Monday, March 30, 2009
Suspect Flu Burung Asal Karawang Dilarikan to RSHS
Bandung - A resident of the Pasir Konci Desa Sarijaya Kecamatan Majalaya Kabupaten Karawang Village, R (50) was suspected of contracting the bird flu virus. R entered RS Hasan Sadikin struck 20,00 WIB, on Sunday (29/3/2009), on reconciliation from the clinic of Dewi Sri in Karawang.
According to the wife R, Raisem (40), on Saturday (28/3/2009), R natural the fever and breathless.
Then R was carried to the Ramerta clinic and was reconciled to the Clinic of Dewi Sri.
The "doctor's words in the Clinic of Dewi Sri, there were the sign" of "bird flu but still could not be ascertained because enggak had his implement," he said in RSHS, Street Pasteur, on Monday (30/3/2009).
Initially wanted to be reconciled to RS in Jakarta, but because of getting the news was full, finally R was reconciled to RSHS.
Raisem explained before natural the fever and crowded on Saturday (28/3/2009), his husband could then experience the fever and crowded a week beforehand that is on Saturday (21/3/2009).
However on Monday (23/3/2009), the fever and crowded him recovered again.
Raisem said for the last two weeks, many chickens died suddenly in his village. "My four property chickens died suddenly."
Have the neighbour also many, there are those that five, there are those that 10 tails that died, obviously him.
Raisem admitted to having seven chickens and four died suddenly. He claimed to be the number of chickens died that did not make himself and the other resident suspicious.
Raisem then claimed did not report to the local livestock breeding service. "My husband who experienced this, that was other enggak," said he. (ern/ern)
hat-tip Dutchy
Sunday, March 29, 2009
Norovirus Outbreak Sickens 100 Students, Shuts Down Massachusetts College
March 29, 2009 1:02 p.m. EST
Wellesley, MA (AHN) - One hundred students of Babson College in Wellesley, Massachusetts have suffered from norovirus gastrointestinal illness prompting school officials to shut down the institution on Saturday.
The infected students suffered from nausea, vomiting and diarrhea. A few severely ill students have been hospitalized so they can be intravenously rehydrated, Shepard Cohen, the health board chairman, told Boston.com.
Mary Suresh, director of the Wellesley Health Department, said the college may reopen on Wednesday.
Dr. Alfred DeMaria, state epidemiologist, said in a news conference at the department that the source of the outbreak on Wednesday has not yet been identified, according to Boston.com.
Meanwhile, precautions to prevent the spread of the virus have been taken. Classes and campus activities have been suspended. Students living on campus have been told not to leave school. Maintenance staff are sanitizing campus facilities and students have been provided with cleaning supplies to clean their rooms.
Health workers told to monitor rural China to prevent HFMD
The staff should visit every village and even every household to detect HFMD quickly, he told a tele-conference of disease prevention in the central provinces of Henan and Hubei and the eastern province of Shandong.
The ministry said 41,846 cases of HFMD had been detected by March 27 in 30 provinces and regions, except Tibet. Most cases were in rural areas.
In Shandong's Heze City alone, the disease killed five babies in the week ended yesterday.
Chen urged local health authorities to report cases promptly to the ministry and take effective measures if an outbreak occurred or seemed likely to occur.
Experts should be sent to areas with a high incidence of HFMD to offer help with treatment, and training of local medical staff, he said.
The Health Ministry established a work team headed by Chen and Vice Minister Ma Xiaowei to oversee prevention work.
According to the ministry, HFMD can be caused by a host of intestinal viruses, most commonly EV71.
HFMD usually starts with a slight fever followed by blisters and ulcers in the mouth and rashes on the hands and feet. Those with EV71 often show serious symptoms. HFMD can also cause meningitis, encephalitis, pulmonary edema and paralysis in some children. There is no vaccine.
PRO / RUS> virus influenza A (H1N1), resistance to ozeltamiviru (02): northern hemisphere
Published Date 27-MAR-2009
Subject
Influenza virus A (H1N1), resistance to ozeltamiviru (02): northern hemisphere
************************************************** ***********************
Date: March 27, 2009
Source: WHO: Epidemic and Pandemic Alert and Response (EPR), influenza, March 21, 2009 [translation edited with English site ProMED] [Moderator NP]
http://www.who.int/csr/disease/influenza/H1N1webupdate20090318% 20ed_ns.pdf
Influenza virus A (H1N1), resistance to ozeltamiviru (02): 2008/2009 season, northern hemisphere
-------------------------------------------------- ------------
Within 1-4 weeks (December 28-January 24, 2009), the total level of flu activity in the world increased.
