Archive for October, 2009

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The latest tidbits on H1N1


I’m no scientist, but I know that a lot of parents are just as concerned and confused about a number of H1N1 issues as I am. Here, I’ve compiled some news for you all in one spot. But please remember — this is just a compilation of news – not medical advice.

New information from WHO was released today. Its Strategic Advisory Group of Experts (SAGE) on Immunization has reviewed the current epidemiological situation of the pandemic worldwide.

On vaccine dosage for children under 10:

According to this Canadian Press article published today,  WHO is now advising that only one dose of the vaccine is required even for very young children (previous to this, mutiple doses were being recommended). For 10 years and older, one single dose of the vaccine is still recommended.

However, when I consulted the WHO website, its release reads “Data on immunogenicity in children older than 6 months and younger than 10 years are limited and more studies are needed. Where national authorities have made children a priority for early vaccination, SAGE [the expert advisory for WHO] recommended that priority be given to the administration of one dose of vaccine to as many children as possible.”

I’ll be interested to see what Canadian authorities decide. As of right now, the website for the Public Health Agency of Canada still has two 1/2 doses as its recommendation for children aged 6 months to 9 years. (Its Twitter account did post a notice for a media advisory update to take place this afternoon at 2 pm. We’ll see.)

On vaccine safety for pregnant women (you know, as opposed to pregnant men):

This same WHO release notes the following elevated risks for pregnant women:

Overall, from 7% to 10% of all hospitalized patients are pregnant women in their second or third trimester of pregnancy. Pregnant women are ten times more likely to need care in an intensive care unit when compared with the general population.

As for the safety of the vaccine during pregnancy:

Concerning vaccines for pregnant women, SAGE noted that studies in experimental animals using live attenuated vaccines and non-adjuvanted or adjuvanted inactivated vaccines found no evidence of direct or indirect harmful effects on fertility, pregnancy, development of the embryo or fetus, birthing, or post-natal development.

Note that these studies involved both the non-adjuvanted and the adjuvanted vaccines.

Other news:

Ontario suspends rollout of H1N1 vaccine (Globe & Mail): announced today, only high-risk groups will receive vaccine starting next week. In Ottawa, only high-risk groups were supposed to be receiving it anyhow … but I guess it was being liberally distributed. Not anymore. 

Today’s updates from the American Centers for Disease Control and Prevention

Today’s updates from Canada Communicable Disease Report – “Flu watch”
 


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When you are engulfed in flames


“Engulfed in flames” — don’t you love it? I think it sums up life pretty well these days.

Between pulling very long hours at work and doing night shifts comforting sick children, I  have the luxury of worrying about H1N1; the vaccine conundrum; having to carry my 40lb baby down our steep back steps and through my neighbours’ yards just to get out of my house due to the entire front street being dug up; getting the phone line ressurected after the crew mistakenly cuts through it on a weekly basis; worrying about my very pregnant friend and my very fit but fighting-cancer friend; and oh yeah, coyotes. Coyotes! I actually laughed out loud when my father warned me about that one. I mean, can you add anything more to the list? Now I need to worry about my pet or toddler being carried off by a wild creature.  

That paragraph above. Those are my flames. I’m engulfed.

This leaves my attention span a bit frayed. Too frayed for a heavy-duty novel. But I still need something beside my bed table. Something good.

And the great news is that I’ve found it:

When You Are Engulfed in Flames

When You Are Engulfed In Flames is Sedaris’ most recent collection of stories. And that’s exactly what these are – simply stories. It’s like sitting across from someone in your living room who can really tell a great story. It’s a rare gift — an art — that I really appreciate. And, boy, can he ever tell a story!

He is so damn hilarious, I have to control my laughter in the middle of the night. The topics covered are ridiculous (you can read a summary list of the bizarre topics here, under Contents). He just plucks out something from his life — past or present — and runs with it, including odd diversions and tangents along the way. There really is no rhyme or reason, but it is so refreshingly entertaining. (Kind of like reading blogs, come to think of it.)

So if you’re feeling like I am, try a bit of Sedaris. It’ll help.


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family

Used bed sheets


I never thought I’d see the day where I would buy used bed sheets. Yes, you read that right — used, as in second-hand. I’m trying to rationalize this act right now. I mean, any time I sleep in a hotel room, I’m sleeping on used sheets, right?

