Kathy Kristof

Devil in the Details

The Swine: Dangerous Flu Scams Proliferate

By Kathy Kristof | Oct 19, 2009 |

Watch out for fake cures for swine flu.

As flu season gets into full swing, con artists are peddling an increasing number of fake–and sometimes dangerous–drugs that purport to cure or prevent H1N1 to a population increasingly nervous about getting sick.

The Food and Drug Administration recently ordered a bunch of these advertised remedies from a proliferation of Internet sites that promised prevention or cures. Several sites advertising Tamiflu–a costly, but effective treatment for Swine flu–sent out bogus products.

One of the orders, which arrived in an unmarked envelope postmarked in India, contained tablets made up of talc and acetaminophen (the active ingredient in Tylenol), according to the FDA. Others contained some of the active ingredients in Tamiflu, but not in the same proportions as prescribed treatments. Few of the web sites required a prescription.

“Medicines purchased from Web sites operating outside the law put consumers at increased risk due to a higher potential that the products will be counterfeit, impure, contaminated, or have too little or too much of the active ingredient,” said FDA Commissioner Margaret A. Hamburg.

That boosts the risk that you’ll suffer side effects from inappropriate use of prescription medications or dangerous drug interactions. There’s also a chance that you’ll get contaminated drugs, containing impure or unknown ingredients, she added.

In reality, your best chance at preventing Swine flu is to follow grandma’s advice:

  • Wash your hands frequently.
  • Drink plenty of liquids (ideally hot liquids).
  • Keep your fingers away from your face.
  • Gargle with warm salt water once a day to kill bacteria.
  • Blow your nose, and, perhaps, swab it daily with a Q-tip dipped in warm salt water.

Why are these things helpful? The points of entry for a virus are your eyes, nose and mouth, said Dr. Donna Barsky, pharmacist with Texas Star Pharmacy in Plano, Tx. Because bacteria can get on your hands when you touch things–from doorknobs to drinking fountains–that were handled by sick people before you, your chance of getting sick is closely correlated to how much you touch you face and how often you wash your hands.

Warm salt water kills bacteria, but briefly. Hot liquids wash the bacteria into your digestive tract, where the chemical stew in your stomach can kill the germs before they spread.

Barksy also recommends that you carry a hand sanitizer and use it, particularly if you spend a lot of time in crowded public places. If you’re unusually vulnerable or nervous in areas where you’re in close quarters with a crowd, wear a surgical mask, she said. Both of these prevention moves are cheap and easy.

The symptoms for Swine flue are a high fever–usually 103 to 104–listlessness, muscle aches and a severe headache. If you have those symptoms, get to a doctor, she said. They’ll test for the virus and can prescribe treatment if the test is positive. If you get treated in the first 48 hours, your chance of kicking the virus in less than five days is good, she added.

Typically, doctors are prescribing Tamiflu, she added, but it has side-effects that make it important that you have medical supervision if you take it. The real deal (as opposed to the fakes being peddled online) is also expensive. Barsky says that a 25-ml dose costs about $65 for someone without insurance. Those who do have insurance are finding that their coverage varies widely, with some companies covering the treatment in full and others demanding large co-payments.

Whatever you do, don’t order drugs from untested Internet sites, the FDA warns. Unless you have a lab, you’re not going to know what’s in the package. That’s dangerous to both your health and your wealth.

 
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  •  
    1

    Kevin Vegas

    10/20/09 | Report as spam

    RE: The Swine: Dangerous Flu Scams Proliferate

    "Warm salt water kills bacteria, but briefly. Hot liquids wash the bacteria into your digestive tract, where the chemical stew in your stomach can kill the germs before they spread."

    The swine flu is a virus not a bacteria so why do we care that salt water kills bacteria or about using anti-bacterial hand sanitizers? If you want to stop a virus get the vaccine

  •  
    2

    Kathy Kristof

    10/20/09 | Report as spam

    RE: The Swine: Dangerous Flu Scams Proliferate

    Sorry Kevin. In some cases, what you're doing is attempting
    to block or wash out the virus before it can attack your cells.
    While bacteria and viruses are different, their points of entry
    are the same.

    Meanwhile, many people will choose not to be vaccinated for
    a variety of reasons, from costs to allergies. If they chose
    not to be vaccinated for polio, I might say that's foolish. For
    flu, unless you're unusually fragile, I'd say that's simply a
    judgment call. But taking simple, safe and inexpensive
    precautions to prevent illness always makes sense.

  •  
    3

    cougarbeat

    10/27/09 | Report as spam

    RE: The Swine: Dangerous Flu Scams Proliferate

    I've been trying to find a credible source for the salt water/swine flu prevention trick I keep hearing co-workers and moms talking about. So far, nothing.

    Ms. Kristof, it's disappointing that you didn't back off your assertion that salt water "blocks" the flu virus or that anti-bacterial hand sanitizer is a good defense against it.

    I guess the devil really Is in the details!

