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musings, insights and other thoughts from Shonda Parker
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Founding CHANA 
CHANA - Christian Herbalists Association of North America
And on the banks, on both sides of the river, there will grow all kinds of trees for food. Their leaves will not wither, nor their fruit fail, but they will bear fresh fruit every month, because the water for them flows from the sanctuary. Their fruit will be for food, and their leaves for healing. Ezekial 47:12


CHANA was founded by Shonda Parker to offer Christian herbalists an annual conference to further learning, to provide a place of gathering for those interested in healthy living who are in fellowship in the Body of Christ, and to establish a peer-review and mentoring organization that honors the Creator above the creation.

CHANA's Goals are to provide:
* Access to Christ-honoring herbalists for individuals and families interested in safe and effective herbal medicine therapies to use at home;
* A conduit for those wanting to learn about plant medicine to educational programs firmly rooted in the Bible, and to Christian Herbalist mentors;
* Continuing education for learning and practicing herbalists;
* A peer-review and mentoring process that enables Christian herbalists to share case studies and receive encouragement and critique in a professional environment;
* Fellowship among Christian herbalists, focusing on unity in the essentials of faith and liberty and mercy in all else;
* And, to encourage stewardship of the whole of creation.

Services:
* Find an Herbalist to help Christian families find herbalists who honor the Lord Jesus Christ in their work;
* Christian herbalist training program listings to help those who want to learn about plant medicine find a school where their education will be rooted in the Bible;
* Newsletter to be published 2-4 times per year;
* Member community online to provide ongoing support for those seeking to learn about herbal medicine and those who desire to know how to apply herbal medicine effectively and safely in their homes or businesses;
* Annual conference;
* Peer review and mentoring process whereby student herbalists will have an opportunity to be mentored by practicing herbalists and student and practicing herbalists will have a process by which their case studies may be offered up for peer review to achieve a diversity of scholarship and practical experience to enhance the professional herbalist's practice.

Membership Levels: All members receive $25 discount off conference fees.
* Individual or Family - support the work of CHANA and be admitted to the online community forum to allow personal questions about herbal and nutritional medicine to be answered by students and the practicing herbalists overseeing them: $75/year (that's only $6.25/month).
* Student Herbalist - provides proof of study in an herbal program or submits a self-study plan as they seek to complete their training through CHANA's mentoring program and is listed as a student herbalist in the Find An Herbalist referral program and in the newsletters and website: $100/year (only $8.33/month).
* Professional Herbalist - professional member who has successfully completed their learning and mentoring process or provides proof of credentialing through another professional herbalist association entity and is listed as a Professional Member in the Find an Herbalist referral program, newsletters, and on the website: $125/year (that's only $10.42/month).
*Healthcare Professional (nutritionists, midwives, massage therapists, doulas, childbirth educators, nurses, docs of all letters, etc.) - professional member who support the work of CHANA and desire to be admitted to the online community forum to allow networking of community and gain access to herbalists to ask questions about herbal and nutritional medicine to be answered by students and the practicing herbalists overseeing them: $150/year (that's only $12.50/month).
* Supporting Institution - designed for those individuals or institutions desiring to support the work of CHANA and be a resource to our learning and accomplished herbalists, as well as families wishing to have more access to healthy choices- $200/year (that's only $16.67/month), supporting members will receive regular ad space in the newsletters, website, annual conference program, and at the annual conference proceedings (the wishes of those who desire anonymity will be honored). If vendor table(s) is/are desired at the annual conference, supporting members shall automatically receive one (1) table.
* Educational Provider - supports the work of CHANA and receives a listing as a Christian Herbalist Education Provider and is listed in the Find an Herbalist referral program, newsletters, website: $250/year.
*Sustaining Member - designed for those individuals, business institutions or organizations wishing to sustain the work of CHANA - $500+/year (that's only $41.66/month). Complementary ad space in print and web CHANA presences, as well as vendor space and honor at our conferences are but a small thank you for helping us make CHANA a growing resource for our members who want to honor the Great Physician while being a servant to families around the world (the wishes of those who desire anonymity will be honored).

CHANA President: Shonda Parker, CCE, Clinical Herbalist

Statement of Faith:
We believe in God, the Father Almighty, the Maker of heaven and earth, and in Jesus Christ, His only Son, our Lord. Who was conceived by the virgin Mary, suffered under Pontius Pilate, was crucified, dead, and buried. The third day He arose from the dead. He ascended into heaven, and sits on the right hand of the God the Father Almighty, from thence He shall come to judge both the quick and the dead. We believe in the Holy Ghost, the union of all believers in the Body of Christ, the communion of saints, the forgiveness of sins, the resurrection of the body, and the life everlasting. Amen.