I know what you’re thinking. That in this day and age of Zellers, Winners and Walmart, there is really no reason for resorting to buying used sheets. A fancy designer stroller, sure. But sheets, no.

But it’s not that. It’s not the cost of these sheets that required them to be bought used. In fact, I paid a good price for them and now I have to actually pay to have them shipped here too. Oh, and customs fees too. That’s right. I bought used sheets from another country, no less.

Okay, let me back up. I got myself in this used-sheets predicament about a year ago. At that time, we had moved to Australia for a one-year exchange. The house that we were living in was absolutely beautiful. And in the room where my daughter was to stay, there was a hand-painted mural of fairies dancing in a forest under moonlight. The shelves above the bed were lined with teddy bears and baby dolls. There was also a handmade wooden doll bed, with an assortment of lovely little clothes. A girl’s dream come true.

Well, not my girl. She never complained. Never said an impolite word. But you could just see the discomfort she felt. It just didn’t feel like “her” room. Her room wouldn’t have fairies, and baby dolls, and teddy bears. So I carefully packed all of these up and stored them in a closet for the year. Naturally, though, I could do nothing about the fairy mural. And we couldn’t hang pictures up for fear of ruining the paint. We came up with a way of hanging posters from the curtain rod though, and that seemed to help.

What kind of posters, you ask? Why, Pokemon of course. And I also promised at that time that when we returned to Canada, she could have her own room decked out in full Pokemon regalia.

We arrived back in Canada in the middle of last winter. Life was busy settling back into school and work. Time passed quickly. But Stella had not forgotten the promise of a Pokemon room. I agreed that I would get her room together for October. October 1st came and went. Stella noted this. I bluffed and said that I meant by the end of October.

Since then, she has started creating reminders for me on post-it notes and discreetly leaving them about the house. Like this one that she left for me on my bedside table:

small note

I know, it’s cute. And guilt-inducing.

But do you know how hard it is to do a Pokemon room? Sure, walk into any Sears and find Hot Wheels, My Little Pony, or Sponge Bob. But, Pokemon? Noooooo. One cannot find a single set of Pokemon bedsheets in all of Canada. I’m serious, I’ve looked everywhere. Nor can one find curtains, clocks, wall decor. The only place I’ve found them is on eBay. From international sellers. Second-hand.

And that’s my little story about how I found myself buying used sheets.  (And yes, I will be washing them in boiling hot water with lots of detergent when they finally make it here!)


Getting the H1N1 vaccine in Ottawa


If you’re looking to get the vaccine, here’s all the info:

Clinic locations across Ottawa (City of Ottawa website)

Wait times at clinics (City of Ottawa Twitter)

H1N1 virus: questions & answers (Public Health Agency of Canada)


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What to do about the flu?


I’ve largely been deaf to all the media frenzy surrounding H1N1. But this week, the vaccines will be available to the public. This means I need to make a decision. Ugh, I don’t like decisions.

And there are just so many darn decisions related to H1N1.

To school or not to school? The school has repeatedly asked parents not to send their children to school if they are sick. But how sick is sick? The most common symptoms of H1N1, according to the Public Health Agency of Canada, include fever, cough, fatigue, sore throat, decreased appetite, muscle aches, headache, and runny nose. I would have thought that a “flu” meant vomiting or diarrhea, but apparently these are only “sometimes” symptoms. If I am to use these common symptoms as my decision-marker as to going to school or not, my entire family would not have attended school or work for the past 2.5 weeks. Three out of four of us have been to the doctor during this time and no one tested us for H1N1. We were told that we have bad colds.  

To worry or not to worry? I’m having a hard time working out if I should even worry about it, actually. I don’t get in a panic about seasonal flu every winter. Sure, it’s awful to live through, but I don’t tend to fret about whether we’ll catch it or not. The H1N1 flu, however, is classified as “pandemic.” Yet, according to the National Post, “H1N1 has killed fewer people over the past six months than the seasonal flu kills every six days.” I’m confused, people.

To vaccinate or not to vaccinate? This is the biggie. This means that I need to make a decision and act on it. When it comes to menengitis, polio — yes, please give my children vaccines. But the flu? Yikes, I just don’t know. Have I been touched by the anti-vaccine campaigns? Yes, I guess I have to a degree. Words like “vaccine-injury,” “thimerosol” and “Guillain-Barre Syndrome” make me twitchy.

I wish I knew what side of the fence to fall. But I just don’t know what to do about the flu.

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