Most European countries have reported regional or widespread activity of influenza viruses with a dominance of influenza A (H3).
On the widespread activity of influenza A (H1 and H3) was reported from Japan.
In Canada, Hong Kong, the United States influenza activity also increased, but remained relatively low. Sporadic incidence of influenza was observed in Brazil (A), Croatia (H1, H3, B), Greece (H1, H3, B), Iran (H1, H3), Mongolia (A), Portugal (H1, H3, B), Serbia (H1, H3, B), Singapore (H1, H3, B), Slovakia (H3) and Turkey (H3, B).
During this period, a total of 30 countries from all WHO regions have reported resistance to ozeltamiviru in 1291 out of 1362 studied isolates of viruses A (H1N1). The spread of resistance to ozeltamiviru very high in Canada (52 of 52 samples), Hong Kong SAR (72 out of 80), Japan (420 of 422), Republic of Korea (268 out of 269) and the United States (237 of 241).
The relatively low prevalence of resistance observed in China (6 out of 44 surveyed). In Europe, the H1N1 virus in circulation during this period was low, but the spread of resistance was high: France (12 out of 12 surveyed), Germany
(66 of 67), Ireland (9 of 10), Italy (16 of 16), Sweden (11 out of 12) and the United Kingdom (61 of 62).
WHO is collecting global data about this phenomenon from multiple laboratories participating in the Global network for influenza surveillance
[
[
Data on resistance to ozeltamiviru based on phenotypic and genotypic analysis
Complete the table on the sustainability of the virus A (H1N1) to ozeltamiviru (4 quarter 2008-31 January 2009) is shown on the site http://www.who.int/csr/disease/influenza/H1N1webupdate20090318% 20ed_ns.pdf
[Comment Maud. Craig Pringle. It should be noted that in Europe for 11 weeks [9-15 March] 2009, all tested viruses A (H3N2) (predominant epidemic virus) were resistant to M2 inhibitors, but sensitive to ozeltamiviru and zanamiviru (
[Comment Mod.NP. Information from Research Institute of influenza RAMS complementary message data for Russia. Http://www.influenza.spb.ru/index.php?newsid=1206371733 arising from the dissemination of information in the countries of Western Europe, strains that are resistant to the inhibitor neyraminidazy -- ozeltamiviru, Research Institute of Influenza RAMS, a study of this trait among 12 viruses A (H1N1), isolated in Moscow (2 strains), St. Petersburg (8 strains) and Kaliningrad (2 viruses). According to the results of sequencing the gene neyraminidazy in 7 of 8 strains isolated in St. Petersburg, found mutations leading to replacement of histidine at position 274 to tyrosine (H274Y), telling the virus resistant to ozeltamiviru. The remaining 5 strains of the mutation did not have. Thus, in Russia, as in other countries, noted the emergence of strains resistant to ozeltamiviru. - Mod. NP]
Four que storm corpse day star annoys the birds and beasts epidemic disease to be panic

Caption: que the corpse is put in the paper box to wait examines. Under bird flu haze, intermediate belt Starferry Wharf to outlet nearby, yesterday afternoon about 12:00, some passers-by discovered that four wild que corpses, fear que the corpse infection virus, then reports to the police seeks help, and three close streets que the corpse will put in the paper box, avoids suffering the way vehicles to run over, other que corpse still lay down the roadside.
Yuhushu sends out to wear afterward protects gown's staff member, walks with the plastic bag four que postmortem examinations, and cleans the road surface and spurts 灑 the disinfection liquid medicines. This bureau spokesperson said that later will carry on the bird flu for que the corpse to test, by determined whether to infect the virus.
Case reports of death have to be submitted within three hours
商报讯 Daily (Reporter Huiyan even) the province in the treatment of hand, foot and mouth disease to be strictly enforced when discussing the deaths, and three hours to submit an analytical report.
昨 Yesterday, the Provincial Health Office of the province's hand, foot and mouth disease on the medical treatment issued by the management of supplementary notice requiring the strengthening of medical staff around the hand, foot and mouth disease clinics business training, proficiency in the Ministry of Health's "Guide to Hand, Foot and Mouth Disease Clinic," children of the reception treatment measures must be targeted.
{SNIP}
Scribes sensitised to bird flu at Kolkata meet
By Our Staff Reporter
IMPHAL, Mar 29: A meeting on sensitisation of regional media about avian influenza participated by around 40 media persons from the North Eastern States, Bihar, Delhi, Jhar-khand, Orissa and West Bengal was held at Hotel Taj Bengal at Kolkata on March 27.
Addressing the gathering, Special Director General of Health Services and Director of the National Institute of Communicable Diseases, Government of India, Dr Shiv Lal said that the Govt has formulated a strategic plan to tackle the disease.
