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News Reports for January 12, 2013

by: NewsDiary

Sat Jan 05, 2013 at 19:58:23 PM EST

Reminder: Please do not post whole articles, just snippets and links, and do not post articles from the Las Vegas Review-Journal. Thanks!

• Rajasthan: Swine flu claims 39 lives since December (Link)

United States
• America is totally sick right now: Flu, whooping cough and 'winter vomiting disease' (Link)
• Doctors Recommend Flu Shot for Children With Egg Allergies (Link)
• As Flu Rages, Caregiving Suffers (Link)
• Flu cases down in some areas; child deaths up (Link)
• USA needs more effective flu shots, experts say (Link)
• Flu reaches epidemic level in US (Link)
• IL: 27 flu deaths reported in Illinois (Link)
• MA: Rising Number of Flu Cases Raises Public-Health Concern (Link)
• MA: Two more flu deaths confirmed, including child (Link)
• Flu In NYC Reaches Epidemic Levels With 'Severe' Strain Of AH3N2; Officials Recommend Flu Shot (Link)
• Cuomo Declares Public Health Emergency Over Flu Outbreak (Link)

• Your top 10 flu questions answered (Link)

• H (Link)

NewsDiary :: News Reports for January 12, 2013

News for January 11, 2013 is here.

Thanks to all of the newshounds!
Special thanks to the newshound volunteers who translate international stories - thanks for keeping us all informed!

Other useful links:
WHO A(H1N1) Site
WHO H5N1 human case totals, last updated December 17, 2012
Charts and Graphs on H5N1 from WHO
Google Flu Trends
CDC Weekly Influenza Summary
Map of seasonal influenza in the U.S.
CIDPC (Canada) Weekly FluWatch
UK RCGP Weekly Data on Communicable and Respiratory Diseases
Flu Wiki

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Your top 10 flu questions answered
By CNN staff
updated 1:34 PM EST, Fri January 11, 2013

(CNN) -- An early and severe start to the flu season has many health experts concerned. On Friday, the Centers for Disease Control and Prevention reported 47 states are experiencing widespread activity, although it appears to be decreasing in some areas.

According to the CDC, this is the most flu cases they've seen at this time of year in more than a decade. Twenty pediatric flu-related deaths have occurred since the start of the season. The CDC does not track adult flu-related deaths.

The peak of the season, which usually happens in February, may be yet to come for most states -- officials said Friday it may be a week or two before it becomes clear whether cases have peaked.

So if I get the flu, should I go to the emergency room?
Most people with the flu don't have to -- they'll recover on their own in five to seven days with plenty of rest and fluids, says Dr. David Zich, internal medicine and emergency medicine physician at Northwestern Memorial Hospital in Chicago.
However, you should go to the ER immediately if:
-- You have difficulty breathing or have pain in your chest
-- You can't keep fluids down because of nausea and vomiting
-- Your fever or cough gets better, then worsens
"Let's say you have the flu, you get better, you think everything is all clear," Gupta says. "Then a couple days later, the fever comes back. That means you may now have a bacterial infection."


Additional questions answered in the article:
Why is this year's flu causing more severe cases?
How is this flu season different than last year's?
How many people usually die from the flu each year?
Why is this year's flu causing more severe cases?
How many people usually die from the flu each year?
How does someone go from having the flu to dying?
So if I get the flu, should I go to the emergency room?
Does this mean the flu vaccine isn't working?
Will the flu vaccine make me sick?
Is there a flu vaccine shortage?
I'm sold! Is it too late to get the vaccine?
How can I avoid getting the flu in the first place?

In memory of pogge: Peace, order and good government, eh?
[If we want it, we'll have to work at it.]

America is totally sick right now: Flu, whooping cough and 'winter vomiting disease'
The United States is currently in the grip of three separate epidemics.  According to LiveScience.com, influenza, whooping cough and norovirus - a stomach virus that causes diarrhea, vomiting and cramping - are all currently storming through the population, and some experts warn that the flu season is just getting started and will only get worse from here.

MyHealthNewsDaily.com explained that the flu epidemic is particularly bad this year because the main strain circulating, influenza A (H3N2), is a nasty one.  Flu seasons caused by influenza A tend to have a higher number of hospitalizations and deaths than other strains. Also, this year flu season started early, in the first week of December rather than the fist week of January as it normally does.  It was the earliest start to a flu season since winter of 2003-2004.

