Tuesday, February 10, 2009

A to-do list for Clinton's China trip

The secretary of State should push for Beijing's help on the economy, nuclear proliferation, climate change and pandemic disease.

By Nina Hachigian
February 10, 2009
» Discuss Article The debate about whether to engage China is over -- we are now about 20 years into a common-law marriage. The debate about whether China will join the international community is also over. Beijing has been signing up for multilateral forums as if they were going out of style. The great challenge for Secretary of State Hillary Rodham Clinton when she visits Beijing next week is to influence China to play a larger role in preventing global catastrophes in these areas: the economy, nuclear proliferation, climate change and pandemic disease.
-snip-
You know things are bad when avian flu seems like a bright spot. But there's reason for guarded optimism that China will handle outbreaks responsibly: A Chinese doctor heads the World Health Organization, more money is headed for rural healthcare in China, and Beijing learned from the SARS crisis earlier this decade that the potentially devastating effect of a pandemic is exacerbated when its early cases are covered up.
-snip-

Panasonic Orders Some Families Home on Pandemic Risk (Update1)

[2 articles]

By Kanoko Matsuyama and Pavel Alpeyev

Feb. 10 (Bloomberg) -- Panasonic Corp., the world’s largest maker of consumer electronics, ordered Japanese employees in several emerging markets to send their families back to Japan on concern of a potential influenza pandemic.

The company in December instructed staff assigned to parts of Asia, Africa, eastern Europe and South America to repatriate their families by September, Akira Kadota, a spokesman for Osaka- based Panasonic, said by telephone today. He declined to comment on the number of employees or households affected.

Panasonic said last week it will cut about 15,000 jobs and report a loss this year. More than half of the company’s 209 subsidiaries outside Japan as of April 2008 were in the Asia- Pacific region.

“It’s a bit of a surprise,” said Naoteru Teraoka, who helps oversee $21 billion at Chuo Mitsui Asset Management Co. in Tokyo. “I would understand if there was a sudden outbreak that warranted concern, but there don’t seem to be any recent developments.”

Panasonic may be the first major company to order families home on concern people wouldn’t receive needed health care in case of a widespread flu outbreak. A pandemic could kill 71 million people worldwide and lead to a “major global recession” costing $3 trillion, according to a worst-case scenario outlined by the World Bank in October.

“This is part of our preparations for a new type of influenza,” Kadota said by telephone. “We chose areas after considering the prevalence of bird flu, and the capability of medical facilities and access to them. This is not part of the cost cutting.”

Singapore Staff Spared

The world is closer to another influenza pandemic than at any time since 1968, when the last of the previous century’s three pandemics occurred, according to the World Health Organization.

The company has been reviewing how to handle a pandemic, and decided to repatriate families after consulting Japan’s government and the Geneva-based WHO, Kadota said.

Honda Motor Corp., Japan’s second-biggest carmaker, considered bringing home families of expatriates in China after a woman in Beijing infected with bird flu died on Jan. 5, said Hideto Maekawa, a spokesman for the company. The carmaker has advised employees to cut down on “unnecessary and non-urgent” business trips, he said.

Panasonic isn’t concerned about any single country more than others, and Singapore staff won’t be affected by the repatriation, he said. The Nikkei newspaper reported the plans earlier.

International health officials have been monitoring the H5N1 strain of avian influenza for more than a decade for signs it could mutate into a form that is easily spread between humans. H5N1 has infected at least 406 people in 15 countries since 2003, killing 63 percent of them, according to the WHO’s Web site. The organization lists 11 cases of the virus in humans this year.

Panasonic shares added 0.9 percent to 1,130 yen. The stock plunged 52 percent last year.

To contact the reporter on this story: Kanoko Matsuyama in Tokyo at kmatsuyama2@bloomberg.net.

Last Updated: February 10, 2009 02:44 EST




Panasonic Orders Expat Families Home on Concern of Flu Pandemic


By Kanoko Matsuyama
Feb. 10 (Bloomberg) -- Panasonic Corp., the world’s largest maker of consumer electronics, told Japanese employees in several emerging markets to send their families back to Japan on mounting concern about a potential influenza pandemic.

The company in December instructed staff assigned to parts of Asia, Africa, eastern Europe and South America to repatriate their families by September, Akira Kadota, a spokesman for Osaka- based Panasonic, said by telephone today. He declined to comment on the number of households affected.

Panasonic, which said last week it will cut about 15,000 jobs and report a loss this year, may be the first major company to order families home on concern people wouldn’t receive needed health care in case of a widespread flu outbreak. A pandemic could kill 71 million people worldwide and lead to a “major global recession” costing more than $3 trillion,
according to a worst-case scenario outlined by the World Bank in October.
“This is part of our preparations for a new type of influenza,” Kadota said by telephone. “We chose areas after considering the prevalence of bird flu, and the capability of medical facilities and access to them.”

The world is closer to another influenza pandemic than at any time since 1968, when the last of the previous century’s three pandemics occurred, according to the WHO.

International health officials have been monitoring the H5N1 strain of avian influenza for more than a decade for signs it could mutate into a form that is easily spread between humans. H5N1 has infected at least 406 people in 15 countries since 2003, killing 63 percent of them, according to the Web site of the World Health Organization.

More than half of Panasonic’s 209 subsidiaries outside Japan as of April 2008 were located in the Asia-Pacific region. The Nikkei newspaper reported Panasonic’s plans earlier.

To contact the reporter on this story: Kanoko Matsuyama in Tokyo at kmatsuyama2@bloomberg.net.

Last Updated: February 9, 2009 22:05 EST
hat-tip Muscade

Monday, February 9, 2009

Panasonic return directive to combat pandemic

2009.2.9 23:04

The global epidemic of avian flu (pandemic) in preparation for the Asia and the Panasonic China, the Middle East and the resident staff, the family that accompanied 9 ordered them to return home by the end of nine days was . Global companies are not going to move cases of employees of the family home on a large scale, will likely influence the response of others.
Accompanied the family home last year, have been concerned about the epidemic of avian flu to 12 and from the sequential instructions, taking into account the deadline for returning and transfer procedures may take longer to find housing and child after returning in late September set. Also, employees appointed to a new area is accompanied not allow the family.
Target region is Asia, the Middle East, Africa, Latin America, Russia, the Commonwealth of Independent States (CIS). The list of medical conditions and taking into consideration the local, North America, Europe, Oceania and Asia are excluded Singapore. Overseas-based measures that are returned more than 100 companies in all regions, in 50 different countries is China's largest number of households and the number of people to return said.
Bird flu in China this year and infected eight people, five of the increasing risk of causing death, and rage. Ministry of Health and Welfare in Japan for the damage when a pandemic occurs, the worst case, the estimated death toll has reached 64 million, is a major challenge to prevent the spread of infection.
And begin to spread the infection, it could be difficult to return to the immigration regulations and that the company is "to prepare for emergencies as a responsible global company," he said.

Panasonic, ordered returned to the families of expatriate employees in preparation for the avian flu epidemic

02/10 06:16 Kansai

Major electronics company "Panasonic", in preparation for a global epidemic of avian flu, the expatriate employees and families of China and Africa, was being asked to return as soon as possible.
The target return is in the region of Eastern Europe and Russia Latin America and Africa Middle East Asia and China, was ordered to immediately return the entire family of employees as a rule.
Are concerned about the epidemic, of avian flu in the form of highly toxic and bird flu, because no vaccine is seen as a very high fatality rate.
The measures being considered by many companies, Panasonic precautions, to an unusual size for almost the whole world seems to have a major effect on other Japanese companies are expanding overseas.

Bogor Cluster (Toggletext version)

[This is a Toggletext translation of the earlier story about the people that are sick in Bogor]:



The family Ruslan began Tertutup Bogor – efforts of the Bogor Municipal Government overcame the spreading of bird flu, especially in the District Cilendek West the Bogor Subdistrict West, experienced the hindrance.

The family (alm) Ruslan that beforehand was stated suspect bird flu currently begins the Ruslan Mulai Tertutup Family was closed against the official of the health that will handle him. The older brother (alm) Ruslan then namely Ridwan (35) that was observed because of experiencing the high fever yesterday did not yet want did x-rayed.

When the official of the Gang Kelor Community Health Centre visited the family's house, the family reluctantly opened the door. “Kecurigaan we because they one family with the same gene, moreover Ridwan's work be the same as (alm) Ruslan as the collector's trade person of the waste. So must be kontak,” said the Head of the Gang Kelor Community Health Centre Dr Sri Utami to the Bogor Radar.

Sri also said, nine residents who were spread in several of RW in the territory experienced the fever like that was felt by Ridwan. The official of the health did not want to lose hope and continue to try to carry out the approach. Moreover looked for the wife (alm) Ruslan that came home to Cirebon before carrying out the blood test by involving the Kesehatan Service of the Cirebon City.

Information that was assembled the Bogor Radar, before the Ruslan death and his brother of Nurul that was stated suspect bird flu, near casualties's house had been found by the case of the death of the poultry but was not reported and Ruslan it was known often visited to this location.

