Bird flu could potentially kill up to two million 00:00:31.14\00:00:33.21 Americans and up to 81 million worldwide. 00:00:33.22\00:00:36.20 Welcome and thank you for joining us today. 00:00:36.86\00:00:38.30 Yes Amber, 40 percent of the workforce 00:00:38.86\00:00:41.75 could be off leaving essential services 00:00:41.76\00:00:44.65 we depend on unavailable. Such as grocery stores, 00:00:44.66\00:00:47.84 schools, ambulances, hospitals. 00:00:47.85\00:00:50.76 Hi, I'm John Clark and with me today is 00:00:50.77\00:00:53.24 Dr. Amber Bell. Dr. Bell is a doctor of science 00:00:53.25\00:00:57.27 in physical therapy, and Dr. Clark is a 00:00:57.28\00:01:00.11 medical doctor and member of the American College 00:01:00.12\00:01:02.27 of Lifestyle Medicine. Don't go away, 00:01:02.28\00:01:04.56 bird flu can dramatically change life as you know 00:01:05.18\00:01:07.18 it today. We've titled this talk Bird flu, 00:01:07.19\00:01:10.44 the nature of the beast. We wanna talk a 00:01:10.45\00:01:13.14 little bit about what bird flu is all about. 00:01:13.15\00:01:15.98 You see such titles on the news as not just 00:01:16.76\00:01:19.30 for the birds and nothing to tweet about, 00:01:19.31\00:01:21.49 we wanna make sure you understand 00:01:22.18\00:01:23.69 what this bird flu threat is all about. 00:01:23.70\00:01:26.66 CNN Monday, December 13, 2004, 00:01:27.02\00:01:29.50 the World Health Organization warned of 00:01:29.51\00:01:31.41 dire flue pandemic. It has issued a dramatic 00:01:31.42\00:01:34.45 warning that bird flu will trigger an international 00:01:34.46\00:01:36.99 pandemic that could kill up to seven 00:01:37.00\00:01:38.66 million people. National Geographic News, 00:01:38.67\00:01:41.53 May 25, 2005, world unprepared for bird flu 00:01:41.54\00:01:46.47 pandemic, experts say, a global influenza 00:01:46.48\00:01:50.22 pandemic like the Spanish flu of 1918 could leave 00:01:50.23\00:01:53.73 tens of millions dead. Many experts insists 00:01:53.74\00:01:57.14 that the world is unprepared and 00:01:57.15\00:01:58.98 overdue for just such a catastrophe. 00:01:58.99\00:02:02.63 Reuters, May 27, 2005 states, is the U.S. 00:02:02.64\00:02:06.05 prepared for bird flu pandemic? 00:02:06.06\00:02:07.94 The United states remains woefully unprepared 00:02:07.95\00:02:09.94 for an influenza pandemic that could kill millions 00:02:09.95\00:02:12.41 of people. MSNBC, May 23, 2006, possible 00:02:12.42\00:02:17.87 human transmission of bird flu probe. 00:02:17.88\00:02:20.51 The World Health Organization says it is 00:02:20.52\00:02:23.21 investing an outbreak of bird flu, 00:02:23.22\00:02:25.40 passed from person to person among members of 00:02:25.41\00:02:28.23 one family in Indonesia. CNN reported U.S. 00:02:28.24\00:02:32.27 bird flu probably no human thread fed say. 00:02:32.28\00:02:34.66 Tuesday, August 15, 2006. Scientists have 00:02:35.33\00:02:37.81 discovered possible bird flu in two wild swans 00:02:37.82\00:02:40.28 on the shore of Lake Erie but it does not appear 00:02:40.29\00:02:41.92 to be the much-feared Asian strain that has 00:02:41.93\00:02:43.84 ravaged poultry and killed at least 138 00:02:43.85\00:02:46.26 people elsewhere in the world. 00:02:46.27\00:02:47.64 Well, you know Amber as we see this flu 00:02:47.98\00:02:50.86 being taunted in the news and spreading around 00:02:50.87\00:02:54.23 the globe and more and more instances of it 00:02:54.24\00:02:56.33 affecting humans we need to remember that 00:02:56.34\00:02:59.25 in the past pandemics have happened. 00:02:59.26\00:03:01.46 That's right, that there has been diseases, 00:03:01.47\00:03:03.23 we've called them plagues often in the past 00:03:03.24\00:03:05.57 or pestilences. There was the bubonic plague 00:03:05.58\00:03:08.02 14th century Europe. A total of well over 00:03:08.03\00:03:11.00 20 million people died as a result of that in Europe 00:03:11.01\00:03:14.49 and possibly 40 million worldwide and bubonic 00:03:14.50\00:03:17.92 plague has even been found recently as recently 00:03:17.93\00:03:20.76 as 1997 in Southern United States and its found 00:03:20.77\00:03:24.20 to be multiple antibiotic resistant. The cholera, 00:03:24.21\00:03:27.63 this is the disease that causes diarrhea, 00:03:27.64\00:03:30.65 you become dehydrated and it has passed 00:03:30.66\00:03:34.94 around the world a few times as a epidemic, 00:03:34.95\00:03:38.08 has killed 20000 people in Egypt in 1947. 00:03:38.09\00:03:41.79 It swept through Peru in 1991, its been in the 00:03:42.56\00:03:45.64 Southern United States. Interestingly as a result 00:03:45.65\00:03:48.82 of eating infected shellfish. Experts claim 00:03:48.83\00:03:52.90 smallpox killed more than 100 million people prior 00:03:52.91\00:03:55.75 to 1725, that's a lot of people. And you know 00:03:55.76\00:03:59.36 there has been a number of epidemics in the 00:03:59.37\00:04:01.77 United States, there's been yellow fever, 00:04:01.78\00:04:03.52 cholera, polio and of course the AIDS epidemics 00:04:04.32\00:04:07.44 that's going on from 1981 till present. 00:04:07.45\00:04:10.32 Has killed nearly half a million and then there's 00:04:10.99\00:04:13.40 been the past flu pandemics. 00:04:13.41\00:04:15.22 We had the 1918 Spanish flu and 20 to 40 00:04:15.23\00:04:19.33 million deaths globally and I believe there are 00:04:19.34\00:04:21.55 675,000 in just the U.S. alone, that's right 00:04:21.56\00:04:24.66 675,000. 1957, Asian flu 1 to 4 million deaths 00:04:24.67\00:04:32.04 worldwide and 70,000 in the United States. 00:04:32.05\00:04:35.46 The Hong Kong flu there is 1 to 4 million deaths 00:04:35.47\00:04:38.24 and 34,000 in the U.S. Well lets talk about the 00:04:38.25\00:04:41.40 Spanish flu, you know the Spanish flu is kind 00:04:41.41\00:04:44.30 of a one more we're thinking our bird flu 00:04:44.31\00:04:45.93 could be like in this present time. 00:04:45.94\00:04:47.66 Government went up to Alaska dug up some 00:04:48.30\00:04:50.42 bodies that were in permafrost that had died 00:04:50.43\00:04:53.39 of the flu in 1918, checked out the genes 00:04:53.40\00:04:56.20 of that bird flu and it had bird genes in it. 00:04:56.21\00:04:59.15 And so while they call it the Spanish flu and 00:04:59.78\00:05:01.89 nobody knows why, it really was a bird flu. 00:05:01.90\00:05:06.20 And so the 1918 flu we're gonna refer to 00:05:06.98\00:05:09.41 instead of as the Spanish flu as the 1918 bird 00:05:09.42\00:05:12.91 flu throughout this talk and it killed 25 to 50 00:05:12.92\00:05:16.84 million worldwide. There was millions in Asia, 00:05:16.85\00:05:19.49 675,000 in United States, 500,000 in Mexico, 00:05:20.33\00:05:24.55 450,000 in Russia, Italy 375,000, Britain 228,000 00:05:24.56\00:05:31.61 and Canada 44,000 deaths due to this Spanish 00:05:31.62\00:05:36.20 influenza or what we're calling bird flu. 00:05:36.21\00:05:38.17 And might I add, the population of the world 00:05:38.98\00:05:40.90 wasn't as great in 1918 as where it is now, 00:05:40.91\00:05:44.95 geological impact, that's right, 00:05:44.96\00:05:45.93 yeah in United States alone there were only 00:05:45.94\00:05:48.42 80 million people. So you can see it was 00:05:48.43\00:05:51.08 a higher percentage than you might think of 00:05:51.09\00:05:52.58 from today's statistics. I was up north in 00:05:52.59\00:05:55.98 Maine looking around in a graveyard one day 00:05:55.99\00:05:59.08 giving my kid a break and it was a good place 00:05:59.09\00:06:01.33 to play and I came across this gravestone 00:06:01.34\00:06:03.86 of Frank Dipalma, born January 13, 1893, 00:06:03.87\00:06:09.06 he died in Camp Devens in September 27, 00:06:09.07\00:06:13.53 1918 and obvious 1918 bird flu casualty and 00:06:13.54\00:06:18.49 Fort Devens as we call it today was a hot spot 00:06:18.50\00:06:21.23 for the bird flu. I think its important then to 00:06:21.24\00:06:23.41 look back at that flu, we can learn a lot from it. 00:06:23.42\00:06:25.71 I know in March 11 by noon a 107 soldiers 00:06:26.38\00:06:29.81 reported to the infirmary at Fort Riley, 00:06:29.82\00:06:31.82 Kansas complaining of low-grade fever, 00:06:31.83\00:06:33.91 sore throat, headache, muscle aches, 00:06:33.92\00:06:36.17 typical flu symptoms. However within two days 00:06:36.18\00:06:39.52 a total of 522 people were sick and some 00:06:39.53\00:06:42.71 were close to death with severe pneumonia. 00:06:42.72\00:06:44.95 Alright, and these were young man, 00:06:44.96\00:06:46.83 alright, the ones that we consider are usually 00:06:48.21\00:06:49.61 having the strong immune systems. That's right. 00:06:49.62\00:06:51.85 Its interesting to follow progression of that flu, 00:06:52.49\00:06:54.50 it didn't stay in Kansas for long, soon it was 00:06:55.30\00:06:57.71 all over the military ranks. Even sailors out 00:06:57.72\00:07:00.87 in the middle of the ocean were getting it and 00:07:00.88\00:07:02.59 and then it spread to the French, 00:07:02.60\00:07:04.70 and the French civilians. By April, China and Japan 00:07:04.71\00:07:07.56 had it within two weeks, then it went on to 00:07:07.57\00:07:09.95 Africa and South America by May. But 00:07:09.96\00:07:12.48 this was the first wave, there was a second 00:07:13.09\00:07:15.26 wave that came along later that was even more 00:07:15.27\00:07:17.18 deadly. In October, the same year in 1918 the 00:07:17.19\00:07:20.80 American draft was actually suspended due 00:07:20.81\00:07:23.13 to pandemic, wow. As Allies engaged Germany in 00:07:23.14\00:07:26.32 a series of final offenses, the flu was a major 00:07:26.33\00:07:28.64 player in the overall mortality and actually 00:07:28.65\00:07:31.30 swung the outcome of a lot of the battles. 00:07:31.31\00:07:32.73 That's right Bell, there was times there when 00:07:32.74\00:07:34.76 the Allies were expecting the Germans to attack 00:07:34.77\00:07:37.28 and they didn't attack, what's going on, 00:07:37.29\00:07:39.02 we're expecting an attack and Germans obviously 00:07:39.03\00:07:41.96 had the bird flu too, that's right. 00:07:41.97\00:07:43.78 25 percent of our military actually caught the flu. 00:07:44.56\00:07:46.91 One million soldiers and up to a 40 percent 00:07:47.50\00:07:49.66 of the Navy may have been infected as well. 00:07:49.67\00:07:51.75 And if they look at the overall numbers 00:07:52.74\00:07:54.38 I believe it was 57,000 people died of the bird 00:07:54.39\00:07:57.92 flu soldiers at that time and only 50,000 died 00:07:57.93\00:08:01.32 in combat. So we had more lost to the flu 00:08:01.33\00:08:03.40 then to the war. Even the peace conference 00:08:03.41\00:08:06.35 at Versailles was affected by the flu. 00:08:06.36\00:08:08.47 That's right, very interesting study, 00:08:08.48\00:08:10.57 the bird flu tends to cause mental changes, 00:08:10.58\00:08:13.45 while you know when you get the flu you 00:08:14.70\00:08:15.89 feel like going to bed you can think that well, 00:08:15.90\00:08:17.80 it sends you mind into alpha waves. 