PLAGUE - Printable Version +- Survival UK Forums (http://forum.survivaluk.net) +-- Forum: Discussion Area (http://forum.survivaluk.net/forumdisplay.php?fid=13) +--- Forum: Medical (http://forum.survivaluk.net/forumdisplay.php?fid=32) +---- Forum: Medical Equipment and Supplies (http://forum.survivaluk.net/forumdisplay.php?fid=75) +---- Thread: PLAGUE (/showthread.php?tid=510) |
PLAGUE - NorthernRaider - 23 November 2011 PLAGUE Bubonic and Pneumonic Prophylaxis: CHILDREN: Oral medication only-Human or Animal Grade Do NOT give Children "Shots "! When Children are considered Children: Doxycycline-100 pounds and under Tetracycline 8 years and under Oxytetracycline-8 years and under Penicillin- 60 pounds and under Cipro- Do not give to humans under 19 years Clark's Rule: Weight *best* Divide the child's weight by 150 lbs. then multiply that number by the ADULT daily dose total. The answer equals the child's total daily dose. For instance, a dosage for a 60 pound child is computed thusly: 60/150 = 0.4 Now multiply that by the minimum daily dose for an adult and you get: 0.4 X 200mg (Doxycycline) 80mg or 80mg for a daily dose total of Doxycycline. However. Doxycycline only comes in 50mg and 100mg tabs so, the dosage for the 50 pound child can be adjusted to: 5omg every 12 hours (q12h) x 30 days or duration of exposure-whichever is longer. Total daily dose = 100mg. Example: 50 pound child taking Tetracycline and Oxytetracycline would compute (50/150 times 3000mg) or a 1000mg daily dose total. This dosage would be: 250mg every six hours (q6h) X 30 days or Duration of exposure--whichever comes first Young's Rule: AGE Divide the age of the child by his age + 12. For instance the calculations for a 3 year old child would be 3 divided by 3+12 (15) or 3/15. Thus 1/5th of the daily adult dose total. Cowling's Rule: AGE Divide the number of the NEXT birthday by 24. For example: a 5 year old child's dose would compute: 6 divided by 24 equals 6/24 or 1/4 of the daily adult dose/dosage total. PLAGUE Control Isolation: When handling infected humans wear Kitchen Gloves, Poncho, Mask, and Eye Protection Strict isolation of patients with Pneumonic Plague Sanitary procedures for Bubonic Plague Decontamination: Wash or Spray all contaminated objects with: 0.5% Bleach or Iodine solution or Germicidals. Food CANNOT be decontaminated To decontaminate drinking water using: USP Iodine Crystals -Saturated Solution Add 8 grams of Iodine crystals to a 2 ounce clear glass bottle with a bake-lite cap. NO Plastic! Fill with water and shake vigorously for several minutes, then let settle. Without disturbing the sediment, withdraw 6 teaspoons (30cc) of the saturated solution and add to a quart of tepid water. Let stand for at least 60 min. To make more of the saturated solution "batch", just add more water to the sediment in the two-ounce bottle and -shake. Remember: When there is no more sediment-start another "batch". Contamination Prevention: Eat only sealed foods. Drink only sealed water. Avoid air conditioning. Avoid crowds. Wear a face mask Wear kitchen gloves. Wear a poncho. Wear boots. Disposal: Human or Animal Burn the carcasses OR bury them with quick lime. Clothing and bedding should be burned. Preventing Outbreaks Since Pneumonic Plague is quite contagious from human to human, strict isolation must be employed! Bubonic Plague is contracted from the infected flea/rodent population, therefore, pest control must be implemented. Pesticides for the insects. Poison for the rodent population. Burn the carcasses.' Do not -use dogs or cats to control rodents. PLAGUE Bubonic And Pneumonic Plague Description Plague is a gram-negative bacteria (Yersinia Pestis) and may be spread from human to human in sputum droplets (or intentional aerosol) once the disease has gone Pneumonic or by the bite of infected fleas. As a weapon. consider Plague quite Deadly! Signs and Symptoms: Pneumonic-(lungs)-incubation 2-3 days. High fever, chills, headache, bloody discharge from the mouth and nose, progressing to laboured and harsh breathing, and bluish skin. Death follows onset of severe symptoms (usually 48 hours) from respiratory failure and circulatory collapse. Untreated, Pneumonic Plague has a 90% mortality rate. Antibiotic Prophylaxis would be successful. Bubonic-Black Death-Incubation 2-10 days. Rapid pulse, rise in temperature, enlarged lymph nodes (buboes) with surrounding swelling. The node may turn black from dead tissue. Within two weeks the buboes generate pus. Untreated, Bubonic Plague has a 60% mortality (usually in 3-5 