The First Annual CHANA Conference
When: Jan 19-22, 2011
Where: Monroe, Louisiana

Cost: Conference Only - $250/person; Conference + 12 meals - $375/person; Conference/Lodging/12 meals - $450/person.
We are limiting registration to the first twenty (20) registrants. In order to make this fair, we will open registration online and through receiving mailed-in registrations on November 1, 2010.

Tentative Schedule

Jan. 19th - Pre-Conference Workshops 9:00 - 3:00 pm
Suturing for Midwives by Carlotta Crawford, MN, MPH, CNM - Workshop Fee $225 (class size limited to 20) Lodging will be complementary for those who register for full conference, too.

Professional Herbalist Intensive + Final Exam Administered for Community Herbalist Candidates - Fee same as discussed when you signed up for your course; Lodging will be complementary for those who register for the full conference.

3:00 - 5:00 - Registration
5:00 - 7:00 Dinner and Vendors
7:00 - 8:30 - Serving Up Health, Becoming a Resource for Your Community - Shonda Parker, CCE, Clinical Herbalist

Jan. 20th
8:00 - 9:00am - Breakfast

9:00 - 10:30 am - Real Food for Real Health - Vickilynn Haycraft of www.realfoodliving.com

10:30 - 12:00 noon - Impacting Diabetes with Food and Herbs - Vickilynn Haycraft

Noon - 1:30 pm - Lunch and Vendors

1:30 - 3:45 pm - Understanding & Interpreting Lab Tests - Carlotta Crawford, MN, MPH, CNM

3:45 - 5:15 pm - Changing Lives Through Dietary Evaluation - Kelli Roark, Community Herbalist candidate

5:15 - 7:00 pm - Dinner and Vendors

7:00 - 8:30 pm - Herbs & Toxicity, Paying Close Attention - Shonda Parker, CCE, Clinical Herbalist

Jan 21st
8:00 - 9:00 am - Breakfast

9:00 - 10:30 am - Respiratory & Ear Infections - Brandi Wood, CPM

10:30 - 12:00 noon - Vaginal Infections: Causes and Complementary Treatment - Kristen Benoit, CPM, Community Herbalist

noon - 1:00 pm - Lunch

1:00 - 3:00 pm - Making Herbal Medicines by Kelli Roark, Community Herbalist candidate, and Rosanna King, Clinical Herbalist candidate

3:00 - 3:15 pm - Break

3:15 - 5:15 pm - Herb Identification Walk, Rosanna King, Clinical Herbalist

5:15 - 7:00 pm - Dinner and Vendors

7:00 - 8:30 pm - Integrating Herbal Medicine with Other Modalities - Shonda Parker, CCE, Clinical Herbalist

Jan 22nd
8:00 - 9:00 am - Breakfast

9:00 - 10:30 am - Phytochemistry - Understanding Body Chemistry to Understand How Herbs Work - Naomi Watson, BA, BA, RN student

10:30 - 12:00 noon - Legalities of Owning and Running an Herbal Business, private attorney and Shonda Parker

Noon - 1:00 pm - Lunch

1:00 - 2:00 pm - Urinary Tract Infections (UTIs) - Brandi Wood, CPM

2:00 - 3:30 pm - Immunology, Food Allergies, and Autism Spectrum Disorders - Amy Whitlock, Parent Researcher and NHF student

3:30 - 4:45 pm - Break and Last-Chance Vendor Time

4:45 - 6:00 pm - Anxiety and Depression - Kristen Benoit, CPM, Community Herbalist

6:00 - 7:00 pm - Celebration Dinner for our Certificate Students

7:00 - 8:00 pm - Counseling Clients: Serving the Body - Shonda Parker, CCE, Clinical Herbalist

8:00 - 9:00 pm - Pressing Forward with Vision - Carlotta Crawford, MN, MPH, CNM

Jan 23rd - Departures
We will provide a simple breakfast for those who will be staying to worship with us in our congregation or one of the other congregations in town.

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Fear-Mongering About Swine Flu 
Fear-mongering is a problem and might just have been the thing a fellow Facebook friend was attempting to address with her link yesterday morning to Dr. Mercola’s YouTube clip about the declaration of a National Public Health Emergency, for which she was promptly challenged by a public health advocate with the question, How can a state of National Public Health Emergency not benefit us as citizens? I think the fair citizens of this nation would find accurate statistics more compelling in being able to appreciate a declaration of National Public Health Emergency rather than statements regarding swine flu which cannot be verified by the nation's own CDC, which ceased tracking swine flu numbers July 24th, tracking now only “influenza-like illnesses” and has also announced in its MMWR the quick test for swine flu had only a 40% chance at accuracy. In fact, all tests for swine flu, or novel H1N1, were rushed to market without adequate testing due to the state of emergency declared.

