TRANSLATE

Showing posts with label Importance of Hand sanitation. Show all posts
Showing posts with label Importance of Hand sanitation. Show all posts

Thursday, 11 February 2016

ZIKA VIRUS - HOW WE GET INFECTED


What is the Zika virus? How do you catch it?


Key facts
  1. Zika virus disease is caused by a virus transmitted primarily by Aedes mosquitoes, which bite during the day.
  2. Symptoms are generally mild and include fever, rash, conjunctivitis, muscle and joint pain, malaise or headache. Symptoms typically last for 2–7 days. Most people with Zika virus infection do not develop symptoms.
  3. Zika virus infection during pregnancy can cause infants to be born with microcephaly and other congenital malformations, known as congenital Zika syndrome. Infection with Zika virus is also associated with other complications of pregnancy including preterm birth and miscarriage.
  4. An increased risk of neurologic complications is associated with Zika virus infection in adults and children, including Guillain-Barré syndrome, neuropathy and myelitis.



Zika virus, first identified in Uganda in 1947, is transmitted by the same type of mosquito that carries dengue fever, yellow fever, and chikungunya virus. A mosquito bites an infected person and then passes those viruses to other people it bites. Outbreaks did not occur outside of Africa until 2007, when it spread to the South Pacific
There are two lineages of the Zika virus: the African lineage, and the Asian lineage.
it may be spread through sexual contact or blood transfusions. In early February, a case of Zika spreading through sexual contact was reported in Dallas County, TX. There, a person who'd traveled to an area that had cases of the virus infected a partner who had not traveled.
It was reported that Brazilian scientists have found the virus in the saliva and urine of infected people.

What are the symptoms of Zika virus?


The disease can cause fever, rash, joint pain, and conjunctivitis, also called pinkeye. But most people won’t know they have it.
All can cause a variety of flu-like symptoms that range in severity and can last from a few days to more than a week. As with Zika, few people infected with dengue or West Nile will show any symptoms
SEXUAL TRANSMISSION
Zika virus can be transmitted through sexual intercourse. This is of concern due to an association between Zika virus infection and adverse pregnancy and fetal outcomes.
For regions with active transmission of Zika virus, all people with Zika virus infection and their sexual partners (particularly pregnant women) should receive information about the risks of sexual transmission of Zika virus.

WHO recommends that sexually active men and women be correctly counselled and offered a full range of contraceptive methods to be able to make an informed choice about whether and when to become pregnant in order to prevent possible adverse pregnancy and fetal outcomes
How is Zika virus treated?

There’s no treatment, but Adalja says most people with symptoms do well with over-the-counter medications for aches and pains. The disease usually runs its course within a week or so.

What is the connection between Zika, microcephaly, and pregnancy?

Zika has been tied to cases of microcephaly in babies born to infected pregnant women. Microcephaly stunts a baby’s head growth, causing devastating, sometimes-fatal brain damage, and it can result in miscarriage or stillbirth. A cause-and-effect link with the Zika virus hasn’t been definitely established, though.
The virus has caused panic in Brazil since it first appeared there in May. More than 4,000 babies in Brazil have reportedly been born with microcephaly. Brazil and several other nations have advised women to postpone pregnancy.

Reference from WEDMD, WIKIPEDIA AND WHO HEALTH ORGANISATION

THANKS FOR READING...


