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Speaker 1: Scott Flung Show on seven hundred w LW. Yeah, we

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Speaker 1: got the cold, we got the ice, we've got the storm.

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Speaker 1: Everything hopefully is behind us at this point. We'll see

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Speaker 1: where we move from here. I do know this though,

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Speaker 1: with everyone stuck inside, we're starting to see an increase

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Speaker 1: the number of people presenting in emergency rooms and the

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Speaker 1: like who are sick. Ohio's experience a high intensity flu

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Speaker 1: outbreak right now. Also RSV respiratory virus season. This year,

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Speaker 1: things have kind of stipled a little bit that way,

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Speaker 1: but we're going to get a big surge again, I

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Speaker 1: guess in February, so literally in a few days here.

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Speaker 1: It is influenza AA super flu strain that is out

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Speaker 1: there right now and right now even hospitalizations are nearly

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Speaker 1: double what we saw at this time last year and

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Speaker 1: about to get worse. Doctor Stephen Fagin's is the medical

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Speaker 1: director for Hamlin. Connie Stephen, Welcome, Harry, doctor.

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Speaker 2: Thanks got good morning, happy cold cold morning.

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Speaker 1: Yeah no kidding, right, I mean that's the other element

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Speaker 1: here too, with these sub zero temperatures.

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Speaker 3: You know, what do you guys?

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Speaker 1: You know at the Hemlin on the Health Department, most

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Speaker 1: people had the last couple of days off anyways because

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Speaker 1: of the ice and the snow and all that stuff.

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Speaker 1: But what do you that deal with when we had

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Speaker 1: a weather emergency like that.

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Speaker 2: It is so cold just a few minutes outside, especially

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Speaker 2: doing things like shoveling snow, which can be the most

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Speaker 2: dangerous thing you do for your part and for other things,

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Speaker 2: and always takes a few breakstes of the time and

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Speaker 2: things like that. But so far, not a lot of hypothermia, thankfully,

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Speaker 2: people have been inside. But the big issue is people

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Speaker 2: can't leave the hospital. Yeah you got you gotta get

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Speaker 2: them out.

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Speaker 1: Right, and we're all stuck inside now, which also further

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Speaker 1: complicates the issue of cold and flu on rs V.

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Speaker 2: Right, it can, it can, And certainly, you know those

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Speaker 2: people that you're stuck in, you've been around for a while,

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Speaker 2: so they're not new people giving you stuff. But you know,

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Speaker 2: you talk about the influenza, which really really skyrocketed sort

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Speaker 2: of like in sort of early February, and because of

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Speaker 2: the new trains actually coming down here in southwest Ohio

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Speaker 2: and starting around the state, and so we peaked, you know,

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Speaker 2: right at sort of Christmas or this Christmas holiday, probably

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Speaker 2: three and a half times the peak that we've seen before.

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Speaker 2: We're still above. We're still above the highest people. We

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Speaker 2: we came down very quickly, and that's kind of what

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Speaker 2: you'll see for something that a community is not accustomed to. Thankfully,

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Speaker 2: the two mutations occurred on the part that makes it

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Speaker 2: infectious rather than part that makes it, you know, virulent,

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Speaker 2: are really bad. So the deaths and things like that

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Speaker 2: not not as much, but it is coming down. In

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Speaker 2: my own hostile I there were tons of flu, now

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Speaker 2: now not so much.

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Speaker 1: Are we going to accord that the what I said

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Speaker 1: was from the CDC about we're expecting it to trend

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Speaker 1: back upwards next month literally another week or so. Are

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Speaker 1: we going to say that here in Ohio, south in Kentucky.

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Speaker 2: That's the big question I on board would like to know.

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Speaker 2: And you know you've seen one flute seven, you've seen

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Speaker 2: one flu season. I do think we'll see a double

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Speaker 2: second peak. You know, this is one strain of one strain,

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Speaker 2: and so there are other strains of flu, there are

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Speaker 2: other strains of restless stuff. So I do think in

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Speaker 2: February we'll see some kind of increase. I don't think

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Speaker 2: it'd be anywhere near what we saw in early January.

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Speaker 1: Oh, well, that's good news. The other element here too.

