Pharmacy Week - Pharmacy Info
Transcription
Pharmacy Week - Pharmacy Info
Medi-Park Medico Central Park Centre, c/o Old Main & Frank Bull Roads, 6 Byrne Street, Empangeni Tel: (035) 792 3470, Fax: (035) 792 3472 Empangeni Tel: (035) 772 6734/5, Fax: (035) 772 6734/5 FREE NEWSLETTER 5 Ways Umhlatuze 5 Ways Mall, Cnr Baines Road & Paul Avenue, Empangeni Tel: 035 772 1005 Pha rmac ies Shop 10, Lakeside Mall, c/o Lira Link & Mark Strasse, Richards Bay Tel: (035) 7890106/7 SEP. / OCT. 2014 Pharmacy Week (1 - 8 September 2014) Pharmacy Week 2014, which takes place from 1 to 8 September, focuses on the theme, Rational use of medicines and Antimicrobial Resistance (AMR). The topic of the theme, ‘Use antibiotics wisely?’, talks directly to the patients’ responsibility to avoid resorting to antibiotics for a common cold which will increases the risk of AMR which means loss of effective medicines as the incorrect usage of antibiotics can stop them from working when you really need them. In addition patients should know, for example what is an antibiotic, how to keep antibiotics strong enough to fight infection and to practice hygienic measures to prevent infections. Antibiotic misuse puts you and others at risk; Antibiotics can be lifesavers, but misuse has increased the number of drug-resistant germs. If you think antibiotic resistance isn't a problem or doesn't affect you, think again. Although experts are working to develop new antibiotics and other treatments to keep pace with antibiotic-resistant strains of bacteria, infectious organisms can adapt quickly. Antibiotic-resistant bacteria will continue to be a global health concern — and using antibiotics wisely is important for preventing their spread. Antibiotics are effective against bacterial infections, certain fungal infections and some kinds of parasites. Antibiotics don't work against viruses. Taking an Continue on back page ... Protect Your Eyes When Hitting the Pool Chlorine helps keep pool water clean, but it can also make swimmers more likely to develop eye infections. Pool swimmers can also develop red, irritated eyes as well as blurry vision. Swimming in chlorinated pools washes away the outer film layer of the eye that helps protect against infection. And chlorine might not completely rid the water of dirt and bacteria. As a result, swimmers may develop pink eye or other eye infections. Chlorine can irritate the cornea and cause the eyes to become dry. This can lead to blurry vision. Our Pharmacist offers several tips to help swimmers prevent or ease these uncomfortable symptoms: • To prevent eye issues while swimming, wear water-tight goggles. • Remove contact lenses. The space between the eye and the contact lens may provide a breeding ground for bacteria and viruses. • For dry or irritated eyes, use lubricating eye drops. • Flush irritated or burning eyes with an eye wash or tap water for 15 minutes after swimming. Although these steps can help ease minor redness and irritation, it's important to recognize signs of a more serious problem. Swimmers who notice the following symptoms should seek immediate medical attention: Red eyes that are draining fluid; Blurry or distorted vision; Severe pain. Fruits, Veggies May Have Their Limits in Boosting Lifespan Study shows a benefit, but that tapers off after 5 servings per day. The nutrients in fruits and vegetables are vital to good health and a long life, but only up to a point. Once you've hit five servings of fruits and vegetables each day, additional daily servings don't appear to boost longevity. The human body may only be able to effectively process a certain amount of fruits and vegetables every day, limiting its ability to absorb important nutrients from extra helpings. "It is possible that the digestibility of fruits and vegetables and the availability of nutrients and other bioactive 2 compounds of these foods may have reached a plateau at five servings per day for most people." The review suggests that the risk of death from any cause drops 5 percent for each additional daily serving of fruits or vegetables consumed. And the risk of death from heart disease seems to decrease 4 percent for each additional daily serving of fruits and vegetables. Fruits and vegetables contain a broad variety of essential vitamins, minerals and nutrients, but not a load of calories. Consuming them allows a person to get much of the nutrition they need without risking weight gain. ’n “Vuistik” kan dalk ’n handdruk vervang ter wille van higiëne