Daily Preparedness

Note: I read an article by an infectious disease specialist who recommended that in addition to routine hand washing, have all members of your family wash their hands and gargle with either warm salt water or antiseptic mouth wash whenever they return home. Nasal passages can be cleaned with a neti pot or saline spray. These measures help to remove the viral agents from areas of our bodies where they grow. Gargling and saline spray can also be done mid-day while at work. The recommendations are logical and inexpensive!

Note: President Obama today (October 24) declared the H1N1 a ‘National Emergency’. It is too early to know how this declaration will affect our daily lives, but it would be wise to be fully prepared to be self-sufficient within your home and watch for news updates.

Epidemic, pandemic…the news throws the words around so often now that we may become immune to the reality of what these words mean and how they may affect us. What do we really need to know and what can we do to prepare ourselves?

First, we need to understand what the words mean.

An epidemic is the occurrence of more than expected number of cases of a disease within a community or population, within a given amount of time.

A pandemic is an epidemic spread out over a larger geographic area such as a state, country, nation or the world.

Not all epidemics or pandemics are deadly, but they can disrupt not only the lives of the ill, but society as a whole.

Epidemics are often, hopefully, prevented by administering vaccines. These vaccines are often developed to protect the population rather than just the individual. If a large enough portion of the population is vaccinated against a specific disease, the illness will not spread as quickly or virulently.

Some vaccines are given not for the benefit of the person receiving them, but for others around them. An example of this is the Rubella vaccine. Rubella is a highly contagious, non-serious disease common among children. However, if a pregnant woman contracts Rubella in the early stages of pregnancy, the fetus is likely to have severe and life-threatening defects. Thus, children are vaccinated not to protect them, but to protect unborn fetus’.  By doing so, epidemics of Rubella, which result in large numbers of babies born with serious birth defects, are prevented through mass vaccination.

Epidemics are a ‘fact of life’ in human history. Prior to the advent of international air travel, world-wide pandemics were less common but have occurred. The risks of a pandemic today are much higher, mainly due to the ease with which people travel around the world quickly. Where our predecessors took weeks to cross the ocean (during which time illness became apparent and ill individuals were refused entry), we now span the same distance in hours, with little or no screening for infectious diseases. A symptom-free, but contagious individual could easily board a flight in Europe, infect a large number of people on the airplane and hours later be in the U.S. The fellow passengers on the flight are most likely to disperse to any number of final destinations, carting their luggage and pathogens with them. The seeds of a pandemic are now sown.

Let’s imagine the reality of being caught in an epidemic or pandemic. What could we expect and how can we prepare? (Having lived through a several months-long epidemic, I will draw on my own experience and the research I have since done.)

Depending on the seriousness of the disease, an epidemic in its infancy may not be sufficiently reported. It may take time for cases to be reported to health authorities and the medical community may be slow to ‘connect the dots’. Let us examine several scenarios– a small scale epidemic, a regional epidemic and a true pandemic. How do you recognize each, how would your life be impacted and what can you do to prepare?

A SMALL SCALE EPIDEMIC

Scenario: Among a group that you belong to, a school, church, workplace, organization, etc., members become ill in fairly rapid succession. It may begin with one or two, but spreads among the membership. Each member goes to a different doctor, so no single doctor knows that others are infected with the same illness. Remember, an epidemic is an unusual number of cases of the same disease. In this scenario, we will assume that the illness is serious enough to require medical attention and some hospitalizations occur. You hear reports of a death from the illness.

What can you do as an organization?

1. Track outbreaks and should there seem to be an epidemic occurring, act quickly.

2. Survey members of your group to see how many are ill and what their symptoms are. If the symptoms are gastrointestinal and all occurred within a short period of time, check the calendar to see if a meal was shared. If so, you likely have an outbreak of food poisoning. In that case, let membership know and have them seek appropriate treatment. If the illness is NOT food related, continue on:

3. Cancel group meetings if you suspect an outbreak within your membership.

4. Notify all members of your group of the outbreak of the illness, including the symptoms and where to seek help.

5. Stop the delivery of meals, contact, etc. among the members within your organization.

6. Sanitize the structure you meet in. Utilize antiseptic cleaners, spray disinfectants, etc.

7. Reinstate meetings, etc. only after you are certain that the outbreak has stopped. Membership should be free from new cases for several days past the suspected incubation period of the disease.

