Three-quarters of people with flu have no symptoms

ConclusionThis large, community-based study found that most people with influenza in England don’t have symptoms, and even if they do, only a small proportion go to a doctor.Approximately 20% of people had an increase in antibodies against influenza in their blood after an influenza “season”. However, about three-quarters of infections were symptom-free, or so mild they weren't identified through weekly questioning about whether participants had a cough, cold, sore throat, or a “flu-like illness”.People who reported being ill were asked to take a nasal swab to test for the influenza virus. Among those with illnesses and with confirmed influenza, only 17% went to see their doctor; among those that did, influenza or influenza-like illnesses were rarely recorded in medical notes. This information is important, as it indicates that current surveillance systems that rely on people visiting their doctor underestimate the extent of infection and illness in the community. This, somewhat counterintuitively, can lead to overestimates of the severity of the disease (only people with the most severe symptoms are identified as being infected).There is also the worry that people unaware they are infected may pass it on to people more vulnerable to infection, such as those with weakened immune systems. Find out if you are in a "vulnerable group". If you are, get the annual flu jab.Analysis by Bazian. Edited by NHS Choices.  Follow Behind the...
Source: NHS News Feed - Category: Consumer Health News Tags: Swine flu Medical practice Source Type: news

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A new study concludes that some of the species of bacteria in our airways, called the respiratory microbiome, can protect us against the influenza virus.
Source: Health News from Medical News Today - Category: Consumer Health News Tags: Infectious Diseases / Bacteria / Viruses Source Type: news
Amie J. Eisfeld, David J. Gasper, M. Suresh, Yoshihiro Kawaoka
Source: Frontiers in Microbiology - Category: Microbiology Source Type: research
In this study we investigated the effect of lidocaine, a non-selective NaVs blocker, on citric acid- and capsaicin-induced cough in the awake naïve guinea pig experimental model. We found that pre-inhalation followed by continuous inhalation of nebulized lidocaine (10 mM) during citric acid (0.8 M) cough challenge was effective in suppressing the cough response (number of coughs, median [IQR]) - (5 [3.8-6.3] pre-lidocaine vs. 1 [0.3-3.8] post-lidocaine; p = 0.002, n = 11). Likewise, lidocaine during capsaicin (50 μM) cough challenge reduced the number of coughs (6 [4.1-7.9] pre-li...
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
​BY CLAUDIA BORNIA &KHALID MALIK, MDAn 18-year-old healthy man presented to the ED with a sore throat. He said the pain had started a day earlier when he took three capsules of Molly and drank heavily at a music festival.The patient reported pain while swallowing, shortness of breath, and pain in his left rib cage after playing basketball a few days earlier. The patient had no jaw or neck pain, coughing, fever, chills, nausea, vomiting, and diarrhea. He had a blood pressure of 126/76 mm Hg, temperature of 98.2°F (orally), heart rate of 70 bpm, respirations of 18 bpm, and oxygen saturation of 100% on room air. The...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
CONCLUSIONS: These data showed that GERD is present in a quarter of ABG patients, suggesting that hypochlorhydria not exclude per se arising of oesophageal symptoms. In ABG we found that ME is a frequent finding but its clinical relevance remains to be investigated with further studies. PMID: 30638085 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Gastroenterology - Category: Gastroenterology Tags: Scand J Gastroenterol Source Type: research
ConclusionsSGRE exerts anti-asthmatic effects via the inhibition of Th2 and Th17 cytokines and the increase of Th1 cytokines, suggesting that SGRE may be a potential therapeutic agent for allergic lung inflammation, such as asthma.Graphical Abstract
Source: Phytomedicine - Category: Drugs & Pharmacology Source Type: research
By HANS DUVEFELT MD  I’ve been toying with this dilemma for a while: SOAP notes (Subjective, Objective, Assessment, Plan) are too long; APSO just jumbles the order, but the core items are still too far apart, with too much fluff in between. We need something better – aSOAP! Electronic medical record notes are simply way too cumbersome, no matter in what order the segments are displayed, to be of much use if we quickly want to check what happened in the last few office visits before entering the exam room. It is time we do something different, and I believe the solution is under our noses every day, at...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Physicians EMR Hans Duvefelt Patient Notes Source Type: blogs
[New Era] Swakopmund -Lizelle van Wyk, a single mother of three from Walvis Bay, says that addiction to the cough syrup codeine is real as her 16-year-old son is currently battling to rid himself of the habit.
Source: AllAfrica News: Health and Medicine - Category: African Health Source Type: news
Source: World Health Organization (WHO). Published: 12/14/2018. This 38-page document is the revised analysis by a group of eight independent experts who examined the Pandemic Influenza Preparedness (PIP) Framework with a view to proposing revisions reflecting developments, as appropriate to the World Health Assembly. It updates the September 2018 Draft Analysis. It notes that there are key issues that must urgently be addressed for the PIP Framework to remain relevant, including the issue of how genetic sequence data should be handled under the PIP Framework, and whether the Framework should expand to include seasonal influenza. (PDF)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - Category: International Medicine & Public Health Source Type: news
Source: World Health Organization (WHO). Published: 9/2018. This 20-page report addresses the recommendation from the 2016 Pandemic Influenza Preparedness (PIP) Review that the World Health Organization develop a progress report that presents overall success metrics and infographics to illustrate progress in PIP Framework implementation. This is the first report, which will be updated every six months. It presents technical and financial implementation for the High Level Implementation Plan (HLIP) II 2018-2023, and the PIP Secretariat. Progress against milestones is measured every six months, and indicators are measured y...
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - Category: International Medicine & Public Health Source Type: news
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