CNN reported on Friday that 18 children have died already this flu season, and the U.S. is still at the early stages of the year's outbreak.

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health, told CNN on Thursday that the country is in the midst of a full-blown epidemic, but that the disease is "still on the uptick." While flu seasons are unpredictable, Fauci said that this is currently week five of what should be a 12-week epidemic. "Remember, once it peaks, you still have a considerable amount of time where there is a lot of flu activity, and right now it may have peaked in some places, but for the most part, it has not yet peaked," he said.

On Wednesday, Boston Mayor Thomas Menino declared a public health emergency in his city.  Since October 1, there have been 700 confirmed flu cases in Boston, ten times more than the city saw in all of last year's flu season.  Thus far, 18 people have died. Continued: http://www.rawstory.com/rs/201...

(Note: The number of deaths is higher than what is reported in this article. The news hasn't caught up with the real numbers yet. JMO)

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown


Doctors Recommend Flu Shot for Children With Egg Allergies

Published: January 11, 2013

Amid an unusually widespread outbreak of the flu, a medical association of allergy specialists said Friday that even children with severe egg allergies should get flu shots.
Because the vaccine is grown in chicken eggs, manufacturers recommend that the roughly 2 percent of all children who have egg allergies not get them.

But flu hospitalizes 21,000 young children a year, said Dr. James L. Sublett, chair of the public relations committee of the American College of Allergy, Asthma and Immunology.
Because only trace amounts of egg protein remain in the vaccine, "we now know administration is safe," he said. "'The benefits of the flu vaccination far outweigh the risks."

Even children who have gone into anaphylactic shock from eating eggs should get flu shots, but from an allergist trained to handle emergencies, the association recommended.

In memory of pogge: Peace, order and good government, eh?
[If we want it, we'll have to work at it.]

As Flu Rages, Caregiving Suffers

January 11, 2013, 6:02 pmComment


In Collinsville, Ill., a city of about 42,000 that is 23 miles east of St. Louis, 20 percent of the staff at Home Instead Senior Care have called in sick, either struck by the flu themselves or at home taking care of a sick child.
"We've never seen it as bad as it is this year,"
said Skip Brown, the agency's owner. In previous years, about 5 percent of the staff have taken ill during flu season.

"It's really hard for our clients, most of whom are elderly," Mr. Brown said. "All of a sudden you have another person coming in to your home that you're not familiar with. That's really hard for seniors, and we have to make sure they're comfortable."

One client, a 92-year-old woman with diabetes, was insistent that a stranger not come to help when her usual caregiver became sick and stayed home.

"The problem that we're always concerned with is, what if an older person doesn't eat and what if they don't take their medication?" Mr. Brown said. Concerned, he called his client's out-of-town daughter, who called an elderly neighbor, who agreed to accompany someone from the agency to make sure the older woman was all right.

As it turned out, she hadn't taken insulin for a full day and was at risk of a diabetic crisis, which was averted when the agency worker intervened.


"The disruptions, the costs, the complications from this virus, no one should confuse it with a minor illness," said Dr. Poland, who has advocated for mandatory immunizations for health care workers.

In memory of pogge: Peace, order and good government, eh?
[If we want it, we'll have to work at it.]

Flu cases down in some areas; child deaths up

By Elizabeth Cohen, Elizabeth Landau and Ashley Hayes, CNN
updated 6:10 PM EST, Fri January 11, 2013

Atlanta (CNN) -
The number of pediatric deaths associated with influenza rose by two, according to the CDC. There have been 20 deaths of people under the age of 18 since the flu outbreak began.

The number of states reporting widespread activity, however, increased to 47 from 41, according to the CDC's flu advisory report. The only states without widespread activity are California, Hawaii and Mississippi. "Widespread" means that more than 50% of geographic regions in a state -- counties, for example -- are reporting flu activity. It addresses the spread of the flu, not its severity.

"... We are into what would classically be described as a flu epidemic," Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health, told CNN's Wolf Blitzer on Thursday. "It's still on the uptick," he said.
"Remember, once it peaks, you still have a considerable amount of time where there is a lot of flu activity, and right now it may have peaked in some places, but for the most part, it has not yet peaked,"
Fauci said.