  •  
    4

    Kathy Kristof

    10/28/09 | Report as spam

    RE: The Swine: Dangerous Flu Scams Proliferate

    I'm sorry, Cougarbeat. The salt-water remedy has been around
    for so long I thought it didn't need much explanation. It's not
    specific to swine flu. It's a prescriptive for any bacteria or germ.
    What you are trying to do here is kill and/or wash out germs
    before they have a chance to procreate and attack your
    system. You'll find that everyone from dentists to doctors
    suggest salt water to kill germs. But you can also use
    commercial products (like mouthwash), too.

  •  
    5

    soulfilet

    11/02/09 | Report as spam

    RE: The Swine: Dangerous Flu Scams Proliferate

    Good article Kathy. My kid and spouse have been sick with
    something that went through my kid's school, and I've been
    gargling/snorting lots of warm salt water, plus gargling with
    Listerine. So far I haven't caught it.

    That said... like Cougarbeat, I've found no proof of salt's
    effectiveness on any official websites. I found lots on blogs,
    but most of them are quoting the same letter/email that's
    supposed to be from a Dr Goyal in India, or Dr Oz, or Dr
    Mehta. According to the Snopes website, these doctors deny
    writing the article, and they suggest people added doctors'
    names to give it credibility. It apparently worked, because
    it's all over the internet now.

    Trouble is, studies take money and resources. Drug
    companies won't investigate if they can't make money on it.
    They don't like prevention much, they'd rather sell their
    vaccines. Just like the entire medical/drug industry is
    pushing Stat drugs for high blood pressure (their best seller
    yet), when alternative sources recommend a simple
    Mediterranean diet, whole grains, fish, olive oil, cinnamon,
    and ground flax seeds. There's plenty of evidence that these
    things work better than Stat drugs and are much healthier,
    but the doctors continue prescribing expensive drugs. It's all
    about money.

    Let's find some good sources to back up this salt water
    thing. The article makes total sense to me, but we need
    proof. Why would salt water work against a virus? Why not
    just gargle with hot water, or vinegar, or Listerine, or
    vodka? And why would it help to swab the nostrils with salt?
    Would salt water actually kill the flu virus in a controlled
    study?

    True story, I started getting a strep-type sore throat on a
    week-end in high school, and against my better judgement I
    went out partying with friends. I drank beer all night, and to
    my amazement, the sore throat was gone in the morning
    and never came back.

  •  
    6

    Kathy Kristof

    11/03/09 | Report as spam

    RE: The Swine: Dangerous Flu Scams Proliferate

    Tell you what, I've found several web sites that talk about
    the benefits of salt water for drawing out fluids (and germs),
    but you might want more. So, I'm going to report this
    thoroughly, calling a number of doctors and the folks at the
    Mayo Clinic, to get whatever irrefutable evidence there might
    be about it's benefits (or lack there of). When I'm done, I'll
    post another item and link here.
    If you have suggestions of medical experts that you'd like to
    have weigh in, let me know. I don't know that they'll answer,
    but I know I can call.

  •  
    7

    Chris2385

    11/05/09 | Report as spam

    RE: The Swine: Dangerous Flu Scams Proliferate

    Yes please do post on this with some credible information when you can, Kathy. Some friends and I are actually having this very discussion over Facebook right now. My mom works for an Illinois school district, and they sent out a memo about H1N1 with that very same saltwater gargle advice. But when I tried to post it as a helpful tip, several of my friends were quick to discredit it. Some, like a couple of these posters, were not necessarily polite. As a graduate with a journalism degree, I'm not really concerned with whether or not I'm right, but with whether or not my information is accurate.

  •  
    8

    soulfilet

    11/13/09 | Report as spam

    RE: The Swine: Dangerous Flu Scams Proliferate

    In my quest for more information on the use of salt to fight viruses, I wrote to the Centre for Disease
    Control, the swine flu "experts". I got a form letter that said: "There is no scientific evidence to show
    that infection with the influenza (flu) virus can be prevented by:
    * herbal, * homeopathic, or * folk remedies"

    They basically didn't answer my letter. By omission, they were also implying that there's no scientific
    evidence to show that these things DON'T work.

    Over the past week, my family and I have contracted a virus, possibly H1N1, and all gotten over it by
    now. I haven't found any further literature supporting the use of salt, but I'd like to offer my own
    observations.

    Every day I continued gargling and snorting hot salt water, as well as swallowing a clove of raw garlic,
    finely chopped. The salt water was especially effective when I snorted it and blew my nose... very
    effective in flushing out mucous and flem that wouldn't come out when I simply blew my nose with a
    dry tissue. Not only were my nasal passages cleaned out, but the stuffiness disappeared, and I could
    breath through my nostrils more freely, almost immediately. I also felt relief from a feeling of dryness
    in my nasal passages... as if the salt water was rehydrating my nostrils.

    Some people have suggested in blogs that there's no harm in using salt water if it makes you feel
    better. They're saying it's not really doing anything, but it's okay to use if it comforts you in some way.
    My response to that is, in the case of a viral infection, comfort is everything. ANY IMPROVEMENT IN
    SYMPTOMS (as long as it happens naturally, not artificially, as in the use of Tylenol to lower a fever),
    indicates you are making headway in defeating the invading virus. Whether you feel more or less
    comfortable is a good indicator of whether you're winning or losing the battle.

