Losing someone dear is very painful indeed. It evokes a roller coaster of emotions, sometimes internalized, often outwardly displayed, prompting reactionary sentiments in others. It is little wonder that photographers and journalists would disregard accusations of ethics inadequacy to capture these emotional responses after an accident or a disaster.

In the aftermath of the disappearance of the MH370, the reactions of the relatives have been plastered all over the media, drawing opinions from the public, most of it being sympathy, but some, scathing remarks, suggesting that the relatives were playing up the drama with their loud wails, or acting like vultures, or just being plain unreasonable and ungrateful. Whatever the reasoning for their behaviours, we don't know, not being directly in their shoes, but one thing is definite – there is no “correct way” to grief, and suggesting that some of the victims’ families are "showing their ugly side" is being unfairly judgmental.

It is never right to judge the reactions one displays when grieving, because loss affects people in various ways, and a wide range of emotions, or even lack of it, may be displayed.

Aside from crying and sadness, other common reactions include shock and disbelief, guilt (over things you did or didn’t, could or couldn’t say or do), anger (the need to blame someone for the injustice for the loss), fear (about your own insecurities or adapting to a life without the person). Sometimes, none of these emotions are displayed, but physical problems like nausea, fatigue, weight gain or loss, insomnia and falling ill due to lowered immunity may set in.

Helping someone to cope with grief

Connecting with others helps in the healing process. Depending on the grieving person’s reactions or behaviour, the way you can go about offering help and support would differ. Some people are more vocal about their emotions and take the initiative to confide in others. Others believe that it is a sign of weakness and prefer to put up a strong front while suffering internally. Regardless of how they behave, knowing that someone is there for them is a huge relief for them. If you’re sincere about helping, you should never consider yourself as an intruder and give up when they don't seem appreciative of your presence.

What to say to a grieving person

This is something most people feel awkward about and fumble with. One of the most important rules of the thumb is to never attempt the “I know how you feel” remark, because not only does it not help, it is usually not true, or at least, not entirely, and comes across as frivolous.

The American Cancer Society offers these suggestions as a guide:
Acknowledge the situation. Example: "I heard that your_____ died." Use the word "died" That will show that you are more open to talk about how the person really feels.
Express your concern. Example: "I'm sorry to hear that this happened to you."
Be genuine in your communication and don't hide your feelings. Example: "I’m not sure what to say, but I want you to know I care."
Offer your support. Example: "Tell me what I can do for you."
Ask how he or she feels, and don't assume you know how the bereaved person feels on any given day.

Lending a Listening Ear

Usually, there is little you can do to reduce the sense of loss, especially when the tragedy is recent. But being a good listener helps encourage the grieving person to open up and release themselves emotionally. When faced with someone who isn't keen to talk, do not attempt to force him/her to open up, but try non-intrusive questions like “Do you feel like talking?” “You might feel better if you let it all out. I’m here if you need someone to talk to.”

Tips on being a good listener

- Understand that silence can be golden. If the grieving person doesn't want to continue talking, don’t press him. Don’t offer your comments or judgment unless you’re asked for it.

- Be patient. The grieving person may repeat accounts or something they have said previously. Retelling is helpful for some in reducing the pain, and it should not be interrupted.

- Accept all feelings and reactions. Unless the grieving person is doing something that will cause harm to oneself or others (in which case you need to call in medical professionals), assure that they have free reign to express their emotions in whichever way they find most comfortable. Some people cry, scream, break down or make blind accusations, then feel utterly ashamed of their behaviour and exhibit social withdrawal. Let them know that you won’t judge them by their behaviour.

- If you have had a similar experience of loss, you may share it, but don’t attempt to make comparisons or belittle their grief.

Help out with the daily necessities

A grieving person often has no energy or mood to see about their daily needs. They may feel embarrassed or not have motivation to ask for help, so take the initiative. Here are some things you can help out with:

- Help with funeral arrangements
- Cook for them, or buy premade food with as little preparation work required as possible.
- Run important errands and make sure bills are paid on time
- Take care of the more important housework, such as changing the bed sheets and washing the clothes
- If there are children, pets or house plants, help to make sure they don’t go neglected.

And when they are feeling stronger and willing to go out and about, you can :

- Accompany them on a walk or wherever they wish to go
- Treat them to an enjoyable activity like a movie or a day out to the theme park
- Go with them to a support group

Time should eventually fade the scars, but if the bereaved is still displaying odd behaviour in relation to grieving, especially after two months, or if the behaviour gets worst with time, professional help will be needed. Grieving can lead to depression and even suicidal thoughts if the negative emotions are not properly managed.

Warning signs include:
- Difficulty managing daily life
- Neglecting personal hygiene
- Turning to alcoholism, drug abuse and excessive smoking
- Hallucinating
- Frequent nightmares
- Inability to derive joy from delightful activities
- Social withdrawal
- Constantly feeling bitter, angry, guilty or hopeless
- Talk or interest in death or suicide

Many hospitals in Singapore offer Grief Counselling and therapy. The Singapore Association for Mental Health has a toll-free counselling helpline as well as counselling sessions that only charge a token donation. They will refer clients to a psychiatrist or relevant agencies in the community if necessary. Appointments can be made via http://www.samhealth.org.sg/counselling/



The recent disappearance of the Malaysia Airlines flight MH370 en route to Beijing has thrust air travel hazards into the spotlight. In truth, air travel is still very safe and the number of incidences anything catastrophic has happened in-flight is countable. The probability of dying in an air crash is less than dying in a road accident for instance. When travelling, be it vacationing or going on a company trip, people tend to consider the flights to be of greatest concern, but they often neglect other risks to look out for once they touch down, such as health issues.