As an extra precaution amid flu fears, Bishop Robert P. Deeley of Boston sent a note to all pastors in the Boston Archdiocese suggesting that during the Sign of Peace, "the faithful, instead of a handshake, may bow to the persons nearby." Similarly, in Washington, a note from the Archdiocese's communications office says that parishioners don't have to shake hands or receive communion from the chalice. "Those who are sick may wish to watch the Sunday TV Mass on their television at home and pray in solidarity with their parish community," the statement said.

People may get more complications from this particular strain of H3N2, "which may make them ill for a longer period of time," Dr. Michael Jhung, medical epidemiologist in the influenza division at the CDC, told CNN's Mary Snow.
Symptoms typically last up to seven days for a normal infection, he said.

In memory of pogge: Peace, order and good government, eh?
[If we want it, we'll have to work at it.]

US: Rising Number of Flu Cases Raises Public-Health Concern
In Boston, hospitals are restricting visitors to protect patients with weakened immune systems; some are barring children under 14 years altogether from traipsing through their wards. And hospital personnel are carefully monitoring folks flowing in through their lobbies for signs of sneezing, coughing or fever.

The hospitals are wise to take such care because Boston is experiencing a flu crisis. At Massachusetts General Hospital, 536 people have been treated for influenza so far this season, 97 in the past week alone. Last year just 29 people were admitted for stays of one night or more for flu-related illnesses; this year 167 have already been hospitalized. The current outbreak led the city's mayor to declare a public-health emergency when the confirmed influenza caseload hit 700, compared with last year's tally of 70. The announcement allowed the release of thousands of free vaccines for those who haven't been immunized and an admonition that people who are sick should stay home to prevent spreading the virus.

(Snip) Hospitals in Minneapolis and St. Paul are opening up extra units to house patients felled by flu. Forty-one states report widespread influenza, and according to the Centers for Disease Control (CDC), about 3 in 10,000 adults over age 65 have been hospitalized for influenza, compared with 1 in 100,000 at the same time last year. The elderly and those with weakened immune systems are most vulnerable to serious complications.

As the flu season continues to build, public-health officials are bracing for what could be the most severe outbreak in recent years. "Certainly last year was mild, and the year before that was relatively mild," says Dr. Michael Jhung, medical officer in the influenza division at the CDC. "But the number we are at right now, 5.6% [the proportion of people seeing their doctor for flu-related symptoms] compared to last year's peak of 2.2% tells you this year is more severe than last year for sure."

How high that means the incidence will climb isn't clear yet. Influenza season generally runs from October to April, peaking in February, but this season the flu hit earlier and harder. It's possible that the seasonal cycle is simply peaking earlier, says Jhung, but because influenza is so unpredictable, health officials won't know for sure until spring. Continued: http://healthland.time.com/201...

(Note: This article says, "Forty-one states report widespread influenza". The last figure I saw was 47 states. I think 47 is the correct number. JMO)

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown


US: Two more flu deaths confirmed, including child (Massachusetts)
Two more people have died in Boston after contracting the flu -- including for the first time this season, a child -- bringing the total to six. Five of the deaths have been in adults over age 65, and one was a child under six years old (Snip). "The child definitely had flu, but we're not sure if there weren't other complications that contributed to the death," Ferrer said.

In Massachusetts and across the country public health officials have been sounding warnings that the flu season arrived early and fierce, clogging emergency departments and causing a rush on vaccines.

Earlier this week, state officials were reporting 18 flu deaths in Massachusetts, none of which were children.

There was some indication Friday that the season may have peaked, with the percent of doctor visits for flu-like illness dropping some, according to figures from the state health department.

As of Friday night in Boston, however, Ferrer said, "we don't see any signs of a let-up, which is really why we're pushing vaccinations so hard." Unless the infections slow, Ferrer said the city is on track for a "severe" flu season. "Right now," she said, "it looks alarming."
The city is distributing free flu vaccine at community health centers this weekend. Continued: http://bostonglobe.com/lifesty...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown


US: 27 flu deaths reported in Illinois
Nearly 370 people have been admitted to intensive care units with the flu this season in Illinois, and 27 have died, the Illinois Department of Public Health reported Friday. That's a big jump from the Dec. 29 totals of almost 150 Illinois residents hospitalized and six deaths.

