AN iNdepeNdeNt SUppLeMeNt tO tHe NAtiONAL pOSt Cold & Flu February 2010 your guide to boosting immune support 2 AN iNdepeNdeNt SUppLeMeNt tO tHe NAtiONAL pOSt cold n’ flu CONTENTS The Cost Of The (Far Too) Common Cold And Flu 2 TheCostOfThe(FarToo)Common ColdAndFlu 2 RiskyBusiness 2 H1N1 4 TakingChargeOfYourHealth Prevention, Treatment and Knowing the difference 4 MealsThatHeal 4 DrinkUp! by: SHerry tOrkOS, r.pH., b.SC.pHM., tHe CANAdiAN eNCyCLOpediA OF NAtUrAL MediCiNe 5 ContainmentStrategies 6 CopingWithCongestion We are in the midst of cold and flu season and this year has been particularly worrisome for Canadians with the heightened concerns of the H1N1 pandemic. As such, there is also greater interest in strategies for prevention. 6 Flu411 7 It’sComplicated 7 SupplementalKnowledge 7 BeyondLaundry COLDN’FLU Publisher: Duane Woodward [email protected] Contributors: Beth Maher [email protected] Designer: Carrie Reagh [email protected] Photos: ©iStockphoto.com For more information about supplements in the daily press, please contact: Gustav Aspegren, 1 416 977 7100 [email protected] This section was written by Mediaplanet and did not involve National Post or Editorial Departments. www.mediaplanet.com PleasenoteintheJanuary25,2010 MediaplanetBones&JointPainReport therewasanerrorinthearticle “PutPatientsFirst”regardingthe PowerofMovement™YogaChallenge toBeatArthritiswebsite,itwaslisted as(www.powerofmovement.com); thecorrectwebsiteis www.powerofmovement.catoregister fortheSunday,March7thevent. Sherry torkos, r.ph., b.Sc.phm. C olds and flu are both caused by viruses that infect the respiratory tract—the nose, sinus passages and throat. there are more than 200 viruses that can cause colds; the most common family is known as the rhinoviruses. these are also called “nose viruses”, based on a Greek word “rhino” meaning nose. According to statistics, 72 per cent of Canadians get colds each year. Adults average 2.5 colds a year while children contract six to eight per year. influenza (the flu) is a respiratory infection caused by viruses of the family Orthomyxoviridae. As of January 23 there have been 39,020 confirmed cases of influenza (both seasonal and H1N1 flu) in Canada. the flu can be distinguished from the common cold because it generally results in a more severe illness, with a sudden onset of headache, chills and cough followed rapidly by a high fever, appetite loss, muscle aches, and tiredness. the incubation period for influenza is 24 to 72 hours. Adults with influenza remain infectious for 3 to 5 days after onset of symptoms, and children may remain infectious for up to a week after onset. influenza typically lasts a week to 10 days. Cold symptoms, on the other hand, generally involve the upper respiratory tract with runny nose, sneezing, watery eyes, and throat irritation. Symptoms usually begin two to five days after initial infection and often resolve in several days to a week. in some people, especially young children, those over 65 years of age, or people with other systemic illnesses (e.g. heart disease, diabetes, cancer, and respiratory illnesses), influenza can be very severe, requiring hospitalization. people with these risk factors should receive immunization against influenza each year. in Canada, flu season usually runs from November to April however, the 20092010 influenza season began earlier this year, in August. the flu is not caused by cold weather, rather it is more common in the winter because humidity is lower and we spend more time indoors, in close contact with one another, making it easier to contract and spread germs. Colds are also more common in the winter, for the same reason as the flu, but they can happen any time of the year. Catching a cold or flu causes much more than just personal suffering. it is estimated that the social costs of the common cold is $400 million per year which makes it more costly than asthma, congestive heart failure and chronic ob- structive pulmonary disease combined. the public Health Agency of Canada commissioned Statistics Canada to assess the impact of H1N1 and seasonal flu on hours worked over a three-month period, starting in November, using the Labour Force Survey. According to this report, 1.5 million employed people aged 15 to 69 reported they were absent from work as a result of the H1N1 or seasonal flu, representing 9.0 per cent of workers in that age group. On average, these absent workers lost 19.6 hours of work each, for a total of 29.5 million hours lost. As a pharmacist i am often asked about what can be done to prevent or treat cold and flu. We have all heard about the importance of vaccination for the flu, and hand washing and covering our mouth and nose when we cough or sneeze to prevent contracting or spreading a cold or flu, but there is much more that can be done to cut your chances of catching a bug this season and it all begins with a strong functioning immune system. Our immune system is our defense network against foreign invaders such as bacteria and viruses. this network is comprised of millions of cells, tissues and organs, such as the skin, the respiratory system (nose, tonsils, sinuses and lungs) and digestive tract. this complex system works hard every day to protect us against infection and even cancer. Our immune system, far from being a static and fixed entity, is a dynamic and adaptive process with elaborate communication networks. thus, it can be heavily influenced by a broad variety of factors, including diet and lifestyle. in this report you will learn about strategies to optimize immune system health, the role of supplements and other things that you can do to reduce your risk of getting a bug this season. As the saying goes, an ounce of prevention is worth a pound of cure. if you do happen to get sick keep in mind most cases of cold and flu are mild and can be treated by staying home and getting adequate rest, drinking fluids and taking products for symptom relief. it is important to see your doctor if you have any serious medical conditions or if you have a fever greater than 38 Celsius (102 F) along with aching, fatigue, sweating, and chills, or if there is vomiting, ear pain, coloured phlegm, or if symptoms persist longer than 10 days. Contrary to common belief, antibiotics are of no benefit in treating a cold or flu, unless you develop a secondary bacterial infection such as strep throat, bronchitis or pneumonia. Sherry torkos is a pharmacist, fitness instructor, and author of several books including the Canadian encyclopedia of Natural Medicine. Her website is: www.sherrytorkos.com. Risky Business Reduce your risk of catching (and spreading) viruses DO get the flu shot. the most effective way to protect yourself—and those around you—from seasonal influenza is to get vaccinated every year. the flu shot is composed of inactivated (a.k.a. dead) viruses, which means it cannot make you sick. Unlike other vaccines that offer long-term protection with just one injection, the flu shot is reformulated each year to protect Canadians against that particular season’s prevailing virus strains, which may very well differ from those of previous years, so it is especially important to be immunized annually. Health Canada recommends that you receive the vaccine in October or November, however, if you missed that window this year, it is not too late. the flu shot still offers preventative benefits even this far into the season. DON’T cover your mouth or