8 provinces HPAI

Social

Thứ Tư, 18/02/2009, 05:15 (GMT+7)

* Foot concerns mồm long móng the herd Bac Lieu, Quang Nam

- On 17-2, Mr. Lam intelligence - Department Chief Veterinary Department Bac Lieu - that appeared four outbreak HPAI in Vinh Phu Dong, Phuoc Long district (Bac Lieu). Veterinary stations Phuoc Long district has all three poultry ill with the death of 1,000 children in Vinh Phu Dong and get sick more product samples sent Veterinary Center Region VII in Can Tho test.

. According to Mr. Lam understanding, the first outbreak of Bac Lieu province appear on two days in the Na Sa Tran Vinh Loc in Hamlet, Vinh Phu Dong commune must all ducks than 600 sick children, test results disease sample products on poultry Na his positive with H5N1 virus. So, to 17-2, there are eight provinces including Ca Mau, Soc Trang, Nghe An, Hau Giang, Quang Ninh, Quang Tri, Bac Ninh and Bac Lieu have HPAI not last 21 days.

On 17-2, Trung Le Tan - Vice President of Que Son District People's Committee (Vietnam) - that has a local official with authorities and worry about long mồm móng appear on flocks of cattle. Specifically over the last ten days, in the households of Đinh Đi, Nam Dinh and Tran Van Hoang Thanh - in the Nghi Trung commune, Que Hiep, Que Son district - detected 12 infected buffaloes mồm lo long mong, in which a child died. After translation of Bùng, district veterinary stations guided the household hygiene, chuồng targets in the camp and conduct the spraying and insecticide to control disease spread to the large. Veterinary stations have emergency deployment of vaccination for the buffaloes, cows all over the district

More a case of avian influenza infection

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Thứ Ba, 17/02/2009, 17:43 (GMT+7)

The 16-2, Department Chief of Department of Health and Environment (Ministry of Health) Nguyen Huy Nga official notification has been more a case of avian influenza infected with H5N1 in Vietnam. Male patient, 32 years old, living in Kim Son, Ninh Binh province.

Cured 5-2 days with high fever manifestation, difficulty breathing, 13-2 on the patient was moved to the tropical diseases and infection with national manifestation is severe, there is a mechanic and in Health events not spectacular.

According to Russia, this is a patient infected with H5N1 third from 27-12-2008, in addition to a patient suspected deaths related to H5N1 virus, but doctors do not get the diseases subject to testing.

. Through the tracking of money, patients infected with H5N1 last above participated slaughter and eat poultry, while the patients family and the surrounding areas have many birds died unknown causes. This area has not yet announced HPAI.

Meningitis, meningococcal - india (04): (north eastern)

Date: Mon 16 Feb 2009
Source: Sify News [edited]
<http://sify.com/news/fullstory.php?id=14857020>


At least 230 people have died of meningitis in the north eastern
states of Tripura, Meghalaya, and Mizoram, officials said on Monday
[16 Feb 2009]. The situation is alarming in Meghalaya and Tripura,
they said. "We have asked the National Institute of Communicable
Diseases (NICD) in New Delhi to send necessary vaccine and drugs to
control the disease that has assumed an epidemic proportion in the
Longtharai Valley tribal areas of Dhalai district," said Tripura
health service director Satya Ranjan Debbarma.

The NICD last week asked the 3 north eastern states to keep a close
surveillance in remote locations, especially where the outbreak of
meningococcal meningitis was reported. "Over 230 people including
children and women died in the disease in Meghalaya (165 deaths),
Tripura (55 deaths), and Mizoram (10 deaths) over the past one
month," a senior health official told reporters [in Agartala,
Tripura]. Over 2500 people, including children and women, were taken
ill in the 3 states.

"The 3 north eastern states have borders with the Chittagong Hill
Tracts (CHT) of south east Bangladesh where meningococcal meningitis
is spreading in an epidemic form," said an official of the NICD.

The Tripura government has taken a slew of measures to control the
disease by setting up makeshift health centres in the affected
Longtharai Valley, 135 km [84 mi] north of the capital Agartala.
"Several medical teams [are] working in the affected areas
round-the-clock and preventive medicines were being given to 140 000
people in the tribal dominated areas," said RK Dhar, director of the
family welfare and preventive medicine.

A 2-member team of NICD led by joint director Jagdir Singh visited
the affected East Khasi Hills and Garo Hills areas of Meghalaya and
helped doctors in the region deal with the disease. "We have enough
anti-meningococcal meningitis vaccines and a number of medical teams
are working round-the-clock to deal with the situation," said
Meghalaya health service director A Kynjing. "Like the other north
eastern states, we have launched a massive public awareness campaign
on the need for cleanliness as it is an airborne disease," said YP
Singh, principal secretary of the Tripura government in-charge of
health department.

After visiting the affected areas, RK Dhar, an expert on communicable
diseases, said: "Meningococcal meningitis is a communicable disease
that is spread through droplets of respiratory or throat secretions.
The most common symptoms are stiff neck, high fever, headache, and
vomiting. Even when the disease is diagnosed early and adequate
therapy instituted, 5 to 10 percent of the patients die typically
within 24 to 48 hours of onset of symptoms," he said. Tripura Health
Minister Tapan Chakraborty, who is also camping in the affected
tribal areas for the past few days, held meetings with the village
heads of 40 affected villages and asked them to help health officials
and paramedics.

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

[An outbreak of a rapidly fatal illness in remote, impoverished
tribal areas of the Indian state of Tripura was characterized as
mysterious in a news release reported in the previous ProMED-mail
post Meningitis, meningococcal - India (03): (NE), RFI 20090216.0657.
From the news report above, it is apparent that this outbreak is now
thought to be part of the ongoing epidemic of meningococcal disease
in north eastern Indian states of Tripura, Mizoram, and Meghalaya
that has spread to neighboring Chittagong Hill Tracts of Bangladesh.
ProMED-mail has heard unofficially that the cause of the meningitis
epidemic in the north eastern Indian states of Tripura, Mizoram, and
Meghalaya, as well as Delhi, is said to be serogroup A _Neisseria
meningitidis_.

A HealthMap/ProMED-mail interactive map of India that shows the
states of Meghalaya, Tripura, and Mizoram can be found at
<http://healthmap.org/promed/en?g=1263207&g=1254169&g=1262963&&v=23,93,5>.
A map of Bangladesh showing the location of the Chittagong Hill
Tracts that borders the Indian state of Mizoram can be found at
<http://www.traveljournals.net/explore/bangladesh/map/m3773498/chittagong_hill_tract.html>.
- Mod.ML]

”Belum had the resident so suspect AI” Selogiri

On Wednesday, February 18 2009, Hal.V (Expose)
two residents from the Sendangijo Village and Singodutan, Kecamatan Selogiri could experience the high fever when the virus avian influenza (AI) attacked two villages, some time before. Two residents were stated headed to influenza like illness (ILI), a condition for the health that was sick resulting from AI with the position under investigation and suspect AI.
Dengan Demikian, did not yet have the resident who was expected (suspect) AI.
Demikian was revealed by the Puskemas Selogiri Head, Dr Adhi Darma, when giving the explanation in being in a meeting of the co-ordination (Rakor) the AI handling and DBD in the Kecamatan Selogiri Office, on Tuesday (17/2). He explained, post AI that attacked the region of three villages in Selogiri, totalling 41 residents was at once checked to detect the possibility being attacked by the fever or influenza that headed to ILI. Dari this inspection, he said, two residents were stated suffered the fever. “Namun, not yet until headed to suspect AI,” he explained. Adhi Darma explained, during 2008, his side carried out the inspection 43 residents to detect the fever illness or influenza that headed to ILI. Dalam this inspection, his side found eight residents from the Pare Village and Jendi, Kecamatan Selogiri that suffered the fever. Nevertheless, he added, did not yet have any was sick the resident who headed to suspect AI, moreover until claimed the life. “Tahun 2008, that was checked by us had three villages. This 2009, there were four villages that were checked by us, namely the Sendangijo Village, Singodutan, Nambangan and Pare. ” Sementara Itu, Camat Selogiri Bambang Haryanto asked all the village head and related equipment to ask his resident so that quick reported to the Kesehatan Service or the closest Community Health Centre when having the case of the poultry died suddenly.
Apart from the rain season that caused the humid weather and became the growth of the AI virus, the Selogiri Subdistrict territory, he said, also to the endemic AI region since three years set. ”Kami will not be very bored to always remind the resident so that preceptive bird flu. Selogiri was the border territory that was susceptible to the spread penyakit,” he explained.