Britse navorsers sê dat ’n alternatief vir die tradisionele handdruk dalk minder kieme sal versprei. Wetenskaplikes het deur middel van eksperimente bevind dat om hand te skud ongeveer 10 keer meer kieme van een persoon na die ander oordra as wanneer hulle hulle vuiste teen mekaar sou tik. Hulle stel voor dat hierdie meer informele aanraking as ’n kulturele plaasvervanger vir die ferm handdruk kan dien. Die aanvaarding van die vuistik as groet kan die oordrag van besmetlike siektes tussen individue drasties verlaag. Dit is onwaarskynlik dat ’n groet wat nie kontak insluit nie die handdruk kan vervang. Mense behoort egter aangemoedig te word om ter wille van die verbetering van openbare gesondheid die vuistik as eenvoudige, vrye en meer higiëniese alternatief vir die handdruk te gebruik. Vanuit ’n mediese en sosiale oogpunt is die vuistik dalk die pad wat gevolg moet word wanneer mense mekaar op sosiale vlak ontmoet, en terselfdertyd kan die oordrag van bakterieë en virusse – alles van gewone verkoues tot MRSA – wat deur ’n handdruk oorgedra kan word, verminder word. Ons raak regdeur die dag vele kere aan deurknoppe en handrelings. Ons nies en hoes in ons hande en dan skud ons met mense hand en dra hierdie kieme na hulle oor. Die vuistik is ’n vinnige interaksie en verminder die oordrag van kieme. Tetanus Make Sure Your Family Is Fully Immunized Make sure your family is up to date with their tetanus vaccine so they are protected against this serious infection commonly known as "lockjaw." The bacteria that cause tetanus can be found everywhere in the environment. The vaccine is recommended for all 11 through 18 year olds, preferably at age 11 or 12 years. After getting the vaccine as a preteen or teen, adults need to get a booster shot every 10 years to stay protected. Tetanus is an infection caused by bacteria. When the bacteria invade the body, they produce a toxin, or poison, that causes your muscles to tighten and cramp painfully. Tetanus infection mainly affects the neck, chest, and stomach. Tetanus is also called "lockjaw" because it often causes a person's neck and jaw muscles to lock, making it hard to open the mouth or swallow. It can also cause breathing problems, severe muscle spasms, and seizures. The muscle spasms can be strong enough to break your bones, and you might have to spend several weeks in the hospital under intensive care. Complete recovery can take months. If left untreated, tetanus can be deadly. Tetanus is different from other vaccinepreventable diseases in that it does not spread from person to person. Instead, the bacteria are usually found in soil, dust and manure, and enter the body through breaks in the skin usually cuts or puncture wounds - including dog bites. 3 Is Coffee Aggravating Your Hot Flashes? Women should consider skipping caffeine if they're bothered by menopausal symptoms. Drinking caffeine may worsen the hot flashes and night sweats that affect roughly two-thirds of women as they go through menopause. While these findings are preliminary, the study suggests that limiting caffeine intake may be useful for those postmenopausal women who have bothersome hot flashes and night sweats. But caffeine - a stimulant found in coffee and colas - appears to have a different effect on women beginning the transition into menopause (known as perimenopause). In their case, caffeine might boost their mood, memory and concentration. The findings stem from a poll of more than 1,800 menopausal women. Symptoms were compared between caffeine users and nonusers. Menopause symptoms can be challenging and there are many management strategies to try. One way to gain some control over bothersome symptoms is to be careful about what one eats. That means generally forgoing spicy food and hot beverages, as well as caffeine, alcohol and tobacco. Prior research on the question has offered mixed results. But responses to the current survey suggested that caffeine intake does appear to aggravate and worsen such symptoms. Avoiding caffeine, maintaining a healthy weight, staying active and adopting meditative techniques can help, as well as dressing in removable layers, and sleeping with moisture-control bedding. Best Way to Brush Your Teeth? When it comes to the best way to brush your teeth, experts do not agree. British researchers surveyed 15 dental association guidelines in the United States, Britain, Japan and seven other countries; searched the dental literature for studies; recorded information by toothbrush manufacturers; and