Now nine residents who currently experience the fever and still in the official's monitor of the Gang Kelor Community Health Centre was the resident in RW 04 (three people), RW 11 (two people) and RW 16 (four people).

They were still undergoing the maintenance in the house because of his complaint still flu and the fever. It did not yet happen breathless so as the temporary patient was permitted for the maintenance in the house with consumption of medicine tamiflu routinely.

In the place was separated, the condition for the Sumarni family began improving. The fever that was suffered by his child of Saminem (20) that was pregnant gradually was lost whereas Sumarni was seen carries out the activity like usually. (the trip) (Redaksi)
hat-tip bgw in MT

The Pre-School Patient Died, The Family Protest The RS [South Sulawesi]


Monday, 09-02-2009

Dr Tanty: If We Were Slow, Please Report Police.

Palopo, BKM -- A pre-schooler was 3 months old that became the patient RSUD Sawerigading, Kota Palopo died tragically. His death it was suspected because of the hospital side did not handle the patient who had been named Eka since entering last Thursday (5/2). Finally, this patient could not be rescued by his spirit and died after was in this hospital for almost 24 hours, on Friday (6/2).

In fact Eka could will be helped the medical side, but has been late because of casualties already in agony. This was marked by the condition for casualties that already convulsions. The daughter of the youngest child from the couple Julianti (34) and Basir (38 ), villagers Harapan, Kecamatan Walenrang, of Luwu this contracted inflammation of the lungs and breathless.

Casualties's family then protested and really regretted the death of this child. According to their assessment, in fact casualties were still could be rescued. Only the hospital side immediately did not handle casualties, on the basis of maintenance space has been full by the other patient. This matter made casualties's family only be able to submit to bad service the oldest hospital in Palopo.

Rahmat, casualties's uncle who was met by BKM in RSUD Sawerigading, had said since his niece was reconciled to treat inap by the doctor, Eka had not gotten the maintenance from the doctor.

"My niece entered the hospital in struck 14,00 Wita, last Thursday. But just got the maintenance from the afternoon doctor the next day when the patient already convulsions," obviously him.

He also admitted to being disappointed with the achievement of the medical official in RSUD Sawerigading. The problem, not there is any doctor take care of that could be asked to help when the patient has begun convulsions.

"I already went around and looked for the doctor take care of, but just half an hour afterwards just had the doctor who appeared. That too when my niece has begun to be critical," he said.

The Temporary official (Pjs) Director RSUD Sawerigading Palopo, Dr Rusdy that it was confirmed, yesterday admitted to not yet knowing this matter. "Forgive me the deck, I did not yet receive his report. I now still be in Jakarta," he said when being contacted via the mobile phone.

Now the paediatrician RSUD Sawerigading, Tanty F Takahasi that was met in runag his work, denied these charges. According to him, this patient has received the medical action in accordance with the procedure since entering the Intensive Care Unit.

"Untrue if being considered to be slow by the doctor gave the medical service. Because since entering UGD, the patient at once got the action from the doctor take care of. I have checked his medical note," said Tanty.

He explained, the patient when entering UGD, it was known suffered inflammation of the lungs and breathless. "Inflammation of the lungs was indeed very risky was suffered by children. At first again for the child was three months old," he revealed.

Tanty also stated his readiness to undergo the process of the law if quite true charges of the patient's family on negligence of the hospital side. "If quite true we were slow, please reported to police. We were ready to face the process of the current law," he stressed.
hat-tip dbg

Russia: Mask mode is entered in the Khabarovsk kindergartens

9 February.
Because of the increasing number of viral infections and flu



KHABAROVSK. VOSTOK-MEDIA -

The Chief Medical Officer for the Khabarovsk Krai in the regional capital, Verhnebureinskom, Ayano-May and Tuguro-Chumikanski region edges introduced restrictive measures related to the increasing number of diseases Influenza and ARI.

In kindergartens and hospitals established «mask» Disinfection treatment and prevention activities is limited to visiting the sick in hospitals, transmits RIA correspondent «Vostok-Media», with reference to a report of Rosprirodnadzor.

In the above-mentioned areas, the number of cases exceeded the epidemic threshold in Khabarovsk been significant growth. In general, however, on the edge of the incidence is on the neepidemicheskom level. In doing so, recorded increased epidemic activity of respiratory viruses among children of preschool age and schoolchildren.
As a virological laboratory of the material from the diseased isolated influenza virus «A» (N1N1).
Doctors recommend that at the first signs of respiratory viral disease immediately call a doctor, not self.

Vietnam: HPAI spread

Tuesday, 10/02/2009
(Nld) - Patients infected with H5N1 virus is still critical - Hanoi: 322 people have been infected measles TPHCM l: Ra quân prevent disease measles vaccine for children

Department of Animal Health, said recently from 26-1 to 7-2, HPAI outbreaks have occurred in Quang An (Dam Ha, Quang Ninh) as 155 children die out of the 230 birds of 9 households. Test results positive for avian influenza virus. On 7 and 8-2, HPAI continues to be detected more in the bay year Nga district, Soc Trang, 2 Vinh Trung commune, Thang and The town Mau Nang, Vi Thuy district, Hau Giang. Presently there are 5 provinces with HPAI including Ca Mau, Soc Trang, Nghe An, Hau Giang and Quang Ninh.

- On 9-2, Ministry of Health informed test results form's disease patients Ly Tai Mui women (23 years of age, ethnic Dao, resident in Port Na, Quang An, Dam Ha district, Quang Ninh) about the epidemiology of central analysis shows positive for influenza A/H5N1. This is a patient infected with influenza A/H5N1 first in 2009. On 28-1, Mui she does have the fever, blood pressure dropped, respiratory failure severity. Ms. Mui still being actively treated in General Hospital in Quang Ninh, but get worse.

- Health Center for Hanoi that, up to 9-2 days, the city had 322 people infected measles in 66 communes, wards, of which 54% are students. According to Dr. Nguyen Huy Nga, Director Department of Department of Health and the Environment (Ministry of Health), from early 2009 till now has 11 provincial areas north recorded cases positive patients with measles.
- Doctor Nguyen Dac Tho, Deputy Director of Health Center for TPHCM, that has begun implementing campaign vaccine to prevent measles outbreaks nose 2 for children throughout the city, with more than 100,000 doses of measles vaccine has been transferred to 24 health centers and rural districts. 9 local military was immunized on the same day as District 8, 9, 11, Go Vap, Tan Binh, Binh Thanh, Tan Phu, Binh Tan and Hoc Mon districts. The program will last up to 6-3 days.

Vietnam: Nine Detained Over Bird Flu Fracas

HANOI, VIETNAM: Vietnamese police detained nine people suspected of having led a mob of villagers who prevented authorities last week from destroying chickens to stop the spread of bird flu, authorities said Monday (9 Feb).

The nine villagers were detained Saturday (7 Feb) in Thuong Tin district just outside Hanoi where the brawl occurred Thursday (5 Feb), said Nguyen Van Phuong, the district police chief. They could face charges of "openly appropriating property," he said, an offense that carries up to three years in prison.

Police in Vietnam can hold suspects up to nine days without charges.

Dozens of villagers in Thuong Tin overwhelmed police and health authorities Thursday and stopped them from destroying about 1,500 chickens smuggled in from China, officials said.

As authorities removed the poultry from a truck to burn them in a pit, the villagers _ desperate for the income the birds could provide _ grabbed the chickens and ran off, they said.

Shanxi Hongdong epidemic occurred in pigs

2009 on 10 day 02 years 01:20


Have been diagnosed with the highly pathogenic blue ear pig disease

According to Xinhua News Agency, Hongdong County in Shanxi Province since the beginning of the epidemic appeared live, in the departments concerned to take urgent measures, not the spread of the epidemic, the county's various markets, catering units also did not find pork disease.

According to deputy head of Hongdong County乔永生introduction, county Animal Husbandry and Veterinary Bureau received February 1 million households keeping pigs anzhen deaths have been reported immediately to the Town亭村Step 5 of病死猪pig farmers had a diagnosis, preliminary diagnosis of mixed infection caused by Eperythrozoon. Hongdong County personnel investigate the subsequent verification, confirmation from January 1 onwards, anzhen million pigs have died one after another occurred, as of February 6 total of 1056 deaths, other township currently no anomalies occurred.

Nine journalists from the date that the Government of Shanxi Province, Shanxi Hongdong County, Linfen City confirmed the death of live pigs for the highly pathogenic blue ear pig disease.

After verification, Hongdong County anzhen 10,000 14,122 Pig existing column, in which sows 2287, 7954 finishing pigs, piglets 3881. As of February 6 total of 1056 deaths. In which 28 sows, 157 finishing pigs, piglets 871.

Day 9, Shanxi provincial party secretary Zhang Baoshun clear treatment of the epidemic demands: immediate start emergency measures, farmers in Shanxi Province, Linfen City, animal husbandry sector and to strengthen monitoring of the epidemic, and take effective measures to prevent the spread of the disease to prevent the flow of the market病死猪.