If you plan on travelling this March holiday, the avian flu or bird flu / H5N1 and H7N9, not flight accidents, should be your main concern. In China alone, 226 people have been infected by H7N9 since this year, and 72 have died. Other countries with people who have been affected by this virus or variations of it include Vietnam, Cambodia and Australia.

A little background knowledge on this virus:

Avian influenza viruses normally circulate among birds. However, they also have the potential to infect humans through direct contact or close exposure to sick or dead poultry and their faeces. Examples of such forms of exposure include visiting live bird or poultry markets, and preparing or eating uncooked or undercooked bird products like meat, eggs and blood.

The H5N1 has since 2003 infected more than 560 people in 15 countries in parts of Asia, Africa, Eastern Europe, and the Middle East. About 60% of them have died. There has been no reports on human infections by H7N9 viruses until reports from China in March 2013. For both viruses, there has been no evidence on human-to-human transmission. Though there are fears that they could mutate and be spread through human contact.

Vaccination against H5N1 is available in Singapore. The H7N9 vaccine is not available and currently in preparation.

If you're travelling, here are some measures you should take to protect yourself from this potentially fatal virus:

- Keep yourself updated on reports concerning the outbreak of the virus via World Health Organisation and OIE World Organisation of Animal Health.

- Visit a doctor familiar with travel medications 4 - 6 weeks before you leave and get recommended vaccines and medicines.

- Before you leave, equip yourself with knowledge about available health care resources at your destination (i.e. clinics, hospitals) 

- Practise basic hygiene. i.e. wash hands often with soap and clean water. Carry hand sanitizer which you can use on the go when clean water is not available. Cover your nose and mouth with tissue when you cough or sneeze and bin the used tissue properly.

- Avoid all direct contact with birds.

- Avoid places with live birds or uncooked bird products such as wet markets and farms.

- Don't touch surfaces with bird droppings or bird fluids.

- Don't touch the water or wash your hands in rivers and ponds where ducks and other water birds may dwell.

- Eat only bird products that have been completely cooked. Flu viruses have been destroyed by heat.

- Seek medical help if you feel unwell. Symptoms for bird flu are very similar to human influenza with common symptoms like fever, cough, sore throat and breathing difficulties.

- Avoid travelling when you are sick, especially to countries with reported cases of bird flu, as your immune system will be weaker.

Other sources:
http://www.who.int/influenza/human_animal_interface/avian_influenza/en/
http://www.who.int/csr/don/en/
http://wwwnc.cdc.gov/travel/page/avian-flu-information





At the recently concluded Oscar Awards, John Travolta stole the limelight by hilariously mispronouncing Idina Menzel’s name as “Adele Dazeem”, giving rise to plenty laughs, parodies and ridiculing statements online. Some people, however, spoke in defense of Travolta, suggesting that he had dyslexia, in which case, it would have been unethical to jeer at him if he couldn’t help it. What is dyslexia, and is it a legitimate excuse for “Adele Dazeem” to happen?

Dyslexia is the difficulty in learning to read (words, images and numbers), in spite of at least average intelligence, sufficient opportunities to learn to read and conventional learning methods. This difficult is a result of the brain’s inability to translate images received from the eyes or ears into a comprehensible language.

Dyslexia usually begins from childhood and persists throughout life. It is difficult to detect in very early stages of childhood, but the following are common symptoms of dyslexia in children:

- Writing letters and numbers in reversed way (most common warning sign, though not an absolute symptom of Dyslexia)
- Missing out words or entire parts of a sentence
- Speaks words that come out sounding funny
- Substituting a similar word that is wrong
- Frustration and bad temper from being unable to read
- Depression and low self-esteem, which leads to behavioural problems and display for school
- Problem remembering and understanding content even if it involves things he likes
- Uncoordinated movements, and difficulty with organised sports / games
- Difficulty distinguishing left and right, with dominance for either hand not established
- Difficulty recalling things in the right sequence

There are two common types of Dyslexia. Primary dyslexia is the dysfunction to the left side of the brain. It is hereditary. Sufferers usually struggle with reading, spelling and writing as adults. Secondary or developmental dyslexia results during early stages of fetal development due to hormonal changes. It goes away as the child matures.

If you suspect that your child has dyslexia, do consult a paediatrician. There is no known treatment for dyslexia. However, the condition can be managed and kept under control. Typically, a psychologist, speech therapist and reading specialist would also be working with your child, amongst other professionals. The school should also be informed of your child’s condition so that the teacher can monitor his learning process accordingly. Consider bringing him / her to a learning centre specially for those with dyslexia. The Dyslexia Association of Singapore has many branches around Singapore.

Despite the persistent nature of this condition, it is possible for dyslexics to overcome this learning disorder with the right learning methods, hard work and the correct attitude. Did you know that famous intellects like Albert Einstein and our MM Lee Kuan Yew are dyslexics? On the Yale University website, dyslexic students share their tips on managing their assignments. Advice includes working on their projects in short but frequent blocks of time, depending on sound (listening), working in a quiet place and staying healthy.

And this brings us back to the question about John Travolta’s “Adele Dazeem”. If he can memorise songs, dances and scripts, just like many dyslexics who are able to read, speak and write normally, he certainly can memorise a name, and his failure to do most likely boils down to unprofessionalism, or having too much to drink. Fortunately, unlike the apologists abusing dyslexia as an excuse, he has done right by publicly apologising for his gaffe.

Sources: