Avian Flu: The Next Great Pandemic Threat

Jump to Section

Jump to Section

“The pandemic clock is ticking, we just don’t know what
time it is.”

– Ed Marcuse, 2003

The Forgotten Flu

In the spring of 1918, as the first great war of the modern age neared its close, a far more deadly adversary was just beginning its worldwide conquest. Stealthier than a German U-boat, the invading force circled the globe in a matter of months, leaving in its wake a level of carnage remarkable even against the novel horrors of the day. Even more surprising was the invisible agent behind this monumental assault: an influenza virus, blown into pandemic proportions.

Influenza carried much of the same benign implication in the years leading up to 1918 as it does today. Viewed with familiarity and little feared, the “flu” was accepted as a relatively harmless illness akin to the common cold – a serious threat only to infants, the elderly or infirmed. This perception drastically shifted with the outbreak of an especially virulent strain that came to be known as “Spanish flu.” The killer virus swept the world in less than a year, spreading along trade routes and rail lines and touching nearly every human population on earth.

Equally extraordinary was its unusual mortality pattern, discriminately targeting the young, healthy adults that seasonal influenza typically spares. Out of the massive number of those infected, an unlucky 2.5% suffered a gruesome fate. Sudden spells of fever and weakness rapidly progressed into agonizing pneumonia as the lungs hemorrhaged and the telltale blue tint of cyanosis set into the skin. Death often came quickly, sometimes just hours after the initial symptoms.

After the last wave of the pandemic ended in June of 1920, Spanish flu had claimed some 50 to 100 million lives with one-third of the global population falling ill. The United States alone lost an estimated 675,000 people – more than the total American casualties in every twentieth-century war combined. It was by a cruel and mysterious twist of fate that this plague, likely the worst in human history, emerged during the final stages of a bloody conflict that had already so deeply traumatized the world at large. Still reeling from the shock and hardship of four years at war, people had little chance to process the magnitude of the fleeting pandemic. It’s not difficult to understand why the survivors of these devastating events chose to look to the future, and to bury their memories of Spanish flu along with the dead. As the historian Alfred W. Crosby puts it, “as soon as the dying stopped, the forgetting began.”

“as soon as the dying stopped, the forgetting began.”

Today the great influenza of 1918 is a minor bullet point in the annals of history. Memorials to Pearl Harbor and memoirs of economic depression far overshadow the Spanish flu tragedy despite its enormous impact. Even amid threats of bioterrorism and climate chaos, it is hard to imagine a disaster more catastrophic than a pandemic, with its unique ability to afflict the whole of humanity at once. While infectious disease probably ranks low among the worries of most Americans, health experts agree that future pandemic events are a natural inevitability. There have been 10 influenza pandemics in the last 300 years, and three of these occurred in the last century: Spanish flu, the “Asian” flu of 1957 and “Hong Kong” flu in 1968. While far less severe than their infamous predecessor, the past two outbreaks caused significant social disruption and resulted in around 2.5 million deaths worldwide. And if history is any indication, as many experts fear, we are perilously overdue for another round.

The Next Great Pandemic Threat

In May of 1997, a three-year-old Hong Kong boy died from a flu-like respiratory illness later identified as a highly pathogenic strain of the avian influenza A virus. Classified by the subtype H5N1, this variation had previously been known only to infect birds, and was responsible for the deaths of thousands of chickens in the area a few months earlier. By December, Hong Kong had reported an additional 17 cases of human H5N1 infection, five of which proved fatal.

The sudden leap across the species barrier meant that people had no protective immunity to the virus, a key factor in an emerging pandemic. With officials nervously monitoring the situation, the “bird flu” outbreak seemed to disappear. But in 2003, H5N1 resurfaced in Hong Kong in two confirmed human cases (one fatality), quickly spreading outwards to infect poultry across mainland China, Korea, and Southeast Asia. The next great pandemic threat had arrived.

Over the ensuing years H5N1 has continued to proliferate, taking hold in bird populations throughout Asia, Africa, and Europe. The virus is now considered endemic in many regions, despite efforts to eradicate it from domestic flocks. Especially hard hit have been developing countries like Viet Nam, Bangladesh and Indonesia where poultry farming is a vital means of subsistence for rural villagers. For every thousand birds that die from the flu, tens of thousands more are culled in desperate attempts to quash the runaway virus. The total number of culled poultry exceeds 150 million and continues to mount, placing significant economic stress on beleaguered farmers who aren’t always equitably compensated for their losses.

Most worrisome, however, is avian influenza’s occasional ability to infect people in close contact with diseased birds. By the
current figures, there have been 382 confirmed cases of bird flu in humans in 14 countries. 241 of these resulted in death, for a Case Fatality Ratio (CFR) of 63% ­- an exceptionally high proportion, considering that the lethal Spanish flu’s CFR was just 2.5%. H5N1 displays a curious similarity to Spanish flu in its abnormally high fatality rate among young adults, leading researchers to speculate that the viruses share some unknown biological traits. Incidents of human contraction, while still rare, are on the rise and regularly appearing in new locations, suggesting a slow but persistent trend towards easier transmissibility between species.

As viruses go, influenza is especially prone to such mutations. This is why, for example, we are urged to get a newly updated shot each fall to ward off another year’s iteration of the seasonal flu. Flu viruses are constantly undergoing small genetic changes, mutating gradually according to a process called antigenic drift. As slight alterations build up in its surface proteins, a virus can develop new behavioral characteristics such as the potential to cause more severe illness or to afflict a wider range of species.

Alternately, entirely new subtypes can form through antigenic shift, a dramatic process of gene swapping, or reassortment, that takes place between two or more distinct viruses present in the same host. Both methods have likely led to pandemics in the past. Recent studies suggest the gradual emergence of Spanish flu through antigenic drift in the avian influenza virus H1N1, a scenario once thought impossible by virologists. Conventionally, pandemics have been understood as products of sudden genetic reassortment; the 1957 and 1968 outbreaks were themselves reassorted from H1N1 to create novel human influenza viruses.

In order for a virus to become a full-blown pandemic, three conditions must be met. First, the strain must be one that has never infected humans before (or that has dropped out of circulation) meaning everyone is potentially susceptible. The virus must then develop the ability to cause disease in humans. Finally, a mutation must take place to allow for easy transmission between people, as occurs with the seasonal flu. At present, the first two of these conditions are clearly evident in H5N1. The key mutation needed to launch bird flu to pandemic status could come at any time, through a series of subtle changes or an abrupt genetic reshuffling in any infected host. Some experts believe the current avian flu is following in the footsteps of Spanish flu, incrementally building up mutations on a path to global epidemic.