8. When meetings are begun again, utilize appropriate infection control, such as emphasis on hand washing, no handshaking, asking anyone feeling ill to stay home, hand sanitizers available and an emphasis on cleanliness, especially with any form of food preparation.

9. Watch for signs of re-occurrence once meetings are reinstated. Reinstate meetings slowly, with groups of young children being the last to re-establish.

During the epidemic I lived through, the infection (encephalitis) was not confirmed by local health authorities until 8 deaths occurred. Our church, later confirmed to be a ‘cluster’ of infection, acted quicker than the local health authorities. The church leadership followed the above outlined steps and was credited with helping to stop the epidemic and save lives.

How would this scenario impact you and how can you prepare?

1. If the outbreak was within a school or daycare, you would need to have other plans for your children.

2. You would need to be self-sufficient if you rely on this organization for support in the case of an emergency.

3. If it were the workplace, you may find that you must work from home, take vacation time or do without a pay check for some period of time.

4. Think through the organizations you belong to and how they impact your life. If those organizations were removed today, what would you need to be prepared to do for yourself?

The Epidemic Spreads To The Community

Scenario: The illness that you believed was isolated to your organization, appears to be spreading among the community you live in. You hear that more and more people are becoming infected, deaths are reported and hospitals are overwhelmed with cases. Health officials recognize that this illness is highly contagious, serious and the cases are multiplying. Emergency rooms are over-crowded, health care workers are becoming infected, pharmacies are understaffed and overwhelmed, grocery store shelves are emptying, first responders are calling in sick, and community-based services (ie garbage, transportation, etc) are cut back.

How would this affect you?

1. Schools, libraries, gyms, churches and other gathering places may be closed.

2. Medical facilities will be stretched very thin. None life-threatening emergencies may be shuttled out of the emergency room.

3. Your daily routine significantly altered. Grocery store supplies may dwindle, pharmacies run short of meds, businesses closed due to high number of illnesses.

4. Picture what is open on Christmas Day and extend that out for weeks at a time.

5. Health departments may quarantine people. A quarantine order gives government authorities the right to restrict your movement. You may be quarantined to your home—you cannot leave and no one other than emergency personnel may enter.

What can you do?

1. Be prepared!

2. Take an inventory of what you have on hand. Can you remain self-sufficient in your home for weeks to months?

3. Keep prescription medications filled and try to accumulate extras.

4. Avoid large gatherings, tight quarters and anyone that is ill.

Scenario: A pandemic has occurred that has out-stripped medical facilities and other services in a very large geographic area. This is the ‘worst case’ scenario from a large-scale perspective. A localized epidemic can be assisted by bringing in supplies and personnel from an outlying area. In a true pandemic of serious illness, those secondary lines of defense may not be available. The consequences of a real pandemic of serious illness would be much like the aftermath of a large scale natural disaster.

1. Marshall law may be declared so that looting, etc. can be contained and local law enforcement can receive assistance from military units. Under marshall law, many daily civil liberties are suspended. Curfews may be enforced.

2. All government, civil, medical, banking, education and businesses will be affected and curtailed. The ATM may be out of cash. The gas station out of gas.

3. If the illness is deadly, even the ability to bury people will be overrun.

It is difficult to realistically project the reality of this type of pandemic without going into lengthy and morbid detail. If you want to gain some perspective, read about the realities of the 1918 Spanish flu epidemic or the aftermath of disasters such as Katrina or the Tsunamis.

What can you do?

1. Again, PREPARE, PREPARE, PREPARE!

Provident Living is truly a lifestyle that if lived fully will prepare you for any number of man-made, natural or germ-rendered life events. Being able to be self-sufficient within the walls of your own home is your best preparation. Taken one step at a time, this goal is not only reachable but will lead you to a greater degree of financial and emotional security.

