Saturday, May 1, 2010

Weather hampers Gulf of Mexico oil slick clean-up

Inmates could help oil clean-up

Bad weather hampered efforts to tackle the huge Gulf of Mexico oil slick, with high seas and winds keeping boats and planes away from the clean-up site.

Reports suggest that the slick is growing rapidly - one report said it had tripled in size in a day.

Sheen from the spill has begun washing up on the Louisiana coast, fuelling fears of environmental disaster.

President Obama is due there on Sunday as is BP head Tony Hayward who has been criticised over the BP response.

Up to 5,000 barrels of oil a day are gushing into the sea after the British Petroleum-operated Deepwater Horizon rig exploded and sank last week.

Mississippi, Alabama, Louisiana and Florida have all declared a state of emergency, and analysts say the spill could rival the 1989 Exxon Valdez disaster as the worst in US history.

High winds

Worsening weather conditions have been hampering efforts to contain the slick, now more than 130 miles (200km) long.

Barack Obama, 1 May 2010
BP is ultimately responsible

President Barack Obama

Choppy seas meant that smaller boats - contractors and fishermen - that could have helped with the clean up were unable to go out.

Military planes deployed to spray oil-dispersing chemicals have also been grounded.

Rescue groups have been receiving their first patients - seabirds coated in oil - but a BBC correspondent in the area says that at the moment the wind is keeping most of the oil offshore.

The high winds are also forcing some of it over booms meant to contain it, however, and forecasters say that strong winds on Sunday could push more oil onto the Louisiana shore.

Wetlands off the Louisiana coast sustain hundreds of wildlife species, and a major seafood and fishing industry.

Nasa satellite picture

The president of Louisiana's Plaquemines Parish, Bill Nungesser, said that the oil could cause enormous damage.

"We need to have something out there," he said. "Once it gets into the marsh it is too late. Once it gets behind these islands, through these little canals, you will never clean it up."

Reports suggest that the slick is growing rapidly. Experts from the University of Miami said that the slick had tripled in a day, citing satellite images.

Two natural gas platforms in the Gulf of Mexico have halted production because of the slick and one of them has been evacuated as a safety precaution.

The command centre co-ordinating the response said that the percentage of gas production affected was less than one-tenth of one per cent of the Gulf of Mexico's daily total.

Insurance fears

On Friday Homeland Security Secretary Janet Napolitano called on BP to commit more resources to tackling the catastrophe.

The British oil giant says it has begun using dispersants underwater in an attempt to break up the leaking oil at its source.

It has dispatched remotely operated vehicles to try to shut off an underwater valve, so far without success. It is also having a relief-well drilled to slow the leak, though experts say that could take up to three months.

In a statement, Mr Obama said BP was "ultimately responsible... for paying the costs of response and clean-up operations".

The president said he had asked Interior Secretary Ken Salazar to conduct a "thorough review" of the catastrophe and report back in 30 days on ways to prevent a repeat.

BP spokeswoman Sheila William told AFP news agency the energy firm was prepared to assume costs for the clean-up and for damages.

The BBC's business correspondent, Joe Lynam, says that BP has no external insurance cover in the traditional sense, instead using a form of "self insurance" to cover major events like this.

The company would therefore have to cover the full cost of any legitimate compensation claims from the oil spill from its own resources.

The cause of last week's blast, which left 11 workers missing, presumed dead, remains unclear.

But it has emerged that BP last year downplayed the possibility of such a disaster at the offshore rig.

In BP's 2009 exploration plan for the well, the firm suggested an oil spill was unlikely or virtually impossible, AP news agency reports.

Joe Lynam
By Joe Lynam, BBC business correspondent

BP's shareholders would probably prefer a few years out of the limelight after a five-year period in which the firm's reputation has been blown about. The fire at a Texas City refinery, the leak of an Alaskan gas pipeline and the sudden departure of former boss Lord Browne, have all been PR disasters.

But this Gulf of Mexico leak may surpass all of them. Apart from the environmental catastrophe, £10bn ($15bn) was wiped off the value of Britain's third-largest company this week.

And now we learn that BP is not even covered by any external insurance and will have to meet compensation claims from its own resources - at a cost of billions of dollars.

And that does not even put a price on the damage to the reputation of a company which describes itself as "Beyond Petroleum".

Indonesia Recent Suspected/Confirmed Cases Map

BP Oil Spill: Forecast Location for 03-May-10

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BP Oil Spill: Forecast Location for Oil 02-May-10

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Facebook Link: Deepwater Horizon Response

Update on Administration-wide response efforts in the Gulf Coast

May 01, 2010
13:44:31 CST

The response to the BP Oil Spill began as an emergency search and rescue mission by the U.S. Coast Guard and other partners on April 20.

Concurrently, command center operations were stood up immediately in the Gulf Coast to begin also addressing the environmental impact of the incident.

The morning after the explosion, Secretary of the Interior Ken Salazar deployed Deputy Secretary David J. Hayes down to the gulf to assist with coordination and response to the incident.

The Administration immediately began holding regular calls with BP leadership and numerous senior-level meetings have been held between the administration and BP to discuss BP's response effort and federal oversight and support.

The National Response Team (NRT), an organization of 16 federal departments and agencies responsible for coordinating emergency preparedness and response to oil and hazardous substance pollution incidents was quickly activated and a coordinated group of federal partners-including the United States Coast Guard, Departments of Homeland Security, Commerce, Interior and the Environmental Protection Agency-immediately began directing and overseeing BP's response.