Melitopol. ARI and influenza until the position is not rent

09.02.09 | 17:03 | Author Catherine Danilina


360 melitopoltsev asked for the weekend to help doctors with symptoms of ARI and influenza, 49 percent. of them children. This is slightly lower than last weekend, but talk about the decline of the incidence is too early to consider the city epidemiologists.

Last week, more than 2368 urban cases of acute respiratory viral infections and flu. 49 people, including 8 adults have been hospitalized. As the Head of Epidemiology Division горСЄС Larissa Saprykina, this year we are talking about the epidemic, which is marked not only the largest in 15 years the number of cases, but the intensity of development. Last year, for example, for the same week of February, the number of patients was two times less, and cases of influenza were not recorded.

Remember, in order to stop the spread of viral infections in schools Melitopol already the second week of quarantine. Although the CEC insists that it lasted all the current week (15 February), the City Department of Education is considering the resumption of classes in the middle of the week.

Actual problems of ensuring the sanitary-epidemiological welfare of population and consumer protection

PRESS CENTER IN MOSCOW

13:00 10/02/2009
Room 1

Press Conference of Head of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare Gennady Onishchenko on the theme: «Actual problems of ensuring the sanitary-epidemiological welfare of population and consumer protection». During the press conference is planned to highlight the following: immunization of the population of Russia, the epidemic of influenza and bird flu, the quality and food safety, consumer protection.

OBITUARY: WILLIAM T CLOSE

Date: Sat 7 Feb 2009
Source: The New York Times [edited]
<http://www.nytimes.com/2009/02/08/health/08close.html>


William T Close, 1924-2009
--------------------------
Dr William T Close, an American surgeon who in 1976 played an important
role in controlling the 1st epidemic of the deadly Ebola hemorrhagic fever
in central Africa and preventing it from spreading, died on [15 Jan 2009]
at his home in Big Piney, Wyoming. He was 84. The cause was a heart attack,
said his daughter Glenn, the actress.

Dr Close was both personal physician to president Mobutu Sese Seko of
Zaire, now known as Congo, and chief doctor of the army at the time of the
epidemic, which caused widespread panic in the country, 3 doctors involved
in helping to control it recalled in interviews. His connections,
organizational ability, and medical expertise were essential in halting it,
they said.

Ebola was a newly discovered viral disease causing severe sore throat,
rash, abdominal pain, and bleeding from multiple sites, particularly the
gastrointestinal tract.

Medical resources were scarce at the time and under threat themselves. The
missionary hospital in rural Yambuku, in the heart of the epidemic, had
closed after 11 of 17 staff members died of the disease. Belgian missionary
nurses who had been infected at the hospital died after they were
transferred to Kinshasa, the capital. Roads were blocked. River traffic and
commercial air service stopped. Military personnel shunned the epidemic area.

President Mobutu was rumored to have fled with his family to France. There
was fear that infected people fleeing the epidemic could spread the virus
to neighboring African countries and elsewhere.

"No more dramatic or potentially explosive epidemic of a new acute viral
disease has occurred in the world in the past 30 years," the commission
that investigated and controlled the epidemic wrote in The Bulletin of the
World Health Organization (WHO) in 1978.


Dr Close's role in the crisis began on a flight from Geneva to Kinshasa as
he was returning from home leave in the United States. Overhearing comments
between 2 epidemiologists sent at Zaire's request from the Centers for
Disease Control (CDC) in Atlanta to help control the epidemic, Dr Close
asked to join in the conversation. The 3 spoke the entire night flight,
said one of them, Dr Joel G Breman.

On arrival in Kinshasa, Dr Close, a man with a take-charge personality,
immediately arranged a meeting with the Ministry of Health. He was able to
help commandeer pilots and airplanes to ferry equipment to where it was
needed. Dr Peter Piot, a co-discoverer of the Ebola virus, said Dr Close
played "an indispensable" role in controlling the epidemic by using his
direct access to Mr Mobutu to gain political and military logistic support.

Dr Close had one of the earliest mobile phones, "so heavy it had to be
carried by someone," said Dr Piot, who recently retired as director general
of the United Nations AIDS program.

"He impressed everybody" by commandeering a Zairian Army transport plane to
fly a team to the epidemic area and helping to identify capable people to
work on the team, Dr Piot said, adding, "I thought, 'This man is more than
Mobutu's physician.' "

"We, the investigating team, were scared," said Dr Breman, who now works at
the Fogarty Center at the National Institutes of Health in Bethesda,
Maryland. But, he said, "Bill was right in the middle, running the hospital
in Zaire, assigning aides and making sure the needles, syringes,
generators, and other equipment were getting to where needed."

The team broke the chain of Ebola virus transmission by providing
protective clothing for hospital workers, sterilizing equipment, and
strictly isolating patients in their villages. The final tally: 318 cases,
88 per cent fatal.


Dr Close's efforts also played an indirect role in early studies of HIV a
decade later. Tests showed that a high percentage of people in Kinshasa
were infected with the AIDS virus. But the rate of infection in rural areas
was unknown.

To determine whether the prevalence of the disease had changed over a
decade in rural Zaire, Dr Joseph B McCormick, a co-investigator of the
Ebola epidemic, led another team that tested people in the area in the
mid-1980s. In part by comparing rates found in blood stored from a survey
in the Ebola region in 1976 to rates from the newer samples, Dr McCormick
said, "we found that the prevalence of infection in the rural area was
stable and low at 0.8 per cent."

The AIDS study showed that HIV infection and AIDS could have existed and
remained stable in a rural area of Africa for many years. It was one of the
rare studies able to compare rates over time in the early period of AIDS
and would have been impossible without Dr Close, said Dr McCormick, now
dean of the University of Texas School of Public Health in Brownsville.

William Taliaferro Close was born on 7 Jun 1924, in Greenwich, Connecticut.
He was reared in France and educated in British and American schools before
entering Harvard in 1941. He left in 1943 to become an Army pilot in World
War II. After his discharge, he earned his medical degree from Columbia
University, trained as a surgeon at Roosevelt Hospital in Manhattan, and
soon joined a peace missionary group, Moral Re-Armament, for which he went
to Zaire in 1960. There, he had a private practice and directed the
1500-bed Mama Yemo hospital in Kinshasa and the Zairian national health
service.

"He made a real effort to get public health support into rural Zaire," Dr
McCormick said.

Besides his daughter Glenn of New York City, survivors include his wife,
Bettine; 2 other daughters, Tina Close of Wilson, Wyoming, and Jessie Close
of Bozeman, Montana; 2 sons, Alexander D Close of Belgrade, Montana, and
Tambu Misoki of Sacramento; his twin brother, Edward B Close Jr of
Littleton, Colorado; and 9 grandchildren.

Dr Close left Zaire in 1977 because he was disillusioned by Mr Mobutu's
corruption and was losing access to him, his daughter Glenn said. He then
became a rural doctor in Big Piney championing hands-on care. He wrote 4
books, including accounts of his life in Africa and Wyoming. He made his
last house call a month before he died, she said
.

[byline: Lawrence K Altman]

RABIES, BOVINE - MEXICO: (GUANAJUATO)

Date: Sun 8 Feb 2009
Source: Periodico AM [in Spanish, trans. Mod.MPP, edited]
<http://www.am.com.mx/Nota.aspx?ID=248868&strPlaza=Leon&IDPlaza=1>


Rabies outbreak controlled
--------------------------
After the outbreak of rabies in cattle that occurred in the town of
Xichu, the [Guanajuato] State Ministry of Health implemented a
"sanitary fence" to prevent the spread of the virus.

The Ministry of Health denied that there has been spread of the virus
from the cattle to humans.


However it was recommended that the population treat animals that
died from rabies with extreme caution and they should not consume the
meat of these animals.


It was also pointed out that direct contact with the saliva from
infected animals can transmit the disease to humans so the public
should be careful and take the necessary precautions and hygienic measures.

In the state of Guanajuato almost 875 000 doses of rabies vaccine
were administered to dogs, 52 804 animals were killed, 9595 pets were
sterilized, and 6643 specimens from dogs were examined.

[Byline: Julio Cesar Salas]

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[While a "sanitary fence" is a term that is used in a number of
countries in Latin America, it usually refers to control measures
being implemented in a geographic areas surrounding where case(s)
have occurred. This moderator would like to point out that a virus
such as rabies can frequently use other animals such as wild animals
to pass the disease across such a "fence".

The newswire highlights that diseased animals should not be
consumed. While this is true for most veterinary diseases, it should
be highlighted here that rabies is one of the diseases that would be
high on the list for avoiding human consumption of infected animals.

