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This site includes temporary advisory (below) by the FDA for those recent passengers that may have been on a flight carrying an Extensive Drug Resistant Tuberculosis patient and is copied here for public view – including this article on our site   does not imply a product sponsorship by the FDA. -  Chairman, MolecuCare, Inc.

Every airliner in the daily sky creating ‘AIRLINER EFFECT’ is a bio-culture, and proof of the same inadequacy of the hospital ‘HEPA’ filtration central system failure to remove the pathogen, and without any exception of microbe type or threat.

 

Re-storing health once Tuberculosis (a lesser airborne illness), is contracted can mean months to years of recovery care treatment, and in some cases, Intensive Isolation.

Airlines place all passengers (and crew) at risk unnecessarily as airships can be equipped with air-cleaning measures that would remove this threat and unwarranted alarm, and apprehension for all that has become so much a part of air travel.

 

 

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AIRcaire™ REMOVES airborne infectious  CONDITION: Infectious indoor airborne microorganisms are contagious to anyone sharing that air. When the air is captured as it is in the airship cabin with high concentration of a few hundred occupants, everything pathogenic in that air will be sampled by all within minutes. An infectious airborne illness irradiation technology has been developed to defend the airliner passenger. It is new, safe and reliable, and represents world impact change important to world health.

AIRcaire is unprecedented care for your air health. AIRcaire REMOVES THIS CONDITION:

“AIRLINER EFFECT”

Present airliner air movement is hundreds of cubic feet per minute volume-exposure risk increasing with the size of the airship.  Viruses, the most contagious and deadly infectious pathogens, are a challenge to remove from fast-moving air. Any airborne disease with emergency consequence, e.g., SARS, Avian Flu and Ebola, have a free reign of infectious event exaggerated when dozens to hundreds of people breathe the same air repeatedly – the airliner condition. The standard defense technology that is known as the HEPA filter, cannot, and will not prevent virus passage or resultant airborne infectious transmittance from one individual to the other. This passage of the virus through filters is clearly demonstrated every day in the drug industry as virus contaminate occurs regularly spoiling production lots, in spite of the finest filtration used. Pointedly, where the mainstay air cleaning method in the hospital is the HEPA filter, this institutional infectious zone is globally prominent. Every airliner in the sky creating AIRLINER EFFECT is a prodigious culture proof of the inadequacy of HEPA filtration applied biologically,  Drug industry filters are too dense to have been used for any breathing apparatus.  Other product technology on this planet cannot kill airborne bacteria, virus and mold spores at a rate needed for measurable indoor air correction and health in that airliner condition.

Air disinfection equipment killS all microbe cellular life and particularly, the virus known to readily pass through a HEPA filter. Any BIO-threat is minimized if the ship itself is equipped with this technology, and it can be. This is a key defense logistic of immeasurable value to the airship passenger and will grow in meaning as critical as is world air traffic safety itself.

 

We invite your attention to our sites related to airflight health:

  www.indoorairhealth.com   www.avianfluairdisinfection.com    www.molecucare.com

 

 

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Portable Air Remedy is an essential stand-by high volume air disinfection emergency tool for any community, building complex, airport promenade or special feature quarters, or corporate campus, and the new concept in air correction needed in pandemic (SARS, AVIAN FLU, etc.) emergency management. When either large patient numbers spill over from hospital space, and when other emergency air quality bio-threat occurs. For use anywhere where a problem of airborne bio-threat has become or may become a present risk (such as in Flu, Tuberculosis, SARS, etc.) or there is evidence when exposure to contracted illnesses of a congestive origin has occurred, is suspect or known and spread is indeterminate.

 

IS YOUR AIRPORT PREPARED FOR EMERGENCY AIRBORNE CONTAGIOUS ILLNESS?  Gathering a large group in closed–in space where each person represents separate exposures in world travel, is a violent health liability today to those captured, and to family and associates later. There being no definition of the passengers infected prior to, during or after flight exposure, there is no means to measure the extent today of in-flight illness contraction. But the myriad of illness reporting tells the story plain enough, that flight time is a health risk.