For researchers tracking H5N1, the situation has grown unbearably tense. The unabated spread of avian flu in poultry is a serious concern, as each back-and-forth transmission among animals could potentially give rise to a new strain perfectly suited for human illness. The vast numbers of both animals and people alive today provide unprecedented mutation opportunities for the unstable influenza virus. Carried by migratory ducks and swans, the disease has traveled long distances to crop up in once-unaffected Western Europe. H5N1-infected birds have recently been identified in urban areas of Bangladesh
and South Korea, raising fears of widespread human infection. There is also evidence that the virus is becoming better adapted to infect mammals with reports oftigers, dogs, and domestic cats dying from avian flu. While it is possible that H5N1 will remain a threat only to chickens and their handlers, the virus seems to be inching ever closer to humankind.

 



Managing the World’s Health

Leading the fight against bird flu is the World Health Organization (WHO), a Geneva-based offshoot of the United Nations that plays a pivotal role in combating disease and setting global health policy. As reports of bird or human H5N1 cases arise, WHO researchers investigate the outbreak, collecting background information along with serum samples from infected hosts to determine if critical changes have taken place in the virus. Using this data, officials attempt to gauge the risk posed by avian influenza.

According to the agency’s six-phase Pandemic Alert System, the global bird flu situation is currently poised at phase 3, indicating “no or very limited human-to-human transmission.” A jump to a phase 4 alert would point to “evidence of increased human-to-human transmission” – a subtle difference, but a significant one in terms of perception of the current threat. Raising the alert status would likely precipitate immediate public concern, mobilizing governments and local communities around the world for an imminent pandemic. “Because of the huge consequences of such a change,” a 2005 press release explains, “WHO is following a cautious approach.”

The world has been locked in a phase 3 pandemic alert since January of 2004 despite a growing number of infection “clusters” which suggest that direct transmission of bird flu between humans may be taking place more readily. The most striking example of this came in May of 2006 when an Indonesian family of seven fell ill from avian flu in the largest cluster to date. Six people died, most of whom had no contact with poultry and likely contracted the disease from another family member. This rattled the nerves of many officials, particularly due to genetic clues hinting that the virus had passed between individuals and onto a third – a two-generation or “human-to-human-to-human” (H2H2H) chain that had never been seen before.

Following a flurry of attention surrounding the incident, WHO resisted calls to boost the pandemic alert citing insufficient evidence that the threat had advanced. Specific guidelines for raising the alert level don’t exist, leaving many experts wondering what must happen before WHO will take this critical step.

In a statement following the Indonesian report, Michael Osterholm, director of the Center for Infectious Disease Research and Policy (CIDRAP), expressed concern over the ambiguity of the alert system:

“I’m personally confused about the difference in what a phase 3 and phase 4 alert level is. The WHO has not clearly described the difference. That’s important. I’m personally aware of a number of companies that have pegged certain levels of their pandemic flu plan on a change from phase 3 to phase 4.”

As the de facto authority on pandemic preparedness, it is understandable that WHO would be careful in making a judgment that could have dramatic worldwide effects, from reduced tourism to a global economic slump. An event from the recent past serves as a cautionary tale for policymakers weighing the ill-defined risk of an H5N1 pandemic: the U.S. “swine flu scare” of 1976.

The Swine Flu Factor

When a freshly mutated strain of influenza A linked to the dreaded Spanish flu killed a soldier at Fort Dix, New Jersey, officials feared a massive outbreak was at hand. Acting on the urgent recommendations of his health advisors, President Gerald Ford promptly announced plans for a nationwide immunization campaign during a televised address. It was a brash move (perhaps motivated by election-year politicking and pressure from pharmaceutical lobbyists) but some regard it as an ethical and defensible action considering the potential consequences of an uncontrolled epidemic.

As it turned out, the swine flu threat never materialized and only resulted in the initial fatality. Instead, hundreds of people developed a rare nervous system disorder, Guillain-Barré syndrome (GBS), shortly after receiving a dose of the hastily developed vaccine. The program was cut short in a wave of controversy following 25 GBS-related deaths, to the great embarrassment of all involved. Although there
remains speculation
as to whether the flu vaccine was truly at fault, the episode humbled the medical community and left a legacy of public distrust in government-sponsored health initiatives.

The lessons of the swine flu “fiasco” have doubtless informed WHO’s guarded approach to H5N1. But by all indications, the current situation is considerably more threatening. Whereas swine flu caused just a single death and infected only a handful of Americans, the avian virus circulating the globe has killed hundreds over the past five years, to the grave concern of health officials worldwide. Moreover, the entire notion of tracking an emerging pandemic is unprecedented; never before has a society seen one coming, let alone attempted to stop it.

In a May 2006 document, WHO acknowledges the dangerously uncharted territory it treads: “Given the unpredictable behaviour of influenza viruses, no one can know in advance whether the start of a pandemic will begin gradually … or be announced by a sudden explosion of cases, thereby precluding any attempt at containment.”

In this light, WHO officials might be viewed as overly cautious when faced with the tough decisions that could mitigate an H5N1 pandemic. The prominent bird flu blog Effect Measure has censured WHO for its reluctance to raise the alarm about ominous developments in the virus: “Admittedly this is a tough call for public health and there are two ways they can get it wrong: failure to warn when it turns out the warning was justified, or warning when it turns out otherwise. … If you are going to get it wrong, it is better to err on the side of precaution than the reverse.”

Other experts disagree, insisting that the agency is performing admirably under challenging circumstances. “I don’t think [WHO] are going to undersell this,” says Thomas Voss, Assistant Professor of Immunology and Microbiology at Tulane University. “If you go to Geneva and talk to the WHO, there’s not a person in the hallway who’s not concerned about pandemic flu. They are on top of this in a big way, and I think they’re fully invested in sounding the alarm when it needs to be sounded.”

Further controversy surrounds WHO’s position of withholding recovered genetic data from researchers in the public domain, thus obstructing the efforts of the greater scientific community – a stance Effect Measure denounces as "unconscionable.” Most recently, the agency caught flak for a series of retractions and conflicting reports on an H2H-suspected cluster of four persons in Pakistan. Initially reporting the cluster as a confirmed human-to-human event, WHO denied this claim just days after in a Reuters news release. Then a full three months later, WHO changed its story a third time, concluding that limited human-to-human transmission “likely” occurred after all.

