Pages

Friday, September 27, 2013

[VIDEO] CDC Says: "the US health care system is likely to be overwhelmed" from a Fall 2013 H7N9 Outbreak



Here is the exact quote from the Centers for Disease Control:
"The reemergence of the H7N9 virus and transmission among people in the United States remains a possibility, and if that occurs in the fall of 2013, the U.S. health care system is likely to be overwhelmed"

That quote is from the justification for a H7N9 Pandemic Flu National Nurse Triage line contract just awarded by the Centers for Disease Control (CDC) to the United Way 2-1-1 phone system and the Poison Control Center. The nurses will diagnose the concerned callers' avian flu status, prescribe appropriate medicine, and electronically transfer those prescriptions to local pharmacies.
Solicitation Number: 2013-Q-15473 and Solicitation Number: 2013-Q-15472

The CDC's worst scenario is a Fall 2013 H7N9 outbreak, as the system is the least prepared for it. The initial planned massive antiviral dosing steps taken to halt and triage such an outbreak will likely put strong natural selection pressures on the existing virus to mutate into untreatable variant during the next flu season. That cycle could potentially be fast enough that the currently planned Spring 2014 H7N9 vaccinations will be ineffectual against the mutated version. Or just as likely, that antiviral gambit might not halt the outbreaks immediate progression to other cities.

That begs the question: How would the CDC triage a medical-system-overloading infection which is only symptomatically treatable, has a 66%  death rate with hospitalization , and nearly a 100% death rate if advanced life support equipment is not available?

Based on the charts (see our video @6:48 for analysis) from this "Comparative epidemiology" study published in the Lancet, it would appear that delaying hospitalization of H7N9 infected persons by 1-2 days could significantly triage-out those individuals who would likely die anyways, thereby potentially freeing up valuable hospital space 30 days earlier than if they had received treatment more quickly; it is also significantly more cost effective. The most recent patient released spent 170 days hospitalized.  Reducing this type of drain on the system, by delaying hospitalization, is exactly the type of "triage" a National Nurse triage line would be adept at performing once the medical system becomes overwhelmed.

Triage designed to delay, and meted out based on herd population statistics, instead of being based solely on individual health, amounts to nothing more than a "death panel".  Maybe thats why a massive private employer (which engaged in significant Pandemic preparations in 2009) recently contracted out to CARENA to provide house-calls and telemedicine services.

But there is more:

As indicated by the CDC's own statements, H7N9 Avian Influenza 'overwhelming the U.S. health care system' is the driving force behind a massive pandemic C4ISR mobilization. The most recent of which has been the CDC and FCC mobilizing the Emergency Alert System for "sustaining emergency television broadcasts   vital health and life safety information to medical professionals,first responders, and the general public"

Obviously if the medical system is overwhelmed, more capability needs to be added. In that regard, FEMA is mobilizing to support 100,000 medical personnel at 1000 quazi-luxury mobile medical hoteling stations. To that end, FEMA is attempting to order 100,000 Dickies Medical "Scrubs" and 100,000 winter sweat shirts and pants, all to be delivered on 48 hours notice. Of course, they are also expecting the same delivery time frame with the  associated mobile showers, restrooms, hot food, free clothing, and 6 million autoclavable white cotton blankets. And, that doesn't even count the requirement for "Surge Temp" delivery requirement for 12 hour rush delivery medical "push" packages and Federal Medical Stations from the Strategic National Stockpile to locations in the Pacific Rim (the direction from which human borne H7N9 is likely to propagate)

If you think this sounds logistically impossible for short notice private sector contracts, you may be too smart to work at FEMA (shades of Katrina). Here is what two contractor had say in the Q/A phase of some of these solisitations:

Notable contractor comments:

Contractor A (Mobile showers and restrooms):
 I think  the Armageddon scenario is too large to provide the Federal Emergency Management Agency with  several responsible parties....we could address and service the 20 camps in California, the 5 in Oregon and the 5 in Washington"
Contractor B: (6,000,000 Pcs order for autoclabable blankets)
Question4. Would we be able to get a longer lead time for the initial order and then 30 days for the remainder of the contract? As the blankets will be manufactured in Pakistan? It will be hard to carry 100,000 Pcs in Inventory. We on a general basis stock no more than 25,000 - 30,000 Pcs in inventory locally in GA.
Answer4.  No.
Based on all the above information, its a little bit more clear what exactly they mean when expect the U.S. medical system to be "overwhelmed" by a Fall 2013 H7N9 Pandemic. The primary reason they specify Fall 2013 is because no safe vaccine against H7N9 will exists by Fall; by Spring they hope to have enough of the adjuvant laced experimental H7N9 vaccine available to give each U.S. citizen two shots.  On the positive side, there does seem to be some hope for Alpha Interferon as a treatment.