Rabies can pass from bovines to people, but the animal must bite the
person or the person must have contact with saliva of the animal and
it must enter the human body, through a cut, scratch, the mucus
membranes of the eye, the nose, or the mouth. So it is not casual
contact that will infect the person. The bovines usually have a
distinctive bellow when they are infected with rabies. Although this
is not a diagnostic quality, it is unusual enough that many
veterinarians recognize it. - Mods.TG/MPP]

[The state of Guanajuato in central Mexico can be located on the
HealthMap/ProMED-mail interactive map at
<http://healthmap.org/promed/en?g=1912308&v=24,-102.5,6>. - CopyEd.MJ

Eperythrozoonosis


This is a disease caused by a bacterium called Eperythrozoonosis suis which attaches to the surface of red blood cells and sometimes destroys them. The pig may then become anaemic and the products left after the destruction of the cells may cause jaundice. Clinical disease is more commonly seen in young growing pigs. However it can also cause reproductive problems in the breeding herd. A sow may carry Epe and yet remain quite healthy, however, it can cross the placenta resulting in weak pale pigs at birth.
Epe is present in most if not all herds but the mechanisms which allow it to become pathogenic and produce disease in some populations and not in others are unknown. The incidence of disease is low.

Symptoms
Sows
Acute disease:


Affected sows are inappetent with fever 40-42?C (105-107?F) when high numbers of organisms are present in the blood. This clinical picture is often seen after farrowing.
Anaemia
Increased respiration.
Anoestrus.
Pale skin
No milk - agalactia.
Chronic disease:
Sows become debilitated and pale with jaundice.
Poor conception, repeat matings and anoestrus.
Delayed returns to oestrus.
Anaemia.
Jaundice.
Bleeding into tissues.
Abortion.
Thin sows.
Stillbirths.
Reduced conception rates.
Pale skin
No milk -agalactia.
Piglets
In severe cases jaundice may result.
Secondary infections tend to occur.
More chronic cases result in slow growth and poor-doing pigs.
Pale and anaemic pigs.
Increased scour (sloppy diarrhoea).
Pneumonia.
Weaners & Growers
The clinical picture varies:

In weaners the acute disease is manifest by primary anaemia.
In growers it leads to slow growth and poor-doing pigs.
The presence of anaemic and possibly slightly yellow-skinned recently weaned pigs.
Pale pigs.
Slow or variable growth.
Ear necrosis.
Enteritis - sloppy diarrhoea.
Fever.
Pneumonia.
Poor pigs, wasting, hairy.
Pot bellied pigs.
Scour.
Causes / Contributing factors
Biting insects.
Internal parasites
Lice or mange mites.
Cannibalism / vice (Abnormal behaviour).
Sows method of spread:
Vaccinating sows with the same needle.
Tagging gilts.
Feeding placenta or farrowing house material.
Fighting.
Vulval and tail biting etc.
Piglets - method of spread:
Tailing, tooth clipping and iron injections.
Weaners & Growers method of spread
Fighting.
Tail biting and other vices.
Diagnosis
In trying to arrive at a diagnosis, the following should be considered.
The clinical picture.
The identification of the organism in blood smears stained with Wright's stain. Fifty microscopic fields should be examined before a negative diagnosis is arrived at. The presence of Epe in a smear need not necessarily imply disease.
Serological tests, including an ELISA, are still unreliable but are being improved.

Evidence of other causes of anaemia (e.g. iron/copper deficiency).

Examination of blood samples for packed cell volume and haemoglobin levels.
Epe must be differentiated from the following:
- Actinobacillus pleuropneumonia.
- Chronic respiratory disease complexes with PRRS and influenza.
- Gl?ssers disease - Haemophilus parasuis.
- Leptospirosis (L. icterohaemorrhagiae).
- Malabsorption and chronic enteritis.
- Pale piglet syndrome - haemorrhages.
- Porcine enteropathy (PE, NE, PHE and PIA).
- Post weaning multisystemic wasting syndrome (PMWS)
- Other causes of anaemia (e.g. Iron / copper deficiency).
Further Reading
Click on the links below to find out more about this disease, including treatment, management control and prevention information. The top link is the main article on this disease.
Eperythrozoonosis (Epe)
Eperythrozoonosis (Epe)

Hongdong County, Shanxi Province, thousands of pigs experts to investigate sudden death



2009-02-09 09:52:25


Shanxi Xinhua Hongtong February 8 Hongdong County, Shanxi Province, Xinhua since January 1 to February 6, 1056 occurred the death of live pigs. After the incident, Hongdong County emergency deployment to strengthen the investigation and prevention and control work. Shanxi province has also sent a survey team to investigate Hongtong.

Investigate in Shanxi Province by the field survey team of experts, a preliminary autopsy examination病死猪think this Hongtong death is part of live pigs from Eperythrozoon infections caused by mixed infection,
Disease material collected in Shanxi Province has been sent to do further laboratory diagnosis of the relevant departments.
Hongdong county industry and commerce, health departments investigation said the county's various markets, catering units have not found the issue of pork.
Hongdong County乔永生deputy magistrate said that the county animal husbandry and veterinary bureau received February 1 million households keeping pigs anzhen deaths have been reported immediately to the step-by-step Wanan Zhengnan亭村Wang 5 stars, such as the pig farmers had病死猪diagnosis, initial diagnosis of mixed infection caused by Eperythrozoon.
Bureau immediately take three measures: dead to take deep, harmless treatment; within a radius of three kilometers immunization, strengthening of disinfection, will be closed management; strengthen pig epidemic monitoring and epidemiological investigation.

Hongdong County Committee received the report of the county government immediately organized the county animal husbandry and veterinary medicine and the Village Board the same night the village cadres, the anzhen million and its neighboring town of Liu Sadakazu all pig farmers to carry out investigation and verification.

乔永生说,经核查,洪洞县除万安镇外,其他乡镇没有发生异常情况。乔永生said that, following verification, in addition to 10,000 anzhen Hongtong County, other towns and townships not unusual. Since January 1 to February 6, a total of 10,000 deaths anzhen Pig 1056, involving 10 villages 65. In which 28 sows, 157 finishing pigs, piglets 871. 871 piglets born dissatisfaction accounted for 844 a month, accounting for the death of 80% of the total number of live pigs.

乔永生说,由于万安镇部分生猪死亡情况异常,畜牧部门已于2月6日采集病样送至山西省动物疾病预防控制中心 化验室进行化验。乔永生said that as part of live pigs anzhen million abnormal deaths, the livestock sector was collected February 6-like disease in Shanxi Province to the Center for Animal Disease Control and Prevention laboratory for testing.

By government officials, animal disease prevention and control experts in Shanxi Province-member investigation team on the 7th to Hongdong County to conduct an investigation. Investigation team the same night on the south steps anzhen 10,000 kiosks, such as double-chang four visits to investigate the village. And in the evening on a dead piglet and a diseased pathological autopsy carried out, mining of 7 blood samples were smear microscopy.

Investigation team, Shanxi Agricultural University, Veterinary Pathology experts said Professor Zheng Mingxue, anatomical results show that with this major两头猪eperythrozoonosis, while infected with intestinal parasites, but also the performance of lobular pneumonia. According to the comprehensive testing, a preliminary determination for mixed infection.

After the incident, Hongdong County, called for the county animal disease prevention and control of the situation of the Organization to carry out detailed and thorough investigation, strict implementation of the report date and零报告制度; Strict immunization work, strengthen disease monitoring efforts to prevent spread of the disease.

Hongdong County is also the urgent deployment of病死猪investigate the flow of live pigs and meat market investigation, to eliminate病死猪into the market.
Chih-Chien Wang, deputy director of the county public security bureau said, as at 22 o'clock on the 8th, the whole county involved in the 65 pig farmers have been investigating, found a sow death due to dystocia sell farmers live on their own buried 637, litter 289, 25 burning, deal away the livestock sector 7, and 97 piglets were pig farmers喂狗. Further information on the public security department is still an urgent investigation.

Hongdong County, North King Business Secretary in mind that, according to the survey, from January 1 to February 7, Hongdong County, a total of seven fixed-point abattoir slaughtering 16,002 pigs, check out the Pig Diseases 30, has its Does the non-disease treatment. A further two inspection teams found no经检验检疫of 297 kilograms of pork. At the same time, in order to prevent the disease of pork into the market, the council of the county 9 Refrigeratory check found no outstanding经检验检疫pork.

Hongdong County Secretary for Trade and Industry History of the Hung-tao said that since January 19, the industrial and commercial systems throughout the county every day to five supermarkets, two farmer's market, operating 159 households in meat were investigated. As at 12 o'clock on the 8th have not found the problem in the sale of pork.

Hongdong County Health Secretary said李永奇, February 4, the health sector of county 341 catering units dragnet inspection, did not find the issue of livestock and poultry, a normal consumer psychology.

According to animal husbandry and veterinary experts, eperythrozoonosis is a common infectious diseases, belonging to three categories of disease.