Given the degree that this autonomous organization is entrusted with the world’s safety, these incidents raise troubling questions about the management of our global society. The demand for surveillance and communication grows as avian flu spreads to far-flung and remote areas, making control through a centralized authority increasingly difficult. Whether by negligence or sheer logistical overload, the probability for error climbs as new circumstances emerge. Certainly the world is better off with a powerful ally like WHO, but its blackout policy towards crucial data is only harmful. The stakes are high in the crusade against bird flu, and humanity risks much in the gamble.


Avian Flu Today

 As a battle for the White House rages on, candidates from both parties are enthusiastically laying out their platforms on the major issues of the day: global warming, the economy, and the Iraq war, to name the top few. Yet in all the endless speeches and debates, none have addressed the looming specter of bird flu – a scenario that conceivably poses a greater national security threat than any subprime loan or terrorist cell.

If the rhetoric of politicians echoes the concerns of the people, it seems any fears of avian flu have faded from the public consciousness. Major media outlets abandoned the H5N1 story after an initial buzz, afraid of turning off audiences with persistent doomsaying about sick chickens in China. Experts worry that the world is “giving in to
bird flu fatigue
,” complacently shrugging off the pandemic threat after years of fruitless warnings.

But unlike the public’s flighty attention span, the advance of avian flu has been
tireless
. First-time reports of H5N1 infection saw an alarming spike in 2006 with 19 new countries identifying the virus in dead or dying birds. Egypt has experienced a spate of 50 human cases since March of 2006, establishing a substantial bird flu presence on the resource-starved African continent. Most recently, the South Korean capital of Seoul ordered the culling
of its entire poultry population
– more than 15,000 chickens, turkeys, ducks, and pheasants – after H5N1-infected fowl were discovered in an open-air market. The massive cull was the latest in a series of slaughters across South Korea that has claimed some seven million birds in just over a month.

 

Countries affected by H5N1 as of June 2007 – Source: CDC.gov

 

Currently, the island nation of Indonesia is ground zero
for pandemic flu
with 133 confirmed human cases and 108 fatalities – more than any other country, and nearly half the total deaths worldwide. The conditions in Indonesia are dire; containment efforts have been a near-complete failure, and bird flu is now considered entrenched in all but 2 of the nation’s 33 provinces. To make matters worse, for the past year the Indonesian government has resisted
international surveillance programs
, withholding new isolates of the virus from WHO and US Navy scientists. Their defiance is in protest against the West’s dominance over medical technology and pharmaceuticals, arguing (justifiably so) that any vaccine produced from Indonesian bird flu samples would be priced out of reach of developing countries.

India recently joined
Indonesia’s blockade
, announcing they will no longer share viruses with WHO until arrangements for affordable vaccines are made. Indonesian health minister Dr. Siti Supari raised the issue at the annual World Health Assembly in Geneva earlier this May, although nothing substantive was decided. Friction between Western authorities and the flu-stricken peoples of the East adds another layer of complexity to the bird flu predicament, as matters of culture, politics, and science collide under the darkening shadow of a global emergency. Without full cooperation and trust among the world’s leaders, what seems a nearly impossible feat – predicting and thwarting a pandemic disease – becomes even more so. But the issue raised by Indonesia’s stand is an important one. During a pandemic, one can rightly imagine that the inequities of society, globally and otherwise, will be suffered to their fullest extent.

The Pandemic Scenario

Based on historical accounts, experts anticipate an avian flu pandemic to last between one and three years as it travels the globe. Infection will roll through communities in waves of 6-8 weeks, repeating several times until the virus has run its course. The vast number of humans on the planet today, coupled with the rapid-fire global transportation of people and goods, creates a perfect storm for a virulent influenza to quickly reach all corners of the world. By the current estimates, a pandemic on par with the 1918 flu would claim over 142.2 million lives.

Treatment options could be extremely limited. Already overburdened hospitals would quickly overflow, and trained healthcare personnel would fall among the virus’s first victims. Since a sample of the active strain is needed to make a suitable vaccine, immunizations won’t be available for at least six months after a pandemic starts. Modern vaccine manufacturing methods still use technology from the 1950s to grow viruses in chicken eggs, a delicate and lengthy process. Even operating at maximum capacity, all of the world’s vaccine facilities can only produce enough doses for 350 million people annually – roughly 6% of the world population. If the virus circulating among people mutates at any point, the old shot may provide little protection.

Although new research to advance vaccine science is underway, some major obstacles remain. “A big challenge here is the need for industry to play a big role in this,” notes Voss. “The people who make those decisions at the [pharmaceutical] companies want to see a return on their investment. … Everybody’s trying to position themselves so they have the least amount of risk, and the sick people are right in the middle.”

Antiviral medicines, the next best pharmaceutical defense, would be equally limited in quantity and accessibility under pandemic conditions. Swiss pharma giant Roche holds the patent to the most promising of these drugs, Tamiflu, which it currently produces out of a single factory. When taken at the onset of flu symptoms, the drug could potentially slow the damage done by the virus and boost the chance of recovery, although results
against bird flu
so far have been poor. Nations around the world began stocking up on the drug as fears of a pandemic mounted, earning windfall profits
for Roche
. However several reports suggest new strains of H5N1 are already showing a resistance to Tamiflu, rendering strategic stockpiles potentially
useless
. Furthermore, reports
from Japan
linking the drug to 18 teenage deaths from “bizarre and self-destructive behavior” make the dubious treatment even less attractive. Medical solutions, it appears, are not likely to have much impact on pandemic influenza.

For those not immediately afflicted with disease, the pile-on effects of a crashing global society could be equally devastating. Absenteeism among workers in critical jobs such as power generation, communications, and border control could quickly lead to chaos as interdependent support systems fail and national security is compromised. President Bush suggested in 2005 that martial law might be instituted if avian flu broke out in the U.S., prompting much
criticism. In a recent statement, the ACLU
has expressed concerns
that federal pandemic plans “rely heavily on a punitive approach and emphasize extreme measures such as quarantine and forced treatment.” The possible scenarios are endless, and the worst cases are ultimately bleak.

As both an infectious diseases expert and an official with the U.S. Department of Homeland Security, Michael Osterholm is particularly qualified to speculate on life during pandemic influenza. As laid out in a
feature article for Foreign Affairs, his vision is chilling:

“In short order, the global economy would shut down … There would be major shortages in all countries of a wide range of commodities, including food, soap, paper, light bulbs, gasoline, parts for repairing military equipment and municipal water pumps, and medicines, including vaccines unrelated to the pandemic. Many industries not critical to survival – electronics, automobile, and clothing, for example – would suffer or even close. Activities that require close human contact – school, seeing movies in theaters, or eating at restaurants – would be avoided, maybe even banned.”

In a recent New Scientist article, Debora MacKenzie argues the complex structure of modern civilization makes it especially vulnerable to collapse during a severe pandemic. She echoes Osterholm’s fears that the “just-in-time” delivery system of global commerce, where small shipments of goods are made round the clock, could leave communities destitute within days of a world-stopping event. The frenzy of stockpiling likely to occur when panic sets in could clean a supermarket of its inventory in a matter of hours. But going a step further, MacKenzie believes the diverse network of key individuals that keep society running smoothly might be impossible to restore after a devastating pandemic. As one expert quoted in the article puts it, “people are the critical infrastructure.”

Think Globally, Prep Locally

Regardless of its shortfalls or successes, an international crusade against bird flu is only viable during the pre-pandemic stage. Once the virus mutates and begins to spread among humans, the scope of action becomes highly localized. The U.S. government has drawn up strategic
plans
in case of pandemic influenza, addressing concerns of essential functions and public health. But many critics feel these efforts are shortsighted and increasingly under-prioritized, especially amidst the political distractions of an election year. Even those officials who show deep concern about pandemic influenza acknowledge that the massive scale of such an event – happening everywhere at once – would limit their ability to help most citizens. The message being handed down to the public is: “You’re on your own.”

Speaking to an assembly of hospital operators and emergency responders in 2006, U.S. Health and Human Services Secretary Mike Leavitt was unequivocal
on the matter
:

“Any community that fails to prepare [for a bird flu pandemic], with the expectation that the federal government or, for that matter, even the state government will come to their rescue at the final moment will be tragically wrong.”

Each state, city, business, and institution is responsible for its own contingency plans, but there has been little uniformity of action across the country. Some analysts insist that the best
response lies at the grassroots level
of neighborhood and community planning. Based out of Nez Perce County, Idaho, a volunteer group called the Get Pandemic Ready Team has compiled an indispensable archive of preparedness advice for concerned citizens and local leaders. Visitors to their website GetPandemicReady.org can browse downloadable guides on topics ranging from water purification and food stockpiling to “Dealing with Death.” Initiatives like this encourage community-wide participation rather than go-it-alone survivalism, and serve as much-needed insurance against any disaster where government assistance is unlikely.

For those frustrated by the limited efforts of bureaucrats and the indifference of the general public, the Internet has provided a welcome home. A thriving online subculture has emerged around avian influenza with countless blogs, open-source databases, and heavily trafficked forums dedicated to helping individuals plan to weather a severe pandemic. One of the most popular resources is  FluWiki, an exhaustive collection of user-created “diaries” that track H5N1 information, offer prepping tips, and help spread awareness of the pandemic threat. Another handy site is BirdFluBreakingNews.com, a minute-by-minute headline ticker of avian influenza happenings around the world, essential for the self-reliant flu watcher looking to get a jump on a potential global outbreak.

 



So … Will It Happen?

 Among all the scientists, bloggers, and government leaders anxiously following the H5N1 virus, one question weighs on everyone’s mind: “Will avian flu go pandemic?”

Unfortunately, there’s no way to know the answer in advance. But all experts agree that even if H5N1 never fully mutates to humans, another pandemic flu of some kind will happen one day. As certain as hurricanes and earthquakes will continue to rock the earth, influenza will rise again.

In the case of bird flu, however, some important questions remain. Is the H5N1 virus on a path towards becoming a pandemic? And if so, could we see a repeat of the 1918 influenza event – or worse? Here, the opinions couldn’t be more different.

“It’s one thing to say there’ll be a pandemic,” cautions Voss. “But is there going to be a pandemic with mortality like what we saw in 1918? Probably not.” Even in developing countries, modern healthcare systems are “light years ahead of where they were in 1918,” he explains. “It’s a different world.”

Osterholm is less sanguine in his appraisal – and more certain. “The current national disaster response system will collapse in a minute,” he warned
the crowd
at a Rochester, Minnesota lecture earlier this May. “This is the one I know is going to happen, and I fear desperately that the world is going to wake up one day and be surprised.”

In the end, the debate – and the reaction – over avian flu may hinge on one’s disposition. Osterholm admits to being a “Chicken Little,” while Voss confesses, “I hate to be one of those doomsday people.” For those of us whose outlook lies somewhere in the middle, Voss offers some practical advice:

“First and foremost, get a flu shot every year. If there’s not a pandemic virus, it’ll protect you from the seasonal virus. If there is a pandemic, you might get some protection as well. And then, watch what is happening around you. If there are stories about poultry deaths, those are signs that there are viruses circulating in birds that may eventually make it to people – and some of those things make the news.”

Pandemics were once no different than tornadoes and earthquakes, catastrophic events which strike at random and with little warning. But at this unique moment in history, we are able for the first time to watch a potentially devastating natural disaster coiling up in the distance, poised to strike. Whether the next pandemic hits tomorrow or twenty years from now, it will eventually happen. When faced with an inevitable crisis, making preparations now is the only sensible action.


How to Prepare

(The following are a sample of recommendations from the InSTEDD manual, “Pandemic Influenza Preparation and Response: A Citizens Guide”. You can download the entire manual by clicking here, or from the attachment below.)


Household Stockpiling


Store 1-3 months of
non-perishable food for every family member. Choose foods that do not require refrigeration, preparation
(including water), or cooking. Don’t forget pet foods.


Store a one-month supply of
fresh water for each family member. Plan to use 1-2 gallons of water per person
per day.


Ensure that you have
necessary medical supplies if you have a chronic disease condition. Talk to
your healthcare provider about obtaining an extra month’s supply of
prescription medicines.


Build a pandemic flu
emergency kit containing disinfectants/chlorine bleach, water purification
tablets, surgical masks and gloves, and pain relievers/cough medicine.

 

Healthy Habits and Virus
Prevention


Clean your hands frequently
and thoroughly using soap and water or alcohol-based hand rubs.


Cover your coughs and sneezes
and ask others to do so as well.


Keep living and work area
surfaces clean.


Practice social distancing
techniques. Avoid crowds and public gatherings. If you or anyone in your home
is ill, or if you may have been exposed to an ill person, stay at home and
isolate yourself as much as possible.

 

Neighborhood/Community Efforts

Neighborhood organizations can
help fill the gap left by an overwhelmed infrastructure. Highly desired
volunteers include but are not limited to:


Retired healthcare personnel


Skilled laborers


People who have recovered
from previous infection with the circulating pandemic influenza strain.


People with medical training.


Mental health and spiritual
counselors.


People with disaster response
training.

 

Here are some suggestions for the
types of neighborhood volunteer roles that you might need. Meet with your
neighbors and family, and talk about what would work best for you.