Resident alarmed the Spreading of Bird Flu Yogyakarta

On February 18 2009
the Resident alarmed the Spreading of Bird Flu Yogyakarta
- since several days ago the plague of bird flu threatened Yogyakarta. That was just recently recorded by hundreds of chickens in Bantul and Sleman died. That was acknowledged positive was attacked resulting from the Avian virus influenza (bird flu). The condition was like this made the resident restless and concerned because already many chickens died suddenly good in two areas. Moreover so restless him until the owner of the chicken that died could be carried to RSUP Dr Sardjito, despite finally results were stated by the bird flu negative. Was based on the note and the calculation, from January to April was the alert month bird flu. Because of being estimated this virus will it was predicted spread. According to Chairman Tim of the Control of Bird Flu of RSUP Dr Sardjito the doctor Sumardi SpPD, so the virus did not only attack the animal but also humankind. This matter was sent by him, on Tuesday (17/2). Because, continued he, in the change in the season in the month January-this April the bird flu virus it was predicted more could spread and attack the animal as well as humankind So, the community was asked to be on the alert.
Stated by Suspect It was further that he explained, the owner of the positive chicken bird flu could be with several of his relatives treated in RS Dr Sardjito because of experiencing signs like the fever, flu, and pain. They had also been stated suspect bird flu. However after being held by the laboratory test in RS Dr Sardjito or to Jakarta finally was stated by the negative and was permitted to come home.

As is known, several days ago in Bantul hundreds of chickens died suddenly it was suspected was attacked by the bird flu virus. After that was followed by dozens of chickens belonging to the resident in the Krasakan Village, Jogotirto, Kecamatan Berbah, Sleman also died as a result of this virus attack. The head of the Health Post of the Animal(Poskeswan) Prambanan, Sleman Supra Setyaningrum said, the death of dozens of chickens in Berbah resulting from bird flu. Was based on results rapid test, showed positive was attacked by this virus. His side at that time at once carried out spraying of disinfectant and asked for the addition of the liquid to anticipate expanded him this illness attack. ’’Kebetulan we were still having supplies so as direct we semprot,’’ he explained. According to Supra, the bird flu attackthere not the first time happened because beforehand the similar case had also stricken the Jogotirto Village, Berbah, Sleman.

Signs and portents

Please do go and read Scott McPherson's blog. Thanks! I always enjoy your blog.

Signs and portents

Posted on Friday, February 13, 2009 at 09:33AM


Excerpt (at the end):

I am going to proclaim something here, and for some it may be profound, and for others it may provoke a "DUH!" response. Here we go:

I believe something has changed. Not necessarily in the virus itself; it still has not "gone H2H." But I do believe that the chickens themselves are adapting to the virus. And once that happens, the virus must also adapt to find new hosts or it will perish.

There is absolutely no reason to believe that H5N1 is going to do anything but adapt. This virus is amazing, even by influenza standards. Now factor in the extreme and absolutely sudden number and geographic spread of human cases in China that we know of, and re-read the Time story. Now also factor in the situation in eastern India, Bangladesh and Nepal. Look at the new Vietnamese human cases and the continuing situation in Indonesia.

Here's what I think has happened: H5N1 has won its latest battle with the human race and has completely overrun its defenses. It has not won the war, but it is clear that it has completely outmaneuvered every attempt by humans to thwart its advance. But this latest victory may, eventually, be considered as the turning point in the war.

Consider the circumstances. The global economy is in shambles. Surveillance is about to become very lax and unaffordable. Farmers are risking imprisonment and even execution by bringing in illegal poultry. Culls cannot keep the virus out of any region. And now the chickens are not doing their duty and dying to warn us -- at least not according to the latest news coming out of China.

Open speculation from leading Chinese scientists regarding this "living chickens" theory leads me to believe that the government itself is stymied and this is how they are asking -- no, begging for outside help to solve the riddle. This collective shrugging of scientific shoulders from a country that is welling with pride and also within a couple of years of putting a Chinese man on the surface of the Moon is very telling.

So let's review these signs and portents.

Panasonic is not recanting its earlier plans; in fact, it is restating them and telling anyone who listens not to question their motives nor their methodology.

China has lost the handle on containing H5N1, according to the Time article. And the widespread geographic location of human cases is not assuring; it is downright troubling (thank you, Time).

Vietnam has also lost the ability to rein in illegal smuggling of poultry, usually from China.

Chickens are not dying in certain areas of China. But people are.

Human cases are abundant, compared to last year.

Pandemic money is in the US stimulus bill. Of course there are skateboard parks and a quadrillion condoms, but the presence of panflu monies in both versions was eyebrow-raising.

And the British government recently announced plans to double its antiviral stockpile with Relenza, and not Tamiflu, as the antiviral centerpiece (as I have advocated for two years).

These signs and portents may be the first real indications that the Pandemic Doomsday Clock is ticking. The countdown may have begun, and the cumulative weight of these separate events may have convinced both the Japanese government and Panasonic executives that the countdown has indeed begun; that the clock is no longer stuck at five minutes to midnight; and that the first outbreaks of bona-fide, H2H2H2H avian influenza are just weeks or months away.

It may have also served to convince the Chinese government to lay in additional supplies of their human bird flu vaccine, although to be honest I would rather take my chances with the virus.

We keep hearing that the WHO and others are emphatically saying there is no need to raise the pandemic threat level and that there are no outward signs that the virus has mutated. We don't know if this is true or not; not that we think anyone is lying, but it may take longer than a few days to look at the virus and make that pronouncement.

But the WHO protocol for changing the threat level ignores the holistic situation and should force us to question if a change in the virus itself is the best/only way to proceed with moving from Phase 3 to Phase 4.

Everyone needs to be renewed and refreshed and vigilant as heck right now. And we need to find more signs and portents. I am uncomfortably sure they are out there and will manifest themselves in due time.

200 Wuchang decomposed corpse appear to dog the lake is more than another article

2009-02-17 08:00
Changjiang Daily February 17 following the day before yesterday, Wuchang Road, the alley Wuluo discovered the decomposed corpse of 200 dogs, yesterday morning, Wuchang Lake lake drying also found decomposed corpse wrong dog. Journalist with the mayor of Wuhan Hotline reflects up to 17.30 yesterday after Xu, who does not have to deal with.


Drying lake side of the road caused by the past, dead dogs pedestrian attention. Side photo reporter Zhao


On the lake, residents are concerned about dead dogs

Yesterday morning, Dad said Tin News Hotline reflects Wuchang Lake drying lake found many dead dogs, the pungent smell disgusting.

Reporters on the scene to see that the draining of the lake was a road into two, one side of the road is the lake side of the discharge must be filed after the low-lying vegetables.

Near the road in the field of vegetables, two piles of dead dogs, dead dogs rotting corpses were issued acrid smell of the past, the per capita trip over their noses.

Journalist closer look revealed that many of these dogs died of medium-sized dogs, including a pile of dead dogs, the son of a black plastic bag container.

Tian dad is a police pre-retirement yesterday morning, listening to his wife on the issue of death of dogs, it has accelerated in the exploration, then call the hotline this journal. "With so many dogs died, an agreement quickly, otherwise the consequences of worrying." Tian said Dad.

Tian father's wife said the day before the drying lake just a pile of dead dogs, added hours yesterday.

The journalist does not take into account the day after treatment

Yesterday, 10:38, journalists call the Mayor's hotline, a reflection of the sun found a large number of dead dogs on the lake, at the same time, the journalist also phone Wuchang District Government to take account of the animal disease epidemic prevention and control.

Subsequently, the journalist was twice Wuhan Municipal Public Security Bureau 110, Wuchang and Hongshan District 2 police phone was asked to journalists details and specific locations which will be addressed. The reporter waited for half an hour, no police came.

11:30 Xu, Zhonghua Road, Wuchang journalist an interview back on the scene, police are still no alarm.

Wuchang sanitation by the Chinese master of the summer, at that time were on the scene, he said that leadership will be reported and communicated to the health sector.

11:31, the reporter left the scene on the way back log, Hongshan a police station, said at the scene found two towers is not found, refer to new information site.

3 hours yesterday afternoon, this reporter in the Wuchang District Government animal epidemic prevention and control to understand the progress of treatment, a staff member on the phone said there are Hongshan, not under the management .

While China and South Africa claimed路街sanitation, such cases have to deal with organizations in the health sector, the Institute can not ask for help.


5 hours yesterday afternoon, this reporter from the scene once again found rotting dog carcasses两堆still stacked on the lake, the distribution of a pungent odor.
First shopping daddy this afternoon to see the police to the alarm, I do not know why there was no agreement.


Source of the dead dog is still a mystery

This reporter learned that, in addition to Wuluo Road Lane, drying of the lake has been found dead dogs, Wuchang Wouters is also the day before yesterday has more than 30 decomposed bodies dog.

Wuchang District, is often decomposed cadaver dog, which triggers many distrust and concern that many people in a phone call to inquire about the source of rotting dog carcasses.

Members of the public said the rotting corpse of a dog's life has been causing inconvenience to the hope that departments investigate and deal as soon as possible to prevent acts flowing dog carcasses.

This reporter has learned that yesterday, the drying of Lake dog found the body decomposed, the departments concerned have yet to be addressed and not to investigate the origin of dog carcasses.