So, how do we not benefit as citizens by a National Public Health Emergency? Well, let’s talk about the powers granted during a state of National Public Health Emergency:
• More of our, the citizens, money is freed for an already over-spending administration to spend, further increasing our national debt, and the risk to our future economy;
• Unapproved tests may be, and were, rushed to market without adequate testing for accuracy (www.cdc.gov/mmwr/preview/mmwrhtml/mm5837a1.htm?s_cid=mm5837a1_e), and drugs may be given to children, pregnant women, and others in high risk groups which otherwise are considered not okay for those groups due to risks with the vaccine components, an example of which would be the recent override of the “no thimerosal” in vaccines – thimerosal is a mercury-containing organic compound used as a preservative in vaccines (mercury is toxic to humans in small doses) (www.cdc.gov/Flu/about/qa/thimerosal.htm);
• Potential travel bans may occur, which has the potential to harm US businesses which rely on travel abroad, further undermining the faltering economy;
• More people will go to the doc's office or emergency rooms for flu-like symptoms and possibly be isolated and quarantined, resulting in higher costs of healthcare and loss of work-time, and over-treated - there is a very real risk to citizens to the effects of antiviral drugs such as Tamiflu, not to mention the problem of increasing resistance of some flu strains to anti-virals ( given indiscriminately to everyone for fear they “might” have H1N1 and “might” be one of those who have serious complications (www.cdc.gov/mmwr/preview/mmwrhtml/mm5835a1.htm?s_cid=mm5835a1_e);
• Citizens could be forced to have a vaccine they do not choose to have and one that is already showing very real risks to the citizenry. Informed consent? Not an issue during public health emergencies, at least not a problem for those with the power to make you take it;
• Citizens could be forced to stay home from work in areas of outbreak, potentially undermining family solvency and thus the overall economy. Now, I’ve long been an advocate (see post below) of staying home when you’re ill. But, let’s see, if the public were made aware they need to stay home while ill, or until an exposure period has been exhausted, there’d be a way to lessen spread without resorting to mass quarantine of the well in addition to the sick.
These are just a few things that pop into my mind, and I have not even watched the Mercola clip.

I share the public health advocate’s belief that fear-mongering is a problem…even when it comes from an administration with its own ends to achieve. This administration has an extremely high stake (the push for universal healthcare) in making the public confident in the government’s ability to handle its citizen’s healthcare effectively and with rapid response. Rapid response to a perceived threat, I grant. A safe, effective, and informed response, utilizing real numbers rather than “guesstimates,” appears lacking.

Transparency is vital in public health to achieve citizen’s confidence with public health measures. The problem at this juncture is the CDC's abrupt cessation of tracking of swine flu cases (novel H1N1), the continued reporting of "swine flu" cases/deaths now that swine flu is not being tracked apart from all other strains of flu and in fact, reporting now includes “influenza-like illnesses,” rather than confirmed influenza of any type. This has the appearance of generalized fear-mongering with the numbers not adding up. www.youtube.com/watch?v=zcHdmnTbH9Q

For several good reasons, it is not illegitimate for the citizens to have - and voice - concerns over the President's response to swine flu and concerns regarding a state of National Public Health Emergency declared as a means to an end of what is essentially an extension of governmental powers, complete with more government funding. Sure, Dr. Mercola and others may achieve some form of monetary or influence benefit from raising their concerns from citizens who are interested and offer up their money to be used by these folks. The difference here is an important one: A President declaring a National Public Health Emergency is not informing the citizens and asking for those who are interested to give their money; the state of emergency allows the administration to take citizens' money (tax monies) without their consent.

Do I, as a citizen, have a right to voice my concern? Sure, I just did. Am I fear-mongering? Nope, don’t think so. I don’t get paid to say this, and I don’t have a goal in mind other than to encourage folks to become informed rather than simply rush out for a vaccine that may, or may not, be safe and effective; to consider prevention measures; and to voluntarily stay home while ill with a flu-like illness unless symptoms become severe or a secondary infection requires a doctor visit. Do my friends who post links to Dr. Mercola get to be labeled fear-mongering? Nope, they pretty much just want another side to be shown to the unsubstantiated fear-mongering going on with inflated numbers.