Area leader


Volunteer Recruiter and
Coordinator


Supplies Manager


Medical Operations Manager


Communications Leader


Coroner Function


Public Educator


Mental Health Monitor


Special Skills


Essential Resources

World Health Organization –
Avian Influenza page:

http://www.who.int/csr/disease/avian_influenza/en/

U.S. Government avian flu and
pandemic info:

http://www.pandemicflu.gov/

Centers for Disease Control and
Prevention – Resources for Pandemic Flu:

http://www.cdc.gov/flu/Pandemic/

Center for Infectious Disease
Research and Policy:

http://www.cidrap.umn.edu/

Pandemic Readiness info:

http://www.getpandemicready.org/

Avian influenza database and
forums:

http://www.fluwikie.com/

http://www.newfluwiki2.com/

Avian influenza global headlines,
regularly updated:

http://www.birdflubreakingnews.com/

Michael Osterholm video
presentation – “Pandemic Influenza: A Harbinger of Things to Come” (2005)
(requires RealPlayer)

http://homepage.mac.com/forever.net/About/pandemicinfluenzavideo.html

 


Images by
Instedd.org, aburt, Quiplash!, and bigbold, used under Creative Commons license.

Psychedelic Resources

A Foraging Trip: Where Do Magic Mushrooms Grow?
Eager to learn more about the origin of psilocybin species? Read this article to find out where magic mushrooms grow and more!

How to Make Shroom Tea: Best Recipe and Dosage
A step by step guide on how to brew shroom tea, and why entheogenic psilocybin tea is a preferred method for psychedelic connoisseurs.

R. Gordon Wasson: Author and Mushroom Expert
Learn about R. Gordon Wasson, the “legendary mushroom expert” and popular figure within the psychonaut community.

Shrooms vs Acid: Differences and Similarities Explained
Ever wondered what the differences are between shrooms vs acid, or if you can take both together? This guide explains what you need to know.

Quantum Mechanics, Reality, and Magic Mushrooms
Scientist and author Dr. Chris Becker takes an in-depth approach in understanding how we perceive reality through magic mushrooms and quantum mechanics.

Psilocybin Guide: Effects, Common Uses, Safety
Our ultimate guide to Psilocybin has everything you want to know about this psychedelic fungi from its uses to its legal status.

The Psilocybin Experience: What’s the Deal With Magic Mushrooms?
From microdoses to macrodoses, the psilocybin experience has been sought after both medicinally and recreationally for millennia.

Psilocybin and Magic Mushroom Resources
Curious to learn more about psilocybin? This guide is a comprehensive psilocybin resource containing books, therapeutic studies, and more.

Paul Stamets Profile: Mushroom Guru, Filmmaker, Nutritionist, Scientist
Learn about Paul Stamets, read his thoughts on psilocybin mircodosing, the future of psilocybin, and his recent film “Fantastic Fungi”.

Microdosing Psilocybin & Common Dosage Explained
Microdosing, though imperceivably, is showing to have many health benefits–here is everything you want to know about microdosing psilocybin.

Psilocybin Nasal Spray: Relief for Anxiety, PTSD, and Depression
Microdosing nasal spray with psilocybin, is that possible?! Oregan a start-up Silo Wellness believes so and has created this new option for PTSD treatment.

Mazatec Mushroom Usage: Notes on Approach, Setting and Species for Curious Psilonauts
A look at traditional Mazatec psilocybin mushroom usage, and a comparison to the cliniical therapeutic approach, with an examination of the Mazatec setting and species used in veladas.

María Sabina: The Mazatec Magic Mushroom Woman
Magic mushrooms are incredibly popular today. How they became introduced to into American culture isn’t usually a topic discussed while tripping on psilocybin fungi. We all may have María Sabina to thank for exposing the Western world to the healing properties of the psilocybin mushroom.

Guide to Magic Mushroom Strains
Are there different types of psilocybin? Read our guide to learn about the different magic mushroom strains and their individual effects.

Kilindi Iyi: Mycologist, Traveler, Teacher
Learn about traveler and mycologist Kilindi Iyi known in the psychedelic community for his research and exploration of psilocybin.

How to Store Shrooms: Best Practices
How do you store shrooms for optimal shelf life? Learn how and why the proper storage method is so important.

Shroom Chocolate Recipes: How to Make Magic Mushroom Chocolates
This recipe provides step by step directions on how you can make mushroom chocolates with the necessary ingredients. Read to learn more!

Why Do People Use Psilocybin? New Johns Hopkins Study
Johns Hopkins University School of Medicines has just published a new study on psychoactive effects of psilocybin. Read here to learn more.

How-To Lemon Tek: Ultimate Guide and Recipe
This master guide will teach you how to lemon tek, preventing the onset of negative effects after consuming psilocybin. Read to learn more!

How to Intensify a Mushroom Trip
Learn about techniques like Lemon tekking, or discover the right time to consume cannabis if you are looking to intensify a mushroom trip.

How to Grow Magic Mushrooms: Step-by-Step
This step-by-step guide will show you how to grow magic mushrooms at home. Read this guide before trying it on your own.

How to Dry Magic Mushrooms: Best Practices
Read to learn more about specifics for the best practices on how to dry magic mushrooms after harvesting season.

How to Buy Psilocybin Spores
Interested in psilocybin mushrooms? We’ll walk you through all you need to know to obtain mushroom spores. Nosh on this delish How To guide.

Hippie Flipping: When Shrooms and Molly Meet
What is it, what does it feel like, and how long does it last? Explore the mechanics of hippie flipping and how to safely experiment.

Having Sex on Shrooms: Good or Bad Idea?
Is having sex on shrooms a good idea or an accident waiting to happen? Find out in our guide to sex on magic mushrooms.

Gold Cap Shrooms Guide: Spores, Effects, Identification
Read this guide to learn more about the different characteristics of gold cap mushrooms, and how they differ from other psilocybin species.

Guide to Cooking with Magic Mushrooms
From cookies to smoothies and sandwiches, we cover various methods of cooking with magic mushrooms for the ultimate snack.

2020 Election: The Decriminalize Psilocybin Movement
Are you curious if mushrooms will follow in marijuana’s footsteps? Read to learn about how the U.S. is moving to decriminalize psilocybin.

Oregon’s Initiative to Legalize Mushrooms | Initiative Petition 34
Oregon continues to push ahead with their initiative to legalize Psilocybin in 2020. The measure received its official title and now needs signatures.

Canada Approves Psilocybin Treatment for Terminally-Ill Cancer Patients
Canada’s Minister of Health, Patty Hajdu approved the use of psilocybin to help ease anxiety and depression of four terminal cancer patients.

