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“The Problem Child of Seasonal Flu”: Beware This Winter’s Virus

scientificamerican.com

81–90 of 108 posts

Re: “The Problem Child of Seasonal Flu”: Beware This Winter’s Virus

#81

I just wish that people who get infected would wear a freaking mask when going out in public. I've heard that masks don't do much for people who aren't infected, but I imagine a mask would catch a lot of the droplets that come out of someone's mouth when they cough. I've never been more glad to live alone.

Have there been studies that show the masks are effective? I'm just curious is all not trying to knock you down.

https://www.hsph.harvard.edu/news/features/face-masks-flu/

> McDevitt and his colleagues screened 89 volunteers, 37 of whom tested positive for the flu and were asked to provide exhaled breath samples with and without a surgical mask. Among the volunteers, 43% exhaled large influenza-containing particles while not wearing a mask, compared to 11% while wearing a mask; 92% exhaled small influenza-containing particles while not wearing a mask, compared to 78% while wearing a mask. In addition, they found that the flu virus was 8.8 times more numerous in exhaled small particles than in large particles.

From what I understand that suggests that surgical masks are only slightly effective. But that study only tests surgical masks that don't filter particles less than 0.5 microns, and not N95 masks which can filter out particles as small as 0.3 microns.

http://www.cidrap.umn.edu/news-perspective/2012/04/lab-study...

> A US-Chinese team of researchers created a simulated examination room with mechanized mannequins spaced 6 feet apart to represent coughing and breathing humans. They found that flu viruses floated between the two and were "inhaled" by the breathing mannequin, but that an N95 respirator sealed to the mannequin's face stopped 99.8% of them.

If that's accurate, it's pretty incredible. Out of paranoia I've sometimes worn surgical masks for viral transmission to the office during flu season, but it looks like I should be visiting Home Depot instead of Walgreens.

Re: “The Problem Child of Seasonal Flu”: Beware This Winter’s Virus

#82

tell me about it. This year my entire house got flu at the same time and, ten days after my fever is gone, I still feel a little down. I have no idea how my kids really feel but my kid has a nasty cough and the other one seems a little "off/tired".

Out of curiosity, have you taken Vitamin D supplements before for a longer period of time? If yes - what was the daily dosage ? Have you taken flu shots at the beginning of the season?

I've taken a regular multivitamin (same with the whole family) but now that I am in recovery I have added a D and C

Re: “The Problem Child of Seasonal Flu”: Beware This Winter’s Virus

#83

I just wish that people who get infected would wear a freaking mask when going out in public. I've heard that masks don't do much for people who aren't infected, but I imagine a mask would catch a lot of the droplets that come out of someone's mouth when they cough. I've never been more glad to live alone.

In the state of Georgia it's actually illegal to wear a mask in public/on private property without permission. I think they consider it a security concern, which makes sense in some situations. But really sucks for trying to not spread sickness. On the plus side, I've noticed a lot of doctor's waiting rooms have a sign saying you can ask for a mask if you have XYZ symptoms. But I wish it was common at work, too. For the same reason I wish handshakes weren't so common in business. I'm pretty sure I know the exact moment the flu was passed to me this year.

"(a) A person is guilty of a misdemeanor when he wears a mask, hood, or device by which any portion of the face is so hidden, concealed, or covered as to conceal the identity of the wearer and is upon any public way or public property or upon the private property of another without the written permission of the owner or occupier of the property to do so."[1]

[1] https://law.justia.com/codes/georgia/2010/title-16/chapter-1...

Re: “The Problem Child of Seasonal Flu”: Beware This Winter’s Virus

#84
post #41

Earlier quoted context omitted.

What would the relationship be between Vit D and this (or any) flu?

There's an hypothesis, which conceptually makes sense though not sure how proven it is, about why flu season is Jan/Feb - March/April. Basically during Fall as the amount of sunlight drops our bodies vitamin D, for which there is clinical evidence that it helps with immunity, drops leaving us more susceptible to infections leading to the overall flu season starting in Jan/Feb time frame. As the sunlight picks up, vit…

Do you have more info about that hypothesis? I always thought that the usual explanation was simply that people are inside buildings and cars (and thus around other people) more often when it is colder outside.

