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Posts Tagged ‘Asthma’

Rock dos Ácaros – Mites’ Rock

13 de outubro de 2013 Comentários desligados

Rock dos Ácaros – Mites’ Rock & Roll

Um dos maiores alérgenos, para quem tem atopias, ou alergias são os ácaros.
Ácaro é a designação comum a algumas espécies de artrópodes da subclasse Acarina, pertencentes à classe dos aracnídeos, subclasse à qual pertencem mais de 30.000 espécies conhecidas, e que vivem em partículas de poeira, habitando carpetes, travesseiros, colchões e sofás.
Para o ácaro provocar uma reação ou crise alérgica, o indivíduo precisa ser sensível aos mesmos, como acontece com os portadores de alergias ou atopias como asma, dermatites, rinite alérgica, etc.
Para evitar ou minorar a possibilidade de crises alérgicas e crises de asma causada por fatores extrínsecos como os ácaros, é importante se preocupar com a higienização de sofás, de colchōes, travesseiros, carpetes, cobertores e outros utensílios que podem acumular poeira, e concomitantemente muitos ácaros!
Afim de ilustrar tanto para adultos e principalmente para as crianças que a prevenção das crises alérgicas passa pelo cuidado da higienização e pela orientação de um médico pneumologista ou alergista veja abaixo o vídeo ” Rock dos ácaros:”

Rock dos ácaros – Mites’ Rock and Roll

Anúncios

Flu virus in action

16 de abril de 2012 Comentários desligados

How do you stop the influenza virus (brown) invade the lung airway cilia (blue)? With flu vaccine!

20120416-094137 PM.jpg

Novo Vírus Causa Exacerbação de Asma em Crianças New Virus Cause Several Asthma in Children

19 de agosto de 2010 Comentários desligados

Asma- Asthma

Novo Virus Causa Exacerbação de Asma em Crianças

(PULMAOSANEWS) – Um novo grupo de Rinovirus, responsáveis por ocasionar infecções repiratórias, classificado como pertencente ao grupo C está ocasionando resfriados e provocando exacerbações severas de asma especialmente em crianças, segundo um estudo Australiano, divulgado na última quarta-feira, 19 de agosto de 2010, pela Sociedade Européia de Doenças Respiratórias.

Das 128 crianças ( 2 a 16 anos) avaliadas em serviço de emergência da Universidade de Western Australia em Perth, 85,2% , possuíam histórico de asma persistente moderada e grave, dos quais  98,9% foram internadas. O que segundo o Consultor da PULMÃO S.A. Dr. Marcos Nascimento pode ser um indício de que os novos Rinovirus C podem ter uma predileção por estes pacientes e por aqueles que tem asma classificada como parcialmente controlada e  os não controlados. “De tal sorte que este trabalho constitui um alerta para os pediatras, para os alergistas, e para os pneumologistas,” complementa o Dr. Nascimento.

Como a Asma tem seu principal mecanismo patogênico associado a inflamação brônquica, é de fundamental importância que se estabeleça uma barreira de proteção para estes pacientes mais suscetíveis.

Como criar uma barreira que proteja e minore o risco de mortalidade destes pacientes se não há vacinas para vírus de resfriados como o Rinovírus?  A criação da barreira de proteção significa manter o paciente asmático controlado, de maneira a diminuir os sintomas e evitar as exacerbações.

Neste contexto, há a necessidade de ter um acompanhamento regular médico, realizar espirometrias anuais e ter o seu tratamento de manutenção monitorado por profissional médico.

Envolvimento da família é crucial na educação sobre a doença, afim de que o paciente possa eliminar e controlar os fatores desencadeantes e até mesmo abortar uma crise de asma, sendo necessário o estabelecimento de um plano de ação escrito para todos os pacientes asmáticos, mas principalmente para os com asma persistente moderada e grave, alvos deste novo Rinovirus C.

Ter cobertura vacinal tanto para influenza pandêmica H1N1 quanto para a sazonal e também estar protegido com as vacinas anti pneumocócicas, heptavalente, treze valente e a Pneumo-23.