read 10 dental textbooks searching for advice on how, how long and how often to brush. The review found no randomized trials of brushing technique and very little agreement on how to go about cleaning teeth. Some sources recommended holding the brush at a 45-degree angle to the gum and making very short back-andforth movements. Others preferred large, 4 sweeping circles over the teeth with the toothbrush at right angles to the tooth surface. At least three other variations were suggested by other sources. Some said to brush for two minutes, some for two to three, and others for at least three minutes. Some experts said twice a day; others said three times at least. “Despite all the techniques described by experts, there’s no evidence to suggest that any of them is more effective than a simple scrub. Expert opinion is worth something, but it’s low on the hierarchy of solid evidence.” NOROVIRUS SPREAD BY RESTAURANTS? In the USA, most outbreaks of norovirus from contaminated food happen in food service settings, primarily in restaurants, according to the Centers for Disease Control and Prevention. The report notes that infected food workers are frequently the source of outbreaks of the "stomach flu" bug, often due to touching ready-to-eat foods served in restaurants with their bare hands. Ready-to-eat foods are foods that require no additional preparation and include washed raw fruits and vegetables for salads or sandwiches, baked goods, and foods that have already been cooked. The stomach bug can cause outbreaks anywhere people get together, anywhere food is served. Every year, around 20 million Americans fall sick with vomiting and diarrhoea from norovirus infection. The most commonly reported route of transmission for the gastric bug is direct person-to-person spread, followed by foodborne transmission. "Norovirus outbreaks from contaminated food in restaurants are far too common. All who prepare food, especially the food service industry, can do more to create a work environment that promotes food safety and ensures that workers adhere to food safety laws and regulations that are already in place." The report identifies raw foods such as oysters and leafy vegetables as the most common foods implicated in outbreaks. It is recommended that food service workers should practice correct hand washing and use single-use gloves and utensils so they do not touch ready-to-eat foods with their bare hands. Sick and infected food service workers should stay home until at least 48 hours after symptoms like vomiting and diarrhoea have ceased. Researchers analyzed which foods and food preparation processes were most commonly implicated in norovirus outbreaks. In 324 outbreaks where a specific food item was implicated, over 90% became contaminated during the last stage of preparation (for example, making sandwiches using raw or already cooked ingredients), and 75% involved raw foods. Fruits, leafy vegetables and oysters were the most mentioned single raw foods that were a major part of the problem. WHAT ARE THE HEALTH BENEFITS OF HONEY? Honey is a sweet liquid produced by honey bees using nectar from flowers through a process of regurgitation and evaporation. It has high levels of monosaccharides, fructose and glucose, vitamins B1, B2, B3, B5, and B6 and contains about 70 to 80 percent sugar, which gives it its sweet taste minerals and water make up the rest of its composition. The health benefits of consuming honey date back to Greek, Roman, Vedic, and Islamic texts. The healing qualities of honey were referred to by philosophers and scientists all the way back to ancient times, such as Aristotle (384 - 322 BC) and Aristoxenus (320 BC). Over four thousand years ago, honey was used as a traditional ayurvedic medicine, where it was thought to be effective at treating material imbalances in the body. Honey has been consumed for thousands of years for its supposed health benefits. In pre-Ancient Egyptian times, honey was used topically to treat wounds. Egyptian medicinal compounds more than five millennia ago used honey. The ancient Greeks believed that consuming honey could help make you live longer. The beneficial properties of honey have been explored in modern times, and there is evidence to suggest that these historical claims may hold some truth. Honey may be helpful in preventing GERD (Gastroesophageal reflux). Honey shortens the duration of bacterial diarrhoea in infants and young children. Topically applying honey is an effective way of treating diabetic ulcers that don’t respond to antibiotics. Honey has successfully helped to heal burns, Honey may be useful in minimizing seasonal allergies. Honey is useful in treating children with night-time coughs. 