POSTED: March 10, 2006
Perelandra Health Watch Bulletin
AVIAN FLU UPDATE
by Machaelle Wright
Perelandra, Center for Nature
Research
If good luck happens when preparation meets opportunity,
bad luck is what happens when lack of preparation meets a challenge.
Paul Krugman, NY Times, 3/3/06
'Preparation' is the word that I read and hear over and over when I am
gathering information on the spread of avian flu and the coming pandemic.
They speak of preparation on the global level, on the federal level, on state
and local levels, with businesses, hospitals, utility companies . . . and every
once in a while they mention preparation on the individual level. Yet in the
United States we barely hear any word at all about avian flu on television or
in the newspapers. It is amazing how many people in the U.S. (and I
suspect in other countries as well) have no clue about avian flu, its current
spread and the coming pandemic. They have long ago stopped
reading newspapers and only sporadically listen to the news on radio or
television. Perhaps sometimes ignorance is bliss, but now is not one of
those times. This is an extremely serious situation, folks, and we need to
pay
attention to it now. Since our last EarthSave on 2/23 that dealt with avian
flu, the following has occurred:
2/23: Bird flu reaches Slovakia
2/24: Avian flu found in former Soviet republic of Georgia
2/27: Two more countries find H5N1; 3 others probe bird deaths;
China has 2 new
human bird flu cases
2/28: Avian flu found in ducks in Sweden, cat in Germany
3/2: China may have more avian flu this spring, leader warns
3/3: WHO sets meeting on flu pandemic containment
3/6: Avian flu infects swans in Poland, cats in Austria
3/8: Avian flu reaches Albania; U.S. to expand testing;
nine-year-old is China's 10th
avian flu victim
3/9: Bird flu found in stone marten (a weasel-like mammal) in Germany
the second mammal species to
begin contracting H5N1
3/10: 3-year-old Indonesian child dies from H5N1
The avian flu pandemic is not an if, it's a when. H5N1, the avian flu virus,
is now spreading rapidly among wild and domestic birds throughout Asia,
Africa, Russia, the Baltic States and Europe. With the coming spring
migration
of wild birds, they are expecting it to spread even more rapidly. According
to Michael Leavitt, U.S. Health and Human Services Secretary, avian flu will
soon infect wild and domestic birds in North America. In short, this is not a
situation anyone is going to be able to duck (pardon the pun here). Wishful
thinking or ignoring it because we think it's too scary isn't going to make
it go away. We need to prepare now, but we don't need to panic.
Speaking of panic, let me say something about the word 'pandemic.'
'Pandemic' is a technical word used when a situation 'occurs over a wide
geographic area and affects an exceptionally high proportion of the
population.' A pandemic is different from an epidemic, another technical
word which means 'affecting or tending to affect a disproportionately large
number of individuals within a population, community or region at the
same time.' In essence, avian flu is going to be a global issue, not a
regional one. It is unfortunate that the word 'pandemic' so closely sounds
and looks like 'panic' because as soon as people hear 'pandemic' they
tend to panic and think the world is coming to an end. This isn't the case
at all. Experts are projecting that 30% of the world's population will
become infected with H5N1. That means that 70% of the population will
not be infected. Those are pretty good odds if we're smart and we
prepare.
Because H5N1 has not mutated to the point where it can transmit
human to human, experts do not know how lethal this virus will be to
humans. We only know it's amazingly deadly among birds and, of the
approximately 176 laboratory-confirmed human cases so far, 97 have
died. When this flu moves among humans, it could be either extremely
deadly or it could be less lethal. It all depends on how the H5N1 virus
mutates. For example, if it 'teams up' with a seasonal flu virus, this
teaming will allow it to move human to human but it will probably lessen
its impact. This is a big if and no one knows just
what H5N1 is going to do. Actually, it doesn't matter if H5N1 kills fewer
people than expected or not. It's still going to be something people are not
going to want to experience. This is not the typical seasonal flu virus. It
hits hard and it hits fast. It hits the respiratory system very hard and
causes pneumonia. There is nothing mild about this virus. And over-the-counter flu medications will not be of any help with avian flu.
The researchers who are monitoring how H5N1 is developing state
that the virus is changing rapidly, much more quickly than expected. They
now have several cases of H5N1 in domestic cats. What is troubling about
this
development is that cats are mammals (not birds) and this gives H5N1
more opportunity to acclimate to humans who are also mammals. This is
just one reason why experts expect it to transmit human to human. But
they don't know when this is going to happen. However, they feel strongly
that it will be happening sooner rather than later.