Mapping the DMT Experience
With only firsthand experiences to share, how can we fully map the DMT experience? Let’s explore what we know about this powerful psychedelic.

Guide to Machine Elves and Other DMT Entities
This guide discusses machine elves, clockwork elves, and other common DMT entities that people experience during a DMT trip.

Is the DMT Experience a Hallucination? 
What if the DMT realm was the real world, and our everyday lives were merely a game we had chosen to play?

How to Store DMT
Not sure how to store DMT? Read this piece to learn the best practices and elements of advice to keep your stuff fresh.

What Does 5-MeO-DMT Show Us About Consciousness?
How does our brain differentiate between what’s real and what’s not? Read to learn what can 5-MeO-DMT show us about consciousness.

How to Smoke DMT: Processes Explained
There are many ways to smoke DMT and we’ve outlined some of the best processes to consider before embarking on your journey.

How to Ground After DMT
Knowing what to expect from a DMT comedown can help you integrate the experience to gain as much value as possible from your journey.

How To Get DMT
What kind of plants contain DMT? Are there other ways to access this psychedelic? Read on to learn more about how to get DMT.

How DMT is Made: Everything You Need to Know
Ever wonder how to make DMT? Read our guide to learn everything you need to know about the procedures of how DMT is made.

Having Sex on DMT: What You Need to Know
Have you ever wondered about sex on DMT? Learn how the God Molecule can influence your intimate experiences.

Does the Human Brain Make DMT? 
With scientific evidence showing us DMT in the brain, what can we conclude it is there for? Read on to learn more.

How to Use DMT Vape Pens
Read to learn all about DMT vape pens including: what to know when vaping, what to expect when purchasing a DMT cartridge, and vaping safely.

DMT Resources
This article is a comprehensive DMT resource providing extensive information from studies, books, documentaries, and more. Check it out!

Differentiating DMT and Near-Death Experiences
Some say there are similarities between a DMT trip and death. Read our guide on differentiating DMT and near-death experiences to find out.

DMT Research from 1956 to the Edge of Time
From a representative sample of a suitably psychedelic crowd, you’d be hard pressed to find someone who couldn’t tell you all about Albert Hofmann’s enchanted bicycle ride after swallowing what turned out to be a massive dose of LSD. Far fewer, however, could tell you much about the world’s first DMT trip.

The Ultimate Guide to DMT Pricing
Check out our ultimate guide on DMT pricing to learn what to expect when purchasing DMT for your first time.

DMT Milking | Reality Sandwich
Indigenous cultures have used 5-MeO-DMT for centuries. With the surge in demand for psychedelic toad milk, is DMT Milking harming the frogs?

Why Does DMT Pervade Nature?
With the presence of DMT in nature everywhere – including human brains – why does it continue to baffle science?

DMT Substance Guide: Effects, Common Uses, Safety
Our ultimate guide to DMT has everything you want to know about this powerful psychedelic referred to as “the spirit molecule”.

DMT for Depression: Paving the Way for New Medicine
We’ve been waiting for an effective depression treatment. Studies show DMT for depression works even for treatment resistant patients.

Beating Addiction with DMT
Psychedelics have been studied for their help overcoming addiction. Read how DMT is helping addicts beat their substance abuse issues.

DMT Extraction: Behind the Scientific Process
Take a look at DMT extraction and the scientific process involved. Learn all you need to know including procedures and safety.

Microdosing DMT & Common Dosages Explained
Microdosing, though imperceivable, is showing to have many health benefits–here is everything you want to know about microdosing DMT.

DMT Art: A Look Behind Visionary Creations
An entire genre of artwork is inspired by psychedelic trips with DMT. Read to learn about the entities and visions behind DMT art.

Changa vs. DMT: What You Need to Know
While similar (changa contains DMT), each drug has its own unique effect and feeling. Let’s compare and contrast changa vs DMT.

5-MeO-DMT Guide: Effects, Benefits, Safety, and Legality
5-Meo-DMT comes from the Sonora Desert toad. Here is everything you want to know about 5-Meo-DMT and how it compares to 4-AcO-DMT.

4-AcO-DMT Guide: Benefits, Effects, Safety, and Legality
This guide tells you everything about 4 AcO DMT & 5 MeO DMT, that belong to the tryptamine class, and are similar but slightly different to DMT.

How Much Does LSD Cost? When shopping around for that magical psychedelic substance, there can be many uncertainties when new to buying LSD. You may be wondering how much does LSD cost? In this article, we will discuss what to expect when purchasing LSD on the black market, what forms LSD is sold in, and the standard breakdown of buying LSD in quantity.   Navy Use of LSD on the Dark Web The dark web is increasingly popular for purchasing illegal substances. The US Navy has now noticed this trend with their staff. Read to learn more.   Having Sex on LSD: What You Need to Know Can you have sex on LSD? Read our guide to learn everything about sex on acid, from lowered inhibitions to LSD users quotes on sex while tripping.   A Drug That Switches off an LSD Trip A pharmaceutical company is developing an “off-switch” drug for an LSD trip, in the case that a bad trip can happen. Some would say there is no such thing.   Queen of Hearts: An Interview with Liz Elliot on Tim Leary and LSD The history of psychedelia, particularly the British experience, has been almost totally written by men. Of the women involved, especially those who were in the thick of it, little has been written either by or about them. A notable exception is Liz Elliot.   LSD Guide: Effects, Common Uses, Safety LSD, Lysergic acid diethylamide, or just acid is one of the most important psychedelics ever discovered. What did history teach us?   Microdosing LSD & Common Dosage Explained Microdosing, though imperceivable, is showing to have many health benefits–here is everything you want to know about microdosing LSD.   LSD Resources Curious to learn more about LSD? This guide includes comprehensive LSD resources containing books, studies and more.   LSD as a Spiritual Aid There is common consent that the evolution of mankind is paralleled by the increase and expansion of consciousness. From the described process of how consciousness originates and develops, it becomes evident that its growth depends on its faculty of perception. Therefore every means of improving this faculty should be used.   Legendary LSD Blotter Art: A Hidden Craftsmanship Have you ever heard of LSD blotter art? Explore the trippy world of LSD art and some of the top artists of LSD blotter art.   LSD and Exercise: Does it Work? LSD and exercise? Learn why high-performing athletes are taking hits of LSD to improve their overall potential.   Jan Bastiaans Treated Holocaust Survivors with LSD Dutch psychiatrist, Jan Bastiaans administered LSD-assisted therapy to survivors of the Holocaust. A true war hero and pioneer of psychedelic-therapy.   LSD and Spiritual Awakening I give thanks for LSD, which provided the opening that led me to India in 1971 and brought me to Neem Karoli Baba, known as Maharajji. Maharajji is described by the Indians as a “knower of hearts.”   How LSD is Made: Everything You Need to Know Ever wonder how to make LSD? Read our guide to learn everything you need to know about the procedures of how LSD is made.   How to Store LSD: Best Practices Learn the best way to store LSD, including the proper temperature and conditions to maximize how long LSD lasts when stored.   Bicycle Day: The Discovery of LSD Every year on April 19th, psychonauts join forces to celebrate Bicycle Day. Learn about the famous day when Albert Hoffman first discovered the effects of LSD.   Cary Grant: A Hollywood Legend On LSD Cary Grant was a famous actor during the 1930’s-60’s But did you know Grant experimented with LSD? Read our guide to learn more.   Albert Hofmann: LSD — My Problem Child Learn about Albert Hofmann and his discovery of LSD, along with the story of Bicycle Day and why it marks a historic milestone.   Babies are High: What Does LSD Do To Your Brain What do LSD and babies have in common? Researchers at the Imperial College in London discover that an adult’s brain on LSD looks like a baby’s brain.   1P LSD: Effects, Benefits, Safety Explained 1P LSD is an analogue of LSD and homologue of ALD-25. Here is everything you want to know about 1P LSD and how it compares to LSD.   Francis Crick, DNA & LSD Type ‘Francis Crick LSD’ into Google, and the result will be 30,000 links. Many sites claim that Crick (one of the two men responsible for discovering the structure of DNA), was either under the influence of LSD at the time of his revelation or used the drug to help with his thought processes during his research. Is this true?   What Happens If You Overdose on LSD? A recent article presented three individuals who overdosed on LSD. Though the experience was unpleasant, the outcomes were remarkably positive.