Zhong Nanshan: not sick birds infected more transmission

[Repeated information, but recent article]
February 9, 2009 10:56:59

(Xinhua correspondent Lai Heng Liu,戴丽娟) this year, in different places have been found in seven cases of human avian influenza cases, of which five cases have died. Case once again to arouse people's human bird flu vigilance and attention. Yesterday morning, the Chinese Academy of Engineering, Professor Zhong Nanshan respiratory authoritative experts said bird flu cases this year were high mortality, but is still in the dissemination of state, not the formation of the epidemic.

High mortality but not the formation of the epidemic

"This year, bird flu appears there are two more obvious characteristics, first, high mortality, and second, the time appeared more concentrated, seven cases diagnosed are in the last month found, of which 5 cases are has died. "Zhong Nanshan said, but these cases generally distributed, the distribution in Beijing, Xinjiang, Shandong, Shanxi, Guizhou and other places, and each region has so far been found only in 1 case. "This means that this year's bird flu epidemic has not yet formed, because in accordance with the relevant provisions must be in the same area more than five cases of epidemic cases only."

"As people all over the bird flu vigilance, as well as the peak incidence of influenza in winter and spring come, people believe that sporadic cases of avian influenza may still occur in our country." Zhong Nanshan said.

Beware "is not borne disease" in poultry

Zhong Nanshan special emphasis this year, avian influenza appears people have a very noteworthy new phenomenon. "In this seven cases of patients, some people do not have a history of contact with sick poultry." Zhong Nanshan consider in particular the need to guard against this, because it meant that some poultry may be "not infected or sick." "In other words, these birds may be carrying the body can be transmission of avian influenza virus, but there is no incidence of characteristics, so people come into contact with these birds when there is no preparedness, more vulnerable to illnesses." Zhong Nanshan think, The reason why birds would lead to "the virus is not sick", and may be related to immunization, and "hit and poultry vaccines, bird flu may be reduced after the detoxification reaction is not popular for the disease, but in fact They still carry the virus in vivo. "

To this end, Zhong Nanshan reminded, the best way to prevent bird flu is to avoid contact with poultry, "whether it is sick, or 'looks healthy', are not to contact. In addition, the public is best not to buy live poultry to go home their slaughter. "

Hospital should not be about money

Reporter asked: "This year, human avian influenza cases why such a high mortality rate?" Zhong Nanshan said that medical staff were not placed enough emphasis on the avian flu is one of the reasons why. Zhong Nanshan said that over the past month appears that seven cases of human avian flu cases are occurring in the rural grass-roots level, and worrying is that there are patients who have seen the patient to the hospital, but was the grass-roots hospitals Doctor as an ordinary fever and pneumonia. "One is to have a patient go to the hospital, has gone, once again was called back to the hospital. The reason why Called back, is the hospital later found him suspicious of the condition. However, this is late, this patient eventually rescued them. "

In this regard, Zhong Nanshan call a high fever and pneumonia for those patients, if after 48 hours of conventional therapy is still not improved, medical personnel should attach great importance to the first person to give them a quick test of bird flu, but should allow them to be treated in hospital . "Unfortunately, in this seven cases of patients have several hospital because no money to pay a deposit and leave the hospital. I call upon the vast numbers of hospital, particularly in Guangdong area hospital, once found in pneumonia and high fever within 48 hours of non - improvement in patients who should not care about the money, regardless of their hospital has no money to pay the deposit should be treated before their admission, and then immediately to the higher level health authorities report. "

Zhong Nanshan remind

Some birds may be the body with transmission of avian influenza virus, but did not show the characteristics of the disease, hidden high, but also need to remain vigilant.

I call upon the vast numbers of hospital, particularly in Guangdong area hospital, once found in pneumonia and high fever for 48 hours does not improve patients should not care about the money, they should be treated first admitted to hospital.

Reminder: the spring of human avian influenza prevention need to do a good job of personal protective

09-02-09 09:00

Xinhuanet Lanzhou February 7 (Xinhuanet Wei Wei) in early spring in February, the earth is warmer, winter and early spring at the time of replacement, but also the prevention of influenza, human respiratory infectious diseases such as avian flu season high. Lanzhou City CDC experts advise, as long as good personal protection, you can avoid viruses.

Journalist from the Lanzhou City CDC learned that recently, while in China Beijing, Shanxi, Shandong, Hunan and other provinces and cities have found a human avian influenza cases, but there has been no outbreak of Lanzhou City in winter and spring of respiratory infectious diseases remained stable, in the controlled state.

Statistics show that China's human bird flu cases more than 70% of the time focused on the incidence of winter and spring (November to March the following year). Prior to the onset of the majority of cases directly or indirectly a history of exposure to dead poultry, or the incidence of live birds to go off the market. And the Lunar New Year period is exactly the Chinese people more time to contact with poultry, a large number of migrant workers to return to rural areas, as well as livestock and poultry trade frequent holidays, no doubt increases the outbreak and spread of risk.

In response, CDC deputy director of Lanzhou City王智永to remind the public that to prevent people suffering from bird flu, should enhance personal awareness, and maintain good personal hygiene habits, to avoid contact with live poultry and their excreta, especially children should avoid close contact with poultry and fowl, such as after touching live poultry should be thoroughly washed their hands; poultry and eggs should be cooked before consumption.

For some work in close contact with poultry, such as farming, marketing, slaughtering staff to do personal protection, wear a mask, such as wearing protective clothing. If it has touch immediately with water and hand sanitizer, wet wipes (alcoholic) and complete disinfection. If it is found injured or dead wild birds, should immediately inform the relevant departments in order to arrange for officers to the scene to do testing charge.

If in the spring during the trip, should avoid contact with the local live poultry and birds. Such as influenza symptoms should seek medical attention as soon as possible and inform the doctor whether or not exposure to poultry, or have been to place the outbreak of avian flu, early detection, early treatment is the key to rehabilitation.

Infected birds found in Hong Kong, Macao, sounded the alarm of avian invasion

2009-02-09 10:55:46
Source: China News Network

By February 9 electricity "Macao Daily" published in the headlines today reported that a series of Hong Kong found with H5N1 avian influenza virus of birds, the seasonal outbreaks of influenza has entered the peak period, so that Hong Kong is facing bird flu and seasonal two influenza threat.

As a result of human infection of bird flu cases, many patients had a history of exposure to birds, but bird flu symptoms of fever and common cold are similar easily confused, so Hong Kong has stepped up suspected cases of avian flu testing. Macao and Hong Kong close as lips and teeth, together with the Macau has entered a peak period of seasonal influenza, although not yet found any bird flu cases, but the work of bird flu martial law can not be ignored.
-snip-

Egypt: Declaration No. 13 Of Malaria Infection In The Fayoum And 4 Cases Of Suspected B Avian Flu

Declaration No. 13 Of Malaria Infection In The Fayoum And 4 Cases Of Suspected B «Avian Flu»

Books just dug Farghali, and Mohamed Said Ibrahim Nafie, India 9-2 / 2009

The Directorate of Health in Fayoum, yesterday, injuring Saad Saleh Mahmoud «52 years» from the village of Dvino Ittsa Center, malignant malaria, after his return from the Sudan prior to 3 days, with 3 children detained in the Upper Egyptian woman from the West for their symptoms similar to bird flu.

Abutaleb Sophie, "said Hussein, Deputy Minister of Health in the Fayoum, the patient b« malaria »Detained in hospital diets and found that he had been working in Sudan, and developed symptoms after he arrived in Egypt, stressed that the analysis results with malignant malaria, is No. 13 in the case Fayoum, which was hit by the disease, and warned of its spread, and called for action across the quarantine outlets leading to the Sudan, especially after the death of one afflicted by the disease.

In Minya, the official source at the Directorate of Health 3 Children detained on suspicion of injury b «avian flu» in the hospital diets, namely: Greetings Muhammad Tawfiq, «3 years» from the village of Albehu, and Shaima Ahmed Zouaydi «5 years» from the town of Samalut, Miriam Javed Ahmed, the village of al-Badr Hassan Pasha, Samalut Center, and sent samples of their blood to the central laboratory to determine whether illness.

In the West, was the hospital admitted Tanta Jihan Abdel Aal, «20 years», the village is dead Habish tribal, Center for Tanta, in the case of Achtaba b «avian flu», and sent her blood samples to central laboratories.

In Menoufiya, said Izzat Hamza, Undersecretary of the Ministry of Supply and the government, had been the liberation of 24 minutes to shop owners selling birds offense, and executed a campaign of «the Directorate of Supply in cooperation with the departments of health and veterinary medicine» 498 chickens in the shops poultry centers Shebin and Sadat.

Anxious fell ill Kebonpedes Bird Flu

Map: http://tinyurl.com/bjapor

09-02-2009 08:31 WIB

KEBONPEDES - Regions cutting centers such as Kelurahan chicken Kebonpedes District Tanahsareal one of the locations prone to spread bird flu. Every day there is movement of poultry out from the outside entrance of the city.

Groove Kebonpedes Maman Kadarisman worry that the spread of the virus dinilainya very quickly. "Kebonpedes is a high risk, because people do every day contact with poultry, and the location of the settlement are cutting people," he said.