Now is the time to evaluate where you stand in your progress toward self-sufficiency.

Despite of our best efforts to prevent and prepare, we may find ourselves tossed about by the winds of illness. Whether we are the patient or the caregiver, now is when you find out how prepared you truly are. How best can we weather the storm?

1. STAY HOME! When you are ill, you need time to recover and there is no better place to do that than your own home. Failure to do so puts you at risk for further illness or injury and spreads the ‘joy’ of contagious diseases. Keep yourself and your sick children home from school, activities and church. Stay home until you are COMPLETELY well and free from a fever (without the aid of a fever reducer such as tylenol) for at least 24 hours, or as long as your physician instructs.

2. SEEK COMPETENT MEDICAL HELP. If your symptoms include shortness of breath, chest pain, an altered mental status, loss of coordination, seizures, rampant bleeding or other significant change in status, do not delay getting help from a fully equipped emergency room. The first hour of a serious injury, heart attack or stroke is the most critical. For less serious, but still significant illnesses, get help from your physician or urgent care facility. If your symptoms are minor, stay home and take care of yourself. Those with other serious underlying medical issues (including pregnancy) should speak to their physician about when to seek an appointment. If you believe that you may have influenza (regardless of type), call your doctor’s office and ask about receiving Tamaflu or one of the other anti-viral drugs. These medications will not cure the ‘flu’, but they may shorten the duration and severity of your symptoms.

3. THE DOCTOR VISIT. If you need to seek medical help, take with you a list of your current medications. a list of your symptoms, when the illness began and how it has progressed. Stay away from other patients in the waiting room and avoid bringing well children with you–they will distract you and you are exposing them to more germs!

3. UNDERSTAND THE DOCTOR’S RECOMMENDATIONS. If you are too sick to remember, take someone with you and/or write down what you are told. Make certain you understand what the diagnosis is, prescriptions written, expected course of the illness, complications to look for, self-care or therapy needed, comfort measures and when to return for a follow-up. If in doubt, ASK before the medical provider leaves the room.  For more information, reread the post about “SPEAK UP”.

4. KEEP HYDRATED. Unless specifically told not to, nearly all illnesses are aided by remaining well hydrated. Keep water (a sports top bottle reduces spills), juices and electrolyte replacing drinks by the bedside. For small children, offer popsicles frequently. Anyone with a fever needs to be particularly careful to drink much more than normal.

5. RECORD FEVERS. Know how high your temperature is going and how often. Don’t guess, especially with young children.

6. SET UP THE SICK ROOM. Beside the patient’s bed position facial tissues, a small lined trash can, liquids in spill proof/resistant containers, small snack foods that are healthy & easily digested, a method of communication (baby monitor, intercom, cell phone), humidifier if a respiratory illness, entertainment, throat lozenges and other comfort measures suitable for the person’s age and illness, a container with a lid (in case of vomiting), night light, hand wipes or sanitizer, and necessary phone numbers. If you are caring for yourself, do all of this when you first feel sick!

If the patient must be left alone, also place near the bed a phone and phone numbers of family members or neighbors who can help.

7. HAND WASHING. Everyone in the house should be extra careful to strictly follow hand washing recommendations!

8. SLEEP. Sleep is restorative to the human body. Get plenty of rest, but try to maintain your normal sleep cycle.

9. FOOD. Eat healthy foods and remember that it is often easier to digest frequent small meals rather than three larger meals. Use disposable dishes for the ill person. Using disposables for the entire house can be a significant help in keeping the home running smoothly. Be extra careful about food safety. Your body is already fighting one issue, don’t compound it with food poisoning. Now is a good time to use those frozen entrees, canned foods and quick-to-eat foods. Remember that it is okay to eat vegetable soup and crackers for dinner! Keep it healthy, but simple.

10. HUMIDIFIERS. Especially in the winter, indoor air is often dry. Most illnesses with a respiratory component are aided by introducing moisture into the air. Keep the container clean and filled.

11. DRUG INTERACTIONS. Remember that over-the-counter and ‘natural’ remedies are medicine! Many can interfere with or interact with prescription medication. Check with your pharmacist to be certain.

