*May 23, 2012, 03:21:59 AM
Welcome, Guest. Please login or register.
Did you miss your activation email?
May 23, 2012, 03:21:59 AM

Login with username, password and session length
8458 Posts in 1523 Topics by 1842 Members - Latest Member: kkkiii
There are some photographers who are just pressing a button. And then there are the others who see the world in a very different way...
Search:     Advanced search
Photography Thailand Forum
* Home Help Search Gallery Login Register
Recent Pictures

Views: 27
Comments (0)
By: Marc Schultz

Views: 37
Comments (1)
By: Marc Schultz

Views: 116
Comments (1)
By: bjorn slis

Views: 58
Comments (0)
By: tony121
0 Members and 1 Guest are viewing this topic. « previous next »
Pages: [1] Go Down Send this topic Print
Author Topic: H1N1 Influenza In Thailand  (Read 578 times)
Marc Schultz
Forum Administrator
Big Kahuna 1,000+
*****
Offline Offline

Gender: Male
Posts: 1788



WWW
« on: September 17, 2010, 01:17:45 AM »

This is not the type of subject I would normally discuss on the Forum, but I feel there are some tangible risks at the moment of picking up a strong flu virus in Thailand and I think people who are living here, or who might be traveling here for photography, should take some precaution.

I want to start out by saying that usually I don't take these "pandemics" too seriously. Normally I find them to be a lot of media hype with limited risk of anything serious actually happening to anyone. SARS, the bird flu and everything else that came in waves over the last couple of years in Asia are mainly what I am referring to.

Many people took serious precautions during those times and there were periods when you saw people everywhere throughout Asia wearing masks to try to protect themselves from catching an airborne virus. People were also being screened for abnormal body temperature at the airports and dispensers containing free antiseptic hand cleansers were seen everywhere imaginable. At the moment it is the opposite I am afraid. For some reason the media is no longer paying much attention to the whole H1N1 flu issue in Asia, but for once the threat actually seems very real to me. For one thing, I never knew anyone personally to be affected by any of those other publicized illnesses before, but, within just the last week, 2 people I know personally have already been diagnosed with H1N1.

I consider that to be a lot since there are probably literally thousands of cases of people who I don't know who have it as well. And the reports from other people from just casual conversations on the subject is that many people in Thailand, including foreigners, are getting the flu and are really worried about the dangers of it for a change. As evidence of it being taken more seriously now, a number of hospitals are out of stock on flu vaccines at the moment, which might also suggest that more people are trying to take preventive measures at present.

I have personally never had a flu vaccine in my life, nor have I ever thought of getting one, but I made it a point to get one today. Why? Well, part of the reason is that one of the 2 friends who was diagnosed with H1N1 last week is a person who doesn't drink or smoke, exercises regularly and is in very good general health. He is not a young child or an elderly person either who is in the higher risk category, but he was hospitalized for 5 days when he fell ill with the H1N1 virus. While in the hospital he needed to be packed in ice to try and bring his body temperature down and he lost 8 kilos of body weight during that time. The doctors were x-raying his chest 3 times per day for the first couple of days just to make sure his lungs did not start to flood with fluid or things could have become much more serious, possibly leading to pneumonia or even becoming fatal.

Another reason I decided to get vaccinated is that living in a city like Bangkok, with a large urban population, people are often in very close physical contact with one another when moving around in public places. People working in offices or shopping malls with lots of re-circulated air are of course at greater risk than I am I believe, but even traveling on the sky train, the underground train, walking around at the weekend market, or going to a fitness center puts all of us at risk.

Some people have mixed views on getting vaccinated. Some don't feel the risk is serious enough, some are worried about the potential side effects of getting a flu shot, some don't want to spend the money, and some people just won't do it on principle. But considering there is a high possibility of falling seriously ill from it, and possibly even being hospitalized for a week, was enough for me to take the plunge.

I called a few places, and, as I said, some were out of stock on the vaccine already. The lowest cost place to get vaccines in Thailand in general (and has always been) is the Thai Red Cross on Rama 4 Road opposite to the Rama 4 / Suriwongse Road intersection (http://english.redcross.or.th/home). They charge 400 Baht for the H1N1 vaccine, but said they are out of stock on it unfortunately until early next month when another shipment from overseas is expected to arrive. I finally found a small private hospital that had stock of the vaccine and so I went there today. The cost, including the doctor's consultation and the nursing fee for the injection, was a total of 800 Baht (about US$25). The doctor told me they won't give the vaccine to someone who is already ill with a fever or has a respiratory infection since the immune system is already weak. So they took my temperature, looked down my throat, and listened to my lungs just to be sure.

The vaccine I was given covers the 3 main strains of the H1N1 flu viruses going around right now, which he referred to as Type A, Type B and a 3rd Type referred to as the "2009 flu" or the "swine flu". The doctor said I might feel a bit weak/ill, and possibly even have a light fever over the next couple of days from the vaccine, but he said many people also are reported to have no side effects from the vaccine at all.

I feel it is worth the risk of the minor side affects though considering the dangers involved if I were actually to fall ill from a serious strain of this flu. The doctor also said that the flu vaccine does not prevent one from possibly picking up a cold or fever bug over the next 12 months, but that one should not become seriously ill or be hospitalized from a flu virus after being vaccinated, which is what is most important. The vaccine I was injected with was manufactured by Abbot Laboratories in the Netherlands and it said it was for the 2010/2011 flu virus on the packaging.