nose with your hands when coughing or sneezing. yes, you read that correctly: don’t use your hands. instead, cover your face with a tissue or turn into the elbow of your sleeve when coughing or sneezing. the viruses that cause the common cold and flu live in the saliva and mucus of your nose and throat. A sneeze or cough expels droplets of that matter into the air, exposing those around you to your infectious germs. DO wash your hands regularly. An estimated 80 percent of common infectious diseases, such as the cold and flu, are spread by touch. in the latter’s case, those germ-riddled droplets from a sneeze or cough can live on surfaces (including your hands) for up to 72 hours. transmission can occur directly (e.g. a handshake) or indirectly: you unknowingly come into contact with a contaminated surface and then touch your face, where germs can enter your did You Know… Approximately 10 million flu shots are distributed annually in Canada. H1N1 By The numbers A typical run-of-the-mill flu season in Canada will see 10 to 25 per cent of the population fall ill, resulting in 20,000 hospitalizations and 4,000 deaths, on average. • during severe influenza A outbreaks, it wouldn’t be surprising for upwards of 50 per cent of Canadians to become infected, resulting in 30,000 to 40,000 hospitalizations and 6,000 to 8,000 deaths. • Since the beginning of the 2009 H1N1 pandemic, there have been a total of 8,582 hospitalized cases and 426 deaths in Canada. • Worldwide, there have been at least 14,142 deaths due to H1N1. • in November 2009, seasonal flu and H1N1 kept more than 1.5 million Canadians home from work. that’s almost 10 per cent of the national workforce aged 15 to 69. • those absences represent a net loss of nearly 21 million work hours across the country. • the last time the country experienced Hand-Washing 101 Common sense? perhaps, but many of you still aren’t doing it correctly. 1) remove all jewellery. 2) Wet hands with warm water. 3) Use regular liquid soap, wash front and back, between fingers and under nails. 4) Sing “Happy birthday” to ensure that • • • • that kind of loss in hours was during the Ontario-US blackout in 2003. the Canadian government purchased 50.4 million doses of H1N1 flu vaccine on behalf of the nation, including 1.8 million doses of the unadjuvanted vaccine. Approximately 45 per cent of Canadians have rolled up their sleeves for the H1N1 flu vaccine to date. So far in 2010, influenza-like-illness (iLi) consultation rates have been consistently below the expected range for this time of year. the third week of January, for example, saw only 12 iLi-related consultations for every 1,000, which is less than half the mean rate. in fact, all influenza-activity indicators for 2010 are either within or below the expected range for a normal flu season. you’ve scrubbed for at least 15 seconds. 5) rinse under warm water for 10 seconds. 6) dry your hands with disposable towel or clean cloth. 7) Avoid recontamination, use the towel to turn off the faucet. 8) Moisturize regularly. Cracked dry skin offers germs a place to hide. body through your eyes, nose or mouth. it should come as no surprise then that proper and regular hand-washing is the best way to stop the spread of infectious diseases of all kinds. the mechanical act of rubbing your hands together with soap and water breaks up dirt and grease and sends it down the drain along with the pesky bugs that cling to it. (For proper hand-washing how-to, see “Hand-Washing 101”.) DON’T assume you’re flu-free just because you’re symptom-free. during flu season, it is still important to take proper preventative measures to protect yourself and others even when you are feeling healthy as it is possible to spread the virus a full day prior to the appearance of symptoms. Adults continue to be contagious for up to seven days after becoming ill, and children, even longer. DO stay home when you’re sick. do those around you a favour and steer clear of work and/or school when you’re sick with the cold or flu. Not only will you be protecting others from suffering your ill fate, but you’ll also help speed your own recovery by staying home to rest. DON’T beg for antibiotics from your doctor. Antibiotics are effective in the treatment of bacterial infections. the common cold and flu, on the other hand, along with some ear infections, most sore throats and bronchitis, are caused by viruses. Antibiotics will have absolutely no effect on these illnesses. in fact, taking them for viral infections may do more harm than good. According to the Centers for disease Control and prevention (CdC), antibiotic resistance is one of the world’s most pressing health problems. Widespread overuse of antibiotics is fueling an increase in resistant bacteria, which are more difficult and expensive to treat. DO carry an alcohol-based hand sanitizer. Let’s face it: there’s not always a sink handy when you need it most (e.g. after a crowded subway ride in mid-January, post-Christmas-shopping at the mall). in those situations, using an alcohol-based hand sanitizer is the next best thing. Make sure your hands are dry, as moisture can dilute the product, and that you apply enough of it to cover your hands and fingers completely, about three millilitres. rub your hands together until the product has evaporated. keep in mind, however, that the alcohol kills both good and bad bacteria, so use it sparingly. Also, sanitizer will not work properly if your hands are visibly dirty. in that case, it’s best to wash with soap and water. Gentle. Simple. Precise. Engineered for peace of mind. Chosen 250 million times a year by pediatricians, Braun Ear Thermometers are designed just for your baby’s ear. The Braun ThermoScan features a Guidance System that tells you it’s placed perfectly, and a small, gentle ExacTemp pre-warmed tip to help ensure accuracy. No wonder moms who want the best for their baby choose Braun. Braun ThermoScan. The brand most used by pediatricians. This product is manufactured, marketed and distributed by Kaz Canada Inc. under a license to the ‘Braun’ trademark. ‘Braun’ is a registered trademark of Braun GmbH, Kronberg, Germany. “250 Million” based on measurements per year; “Most used by pediatricians” based on survey of pediatricians in the USA. ©2010 Kaz Canada Inc. 4 AN iNdepeNdeNt SUppLeMeNt tO tHe NAtiONAL pOSt cold n’ flu Taking Charge of Your Health The true determinants of our immune system’s strength are within our control: diet, fitness, rest and emotional wellbeing are the keys to bolstering your immunity. the power to positively impact immunity begins with a better knowledge of how it works. A healthy, vital immune system depends on the proper function of every other bodily system. As humans largely come into contact with bacteria and viruses via the mucus membranes of the nose, mouth and gastrointestinal tract, our ability to ward off illness relies heavily on the health of the respiratory and digestive systems. I mmune cells line their passages and scan everything coming in and out for possible sources of infection or illness. this is part of the innate immune response, our first line of defense against foreign invaders. the innate response triggers a targeted reaction known as the adaptive immune response, which creates specialized antibodies designed to finish off the attacking virus. that army of antibodies remains, ready to strike the next time the virus appears. “A holistic approach to