The plan is based on checking spread of H5NI virus which causes the disease to man.
To facilitate intensified collaboration between Animal and Health Departments both at Central and State levels in the event of the outbreak of the disease, the Ministry of Health and Family Welfare has stock-piled one million doses of the drug Oseltamivir (also known as Tamil Flu) as well as requisite quantities of personal protection equipment (PPE), he said.
The Serum Institute of India has been entrusted to manufacture pre-pandemic and pandemic vaccines to face any eventuality in case there is any extensive outbreak of avian influenza.
In the aftermath of the outbreak of avian influenza in Maharastra in February 2006, the WHO has designated the National Institute of Virology Pune as the Regional Reference Labo- ratory.
Moreover, the Ministry of Health and Family Welfare has been conducting integrated disease surveillance in public health institutions and laboratories, Dr Shiv Lal said. On the other hand, the Government of India has already trained Rapid Res- ponse teams at Central and State levels.
Joint Secretary of the Ministry of Health and Family Welfare Dr RS Shukla also appreciated the role taken by media when the diseases was first reported in West Bengal in 2008.
During the workshop jointly organised by the Ministry of Health and Family Welfare, WHO, FAO and UNICEF also deliberated on the possible roles the media should take and measures that may be taken up by the relevant Departments in case of the outbreak of the disease and the pandemic threat it posed to human lives.
The workshop discussed in detail the possible steps that may be taken up by media when the highly pathogenic H5NI virus infects thousands of people and the situation reaches a pandemic stage when there are large human casualty, schools are closed, movement of people restricted and even cremation of dead bodies is prohibited.
The media persons conducted group discussion and made presentations to the Ministry and UNICEF to implement their observations.
The meeting agreed on formulating a strategy to create awareness among the people extensively on the issue of avian influenza.
It further discussed on the media acting as catalysing agents towards changing the attitude of backyard poultry farmers, producers, traders and sellers regarding the disease.
Taking part in the workshop Chief of Communication, UNICEF India Country Office Angela Walker said that FAO and WHO as UN’s leading technical agencies for animal and human health, have the lead roles in communicating technical information on the progression of virus. However, because children account for nearly half of all reported human cases and impact of avian influenza goes well beyond the immediate risk to their health, UNICEF has an obligation to advocate for the specific needs of children. Further adding the roles of international agencies such as UN as a part of broader strategy for prevention and containment of avian influenza, it aims to communicate relevant information at various stages of AI and pandemic preparedness.
Wind spreads disease faster than thought
CORVALLIS, Ore. (Map, News) - Plant and human diseases that travel with the wind can spread more quickly than previously believed, according to a study at Oregon State University and elsewhere. The findings cause concern not only for some human diseases but also a new fungus that threatens global wheat production.
The research concludes that invading diseases do not always progress in an orderly, constant rate and that some airborne pathogens can actually accelerate as they move.
"It's now becoming clear that some types of diseases can spread more rapidly and widely than we anticipated," said Chris Mundt, a professor of plant pathology at OSU. "This makes it especially important, in some cases, to stop a spreading disease quickly if you hope to stop it at all."
The studies explain, in part, how West Nile Virus spread so rapidly across the United States when experts had been expecting a slower movement.They help analyze the progression of some historic disease problems, such as the potato blight that led to the Irish potato famine of the mid-1840s. And they suggest that a new fungal wheat pathogen that emerged a few years ago in Uganda may be a bigger threat to world production than first thought.
Mundt, an international expert on pathogens of several important food crops, has studied wheat stem rust for years.
"If we didn't have crops that could resist wheat stem rust, we pretty much wouldn't have a wheat industry," Mundt said. "From this pathogen we've learned a lot about plant disease resistance in general.
"And this new study confirms that it is crucial to get prepared for the rapid spread of a new variety of wheat stem rust that appeared in Uganda in 1999."
The new wheat stem rust, Mundt said, could attack 75 percent of the world's known wheat varieties, and in a bad year might cause up to 50 percent crop losses in some areas.
"We don't want to suggest that the sky is falling, but major losses could occur if the right set of conditions converges," Mundt said. "This is something that we shouldn't take a chance on. It's already spread to Iran, and the new research shows that its global spread may be about to pick up speed."
He said there is little time to waste. "This wheat disease problem could be global within a few years," Mundt said. "We would be foolish to ignore it."
Most plant and animal diseases spread by contact or proximity tend to move in a fairly predictable way, researchers say. But some carried by wind-carried spores or migrating birds can spread rapidly.
