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The Perfect Storm

kent nickell

Well-known member
1929 meets 1918.... Probably not a bad assumption for planning purposes.... It could be better... and it could be worse...


Analysis Apr 29, 2009
Is 2009 the New 1929? Current Crisis Shows Uncanny Parallels to Great Depression http://www.spiegel.de/international/world/0,1518,621979,00.html#ref=nlint


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Current outbreak raises fears of 1918 repeat
11/Jun/09

CHILLING parallels between the spread of H1N1 and the 1918 Spanish flu that killed millions have disease experts bracing for an onslaught of new infections and a possible second wave of illness.

Dr. Ethan Rubinstein, head of infectious diseases at the University of Manitoba, said experts now believe the H1N1 influenza will follow the same pattern as the 1918 pandemic as the virus continues to spread in more countries worldwide and cause a disproportionate amount of severe illness in First Nations communities.

In the last week, the H1N1 virus, also known as swine flu, has erupted in St. Theresa Point and Garden Hill -- neighbouring remote First Nations with poor access to health care, overcrowded homes and lack of running water.

Similarly, impoverished aboriginal communities and North End immigrants were hit hard by the 1918 outbreak. In Norway House Cree Nation, nearly one in five people died from Spanish flu.

Although public health is better-equipped to deal with a widespread outbreak, Rubinstein said there's no vaccine to protect against the first wave of the virus and antiviral drugs like Tamiflu don't stop the spread of influenza. He said no one knows whether the latest cluster of flu cases is the end of the first wave, or beginning of a second wave of illness.

The 1918 pandemic started with a mild wave of flu in spring that fizzled out and resurfaced in fall. Historians say the flu killed at least 1,200 Winnipeggers, and hit hard in November 1918.

"The working hypothesis now is that this pandemic will follow the 1918 (pattern),"
Rubinstein said, following a lecture on tuberculosis among First Nations at the University of Winnipeg Wednesday.

"I think we have many more means today to stop the devastation than before. So I don't expect the death rate to be even close to 1918, but the spread of the disease may still be like that."

The heightened concern over a repeat of the 1918 pandemic comes as the World Health Organization is on the brink of raising the pandemic alert to Level 6 -- which indicates a full-blown pandemic. More than 26,500 cases of swine flu and 140 deaths have been reported worldwide.

Esyllt Jones, associate professor in the U of M's history department, said airborne diseases like influenza and tuberculosis have thrived for the better part of a century in overcrowded and poorly ventilated homes, where people can easily spread viruses to one another.

In a three-month period during the 1918 outbreak, about 450 people died in Winnipeg's North End, compared to 103 deaths reported in prosperous Crescentwood.

Jones said public health experts have long known that influenza viruses tend to strike impoverished people living in crowded homes and that addressing the inequities may help prevent the spread of disease.


jen.skerritt@freepress.mb.ca

http://www.winnipegfreepress.com/local/current-outbreak-raises-fears-of-1918-repeat-47760877.html
 
Re: The Perfect Storm

Shelters Prepare for Swine Flu Pandemic


by <CITE>Shannon Moriarty</CITE>
Published May 02, 2009 @ 03:40PM PT
01-19-07-HomelessShelter2.jpg

Health organizations and government officials are not the only ones preparing for a possible pandemic. Homeless shelters are busy developing plans on their own. In the event of a swine flu pandemic, homeless shelters could face the worst of the burden due to the nature of services provided.
In Knoxville, Tennessee, local officials are focusing on homeless shelters even more than schools and emergency responders, according to VTV.com:
Hundreds seek shelter nightly, and even more need services during the day; Many people already seek help from agencies in Knox County, but if the cases of swine flu show up, so will the need.
Ola Blackmon-McBride is the Director of Programs for the Salvation Army in Knoxville, and she says, "We know that this is going to happen, we don't know when, and the most important thing is we need to be prepared."
The Salvation Army was just one of many agencies in attendance to hear more about what the Knox County Health Department suggests in a time of pandemic.
Ola says, "We know that we're going to be impacted, we know that we're going to have people who are sick and we're going to be responsible for those, so we want to be prepared."
And the assistance the Salvation Army provides to the homeless, could mean a bigger burden on them in a time of pandemic. As the Health Department estimates up to 40% of people unable to work, but more people would turn to the agencies for help.
But since they don't know how short their staff will be, more people will have to pitch in.
Hard to believe that the same year shelters have grappled with budget cuts, staffing shortages, and dramatic increases in demand, they're now preparing plans for a swine flu pandemic.

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  1. <DL><DT> <DD>As a former shelter director, I say "YIKES!" The hardships multiply for homeless people staying at shelters that kick people out in the morning (typically because they are volunteer-dependent and lack staff).

    And what happens with volunteer-reliant shelters whose volunteers decide they don't want such an exposure?

    Imagine having the flu--mild or mean--and having no place to rest? That's the horrific reality for the bulk of the homeless population--adults, children and teens--who have no home of their own.

    When are we going to get serious about addressing this issue in a comprehensive way?


    Posted by HEAR US on 05/03/2009 @ 07:46AM PT



    <DD class=info></DD></DL>



  2. <DD class=info><DL><DT> <DD>As a Director for a 155 bed shelter, I'd be interested to hear from other shelters on what specifically they are doing to address this or prepare for it. We instituted hand sanitizing upon entry and are mounting some wall units. Have posted hand washing, hand sanitizing, cover your cough signs in all restrooms and hospitality areas. Making sure we have ample anti-bacterial soap in restrooms. Convened a 'house meeting' to share information. This past week, have rearranged some rooms to create a women's and a men's Medical Unit to isolate individuals who have a contagious illness (of any kind). Will be adding a new community volunteer shift position for Med Unit Floater. We are a night shelter only with 4 paid staff and 50 volunteer positions a week. We are not open during the day. However, the next step is to work on how to staff the building during the daytime for those who can't be out on the street (a minor miracle will be needed!).

    I nodded my head after reading "Hear Us's" comment on volunteers perhaps choosing to not expose themselves. Yikes! is right. Let's plan as we can and hope for the best.

    Posted by Jayne S. on 05/09/2009 @ 02:55PM PT


    Author Biography
    </DD></DL></DD>
<DL class="person editor" style="BORDER-BOTTOM-STYLE: none"><DT> Shannon Moriarty <DD class=where>Boston, MA <DD class=bio>Shannon has worked in homeless shelters and service organizations in San Francisco, the Triangle region of North Carolina, and currently in the greater Boston area. She is a graduate student studying housing and urban policy at Tufts University.<DD class=bio> </DD></DL>
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<!-- /end .recent-info -->http://homelessness.change.org/blog/view/shelters_prepare_for_swine_flu_pandemic


Child Homelessness in the Economic Crisis

http://www.americanprogress.org/issues/2009/06/homelessness_interview.html
 
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Re: The Perfect Storm

Yes Kent, I agree the current economy coupled with the pandemic fosters a horribly perfect environment for the pandemic flu. Add to that water shortages and later JIT issues will only exacerbate this. Much of what I have posted in the Deliberation Room under "triggers" deals with just that.
 
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