Links:

Solicitation Number: 2013-Q-15473
Solicitation Number: 2013-Q-15472
Solicitation Number: HSFE70-13-R-0062
Solicitation Number: HSFE70-13-R-0058
Solicitation Number: HSFE70-13-R-0070
Solicitation Number: HSFE90-13-I-0018
Solicitation Number: HSFE70-13-R-0061
Solicitation Number: HSFE70-12-R-0043
Solicitation Number: HSFE70-12-R-0097
Solicitation Number: HSFE70-13-R-0071
Solicitation Number: HSFE70-13-R-0049
Solicitation Number: HSFE70-13-R-0048
Solicitation Number: HSFE70-13-R-0046
Solicitation Number: HSFE10-13-P-5023
Solicitation Number: 2013-N-15755
National Disaster Medical System (NDMS) Video



Wednesday, September 25, 2013

MAX ALERT: CDC Plans Live EMERGENCY ALERT SYSTEM Pandemic Flu Broadcast

We suspect a Human To Human Airborne H7N9 Variant has been detected by the USG, otherwise this level of preparation does not make fiscal sense.



Today, U.S. Government Department of Health & Human Services [DHHS] released a solicitation that states it will use the Presidential Emergency Alert System [EAS] for a Pandemic Flu Emergency televised broadcast. In a related development, two days ago the FCC put out notice seeking immediate broadcaster comments the first and only test run of the Emergency Alert System which took place in 2011

In an uncanny UN-coinncidence, DHHS also released a solicitation to purchase SPROUT Social Media to help them TWEET to the public, while TWITTER announce it is activating its Emergency Alert System to allow Government Organizations to TWEET messages in time of emergency.

The Presidential Emergency Action Notice [EAN] will look something like the image below, and its primary initial purpose will be to delay public panic. As such, the EAN will signal the last fleeting time period where additional safety measures may be taken while the public attempts to make sense of the H7N9 Pandemic Flu Emergency Broadcast.




Links referenced in this analysis:


Solicitation Number: 13-233-SOL-00794

FCC Seeks Comments on Technical Details of Nationwide EAS Test - Preparing for the Next Test?

Solicitation Number: 13-233-SOL-00852

Twitter Unveils Emergency Alert System


More related ORIGINAL WORK

(often stolen and unattributed by other 'THREATJOURNALing' type sites):




  • ALERT! USG Is Activating Televised National Emergency Broadcast System For PANDEMIC FLU
  • Hemorrhagic H7N9 Avian Flu + Pandemic Blood Shortage = $57,000,000 award to Cellphire for Thrombosomes
  • Survivability Analysis of INFLUENZA vs Portable UVC Air Purifiers and Home HEPA Air Filters
  • CDC Awards 2.79 Million DOSE Order For Radiation Sickness Treatment from AMGEN. (works on FLU too)
  • [FEMA] 48 Hour Delivery Order: 100,000 "Doctor Scrubs"; 1000 (100 Person) Shelters; + Fuel, Showers, Bathrooms, and Hygine Equipment; Apparent Mobilization of the National Disaster Medical System
  • ALERT! Government Mobilizing For Massive Medical Event. 100,000 People in 48 hours "Armageddon Scenario"
  • UNUSUAL URGENT ACTIVITY: CDC Readies MULTIPLE Medical Stations & EMERGENCY Stockpile Supply Deliveries to the Pacific Rim
  • [ALERT!] ALL 300 Million American Citizens WILL Be Given TWO Experimental Adjuvant Laced H7N9 Vaccinations!
  • Chinese H7N9 Feces Find Facilitates US NAVY Funding In 8,000 Person Peruvian Pandemic Poop Patrol Plan
  • Chinese Publish HERBAL Treatment Protocols For H7N9 Bird Flu
  • FEMA readying 6 MILLION "autoclavable" cotton BLANKETS for emergency distribution
  • The CDC / NIOSH Now Following POTRBLOG Tweets Because Of This Video
  • CDC Requiring Face-Seals On ALL Approved Masks And Points To H7N9; Shortages Imminent!
  • ALERT! USG Is Activating Televised National Emergency Broadcast System For PANDEMIC FLU

    The U.S. government prepares direct emergency television broadcasts for expected H7N9 influenza pandemic.