The Ayahuasca Experience
Ayahuasca is both a medicine and a visionary aid. You can employ ayahuasca for physical, mental, emotional and spiritual repair, and you can engage with the power of ayahuasca for deeper insight and realization. If you consider attainment of knowledge in the broadest perspective, you can say that at all times, ayahuasca heals.

 

Trippy Talk: Meet Ayahuasca with Sitaramaya Sita and PlantTeachers
Sitaramaya Sita is a spiritual herbalist, pusangera, and plant wisdom practitioner formally trained in the Shipibo ayahuasca tradition.

 

The Therapeutic Value of Ayahuasca
My best description of the impact of ayahuasca is that it’s a rocket boost to psychospiritual growth and unfolding, my professional specialty during my thirty-five years of private practice.

 

Microdosing Ayahuasca: Common Dosage Explained
What is ayahuasca made of and what is considered a microdose? Explore insights with an experienced Peruvian brewmaster and learn more about this practice.

 

Ayahuasca Makes Neuron Babies in Your Brain
Researchers from Beckley/Sant Pau Research Program have shared the latest findings in their study on the effects of ayahuasca on neurogenesis.

 

The Fatimiya Sufi Order and Ayahuasca
In this interview, the founder of the Fatimiya Sufi Order,  N. Wahid Azal, discusses the history and uses of plant medicines in Islamic and pre-Islamic mystery schools.

 

Consideration Ayahuasca for Treatment of Post Traumatic Stress Disorder
Research indicates that ayahuasca mimics mechanisms of currently accepted treatments for PTSD. In order to understand the implications of ayahuasca treatment, we need to understand how PTSD develops.

 

Brainwaves on Ayahuasca: A Waking Dream State
In a study researchers shared discoveries showing ingredients found in Ayahuasca impact the brainwaves causing a “waking dream” state.

 

Cannabis and Ayahuasca: Mixing Entheogenic Plants
Cannabis and Ayahuasca: most people believe they shouldn’t be mixed. Read this personal experience peppered with thoughts from a pro cannabis Peruvian Shaman.

 

Ayahuasca Retreat 101: Everything You Need to Know to Brave the Brew
Ayahuasca has been known to be a powerful medicinal substance for millennia. However, until recently, it was only found in the jungle. Word of its deeply healing and cleansing properties has begun to spread across the world as many modern, Western individuals are seeking spiritual, mental, emotional, and physical well-being. More ayahuasca retreat centers are emerging in the Amazon and worldwide to meet the demand.

 

Ayahuasca Helps with Grief
A new study published in psychopharmacology found that ayahuasca helped those suffering from the loss of a loved one up to a year after treatment.

 

Ayahuasca Benefits: Clinical Improvements for Six Months
Ayahuasca benefits can last six months according to studies. Read here to learn about the clinical improvements from drinking the brew.

 

Ayahuasca Culture: Indigenous, Western, And The Future
Ayahuasca has been use for generations in the Amazon. With the rise of retreats and the brew leaving the rainforest how is ayahuasca culture changing?

 

Ayahuasca Guide: Effects, Common Uses, Safety
The Amazonian brew, Ayahuasca has a long history and wide use. Read our guide to learn all about the tea from its beginnings up to modern-day interest.

 

Ayahuasca and the Godhead: An Interview with Wahid Azal of the Fatimiya Sufi Order
Wahid Azal, a Sufi mystic of The Fatimiya Sufi Order and an Islamic scholar, talks about entheogens, Sufism, mythology, and metaphysics.

 

Ayahuasca and the Feminine: Women’s Roles, Healing, Retreats, and More
Ayahuasca is lovingly called “grandmother” or “mother” by many. Just how feminine is the brew? Read to learn all about women and ayahuasca.

What Is the Standard of Care for Ketamine Treatments?
Ketamine therapy is on the rise in light of its powerful results for treatment-resistant depression. But, what is the current standard of care for ketamine? Read to find out.

What Is Dissociation and How Does Ketamine Create It?
Dissociation can take on multiple forms. So, what is dissociation like and how does ketamine create it? Read to find out.

Having Sex on Ketamine: Getting Physical on a Dissociative
Curious about what it could feel like to have sex on a dissociate? Find out all the answers in our guide to sex on ketamine.

Special K: The Party Drug
Special K refers to Ketamine when used recreationally. Learn the trends as well as safety information around this substance.

Kitty Flipping: When Ketamine and Molly Meet
What is it, what does it feel like, and how long does it last? Read to explore the mechanics of kitty flipping.

Ketamine vs. Esketamine: 3 Important Differences Explained
Ketamine and esketamine are used to treat depression. But what’s the difference between them? Read to learn which one is right for you: ketamine vs. esketamine.

Guide to Ketamine Treatments: Understanding the New Approach
Ketamine is becoming more popular as more people are seeing its benefits. Is ketamine a fit? Read our guide for all you need to know about ketamine treatments.

