HomeMy WebLinkAboutCOM 0575.001 2014-201601 PECI►L M%
COUNCIL
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From: Priority Care Hawaii <prioritycarehawaii@gmail.com>
Sent: Tuesday, December 01, 2015 12:34 PM
To: Council Testimony; Tsuneda, Kaci
Subject: Dengue Fever Testimony from Collaborating Medical Groups
Attachments: 11-23-2015 Press Release Dengue Fever Prevention and Treatment Comes to
Kona.docx; Aloha Health Clinic Dengue Fever Article-l.pdf
COUNTY CLERK
COUNTY OF HAWAItZ
PCEIVED too
Time 1:1 gy ��
Dat i
Aloha Chair Dru "Mauro" Kanuha and Honorable County
Council Members,
I _hope to give Live testimony tomorrow and am sending
you some information via written form as back-up in case I
get involved in an emergency.
Attached is some information from organizations
Gomm Nai
Ref. To: C RAPZ1 S
Ref. Dote DEC 0 2 2015
FOR IMMEDIATE RELEASE Laura Moire, MD
PriorityCareHawaii@gmail.com
Dengue Fever Prevention and Treatment Comes to Kona
West Hawaii November 23, 2015 — Press Release
808-987 7654
Community is rallying around local Emergency and Integrative Medicine doctor, Laura Moire, MD, to
implement a series of workshops on Dengue Fever Prevention and Treatment. The Sanctuary of Mana
Ke'a Gardens and Dragon Fly Ranch are Hosting Dr. Laura of Priority Care Hawaii in the workshops that
will span the first week -end of December.
See Schedule, Contact and Locations below. Health practitioners, educators and community leaders are
particularly encouraged to attend to further team up in the effort and then present their own
workshops to educate and assist the people and visitors to Hawaii Island.
What we can learn from Dengue fever, Hawaii, 2001-2002
Moire (pronounced Mo' Yeah!) is a 25 year Kama'aina that is no stranger to the fight on Dengue in
Hawaii. Moire and her daughter, Arielle, participated in research for the state of Hawaii and
collaborated with the CDC and international experts in 2001— 2002 where 1,644 persons with locally
acquired dengue -like illness were reported. Moire says there are likely many more cases than are listed
in official counts that go unreported. Cases in 2001-2002 were linked travel to French Polynesia. The
Hawaiian outbreak was "subtype -1" and was contemporaneous with a similar outbreak in Tahitii.
Why is subtype important?
There are four antigenically different serotypes of the virus:
DENY -1
DENV-2
DENV-3
D E NV -4
After a person is infected with dengue, they develop an immune response to that dengue subtype. With
subsequent infections with othersubtypes, the illness becomes more serious. Laura Moire, MD has
been in contact with State of Hawaii's Disease Outbreak Control Division Investigators and reports that
the current infection is subtype 1 again. So this means that if someone was exposed in 2001-2002 in
Hawaii, they would be spared the more serious effects as compared to someone exposed to multiple
subtypes. The people at most risk would be those who have contracted other subtypes in global tropical
travel.
We have much to learn from International Dengue Research: New Prevention and Treatment
Strategies
Dengue Fever is a Global issue, and present in even other states in the USA, including California, Florida,
New Mexico and Texas. Wonderful news is that there is a locally available plant based remedy that
residents and visitors can learn about. Papaya (Clean and GMO Free) leaf juice has emerged as an
effective treatment for Dengue virus based on research from India... and even better there are
preventative plant based oil preparations at least 10X as strong DEET and without it's toxic effects!
Participants in the Dengue Prevention and Treatment Workshops:
Learn how to make these preventative and treatment remedies. Learn simple methods of presumed
diagnosis used internationally. Laura Moire MD says patients with active symptoms ideally would be
under a health care provider's supervision while being treated with any food based or other treatment
to monitor restoration to wellness. She is initiating a cost effective monitoring program for participants.