Wednesday, 3 February 2016

LASSA FEVER - Key facts, symptoms and prevention

   Key facts
  • Lassa fever is an acute viral haemorrhagic illness of 2-21 days duration that occurs in West Africa.
  • The Lassa virus is transmitted to humans via contact with food or household items contaminated with rodent urine or faeces.
  • Person-to-person infections and laboratory transmission can also occur, particularly in hospitals lacking adequate infection prevention and control measures.
  • Lassa fever is known to be endemic in Benin, Ghana, Guinea, Liberia, Mali, Sierra Leone, and Nigeria, but probably exists in other West African countries as well.
  • The overall case-fatality rate is 1%. Observed case-fatality rate among patients hospitalized with severe cases of Lassa fever is 15%.
  • Early supportive care with rehydration and symptomatic treatment improves survival.                                          
Lassa fever or Lassa hemorrhagic fever (LHF) is an acute viral hemorrhagic fever caused by the Lassa virus and first described in 1969 in the town of Lassa, in Borno StateNigeria. Lassa fever is a member of the arenaviridae virus family. Similar to Ebola, clinical cases of the disease had been known for over a decade but had not been connected with a viral pathogen. The infection is endemic in West African countries, and causes 300,000–500,000 cases annually, with approximately 5,000 deaths. Outbreaks of the disease have been observed in NigeriaLiberiaSierra LeoneGuinea, and the Central African Republic, but it is believed that human infections also exist in Democratic Republic of the CongoMali, and Senegal. The primary animal host of the Lassa virus is the Natal Multimammate Mouse (Mastomys natalensis), an animal indigenous to most of Sub-Saharan Africa. The virus is probably transmitted by contact with the feces or urine of animals accessing grain stores in residences. 

Lassa fever is a viral hemorrhagic fever in West Africa. Studies show up to half a million cases of Lassa fever per year in West Africa, with about 5,000 resulting in death. Results Lassa virus was detected in 25 of 60 (42%) patients in northern and central Edo. The Lassa Virus affects adults and children alike; no matter your age you can be at risk for Lassa.

Like other hemorrhagic fevers, Lassa fever can be transmitted directly from one human to another. It can be contracted by an airborne route or with direct contact with infected human blood, urine, or semen. Transmission through breast milk has also been observed.
Symptoms


In 80% of cases, the disease is inapparent, but in the remaining 20%, it takes a complicated course. It is estimated that the virus is responsible for about 5,000 deaths annually. The fever accounts for up to one third of deaths in hospitals within the affected regions and 10 to 16% of total cases.
After an incubation period of six to twenty-one days, an acute illness with multiorgan involvement develops. Non-specific symptoms include fever, facial swelling, and muscle fatigue, as well as conjunctivitis and mucosal bleeding. The other symptoms arising from the affected organs are:
·         Gastrointestinal tract
·         Nausea
·         Vomiting (bloody)
·         Diarrhea (bloody)
·         Stomach ache
·         Constipation
·        (difficulty swallowing)
·         Hepatitis
·         Cardiovascular system
·         Pericarditis
·         Hypertension
·         Hypotension
·         Respiratory tract
·         Cough
·         Chest pain
·         Dyspnoea
·         Pharyngitis
·         Nervous system
·         Encephalitis
·         Meningitis
·         Unilateral or bilateral hearing deficit
·         Seizures
Clinically, Lassa fever infections are difficult to distinguish from other viral hemorrhagic fevers such as Ebola and Marburg, and from more common febrile illnesses such as malaria.
Diagnosis 
There is a range of laboratory investigations that are performed to diagnose the disease and assess its course and complications. ELISA test for antigen and IgM antibodies gives 88% sensitivity and 90% specificity for the presence of the infection. Other laboratory findings in Lassa fever include lymphopenia (low white blood cell count), thrombocytopenia(low platelets), and elevated aspartate amino transferase (AST) levels in the blood. Lassa fever can also be found in cerebrospinal fluid. In West Africa, where Lassa is most prevalent, it is difficult for doctors to diagnose due to the absence of proper equipment to perform tests. In cases with abdominal pain, diagnoses in endemic countries are often made for other illnesses, such as appendicitis and intussusceptions, delaying treatment with Ribavirin.
Research has been done in the last few years by a team of specialists in order to diagnose the Lassa fever on a molecular level.
Prognosis
About 15%-20% of hospitalized Lassa fever patients will die from the illness. It is estimated that the overall mortality rate is 1%, however during epidemics mortality can climb as high as 50%. The mortality rate is greater than 80% when it occurs in pregnant women during their third trimester; fetal death also occurs in nearly all those cases. Abortion decreases the risk of death to the mother.

Prevention

Control of the Mastomys rodent population is impractical, so measures are limited to keeping rodents out of homes and food supplies, as well as maintaining effective personal hygiene. Gloves, masks, laboratory coats, and goggles are advised while in contact with an infected person.