Re: “The Problem Child of Seasonal Flu”: Beware This Winter’s Virus

#85
post #34
post #28

Earlier quoted context omitted.

All I had to do was take time out of my day to go to the pharmacy, copay with my insurance was $0. Which just makes sense from a financial point of view for the insurance companies, too.

This gives an inaccurate assessment of the cost. Obviously you are paying for the shot by paying more for insurance (either directly or via taxes or via taxes spent on that rather than some other government service you could take advantage of). My point is that you can't say something "is worth it" without considering both costs AND benefits (I have recently seen friends get so ill they almost got fired because docto…

[deleted]

Re: “The Problem Child of Seasonal Flu”: Beware This Winter’s Virus

#86
> H3N2 is especially hard on seniors

Luckily, we here at Trend Co. (YC Winter 2016) openly discriminate against seniors to such an extent that we employ none at all, so our trendy open office plan won't be nearly as big of a health hazard as it would normally be.

Re: “The Problem Child of Seasonal Flu”: Beware This Winter’s Virus

#87
post #68
post #61

Earlier quoted context omitted.

It's the opposite -- the insurance company saves money by having people get the flu shot: 1 flu shot reduces probability of flu to ~70% of what it was before. 0.7 * Cost to treat average flu case + Cost Flu shot Insurance companies have pretty good stats underlying that sort of decision. At CMU this year, they were paying you to get a flu shot (in the form of a $5 gift card, with the flu shot being free).

One strange thing about this thread is all the people equating the net cost to the insurance company with the cost to themselves. I don't normally come across that attitude, usually the insurance company is perceived as an adversary you need to fight to get the deserved coverage.

The world is more complex than that. Many (probably every) large organization/industry does both good and bad things.

Insurance, ultimately, is a way of sharing risk. Even more abstractly, it is about aligning interests. I think this is one part of why people get so upset with insurance when there is dispute - it feels a little like a betrayal.

Re: “The Problem Child of Seasonal Flu”: Beware This Winter’s Virus

#88
post #77

http://www.virology.ws/2009/06/02/pathogenesis-of-influenza-... To keep your coworkers from getting the flu, go home as soon as you think you might be coming down with something. The amount of virus you are shedding into your environment is nicely exponential in how bad you are feeling, with one exception: The day before you start feeling really bad, you are shedding nearly as much virus as when you are feeling worst…

I wish it was culturally acceptable to wear a hospital mask in public in the USA. I do it anyway and look like a weaboo or something, but still.

I wish it were culturally acceptable to let send people home or for people to stay home when they are sick in the US. I hate seeing people come to work sick because they don't want to be perceived as "weak" or a "slacker". It also seems especially prevalent in people who think that they are high achievers.

Re: “The Problem Child of Seasonal Flu”: Beware This Winter’s Virus

#89
post #77

http://www.virology.ws/2009/06/02/pathogenesis-of-influenza-... To keep your coworkers from getting the flu, go home as soon as you think you might be coming down with something. The amount of virus you are shedding into your environment is nicely exponential in how bad you are feeling, with one exception: The day before you start feeling really bad, you are shedding nearly as much virus as when you are feeling worst…

I wish it was culturally acceptable to wear a hospital mask in public in the USA. I do it anyway and look like a weaboo or something, but still.

Since SARS in Toronto, it's become more and more prevalent, especially among Asians. I was in high school at the time, and we used to make fun of people wearing these masks, and how crazy they looked.

Now in my older and wiser years, I realize that they were probably the smart ones!

Re: “The Problem Child of Seasonal Flu”: Beware This Winter’s Virus

#90

Earlier quoted context omitted.

Under the ACA, the flu shot is free (no copay/deductible), and everyone's supposed to have insurance. Cost should be a substantially lower issue than in the past.

There are over 27 million uninsured people in the U.S.

Yes, which is down by half (plus the folks whose insurance didn't cover it pre-ACA), hence "substantially lower issue". That leaves 300 million people for whom cost is not a good reason to avoid it.
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