-snip- [go to link for full article]

By the Numbers to Date:

  • Personnel were quickly deployed and nearly 2,000 are currently responding to protect the shoreline and wildlife—hundreds more than yesterday.
  • Approximately 75 response vessels have been responding on site, including skimmers, tugs, barges, and recovery vessels to assist in containment and cleanup efforts—in addition to dozens of aircraft, remotely operated vehicles, and multiple mobile offshore drilling units.
  • More than 275,000 feet of boom (barrier) have been deployed to contain the spill—an increase of nearly 60,000 feet since yesterday. An additional 316,470 feet is available.
  • More than 1 million gallons of an oil-water mix have been recovered—an increase of approximately 150,000 gallons since yesterday.
  • Nearly 143,000 gallons of dispersant have been deployed—an increase of more than 3,500 gallons since yesterday. An additional 68,300 gallons are available.
  • Six staging areas (Biloxi, Miss., Pensacola, Fla., Venice, La., Pascagoula, Miss. and Theodore, Ala., and Port Sulphur, La.) were set up to protect sensitive shorelines.

The risk of 'imported' bird flu

Updated at: 9:12 AM, 01/05/2010
Bad outbreak of avian influenza H5N1 in Kompong Leav district, Prey Veng province of Cambodia, bordering the provinces of Dong Thap Province, Mekong Delta provinces led many to face the risk of recurrence of this disease is very high. However, the prevention of loose translation.
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Wide geographical areas, more work, remuneration is little reason that forces hard veterinary prevention initiative. So many birds themselves outside the control of animal health agencies, and in so doing carry avian pathogens (CGC) from across the border to inland flooding.

Stalking 'cross the border'

According to Vo Be Hien, Department of Veterinary Medicine Department of Dong Thap, test results on samples recently chickens than 200 children died in the district continuously Reeds was confirmed by virus Influenza A (H5N1). Check the 36 samples in the TP Cao Lanh (Dong Thap), authorities discovered seven samples positive for the H5N1 virus. This suggests that, even in the interior has many hidden epidemic CGC risk of recurrence.

However, the Veterinary Department of Dong Thap province, many poultry owners to report only disease for vets to see chickens and ducks died too much. The work of destruction, disinfection, although stamping services to be deployed quickly, but then can not effectively using active vaccination and stamping service from the start. "Worried over the positive rate for the H5N1 virus in poultry samples in the monitoring phase random recently in the central market, urban high levels," he said Hien.

Survey results on 27 / 4 of veterinary science at the market, Tan Hong (Dong Thap province), bordering the province of Prey buckled, suggesting that many household poultry business in this market does not know anything about the other CGC recurrence border and remain indifferent slaughter poultry. Right on the canal route from Hong Ngu, Tan Hong Kong on now, many birds still drop spreading. The North American children in Cai Lay District, Tien Giang Province, bordering Thap Muoi District, Dong Thap, the purchase will go live poultry impartial, no vets that check and control.

Forces so thin by the vaccination for poultry in many communal areas bordering Cambodia hardly met. Photo: Chau Thanh

Vets 'first three, six hands'

"Because of the terrain boundary line should be able CGC Cambodia attack and Mekong Delta provinces of Dong Thap is huge," said Doan Van Hong, Director of Health Services of Dong Thap province, said. This outlook is based on past due, Dong Thap, Tien Giang has discovered many cases positive for H5N1 virus in chickens and poultry samples on supervision.

However, the control birds is very difficult, especially from online veterinary. Each commune is only a veterinary staff, in addition to vaccination, management of livestock, poultry, slaughtering participate in monitoring the area ... officials also doubles as both the capture signals for the first time zoning, stamping service. Even in many places the border in An Giang, Tien Giang, Dong Thap, vets also always watch the situation through the movement of poultry quota, then blue ear pig disease, foot and mouth disease on the family ... Too many of the animals should vets do not communal Xue.

"Mode of remuneration of each commune veterinary staff only equivalent to 650,000 dong a month, how do we secure?", A veterinary staff in the town of Sa Rai, Tan Hong said. Heads of Sub-Department of Animal Health Ministry Hien Vo Dong Thap province also confirmed: "In addition to the allowance by a factor of 1.00 minimum wage, communal vets do not enjoy any regulations about insurance victims, medical insurance, social insurance, while their work is hazardous and high risk. That explains why every year the commune veterinary staff resignation, quit and moved to very high. "

Three patients Suspect Bird Flu Apit River Hospital Entrance

1 Mai 2010 1 Mai 2010
Pekanbaru (RP) - Three people Apit River District residents, Siak into the Arifin Achmad hospital on Friday (30 / 4) at around 9:12 pm. This third person, Siti Fatimah (44) and son named Anggi Saputra (11) and another patient named Amanda Diva (5), who lives near the house, was referred to Arifin Achmad hospital on suspicion of (suspect) bird flu.
They referred to the RUSD as suspect bird flu since last Monday, a few chickens died suddenly and their neighbors suffer from high fever and shortness of breath.

After undergoing several tests, hospitals send blood samples and nasopharyngeal them to the laboratory in Jakarta.

Avian Influenza Response Team Chief Azisman Dr. Saad said, that it already provides standard services bird flu tamiflu and giving antibiotics to patients.

Patients''are still suspect and we had to send blood samples to Jakarta, for a while we handle according to procedures pengangananflu birds waiting the results first,''said Azisman.

It also said that the patient's condition was getting better, the body heat has begun to fall but up past the incubation period, the patient must mndapatkan care and handling of the hospitals because. ''This morning I check the patient's condition was getting better, had normal body heat,''said Azisman.

Mentioned about the widespread return of the bird flu virus, Azisman said that indeed the sweltering weather conditions and a sudden rain, a factor accelerating the bird flu virus outbreak.

While to overcome it, she asked for all relevant agencies to conduct antsipasi prevention in accordance with their respective fields. (Rul)

Friday, April 30, 2010

Vietnam: Swine Blue Ear: Authorities & Experts Still Can't Identify The Strain

Anti translated as Soldiers must

Have three years since 2007, Blue ear pig disease to "back up to date" and outbreaks were each ... high risk spread, wide spread, causing huge damage. This outbreak only last month from 3-2010 to date, as reported by the Department of Animal Health (can not fully sure), there were 150 communes in nine provinces appear translated, as more than 33,500 pigs disease and nearly 16,000 of these children died, must be destroyed.

Dr Bui Quang Anh, former Director of Animal Health (MARD), was not surprised by him for that disease swine blue ear not occur in cycles at all, which is basically due to the sense of subjectivity, delinquent government, the people in prevention. With the type of the disease, authorities and experts still can not identify the strain, MARD also has not proposed a national program vaccine for prevention, so to minimize the disease has only one the only way, first is to strengthen epidemic prevention.

As a good defense so right in this outbreak, in the epidemic areas like the Pacific, the largest farms are still not sick pig. Conversely, where no good prevention, delinquent, the owner is like an epidemic occurs naturally.

"... Meanwhile, over how outbreaks, all in green, foot and mouth to bird flu, the disease outbreak occurs, then translated into the most powerful is not thoroughly understand the spirit "quickly discovered, immediately surrounded and promptly destroyed. "

How many seasons experienced by service animals, poultry, Dr Bui Quang Anh straightforward: only when local government leaders to the people really care, prevention services to the forefront, and often actively regularly inspect and urge then to prevent new epidemics have been prevented.

Four in northern Vietnam infected with pig bacterium

Last update 11:45, Friday, 30/04/2010 (GMT+7)

VietNamNet Bridge - Four patients have contracted a bacterium called Streptococcus suis because they have eaten underdone diseased pigs, said a health official on April 28.

Dr. Nguyen Van Kinh of the National Institute of Infectious and Tropical Diseases said four people suffering from blue ear pig disease come from northern provinces where the disease is spreading at an alarming rate, sending the government scrambling to adopt counter-measures.
Of four patients, two were taken to the hospital in serious condition and had to use breathing machine, said Dr. Kinh, adding that people usually contracting a Streptococcus suis bacterium, a pathogen with serious economic effects on the pig industry worldwide, only when the blue ear disease attacks pigs in the region.
Dr. Kinh fretted as the hospital receives daily admission of 1-2 people contracting a bacterium called Streptococcus suis with the same symptoms. He warned people not to butcher and eat diseased pigs.
Infected patients have experienced nausea, fever, vomiting and bleeding under the skin. Just because such symptoms are like normal flu, patients often buy anti-flu drug to treat themselves at homes. They are hence taken to medical facilities late which sometimes could cost their lives.

People drink, beware ... On blue ear pig

29-4, Tran Quoc Quan - a store owner heart pigs blood pudding in Thanh Tri, Hanoi - has been discharged from hospital after 10 days treatment for bacterial meningitis caused by streptococcus swine.

The bleeding wound on the skin, the typical symptoms of shock caused by swine streptococcus infections - Photo: Ngoc Minh

Doctor Nguyen Hong Ha, Deputy Director of Central Hospital of Tropical Diseases - the treatment for his Army, the Army or the patient was lucky not having anything sequelae, while many patients with meningitis caused by streptococcus Common sequelae pigs horizontal welcome. Hospital patients have a shock, three cases of meningitis caused by streptococcus swine.

50% with meningitis

Also at the Tropical Disease Hospital, despite undergoing treatment for more than half months but Nguyen Van Thuong (in Pho Yen, Thai Nguyen) is still weak. His two feet thick tube purple black spots were peeling, revealing skin. According to his house and Commerce, about 20 days ago he bought his family's pigs to eat, in the process of minced meat in his hands scratched. About three days after Prime pigs eat, he usually high fever, drowsiness, skin patches known bleeding and bruising. After three days of treatment in the locality, he was transferred to the Tropical Disease Hospital.

Dr Hong Ha, the disease caused by swine streptococcus is a common pneumonia, septicemia, arthritis, endocarditis ... Streptococcus bacteria reside in the throat pig, as pigs having more diseases such as blue ear disease, streptococcus bacteria will spread that pigs infected with a disease "opportunity." People use pork undercooked green ear, eat pork blood pudding or pig cord blood or fluid into the scratches on the skin will become infected with streptococcus.

Dr Hong Ha, the two most common diseases caused by streptococcus bacteria that causes a shock (such as patients and Trade) and meningitis (such as military patients). Ha said that doctors had previously caused many causes of meningitis, but a recent shift to 50% of meningitis caused by streptococcus bacteria. How easy to distinguish disease caused by swine streptococcus with dengue fever (along with hemorrhagic manifestations in the skin) is the hemorrhagic fever with hemorrhagic spots on the skin appear tiny, but the disease is caused by streptococcus skin hemorrhage dense cloud, especially in the legs, back, chest ...

Disease may appear after 16 hours

Dr. Nguyen Trung level (Department of positive treatment Tropical Disease Hospital), patients may appear high fever, headache, drowsiness or vomiting after 16 hours of eating undercooked meat or infected infection through abrasions on skin scales. The later case can be infected three days after symptoms appear. People living in the area are blue ear pig, is the expression above should go to hospital to be diagnosed early and appropriate treatment.

Dr. Grant, many patients treated swine streptococcus infections in this hospital is the party, more ill after eating soup. "Ministry of Agriculture and Rural Development has banned blood pudding and then, but people still do and eat! By swine streptococcus disease prevention, dead pig is the best known cause should not bring destruction, do not eat meat killed. In the process of slaughtering, meat processing also need protection such as gloves "- he recommends Ha.

Dr. Ha, is about 4-5 years, which also appear in patients infected with streptococcus swine blue ear pig season, culminating in 2007 with the first 60-70 consecutive patients admitted to hospital. Ha said that the number of patients often depends on the pig epidemic evolution. There may be hope to reverse the disease if the consciousness of more people, such as not eating blood pudding.