Por fim, deve-se lembrar sempre aos pais e aos pacientes com asma a necessidade obrigatória de não fumar! Afinal  as formas de  tabagismo  tanto ativo quanto passivo, e o tabagismo terciário agravam severamente a asma, e  constitui fator para  exacerbações múltiplas, colocando o paciente em risco maior de infecções respiratórias em geral como a do novo Rinovírus C.

FONTES:

PULMAOSANEWS-  Sua Atmosfera, Sua Vida! ®

Bizzintino J. et al. Eur Respir J. 2010 Aug 6. [Epub ahead of print]

ENGLISH

New Virus Cause Several Asthma in Children

VIRUS

A new group of viruses responsible for causing colds, family Rhinovirus, and classified as belonging to group C ( HRVC)  is causing colds and causing severe exacerbations of asthma especially in children, according to an Australian study, released on this Wednesday, August 19 2010 by the European Respiratory Society.
Of the 128 children (2-16 years) evaluated in the emergency department at the University of Western Australia in Perth, 85.2% had a history of moderate to severe persistent asthma, of whom 98.9% were hospitalized.

According to the Consultant of  PULMAOSA Dr. Marcos Nascimento, it can be an indication that the new HRVC  may have a predilection for these patients and those who have asthma classified as partially controlled and uncontrolled asthma. “So that this work is an alert for pediatrician, allergists, and pulmonologists,” adds Dr. Nascimento.

Because asthma has its main pathogenic mechanism associated with bronchial inflammation, is of fundamental importance to establish a protective barrier for these patients more susceptible.
How to create a barrier that protects and lessen the risk of mortality in these patients if there is no vaccines for viruses like colds Rhinovirus?

The creation of a protection shield means maintaining the asthmatic patient controlled, so as to lessen symptoms and prevent the exacerbations.

In this context, the need for regular monitoring physician, perform at least an  spirometry each year, and have maintenance treatment monitored by medical professionals is a si ne qua non condition.
Family involvement is crucial to education about the disease, so that the patient can control and eliminate the triggers and even abort an asthma attack, which required the establishment of a written plan of action for all asthma patients, but mainly for those with moderate to severe persistent asthma, new targets for this Rhinovirus C.

Have coverage for both influenza pandemic H1N1 as for seasonal and also be protected with the pneumococcal vaccine, heptavalent, thirteen brave and Pneumo-23.

Finally, one should always remember to parents and patients with asthma the mandatory no smoking! After all forms of active smoking, passive smoking and third Hand Smoking severely aggravate asthma, and constitutes a factor for multiple exacerbations, putting the patient at greater risk of respiratory infections in general as the new Rhinovirus C.

SOURCES:

PULMAOSANEWS-Your atmosphere, Your Life! ®
Bizzintino J. et al. Eur Respir J. 2010 Aug 6. [Epub ahead of print]

How can I keep my lungs healthy?

14 de abril de 2010 Comentários desligados

LUNGS

How can I keep my lungs healthy?

Your lungs perform an amazing job every day. Function as a large hydroelectric power supplier (read oxygen), for a country (for the whole body).
Healthy lungs provide large amounts of oxygen to the blood and this is what allows you to work, walk, run, play and live well. They also remove carbon dioxide and other gases that your body needs. There are many things you can do to keep your lungs healthy and free of disease:

1. If you smoke, seek help to stop. Today there are several forms of treatments available that will certainly help in this goal. See your doctor and he will be able to guide you.
But if you are a non-smoker, do not start! Smoking is theà       leading cause of serious lung diseases such as lung cancer and chronic obstructive pulmonary disease (COPD). The smoke from cigarettes, cigars and pipes contains over 4,000 harmful chemicals – and about 60 are known to known to cause cancer. The PULMAOSA points out that even if you have smoked for many years, it is never too late to stop and break free. Stop smoking, as well as possible, provides an immense sense of freedom as well as providing you reap the benefits for your health, to be smoke-free. Quitting smoking is not easy because smoking is an addiction. But it is a disease whose main difference is that there are resources available to deal with. A well directed, right drug, right, you can stop smoking in the 1st attempt.
But remember: Seek medical attention! Because without orientation greatly increases the chance of relapse.
2. Avoid smoke:
Secondhand smoke is a complex mixture of chemicals produced by burning tobacco. As active smoking, passive smoking can also cause disease and death. Two thirds of the smoke of a cigarette is not inhaled by the smoker, but spreads through the air around the smoker.
Here are some suggestions you can do to avoid secondhand smoke:

* Do not allow smoking in your home, car or at work.
* Support the restaurants, businesses, and places that are smoke-free.
* Make sure your children are not exposed to passive smoke in schools, nurseries or even with friends or relatives homes.