    MORE INFORMATION / SOURCES/ and VIDEO TO FOLLOW SOON

    Sunday, September 22, 2013

    Hemorrhagic H7N9 Avian Flu + Pandemic Blood Shortage = $57,000,000 award to Cellphire for Thrombosomes



    What does the government do when it is expecting a massive Hemorrhagic H7N9 Avian Influenza pandemic and simultaneously expects a pandemic related national blood shortage??? Well, they award Cellphire a $57 million dollar cost plus contract for Thrombosomes.

    Thrombosomes are Cellphire's experimental freeze dried blood platelet-derived hemostatic agent for control of noncompressible hemorrhage. When nothing else stops the blood pouring out of your body, hopefully Thrombosomes will.

    More details are in the video, see below for links.

    Links:
    Solicitation Number: BAA-12-100-SOL-00011
    Cellphire, Inc
    Thrombosomes: a platelet-derived hemostatic agent for control of noncompressible hemorrhage
    Thrombocytopenia: An important presentation of new emerging H7N9 influenza
    What Is Thrombocytopenia?
    Thrombocytopenia in 73.0% of H7N9 Bird Flu patients
    Hemorrhagic Bird Flu, Government Preps 512 Million Syringes
    FEMA Readies 100,000 Person National Disaster Medical System Mobilization

    Friday, September 20, 2013

    Survivability Analysis of INFLUENZA vs Portable UVC Air Purifiers and Home HEPA Air Filters

    ALL RIGHTS RESERVED
    COI Statement:  We have no conflicts of interest, and make no money from any of these products
    Non-commercial use only
    (c)2013  www.POTRBLOG.com



    Summary:


    We sought to identify if there were any home portable UVC air sterilizers on the market which might provide significant risk mitigation capability in the event of an H7N9 Influenza Pandemic. Based on design characteristics, only three home portable UVC purifiers were suitable candidates for an Influenza survivability analysis. Of those three, we eliminated one because it was advertised as also having a UVV capability to oxidize airborne chemicals.

    Based on our survivability analysis, we have high confidence in only one unit:  the Swordfish portable home UVC air purifier  (#UVA1800RM).  Our results indicate that it has a one pass Probability of Kill (PK) capability against Influenza viruses which is significantly greater than the one pass Probability of Filtering (PF) capability of home portable HEPA filters of similar air flow.


    Details:


    We used data from the following three public research papers to derive PK and challenge values for the survivability analysis:

    Aerosol Susceptibility of Influenza Virus to UV-C Light

    Influenza Virus Aerosols in Human Exhaled Breath: Particle Size, Culturability, and Effect of Surgical Masks

    VIRAL PENETRATION OF HIGH EFFICIENCY PARTICULATE AIR (HEPA) FILTERS 

    Our methodology was based on taking published UVC lamp data, listed air flow rates, and estimated chamber sizes  to calculate minimal UVC fluence rates and air dwell time for the two units which we identified as likely having a germicidal capability against airborne Influenza.

    One key design feature identifying potentially effective home portable airborne germicidal UVC units is a UVC lamp orientation axially placed in the direction of airflow (see picture below). The design parameters of HEPA filters typically preclude such an orientation, making combination home  HEPA / UVC units of dubious value.