The day before yesterday Wuluo dog carcasses found on the street, the services of the investigation, the journalist was investigating the situation to make progress.

"Currently, a high incidence of infectious diseases is the spring, the urban area, all of a sudden emergence of so many dead dogs, is spread?" Yesterday, many people have asked for.

Wuhan, CDC, Infectious Diseases Director Luo Yong said the same people and dogs have suffered from infectious diseases are rabies, under normal circumstances, only where the circumstances biting dissemination.

Wuhan, a large number of dog carcasses rotting, the public need not panic, even if the dog is dead and will not give the disease.

At the same time, think the same Luo Yong, rotting dog carcasses processed as quickly as possible, on the one hand, the smell will be broken, central air, affect the livelihoods of the other hand, a long time, do not treat, will be the race of many bacteria.
hat-tip Muscade

Wuhang University found that fatal point of SARS coronavirus

2009-02-17

By February 16 after nearly six years of reporting efforts, Wuhan University researchers recently discovered the deadly SARS coronavirus, the one group are called "non-structural protein nsp14" genetic coding. The researchers said that this important discovery for screening drugs against SARS virus lay the foundation for further research into small molecule drug.
Journalist learned from Wuhan University, found that the gene encoding the school are the College of Life Science, National Key Laboratory of Virology Professor Guo Deyin their doctoral Chen, co-authors also include the Institute of Chinese Academy of Sciences, director of the Center for Modern Tanami, such as viruses. The results of the study recently in the international authority of a comprehensive academic journal "The United States Academy of Sciences" published.

(more)In 2003 after the SARS outbreak, the medical profession recognized the pathogenic SARS coronavirus, but the virus is how substantial survival and reproduction, but has not been clarified. This question is crucial for the prevention of SARS disease. In recent years, both at home and abroad on the SARS virus, the laboratory had undertaken extensive research, but the occurrence of SARS virus characteristics and pathogenic mechanism is still poorly understood.

Experts believe that, SARS virus has been brought under control, but the nature of wildlife groups still exist in SARS-like coronavirus, SARS virus, the risk of another outbreak still exists.

According to introduction, SARS virus is now found in The largest RNA (ribonucleic acid) virus, which is life by gene transfer RNA. Wuhan university research group ASTRI select a number of coronavirus-specific RNA-processing enzymes as its major research goals, through the yeast system in vitro screening and biochemical analysis, we found SARS virus genome-encoded 1b district a "non-structural protein nsp14" At the same time with two RNA-processing activity, and use the SARS virus replication subsystem activity to prove that these are SARS virus genome replication necessary.

Participation of key researchers Chen explained, "non-structural protein nsp14" for the virus genetic information "disguise", so that the immune system to identify any, will be substantial virus unknowingly into a place to attack, as well as HIV transmission play a protective effect. In addition, it is their genes into the virus core protein illness, not this group of coding, more genes have changed not a virus. Professor Guo Deyin said through the system to identify some of the SARS virus, this feature harmful, but the material is harmless to human body, and then developed into small-molecule drugs.

It is understood that in 2001, Academy of Sciences Wuhan University Tanami to make forward-looking emphasis on new hair, sudden major viral disease research, in the school of Health set up the Wuhan University ASTRI modern virus centers and national colleges and universities at that time only three level biosafety laboratory, so that the school in the study of SARS virus has unique conditions. (This article Source: By Author:艾启ping, WANG Huai-min)

Hong Kong once again found the body of the suspect birds with H5 avian influenza virus

[I don't remember hearing this?]
2009-2-16
excerpt:
This starling body in February 12 in the village of Tung Ping Chau Sha Tau seized. Bird carcasses seized locations 3 km there is no chicken. The spokesman said that the department will step up inspections of the Hong Kong live poultry farms, wholesale markets and the Yuen Po Street Bird Garden, the AFCD will continue to closely monitor the wild birds.

China has a person with bird flu vaccine production reserve conditions

National Science and Technology Information Service Network
2009-2-16

National Food and Drug Administration recently launched a pandemic influenza virus inactivated vaccine (commonly known as "Human use of avian influenza vaccine")批签发synchronization procedures. At present, our country has a pandemic influenza virus vaccine production reserve conditions happen in a pandemic influenza or emergency situations, by the state to start for the pandemic influenza vaccination.

This year, our country emerged for many cases of human bird flu cases, the State Food and Drug Administration official said, given the current avian influenza prevention and control of the situation, to safeguard public health, the State Food and Drug Authority before the official start of the pandemic influenza vaccine批签发synchronization process, namely, the production enterprises, regulatory testing and drug testing批签发at the same time, and vaccine production conducted a site inspection.

Pandemic influenza viruses are inactivated vaccine by Beijing Kexing Biological Products Co., Ltd. and the Chinese Center for Disease Control and Prevention jointly developed by commodity called hope Seoul to Fuk, applies to 18-year-old to 60-year-old adults. The vaccine by the State Food and Drug Administration approval process through, inter alia, the approval in April 2008 on access to medicines Register documents.

National Food and Drug Administration pointed out that to deal with pandemic influenza are global common issues faced by, and as a result of limited production cycle must be before an outbreak of pandemic influenza on reserves a certain amount of vaccine to ensure that the epidemic emerged in the early days of to the appropriate people to carry out vaccination.

Governments are actively under the framework of the World Health Organization strategy, many countries have reserves of a large number of H5N1 vaccine. In our country, I hope that Seoul Laifu documents are currently the only access to the H5N1 pandemic influenza vaccine.

HK: Lawmakers urged to buy bird flu vaccines

Paul Mozur and Beatrice Siu

Thursday, February 12, 2009

The recent spate of mainland bird flu cases has spurred a debate between legislators and the health minister about vaccine purchases.


Civic Party lawmaker Audrey Eu Yuet- mee asked at the Legislative Council yesterday whether the government would consider purchasing vaccines for citizens.

Secretary for Food and Health York Chow Yat-ngok said the decision depends on whether the H5 virus vaccine is still efficient under the current avian flu development.

"The decision must be made according to the situation, and see which type of vaccine is the most efficient. The government has to be more prudent on the decision," he said, adding the government will consider buying the vaccine once it is proven to be efficient.

But Eu said the public deserves to be better informed about why the government has not gone about purchasing the vaccine, given that other places such as Singapore, Japan and Taiwan have.

"We understand it would be wasteful to purchase vaccines that don't work, but we want to know how effective these vaccines are, and why the government hasn't been considering this," she said. Eu compared the current situation to the SARS outbreak in 2003.

"The government says these are isolated cases in the mainland," she said. "But with SARS, we saw cases of people buying drugs to help prevent it in the mainland, and the public didn't know what was happening, and the government didn't know, and quickly we had SARS here."

Eu added what seemed like isolated cases in the mainland may not be, and called for the government to take all steps necessary to prevent any outbreak of bird flu.

Scientific Committee on Emerging and Zoonotic Diseases member Lo Wing-lok said the committee was evaluating the effectiveness of various vaccines, but pointed out: "There is no way to predict whether the next pandemic will be be avian flu, H5N1, or another influenza such as H2 or H9."

He said the committee was putting together a set of recommendations for Legco that would be available in the coming months.

Catering sector lawmaker Tommy Cheung Yu-yan also asked whether it was too late for the government to investigate chicken farms after the carcasses of infected poultry washed up on Lantau Island.

Chow said the investigation was carried out at the end of January on mainland and Hong Kong farms, as soon as the dead birds were found.
The government also said it would keep close contact with mainland authorities.
hat-tip Muscade

Hunan, the first case of successful treatment of avian influenza in patients with adult patients discharged

February 17, 2009 17:06:37 Source: Xinhuanet

Changsha Xinhua February 17 (Xinhua Xing-Hua Huang) on the 17th, Hunan first successful treatment of adult patients with avian flu in a SHU Central South University Xiangya hospital after 20 days of full treatment, clinical symptoms of the elimination of the formal procedures for discharge. This is where the recent success of the first three cases of human avian influenza cases.

Xiangya Hospital Fangping Chen introduction, Xiangya Hospital Clinic Human bird flu expert group examination and discussion consider, Shu certain vital signs normal, the spirit of good appetite, clinical symptoms disappeared completely in line with the National Human bird flu cases regarding the standard for discharge.

It is understood that this year's 21-year-old Shu a (female), the Department of溆浦县Farmer, peacetime and grandfather, grandmother, father, younger brother to live together. End of last year, working from home in Guangdong. January 23 this year, Shu at home without a clear incentive to neurite fever, up to 40 degrees, a cough accompanied by expectoration, in the local clinics for treatment does not work, four days after the people溆浦县into hospital-patient treatment, then transferred to Xiangya Hospital hospitalization.