3.Secondhand smoking is deadly to you and also to your Pets:

If you are a smoker and love your dog, there is one VERY important thing you can do to save your animal’s life and yours too: quit smoking. A growing body of research – including the Surgeon General’s Report – shows there are no safe levels of exposure to secondhand smoke – for humans and for animals.

An estimated 50,000 Americans lose their lives to secondhand smoke (“SHS”) annually and 4 million youth (16 percent) are exposed to secondhand smoke in their homes. A number of studies have indicated that animals, too, face health risks when exposed to the toxins in secondhand smoke, from respiratory problems to allergies and even cancer.

Toxins in secondhand smoke can cause lung and nasal cancer in dogs and malignant lymphoma in cats, along with allergy and respiratory problems in other pets. One recent study shows that nearly 30 percent of pet owners live with at least one smoker – a number far too high given the consequences of exposure to SHS.

So, if you love your annimals and would like to protect them and yourself, look for Medical help and quit smoking!

4. Wash hands properly with soap and water regularly:
It is estimated that the hands are capable of commanding various germs (viruses such as  influenza H1N1, seasonal influenza, adenovirus, bacterias …) can be held responsible for a large percentage of common infectious respiratory diseases such as colds and flu. You can reduce the risk of getting sick, just practicing the act of washing hands. Therefore:

* Always wash your hands before meals, after going to the bathroom, before greeting people, especially children;
* Look to disclose this information at school and at work;
* Use alcohol hand sanitizer when you do not have access to soap and water.

5. Be aware of air pollution and do your part to keep the air clean:
Air pollution can cause health problems, especially for people who have lung diseases. Air pollution can irritate, inflame or destroy lung tissue. Even low levels of air pollution can cause health problems.
There are many things you can do to keep the air clean and healthy:

* Do not let your car engine on while standing and avoid the burning of fuel in enclosed areas, such as garages, or even open.
* Do not use unnecessary pesticides and other chemicals on your lawn and garden.
* Use, where possible, public transportation.
* Seek support laws and initiatives to improve air quality.
* Control moisture in your home: For example, use exhaust fans in bathrooms and kitchens to reduce the excess moisture from these sites, or just the windows abertas.Por other hand, in places whose relative to low, look no a wet towel inside the rooms to sleep. Ideally, try to maintain the relative humidity indoors between 40% and 50%.

* Control dust (especially if you are allergic to animal dander and dust mites) mites grow in mattresses, sofas and chairs with cushions. When possible, try to wash bedding in hot water (at least 54.5 ° C or 130 ° F) to kill dust mites. Keep carpets clean and dry.
* Make sure you are getting lots of fresh air and clean in your home. Open windows when cleaning or when performing painting.

6. Protect yourself from the danger to lung health at work:
People working in certain jobs such as construction and mining have a higher risk of lung diseases, including lung cancer, asthma and COPD. If you work in a place with much dust, asbestos, chemicals, please use Personal Protective Equipment (PPE).

SOURCES:
PULMÃO S. A. Lungs: Your atmosphere, Your Life! ®

Adapted from PHA-Canada

American Legacy Foudation

Logística de Saúde em Terremotos- Earthquake’s Health Logistics

1 de março de 2010 Comentários desligados

CHILE 2010

Logística de Saúde em Terremotos


Desastres ocorrem em todas as áreas do mundo e causam danos a pessoas, bens, infra-estruturas, economia e meio ambiente. Os danos relacionados as pessoas inclui a morte, ferimentos, doenças,desidratação, desnutrição e estresse psicológico.
Após os terremotos no Haiti e agora no Chile, a PULMAOSA no intuito de  de colaborar com as autoridades chilenas, e  fornecer subsídios para a logística da saúde pública, faz uma revisão sobre a  necessidade de planejamento para evitar doenças que podem surgir após um terremoto.
Embora os países em desenvolvimento sejam mais dependentes da comunidade internacional, dado as suas limitações de pessoal qualificado, infra-estrutura e
mesmo financeiras, a freqüência e a gravidade com que estes eventos têm ocorrido, conduzem as Nações Unidas e estes países para que tenham um planejamento a fim de responder a estas demandas.
Possíveis atrasos na resposta, infelizmente, podem resultar em dificuldades no resgate e tratamento de doentes ou feridos.1, 2.