Let’s see, the definition of fear-mongering is the use of fear to influence the opinions and actions of others towards some specific end. Why is reporting on the real numbers being called “fear-mongering” so citizens can make an informed decision about what interventions they will or will not choose to access, while using “guesstimates” to achieve mass vaccination – without a proven safety and efficacy history – and to have people to assume swine flu if they have an influenza-like illness, rush for additional doctor/ER visits, and use anti-virals is called being responsible in caring for the public health?


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Swine Flu Update 
“Swine flu,” “Death toll expected to be 6%,” “International pandemic,” “Everyone should get their vaccine NOW, despite risks.” There’s certainly been no shortage of news stories regarding the swine flu outbreak. Health officials are urging people to prepare for the pandemic by creating emergency phone number lists, as well to prepare for the possibility of staying home without the ability to go out for up to 7 days post-infection to reduce exposing vulnerable groups to the novel H1N1 flu virus.

Reports that this particular strain of flu, called both "swine flu" and novel H1N1, is susceptible to the antiviral drugs oseltamivir (Tamiflu) and zanamivir (Relenza) but not amantadine (Symmetrel) and rimantadine (Flumadine) are causing most people with any flu-like symptoms at all to visit their doctor or emergency room. At the same time, centers for public policy, such as The Hastings Center, are urging Non-Pharmaceutical Intervention (NPI) as well. For The Hastings Center, this translates to encouraging the individuals and communities to voluntarily isolate and quarantine oneself and family if ill, school and work officials to voluntarily close schools or workplaces if an outbreak occurs, and all to engage in social distancing measures such as canceling gatherings and events and closing public transportation.

When one factors in the increasing resistance of the novel H1N1 virus to Tamiflu and the fact that almost 50% of our population has concerns regarding a rushed-to-market vaccine that includes thimerosal (49.6% mercury by weight), prevention and home treatment options become even more important.

For our family, our non-pharmaceutical intervention will go a couple steps further by:
• Building body system health to decrease illness risk;
• Re-stocking our home herbal medicine chest to include remedies appropriate for flu prevention and treatment; and
• Gathering items needed in our home should we need to keep to ourselves for a few days.

What is the flu?
Influenza is a viral infection caused by Orthomyxoviruses. They are divided into three different types: A, B and C. Influenza, types A and B, are the primary causes of epidemic disease. Type C is more of a sporadic cause of mostly upper respiratory tract illness. Influenza, types A and B, are further divided into distinct strains that appear to be prevalent and circulating on a yearly basis throughout the population.

• Influenza, type A, involves animal hosts that serve as a reservoir for human disease. In the instance of novel H1N1, pigs (swine) were the hosts. Bird hosts may be responsible for significant spread of disease throughout the country, and for novel H1N1, we now know turkeys have contracted the disease and are aiding in the spread. Influenza type B has no identified animal reservoir.

Children have fewer influenza antibodies to circulating strains, which makes their infection rate higher than the general population. In addition, they have a much higher and prolonged shedding of the virus than adults, making them very effective transmitters of the disease.

Influenza is transmitted through aerosolized respiratory droplets, meaning all you have to do is breathe where someone is sneezing, coughing, or otherwise expelling their droplets into the air and onto surfaces to be picked up by other unsuspecting hands to contract the disease. Hand-washing and avoidance of folks with “expelling” symptoms is a primary means of avoiding “the flu.” The CDC states you should consider yourself exposed to the flu if you have stood within 6 feet of someone with flu-like symptoms.

Since influenza type A strains with the H1N1 and H3N2 serotypes and type B strains are circulating together in any given year, vaccination with a specific type predicted to be dominant is not a fool-proof way to avoid influenza infection. Variants of these serotypes are possible in different geographic areas, making the flu shot a gamble most years without a known type.

What are the symptoms?
Symptoms of flu typically come on suddenly, making the sufferer feel as though they’ve been hit by a freight train: extreme fatigue, headache, fever, body aches, possibly sore throat and a cough. This particular swine flu appears to also cause possible diarrhea and vomiting symptoms as well.

The best way to tell the flu apart from the common cold is that cold symptoms tend to arrive one per day over a several day period (the scratchy throat leads to sneezing which leads to stuffy nose and sniffles which lead to coughing until all the symptoms are mixed in, coming and going for a 7-10 day period without any self-care). The flu, on the other hand, hits a person who feels fine, perhaps a little more tired than normal at 8:00 a.m., then at 10:00 or 11:00 a.m., Whammo!, their throat is terribly sore, they have chills and fever, they’re head feels like it’s going to explode off a body that is so achy and tired, they can’t imagine feeling well enough to lift themselves out of their office chair to get home to crawl into bed.