More than 1,000 birds killed by H5N1 virus

MORE than 1,000 ducks and chickens in Prey Veng province’s Kampong Leav district are believed to have died after contracting the A(H5N1) virus, known as bird flu, and a further 1,500 will soon be tested for the disease, a health official said Thursday, just over a week after a man from the same district became the eighth person to die of the disease since it was first detected in Cambodia in 2004.

Chhun Dy, the district’s chief of animal health, said officials would await test results from the 1,500 animals before deciding whether to begin culling.

Kao Phal, director of the Animal Health Department at the Ministry of Agriculture, Forestry and Fisheries, said the animals would be culled if the tests came back positive.

“We are collecting the sample of [birds] for testing,” Kao Phal said. “They will bring the sample for testing in Phnom Penh.”

Sok Touch, director of the Health Ministry’s Communicable Diseases Control Department, said officials had warned villagers to stay away from the area where the infected poultry died. Kao Phal said that area had been “cleaned”.

Sok Touch noted that no more human cases had been reported.

“There is no further confirmation of people infected with the disease,” he said. “We continue to directly follow the situation in the area.”

Positive Joice, Arifin Achmad Hospital Patients Hospitalized third suspect bird flu

Friday, 30 April 2010 19:40

Joice toddlers tested positive Efeline died from bird flu. Sementa currently three residents in the provincial hospital Siak Arifin Achmad for allegedly infected by H5N1 virus.

Riauterkini-Pekanbaru-suspect case of bird flu, Arifin Achmad Hospital has treated this weekend hikes. After a toddler, child Sidomulyo resident Street, Padang Keluruhan headdress, District Senapelan, named Joice Efeline Pekanbaru City died Wednesday (28/4/10) and ascertained from the virus or the H5N1 strain of avian enfluenza, now there were three patients who origin in Siak Regency should be treated in isolation space suspect bird flu patients.

"To Joyce Efeline we can and certainly a positive laboratory result of bird flu," said Chairman of the Bird Flu Prevention Team Arifin Achmad Pekanbaru Hospital Saad Azizman to riauterkini in Pekanbaru, on Friday (30/4/10).

While about three patients Siak origin who is now hospitalized in isolation room is a mother named Siti Fatimah (40) and his son, Anggi (14) and neighbor Diva Amandasari (8). All three residents Apit River, Siak.

All three enter simultaneously at dawn earlier. Previously handled at the Emergency Unit (ICU), but because his body temperature reached 38 degrees Celsius, and then referred to were isolated in a special space suspect bird flu patients.

"Now all three conditions began to improve. His temperature began to decrease and his lung condition is stable, "explained Azizman .*

"Season" green ear, many patients infected with swine Streptococcus

(AP) - After 17 days in hospital in coma due to mechanical ventilation were severe sepsis, shock body by pigs infected with streptococcus bacteria, the dimensions 29 / 4, Nguyen Van Huong (Pho Yen, Thai Nguyen) new Embroidered whispered voice.
> Xuất hiện bệnh nhân nhiễm liên cầu khuẩn lợn" onmouseout="'#fff'">

After 17 days active hospital treatment, the patient was out of danger by the new Perfume drama severe sepsis due to Streptococcus pigs (Photo: H. Hai)

More soup, spring rolls paste is dangerous
Affect not remember the last he is eating pig blood pudding day but sometimes I still eat. Just remember, noon 13 / 4, he suddenly sudden high fever, accompanied by abdominal pain, diarrhea constantly. After being taken to the hospital family, Thai Nguyen, and then be transferred directly to the tropical disease institute national one day soon, people are tired tired, again with high fever, headache, especially in full body (especially the head, two arms, two legs) appear multiple deep red spots, necrosis unpleasant smell, he goes and lim residents do not think I could survive.

Intermediate BS.ThS Nguyen, Faculty of active treatment (Institute of Tropical Diseases country) said patients were severe sepsis, was hospitalized in a state of blood pressure has dropped, the money shock. "Must be hard for us to grab back the lives of patients with death, because an infection is too severe. So far, though drama of danger, but the skin necrosis on the patient is still very clear, the skin is immature and will again, "said BS level.

But Le Van Duc patients (35 years old in Thuan Thanh, Bac Ninh Province) were a form other diseases that cause swine streptococcus infections: meningitis. This patient did not remember the history of contact with pigs, but he still regularly processed pig meat.

The patient also manifested the disease in Germany since Tuesday 13 / 4, with expression headache, vomiting, but many people do not appear on the red. After 5 days of headache, vomiting last he entered the hospital treatment of Bac Ninh Province. Two days of treatment at provincial hospitals do not help, the patient was transferred directly to the Institute for Tropical Diseases and the National confirmed meningitis caused by Streptococcus pigs.

When detecting danger pork sick, sick, dying, then it is best not to eat.

We listened to many people as blue ear pig disease, swine Streptococcus disease does not dare to eat pork. In fact, when meat is cooked, the bacteria completely destroyed.

Thing to note is be careful when processing of pork: It should use plastic gloves when washing, cut meat.

BS level, said this is normal bacteria living in some pigs throat without causing disease. But when pigs infected with blue ear virus, the immune health decline that streptococcus bacteria thrive, causing pneumonia, blood infections for pigs.

Meanwhile, farmers find themselves sick pigs have expressed a hurry to sell meat. Therefore, it is difficult to recognize the pig meat pneumonia, septicemia caused by streptococcus bacteria, the pig skin did not show signs of hemorrhage.

When the pigs slaughtered this disease, or go without proper disposal, then the meat before cooking, even many who do not know the patient should still eat pork products from pigs as fresh details farming, pig hearts, nem paste ... then the body will absorb a large amount of streptococcus bacteria that live pigs. Especially on the background of patients such as diabetes, liver failure, alcoholism ... the swine streptococcus bacteria cause disease more likely.

