Archive for  December 14th 2017

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DES MOINES, Iowa — “Over the past week or so, we have been seeing more positive confirmed cases through our laboratory, as well as we`ve seen a number of patients admitted with influenza over the past week, which is an increase in what we saw previous weeks,” said Jeff Brock, Infectious Diseases Pharmacy Specialist at Mercy Medical Center.

With flu season upon us, along comes a troubling article in The New England Journal of Medicine. The article cites reports from Australia, where there have been record-high numbers of laboratory-confirmed influenza notifications and outbreaks and higher than average numbers of hospitalizations and deaths. The Journal reports that according to the Australian Government Department of Health influenza A (H3N2) viruses predominated, and the preliminary estimate of vaccine effectiveness against influenza A (H3N2) was only 10%.

“It is concerning, because we plan for our influenza season based on what`s going on in the Southern Hemisphere, but that doesn`t necessarily mean that our vaccine`s gonna be 10% effective during our season,” said Brock. “Viruses mutate, we could see different strains here than they saw during their season.”

While it’s unclear what the implications of what’s going on in Australia are for the Northern Hemisphere, medical professionals here in Iowa still express a high degree of confidence in the effectiveness of the flu vaccine.

“The flu vaccine really was meant to stop serious illness and death,” said Patricia Quinlisk, Medical Director and State Epidemiologist at Iowa Department of Public Health. “That`s really what we want to stop. Don`t care so much if a kid has a sniffle for a couple days, and we know that in previous years our vaccine has been effective, maybe somewhere between 50 and 80% of stopping serious illness and death, which is pretty good, because that`s really what you want to stop.”

Quinlisk continued: “It may not stop every sniffle, but if you’re someone who wants to not get seriously ill, doesn’t want to end up in the hospital and certainly doesn’t want to die, this is a good vaccine to get and to be honest, about the only vaccine we have right now for the flu. So, you might as well get it and it will protect you to some extent and will cause you to protect your family and the people around you, because you won’t be getting ill with the flu and spreading it.”

Since 2010, the Centers for Disease Control estimates that flu has resulted in between 140 ,000 and 710,000 hospitalizations each year. The CDC recommends a yearly flu vaccine for everyone 6 months of age and older as the first and most important step in protecting against this serious disease.

 

CALIFORNIA  —  Dr. Antonio Wong and his wife remember falling in love with their first home, a 3,000 square-foot beauty in Southern California they’ve owned for more than a decade.

“You have your first love, your first home, your first car,” said Wong, 50, an anesthesiologist.

They rented out their Ventura home when they moved out of state in 2008.

But California drew them back. In May of this year, Wong and his wife, Pratima, 48, bought their second home in the state, this time in Santa Rosa in the north. It was not far from Wong’s family in the Bay Area.

Now, both homes are gone. They were lost to raging wildfires within two months of each other.

In October, the Tubbs Fire destroyed their Santa Rosa home. Last week, the Thomas Fire torched their Ventura home.

“It was pretty devastating. It didn’t seem like I could lose two houses in two separate fires only two months apart,” Antonio Wong said.

Now, the couple is trying to figure out their next steps.

“I have so much to do to rebuild my house here,” the doctor said. “The thought of trying to rebuild a house down there at the same time is overwhelming. I don’t know what I am going to do.”

A ‘security blanket’

In 2003, Wong bought the Ventura home while he and Pratima were still dating. The former owner allowed them to put less than 10% down and entered into an owner financing arrangement.

The home had three fireplaces. French doors in the living room. Wong added a hot tub in the backyard.

He invited co-workers to host baby showers and other celebrations there.

“When you walk in, you just feel comfortable,” he said. To them, the home was “a security blanket.”

He and Pratima, who hails from Thailand, moved to the Seattle area in 2008 and later to Reno, Nevada, for Wong’s work. None of those places felt like home, though.

Around July 2016, the Wongs moved to Santa Rosa to be closer to his family.

They rented before buying about a year later, just a couple months before the Tubbs Fire.

“Since leaving Ventura, it was the most at home we’d felt,” Wong said. “We started to unpack boxes we’d had packed for years.”

Wong celebrated his 50th birthday at the Santa Rosa home in September. He smoked ribs and brisket for the party.

‘It looked like a torch’

In October, the couple’s 19-year-old adopted son woke up his parents after he saw the glow of the Tubbs Fire in the distance.

Glued to the news, the family gathered their dog and cat. The smoke grew thicker, making the air hard to breathe. The fire hadn’t engulfed homes in their neighborhood yet, but neighbors were already evacuating their homes.

“We didn’t take all the stuff you would take if you thought your house was going to burn,” Wong said. “So, we took a couple changes of clothes and our IDs, and that’s it.”

As they drove away, they saw a pine tree on fire across the street.

Dr. Antonio Wong lost his Santa Rosa home during an October wildfire. It was the first of two houses he would lose this year to California wildfires.

“It looked like a torch. That’s when we realized we might not come back,” he said.

The wildfire turned their home into ash and melted two of their cars and a motorcycle. The Tubbs Fire, which scorched more than 36,000 acres was most destructive of the blazes in Napa and Sonoma counties.

“Well, I still have that house down there,” Wong reassured himself, referring to the Ventura home.

The Wongs moved into a Santa Rosa rental unit late last month.

Earlier in November, the couple wore protective gear as they spent hours sifting through the rubble of the torched Santa Rosa home. They were looking for Pratima’s wedding ring and a family heirloom passed down from her grandmother.

“There is not a lot you could do, you just kind of sit there and look at the ashes and try to figure out where something might be,” Wong said.

He added: “It alters your sense of everything.”

Losing the Ventura house was ‘painful’

On December 4, they had a home-cooked meal. That day, the Thomas Fire broke out hundreds of miles to the south.

“It was starting to feel like … we’re going to start rebuilding; we’re getting back on our feet,” Wong said.

Around dawn the next day, Wong woke up to a warning about the Southern California fire, one of six major blazes that firefighters would battle.

“Bad news. Fire in Santa Paula rapidly moving into Ventura. Giving you a heads up since you have house there,” a friend’s text message said.

Hours later, another message said: “You house was just on tv briefly. Spa looked to be on fire.”

The couple’s four tenants, including three military service members, evacuated the Ventura home.

Pratima said it was difficult to watch their residence on fire on television. They still haven’t seen the house in person.

“Losing that house was very painful, because I know that house was loved by a lot of people, including the previous owners,” she said.

The Thomas Fire, which is larger than New York City, was about 25% contained Tuesday, according to Cal Fire.

Throughout the ordeal, the Wongs have felt the support of family and neighbors in Santa Rosa.

“Everybody has been so supportive,” Wong said. “I don’t know what to ask for. But everybody keeps saying, ‘What do you need?’ ”

The couple wants to rebuild the Santa Rosa home, but Wong said he is unsure whether their insurance will cover the rebuilding costs.

And the possibility of a year-round California wildfire seasons, as predicted by Gov. Jerry Brown, frightens him.

“California is changing. There’s been a lot of conversation around this could be the new normal,” Wong said.

He added: “We are scared of fires. Now we have two things to be scared of: earthquakes and fire.”