No matter how H5N1 develops, we still need to prepare. I've said that
scientists are expecting a 30% infection rate. Let's look at the numbers.
There are approximately 6.5 billion people in the world, including 298
million in the United States. This means that, at a 30% rate, over 1.9 billion
people would become infected world wide and 89.4 million would become
infected in the United States. One-third of the people we see around us will
most likely
become infected. Now I think we can begin to see the seriousness of the
situation more clearly.
When I say prepare, I am talking about setting up yourself and your
family for a two to three month quarantine. You won't be shopping, you
won't be going to work, the kids won't be going to school, you won't be
visiting friends and neighbors, you won't be going to the movies . . . This
may sound severe, but quarantining is the most effective way to avoid
becoming infected. Social interaction and crowds of people are not what
you want to seek if you'd like to avoid infection during a pandemic.
Quarantine and washing your hands many times throughout the day are
the easiest and best ways to go. We do not presently have a vaccine and
will not have one until the virus mutates to the point where it travels from
human to human. Currently, humans become infected by being in close
proximity to infected chickens, turkeys or ducks. Once the human-to-human virus is isolated, it will take another six months to a year for the
vaccine to be produced and ready for distribution. By this time, we will
have all been exposed to H5N1 at least once. So we need to
consider what is required to lessen the incidence of infection and the
most effective course is quarantine and hand washing.
A point to consider: If 1.9 billion people around the world become
infected with H5N1, including 89.4 million in the U.S. alone, there is going
to be a terrible strain, if not downright collapse, of all infrastructure. The
infrastructure in the U.S. and around the world is already running at a
stretched capacity. Putting an additional stressor on it, such as a flu
pandemic, is a real problem. During discussions at several conferences
dealing with the pandemic and its projected impact on infrastructure,
experts pointed out that organizations have already reduced their
workforce over recent years. Imagine what will happen if a pandemic
reduces that workforce by another 30%. It's not hard to see how goods and
services we currently don't even think about but depend on will collapse
during this pandemic.
Another point: This is not 1918 when the Spanish Flu pandemic hit.
We are now dealing with an intricately woven global economy. The
pandemic won't just affect individuals. It will affect this global-economy
structure as well. For example, they are suggesting we stock up on bottled
drinking water. This is because there could be a problem getting clean
water for two completely different reasons. First, the water production and
delivery facilities could be shut down because there are not enough
employees healthy enough to run them. Second, there could be a problem
treating water because the chlorine that is used in the U.S. treatment
plants is imported from Germany
and all international shipping may be stopped because of
quarantine or Germany won't have enough employees healthy
enough to produce and ship the chlorine.
Are you getting the idea here? This is a serious situation that is going
to impact all of us in fundamental and immediate ways. And should H5N1
jump human to human, the pandemic period is projected to last between
one and
two years. This isn't going to be over in a week. A viral pandemic moves
around the world several times in waves. We'll get hit once and need to
batten the hatches and quarantine, and in a few months H5N1 will move
around the
globe again. And it can come around a third and fourth time. Each time it
moves around the globe it sets up a 'wave effect' that lasts about two
months. Based on other pandemics, scientists say it will take between one
and two years for H5N1 to run its course.
So we need to prepare for the first wave now. And then we'll need to
prepare again for the second wave and again for the third wave. Preparing
for and dealing with a pandemic is not what will create panic and chaos.
It's the
many people who will refuse to prepare and who will be running around at
the last minute trying to find things like drinking water, toilet paper and
bread who will create the panic and chaos. They will make that tape we all
saw this year of Wal-Mart opening its doors on the morning after
Thanksgiving here in the U.S. look like a cake walk. Personally, I'd rather
prepare now while all is calm.
As I watch how public health teams and governments around the
world respond to H5N1 as it moves into one country after another, I think
it's fair to say that we could be faced with three kinds of quarantines at
different times within the pandemic period.
First, the quarantines that are being enforced on everyone within a
three to five mile radius of newly-discovered birds that have died from
H5N1. Currently, as soon as avian flu has been identified as the cause of
death either in wild birds or domestic flocks in Asia, Europe and Africa,
they are imposing a quarantine for those living within a certain radius of
the outbreak. People are not being allowed in or out of the quarantined
areas. These quarantines are remaining in place for about three weeks.