·    In health-care settings, staff should always apply standard infection prevention and control precautions when caring for patients, regardless of their presumed diagnosis. These include basic hand hygiene, respiratory hygiene, use of personal protective equipment (to block splashes or other contact with infected materials), safe injection practices and safe burial practices.

·     Health-care workers caring for patients with suspected or confirmed Lassa fever should apply extra infection control measures to prevent contact with the patient’s blood and body fluids and contaminated surfaces or materials such as clothing and bedding. When in close contact (within 1 metre) of patients with Lassa fever, health-care workers should wear face protection (a face shield or a medical mask and goggles), a clean, non-sterile long-sleeved gown, and gloves (sterile gloves for some procedures).

·     Laboratory workers are also at risk. Samples taken from humans and animals for investigation of Lassa virus infection should be handled by trained staff and processed in suitably equipped laboratories under maximum biological containment conditions.

Treatment

There is currently no vaccine that protects against Lassa fever.
All persons suspected of Lassa fever infection should be admitted to isolation facilities and their body fluids and excreta properly disposed of.
Early and aggressive treatment using Ribavirin was pioneered by Joe McCormick in 1979. After extensive testing, it was determined that early administration is critical to success. Additionally, Ribavirin is almost twice as effective when given intravenously as when taken by mouth. Ribavirin is a prodrug which appears to interfere with viral replication by inhibiting RNA-dependent nucleic acid synthesis, although the precise mechanism of action is disputed. The drug is relatively inexpensive, but the cost of the drug is still very high for many of those in West African states. Fluid replacement, blood transfusion and fighting hypotension are usually required. Intravenous interferon therapy has also been used.
When Lassa fever infects pregnant women late in their third trimester, it is necessary to induce delivery for the mother to have a good chance of survival. This is because the virus has an affinity for the placenta and other highly vascular tissues. The fetus has only a one in ten chance of survival no matter what course of action is taken; hence focus is always on saving the life of the mother. Following delivery, women should receive the same treatment as other Lassa fever patients.

            
COURTESY FROM: World Health Organization and Wikipedia 
THANKS FOR READING :)



Friday, 8 August 2014

KEEPING AREAS CLEAN/HYGIENE


Person-to-person spread, especially by soiled hands, is the major way infectious diseases spread. Although household surfaces play a minor role, regular cleaning is still important to maintain a healthy environment.

Cleaning with detergent and warm water is all that is usually necessary to maintain a clean and healthy environment. Unnecessary use of disinfectants encourages the development of bacteria that are harder to kill.

Hygiene in the garden
Sandpits
Sandpits can become contaminated with animal feces and urine. Sandpits need to be properly constructed with adequate drainage. The sand should be raked often, and when not in use the area should be covered (for example, with a tarpaulin or shade cloth).
Gardening
Many gardening activities bring the gardener into contact with organisms that can cause illness.
Gardeners should wear gloves during gardening and always wash their hands (with soap and running water) before eating, drinking or smoking.

Hygiene in kitchen
Kitchen hygiene is important to prevent food poisoning.
All surfaces in the kitchen such as bench tops, stoves, sinks, walls, inside cupboards and items such as crockery and cutlery need to be kept clean. Leaving leftovers and spills to become dry will make them much harder to remove.
To effectively clean a surface in the kitchen you need to remove all visible soiling using detergent and warm water. This is usually all that is necessary.

Disinfectants
Surface disinfectants are usually not necessary and only work well on a surface that has already been cleaned.
If disinfectants are used it is important to:
- follow the manufacturer’s instructions on its use; this includes how much water to add to it, what water temperature to use, and how long the object needs to be in contact with the disinfectant.
- diluted disinfectants deteriorate on standing. All diluted disinfectant should be used immediately after preparation
- wear gloves when using chemical disinfectants as disinfectants are a common cause of dermatitis.
- empty buckets after use, wash with detergent and warm water and store dry
mops should be cleaned in detergent and warm water and stored dry.

Household sponges
Cleaning sponges should be changed frequently or disinfected regularly
separate sponges should be used for cleaning dishes and cleaning floors
floor spills should not be cleaned up with the dish sponge
mop floor spills with a single-use paper towel that can be thrown away.