5 Green Bean Bredie Serves 4 My grandmother was a very good cook; everything done with a lot of heart, care and attention to fresh, natural, good basic ingredients. This dish bears her stamp. She never browned the meat beforehand for this plain homestyle bredie. 600- 800g lamb shanks, cut into 3-5cm lengths 1½ cups (375 ml) water 2 x 25 g Concentrated Beef Stock 1 clove garlic, crushed 1 T (15 ml) Ina Paarman's Vegetable Stock Powder 1 t (5 ml) Ina Paarman's Rosemary & Olive Seasoning 1 red chilli, finely sliced 1 large onion, chopped ¼ cup (60 ml) fresh lemon juice 2 large potatoes, cubed 500g green beans, finely sliced ( frozen work well) 1 T (15 ml) butter or 2 T (30 ml) olive oil Ina Paarman's Garlic Pepper Seasoning to taste 2 t (10 ml) fresh lemon rind, grated onion and lemon juice until nearly tender, about 1 ½ hours. Add potatoes, simmer until done and add beans. Cook for about 14 more minutes. Add butter, Garlic Pepper Seasoning and grated lemon rid. VARIATION: Tomato bredie. Replace the beans with 1 x 400g tin of chopped tomatoes and 1 x 200ml Ina Paarman's Sun-dried Tomato Cook Sauce. Add at the same time as the potatoes, omitting the lemon juice as tomatoes are naturally acidic. CHEF'S TIP: Before squeezing the lemon, grate off the rind as it is easier to grate the rind while the lemon is still whole. Simmer meat in water with garlic, stock powder, Rosemary & Olive Seasoning, chilli, le u s ap C h alt He 6 Eating more fruits and veggies won’t make you lose weight: We’re often told to eat more fruits and vegetables, but the chances that you’ll lose weight just by eating more of these foods are slim. New research suggests increased fruit and vegetable intake is only effective for weight loss if you make an effort to reduce your calorie intake overall. In other words, you need to exercise or consume fewer calories to shed those kilos. KIDZ FUN PAGE Spot the 5 differences!!! JOKE OF THE MONTH B e a u t i f u l? A man was just waking up from anesthesia after surgery, and his wife was sitting by his side. His eyes fluttered open and he said, "You're beautiful!" and then he fell asleep again. His wife had never heard him say that so she stayed by his side. A couple of minutes later, his eyes fluttered open and he said, "You're cute!" Well, the wife was dissapointed because instead of "beautiful," it was "cute." She asked, "What happened to 'beautiful'?" His reply was "The drugs are wearing off!" 7 Kan probiotika help om hoë bloeddruk in toom te hou? ’n Studie beweer dat nuttige mikrobes in jogurt en aanvullers doeltreffend kan wees. ’n Nuwe studie dui daarop dat die verlaging van hoë bloeddruk dalk so naby as jou yskas kan wees. Die gereelde inname van probiotika, soos wat in sekere soorte jogurt en aanvullers aangetref word, kan dalk hierdie toestand help verlig. Mense wat probiotika ingeneem het, het ’n gemiddelde verlaging van sistoliese bloeddruk (die boonste lesing) van ongeveer 3,6 mm kwik (mm Hg), en ’n gemiddelde verlaging van diastoliese bloeddruk (die onderste lesing) van ongeveer 2,4 mm Hg ervaar, vergeleke met dié wat nie die probiotika ingeneem het nie. Dit wil voorkom of die voordele van probiotika die grootste is onder mense met verhoogde bloeddruk (hoër as 130/85), en probiotikum-aanvullers met veelvuldige tipes bakterieë het die bloeddruk meer verlaag as dié met ’n enkele tipe bakterie. Dit wil voorkom of die duur van die inname belangrik is – mense wat vir minder as twee maande probiotika ingeneem het, het nie ’n verlaging in hulle bloeddruk ervaar nie. “Die klein versameling studies waarna ons gekyk het, beweer dat die gereelde inname van probiotika as deel van ’n gesonde leefstyl hoë bloeddruk kan verlaag, en ook gesonde bloeddrukvlakke handhaaf,” sê die hoofouteur van die studie. Dit sluit probiotika in jogurt, gefermenteerde melk, suurmelk en kaas in, asook probiotikumaanvullers. Probiotika kan bloeddruk op verskeie maniere gunstig beïnvloed, soos om die LDL-bloedvlakke (“slegte” cholesterol) te verlaag, bloedsuiker te beheer en insulienweerstandigheid te verminder, en deur te help om die hormoonstelsel wat die bloeddruk en vloeistofbalans reguleer, te beheer. Health Tip: Act Fast After Sunburn Get to a shady spot at the first signs of burn. Sunburn is not only painful, but can help cause serious