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Speaker 1: People hear this and go, okay, well it's a super

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Speaker 1: flu strain. It's dominant virus. I know people that are

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Speaker 1: getting sick and a like. Is it too late to

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Speaker 1: get a flu shot?

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Speaker 2: It was not too late to get a flu shot,

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Speaker 2: especially since the probably next peak that we see will

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Speaker 2: be exactly what the flu's four, so a good match

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Speaker 2: and so no, it is absolutely not too late. It

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Speaker 2: does take a week or two for it to have

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Speaker 2: an effect, so you want to get it sooner than later.

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Speaker 2: But we'll keep saying in a flu shot until the

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Speaker 2: end of the flu season.

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Speaker 3: Yeah.

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Speaker 1: Ever, Steven Stector Figan's if you got a shot in

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Speaker 1: I don't know, September October, the conventional I don't know

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Speaker 1: if it's wisdom or just a livesteale, is that, Hey,

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Speaker 1: that's only good for ninety days. You might have to

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Speaker 1: get another one. Does the antibody stay in your body?

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Speaker 1: Do you need a flu shot if you had it

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Speaker 1: in September October?

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Speaker 2: Yeh, that's a great question. You know, they do decrease

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Speaker 2: and that's why you get it every year last maybe

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Speaker 2: six months at most four months probably average some people

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Speaker 2: like to wait until they kind of know the flu

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Speaker 2: is really really coming out there, but it's still there.

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Speaker 2: There is no recommendation for a second flu shot like

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Speaker 2: a second boose or anything. In fact, they dons of

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Speaker 2: studies and it really didn't make a difference.

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Speaker 1: Yeah, for the season itself only six months, and that

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Speaker 1: that shot should.

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Speaker 3: Last year is what you're saying they should.

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Speaker 1: Yeah, And if it doesn't, it's because well, we you know,

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Speaker 1: it's a guessing game, you guys. You know they're working

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Speaker 1: in the other half there, they're working on what they

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Speaker 1: think is going to be the strain, and sometimes you

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Speaker 1: do miss that. But it does protect you in a

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Speaker 1: sense that your antibodies are up in your own body

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Speaker 1: that you produce to protect you. So even if you

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Speaker 1: get the flu. Can imagine this's happened to me last year.

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Speaker 1: I always get the flu shot, and I got it

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Speaker 1: last year, but it was only a couple of days.

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Speaker 1: Hit me pretty hard, and I thought, well, thank god

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Speaker 1: I had the flu shot, because it'd be much much

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Speaker 1: worse if I didn't. I still got it, but it

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Speaker 1: wasn't as bad as it could have.

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Speaker 2: Been, exactly five days of badness. There's also influence of medication.

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Speaker 2: It still works in too, thankfully the mutations has not

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Speaker 2: really changed that. So but you got to take it

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Speaker 2: within the first day or two of the symptom. You know,

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Speaker 2: they started very suddenly for it to work, and really

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Speaker 2: it really does. It just stops it from replicating, so

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Speaker 2: it goes away faster when you take the medication.

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Speaker 3: Yeah, you still got to get a script for that too.

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Speaker 1: It seems like that's something like an epipenny before you like,

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Speaker 1: by the time I get to my doctor, they call

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Speaker 1: the script and it's uh, it's already advanced.

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Speaker 2: Yeah, it's interesting, you know, making that over the counter.

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Speaker 2: It is an anti viral. Sometimes there are certain nursing

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Speaker 2: homes if there's an outbreak, then they give it one

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Speaker 2: today to everybody for a couple of weeks, even force teams. Bamously,

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Speaker 2: the US Olympic team had a flu outbreak and they

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Speaker 2: took Tama flu and they won five gold medals one

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Speaker 2: Winter Electics from that team. So you know who knows.

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Speaker 1: Yeah again, doctor Stephen Fagin's he's director Hamlet County Medical

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Speaker 1: Hamila County Medical Director. I guess I should say we're

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Speaker 1: talking about the flu and RSV season where what these

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Speaker 1: cold temperatures are going to be stuck indoors even more.