Local healthcare providers are urged to attend and will be given priority as participants in the workshops
which are limited to 20 participants per session. RSVP to prioritycarehawaii@gmail.com 808-987-7654
Dengue Prevention and Treatment Workshops are held back -to back with a 15 minute registration prior
to each session:
Friday December 4th
Saturday December 5th
Sunday December 6th
12:00-2:00 & 3:00-5:00 at Sanctuary at Mauna Kea Gardens
12:00-2:00 & 3:00-5:00 at Dragonfly Ranch
3:00-5:00 at Sanctuary at Mauna Kea Garden
saner ltax?, of
Mann ea
16dens
Laura Moire. MD — PriorityCareHawaii.com Randyl Rupar, PhD — Sanctuary of Mauna Kea Gardens
Emergency and Integrative Medicine Providing a safe, nurturing environment to enjoy the fruitful
24/7 Urgent Care House Calls gifts of "Nature" of Hawaii through natural agricultural
We Come to You! arts community oriented projects and products
Laura Moire MD — PriorityCareHawaii.com
24/7 Urgent Care House Calls
I r C u( U U
i
Barbara Moore— DragonFlyRanch.com
Soulful Healing Arts Retreat, Tree House B&B
Aloha Aina Healing Gardens
Alvita Soleil O.M.D., L.Ac., NCCAOM, Aloha Health Clinic, 808-899-0770
Body, Mind, and Soul Health November 21th 2015
PREVENTION & MANAGEMENT OF DENGUE FEVER
by Alvita Soleil O.M.D., L.Ac., NCCAOM
While the aedes aegypti mosquito spreads dengue fever, and the Health Department is doing its
best to educate Hawaii residents in reducing the epidemic, how can we go about preventing
dengue fever using natural remedies or treating dengue in the event we get infected? Our best
protection is to educate ourselves and learn all we can so we can make wise decisions regarding
our health and that of our family. So here is some pertinent information on dengue fever.
.What is Dengue Fever?
Dengue fever is also known as "breakbone fever". Dengue fever is caused by four related viruses (DEN -1, DEN -2, DEN -3 or DEN -
4). The Dengue virus is a member of the virus family Flaviviridae. This acute flu like illness is related to those that cause yellow
fever and West Nile virus infection.
Hove is it transmitted?
Dengue fever virus is not contagious. It is not spread from person to person. It requires a vector, a mosquito that allows the virus
to mature within the mosquito before the mosquito can effectively transfer the viruses to humans. However, if a person is
bitten by a mosquito that carries Aedes aegypti virus during the initial febrile period of the dengue infection, the mosquito may
become infected and transmit the dengue virus to the next person through its bite. Once infected, a mosquito is capable of
transmitting the virus to susceptible individuals for the rest of its life. (Only females bite, and they live 6 to 8 weeks) The
dengue virus circulates in the blood of the infected humans for 3-14 days (average 4 to 6 days).
What are the Symptoms?
Symptoms include sudden onset of fever, headache, muscle and joint pains. In some cases, rash (similar to measles) are
accompanied by severe headache, retroorbital pain (pain behind the eyes), backache, sore throat, and abdominal pain.
The patients become lethargic and experience anorexia and nausea.
In a small proportion of cases, the disease can develop into the life-threatening dengue hemorrhagic fever (DHF) and dengue
shock syndrome (DSS), resulting in bleeding, low levels of blood platelets, dehydration, low blood pressure, rapid & weak pulse.
These patients often require additional supportive treatments and hospitalization.
Most people recover fully, although weakness and fatigue may last for several weeks.
Incubation period: Symptoms of infection usually start about four to 15 days (typically four to seven days) after a mosquito bite
transfers the viruses to the human. In most instances, the disease lasts about 3 to 10 days.
Can dengue infection recur in a previously infected person?
After a person is infected with dengue, they develop an immune response to that dengue subtype. Infection with one type does
not provide long term protection against other strains. There is also evidence that the risk of developing DHF/DSS is increased in
the persons previously infected by another type.
Western Treatment
'there is no specific antiviral treatment currently available for dengue fever. Bed rest and acetaminophen (Tylenol) to treat fever
and pain are recommended. Nonsteroidal anti-inflammatory agents (aspirin (Bayer, Ecotrin), ibuprofen (Motrin), and other
NSAIDs) should be avoided because of the tendency of the dengue viruses to cause hemorrhages.
Rehydration and blood testing can be necessary procedures that allopathic doctors perform.
Preventative Precautions to Keep Dengue Fever at Bay
Everyone is being urged to take precautions against mosquito infections. Together we can do it.
• The best way to reduce mosquitoes is to eliminate the places inside and around your home where the mosquito lays her
gEgs. Stagnant water is a breeding ground for the mosquitoes so remove, or empty any container that may hold water
including pails and buckets, pet bowls, gutters, coolers, old tires, birth baths, recycling bins, and flower pots, etc...
• Treat bromeliads and other plants that hold water. Flush weekly and spray with soapy water or chemical treatment.
• Make sure your window and door screens do not have any holes. If so, block or repair those areas.
