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...good has come of the global H1N1 flu pandemic, it may have started with a child like Nayeli Quispe, 7, a second-grader from the impoverished hillsides of La Paz, Bolivia. Prompted by a massive campaign by the country's public-health officials to contain the spread of the new flu virus, Nayeli and millions of other Bolivian schoolchildren have been washing their hands a lot more than usual - after recess, before meals and every time the animated dancing hands pop up in public-service announcements on TV. "First you wet them really well, then you rub the soap...

Author: /time Magazine | Title: H1N1: Swine Flu's Collateral Health Benefits in Bolivia | 10/22/2009 | See Source »

Public-health experts now say the increase in hand-washing across the country may have had some collateral benefits, not only in helping to reduce H1N1 infections, but also the spread of other common diseases in Bolivia. "We see a steady 10% to 15% drop in the rate of incidence of acute diarrheal diseases in all age groups, compared with last year's numbers at this time," says Dr. René Lenis, Bolivia's director of epidemiology, referring to data collected on the number of weekly cases of diarrheal disease reported in medical centers nationwide...

Author: /time Magazine | Title: H1N1: Swine Flu's Collateral Health Benefits in Bolivia | 10/22/2009 | See Source »

...statistics, and the apparent link between hand-washing practices and disease reduction, need further investigation, "this certainly raises our attention," says Lenis. Diarrheal diseases are the biggest killer of children under age 5 worldwide; in Bolivia, 30,000 children die each year from such illnesses. Swine flu, as H1N1 is still referred to there, has hit Bolivia hard as well, with more than 2,000 infections and 55 deaths in a country of 9 million, most having occurred during the southern hemisphere's winter (June through August). (Read "Child-Care Centers and Parents Brace for Flu Season...

Author: /time Magazine | Title: H1N1: Swine Flu's Collateral Health Benefits in Bolivia | 10/22/2009 | See Source »

...trend will hold up. But the findings "make a lot of sense, because behavior change like increased hand-washing happens quicker when there is a perceived threat," says Dooley. She says she has not seen similar data regarding a drop in rates of diarrheal or other diseases on an H1N1 timeline from other countries (though at least one news report suggests that increased hand-washing due to H1N1 has led to a sharp reduction of pinkeye cases in Korea). They may trickle in, however, if other countries are also looking for these correlations, says Dooley...

Author: /time Magazine | Title: H1N1: Swine Flu's Collateral Health Benefits in Bolivia | 10/22/2009 | See Source »

However ill-conceived people’s conceptions of vaccines may be, they should not be forced to take them for fear of losing their jobs. Though such a solution may require compromise, a mandatory H1N1 vaccine would be a step in the wrong direction. Unless such a vaccine is proven absolutely critical for the performance of their job, health workers’ right to choose must be protected...

Author: By Christopher J. Hollyday, CRIMSON STAFF WRITER | Title: Who Decides Our Health? | 10/21/2009 | See Source »

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