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Speaker 1: Of course, that causes it to be more communicable because

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Speaker 1: you're around people the drier temperatures and other thing, which

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Speaker 1: is why we advise having the humidity level in your

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Speaker 1: house like around nice, comfortable thirty percent. It saves money,

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Speaker 1: but also it may reduce you getting the sickness or

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Speaker 1: at least passing on, which is in the workplace you

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Speaker 1: don't really have that. This is why we see the

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Speaker 1: flu spread as much as we do. Humidity is a

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Speaker 1: big part of part of this too, right, that can't

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Speaker 1: be understanding.

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Speaker 2: It really is. And so why do you get cold

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Speaker 2: in the cold. It's not necessarily the cold weather. It's

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Speaker 2: the lower humidity and that's virus. So a ton of

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Speaker 2: studies I've really shown that, you know, it's it's the

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Speaker 2: lower humidity that doesn't really cause the virus and has

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Speaker 2: a little veriance to break up. Like you look at

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Speaker 2: versus say forty, you know you're gonna have a lot

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Speaker 2: less vires. Property particles make it sixty plus for the

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Speaker 2: higher humidity back here the opposite though, it's actually lower

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Speaker 2: humidity that you want for bacteria that's how your operating

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Speaker 2: rooms are all run at lower humidity on purpose to

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Speaker 2: prevent bacterial infections. And so it's the viruses that are not,

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Speaker 2: you know, inhibited by the lower humidity. So what about

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Speaker 2: it humidifier, you know, and and for that little piece

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Speaker 2: that it helps helps with symptoms, may help increase the humidity,

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Speaker 2: may help with symptoms, but make sure that you wash

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Speaker 2: it because you don't want the bacteria and humidifying.

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Speaker 1: Okay, so let's talk about maybe if we get a

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Speaker 1: second wave. The FED saying okay, CDC looks like we

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Speaker 1: may see a spike in February said got I hope not.

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Speaker 3: But some of you plan for the worst, hope for

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Speaker 3: the best.

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Speaker 2: We always plan for, say, if you're a health system,

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Speaker 2: you always plan for a third in anything. Right now

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Speaker 2: children since my children that seem more ares to the

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Speaker 2: hospital bass and flu, so there's always some virus or

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Speaker 2: some kind of bacteria. It's going to be out there,

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Speaker 2: so you always plan for that. As a house, you know,

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Speaker 2: you always plan for treatment or being able to call

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Speaker 2: a healthcare provider to get medication or at least to

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Speaker 2: get an evaluation if need be. And so you know

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Speaker 2: the usual things are the are the usual things just

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Speaker 2: like you're just like your mont said.

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Speaker 3: Yep, yeah, well how are we doing on RSV?

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Speaker 1: So r C is up.

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Speaker 2: In fact, if you look around, we don't know as

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Speaker 2: much about our speakers. We don't test an adults. They

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Speaker 2: tested children well than not. We don't test it, so

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Speaker 2: it could be more than we know. So we look

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Speaker 2: at wastewater and wastewater says show RSC levels being about

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Speaker 2: half because they were very high this time last year,

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Speaker 2: so maybe half to two thirds of what they were

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Speaker 2: last year, but certainly typical of this time of year.

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Speaker 1: Okay, So RSV is a different thing entire generally hits

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Speaker 1: the younger and maybe the older as well, but all

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Speaker 1: of us, I think we all amen. God, I hope

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Speaker 1: I don't get the flu this year, and a lot

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Speaker 1: of people are sick. And I think there's also a

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Speaker 1: misdiagnosis too, would agree. Most people think they have the

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Speaker 1: flu and it may not be the flu, or don't

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Speaker 1: think they have the flu and they actually.

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Speaker 2: Do, oh of course, and who knows what the you

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Speaker 2: know what the cold is. And until you test, pretty

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Speaker 2: much everybody who comes in works department or at least

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Speaker 2: gets in the hospital gets at least a flu test

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Speaker 2: A and B and A and a COVID test. Sometimes

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Speaker 2: we do more if we're not sure. But yeah, I

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Speaker 2: mean there's all kinds of stuff you know, you you

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Speaker 2: may or may not have had, and you get through it.

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Speaker 3: How's our COVID rate?

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Speaker 2: By the way, So covid you know, kind of popped

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Speaker 2: up and in fact I sort of see more in

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Speaker 2: the hospital myself, and maybe peaking. Uh probably you know,

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Speaker 2: half of what last year and you had a little

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Speaker 2: little peak in August that we're roughly about that level.