According to the BS level, usually pig Streptococcus infections occur year round, any time. But the "seasonal" service, the number of blue ear pig disease streptococcus swine more, so some people have the disease as "prosperity" in ear diseases outbreaks. When pigs infected swine streptococcus bacteria, the bacteria are no longer localized in the throat raw anymore, but it attacks the organs to other organs, such as eating meat causes the pigs were manifested disease, the risk will be higher than the children carry the virus but not yet manifested the disease.

Can still re-infection

BS level, said swine Streptococcus disease in humans is often one of three possible: meningitis may like the other latex meningitis, septicemia, and can be 3 is a combination of both.

Depending on the disease that infected patients may have different manifestations. As with meningitis, patients may fever, headache, nausea, vomiting, drowsiness perception gradually lead to coma. If infected blood, the sudden high fever, a severe infection, can quickly hypotension, shock. Often local people with weak body prone to infections than blood and can be very dangerous disease, rapid progression into easy-tainted body organs causing more deterioration and expression characteristic appearance of the necrosis skin.

The necrosis on the hands and legs of his new hours will gradually back (Photo: H. Hai)
Significant danger from exposure, disease eating pork, time-onset disease is very fast. At the Institute of national tropical disease has been recognized disease patients started fast, just 16 hours after eating sick pigs.

"This disease is easily spread through the nature of gastrointestinal (eating pork, nem Welcome, blood pudding was not cooked), but also spread through contact. Therefore, the risk of infection comes from processing, behavior, rinse pork (because limbs can not detect the rubbing scratches and swine streptococcus bacteria can enter the body through the traces of this trauma.) Virtually all patients infected with this disease are exposed to pigs, "said BS level.

Add a point to note is that once infected swine streptococcus bacteria, patients can still get completely back later. Because the disease is the same as normal streptococcus infection, leaving no lasting immunity to the body.

Thursday, April 29, 2010

Your weak ass govt agencies

In Vietnam there are now no less than 8 active diseases being registered at this time. Some of them are kinda run of the mill ..Measles..Hand foot and Mouth-HFM.. and the still mild H1N1 virus. Other pose a more serious risk and have seemed to have gotten completely out of hand.






6.Strep Suisse

7. Malaria


9.whats next?
Recent reports of Step Suisse being caused by the slaughter and eating of pigs infected with PRRS is a troubling developement. This is not the first time the disease PRRS has devastated livestock in Vietnam, But it is the first time in which so many other diseases are running rampant in the same areas, much less during an active pandemic..

This is not helped by the almost complete collapse of the governing bodies that are supposed to monitoring and controlling these kinds of outbreaks.
Amid denials of very low infection rates and any mutated strains of H1N1,Vietnam find itself in an ever expanding viral soup.. one that may soon have international implications.
Bird flu has not gone away from this area and constantly stating there was no human to human cases in the recent northern sections, does not ease my mind any. After the big pandemic conference recently held there, the news from that near disaster flew the coup with the bigwigs. There are 4 provinces with active bird flu outbreaks at this present time. Tamiflu is in constant play.
... Now they have a new problem on their hands and so far have been failing miserably.
The pigs there are now dying by the 1000's and soon will be covering the country from top to bottom. This in turn is helping spread the Cholera outbreaks that are following the rivers and streams.. Where the farmers and meat providers are throwing the dead pigs. The Strep Suisse infections are starting to add up and are becoming more widespread and frequent. Reports of meat dealers digging up and hauling the infected meat to Hanoi and other towns for consumption, again leads to the spread of more disease and complicates the situation even more.
Along the border with Cambodia, they have now really ratcheted up the border crossings in the south, as H5N1 is being reported in cambodian provinces near where they just had a recent death from BF. Cholera is reported there and no doubt ..their pigs are dying from PRRS..and people are eating them there also. snippits..In the north are also recorded many patients with dengue fever, which alone in the Hanoi area had over 150 cases. In addition, influenza A/H1N1 scattered people continue to suffer, while avian and human influenza A/H5N1 still lurking..worryingly, after a number of local South, the North recently has recorded four local cholera Hanoi, Bac Ninh, Hai Phong and Hai Duong. Through epidemiological investigation in a number of local authorities have discovered bacteria in a number of water sources, making this disease difficult to control risk.... Respiratory diseases, viral fever, dengue fever, influenza A/H5N1, H1N1 infections and acute diarrhea are at risk of cholera outbreaks are high...
Even china has issued a quarantine statement

General Administration of Quality Supervision, Inspection and Quarantine, "the Vietnamese on the prevention of infection of highly pathogenic avian influenza into China's Notice" (Administration in 2010 No. 43)
Time: 2010-04-30 14:44:18 Source: General Administration of Quality Supervision, Inspection and Quarantine

Abstract: World Health Organization (WHO) 4 report dated 21, Vietnam on April 6 and 9 Days confirmed two cases of human infection with influenza H5N1 highly pathogenic avian influenza (bird flu for short people) cases. Port inspection and quarantine authorities should strengthen the prevention and treatment of human avian flu propaganda and education to enhance disease prevention awareness of immigration officers.
2010, No. 43

Vietnamese on the prevention of highly pathogenic avian influenza
Notice of quarantine