When exposed to influenza virus, the incubation period can be as short as 48-72 hours, with viral replication in the body (the virus keeps growing and shedding) occurring for 10-14 days. Primary symptoms of influenza types A and B are in order of relative frequency of reported symptoms:
• Chills
• Dry cough
• Headache
• Sore throat
• Prostration (have to lie down due to overwhelming fatigue)
• Nasal stuffiness
• Diarrhea
• Dizziness
• Eye irritation or pain
• Vomiting
• Myalgia (body aches).
Signs of “flu” include:
• Fever
• Sore throat
• Conjunctivitis (mild)
• Runny nose
• Lymph node enlargement in neck
• Lung rales, wheezes or rattles.
These symptoms may develop into croup, bronchiolitis and pneumonia. In 77 specimens sent to the CDC from pandemic H1N1 fatal cases, pneumonia co-infection has been responsible for 22 (29%) of those 77 novel H1N1 fatal cases during the period from May to August 2009. The total number of fatal cases during mid-April to August 2009 of pandemic H1N1 virus was 593 of an estimated 1 million cases. As of July 24th, 2009, the CDC ceased documenting novel H1N1 flu as an individual strain to be reported and opted to include for the remainder of the season all circulating flu types in their reporting in the Weekly Morbidity/Mortality Reports.

The duration of the fever illness is generally 2-4 days, although the cough and small airway dysfunction can persist for weeks later. Children and pregnant moms may appear more “toxic,” with vomiting and more severe illness manifestation, while adults generally do not have nausea and vomiting with influenza – though this strain does appear to cause these symptoms in some. Influenza is usually diagnosed during an epidemic by the symptoms of fever, fatigue and respiratory symptoms, though the CDC recommends physicians only diagnose novel H1N1 infections via real time reverse transcriptase--polymerase chain reaction (rRT-PCR) testing rather than rapid-testing for pandemic H1N1 which do not have a reliability factor that can be trusted for accuracy.

What’s the difference in influenza virus strains?

Type A influenza viruses usually cause more significant symptoms and complications than Type B influenza viruses. This strain of swine flu has been identified as a Influenza Type A, novel H1N1 virus, though there are now other strains circulating as well. Since August 30, 2009, the CDC reporting on flu cases now includes all strains, not just the novel H1N1. In this gal's opinion, this will provide some significant lack of being able to know the true death rate for novel H1N1.

The Public Health Risk from Flu

There is no question that this swine flu pandemic is a public health threat. In the past few years, deaths from the flu have increased from around 20,000 each year to close to 36,000 each year. People do die from the flu.

We have had deaths in the US and internationally from novel H1N1 infections. Generally, around 92 children die each year from influenza. Between April 26 and August 29, 2009, 47 pediatric fatalities were associated with novel H1N1 virus infection. Identified swine flu fatalities in the U.S. are pretty evenly divided among males and females. The 593 fatalities in the U.S., associated with pandemic H1N1 infection, reported as of August 20, 2009 out of the estimate of 1 million cases reflects a fatality rate of 0.06%.

Whatever the numbers, as a responsible parent, I must take this year’s flu seriously and consider ways to reduce my family’s risk of contracting the disease.

A Real Public Health Message


The best prevention is reduced interaction or exposure. Yes, this is not the one we like to hear. It’s not a shot or a pill; it’s a lifestyle change. Because it depends upon personal responsibility, you won’t be seeing news coverage focused on lessening exposure rather than the easier route for compliance of vaccinations (odd that we’d rather have needles jabbed into us rather than stay home more), anymore than you’ll suddenly see a national public health campaign for abstinence rather than the false security campaign of so-called safe sex.

Why can we connect the dots of “exposure leads to possible health consequences” where sex is concerned and we cannot when it’s just a respiratory bug or stomach bug (the just is jest as what is not a big deal in illness to one person could be deadly in the person sitting next to them on the schoolbus, restaurant, department store, office, pew, etc.).

There are a number of strategies we can employ to reduce our risk of serious illness, and the following are a few of our methods.

Active Prevention Strategy #1

Unless it is necessary for you to be out, stay home. Carefully evaluate the activity and the risk of illness to both your family and those who may be affected if you become ill.

This requires a careful evaluation of activities. Rather than simply say, “Well, the holiday barbeque is this weekend and I’m supposed to bring pickles,” maybe we need to say, “Is the risk to our family and those who will be affected by our becoming ill worth this event?” A number of years ago, our oldest daughter Emily was about to be in her first Nutcracker production in Fort Worth, Texas. I was early pregnant with Zeb and already threatening miscarriage. I took her to the dress rehearsal due to a feeling of “The show must go on.”