From 2004-06 the avian bird flu spread across parts of Africa, Europe and Asia through migrating birds. From New York City in 1999, the West Nile Virus spread across most of North America within three years.
"It was surprising to see how closely the spread of very different plant, animal and human diseases followed the same mathematical relationship," Mundt said. "This is giving us a better ability to predict how various types of diseases may move, and hopefully prepare for them."
The study was published recently in The American Naturalist, a professional journal.
Egypt: Detention of 5 women and a girl Damanhour hospital Mehalla on suspicion of bird flu infected
Khalid Ketbhaabrahim decorated, in March 21, 2009 Time: 18:03 PM
Damanhour hospital fevers detained five women on suspicion of being infected by bird flu, and the women in detention are: «Hoda Hassan Mohamed satarist» 34-year resident of the village Brdlp Center Kafr Al-Dawar and «Al-Safaa Mohammed Abdulrahman» 42-year resident of the village tribal Alsoualem Center Itai gunpowder and «Rasha Hamid Ibrahim» 30 years and «Hanan Mohamed Abdel Halim al-Sharqawi» 20-year resident of the village point of view of the Center for Ghazal Damanhour and «the gift of Muhammad Shaaban» 22-year village resident Oren of the center and all Cbrakhitt housewives
Was keeping them from hospital after they reported symptoms of high fever, sore throat and difficulty in breathing, where the sample was taken from the infected and sent to central laboratories for testing.
The Department of preventive medicine and health management and veterinary medicine, accompanied by a security clearance from the Directorate of homes and living with their families and examination of the surrounding houses had been taking samples from poultry houses located adjacent to them for laboratory examination.
In Western analysis revealed that the Ministry conducted a factor in the emergence of agriculture the focus of a new, positive avian influenza status of the village of Tanta supporters.
Dr «Ahmed Saeed» Director of the Directorate of Veterinary Medicine over the course of that meeting Sunday attended by a committee of immunization status of the village of Tanta supporters of vaccination of domestic birds against avian influenza was a random sampling of chickens in a house suspected of being infected with the virus was sent to the Agriculture Ministry's labs for analysis , and positive tests confirmed that the sample was immediately on the execution of the rest of the bird house and buried the cemetery by the health district of lime, as was to take the necessary action in this regard, as well as the contacts of the vaccinated birds Altamflo the drug to ensure that no transmission of the disease to humans.
On the other hand was holding a little girl, aged two years Smonod Mahallah fevers in the hospital on suspicion of being infected with avian influenza, which has been taking a blood sample and swab hours to analyze the extent of her illness or not.
China: the situation of the HFMD epidemic has worsened, avian influenza re-starts
According to Lyuy Fan and Xiong Bin, correspondents NTD, a situation of epidemic HFMD * in China has worsened. Until March 20, only in the province of Henan has already registered 2512 cases of HFMD. From Hainan and Shandong provinces also reported the 366 and 502 cases of infection.
Information on HFMD epidemic first appeared only on the Internet. Local residents of the province of Shandong have argued that since the end of last year, in the province have been cases where children died from infection HFMD.
One eyewitness of the Fujian Province reported that the area Nanpin also had a lot of child deaths from the disease, but all the media are silent, as if nothing happened. The Government should immediately inform the people about the epidemic, so that the residents were able to take appropriate measures and prevent infection. Concealment of such information - it is a crime.
In recent days residents of the area Mintsyuan Henan reported online that the hospital falsified medical records to hide the epidemic, and the local administration has ordered to prohibit the communication of the situation with the epidemic and the numbers of deaths from the disease.
At the same time, a woman from Henan Province, Ms. Chen, said in an interview that it might be among the dead, not all are infected with HFMD, and that most quickly, again beginning of the epidemic of avian influenza.
According to Ms. Chen, after the Chinese New Year, many of them residents of the area began to ache. Then came the group care workers, which in each village had a disinfection, explained that this is related to chickens, geese and other poultry.
hat-tip Helblindi
Hawaii working on list of who gets shots first in flu pandemic Public's input wanted on who'll be vaccinated first if outbreak strikes
By Dan Nakaso
Advertiser Staff Writer
State health officials want the public's views on deciding who should get vaccinated — and who should not — against the next flu pandemic that reaches the Islands.
So far, a wide-ranging advisory group of about a dozen community members representing religious groups, the chamber of commerce and even an expert in mediation have been working to set up a system that will help determine who will be inoculated first and who will have to face the pandemic unarmed, at least until more vaccine can be manufactured and shipped to Hawai'i.
The final determination will rest with Gov. Linda Lingle.
"The decision is with the governor," said Lingle spokesman Russell Pang.