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Speaker 2: And so that's why, you know, when you look at

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Speaker 2: the winter, you look at it as a whole respiratory season,

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Speaker 2: it always seems like something's gonna fill it. Flu comes down,

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Speaker 2: COVID goes up, RSB, whatever, And so the actual number

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Speaker 2: of respiratory ialits is a kind of constant curve through

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Speaker 2: the winter, right.

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Speaker 3: Uh is that part of the problem too.

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Speaker 1: You mentioned all of the confluence all these things, and

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Speaker 1: with multiple respiratory viruses cost circulating, I think people need

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Speaker 1: to know to make treatment decisions. For example, you know

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Speaker 1: mentioned tamil flu for the flu, but what is the

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Speaker 1: state here of accessible affordable testing in the county.

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Speaker 2: It's pretty good, and so we do recommend, you know,

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Speaker 2: going tho Stor and you can get a combination of

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Speaker 2: flu and COVID death. And in fact, you know, sometimes

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Speaker 2: employers will ask employees to do that, like, hey, you're

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Speaker 2: feeling bad, go and check that. Check that before you come.

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Speaker 2: And certainly sports teams, Hey, you feeling bad, go ahead

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Speaker 2: and check that. Law sports teams travel with those with

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Speaker 2: those testings. So it's pretty pretty available, like twenty dollars

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Speaker 2: or so you can get there. You need to do two.

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Speaker 2: And so you do need to do one. Okay, it's negative,

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Speaker 2: you know, wait twelve hours or maybe the next day.

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Speaker 2: The second one just to confirm. And that's why there

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Speaker 2: are two tests in those in those tackets that you buy.

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Speaker 1: Gotcha, what does your shelf life for that? By the way,

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Speaker 1: most people don't even bother reading expiration.

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Speaker 2: Dates, well, you know, they're pretty good, pretty last at

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Speaker 2: least a couple of years. I always check the expiration date,

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Speaker 2: hopefully on self stuff that's expired. But they continue to study,

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Speaker 2: you know, whether these things are still correct. Even though

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Speaker 2: COVID changes, the test still picks it up and the

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Speaker 2: influenza changes. The new flu still picked up by the

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Speaker 2: point care or the typical influenza test. They checked that,

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Speaker 2: so there's still reasonably accurate. Hardst part is getting the

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Speaker 2: thing up your nose to the point that it needs

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Speaker 2: to be.

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Speaker 3: Well.

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Speaker 1: If you've been around during what FU six years ago,

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Speaker 1: you remember jamming that thing up until it came out

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Speaker 1: of the top of your head, So you know those

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Speaker 1: days are back when you get the two we should.

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Speaker 3: Be used to this stuff, doctor, well sort of.

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Speaker 1: Yeah, it's always uncomfortable to get that thing and get

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Speaker 1: that good sample, but again, then you know what you

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Speaker 1: have and can seek treatment relative to that. Especially with flu,

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Speaker 1: you can get early treatment and really knock that thing down.

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Speaker 1: Between the vaccination and tamil, food products anti virals, you're

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Speaker 1: probably in pretty good shape. It seems like we are

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Speaker 1: weathering the storm quite well.

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Speaker 2: Here.

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Speaker 1: We are, like, you know, it feels like we're halfway

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Speaker 1: through winter. Although winner doesn't want to give it up,

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Speaker 1: it's going to be a while here before we can

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Speaker 1: stop having this conversation. But you see them on top

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Speaker 1: of things and ready for whatever mother nature throws out.

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Speaker 2: It sounds like, well, thanks, And there's a ton of

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Speaker 2: people epidemiologists and a ton of people always watching, always looking,

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Speaker 2: want checking down the sort of you know, expects the

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Speaker 2: disease fighters there who are working, working all the time,

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Speaker 2: and anytime something pops up, there's a conversation, discussion, and

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Speaker 2: we talk not just with the health apartments, with the

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Speaker 2: health systems, and so we have a pretty good network.

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Speaker 2: We've been texting all morning of the health systems and

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Speaker 2: the health departments here in this part of the country.