00:08:18.52\00:08:20.05 Well this happened to Woodrow Wilson, 00:08:20.06\00:08:21.77 up until he got the flu he was fighting for the 00:08:22.33\00:08:25.60 Germans not letting the French put too strong 00:08:25.61\00:08:28.03 or reparations on them. After he got the flu 00:08:28.04\00:08:30.93 some people in history thought he had a stroke, 00:08:30.94\00:08:33.57 but early he got an flu he ended up just you 00:08:34.18\00:08:37.34 know letting the French have what they wanted 00:08:37.35\00:08:39.43 and basically set up the conditions that would 00:08:39.44\00:08:42.45 lead to World War II under Hitler. 00:08:42.46\00:08:44.34 Here's a letter from a doctor at Camp Devens 00:08:44.84\00:08:48.05 and he says, it was only a matter of a few hours 00:08:48.06\00:08:51.17 then until death comes, and it is simply 00:08:51.18\00:08:54.43 a struggle for air until they suffocate. 00:08:54.44\00:08:57.38 One can stand it to see one, two or twenty 00:08:57.39\00:09:01.06 men die, but to see these poor devils drop 00:09:01.07\00:09:03.58 like flies sort of deaths on your nerves. 00:09:03.59\00:09:05.93 We have been averaging about 100 deaths per day, 00:09:05.94\00:09:09.09 and still keeping it up. There is no doubt in my 00:09:09.76\00:09:12.96 mind that there is a new mixed infection here, 00:09:12.97\00:09:17.26 but what, I don't know. Let's take a look at 00:09:17.27\00:09:20.37 what is required for a pandemic to occur? 00:09:20.38\00:09:22.66 What did our history, many history of plagues 00:09:23.02\00:09:25.12 throughout the world, history of flu's in the 00:09:25.13\00:09:26.71 past, lets take a look about what has to be 00:09:26.72\00:09:28.67 in place for a flu to actually occur for this 00:09:28.68\00:09:30.63 pandemic. Well if you have a new organism 00:09:30.64\00:09:33.43 that nobody has ever been infected with before, 00:09:33.44\00:09:36.30 have no immunity to it, well then it can spread 00:09:36.31\00:09:39.11 like wildfire, especially if it varying 00:09:39.12\00:09:42.47 on to humans, pathogenic to humans, 00:09:42.48\00:09:44.40 it will infect humans. And so humans must be 00:09:44.94\00:09:47.97 able to transmit it from person to person 00:09:47.98\00:09:50.38 also in order for it to become a pandemic. 00:09:50.39\00:09:53.19 Can you tell us a little about the particular 00:09:53.23\00:09:55.31 food that we're looking at right now, 00:09:55.32\00:09:56.52 I believe it's called the H5N1 virus. 00:09:56.53\00:09:58.88 Yes, this virus is a bird flu, we call it 00:09:59.55\00:10:03.06 avian influenza. Avian meaning bird, influenza 00:10:03.07\00:10:06.83 is you know we get the word flu from influenza. 00:10:06.84\00:10:10.60 This virus effects birds that live around water, 00:10:11.38\00:10:14.68 aquatic birds you know swans and mallards 00:10:15.25\00:10:18.37 and ducks you know and geese and they fly 00:10:18.38\00:10:21.09 all over the country with it. They're kind of like 00:10:21.10\00:10:23.27 a reservoirs too, they don't necessarily get sick 00:10:23.28\00:10:25.73 and die from it but they certainly spread it and 00:10:25.74\00:10:28.65 they drop it out in their feces. Well the H5N1 virus 00:10:28.66\00:10:32.34 has raised concerns about potential human 00:10:32.35\00:10:33.97 pandemic because it's especially virulent. 00:10:33.98\00:10:36.07 As being spread all over the place by these 00:10:36.77\00:10:38.87 migratory birds. No one can predict when next 00:10:38.88\00:10:41.24 pandemic might occur. Wow! These migratory 00:10:41.25\00:10:45.10 birds are kind of a concern you know, 00:10:45.11\00:10:46.67 they go all the way from Australia up to Russia 00:10:46.68\00:10:49.19 and then some birds go from Russia across 00:10:49.20\00:10:51.13 over to Maine and New Brunswick and so forth 00:10:51.14\00:10:53.92 and then they'll go all way down to 00:10:53.93\00:10:55.27 South America, they spread it all over the globe. 00:10:55.28\00:10:58.15 So, if you look at those migratory routes 00:10:58.85\00:11:01.01 you can kind of pick where your birds 00:11:01.02\00:11:02.66 gonna come from. That's right. 00:11:02.67\00:11:03.96 More than half of the people infected with the 00:11:05.26\00:11:06.71 H5N1 virus have died so far. Most of these cases 00:11:06.72\00:11:09.88 are all believed to have been caused by exposure 00:11:09.89\00:11:11.77 to infected poultry and possible human to human 00:11:11.78\00:11:14.93 transmission is currently being investigated 00:11:14.94\00:11:16.87 as well. That's right. Any time there is a case 00:11:16.88\00:11:18.91 over in Asia that looks like one human being 00:11:18.92\00:11:21.18 passes it to another, they're all over it. 00:11:21.19\00:11:23.24 And there's been some cases where like family 00:11:23.86\00:11:25.82 members came from out of the country to come 00:11:25.83\00:11:27.93 visit their relative in hospital and they came 00:11:27.94\00:11:30.62 down with it. So, obviously it got transmitted 00:11:30.63\00:11:32.96 from human to human. Well lets take a look 00:11:32.97\00:11:35.17 at the influenza A virus. You know it's a very 00:11:35.18\00:11:37.13 small virus 50 to 120 nanometers. Whatever that 00:11:37.14\00:11:41.91 means, well it means, it's so small, it takes an 00:11:41.92\00:11:44.13 electron microscope to see it, as only a single 00:11:44.14\00:11:48.06 strand of RNA not DNA, that's 8 segments 00:11:48.07\00:11:52.95 of that RNA, it has surface proteins, 00:11:52.96\00:11:56.29 these are the way, this is the way we type 00:11:56.30\00:11:57.82 the virus. For example the H5N1 well that can 00:11:57.83\00:12:02.00 be 15 different H's and there can be nine 00:12:02.01\00:12:04.22 different N's. Well the H is a letter that stands 00:12:04.23\00:12:08.05 for Haemagglutinin, this is a receptor binder 00:12:08.06\00:12:11.79 that gets the virus into the cell, the N stands for 00:12:11.80\00:12:16.73 Neuraminidase, it's a protein that gets the virus 00:12:16.74\00:12:19.51 out of the cell, back out of it, and so these 00:12:19.52\00:12:23.02 are both important for the infectivity of the 00:12:23.03\00:12:26.11 virus and since they change it's a way we can 00:12:26.12\00:12:28.76 type the virus. Water foul carry the disease, 00:12:28.77\00:12:31.72 domestic foul can also catch the disease and 00:12:31.73\00:12:33.65 pass it to swine. Oh boy. Swine catch both the 00:12:33.66\00:12:37.22 human and the bird flu, okay, so they can 00:12:37.23\00:12:40.71 actually be kind of a reservoir to create 00:12:40.72\00:12:42.64 a new hybrid. They're the laboratory, that's right 00:12:42.65\00:12:45.11 and that's when the flu can become pandemic. 00:12:45.12\00:12:47.20 The swine or a important link, that's right, 00:12:47.86\00:12:52.28 many animals or meat for that instance can 00:12:52.29\00:12:54.95 actually have a history of being linked to 00:12:54.96\00:12:56.66 pestilence. Interesting and the biblically unclean 00:12:56.67\00:13:00.94 meats are especially bad aren't they, 00:13:00.95\00:13:02.97 that's very true. And I think of some of the 00:13:02.98\00:13:06.01 diseases we see around the country, hepatitis A, 00:13:06.02\00:13:08.68 typhoid and cholera all can come from eating 00:13:08.69\00:13:12.08 clams or shellfish which are biblically unclean 00:13:12.09\00:13:15.24 meat. By biblically unclean, I mean God says 00:13:15.25\00:13:17.19 in the Bible I really didn't make these for 00:13:17.20\00:13:19.02 food, right, and if you did eat them you know 00:13:19.03\00:13:21.83 you're on your own. Well, hepatitis A happens 00:13:21.84\00:13:25.13 that way. Pigs, eating pigs or living with them 00:13:25.14\00:13:28.42 is linked to the influenza, like we already 00:13:28.43\00:13:32.07 talked about, but also there is trichinosis that 00:13:32.08\00:13:35.32 can happen, also there is some question 00:13:35.33\00:13:38.40 whether or not HIV got it start from people 00:13:38.41\00:13:42.12 eating or living with monkeys, yeah, 00:13:42.13\00:13:44.52 and I don't know if that's confirmed but. 00:13:45.30\00:13:47.19 Trichinella, 36 percent were due to infected 00:13:47.20\00:13:50.91 pork, yeah, 40 percent bear, bear? Bear, 00:13:51.49\00:13:54.10 probably those who mainly like to hunt bear, 00:13:56.22\00:13:57.46 that's right, 11 percent badger and 12 00:13:57.47\00:14:00.93 percent dog. Clams have been responsible for 00:14:00.94\00:14:04.14 spreading hepatitis A, in fact in 1988 nearly 00:14:04.15\00:14:07.92 300,000 Chinese in Shanghai developed 00:14:08.56\00:14:12.15 Hepatitis A from eating clams. 00:14:12.16\00:14:14.65 You as a clam cleans up the ocean floor, 00:14:15.16\00:14:17.11 cleans you know these are cleaning bees, 00:14:17.12\00:14:18.98 yeah, and when they get through cleaning, 00:14:18.99\00:14:21.16 its kind of like your vacuum cleaner, they have 00:14:21.74\00:14:23.14 a bag in them that carries all the junk that they 00:14:23.15\00:14:25.79 cleaned, and they can have all these infective 00:14:25.80\00:14:28.09 organisms living in that bag, you eat the you 00:14:28.73\00:14:31.98 know this clam and you get the benefit of what 00:14:31.99\00:14:34.48 he had in his cleaning bag, that's right. 00:14:34.49\00:14:36.49 Well tell us how the swine flu i guess in the Bible 00:14:37.40\00:14:41.06 are related? Yeah, you know in 1918 this 00:14:41.07\00:14:45.29 influenza killed so many people, killed more people 00:14:45.30\00:14:47.78 than the war killed and if you trace it back 00:14:47.79\00:14:52.03 it does seem that it reasserted in pigs in Asia 00:14:52.57\00:14:55.27 and if it reasserted in pigs in Asia then 00:14:56.00\00:14:59.69 if those people haven't been living with and 00:15:00.21\00:15:02.82 eating pigs we may never have seen this 00:15:02.83\00:15:05.69 pandemic influenza back then, so it all comes 00:15:06.47\00:15:09.78 back to the Bible and the suggestions God 00:15:09.79\00:15:12.13 made that you know you shouldn't eat them, 00:15:12.14\00:15:14.35 maybe you shouldn't live with them and maybe 00:15:14.36\00:15:16.04 you shouldn't even touch them, that's right, 00:15:16.05\00:15:17.21 because the pigs are kind of like the clams, 00:15:17.86\00:15:19.35 they go around cleaning things up. 00:15:19.36\00:15:20.99 Yes it seems like when you look at the unclean 00:15:21.98\00:15:23.42 and the clean animals, the unclean animals 00:15:23.43\00:15:24.85 are those for instance the vultures, yeah, 00:15:24.86\00:15:27.59 or the pigs, the clams and their permanent job 00:15:27.60\00:15:29.59 is to clean up waste and so when we eat them 00:15:29.60\00:15:32.52 I guess we're getting some of that waste. 