There is no way to stockpile vaccine for an unknown virus that has yet to arrive. And no way to calculate how much vaccine will be needed, how many people will be infected and how many could die, according to Bill Gallo, senior management official with the Centers for Disease Control and Prevention in Honolulu.
So it could take months before federal officials isolate the virus, create a vaccine for it and send it to Hawai'i.
By then, untold lives could be lost.
"It is a very sobering scenario to be thinking about," said Jim Tollefson, president and CEO of the Chamber of Commerce of Hawai'i who sits on the advisory committee. "But it's best to be prepared and educated."
The 20th century saw three pandemics and several more "pandemic threats" that ranged from the Spanish Flu that killed 50 million people worldwide and at least 1,300 people in Hawai'i between 1918 and 1920, to the modern-day threat that the avian flu could spread from Asia to the Islands.
Several hundred people were infected with avian flu in Asia, six died and more than 1 million chickens were slaughtered in an attempt to control the spread of the disease.
"If (the next pandemic) is not here now, it will be here someday," said Dr. Vivek Nerurkar, interim chairman of the department of Tropical Medicine and Infectious Diseases at the University of Hawai'i's John A. Burns School of Medicine. "When a pandemic comes to Hawai'i, it's going to affect a considerable amount of people, especially the elderly and children."
Nerurkar is not involved with the planning and preparations to decide who will be vaccinated first but supports the effort by state health officials.
"It's very important to involve the community," he said. "They are the people who are being affected. It is a huge task. It is not a simple task. We need to have a consensus. ... It should not be a unilateral decision."
public campaign
To that end, the Health Department plans a public education campaign that will begin next month to explain the project and get community opinions.
"We're responsible for making science-based decisions all the time," said Dr. Sarah Y. Park, state epidemiologist and chief of the Disease Outbreak Control Division. "Without neglecting the scientific basis for our state's pandemic planning, this project gives us a unique opportunity to focus on the values-based aspects of some of our decision-making. We encourage everyone to participate in the public activities and let their voice be heard."
Park is the principal investigator for Hawai'i's pandemic priorities grant.
Hawai'i's position as a gateway to and from Asia makes any potential pandemic of particular concern since air travel could quickly spread the disease. To guard against such problems, a disease surveillance and quarantine system was begun at Honolulu International Airport in 2005. It was the nation's first such system, and it screens sick passengers as they arrive for signs of serious illness.
Hawai'i and five other states have been chosen to participate in a federal program to carry out further pandemic planning.
The advisory group has found itself working on a subject with more variables than facts, such as when the Islands would be touched by a pandemic, or global disease outbreak.
"Is Hawai'i on the front end or the back end of an epidemic?" Gallo asked. "It's an important issue. If it was later in the epidemic, there could be enough vaccine to vaccinate everyone."
Even without a pandemic, deciding which flu strain to vaccinate against every year relies on estimates.
"The vaccine has to be reconfigured each year to accommodate the newly evolving strains," Gallo said. "It's very difficult to do. It requires a meeting of the minds about what kind of flu to expect for the next year. ... A pandemic would set the wheels in motion for getting the exact strain isolated and reproducing a new vaccine in large qualities. You would first need a portion of the actual germ or bug to produce the actual vaccine."
Members of the advisory group, such as Elizabeth Kent, director of the Center for Alternative Dispute Resolution, are focusing less on the science and more on the values that Hawai'i wants to protect during a pandemic.
"We want to be careful and considerate of everybody's rights," she said. "What we're talking about is the fabric of society and how you keep the fabric as intact as possible. You may have some special hobby that contributes so much to the fabric of our society or have a job that does. Trying to take all of that into account is very important. That part has been for me quite challenging, thinking about how to make those decisions."
federal guidelines
In the event of a severe pandemic, federal guidelines from the U.S. Department of Health and Human Services and U.S. Department of Homeland Security recommend that the first people inoculated should be "deployed and mission critical personnel," public health workers, inpatient healthcare providers, outpatient and home health providers, first responders such as paramedics, firefighters and police, manufacturers of pandemic vaccine and antivirals, pregnant women and children under age 3.
But Hawai'i health officials want to solicit a broad variety of opinions to put together a list of people — or, more likely, job categories and demographic guidelines — of who should be inoculated first.
"It's a very interesting question: Who's going to get the vaccine in the event of shortages?" said Jason Seaborn, who is working on the project for the state Department of Health. "We're trying to elicit information from the public to see what values are specific to Hawai'i residents. As you work through each group, it raises questions such as, 'Should you vaccinate morgue workers? What are you going to do when the bodies start piling up?' "
In an e-mail, Seaborn wrote that the Health Department wants to "get feedback from Hawai'i's residents on what they value (i.e. — canoe carvers? Single moms? Elderly? Young? Teachers? Garbage collectors?)"