 

WORLDWIDE PANDEMIC SITUATION CREATED BY INTERNATIONAL AIRLINE  TRAVEL:  LACK OF  ABILITY TO DETERMINE INDIVIDUAL ILLNESS OR HEALTH CONDITION IDENTITY - adds to any attempt at crowd-quarantine mentioned by risk management agencies looking at airline disease contraction as a very serious worldwide vector problem in a pandemic situation.

 

There is no way to avoid accidental mixing of those that may be infected during the flight and the healthy unaffected by that flight. Unfortunately, little now is available for stand-by readiness as a defense protocol. There can be no concerns at mixing possible ill with the healthy as there will be little indication of the difference in a crowd collection, so early in the disease evidence, with little exception. Few understand today that when post-flight participants are gathered (ad hoc collected in unprotected rooms instead of in air protected space), there is a very high threat to their health – a serious threat that may exceed the flight time duration, as passengers may be constrained thereafter in an emergency due to evolving events.

 

PAR CHANGES THIS RISK as A DEFENSE METHOD FOR THE HEALTHY and reduced challenge to the ill.  ‘Quarantine’ of the healthy with the ill, is a fatal strategy without extreme air defense protection used in the ‘made-available’ quarantine area.

These portable (wheeled) units are now available as an airport quarantine stand-by defense. Quarantine space can be properly out-fitted with air correction by these roll-in heavy duty air volume displacement (6,000+ CFM) as the defense method overriding ‘sick’ air existing in that space.

This defense method is new to airport management, or other jurisdictional control defense preparation, for use as an advanced caution effort.

When the building is not equipped with MolecuCare HVADC:

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-          PAR™ Portable Air Remedy is a critical logistic defense  (prevention spread) method. It is an essential tool: stand-by high volume air disinfection emergency air blanketing for triage event space. It will be needed for emerging pandemic threat to any community, building complex, airport or corporate campus.

-           

-          PAR, Stand-By wherever there might be a crowd exposure or similar to street or building accident or purposeful event having created a problem of airborne contagion bio-threat. As a meaningful defense protection in the absence of other airborne defense equipment or facility.  Such  public event may be local or building oriented may be the source of event, or for those spaces used as  defense zones for larger victim counts, for enlarged emergency care spaces.

-           

-          PAR, in CONSTRUCTION: the routine safety provision for construction personnel during building alterations and remediation mold removal, a common event. Mold removal failure has resulted in building abandonment, closure and condemnation. Construction professionals agree that ‘mold-chasing’ is a serious challenge to the building personnel as well as workers. Mold removal failure evidence in later building use is avoided with follow-up installation with the full-time building equipped AIRcaire product. 

 

PAR: 6,000 cfm @ 80Joules/ft3/sec Roll-In Safe-Air Disinfection Safety zone preparation logistic: www.avianfluairdisinfection.com

 

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            Water Conservation and Purity; Safe Water Generator©

 

-         The rugged compact water machine for microbe clean-up of every bio contaminant, newly designed and executed for long term operation, a minimum of access maintenance, and, service that does not require special tools or skills. Stunning is the capacity – large enough to service the skyscraper building and building complex, the gated community and the community itself. Several features of this design using the MolecuCare disinfection power have changed the cost and care for water bio correction permitting owner control of water qualities and safety. Structure avoiding contact between flow and metal materials permits unusual application and life expectancy including lifetime performance consistency and dependability. This technology product delivered in a machine critical to community or building health at any time is adaptable to vaulted separation, unique security features important in a world beleaguered with destructive intent.