00:15:32.53\00:15:33.89 Well, lets look at how the flu is spread from 00:15:34.98\00:15:37.09 year to year, yes, each year we have a flu 00:15:37.10\00:15:39.33 season, that's right, and we have a flu 00:15:39.34\00:15:41.43 season for birds and some forms of the flu 00:15:41.44\00:15:43.69 seem to be worse than others. 00:15:43.70\00:15:44.86 A weak virus may cause you know mild illness 00:15:45.49\00:15:47.83 in infected poultry but a strong virus could 00:15:48.34\00:15:50.61 cause severe and extremely contagious 00:15:50.62\00:15:52.12 illness and even death among infected poultry 00:15:52.13\00:15:55.41 and birds. Well when you have the birds, 00:15:55.42\00:15:57.77 all gathered together in one area, in a close 00:15:57.78\00:16:00.52 confinement then the air borne particles can go 00:16:00.53\00:16:04.11 from bird to bird. You also have direct contact 00:16:04.12\00:16:07.66 with respiratory secretions you know, 00:16:07.67\00:16:09.62 birds blow their noses I guess, that's right and 00:16:10.55\00:16:12.65 they leave it around and somebody else gets 00:16:12.66\00:16:15.16 a hold of it. Then it can actually be in the eggs 00:16:15.17\00:16:18.33 and if the egg breaks and gets spread around, 00:16:18.86\00:16:20.58 then other birds get in the egg and pretty soon 00:16:20.59\00:16:22.72 they've got it as well. And if you're taking 00:16:22.73\00:16:25.27 birds and moving them from flock to flock, 00:16:25.28\00:16:27.35 you know you take one sick bird and move him 00:16:27.36\00:16:29.56 to another flock the other flock is gonna get 00:16:29.57\00:16:31.41 it as well, that's right. Then you have people 00:16:31.42\00:16:33.41 that go and work with the birds and they might 00:16:33.42\00:16:35.36 get this stuff on their shoes or their clothes 00:16:35.37\00:16:37.78 or something, egg flaps are carrying or even 00:16:37.79\00:16:41.29 on the feed trucks and pretty soon it gets 00:16:41.30\00:16:42.98 spread from camp of birds to camp of birds or 00:16:42.99\00:16:46.13 from confinement of birds. And then there's 00:16:46.14\00:16:49.30 the birds that just get in contact with wild birds, 00:16:49.31\00:16:53.22 you know you have a flock of chicken in flies 00:16:53.83\00:16:55.61 the duck, he lands, he poops, you know you can 00:16:55.62\00:16:58.89 only imagine how he spreads, right, 00:16:58.90\00:17:01.06 around this infected material. Well you know 00:17:01.07\00:17:05.24 he lands in the water and infects the water 00:17:05.25\00:17:07.69 and then blame it or not garbage flies can 00:17:08.63\00:17:11.65 carry this surrounds, so carry a fly swatter, 00:17:11.66\00:17:14.25 that's right. Where we talk about how the 00:17:14.26\00:17:15.82 influenza can be spread among birds, yeah, 00:17:15.83\00:17:18.24 lets know a little about how it can be spread 00:17:18.25\00:17:19.75 among people. Somebody comes flying in on an 00:17:19.76\00:17:22.09 airplane from Italy or something and when they 00:17:22.10\00:17:24.80 come in, they've infected everybody on the 00:17:24.81\00:17:26.70 airplane because that airplane just re-circulates 00:17:26.71\00:17:29.14 the air. Basically its respiratory droplets, 00:17:29.15\00:17:31.68 the person coughs, put the respiratory 00:17:32.48\00:17:35.09 droplet in the air, the respiratory droplet 00:17:35.10\00:17:37.31 has infective agents in it, virus and the next 00:17:37.32\00:17:40.98 person comes along and sniffs it up, 00:17:40.99\00:17:42.89 well not on purpose or the person coughs 00:17:43.40\00:17:46.14 onto their hands and they touch something, 00:17:46.63\00:17:48.34 somebody comes along and touches the same 00:17:48.35\00:17:50.11 thing like a doorknob and when they touch the 00:17:50.12\00:17:52.94 doorknob then they got to touch their face 00:17:52.95\00:17:55.00 make sure they're you know, looking alright 00:17:55.01\00:17:57.35 for them, its not right, yeah, looking alright 00:17:57.36\00:17:58.73 for them and then they have the bird flu. 00:17:58.74\00:18:00.85 And so it can happen a number of different ways. 00:18:01.86\00:18:03.90 Then once they get the virus, may not be 00:18:04.45\00:18:06.17 apparent for a day or two that they've come 00:18:06.18\00:18:07.97 down with some illness, not showing any symptoms, 00:18:07.98\00:18:10.41 not showing any symptoms and they start 00:18:10.42\00:18:12.11 spreading it around, they touch their face, 00:18:12.12\00:18:14.65 they shake hands, they're social, they're nice, 00:18:14.66\00:18:16.99 they hug and pretty soon, everyone they hugged, 00:18:17.00\00:18:19.55 everyone they hugged guys with the bird flu, 00:18:20.21\00:18:21.90 in trouble. So yes, it can affect people for up 00:18:21.91\00:18:24.94 ten days before even you know it and then 00:18:24.95\00:18:26.62 up to 5 days after you've come down with 00:18:26.63\00:18:28.57 symptoms as well, yeah, so you can pass the flu 00:18:28.93\00:18:30.83 to someone else before you even know you're 00:18:30.84\00:18:32.14 sick and then after you're sick for up to five days, 00:18:32.15\00:18:34.24 that's right, the gift that keeps on giving, 00:18:34.25\00:18:36.30 that's right. And if you work in an area where 00:18:36.31\00:18:40.40 there's a lot of people coming and going, 00:18:40.41\00:18:42.14 you're at high risk, I mean if you're a border 00:18:42.95\00:18:44.46 guard down on Tijuana border, that's right, 00:18:44.47\00:18:47.89 you're gonna see a lot of people come through 00:18:47.90\00:18:49.22 there you might get the bird flu, but if you're 00:18:49.23\00:18:52.31 in an isolated place like Wyoming, where not 00:18:52.32\00:18:55.28 many people are coming and going then its 00:18:55.29\00:18:57.87 harder to spread it. So you have to monitor 00:18:57.88\00:19:01.43 your risk by how many people are coming 00:19:02.18\00:19:04.32 and going. Well speaking of a lot of people 00:19:04.33\00:19:06.52 in one area, cities, oh! Cities, there is a critical 00:19:06.53\00:19:10.69 population cite that they usually associate 00:19:10.70\00:19:12.85 with something becoming a pandemic, that's right, 00:19:12.86\00:19:15.57 and 250,000 seems to be the magic number, 00:19:15.58\00:19:18.48 that's right, you know pandemics didn't start 00:19:19.03\00:19:21.19 making their way in the history until people were 00:19:21.20\00:19:23.99 crowding into cities over 250,000. 00:19:24.00\00:19:26.42 Part of it is that if you're in a little farm 00:19:26.43\00:19:28.37 community and everybody gets it, 00:19:28.38\00:19:29.55 that's gonna get it and it passes on, but 00:19:29.56\00:19:31.90 if you're in a big city this group can get it, 00:19:32.51\00:19:34.58 then this group can get it, then the other group 00:19:34.59\00:19:36.21 can get it and then pass it back to the first 00:19:36.22\00:19:37.88 group and it just keeps going around these 00:19:37.89\00:19:39.49 250,000, multiple ways, yeah, multiple ways 00:19:39.50\00:19:41.49 until you have a whole sick population. 00:19:42.39\00:19:45.62 Does the Bible say something about cities and 00:19:45.63\00:19:47.36 disease, it certainly does. In Jeremiah 21:6, 00:19:47.37\00:19:50.71 we find, and I will smite the inhabitants 00:19:51.28\00:19:53.00 of this city, both man and beast: 00:19:53.01\00:19:54.60 they shall die of a great pestilence. 00:19:54.61\00:19:56.29 So, even in the Bible we find examples of the 00:19:57.06\00:19:58.64 cities being affected by disease. 00:19:58.65\00:20:00.35 Well, you're supposedly weren't supposed to live 00:20:00.95\00:20:02.76 in cities, it's possible, you mean maybe we were 00:20:02.77\00:20:05.48 supposed to be agrarian in our society. 00:20:05.49\00:20:07.94 Yes, if everybody had their own garden and 00:20:09.05\00:20:11.39 lived off the land they'd have a better immune 00:20:12.41\00:20:13.92 system as we'll find out in talk number two 00:20:13.93\00:20:16.51 where we talk about prevention. We'd like to 00:20:17.05\00:20:19.93 correct the little bit about the past, yes, 00:20:19.94\00:20:22.57 the flu, how it's affected our society, 00:20:22.58\00:20:24.37 different pandemics have gone across the globe, 00:20:24.38\00:20:26.80 lets talk a bit about how that can affect us 00:20:26.81\00:20:29.15 right here in our little society. Yeah, 00:20:29.16\00:20:31.93 can have quite an effect on us, 00:20:31.94\00:20:34.07 pandemics when they start you don't necessarily 00:20:34.96\00:20:38.11 know that they're gonna be a pandemic, 00:20:38.12\00:20:39.68 but of course in this bird flu case we worried 00:20:40.54\00:20:42.61 about that, especially since there's such 00:20:42.62\00:20:44.45 high levels of global traffic and the virus has 00:20:44.46\00:20:48.37 been particularly virulent and so if it starts, 00:20:49.14\00:20:51.84 there will be a little or no time to prepare. 00:20:52.61\00:20:54.25 People to be caught off guard and I don't think 00:20:54.78\00:20:56.71 people realize that as much as they should. 00:20:56.72\00:20:59.13 We might not even know what to expect, 00:20:59.70\00:21:00.77 we might not know what to expect, 00:21:01.52\00:21:02.67 so tell us, so we have a heads up. 00:21:02.68\00:21:04.23 Yes, well we'll do the best we can, 00:21:04.24\00:21:06.60 if it appears we could expect that the influenza 00:21:08.06\00:21:12.46 will affect communities, it will affect them 00:21:13.16\00:21:15.43 for a long time, it will be longer than other 00:21:15.44\00:21:18.23 natural disasters, you know we had Katrina, 00:21:18.24\00:21:20.57 we had the tsunami out in the, and we had 00:21:21.06\00:21:24.14 different natural disasters but a flu pandemic 00:21:24.52\00:21:27.14 just keeps going and going and going, 00:21:27.71\00:21:29.48 so it lasts for a longer period of time, 00:21:29.49\00:21:31.50 maybe several months. And then it takes long 00:21:31.51\00:21:34.64 time before they can get the vaccine ready. You may 00:21:34.65\00:21:36.42 not have a vaccine, so it's a big problem. 00:21:36.43\00:21:39.97 Well you talked a little about a vaccine and 00:21:40.54\00:21:42.04 taking a long time for that to be prepared, 00:21:42.05\00:21:44.18 what kind of need do we have for vaccines, 00:21:45.90\00:21:47.55 what kind of supply we have, what's going on 00:21:47.56\00:21:49.48 with that? Yeah, if you really had a good vaccine 00:21:49.49\00:21:51.94 that really worked for everybody, 00:21:51.95\00:21:53.30 you'd wish everybody had, but when this flu 00:21:53.31\00:21:57.01 comes through it'll come through as a virulent 00:21:57.02\00:22:00.82 stain that maybe unlike the one that we're 00:22:00.83\00:22:03.01 seeing right now. So, we don't know what the final 00:22:03.02\00:22:05.15 flu will look like, so we don't know what the 00:22:05.16\00:22:07.78 final flu will be like, we can't make a vaccine 00:22:07.79\00:22:10.81 yet that will really treat an unknown factor. 