strengthening the immune system looks at supporting innate immunity,” says erin Wiley, a doctor of naturopathic medicine and the cofounder and clinic director at toronto’s integrative Health institute (integrativehealthinstitute.ca). “depending on how much rest we’re getting, how much exercise we’re getting and our nutrition and overall health, we can significantly impact the quality of our immune system and its ability to respond.” Sherry torkos (sherrytorkos.com), a holistic pharmacist and the author of The Canadian Encyclopedia of Natural Medicine (Wiley, 2008), concurs, “Far from being a static and fixed entity, the immune system is a dynamic and adaptive process with elaborate communication networks. thus it can be heavily influenced by a variety of lifestyle factors.” So what does a lifestyle that supports healthy immune function look like? A nutritious diet is the cornerstone of good health and thus key to a strong immune system as well. Foods rich in vitamins C (e.g. broccoli, peppers, strawberries) and d (e.g. dairy), zinc (e.g. whole grains, pumpkin seeds, turkey), selenium (e.g. seafood, sunflower seeds, brazil nuts) and antioxidants (e.g. brightly coloured fruits and veggies) are all important staples in an immune-friendly diet. On the flip side, two big nutritional no-nos are alcohol and foods high in sugar.“Alcohol in large amounts [i.e. binge drinking] can suppress immune function and increase the risk of infection,” says torkos. to be on the safe side, men should restrict their alcohol intake to fewer than two drinks daily, while women should limit themselves to one. Sugar is also known to depress the immune response. “Studies have shown that those who eat diets rich in sugar are more susceptible to cold and flu than those who eat diets rich in fruits and vegetables,” says Wiley. (For more immune-boosting nutrition tips, see “Meals that Heal”.) there’s no doubt that working out is beneficial to your immune health. regular exercise causes certain immune cells (e.g. natural killer cells) to grow in number and aggressiveness by as much as 300 percent. One study in The American Journal of Medicine found that women who walked for half an hour every day for one year contracted half as many colds as those who didn’t exercise. but that’s not all. “exercise helps us to manage our stress and increases circulation so we can more quickly distribute all those immune cells and defenses to the different areas of the body,” says Wiley. “it also raises our core body temperature, which can actually enhance our ability to fight off infection.” Strive for 30 minutes to one hour of moderate physical activity five times a week. As well, “you can’t ignore the importance of sleep,” says Wiley.“Our body needs that restorative period on a daily basis.” “Sleep restores and refreshes us mentally, emotionally and physically,” says torkos. “people who are sleep-deprived have decreased immune-cell activity and are at greater risk of illness.” torkos recommends seven to nine hours of shut-eye each night for optimal immune performance. there is also a well known relationship between stress and immune suppression. “Stress causes an increase in hormones like cortisol and adrenaline,” says torkos, “which, over time, can impair the immune system.” don’t take on more than you can handle at work, be sure to exercise regularly (see above) and make sleep a daily priority. relaxation strategies, such as mediation or yoga, can also do wonders for your immune health. the correlation between rest, relaxation and immunity has to do in part with how our nervous system reacts to external stimuli. Stressful situations engage our body’s sympathetic response, which means the brain only activates those muscles and organs needed for fight or flight. Our heart rate elevates, our senses become sharper, etc. Our immune system, on the other hand, isn’t considered a priority, so the brain stops sending the signals it needs to function. the parasympathetic response, on the other hand, puts the body into rest and digest mode. that’s when the immune system is turned back on. teaching yourself to relax gives you the ability to activate your immune system on command. When your body is in a truly relaxed state, the number of interleukins (proteins at the forefront of the battle against cold and flu) in your bloodstream rises. “things like laughter and deep breathing will immediately engage that relaxation response,” says Wiley, whose final piece of advice is sure to put a smile on your face: “One thing people can do throughout the day is to try to laugh more and take deep breaths into their abdomen. even if you’re feeling stressed out, [those behaviours] will automatically trigger that relaxation response, even if only for a few minutes.” did You Know… According to a study at Carnegie Mellon University, people who get less than seven hours of sleep a night are three times more likely to catch a cold than those who sleep at least eight hours nightly. Meals That Heal Harness the restorative power of these immune-boosting foods and take cold and flu off the menu this season. Breakfast Wake up your immune system with a berry smoothie. brightly coloured fruits, such as blueberries and blackberries, get their rich hue thanks to pigmented antioxidant compounds. these essential nutrients help support immune-system function by neutralizing free radicals (molecules that destroy vital cell structures). blend berries with orange juice, for an added boost of vitamin C, and low-fat yogurt, which contains beneficial bacteria and vitamin d. recent studies have shown a link between vitamin d deficiency and increased susceptibility to cold and flu. if you’ve been suffering from nausea, try a peanut-butter-and-banana sandwich. No matter how you slice ’em, bananas are easy on the stomach. Along with rice, applesauce and toast, they make up the brAt diet, a common prescription for people recovering from gastric symptoms. And please, skip the coffee. Caffeinated beverages like coffee and tea are diuretics and can lead to dehydration. if you can’t live without your morning fix, choose green tea instead, which is jam-packed with more of those free-radical-fighting antioxidants: polyphenols and flavonoids. Lunch A turkey sandwich is a great source of lean protein, which your body will need plenty of in order to summon the energy necessary to ward off illness. too little protein will only serve to worsen symptoms such as fatigue and muscle weakness. top it with baby spinach instead of plain old iceberg lettuce. Spinach boasts betacarotene and vitamin C (here comes that antioxidant chorus, yet again) as well as folic acid and magnesium. Nothing pairs better with a sandwich— especially in the winter months—than a steamy bowl of soup. Whether it’s Grandma’s chicken noodle or a healing cup of herbaceous change of season soup (see recipe), there are myriad benefits to slurping back some broth during cold and flu season. For one, soup helps keep you hydrated. (See “drink Up!” for more on the importance of hydration to your health.) two, it will increase your core body temperature, putting you in a better position to ward off illness. if you’re already sick, the steam pouring off a piping-hot bowl of soup can help to relieve congestion. Studies have also shown that warm chicken soup may enhance the ability of the cilia (tiny hair-like structures found in the nasal passages) to protect the body from bacteria and viruses. Wash