A Random Friday Sample of Feverish and Flu-Related Opinion

It’s been a busy week, with constant updates on the progress of the H1N1 infection (swine flu). Nothing sells a story like fear. How much of what we’re hearing is just media noise? Is the flu really changing most of our lives in any substantive way? Will it? Who’s afraid, and who’s not? Here’s a random sample of fact, speculation, and opinion we came across today.   

A rant: “All pigs are men: why we need to learn to manage infodemics, too…”

From the Wall Street Journal Health Blog, an interesting angle on numbers and severity: “Why Does the Flu Seem More Severe in Mexico: Here’s a Clue.”

Curtis Brainard of the Columbia Journalism Review writes that “blogs have called upon mainstream media to investigate the potential role of large factory farms in breeding and spreading the virus” in Mexico.

A cranky reality check from the nursing trenches: “What kind of country of dummies have we become when the PRESIDENT has to go on TV and tell us to WASH OUR HANDS and COVER OUR MOUTHS when we cough?”

Lastly, some sensible thinking on personal preparedness from Christine Gorman at Global Health Report.

-Jacob Molyneux, AJN senior editor, and Joy Jacobson, AJN managing editor

“Try Not To, As Often As You Can”: The Word Curmudgeon Waxes Acrimonious on Acronyms

“Doyle Alphabet,” by fdecomite, via Flickr.

A word curmudgeon would have nothing against which to curmudge if writers stopped coming up with newer and stranger ways to say things.

Take the acronym (or initialism, which looks just like an acronym but doesn’t make a pronounceable “word”: HPV is an initialism; HIPAA is an acronym). Use too many acronyms in your article and the introductory paragraphs become de facto glossaries, which the reader will have to return to repeatedly in order to decipher the paper.

At AJN our rule on acronyms is try not to, as often as you can. (Put another way, that’s use as few as you can get away with.) […]

AJN on Influenza Planning, circa 2007: “Striking a Balance Between Risk and Preparedness”

“Disaster planning based on events such as
floods or hurricanes, which are local or regional in scale,
may be inadequate for responding to a lethal influenza pandemic
that has the potential to overwhelm existing public
health infrastructures. However, if a mild strain of the virus
achieves pandemic proportions, the current public health system
may be able to manage the outbreak relatively easily.
Therefore, the challenge in pandemic influenza planning is to
find a balance between risk and preparedness. Planners and
policy makers must make realistic estimates of the consequences
of a pandemic and allocate limited resources wisely,
so that everyday health care and social needs aren’t shortchanged.
This article examines what we’ve learned from past
influenza pandemics and answers some frequently asked
questions about pandemics and how to prepare for them.”

Read the full AJN article here.

Swine Flu Prevention: Is It Time to Kill the Common Handshake?

Tombstone handshake, from Mel B, via Flickr.

When I was in the women’s movement in the 1960s and 1970s, one of the things that feminists were doing was learning how to compete in a public world that had rules set by men. One of the traditions that we focused on was handshaking: when do you do it, for how long, and how hard? Even today, not everyone is sure—as shown by this article from nurse consultant Donna Cardillo on the importance of nurses learning the etiquette around handshaking.

When I first read Cardillo’s piece, I wrote to her that—given the concern about emerging infections and pandemics that can be spread through touch—perhaps nurses simply shouldn’t shake hands. I wonder: has the time come to do as the Japanese do, and bow instead of shaking hands? When I have a cold, I refuse to shake hands and find that most people appreciate this caution. Swine flu can easily be spread through handshaking. While we can’t stop all other forms of transmission, we can mount a campaign to end handshaking now. I might not pass swine flu to you today with my handshake, but I’m sure I’ll pass something else to you—and maybe already have.

Diana J. Mason, Editor-in-Chief

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AJN Speaks With Mary Pappas, School Nurse Who Alerted CDC to Swine Flu Outbreak

Emergency hospital, Camp Funston, Kansas, during 1918-19 influenza epidemic that caused 50 million deaths worldwide. As of today, only one death from swine flu has been reported in the United States. Photo from otisarchives4, via Flickr.

Mary Pappas, BSN, RN, is the nurse at St. Francis Preparatory School in Queens who first notified officials  of the swine flu outbreak. She’s been interviewed by the New York Times and by National Public Radio in the last two days. This morning she found time to speak with AJN about her experiences. […]

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