00:22:10.82\00:22:13.97 And so when the flu comes around, 00:22:15.04\00:22:17.01 it will take several months for them to you 00:22:17.02\00:22:19.54 know type it and start producing a vaccine 00:22:19.55\00:22:22.59 that will be effective, and then it will take 00:22:22.60\00:22:24.54 a long time to get their, you know factories going 00:22:24.55\00:22:27.68 to make another drug for everybody, 00:22:27.69\00:22:29.27 so it could be very inadequate in beginning. 00:22:29.77\00:22:32.57 Well that's true and then who's gonna get it, 00:22:33.37\00:22:35.26 yeah who is gonna get it, you know, 00:22:36.01\00:22:38.00 if we have an inadequate supply you know whose, 00:22:38.49\00:22:41.36 I guess we're gonna start having difficult decisions 00:22:42.10\00:22:43.84 on who's gonna be the first, who's gonna be 00:22:43.85\00:22:45.31 the first one to get it, that's right, you know 00:22:45.32\00:22:47.80 who shouldn't get it. You think about the past 00:22:49.04\00:22:50.88 flu's like the 1957 flu for example, 00:22:50.89\00:22:54.46 or the yearly flu, it usually effects the weaker 00:22:54.47\00:22:57.38 people in our population, the older and the younger. 00:22:57.92\00:22:59.87 But the 1918 flu that we're calling a bird flu 00:23:00.80\00:23:03.95 because it had bird flu genes in it according 00:23:03.96\00:23:05.99 to the studies, affected the 15 to 35 year 00:23:06.00\00:23:10.72 olds and this is a very interesting difference. 00:23:10.73\00:23:15.23 So, you know who you going to vaccinate. 00:23:15.96\00:23:18.05 Maybe better if you vaccinate in that age group 00:23:18.84\00:23:21.09 and so they talk about vaccinating healthcare 00:23:22.00\00:23:24.15 workers first or vaccine producers first or 00:23:24.16\00:23:27.42 you know politicians or whoever, 00:23:28.15\00:23:29.49 you remember there was a time when the flu 00:23:29.50\00:23:31.85 was coming around and President Ford got 00:23:31.86\00:23:33.98 up on the television and got his vaccine so, 00:23:34.59\00:23:37.15 in front of everyone, in front of everybody, 00:23:37.16\00:23:38.82 encouraging them to get on the right theme. 00:23:39.86\00:23:42.23 Well you talked about the difference between 00:23:42.79\00:23:44.94 normal like a disaster and a pandemic in different 00:23:45.68\00:23:47.60 communities and it being able to spread around 00:23:47.61\00:23:49.45 for in some cities you talked about waves, yes, 00:23:49.46\00:23:52.49 you know a wave. Tell us a little bit about how 00:23:52.50\00:23:55.83 that will happen and what we could to, 00:23:55.84\00:23:57.17 I guess there's different drugs out there you know 00:23:57.18\00:23:58.67 if one wave goes through that might give us 00:23:58.68\00:24:00.20 a little bit of time to prepare for the second 00:24:00.21\00:24:02.03 wave or that sort of thing. Yeah, that's right 00:24:02.04\00:24:05.79 and the waves could be as much as six months apart 00:24:05.80\00:24:08.05 or even a few weeks. Some of the things that 00:24:08.06\00:24:11.09 medicine has to offer or like antiviral medications 00:24:11.10\00:24:14.76 such as Relenza or Tamiflu, but these have had 00:24:15.31\00:24:18.19 failures in Asia. They've given the drug, 00:24:18.20\00:24:21.15 I mean when they originally came around 00:24:22.19\00:24:23.88 marketing the drug to us physicians they said 00:24:23.89\00:24:26.86 it will shorten the duration of the flu by 00:24:26.87\00:24:29.69 one day and it will decrease the symptoms. 00:24:29.70\00:24:32.38 It wasn't really a cure all it sounds like, 00:24:32.90\00:24:34.37 not really a cure all, the only thing you have 00:24:34.38\00:24:37.05 that's the only thing you have, and so they are 00:24:37.06\00:24:39.15 trying to produce in mass production so we 00:24:39.16\00:24:42.52 will have more of it. Oh! Lets take a look 00:24:42.53\00:24:44.87 a little bit more about how exactly this would 00:24:44.88\00:24:46.67 impact our society, okay, if we had the flu, 00:24:47.32\00:24:50.13 people started getting the flu what does that 00:24:50.68\00:24:52.31 mean for us, our normal day to day lives. 00:24:52.32\00:24:54.87 Well we looked to the 1918 bird flu to kind 00:24:55.60\00:24:58.02 of give us some guidance in that area. 00:24:58.03\00:24:59.66 There were families living in close proximity, 00:25:00.18\00:25:02.77 the undertakers were all overwhelmed, 00:25:03.51\00:25:05.45 some of them had quit working because they 00:25:05.46\00:25:07.05 didn't want to get the flu and so there would 00:25:07.06\00:25:08.65 be bodies in people's houses, 00:25:08.66\00:25:10.30 they close off a room and put all the bodies 00:25:10.31\00:25:12.23 in one room, the society quit functioning, 00:25:12.24\00:25:14.87 the truck drivers, they're either sick or not 00:25:15.63\00:25:17.20 calling things, you could have 40 percent of 00:25:17.21\00:25:19.73 the workforce off of work, I know we think of 00:25:19.74\00:25:23.05 all the workers that we depend on, 00:25:23.06\00:25:25.17 the services we depend on and it could be 00:25:25.72\00:25:28.24 a dramatic change in our society. 00:25:28.25\00:25:30.11 We might get quarantined at home and 00:25:30.12\00:25:31.82 had to stay there, you would be wishing you 00:25:31.83\00:25:33.28 had to stockpile food and water, that's right 00:25:33.29\00:25:35.63 so I couldn't just run down to the grocery store 00:25:35.64\00:25:37.31 if the trucker didn't bring the food or you 00:25:37.82\00:25:39.39 mentioning maybe the power lines might be out 00:25:39.40\00:25:41.80 or telephone lines all sorts of things that would 00:25:41.81\00:25:44.06 be non-functional and no one would be there 00:25:45.02\00:25:46.09 to fix them, that's right. Get a big wind storm 00:25:46.10\00:25:49.58 around here and the power goes off, that's right, 00:25:49.59\00:25:51.50 can't call the power company because they're 00:25:52.04\00:25:53.34 off all sick and you know my whole house runs 00:25:53.35\00:25:56.16 on power even the, you know oil furnace needs a, 00:25:56.68\00:25:58.87 yeah, needs power to run. All things we take 00:25:59.43\00:26:01.61 for granted like being able to go to the bank 00:26:01.62\00:26:03.10 or get our mail everyday, yeah, might not 00:26:03.11\00:26:05.02 be functioning. We get all of these stuck, 00:26:05.03\00:26:07.15 you'd be very glad you had your own garden, 00:26:07.16\00:26:08.99 that's right, so many things we take for 00:26:09.48\00:26:10.83 granted like just being able to go out and buy an 00:26:10.84\00:26:12.74 apple or a quick for the day or being 00:26:12.75\00:26:14.89 able to stop by and purchase anything 00:26:14.90\00:26:16.38 you want, we may not be able to do those things. 00:26:16.39\00:26:18.43 That's right Amber how much food do you have 00:26:18.44\00:26:20.20 stored in your basement. That's right, nothing 00:26:20.21\00:26:22.41 in my basement right now, well I won't come 00:26:22.42\00:26:24.45 to your house then, that's right. As far as the 00:26:24.46\00:26:28.27 United States, what are we looking at as far as 00:26:28.28\00:26:30.18 numbers of infection and who's going to get it, 00:26:30.19\00:26:32.65 how many death rates? What are they 00:26:32.66\00:26:35.22 predicting about this sort of thing? Well, 00:26:35.23\00:26:37.26 they think about 30 percent of the people 00:26:37.27\00:26:39.51 could come down with a flu, we call it a 30 percent 00:26:39.52\00:26:41.72 attack rate. This would amount to about 90 million 00:26:41.73\00:26:46.55 Americans, that's a lot of people. 00:26:46.56\00:26:48.56 Well those about 10 percent of them could end 00:26:49.50\00:26:51.70 up in the hospital. So, that could be 10 million 00:26:51.71\00:26:54.53 people in the hospital. Wow! You know there are 00:26:54.54\00:26:57.07 not 10 million hospital beds in this country, 00:26:57.08\00:26:59.61 right, and so you might find yourself in a 00:26:59.62\00:27:02.51 warehouse somewhere that's been turned 00:27:02.52\00:27:04.10 into a hospital, that's right, and the death rate 00:27:04.11\00:27:07.75 could amount to about two million people 00:27:07.76\00:27:10.83 could die from that or even more I mean right 00:27:10.84\00:27:13.27 now 50 of those in Asia that get the flu die 00:27:13.28\00:27:16.27 of a flu. So, how strong the strain is, 00:27:16.28\00:27:20.02 yeah and this is a strong strain and then the 00:27:20.81\00:27:23.37 financial impact could be anywhere from 00:27:23.38\00:27:26.91 71 to 166 billion dollars lost, lost wages, 00:27:27.54\00:27:32.63 medical expenses, all kinds of things. 00:27:32.64\00:27:35.45 A big impact on society. When you said you 00:27:36.21\00:27:39.55 know 2 million people, not enough hospital beds 00:27:39.56\00:27:42.22 well what does that mean for us and 00:27:42.23\00:27:43.97 if we don't have enough hospital beds and 00:27:43.98\00:27:45.23 people staying home, have you heard anything 00:27:45.24\00:27:47.80 about what they might plan to do as alternate 00:27:47.81\00:27:49.62 sources of beds or places for people to go? 00:27:49.63\00:27:53.23 Yes, you know I was up at the bird flu summit 00:27:53.97\00:27:56.84 and they had a hospital administrator get up, 00:27:58.38\00:28:00.48 he was from a town of you know 60, 70,000 00:28:00.49\00:28:03.41 he asked his emergency room and his ICU, 00:28:04.13\00:28:06.80 how many serious bird flu cases could we handle. 00:28:06.81\00:28:09.62 They said five, like wow! Let's see 30 percent 00:28:09.63\00:28:12.84 attack rate, 10 percent hospitalization, 00:28:12.85\00:28:14.94 you know what's when you get the numbers 00:28:14.95\00:28:17.30 you know he's gonna have a lot more than 00:28:17.31\00:28:18.91 five people showing up at his hospital in his 00:28:18.92\00:28:20.74 community to try to get cured of the bird flu, 00:28:20.75\00:28:23.14 right, or taken care. And so it just, 00:28:23.15\00:28:27.12 the numbers just don't add up if we get this 00:28:27.13\00:28:29.50 kind of flu, there's going to be nowhere to go. 00:28:29.51\00:28:31.38 So, they've been working on setting up hospitals 00:28:32.17\00:28:35.36 or setting up schools as hospitals, 00:28:36.14\00:28:38.44 planning on where they get to have treatment 00:28:39.20\00:28:41.81 centers. You know there's a number of problems 00:28:41.82\00:28:44.13 too with the amount of equipment we have 00:28:44.14\00:28:45.60 available. Respirators or ventilators, 00:28:45.61\00:28:48.99 people who are dying on bird flu will be in 00:28:50.00\00:28:51.84 ventilator support or right now we use 00:28:51.85\00:28:54.02 80 percent of our ventilators constantly. 00:28:54.03\00:28:55.99 We don't have extra ventilators for two million 00:28:57.03\00:28:59.25 people, or ten million people. Send them 00:28:59.26\00:29:01.19 to the hospital to be taken care of. 00:29:01.20\00:29:03.07 Well even the hospital workers, 00:29:03.08\00:29:04.53 I mean that's a concern as well. 00:29:05.09\00:29:06.06 What if, you know like we said you know you 00:29:06.48\00:29:07.88 lose your grocery store, you lose your power 00:29:07.89\00:29:10.36 and what about your nurse, your doctor. 