World Health Organization (WHO) 4 its report dated 21, Vietnam on April 6 and 9 Days confirmed two cases of human infection with influenza H5N1 highly pathogenic avian influenza (bird flu for short people) cases. The country has been discovered 119 cases of confirmed human cases of bird flu, of which 59 patients died (CFR 49.6%).
To prevent human bird flu into China, to protect our health and safety personnel to Vietnam, according to "The People's Republic of China Frontier Health and Quarantine Law" 及其 Regulations the relevant provisions are announced as follows:
1st, personnel from Vietnam, if fever, cough, headache, general malaise and other symptoms, and immigration should take the initiative to take the initiative to declare entry-exit inspection and quarantine institutions.
After entering the above symptoms should seek medical care immediately to your doctor recent travel history to receive timely diagnosis and treatment.
2, Inspection and Quarantine staff to strengthen the immigration officers from the area temperature monitoring, medical and other health and quarantine inspection work, reporting or on-site inspection found that the symptoms of the staff to carefully check on people who are found infected with plague or avian
person suspected of having, to take timely medical measures.
3, visits to the endemic areas of bird flu workers may apply to the inspection and quarantine agencies and their international travel health Health Center or visit 国家 Website of AQSIQ ( Health and Quarantine and Travel Health Column to understand the epidemic situation in the region, control of human avian flu prevention.
Travel or travel related and found symptoms of bird flu, should consult a doctor immediately and exit inspection and quarantine institutions to declare.
4, port inspection and quarantine authorities should strengthen the prevention and treatment of human avian flu propaganda and education to enhance disease prevention awareness of immigration officers. Personnel to these areas should avoid contact with human bird flu, infected poultry and their feces or dust contaminated with the feces, soil; avoid eating raw or undercooked poultry meat; point in the outbreak, poultry breeding, sales
, slaughtering, processing establishments must wear masks and gloves to take protective measures; wash hands; to avian influenza virus can contaminate the area, sterilized items.
This announcement is issued within 3 months effective.
April 29, 2010

Unfortunately our own gov't agencies don't give us the same information ON THE SITUATION IN VIETNAM.. look for you see any warnings?

Indonesia - Sungaiapit, Riau: Bird flu in poultry and 9 suspected human cases

Bird Flu Case in Spreads Starting Apit River
29 April 2010

Reports Abu Kasim, Sungaiapit
CASE Sungaiapit bird flu in the district began to expand, since the unknown Saturday (24 / 4) and then, only one village namely Lalang Village.

In the village of hundreds of birds died suddenly had a positive infected bird flu virus (AI) and until Tuesday (27 / 4), extends to two villages and one village ie village of Parit I / II and Hope Village and Village Sungaiapit. Even human sacrifice which was initially only four people have grown to nine people, two of whom, since Monday (26 / 4) are already in the reconciliations in hospitals Arifin Achmad Pekanbaru.

To anticipate that the bird flu virus that has been declared fositif it so do not spread to other villages and the nearest in Siak district, District Health Office of Siak and Riau Province and the Department of Animal Husbandry, Fisheries and Agriculture (Distanakan) Siak made rapid strides , specifically provides counseling and understanding to people in his village of bird flu.

There''are referred to Arifin Achmad Hospital, two people, while the other victims still being treated in their own homes. Because of their victims are not treated in Puskesman and we continue to conduct monitoring in the field,''firmly Kadiskes Siak Ir H Budiman Shafari MKes to Riau Pos, Tuesday (27 / 4) in Siak.

It is said Budiman, until now the victims are still suspected of bird flu and has not been positive, it's just been tested positive for avian bird flu virus. For handling in the field, his side has to take fluid samples of victims and also provide tamiflu drug.

While in the field, health workers from Distanakan Siak drh Romi Setiadi, after getting reports from health centers that mention Sungaiapit there are several villages in the district was attacked by bird flu, directly into the field and conduct an examination of dead birds by using the rapid test.

One Family Attacked muntaber
Meanwhile, still in Sungaiapit, a family of diarrhea disease. Even in the event that one of the victims must be stretched his life, because he could not bear the pain and ran out fluid.

Diarrhea diseases that attacked a family who is located at RT 03/RW 05, Bay Village Mosque, occurred Saturday (25 / 4) then. Each family was named Parlautan (36) husband, Rubiati (32) wife, Andri (11) children, Defianti (10) children and Almunawir (6) children.

They had admitted to the PHC Sungaiapit, but due to diarrhea diseases and diarrhea (vomiting faeces) can not be arrested again, making the child victim named Defiani (10) died while on his way to get intensive treatment at the Hospital of Pekanbaru.

Parlautan (36) as Head of the Family (KK) when approached by reporters, Wednesday (28 / 4) said the events that have claimed the lives of her daughter Defianti begins on Saturday (24 / 4) and, as usual, his son Andrew who was sitting in class V and Defianti who sit in fourth grade, went to SDN 014 Bay Mosque.

But he said again, when she was studying, her two children to vomit, then by the teacher and the child is sent home delivered by a friend. After that her two children seek treatment at Pustu Bay Village Mosque and the midwife suggested that she and her family were referred to PHC Sungaiapit.

Against the incident, staff Sungaiapit Health Center, Dr. Adrian Hidayat moment met reporters on Wednesday (28 / 4) said, patients with diarrhea or diarrhea and vomiting are dying due to run out of fluids in his body. Cause of the diarrhea and vomiting, the Department of Health has taken samples of water and food in consumption by Parlautan family. The sample fluid''we have taken, and allegations while they sekulaurga affected muntaber,''he said curtly. (RNL)

hattip Shiloh

DrM. Djamil Back Hospitalized Patient suspect Avian Influenza

Padang Thursday, 4/29/2010 17:37 AM

Irwan Prayitno

Padang, (AFP) - General Hospital Center Padang M. Djamil, again treating patients suspected of bird flu suspected origin Kanagarian Bawang, Lubuk Basung, Agam District.

"The victim is a 11-year-old boy Rz initials," said Dr M. Head of Public Relations Djamil, Gustavianof.

According to him, Rz sent to Dr M. Djamil on Thursday (29 / 4) early morning at around 2:00 pm.

"Description of the victims parents, three days earlier, Rz suffering from high fever and a little shortness of breath. Then Rz Lubuk brought to health centers in two dozen, but the clinic complaining because of lack of equipment, so refer him to Dr M. Djamil," said Gustavianof.