Gallo also sits on the advisory group and believes "it says a lot for the state of Hawai'i how serious they take this kind of planning and want to hear community input. They want to make sure their unique needs are heard in Washington."
But ultimately, the person who decides the priority list most likely will be Hawai'i's governor, Gallo said.
"Are we playing God?" asked Kent, a member of the advisory group. "No. Somebody else is going to make the hard decision. But we're trying to make a very hard decision that much easier in a thoughtful way."
# Three live one-hour broadcasts on KHNL in April. A panel of speakers will discuss who should get vaccinations during a pandemic and solicit viewer opinions on air and via e-mail. The shows are tentatively scheduled from 8 to 9 p.m. April 15, 22 and 29.
# An "Alternate Reality Game" will be available in late April or early May. Details are still being worked out, but the game is aimed at Island residents. People on the Mainland probably will be able to access the game as potential tourists.
# Community-based meetings around O'ahu from April through May 30, still to be scheduled.
Reach Dan Nakaso at dnakaso@honoluluadvertiser.com
hat-tip Shiloh
Two-year-old girl contracts bird flu
AFP/Cairo A two-year-old Egyptian girl has contracted bird flu, the 60th reported case since the first outbreak of the disease in the country in 2006, a health ministry spokesman said yesterday.
The toddler has been taken to hospital and is in stable condition, said ministry spokesman Abdel Rahman Shahin.
Twenty-three people have died of bird flu in Egypt. Most of the victims have been young girls or women, who are generally in charge of looking after poultry in rural areas.
Shahin said the percentage of fatalities from bird flu in Egypt is less than in other countries that have seen outbreaks of the disease.
The World Health Organisation (WHO) called earlier this month for an investigation into why many of the victims have been young children.
Egypt hosted an international conference on bird flu in October, when Washington pledged an additional $320mn to the fight against the disease amid fears it may yet escalate into a global pandemic.
The H5N1 strain of the virus that is most dangerous to humans first emerged in Asia in 2003 and has since caused nearly 250 deaths, according to WHO figures.
Pasien Suspect Flu Burung Negatif
[This is Wawan (33)]
INDRAMAYU - The patient suspect bird flu from the Karangjaya Bloc, Desa Mangunjaya, Kecamatan Anjatan, Was (33 years), was stated by the bird flu negative. Moreover, the patient who originally was treated in RSUD Indramayu on Wednesday (25/3) that was permitted to come home him. Was based on the laboratory inspection, results of negative,"ujar Dirut RSUD Indramayu, Dr Dedi Rohendi to Republika, Ahad (29/3). Moreover, continued Dedi, this patient then his condition increasingly improved. According to him, the patient only suffered the sign of the common fever and is currently stated recovered. As being reported by Republika beforehand, anxious was stated suspect bird flu because suffered was sick with the sign took the form of the high and breathless fever. Not only that, anxious then beforehand experienced direct contact with his property chicken that died suddenly. In RSUD Indramayu, Was was placed in special observation space. In the place, anxious then received the intensive maintenance from several doctors.
Saturday, March 28, 2009
Durham's power plants ready for pandemic
Mar 23, 2009 - 10:16 AM
DURHAM -- Pandemic plans are in place at Durham's nuclear plants to keep the electricity flowing in the event of an outbreak of infectious disease such as a deadly flu.
In the wake of the SARS outbreak in 2003, Ontario Power Generation (OPG) went through a lengthy process to prepare a plan for a pandemic both at the corporate level and at its business units, including Pickering and Darlington nuclear plants.
"(SARS) was a real eye opener not just for the electricity industry and OPG, but many folks around the province," said Jim Coles, manager of emergency preparedness, speaking to the Pickering nuclear plant's community advisory council. "There were a lot of lessons learned around that event."
After more than two years of work, OPG was declared pandemic-ready in 2007 and will continue to review its plan on a regular basis. Among the long list of areas considered are communications, security, health surveillance and the management of antivirals and vaccines. OPG now has enough antiviral medication on hand for all staff.
The company looked at what would happen if there was 20-, 30- and 40-per cent absenteeism as a result of an outbreak. Even at the high risk rate of 40 per cent, the plants could continue to produce electricity, OPG says.
However, it would depend how the illness was distributed within the company. If, for example, 50 per cent of the nuclear operators were unable to work, it would force a shutdown.
OPG considered what routine activities could be delayed when the risk was lower and putting training staff back on the front lines. Another option is moving staff between the Pickering and Darlington plants if they were qualified to work at both. The Darlington plant has a greater electricity output and would be a bigger priority.