Na maioria dos casos, a resposta da comunidade internacional é imediata, mas os últimos acontecimentos mostram que há uma necessidade de se estar preparado com antecedência para os desastres.
Lições de algumas catástrofes anteriores serão discutidas aqui, a fim de fazer um paralelo com os recentes terremotos no Haiti e no Chile, com dois objetivos claros: 1.Ajudar as vítimas desta e de futuras catástrofes e sugerir um guia baseado em algumas recomendações da literatura, para nações sem um plano de resgate ou logística; e

2.Diminuir o número de mortos e feridos na população mais afetada: as crianças.3
Os  principais eventos e cuidados após um terremoto são:
Síndrome de esmagamento
É causada pelo esmagamento do tecido muscular, e pode provocar manifestações sistêmicas. Isso normalmente ocorre quando o fluxo sanguíneo é restaurado para o tecido esmagado e as toxinas são liberadas sistemicamente. Estima-se que 3 a 20% das vítimas do terremoto, e até 40% dos sobreviventes de colapsos de edifício de vários andares, vão desenvolver esta síndrome.4 A hidratação precoce da vítima ainda  nos escombros , durante e após o resgate pode diminuir os efeitos  sobre os rins na síndrome de esmagamento.Após o esmagamento,há chance de evolução para insuficiência renal aguda, cuja incidência foi de 50%, quando uma extremidade foi envolvida; de  75%, quando há duas extremidades envolvidas, e 100% para três ou mais lesões.5,6

Poeira e contaminação das vias aéreas:
Com base nas evidências após os terremotos ocorridos na China, Paquistão, e Irã, e também após o atentado de 11 de setembro observou-se que imediatamente após estes eventos, uma enorme quantidade de poeira fora liberada no ar.

Durante as primeiras 48 horas de resgate as vítimas do World Trade Center (WTC), 90% dos 10.116 bombeiros envolvidos no resgate, relatou uma tosse aguda, muitas vezes acompanhada de congestão nasal, aperto ou dor torácica.Apenas três necessitaram de internação para queixas respiratórias.Este dado pode ter um alcance para toda a população, mas tem um risco maior para os pacientes com doenças respiratórias como asma e DPOC,conduzindo-os a uma crise de exacerbação aguda.

A logística da prestação de cuidados críticos, como entubação, em um cenário de transporte impõe desafios únicos, especialmente quando a duração da transferência do paciente é prolongada.7

Estoques de sangue:

Este é um dos setores mais sensíveis após catástrofes, dado aumento repentino do volume de pacientes com fraturas múltiplas, síndrome do esmagamento,vários tipos de trauma, queimaduras e, portanto, precisam de suporte de sangue. Antecipar a esta demanda, se faz necessário para a população, mesmo antes de vir a ser convocada a doar sangue.
Infelizmente, ainda hoje não é possível detectar o momento preciso da ocorrência de desastres naturais, como terremotos.
Mas é exatamente a ocorrência destes eventos- como no  início do século passado, em San Francisco-Califórnia, E.U.A. e  aqueles ocorridos no Irã e na China,nesta década, e mesmo os Tisunamis, em 2004, no Oceano Índico e Pacífico que serviram como orientação para os países que possuem hoje,planos de contingência.Vide o serviço de detecção de Tissunamis do Pacífico (NOOA) e a criação de agências de segurança  com  planos de emergência, logo após os atentados de Oklahoma em 1995, e o do World Trade Center em 2001: A Federal Emergency Management Agency (FEMA) .8
Equipes de busca e de salvamento têm muitos componentes. Normalmente, o staff médico constitui a menor parte da equipe, mas tem algumas das maiores responsabilidades. Por essa razão, devem estar continuamente bem treinados.