long-term damage to your skin. Our Pharmacist offers these suggestions for prompt treatment of sunburn: • Get out of the sun as soon as you see the first hint of sunburn. It can take several hours for the full effects to appear. • Take a cool bath or shower, then slather on a rich moisturizer. Moisturize frequently with a product containing vitamins C and E. 8 • Never pick, peel or rub sunburned skin. • Drink plenty of water as sunburn can dehydrate you or your child. Carefully monitor children for signs of dehydration. • Take ibuprofen right away to ease pain and swelling. • Blistering sunburns that cover more than 20 percent of the body or sunburns that cause chills and fever should receive additional medical assistance. Block Tick Bites Before you head out on a hiking trail, you’ll want to protect yourself and your loved ones from ticks that often lurk in tall grass, thick brush, and wooded areas. Many ticks carry disease, so do what you can to keep ticks from taking a bite out of you. Tick-Bite Fever is the most common tick-borne illness. Ticks are tiny 8-legged creatures that can be hard to see. The young “nymphs” are only the size of poppy seeds. Adult ticks aren’t much larger—about the size of a sesame seed. If an infected tick chooses you for its next blood meal, that bite can transmit TickBite Fever to you. Ticks can be so tiny that most people who get ill don’t recall a tick bite. But if you have symptoms of the disease, the earlier you get treated, the better. Symptoms can include fever, headache, muscle or joint pain, sometimes a rash, and extreme fatigue. If left untreated, the infection can spread. Some people may develop nerve problems, arthritis, or other disorders. But most people fully recover after treatment with antibiotics. Help keep ticks off your skin by wearing long sleeves, long pants, and long socks. You can also ward off ticks by using an insect repellant that contains at least 20% DEET (for the skin) or permethrin (for clothes). To avoid ticks, walk in the center of trails and steer clear of tall vegetation. If you’ve been in an area where ticks are common, bathe or shower as soon as possible, and wash or tumble your clothes in a dryer on high heat. Check your body carefully for ticks. They dig and burrow into the skin before they bite and feed. Removing ticks right away can help prevent disease. So watch out for ticks! Make a habit of tick prevention as you venture into the great outdoors. Why is my urine red? There are many things that can turn a person's urine red, pink or any number of different colours. Having red urine may mean that blood is present, such as from a woman's menstrual cycle. Strenuous exercise may also cause red blood cells to show up in the urine. In addition, red urine may be a sign of kidney stones, urinary tract infections, injuries, liver disease, a blood clotting disorder or multiple other medical conditions. Beets, berries and rhubarb have been known to make a person's urine turn red. Red dyes such as those found in candy or sugary cereals may do the same thing. 9 Vitamin D: A Key to a Longer Life? Higher levels of vitamin D may protect people from an earlier death, particularly from cancer and heart disease, suggests a new analysis of existing research. And, the opposite may also be true -- low levels of vitamin D may be linked to a higher risk of premature death. But the researchers acknowledge that the review's findings aren't definitive. "People with low vitamin D die more frequently from heart disease and cancer, but it is not known if the low vitamin D is a cause of these diseases or just a by product of generally poor health," said study lead author. Still, the research published online June 17 in BMJ does hint at the possibility that vitamin D may benefit people across genders, ages. The findings are "compellingly consistent.” The researchers examined eight studies from Europe and the United States that together tracked more than 26,000 nonsmoking men and women. They were all between ages 50 and 79. About 6,700 participants died during the time period of the studies, mostly of heart disease or cancer. Those with the lowest levels of vitamin D were about 1.5 times more likely than those with the highest levels to die from any cause and from heart disease during the periods of the studies. Those with low levels of vitamin D and a history of cancer were 1.7 times more likely to die of the disease. People who hadn't previously had cancer saw no change in the risk of cancer death