00:29:11.07\00:29:12.79 Oh! Yeah, or your physical therapist, or 00:29:13.34\00:29:14.81 your physical therapist? Yeah, you could be 00:29:14.82\00:29:17.86 in big trouble, they might be home you know 00:29:17.87\00:29:20.13 taking care of family or you know doctors died 00:29:20.14\00:29:22.76 in 1918 just everybody else, they have high 00:29:22.77\00:29:26.21 exposure too, you know the healthcare workers 00:29:26.22\00:29:27.91 are gonna have the highest exposure of everyone, 00:29:27.92\00:29:29.32 that's right. Well, you mentioned alternate 00:29:30.03\00:29:33.28 places for people to go while things going down 00:29:33.29\00:29:35.50 and absenteeism, yeah, tell us a little bit 00:29:35.51\00:29:37.87 about that, how will our society you know 00:29:37.88\00:29:39.63 respond to that? Oh! Yes, say you're running 00:29:39.64\00:29:41.92 a business, say you're running the local hospital 00:29:41.93\00:29:44.84 and 40 percent of people that work there 00:29:45.68\00:29:47.40 don't show up and several 100 percent more 00:29:47.41\00:29:51.88 people show up that are sick, that's right, 00:29:51.89\00:29:53.68 what a disaster. You know hospitals often run 00:29:53.69\00:29:56.04 very tight staffing policies anyway, 00:29:56.05\00:29:59.78 they don't staff extra staff very much and 00:29:59.79\00:30:02.21 so all of a sudden you don't have any staff, 00:30:02.22\00:30:04.19 you're overwhelmed with a lot more people 00:30:04.20\00:30:06.51 to take care of, it could be a real disaster and 00:30:06.52\00:30:09.69 you know employees at home taking care of family 00:30:10.13\00:30:12.72 maybe they're quarantined or maybe their car 00:30:12.73\00:30:15.39 it doesn't work 'cause they can get the gas, 00:30:15.40\00:30:17.50 the mechanic's out. All kinds of things can 00:30:17.51\00:30:20.15 happen to keep people from going where they're 00:30:20.16\00:30:22.39 supposed to go. Children can't go to school, 00:30:22.40\00:30:24.59 the teacher is sick or the school's closed down. 00:30:24.60\00:30:27.04 All people are just staying home because they 00:30:27.88\00:30:29.92 don't want to get the flu and then there 00:30:29.93\00:30:32.10 is a percentage of people who are healthy but 00:30:32.11\00:30:34.35 just are scared to death to go out into public and 00:30:34.36\00:30:37.52 they get agoraphobia, that's right, 00:30:37.53\00:30:39.64 in public places. Yeah, work is gonna be pretty 00:30:41.22\00:30:45.98 difficult to get to, if not possible especially 00:30:45.99\00:30:47.94 if nobody is coming out or nobody is there, 00:30:47.95\00:30:50.05 a lot of places might not even be functioning 00:30:50.06\00:30:51.74 at all. So, I guess it might be a good idea for me 00:30:51.75\00:30:54.26 to call up my boss and ask what he expects of me. 00:30:54.27\00:30:56.46 Oh! That's right, you might get fired for not 00:30:57.15\00:30:58.74 showing up, that's true. You might be at home 00:30:58.75\00:31:00.81 hoping for his own pay check and you're not 00:31:00.82\00:31:03.36 making for him, that's right. So, it's probably 00:31:03.37\00:31:06.04 a good idea to call up our employers, 00:31:06.05\00:31:07.53 may be if in our local cities and that's sort of 00:31:08.86\00:31:11.22 thing and kind of find out what their policies 00:31:11.23\00:31:12.77 are for when the flu comes down you know what 00:31:13.39\00:31:14.76 is expected as I said, that's right. You might 00:31:14.77\00:31:16.89 wanna find out what the policy is on your credit 00:31:16.90\00:31:19.21 card as well, you know being in debt during 00:31:19.22\00:31:21.34 a bird flu can be a disaster, that's true, 00:31:21.35\00:31:23.21 and so you might wanna make sure that you're 00:31:23.22\00:31:24.98 able to live on less money during that time, 00:31:24.99\00:31:28.48 definitely, what if I want to go to the bank during 00:31:29.27\00:31:30.87 this time and get some money, oh yeah, 00:31:30.88\00:31:33.17 you know they maybe closed up with a big bird 00:31:34.42\00:31:36.22 flu sign across their door, that's right, 00:31:36.23\00:31:37.83 no money for you, no money for you, 00:31:37.84\00:31:39.68 can't do the birds. It might be a good idea 00:31:39.69\00:31:42.91 for me to keep some cash under my pillow, 00:31:42.92\00:31:44.14 or under my mattress or something like that for. 00:31:44.15\00:31:46.04 What did you say you're keeping it, that's right, 00:31:46.93\00:31:48.46 I will say. Other services you know beside the 00:31:49.30\00:31:53.51 hospitals, besides the you know the bank, 00:31:53.52\00:31:55.83 besides the grocery store you know, 00:31:55.84\00:31:57.31 phone companies, you won't be able to contact 00:31:57.32\00:31:59.54 anyone that I need to contact, 00:31:59.55\00:32:01.99 you know maybe I'm separated, my spouse 00:32:02.00\00:32:03.80 is on a trip somewhere or family members that 00:32:03.81\00:32:06.70 live apart from us. I might not be able to contact 00:32:06.71\00:32:08.86 them and find out what's going on, 00:32:08.87\00:32:10.35 so that can be you know a great social stress 00:32:10.36\00:32:12.68 as well. Well another concern we talked about 00:32:12.69\00:32:14.57 cities, we talked about being close to a lot of 00:32:14.58\00:32:17.69 people who have the disease and becoming 00:32:17.70\00:32:19.30 infected you know that starts a lot of attention 00:32:19.31\00:32:20.92 to public gatherings, people tend to get together 00:32:20.93\00:32:22.95 for public meetings or religious meetings. 00:32:22.96\00:32:25.46 That's right, in 1918 up here in Lewistown, 00:32:26.01\00:32:28.81 a city not far from here, they had quite a 00:32:29.94\00:32:32.88 discussion in the papers, arguments between 00:32:32.89\00:32:34.95 the clergy and the government about whether 00:32:34.96\00:32:37.23 or not the government could close down their 00:32:37.24\00:32:38.93 church services. Places of gathering maybe 00:32:38.94\00:32:42.75 close to schools, maybe close down churches, 00:32:42.76\00:32:45.48 mandatory, you know you have no choice. 00:32:45.98\00:32:47.75 And so if you're used to traveling on public 00:32:48.23\00:32:51.30 transportation, subway, you know even air 00:32:51.31\00:32:54.55 travel whatever, you might be out of luck, 00:32:54.56\00:32:57.08 you might be stranded somewhere. 00:32:57.09\00:32:58.45 And so you wanna be able to find ways to 00:32:59.35\00:33:02.06 make your trips fewer, yeah definitely you might 00:33:02.97\00:33:05.43 wanna consider like you said if you can't get 00:33:05.44\00:33:07.12 to meetings or that sort of thing, can't get to 00:33:07.13\00:33:10.07 your family if you're on a trip you might want 00:33:10.08\00:33:11.56 to have a back up plan, something you stay 00:33:11.57\00:33:12.97 ahead of time you know, we meet here, yeah, 00:33:12.98\00:33:15.16 you know this is where we're gonna have some 00:33:15.17\00:33:16.65 food stored. Nothing can be hurt by planning ahead, 00:33:16.66\00:33:19.24 yeah having plans that's great. 00:33:20.09\00:33:22.07 What if they close all the schools and you 00:33:22.08\00:33:24.75 have to come home and take care of your kids, 00:33:25.39\00:33:26.87 you better have childcare ready. 00:33:26.88\00:33:28.25 If you have pets you know sometimes your 00:33:28.92\00:33:30.78 pets will fend for themselves but if you have 00:33:30.79\00:33:32.83 a bird or a fish in the house you might need 00:33:32.84\00:33:35.82 have to have some food on him, form him, 00:33:35.83\00:33:37.41 and you could have power outages. 00:33:37.98\00:33:39.75 Maybe your water gets turned off, 00:33:39.76\00:33:41.14 have you ever had your water go out for 00:33:41.15\00:33:42.67 a while oh! That's a challenge, heating you know 00:33:42.68\00:33:45.53 things get pretty cold in the winter time and 00:33:45.54\00:33:47.77 that's usually when the flu comes around, 00:33:47.78\00:33:49.02 yeah definitely and most of the time when 00:33:49.03\00:33:53.72 you limit your trips you know you definitely 00:33:53.73\00:33:55.32 wanna think about what public areas 00:33:55.33\00:33:56.81 you're gonna be in and minimize your exposure. 00:33:56.82\00:33:58.46 Now we talk about during that other lecture, 00:33:59.25\00:34:00.67 being at a six feet radius from someone 00:34:00.68\00:34:02.42 you might be able to contaminate you or you 00:34:02.43\00:34:04.72 might be able to contaminate. 00:34:04.73\00:34:05.70 So just minimizing your exposure by staying away 00:34:05.71\00:34:07.69 from public places where a lot of people are, 00:34:08.54\00:34:09.83 it's definitely something to think about, 00:34:11.63\00:34:12.64 our contact phone numbers, little things like that 00:34:13.25\00:34:15.70 can really make it go easier for you. 00:34:15.71\00:34:17.83 That's right if we all get separated let's meet 00:34:18.38\00:34:20.10 at such and such a place or you know you got 00:34:20.11\00:34:22.50 to have grandmothers number here in case you 00:34:22.51\00:34:24.27 need to call her, right, and with the schools 00:34:24.28\00:34:27.34 closed you know you might all of a sudden 00:34:27.35\00:34:28.97 be home schooled whether you planned on it or not, 00:34:28.98\00:34:30.95 that's right, extra pencils, extra pencils, 00:34:30.96\00:34:34.22 that's right and you might want to talk to your 00:34:34.23\00:34:36.65 school nurse and see what her plans are. 00:34:36.66\00:34:38.70 You know she might be the one to close the 00:34:39.30\00:34:40.48 school down, you gotta find out what their 00:34:40.49\00:34:42.36 threshold is for doing that and talk to the 00:34:42.37\00:34:45.47 administrators and teachers and then you 00:34:46.38\00:34:47.98 might get together with them and have an 00:34:47.99\00:34:49.58 organized plan so that all the teachers and 00:34:49.59\00:34:51.73 all the kids know what to do, that's right, 00:34:51.74\00:34:53.93 planning home activities and exercises, 00:34:54.53\00:34:56.68 having materials and your books on hand, other 00:34:56.69\00:34:58.36 creational activities for your kids in the 00:34:59.22\00:35:00.75 home, there is a website you can go to put up 00:35:00.76\00:35:03.73 by the government called pandemicflu.gov 00:35:03.74\00:35:07.73 and it's a good site to give you a lot of ideas 00:35:08.61\00:35:10.51 about what do you want for the family and 00:35:10.52\00:35:12.31 what you want to have on hand, 00:35:12.32\00:35:13.69 they suggest two weeks supply of water and 00:35:13.70\00:35:15.61 food and they suggest talking with your family 00:35:15.62\00:35:19.84 members and deciding how you're gonna take care 00:35:19.85\00:35:22.08 of people if they get sick. You know a lot of people 00:35:22.09\00:35:24.37 are very dependent upon prescription