it all down with a glass of V8, 100 per cent fruit juice or flat ginger ale, if your stomach is bothering you. Dinner When you’re feeling sick, it’s tough to work up an appetite for a large, multicourse meal. A vitamin-rich vegetable purée, such as sweet potato soup, is easy to swallow but still serves up plenty of nutritional value. Sweet potatoes, in particular, are rich in the antioxidant betacarotene as well as vitamin A. Serve garlic toast on the side for dipping. rubbing a raw garlic clove onto crispy slices of baguette provides an unexpected health benefit: rich in allicin, raw garlic is a fantastic antimicrobial. in other words, it kills the germs trying to …coffee and tea are diuretics and can lead to dehydration. permeate the mucus membranes of the digestive tract. For dessert, steer clear of cookies and candy. Sugar is known to suppress neutrophil activity. Neutrophils are a special type of white blood cell that engulf and destroy cold viruses, among other foreign invad- ers. instead, reach for a popsicle to satisfy your sweet tooth. it will not only keep you hydrated, but also help to soothe a sore, scratchy throat. Opt for pops made with 100 per cent fruit juice to make sure you’re getting a dose of vitamins along with that cooling relief. change of Season Soup enjoy this traditional Chinese broth for two weeks at the start of each season to give your body the extra support it needs in order to adjust to the environmental changes going on around you. don’t be intimidated by the unfamiliar ingredients; all of these herbs are readily available at Chinese herbal shops or can be found prepackaged in the health food sections of most grocery stores. Ingredients • 55-85 g (2-3 oz.) Codonopsis pilosula root (dang shen): tonifies and strengthens spleen and lungs; nourishes bodily fluids. • 55-85 g (2-3 oz.) Astragalus root (huang qi): immune-stimulating herb; nourishes spleen and tonifies blood and lungs. • 55-85 g (2-3 oz.) dioscorea villosa (wild yam) root: tonifies and balances lungs and kidneys. • 55-85 g (2-3 oz.) Chinese lycii berries (lyceum): Help to strengthen liver and kidneys. Cooking Instructions 1. Fill a large stockpot with water or homemade chicken broth. 2. Add herbs to liquid and cover with lid. 3. bring mixture to a boil. reduce heat and simmer for 2 to 4 hours. (if liquid reduces too much, replenish with water or broth, as needed.) 4. Using a slotted spoon, remove herbs from pot and allow broth to cool. 5. enjoy broth immediately or place in a thermos and sip throughout the day. Yields 4 litres. Source: integrative Health institute, toronto (integrativehealthinstitute.ca) Drink Up! Seven crucial reasons why staying hydrated should be top of mind this cold and flu season. 1. Water is essential to human life: it forms the basis for all bodily fluids, including blood; it aids in the transportation and absorption of nutrients; and it helps to flush waste and toxins from the body. the average person requires eight to 10 glasses of water a day, but if you think you need more, drink up. you never want to reach the point where you feel thirsty. 2. Cold viruses thrive in arid conditions, which is one of the reasons they are more prevalent in the dry winter months. it is much easier for germs to permeate the protective mucus membranes of the eyes, nose and mouth when their cells are dehydrated. 3. Fluids helps break up congestion. As the water content of mucus increases, it becomes less viscous and easier to expel. drinking water or juice can soothe other cold and flu symptoms as well, including a dry, scratchy throat. 4. Cold-weather fitness fanatics may not realize how much fluid they lose through their breath alone. in the warmer months, all that excessive sweat acts as a reminder to rehydrate post-workout. A winter’s day run also leads to significant water loss—even in the absence of sweat—which still needs to be replaced. 5. Many drinks that warm you up can also dry you out. beware the dehydrating effects of coffee and tea. Although they are composed primarily of water, these bevvies are in fact diuretic, which means they will increase urine production. if you consume a lot of caffeinated beverages, be sure to compensate by upping your water intake. 6. A typical adult loses close to 2.5 litres of water a day simply by sweating, breathing and going to the washroom. that’s just on average. if you’re sick and running a fever, vomiting or coping with diarrhea, that number rises tremendously and with it, your risk of dehydration. 7. dehydration can lead to some extremely serious complications, including cerebral edema (swelling of the brain), seizure, hypovolaemic shock, kidney failure, coma and even death. it’s not worth the risk. did You Know… Water makes up about 60 per cent of your body weight. 5 AN iNdepeNdeNt SUppLeMeNt tO tHe NAtiONAL pOSt cold n’ flu Containment Strategies When someone in your family contracts the cold or flu, it doesn’t take long for the entire household to come tumbling down like a proverbial house of cards. Maintaining a clean environment in the face of illness is essential in order to contain infection. practice these healthy habits around the house to protect your family in both sickness and in health. Bedroom Basics tie it closed to protect the precious cargo. When cold or flu strikes, the bedroom is prone to become a veritable petri dish of disease. rest is the best medicine, after all, and what better place to recuperate than snuggled up under the covers? even when you’re not the one who is sick, you may still find that afflicted family members will come knocking at your door, looking for a little tLC. if your spouse is ill, it’s a good idea to avoid the bedroom altogether and sleep on the couch or in the guest room until the risk of infection subsides. if you do find yourself sharing a bed with a sick person, remember to always sleep behind them. that way, you’ll be out of the line of fire if and when they sneeze or cough. No matter who has the sniffles, make sure that used tissues don’t end up in a pile on the floor beside the bed. throw them away immediately—preferably in a trash can with a lid. perhaps the most effective way to stop the spread of germs in the bedroom is to wash pillows and bedding daily with hot water and bleach when someone is sick. research has shown that laundering fabrics in hot water (81 to 90 C) reduces the risk of infection by about 30 percent. Bathroom Makeover Prevention in the Playroom in a mere 30 minutes, a child is liable to touch as many as 300 objects. Germs love those odds. even in health, curious little fingers are bound to come into contact with a contaminated surface. And when you’ve got a sick kid at home, crosscontamination is practically inevitable. parents need to be extra vigilant and step up the disinfecting if they want to have any chance at preventing the spread of illness. For hard plastic toys, wash, wipe and rinse with water to start. then soak toys for 10 minutes in a mixture comprised of 180 millilitres (3/4 cup) bleach and 3.8 litres (1 gallon) water. Always rinse and allow toys to air dry before putting them back in your children’s hands. And don’t forget about their stuffed animals! plush toys can and should be laundered regularly right in the washing machine. Simply place in a pillowcase and Most of the time, routine cleaning and a bit of hygiene common sense are enough to protect your family in the bathroom. but when someone is sick, its