January 29, Hunan Province Center for Disease Control and Prevention laboratory specimens of patients with detection, the results for the H5 subtype avian influenza virus nucleic acid positive. The next day, the Chinese Center for Disease Control and Prevention to conduct a review of patient specimen testing, the results for the H5N1 avian influenza virus nucleic acid positive. Epidemiological survey found that patients had come into contact with dead poultry.

After the outbreak happened, Hunan high priority, in accordance with the "human infection of highly pathogenic avian influenza contingency plans" to take the corresponding control measures, and all close contacts of the implementation of strict medical observation, at present, all close contacts do not appear unusual clinical manifestations.

For patients, Xiangya hospital diagnosis and treatment of experts convened by the relevant expert groups, medical groups, nursing and disinfection and isolation group and so on, day and night concerned about the patients. To February 2, Shu a condition marked improvement. After further treatment, a condition further stabilize the SHU, there is no cough, leukocytes returned to normal, the gradual elimination of clinical symptoms.

Discharge procedures are undergoing a Shu told Xinhua that the Xiangya hospital her hands away from the bleach from her heartfelt thanks to the local government and the medical staff treated her. She said that after returning home, take a break, will continue to work.

It is understood that since late December last year, China has successively report 8 cases of human infection of highly pathogenic avian influenza cases. Up to now, with the exception of a certain Shu Hunan patients, the Shanxi彭某children, Guizhou Zhou patients had been discharged.

Hunan First bird flu patients discharged from hospital

People Changsha February 17 (Xinhua Zhou Yun) holding flowers, smiling. Hunan Lake溆浦县from the highly pathogenic avian influenza patients舒荣flower, Xiangya Hospital, Central South University, after more than 20 days of treatment, at 16 o'clock today, bidding farewell to her day and night to protect doctors and nurses, happily recovered and were discharged the.

January 23, the annual party 21-year-old flower舒荣sudden high fever and cough accompanied by expectoration, null and void in the local clinics for treatment. 26,舒荣flower溆浦县the people into hospital, hemogram showed leukopenia, chest CT showed the right pulmonary inflammatory lesions. Due to have a history of exposure to sick poultry, hospitals doubt that she is infected with highly pathogenic avian influenza, thus corresponding virology examination, and treatment of avian influenza patients. January 28, lung CT showed inflammatory lesions trend has expanded, and preliminary test results show that sputum specimens舒荣flower H5 subtype of avian influenza virus nucleic acid positive.

The early morning of January 29,舒荣perianth into Xiangya Hospital, Central South University. Hospital immediately set up expert group to develop treatment programs, organizing the implementation of treatment and their families medical observation in isolation. January 30 afternoon, CDC National Detect confirmed舒荣flower person suffering from highly pathogenic avian influenza (H5N1 subtype). Active treatment in hospital, the flower舒荣body temperature returned to normal, sputum was decreased 10 days after the clinical symptoms disappeared. At present, the flower舒荣normal vital signs, mental appetite is still good, has reached the discharge standard.

Flower舒荣of recovery and was discharged in the community has aroused strong repercussions, people thank the medical staff at the same time, firmly believe that the bird flu virus can be overcome.

Bekasi: The Potential location of Bird Flu was in Bekasi supervised

On Tuesday, February 17 2009 | 19:19 of WIB

The Interaktif TIME, Bekasi: the medical Team of the Health Service and the Livestock Service of Kabupaten Bekasi, West Java, carried out the tight supervision of the resident who lived in the potential territory the spreading of bird flu. The location was pacified by us specially, said Sri Utami, Section Head Kesehatan of the Bekasi Regency to the Time, on Tuesday (17/2).

The potential territory was the settlement of the inhabitants in the Sukamulya Village, Kecamatan Sukatani, Kabupaten Bekasi. The supervision followed the existence of seven residents was suspected bird flu with the sign was sick the fever and hot high. Suspected by them contact was close to the positive chicken was infected by the virus avian influenza (AI) the kind H5N1.

According to Sri, results of the temporary check-up against this resident his status influenza like illness. He appealed to the resident that suffered was sick with the similar sign segara reported to receive the medical maintenance. We have given the task to the Sukamulya Community Health Centre fast preceptive if having his resident who was sick, he said.

The resident was expected by bird flu, Sri continued, only was treated the road. They were given Tamiflu medicine, and was monitored by his health every day.

The sub-district head Sukatani Muhamad Shaleh Suhasbi, said the joint team from the Health Service and the Livestock Service carried out the supervision 24 hours. Health Officials was supervising his person, while the Animal Service supervised his livestock, he said.

The Dinas team of Agriculture, Muhamad continued, confirmed the chicken belonging to the resident was not stabled and sold to the market. Do not have a chicken then slip off outside, he said.

At this time, Muhamad continued, it was worried about the number of residents was suspected of by bird flu improving (increasing,ed). Because, the spread of the AI virus reached the radius 10 metre from the location of the beginning findings of the case of bird flu, with the number of potential households 6 households.
hat-tip Dutchy

People in the Kolín threatening disease bird flu

Author: CTK
17.02. 07:36

Some people in the Czech Republic against the deadly bird flu disease. Mladá fronta Dnes writes that the aggressive bird flu virus H5N1 vaccine inadvertently included the Austrian pharmaceutical firm Baxter, the company tested in the bioassay Konarovice in the Kolín.

Find themselves in danger all those who came into contact with ferrets, in which the vaccine was tested. No one was eventually infected. According to experts, it was lucky that the virus has not between populations.

"Vaccine tested in the bioassay to fretkách from the beginning of January. Research has allowed the Ministry of Industry and Trade. Suddenly started ferrets pine and research was completed on February 6," said the main hygienist of Michael Vit. Subsequently, the State Veterinary Administration revealed that the animals were infected with a virus deadly bird flu. "All the ferrets we had to destroy a business close," said spokesman Joseph Veterinarians April.

Find themselves in danger all those who came with infected ferrets in contact. "Thirteen people immediately receive a medicine Tamiflu, and all tests passed. Fortunately, it appeared that no one is infected. Even though they have incubation period in a row, but is still possible to test for the presence of antibodies in the blood," said Vit. April added that "it's a serious warning, no it was not fun."

The company Baxter acknowledged that the error was already in Austria and sent across the border already "infected shipment. "It happened probably in the package. We have testing company," said Richard Tischler of company Baxter. According to him, given the drug Tamiflu even 29 people.

People threatening disease deadly bird flu

Feb 17 2009 4:21, 9:43 updated
Lethal avian flu finds itself in the Czech Republic and thanks only to chance it nenakazili people. The bioassay in Konarovice vaccine tested in the Kolín Austrian pharmaceutical company Baxter, which it develops. However, the vaccine contained the aggressive bird flu virus H5N1.


State Veterinary Administration revealed that the animals were infected with a virus deadly bird flu.

Austrians to find a few weeks after the beginning of the tests. But it was too late.
"Vaccine tested in the bioassay to fretkách from the beginning of January. Research has allowed the Ministry of Industry and Trade. Suddenly started ferrets pine and research was completed on February 6," says the main hygienist Michael Vit. In the immediate vicinity of the virus, researchers are moving from 30 January.
Subsequently, the State Veterinary Administration revealed that the animals were infected with a virus deadly bird flu. "All the ferrets we had to destroy a business close," says spokesman Joseph Veterinarians April. The disinfectant measures deployed sedmdesátiprocentní ethanol, which, according to April "completely kills all living."

The drug was given immediately thirteen people
The danger is suddenly found themselves all who came with infected ferrets in contact. "Thirteen people immediately receive a medicine Tamiflu, and all tests passed. Fortunately, it appeared that no one is infected. Even though they have incubation period in a row, but is still possible to test for the presence of antibodies in the blood," says Vit.
If a researcher was infected, before the examination could infect many people. That the virus has not only to other residents because of luck, allowed themselves experts.
A similar case in the Czech Republic or veterinarians not always hygienic. "It is a serious warning, no it was not fun," says April. The company Baxter admits that it has become a problem in Austria and sent across the border already "infected shipment.
"It happened probably in the package. We have testing company," says Richard Tischler of company Baxter. According to him, even given the drug Tamiflu twenty-nine people.

The control system is not very depth
During the development of drugs for the animal tests needed to permit the Ministry of Industry and Trade, but the medicines and their risks otherwise knows nothing. And approval of the Ethics Committee Ministry of Agriculture, the animals will be treated well.
The problem is that in similar tests in the Czech Republic, the laws protect more animals than people. "Please take care of ethical aspects of animal tests, but that there are serious risks to people, no one not dealt with," says Director of State Institute for Drug Control Martin Benes.

Authors:
Bohdan Jaro?ová MF DNES

Lenka Petrá?ová MF DNES

Recently the threat of avian flu from the vaccine are defective in order

The main hygienist of Michael Vit.
Photo: Lukas Taborsky, Right

Any person who in connection with the testing of new influenza vaccines, a risk that they could infect the bird flu virus, are in order. That on Tuesday confirmed the main hygienist of Michael Vit.