All the other little “angels” were being medicated with fever reducers, cough medications, because, as one mother put it, “she’s got the flu.” I walked out of the room, thought “Is being in this ballet more important than our babe-in-the-womb’s life?” The answer was, of course, “no.” We explained to the ballet director, who had plenty of angels for the show to go on, and left (and yes, we all stayed well, despite a terrible flu year where everyone else we knew became ill).

Another year, almost the whole family was in the Nutcracker. A terrible stomach bug was going around during production, but we performed anyway. We didn’t want the bug, but none of our lives were at risk. We went, and yes, we all got sick (and stayed home until all symptoms had been gone for 5 days). Different years, different situations, different choices.

Active Prevention Strategy #2
Drink a minimum of 2 quarts of water daily. Moist mucous membranes are less likely than dry mucous membranes to allow germs to “set up housekeeping.” If we become infected with the flu virus, hydration becomes of utmost importance due to the typical high fever. Despite feeling like we don’t want to, we must continue to drink. A dehydrated body is one that is highly susceptible to serious complications or death from any illness. Fluids are essential.

Active Prevention Strategy #3
Clean Hands for Health

Contrary to what we are told by marketing experts, antibacterial soap is not necessary for adequate cleaning of hands. Simple soap and water will do the job just fine. Soap contains surfactants that have both a water-repelling end and a water-attracting end. When mixed with water that is warm or hot (cold water doesn’t dissolve the soap very easily), the soap dissolves, and the surfactant molecules lower the surface tension of the water which makes it easier to loosen particles on the object being cleaned. These same surfactant molecules combined with water hold onto the dirty particles so they can be rinsed away.

Thus, washing hands is as easy as: wet the hands, lather with soap, rub the soapy water all over the hands and fingers, cleaning underneath fingernails and in cuticle areas, for at least 20-30 seconds. Rinse and repeat.

Hand-washing should be done several times daily and certainly before eating, after using a bathroom, public or at home, and after they’ve been “contaminated” with a cough or sneeze or after shaking hands with someone.

Ladies have things a bit easier than men in that it is we who are have the option to initiate hand-shaking or not. We can simply nod our heads, smile and utter a polite greeting rather than offering our hand for shaking. If we cannot avoid shaking hands and we cannot get to a sink to wash up, we can use the personal hand sanitizers made with alcohol* or we can simply avoid touching our face or mouth until we can politely excuse ourselves to the bathroom to wash.

In a public bathroom, hands should actually be washed prior to using the toilet if a doorknob or other surface has been touched on the way in. One way to avoid the washing first upon entering rule is to grab a paper towel on the way in if we’ve not had to touch a doorknob upon entering. The paper towel can then be used to open the stall door and lock it. After using the toilet, hands should be washed with soap, the faucet shut off using a towel.

And, just as important, don’t touch the door on the way out. Use a towel to grab the door handle then throw the towel in the garbage on the way out. If there is no waste basket near the door and you cannot figure out a way to open the door without using your hands, open the door with the toel protecting the hands then throw the towel on the floor. Better to teach the establishment the need for a waste basket than risk becoming ill from the myriad of germs that enter that bathroom each day.

*If making use of alcohol-based hand sanitizers, please note it can take up to 10 minutes for germs on the hands to be effectively killed off, so don’t touch your mouth, nose, or eyes during the 10-minute wait period.

Active Prevention Strategy #4

Cleaning Up On Money

After handling change (bills and coins) given in business establishments, wash hands or clean with hand sanitizer. This would also apply to anything else we touch in public.

Active Prevention Strategy #5
Sickies Stay Home

If you have a contagious ailment (signified by sniffling, sneezing, coughing, wheezing, fever, nausea, vomiting, diarrhea, etc.), stay home and try to stay apart from family members as much as possible until after the acute symptoms have subsided. Again, this is the single most effective method of reducing the spread of disease in our communities.

Generally, illnesses are passed in the winter due to close contact with others in work or school environments by those who refuse or feel they simply do not have the freedom to stay home. Teach others to stay home by gently encouraging others who are out and ill to take care of their body by going home and resting. Employers would find greater job productivity if those who were ill stayed home rather than infecting co-workers thus increasing absentee rates.

Active Prevention Strategy #6

If you are ill and going out is an absolute must:
1) Wash hands frequently, following the guidelines for washing above.
2) Cover the mouth and nose with a tissue when sneezing or coughing. If the sneeze or cough hits before you can reach a tissue, direct the cough or sneeze into the crook of the elbow or down the shirt, so that only your own body is contaminated with your germs. Then wash hands as soon as possible.
3) Avoid public areas and close contact with others.
4) Consider a disposable N95 respirator for yourself and those with whom you have no choice but to come into contact.
5) After touching common surfaces with co-workers or co-transit riders, wash hands. Better yet, use some type of hand sanitizer prior to touching to prevent the spread of germs to others.
7) Use a tissue or paper towel to open and close doors. And for community’s sake, don’t shake hands!