shared facilities make the space a hotbed for crosscontamination, and it’s important to take some extra precautions. For starters, be sure to disinfect all surfaces daily, including the mirror, countertops, sink and faucet, toilet, etc. (See “don’t Forget to disinfect…” for a comprehensive list of household surfaces where germs can hide.) you may also want to switch from a communal hand towel to disposable towels or assign each family member their own reusable towel. Launder (in hot water, of course!) all bathroom towels more frequently—daily if possible—in the face of illness. Around the sink, a few small changes can make a big impact. First, replace any common water glasses with disposable cups for the duration of the infection. Second, if you use bar soap, keep it in a self-draining holder that can be cleaned thoroughly between bars. Finally, store each person’s toothbrush separately when someone in the house is sick. Kitchen clean-up Of all the rooms in the house, the germiest, gnarliest, by far, is the kitchen. this hot zone not only harbours cold and flu viruses, but also food-borne diseases. As such, the following tips are good practice year-round, beyond bouts of seasonal illness. As in the bathroom, use paper towels instead of shared hand towels and disinfect the sink and counters daily. don’t use sponges or non-disposable cleaning cloths unless you change them every day and launder them in hot water. Germs thrive on moist surfaces. A sponge or dishrag can actually spread bacteria from one surface to another. instead, always keep a stash of Clorox disinfecting Wipes on hand in the kitchen (clorox.ca). With proper use, they kill 99.9 percent of germs, including the viruses that cause the flu as well as common bac- When cold or flu strikes, the bedroom is prone to become a veritable Petri dish of disease. teria, such as staphylococcus, salmonella and e. coli. the durable wipes are even tough enough to tackle baked-on grease while still gentle enough to use on most kitchen surfaces—from laminate to stainless steel to tile. to disinfect, wipe down the surface, allow to remain wet for 10 minutes, then let dry. Surfaces that may come into contact with food should be rinsed after disinfecting. When you’re done, simply toss the wipe in the recycling bin and consider yourself germ-free! don’t forget to disinfect… Germs are hiding in your home, even as we speak. Use this handy checklist of household hotspots to ensure that you have all your surfaces covered. • door handles • Light switches • banisters • telephones (keypads and handsets) • pdAs • personal entertainment devices (e.g. ipod, Nintendo dS, etc.) • remote controls • Video game controllers • Computer keyboard • Mouse • Stapler • desktop • Children’s toys and stuffed animals • Stroller • Change table • diaper pail • bedside tables • kitchen counter • kitchen sink and faucet • Cabinet doors and handles • Major appliances (i.e. microwave, dishwasher, refrigerator, oven) • Countertop appliances • dish cloths and sponges • Garbage/recycling receptacles • High chairs and high chair trays • pet’s food and water bowls • Litter boxes • Mirrors • bathroom sinks and faucets • bathroom counters • bathtub • Shower • toilet seats and handles • toilet paper holders did You Know… the germiest household surface? top prize goes to the kitchen sink, followed by the dishrag or sponge. of all the rooms in the house, the germiest, gnarliest, by far, is the kitchen. This hot zone not only harbours cold and flu viruses, but also food-borne diseases. As such, the following tips are good practice year-round, beyond bouts of seasonal illness. The importance of a strong immune system. The immune system is your body’s internal defence mechanism, protecting you from germs that circulate in the environment. Factors such as stress, fatigue, poor diet and travel can weaken these defences, leaving you vulnerable to illness. Fortunately, the active ingredients in IMMUNITY-FXTM strengthen your body’s natural defences by stimulating both your innate immunity (the one you were born with) and your adaptive immunity (the one you’ve acquired over time). Brought to you by the makers of COLD-FX®, Canada’s #1 selling cold remedy†, IMMUNITY-FX is scientifically proven to provide health benefits by enhancing the immune system. Recommended for adults and children 12 years of age and older: Take 1 capsule 2 times a day. TM Live Healthy †Nielsen MarketTrack National all Channel service for the categories of Cold Remedies and Supplements & Products, 52 weeks ending September 26, 2009. ®/TM Trademarks owned by Afexa Life Sciences Inc. Always read and foll ow © Afexa Life Sciences Inc (2009). the labe l. Fast Relief from Coughs, Sore Throats and Nasal Congestion. Distributed by TFB & Associates Limited ® Trademark of Lofthouse of Fleetwood Ltd. www.fishermansfriend.ca 6 AN iNdepeNdeNt SUppLeMeNt tO tHe NAtiONAL pOSt cold n’ flu Coping with Congestion To drug or not to drug? It is possible to effectively treat your cold and flu symptoms without the meds. Here’s how. We’ve all been there: you can’t sleep, you can’t focus; you’re stuffed up and fed up. the discomfort is enough to drive a sane person mad. especially when you consider the fact that the most common causes of congestion— namely the cold and flu—are without a cure. All you can do is rest up and treat the symptoms as they come. C ongestion occurs when the mucus membranes of the nose and throat become inflamed in response to an irritant. the blood vessels lining those passages expand and fill with excess blood in order to facilitate increased mucus production. your runny nose is actually a healing mechanism; it’s your body’s way of trying to flush out foreign invaders. Unfortunately, the resultant airway constriction also makes it difficult to breathe. Over-the-counter medications do offer congestion relief, but that welcome respite often comes with a host of unwelcome side effects, including drowsiness, increased blood pressure and anxiety. decongestants, while effective, actually work against your body’s natural healing mechanisms by restricting blood flow to the nose and throat. but don’t despair. there are plenty of natural remedies that can also help to ease the pain of congestion. Here are five drug-free fixes you can try at home. 1. Go for a steam. breathing moist air helps to lubricate dried out nasal passages and ease sore throat pain. it also offers some much needed relaxation. indulge in a steamy shower several times a day when you’re feeling congested. Likewise, moist heat compresses applied directly to the cheeks and sinuses will also help you breathe easier. Standing over a sink full of hot water or using a humidifier offer similar benefits. Up the ante by adding a few drops of eu- calyptus oil to the water, which is known to help open bronchial tubes and ease congestion. 2. Call on an old friend. For temporary relief, reach for Fisherman’s Friend Original extra Strong lozenges (fishermansfriend.ca). the tough little suckers have been soothing coughs and nasal congestion on land and at sea since 1865. though they are now also available in Sugar Free refreshing Mint and Low Sugar Cherry, Fisherman’s Friend lozenges are still made using the same tried-and-true all-natural recipe, which contains proven congestion-busting ingredients menthol, eucalyptus oil, tragacanth and licorice. 