Thursday, February 19, 2009

Egypt: Students In Detention Fevers Beni Suef On Suspicion Of Being B «Avian Flu»

Omar Sheikh wrote 2-19-2009

Detained fevers Beni Suef hospital, the day before yesterday, Muhammad Azim «18 years» Albranqp students from the village, of the Center for Bba, on suspicion of being infected with bird flu, after the emergence of symptoms similar to symptoms of the disease.

And Dr. Ahmed Yousef, Under-Secretary, Ministry of Health, found that contact with the student of birds, and samples were taken, sent to the Ministry of Health laboratories for analysis, he was placed under observation and given medicines.

And Dr. Abdul Rahim Ali, Under-Secretary, Department of Veterinary Medicine to maintain, that the organs of the Directorate moved to the village of the student,

It was the work of a complete survey of his home, and give the necessary vaccinations for birds, the taking of samples, and 50 neighboring houses, and sent to central laboratories.
hat-tip Dutchy

HK: Yau Ma Tei, one middle school burglary influenza closed

2009-02-19 20:46:00
Yau Ma Tei, "Xinmin Catholic College," the outbreak of influenza, the Center for Health Protection has been notified, the school begins tomorrow, will be closed until next Monday.

School from tomorrow (February 20) to February 23 will be closed in order to carry out a thorough disinfection. Center for Health Protection has been on the case to investigate and monitor the situation closely. Center for Health Protection called on, if an outbreak is suspected School should be informed as soon as possible the center. (News)

Residential burglary last seven cases of influenza

February 19, 2009

Ming Pao School homes outbreak flow】  feelings calmed down a bit yesterday, the Department of Health yesterday received a total of seven outbreaks reported, 29 were affected, of which 4 persons were hospitalized, all  stable situation, all reported schools are not required to be closed . Choi Hung Estate which基华小学have more students would be affected, but after seven students were not required to seek treatment in hospital.

CHP data show that the outbreak of influenza reported yesterday homes and schools, involved in two nursery schools and five primary schools. Chung Baptist kindergarten attendance has 3 person, 2 person required hospitalization; Po Tsung Tsin Mission of Hong schools and child care will Anren Jordan Road Government Primary School also has 3 and 2 patients in person, each student takes a admission. In addition, King's College School Alumni Association Primary School second person does not have 4 patients, one of whom staff, all were affected. Shatin Pui Kiu College (Primary Section) 22 students have recently infected, one the students who were admitted, and found infected with Influenza A, to be closed for one week to next Wednesday (25 days) to resume. In addition, Anglo-Chinese Primary School in Sham Shui Po and Fanling Assembly of God Church Primary School to be closed until next Tuesday (24) resume, Mong Kok talents College have also had closed earlier this week has been one resume.

Bac Lieu scrambles to stamp out bird flu

February 19, 2009


Animal health officials in Bac Lieu Province cull a flock of Ducks with bird flu in G Phuoc Long District's Vinh Phu Dong Commune

A top leader Bac Lieu Province Wednesday instructed authorities to cull Ducks and chickens showing symptoms of bird flu without waiting for test results.

At an emergency meeting held in the southern province, People's Committee Deputy Chairman Hoang Pham Be also ordered officials to take other measures to control the disease - including vaccination, spraying disinfectants, and setting up 24-hour checkpoints to monitor the transport of poultry .
Chief of the Animal Heath Department, Lam intelligence, said the H5N1 strain of bird flu virus could spread to other areas in the coming days.
The practice of letting Ducks range freely in paddies and Waterways is common in a province full of canals and would facilitate the spread of the disease, he pointed out.
By Thursday, local authorities had culled 3,185 birds in Long Phuoc and Long Districts Germany, the department reported.
Bac Lieu has a population of 900,000 chickens and Ducks.
Neighboring Ca Mau Province reported Sunday that tests conducted on a flock of Ducks in U Minh Town had proved positive for H5N1 bird flu.
A few days earlier, a flock of 710 Ducks in U Minh District's An Xuyen Commune had also tested positive.
Authorities in the province had culled 4,400 birds from 25 farming households by Wednesday.
So far this year, bird flu has hit 31 communes in 16 Districts in the nine provinces of Thanh Hoa, Thai Nguyen, Ca Mau, Soc Trang, Nghe An, Hau Giang, Quang Ninh, Bac Ninh and Quang Tri.
Over 30,000 fowl, including around 11,500 chickens, contracted the disease.
In related news, police in northern Lang Son Province Wednesday seized 3,000 kilograms of chicken meat being smuggled from China on two trucks, Vietnam News Agency reported.
They were stopped in Town Lang Son and Cao Loc District, each with 1,500 kg.
Reported by Tran Thanh Phong

Experts worried about the Chinese Communists to conceal bird flu

EST: 2009-02-18 15:53:01 PM】


China in the January number of deaths from bird flu, but abruptly stopped in February on, the subject of some public health experts concerned about the health sector believe that China may let go, or even hide the outbreak of bird flu. (Getty-Images)