    Results:


    UNIT 1:  Swordfish Model #UVA1800RM @ 30 Cubic Feet per Minute (setting 2)

    PK@ 25% Relative Humidity = 0.99999999595  and  after 9000hrs = 0.999999926
    PK@ 75% Relative Humidity = 0.99999956992  and  after 9000hrs = 0.999996123

    A medical grade HEPA system would require three passes through its filter to remove the same quantity of Influenza as our analysis indicates the Swordfish model kills in one pass. (see chart below)



    UNIT 2:  Germ Guardian Model# EV9102  @ 23 Cubic Feet per Minute

    PK@ 25% Relative Humidity = 0.986  and  after 9000hrs = 0.967
    PK@ 75% Relative Humidity = 0.961  and  after 9000hrs = 0.925

    Our analysis indicates that the Germ Guardian would have to make five passes before it would kill the the same quantity of virus as the Swordfish. We suspect that its Influenza killing capability may be on par with the filtering capability which might be expected from a home grade HEPA unit. (see chart below)




    Commentary:

    Ideally exhausting virus laden air to the outdoors is preferable to sanitizing, filtering and recirculating stagnant room air.  But when that is not possible, our analysis indicates that against Influenza the Swordfish  Model #UVA1800RM can offer a quiet, low airflow, level of protection roughly equivalent to a louder portable medical grade HEPA unit with three times the air flow rate. We expect that value to be even higher vs a home grade HEPA unit.  Still, we envision that the Swordfish is best utilized in conjunction with HEPA units selected for significantly higher airflow rates, or in standalone mode where space / noise concerns would prevent a HEPA unit from being well utilized.

    Watch the video for further detail and insight. (coming soon)

    Thursday, September 19, 2013

    CDC Awards 2.79 Million DOSE Order For Radiation Sickness Treatment from AMGEN. (works on FLU too)




    The award went out to AMGEN today to TREAT Radiation Sickness from a "NUCLEAR INCIDENT"
     "Product: a recombinant human Colony Stimulating Factor (CSF) as either Granulocyte (G) or Granulocyte-Macrophage (GM), also known as G-CSF or GM-CSF, for use in the treatment of neutropenia arising as a primary pathology from hematopoietic progenitor cell injury caused by a radiation or nuclear incident. The USG intends to purchase up to 2.79 million doses;...
     ...It is the goal of the forthcoming RFP to obtain licensed products which have the indication of treatment of neutropenia (regardless of cause). emphasis added"
    Not only is this drug an experimental treatment for radiation sickness, it is also an experimental treatment for influenza; not a bad thing to have on hand with the current conditions in Fukushima and the massive planning the USG is doing for an H7N9 Pandemic Flu outbreak.

    Tuesday, September 17, 2013

    [FEMA] 48 Hour Delivery Order: 100,000 "Doctor Scrubs"; 1000 (100 Person) Shelters; + Fuel, Showers, Bathrooms, and Hygine Equipment; Apparent Mobilization of the National Disaster Medical System


    The situation appears to be a mobilization of the National Disaster Medical System 

    Summary: 

    Based on Federal Solicitations, FEMA is readying to deploy 100,000 medical personnel to 1000 shelter locations (100 medical personnel per location) on 48 hours notice. These shelter locations appear to be the housing quarters for the medical teams, as they are being stocked with atypical luxury, aka mobile showers, restrooms, hot food, medical clothing (scrubs), winter "sweat shirts and pants" etc.

    Contractor comments/questions call it an "Armageddon scenario" and question the capabilities of their industries to support it. These Government solicitations have all the earmarks of massive logistical incompetence.

    The threat being prepared for appears to be coming out of the Pacific Rim region, a likely scenario is the human spread of Avian Bird Flu (H7N9) out of China. We think less it is less likely (but we can't rule it out) that this is a Fukushima preparation because nuclear threats are invisible and usually deniable. Any such mobilization MUST BE less panic inducing than the threat which it seeks to quell, aka PANDEMIC.


    PARTIAL Details:

    100,000 "Doctor Scrubs" pants and shirts, 90% Adult Sizes (MUST DELIVER 50,000 with 48 hours notice)
    100,000 "Sweat shirts and pants" 90% adult.  (MUST DELIVER 50,000 with 48 hours notice)

    1000 Shelters each holding 100 people, with mobile showers and restrooms supporting (2000 total showers).

    And enough Fuel, Hot food delivery containers, sundries, protective equipment, hygine equipment and etc to supply.

    6,000,000 autoclavable cotton blankets and so on and so forth, all must be available under "SURGE TEMPO" and typically in 48 hours notice.