17. 2. 2009 13:52
"Today it expired twice incubation period for possible infection of avian influenza virus, and nothing happened. People are in order. Jim or anyone else any danger, "said Vit.

Responded to the information that the aggressive avian influenza virus H5N1 vaccine inadvertently included the Austrian pharmaceutical companies Baxeter, which tested the bioassay in Konarovice on cologne.

"Tests are carried out with the H3N2 type of influenza vaccine from 30 January. Experimental ferrets began to have health problems 6th February and some have died. The same day we learned about it and take the necessary measures, "said Vit.

Employees got the antidote
He informed that all who come in contact with experimental animals, or are otherwise involved in the experiment, immediately received antiviral Tamiflu. All were also examined by modern molecular methods to eliminate the possibility that the infected aggressive bird flu virus H5N1.

"Nobody has been infected," said Vít that hygienic cooperate with veterinary services. The under Vitus revealed that the animals were infected deadly bird flu virus H5N1. All ferrets were destroyed and the farm has undergone and is undergoing extensive disinfection of all premises, "he added Vit.

According to the State Veterinary Administration spokesman Josef April but "is not no fun." The company Baxter acknowledged that the error was already in Austria and across the border to the Czech Republic has already traveled infested consignment. This happened probably in the packaging.

Václav Pergl, Right

Several Czechs threatened with bird flu - press

17 02 2009

Konarovice - Some Czechs were threatened by getting infected with the dangerous H5N1 bird flu virus strain from a vaccine developed by the Austrian pharmaceutical company Baxter that was tested on ferrets, the daily Mlada fronta Dnes (MfD) writes today.

The vaccine was tested by the Biotest company in Konarovice from early January and the research was permitted by the Industry and Trade Ministry, Czech chief sanitary officer Michael Vit told the paper.

"Suddenly the ferrets started dying and so the research stopped on February 6," Vit said.
The Czech veterinary authority revealed that the ferrets got infected with the lethal bird flu virus.

"All the ferrets had to be liquidated and the company had to be closed," said the authority's spokesman Josef Duben.

All 13 people who got into contact with the ferrets were in danger but they were lucky not to get infected, MfD writes.
"They immediately received the Tamiflu drug and they underwent tests. Fortunately, none of them got infected," Vit said.

However, Vit added that experts will continue to test these people.
Duben said the case was a "serious warning."

According to MfD, the Baxter company admitted that the mistake occurred in Austria and that it sent infected vaccines to the Czech Republic.
hat-tip Dutchy

NEPAL: Avian influenza outbreak contained but risks remain

KATHMANDU, 17 February 2009 (IRIN) - The H5NI virus has been brought under control after a month-long outbreak in poultry in Jhapa district, nearly 500km south-east of the capital, according to government officials.
-snip-
Risks

However, the potential for new outbreaks is great, according to avian influenza specialists.

A team of experts from the UN Crisis Management Centre-Animal Health (CMC-AH) visited the country recently. CMC-AH was established in October2006 by the UN Food and Agriculture Organization (FAO) with the World Organisation for Animal Health (OIE) to enhance FAO's ability to help countries prevent and cope with disease outbreaks.

The CMC-AH team stated after their assessment that while the government's response was efficient and thorough, there were still major risks of outbreaks.

"The response has been robust and with impressive speed but there is still a need for … heightened awareness," said David Hadrill, mission leader of CMC-AH.

Government officials have also said the country remained at risk given that its neighbours, particularly China and India, have a history of bird flu outbreaks. Nepal's huge poultry industry also relies largely on imports from West Bengal and Bihar in India.

Ongoing concerns

Government officials expressed concern over the critical shortage of trained veterinarians, the lack of adequate laboratories for testing and supplies of disinfectants for spraying contaminated areas. There is also a lack of communication equipment to increase public awareness about prevention measures, they said.

The CMC-AH team agreed there was an urgent need for more lab equipment, facility upgrades and consumables to safely and effectively perform diagnostic assessments. It has recommended the Nepalese government consider scenario planning and a financial fund to deal with multiple outbreaks should they occur.

It added that the surveillance was very crucial in the coming months and more resources should be allocated to training. The government is already planning a three-month-long surveillance campaign in the affected areas of east Nepal.

"Fortunately, the bird flu occurred in only one place [Jhapa]. We would be unable to control the outbreak if it had taken place in more than three places [simultaneously]," a government official, who requested anonymity, told IRIN.

nn/bj/mw

Indo: Bird flu struck Sleman

Selasa, 17-Februari-2009, 12:08:20

Yogyakarta, Kominfo Newsroom -– Puluhan the chicken belonging to the resident of the Krasakan Village, Jogotirto, of Kecamatan Berbah, Kabupaten Sleman, Provinsi DIY, in several last days died suddenly and after being checked, the chickens positive was attacked by the bird flu virus (avian influenza).

Unt uk avoided the bad possibility, the owner of the chicken and several relatives him was brought to RSUP Dr. Sardjito Yogyakarta, moreover several of the they were stated suspect bird flu because of experiencing signs was attacked by the virus, that is the fever, flu and pain swallowed. However according to Chairman Tim of the Control of RSUP Bird Flu Dr. Sardjito, Dr Sumardi, SpPD, in Yogyakarta, on Tuesday (17/2), after being carried out by the laboratory test in the hospital and in Jakarta, the owner of the chicken and the family him that was stated by the negative and was permitted to come home. Raised, change time in the season, that is between January and April, was the alert month bird flu, because of the bird flu virus in the months the possibility will spread, and could attack the animal and humankind.

In the meantime the Head of the Health Post of the Animal (Poskeswan) Prambanan, Sleman, Supra Setyaningrum said, the bird flu attack in the area not that was first, because beforehand the similar case happened in the Jogotirto Village, Berbah. The death of dozens of chickens in Berbah, said Supra, quite positive resulting from the attack of the bird flu virus. After results rapid test showed positive, his side at once carried out spraying of disinfectant and asked for the addition of disinfectant to anticipate expanded him the bird flu attack in the territory. We carried out spraying in pens. Supplies were still sufficient for spraying in this territory, he said.

Indo: Confused was stated Suspect Bird Flu

Selasa, 17-02-2009 14:05:13

Ngawi-Expression Saimiyem,53,warga the Tambakboyo Village, the Subdistrict of Mantingan,Kebupaten Ngawi, was seen confused. His grandchild, Bayu Widodo was reconciled to RSUD Dr Soeroto as the patient suspect bird flu. Indeed my grandchild was breathless, afterwards was continued hot the fever but cooked bird flu, he said, yesterday (16/2). Bayu was placed in the ward of the child's space but was separated from the other patient. Since being reconciled from the Tambakboyo Community Health Centre, Mantingan, according to his grandmother, Bayu appeared fresher. He also according to when the nurse bermasker examined his body. Bayu was sick since Thursday (12/2) and finally was brought to this hospital, kta Samiyem. The matter of the connection with the bird flu, Samiyem claimed did not know. He also admitted to not maintaining the poultry anything in his house. Since was remained suami,saya did not maintain the poultry or the chicken anything, could not handle, said Samiyem. According to him, several neighbours in his house environment indeed maintained the nonpedigreed chicken and the possibility was that died suddenly. However I also did not know the amount, moreover I myself did not have the chicken one then in the house', he said.

Bayu Widodo, 12 years, was the child of the two couples Suryati and Hariyanto. However Suryati was leaving home to Jakarta now the father to Sumatra. Samiyem claimed uptil now to be him that maintained dna was on duty at Bayu and his older brother that were new the class 2 SMP. Nggih 'confused how come critane even bird flu', he said. Bayu yesterday received the intensive maintenance in RSUD Dr Soeroto. He could invite attention from the reporter who heard the possibility suspect bird flu descended on the class pupil 5 SDN Tambakboyo 2 of Mantingan. Director RSUD Dr Soeroto drg Hendro Wahyudiono claimed after getting information from the paediatrician who observed Bayu, it was confirmed the patient not was affected by bird flu. Breathless 'him possibly because of having ISPA or asthma but ukan because of bird flu', he said. Because not became the bird flu patient also Bayu did not need the isolation that was super tight like the procedure continue to in the handling of the bird flu patient. Has been checked by all, so was ascertained not bird flu, if bird flu has certainly entered isolation space', katanya. (ari/rif)

Indo: Hot rose, could be expected by Bird Flu

Selasa, 17 Februari 2009

Ngawi | Surya-Bayu Widodo, 11, the class student 5 of SDN Ii Tambakboyo, the Mantingan Subdistrict, the Ngawi Regency was forced to have to be treated intensive in RSUD Dr Soeroto, the Ngawi Regency. His article, Putra the two couples Hariyanto, 38 and Suryati, 35 this suspect (was expected) bird flu with the condition for immunity body that more and more to weaken.