medications, 00:35:24.38\00:35:27.66 well if you can't go to the store if you're caught 00:35:28.28\00:35:30.33 up at home with a martial hour or something, 00:35:30.34\00:35:33.55 you might need to have an extra supply of 00:35:34.12\00:35:36.38 medication on him, so you might want to talk to 00:35:36.39\00:35:38.37 your doctor about getting more of those pills 00:35:38.38\00:35:40.69 or your pharmacists, so that you can be 00:35:40.70\00:35:42.92 prepared in case you are hold up at home. 00:35:42.93\00:35:45.26 That's right, the other thing you can think about 00:35:46.30\00:35:47.27 is getting involved with your community, 00:35:47.28\00:35:48.25 asking is there a way that I can help us prepare 00:35:49.28\00:35:51.42 for this flu influenza, yes, and like you said 00:35:51.95\00:35:54.46 preparing your family, you know talking to your 00:35:55.06\00:35:56.72 doctor and make sure you have your medications, 00:35:56.73\00:35:58.02 all those things but also maybe ways that you 00:35:58.03\00:36:00.63 can help your community set up for to lessen 00:36:00.64\00:36:03.07 the impact if the flu does come around, 00:36:03.08\00:36:05.22 that would be great, and they got another 00:36:05.23\00:36:06.99 website that you talked about the 00:36:07.00\00:36:08.47 pandamicflu.gov discusses these plans and 00:36:08.48\00:36:11.61 options. If you go to that website they will give 00:36:11.62\00:36:13.58 you a list of things to have on hand, items 00:36:13.59\00:36:16.37 to have on hand for example food, 00:36:16.38\00:36:17.93 non-perishables, ready to eat canned, fruits, 00:36:17.94\00:36:21.79 vegetables, beans and soups, 00:36:21.80\00:36:23.67 you know protein or fruit bars and I'm not 00:36:23.68\00:36:26.33 just gonna read the whole list everybody but 00:36:26.34\00:36:28.27 you get the idea, go the website and just find 00:36:28.28\00:36:31.30 out what would be good to have on hand 00:36:31.31\00:36:33.24 in the case if pandemic does transpire, definitely. 00:36:33.25\00:36:37.29 Also good things to think about is personal 00:36:37.82\00:36:39.20 hygiene during these times, well all like 00:36:39.21\00:36:41.32 to think about you know putting on deodorant 00:36:41.33\00:36:43.21 but its more than that, personal hygiene as 00:36:43.22\00:36:45.13 far as keeping cleanliness in mind, can definitely 00:36:45.14\00:36:48.17 help from spreading a pandemic. 00:36:48.18\00:36:49.72 You know you might wanna think about covering 00:36:49.73\00:36:51.18 your mouth and nose with a tissue when you 00:36:51.19\00:36:53.37 cough or sneeze, because again the flu is spread 00:36:53.38\00:36:56.36 by droplets, respiratory droplets. 00:36:56.37\00:36:58.25 So if you can cover your cough into your 00:36:58.26\00:37:00.36 mouth or sleeve you can definitely cut down 00:37:00.37\00:37:01.75 on the amount of virus you expose others to. 00:37:01.76\00:37:05.05 One of the important things about preventing 00:37:06.81\00:37:10.22 the spread of disease is preventing these 00:37:10.23\00:37:13.23 respiratory droplets from getting around other 00:37:13.24\00:37:16.03 people and so like you said cough in your sleeve, 00:37:16.04\00:37:19.96 cover your cough but cleaning your hands, 00:37:19.97\00:37:22.79 you know people will get contaminated services, 00:37:22.80\00:37:25.01 they'll touch the contaminated surface and 00:37:25.02\00:37:27.43 they'll touch their face and they'll just spread 00:37:27.44\00:37:29.61 the flu from the contaminated surface 00:37:29.62\00:37:31.85 to their face. So, washing hands frequently 00:37:31.86\00:37:34.89 is important, staying at home if you're sick 00:37:34.90\00:37:37.57 stay at home, if your family is sick stay 00:37:37.58\00:37:39.83 at home or if everyone also sick stay at home, 00:37:39.84\00:37:42.60 just stay home and so you want to avoid close 00:37:42.61\00:37:46.71 contact with other people, we have this six foot 00:37:46.72\00:37:49.90 barrier we talk about which is important. 00:37:49.91\00:37:51.77 The social distancing factor, yup. 00:37:51.78\00:37:54.92 You're talking about washing your hands, 00:37:56.08\00:37:57.32 very important especially after contacting or 00:37:57.63\00:37:59.61 handling animals as well, yeah, for instance 00:37:59.62\00:38:01.91 changing their litter box or coming 00:38:01.92\00:38:03.49 in contact with feces or your dog comes and 00:38:03.50\00:38:05.96 gives you a good lick across the face, yeah, 00:38:05.97\00:38:08.34 wet saliva washes across, do you know you 00:38:08.35\00:38:10.47 want to make sure you clean that, wash that 00:38:10.48\00:38:12.46 all off, so that you don't spread any contamination 00:38:12.47\00:38:14.51 or absorb any contamination from that. 00:38:14.52\00:38:16.03 You also want to make sure you don't feed 00:38:16.70\00:38:17.67 any water birds, no, keep them around the 00:38:17.68\00:38:20.40 house you don't want that, 00:38:20.41\00:38:21.42 make sure they stay away. Again introducing 00:38:22.56\00:38:25.34 the more feces, or bird contact you have 00:38:25.35\00:38:27.31 around and the more likely that you could contact 00:38:27.32\00:38:29.73 the flu from them. If you take your dogs outside, 00:38:29.74\00:38:32.08 keep them on a leash so they don't go and 00:38:32.75\00:38:34.44 get the flu from some other dog, there you go. 00:38:34.45\00:38:36.58 Cats can get the flu can carry the flu and can 00:38:38.35\00:38:40.85 spread it, yeah. You know it reminds me our 00:38:40.86\00:38:43.06 neighbor's cat always comes around here 00:38:43.07\00:38:44.79 for something, he catches mice, 00:38:44.80\00:38:46.79 he catches birds and you only know if that 00:38:46.80\00:38:49.10 bird had something the cat's gonna get it, 00:38:49.11\00:38:50.91 that's right, then the cat will go back to the 00:38:51.46\00:38:52.65 neighbors and that's why we're gonna quarantine 00:38:52.66\00:38:55.88 the neighbor, that's right. Don't accept any little 00:38:55.89\00:38:58.93 gift offerings on the front steps from your 00:38:58.94\00:39:01.17 cats, you know, its important also, 00:39:01.18\00:39:03.28 speaking of cats to make sure you watch 00:39:03.29\00:39:05.44 them for any signs of sickness or if they die 00:39:05.45\00:39:07.58 especially make sure you report that as 00:39:07.59\00:39:10.22 well because that could be beneficial for helping 00:39:10.53\00:39:12.40 others around you, if the government is aware 00:39:12.41\00:39:14.25 of that. The next thing we need to talk a little 00:39:14.26\00:39:16.08 bit about is the government's role and 00:39:16.09\00:39:19.41 a pandemic. And we all look to the government 00:39:19.42\00:39:22.45 for a lot of things and so we want to think 00:39:22.46\00:39:25.01 about what we can expect here. 00:39:25.02\00:39:26.90 And so the government is very busy, helping out, 00:39:27.75\00:39:30.13 they are trying to get communities and businesses 00:39:30.14\00:39:34.20 and organizations to think about this, 00:39:34.87\00:39:36.86 to start planning for a potential outbreak 00:39:36.87\00:39:39.92 of the bird flu. They also do things like 00:39:40.44\00:39:43.77 support the manufacturer and testing the vaccines 00:39:44.27\00:39:46.29 and of antivirals, getting stockpiles of these 00:39:47.01\00:39:49.90 things in case the bird flu breaks out. 00:39:49.91\00:39:52.34 And also working with the World Health 00:39:52.86\00:39:55.16 Organization and other nations to help detect 00:39:55.17\00:39:57.16 and contain outbreaks. You wanna be aware 00:39:57.17\00:39:59.09 of what's going on in the nations around us, 00:39:59.10\00:40:00.57 like you said with the flock patterns of the 00:40:00.58\00:40:03.62 birds you know it doesn't just affect our 00:40:03.63\00:40:06.01 society you know what we have can be spread 00:40:06.02\00:40:07.89 somewhere else and what they have can be 00:40:07.90\00:40:09.09 spread to us, so being aware of what's going 00:40:09.10\00:40:11.45 on around this and other nations can help 00:40:11.46\00:40:13.02 prevent a outbreak. Yeah, you want to make 00:40:13.03\00:40:15.34 sure you don't go traveling to some bird 00:40:15.35\00:40:17.95 flu hotspot over in Asia, that's right and bring it 00:40:17.96\00:40:19.88 right back, just stay there you know. 00:40:19.89\00:40:22.63 Definitely in being a support system, 00:40:22.64\00:40:26.40 that are supporting your federal, state and 00:40:26.41\00:40:27.90 local health agencies in their efforts to prepare 00:40:27.91\00:40:30.30 for and respond to the flu outbreak is important 00:40:30.31\00:40:32.53 as well. Of course law enforcement's get 00:40:32.54\00:40:34.22 involved in this, I was up at this bird flu summit 00:40:34.23\00:40:37.79 and they had all the commissioners of the state, 00:40:37.80\00:40:39.88 they had the police commissioner, 00:40:39.89\00:40:41.36 they also had the general for National Guard 00:40:41.37\00:40:44.13 there, so they were all talking about their 00:40:44.14\00:40:46.92 particular roles should the bird flu come around. 00:40:46.93\00:40:49.80 And so the federal government has statutory 00:40:50.74\00:40:53.38 authority to order a quarantine to prevent the 00:40:53.39\00:40:56.43 introduction transmission or spread of 00:40:56.44\00:40:58.65 communicable diseases from foreign countries 00:40:58.66\00:41:01.27 into United States or within the United States, 00:41:01.28\00:41:04.45 that's right. The government actually can 00:41:04.46\00:41:07.04 use the quarantine as a contact management 00:41:07.05\00:41:09.70 strategy that separates individuals who have 00:41:09.71\00:41:12.00 been exposed to infection but are not yet ill 00:41:12.01\00:41:14.04 from others who have not been exposed to that 00:41:15.06\00:41:16.40 infection and quarantine say, you volunteer 00:41:16.41\00:41:18.96 or they maybe mandatory and you know this 00:41:18.97\00:41:21.30 could be from my house or they might be shutting 00:41:21.31\00:41:24.12 down the borders between countries here 00:41:24.13\00:41:26.37 in Canada say or Mexico or between our state 00:41:26.38\00:41:29.83 and other states. And they all the roads 00:41:29.84\00:41:31.91 mapped out, which one's to shut, 00:41:31.92\00:41:33.61 so that people don't move around too much. 00:41:33.62\00:41:35.67 Local and state entities are to maintain 00:41:35.68\00:41:38.35 civil order in the event of a breakdown of 00:41:38.36\00:41:41.83 order the federal law enforcement agencies 00:41:41.84\00:41:44.43 in the military actually have the necessary 00:41:44.44\00:41:46.33 plans to assist the states. Well lets think 00:41:46.34\00:41:48.70 a little bit here for a minute on biblical 00:41:48.71\00:41:52.19 perspectives on pestilence, 00:41:52.20\00:41:55.08 because you know the Bible has something to 00:41:55.09\00:41:57.66 say about pestilence and I find this interesting, 00:41:57.67\00:42:00.53 and looking through the Bible on pestilence 00:42:01.12\00:42:02.98 I didn't find anywhere where the Bible said 00:42:02.99\00:42:05.88 well there was you know a new mutation 00:42:05.89\00:42:08.40 and random event and you know well we 00:42:08.41\00:42:10.28 got this bad flu coming around. Everything 00:42:10.29\00:42:13.32 seemed to have a purpose, a reason, 00:42:13.33\00:42:16.05 why it happened and we start out looking like 00:42:16.83\00:42:19.58 in Leviticus and God was telling the children 00:42:19.59\00:42:22.58 of Israel in Leviticus 26:14, 15 and 25, 00:42:22.59\00:42:26.89 that if they didn't follow what God wanted 00:42:26.90\00:42:29.43 them to do pretty soon they would come down 00:42:29.44\00:42:33.27 with a pestilence. He would send a pestilence, 00:42:33.28\00:42:35.35 so a pestilence was kind of like a reminder, 00:42:35.36\00:42:37.86 hey guys you're not following me anymore and 00:42:37.87\00:42:40.69 now you have a pestilence. And often times 00:42:41.31\00:42:43.92 when the areas that they weren't following him 00:42:44.88\00:42:46.49 he already pre told them you know don't stay 00:42:46.50\00:42:48.39 around unclean animals or avoid these certain 00:42:48.40\00:42:50.35 activities. He'd given them instructions, 00:42:50.36\00:42:52.79 warnings and instructions to avoid these because 00:42:52.80\00:42:54.62 he knew that could happen. 