He therefore requested that the handling chicken pieces should be really clean and sterile, because of dirt, blood and saliva can transmit various chicken viruses, including bird flu.
Residents in these locations is also concerned with maraknya bird flu now.

As dituturkan Agus Widodo (32) residents RT02/02 Pondokrumput this claim is concerned, because the chicken pieces, still have to remove the chicken to cutting waste water of the channel. "We here are always wary when people have a fever certainly be examined directly. Besides cleanliness also be the responsibility of citizens together, "he said.

In response to unrest Kebonpedes headman, Kasi Kesmavet Agriculture drh Arief Mukti said, until this time there is no bird flu cases in humans were found in the location of the cutting chicken or dipeternakan large.

"This may be because every day they have been exposed to poultry, so there are naturally immune," he said. Especially because the birds in the treatment location is more restrained, ie, the provision of vaccines and vitamin routine, scheduled disinvektan environmental hygiene are also awake. (Rit)

Semarang Flood, Jakarta-Surabaya train late


A number of potential train passengers were in the place where ticket sales are stagnant water, in Semarang Tawang Railway Station, (9 / 2). ANTARA / R. Rekotomo



Monday, 09 February 2009 | 11:53 WIB

TEMPO Interactive, Surabaya: Floods engulf the region in part to make the entire trip Semarang direction Surabaya train delayed two to three hours. PR PT Kereta Api Surabaya, Sugeng Prijono, Monday (9 / 2) says, "All the trains were late because they had to replace the locomotive queued for around Semarang."

Most of locomotive train routes it uses electric locomotive that can not cross the submerged region. In the area of Semarang, the train drawn with bertipe hydraulic locomotive.

Sugeng said there are only two hydraulic locomotive that operated in Semarang so that each series should be queuing around three hours. Turnover locomotive made in the Station Tuwo Alas, and Brumbung.

Although delayed about three hours but the passenger queue at the station Gubeng still normal. "The majority of passengers already know, so they are ready to wait for the train arrival and departure," added Sugeng.

In a day, there are at least nine trips from Surabaya-Jakarta and vice versa via Semarang. Of this, six passenger trains, namely, Kertajaya, Sembrani, Anggrek (two trains), Gumarang, and Rajawali (Semarang-Surabaya). In addition, three goods trains, Antaboga, Baja Animal, and the parcel.

"Special train Rajawali forced us to cancel keberangkatanya," added Sugeng.

Recombinomics: Another H5N1 Toddler in Egypt Raises Evolution Concerns

Commentary

Another H5N1 Toddler in Egypt Raises Evolution Concerns

Recombinomics Commentary 07:30
February 9, 2009

The ministry said in a statement Wednesday that injured a small child, not to exceed a year and a half, adding that the symptoms of the disease began to appear on the child last Friday, entered the hospital fever yesterday.

She explained that the child was suffering from high fever and cough after being exposed to birds, noting the child was given a drug (Tamiflu) as soon as he suspected that the disease condition stabilized after that.

The above translation describes the second confirmed H5N1 case in Egypt in the past four days (see updated map). The translation describes a bird exposure, but external monitoring H5N1 in poultry is somewhat compromised by Egypt’s announcement that H5N1 was endemic, leading to OIE reports at 6 month intervals. H5N1 in Egypt has been a concern because of the emergence of a vaccine resistant strain a year ago. This H5N1 was isolated from vaccinated flocks and was widespread in Egypt, and also detected in Israel. The new sequence had a number of non-synonymous changes, including changes in the receptor binding domain. One of the last reported cases in the 2007/2008 season was a Cairo case infected with the vaccine resistant strain.

The outbreak in Egypt follows a spate of cases in China and northern Vietnam. The human cases in China are likely due to clade 7, and clade 7 polymorphisms have been previously acquired by Egyptian isolates, raising concerns of additional evolution and cases.

Similarly, the fixing of H274Y in seasonal H1N1 flu raises concerns of transfer to H5N1 in countries where H5N1 and H1N1 are co-circulating, which includes Egypt. Sequence data on recent cases, including NA sequences would be useful.
Media Links

Sunday, February 8, 2009

Avian influenza reached Egypt

[Out of Russia. A little more information]

The new 55-second human case of infection of avian influenza virus found in Egypt, the Egyptian Ministry of Health reported in a communiqué.

Dangerous to human strain of H5N1 virus detected in polutoragodovalogo Abu al-Wafa Suleiman from El-Minya south of Cairo. The cause of infection, as in most such cases, was the poultry.

The first signs of illness - fever and cough - emerged from a boy on Friday. On Saturday, he was hospitalized. At the present time the child is being treated special medication, his condition is assessed by doctors as stable.
-snip-

Russia: Quarantine for influenza is closed, another school

Map of the area of this post:

Thursday, February 5, 2009

In schools, Yuzhno-Sakhalinsk declared quarantine

Friday, 6 February, all schools of Yuzhno-Sakhalinsk are closed for quarantine. The reason for the stop classes - a high incidence of influenza and ARI. While the quarantine imposed on the eight days.

Click on map:


Quarantine for influenza is closed, another school
On 5 February 2009
As the leading specialist GOROD48 expert department of the epidemiological surveillance of Rospotrebnadzor of Lipetsk region Nina Fatin, because of absence from classes for more than 25% of students on February 9, inclusive, suspended classes in high school sat Troekurovo Chaplyginskogo district. Thus, to date quarantine for influenza and ARI has already closed 3 schools: Troekurovo addition, unplanned vacations advertised in the villages of Il'in and Krutogorye Lipetsk region.
And in Lipetsk growing number of cases of influenza. If last week a diagnosis for the whole region were only 4 patients, for 3 days this week, only one regional center number of cases of a dangerous virus to 8: 2 February, it was observed 2 cases of influenza, 3 February - 1 case, 4 February - 4 more.

Yesterday in the city of Lipetsk diagnosed with ARI to doctors asked 822 people. For children up to one year and toddlers 3-6 years attending kindergartens, it was observed excess levels of epidemiological thresholds.

In Yeltsov yesterday, it was noted 87 cases of ARI, influenza - none. Excess epidemporoga also observed among children 3-6 years old.

Click on Map:

Vietnam: Villagers riot over bird flu enforcement

[A much more easier to understand article on this situation that Treyfish posted here:
http://pandemicinformationnews.blogspot.com/2009/02/hmm-im-guessing-there-will-be-few-more.html ]


A MELEE broke out in northern Vietnam when more than 100 villagers prevented authorities from destroying chickens to stop the spread of bird flu, officials said yesterday as the country announced its second H5N1 case.

About 100 villagers in Thuong Tin district just outside Hanoi overwhelmed police and health authorities last Thursday and stopped them from destroying about 1,500 chickens, said official Vu Van Dung.

As about 30 police and health officials removed the poultry from a truck to burn in a pit, the villagers, desperate for the income the birds could provide, grabbed the chickens and ran off.

"I told the villagers that the chickens had been sprayed with chemicals and were not edible, but they didn't listen," Dung said.

"They grabbed chickens from us, and we were overwhelmed."

Meanwhile, in northern Quang Ninh province, tests results confirmed last Friday that a 23-year-old woman was infected with the H5N1 virus.

She was on a respirator after being hospitalized five days ago, hospital deputy director Nguyen Quoc Hung said.

The woman became ill after slaughtering and eating chickens her family was raising. Five other family members who had also eaten the chicken showed no symptoms.

In early January, an eight-year-old girl from northern Thanh Hoa province tested positive for bird flu.

Bird flu has killed 52 people in Vietnam, including five last year, since it began raging through Asian poultry stocks in late 2003.

Nhan Dan: Disease on livestock and poultry in processing complex

Per-ND Department of Animal Health, 7-2 days, in Hau Giang, HPAI was detected in flocks of ducks were not vaccinated vaccine, about 45 days old in Thuy Vi, Vi Thuy district. Total sick children is 400, all poultry were destroyed. Animal Health Department is conducting provincial measures against the disease by regulation.
-snip-

Vietnam: Nhan Dan: The hospital because people infected measles

09-02-2009
ND-According to the statistics of the Institute for infectious diseases and tropical countries, people infected measles rash and fever and measles by the hospital in recent days continue to rise, raising the total number of patients with measles are the at the hospital on more than 100 songs. Available from the first service to this hospital have treated more than 420 measles cases.

The Institute in infectious diseases and tropical countries, the number of people hospitalized with measles have a continuous overload, the patient must be force, even located in the corridor. It is praiseworthy that measles patients hospitalized recently for a significant reduction of the crash severity. Current hospital only two cases were still crash in comatose condition, the ear of the other variables are gradually recover health.

Ca Mau: Detecting avian influenza in 19 households

08/02/2009
NDBO - The function has detected 19 outbreaks in poultry raising households, concentrated in 3 Tran Van Thoi district, Binh Thoi and U Minh.

When the outbreak of avian influenza in 3 districts on the authorities to quickly province to survey the situation, and the comments directed to specific levels of government to urgently control outbreaks diseases, not to distribute, spread out a large scale.