By February 18 (Bloomberg Chung Luen compile reports) avian flu is fatal. Last year, China has three of the territory had been infected with the H5N1 avian influenza virus and the disease died; in 2009 the first six weeks, eight people have been because of avian flu became ill, of which five have died.
Although this disease has not been such as the medical profession is worried about, spread into a global epidemic, but life is still haunting, it is cautious fear. Since 2003, in Asia, the Middle East and Africa region, has around 100 people annually infected by this disease. Last rare disease of the total number dropped to 50 below.
However, bird flu seems to have come back. Last month, China has five people were killed and this is also the highest since China has recorded a single month the number of deaths. Moreover, the cases are very scattered locations, including the northern part of Beijing, the western region of Xinjiang, southern Guangxi, Hunan Province in central to eastern part of Shandong.
The representative of WHO in China韩卓or (Hans Troedsson) Dr. said, "from the perspective of disease control observation, the increase in China of these cases are worthy of our attention, especially in these cases a wide range of geographical distribution."
He said that there is no evidence to suggest that the mutant virus has become easier to spread from person to person. However, once the trigger off a global pandemic, may lead to the death of millions of people a nightmare. Thus, while bird flu has yet to have an immediate threat, but we still should not be taken lightly.
"In fact, China's bird flu deaths in a single month record, that is, reminds us that the virus is in our living environment in the cycle of a deep-rooted."韩卓or express.
February 10, when the avian flu outbreak and 519 chickens have died, the Communist authorities in the remote western region of Xinjiang Hotan City (Hotan) killed more than 10,003 chickens 1000. However, so far, China has been no large-scale outbreak of bird species reported, it caused some public health experts concerned about the Chinese Communists consider hygiene and veterinary departments in charge may be missed, and even hide the avian influenza in poultry and wild birds in the spread of situation.
In 1997, Hong Kong reported the first case of human infection of H5N1. Earlier this year, Hong Kong has a dozen or so birds found infected with the deadly strain of the virus, indicating that the virus is likely to also exist in the neighboring Guangdong province. However, to date, Guangdong and there is no report of bird flu.
Equally unusual is that in January since there are so many infections, but all of a sudden, the report of human infection disappeared instantly. University of Hong Kong virologist Guan Yi (Guan Yi) Dr. also said that "It amazes me, in January because there are so many cases, but on February abruptly stopped."
China's human deaths, together with the neighboring countries of Vietnam and northeast India also has a new poultry outbreak of infection that the virus in mainland China really does exist. Some experts worry that China might miss the progress of the disease fatal.
Last week, the Hong Kong Government LO Wing-lok, an infectious disease consultants (Lo Wing-Lok) Doctor said that the Chinese Communists to the spread of bird flu did not tell the truth. "Although the Government does not admit, but, no doubt, China has been the outbreak of bird flu." He Bloomberg (Bloomberg) told reporters.
China R & D in 2005, a poultry bird flu vaccine, and each year millions of birds to inoculation. But not everyone agree that this is a panacea. American influenza expert Robert Webster (Robert Webster) Ph.D. in 2005 that China may have been the use of substandard vaccines, therefore, although to prevent bird flu symptoms, but still allow the virus continues to spread in poultry.
Canton One expert also said that China in general the risk of vaccination are: cover up the fact of the existence of a virus. He said, "should pay particular attention to these animals, including those who have been vaccinated poultry." "The existing vaccine can reduce the amount of virus, rather than its loss of influence."
The Chinese communist government on the management of live chickens in the market may lack a more fundamental layer of the precautionary approach. Some people fear that China's monitoring officers will only be in a large number of poultry have been culled sick until after the request, for example, the city of Hotan 519 poultry.
In contrast, in Hong Kong last year of regular examination, only in the traditional markets have been found infected chickens on a large-scale culling thousands of birds. Experts say that these infected birds, from the outside look, and there are no obvious symptoms, so if the inspectors to check only dead or sick poultry obvious that these infected birds will be ignored.
How to strengthen the preventive measures may increasingly become a question of life and death. Since the bird flu resurgence in 2003, has 254 people in 15 countries died. Researchers worry that the world's other crisis, such as global warming, issues such as global economic recession has made the news of avian influenza virus marginalized.
However, whether or not eye-catching, bird flu still exists. University of Hong Kong virologist马利克佩里斯(Malik Peiris), said: "The key is that the virus has never disappeared before," "It is only by the focus of media attention disappeared, but the spread of the virus itself has been expanded. avian influenza virus not only has roots in Asia, the Middle East, Egypt, Africa, in India and Bangladesh also have, this would be a difficult problem. "
(http://www.dajiyuan.com)

Wuhan, a large-scale outbreak of the blockade of A-type foot-and-mouth news

By February 19 (Bloomberg Gu Qing children, coverage of the news printed古云) Dongxihu District of Wuhan City in Hubei Province in the end of last year of foot and mouth disease outbreak of large-scale dairy cattle epidemic, more and more serious because of the epidemic, in the New Year's Day before destroyed all the milk, and large-scale culling of cattle, burning pits buried, this message has been blocked for nearly two months, a lot of Wuhan urban people are ignorant of the epidemic.

According to inside information, the epidemic after the outbreak of the East and the West Lakes government will report the outbreak to the provincial government, provincial government officials because of fear that it would affect performance, and strongly urged the informed staff information blackout, or will be a disciplinary action. Because of the spread of the disease, the provincial government officials fear the disease after the transfer of responsibility for failure to assume only reluctantly reported to the Ministry of Agriculture. After confirmed identification is a very special situation of foot and mouth disease, there is no vaccine to control, it will be dairy and cattle destroyed.

It is understood that the city's East and West Lakes including quan, Wujiashan, maling, such as taking on more than 10,000 villages have died of foot-and-mouth cow was culled and buried.

East and West Lakes villagers accept the Epoch Times interview with Mr. Gao said, he said: "It is said that the disease has spread, we have finished this long to kill. Are buried, beef should not eat, did well buried deep, that is buried into the trench with an excavator , are crushed. Now no one, and here the road is still disinfection, disinfection of the past, vehicles have set up the card with more on the road are disinfected. "

Mr. Zhang said the villagers, from the beginning of December last year, to now being disinfected every day, this ride had a shed, (disinfection staff) every day to sleep in that. And out of the car have been disinfected, sterilized syrup On the way there to carry out spraying.

Since the issue of compensation for economic losses, the local government and cattle farmers have major differences, the two sides deadlocked in 2009 said, January 24, the final authority to send troops in Wuhan, fully armed to enter the affected areas, forced to carry out culling.

According to inside information, New Year's Eve day, the authorities transferred shoveling many large cars, in the affected areas within the quan farms, dug a number of six or seven-meter deep pit, the cow out into the pit, soldiers with rifles to kill him , and then doused with diesel fuel, ignition洒上burnt lime and general disinfectant, to return to the landfill soil. It is said that the whole process of culling lasted several days and nights.