The majority of hospitalizations and death are in their 50s and older (Snip).

In Chicago, there were 121 influenza-associated ICU hospitalizations reported, almost double the total number of cases reported last year (Snip).

On Friday, IDPH sent a memo to hospitals recommending that they temporarily not allow visitors younger than 18, limit the number of visitors to two per patient at a time and other visitor restrictions (Snip).

The Centers for Disease Control and Prevention said flu was widespread in 47 states last week, up from 41 the week before. (Snip) The only states without widespread flu are California, Mississippi and Hawaii. http://www.suntimes.com/news/n...  

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown


India: Swine flu claims 39 lives since December (Rajasthan)
JAIPUR: Swine flu which resurfaced in the state in December has claimed at least 39 deaths in the past one month. Over 232 people also tested positive for the disease in the state.

(Snip). Jodhpur and Bikaner and their nearby areas are badly affected. The (Snip) majority of the swine cases were reported western Rajasthan while other districts in eastern and northern Rajasthan are not affected as the western part.


Last year from April 1 to September 24, only 14 swine flu deaths and 100 positive cases were reported. But, since then with the continuous decrease in temperature in the following three and half months, the positive cases increased from 100 to 449. Also during the same period, swine flu deaths increased from 14 to 73 (Snip).

The medical health and family welfare department has sent teams to the affected districts to ensure availability of medicines, ICU facilities and beds in isolated wards.

A health department official said the teams have visited Jodhpur and directed the officials concerned to conduct a survey of the affected areas and find out suspected swine flu cases. "Medicines are available in sufficient quantity. We have directed the officials conduct swine flu testing on the suspected cases, so that the spread of the flu is prevented," he said.

(Snip). in the current financial year, 73 deaths have already been reported. http://timesofindia.indiatimes...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown


Flu In NYC Reaches Epidemic Levels With 'Severe' Strain Of AH3N2; Officials Recommend Flu Shot

New York City Health Commissioner Thomas Farley warned New Yorkers Thursday that instances of the flu in the city have reached epidemic proportions.

"It's a bad year," Farley told reporters. "We've got lots of flu, it's mainly type AH3N2, which tends to be a little more severe. So we're seeing plenty of cases of flu and plenty of people sick with flu. Our message for any people who are listening to this is it's still not too late to get your flu shot. If you haven't gotten the flu yet and you haven't gotten your flu shot yet, you could still get it."

Mayor Michael Bloomberg also stressed the importance of flu shots. "Anybody that doesn't think so is just missing an opportunity to protect themselves," he said. "There's no guarantees in life. You can take a flu shot, walk across the street and get hit by a car. It doesn't mean you shouldn't take your flu shot."

Medical officials are alarmed by the 2013 flu season, which is said to be one of the worst in a decade and also one of the earliest.

The widespread outbreak has claimed the lives of at least 18 children across the country.


United we stand: Divided we fall

Cuomo Declares Public Health Emergency Over Flu Outbreak

January 12, 2013, 1:44 pmComment
With the nation in the grip of a severe influenza outbreak that has seen deaths reach epidemic levels, New York State declared a public health emergency on Saturday, making access to vaccines more easily available.

There have been nearly 20,000 cases of flu reported across the state so far this season, officials said. Last season, 4,400 positive laboratory tests were reported.

"We are experiencing the worst flu season since at least 2009, and influenza activity in New York State is widespread, with cases reported in all 57 counties and all five boroughs of New York City," Gov. Andrew M. Cuomo said in a statement.

Under the order, pharmacists will be allowed to administer flu vaccinations to patients between 6 months and 18 years old, temporarily suspending a state law that prohibits pharmacists from administering immunizations to children.


In memory of pogge: Peace, order and good government, eh?
[If we want it, we'll have to work at it.]

Hi bgw in Mt~ Our Mayor has declared a public
health emergency and the state Health Department says the number of people admitted to the hospitals with confirmed cases of flu has jumped 55% last week!

This most certainly wouldn't be handled any better if we were in the throws of a pandemic.


United we stand: Divided we fall

[ Parent ]
I think they are pretty much working at maximum capacity now, alright.

In memory of pogge: Peace, order and good government, eh?
[If we want it, we'll have to work at it.]