Dishes
Dishes should be washed in warm-to-hot soapy water and rinsed in warm-to-hot water. Always ensure water temperatures can be comfortably tolerated to avoid scalding. This is especially important for children and the elderly.
It is best to leave dishes to air dry. If you do this, do not place a tea towel over them as this will only spread bacteria from the tea towel onto the clean dishes. Change your tea towel when it becomes dirty or wet.

Chopping boards and utensils
Separate chopping boards should be used for raw meats and ready-to-eat foods. If this cannot be done, the chopping board used for meat should be washed in warm-to-hot soapy water and rinsed before being re-used. The same applies to utensils, knives, benches and plates. Chopping boards can be disinfected by washing in warm-to-hot soapy water and then rinsing with diluted bleach, or washed in a dishwasher using the highest heat setting.
Clean inside fridges and cupboards regularly. Crumbs in cupboards can attract pests. Dirty fridges can carry bacteria and moulds.

Monday, 4 August 2014

QUICK TIPS TO IMPROVE YOUR EYESIGHT NATURALLY

While you cannot prevent all eye diseases, there are measures you can take to improve your eye health and prevent vision loss. If you are looking to clear your vision without having to undergo surgery or using corrective lenses, here are a few tips that can help you out. 6 quick tips to improve your eye sight naturally.

Eat Right
Protect your peepers with wholesome nutritious diet. Here are a few staples that are a must in your diet.

If recent studies are anything to go by, antioxidant rich food such as beta-carotene and lutein are essential to prevent age-related macular degeneration. Foods such as carrots and sweet potatoes will provide you with the daily dose of required antioxidants.

Make sure your diet is rich with sulfur and lecithin, as they protect the lens of your eyes from cataract formation. Foods such as garlic and onion are other excellent sources of sulfur.
Yet another reason to dig into sweet and juicy berries is the anti-inflammatory properties present in them that help to improve your vision.

Exercise
A nutritious diet is not enough to keep your peepers in their prime shape, as you need extra. Here are a few exercises that will not only improve your eyesight, but also keep those annoying eye floaters at bay.

First thing in the morning, rub your palms together to generate heat and gently place them on your eyes for five seconds. Repeat this exercise 3 times. It will soothe your strained eye muscles.

Rotate your eye clockwise and anticlockwise 10 times. Start slowly and gradually increase your speed. This exercise will help improve blood circulation in the eyes.
If you feel too much strain in your eyes, try massaging your temples using your thumb and knuckles. Start in small circular motions, 20 times in one direction and 20 times on the other. This will take the pressure off your eyes.

Rest Your Eyes
It is not just your body that recuperates during sleep, but also your eyes. Never cut back on your 8 hours sleep, it is during that time that your eyes recuperates, recover and repairs. Besides, not getting enough sleep can weaken your vision.

Give your eyes a break in every few hours from harsh glare of the computer. If your eyes start feeling overly strained, lie down and place cooling cucumber slices over your eyelids.

Even dehydration can cause your vision to blur. Next time you notice your vision starts turning foggy, chug down a glass of water. You'll see improvement almost instantly.

People today go out of their way to dodge sunlight, but did you know, your body actually needs a certain amount of sun light to survive. Not only do you get vitamin D, but also the sunrays force your eyes to contract and dilate, which is a form of eye exercise.

Frequent checkup with your eye doctor can go a long way in keeping your peepers in prime condition.

While you cannot prevent all eye diseases, there are measures you can take to improve your eye health and prevent vision loss. And one of those measures is to get frequent check up done from a reliable eye doctor. 

PREVENTING FOOD POISONING AT HOME


What is food poisoning?
Food poisoning is illness resulting from consumption of contaminated food or water. Food can be contaminated by bacteria, viruses, parasites or fungi, or by toxins produced by them. Food poisoning is one of the most common illnesses in Australia, with an estimated 4 to 7 million cases of foodborne illness each year.

General principles
Many different organisms can cause food poisoning. Most are particular types of bacteria and more than 95% of reported cases of bacterial food poisoning are caused by infection with just two species, Campylobacter and Salmonella. Dangerous bacteria can survive on many foods.