Besides, the province also focuses on propaganda to raise awareness for the people. Help people understand the level of risk of disease and the government to prevent effective.

Provincial guidelines: the process of the lack of responsibility in the prevention of HPAI.

Vietnam: fold region, dập HPAI

08-02-2009
NDDT - Immediately after information about patient Ly Mui and infection of influenza A (H5N1) is treated at General Hospital in Quang Ninh Province, on 7-3, the delegation about the epidemiology of Central Department of Health backup and Medical Center for the province has been in Quang An, Dam Ha district guidance of fold regions, processed, and dập.

Port Na Thon, An Quang commune (Dam Ha district) where patients Ly Mui Tai living, has 13 households, of which 11 households around a patient's nose. Most families are raising chickens in the form drop empty; Before and during ill patients, families around the sick chickens have died, from 27-1 to 7-2 days, the patient Time about 20 children have been sick chickens died; Previously, patients and have directly as chicken meat and 10 family members were dead chickens eat.

Mission with the local government has spray target center in all 11 households around the family and patients and conduct patient samples collected 9 of the subject patients, people with direct contact with patients and 5 samples of chicken diseases subject to testing; (Prev at General Hospital in Quang Ninh Province, the delegation also conducted 7 get sick form the subject of the patients and medical staff directly for disease treatment staff.

Its provincial Health, Animal Health Agency Region II (Hai Phong) has conducted surveys on livestock, poultry traders in the area in Quang An; samples taken 1 sick poultry products to test, if results are positive for the H5N1 strain will destroyed all poultry in.

At Medical Center and the provincial level of 170 clothing preventive and 70kg for Cloramin B Dam Ha district; level of 100 clothing preventive and 35kg for Cloramin B Provincial Hospital.

Recombinomics: H5N1 Clade 7 Case In Quang Ninh Vietnam?


Commentary

H5N1 Clade 7 Case In Quang Ninh Vietnam?
Recombinomics Commentary 10:43
February 7, 2009

Mui Tai Ly, 23 years of age, ethnic Dao, villages Port Na, An Quang commune, Dam Ha district, Quang Ninh.

Patients were tested first using test quickly, but the results are negative. The second test with PCR method (method of integrating gen), the result is positive.

The above translation describes a PCR confirmed H5N1 case in northern Vietnam, about 10 miles from the China border (see updated map) and about 150 miles from the recently confirmed case in Guangxi, China and the cluster in Thanh Hoa in Vietnam. The cluster in Vietnam involved a confirmed case (8F) who recovered, as well as her sister (13F) who died with bird flu symptoms and likely infected the confirmed case based on disease onset dates. A neighbor of the sisters was also hospitalized with pneumonia, but tested negative.

As noted in the translation above, the recently confirmed case (23M), initially tested negative in a rapid test. These tests have a low sensitivity, which may be even lower if the H5N1 is clade 7. Recent comments from Hong Kong suggest that the human cases in China are clade 7, and clade 7 has also been confirmed in northern Vietnam, raising concerns that the recent confirmed cases in Vietnam are also clade7.

Release of human and poultry H5N1 sequences from Vietnam and China would be useful.

Media Links

Bogor Summary

So we have quite a cluster going on.

Nurul (27 F), Adm: 1/14. Died: 1/16. From: RT 3/8
Ruslani (30) Brother. Died: (around) 1/16
Ridwan (35) Brother. Sym: 2/7. Home. Refused x-rays.

3 People: RW04
2 People: RW 11
4 People: RW16

Sumarni Saminem (20) fever. Recovered.

Indo: Bogor: Ruslan Family To Commence Unavailable

07-02-2009 08:12 WIB

Bogor - Efforts Pemkot Bogor the spread of bird flu, especially in the Western District Kelurahan Cilendek Bogor Barat, experienced problems. Family (alm) Ruslan previously stated suspect bird flu now start Ruslan Family Start Closed closed on health that will address them.

Sister (alm) Ruslan any of Ridwan (35) diobservasi who are experiencing a high fever because of yesterday do not want xrays. When the health officer to the Gang kelor family home, the family opens the door reluctant.

"Our suspicion because of their family with the same genes, especially with the work Ridwan (alm) Ruslan garbage collector. Be sure there is contact, "said the Head of Puskesmas Gang kelor dr Sri Utami to Radar Bogor.

Sri also said, nine of which are spread in some RW in that region have a fever, such as the perceived Ridwan. Health would not despair and continue to try to approach. Besides searching for his wife (alm) Ruslan Cirebon to the home before a blood test with the involvement of Public Health City of Cirebon.

Information gathered Radar Bogor, before the death of Ruslan and Nurul adiknya stated suspect bird flu, in a house near the victim's death had found cases of birds but not reported and Ruslan known to frequently visited locations.
Meanwhile, nine people who now have a fever and still monitor the health of the Gang kelor in RW 04 (three persons), RW 11 (two people) and RW 16 (four people).

They are still undergoing treatment at home for keluhannya the flu and fever. Shortness of breath is not happening yet, so while the patient is allowed to care at home with the consumption of drugs tamiflu routinely.

In separate places, the condition of the family Sumarni mambaik start. Fever suffered by children Saminem (20), which are gradually lost while pregnant Sumarni seen doing activities such as usually. (rit)
hat-tip: http://birdflucorner.wordpress.com;

I received a note from Ida at Bird Flu Information Corner

http://birdflucorner.wordpress.com/

that clears up the genders, and relationships, of the patients (and fatalities) in Bogor Indonesia.



I would like to confirm that Ruslani (30) previously reported as 'sister' is actually brother of Nurul, the first victim who died. In the other hand, Nurul is a female. Nurul and Ruslani had died due to infection, meanwhile now their brother Ridwan (35) is developing same symptoms as his siblings. I can't confirm anything about this, but just say they are strongly suspected to contract bird flu virus until the next update.



So Ruslani is a male. Nurul is a female. And Ridwan is a male. Two brothers and a sister.

The two fatalities in mid-January were therefore, brother and sister.
hat-tip: http://afludiary.blogspot.com

Egypt reports 2nd bird flu case in four days

08 Feb 2009 16:26:24 GMT
Source: Reuters

CAIRO, Feb 8 (Reuters) - An Egyptian boy has contracted the bird flu virus, the state-run news agency quoted the Health Ministry saying on Sunday, in the second such case in the last week and the 55th case since the virus reached Egypt in 2006.

The eighteen-month-old boy -- Abu al-Wafa Suleiman Abu Omar, from the province of Minia in central Egypt -- first showed symptoms on Friday after coming into contact with dead birds and was admitted to hospital on Saturday.

He was administered the antiviral drug Tamiflu and is now in a stable condition, the health ministry said.

On Wednesday, the ministry reported a two-year-old boy in the Suez province was in hospital after contracting the virus.

Egypt is one of the only countries affected by bird flu that does not offer compensation for farmers when poultry is destroyed, which many experts say is the best way to ensure rapid detection of new outbreaks.

Some 5 million Egyptian households depend on poultry as a main source of food and income.

Since 2003, the virus has infected 404 people in 15 countries and killed 254 of them. It has killed or forced the destruction of more than 300 million birds. Egypt has had the most cases outside of Asia.

15 crows die mysteriously in Halol


7 Feb 2009, 2253 hrs IST, TNN
HALOL: As many as 15 crows died mysteriously in quick succession in Sardarnagarkhand area of Kalol village here on Saturday. The incident sparked
off fear of bird flu in the area. More were found in semi-conscious state on trees.

According to Vejalpur forest officials, the crows simply fell off trees and died. "Eye witnesses to this phenomenon said the crows started dropping dead from the branches they were perched on," said a forester.

"We found 15 crows lying dead on the road there. Further investigation revealed that there were hundreds of crows perched on the trees in semi-conscious state," the forester said. "When passers-by threw stones at them, hardly any crow moved. They all seemed incapable of any physical movement," he said.

"Though we are yet to investigate the cause, it is suspected that the crows were suffering from food poisoning of some kind. There were also talks of bird flu infecting birds in the area. However, we can't say anything without thorough investigation," he added.

Berdflu in the affected areas of the health check started

Prolly not enough health worckers to check the health of villagers. Few thermometers and they dont work. People being checked are asked to come back. Culling is still going on.





Feb 08, 12:38 am
Dinhata (Kucbihar):
Dinhata many areas of the city include the bird flu affected areas as those areas were declared in Kalinga, but did not work. People in the areas of health check for an important meeting was sent to health workers. In fact, bird flu in the affected areas to check the health of the people of this important objective. Charges that include the city in these villages have received the news of the death of the chickens. But still the job of killing poultry in villages of Kalinga means work is not done. Though officially the process of Kalinga"culling" in the affected areas has been concluded. Even after the establishment of the goose and chicken is in the villages. People here to check the health of health workers have accused the health workers of 25 to 30 members of a team of only two to three thermometer have been given. Most thermometers are bad in this too. That a bird flu in humans, the bacteria from entering her first symptom is a fever thermometer, but the Health Department from bad problem to have. The health workers only talking to people have to come back. The situation is such that given by the Government to remove the thermometer by the Government health workers were given the pen does not work.