They are doing this in an effort to contain or slow down the spread of the
virus. It also allows them to monitor the health of the people living near
the outbreak.
Second, once the virus can move human to human, the people in
individual cities, towns and counties that are being hit hard will be told to
quarantine by their local government. This will be done to help lessen and
control the spread of infection.
Third, we will choose to impose what I'm calling 'smart quarantines'
on ourselves. This will happen when we see that the state and local
governments around us have not prepared properly, don't know what they
are doing and have dropped all leadership responsibilities. (Think Katrina.)
If we are prepared, we can take the initiative and impose a smart
quarantine on ourselves and our family.
As I've said, the advantage of a quarantine is simple. It removes us
from crowds where H5N1 will more likely be moving and infecting people.
In a pandemic, large groups of people create a viral petri dish. They
provide the virus exactly the conditions needed for quick movement and
infection. I am
urging you to prepare now so that you will have the option to self-impose
a smart quarantine, should that become necessary, and so that you will be
prepared for a quarantine that might suddenly be called by your local
government. Should the latter occur, you will be required to quarantine
whether you are ready or not.
To prepare, think about your life and the basic things you require for
living:
- Stock up on food, and make sure it's food that does not need
refrigeration because we may all go through several weeks during each
wave without electric power.
- Think about water, toilets, lights, sanitary napkins, tampons, diapers
and trash pickup.
- Check out camping gear for living without electricity.
- Talk to your doctor and insurance company to see if they will cover
your stocking up a three-month supply of prescription medication. If not,
investigate purchasing your medication from Canada. They are willing to
help you stock up and you'll get a decent discount on the cost of the
medications.
- Designate a quarantine room in your house or apartment in case
someone in your family becomes ill/infected.
- Have surgical gloves on hand.
- Make sure you can pay your mortgage or rent for three months
because you may not be working during that time.
- Prepare for your children to be home schooled during quarantines.
One of the first places that will close will be schools. Talk to your kids'
teachers about avian flu and encourage them to set up a plan for using
email and perhaps a special web site for getting lessons to the kids and
assisting parents with home schooling.
- Establish a phone tree among family and friends to check on each
other during the quarantine.
- Exchange emergency contact information with family and friends: http://www.pandemicflu.gov/planguide/
emergencycontacts.html.
- Stock good books and perhaps a 10,000 piece puzzle of the night sky something that is sure to keep you and the family occupied for a couple
of months.
Oh, and don't forget there may be times when the kids will not be able to
watch television and DVDs or play computer games because there won't be
power. They are not going to know what to do with themselves. So stock
some diversions that do not require electricity. Introduce them to the
charm of things to do from that ancient era 30 years ago. And when
thinking about the kids, remember that in a quarantine they will not be
able to visit their friends and the neighbors. They will be house-bound. So
get creative. If set up properly, this could end up being a truly valuable
experience where entire families will be forced/encouraged to get to know
one another again!
Consider getting a solar charger for keeping your computer up. For
one thing, I have found that the up-to-date information about H5N1 is far
superior on the internet than on television, radio or in the hard copy
versions of newspapers. The Washington Post, MSNBC, WHO, CIDRAP and
CDC
have good web pages devoted just to the latest developments around avian
flu. I check these pages often because they are constantly being updated.
Also, we here at Perelandra are doing everything possible to ensure our
computers and web site remain up and operating throughout the entire
pandemic
period. With this, I can communicate information to you at critical times
and you will be able to email questions to us, as well as call us on our
question line when the phone service is functioning!
Here are some links to pages specifically covering avian flu
information:
Washington Post:
http:
//
www.washingtonpost.com/wp-dyn/content/linkset/2005/10/17/
LI2005101700979.html
World Health Organization:
http://www.who.int/csr/disease/avian_influenza/en/index.html
CIDRAP:
http://www.cidrap.umn.edu/
cidrap/content/influenza/avianflu/index.html
CDC:
http://www.cdc.gov/
European CDC:
http://www.ecdc.eu.int/influenza/
update_influenza.php
MSNBC:
http://www.msnbc.msn.com/id/4067116/
Seattle Preparedness Site:
http://www.metrokc.gov/health/
pandemicflu/
Flu Wiki Resources:
http://www.fluwikie.com/index.php?
n=Resources.Resources
Science and Development Network:
http://www.scidev.net/ms/
bird_flu/index.cfm?pageid=379
And here are links to home products that I found for myself that might
be helpful to you. I'm not endorsing these products. I'm simply offering
them as a place for you to start your thinking.