12. COMPLICATIONS. Be watchful that secondary (and often more serious) complications are not developing. If in doubt about a new symptom–ASK! Many insurance companies offer 24-hour nurse hot lines that can often answer that dreaded 2 am ‘is this serious’ type of question.

13. BE PREPARED TO ACCEPT HELP. Be cautious and avoid exposing others to your germs. But, do accept help that is offered if you truly need it and the helper isn’t exposing themselves to illness. For instance, you might ask a neighbor to let you know when they are going to the store. Keep a list of items you need and have cash ready for when they make their next trip. If you need someone to drive you to an appointment and you have a contagious illness, wear a mask. Be certain that help offered and received is what you REALLY need!

14. WHINE APPROPRIATELY. When asked, “How are you?” we humans tend to reply, “Just fine.” Sometimes you need to vent! While recovering from Lyme Disease, I told my husband that I was going to allow myself ten minutes a day to complain. He listens kindly, sometimes offers a suggestion or asks if I need something in particular. Mostly, he is merely sympathetic and that is all that I need. By establishing a ‘time to whine’, I don’t feel guilty about complaining, he knows how I feel and I have successfully vented. Often times, the best gift you can give to a patient or a caregiver is a listening ear.

15. PRACTICE PATIENCE. It is trying to be ill or to be a caregiver. Take it a day (or an hour) at a time. Allow your body to heal completely. The world will continue to turn on its axis without you for a few days.

Prevention and preparation are the keys to riding out the storm of illness. When that storm hits, remember ‘this too shall pass’ and look forward to happier days ahead. And pat yourself on the back for doing such a great job of living providently every day!

NEXT WEEK: Part 4–Quarantine…could it happen and are you ready?

——–This week’s 10×100 Challenge Goals:

“We have been counseled again and again concerning self-reliance, concerning debt, concerning thrift. ….” President Gordon B. Hinckley

This week’s 10×100 Challenge Goals:

22. Make a list of everyone you plan to purchase Christmas gifts for.

23. Pick up Christmas Cards at a discounter or dollar store before the inexpensive ones are sold out.

24. Replace filters in your HVAC system. Write the date you replaced it on the filter. Mark your calendar for the next change date.

25. See what Christmas gifts you may already have on hand. Plan which ones you are going to make.

26. Do a quick comparison of current prices for internet providers. Do you need to change?

27. Clean out one kitchen drawer.

28. Have little ones at home or due to visit? Check childproofing & poison control.

Even with the best prevention techniques, uninvited ‘guests’ can disrupt your romp through life. Whether it be the ‘flu’, a ‘bug’ or any some other creature, humans are prone to getting sick. Preparing for the reality of illness is not only wise, but overlaps other areas of preparedness and provident living. The time for preparation is long before illness strikes!

What should every home have on hand? A checklist:

1. Over the counter medications such as pain relief (tylenol and motrin), anti-inflammatories (motrin or advil), anti-diarrhea meds, decongestant, cough suppressant, aspirin, heartburn and indigestion relief, laxatives, antihistamines (benadryl), throat spray (cepacol), antiemetic (pepto-bismal), and throat lozenges. Be sure to check with your pharmacist about possible drug interactions with prescription medications.

2. Nightlights. Place nightlights in hallways and bathrooms to provide a bit of light for folks stumbling to the bathroom in the middle of the night.

3. Facial tissues. Always have several boxes on hand so that you can place them around the house as needed.

4. Toilet paper. No home should be without at least a two week supply.

5. Hand wipes and hand sanitizer. Multiple containers of each..again to be able to place around the house.

6. Bowls or other containers with lids. You’ll want to place these at the bedside of anyone feeling queasy. If your local grocery store has an olive bar or bakery, ask if they get their products in small plastic buckets with lids. These are great for bedside and a variety of other uses. When one member of your family comes down with an intestinal bug, place containers at every bedside–prevents late night cleaning binges.

7. Phone numbers. Have on hand the phone number for your physician, pharmacy, a 24-hour nurse hotline and the local urgent care. Program the numbers into your cell phone as well.