[ Parent ]
USA needs more effective flu shots, experts say

Liz Szabo and Elizabeth Weise, USA TODAY
11:07a.m. EST January 12, 2013

In the midst of an early flu season, public health officials are urging unvaccinated people to get a flu shot, as the best step they can take to protect both themselves and their families. Yet the Centers for Disease Control and Prevention also acknowledged Friday that influenza vaccines, on average, are only about 62% effective. In the past, the CDC had estimated that flu shots were 70% to 90% effective.

"There is a growing consensus among the public health communities that we need better influenza vaccines," says Michael Osterholm, director of the Center for Infectious Disease Research and Policy. "We're operating largely in the 1950s for our flu technology.

Osterholm last year published an influential analysis in The Lancet showing that, according to very rigorous standards, evidence indicated that flu shots were less effective than commonly reported.For children and seniors over age 65, there was no rigorous data showing their efficacy at all.

One subset of patients does get high protection from flu vaccines, Osterholm found. The intranasal flu vaccine, sold as FluMist, protects 83% of children under 8. There's mixed evidence about how well FluMist protects adults over 60, and a lack of evidence on its effect in people ages 8 to 59.

[Much more at site]

In memory of pogge: Peace, order and good government, eh?
[If we want it, we'll have to work at it.]

Flu reaches epidemic level in US
Influenza has officially reached epidemic proportions in the United States, with 7.3 percent of deaths last week caused by pneumonia and the flu, the U.S. Centers for Disease Control and Prevention said on Friday.

The early start and fast spread of flu this season - especially after 2011-2012's very mild outbreak - has overwhelmed doctors' offices and hospitals, forcing some patients to wait through the night to be seen in emergency departments.

Nine of the 10 U.S. regions had "elevated" flu activity last week, confirming that seasonal flu has spread across the country and reached high levels several weeks before the usual late January or February, CDC reported. Only one region - the Southwest and California - had "normal" flu activity last week.

Tens of thousands of Americans die every year from flu, even in non-epidemic years. The threshold for an epidemic is that it causes more than 7.2 percent of deaths, but as yet there is no definitive count of the total caused by flu this year.

In Boston, flu cases are 10 times higher than they were last year, causing Mayor Thomas Menino to declare a public health emergency on Wednesday.

In Illinois, 24 hospitals struggling to cope with the flood of flu cases had to turn away people arriving in the emergency department, while in Pennsylvania, the Lehigh Valley Hospital outside Allentown has set up a tent for people who arrive with less-severe flu.

A total of 20 children have now died from this season's flu, up two from the previous week, the CDC said. That compares to 34 during the full 2011-2012 flu season and 282 during the severe 2009-2010 season. Continued: http://www.indianexpress.com/n...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown


CT might have peaked
eastern half hit harder than western half, but we'll see what the week brings.

Interesting about CT
Interesting in that eastern CT is so much more rural than the western half of the state.  At least, that's what I remember about Windham and New London counties...

[ Parent ]
hartford is hard hit, but I'm thinking this year the virus travelled from Boston instead of NY.

It's hitting Red Sox nation harder than the Evil Empire.

[ Parent ]
Howdy, all! I haven't been on here for a LONG time--I think a couple of years--but I haven't forgotten you all!

About the norovirus--I can tell you what it's like, first-hand. It sucks. Big time. Hubby and I had it over Christmas, and I felt worse than when I had the flu a few years back. Luckily, it only lasts about 4 days, and only 1-2 of those were really bad ones. It all started 12/21, when he went out of town to visit his parents and brother, The brother had just gotten over it. On the 23rd, DH came down with it. I have never seen him so sick. He didn't even leave his bed for 24 hours, nor did he eat. He didn't even make it to the bathroom a few times--that's how bad the #2 part of the illness is. He was dizzy, and fell in his bathroom (and we're not elderly and prone to falling, BTW).

On 12/26, I came down with it. I awoke at 3AM, with a bad pain in my gut.  I threw up 5 times in 3 hours.  My legs were like rubber. I never did get dizzy, though. The runs started the next day--awful. The first day, I almost ate nothing, except for 2 crackers and a glass of milk. I'm diabetic, and my blood sugar can go down when I don't eat. If it hadn't been for that, I wouldn't have eaten at all. Just the sight of food on TV literally made me very nauseous. Some Christmas vacation...