Environmental toilet:
http://
www.rei.com/product/5397485.htm?vcat=REI_SSHP_CAMPING_TOC
Solar shower bag:
http://
www.themilitarytrail.com/servlet/the-1226/Reliance-2.5-Gallon-Solar/
Detail
Sanitizer hand wipes:
http://www.safetycentral.com/
pdsaalanalge.html
Sanitizer surface wipes:
http://www.safetycentral.com/
pdsahbgebafu.html
Pet first aid kit:
http://www.safetycentral.com/
petfirstaidkit.html
Solar charger (for laptops, etc.):
http://www.sierrasolar.com/
prod_store/LAP_laptop.html
Solar oven:
http://www.sunoven.com/index.html
A good first aid guide for families:
http://
www.mayoclinic.com/health/FirstAidIndex/FirstAidIndex
If you and the kids are going to be house-bound for a couple of
months, you're probably going to want a major supply of ETS Plus on hand!
On the more serious side, there aren't enough hospital beds in the world
to care for the number of people who are going to become infected with
H5N1. Hospitals are going to be stretched beyond anything imaginable.
Many hospitals are currently putting together their pandemic response. I
know that in Virginia, hospitals will be quarantining one third of all
essential personnel when H5N1 begins moving from human to human.
They are instituting their quarantine quickly because once the virus can
transmit person to person, scientists are estimating that it will only take 36
to 72 hours for the first wave of infection to move throughout the entire
world. (You may want to take a shot of ETS Plus and read that last
sentence again. This alone could get you moving and preparing now.) By
immediately quarantining a third of their essential personnel at home, they
will have 'replacement' staff to take over when the first hospital staff goes
down with avian flu. Also the state of
Virginia has put together reserve medical teams to supplement medical
staffing. Along with currently practicing doctors, nurses, EMTs and
veterinarians (yes, I said veterinarians) they have also 're-activated' retired
nurses, doctors and EMTs to help staff the teams. If you fall into any of
these categories, you may wish to contact your state or local medical
pandemic planners.
How Perelandra can help. Self-care is the term that is
constantly being used by health professionals for this pandemic. In short,
medical personnel will be addressing a crisis beyond words and we won't
be able to get medical help for most situations. This is why they are urging
us to set up for home self-care. Besides stocking up on a first-aid kit, you
will have the advantage of having the Perelandra programs and health
products at hand. They are all self-help and they are perfect for this very
serious time. I suggest you have in-house what is needed for any or all of
the following programs you wish to work with: the MBP Solutions that are
needed for the pandemic, FSBS+ (see below), ETS Plus for humans and animals, MAP,
the Perelandra Essences, the
Microbial Balancing Program and the flower essences process included in
the Perelandra Papers Pack.
MBP Solutions: The MBP Solutions that we are
recommending are the eight that nature has said we will need for this
pandemic. They are: Immune, Lymphatic, Cell, Digestive, Endocrine,
Nervous, Respiratory and Urinary. If you are currently taking any other MBP
Solutions that are not on this list, then add those to the Solutions you need
to have on hand. To facilitate ordering, we have put together the eight
recommended Solutions along with ETS Plus for humans and FSBS+ (when
available) in a kit: the
Perelandra Pandemic Preparedness Kit. Each Kit gives one person
approximately a three month supply of these essential bottles. I
recommend that, if possible, you stock up now with two boxes per person.
Once you open the first box at the start of the first wave of the pandemic,
order a replacement box (one per person). I'm concerned about a potential
breakdown in delivery service and we all may need a few weeks for
packages to be delivered once we're in the pandemic. We at Perelandra will
be able to get the orders packed and out the door in a timely manner, but
the post office and delivery services may not be able to get it through their
systems and into your area to you in a timely manner. Having the second
box on hand while you wait for the delivery of replacement boxes will
ensure that you will not run out of these important bottles.
FSBS+: This is the special Perelandra flu balancing solution
that will specifically address just the avian flu. I will be producing it as soon
as the virus mutates to the point where it is transmitted human to human
and nature gives me the signal to go ahead with production. To help with
the coordination of this large undertaking, we are offering FSBS+ for sale
as a pre-order. You may purchase just FSBS+ alone or in the Pandemic
Preparedness Kit. We are setting everything up now so that we can begin
shipping those bottles to you within a week after I begin production.