Samiyem, 52 grandmothers Bayu that was on duty at the room the child's 04 spaces RSUD Dr Soeroto, Kabupaten Ngawi said, if the fever that was suffered by his grandchild has taken place around five days. According to him, the fever that was experienced by his grandchild day after day increasingly rose. Moreover, his grandchild also experienced breathless, and defecated (the CHAPTER) not be fluent in. The assumption of this child was attacked by bird flu increasingly strengthened because around his residence was found by several chickens that died suddenly. However lucky the assumption was untrue. Dr Agnes Fitriani that treated the patient suspect this bird flu during it was confirmed about his patient, explained if initially indeed was suspect bird flu.
[Dictionary: Dr. Agnes Fitriani that attend patient suspect bird flu now confirmed as to patient, to clarify when in the beginning yes to be suspect bird flu.]

But, after having the report from results of the laboratory and x-rayed showed casualties were stated by the negative from suspect bird flu. “Reason results of the lab and x-rayed him was negative both of them. Kamungkinan he had the story of asthma and the disturbance of the liver in stomach,” he explained.

In the meantime, the Head of the Kesehatan Field of the Animal, Dinas Peternakan Regional Government Ngawi, of Tri Wahyu in July stressed since two last weeks were in several livestock breeding points in small scale that his kept chickens died suddenly. However the case of the bird flu virus until spreading to the patient Bayu Widodo, according to Tri Wahyu not yet have report altogether at this time. “Yang clear in each subdistrict had the official, if indeed had the chicken died suddenly definitely will have a report,” tandasnya. st14

Indo: 60% Stock tamiflu expiration

2/16/2009

Sukoharjo (Espos)

More than 100 tablets in stock tamiflu District Health Office (DKK) Sukoharjo, expired. Drugs given to people exposed to the virus diwaspadai avian influenza (AI) or bird flu that expired in February this per.

Head DKK Sukoharjo, Suryono, through Kabid Prevention and Environmental Development (P2PL), Rustiningsih, when the journalist is found in the workroom, Saturday (14 / 2), menuturkan, tamiflu stock in the warehouse of a local drug DKK strip 29 or 290 tablets . From that amount, more than 100 tablets or 60% of them expired in February this. While the rest expire in November 2009.

"Stock tamiflu in the warehouse of 290 tablets. Tamiflu is currently in a drug warehouse in the health-health of the Sukoharjo. In each Puskesmas average strip 10 is available, "said Rustiningsih.

According to him, tamiflu given to people with influenza like illness (ili). However, provision is tamiflu to the sufferer is different for those who are still children and adults who have. If given to the children, as many as 29 strip tamiflu that can be given to 58 children. Meanwhile, if given to adults, tamiflu that can only be consumed by 29 people.

Because of tamiflu stock at this time had been owned by the expiration, sambungnya, DKK Sukoharjo already reported it to Public Health (Dinkes) Central Java Province in order to be given tamiflu but until now has not also given. According to information, will give Dinkes Central Java in March 2009.

Withdrawal
If tamiflu who has expired it will be attracted, more Rustiningsih, Dinkes Jateng news will make the event. Step is performed so that the distribution and withdrawal tamiflu, there is clarity. "What is clear is we are ready tamiflu. This medicine is not a virus can enter the human body due to the effectiveness of tamiflu only 2 x 24 hours, "he said.

He explains, the last time DKK giving tamiflu in January in which as many as 70 tablets tamiflu given to the citizens Curidan, Bulakrejo, Sukoharjo. In the last month, as many as 10 residents in the area suffering from the symptoms ili.

"Tamiflu is consumed if there are people ili. If ya is not no use. Related AI, we mengimbau that citizens behave mewaspadainya with healthy living. Always wash hands and clean themselves after contact with poultry, "Rustiningsih demolished.
hat-tip Mojo

Indo: Bird flu not a danger: Expert

Luh De Suryani , The Jakarta Post , Denpasar | Tue, 02/17/2009 1:43 PM | Bali

The island's tourism industry will not be endangered by avian flu as long as the government incorporates all stakeholders in the containment effort, a leading expert says.

I Gusti Ngurah Mahardhika, head of the Biomedical and Molecular Biology Laboratory at Udayana University's Veterinary Medicine School, said the government should share the virus samples with other institutions to predict the infection route and to study the possibility of whether the virus can infect humans.

"In fact, the Udayana Medical School has the technology to analyze the virus. If we can gain access to the samples gathered by the Animal Husbandry Agency and the Veterinary Main Office, we can help analyze the viruses that spread recently," he said.

He said the results would be useful in finding out where it came from and whether it was already in Bali or from outside the island.

"The most important thing is figuring out whether the viruses that were gathered in 2009 have the potential to infect humans," said Mahardhika, who was the first scientist to identify the existence of bird flu on the island.

Recently, Bali had another brush with bird flu. Early this month, Jagapati village in the Abiansemal district of Badung saw a resurgence of the virus after officials discovered bird flu in five of the 15 birds that suddenly died there.

Mahardhika said laboratory staff had gone to the infected site to gain more insight into the much-dreaded H5N1 virus.

"But we are not an officially designated avian influenza laboratory. We just check the samples we retrieve ourselves from field visits in response to requests from members of the community or companies," he said.

His laboratory does examina-tions of suspected bird flu viruses, which cost Rp 300,000 (US$25) per sample.

"We can usually give the results within a day. In fact, if the sample arrives first thing in the morning, we can give a one-day service," he said.

Periodically, the samples that test positive in Udayana's laboratory get sent to the Eijkman Institute for Molecular Biology in Jakarta.

"Most of the virus sequencing has been sent to the international public database at the Genebank. The information there is very useful to help predict the genetic tendencies of viruses, such as whether it prefers mammals in general or humans in particular," he said.

One example of that was when he predicted that the first human case of bird flu infection would occur in Jembrana in 2006.

"That time, we predicted that the first case would occur either in Jembrana, Buleleng or Klungkung. And we were right. The first case happened in Jembrana," he said.

"And from our studies of the virus in 2007, we believed that the virus that attacked people in Jembrana would be different from the ones that attacked people in Tabanan. Fortunately, the bird flu only struck two people. Or it is possible it attacked more than two but somebody missed it or it went unreported."

Mahardhika said the Udayana Veterinary School was ready to support the Bali government in responding to bird flu in a quid pro quo agreement.

"All we want in return is simple and cheap, and that is the right to publish and communicate the genetic information of the virus to other scientists and the public, locally, nationally and internationally," he said.
hat-tip Dutchy

Bekasi Cluster(s)

So. Now I have 3 families.

The Index "family" would be:
Sri Rahayu, Jema, and Arni
They cooked the infected poultry, and ate it.

Then, the second and third families were infected from the dry waste, blood.

NY Ita & Ipin

3rd family:

Syahroni and Muhamad Daos

__________________

Indo: It was other that Bird Flu casualties

[I color coded this to help me get it straight....]
Edisi 17 Februari 2009
Excerpts:

the number of villagers Sukamulya, Kecamatan Sukatani, of Kabupaten Bekasi, that was infected by bird flu improved. Yesterday, the child was 10 years old had the initials Ip it was identified was infected by the bird flu virus with the hot and feverish sign high.

Sairan, Kepala Desa Sukamulya, said his seven residents that terjangkit bird flu was the owner of the chicken that died suddenly. "Moreover had one family that ate his chicken because of not wanting the loss," he said.

One family that consumed the chicken was infected by AI was SR, Je, and Ar.

When seeing his chicken was sick, they at once cut off this poultry and cooked him. He suspected, the spread of bird flu against the three residents through the sprinkling of chicken blood that dried up when being cut off.

The other resident who it was suspected was infected by the bird flu virus was It, the mother from Ip.

The two casualties that still one family was it was suspected infected through the waste of the chicken around his house.

Whereas the other resident who also was expected and currently in the supervision was SA and MD.

According to Sairan, was linked with the illness that was suffered by Ip, the resident found three chickens died suddenly. Until this, the number of the total chicken that was destroyed numbering 50 tails.


From previous post:

Apart from Ipin, there was one family that mengonsumsi the chicken was infected by AI. Meraka was, Sri Rahayu, Jema, and Arni. When seeing his chicken was sick, immediately was cut off then then was cooked. The spread of bird flu was against the three residents expected through the sprinkling of chicken blood that dried up when being cut off. The other resident who took part in being infected was NY Ita, the mother from Ipin. Suspected of being infected through the waste of the chicken around his house. The other resident who currently in the supervision is the Father Ipin, Syahroni and Muhamad Daos, the sample of their blood was sent to Departemen Kesehatan.