Miss Zhong residents said: "Here Man-made serious, anyway, a lot of cow, all the killing. Now everyone who did not dare talk to animals. I also go home a lot of clean-up of cattle, the road spray a bit of syrup disinfection. Huangpi (county) side to kill a lot of chicken, chicken fat that are a pestilence.'s side almost all the poultry. "
Because of the blockade of the news, Wuhan there has been no official notification to the public on the epidemic development, the local media did not report this news. But local media published a message "to the public transmission of the Hubei Provincial CDC Information: foot-and-mouth disease is not transmitted from person to person, even if the human body by the foot and mouth disease virus infection, but also have effective treatment approach. Urban and rural residents, there is no need for this disease arising from the fear and anxiety. "

Mr. Zhang said the villagers, Wuhan City, once the newspaper published two children because of the foot and mouth disease infection and alerted the Ministry of Agriculture officials, only to the local problem-solving, culled cattle. Listen to local disinfection said here a large-scale cattle infected with foot-and-mouth infected cattle from the field, or it may be from Wuhan City, through the air transmission to the East and West Lakes.

It Jiang'an District in Wuhan corridor communities much publicity columns, see the inscribed area marked Jiang'an Patriotic Health Office released "A book people", the notice advised the public tactfully: as far as possible with pigs, cattle, sheep and other live animals contact ... ... New Year period to minimize the outside to avoid resort to a nearby suburb and走亲访友... ...

Journalist call Jiang'an District, Wuhan Center for Disease Control and Prevention asked the staff of the Center, and now things like this, you have to ask higher-level authorities (Wuhan Municipal Health Bureau). Then call the Journalist Wuhan Municipal Health Bureau, a staff member said that the foot and mouth disease this matter the Government has set up specialized agencies, which agencies are in the agriculture bureau. If someone infected with foot and mouth disease, have control, where work was undertaken by the Health Bureau.

Wuhan City, East and West Lakes epidemic prevention station of a staff member said: "Now do not tell and Epidemic Prevention Station and then touch, you can find our top level experts to consult." Journalist Finally call asked Wuhan Agricultural Bureau, Agriculture Bureau To call to other units Journalist asked.

According to inside information, this has been killing the cattle, ten thousand cattle have long, some statistical light rope used to buy off all spent more than 20,000 yuan, the local government for each head of cattle have been culled issued 1 million grant.
However, local villagers complained that many villagers are borrowing to buy cattle, dairy cattle are now just beginning milk production, coupled with artificial feed, on the one million-not enough. Mr. Zhang said, mainly in the East and West Lakes region, this places all of the cow killing, and also a good deal of the cow. Now more than 10,000 lost cow, calf lost thousands of pieces.

It has been reported that January 22, Chinese Ministry of Agriculture to the World Organization for Animal Health (OIE) report an emergency, January 13 in Wuhan City in Hubei things quan Lakes streets孙湾村and January 14 in Kuqa County, Aksu Prefecture, Xinjiang happen cow, respectively, with A-foot-mouth disease type Ⅰ and Asia. Reported that A-type foot-and-mouth is the first time China happened.

According to the Information Office of the PRC Ministry of Agriculture announced that on the 11th, Fengxian District, Shanghai A-type foot-and-mouth outbreak happened. February 3, Fengxian District, Shanghai 54 suspected foot-and-mouth outbreak happened dairy, 41 cows disease, no deaths. On the 11th, the National Foot and Mouth Disease Reference Laboratory confirmed as A-type foot-and-mouth.

FMD is a viral infection caused by the cloven-hoofed animals such as cattle, sheep, pigs, camels, deer, were suffering from acute exposure to sexually transmitted diseases. Foot and Mouth Disease susceptible cloven-hoofed animals are about more than 70 kinds of horses will not be infected with foot and mouth disease, but it will become a passive carrier of foot and mouth disease. Foot and Mouth Disease Virus strong vitality, many means of transmission speed. (http://www.dajiyuan.com)
EST: 2009-02-18 22:39:38 PM】

7 School of Hong Kong influenza outbreak infected 29 teachers and students 4 person hospitals

2009 on 19 day 02 years

By February 19, according to the Hong Kong electricity "Wen Wei Po" reported that the Hong Kong on the 18th and then have seven school outbreak of influenza, resulting in 28 students and a staff infection, which required 4 person is hospitalized.

In addition, Sha Tin, Pui Kiu Primary School Department of the outbreak of influenza "epidemic", should be closed on the 18th week onwards. In addition, in the Southern District of care and attention homes Ian influenza broke out, 21 were infected. Express the relevant units, schools continued to influenza summit by the end of March, has been reminding them of the careful handling.

Hong Kong Center for Health Protection Department of Health announced on the 18th and then have five primary schools and two kindergartens influenza outbreak, a total of 28 students and a staff infection, of which 4 people required hospitalization, all in stable condition. Which is located in Wong Tai Sin CCC Kei Wah Primary School, the largest number of infections, seven children have influenza symptoms. The school said that it did not intend to be closed, we will strengthen disinfection.

Sheung Wan King's College School Alumni Association Primary School II, Tsung Tsin Mission of Hong伯安School child-ren, Kwai Chung Baptist Kindergarten, Fanling Public School 4 were infected person, Sik Sik Yuen Wong Tai Sin-sponsored legislation to primary, Jordan Road Government Primary School, 3 were influenza-infected person.

In addition, the outbreak of influenza on the 17th of Sha Tin released Pui Kiu College Primary Section, 22 students have recently developed fever and flu symptoms such as cough, so primary schools will be closed starting on the 18th week, while the secondary will not be affected. School will remain open on the 18th morning, the staff have to work as usual.

罗校长said that the School Library will be open to the needy students to go to school self-study, but not as early as primary school students on the 18th to go to school, teachers will be via the Intranet, to the students homework. He also said that primary schools will use bleach cleaning, also issued guidelines to parents, calling attention to student body temperature.

China's Embassy in China to inform the Human bird flu

By February 19 electricity, according to the Ministry of Health website, the Ministry of Health, the Ministry of Agriculture on the 18th was invited to the United Nations Development Program office in China to the United Nations system agencies in China and the countries concerned Embassy in China China's recent introduction of the Human bird flu and avian flu prevention and control work.

Ministry of Health Deputy Director International Cooperation Department王立基said that the health systems of the cases occurred in the timely prevention and control plans in accordance with a deal, the Chinese government has an open, transparent and responsible attitude in the first instance to the WHO and other international organizations, the National Hong Kong, Macao and Taiwan region of China informed of all the recent cases of highly pathogenic avian influenza infection.