The biggest risk, said Mr. Coles, is the supply chain from the outside. OPG has identified its dependencies on critical suppliers and has been working with them to create pandemic plans or review existing ones. In 2006, only a small fraction had a plan but that rate has been rising.
"We can also say it's a condition of you doing business with us that you have a pandemic plan in place," Mr. Coles said.
A member of the council asked how certain Mr. Coles was that there would be a need for the plans in the next 10 or 20 years.
"I would suggest to you, in my opinion, it's a certainty," responded Mr. Coles, adding that pandemics crop up about three times every 100 years. "As I recall, 1968 was the last one we had."
U.S. program ups bioterror readiness
A Rand Corp. study found that the federal Cities Readiness Initiative -- a program active in 72 metropolitan areas -- appears to have improved agencies' ability to rapidly and widely dispense life-saving medications and other medical supplies in the event of a large-scale bioterror attack or a naturally occurring infectious disease outbreak.
The study said there is merit in extending the program to other cities so the impact can be further monitored, although the analysis did not assess the cost-effectiveness of the effort or compare it to other public health priorities.
"The Cities Readiness Initiative has helped agencies in the nation's most-populous regions become better able to dispense life-saving medication following a bioterrorism event or after an infectious disease outbreak," lead author Henry Willis, a policy researcher at the Rand Corp., a nonprofit research organization based in Santa Monica, Calif., said in a statement.
The researchers said the initiative has helped increase the number of local public health staff members working on medication dispensing planning, strengthened partnerships between public health officials and local first-responder agencies and helped pay for new equipment such as mobile drug dispensing units.
BAFRA steps up for bird flu
28 March 2009
The border town of Phuentsholing was the latest to possess one at its main gate where over 800 vehicles ply each day, to and from the Indian border towns. Such improved disinfectant facilities have already been put to use in the border towns of Samtse, Gomtu, Gelephu and Samdrup Jongkhar.
According to officials at Bhutan Agriculture and Food Regulatory Authority (BAFRA), the improved facility was more effective in disinfecting vehicles and other risks compared to the existing power sprayer machines.
“The disinfectants will be sprayed from every angle on the vehicles. The steel frames are not permanent. And disinfectants from all the directions will not be used always. It will be used only during critical times, such as an outbreak across the border.” said a BAFRA official.
Dr Sithar Dorji of BAFRA said that the frames of the vehicle disinfection system could be dismantled when the disease outbreak subsided and the risk of the entry of the virus was minimal. In case of an emergency, it could also be assembled within an hour.
He said the construction was completed in critical time when there are widespread epidemic outbreaks of bird flu continuing in the neighbouring district of Assam and West Bengal, very close to Bhutan borders.
The facility in Phuentsholing was also expected to minimise the traffic congestion and inconvenience caused to the travellers at the main gate.
The cabinet approved the construction of the vehicle disinfection facilities at all the main border entry points during the 15th session of Lhengye Zhungtshog held on August 26, 2008.
Although import of poultry products are banned in Bhutan, it is observed that chicken is sold openly just a few metres away from the boundary walls on the Indian side of the border. Many Bhutanese live in rented houses in Jaigoan, West Bengal, India, due to shortage of houses in Phuetnsholing.
The Agriculture Minister Pema Gyamtsho inaugurated the vehicle disinfection facilities in Phuentsholing on Tuesday, March 24.
The girl died of bird flu and the detention of four suspected injury in the Fayoum and Damanhour
The girl died «بسملة Mohamed Rabia» 45 days of the city of Fayoum Alhawwatm after being infected with bird flu, and the girl had been detained for a day Fayoum General Hospital, where he was transferred to a hospital after Fayyoum fevers suspected bird flu, and fever to transfer the management of the hospital directly from the reception Tamiflu drug to the hospital, where she died hours later the girl Fimazalt of the samples being tested to make sure that the cause of death is bird flu or other disease.
In Damanhour hospital diets detained on suspicion of two infected by bird flu, and two: «Amal Mohamed Ezzat» 20 housewife year resident of the village Alhouc Center and the girl child Damanhour «Nada Ali Zein» 5-month resident of the village of Cain to the same place,
Whereas factor analysis conducted by the Ministry of Agriculture on samples of the two things the discovery of new bird flu virus bird Btnta Berma meeting Sunday attended by the village.
