibiotics are of little use in treating people with the disease. There is a vaccine for horses, but not for humans at this time. The best way to combat EEE and other arboviruses is before they strike – prevention is the key.

    A: As the name implies, eastern parts of the U.S., including the entire East Coast and Gulf Coast, and some areas of the Midwest. The primary type of area for this potentially fatal disease is swampland, with swamp-inhabiting birds being potential reservoirs of the disease. EEE is one of the diseases mosquitoes can spread.

    A: Symptoms are very similar to those of the flu with headache and body aches, fever, nausea, and so forth. In serious cases, encephalitis (inflammation of the brain), coma, and ultimately, death, may occur.

    Frequently Asked Questions about LaCrosse Encephalitis

    Q: How did this disease get its name – from LaCrosse, Wisconsin?

    A: Exactly. LaCrosse, Wisconsin was where the cause of the disease was first found back in 1963.

    Q: Where is LaCrosse Encephalitis found?

    A: Cases of the disease have mostly been found in the upper Midwest near deciduous forests, although more cases in the Southeastern and Mid-Atlantic regions have been reported lately. LaCrosse Encephalitis is one of the diseases mosquitoes transmit.