Active Prevention Strategy #7

Disinfect House Hotspots

Don’t forget to disinfect all the doorknobs, all handles used, light switches, telephones and remote controls weekly to remove the germs that have taken up residence during the week. If anyone has a cold or other illness, they should avoid touching community items or surfaces unless they have washed their hands first to help keep from passing on their germs.

Also, toys should be cleaned regularly with solutions of soap and water or hydrogen peroxide. If there’s been a serious infectious illness in the home, it may be necessary to clean toys with one part bleach to nine parts water. Whenever using bleach or significant germicides on children's playthings, always rinse thoroughly before allowing the children to play with them again. Another method of disinfection we have employed on bright, sunny days is to place the toys in the sunlight and let the sun’s sanitizing rays do their work.

Active Prevention Strategy #8
Elderberry supplements taken as daily preventive

Elderberry, Samubucus nigra
Parts used: flowers, fruit

Active Constituents: Flavonoids, rutin, quercitin, hyperoside, isoquercitin, astragalin, nicotoflorin; Glycoside, sambunigrine; Volatile oil, palmitic acid; Tannin; Mucilage; Anthocyanin; Vitamin C; Caffeic acid, chlorogenic. The mature fruit or berries do NOT contain cyanogenic glycosides; the bark, leaves, unripe/raw fruit may.

Biochemical Actions: Diaphoretic, Increased bronchial secretion, Binding to H1N1 virions and block the ability of the viruses to infect the host cells.

Medicinal Uses: Colds; antioxidant; one study showed insulin-like activity; and increased urine flow and sodium excretion. Some early studies on elderberry show a reduction in the risk of contracting the flu if given twice daily as a preventive, increasing to four times daily upon exposure. The maker of Sambucol states that elderberry reduces the flu virus’s ability to penetrate our cells. The latest studies show a reduction in the duration of the flu if elderberry is taken (from 6-7 days down to 2-3 days).

Safety Issues: No known contraindications, side effects or interactions with other drugs.

General dosage: 10-15 grams of elderflower daily; 1.5-3 grams fluid extract daily; 2.5-7.5 grams of tincture daily. Use only cooked berries for syrups, teas, tinctures, or TincTracts: Syrups: 1-2 Tablespoons for adults daily; 1-2 teaspoons up to three times daily for children; Tea: 1/2 - 1 cup up to four times daily for children or adults; Tinctures or TincTracts: 2 teaspoons up to four times daily for adults or 1/2-1 teaspoon up to four times daily for children.

Our favorite for children is Yummy Yarrow and Elderberry from www.trilightherbs.com. Sambucol from your local health food store is a choice, though it is thick and not-so-great tasting.

Active Prevention Strategy #9

Echinacea supplements upon exposure or onset of symptoms

Echinacea, Echinacea angustifolia, E. pallida, E. purpurea
Parts Used: Above-ground parts harvested at flowering time; root

Active Constituents: Phenylpropenoids, echinacoside glycosides; caffaric acid; chicoric acid, aynarine; Alkylamide, tartaric acid; Alkaloids, tussilagine, isotussilagine, tetraen acid, isobutylamide; Polysaccharides, inulin, heteroxylin, arabinorhamnogalactans, fructose; Essential oils, palmitic, linolenic; Flavonoid, rutin.

Biochemical Actions: Immunomodulator; Antiinfective; Inhibits hylaluronidase, found in pathogenic organisms.

Medicinal Uses: Supportive therapy for colds, influenza, chronic infections of the respiratory and lower urinary tract. May also be used externally for poorly healing wounds and chronic ulcerations.

Safety Issues: Contraindicated in progressive systemic diseases, such as tuberculosis, leukosis, collagenosis, multiple sclerosis, AIDS, HIV infection, and other auto-immune diseases.

General dosages: Tincture (1:5) with 50% ethanol, corresponding to 900mg of herb daily. For fresh-expressed juice or equivalent preparations, 6-9ml daily. External semi-solid preparations should contain at least 15% pressed juice. TincTract: ¼ to ½ teaspoon every 2 hours upon exposure or onset of symptoms.