Six residents was expected by Bird Flu

[Something is not adding up. A "chicken breeder" in this story claims he lost 15 chickens. Yet, they say 42 were owned by a "resident"]

Edisi 16 Februari 2009

Six villagers Sukamulya, Kecamatan Sukatani, of Kabupaten Bekasi, West Java, were it was suspected infected by the bird flu virus. The sample of their blood is currently checked in the Department's laboratory of the Health. The head of the Pengendalian Field of the Illness and Lingkungan Dinas Kesehatan Sanitation of the Bekasi Regency of Rudi Ruhdiat said the six residents carried out contact was close to the positive poultry of Avian Influenza (AI) the kind H5N1. "They the owner and consumed the positive AI poultry," said Rudi to the Time yesterday. The sample of blood 25 villagers Sukamulya were taken last Saturday. Results of the inspection, said Rudi, just could be known two weeks more. The taking of the sample of the blood was carried out because last Thursday had 42 chickens belonging to the resident died suddenly. But the poultry that died suddenly that not was destroyed, even was thrown away to the river current and the rest were consumed. "I lost 15 chickens," said Sairan, the chicken breeder that also the Village Head Sukamulya.
-snip-
This virus usually emerges when the change in the season, was marked by the death of the poultry suddenly. The intensive supervision of the Sukamulya Village was carried out during two weeks in the future. Officially Kesehatan monitored six residents that the sample of his blood was taken, whereas the Pertanian Service supervised the resident's poultry. Rudi asked the resident to pen his poultry for the time being and did not sell him to the market. "We asked still wandering poultries to be isolated first," he said.

Vietnam: More patients have influenza A H5N1

16-02-2009

On-ND 16-2, Ministry of Health notified of H5N1 infected the second this year. This is a male patient, 32 years old, in the hamlet 12 wards Kim Tan, Kim Son (Ninh Binh) have started 5-2 on patients with symptoms of fever, difficulty breathing. This is a male patient, 32 years old, in the hamlet 12 wards Kim Tan, Kim Son (Ninh Binh) have started 5-2 on patients with symptoms of fever, Difficulty breathing.

After self-treatment at home with fever lowering medication and antibiotics, but not, on 13-2, to examine patients in military hospitals and y 5 be forwarded to the Institute for infectious diseases and tropical countries with chẩn predicted by pneumonia and influenza virus A. After self-treatment at home with fever lowering medication and antibiotics, but not, on 13-2, to examine patients in military hospitals and medical 5 be forwarded to the Institute for infectious diseases and tropical countries with chẩn predicted by pneumonia and influenza A virus . There are still people in the state respiratory failure, to support the breath-xi. There are still people in the state respiratory failure, to support the breath-xi.

Test results by about epidemiology T.U students confirmed positive for influenza virus A/H5. Test results by about Epidemiology TU students confirmed positive for influenza virus A/H5. Patients before this two week of slaughter and eat birds. Two patients before this week of slaughter and eat birds. At home by patients and households around the many birds died unknown causes. At home by patients and households around the many birds died unknown causes.

Mrin two hundred chickens, the risk of Berdflu

Feb 14, 12:26 am Feb 14, 12:26 am

Gangarampur (South Dinajpur): Hrirampur Danahar Thanantrgt in the village called the last two to three a day now plus two hundred chickens have died of unknown causes. The village for fear of bird flu are. Death of poultry on Friday to examine the veterinary department of the medical team is on the spot. From there the blood sample of dead chickens were taken in order to find out the truth.

Hrirampur in Mrin 375 chickens, the risk of Berdflu

Feb 15, 02:15 am Feb 15, 02:15 am

Balurgat (South Dinajpur): Barhatta Hrirampur block of Village Panchayat in the village under Bramahar Wednesday to Saturday from Pune, about four hundred chickens die of bird flu in the area for fear of being. However, the District Department of the property being such that chickens are not dead. Wednesday to Saturday morning to a total of 27 chickens died of the news. Deputy Director of the Department of Property being Sritonu Maiti said Friday that the dead was a collection of the blood of chickens. At the same time, bury dead chickens out of the system with the entry of poultry in the area to help with the police and personnel of the Department of Property creature are patrolling. According to information from government rules Anshka of bird flu under the chickens will be killed. So cut Ganvwasi chickens are eating.

Residents of the village Nilofr Yasmin that they saw a dead chicken is Dhanket. Blood samples have been sent for testing to. Not report until nothing can be said. Residents of the village board Tbijuddin said thirty chickens in my twenty two chickens die within three days did. Saturday morning there Tbirul of 25 chickens died of Islam did. According to sources, Property Bramahar creature of the 140 families Vaksin chickens have been given. Security is also provided.

excerpts from the diary are here

Hunan people xupu clinical symptoms of avian flu is expected to eliminate this discharge
Xupu human avian influenza is expected to eliminate clinical symptoms in patients discharged from hospital today

19天过去，我们一起战胜病魔 Over the past 19 days, we work together to overcome the disease

Xiang Wang bird flu patients discharged today

http://www.sina.com.cn 2009 on 17 day 02 years 02:26 The Beijing News

Care for patients with medical and nursing staff are. According to "Xiaoxiang Morning"

By Hunan Xiangya hospital after 19 days the full treatment, the province溆浦县confirmed highly pathogenic avian influenza patients, 21-year-old舒某某elimination of clinical symptoms. Yesterday, Xiangya Hospital clinic patients with human avian influenza expert group examination and discussion that舒某某in full compliance with the country people about bird flu and discharged standards舒某某is expected to be discharged today.

Patients is expected to be discharged today

21-year-old patients with舒某某Department of溆浦县Farmer, January 23 in the pathogenesis溆浦县whose condition worsened on the 26th into the people溆浦县hospital in-patient treatment in hospital on the 29th into the Xiangya hospital. Hunan Provincial Department of Health of human infection with highly pathogenic avian influenza prevention and control of the expert group decided that the cases of human infection of highly pathogenic avian influenza confirmed cases.

Xiangya Hospital, the hospital diagnosis and treatment of experts convened by the relevant expert groups, medical groups, nursing and disinfection and isolation group and so on, day and night concerned about the patients. To February 2, a marked improvement舒某某illness, loss of appetite, have a better mental state, body temperature, blood pressure normal, chest X-ray examination did not extend the shadow of the lungs, but a slight absorption. After further treatment, to further stabilize舒某某condition, no cough, blood leukocytes returned to normal, the gradual elimination of clinical symptoms, and is expected to be discharged today.

Diary records the whole process of treatment

At present, various aspects of舒某某a good feeling. Informed immediately discharged舒某某said that she really was happy.

"In these special days, because nurses are often scared, frustrated, or moved to tears, but no one way to step down." Yesterday announced a rescue Xiangya Hospital舒某某medical diaries, records of 18 In the night of the rescue process. Said health care workers, "she escaped death, we also had to bathe in the wash."

2.6m doses of vaccine

SINGAPORE is stepping up its defences against a possible bird flu pandemic with the purchase of enough vaccines for 1.3 million people.

Vaccines give the best protection against the flu, but the one for H5N1 or bird flu became available only in 2007.

The original defence against a bird flu pandemic was to give the more than 50,000 'essential' people, such as doctors and policemen, six weeks' supply of Tamiflu, an antiviral that reduces the effects of the illness by preventing the bug from multiplying.

Read the full report in Tuesday's edition of The Straits Times.

Bird flu scare in S Dinajpur

17 Feb 2009, 0251 hrs IST, TNN
MALDA: Residents of South Dinajpur fear a bird flu outbreak following the death of hundreds of chickens in the Harirampore block in the past couple of days. About 400 chickens have died in Baromahar village under Bairhatta panchayat in two days. All the dead birds showed symptoms of bird flu. On Sunday, 16 chickens of a villager, Hussein Ali, died.

While the reports of the blood samples sent to Bhopal are awaited, the district administration has started making the preliminary arrangements for culling.

DM Ashoke Banerjee said: "The blood samples have been sent to the Bhopal laboratory from Belgachia. However, department of Animal Resource has asked us to make all the necessary arrangements for culling. On Monday, 20 more chickens died in Bairhatta."

The student the Positif Suspect Flu Burung PRIMARY SCHOOL

7 Februari, 2009

A student who still was seated school elementary class 5 was affected by the bird flu virus until must be treated in RSUD Dr.,Soeroto,Ngawi, Bayu Widodo,12. Resident Dusun/Desa Tambak Boyo, Kecamatan Mantingan, Ngawi. (16/2) Bayu already 2 days must be treated, in RSUD Dr.Soeroto,Ngawi, and to a place kan [you know] in the child's space R-4 especially children that too with the condition for the room did not have the other patient through to bayu only alone in this room. Beforehand Bayu could be treated several hours in one of the closest community health centres in the Mantingan Subdistrict because of seeing the condition at that time the patient Bayu experienced hot and cold and breathless, Bayu then was checked by some, the official of the community health centre and Bayu results positive contracted the bird flu virus until must be reconciled in RSUD Dr,.Soeroto,Ngawi, because facilities did not satisfy.