A PULMAOSA espera com este  artigo chamar a atenção das autoridades  governamentais para que se preparem  antecipadamente aos acontecimentos.

Uma autoridade constituída como planejador de desastres deve proativamente identificar todos esses riscos e preparar planos de contingência para cada setor.
Isto será particularmente importante para os próximos grandes eventos mundiais como a Copa do Mundo de Futebol da África do Sul, em Junho próximo, e para os próximos Jogos Olímpicos, em Londres, de 2012, e no Rio de Janeiro, Brasil, 2016.

“Aqueles que não conseguem aprender com a história estão condenados a repetí-la.
-George Santayana.

FONTES:

  1. Rubin M, Heuvelmans JH, Tomic-Cica A, et al. Health-related relief in the former Yugoslavia: needs, demands, and supplies. Prehospital Disaster Med 2000;15:1-11.
  2. Waltzman M, Fleegler E. Preparing for natural disasters Vol 10, Number 3
  3. Weiner DL, Manzi SF, Waltzman ML, et al. FEMA’s organized response with a pediatric subspecialty team: the National Disaster Medical System response: a pediatric perspective. Pediatrics 2006;117(5 Pt 3):S405-11.
  4. Rosen’s Emergency Medicine: Specific Disorders in Urban Search and Rescue. 7th ed, Chapter 192.
  5. Hew P, et al: Urban search and rescue.  Topics Emerg Med 2002; 24:26.
  6. Michaelson M: Crush injury and crush syndrome.  World J Surg 1992; 16:899.
  7. Kashani KB, Farmer JC. The support of severe respiratory failure beyond the

hospital and during transportation. Curr Opin Crit Care 2006;12(1):43–9.

8. About FEMA. Available at: http://www.fema.gov/about/index.shtm .Accessed in February 28, 2010.

ENGLISH

Health Logistic and the Earthquakes


Disasters occur in all areas of the world and cause harm to people, property, infrastructures, economies, and the environment. Harm to people includes death, injury, disease, malnutrition, and psychological stress.

CHILE 2010

Just because the recent catastrophes include earthquakes in Haiti and now in Chile, The PULMAOSA worried with assistance, and collaborating  with the Chileans authorities in order to guide and help the Public Health, publish these revision about diseases that could appear after an Earthquake.

Although some developing countries could be are more reliant on the international community given their potential limitations of trained personnel, infrastructure, and

Financial considerations, the frequency and gravidity of these events, urge that United Nations and the countries itself have a plan to answer these demands.

Because of the late in response, unfortunately may result in delays in the rescue and treatment of ill or injured persons.1, 2

In the majority of cases, the response of International community is immediate, but the latest happenings show there is a necessity to be prepared with anticipation for the disasters.

Lessons of some past disasters will be discussed here in order to make a parallel with Haiti and Chile earthquakes with two clear objectives: help the victims of this and future disasters as a guide based in some literature recommendations to nations without a logistics rescue plan. Decrease the number of deaths and injuries in the most affected public: the infants and young children.3

The Main Health Disorders and Cares after an Earthquake are:

Crush syndrome

It is caused by crushed muscle tissue and can provoke systemic manifestations. This typically occurs when blood flow is restored to the crushed tissue and the toxins are released systemically. It is estimated that 3 to 20% of earthquake victims, and up to 40% of survivors of multistory building collapses, will develop crush syndrome.4 Early hydration of the victim in the rubble before, during, and after extrication can lessen the renal effects of crush syndrome.

An effect to be remembered by Medical teams is the chance the crush Syndrome has to evaluate to Acute Renal failure, the incidence of acute renal failure due to crush syndrome was 50% for one involved extremity, 75% for two involved extremities, and 100% for three or more involved extremities.5,6

Dust and airway contamination:

Based on evidence of the past Earthquakes in China, Pakistan, Iran, and also in disasters where in part could make a parallel with an Earthquake, as the September 11 attack:

During earthquakes and building collapses, a tremendous amount of dust is released into the air. During the first 48 hours of rescue efforts at the World Trade Center (WTC), 90% of the 10,116 New York City Fire Department rescue workers evaluated at the WTC site reported an acute cough often accompanied by nasal congestion, chest tightness, or chest burning, but only 3 required hospitalization for respiratory symptoms. This may have a reach to the entire population, but has a greater risk to patients with respiratory illnesses like asthma and COPD. Provision of critical care in a transport setting imposes unique challenges, particularly when the duration of patient transfer is prolonged.7

Stocks of  Blood:

One of the most sensitive sectors after disasters is given by the sudden increase in the volume of patients with multiple fractures, crush syndrome, all kinds of trauma, burns, and therefore in need of blood support .An Insight and intake is necessary for the population, even before being called, has already put in available for blood donations.