Ketamine Treatment for Eating Disorders
Ketamine is becoming a promising treatment for various mental health conditions. Read to learn how individuals can use ketamine treatment for eating disorders.

Ketamine Resources, Studies, and Trusted Information
Curious to learn more about ketamine? This guide includes comprehensive ketamine resources containing books, studies and more.

Ketamine Guide: Effects, Common Uses, Safety
Our ultimate guide to ketamine has everything you need to know about this “dissociative anesthetic” and how it is being studied for depression treatment.

Ketamine for Depression: A Mental Health Breakthrough
While antidepressants work for some, many others find no relief. Read to learn about the therapeutic uses of ketamine for depression.

Ketamine for Addiction: Treatments Offering Hope
New treatments are offering hope to individuals suffering from addiction diseases. Read to learn how ketamine for addiction is providing breakthrough results.

Microdosing Ketamine & Common Dosages Explained
Microdosing, though imperceivable, is showing to have many health benefits–here is everything you want to know about microdosing ketamine.

How to Ease a Ketamine Comedown
Knowing what to expect when you come down from ketamine can help integrate the experience to gain as much value as possible.

How to Store Ketamine: Best Practices
Learn the best ways how to store ketamine, including the proper temperature and conditions to maximize how long ketamine lasts when stored.

How To Buy Ketamine: Is There Legal Ketamine Online?
Learn exactly where it’s legal to buy ketamine, and if it’s possible to purchase legal ketamine on the internet.

How Long Does Ketamine Stay in Your System?
How long does ketamine stay in your system? Are there lasting effects on your body? Read to discover the answers!

How Ketamine is Made: Everything You Need to Know
Ever wonder how to make Ketamine? Read our guide to learn everything you need to know about the procedures of how Ketamine is made.

Colorado on Ketamine: First Responders Waiver Programs
Fallout continues after Elijah McClain. Despite opposing recommendations from some city council, Colorado State Health panel recommends the continued use of ketamine by medics for those demonstrating “excited delirium” or “extreme agitation”.

Types of Ketamine: Learn the Differences & Uses for Each
Learn about the different types of ketamine and what they are used for—and what type might be right for you. Read now to find out!

Kitty Flipping: When Ketamine and Molly Meet
What is it, what does it feel like, and how long does it last? Read to explore the mechanics of kitty flipping.

MDMA & Ecstasy Guide: Effects, Common Uses, Safety
Our ultimate guide to MDMA has everything you want to know about Ecstasy from how it was developed in 1912 to why it’s being studied today.

How To Get the Most out of Taking MDMA as a Couple
Taking MDMA as a couple can lead to exciting experiences. Read here to learn how to get the most of of this love drug in your relationship.

Common MDMA Dosage & Microdosing Explained
Microdosing, though imperceivable, is showing to have many health benefits–here is everything you want to know about microdosing MDMA.

Having Sex on MDMA: What You Need to Know
MDMA is known as the love drug… Read our guide to learn all about sex on MDMA and why it is beginning to makes its way into couple’s therapy.

How MDMA is Made: Common Procedures Explained
Ever wonder how to make MDMA? Read our guide to learn everything you need to know about the procedures of how MDMA is made.

Hippie Flipping: When Shrooms and Molly Meet
What is it, what does it feel like, and how long does it last? Explore the mechanics of hippie flipping and how to safely experiment.

How Cocaine is Made: Common Procedures Explained
Ever wonder how to make cocaine? Read our guide to learn everything you need to know about the procedures of how cocaine is made.

A Christmas Sweater with Santa and Cocaine
This week, Walmart came under fire for a “Let it Snow” Christmas sweater depicting Santa with lines of cocaine. Columbia is not merry about it.

Ultimate Cocaine Guide: Effects, Common Uses, Safety
This guide covers what you need to know about Cocaine, including common effects and uses, legality, safety precautions and top trends today.

NEWS: An FDA-Approved Cocaine Nasal Spray
The FDA approved a cocaine nasal spray called Numbrino, which has raised suspicions that the pharmaceutical company, Lannett Company Inc., paid off the FDA..

The Ultimate Guide to Cannabis Bioavailability
What is bioavailability and how can it affect the overall efficacy of a psychedelic substance? Read to learn more.

Cannabis Research Explains Sociability Behaviors
New research by Dr. Giovanni Marsicano shows social behavioral changes occur as a result of less energy available to the neurons. Read here to learn more.

The Cannabis Shaman
If recreational and medical use of marijuana is becoming accepted, can the spiritual use as well? Experiential journalist Rak Razam interviews Hamilton Souther, founder of the 420 Cannabis Shamanism movement…

Cannabis Guide: Effects, Common Uses, Safety
Our ultimate guide to Cannabis has everything you want to know about this popular substances that has psychedelic properties.

Cannabis and Ayahuasca: Mixing Entheogenic Plants
Cannabis and Ayahuasca: most people believe they shouldn’t be mixed. Read this personal experience peppered with thoughts from a procannabis Peruvian Shaman.

CBD-Rich Cannabis Versus Single-Molecule CBD
A ground-breaking study has documented the superior therapeutic properties of whole plant Cannabis extract as compared to synthetic cannabidiol (CBD), challenging the medical-industrial complex’s notion that “crude” botanical preparations are less effective than single-molecule compounds.

Cannabis Has Always Been a Medicine
Modern science has already confirmed the efficacy of cannabis for most uses described in the ancient medical texts, but prohibitionists still claim that medical cannabis is “just a ruse.”

Related Posts

Ready to explore the frontiers of consciousness?

Sign up for the Reality Bites newsletter and embark on a journey into the world of psychedelics, mindfulness, and transformation. It’s where the curious minds gather.

Become a conscious agent with us.

Featured Partner

Cosmic Melts

Cosmic Melts are the latest mushroom gummies we’ve been munching on. Choose from five fruity flavors, each gummy containing 350mg of Amanita muscaria.
 
Amanita muscaria offers a unique (and totally legal!) mushroom experience, and Cosmic Melts is an ideal entry point for the curious consumer.
Featured Partner

Lab Link Supply

Our go-to source for spores so you can grow your own shrooms right at home. Carrying several of our favorite species including B+, Golden Teacher, Jedi Mind F*ck, Blue Meanie and more. Browse their selection of spores and get started with your home grow.

Our Partners

Welcome to Reality Sandwich. Please verify that you are over 18 years of age below.

Reality Sandwich uses cookies to ensure you get the best experience on our website. By entering Reality Sandwich, you are agreeing to the Terms and Conditions and Privacy Policy.