• Apply mosquito repellents during the day as well as at night on a regular basis. Most commercial repellents contain
DEET. Many studies suggest DEET may have harmful effects, including brain damage. Use natural insect -repellant
lotions, apply often on the skin, as it wears off quickly (see recipe below)
• Mosquitoes are attracted to certain chemical compounds on your skin, carbon dioxide, movement, heat and dark colors;
they can sniff you out from 100 feet away. Wear long-sleeved shirts, pants and socks to protect yourself. Wear white or
light colored clothing when you are likely to be exposed to mosquitoes bites.
• Try to avoid outside activities at dawn and dusk when mosquitoes are more active.
• Fix leaky faucets and outdoor hoses that are dripping water.
• Clean the gutter so water runs freely.
• If possible use mosquito netting over beds.
• Electric mosquito zapper: It is a mechanical device that uses ultraviolet light to attract mosquitoes and then kills them
with its lethal dose of electricity. The side effect of this device is that it kills also the good bugs.
• Make your own mosquito trap (check numerous sites on the internet)
Natural Health Strategies
Diet Management - In order to fight the virus that affects the body, it is important to eat a healthy diet:
• Eat and Drink Vegetables: Consumptions of fresh juices of carrots, cucumber, green leafy vegetables, cod liver oil, flax
seed oils and fresh fruits help to improve platelet count.
• Porridge: Remember to always give pureed and soft foods for people with dengue fever. Porridge is easily swallowed
and digested, and has plenty of fluids.
• Barley grass: Increase the blood platelet count of the body by stimulating more blood cells production.
• Avoid saturated fats, refined sugar, processed food, salty, oily, and spicy food, and "junk" food.
• Papaya leaf extract: Juice is prepared from crushed papaya and leaves. According to the 2011 research Journal of
Ethnopharmacology, papaya leaves have anti- malarial properties. The complex mix of nutrients can cause a rise in your
platelet count, the high levels of vitamin C help stimulate the immune system, and the antioxidants help to reduce
oxidative stress and eliminate excess toxins in the blood. Doctors in India often give 2 /3 tablespoons of papaya leaf juice
in the morning and evening for dengue patients.
• Hydrate throughout the day: Dengue patients need lots of fluids. Apart from drinking plenty of water, take orange and
lime juice, watermelon, pomegranate, guava, kiwi, and papaya juice. Drinks containing electrolytes such as coconut
water are recommended.
0 Ginger water: Drink ginger water as it reduces the effects of nausea that often is experienced.
Herbal Medicine Management
Herbal medicine stimulates the immune system as a whole, helping the body to fight infection, bacteria and viruses
by increasing the amount of white blood cells.
• Echinacea angustifolia: Boosts the immune system and reduces many of the symptoms of colds, flu and some other
viral infections conditions.
• Astragalus (Huang Qi) Tonifies the body's energy/Qi levels. Traditionally, this herb is known to boost the immune
system, particularly for respiratory infections and increases the production of Interferon.
• Goldenseal: Helps to ease vomiting, nausea; headaches, chills and fevers as well as its natural antiviral capacity.
• Neem leaves: Properly brewed leaves can help to improve the body's immune system. Helps to increase the white blood
cell and platelet count.
• Yarrow, elderflower and peppermint diaphoretic tea blend; These herbs are amphoteric, meaning that they can lower
body temperature if it is too high.
• Fenugreek: It is known for reducing fever and it acts as a sedative to promote restful sleep and ease pain of the patients.
• Fu Fang E Jiao Jiang: According to "You Sufu", a public health expert from Indonesia this is a traditional Chinese
medicine used for improving hemoglobin and lowering hematocrit to a stable level.
• Quinine: from Chinchona bark, is added to tonic water as a prophylactic against malaria. As with other quinoline
antimalarial drugs, the mechanism of action of quinine is not fully understood.
Homeopathy Management
Homeopathy for Dengue has been used successfully in other countries such as India, and Brazil. The selection of
homoeopathic remedies depends upon the individual symptoms. Homeopathy may not totally prevent dengue, but at least it
attenuates the symptoms, and makes for a milder case of the illness.
• Dengue Prevention Formula: Dr. Ana Teresa Doria Dreux, Professor CRM from Brazil recommends RHUS TOX/
EUPATORIUM PERF/ CHINA OFF/ LEDUM PALUSTRE/ GELSEMIUM formula, 6 C dilution. Take 3 globules once a day while the
epidemic season lasts. Another formula from Dana Ullman MPH, CCH, a leader in homeopathy is Eupatorium
perfoliatum, Crotalus, Phosphorus, Natrum Muriaticum and Arsenicum.