王立基said that the National Ministry of Health, China CDC and the corresponding health administration departments of infection in 8 patients in accordance with the China of highly pathogenic avian influenza prevention and control plans to take prompt measures to successfully saved three patients, no emergence of the spread of the epidemic situation. People working and living in a normal, stable society are. He also said that willing to work with relevant countries and international organizations to further strengthen cooperation, enhance mutual trust and continue to strengthen the human avian influenza and pandemic influenza prevention and control work for the people's health and well-being of Service.

In addition, the Director of Veterinary Services Ministry of Agriculture informed Qin Chao recent epidemiological survey of poultry, the introduction of the Ministry of Agriculture to prevent the emergence of epidemic seven poultry prevention and control measures, including immunization, intensify monitoring of the epidemic, and strengthen the flow of link quarantine supervision. He said that China's bird flu in poultry immune condition, the recent large-scale epidemic outbreak will not.

CIDRAP: HHS experts air mental health planning for pandemic



Lisa Schnirring * Staff Writer
Feb 18, 2009 (CIDRAP News) –

From stigmatization of people exposed to the virus to maintaining methadone treatment facilities, public health officials need to plan for a wide spectrum of mental health challenges that would likely emerge during an influenza pandemic, federal officials said today at a US Department of Health and Human Services (HHS) live Web seminar (webinar).

Dana Taylor, chief of emergency medical services at the Substance Abuse and Mental Health Services Administration (SAMHSA), urged pandemic planners to think more broadly than just how the pandemic events will affect people's feelings and emotions. He said that public perceptions and conclusions will affect their decision-making and behavior, which will be especially important when public health officials need their compliance with social distancing measures and other pandemic-related actions.

Taylor said pandemic planners can work with their communities now to build resilience and can use a process that mental health professionals call "stress inoculation."

"The more an individual knows what to expect, the more mitigation of fear and panic," said Taylor, who suggested that pandemic planners can use prepandemic stages to identify credible and trustworthy leaders who can address the public during a pandemic.

Brian McKernan, a technical assistance team manager at SAMHSA, emphasized that mental health pandemic planning is already well underway in several states, including California, Colorado, Ohio, Texas, and New Jersey. Some have already planned ways to ensure adequate supplies of psychiatric medications for mental health in-patient and outpatient facilities, while others have developed resources to address more general needs such as stress reduction. He also said federal officials have addressed mental health planning in a supplement to the HHS pandemic flu plan.

McKernan urged webinar viewers to consider training people to provide psychological first aid, a well established, practical approach to contacting and engaging people and assessing their mental health needs in an emergency setting. Having these first aid providers will help alleviate the strain on traditional mental health providers during a pandemic, he said, "And it's designed for use by paraprofessionals."

Linda Ligenza, a public health advisor to SAMHSA, said the Red Cross has developed a psychological first aid protocol, adding that each state has a disaster mental health coordinator.

She advised pandemic planners to identify groups ahead of time who might be especially vulnerable to pandemic disruptions, such as frail, elderly people and those with disabilities or chronic illnesses who depend on other people for their care.

The experts also singled out children as another vulnerable group. Taylor urged parents and guardians to use a tone of voice that projects security when talking to children about pandemic topics and limiting the information to age-appropriate topics that they can participate in, such as instructing smaller children about proper hand-washing technique.

"It's vital to limit what they watch on television. They don't need to be overwhelmed by the trauma," he said.

Healthcare workers will also require mental health support, McKernan said. For example, public health officials can plan ahead to ease workers' contact with their families during tough working conditions through Internet chat rooms or message boards. Also, he said healthcare workers and their families might face stigmatization because of possible exposure to the virus.

Taylor said that unlike during the 1918 pandemic, today's public health officials can make creative use of technology to deliver mental health services to wide groups of people during a pandemic.

After a pandemic ends, mental health services will gravitate back to face-to-face interventions focusing on those who were most impacted and suffered multiple losses, the experts said. However, they urged viewers to consider public ways to make a mental health connection after the pandemic, such as convening a community memorial on a pandemic anniversary date.

Recombinomics: Emergence of Vaccine and Tamiflu Resistant H1N1


Commentary

Emergence of Vaccine and Tamiflu Resistant H1N1
Recombinomics Commentary 23:15
February 18, 2009

Italian A/(H1N1) isolates show several amino-acid changes in HA (A189T, G185A, S141N), respect to vaccine strain.

The above comments from Italy's weekly influenza report , indicate that the vaccine and Tamiflu resistant H1N1 isolates (A/Parma/23/2009, A/Parma/24/2009, A/Parma/25/2009, A/Parma/26/2009) match recently released US sequences, A/Wisconsin17/2008 and A/Washington/8/2008. The HA sequence for both isolates have the same three changes (A193T, G189A, S145N using H3 numbering). Moreover, the two changes flanking the receptor binding domain, G189A and A193T are in A/Hawaii/19/2008, and A/Mbagathi/7586/2008, as well as the recently released A/Philippines/1159/2008. Moreover, phylogenetic analysis of the NA sequences predict these changes will also be in Japan isolates, Miyagi/35/08, Yamaguchi/26/08, Yamaguchi/27/08, Yamaguchi/28/08. Both Japan and South Korea have had explosions of H1N1 Tamiflu resistant cases, suggesting that the vaccine resistant H1N1 is widespread.

The A193T is in all public H1N1 Tamiflu resistant sequences in the United States and is now also in all public isolates in Spain, and the vast majority if not all isolates in Japan. Although A193T was also linked to the fixing of Adamantane resistance in H1N1 clade 2C as well as Tamiflu resistance in H1N1 clade 2B, it is not in the current vaccine for the northern hemisphere in 2008/2009, and is not vaccine for the southern hemisphere in 2009, nor the northern hemisphere in 2009/2010.
The absence of these important changes in seasonal flu vaccine targets remain a cause for concern.

In Italy, three of the first five H1N1 isolates were from patients who had taken this season's vaccine, suggesting the H1N1 was not only Tamiflu resistant, but also vaccine resistant. Similarly, a report from Taiwan cited vaccine resistance levels at 70% for H1N1, and Japan also reported lower titers for H1N1 isolates when compared to the Bisbane/59 isolate used to represent H1N1 in the current vaccine.

