A garden of viruses

garden-of-viruses
Virus protection graphic from Pixabay.com

Dear reader, please wear a mask and don rubber gloves before reading this none-too-subtle discourse about viruses and how little medical science knows about the common garden variety.

Since I tested negative to Coronavirus, after sitting in the car for two hours on December 28, alas, I still feel like shit. Excuse the language but there is no more apt description. Those lacking in empathy might dismiss it with “Oh it’s just a cold – build a bridge and get over it.”

Not that simple, sorry. There are more than 200 different cold viruses, and despite medical science’s skills in almost every other department, we don’t have a cure for any of them. The common cold virus lasts six to 10 days and the best advice is to stay in bed, or at least stay home until you feel better. There are many remedies which arguably speed the healing process and they include plenty of sleep, plenty of fluids, exercise (which seems counter-intuitive), and other more desperate measures like eating a raw onion and listening to jazz for 30 minutes.

I felt great on Christmas Eve, cooked pizzas for the family, tried to find something intelligent to watch on TV and failed. Went to bed early.

Christmas Day I woke with that post nasal drip thing – you know the one? Within hours my nose was running and I was going ‘ah-choo f***’, spreading germs around the house. I participated in Christmas lunch, feeling gradually worse as time went by. Boxing Day was bad.

“Perhaps you’d better go and get tested,” advised my sister-in-law, the nurse.

I did so on my return home, knowing I’d have a shorter wait than people were experiencing in Brisbane, where we spent Christmas.

While this was going on, reports were dribbling in that our Christmas lunch guest were succumbing to ‘#ahchoof***’. I got a negative test result within 24 hours so that was a relief. Or was it really?

I still felt like shit and Christmas lunch guests, including SWAGACF, were feeling equally miserable.

Cousin Alice rang to say she’s sorry she missed Christmas lunch (in isolation awaiting a Covid test), which proved to be negative. My brother-in-law started referring to me as ‘the East Coast distributor’.

As many people found out, there was something ‘going round’ at Christmas.

I chatted online to a friend who was dreading catching whatever was going through his tribe of grandchildren. Later he texted:

“I’ve got the wog – about to get a RAT test. Result in a bit. Timer on. And…Negative.”
“You were on the spot by proxy at this historic event.”

I spent much of the past week in and out of bed, binge-watching Succession and marvelling at the acumen of Shakespearean actor Brian Cox as the amoral, ruthless media baron. I also spent time wondering how I got this thing. Didn’t I wear a mask when going anywhere? Didn’t I wash my hands assiduously?

The best advice to avoid the common cold is just that – wash your hands after any contact with anyone or anything. Avoid contact with people who have the common cold. Ah, the tricky one. How do we know they have the common cold? They could be asymptomatic, as I was on Christmas Eve.

Through almost two years of dealing with a potentially deadly pandemic, it’s fair to say that the media, and medical science to a lesser degree, has been less focused on other viruses.

Having said that, researchers did note the sharp drop-off in influenza numbers in 2021. This phenomenon may well have been due to the general population taking Covid precautions.

In the August edition of  the Australian general practitioners magazine, ‘newsGP’, it was noted that a year had passed with not one single death due to influenza.

Professor Ian Barr was frank when asked if he ever imagined the current situation; just 435 notified cases (to August 2021) and no hospital admissions.
Barr, who is Deputy Director of the World Health Organisation Collaborating Centre for Reference and Research on Influenza at the Doherty Institute, said: “No. It’s amazing. Never.”

Professor Barr says the absence of influenza is a positive, although he also points to a number of other respiratory illnesses beyond the rising number of COVID-19 cases.

“I think fighting one virus at a time is quite enough for the general public. I don’t think we should get too complacent. There are other viruses circulating and depending on which State you’re in, those viruses are circulating at different levels.”

For context, in Australia there were 21,005 notifications of laboratory-confirmed influenza by August 2020 and 35 deaths. In 2019 there had been 214,377 and 486 deaths. (One explanation I read for this situation is that many deaths from influenza happen in Aged Care homes – the increasing emphasis on hygiene resulting from the Covid epidemic has had the effect of reducing the number of influenza deaths.Ed)

On January 6, 2022, Australia had 330,289 active Covid cases including  32,312 in Queensland. Before Christmas we had bugger-all.