Sources
Sources of food poisoning include:
unpasteurised milk (raw or non-heat treated milk)
improperly handled eggs for example:

using cracked or dirty eggs
not washing hands after cracking or handling eggs
not refrigerating raw egg products
undercooked meats, including beef, pork and especially chicken
stored cooked rice, gravies and sauces (including home-made mayonnaise)
fresh fruit and vegetables.
Contaminated food may not look, smell or taste any different from food that is safe.
The risk of food poisoning is significantly reduced if food is correctly handled and cooked, eaten immediately or stored properly.

Causes
Food poisoning can be caused by:
preparing food without washing hands properly beforehand
someone who is sick preparing food for others to eat
eating food that is not cooked thoroughly
allowing food to be at a temperature, for more than 4 hours, that allows bacteria to grow well.

Keep food cold enough (fridge or freezer) or hot enough (steaming hot) to guard against bacterial growth. However, the bacteria Listeria can grow in refrigerators.

Listeria can cause illness and death in the elderly, people who are immune suppressed and in pregnant women. Infection can also cause miscarriage.
cross contamination from raw meat (red meat or white meat) in the kitchen. Raw meat is the most important source of dangerous bacteria. This is especially so with raw poultry which is nearly always contaminated with Campylobacter andSalmonella. Proper cooking kills these bacteria but they can be easily transferred to foods that won’t be further cooked (for example salads) by hands or utensils such as chopping boards or knives.

Avoid hand contact with raw meat but if this is not practical, wash hands (with soap and running water) thoroughly afterwards.

Thorough cleaning of chopping boards and knives with detergent and warm water is required after each use. Best practice is to have a separate chopping board for raw meat and to clean the board and utensils in a dishwasher.
drinking contaminated water.

Personal hygiene practices
Always wash your hands with soap and running water before preparing or eating food. Remember also to wash your hands after:
using the toilet for any reason. A variety of surfaces in the toilet may have traces of faeces on them
changing nappies
handling raw meat or eggs
using a handkerchief or tissue, coughing or sneezing
smoking
touching animals
handling garbage
gardening.

Do not
sneeze or cough over food
prepare food for others if suffering from throat, skin or bowel infections
smoke in areas where food is prepared
use a dirty tea towel for drying dishes – it is better to let them air dry on a draining board or dish rack.

Do
protect cuts and sores on the hands or fingers with a clean dressing and waterproof cover or disposable gloves
prevent hair from falling into food – tie it away from the face
ensure that children wash their hands before eating or assisting with food preparation
clean inside your cupboards and fridge regularly – crumbs in cupboards can attract pests and dirty fridges can harbour bacteria.

Pests
Pests such as flies, cockroaches and mice carry disease. Keep food safe by:
keeping flies out of the kitchen, storage and dining areas
using fly spray thoughtfully – cover all food before you spray and until you can no longer smell the spray
keeping food scraps stored in garbage bins with close fitting lids – this prevents pests eating the scraps and breeding
storing chemicals used to control pests in areas away from those used to store, prepare or eat food.

Pets
Do not allow animals into kitchens – in particular, do not feed them in the kitchen. Do not wash pet food bowls in the kitchen sink.

Shopping
The inside of a car provides the ideal environment and temperature for bacteria to multiply, so food should be in the car for as short a time as possible.
Get refrigerated and frozen foods at the end of the shopping trip and keep them cold.
Keep hot foods separate from cold foods.
Check date markings on food packages, for example, use by or best before dates.
Never buy or use
badly dented cans
leaking cartons, cans, bottles or containers
food packaged in torn or ripped packaging or packaging that has been tampered with
food packages or cans that are swollen
cracked or dirty eggs
ready-to-eat food that has been in contact with raw meat, chicken or their juices. Take note of how ready-to-eat foods are presented as you shop
products in vacuum packs if the packaging has become loose.
Storing food

Remember to:
store eggs in the fridge. This improves quality and minimises any safety risk
immediately freeze products that you do not intend to use before the use by date. Freezing greatly extends the use by date
check the temperature of your refrigerator using a fridge thermometer. It should be 5ºC or less.
Cooked food can be allowed to cool to reasonably warm (about 45ºC) before it is put into the fridge; it is not essential to let it completely cool. Food will cool faster in smaller containers, and metal containers lose heat faster than plastic ones.
Store raw meats near the bottom of the fridge to ensure that juices do not drip onto other foods. Alternatively, put meat onto a covered tray or container within the fridge.
Keep raw foods on separate plates from ready- to-eat foods such as cooked foods and salads. Bacteria still grow in foods that have been kept refrigerated – they just take longer to grow.