Similarly, both South Korea and Japan reported explosions of cases linked to H1N1 and recently released sequences in the United States have the same three acquisitions reported in Spain. Moreover, recent weekly reports from the CDC do not show a reduction in the levels of H1N1. The vast majority of influenza in the US is influenza A, and the vast majority of influenza A is H1N1, with Tamifu resistance levels approaching 100% (the few sensitive isolates appear to be clade 2C).
Thus, the current approach of using vaccines to chase viral evolution continues to be a cause for concern. The fixing of H274Y in H1N1 seasonal flu raises serious concerns about the potential use of Tamiflu in an H5N1 bird flu pandemic.

Media Links

Dr. Margaret Chan, Director-General of WHO - 124th Assembly

Wednesday, February 18, 2009



Issues surrounding pandemic preparedness took precedence at the 124th assembly (Jan 19-26th in Geneva) of the Executive Board of the World Health Organization. In a report to the assembly, Dr. Margaret Chan, Director-General of WHO, advised:

“Influenza pandemics are historically recurring events. We are wise to prepare….On World Health Day this year, we will be looking at ways to ensure that hospitals and health care facilities survive, structurally and functionally, in times of natural disasters and conflict. This is another part of preparedness.”


Countries were urged to cooperate with each other to solve health care and licensure issues surrounding a pending influenza pandemic. Vaccine-sharing/distribution was encouraged, and expanding the capacities of developing countries for vaccine-production was also addressed.

To see Dr. Margaret Chan’s full report, go to the World Health Organization.
Image Source: USA Today

Study calls for increased research in flu transmission to prepare for pandemic flu outbreak

Feb 18, 2009

Researchers at Rhode Island Hospital have completed a study to better understand the impact of infection control measures during a possible flu pandemic. Their study focused on the likelihood of the transmission of flu from individuals showing no symptoms (asymptomatic) or from individuals who are infected but have not yet exhibited symptoms. The researchers call on the scientific community to better understand the transmission of influenza in order to provide guidelines for effective pandemic flu planning. Their findings are published in the March-April 2009 edition of Public Health Reports.

The study, from Rhode Island Hospital’s department of epidemiology and infection control and the division of infectious diseases, notes that public health measures for controlling outbreaks involve isolation of symptomatic individuals and the quarantine of individuals with whom they have had contact. This intervention is dependent upon early identification of symptoms, and the success of the intervention can be limited by transmission that occurs prior to symptom onset and transmission from asymptomatic infection.

Senior author Leonard Mermel, DO, ScM, medical director of the department of epidemiology and infection control at Rhode Island Hospital, along with Eleni Patrozou, MD, performed a systematic review of literature on viral shedding and disease transmission. The review included animal studies, human studies, inoculation experiments, vaccine and antiviral drug efficacy studies, and observations during outbreaks.


Mermel says, “Our findings indicate that pre-symptomatic transmission of influenza has been inferred based on the presence of the virus in the upper respiratory tract rather than from the appropriate transmission experiments. This is troubling because our review of the literature does not support significant influenza transmission based on positive nasopharyngeal cultures in the absence of symptoms.”

Their findings also indicate that small-particle aerosols expelled from infected individuals may play a greater role in influenza transmission than previously recognized. The problem, however, is that it remains unclear as to how many of these droplets are generated by asymptomatic or pre-symptomatic individuals.

Mermel adds, “Asymptomatic individuals may shed influenza virus, but studies have not conclusively determined if these individuals effectively transmit influenza to others. Our review of the literature suggests that the role of asymptomatic or pre-symptomatic influenza-infected individuals in disease transmission may have been overestimated in recent articles that have served as the basis for national and international pandemic planning.”

He concludes, “Based on the historical record over the last century, we must be prepared for another pandemic. Our research tells us that a better understanding of transmission dynamics is essential if we are to develop effective influenza pandemic plans.”

###

Founded in 1863, Rhode Island Hospital in Providence, RI, is a private, not-for-profit hospital and is the largest teaching hospital of The Warren Alpert Medical School of Brown University. A major trauma center for southeastern New England, the hospital is dedicated to being on the cutting edge of medicine and research. Many of its physicians are recognized as leaders in their respective fields of cancer, cardiology, diabetes, emergency medicine and trauma, neuroscience, orthopedics, pediatrics, radiation oncology and surgery. Rhode Island Hospital ranks among the country’s leading independent hospitals that receive funding from the National Institutes of Health (NIH), with NIH research awards of nearly $27 million annually and nearly $46 million in total. It is home to Hasbro Children’s Hospital, the state’s only facility dedicated to pediatric care. Rhode Island Hospital is a founding member of the Lifespan health system.