8. Easy to fix food. This can be pre-frozen dinners, canned soup, cup-of-soup products, sandwich supplies, cold cereal, canned meat or anything that you or any member of your family can prepare easily.

9. Easy to digest foods. Think of items that you can eat when you don’t feel well such as soup, crackers, toast, honey, pasta, rice, etc.

10. Small trash cans. Place small trash cans in every room. Line with grocery bags so that tissues and other trash have a place to go.

11. Popsicles. These are especially important for families with small children as they sooth sore throats and provide much needed fluids.

12. Bottled drinks. Water and juice in individual servings are great to have in order to place beside the bed. ‘Sports top’ bottles are easier to drink from and reseal, preventing spills. Having fluids bedside makes it easier on the patient and the caregiver.

13. Electrolyte replacement drinks.

14. Thermometer. Everyone should have one in their home. Disposable covers for the thermometer end are an added bonus.

15. Disinfectants. Sprays, liquids and wipes.

16. Disposables for eating. Flatware, plates, cups and baking pans will make clean up easier and help prevent the spread of infection.

17. Paper towels. Again, easier and helps keep the cooties at bay.

18. Trash bags. Keep extras on hand all of the time! Useful for extra trash generated, covering mattresses, holding nasty laundry, and dealing with a variety of messes that could occur.

19. Baby supplies. Be certain that you will not run out of baby necessities. Sick babies can go through a lot of diapers very quickly! All households with infants should have formula on hand. If a nursing Mom becomes ill, she may find that her milk supply is curtailed.

20. Latex gloves.

21. Humidifier with extra filter.

22. Cash. You need a supply of cash on hand! Have the cash in bills no larger than $20.

23. Gas in your car. You don’t want to have to stop for gas at 3am if Junior needs to go to the ER.

24. Extra linens. You need at least two sets of sheets for every bed in your house, extra towels and dish cloths.

25. Prescription medications. Refill as soon as possible every month so that you aren’t ever close to running out. Have a list of your prescription medications in your wallet, as well as your significant medical history.

In addition to supplies, it is wise to pre-think these things:

1. Childcare. If you rely on childcare and/or public school to mind the kiddies, do you have a back up plan? Who can pick up your children should they become ill at school? What will you do if the school or childcare are closed due to illness? Do you have readily available help if you are too ill to care for your children? Do your children know who to call if they need help immediately?

2. Telecommuting. Will your employer allow you to telecommute? Is your home internet provider/system compatible with your work?

3. Physicians. Does your doctor have an on-call system or will you have to go to an urgent care/ER if you are ill after office hours? Does your doctor offer same day appointments? How available are they?

4. Skills. Do all members of your family know how to prepare simple meals? Can they keep the home running? Do you know basic first aid? Can everyone call 911 appropriately? Have you taught your children to be responsible, obedient and trustworthy individuals who can be self-sufficient and entertain themselves?

5. Home. Is your home maintained in such a way that everyone can find what they need? Do you keep the house clean? Orderly? Laundry caught up?

No matter how hard we try, most of us are going to become ill at some point. When illness strikes, it is too late to prepare!

NEXT WEEK; Part Three–Illness Strikes, Now What?

——–10×100 Challenge —–

Here are this weeks 10×100 Challenge Goals:

“Let’s do these things because they are right, because they are satisfying, and because we are obedient to the counsels of the Lord. … It is true that difficult times will come—for the Lord has foretold them. … But if we live wisely and providently, we will be as safe as in the palm of His hand” Spencer W. Kimball

This week’s 10×100 Goals:

15. Clean one pantry shelf. Move older food to the front.

16. Write down neighbor’s phone number, doctor’s phone numbers, family contact numbers and place inside a cabinet near the phone.

17. Add at least one long-term storage food to your grocery list. Consider rice, dry beans, sugar, oatmeal.

18. Check outside lights. Replace burned out bulbs.

19. Check your supply of flashlights. Do they work? Do you have batteries for them? One for each room of your house?

20. Clean the trash out of your car.

21. Cook a double entree and freeze the extra one.