Handling and preparing food
Safe food handling and preparation practices include:
washing hands well with soap for at least 10 to 15 seconds and then rinsing with clean running water before preparing food, before eating and after touching raw meats
asking other people to prepare food if you are not feeling well
never placing cooked foods on dishes that have contained raw products such as meat, poultry and fish, unless the plates have been thoroughly washed first
never using a sauce on cooked food if it has been previously used to marinate raw meat or seafood, unless the marinade has been cooked first or will be cooked. For example, do not spoon the uncooked juices or marinade over the cooked food and serve. The uncooked marinade will probably contain harmful bacteria
all fruit and vegetables should be thoroughly washed if they are to be eaten raw. Sprouts and herbs should be rinsed before serving
never keep perishable food outside of a fridge for longer than 4 hours
never refrigerate perishable foods that have been at room temperature for more than 2 hours. This includes preparation and serving time.
Thawing frozen foods
Thaw meat and other foods in the bottom of the fridge whenever possible. Food can be thawed in a microwave oven, at room temperature (for example, on a bench) or in water, provided the food is cooked immediately after it has thawed.
Take great care if you cook meat when it is only partially thawed. Make sure that it is cooked right through.

Cooking and reheating
The surface of meat is usually the part that is contaminated with bacteria. Problems arise especially when contamination from the outside is moved to the inside, such as when meat is minced or sliced or a skewer is pushed through the meat. Then the meat must be thoroughly cooked right through. Therefore mince, sausages, hamburger patties, rolled roasts, kebabs, yiros, shasliks and other such foods should be cooked right through. Thorough cooking means that there is no pink meat and the juices run clear when the meat is skewered, cut or pressed.
If you have access to a meat thermometer, you can use it to check the internal temperatures. In the case of hamburgers and poultry, make sure they are cooked throughout. Aim for around 75ºC in the centre of the meat item.

Microwaves are a quick and convenient way to cook foods, but they tend to heat foods unevenly, leaving cold spots. So, when microwaving foods, always rotate and stir the food during cooking for more even cooking. Also, wait until the required standing time is over before you check that cooking is complete, because foods continue to cook even when the microwave is turned off.
When reheating foods, heat to steaming hot. This will kill any bacteria which may have grown on the food in the fridge.

Eating outdoors
(picnics, barbecues, camping, school lunches)
Warm summer weather is perfect for bacteria to grow.
Keep all food cold, unless it has just been cooked and will be eaten hot straight away. Do not pack food if it has just been cooked and will be eaten cool. Let it get cold in the fridge first.
Do the maximum amount of food preparation at home, particularly if hand washing facilities are inadequate at the place where the food will be eaten.

When camping, it is best to pack dried, canned and ultra heat treated (UHT) foods rather than fresh foods.

When packing children’s lunches, either pack a frozen ice block drink in the lunch box to keep food cold (summer and winter) or choose foods that will not ‘go off’. That is, do not pack foods that would normally be kept in the fridge, such as milk, soft cheese, meats or eggs, even in sandwiches.

Fillings for sandwiches that are fairly safe under warmer conditions are often those fillings that can sit on a shelf without needing refrigeration, such as honey, yeast extracts and peanut butter products.

In some schools where there are children with severe allergies to nuts and nut products, parents may be asked not to include nuts and nut products in their children’s school lunches.

Eating out (restaurants and take-aways)
Cold foods should be cold to the touch and should be displayed on ice or in a fridge.
Poultry, mince, sausages, hamburger patties, rolled roasts, kebabs, yiros, shasliks and other such foods should be cooked right through. If they are not, send them back.
Eat hot foods while they are still hot. Be careful about handling leftovers, including foods taken home in a ‘doggy bag’. They should be put in the refrigerator as soon as possible.