Contact: Nancy Cawley
ncawley@lifespan.org
Lifespan

Wednesday, February 18, 2009

Banda Aceh was stricken by bird flu

on Wednesday, 18 February 2009 13:21 WIB
Puluhan the chicken died suddenly Be on the alert
Banda Aceh - Banda Aceh was again stricken by bird flu after beforehand the same deadly illness the lustre last 2008, this time the illness was known after the death 45 chickens belonging to Ruli in the Merduati Region yesterday in followed with the death 6 chickens belonging to Nur Jannah, the Ruli neighbour in Lr Kemuning, Kecamatan Koetaraja, Pusat of the Banda Aceh City, the next day this morning. Drh Mustafa Kasie Peternakan Kota Banda Aceh in his statement to was on the alert, on Wednesday (18/2) described the death of the chicken in this Kemuning as positive Bird Flu, or avia influenza. The cause of bird flu was the A virus of type influenza that spread between the poultry. Said he this virus was afterwards found also could spread to the other species like the pig, the cat, the dog, the tiger, and humankind. "This just the first time happened in this year, but last year (2008) had the official found 14 points,said Mustafa that was accompanied by Razali SP, Head of Sector Peternakan Kehutanan and the Plantation Kota Banda Aceh. At this time Mustafa words of a team hunted serga bird flu that was named Parsipatory Disease Surverlance Respon (PDSR) destroyed the chicken that died as well as the living chicken belonging to Ruli and Nurjannah, the amount around 35 tails. The A virus of type influenza had several sub-types that were marked by the Hemagglutinin existence (H) and Neuramidase (N). There were 9 H variants and 14 variants of N. Virus bird flu that was contagious at this time was the sub-type H5N1 that had incubation time for 3-5 days. Wild birds and the domestication poultry (the livestock) could become the source of the disseminator H5N1. In South-East Asia most cases of bird flu happened to the transport route or poultry livestock breeding instead of the migration route of wild birds. This virus could spread through air or contact through food, the drink, and the touch. Nevertheless, this virus will die in the high temperature. Because of that meat, the egg, and the animal must be cooked fully to avoid the spread. The cleanliness himself must be also taken care of by washing the hands with the antiseptic. The cleanliness of the body and clothes must be also maintained. The virus could survive in the cold temperature. The foodstuff that was cooled down or frozen could keep the virus. The hands must be washed before and after cooking or touched the raw foodstuff. The poultry better be not maintained in the house or the room of the residence. Livestock breeding must be kept away from housing to reduce the risk of the spread. Not always if tertular the virus will cause was sick. Nevertheless, this could endanger in afterwards the day because of the virus always bermutasi so as to have the potential for the pathogen at one time. Therefore, if being found by the animal or birds that died suddenly the authority side will make the assumption of the existence of bird flu. To prevent the spread, the other animal around the area that berkasus bird flu must be destroyed. The sign of the public who could happen was feverish high, the respiratory complaint and (possibly) the stomach. Replikasi the virus could in the body go fast so as the patient must immediately get medical attention. The medical handling and giving of medicine was carried out by the authorised medical official. The normal medicine was given was penurun hot and anti the virus. Between antivirus that could be used was the kind that hindered replikasi from neuramidase (neuramidase inhibitor), including Oseltamivir (Tamiflu) and Zanamivir. Each one of the antivirus this had the side-effect and must be given in specific time so as to be needed by the doctor's opinion. The flu illness brung the first time attacking Banda Aceh on September 25 2005, at that time thousands of tails of the chicken were destroyed in the Lamdom village, Kecamatan Longbata Kota Banda Aceh.

Banda Aceh was stricken by bird flu

of Hundreds Of poultries died Suddenly Governor's Regulation Banten Barren
on Thursday, February 19 2009 01:12 WIB Serang, Kompas -

Hundreds Of poultries belonging to the resident in three subdistricts in the Serang City, Banten, died suddenly. Moreover, after dripping several samples of the carcass were concluded, some poultries died because of being infected by the bird flu virus. The death of the poultry suddenly that one of them happened in the Kemanisan Village, Kecamatan Curug, Kota Serang, Banten. On Wednesday afternoon (18/2), a chicken belonging to Habudin, the resident of the Waru Kidul Village, died suddenly. Moreover, the other resident named Imron has lost 12 chickens in the period less than one week. ”Terakhir this morning died one, the number that died already 12 ekor,” he said. The same condition was experienced by several other residents in the Waru Kidul Village. From the data that was assembled by the Service of Pertanian Kota Serang it was known, already 120 chickens belonging to the resident in the village died suddenly. Results of the test that was carried out by the official of the Control of Bird Flu in the Service of Pertanian Serang it was known, the chicken belonging to the resident died suddenly because of being infected by bird flu. ”Hari on last Monday we the test of one of the samples of the chicken carcass. Positive results so as to be able to be concluded, the death of the poultry was in this village caused by the flu virus burung,” said Danang Turniatmadji from the team of the control of Service bird flu of Pertanian Kota Serang. The bird flu virus was also found to the chicken that died suddenly in the Sukajaya Village, Curug. At least 24 chickens belonging to the resident of the Gowok Masjid Village it was reported died suddenly because terjangkit bird flu. The poultry belonging to Munir, the resident of the Pasir Huni Village, Desa Pancalaksana, of Curug, also died suddenly. However, he did not know the cause of the death because of not yet having the inspection. ”Bulan then three chickens that died, two yesterday were one. Suddenly fell and died, enggak knew because of him. But indeed his beak went out busa,” the words of the building worker. Apart from the Curug Subdistrict, the death of the poultry suddenly also happened in the Kalodran Village and Kepuren, Kecamatan Walantaka. At least 140 chickens belonging to the resident there died because of being suspected of being affected by bird flu. ”Kami said suspect because of not having the poultry carcass that could we tes,” said Danang. So also dozens of ducks belonging to villagers Trumbu and the Luhur Paddy-field, Kecamatan Kasemen. However, the official still could not carry out the test because of the duck keburu was sold to the market. Pergub barren In fact, Banten Queen Atut Chosiyah Governor has passed Governor's Regulation (Pergub) the Control of Bird Flu. However, Pergub Nomor 1 2007 that was barren because still often was violated by the resident. Was based on observation, still many residents who left the chicken wandering around the house. In fact, pergub arranged, the chicken must be maintained in the pen. Moreover, still many chickens that were carried by using the basket were open although in fact was banned pergub. Now to deal with spread him the bird flu virus, the Service of Pertanian Serang has given the liquid disinfektan to the resident. Moreover, they also carried out counselling concerning the control method at the same time the handling of the affected poultry bird flu. Therefore, was hoped the bird flu virus will not spread to humankind.

Officials say animal vaccination figures a sham

February 18, 2009 12:43:21 Vietnam (GMT+07)
Some veterinarians have over-reported the number of livestock and poultry they have vaccinated, casting doubt on official immunization figures, an animal health official said Tuesday.

The figure veterinary agencies in some provinces had reported - that 40- 60 percent of poultry and cattle had already been vaccinated – was not accurate, Hoang Van Nam, the Deputy Head of the Department of Animal Health under the Ministry of Agriculture and Rural Development told reporters on the sideline of a meeting on preventing animal diseases in Hanoi Tuesday that was organized by the ministry.

Nam said some veterinarians over stated the number of immunizations to claim vaccination fees.

According to Bui Quang Anh, head of the ministry’s Bureau of Animal Health, in 2008 the ministry imported 250 million vaccine shots to distribute to provinces but 100 million of them are still left in storage.