• Dengue Treatment Formula: Take the above formulas, 3 globules every two hours. As the symptoms improve, take once
every 3 hours, and once every 4 hours, etc... until complete remission of the symptoms.
• Eupatorium Perfoliatum: 30C is the remedy for severe muscle and bone/joint pains with high fever. Take twice a day
during the outbreak.
• Ledum: Ledum palustre is the remedy for "puncture wounds" and therefore a good first aid remedy to prevent the ill
effects of mosquito bites including infectious diseases associated with mosquitos.
• Normal Dengue Fever: Eupatorium perfolium 200 or 1M can be taken once daily for three days and subsequently at
least two doses a week at the interval of three to four day till the epidemic persist for the prevention of dengue fever.
Furthermore Arsenic alb + Bryonia + Echinacea angustifolia + Ledum pal + Rhus tox in 30 potency should be taken once
in a day for at least 2 weeks.
• In case of High Fever: Take Aconite 1M and Eupatorium 1M alternatively, after every 30 minutes immediately on start
fever. Just take 3 doses of each remedy. If the symptoms persist, contact your physician.
• In dengue hemorrhagic fever (DFH): Add the following two medicines to the above treatment: Phosphorus 12c,
Crotalus 12c Take 4 globules in the evening until the platelets return to normal. China, Ipecac and Arsenic Album is
another formula. These remedies are not to replace any necessary medical services.
Vitamins / Minerals Management
• Vitamin 131 as a mosquito repellant: Sold as Betamine in pharmacies. Vitamin 131 make the blood bitter and produces a
skin odor that female mosquitoes seem to find offensive. Take 100mg daily.
• B complex: Take a high dosage. Mosquitoes hate the taste of Vit B. Food that are rich in B vitamins are egg yolk,
brewer's yeast, liver, and whole grains.
• Vitamin C: Vitamin C at sufficiently high doses can help viral disease, enhance functions of the immune system. It
strengthens the immune system and collagen. Dose 500 mg 6 x day.
• Zinc: Assist the normal functioning of the immune system. Zinc deficiency is extremely common. Zinc is key to proper T
cell and Natural Killer Cell function activity. Dose 25mg once daily.
ACUPUNCTURE FOR DENGUE FEVER
Do not underestimate the power of acupuncture to treat pain and fever. Acupuncture and electro acupuncture leads to the
release of endorphins and these are powerful natural pain killers. It also helps to lowers inflammation, and strengthens the
immune system.
MAKE YOUR OWN MOSQUITOES REPELLANT
This natural homemade insect repellent is great for mosquitos, flies, and other annoying bugs. Tweak to your liking and apply with
confidence.
Ingredients:
- Witch Hazel or vodka: 2 tbsp. of one or in combination
- Oils: mix neem oil with coconut oil in a 1:1 ratio.
- Essential oils: - 55 drops lemon eucalyptus essential oil (not recommended for use on children under 3 yrs.
-15 drops cedarwood essential oil
- 15 drops lavender augustifolia essential oil
-15 drops rosemary essential oil
Directions: Fill spray bottle and shake well before each use. Natural bug repellent will need to be reapplied every few hours for maximum
effectiveness. Length of protection varies with the amount of activities, temperature and other factors.
Other Bug -Repelling Essential Oils you can use: citronella, tea tree, peppermint, cypress, rose, geranium, bergamot, lemon grass, cinnamon
leaf oil, and catnip oil.
Additional Tips and Warnings:
Women who are pregnant or nursing should consult a health practitioner before using essential oil. Extreme caution should be used when
using essential oils on young children. Always perform a patch test to check for an allergic reaction before using an essential oil for the first
time. Dark -colored bottles work best for products containing essential oils. Store in a cool, dark place when not using.
Be aware of the chemical mosquito eradication, they are not risk free. Despite the emphasis on natural, the issue is that these
chemicals may have some nasty properties for you and your precious four legged animals.
Alvita Soleil is a Doctor of Oriental Medicine, healer, teacher, and artist. In practice since 1982, she is the co-owner of the Aloha Health Clinic
in Kamuela. For more information visit alohawellnessretreat.com or dr.alvitasoleil.com
The content of this article is provided for informational and educational purposes only and is not intended to be a substitute for professional
medical advice, diagnosis or treatment. Please seek the professional advice of a physician or other qualified medical practitioner regarding
your condition.
References: www. health.hawaii.gov, state of department of health, center for disease control, www.EMedicineHeolth, www.tcmwell.com, www.inbali.org,
www.natural cures.com, www.healthline.com, www.stonford.edu, www.drhomeo.com, wwww.nicholos.duke.edu/thegreengrok/mosquitoschemicals