The health workers spend their money Paket government bought the pen has to do the work. In this context, a number Dinhata Block Primary Health Center, Dr. Abhijit Das, the officer said that the thermometer from falling short of funds to buy Antaid health workers has been directed. Health officials said the health department of the total 131 blocks in the team to the affected area three kilometers between the 94, the remaining three to ten kilometers between the 37 teams in the work of the health check has been imposed. Block Dinhata one, two and Broatiabadhi - two and a Gram Panchayat is also involved. However, with the thermometer health workers is problematic. http://66.102.1.101/translate_c?hl=e...Plqwj-3KbBYbXA
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08/02/2009, on Sunday in the afternoon 09:34




Caption: Once returned to the port after inland slaughtering live chicken's woman continues to have a fever, passes along the prestige courtyard inspection.

The woman returns to the port to have a fever false alarm

The bird flu kills to buries the body, resident also Cheng Jinggong the bird. Had after the day before yesterday has a fever the symptom woman to worry the infection bird flu needed to send to hospital, yesterday again had one once returned to the port after inland slaughtering live chicken's woman to continue to have a fever, suspected that oneself infected the bird flu to arrive at the Ma'anshan health center to treat voluntarily, and passed along the Shatin Wells Hospital to isolate the observation, delivered Dabu with the day before yesterday that dozen of element hospital female to be the same finally, confirmed that the false alarm, two person of yesterday confirmed assumed the negative reaction to the bird flu fast test.

Once boiled in inland eats the live chicken
Yesterday morning approximately 10:00, treat 46 year-old women to the Ma'anshan health center, and to doctor disclosed the other day returned to inland period once slaughtered, cooks and the edible live chicken, after returning to the port, namely continued to have a fever, because its symptom was similar with the bird flu, the medical care personnel arranged the woman to have a fever immediately the area to isolate, summoned the ambulance to escort to again her the Wells Hospital to examine.
Three ambulance rescue patrols arrive at when the health center puts on outfits and so on mouthpiece, glove and protection gown, the female person concerned delivers to the prestige courtyard acute disease room after the preliminary review namely is escorted to the isolation ward to stay in hospital, when in hospital the situation is stable.
Is affected the event, the Ma'anshan health center partial places yesterday once sealed up let the sanitation worker carry on the thorough disinfection, but non-influence outpatient service operation, but because the day before yesterday had a fever 57 year old of female patient who escorted to the Dabu that dozen of element hospital isolation, yesterday confirmed that assumed the negative reaction to the bird flu fast test.

Quang Ninh: detection of a contagious flu A (H5N1)

Chủ Nhật, 08/02/2009, 15:03 (GMT+7)


TTO - That patients Mui Tai Ly, 23 years old, resident in Port Na, An Quang commune (Ha Dam). On 28-1, judicious of Time does have the fever, the family to Medical Center Dam Ha district, then moved to 2-2 on Hospital area Tien Yen.

The patient was diagnosed with pneumonia due to virus status chest pain, difficulty breathing and the Provincial Hospital on 3-2. In this patient is the health, doctors Provincial Hospital infection diagnosis of influenza virus A (H5N1) and samples of products disease patients submitted Institute sanitation epidemiology central tested.

Despite all the doubt, but patients have been isolation hospitals and apply it exposed treatment for patients infected with influenza A under the Ministry of Health. Three patients go home the same care is isolation. Current health patients complicated place, and carry the pleura, the risk of high mortality. Doctor promptly Institute of tropical diseases and infectious country has been coordinated with the Provincial Hospital in treating positive patients.

According to initial investigation, patients who do not slaughter poultry but eat chicken. Many households around the patient's family are raising chickens and chickens have died. Those who left the family not patients have symptoms.

Vietnam: Influenza has not quarantined text suffuse

Saturday, 07/02/2009
In the Ca Mau province has announced HPAI in Khanh Binh (Tran Van Thoi district) is now the center of Ca Mau City, live poultry and not through quarantine still sold suffuse


Live poultry and not through the quarantine is for sale for ward 4, Ca Mau City 6-2 am

Before the HPAI Bùng play strongly in the Mekong Delta province area, we of Ca Mau, where the first outbreaks of Bùng and local public HPAI, to receive the preventive place here. However, live poultry and not through the sale and display still taught, while the veterinary industry to find any way to any evasive answer press.

Many local street is
To 6-2 pm, the number of dead birds and extinct in Ca Mau in 3000 have children. HPAI has been Bùng and 7 in the village under 2 in Binh Khanh Binh Dong and Khanh, Tran Van Thoi district. In the province of HPAI in the Khanh Binh appear in dead poultry in a series of 2 Tan Loc Bac Tan Loc and Dong (Thoi Binh district) with the number of 1,000 children. Nguyen Dong Khoi, Deputy Chairman of People's Committee Tran Van Thoi district, said most of H5N1 influenza infection in 2 communes Khanh Binh Khanh Binh Dong and fall are the households do not have influenza vaccination vaccine or not vaccinated dose. The past years, Tran Van Thoi district is always a focal point Bùng of HPAI first in Ca Mau. However, the prevention of disease and the government here is very lơ and agencies. Shown in the results reported vaccination vaccine on poultry in late 2008 in Binh Khanh only reached 60%. Currently Khanh Binh commune, there are about 44,000 poultry children, time to occur and the total poultry in Khanh Binh vaccinated only be 1 / 3. In Thoi Binh district, more than 1,000 ducks out of Mr. Van Lu Bê in Village 9, Tan Loc Bac new series of death and the risk of H5N1 infection is very high is not vaccinated.

Live poultry markets tableful
6-2 in the morning, we walking around the market selling professional poultry in Ca Mau city, also have hurt poultry and live poultry has not been through quarantine for sale publicly. Nowise do not see soccer designs of the function to check. I found the camera to jam, household poultry traders jump gold number gom all live birds and poultry in general has a long ... how ni brought to hide.
England East (poultry sellers) that they now sell his chickens, ducks to lead a normal life, not to see who prompted or check. According to Dong, the birds are taken from the communes of extramural TP Ca Mau and without quarantine. He adds, the Bùng of outbreaks, influenza, he still sold on consumption as often, it looks like the buyer does not e afraid.
When we bring the images to be recorded just Its Health Ca Mau province to learn the job, the office staff of this leadership for the gold. Contact by phone with her Sanskrit Thu Hong, Director Department Its Health Ca Mau province, Ms. Hong sudden end when the host we are journalists. IM I asked, Ms. Hong answer: "I am meeting to discuss measures dập disease in the district and here is frustrating."

Vietnam: Process, fold area, dập outbreaks in the area and appear HPAI

Sun, 08/02/2009

Once information about the patient Mui Tai Ly, An Quang commune (Ha Dam) is treated in Provincial Hospital infection of influenza A (H5N1), on 7-2, Mission of about Birthday Central epidemiology, Department of Health and the Medical Center by the province for Dr. Hoang Minh Tan, Deputy Dean of the epidemiological hygiene epidemiology central leader has to guide and direct fold area, process, and dập in the area and appear HPAI An Quang commune, Dam Ha district.

Patients Ly Tai Mui is isolation and active treatment in General Hospital in Quang Ninh

According to epidemiological surveys, village Port Na, An Quang commune, where patient Ly Mui Tai living, has 13 households. Including 11 households around a patient's nose. Most families are raising chickens in the form drop empty. Before and during ill patients, families around the sick chickens have died. From 27-1 days to 7 to 2, the patient múi about 20 children have been sick chickens died. Previously, patients and have directly as chicken meat and 10 people in her family are Mui eat chicken. Individual patients eat many meals of meat chickens previously been so sick by the family. There other members of patient families and people around does not have to do.

Mission with the local government has spray target center in all 11 households around the family and patients. Union conducted 9 samples taken sick person's home patients, people with direct contact with patients and 5 samples of chicken diseases subject to testing. At Provincial Hospital, the delegation also conducted 7 get sick form the subject of the patients, medical staff directly treating patients.

Team officials preventive health Dam Ha district conducted khử spray areas of overlap appear HPAI

Union Dam Ha district only needs to increase more on human resources, material resources for the prevention of disease, the propaganda advantage of people in handling sick birds died. Its Provincial Health, the Animal Y II area (Hai Phong) has conducted surveys on livestock, poultry traders in the area in Quang An; samples taken 1 sick poultry products to test, if results are positive for the H5N1 strain will destroyed all poultry in.

Also in 7-2, Center for Health has issued 170 of clothing preventive and 70kg for Cloramin B Dam Ha district; level of 100 clothing preventive and 35kg for Cloramin B Provincial Hospital . Department of Health to continue guiding the preventive health and treatment unit in the province actively monitor flu A (H5N1) and in the timely detection, treatment when the patients.