NOTE: For interim H5N1 strengthening and
balancing, continue taking the 05-06 Flu Season Balancing Solution. That
pattern already has included what we need for preparation for exposure to
the current form
of the virus. Because of this, I urge you to continue taking your daily dose
of the 05-06 Flu Season Balancing Solution through this season that ends
in August. If you are not currently taking it, it's not too late to start,
especially in light of its H5N1 preparation elements.
ETS Plus for humans and animals: If ever there was a time for ETS Plus, this pandemic is it. First of all, there are all the shocking and stressful things we will be dealing with. Then there are the changes to our life rhythms that will add more stress. And you will be needing ETS Plus for emergencies and accidents during times of quarantine when getting medical help will be difficult. Also, we can't forget our companion animals. ETS Plus for Animals is the first thing you'll need for them in their first aid kit. A note to cat and dog owners: H5N1 has begun to infect cats in Europe, and dogs in the Middle East. If you wish to prepare your companion animals for possible exposure to the virus, you can start them on a once-daily dose of the 2005-2006 Flu Season Balancing Solution. Once FSBS+ is released, switch to giving them that instead (so keep this in mind when placing your pre-orders).
And don't forget to stock up on extra cat litter because you will want to quarantine your cats, as well.
Important H5N1 information for bird owners: Health Watch 13:
The H5N1 Virus, Environments and Animals.
MAP, the Perelandra Essences and the Microbial Balancing
Program: These are three essential tools that will allow you to
address illness and accidents on your own, as well as give you what is
needed for remaining healthy throughout the pandemic period. And, as
I've been
pointing out, in a pandemic you will be very much on your own. The things
you will not be able to address with these programs are needed emergency
surgery, setting broken bones and receiving needed stitches.
MAP: With MAP you get your own medical team that is on
call at any time and right there with you in your home. The MAP teams are
well aware of the pandemic situation facing us and are preparing to assist
us during this time. Now for a MAP heads up: The MAP teams are
currently putting together a special protocol for you to use with them for
H5N1 preparation. As soon as the information is available, I will be
emailing you a MAP bulletin with the protocol steps. Don't bother trying to
do anything special now. It's too soon. Just continue working with your
team in the usual manner. I am in daily contact with Lorpuris and he will
give me the information when they are ready for you to have it. I'm giving
you this heads up now so that you'll know what to expect and also so that
you know you are not being ignored by your team.
Perelandra Essences: I recommend that everyone test for
essences during the pandemic each day. By testing and taking the
needed essences daily, you will not need to test for and make essence
solutions. This simplifies the testing process. Using the essences in this
manner will help you repair, maintain support and balance throughout your
electrical system. That electrical strengthening will help you to cast off
illness and keep you healthy during the pandemic. Also it will move you
through an illness, should you come down with something. And they may
be used to facilitate your MAP sessions. (If you do not know how to use the
Perelandra Essences and wish to learn, see the video:
The Human
Electrical System and Flower Essences.)
I also recommend that you begin daily essence testing now.
The stress level surrounding this pandemic and moving through everything
that is required to get prepared is pretty intense. Thinking about our life in
new ways
can be exhilarating, but it is also exhausting and sometimes scary.
Personally, I've found that testing essences one time each day is keeping
me on a relatively even, peaceful keel and it enables me to make better
decisions more easily.
Plan to keep your essence sets well stocked and purchase a good
supply of replacement bottles for the essences you use most often. If
financially feasible, consider purchasing an additional complete set of
Perelandra Essences to keep with your emergency supplies and to use only
during emergencies and the pandemic wave periods.
Perelandra Microbial Balancing Program: Gee, microbial
balancing during a viral pandemic! If you would like to work with this
program, I am recommending that you do a Phase 1 test each day during
each pandemic wave. Better yet, do a simple daily Phase 1 test throughout
the entire pandemic periodeach wave and the time between the
waves.
Perelandra Papers Pack: This is a pack of each of the flower
essences processes you will need during the pandemic. It includes the
Body/Soul Fusion Process, Calibration Process, Nature Healing Conings for
Animals,
Energy Cleansing Process, Perelandra Essences Telegraph Test Checklist
and Post-Death Flower Essences Process. I recommend you store the pack
of papers with your stock of Pandemic Preparedness Kits so that you'll
have this
information on hand in case of an emergency.