And Dr. Ahmed Saeed - Director of the Directorate of Veterinary Medicine meeting Sunday attended - that the initial focus has been discovered within the market wisdom Btnta during the passage of a committee formed to immunize birds in markets and homes, where suspected members of the Committee in the chicken before the sale was to take samples for analysis, a factor of the Ministry of Agriculture, at a time which was to take the necessary precautionary measures has been confirmed by a positive test sample was the formation of a committee of health and veterinary medicine, the environment and the city council security, security Kerdoun been imposed on the market and the relevant bodies to clear the place and the execution of all the birds under the supervision of Dr. Sharif Hammouda - Undersecretary of the Ministry of Health meeting Sunday attended by -- to ensure that no transmission of the virus to humans.
In the same context, the discovery of the focus of analysis within the market of the village after Berma suspicion in some birds for sale, with the imposition of Kerdoun security on the market and cleared by the health officials, veterinary medicine and the environment has been the liberalization of the record of this.
Egypt first in the world of bird flu in 2009
28/03/09
Egypt topped the list of countries most affected by avian flu in 2009, after a Ministry of Health 9 injuries since the beginning of this year, compared with 8 cases over the last year, the Ministry announced on Monday, injuring a girl from Qena, bringing the total casualties in Egypt since the beginning of the epidemic to 60 cases.
Dr. Abdel Rahman Shahin, spokesman of the Ministry of Health, said that despite the high number of casualties, Egypt is the least in the proportion of deaths, saying that among the casualties of the 23 cases there have been 60 deaths and only recognized that the virus is endemic in Egypt, and he left them and elimination of a many years, perhaps decades, and that if it mutates into a more severe type of «is strongly», explaining that it was now no way out of the crisis, however, the transformation of society to the frozen birds.
In Qena, the Department of health is a state of emergency in the hospital after the fever in the central laboratories of the Ministry of Health wounded girl «Israa Saad Shafi», which developed the symptoms of the disease last Monday and was taken to the hospital.
In Alexandria, executed the Directorate of Veterinary Medicine million birds, because of the lack of certificates to prove they are free of the disease have been seized in raids on intensive farms, bird shops in the east and west of the city.
In Fayoum, Dr. Hussein Sophie Abutaleb, Under-Secretary, Ministry of Health, the death of the girl child بسملة Mohammed «45 days» Tamiflu drug in a hospital after being transferred from the hospital yesterday evening fevers Fayyoum I, on suspicion of being infected with the disease, explaining that he had been sampled and sent to central laboratories, but they died before the results of the analysis, pointing out that the samples were withdrawn from her family as a precaution.
hat-tip Helblindi
Czech Republic-BSE (Mad Cow ) disease confirmed
28/03/2009 01:52:59
Czech state veterinarians said on Friday they had found a new case of bovine spongiform encephalopathy (BSE) in a six-year-old cow on a farm near the northern border with Poland.
Also known as mad cow disease, BSE first emerged in Britain in the 1980s and has been found in herds in several European and other countries.
Scientists believe it is transmitted through infected meat and bone meal fed to cattle and may cause deadly vCJD in humans.
Here are some key facts:
ORIGINS:
* First surfaced in Britain in 1985 when a black-and-white dairy cow was seen staggering and head-butting other cattle. It was diagnosed as BSE in November 1986.
* Known formally as bovine spongiform encephalopathy, the disease swept through Britain in the 1980s and early 1990s, causing millions of animals to be slaughtered and burnt.
* Scientists blamed waste produced in slaughterhouses and used to make animal feed for its spread. Cattle feed usually contained wastes obtained from the slaughter of other cows.
THE COST:
* Britain destroyed 3.7 million cattle in the 1980s and 1990s because of BSE. Between 1986 and 2002, 181,376 cases were confirmed in Britain.
During that time Britain spent more than $6 billion, excluding job losses, in sorting out the crisis.
* By 1988 Britain realised BSE was a serious problem. EU authorities banned high-risk materials such as spinal cord from use in feed and tighter labelling was also introduced.
* British beef exports were banned worldwide.
* The ban on British beef exports was partially lifted in 1999. In March 2006, EU experts agreed to a complete lifting of the embargo, nearly 10 years to the day after it was imposed.
* In 2007, BSE surveillance has identified 15 cases in North America, three BSE cases in the United States and 12 in Canada.
* Canada confirmed its 15th case of mad cow disease since 2003 in November 2008.
CREUTZFELDT-JAKOB DISEASE:
* vCJD is strongly linked with exposure to BSE. BSE can pass to people who eat infected beef products causing the related condition called variant Creutzfeldt-Jakob disease or vCJD.
* vCJD is a rare and fatal human neurodegenerative condition. As with Creutzfeldt-Jakob disease, vCJD is classified as a Transmissible Spongiform Encephalopathy (TSE) because of characteristic spongy degeneration of the brain and its ability to be transmitted. vCJD is a new disease that was first described in March 1996. To date it has killed more than 160 people in Britain.