 

 

 

www.H2O-VAULT.com    www.waterrecovery.com  

 

* CMIAE Program (see www.molecucare.com)

 

Airframe test model (five identical Generator units each phase) preliminary work study project: Phase I prototype configuration suitable for designated airship bio-test worthiness to performance criteria, non-environmental engineering unit; Phase II advanced prototype configuration and environmental structural integrity to performance criteria; Phase III final model production prototype for certification use to performance criteria

Project lift-off costs to vendor expense adjustments for project maintenance dependent upon locations of project elements and dimension.

 

Reference Library of Health by MolecuCare:

AIR: 1 800 966 9853 WATER: 1 800 242 5883


www.MolecuCare.com

Made in the U.S.A.

Copyright ® MolecuCare®, Inc.  2007, New Milford, CT 06776

(ABOVE) Excerpt from MolecuCare Reference Library: Journal Watch, New England Journal Of medicine, April 15, 2007, pp 66 Vol 27 No.8

We invite all to review this factual article study of airflight illness (above). Noteworthy is the result that seven disease types infected 43% of 67 people.  Since there are literally hundreds of diseases, you might ponder mathematically what the chances are of finding 43% of one group with such similarity of illness.  Missing data worthy of such a study: what were the common flights to these people.

 

 

This is an official

CDC Health Advisory

Distributed via Health Alert Network

December 29, 2007, 19:35 EST (07:35 PM EST)

CDCHAN-00267-07-12-29-ADV-N

Investigation of International Traveler with Multidrug-Resistant Tuberculosis (MDR TB)

The Centers for Disease Control and Prevention (CDC) is working with international, state, and local health officials and other partners on an investigation involving an international traveler to the U.S. who had recently been diagnosed with multidrug-resistant tuberculosis (MDR TB).

CDC was informed in mid-December 2007 by a local health authority that a patient who had been diagnosed in India with MDR TB traveled from New Delhi, India to Chicago, Illinois on December 13, 2007 on American Airlines Flight # 293 and then on a shorter flight within the United States. Shortly after final arrival, the patient sought treatment for hemoptysis, fever, and chest pain at a hospital. These and other findings indicated a potential for transmission of drug-resistant TB infection to others. The patient has been hospitalized in airborne isolation and is receiving treatment for TB.

Shortly after being notified about the patient and her travels, officials of CDC’s Division of Global Migration and Quarantine contacted American Airlines and U.S. Customs and Border Protection to obtain the information needed to contact passengers who may have been exposed to the traveler with tuberculosis. CDC is collaborating with U.S. state and local health departments, the Indian Ministry of Family Welfare, American Airlines, and the Department of Homeland Security’s Customs and Border Protection to ensure notification and follow-up of passengers and crew who may have been exposed to MDR TB.

In accordance with the World Health Organization (WHO) TB and Airline Travel Guidelines, CDC is ensuring appropriate follow-up and care for persons who may have been exposed to TB on an aircraft. This includes recommending the evaluation and testing of passengers and crew with closest contact to the patient on board American Airlines Flight #293 departing from New Delhi, India on December 13, 2007 and arriving in Chicago, Illinois on December 13, 2007. This includes 44 passengers. These were the passengers seated in the same row as the index patient (row 35), and those seated in the two rows ahead (rows 33 and 34) and the two rows behind (rows 36 and 37), as well as the crew members working in the same cabin. These persons should receive an initial evaluation and testing for TB infection, with follow-up 8 to 10 weeks after the December 13 flight for re-evaluation.