by vitamin D levels. It's not clear how vitamin D could help people live longer, but it might have something to do with the way it acts like a hormone. High Blood Pressure May Sometimes Be Over-treated Bringing systolic readings below 120-139 might not provide added benefit. Lower is not necessarily better when it comes to treating high blood pressure, researchers report. It appears that reducing systolic blood pressure below 120 mm Hg, provides no additional benefits for people with high blood pressure, according to new findings from a twodecades-long study of heart disease risk. This could mean fewer medications for people who have high blood pressure within the "normal" range of 120 to 139. Uncontrolled high blood pressure increases your risk of heart failure, stroke and heart attack. About one in three people has high blood pressure, and only half of those have their condition under control. Systolic pressure is the top number in a standard blood pressure reading -- for example, 120/80 -- and represents the pressure in the arteries when the heart muscle contracts. The bottom number, diastolic pressure, represents pressure in the arteries between heartbeats. Up till now, many heart doctors have tackled high blood pressure by trying to get a patient's blood pressure as low as possible through drugs and lifestyle modifications 10 such as diet and exercise. “It's turning out that sometimes less is more, in terms of medications to control blood pressure." Previous studies have shown a progressive increase in heart disease risk as systolic blood pressure rose above 115, the researchers said. But it was not known whether systolic pressure below 120 in patients with high blood pressure lowered their risk of stroke or heart attack. To test this, researchers followed 4,480 people for about 22 years, tracking their blood pressure and monitoring their heart health. Participants were an average age of 55 at the start of the study, and more than two of every five had high blood pressure. The results confirmed that people with high blood pressure have a greater risk of heart attack or stroke, and that the risk increases as blood pressure rises. But the researchers also found that once systolic pressure drops lower than the 120 to 139 category, driving that number even lower did not improve patients' heart health. It appears that the optimal blood pressure range for people with high blood pressure is 120 to 139 systolic. When the blood pressure goes below 140, there's definite cardiovascular health benefits. Hooikoors Die term hooikoors is ’n verkeerde benaming: die toestand word nie deur hooi veroorsaak nie, en dit het ook nie koors tot gevolg nie. Die kliniese naam is seisoenale allergiese rinitis wat ’n soort allergie is. By sommige mense is die immuunstelsel ooraktief en identifiseer deeltjies was gewoonlik skadeloos is, as gevaarlik. Dit het ’n oormatige reaksie tot gevolg. Hierdie reaksie lei tot die vrystelling van kragtige chemiese stowwe, waarvan histamien die bekendste is. Hierdie stowwe veroorsaak baie erge swelling van die slymvliese wat die neusholtes en die konjunktiva van die oë uitvoer, asook ’n intense gejeuk en niesery en die produksie van groot hoeveelhede waterige mukus. ’n Persoon kan enige van of al die volgende simptome hê: erge niesaanvalle, veral in die oggend; ’n intense gejeuk van die neus en die verhemelte, en selfs die oorkanale; waterige mukus in die neus; ’n toe neus deurgaans of gedurende bepaalde seisoene; jeukerige en tranerige oë; oë wat ligsensitief is; rooi, vlekkerige voering van die onderste ooglede; donker kringe onder die oë as gevolg van die druk wat die verstopte neusgange op die klein bloedvate het; hoofpyn as gevolg van druk aan die binnekant van die neus of van die sinuskanale wat verstop is, en ’n negatiewedruk-sinushoofpyn. ’n Toe neus met gepaardgaande hoofpyn, ’n aanhoudende gedrup agter in die keel en slegte asem dui op chroniese sinusitis eerder as rinitis. Allergene wat hooikoors veroorsaak, is stuifmeel van grasse, bome en ’n paar onkruidspesies, wat alles deur die wind bestuif word. Dit is slegs die klein, ligte windgedraagde stuifmeel wat die allergiese reaksie in die neus veroorsaak. Allergiese rinitis wat regdeur die jaar voorkom, word hoofsaaklik deur die huisstofmyt, diere en skimmels veroorsaak. Dit is onmoontlik om die allergene, soos grasstuifmeel, wat hierdie vorm van rinitis veroorsaak, te vermy. Mediese behandeling is dus in die meeste gevalle onvermydelik. Praat met jou apteker oor