The Bird Flu Preparedness Planner by Grattan Woodson, MD

In 2005 a number of books on bird flu came out,worst. Especially since the mortality rate of those
thanks to the fear that the avian or bird flu wouldinfected was around 60% -- much worse even than
become a killer virus killing millions of people around thethe 1918 flu pandemic.
world as the so-called Spanish Flu did in 1918.Fortunately, however, the virus has never (yet)
That never happened (yet -- it still could), but now thatmutated into a form that infected people easily.
novel H1N1 (or swine flu) in a WHO-declared pandemicDr. Woodson covers the history and stages of
and U.S.-declared state of emergency, there's ainfluenza pandemics in general and avian (H5N1) in
renewed interest in influenza.particular. Then he gives a lot of good advice on
During the bird flu panic we heard repeatedly frompreparing for a pandemic, in case the worst happened.
many influenza and public health experts that we wereOne chapter is pretty much standard disaster
long overdue for another flu pandemic, since the lastpreparation advice on keeping stocks of food, water
one was in 1968.and other supplies.
Bird flu viruses were infecting pigs, mixing geneticOther chapters are medical in nature and give good
material with swine flu viruses and human flu viruses ininformation on how to care for family members or
massive numbers, we were told -- especially in Chinamembers who have the flu when professional medical
and other parts of Southeast Asia. That's becausecare is not available. Since this advice is general, it's
many people raise free-ranging chickens and pigs eatgood for everyone to know even when they're caring
their droppings, and there are too many people,for someone with seasonal flu. Professional medical
chickens and pigs. Not to mention too mention influenzacare is available, and the death rate is not so high, but
viruses.you still want to know what you can do to help them.
When the killer of a three year old Hong Kong boy inOne chapter gives extremely detailed advice on
1997 turned out to be an avian virus (H5N1) whichrecording vital signs, measuring urine and other
experts believed could not cross over from birds toadvanced topics more suitable for nurses. I couldn't
people, the alarm began to spread. Hong Kong killedhelp but think that in a worst-case pandemic, most
the millions of chickens and ducks in its "wet markets,"caregivers would be lucky just to keep their infected
and everybody hoped that would end the problem.family members hydrated according to his earlier
However, H5N1 began surfacing in dead wild fowl andchapter.
domestic chickens in 2003, and soon was infectingThe book ends with an interesting historical document
people again. In 2004 another fear was realized -- a-- a letter written by an American Army doctor caring
Thai woman contracted and died from bird flufor Spanish flu patients in 1918.
because of caring for her eleven year old daughter.In summary, this book is short but will remain valuable
This was the first known case of human to humanuntil we wipe out all influenza viruses.
transmission of bird flu, and experts began fearing the