00:42:54.63\00:42:55.60 Moses went down to Pharaoh, in Egypt, 00:42:56.27\00:42:58.61 and he basically told Pharaoh. Pharaoh, if you 00:42:58.62\00:43:00.65 don't let us go and keep our God's statues 00:43:00.66\00:43:03.91 and feasts then God's gonna send a pestilence 00:43:04.56\00:43:06.95 on us. Well we find that Pharaoh did not follow 00:43:06.96\00:43:11.28 what Moses was saying, he didn't listen and 00:43:11.83\00:43:14.84 so Moses came back the next time and he 00:43:14.85\00:43:17.19 says well Pharaoh you won't let us go, 00:43:17.20\00:43:19.06 God's gonna give you the pestilence. 00:43:19.60\00:43:21.49 I'm sure enough Pharaoh had ten plagues before 00:43:21.50\00:43:23.78 he realized that what Moses said was 00:43:24.28\00:43:25.80 actually true, that's right, and then if we look 00:43:25.81\00:43:28.61 a little further in the Bible the history 00:43:28.62\00:43:30.40 of pestilences, example David, David made 00:43:30.41\00:43:33.92 some mistakes, he did what the God told him 00:43:33.93\00:43:36.50 not to do. God sent a pestilence in and so there 00:43:36.51\00:43:40.48 was a reason for every pestilence. 00:43:40.49\00:43:42.75 There's a story in the Bible by the man named Job, 00:43:43.56\00:43:45.83 yes, and he is another example of a pestilence 00:43:46.34\00:43:48.89 this gentleman was a good fellow but God and 00:43:49.94\00:43:54.47 Satan got in an argument over whether Job 00:43:54.48\00:43:56.83 was a good man or not. Satan said well let me 00:43:56.84\00:43:59.55 just test him and God said go ahead and God 00:43:59.56\00:44:01.73 let Satan put a pestilence on this man, on Job, 00:44:01.74\00:44:05.57 and so there's a whole history of what happened 00:44:06.39\00:44:07.95 to Job but the whole point of the story is 00:44:07.96\00:44:10.56 to Job but the whole pestilence can sometimes 00:44:10.57\00:44:12.01 point of the story is come as a result of what 00:44:12.02\00:44:13.28 the devil does. And often not just to discipline 00:44:13.29\00:44:17.42 someone or as a result of where they have 00:44:17.43\00:44:19.58 disobeyed God 's law but often God can use 00:44:19.59\00:44:21.94 this as a blessing, there is a story in John 00:44:21.95\00:44:23.86 where Jesus was passing by men who had 00:44:23.87\00:44:26.36 been blind from the time he was born and the 00:44:26.37\00:44:29.10 disciples asked him, this is in John chapter 9, 00:44:29.11\00:44:31.01 disciples asked him Master who sinned, 00:44:31.02\00:44:32.93 this man or his parents that he should come down 00:44:32.94\00:44:35.48 this blindness? And God said He didn't sent his 00:44:35.49\00:44:37.90 parents didn't send, it's just so that God can 00:44:37.91\00:44:40.33 be made, manifest in him so we can glorify 00:44:40.34\00:44:42.25 God through this. Yes, and that's an interesting 00:44:42.26\00:44:45.03 comment because you know a lot of Jews 00:44:45.04\00:44:48.08 thought that every disease was the individual's 00:44:48.09\00:44:51.29 sin and what I take from that is a pestilence 00:44:51.30\00:44:55.49 can come as a result of a nation's sins but 00:44:55.50\00:44:59.86 those people caught in the pestilence in that 00:44:59.87\00:45:01.95 nation may not themselves be the one, 00:45:01.96\00:45:04.16 that's right, that have the sin personally. 00:45:04.17\00:45:06.16 If we look at the prophecy especially of Jesus 00:45:06.17\00:45:09.10 like in Luke 21 we find that he predicts the time 00:45:09.61\00:45:12.33 when just before his coming there will be more 00:45:13.48\00:45:15.86 pestilence if we read the Luke 21:10,11 and 27 00:45:15.87\00:45:19.89 in this prophetic chapter where Jesus is 00:45:20.42\00:45:22.10 speaking it says Then he said unto them, 00:45:22.11\00:45:24.77 Nation will rise against nation, well we've seen 00:45:24.78\00:45:27.43 that, definitely wars, wars and kingdom against 00:45:27.44\00:45:31.28 kingdom. And great earthquake shall be in 00:45:31.29\00:45:34.46 diverse places and famines, and pestilences 00:45:34.47\00:45:38.52 and fearful sights and great signs shall be 00:45:39.48\00:45:42.41 from heaven and then shall they see the Son 00:45:43.17\00:45:46.19 of man, that's another name for Jesus coming 00:45:46.20\00:45:48.54 in the clouds of power and great glory. 00:45:48.55\00:45:51.46 So, he's told us ahead of time, 00:45:52.28\00:45:53.25 expected earthquakes, wars, pestilences all 00:45:54.04\00:45:56.43 these seems are to come at the end of time 00:45:56.44\00:45:57.85 before he returns, that's right and so as we talk 00:45:57.86\00:46:00.63 about the bird flu you know the bird flu 00:46:00.64\00:46:03.35 is a threat but it is not the last threat or 00:46:03.36\00:46:07.02 the only threat and even if it doesn't transpire as 00:46:07.03\00:46:09.74 the news may be predicting or suggesting we will 00:46:09.75\00:46:12.41 see more pestilences, more disasters, 00:46:13.07\00:46:15.93 more things happening as we get closer of the time 00:46:16.43\00:46:18.63 of His second coming. We read in Revelation 00:46:18.64\00:46:21.41 another concept here, where Revelation talks 00:46:21.42\00:46:25.15 about troubles on the earth being winds and 00:46:25.69\00:46:28.96 that there is four angels at the four corners 00:46:29.91\00:46:32.54 of the earth holding back these winds but 00:46:32.55\00:46:35.36 they are only holding back those winds until 00:46:35.86\00:46:38.46 the people of God have made all their decisions 00:46:38.95\00:46:42.06 untill the people of God are what we call sealed 00:46:42.56\00:46:44.91 and when these people are all sealed then the 00:46:46.23\00:46:50.92 disaster starts coming. So, as we see more 00:46:50.93\00:46:52.96 disaster more pestilences happening around 00:46:52.97\00:46:55.43 the earth, we know that the sealing time is coming, 00:46:55.44\00:46:58.80 come upon us, come upon us and so we need 00:46:58.81\00:47:01.50 to be aware of that, that this is merely a sign 00:47:01.51\00:47:04.25 that we are gonna see Jesus return in a short 00:47:05.00\00:47:07.49 time, that's right. And if you look back at the 00:47:07.50\00:47:10.47 recent history you know Jews and the plague, 00:47:11.30\00:47:12.85 people have to look to someone to blame, 00:47:12.86\00:47:14.92 and the Jews were often targeted for things 00:47:15.54\00:47:18.22 that were going on even though they died 00:47:18.23\00:47:20.30 of the plague also and there is over 350 separate 00:47:20.31\00:47:23.69 recorded massacres of Jews during the years 00:47:23.70\00:47:25.78 of the plagues. Because they blamed those 00:47:25.79\00:47:27.43 people for what was going on, that's right. 00:47:27.44\00:47:29.54 You know this is very interesting that they blame 00:47:29.55\00:47:32.05 other people and especially they pick on certain 00:47:32.06\00:47:34.52 religious groups and this kind of religious 00:47:34.53\00:47:37.49 discrimination has happened down through 00:47:37.50\00:47:39.86 the history. There's been times in the dark ages 00:47:39.87\00:47:42.73 what we call the dark ages 1700's and before 00:47:42.74\00:47:46.55 when even Christians were blamed for earthquakes 00:47:48.33\00:47:51.79 or for famines and things and they were also 00:47:51.80\00:47:54.06 persecuted. Let's talk about the cause of death 00:47:54.07\00:47:58.34 from this bird flu, okay, because when we get 00:47:58.35\00:48:00.51 to the treatment talk, when we talk about our 00:48:00.52\00:48:03.26 prevention talk we will want to cover these 00:48:04.45\00:48:07.12 in great detail. Death rates are determined by 00:48:07.13\00:48:09.59 four factors basically. First of all the number 00:48:09.60\00:48:12.01 of people who become infected, 00:48:12.02\00:48:13.43 I mean if you're not infected you probably 00:48:13.95\00:48:15.04 won't die, so remember people who get infected 00:48:15.05\00:48:17.25 effects the death rate. The next thing is how 00:48:17.26\00:48:20.75 bad the virus is, the yearly flu doesn't kill 00:48:20.76\00:48:24.53 that many people but a flu that was very virulence 00:48:24.54\00:48:28.27 like the 1918 bird flu or the one that we see 00:48:28.28\00:48:30.97 happening over in Asia could definitely kill 00:48:30.98\00:48:33.67 a lot of people. Another factor is the underlying 00:48:33.68\00:48:38.09 characteristics and vulnerability of 00:48:38.10\00:48:41.53 the population. How good their immune system is, 00:48:41.54\00:48:43.90 how healthy are they as a whole. 00:48:43.91\00:48:45.13 What kind of food do they eat, do they get 00:48:45.14\00:48:47.26 exercise and we're gonna talk about this a lot 00:48:47.27\00:48:50.57 in talk number two how to prevent it, 00:48:50.58\00:48:52.77 but they're doing anything to prevent, 00:48:53.47\00:48:54.75 their immune systems are down. 00:48:54.76\00:48:56.44 If you're in a population that has high rates 00:48:56.45\00:48:58.42 of diabetes, cancer, high blood pressure or heart 00:48:58.43\00:49:01.49 disease and so for you can be sure, 00:49:01.50\00:49:03.17 they also will have a high death rate from 00:49:03.18\00:49:05.63 the bird flu, that's right their immune systems 00:49:05.64\00:49:07.79 are already compromised, already compromised. 