Unfortunately  today was not yet possible to detect the precise time of occurrence of natural disasters, such as the lamentable  earthquakes in Haiti or Chile.
But it’s exactly the occurrence of these events, as earthquakes as the past century one in San Francisco, California, USA  and that happened earlier  in this decade in Iran and China, and even  the tisunamis waves happened  in 2004 in the Indian –Pacific Ocean that serves  as a  guidance for countries have contingency plans used today: such as Tissunami detection service of Pacific (NOOA) and creation of security agencies and establishment of contingency plans following the attacks of Oklahoma in 1995 and the World Trade Center in 2001 [ Federal Emergency Management Agency (FEMA)].8

Urban search and rescue teams have many integrated components. Typically, the medical component is the smallest part of the team but has some of the greatest responsibilities. For this reason must be well trained. The PULMAOSA hopes with this little article call attention of the government’s authorities to prepare themselves and anticipating the events. The disaster planner must proactively identify all such hazards and prepare contingency plans for each sector.

This will be particularly important to the major world events like the FIFA Soccer World Cup in South Africa, next June, and for the next Olympic games in London, 2012, and in Rio de Janeiro, Brazil,2016.

But as with everything else in life…

Those who cannot learn from history are doomed to repeat it.

—George Santayana.

SOURCES:

  1. Rubin M, Heuvelmans JH, Tomic-Cica A, et al. Health-related relief in the former Yugoslavia: needs, demands, and supplies. Prehospital Disaster Med 2000;15:1-11.
  2. Waltzman M, Fleegler E. Preparing for natural disasters Vol 10, Number 3
  3. Weiner DL, Manzi SF, Waltzman ML, et al. FEMA’s organized response with a pediatric subspecialty team: the National Disaster Medical System response: a pediatric perspective. Pediatrics 2006;117(5 Pt 3):S405-11.
  4. Rosen’s Emergency Medicine: Specific Disorders in Urban Search and Rescue. 7th ed, Chapter 192.
  5. Hew P, et al: Urban search and rescue.  Topics Emerg Med 2002; 24:26.
  6. Michaelson M: Crush injury and crush syndrome.  World J Surg 1992; 16:899.
  7. Kashani KB, Farmer JC. The support of severe respiratory failure beyond the hospital and during transportation. Curr Opin Crit Care 2006;12(1):43–9.

How can I keep my lungs healthy to avoid diseases such as H1N1, asthma and COPD?

18 de outubro de 2009 Comentários desligados

Your lungs perform an amazing job every day. Function as a large hydroelectric power supplier (read oxygen), for a country (for the whole body).
Healthy lungs provide large amounts of oxygen to the blood and this is what allows you to work, walk, run, play and live well. They also remove carbon dioxide and other gases that your body needs. There are many things you can do to keep your lungs healthy and free of disease:

1. If you smoke, seek help to stop. Today there are several forms of treatments available that will certainly help in this goal. See your doctor and he will be able to guide you.
But if you are a non-smoker, do not start! Smoking is theà       leading cause of serious lung diseases such as lung cancer and chronic obstructive pulmonary disease (COPD). The smoke from cigarettes, cigars and pipes contains over 4,000 harmful chemicals – and about 60 are known to known to cause cancer. The PULMAO SA points out that even if you have smoked for many years, it is never too late to stop and break free. Stop smoking, as well as possible, provides an immense sense of freedom as well as providing you reap the benefits for your health, to be smoke-free. Quitting smoking is not easy because smoking is an addiction. But it is a disease whose main difference is that there are resources available to deal with. A well directed, right drug, right, you can stop smoking in the 1st attempt.
But remember: Seek medical attention! Because without orientation greatly increases the chance of relapse.