I’m spending a lot of sick-bed time consulting Dr Google. If you want to minimise the chances of getting Covid, head to Tasmania. The Apple Isle and the Northern Territory have the lowest cases numbers in Australia, although at this time of year the climate is more attractive in Tassie than in the NT.

There were only 785 cases in Tasmania on Monday, increasing to 3,653 yesterday but well below the 268,787 cases in NSW and Victoria, the States you drive through to get to Tassie.

As an island State, though, one can fly directly to Tasmania, with only one border check. In WA, closed borders explains its low tally of 74 cases. The prosecution rests.

It fell to me then, viruses aside, to go on an emergency shopping expedition. I rationalised it thus: past the contagious stage, wearing a mask, washing my hands. What could go wrong?

On my last quick trip to buy juice, tissues and toilet paper, I witnessed an exchange between two customers (who apparently knew each other well enough to drop their masks under their chins).

It’s all a bit much, eh?”

“Yeh, this flu’ll get us all eventually.”

One old bloke tendered a limp-looking ten dollar note. The (masked) checkout person picked it up in the manner of someone removing a gecko from a windowpane.

Then I went home and Dr Googled some more, finding along the way a study done in Germany which says listening to music can help heal the common cold.

Dance music, soft rock and jazz were genres most favoured to increase the levels of antibodies in the bodies of those listening to such music. (The jazz will drive me out of the room, thus achieving the aim of isolation. Ed.)

Research by the Max Planck Institute in Germany concluded that certain types of music boost the immune system and help to decrease the level of the stress hormone cortisol. Enthused by this research from 2008, latched on to by radio DJs and pop culture writers, I put together an appropriate playlist.

Our music advisor Franky’s Dad listened to the playlist and replied:

This playlist gives an insight into the way a virus can addle the brain.”

“I see that you’ve been guided by the theme of illness & medicine,

“It’s a bewildering mix of genres though!”

FD (who also has the wog) contributed If I Could Talk I’d Tell You. Anyway, we agree – avoid listening to your favourites when unwell.

This eclectic playlist of 25 tracks – not all about feeling poorly – includes a pithy little ditty from our album, The Last Waterhole. I recommend Don’t Crash the Ambulance, not for the image it conjures, but as a piece of political history, with George W Snr advising the next president: “Watch and learn, Junior. Watch and learn.”

Germ Boy’s Mix

 

 

 

Odd socks stamp out mental health stigma

mental-health
Odd socks for mental health, photo supplied by www.grow.org.au

My choice to wear a matchless pair of socks today was a deliberate tribute to Mental Health Week. Odd Socks Day is just one of the many events sponsored through October to remind us that one in five Australians suffer a mental health disorder in any 12-month period.

I’d never heard of Odd Socks Day, but spotted a flyer in a café somewhere and tucked it away for future reference. It’s a national anti-stigma mental health campaign now in its fourth year, using odd socks as a metaphor that anyone can have an off day.

Despite the fact that the majority of people visiting GPs are consulting them about mental health or psychological issues, those with physical ailments are not confronted with the same level of discrimination, stigma and social shame.

Young people are particularly vulnerable to stigma. Research in 2016 uncovered some alarming facts about stigma and what an obstacle it is to people trying to recover from a mental illness. Headspace found that 26% of young people aged 12-25 would not tell anyone if they had a mental health problem and 22% would be unlikely/very unlikely to discuss it with their family doctor.

Fifty-two percent of young people (12-25) identified with having a mental health problem would be embarrassed to discuss the problem with anyone and 49% would be afraid of what others think.

The Royal Australian College of General Practitioners recently found that 62% of people (via the traditional 10-minute consultation), were seeking support for mental health disorders.

The most common mental health ailments likely to afflict people are depression, anxiety and substance abuse. Sadly, many people struggling with depression use drugs and/or alcohol to self-medicate, often with negative results.

In my former work life, the notion of taking a ‘mental health day’ was anathema to your average hard-bitten journalist, for whom the deadline reigns supreme. But in recent years the previously taboo subjects of depression and suicide are now being freely publicised and debated. The hidden cost of not properly dealing with workplace mental health problems is now an $11 billion problem for Australian commerce. There is now an argument that $1 spent on mental health services equates to a ROI (return on investment) of $2.30. So why aren’t we spending?