    8,100,000 liters of  Bottled Drinking Water and 3,000,000 liters of Extended Shelf Life Drinking Water

    Notable contractor comments:

    Contractor A (Mobile showers and restrooms):
     I think  the Armageddon scenario is too large to provide the Federal Emergency Management Agency with  several responsible parties....we could address and service the 20 camps in California, the 5 in Oregon and the 5 in Washington"
    Contractor B: (6,000,000 Pcs order for autoclabable blankets)
    Question4. Would we be able to get a longer lead time for the initial order and then 30 days for the remainder of the contract? As the blankets will be manufactured in Pakistan? It will be hard to carry 100,000 Pcs in Inventory. We on a general basis stock no more than 25,000 - 30,000 Pcs in inventory locally in GA.
    Answer4.  No.

    Links:


    Solicitation Number: HSFE70-13-R-0062
    Solicitation Number: HSFE70-13-R-0058
    Solicitation Number: HSFE70-13-R-0070
    Solicitation Number: HSFE90-13-I-0018
    Solicitation Number: HSFE70-13-R-0061
    Solicitation Number: HSFE70-12-R-0043
    Solicitation Number: HSFE70-12-R-0097
    Solicitation Number: HSFE70-13-R-0071
    Solicitation Number: HSFE70-13-R-0049
    Solicitation Number: HSFE70-13-R-0048
    Solicitation Number: HSFE70-13-R-0046
    Solicitation Number: HSFE10-13-P-5023
    Solicitation Number: 2013-N-15755
    National Disaster Medical System (NDMS) Video

    More details are in our video analysis 








    ALERT! Government Mobilizing For Massive Medical Event. 100,000 People in 48 hours "Armageddon Scenario"

    UPDATE: It appears as if this mobilization is for 100,000 medical personnel spread across 1000 sites:
    --------------------------------------------------------

    The US Government is mobilizing for a massive medical event; the scale of which is approximately 1000 sites with approximately 100 people per site. These actions are being taken with a requirement for a 48 hour response time.

     One contractor is on record as stating "the Armageddon scenario is too large" for him and his competitors combined to handle.

    Details, links, and more info to come soon.

    Thursday, September 12, 2013

    UNUSUAL URGENT ACTIVITY: CDC Readies MULTIPLE Medical Stations & EMERGENCY Stockpile Supply Deliveries to the Pacific Rim


    The Centers for Disease control are prepping for MULTIPLE Federal Medical Stations & EMERGENCY Strategic National Stockpile Supply Deliveries to the U.S. Pacific Islands and Pacific Rim Nations

    In short this is ABOVE & BEYOND normal planning; the CDC has specified that the delivery contract is for "Surge Tempo", meaning MULTIPLE DISTRIBUTED LOCATIONS.

    Based on this contract and the 10/21/13 ready date requirement, the Centers For Disease Control are expecting the H7N9 pandemic they are preparing for to first hit in the Pacific Island areas. Possibly via high wealth individuals fleeing Pandemic Conditions in China. We do not discount a Fukushima incident either.

    Source link:
    Solicitation Number: 2013-N-15755

    Monday, September 9, 2013

    Sunday, September 8, 2013

    Chinese H7N9 Feces Find Facilitates US NAVY Funding In 8,000 Person Peruvian Pandemic Poop Patrol Plan



    The Chinese found H7N9 in human feces, so the US Navy decides to sample 8000 Peruvians with Influenza Like Illnesses to see if influenza is pervasive in poop.   But, why the US Navy and why Peru?

    The expeditionary arm of the Army's Biowarfare lab in Ft Detrick Maryland, just so happens to be the US Navy's Medical Research Unit #6, and Peru just happens to be at the tail end of the Blue Wing Teal duck's migratory route. The Blue Wing Teal just happens to carry H7N9 bird and its migratory pattern crosses the Asian migratory flyway.

    IF pandemic H7N9 enters the Americas, Peru will be the prime place to detect it. Once it makes it into the Americas, we believe the Urban Pigeon will be the primary NATURAL way humans will encounter H7N9 Bird poop.

    WASH YOUR HANDS!

    Links:
    Solicitation Number: N62645-13-T-0035
    Solicitation Number: N62645-13-T-0033


    STAY OUT OF THE RAIN! 108 Times Background Radiation! Underground Radioactive Fire Suspected Source

    STAY OUT OF THE RAIN!