die geskikste behandeling vir jou. Behandeling vir hooikoors sluit gewoonlik antihistamientablette en antihistamien-neussproei en sproeibehandeling met steroïede in. DISCLAIMER: Please note that KK Publishers, it’s contributors and/or associates cannot be held liable in any way for errors that may occur in any of the articles printed in this newsletter. Information and articles published in this newsletter do not constitute medical advice or a medical claim for any product of any nature whatsoever on behalf of the publisher, the pharmacy or the distributor. Consult a qualified health care practitioner for diagnosis or treatment of any diseases or medical condition. Designed and published by KK PUBLISHERS - THE NEWSLETTER FACTORY CC, Cape Town Tel.: (021) 975 0714; Fax: (021) 975 3459 E-Mail: [email protected]; Website: www.newsletterfactory.co.za COPYRIGHT OF ALL ARTICLES AND EDITORIAL APPEARING IN THIS NEWSLETTER IS OWNED BY KK PUBLISHERS. ALL RIGHTS RESERVED. 11 Continued from front page .... antibiotic when you have a viral infection won't make you feel better - and can contribute to antibiotic resistance. If antibiotics are used too often for things they can't treat - like colds, flu or other viral infections - not only are they of no benefit, they become less effective against the bacteria they're intended to treat. Not taking antibiotics exactly as prescribed also leads to problems. For example, if you take an antibiotic for only a few days instead of the full course - the antibiotic may wipe out some, but not all, of the bacteria. The surviving bacteria become more resistant and can be spread to other people. When bacteria become resistant to first line treatments, the risk of complications and death is increased. Other consequences are the increased costs associated with prolonged illnesses, including expenses for additional tests, treatments and hospitalization, and indirect costs, such as lost income. Taffy & Staff Ebola What you need to know The Ebola virus has now hit four countries: Sierra Leone, Guinea, Liberia, and recently Nigeria. The virus - which starts off with flu-like symptoms and often ends with horrific hemorrhaging - has infected 1,201 people and killed an estimated 672 since this winter, according to the numbers in late July from the World Health Organization. Ebola is both rare and very deadly. Since the first outbreak in 1976, Ebola viruses have infected thousands of people and killed roughly 60 percent of them. Symptoms can come on very quickly and kills quickly. Ebola viruses are constantly circulating in animals, most likely bats. Every once in a while, the disease spills over into humans, often when someone handles or eats undercooked or raw meat from a diseased ape, monkey, or bat. An outbreak can then happen for several months. Social stigmas and a lack of awareness 12 may lead people to avoid seeking medical care. In many ways, how well a country deals with Ebola comes down to basic health care and public education. Bleeding from orifices is one of the more unusual and memorable symptoms of viral hemorrhagic fevers like Ebola. In later stages of the disease, some people bleed from the eyes, nose, ears, mouth, and rectum. External bleeding can be one of the main symptoms that can help people realize they're dealing with a case of Ebola, since other signs - first fevers and headache, then vomiting and diarrhea - can be caused by any number of illnesses. Internal bleeding can happen, as well. What actually kills people is shock from multiple organ failure, including problems with the liver, kidneys, and central nervous system. Symptoms come on abruptly after an incubation period of 2 to 21 days. And people generally die between day 6 and 16 of the illness. Ebola is relatively hard to catch compared to some other viruses like measles, SARS, or the flu because it doesn't spread through the air. In order to contract Ebola, someone must touch the blood or bodily fluids (including sweat, urine, and semen) of a person or animal who's infected (alive or dead). People can also catch it through indirect contact with victims' fluids, such as via bedding or medical equipment. People generally aren't infectious until they get sick. Ebola's limited transmission ability is one of the main reasons why outbreaks can often be stopped within weeks or months. What it takes is public education and good healthcare hygiene like isolating patients, sterilization procedures, and the use of gloves, masks, and other protective gear.