If there is one indicator to show how stigma and mental health ratio is shifting, it is the NRL ‘casualty ward’, which lists rugby league players and their injuries. Through the season I recall at least six players said to be having counselling for ‘psychological’ or ‘personal’ issues, the latter covering a range of non-physical traumas. Dragons half Ben Hunt spoke candidly to the media this year about seeing someone to help overcome a slump in confidence. Armchair critics (virtual bullies) did not help Ben’s situation, with a steady stream of vitriol posted on social media.

Suicide is often the end-game for people fighting ongoing battles with mental health disorders. Australia’s standardised statistics on suicide are not as high as some (11.7 per 100,000 people). Lithuania (28.6) and South Korea (26.3) head the World Health Organisation list, but Australia is nonetheless in the list of 10 countries with a suicide rate in double figures and has been for a decade.

In Australia, men are three times more likely to commit suicide (17.8 deaths per 100,000 people) than women (5.8 deaths per 100,000 people). More than 75% of all severe mental illnesses occur prior to the age of 25, and youth suicide is at its highest level in a decade.

The telling statistics revealed by the Royal Australian College of General Practitioners clearly show that the system is under untenable strain.

Author Jill Stark wrote about it in a Sydney Morning Herald opinion piece – ‘What happens when the answer to R.U.O.K is no and there’s nowhere to go?’

Stark wrote from a first person perspective, after  fronting up to a GP with what she suspected was an acute recurrence of anxiety and depression. She was handed a form to fill in – a routine step in such a consultation, so the GP can make a more objective assessment of the patient’s mental health state. As Stark related, she scored 25 ‘mild to moderately depressed’ and was prescribed medication (after first being asked if she was suicidal).

The answer was no, but on the way home Stark reflected that should she indeed want to kill herself, she’d been prescribed with something well-equipped for the job.

As Stark bluntly pointed out, the time for wristbands and hashtags has passed. Doctors need the financial support Medicare can bring by allowing longer consultations for patients with complex psychological problems.

“As a matter of urgency we must stop rationing psychological services to 10 subsidised sessions per year,” she wrote.

So that was Jill Stark, wearing her odd socks in public. Bravo.

People like Jill who are having an acute mental health crisis need expert support at least once a week for as long as the crisis lasts.

The Black Dog Institute reminds us that 45% of Australians will experience a mental illness in their lifetime. One in five mothers with children younger than two will be diagnosed with depression. At 13%, depression has the third highest burden of all diseases in Australia (burden of diseases refers to financial cost, mortality, morbidity etc).

The World Health Organisation (WHO) estimates that depression will be the number one health concerned in both developed and developing nations by 2030.

That gloomy prediction was no doubt behind the WHO’s decision in 2013 to introduce an eight-year plan to change the direction of mental health in its 194 member states. The plan’s main objectives are to:

  • strengthen effective leadership and governance for mental health;
  • provide comprehensive, integrated and responsive mental health and social care services in community-based settings;
  • implement strategies for promotion and prevention;
  • strengthen information systems, evidence and research.

Global targets and indicators were agreed upon as a way to monitor implementation, progress, and impact. The targets include a 20% increase in service coverage for severe mental disorders and a 10% reduction of the suicide rate in member countries by 2020.

These are noble aims, but as the WHO observes, it requires effective leadership and governance to implement meaningful change.

Odd Socks Day is one of the rare light-hearted efforts to raise awareness of mental health. Grow, the organisation behind the campaign, runs an in-school peer program that helps young people support each other through their issues.

The overall cost of unmanaged or mismanaged mental health in the Australian workplace is approximately $11 billion a year, according to Dr Samuel Harvey. Dr Harvey, a Black Dog Institute consultant, leads the workplace mental health research program at the school of psychiatry for the University of New South Wales. He was the lead author for research published in The Lancet which found that workplaces that reduce job strain could prevent up to 14% of new cases of common mental illness from occurring.

Quite clearly, we all need to pull up our socks, odd or not, and change our attitude. If only 35% of Australians in need are actively using mental health services, we need to do more than ask R.U.O.K.

Resources: Lifeline 13 11 14, beyondblue.org.au

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