3. Give a Neti pot a try. A Neti pot is a small ceramic container used for nasal saline irrigation. At first glance, it could be mistaken for a genie’s magic lamp. though it won’t grant you three wishes, it can be very effective in relieving nasal congestion by watering down mucus and flushing virus particles and bacteria from your nose. to use, fill the Neti pot with saline solution: dissolve 1.25 milliliters (1/4 teaspoon) salt, 1.25 mL (1/4 tsp) baking soda in 235 mL (8 ounces) warm water. Lean over the sink with your head tilted to one side and pour the liquid directly into the top nostril. Let the salt water run through your nasal cavity and out your other nostril and mouth. blow your nose and repeat. 4. Wind down with a hot toddy. Warm liquids relieve nasal congestion, prevent dehydration and soothe the inflamed membranes lining your nose and throat. A hot toddy is an age-old bedtime remedy comprised of herbal tea, 5 mL (1 tsp) honey and, of course, a shot of whisky or bourbon. best to cut yourself off after one as too much alcohol can be counterproductive and actually further inflame those mucus membranes. Other soothing hot beverages include Organic throat Coat (ca.traditionalmedicinals.com/nhp/ product/102), an herbal tea containing marshmallow and licorice, or a simple cup of warm water with lemon and honey, which will help loosen congestion and relieve a cough. 5. Strip down before bed. Nasal strips, such as breathe right (breatheright.ca), offer relief when you need it most: at bedtime. the pain and discomfort of nasal congestion due to cold, flu or allergies are bad enough without adding exhaustion to the roster of symptoms. Worn over the nose while you sleep, the strips apply an outward force to the nasal vestibule, which causes the airway to dilate and provides instant congestion relief. breathe right strips are the only nasal dilator strips that have been clinically shown to improve airway constriction throughout the night (by a remarkable 31 percent!). they can also be used in conjunction with over-the-counter meds, if you so desire. did You Know… More than just a cough drop, Fisherman’s Friend also makes a mean cup of tea. dissolve your favourite Fisherman’s Friend lozenge in a mug of herbal tea for a soothing hot beverage. Flu 411 What it is, what it ain’t and everything in between. What Is the Flu? Simply put, influenza (a.k.a. the flu) is a common respiratory illness that attacks the nose, throat, bronchi and, in rare cases the lungs. it affects an estimated 10 to 25 percent of Canadians annually. in North America, the risk of infection is greatest during flu season, which runs from November through April, but local outbreaks occur worldwide year-round. the flu is caused by one of the many influenza viruses, which fall into three groups: A, b and C. each group is further broken down into different strains, such as A(H3N2) or A(H1N1). the genetic makeup of influenza viruses allows for frequent mutation, making it impossible for the human body to sustain immunity over time on its own. Flu vaccines—the only surefire way to protect yourself from infection—are reformulated annually to account for these changes. influenza A and b are the most prevalent types and pose the highest risk to humans. As such, they are included in the seasonal flu vaccine each year. influenza C, on the other hand, is less common and causes only mild illness in comparison to A and b. it is not typically included in the vaccine. the World Health Organization’s (WHO) Global influenza Surveillance Network is responsible for recommending the annual flu vaccine. this network of more than 100 National influenza Centres in nearly as many countries constantly monitors which viruses are currently circulating in humans and rapidly identifies new strains. based on its findings, WHO recommends an annual vaccine that targets the most virulent strains. More Than Just a Cold… Although flu symptoms often mirror those of the common cold, the latter are typically milder and come on more slowly. When the flu strikes, it does so with a bang and, more often than not, a fever. both illnesses share many of the same symptoms, including a sore throat, cough and stuffy nose, but a cold rarely presents with a temperature of more than 38 C. body and muscle aches are also more common with the flu. A Case of Mistaken Identity the common cold isn’t the only illness masquerading as the flu. Viral gastroenteritis is often referred to as the “stomach flu,” despite the fact that the two illnesses have little in common other than a high risk of contagion. Gastroenteritis— whether caused by rotavirus, Norwalk or another virus—is marked by stomach cramps, diarrhea and vomiting. Although these symptoms can present in children with the flu, they are extremely rare in adults. Fever and body ache—two hallmarks of influenza—are also atypical of gastroenteritis. Pandemic Flu these days, it’s pandemic flu that’s on the tip of everyone’s tongues. it refers to a new strain of influenza that is able to spread quickly around the globe as humans have little to no immunity against it by virtue of its novelty. Although the flu virus is constantly evolving, people who have had previous bouts of influenza will still usually possess some protection against similar strains of the virus. However, every quarter century or so, a radical enough change occurs such that humans have never experienced anything like it before and are thus completely vulnerable. this was what happened in 2009 when pandemic H1N1, or swine flu, erupted around the world. Avian Flu Of lesser concern to humans, but worth noting nonetheless, is avian influenza, or bird flu, a type A virus. For most Canadians, the risk of contracting the disease is quite low. it is primarily found in birds and transmitted through their droppings and secretions. However, given the innate mutative ability of flu viruses, there is a chance that avian influenza could mix with a human flu virus and lead to an outbreak of pandemic flu, and thus it is worth our attention. people who handle wild birds are at the highest risk of infection and should take proper precautions when working with fowl. DRUG-FREE Nasal Strips Drug Free Relief from Nighttime Nasal Congestion You know what it’s like to put up with a blocked nose. Not only is it hard to breathe, but it also makes it difficult to get a proper, restful sleep. Sleep also plays an important role in helping us recover from illness. Improves Ease of Breathing by at least 50-80%* Breathe Right Nasal Strips are clinically proven to instantly relieve nasal congestion and can help cold and allergy sufferers breathe better so they can sleep better. Breathe Right ® Nasal Strips can be used with any cold and flu remedy for instant congestion relief. ® *Source: As reported by sufferers. GSK Data on file. 29865_BreatheRight_Ad.indd 1 Breathe Right ® Nasal Strips patented reflex design gently lifts the nostrils, opening the nose to instantly relieve nasal congestion. ✃ Save 2. $ 00 DRUG-FREE Nasal Strips On any size Breathe Right® Nasal Strips TO THE DEALER: GlaxoSmithKline Consumer Healthcare Inc. will reimburse the face value of the coupon plus our specified handling fee provided you accept it from your customer on the purchase of any Breathe Right® Nasal Strips. Other applications may constitute fraud. Failure to send in, on request, evidence that sufficient stock was purchased in previous 90 days to cover coupons presented will void coupons. Coupons submitted become property of GlaxoSmithKline Consumer