2. Avoid smoke:

Secondhand smoke is a complex mixture of chemicals produced by burning tobacco. As active smoking, passive smoking can also cause disease and death. Two thirds of the smoke of a cigarette is not inhaled by the smoker, but spreads through the air around the smoker.
Here are some suggestions you can do to avoid secondhand smoke:

* Do not allow smoking in your home, car or at work.
* Support the restaurants, businesses, and places that are smoke-free.
* Make sure your children are not exposed to passive smoke in schools, nurseries or even with friends or relatives homes.

3. Wash hands properly with soap and water regularly:

It is estimated that the hands are capable of commanding various germs (viruses such as avian influenza H1N1 virus, bacteria …) can be held responsible for a large percentage of common infectious respiratory diseases such as colds and flu. You can reduce the risk of getting sick, just practicing the act of washing hands. Therefore:

* Always wash your hands before meals, after going to the bathroom, before greeting people, especially children;
* Look to disclose this information at school and at work;
* Use alcohol hand sanitizer when you do not have access to soap and water.

4. Be aware of air pollution and do your part to keep the air clean:
Air pollution can cause health problems, especially for people who have lung diseases. Air pollution can irritate, inflame or destroy lung tissue. Even low levels of air pollution can cause health problems.
There are many things you can do to keep the air clean and healthy:

* Do not let your car engine on while standing and avoid the burning of fuel in enclosed areas, such as garages, or even open.
* Do not use unnecessary pesticides and other chemicals on your lawn and garden.
* Use, where possible, public transportation.
* Seek support laws and initiatives to improve air quality.
* Control moisture in your home: For example, use exhaust fans in bathrooms and kitchens to reduce the excess moisture from these sites, or just the windows abertas.Por other hand, in places whose relative to low, look no a wet towel inside the rooms to sleep. Ideally, try to maintain the relative humidity indoors between 40% and 50%.

* Control dust (especially if you are allergic to animal dander and dust mites) mites grow in mattresses, sofas and chairs with cushions. When possible, try to wash bedding in hot water (at least 54.5 ° C or 130 ° F) to kill dust mites. Keep carpets clean and dry.
* Make sure you are getting lots of fresh air and clean in your home. Open windows when cleaning or when performing painting.

5. Protect yourself from the danger to lung health at work:
People working in certain jobs such as construction and mining have a higher risk of lung diseases, including lung cancer, asthma and COPD. If you work in a place with much dust, asbestos, chemicals, please use Personal Protective Equipment (PPE).

SOURCES:
PULMÃO S. A. Your atmosphere, Your Life! ®

Adapted from PHA-Canada

“Les enseignements» du passé sujet de la pandémie que nous appliquons dans le présent …

16 de outubro de 2009 Comentários desligados

On a beaucoup parlé de la pandémie actuelle du nouveau virus H1N1.E il diversos. C’est que, dans plus d’articles dans le XXe siècle il y avait au moins trois grandes épidémies, notamment la mère de tous, la grippe espagnole de 1918. Bien que chaque fois que l’épidémie a été marquée par ses propres caractéristiques, il est important de ne pas oublier les leçons qui se dégagent de précédentes pandémies et les épidémies.

LE PULMÃO S.A. a décidé inspirées par les leçons ou les «leçons» du passé pour expliquer pourquoi certaines mesures encore représentées aujourd’hui.

Viral Spread

Dans cette nouvelle épidémie a été un record de la propagation du virus H1N1.Parte cela est dû aux moyens de communication actuels et les interconnexions entre les villes, principalement dues au transport aéreo.Enquanto en 1918, la grippe espagnole de grippe épidémie, qui, d’ailleurs aussi était un H1N1, a pris six mois pour atteindre tous les continents, ce virus H1N1 nouveau en 2009, n’a pris que six semaines pour terminer que missão.Isto car en 1918, seul George Washington “Rode un avion, et aujourd’hui nous avons des milliers de vols par travers le monde. L’autre raison est que le virus de la grippe a acquis une capacité à infecter les gens dans une suis generis façon. Grâce au processus de mutation virale, acquis la capacité à rester dans les réservoirs des animaux (porcs: où il y avait peut-être l’échange de fragments d’ARN de trois sérotypes différents du virus-Ave, de porc et l’homme, cet être “nouveau” H1N1) ainsi que la «capacité» potentiel pour être transmissible entre humains humanos.Estas deux caractéristiques sont nécessaires à un virus de réussir si nous utilisons l’expression, pandêmico.Faz est nécessaire, non seulement le potentiel de causer des épidémies, les virus provenant de l’excédent de la barrière entre les espèces présentes, mais qui a ou on lui offre les conditions d’une contagion rapide, un état atteint par le système de transport aérien.