When Rz fever, not far from his home, found 50 chickens that died suddenly.

"Based on the description of a local veterinarian, the chickens are attacked by the bird flu virus," he said.

According Gustavianof, to ensure a positive or at least Rz bird flu virus, it has been doing for the next blood sample will be sent to Research and Development in Jakarta.

"The condition of Rz is still not good, because it is still experiencing shortness of breath and is currently hospitalized in isolation rooms in the disease," he said.

Gustavianof also added that during April, has found two cases of bird flu.

The first case on 20 April 2010, the victim of origin Lapau Konsi, Lubuk cone with negative results, the second case Rz experienced the results of which will be awaited.

hattip Shiloh

Thailand - Threat to public health from teeming Red Shirt encampments

Thursday, 29 April 2010

Thailand Danger of Civil War Increases

So does the threat to public health from teeming Red Shirt encampments

Bangkok's crisis is threatening to blow into what every analyst now projects to be inevitable civil war. It is now plain to see that the anarchy is wreaking widespread havoc and widening out even to threaten public health.

Train services can be abruptly aborted. 450,000 commuters were stranded Tuesday after Red Shirts sabotaged the city's Skytrain services. Violent clashes can erupt easily. A policeman was killed Wednesday and dozens of protestors were injured in the latest clash between security forces and the Red Shirts along a strategic highway in a Northern suburb.

The bloody standoff between the government and the Red Shirts has scared off tourists and hit Thailand's fragile economic recovery. More than 40 countries have issued travel advisories warning foreigners to steer clear of Bangkok. A number of diplomats have moved out of the upscale residential areas, citing noise and disruptions to normal living.

Visitors, even residents, entering the occupied area are often screened by vigilante guards. Bangkok governor Sukhumbhand Paribatra said the government is unlikely to meet its Bt300 billion (US$9.28 billion) revenue target from tourism this year. Last year, the government felt short of their tourism target of Bt400 billion by 25 percent.

Now a different kind of war is also unfolding in Bangkok's Ratchaprasong epicenter that the Red Shirts have called home. The deadly H1N1
flu virus that caused the 2009 avian influenza pandemic has been discovered in the encampment, and could also be present in nearby tent cities that have sprung up since mid-March when the Red Shirts took over parts of the capital.

Sukhumbhand revealed that six Red Shirt security guards have the contagious flu virus. It came to light when the six sought free medical treatment at a state hospital.

"We monitor the health situation and we believe that we should be frank in providing information. We had six Red Shirt security guards down with H1N1. We told the Red Shirt leaders. They were not too pleased. We're not saying that these people's blood is dirty. We're simply saying: ‘Hey be careful. If anyone who comes into contact with the blood wishes to have his or her health checked, we'll do it for free,'" said Sukhumbhand in an interview.

"The government cannot even quarantine them politically, so how to quarantine them socially?" Sukhumbhand added on whether he can contain what could be a major health catastrophe.

A communications officer with the World Health Organization who declined to be named without clearance said: "H1N1 is still a global pandemic. Nothing has changed. It will run its course. Thailand's Ministry of Public Health has treated the case as a normal disease outbreak. We're aware of the situation. We're always there willing and able to help. But it is not anywhere near the levels where Thailand needs additional help."

The disclosure comes not long after medical practitioners pointed out that HIV and hepatitis-tainted blood was poured by the protestors in the early stages of the protests at government installations including Prime Minister Abhisit Vejajjiva's residence, in a stunt aimed at shocking the government into dissolving parliament.

As the Red Shirt protests enter their seventh week, sanitation and health are proving to be a strain that no one is as yet willing to fully acknowledge. One of Bangkok's hippest streets is now its most squalid. Mothers and children eat and sleep openly next to hawkers' exposed gas cylinders and heaps of rubbish are everywhere. The stench from mobile toilets mixes with all kinds of unpleasant fumes, and the fun folk music is poor comfort.

Sukhumbhand said the authorities can only dispatch up to 15 mobile toilets to the area that houses up to thousands of long stayers, many from the provinces. Some of them rotate. The Bangkok Metropolitan Authority (BMA) stocks only 26 mobile toilets (and others that can be assembled on site). These have to be shared with soldiers who are sometimes sent to areas without public facilities. The local press has reported that a few malls in the Ratchaprasong site have allowed the protestors to use their rest rooms inside the malls. Many shopping complexes have not opened, especially after the demonstrations in another area turned violent on April 10.

The spread of mosquitoes is another menace and workers are fumigating the area. Sukhumbhand said that at the peak of the protests on the 15th of March, the BMA collected 108 tons of garbage and the figure today is up to a 100 tons a day from the Ratchaprasong protest site. Trash collection was stopped Tuesday after some Red Shirts stole garbage trucks to block off roads and interfered with sanitation workers.

The city employs 28,000 cleaners and not all cleaners can be rotated to reinforce those managing the human meltdown at the Ratchaprasong hotspot due to additional and unbudgeted-for transportation costs, according to the governor.

These cleaners were seen in their white lab coats and gloves scrubbing stubborn blood stains off the floors when blood was spilled as a protest antic and after the April 10 clash. 25 people were killed and 900 others were injured in that riot.

Asked how he plans to rehabilitate the city's image, the governor said: "By making sure there is no vacuum of governance, by ensuring most of the Bangkok Metropolitan Authority's activities and works go on normally. Our ability to ensure garbage is collected. Most of the time, the (train services) run on time. When it rains, the water is drained quickly. The fact that we demonstrated to keep going in the face of adversity would help that in future, at least people know that Bangkok can return to normalcy."

Warning Streptococcus epidemic spreading

(The Saigon Times)

Thoa Nguyen

(Online VNA) - Nearly a week now, every day tropical disease hospital in Hanoi to receive patients from 1-2 Streptococcus - a disease transmitted from pigs to humans. Among those who visit are four (including two very severe cases) being monitored and treated here.