    We detected 108 TIMES background radiation from a surface swipe of our vehicle. The reading is unusually high; and, the ratio of  surface radiation vs  airborne radiation is also unusually high.  The weather pattern is not what we consider typically indicative of a Fukushima based event.

    Based on the unusual readings (higher Alpha + Beta radiation) and the surface winds, we suspect the source of this elevated radiation is the underground radioactive fire at Superfund site in Bridgeton Missouri. We cannot rule out a large scale event in Fukushima, but would expect to see other unusually high radiation readings reported across the USA.

    Details and further analysis are contained in the video below:


    Friday, September 6, 2013

    Columbia Generating Station Operates BLIND, Once AGAIN Loses Radiation Assessment Capability

    The Columbia nuclear plant in Richland, Washington has once again lost its exhaust stack radiation monitors. These monitors have been down the 9 out of the last 12 days. The original outage on August 24th resulted in a Maximum Alert notice on our part do to reports of increased background radiation "noise", which just so happened to coincide with potential fallout from Fukushima.

    In this case, we have not released an alert because they appear to have gotten the system back up within a few hours of its re-demise. None-the-less, these occurrences bare watching. Fortunately we have the following reassuring words from the Columbia Generating Station:

    "To compensate for the loss of assessment capability while the Turbine Building Stack Radiation Monitoring equipment was nonfunctional, a field team survey would have been used if required."  (emphasis added)

    The question remains how would they know if they required a survey team if the very equipment which would alert them to such a need was not working? In other words, Columbia Nuclear was blind to a radiation detections during the failure. 

    See NRC event reports:

    #49306 and #49327

    Thursday, September 5, 2013

    Chinese Publish HERBAL Treatment Protocols For H7N9 Bird Flu


    In the CDC's movie CONTAGION, Forsythia was the evil herb of choice leading the flu infected masses astray. It turns out in the case of H7N9,  Forsythia is only 3rd on the Chinese Herbal ingredient list prescribed for the treatment of H7N9 by the editorial team of the Journal of Thoracic Disease (PubMed Listed).

    Below we have excerpted their prescribed treatment regimen for the H7N9 Bird Flu which includes both "Western Medicine" and Traditional Chinese Medicine (TCM), certainly a combination that would not be listed in any medical literature generated in the USA.

    Frankly, we're not sure whats worse; taking an experimental "emergency use authorized" H7N9 vaccine of dubious efficacy laced with risky adjuvants, or taking herbal products sourced from China. But one thing we are sure of is that WHEN the Government starts promoting a H7N9 panic, the FDA will ban this sort of information and attempt to arrest anyone not capitulating to such a ban (ala Contagion). So enjoy your Mulberry Tea, while you still can.



    Guideline on prevention and control of H7N9 avian influenza human infection

    Excerpt from:

    Editorial Team. Guideline on prevention and control of H7N9 avian influenza human infection. J Thorac Dis 2013;5(S2):S168-S172. doi: 10.3978/j.issn.2072-1439.2013.05.17



    <.............>

    5. Treatment

    5.1 The clinically diagnosed and confirmed patients with H7N9 avian influenza human infection must be properly isolated and treated

    5.2 Symptomatic treatment Oxygen inhalation, antipyretics, cough suppressants, and expectorants may be applied

    5.3 Treatment with antiretroviral drugs Antiretroviral drugs must be applied as soon as possible

    • Neuraminidase inhibitors: Oseltamivir or zanamivir has shown certain efficacy in treating H5N1 and H1N1 avian influenza human infections, and therefore is supposed to be effective for H7N9 avian influenza human infection. The recommended oral dose of oseltamivir for adult is 75 mg (150 mg for severe cases) twice daily for 5-7 days. The recommended dose of zanamivir for adult is 10 mg, inhaled, twice daily;
    • Ion channel M2 blockers: laboratory experiments have shown that the virus is resistent to both amantadine and rimantadine, and therefore the ion channel M2 blockers should not be applied alone.