According to the patient's older brother Iwan,16, was met by the reporter when being waiting for his brother of Bayu in RSUD Dr.Soeroto to say, "before my brother was sick could play the available pigeon dirumah that too dila, kukan each day, after at intervals of how many Bayu days experienced hot and cold that was high as well as was accompanied breathlessly, saw the condition for my brother then I and the family brought to the Community Health Centre of closest,”Kata Iwan.. Added pula,”Saat my brother was examined by the community health centre doctor evidently according to this doctor bayu was affected by the bird flu virus and must be immediately reconciled in RSUD Dr.Soeroto Ngawi,memang beforehand didaerah the place sayaa [saya = I/me/myself] many poultries that died with automatically,’ Tambah Iwan saw the condition bayu above-mentioned he was at once reconciled in RSUD Dr, soeroto Ngawi and was placed diruang children R-4 with the condition for the quiet room and did not have occupants of the other patient I, tu also for 2 days in this room. Dr.Agnesia Fitri,Spd when doing the physical cheque against bayu for how many days in this RS to say,”Indeed when Bayu was brought here, was affected by the bird flu virus until we carried out the intensive maintenance against bayu, sampai during the medical maintenance for how many days, here the condition bayu already bai, kan that too was also done by us roentgen [rontgen = x'ray] and results now negative,”Ujar Fitri. (hery)

Vietnam: President of many poultry sold illegally

16-02-2009
(PL) - From 13 to 15-2, and series of steering committee flu influenza districts of Ho Chi Minh City to visit soldiers scanned the purchase, transport poultry unknown origin. The business of poultry and not through the reduced term.

In demand for both (trench between adjacent districts 12 and Go Vap), by close collaboration between the district should purchase many birds unknown origin were treated. Nguyen Thi Huong, Chief District Veterinary Station 12, said outside the area for bridge (Dong Hung Thuan Ward), the Steering Committee flu influenza District also check many poultry business illegal in wards Hiep Thanh, Tan Thoi Hiep, Trung My Tay, An Phu Dong ... The Steering Committee has collected 120 children live poultry, poultry up 28 ready-made and 450 eggs. Tac Pham Thi, Deputy Chief Veterinary Station Go Vap district, that has collected 128 birds in the area for Bridge (Ward 14), the University's (Ward 13), to Tan Son (ward 12). ..

Report of the Steering Committee to prevent HPAI Tan Binh and Tan Phu District showed that two and has all 36 live poultry, poultry up 87 ready-made and 270 eggs.

Disease on livestock and poultry: Vietnam complex and risk spreading

Updated: 16/02/2009 08:37

At first in 2009, but the disease in cattle and poultry has Bùng signs of complexity, not less influence on the lives of the livestock as well as the economy. In this stage, both the breeding, a business trade and agencies must together a new effort to prevent the disease ...

HPAI Bùng play anywhere
1-2009 in many countries and territories around the world, such as Canada, Germany, Poland, Nepal, India, Egypt, Bangladesh, Indonesia, China ... have announced new HPAI. In China alone has 7 of influenza virus infection in people. In Vietnam, since the beginning of the year to date, HPAI has appeared in 11 communes of 10 districts in 7 provinces Thanh Hoa, Thai Nguyen, Ca Mau, Soc Trang, Nghe An, Hau Giang and Quang Ninh. Total infected birds, dead and not all the 21,000 children, including the 11,581 chickens, 9,880 ducks and 298 child-thousand children.

Specifically, in Thai Nguyen province from 28-12-2008 to 4-1-2009, epidemics have Bùng play in 3 farms Luong Son commune, Nguyen TP. Thai 1012 with the chickens, ducks, Muscovy ducks infected must be destroyed. In Thanh Hoa, and were discovered on 2-1-2009 in Dien Trung district Ba Thuoc with infected poultry and all the 8835 children. Nghe An so, 3-2 days and occur on a duck flocks of 500 children in Minh Son, Do Luong district forced industry to function destroys entire poultry. Likewise, HPAI has Bùng at 9 in the Port Na, An Quang commune, Dam Ha district, Quang Ninh Province as 155 children die of a total 230 children influenza. Days 6-2, Animal Health Department in Quang Ninh Province in the areas of Animal Health II test samples and test results positive for influenza virus influenza.

Not only in North, Central and that avian influenza has appeared again in the provincial areas in the Mekong Delta. In Ca Mau, and detected on 15-1 in Khanh Binh, Tran Van Thoi district. 9-2 To date, outbreaks continue to spread in 4 communes of 3 districts is Tran Van Thoi, Thoi Binh and Tan Phu with infected birds died and destroys more than 6,000 children. From 3 to 9-2 and also continue to play out in 8 poultry in 3 of 4 hamlets in Binh Vienna, The Van My Xuyen district, Vinh and Bien district Ngã In Soc Trang province. Number of infected birds and in all provinces is also up to 3,337 children (103 chickens and 3,234 ducks). Hau Giang also detect outbreaks occurred on 4 duck flocks in 3 Vi Thuy commune, Trung and Vinh Vi Thang on 9-2 must destroys 1,000 children. According to Department of Animal Health, in 5 provinces of Ca Mau, Soc Trang, Nghe An, Hau Giang and Quang Ninh and not over 21 days. Vietnam and in other provinces in the Mekong Delta are very complex tends Bùng of the large flocks of ducks do not manage and vaccination vaccine stipulated.

Disease of cattle is no less
2009 also appear on lo mồm long móng (LMLM) in buffaloes, cows found in 38 communes, 11 districts in 5 provinces as Long An, Kon Tum, Hoa Binh, Son La and Quang Binh, and 826 buffaloes, infected cattle (including 489 cattle and 337 buffaloes). Number of animals have all the 188 buffaloes, cows.

In Long An, and LMLM begin appearing from 5-1 outmost Ninh, Tan Tru and 8-1 in Hiep Thanh commune, Chau Thanh district. Long An destroys the number of infected cattle is 87 children, 61 children in the projects, 25 local children. Bùng causes of disease here is determined by a development project breeding cattle of women carrying out, the slaughter of concentration Duc Hoa district provide the same for Tan Tru and Chau Thanh. Sources have been collected in many places, including in the border region with Cambodia. By detecting slow, about 10 days after the translation agencies report new samples and tests.

Disease of cattle also start to appear 9-1 days in Dak Dak Glei Kroong district, to 6-2 and has appeared in 32 communes of 6 / 9 district with 410 children infected cattle LMLM. The buffalo, in the project is 50, 360 local children, the number of buffaloes, cows must be all the 99 children, of which 49 buffaloes, cattle projects. Cause is due to development projects leave poverty Seed Center farm forestry Kon Tum province, entered the 111 buffaloes, cows from 5-1 Duc Hoa district, Long An province for households 6 districts of the province of Kon Tum. Provinces such as Son La, Hoa Binh, Quang Binh and also begin appearing in late 2008 and early 2009 as hundreds of buffaloes, cattle are infected, causing no damage to the small animal.

With LMLM, and described also appeared "harassing" the animal. Department of Animal Health said, from 25-1 to 4-2, tả pig disease occurred in 3 households in 3 villages are run, Dong Ha and Quang Cat, under German Lang commune, Duc Tho district, Ha static. Accordingly, 275 children have died pork and processed out of the total 485 children. Cause occurs is a result vaccination vaccine for pig disease tả stage II-2008 local rate reached a low. Many farms, farms also overlooked the vaccination for the pig, the pig has the disease, died of them home without treatment report timely for local government agencies and animal y. Experience to prevent the disease last year found that, if vaccination is not well described for diseases pigs, the blue ear disease has occurred, will make the disease more severe. Currently, Vietnam's local are complex, the risk of disease spread and spread to other provinces is very high.

In 2008, Vietnam had 6 of influenza infection in 5 of which were fatal, in 2009 2 of influenza infection in Thanh Hoa and Quang Ninh. Up to now, Vietnam had 109 people infected with influenza virus, in which 52 people died.

Vietnam: Update on Quang Tri

14-02-2009 23:34:46

Add a new avian influenza outbreaks in Quang Tri

(PL) - On 14-2, the Animal Health region III (Vinh City, Nghe An) Bùng that has more of a flu outbreak in poultry Tuong Van (Trieu An commune, Trieu Phong district, Quang Tri) as 50 ducks died in the 1250 population. Entire infected poultry outbreaks have been destroyed.

Can Tho City People's Committee has requested the departments and district People's Committee, district strengthening control and extinguish the outbreak, not to spread disease and occurs flu A (H5N1) in people.

On 13-2, Quang Ngai organizations check the buffaloes, cows died as rét Son district, Ha Tay and Son (Quang Ngai). Rét in the last stage, two districts have more than 600 buffaloes, cows died. Statistics There are 1,000 buffaloes, cows died.

Nearly a week now, people fish in under the La Nga (Ngoc Phu, Dinh Quan district, Dong Nai) to see the dead fish in all fish in aquaculture. People think some of the factory sector lose no standard treatment basin. First month 2-2009, The Department of Natural Resources and Environment of Dong Nai People's Committee has suggested the provincial administrative penalty hearing company Mauri Men 32 million company, La Nga Sugar 22 million wastewater lose by not meeting the standard the environment.