But first, a little clarification on what “alternative” pediatric practice means: This is no hippie haven, though plenty of groovy parents swear by this practice. Pediatric Alternatives is a group of doctors who have been schooled in and are pros at western/“traditional” medicine, but regularly turn to homeopathic therapies before reaching for the pharmaceuticals when appropriate. Over-the-counter garlic ear drops for ear infections are case in point—and they’ve worked every time I’ve used them. (Who knew?)
Here’s what they said that calmed our parental nerves:
Don’t panic. Breathe. Wait, don’t breathe, you might catch a germ! Stay home! Wear masks! Wash your hands constantly! Remove your children from all public activities! Stay home! Build a flu bunker!
Well, you get the idea. There has been a lot of media coverage of the flu this week. Unfortunately, the media’s job is to obtain viewers, not to give you balanced, non-sensational medical information. We have been inundated with H1N1 flu questions this past week. Everyone seems much more nervous, due in large part to the escalating news coverage. It’s natural to remember the one exception covered on 60 minutes, but let’s set some basic facts straight about this flu:
1. It is milder than typical winter influenza.
2. This is a very contagious strain, so it is likely that many members of our community will get it. The incubation period is 3 days. If you have no symptoms 5 days after exposure, you likely will not get the virus.
3. If you get the virus, 30% of you won’t even get a fever and will think you have just a cold. If you do get fever, it will typically be for 2-3 days. A few children have had a fever for as long as 5-7 days, but this is very unusual in our patients who are treating their flu with natural means.
4. Most of the people who have gotten very ill have significant pre-existing medical conditions like chronic lung disease. In fact, proportionally, more “healthy” people get very ill with regular winter flu than have gotten very ill with this flu.
5. So far, our families that have had the flu have recovered quickly and easily, with little need for blood work, antibiotics, chest x-rays, etc. Even children with a history of asthma or wheezing seem to be less likely to wheeze with this illness. We are very happy overall with how our patients are weathering this storm.
6. If you have had a flu-like illness (fever, muscle aches, headache the first day, with runny nose and cough symptoms) then you may have already had H1N1! The CDC says unless you know for sure it was H1N1, you should still get the vaccine, but this is likely overkill and you probably don’t need it.
7. Initially we were quite concerned about the H1N1 vaccine because it was going to contain a controversial new ingredient that had not been used in regular vaccines in the U.S. Luckily, the CDC changed their mind and opted not to use this new adjuvant, squalene. As far as we know, the vaccine, which will be supplied to us from the government, will be manufactured in a manner similar to our usual preservative-free flu vaccine. So, we feel more comfortable with the idea of our patients receiving this vaccine.
We will have a limited supply of preservative-free H1N1 vaccine. We will prioritize vaccine for high-risk families such as those with pregnant women, or children of any age with a history of pneumonia or asthma. Once these families are covered, we can open up our supplies to any families that desire the vaccine. Adults should get their vaccine from their primary care provider. Pregnant women should be sure to ask for the preservative-free version as it does not contain mercury.
We do not yet know when the vaccine will arrive, or how many doses we will receive. The latest reports suggest some time in November.
8. Let us be clear, again, that we feel most people don’t need this vaccine. This is a mild flu and it may be better to get it now and have immunity for the next time it goes around, or next year’s strain.
9. When you watch the news, remember that they are not putting the information in perspective.
Related Links:
Swine Flu Prevention Kit
How to Stay Healthy While Traveling
Stay Flu-Free this Winter
Look Your Best Even if You're Not Feeling Your Best
Reprinted with permission of Hearst Communications, Inc.