Vient, alors ce contexte la nécessité d’un contrôle efficace dans les ports, les aéroports, les routes et les frontières.

Les mesures d’exclusion sociale:

Ici, nous entrons dans une moisson de critiques de certains parents et même par certains experts à l’égard des mesures telles que retarder le retour à l’école et éviter les endroits de la surpopulation.

Les «leçons» du passé révèlent que, en 1918, Philadelphie, ville de Pennsylvanie, aux États-Unis, a enregistré des taux beaucoup plus élevés de mortalité de la grippe espagnole que St. Louis, Missouri.

Des études ont montré «une explication a posteriori»: The Philadelphia, a signalé son premier cas de «grippe espagnole» le 17 Septembre, mais avait été autorisé à effectuer des parades locales ou des marches, même en sachant déjà que l’événement a été enregistré dans la ville, offrant la foule, sur les écoles setembro.As 28 et réunions publiques ont été fermés et interdits, respectivement, que le 3 Outubro.Portanto deux semaines seulement après l’annonce du cas index.

En comparaison, à St. Louis, où les premiers cas sont apparus sur Octobre 5, nous avons choisi de mesures d’éloignement social immédiatement le 7 Octobre. En conséquence, le pic record hebdomadaire haut de décès dus à la pneumonie et la grippe entre 8 Septembre à 28 Dezembro/1918 à Philadelphie était 8,3 fois plus élevé comparativement à celui de Saint-Louis (1). Une enquête qui a analysé les réponses de 17 villes des États-Unis au cours de la pandémie de 1918 a conclu que l’application rapide des non-mesures pharmaceutiques tels que l’isolement social, des mesures visant à reporter la période de retour ou la perturbation des classes des écoles et des conseils pour éviter les agglomérations Les taux de mortalité réduit d’au moins 50% (1).

En tant que liccion “” important pour l’applicabilité immédiate, il est essentiel de bien comprendre la valeur de non-interventions pharmacologiques pendant les flambées. Nous pouvons sauver de nombreuses vies si nous maintenons un index de suspicion élevé chez les personnes à l’exposition occasionnelle ou professionnelle aux animaux, qui ont sillage zoonotique potentiel, comme le porc,-up que nous appelons mai aller pour surveiller les gens qui travaillent dans des fermes ou des cochons oiseaux, telles qu’elles existent dans certains endroits au Brésil, et de São José do Vale do Rio Preto Rio de Janeiro et les villes de São Paulo et Santa Catarina, où ils logent nos éleveurs et exportateurs.

La deuxième mesure consiste à mettre en œuvre rapidement les mesures d’éloignement social, comme éviter les endroits publics et la suppression de la aulas.Esta dernier se justifie aussi parce que ce virus de l’influenza A/H1N1 (2009), peut livrer diffusée un jour avant l’apparition des symptômes dans les 7 jours après (pour adultes) et jusqu’à 12-14 jours (pour enfants). C’est cette raison qui a motivé la recherche de la SA POUMON certaines écoles à Curitiba-PR et émettre des alertes.

Ces deux actions sont très productives, en particulier pendant les premiers stades d’une épidémie, est limité à l’information sur la biologie du pathogène. Il est alors qu’un médecin alerte peut faire une grande différence.

REFERENCES:

(1) Hatchett RJ, Mecher CE, M. Lipsitch Interventions de santé publique et l’intensité de l’épidémie au cours de la pandémie de grippe de 1918. Proc Natl Acad Sci U S A. 2007; 104:7582-7. [PMID: 17416679]. [Abstract / Free Full Text]

(2) CDC-USA, Center for Disease Control;

(3) POUMON S. A. Son atmosphère, votre vie! Aussi disponible sur Twitter : http://twitter.com/Pulmaosa

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