If you are planning to come to Bangkok in the near future, then I would strongly suggest considering getting an H1N1 flu shot either before coming or while you are here. If you live here already then of course my suggestion applies to you equally as well. You can contact the Thai Red Cross at 02-252-0161 if you like or one of the government or private hospitals instead if you prefer. I know for a fact that Bangkok Christian Hospital on Silom Road is also out of stock on the vaccine at the moment.

Please be careful and I think the risk of catching a dangerous flu is worth taking seriously at the moment even though the media around Asia is not providing much coverage on the various H1N1 flu virus strains which are actively spreading right now.

Best wishes to all...
Logged

Marc Schultz
Forum Administrator
Big Kahuna 1,000+
*****
Offline Offline

Gender: Male
Posts: 1788



WWW
« Reply #1 on: September 25, 2010, 11:09:04 AM »

As a follow up on this subject, some recent articles worth reading. The last Nation article is even calling it an epidemic now in Thailand.

www.bangkokpost.com/news/local/191489/type-a-h1n1-death-toll-now-245

www.adventureinthailand.net/2010/09/h1n1-remains-a-public-health-concern-in-thailand

http://www.nationmultimedia.com/home/2010/09/12/national/Dengue-flu-cases-mismanaged-30137796.html

http://www.nationmultimedia.com/home/2010/09/14/national/Jurin-readies-for-2009-flu-epidemic-30137903.html
Logged

Adzz
Junior Kahuna
***
Offline Offline

Gender: Male
Posts: 92



« Reply #2 on: September 25, 2010, 10:14:21 PM »

Thanks Mark for the the very useful heads up on this subject. My father is returning to Thailand in the next few weeks. He is 84, and is most certainly in a high risk group if contaminated with such flu. He will seek medical advice about this prior to returning now.
Logged
Marc Schultz
Forum Administrator
Big Kahuna 1,000+
*****
Offline Offline

Gender: Male
Posts: 1788



WWW
« Reply #3 on: September 25, 2010, 10:37:48 PM »

Your welcome Adam. As one of the articles notes, Dengue is another one that is starting to get out of hand in Thailand and unfortunately there is no vaccine for that yet. There are some vaccines in the trials stages, but that is as far as they have gotten with it so far. In fact, Thailand is also working on a vaccine for it I read and involved in a lot of the research and trials since the problem here is really growing. I have friends on Koh Tao who have reported lots of cases of Dengue down there and the number of cases seem to be growing.

Also, it seems there are a growing number of Malaria cases now again. A friend's brother went down south for some work with 3 of his friends just recently and all 4 of them came back ill with it. The problem with Malaria is that it can reoccur as often as once a year in some people after they get it.

You have to start being really careful about being bitten by mosquitoes in Thailand and put on lots of mosquito repellent when traveling upcountry and down to the islands. Particularly dangerous is around dusk in the evening when the mosquitoes come out strong for about 1.5 to 2 hours.  

As for the H1N1 flu vaccine I was given, I just want to say I had no real side affects from it. A bit tired for the first 2-3 days and some sweaty heat flashes at times, but nothing serious at all. A normal reaction when your body has been given a low dose of a virus and it is working to build an immunity against it. I much rather go through that than a week in the hospital.

Worth noting though Adam is that according to the information I read about the H1N1 vaccine, it actually takes the body 2-3 weeks to develop a full immunity to the virus, so one still needs to be careful about exposure to people that might be ill with the flu virus until a couple of weeks has passed since you were vaccinated. I would encourage your father to get the vaccine a few weeks before he comes here to Thailand if possible as a result of the above.

One final note, I think people who might have even already fallen ill with H1N1 in the past still should get vaccinated anyway. This is because there are 3 active strains now and being ill with one strain one time I don't think gives you immunity to the other 2 active strains. This is also why the doctor told me I may need to get vaccinated again in about a year's time since they are expecting more new strains of H1N1 to break out within the next year and thus, a new vaccine will be needed in the future to prevent illness from future strains as well.

Be careful and please urge your friend's and family not to take risks with this.
Logged

Adzz
Junior Kahuna
***
Offline Offline

Gender: Male
Posts: 92



« Reply #4 on: September 27, 2010, 09:14:36 PM »

Again thanks , I knew about the Dengue problem.
The further info and links also interesting.
Logged
tony121
PREMIUM SUPPORTER
Baby Kahuna
*****
Offline Offline

Posts: 8


« Reply #5 on: November 19, 2010, 11:23:38 PM »

Hi Marc

will be arriving in BKK Wednesday 24th November, girlfriend was in hospital 18th to 22nd October said she had a cold was wondering if it was the virus you are on about ?
Never had a flu vacination before, think i will this time i am over.
Great advice
Thanks
Logged
Pages: [1] Go Up Send this topic Print
« previous next »
Jump to:  

Powered by MySQL Powered by PHP Powered by SMF 1.1.16 | SMF © 2006, Simple Machines
Themis design by Bloc
Valid XHTML 1.0! Valid CSS!