My goals for this pandemic are to keep as many people as possible
healthy and to provide exceptional tools for those to use who do become
sick. I believe that the Perelandra programs and tools I have listed can
provide just the medical care and attention that is needed. We may not be
able to rely on conventional medical assistance during this crisis, but we
have extraordinary self-care options and we certainly won't be
abandoned.
Business preparations: If you own or manage a business, not
only do you need to address personal reparations, you will also need to put
into place whatever is needed to keep your business operating during the
pandemic. There is a good CIDRAP report, 'Businesses zero in on details of
pandemic flu planning': http://www.cidrap.umn.edu/cidrap/content/influenza/biz-
plan/news/feb1606breakouts.html) that gives business guidelines for
what to consider. Also, there is an excellent business checklist available:
http://www.pandemicflu.gov/plan/businesschecklist.html.
I am currently moving Perelandra through the business preparations
that apply to us and I can tell you it's both interesting and challenging. But
these preparations also give Perelandra and the staff security. And it
ensures that we will maintain operations and be here for you throughout
the entire pandemic period. We have set up for a third of our staff to
quarantine at home and telecommute. Another third will be quarantined at
Perelandra and hold down the production and mailroom departments. The
final third will be quarantined at home and be our backup.
It is widely accepted that the United States is the least prepared
country in the world for this pandemic. If you do not own or operate a
business, it is a safe bet that your
employers know next to nothing about avian flu and what it can do to the
business. I suggest you talk to them about it and encourage them to
educate themselves and begin a preparation program as soon as possible.
If you can do your job from home, set up with your boss for
telecommuting.
Your bosses will need to think about things such as the following:
- Plans for ensuring worker availability and productivity. This would
include making the investment to support working from home or other
remote sites and developing worker training programs emphasizing cross-training, replacement training and recalling and training retirees.
- Reconsider the consequences of the current 'just-in-time' model for
obtaining materials, supplies and goods.
- Develop systematic and proactive procedures to shut down and restart
operations. This would include assessing cash reserves and developing
time periods for shutting down. Additionally, managing client expectations
in advance for maintaining operations.
Preparing a business for the pandemic is not something that can be
slapped together in a panic at the last minute. So I urge you to do your
boss, co-workers and yourself a big favor and get this ball rolling at
work.
Educating others: Just about every Monday members of my
staff tell me that they talked to people about avian flu over the weekend
and were shocked to find out how little these people knew. For many, it's a
completely new revelation. They may have heard something about birds
dying
somewhere, but they had no idea what avian flu was leading to and how
they were going to be affected. Once my staff sat down with them and
explained the situation, these people understood and said they would be
preparing right away. The bottom line is, people really don't know what is
happening. Or they don't want to know. I urge you to talk to as many
people as possible. Stay calm, don't overestimate the situation, give them a
copy of this update to read and stress the need to prepare. Also have a
bottle of ETS Plus handy in case the people need a couple of doses to
recover from the shock of what you're telling them. You may annoy them
initially by giving them the information, but don't let this stop you. If they
'glaze over' or blow you off the first time you talk to them, don't give up.
Wait a few days and try again. It's too important for you to step back
should they resist you. And don't be afraid to scare them. It is appropriate
to experience fear about avian flu and it
is precisely this fear that many will need to feel in order for them to get off
their butts and prepare. I'm talking about fear here and not panic. Peter M.
Sandman, PhD, a risk communication expert, says that fear is what
motivates
people to take sensible precautions in the face of a real threat. H5N1 is a
real threat. Remember, each person you talk to and convince it's now time
to prepare will be one less person storming through the doors of WalMart
at the last minute in the chaotic search for the last loaf of bread on the
shelves.
Now, if you didn't finish reading the EarthSave email that linked you to
this update, please go back and read it. It has important ordering
information
that I did not include in the update.
Disclaimer
Every effort has been made to ensure that the information contained in this paper
is complete and accurate. However, neither the publisher nor the author are engaged
in rendering professional advice or services to the individual reader. The ideas,
procedures and suggestions contained in this paper are not intended as a substitute
for consulting with your physician. All matters regarding your health require medical
supervision. Neither the author nor the publisher shall be liable or responsible for
any loss, injury or damage allegedly arising from any information or suggestion in this
paper. The opinions expressed in this paper represent the personal views of the author.