CDC recommends testing of these passengers and crew on only the international flight from New Delhi to Chicago because this flight was longer than the 8 hour duration criteria specified by WHO for passenger testing for exposure to tuberculosis. WHO and CDC do not recommend notification or medical evaluation of passengers on briefer flights because the risk of transmission is minimal. WHO guidelines can be found at http://whqlibdoc.who.int/hq/2006/WHO_HTM_TB_2006.363_eng.pdf

CDC issued an Epi-X notification on December 28, 2007 to health officials in 17 states based on locating information provided by 42 of the 44 potentially exposed passengers. (Locating information was not available on two passengers). These states include California, Colorado, Florida, Georgia, Illinois, Indiana, Kansas, Michigan, Minnesota, Missouri, New Jersey, North Carolina, Ohio, Tennessee, Texas, Vermont, and Virginia. These states should inform CDC’s Division of Global Migration and Quarantine’s duty officer if they are unable to contact any of the passengers with destinations in their states. The duty officer can be reached by calling CDC’s Director’s Emergency Operation Center (DEOC) at (770) 488-7100.

Drug-susceptible (regular) TB and MDR TB are thought to be spread the same way. The risk of acquiring any type of TB appears to depend on several factors, such as extent of disease in the source patient, duration of exposure, and ventilation.  TB bacilli become aerosolized when a person with TB disease of the lungs or throat coughs, sneezes, speaks, or sings. These bacilli can float in the air for several hours, depending on the environment.  Persons who breathe air containing these TB bacilli can become infected.  Transmission has been documented in association with patients who have TB lung disease, and bacteria seen or cultured in sputum. Persons who become infected usually have been exposed for several hours (or days) in poorly ventilated or crowded environments. An important way to prevent the spread and transmission is by limiting an infectious person’s contact with other people.  Thus, people who have suspected or confirmed TB or MDR TB that is potentially infectious should be placed on treatment and kept isolated until they are no longer infectious.

State and local health departments who want additional information may contact CDC’s Division of Global Migration and Quarantine’s duty officer through the CDC Director’s Emergency Operation Center (DEOC) at (770) 488-7100.

Persons who believe they may have been exposed to TB or MDR TB, or their clinicians, can call 1-800 CDC INFO for further information.

Where to go for information about:

Tuberculosis: http://www.cdc.gov/tb/default.htm

MDR TB: http://www.cdc.gov/tb/pubs/tbfactsheets/mdrtb.htm  

http://www.cdc.gov/tb/pubs/tbfactsheets/drugresistanttreatment.htm


TB Testing:
http://www.cdc.gov/tb/pubs/tbfactsheets/skintesting.htm and http://www.cdc.gov/tb/pubs/tbfactsheets/QFT.htm

Infection control: http://www.cdc.gov/tb/pubs/tbfactsheets/ichcs.htm  and http://www.cdc.gov/tb/pubs/tbfactsheets/rphcs.htm

Tuberculosis and Air Travel: http://whqlibdoc.who.int/hq/2006/WHO_HTM_TB_2006.363_eng.pdf

____________________________________________________________________________________

Categories of Health Alert messages:

Health Alert conveys the highest level of importance; warrants immediate action or attention.

Health Advisory provides important information for a specific incident or situation; may not require immediate action.

Health Update provides updated information regarding an incident or situation; unlikely to require immediate action.

##   This Message was distributed to State and Local Health Officers, Epidemiologists, State Laboratory Directors, PHEP Coordinators, HAN Coordinators and Public Information Officers as well as Public Health Associations and Clinician organizations   ##


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(BELOW) NIH ADVISORY:

 

 

 

Web Letter for Passengers

XDR TB in Traveler

Return to Extensively Drug-Resistant Tuberculosis (XDR TB)

Dear Passenger or Flight Crew Member:

A person with extensively drug-resistant tuberculosis (XDR TB) traveled on an airline flight you may have taken in May 2007:

Date

 From 

To

Airline / Flight#

May 12/13

Atlanta, Georgia

Paris, France

Air France #385 // Delta #8517

May 24

Prague, Czech Republic

Montreal, Canada

Czech Air #104

Tuberculosis (TB) is a disease caused by germs that are spread from person to person through the air. TB and XDR TB are spread the same way, but XDR TB is resistant to almost all of the drugs commonly used to treat TB disease. The general symptoms of TB disease include cough, weight loss, fever, and night sweats. When a person with TB disease of the lungs or throat coughs, sneezes, or speaks, TB germs may be expelled into the air and can remain airborne for several hours, depending on the environment. Persons who breathe the air containing these TB germs can become infected; this is called latent TB infection (LTBI).