    For example, if your fever goes up, you feel more miserable, other symptoms are probably getting
    worse, and your infection is probably getting worse, not better. If you feel more stuffy in the nose, it's
    not just discomfort, it's an increase of inflammation in the sinus and nasal passages, possibly indicating
    an increase in the quantity of the virus in that area. If your headache gets worse, it's not just
    discomfort, it is a symptom of increased swelling in your sinuses, or possibly dehydration.

    Some examples on the plus side: If your fever goes down, it's a good sign that your immune system is
    winning the battle against the invading virus, and you have sufficiently lowered it's quantity in your
    bloodstream, to the point where your body no longer needs the help of a fever to impede it's
    reproduction. If the stuffiness in your nose has cleared up, and the accompanying irritation goes away,
    your have probably reduced the quantity of the attacking virus in that area (in your nose). If you don't
    feel a sore throat, there is no infection in your throat.

    If salt makes my nose feel better, it indicates to me that it is helping to defeat the virus in that area. I
    don't know if it's killing the virus, or if it's just making the water less irritating to my nose by imitating
    my body's salient levels, but it feels wonderful, and it's flushing out loads of virus-laden mucous. The
    symptoms decrease in my nasal passages when I lower the quantity of the virus in that area.

    For gargling I think I prefer regular flavored Listerine (or Exact mouthwash, which is virtually the same
    product at a better price). Judging from the burn in your throat (it tastes like battery acid), it's killing
    germs. Salt irritates my teeth.

    Another way I've been lowering the quantity of virus in my nostrils, is by raising the temperature of my
    nose.... by cupping my hands, or gathering bed sheets up around my nose, to capture more warm air
    as I inhale. Or I take off my reading glasses, which impede blood flow to the area a little bit... the
    stuffiness often goes away in seconds, if not minutes.

    The way that temperature helps, briefly, is this: There have been studies where it was proven that a
    cold virus in blood reproduced much faster when the temperature of the blood was lowered slightly
    below 98.6 (below normal body temperature). They also found that the virus stopped reproducing
    altogether if they raised the temperature of the blood to at least half-a-degree higher than normal body
    temperature. So when it gets dry and cold in the winter, and you feel chilly, the cold virus benefits
    when your body temperature drops slightly lower than normal, and it therefore reproduces more
    prolifically, so you are more likely to get sick.

    My source for this was a series of articles in Discovery magazine many years ago. Sorry I don't still
    have a copy, but I'd love to find it again. There were some fantastic studies going on, studying cold
    viruses and treatments.

    There is an excellent article in the Feb '08 NEW YORK TIMES which indirectly supports the premise that
    raising blood temperature helps your immune system in fighting a virus. They don't go so far to say
    that the virus can't reproduce at a half degree above normal, but the gist of it is the same: don't bring
    your fever down, let it do it's job. I found it interesting that they say a fever isn't dangerous till it gets
    up to 107 celcius. They recommend you bring a fever down a notch when it hits 105, but not to
    eliminate it. There are a number of sources listed, perhaps there's something there about salt as well.

    You can find the article here:

    http://health.nytimes.com/health/guides/symptoms/fever/overview.html




  •  
    9

    Kathy Kristof

    11/13/09 | Report as spam

    RE: The Swine: Dangerous Flu Scams Proliferate

    Wow, Soulfilet. Thank you for the incredibly informative and
    helpful post.

    I have been calling everywhere trying to find out if anyone
    has actually done a scientific study of the health benefits of
    salt water. So far, no dice. My guess is that anything that
    costs less than $1 for a year's supply probably doesn't get
    the attention that it should.

    The little bits of explanation I've found as to why salt could
    work boil down to the fact that it draws moisture, which can
    be hiding germs.

  •  
    10

    weepingwillow13

    11/14/09 | Report as spam

    RE: The Swine: Dangerous Flu Scams Proliferate

    'Grandma' didn't have research studies that cost millions, but most of them lived longer lives than today's generation. It's not that I don't trust research studies, they have their place. 'Grandma's' remedies might not have been tested in a controlled environment or lab, but they passed the test of time over many generations. Thanks for the article, it was great. I'm not against science, but Grandma has nevver let me down.

  •  
    11

    Kathy Kristof

    11/14/09 | Report as spam

    RE: The Swine: Dangerous Flu Scams Proliferate

    Glad you said that, Weeping Willow. I was feeling so
    inadequate, partly because I've been gargling with salt water
    every time I got a sore throat since I was a kid. And it has
    always seemed to help me. So when I heard this advice as a
    way to help prevent swine flu, I didn't even question it. (I
    mean, would my mom steer me wrong?) But where there are
    plenty of scientific reasons why it might work, I haven't been
    able to find some definitive proof that it does work. It may be
    one of the many home remedies that have never been part of
    a double-blind experiment, but are worth giving a try.

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Kathy Kristof

Kathy Kristof is a syndicated personal finance columnist, speaker and author of three books, including the recently updated Investing 101 (Bloomberg, 2008).

Kathy Kristof

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