00:49:07.80\00:49:10.22 The last thing that effects the death rate is how 00:49:10.89\00:49:13.31 good the treatment protocols are. Whether or 00:49:13.32\00:49:15.49 not we have treatment available, 00:49:15.50\00:49:17.13 so those are kind of what we got to think about 00:49:17.14\00:49:19.27 when we're thinking about how many people will die. 00:49:19.28\00:49:21.39 And as a matter of fact, the date, 00:49:22.16\00:49:23.13 the people that they have had come down 00:49:23.14\00:49:24.98 with the flu half of them have died, yeah, 00:49:24.99\00:49:26.93 so it's a pretty strong strain right now, 00:49:26.94\00:49:29.08 Le Thi Yen poses with a photo of her son who 00:49:29.72\00:49:32.23 died of the avian flu in 2004 when he was only 00:49:32.24\00:49:34.68 four years old, four years old, that's right, 00:49:34.69\00:49:36.72 the family who lived near her Hanoi, 00:49:37.17\00:49:38.94 Vietnam had killed a million chickens that have 00:49:38.95\00:49:40.84 the diseases. That's was the photo from FAO, 00:49:40.85\00:49:45.35 interesting, you know I didn't know that eating 00:49:46.67\00:49:50.69 chickens would do it. But here we go, you call the 00:49:50.70\00:49:54.78 sick bird in your house and you could be in 00:49:55.49\00:49:56.96 trouble. We should think about the yearly flu. 00:49:56.97\00:49:59.84 You know many people don't realize what this 00:50:00.58\00:50:02.07 yearly flu is like, I mean we know people get 00:50:02.08\00:50:04.58 it around us but it actually has consequences 00:50:04.59\00:50:08.17 in our society, people die of it, they don't 00:50:08.18\00:50:11.20 necessarily die particularly just the flu, 00:50:11.21\00:50:13.48 but the flu sets them up for pneumonia and 00:50:13.49\00:50:16.19 other diseases that they may have already 00:50:16.70\00:50:18.48 have that causes them to go ahead and die 00:50:18.49\00:50:20.62 that's about 36,000 deaths per year to the flu, 00:50:20.63\00:50:23.95 to the flu. Yeah, 200,000 hospitalizations, 00:50:23.96\00:50:27.30 you know I've been in the hospital when there 00:50:27.31\00:50:28.74 has not been any beds left and all the beds were 00:50:28.75\00:50:32.23 filled with flu people. So there is a 5 to 20 percent 00:50:32.24\00:50:34.96 attack rate in the general population and actually 00:50:34.97\00:50:37.94 causes lot of money about $10 billion will it be each 00:50:37.95\00:50:41.77 year lost due to this regular flu epidemics. 00:50:41.78\00:50:45.59 It hits people in nursing homes especially about 00:50:46.25\00:50:48.32 a 60 percent attack rate in nursing homes. 00:50:48.33\00:50:50.96 So, that's kind of what the year flu is like 34,000 00:50:51.75\00:50:54.92 deaths a year about since if you look at that 00:50:54.93\00:50:57.40 into see pandemic flu is gonna raise that number 00:50:57.41\00:51:00.30 dramatically, definitely, definitely. 00:51:00.31\00:51:01.43 You mentioned pulmonary complications with the 00:51:02.12\00:51:03.75 normal flu you know and how that can be 00:51:03.76\00:51:05.70 much more with the bird flu, tell us about a bit 00:51:05.71\00:51:07.84 of pulmonary complications that come along 00:51:07.85\00:51:09.88 with the bird flu. Oh! Yes the bird flu can totally 00:51:09.89\00:51:13.84 destroy your lungs, and what happens is the 00:51:13.85\00:51:16.64 virus comes in and it can cause a pneumonia 00:51:16.65\00:51:19.42 I mean this virus can just destroy your lungs. 00:51:20.07\00:51:22.07 It makes the cilia that move the mucus out your 00:51:22.08\00:51:25.32 lungs all day, it makes it so that lungs go into 00:51:25.33\00:51:29.10 full blown inflammation we call it cytokines 00:51:29.11\00:51:33.86 storm, yes, cytokines are the technical name 00:51:33.87\00:51:37.31 for the little mediators of inflammation. 00:51:37.32\00:51:39.55 It makes your lungs so inflame that you get 00:51:40.09\00:51:42.03 edema, they start bleeding, they start getting 00:51:42.04\00:51:44.77 hemorrhagic pneumonia it means blood in the 00:51:44.78\00:51:47.13 lungs and people can die of this, 00:51:47.14\00:51:49.12 if they don't die of that these lung cells can 00:51:49.13\00:51:51.25 get pneumonia and that's caused by bacteria 00:51:51.26\00:51:54.67 and so the pulmonary complications of the 00:51:54.68\00:51:57.45 bird flu are first of all viral pneumonia but 00:51:57.46\00:52:00.88 then it can progress to bacterial pneumonia 00:52:00.89\00:52:03.33 as a secondary infection and it can be up 00:52:03.34\00:52:06.53 to a month after you've had the regular viral flu. 00:52:06.54\00:52:11.42 So, if you make it through the flu itself you're 00:52:11.74\00:52:13.67 still kind of in the dark house so to speak, 00:52:13.68\00:52:15.78 for another month. Yeah, you can still be 00:52:15.79\00:52:17.83 in trouble, yeah, that's right, you're not out 00:52:17.84\00:52:19.05 of the woods yet. There are also some 00:52:19.06\00:52:20.48 non-respiratory complications that go along 00:52:20.49\00:52:22.39 with the bird flu. Oh! That's right, that's right, 00:52:22.40\00:52:25.35 you can have myositis or rhabdomyolysis which 00:52:25.36\00:52:28.70 means your muscles breakdown, you know 00:52:28.71\00:52:31.60 people get all these aches and pains for now, 00:52:31.61\00:52:33.66 they have their muscles breaking down. 00:52:33.67\00:52:35.09 The muscle tissue gets in the blood stream goes 00:52:35.68\00:52:37.66 to the kidneys and plugs them up, 00:52:37.67\00:52:38.82 you get renal failure. Or you can have Reye's 00:52:38.83\00:52:42.14 syndrome, this happens when you take aspirin, 00:52:42.15\00:52:44.63 so we tell people don't take any aspirin 00:52:44.64\00:52:46.94 if you are coming down with the flu. 00:52:46.95\00:52:49.00 There is also your brain, you can get infection 00:52:49.96\00:52:52.56 or an encephalitis in your brain, all kinds of 00:52:52.57\00:52:56.36 different neurological symptoms, 00:52:56.37\00:52:58.47 part of your body becoming paralyzed or 00:52:59.06\00:53:01.03 painful or weak and then there is your heart, 00:53:01.04\00:53:04.69 the sack around your heart can get inflamed, 00:53:05.44\00:53:07.17 we call it pericarditis or you have the heart 00:53:07.18\00:53:11.20 muscles can get inflamed, myocarditis and then 00:53:11.21\00:53:15.12 there is toxic shock as so shared with the 00:53:15.13\00:53:17.39 Staph aureus and acute influenza pneumonia. 00:53:17.40\00:53:21.26 So there's all kinds of things that can happen 00:53:21.88\00:53:23.57 to rest your body and in 1918 the bird flu 00:53:23.58\00:53:26.35 definitely attacked all parts of the people's body. 00:53:26.36\00:53:29.52 With the so many people dying we definitely 00:53:29.53\00:53:31.48 need to think about what we are going to do 00:53:31.49\00:53:32.80 with all the bodies. In the 1918 like in Pittsburgh 00:53:32.81\00:53:36.56 this was a very big problem. They didn't know what 00:53:36.57\00:53:39.88 to do with all the dead and these people could 00:53:39.89\00:53:41.75 still contaminate others correct, contacting 00:53:41.76\00:53:44.02 with the dead. For a while they couldn't find 00:53:44.03\00:53:46.55 enough undertakers, they couldn't find people 00:53:46.56\00:53:48.34 that dig graves and so finally they got out 00:53:48.35\00:53:52.52 the steam shovel and dug a big trench through 00:53:52.53\00:53:55.09 the grave yard, buried people in pine boxes, 00:53:55.10\00:53:57.63 yeah, and so it's gonna be a big challenge, 00:53:57.64\00:54:00.98 trying to figure out how to maintain the dignity 00:54:00.99\00:54:04.21 of the dead and the wishes of those still living 00:54:04.22\00:54:06.52 definitely. Well you know I was at the summit and 00:54:07.31\00:54:10.16 I went to the religious break out session and 00:54:10.17\00:54:15.09 they were all talking about how we're gonna 00:54:15.10\00:54:16.40 have mass funerals and how we're going to deal 00:54:16.41\00:54:22.46 with all the people who are left behind, 00:54:22.47\00:54:24.20 they're emotional challenges. 00:54:24.21\00:54:26.19 So, it's big problem, you know Amber, 00:54:26.20\00:54:28.92 I was looking at a website backtoenoch.org 00:54:28.93\00:54:33.03 and this gentlemen had gone to Georgia 00:54:33.99\00:54:37.22 on a vacation and he went to a field outside 00:54:37.78\00:54:42.31 Atlanta and he took a bunch of pictures of some 00:54:42.32\00:54:45.56 interesting things and he had I have you read 00:54:45.57\00:54:47.69 the caption he put on his website there of what 00:54:47.70\00:54:50.42 he was up to. Yeah, this quote to say Madison, 00:54:50.43\00:54:52.86 Georgia, about an hour east of Atlanta, 00:54:52.87\00:54:54.94 thousands of coffin liners are being stored 00:54:54.95\00:54:57.06 in a field. We visited the location on Sunday, 00:54:57.07\00:54:59.90 January 30, 2005. We were told that they 00:54:59.91\00:55:03.34 were manufactured on contract by the 00:55:03.35\00:55:05.39 Federal Government apparently for use in case 00:55:05.40\00:55:07.44 of a natural disaster. We were also told that 00:55:07.45\00:55:09.94 originally about 500,000 were put there. 00:55:09.95\00:55:12.22 We asked for permission to look around, 00:55:12.23\00:55:14.01 which we did. Here are the photos. 00:55:14.02\00:55:15.98 Oh! We've covered basically what the nature 00:55:16.78\00:55:21.37 of bird flu is like, the nature of the beast, 00:55:21.38\00:55:23.99 that's right. We want to know if that this isn't 00:55:24.60\00:55:26.76 where it stops. You aren't stuck with this 00:55:26.77\00:55:28.83 terrible pandemic without anything to do 00:55:28.84\00:55:31.44 about it, no hope, you have hope, 00:55:31.45\00:55:33.54 we're gonna cover in the next two sessions 00:55:34.29\00:55:36.31 two things, session number two will be prevention, 00:55:37.22\00:55:39.87 how to avoid getting it and then in the third 00:55:39.88\00:55:43.64 session we will talk about treatment. 00:55:43.65\00:55:45.54 It can be treated and it was treated back in 1918 00:55:45.55\00:55:49.17 with some success, with some success, 00:55:49.18\00:55:51.62 that's right. In a prevention lecture, we'll 00:55:51.63\00:55:54.21 talk about sanitation, we'll talk about 00:55:54.22\00:55:56.58 inoculum control which means how many virus 00:55:56.59\00:55:59.89 you come in contact with, we'll talk about 00:55:59.90\00:56:02.11 vaccinations but most of all we will talk about 00:56:02.97\00:56:05.29 how you can boost your immune system. 00:56:05.30\00:56:08.63 What are we gonna talk about in the third 00:56:08.64\00:56:10.19 session, well that's gonna be achievement 00:56:10.20\00:56:11.85 session again we talk about kind of what's been 00:56:11.86\00:56:14.09 going on with normal medicine right now, 00:56:14.10\00:56:15.83 the drugs they're using and we will get into 00:56:15.84\00:56:17.90 that eight natural doctors, 00:56:17.91\00:56:19.34 how you can stimulate your immune system and 00:56:20.10\00:56:22.07 then hydrotherapy as far as treatment 00:56:22.08\00:56:24.18 options for people who have the flu. 00:56:24.19\00:56:25.54 Well thank you for being with us today, 00:56:25.55\00:56:27.52 yes thank you for being us today. 00:56:27.53\00:56:29.84