Healthcare Inc. Reimbursement will be made only to retail distributior who redeemed coupon. A reduction in GST payable and Provincial Sales Tax, where applicable is included in the coupon face value. For redemption, mail to: GlaxoSmithKline Consumer Healthcare Inc., Box 3000, Saint John, NB E2L 4L3. *ONLY VALID IN CANADA. VOID WHERE PROHIBITED. *LIMIT: ONE COUPON PER PURCHASE, NO FACSIMILES. Offer Expires: June 30, 2010. GlaxoSmithKline Consumer Healthcare Inc. 83827570 1/27/10 11:47:31 AM 7 AN iNdepeNdeNt SUppLeMeNt tO tHe NAtiONAL pOSt cold n’ flu It’s Complicated…The flu—in any form—should not be taken lightly. unlike its partner in crime, the common cold, this seasonal offender boasts a rap sheet rife with serious, even fatal, complications. Ah, cold and flu. the pair are so often mentioned in tandem it’s as though they’ve become one all-encompassing term in the popular vernacular: coldandflu. they are the brangelina of seasonal illnesses (though not nearly as pleasant to look at). N ot that the link isn’t understandable: the two viral infections share many of the same symptoms—from the stuffy nose to the hacking cough to the scratchy sore throat— and both are most likely to strike in the winter months. However, whereas common cold complications (e.g. sinusitis, bronchitis, ear infections) are rarely lifethreatening and are usually easily treated at home with prescription medication, the health implications of influenza can be much more serious, leading to hospitalization and even death. Worldwide, annual flu epidemics are thought to be responsible for anywhere between 250,000 and 500,000 deaths each year. in Canada alone, approximately 10 to 25 per cent of the population fall ill over the course a typical flu season, resulting in 20,000 hospitalizations and 4,000 deaths, on average. during severe influenza A outbreaks, those statistics can jump significantly: Up to 50 per cent of Canadians may become infected, leading to 30,000 to 40,000 hospitalizations and a staggering 6,000 to 8,000 deaths. As with the cold, flu complications can include ear infections and sinusitis, but their reach extends even further to the following, more serious ailments: myositis (muscle inflammation), pericarditis (an infection of the sac surrounding the heart), dehydration and infections of the central nervous system. they can also lead to a worsening of chronic medical conditions, such as congestive heart failure, asthma and diabetes. the most prevalent and deadly complication of the flu is pneumonia, an infection of the lungs in which the alveoli (air sacs) fill with pus and mucus. this inflammation reduces the lungs’ elasticity, prohibiting oxygen from reaching the blood stream properly. pneumonia typically presents as one of two types—viral or bacterial—both of which can have serious health implications. Viral pneumonia is the lesser of the two evils. its symptoms, which include (but are not limited to) a low-grade fever, coughing up small amounts of mucus, fatigue and muscle aches, tend to come on slowly and are usually mild enough that they will improve without medical intervention—though in some more extreme cases, hospitalization may become necessary. in those situations, antiviral drugs are prescribed as treatment. bacterial pneumonia is far more worrisome. it causes people to feel very sick, very quickly. the most common symptoms are an expulsive cough that produces rust- or green-coloured phlegm, a high fever (up to 41 C), chills, increased heart rate, shortness of breath, chest pains and bluish lips or fingernails due to lack of oxygen. bacterial pneumonia is commonly caused by the bacteria streptococcus pneumonaie and can be treated at home with antibiotics but may sometimes require a hospital stay for special respiratory therapy or intravenous treatment. A less common, but equally serious complication of the flu is reye’s syndrome, which occurs exclusively in children under the age of 18 who have been given salicylates (aspirin) as treatment, usually for fever. reye’s syndrome causes damage to the central nervous system and liver, and can be fatal. Never give aspirin to children or teenagers with the flu unless you are specifically instructed to do so by a doctor. the highest rates of secondary infection and clinical illness following the flu are found in children, but serious complications and deaths occur mainly in the elderly over 65 years of age. Other high-risk populations include pregnant women and those with preexisting health conditions, such as chronic heart, liver or kidney disease, asthma or chronic lung disease, blood disorders, diabetes, severe obesity or a weakened immune system due to cancer or HiV/AidS. people with these risk factors should call their doctor immediately upon the appearance of flu-like symptoms. Antiviral flu medications, such as tamiflu or relenza, are helpful in reducing one’s chance of developing complications. though these drugs won’t cure the flu, they can reduce the amount of time you’re sick by one or two days and make you less contagious to others if taken within 48 hours of the onset of symptoms. better yet, the government of Canada encourages all Canadians, especially those with an increased risk for complications from influenza, to get the flu shot annually as well as the H1N1 vaccine. the pneumococcal vaccine, which provides immunity against 23 types of bacteria that commonly cause pneumonia, is also recommended for the aforementioned high-risk groups except pregnant women as its safety for that population has yet to be fully evaluated. A Turn for the Worse… Seek medical attention immediately if you notice any of the following severe flu symptoms. • persistent fever (> 3 days) • painful swallowing • persistent cough (> 2 to 3 weeks) • persistent congestion (>1 week) • bloody mucus or spit • Severe chest pain • Shortness of breath, rapid or difficulty breathing • Symptoms (e.g. fever, cough) improve but then return, worse than before. • Low blood pressure • blue/grey lips or skin • Sudden dizziness or confusion • Severe headache • infrequent urination • Frequent vomiting Supplemental Knowledge boost your understanding of cold- and flu-friendly supplements, and good health will follow. Vitamin c Although there is some debate as to supplementary vitamin C’s effectiveness in treating and preventing the common cold, it remains an essential nutrient and powerful antioxidant of great benefit to the immune system. According to the Complementary and Alternative Medicine review board, regular use of vitamin C supplements can slightly reduce the severity and duration of cold symptoms. However, when taken as treatment at the onset of illness, vitamin C proved no more beneficial than a placebo. Recommended dose: 500 to 1,000 mg daily Echinacea this flowering plant is most commonly used to treat upper respiratory infections and sore throats. Again, contrary to popular opinion, research into echinacea and the common cold has yielded mixed results. However, there are many variables to consider (different studies looked at different types of echinacea and even different parts of the plant), which make it difficult to directly compare the results and may account for some of the inconsistencies amongst the findings. recommended dose: 300 to 600 mg twice daily Vitamin d there is no question as to this vitamin/ hormone’s benefit to the immune system. in fact, a recent study out of Oregon State University revealed that