And, after all that, did I lose any weight? NO!!! Not fair!! :-)

BTW, his parents came down with it the same day as DH, and still are feeling the effects of the virus. It's a bad one. Be prepared. Ensure that you stay HYDRATED, even if you don't eat. Make yourself drink water.  Have some Minute Rice on hand and canned soup. Have Pepto-Bismol on hand, and a few changes of bed sheets and towels. I kept a bucket and towels by the sofa when I was sick. You may not make it to the bathroom for EITHER end. Consider that in your preps, as well.

Good suggestions, WhiteSwan (n/t)

[ Parent ]

I'd like to add a few things that I should included in my original post:

I actually was too weak to do even very simple cooking. I've never had that happen before! Even when I had the flu, I could manage to make some toast and mix up canned soup. I couldn't with the norovirus. I was alone all the days I was sick (hubby had pretty much recovered and went to work), so this is important to note should you live alone and/or the rest of the family are felled with the virus. In fact, I'd keep a stomach virus kit in easy reach of your bed, just in case you come down with it--it hits very suddenly. The Minute Rice: you can buy 2 cup packs of microwavable Minute or Uncle Ben's Rice. Yes, they are very pricey (about $1.79 here in PA), but, if you get as weak as we did, you'll think they are worth the expense. Wish I had 'em when I was sick! Also, I've read that one can tackle diarrhea with the water that rice has been cooked in. Drink it when it cools down. This may only be for "normal" rice, not those cups, but it's something to remember.  I think it was used during a cholera epidemic in England in the 1840's.

The scary thing was how FAST we both got sick. Hubby may have contracted it from brief contact with his brother. The only real physical contact we shared is when he arrived home, and I greeted him with a short kiss. We did share a bed, though; perhaps he breathed on me during the night. I know he got up and vomited several times during the wee morning hours. I decided to sleep in the guest room, hoping to minimise contact. That often works when he has a cold. It didn't in this case. This is one, bad boy of a stomach virus!

[ Parent ]
Norovirus/flu kit
May be handy to keep bedside:

Bottled water (LOTS!!!)
Bucket (to vomit in)
Towels (for when you do vomit!)
Mints (to suck on to settle your stomach. I used the Christmas candy canes! Also helps with the awful taste in your mouth)
Your cell phone/home phone
Heating pad (I couldn't get warm)
TV remote
Change of nightclothes and underwear
Thermometer (for your temp.)
Disposable gloves (to clean up messes/someone else to wear when doing so)
Toilet paper
Fruit cups
Hard candy
Applesauce (also available in cups)
Spoons, etc.; napkins
Juice boxes
Ginger ale (though it made me vomit when I had the norovirus)
Gatorade (to replace electrolytes lost from vomiting)
Pepto-Bismol/Immodium, etc.

Clock (I was very lethargic, and time seemed out of whack to me, especially when waking up from naps--weird feeling)

Apple cider vinegar. I put a TBL in DH's water bottle to help with the stomach issues and the runs.

Incontinnce underpads for the mattress. You'll be glad you got them. Trust me.

Extra sheets and blankets
Books to read, when the woozy feeling wears off, and you can sit up, but still need to rest
Extra socks. My feet were freezing, even in bed

For the flu, all of the above, plus cough syrup and cold meds, etc.

This kit would be especially great for a bedroom that is not on the ground floor. Stairs were difficult and dangerous for us to use when we had the norovirus. If you kept in it a box in your bedroom, you could move it bedside as soon as you started to feel sick. Believe me when I say that you need to ASAP. You start feeling weak right after you vomit the first time. You don't want to have your water downstairs, etc.

Also, if you have pets, try to get as much in place for their care as soon as you feel sick. I have several cats, and fretted about them, as I was too weak to do much, such as feeding them and doing litterboxes. It really upset me, and that added to my misery. I now have bought, as part of my disaster kit, Kat Kits--pre-filled, disposable litterboxes.  

[ Parent ]
I ALWAYS forget something when I post!!!
If you use foods and drinks that contain artificial sweeteners, lay off them when you have the runs. Many contain stool softeners. That's that LAST thing you need then! I didn't touch my beloved Diet Pepsi for days. LOL

[ Parent ]
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