Anh said most provinces still have very low percentages of cattle and poultry vaccinated against diseases. In central Ha Tinh Province, 60 percent of cattle have been reported to be vaccinated against foot-and-mouth disease, and 30 percent of pigs vaccinated against cholera.

In Thanh Hoa, the number of vaccinated cattle is estimated at around 50 percent.

According to Anh, at least 80 percent of flocks of poultry and cattle need to be vaccinated to effectively prevent diseases.

Many locals don’t understand the importance of vaccinating the animals, he said.

Problems related to animal diseases are more complex in the northern region than in southern Mekong Delta because of weather conditions and the practice of keeping free-range cattle.

To prevent the spread of animal diseases, local relevant agencies should intensify vaccinations, raise public awareness, isolate and eliminate outbreaks of the diseases, and encourage people to keep their livestock fenced, Nam said.

Since early this year, bird flu has hit 31 communes of 16 districts in the nine provinces of Thanh Hoa, Thai Nguyen, Ca Mau, Soc Trang, Nghe An, Hau Giang, Quang Ninh, Bac Ninh and Quang Tri, affecting over 30,000 fowl, including about 11,500 chickens and 21,000 ducks, according to the department.

In Bac Lieu, bird flu has infected 600 ducks, its Department of Animal Health said Tuesday. On Sunday, the province’s Phuoc Long District Bureau of Animal Health destroyed all 600 ducks owned by Tran Sa Na in Vinh Loc Village, Vinh Phu Dong Commune, the provincial department’s Director Lam Chi Thong said.

The department collected samples which later tested positive for the A H5N1 bird flu virus, Thong said.

As the avian influenza virus has already spread in the neighboring provinces of Ca Mau, Soc Trang and Hau Giang, Bac Lieu Province will take urgent measures against the epidemic, he said.

Meanwhile, foot-and-mouth disease has hit 1,027 cattle in 38 communes of

11 districts in the five provinces of Long An, Kon Tum, Hoa Binh, Son La, Quang Binh and Quang Nam.

Hold a view diametrically opposite pandemic minutes!

Wednesday, 18/02/2009, 16:23

TPO - Between the HPAI are Bùng the back and spread to many provinces across the country, is now in Hanoi capital and the trade of poultry slaughter still occur as detached hề not have.

Slaughter live poultry market in Ha Vy.
Trade, slaughter poultry in Hanoi:

"Deaf not fear guns"
A furnace operation in mobile market Me Tri Ha

.
Not her own Chi, many people in Ha Vy is indifferent meat poultry without using any forms of protection time. "At first I also have to wear the page pluck chickens, ducks but later found it too cumbersome to wear no more. How is death, four years pluck lease with the "virus in singing" What I go to the first, "she professional poultry rent in Ha Vy confirmed.

Market in the Ha Vy (Thuong Tin), which provides the largest poultry to Hanoi and neighboring provinces, the business still live poultry place vibrant though H5N1 pandemic are at risk of Bùng.

Quarantine: 100 baby seal ... only 1 child

Chi Chi, a transport of poultry from sale of Ha Vy Ha Dong market in stolid "Dịch not about to Ha Vy. If you have flu, before we die!".

It is so complete, Lan - a small trade fair in Nghia Tan - candid answer with: "The years we eat, drink, sleep with influenza have star".

According to surveys by journalists first, the amount of household goods business in the market Cuc, temporary markets in Hanoi are taken from Dong Anh, Soc Son district of Ha Tay and especially old from Bac Ninh - where are have HPAI recurrence. They transport live poultry in a cage with a bit loaded with pineapple motorbike to Hanoi.

The trade and slaughter of poultry at markets Cuc, temporary market or foreign markets to be released almost up. Here, the manager "only to check in early am or pm" - in a market in Lo Duc Cuc said. But also in the market, for opening, Hoang Mai market, ... status of the poultry business in sales and goods through quarantine not still happen. At the market, most of the shops selling poultry are not marked on the quarantine of poultry.


Tons of chicken products sold in the center business the southern most are not marked quarantine.
No sign of disease, even your car is only 100 a seal is quarantined as allowed. This situation is common place in the Dong Mai night market. "Just a quarantine and a certificate for the car, but the seal is an how Xue, Lan - a business for influenza.

In the center business the south (of Mai night market), every day has to be tons of chicken meat for sale and most are not marked quarantine. When customers need to ask chickens "dấu quarantine", a sales application was: "In no country can join the chicken is. I sell only the delicious chicken, chicken East England, Bac Ninh "please" here, not every ship land, rest assured that every purchase. "

Hoang Mai market in time, has at least 5 people carrying poultry meat from Ha Vy available on sale with cheap unexpected: 30 thousand VND / kg for chicken industry, sugarcane chicken is 35-40 thousand VND / kg, meat 35-40 thousand VND / kg.

Next to a selling frozen chickens is not marked on the price kì very "comfortable": chicken industry 30 thousand dong / kg, 40 thousand chickens of sugarcane / kg. She offered to sell chickens, "Everyday I did not sell here, need to do first quarantine. Not succulent chicken every day after to find me. Many people have to put my chicken on tableful.

The type of chicken this cheap, he Toan (Ha Vy market), said: "sugarcane chickens, chicken meat industry or thousand sold cheap to be injected more serious need for water, the meat and molt in NAT. Poultry price is the only Major, dead chickens. Normal-thousand meat or chicken to touch just tacky plastic and cost is much higher. "

Avian influenza spread rapidly in Bac Lieu, Ca Mau

19/02/2009 0:20 19/02/2009 0:20
Phong To bring poultry destroys village in Vinh Loc, Vinh Phu Dong commune, H. Phuoc Long -
18.2 pm, Bac Lieu People's Committee meeting on emergency prevention, control HPAI is tends to spread rapidly in the province.

. According to intelligence Lam, Department Director Department Veterinary Bac Lieu province, to the 18.2 days, the 3,185 birds of 14 households in 4 village, 2 communes of Phuoc Long district, including Vinh Loc, Phuoc 3 A, Tan America (Vinh Phu Dong commune) and village Long Duc (Phuoc Long town) infected, dead and destroyed. Catheter warning, the avian influenza outbreaks in the forecast is to continue to spread rapidly to many other localities, the disease control very difficult by the wide area, not chit rivers.