    5.4 Traditional Chinese medicine

    • The epidemic toxin invades the lung and the lung loses its capability to disperse and descend Qi
      • Symptoms: fever, cough with little phlegm, headache, and muscle and joint pain.
      • Treatment: clearing away heat and dispersing lung.
      • Recommended prescriptions:
      • Mulberry leaves, Honeysuckle, Forsythia, Fried almonds, Gypsum fibrosum, Anemarrhena, Reed rhizome, Artemisia annua, Scutellaria, and Raw licorice.
      • Decoction was orally taken once or twice (every 4-6 hours) a day with water.
      • Addition or subtraction: for patients with severe cough, Loquat leaf and Zhejiang Fritillaria can be added.
      • Proprietary Chinese medicines: clearance and Detoxification Capsule, Lianhua Qingwen Capsule, and Qing Kai Ling Injection.
    • Retention of Epidemic Toxin in the Lung; shock.
      • Symptoms: high fever, cough, a small amount of sputum that is difficult to spit out, breathlessness, hemoptysis, cold limbs, dripping cold sweat, uneasiness, and even coma and delirium.
      • Treatment: clearing Lung, detoxication, elimination of pathogen, and support of resistance.
      • Recommended prescriptions:
      • Mix-fried ephedra, Fried almonds, Gypsum fibrosum, Anemarrhena, Houttuynia, Scutellaria, Fried Gardenia, Polygonum cuspidatum, Cornus, and Heterophylla.
      • Decoction was orally taken or via nasogastric tube once or twice (every 4-6 hours) a day with water.
      • Addition or subtraction: For patients with high fever, trance, and even coma and delirium, Angongniuhuang Pill may be added. For patients with cold limbs and dripping cold sweat, Ginseng, Radix aconiti praeparata, Calcined dragon bone, and Calcined oyster may be added. For patients with hemoptysis, Radix paeoniae rubra, Agrimony, and Chinese arborvitae twig and leaf may be added. For patients with cyanotic lips, Radix notoginseng, Motherwort, Astragalus, and Angelica tail may be added.
      • Proprietary Chinese medicines: Shen Mai Injection may be applied.

    FEMA readying 6 MILLION "autoclavable" cotton BLANKETS for emergency distribution


    FEMA is placing a contract to have up to 6,000,000 "autoclavable"  cotton blankets available for emergency distribution. They have a requirement for a maximum 4 hour order response time.

    The requirement that the blankets be "autoclavable" are a strong indication that these blankets are for medical use. Given recent government ordering trends, this is likely further preparation for the government's expected H7N9 bird flu pandemic. We believe that the risk of such a pandemic is low, but the impact may be staggeringly high.

    The information for this order may be found at the following federal solicitations.
     HSFE70-13-R-0034 and its update, # HSFE70-13-R-007

    The blankets will be reportedly staged at the following locations:



    DISTRIBUTION CENTERS (DCs) FOR THE FEDERAL EMERGENCY MANAGEMENT AGENCY

    CONUS:

    SITE 1
    DC Atlanta    
    3780 South Side
    Industrial Court
    Atlanta, GA  30354

    SITE 2
    DC Fort Worth
    Fort Worth Federal Center
    501 W Felix St.
    Warehouse #12
    Fort Worth, TX  76115


    SITE 3
    DC Frederick                                     
    4420 Buckeystown Pike                     
    Frederick, MD 21704             
        

    SITE 4
    DC Moffett 
    NASA Ames Research Center (ARC)    
    Building 144, Door #7                     
    Moffett Field, CA 9403                                                                          


    SITE 5                                         
    DC Cumberland                                  
    11601 PPG Road                    
    Cumberland, MD 21502         



    SITE 6
    Any CONUS Location TBD

               OCONUS:                   
                                                                          
    SITE 7
    DC Caribbean-Puerto Rico                                                                                                                                                                                                                                   
    Maunabo Warehouse Carretera # 3                                                                                                                                                                Barrio Vista Alegre     
    Salide para Yabucoa (La Pica)                                                                                                                                                                                    Maunabo, Puerto Rico 00707                                                                                                                                                                                                       POC:  

    SITE 8
    DC Pacific-Guam                                                      
    Building 100                                                   
    Barrigada, GU 96913                          


    SITE 9
    DC Pacific-Hawaii                                         
    99-1269 Iwaena St
    Aiea, HI 96701

         
    SITE 10
    Any OCONUS Location TBD