days). Antibiotic Prophylaxis would be successful. Septicemic-Blood infection Septicemia may occur at any time during the course of either Bubonic or Pneumonic Plague. Death is swift once the disease is bloodbourne Antibiotic Prophylaxis would be successful. War Engine: Bubonic Plague can be spread by infecting a rodent population (such as in a sewer system). Fleas would then spread the disease to humans. Cats have been known to spread Pneumonic Plague to humans. Pneumonic Plague can be delivered by aerosol (spray). Thus delivered, Pneumonic Plague is a certainty as well as Bubonic. Food and water will become contaminated. PLAGUE Pneumonic and Bubonic Prophylaxis: Adults Oral medications only DOXYCYCLINE: Adults 100 pounds or over Doxycycline (Vibramycin) pills or capsules. 1) Minimum adult dosage for Doxycycline = 100mg every 12 hours (BID/q12h) x 30 days or Duration of exposure--whichever is longer This is a total of 200mg per day. 2) Maximum adult dosage for Doxycycline = 100mg every 8 hours (TED/q8h) x 30 days or Duration of exposure-whichever Is longer. This is a total of 300mg per day TETRACYCLINES: Adults 8 years and over Adult DOSAGES: Tetracycline or Oxytetracycline. 1) Minimum adult dosage for the Tetracyclines = 500mg every six hours (q6h) x 30 days or Duration of exposure-whichever is longer. This is a daily total of 2,000mg 2) Maximum adult dosage for the Tetracyclines = 500mg every four hours (q4h) x 30 days or Duration of exposure-whichever is longer.This is a daily total of 3,000mg Ciprofloxacin--not for Humans under 19 years Unknown but suspected "useful" as a prophylaxis Adult DOSAGES: Cipro Ciprofloxacin. 1) Minimum adult dosage for Cipro = 250mg every 8 hours (T1D--q8h) X 30 days or Duration of exposure-whichever is longer. This is a daily total of 750mg 2)Maximum adult dosage for Cipro = 500mg every 12 hours (BID) X 30 days or Duration of exposure-whichever is longer This is a daffy total of 1000mg. Penicillin-Not as effective as the Tetracyclines. However, if allergic to the Tetracyclines TAKE: Dosage for Pen V-K 500mg every 6 hours X 30 days or Duration of exposure-whichever is longer This will be a daily total of 2000mg PLAGUE Treatment For patients not taking Prophylaxis Pneumonic &Ad Bubonic Plague: Adults and Children: Streptomycin - IM- (intramuscular) q12h (BID) Treatment should begin within 24 hours of onset of symptoms of Pneumonic Plague-- The treatment of choice is Streptomycin I.M. The formula is simple, (30mg per kg of body weight per day for 10 days) Divide into two equal shots. 1 kilogram (kg)equals 2.2 pounds so a 110 pound human would weigh about 50 kg. Therefore; 30mg x50 = 150mg daily for 10 days. 750mg IM (Buttocks) every 12 hours for 10 days. Adults Only IV. Drip Doxycycline--IV. Drip-Ringers or D5&W The formula is as follows: First give 200mg IV. Drip (loading) then 100mg IV. Drip every 12 hours for 14 days Children Only IV. Drip Doxycycline - IV Drip - Ringers or D5&W For Children under 100 pounds as follows: 4-4mg per kg of weight, IV Drip (loading) then 2.2mg per kg of weight IV. Drip every 12 hours. Adults Only-Oral: Doxycycline Oral--pills or capsules 200mg (loading) then 100mg every 12 hours for 14 days Children Only-Doxycycline Oral See: Clark's Rule Dose every 12 hours for 14 days (Oral) Adults Only-Oral Tetracycline and Oxytetracycline 500mg every four hours for 14 days (Oral) Children Only-Tetracycline/Oxytetracycline See: Clark's Rule Dose every four hours for 14 days (Oral) -- RE: PLAGUE - Skean Dhude - 23 November 2011 I think if this happens after an event it would be the finishing touch for many survivors. RE: PLAGUE - NorthernRaider - 23 November 2011 I deam the risk to be very very high in a societal collapse in the UK (A) The UKs population of rats is at an all time high (B) The UK population is at an all time high © Public hygiene standards soon collapse without leccy to flush waste, pump sewage, pump drinking water etc (D) Many survivalists of today are openly stating they will not stop their cats and dogs from coming into the retreat, they ( the pets) only need one flea from one rat on their coat to kill everyone in that location RE: PLAGUE - Kenneth Eames - 23 November 2011 Thank you for this Northern Raider. I am writing material on Herbal medicine and have within it Youngs rule and Cowlings rule within it. I hope you don't mind my publishing it on the website, but it is part of the article. There are a number of other ways of determining dosage in various publications but these are the most recommended. Kenneth Eames. |