Update on the Dr. Nguyen Van Kinh, Director of Institute of Tropical Diseases country, said at the briefings and disease prevention in humans, which took place in Hanoi, 28-4 pm.

Initial cause shown, these cases can result from eating undercooked pork disease, eat more soup or contact with blood, secretions of the pig through the wound in the skin, respiratory tract.

Dr. Glass said, Streptococcus disease spread from pigs to people, including three possible: septicemia, meningitis latex or a combination of both. According to him, is not a disease epidemic. New patients only scattered in the provinces are blue ear epidemic. However, the disease can be fatal if treated late.

Ear diseases are epidemic broke out in many provinces, so people need to be aware, preventative. According to medical research, blue ear disease does not infect humans. However, this patient immunocompromised, causing other diseases in rapidly growing pigs, including Streptococcus, which may spread disease to humans. The disease can be dangerous in that death rate (up to 70%) if treated late. Those infected may also die due to toxic bacterial infection, causing shock phenomenon.
Short incubation period, from several hours to 3 days. When signs of high fever (40.41 degrees C), the array appears as hemorrhagic necrosis of skin, diarrhea, stiff neck ... have trouble breathing, liver failure, kidney disease, then people should come hospital sooner, avoiding the risk of death.

When infected with streptococcus bacteria, infected people can have an expression in three patients are simply latex meningitis, sepsis alone or in combination of both types. Cases swine Streptococcus disease can cause meningitis combination of pus and blood infections that can lead to shock, bleeding under the skin of each major segment, leading to blood coagulation, multi-organ failure and death.

According to Nguyen Huy Nga, Director of Preventive Health (MOH), before the complicated situation of blue ear disease in pigs, to prevent the disease, the best people to make food cooked Hot drinks, absolutely no slaughter and consumption of pigs is manifested sick, sick.

Streptococcus alarm from pig to human transmission

Thursday, 29.04.2010, 11:49 (GMT +7)

Two critical patients infected by Streptococcus from pig

The risk of spread of influenza A/H5N1 from Cambodia to Vietnam are very high

(SGGPO) .- On 29-4, Dr Nguyen Van Kinh, director of Tropical Disease Hospital Central said: In one week, received hospital treatment and four patients infected with Streptococcus (a virus spread from pigs to humans by eating undercooked meat thoroughly.) In two patients that have breathing machine. More worryingly, though not yet translated into the hospital every day but received 1-2 cases of suspected Streptococcus hospitalized with symptoms of high fever, difficulty breathing, diarrhea, skin appears on the array output Blood necrosis, liver failure ...

Persons suffering from swine Streptococcus are three types: latex meningitis, septicemia, or even on two forms. Dear Dr. warning, before the disease situation in cattle complicated, people, especially people in the service to be very vigilant to ensure cooked meals, hot drinks, do not eat pork slaughtering and disease.

Blue ear pig disease were buried immediately in the field will cause water pollution and disease spread

Related A/H5N1 flu, said Nguyen Huy Nga, director of environmental health manager, said the epidemic was spreading strong with very high mortality rate in Cambodia, so the risk of spread to the Southern border of our country through very large.

Up to now, Cambodia has recorded 10 persons positive for H5N1, which has eight deaths. Translate thrive in some border provinces bordering Vietnam.

Before the actual situation, the Department of Preventive Medicine has written direct medical quarantine center at the international border provinces bordering Cambodia tight control disease evolution. Especially must coordinate with the Department of Agriculture and Rural province controlled poultry trade between two countries, not for poultry diseases into our country.

Earlier, Prof., Dr. Nguyen Tran Hien, Director of the Institute of Hygiene and Epidemiology, said on the disease situation is rather complex evolution, especially the risk of cholera outbreaks have strong back, along with dengue fever, measles and respiratory diseases such as influenza A/H1N1, A/H5N1 influenza is difficult to foresee the end.

From the beginning of the year, there are 50 cases of cholera. There were five people with influenza A/H5N1, including two deaths, the North also has recorded over 150 cases of dengue fever.

Detected four patients infected with Streptococcus

29/04/2010 06:50

* Health Ministry warned people not to eat undercooked pork, pig disease
(HNM) - Afternoon 28-4, at Steering Committee meetings and disease prevention in humans, Dr Nguyen Van Kinh, director PRIVATE Tropical Disease Hospital, said last week, hospital and received treatment for 4 patients infected with streptococcus bacteria (a bacteria spread from pigs to humans by eating undercooked pork), in which two patients have mechanical ventilation.

These cases are currently in the local epidemic ear diseases such as Hanoi, Hai Duong, Hai Phong, Hung Yen ... It is notable, although not develop into an epidemic but is also a day hospital received 1-2 cases of suspected Streptococcus hospitalized with symptoms of high fever, difficulty breathing, diarrhea, skin patches appear hemorrhagic necrosis, liver failure ... If not promptly detect and treat patients with multiple organs failure can be fatal.

According to Dr Nguyen Van Kinh, who was suffering from swine Streptococcus are three types: latex, meningitis, septicemia, or even two on the form. Blue ear virus is not spread from pigs to humans but streptococcus bacteria resident in the respiratory tract of pigs, if you have a chance, especially when a blue ear, they will grow and cause disease. People eating or contact with infected pigs will become infected. People with this bacterium is very difficult to diagnose in the early manifestations of the disease is quite similar to the symptoms of common fever. So, after taking into contact with meat or pork, if you see symptoms of high fever, headache, vomiting a lot, sore throat, the patient was admitted immediately to be tested.

Previous complicated diseases of livestock present, the Health Ministry warned people, especially people in the epidemic areas to guard cattle, strict implementation of preventive measures such as cooked, drinking boiling, absolutely no pork slaughter and eat sick.