The Cytokine Storm Controversy
In answer to the current controversy over cytokine storms if using echinacea and elderberry during pandemic flu, I think authors Eric Yarnell, ND, Kathy Abscal, B.S. J.D., and Robert Rountree, M.D. say it best in their excellent book Clinical Botanical Medicine (a highly recommended book, by the way):
"Herbs in fact act as inflammation and immune modulators rather than as stimulants or suppressors (Yarnell, Abascal, Alt Comp Ther 2006). There is one interesting study that strongly supports our view, and shows that herbs may be capable of moderating the influenza 'cytokine storm.'"..."In the study, echinacea down-regulated, or normalized, the cytokine production in infected cells and up-regulated cytokine production in healthy cells."(Sharma M, Arnason JT, Burt A et al. Echinacea extracts modulate the pattern of chemokine and cytokine secretion in rhinovirus-infected and uninfected epithelial cells. Phytother Res 2006; 20:147-152.) Though the study was done on rhinoviruses, or colds, these authors and other herbalists feel confident in using herbs with historical benefit shown for flu due to clinical evidence of symptom reduction being the likely result of these herbs being used to quiet the cytokine storm.


Active Prevention Strategy #10

Do not take any medications that do not say “Non-aspirin pain relievers” during the flu. Some researchers are trying to ascertain whether the higher death rate in children could be due to encephalitis and wondering whether this may be partly due to the administration of aspirin or other pain medications such as ibuprofen during a bout with the flu. There is a rare but real risk of Reye’s syndrome if anything other than non-aspirin pain-relievers are given during the flu. Just don’t do it!

Active Prevention Strategy #11 and #12
Daily probiotics have a positive effect on immune health, and vitamin D at a dosage of 1,000 to 5,000 IU daily, depending on your current D status and age, supports immune system health as well.

Your greatest ally is accurate information, which is sometimes very hard to find. Be informed. Research influenza, vaccines, and self-care and medical intervention until you are able to make an informed decision for your family regarding your plan for the rest of the flu season. Even the most rational of voices can get the data wrong or be moved by personal experience to color an argument in such as way as to sway even the most discerning of readers or listeners.

We can be a pinball that merely reacts to the forces impelling us, or we can be a cue stick, directing our efforts effectively, recognizing that Providence can re-direct as He wills.

Specific Protocol for Influenza:

Nutritional Intervention:
• Increase fluid intake to 8 ounces of water every hour during acute phase of illness.
• Limit food to light foods: fruit, steamed vegetables, broth. We’ve often fasted during the acute phase of the illness (1st 48 hours), with the exception of water and herb intake, and we usually recover completely within those 48 hours.

Physical Intervention:
• Bed rest is imperative for full and quick recovery. Taking either over-the-counter pharmaceuticals or herbs to be able to “keep going” with the flu will only backfire on the individual with more lost time due to slower, full recovery or relapse or complication of the flu.

Botanical and Nutritional Supplement Recommendations:

• Ginger root (Zingiber officinale), Cayenne fruit (Capsicum ), Goldenseal (Hydrastis canadensis), Licorice root (Glycyrrhiza glabra): Taken as a combination product capsule: 1 gram every 2-3 hours during the acute phase of the illness (may also be used during stomach viruses or for those strains of flu that involve diarrhea and vomiting).
• Echinacea (Echinacea purpurea, E. pallida, E. angustifolia), three to four times daily dosages follow: dried root (or as a tea): 0.5 – 1 gram; freeze-dried plant: 325-650 mg; juice of aerial portion of E. purpurea stabilized in 22% ethanol: 2-3 ml; tincture (1:5): 2-4 ml; TincTract: 2-4 ml; fluid extract (1:1): 2-4 ml; solid (dry powdered) extract (6.5:1 or 3.5% echinacoside): 150-300mg.
• Elderberry (Sambucus nigra): As syrup or TincTract: ½- 1 teaspoon six times daily during acute phase of illness. For prevention, take recommended dosage twice daily. Upon exposure, 3-4 times daily of recommended dosage.
• For a combined echinacea/elderberry product, consider Quick Defense by Gaia Herbs for older children and adults and Yummy Yarrow and Elderberry by Trilight Herbs for young children. Another combination product we find useful for families is Esberitox by Enzymatic Therapy. The tablets are chewable, making it usable by even small children. In one mouse model of Influenza A, using Esberitox (Echinacea purpurea and E. pallida roots, Baptisia (wild indigo) root, and thuja leaf extracts) significantly prolonged survival compared to placebo.
• In addition to the elderberry and echinacea, I like to add a berberine-containing herb product to our flu regimen. This year, I am prepared with Rainbow Light’s Counter Attack Immuno Response or Echinacea/Goldenseal by Gaia Herbs.

Copyright © 2009 Shonda Parker. All rights reserved.

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