Swine Flu? Pigs Fly

Okay, that's a little joke but I think we need to keep a few things in perspective when it comes to the spreading fear of swine flu. Fear is spreading faster than the flu and though it is a serious enough illness, it should be treated with level headedness, not paranoia.

If the media had existed in its current form in the 14th century when the Black Plague first reared its deadly head, probably more people would have died from fear, from fear mongering, from ostracizationthan those already high numbers. The Black Death killed an estimated 30-60% of Europe's population, decimating society and economy for many years to come. Some 75 million people are believed to have died from the bubonic plague.

These days, we may not get to those numbers because medical care is better. Yet we might get to higher numbers because there are far more people than Europe in the Middle Ages. And many cities are overcrowded, not to mention that many nations still have poor levels of sanitation and health. An estimated 500,000 people die yearly from seasonal flus. Mexico City has 22 million people but the flu has shown in a few other areas of Mexico as well as in Texas. Still, there are only 7 confirmed deaths by the WHO as of yesterday.

That's not many yet. In fact, 150 people out of a population of 110 million is a pretty small percentage. We do have to be cautious but not crazed. People aren't getting these from pigs, no matter what the name indicates. Eating pork won't make a difference. However, one thing that humans learned over the centuries that cut down on the spread of disease and infection was that cleanliness makes a difference.

We've moved out of the polite era, when everyone was taught manners, coughed and sneezed into handkerchiefs, washed behind their ears and washed their hands because parents instilled it into their kids. We've become lackadaisical in this modern, free age, but what you can't see can indeed hurt you. When it comes to hygiene we must still be diligent.

Here's the best thing to do to avoid swine flu, any flu or illness in general: wash your hands well, often, and with soap and water. Cover your mouth with your arm or a tissue if you cough. Use tissues for your nose. Wipe down surfaces with disinfectant. If you cough or sneeze, don't do it on others. Wash your hands often. Don't kiss pigs.

Usually influenzas hit the very young and the very old. So far, this flu has killed men in the 25-40 (or 50) age range for some reason. Tomorrow I fly to LA. I'm not worried. After all, I'm healthy. I don't have a compromised immune system or any illness that weakens me. My lungs (the area to worry about most) are very strong. I'm not flying to Mexico. Even all the people that the flu infects each year do not die from it. Planes are very good incubators of infections/colds in general. A closed space with a lot of people. It's best to be vigilant about hygiene whenever flying.
There have been questions why the mortality rate would be higher in Mexico than elsewhere. If it's Mexico City, well, there are 22 million people, as I said. When I was in Mexico in the late 80s, the smog was so bad that birds were dropping out of the air and you could taste it. Add that on top of other respiratory problems and a flu that attacks the same area and it's not surprising that more people may die in Mexico City (and any other overpopulated, polluted city center) than in other cities.

Flu shots have been given for quite a few years now, optional but encouraged for the young and old. I predict we'll see more people getting flu shots this year in general. However, a viable vaccine for this current flu would take a few months to work out and perfect. If this doesn't turn pandemic, then it will have abated by then.

Symptoms are similar to other flu symptoms, fever, runny nose, coughing, sore throat, nausea, possible vomiting and diarrhea, lack of energy and appetite. Don't jump to conclusions if you develop some of these. If you have een to Mexico or in contact with someone who has, watch your symptoms, call your doctors office if you're worried, or if it is a child or elderly person who is ill. If the fever goes beyond a few degrees or you have trouble breathing, then you will probably want to get checked out. Children and the elderly are always at risk. Eating healthily, drinking plenty of water and getting adequate sleep will keep your immune system strong.

Becoming crazed with fear is a more likely way to get sick than just taking sensible precautions. And when the latest scare is over, continuing following good hygenic habits. After all, in many ways we don't want to go back to, or repeat the Middle Ages.

Depression: The Invisible Battle

In the last decade there have been more books on depression and people talking openly. Although I think there can be a point of over-saturation, we're not there yet and more dialogue on depression will people help recognize and understand it better. There are still too many people who live under the black cloud of despair or more tragically, kill themselves out of depression.
I speak not from an outsider's point of view but from the intimate perspective of having suffered mild depression to full-blown clinical depression. The first time was probably in my twenties when my boyfriend of three years and I broke up. I moved to Vancouver and lived for another three years in a somewhat different personality. It was a bit kamikaze, reckless, unhappy and angry. I ended up going to my doctor who sent me to a psychiatrist. He determined that I was working my way out of the depression by that point and didn't put me on meds. That's pretty rare for psychiatrists who are married to the pharma industry. Psychologists aren't covered in Canada's medicare but psychiatrists are.

Perhaps I dipped into depression a few times after that but it was when I was dealing with my eating disorder that I was first put on anti-depressants. I can't say they changed my mood or state of mind but eventually it seems my brain chemistry balanced out and I stopped the binging and quit the meds.

In 2001 I had gone through a few things and had a boyfriend, but I was pretty poor and nothing seemed to be going right for me, My health was deteriorating, partly caused by a repetitive stress injury in the movie industry and now I was poor. Everything built up. I was freelancing but not full time so I'd go and work, then come home and crawl into bed. I forced myself to eat a bowl of soup a day. I couldn't deal with anything: answering the phone, changing a doctor's appointment, coming up with answers to questions. I cocooned for months. And then September 11th happened and that added to the fear and gloom. My elbow was also hurting and no amount of physiotherapy was helping. After many sessions the physiotherapist said she couldn't help anymore.

I went to my doctor with this symptom and she mentioned depression. I didn't want to see a psychiatrist because I don't think they do much (the last one when I had the eating disorder, didn't) and I didn't want to go on anti-depressants because they're hard on teeth and can cause increased cavities (less salivation occurs and bacteria builds up). I also argued that I had reasons to be depressed and listed them. My doctor said, true you can be depressed and have good reasons but it's not about the reasons but how you cope. In essence, I wasn't coping very well at all.

My doctor gave me a questionnaire to fill out and bring back. Of all the questions the only one I didn't have a dire answer to was the one about suicide. I've never been suicidal, not even when depressed. My doctor took one look at my answers and said, "You're going on medication." So I did and luckily she got me a compassionate prescription, which is free through the pharmaceutical companies because there was no way I could afford it and I would have stopped buying them,

Since that time I try to gauge where I'm at, watch my moods and feelings. But depression is a tricky thing. It doesn't always manifest the same way every time. Sometimes you can function but you can't eat. Sometimes you're just in physical pain that won't go away. Sometimes you are fine during the day and plummet every evening. Sometimes you can't eat or eat too much, can't sleep or sleep too much. For me, it's never been quite the same so it gets hard to know for sure.
I sometimes have to look back over a period of a year and see if I have shifted much. I try to catch it before it gets as bad as 2001. I don't like being in that space and everything is far too dark. I tend not to read or watch the news because the concentration and the repetition of the bad and horrid gets to me. Even the radio can be too much but I do like to know what's going on in the world.

Depression is not a physical ailment but it can become one. It can make people as sick as any disease and kill them. Understanding what a person may be going through will help people heal. Calling them crazy and whacked, which we all do, may describe their current state but it won't help them get better. Depression is a disease with varying symptoms and understanding will help those who have it and those who have to be around it.