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Speaker 1: Yeah, I mean you work together to make sure that

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Speaker 1: you know, you see the trends coming before we know

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Speaker 1: about them for sure. Is there something on the horizon

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Speaker 1: do you know about you can maybe in the next

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Speaker 1: couple of weeks or a couple of months, how and

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Speaker 1: how far in advance you kind of figure these.

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Speaker 3: Things out well.

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Speaker 2: And so there is this thing called the winter vomiting

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Speaker 2: Thickness Vote of our you know, the things see on

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Speaker 2: cruise it and stuff like that. And we in the

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Speaker 2: past week or so have in fact seeing uh one

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Speaker 2: or more of our wastewater treatment plants start to come

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Speaker 2: up in voatavirus and so probably put out you know,

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Speaker 2: the alert here in the next next day or so.

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Speaker 2: And so that's not something you want either, And so

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Speaker 2: it's not a bit so, you know, but I will

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Speaker 2: tell you it's that that right now it's roughly half

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Speaker 2: of what it was this time of year, but this

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Speaker 2: time of year last year we had one of the

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Speaker 2: highest amounts of roatavirus that we've seen a long time.

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Speaker 2: So so we're at typical levels, but we are. You know,

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Speaker 2: the wastewater is showing that. And you know, wastewater doesn't

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Speaker 2: lie for rotavirus because that's how it how it breads.

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Speaker 1: Yeah, so rotavirus routine facts and intents get it a

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Speaker 1: lot too. But is it solely hand washing? And what

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Speaker 1: is the as you call the vector the same?

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Speaker 3: What?

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Speaker 2: What? How?

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Speaker 1: How do you want to contract dirty hands?

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Speaker 2: Right? The same thing? Hand washing? Good hand washing more

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Speaker 2: of our of ours. Both of those are kind of

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Speaker 2: the same. And so you know, good good hand washing,

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Speaker 2: and especially especially if you find the family is really

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Speaker 2: throwing up a lot it is that you know that

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Speaker 2: vombit it that's in Texas, and so you want to

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Speaker 2: sanitize that and make sure it's washed with soap and water,

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Speaker 2: not hand sanitizer because the alcohol really didn't didn't take

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Speaker 2: nore virsto of ours.

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Speaker 1: Oh wow, So that's good news. Okay, I'll throw alcohol.

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Speaker 1: You know, hand sanitizer that does not do it. It's

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Speaker 1: got to be soap, uh sur factor. And then you

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Speaker 1: wash your hands for twenty seconds and get all those

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Speaker 1: germs down the sink.

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Speaker 3: Yes, yeah, and only touched a second. Just rub your face,

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Speaker 3: touch your hand to your face.

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Speaker 2: You got it.

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Speaker 1: If you got that habit, it's not a good one

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Speaker 1: to have this. This is this time of year, that's

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Speaker 1: for sure. Doctor Stephen Fagan's uh he is the medical

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Speaker 1: director Hamlet County. Thanks again so much for the information.

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Speaker 1: Appreciate it.

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Speaker 2: Be well, take care every day.

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Speaker 3: Yeah, there's a few.

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Speaker 1: More people back at work today, but again we're not

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Speaker 1: we're not the full strength, as we say in hockey.

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Speaker 1: We'll do a news update and if you have met

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Speaker 1: that's a cold is gonna last. Here's a spoiler avert

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Speaker 1: for you. With the weather, it's gonna last for a

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Speaker 1: couple of weeks. It's a good feel like anyway, maybe

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Speaker 1: a week from Thursday possibly, I guess this is when

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Speaker 1: we may get near freezing. At this point, who knows.

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Speaker 1: You just gotta bear down. We're gonna white knuckle it

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Speaker 1: literally and figuratively for sure. So that's on the way.

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Speaker 1: We get news update, latest to Minnesota, and we'll return

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Speaker 1: a little money tune up. Andy Shaeffer drops in once again.

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Speaker 1: He's with Simply Money and all Worth Advisors. Lots to

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Speaker 1: talk about the markets, including India and the European Union

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Speaker 1: getting together to try and gang up on the United

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Speaker 1: States to try and circumvent tariffs. What does all that mean?

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Speaker 1: We'll talk about it next with Andy Shaffer from Alworth

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Speaker 1: on the Scott Sloan Show. This is seven hundred wo