Swine flu: how to stay alive

by Alex Evans | Apr 28, 2009 | Cooperation and coherence, Influence and networks

Over on the public health section of the always-excellent Change.org, Alanna Shaikh has helpfully written The Definitive Swine Flu Post.  Here’s her advice:

1. Swine flu will spread globally. The only question is whether it will be a mild flu or a severe one. It could still go either way. My best guess would be that it will be bad, but not mass-death-1918 pandemic bad.

2. If you want to routinely protect yourself from swine flu, wash your hands every single time you enter a building with facilities to wash. This means when you go into your house, your office, a restaurant, a bar, whatever. Carry hand sanitizer, and disinfect your hands before eating if you are away from home and can’t wash your hands right before. Do not kiss your friends hello. Don’t share food, or eat the unwrapped mints from that bowl in the foyer of the Italian restaurant down the street. Now would be a very good time to quit biting your nails.

3. If your city sees an outbreak of swine flu, avoid crowds. Don’t take public transport, or attend public events like concerts or sports games. Limit your social contact by reducing your shopping trips to once a week. Wearing a mask is overkill unless your local health department recommends it.

4. If you have flu symptoms, stay home. Call your doctor, and describe your symptoms. She will decide if you need to go to a hospital. (Do NOT go straight to an emergency room.) Don’t go to school or work. If you do have to go out (like you live alone and need food), wear a mask and choose a time that minimizes human contact. Avoid contact with the people in your house. Cover your mouth when coughing or sneezing, and use paper tissues and flush them once they are used. Clean surfaces like doorknobs with a regular cleaner, like Lysol.

5. If you are genuinely terrified of bodies-in-the-streets mass public health hysteria, then prepare. It will make you feel better, and in the unlikely event your worst fears come true, it will help. If you can afford them, emergency supplies are always good to have. Any number of websites can help you make a plan. The CDC is a good place to start.

To which I’d add: if you do live alone, then you’re more vulnerable and you need to be thinking ahead.  The vulnerability here is less to infection per se than just the lack of backup: someone to go and get your Tamiflu from the chemist, or to get some food in for you.

So as Charlie recounts in his excellent new pamphlet Resilient Nation, the kind of preparation you really need to be thinking about is less a cupboard full of Tamiflu or a cellar full of canned food than a social network you can rely on.  So if / when you get to the point when infection rates are rising in your area, then agree to buddy up with friends and check on each other regularly. Swap phone numbers with your neighbours, so that if one of you falls ill then you can keep in touch without sneezing all over each other. Think about who else might need help in your circle or on your street.