vitamin d is so crucial to human immunochemistry that its ability to boost immune function and destroy invading microorganisms has been preserved in the genome for over 60 million years. Vitamin d deficiency has not only been linked to an increased risk of influenza, but also of cancer, autoimmune disease and overall mortality. Recommended dose: 1,000 IU daily Immunity-fX the latest offering from the makers of Cold-FX is meant to be taken daily to strengthen the immune system. Like its older brother, immunity-FX is a highly purified, standardized product derived from North American ginseng root. the active ingredient in both, CVt-e002, has been shown in numerous studies to stimulate both the innate and adaptive immune responses. in fact, one study published in the Canadian Medical Association Journal in October 2005 observed a 25 percent risk reduction in the average number of colds and a 31 percent drop in the severity of symptoms with Cold-FX. the duration of illness also lessened. What sets immunity-FX apart is the addition of reishi mushroom extract to the formulation. reishi has been used in natural medicine for over 2,000 years and contains various compounds with potent immuno-modulating capabilities. Recommended dose: one capsule twice daily Probiotics these “friendly bacteria” are actually natural inhabitants of the intestinal tract. they protect the body from invaders, activate immune cells and increase the activity of natural killer cells. However, our digestive system’s natural flora is easily disturbed. in such cases, probiotic supplementation can help the body rebuild healthy populations of protective bacteria and recapture the significant immune benefits. Look for a product that is stable at room temperature and contains at least three billion live cells. Recommended dose: one to three capsules daily after meals or as directed by your healthcare provider Homeopathic Remedies Homeopathic remedies work very differently than herbs or conventional medicines to stimulate the immune system. they use very highly diluted doses of substances to gently encourage the body’s own healing mechanisms. both mucococcinum and oscillococcinum (Oscillo) have been shown in clinical trials to be effective in treating seasonal flu. recommended dose: one tablet per week throughout flu season for prevention (mucococcinum); one entire unitdose tube every six hours from the first sign of flu until symptoms disappear (Oscillo) Note: Specific nutritional needs vary from person to person, and some vitamins and herbs can react adversely with certain medications. Speak to your doctor or naturopath before embarking on any supplementation regimen. cold or flu? decipher Your Symptoms SYMPTOM COLD FLU Fever rhinitis (nasal congestion) Sore throat Cough Fatigue Myalgia (muscle pain) Headache Gastric distress (nausea, vomiting, diarrhea) Lack of appetite rare. Mild (< 38 C) if present at all; more common in children than adults. typical. Nose drips, watery secretions for few days; mucus becomes thicker and darker. typical. One of first symptoms; goes away after day or two. typical. Mild to moderate; can last up to two weeks. Sometimes. Never extreme. rare. Mild if present at all. Sometimes. rare. Sometimes. depends on virus strain. typical. High (> 38 C); sudden onset; lasts three to four days. Common. Common. typical. Usually dry, non-productive. typical. Can initially be extreme; lasts two to three weeks. Common. Common. Sometimes. H1N1 more common in children than adults for seasonal flu. Common. Beyond Laundry: The Power of Bleach it’s the most widely available, affordable disinfectant on earth. And using it around the house could save your life. So why are so many Canadians still relegating it to the laundry room? S ure, it whitens whites. but bleach can do so much more than just your laundry, including kill the germs that cause the cold and flu. Along with getting the flu shot and washing your hands regularly and properly, using bleach around the house to disinfect common surfaces is one of the best things you can do to protect yourself and your family from seasonal viruses. Cold and flu germs are persistent little buggers. rhinoviruses—the most prevalent type of cold virus—can live on surfaces for as long as three hours, while the flu virus boasts an even more impressive survival rate of up to 72 hours. in other words, they’re everywhere, and it’s up to you to stop them. but cleaning alone isn’t enough to get rid of them. Cleaning only removes dirt and stains; disinfecting kills germs and stops the spread of infection. that’s where bleach comes in. the concept is nothing new. indeed, household bleach has been used for generations as a disinfectant, gaining popularity in the late 19th century following French scientist Louis pasteur’s discovery that sodium hypochlorite (the active ingredient in liquid bleach) is extremely effective in killing disease-causing bacteria. What sets bleach apart is its ability to penetrate the tough outer shell of infectious microbes and attack the proteins essential for bacterial growth. Sodium hypochlorite causes those proteins to clump together, in effect, killing the bacteria. bleach’s disinfecting power is recognized around the globe. in fact, the world’s leading public health agencies, the World Health Organization (WHO) and the Centers for disease Control and prevention (CdC), both recommend its household use on non-porous surfaces to help control the spread of illness. even when it’s whitening your whites, bleach still works to reduce your risk of disease. One US study from the National institute of Nursing research found that those who used bleach in their laundry had one-fourth the infection rate of those who did not. So why isn’t everyone using bleach to disinfect their homes? despite its obvious merits, bleach has gotten a bad rap of late. Many people falsely believe that the product is an environmental hazard. the misunderstanding is largely a problem of semantics. Household bleach is often incorrectly referred to as chlorine bleach. As such, environmental concerns about chlorine are extended to the prod- uct. the truth is, although chlorine is used in its production, what’s in the bottle is sodium hypochlorite. there is no free chlorine present in household bleach. bleach begins as salt and water and returns to the earth the same way; it is a sustainable cycle. Claims that it contaminates ground water are unfounded. during consumer use and disposal, approximately 95 to 98 per cent of household bleach is broken down into its component parts; the remaining two to five per cent is effectively treated by sewer or septic systems. Nevertheless, household bleach is a powerful chemical and should be used around the home with care. it’s a good idea to wear rubber gloves and, if you’re sensitive to chemicals, a mask, when handling the product. to disinfect surfaces, first dilute bleach in water: Combine 60 millilitres (1/4 cup) bleach with 3.8 litres (1 gallon) H20. Make a fresh batch daily as bleach will start to break down quickly once it has been diluted. And remember, always allow bleach solution to sit on contaminated surfaces for 10 minutes before rinsing to ensure disinfection. did You Know… A single sneeze can send flu-infested water droplets as far as three feet. Natural Solutions for Living a Clean and Healthy Life! Available wherever books are sold and online.
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