This is the first investigation of a case of XDR TB during air travel. Due to the serious nature of this strain of TB disease, CDC is recommending that all U.S. residents and citizens on either of these flights receive evaluation and testing for TB infection. Passengers who were most at risk were those sitting two rows in front and two rows behind the patient.

If you were a passenger or flight crew member on either of the two flights listed above, we strongly recommend that you complete these steps at your earliest convenience:

1.      See your physician or local health department and request TB testing. Bring documentation of travel history for the flight and health history with you.

2.      Receive TB testing, which should include an evaluation of signs and symptoms of TB, a TB skin test or the QuantiFERON®TB Gold blood test (QFT-G) to test for TB infection, and possibly a chest x-ray.

3.      If needed, return to your healthcare provider for a second TB test 8–10 weeks following your flight date (i.e., the time of your last possible exposure to the patient).

4.      Keep a copy of your test results for your records. If you ever experience any signs or symptoms of TB disease in the future (regardless of your test result), see a physician promptly and explain that you were possibly exposed to a person with XDR TB.

Many persons born outside of the United States receive a vaccine called

BCG (Bacille-Calmette Guerin)

 to prevent development of TB disease; however, we still recommend that persons who received BCG vaccination should be tested for TB.

For inquiries related to this investigation or questions regarding payment for TB testing, please go to

State TB Control Offices.

For more information about XDR TB, please see these links:

·        

Get the Facts About TB Disease

 (PDF - 430K)

·        

What you Need to Know About the TB Skin Test

 (PDF - 202K)

·        

Protect your Family and Friends from TB

 (PDF - 1027K)

·        

Extensively Drug-Resistant Tuberculosis (XDR TB)

 

We greatly appreciate your assistance on this important international XDR TB contact investigation.


Last Modified: 05/31/2007
Content Source: Division of Tuberculosis Elimination
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

 

 

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The following is an excerpt from the NIH bulletin Skip

Division of Tuberculosis Elimination

 

Who should be tested?

(Copied from NIH bulletin as follows)

The World Health Organization has guidelines for follow-up and care of persons who may have been exposed to someone with TB during air travel. In accordance with these guidelines, CDC recommends that all U.S. citizens and residents who were passengers or crew on these flights be evaluated and tested for TB infection.

The following persons are the highest priority for evaluation:

Why is CDC not following up with passengers who were on the shorter flights with the XDR TB patient?

Both CDC and the World Health Organization (WHO) consider the risk of infection to travelers on flights under eight hours to be very low. However, if you were a passenger on one of the flights that were shorter than 8 hours and are concerned, check with your local public health department or your primary care physician about being tested for TB.

Can a person who was on the same flight with the XDR TB patient give TB to others?

Only a person with active TB disease can transmit TB germs to others. If you have been around someone with TB disease (or XDR TB disease), you can get TB infection. However, not everyone infected with TB germs becomes sick. As a result, two TB-related conditions exist: latent TB infection and active TB disease. A person with latent TB infection cannot spread germs to other people, but can develop active TB disease in the future. People with medical conditions or on medications that suppress the immune system are at higher risk to become ill with active TB disease.

Am I at risk for exposure if I took the same flight the following day as the XDR TB patient, or was in the same boarding area?

Persons who become infected usually have been exposed for several hours (or days) in poorly ventilated or crowded environments. Boarding the same plane the next day or being in the same boarding area would not warrant evaluation. TB is not spread through countertops, chairs, doorknobs, or other surfaces where a TB patient has been.

However, if travelers are concerned about exposure, check with your state or local health department or your primary care provider about being tested for TB.

AABBAirlinerAirColorJune82007