Bac Lieu, the province has more than 900,000 children of poultry, including ducks run of 44,000 and nearly 100,000 new breeding birds are not vaccinated to thoroughly ... Bê Hoang Pham, Vice President permanent Bac Lieu People's Committee guided the local industry functions implemented several emergency measures to control disease spread; enhanced vaccination, insecticide spraying all communes where outbreaks occur, including for. And established the core team working on the 24/24 hours online to closely control the transport, sale and breeding of ducks running import province. Tuyere proposal should immediately destroys the infected flocks of ducks do not need to have test results.

Tại In Ca Mau province, HPAI events also very complicated.

18.2 days, Pham Van Song, Head of Agriculture and Rural Development U Minh district, said, flocks of ducks of 21 xiem Mr. Ngo Thanh Hai, khom 1, U Minh town died before, to positive results with the influenza virus A H5N1. Recently, Ca Mau City more ducks out of her 710 Lu Thi sure, Hamlet 4, An Xuyen commune positive for influenza virus A H5N1. As of 18.2, Ca Mau province, HPAI outbreaks have occurred in 7 communes and towns with 4,400 children of 25 poultry raising households infected must destroyed.

Vietnam: One More Province

Thứ Tư, 18/02/2009, 11:25
Disease of cattle and poultry at risk of Bùng

(ANTD) - Department of Animal Health said, beginning in 2009 to present, HPAI was found in 31 communes belonging to 16 districts in 10 provinces across the country: Thanh Hoa, Thai Nguyen, Ca Mau, Soc Trang, Nghe An, Hau Giang, Quang Ninh, Bac Ninh, Quang Tri and Bac Lieu to total poultry died and forced to close all 33,000 children.

Yesterday 17-2, HPAI has been detected in ducks out about 30 days age of 1 farms in Vinh Loc Village, Vinh Phu Dong commune, Phuoc Long district, Bac Lieu, the death of 30 children 607 out the duck. To control the disease are increasingly complex, MARD has immediate meetings with "hot" with the local Northern bàn measures resolved.

Mr Bui Quang Anh - Department of Animal Health Department Director commented: "In addition to causes such as control of the liquid to climb, not planned livestock development, there is another important reason is that other provinces do not perform vaccination seriously. "

In 2008, MARD have about 250 million doses of avian influenza vaccine for distribution to other provinces, but the report of new local run out about 50%, left more than 100 million doses are still ... store inventory. With events such as today, Department of Animal Health warning, risk occurs in a batch of large areas nationwide, especially in two areas the Red River Delta and the Mekong Delta is very high.

In addition, a LMLM are also headache for authorities. Less than 2 months, LMLM outbreaks occurred in 38 communes in 11 districts, of 5 provinces: Long An, Kon Tum, Hoa Binh, Son La and Quang Binh as 1,027 buffaloes, cows infected. It is said that 3 / 5 provinces is due to project poverty, livestock development cause. According to Bui Quang Anh, the MARD has completed from instructions for the same project, will be issued in next time.

According to the draft circulars, in the process of project implementation, organizations related to conduct in accordance with the law on the same program, animal quarantine, suggest additional components for animal of livestock development, providing the same. Handling of violations to terminate status as distribute spreading disease as the last time.

Patients infected with H5N1 in Quang Ninh critical

23:02 '17/02/2009 (GMT +7)

17 / 2, from General Hospital in Quang Ninh Province for, although the health, the doctor's Hospital in Quang Ninh Province and the Institute for infectious diseases and tropical countries of dedicated treatment, but health of patients does Mui Ly The evolution trend of bad.

- After more than half a month of treatment at General Hospital in Quang Ninh Province, the health of patients Mui Tai Ly, 23 years old, An Quang commune, Dam Ha district more critical.

Bệnh nhân Lý Tài Múi đang được chăm sóc tại Bệnh viện Đa khoa Quảng Ninh. Ảnh: Báo QN


Patients Ly Mui Medical care is in General Hospital in Quang Ninh. Photo: Newspapers QN

At patients with heart failure level, and carry out heart film as congestion of the transmission system leading heart; men liver failure, kidney failure ... At this time, patients are being filtered blood continuously running artificial kidney.

This is a patient infected with influenza A/H5N1 first in 2009, transferred to treatment at General Hospital in Quang Ninh Province on 3 / 2 states in high fever, blood pressure dropped, respiratory failure severity.

In Quang Ninh, 17 / 2, continue to detect HPAI in chickens out of 13 households 1 in Ha Khanh ward, Ha Long city. Dịch has 5 children sick and 4 children died. Animal Health Department has conducted the destruction of the birds above.

Currently, there are 8 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.

Monkey Business from the CDC

Too bad the CDC cannot take the time to inform travellers or anyone else, of the current H5N1 situation in China, SE Asia or Egypt. They love to talk about Yellow Fever though. 8 Cases of Bird Flu in China and too many to mention in Indonesia, not to mention fresh cases in Vietnam and Egypt, would lead one to think, a small mention would be considered for travellers from the USA.

AnnouncementYellow Fever in South America and the Caribbean—Evolving Situation

This information is current as of today, February 18, 2009 at 18:05

Updated: February 17, 2009

Since the end of 2007, reports of yellow fever among both humans and monkeys in parts of South America have been increasing. In Brazil, Argentina, and Paraguay, risk areas for yellow fever expanded during 2008. As seen through recent reports of yellow fever among humans and monkeys in southern Brazil and northern Argentina, the spread of yellow fever virus appears to be continuing in 2009. Other countries in the region have recently reported an increase in yellow fever activity, including cases among monkeys in Venezuela and on the island of Trinidad in the twin island republic of Trinidad and Tobago. It is important that travelers and clinicians are aware that the yellow fever risk in South America is evolving, and as the risk areas change, current locations where yellow fever vaccine is recommended may also change.

As the situation unfolds, specific travel notices can be found on the CDC Travelers’ Health Travel Notices web page. Current notices include:

You can also check the recommendations for the country you are visiting at the by-country listing of yellow fever vaccine recommendations and requirements.

Additional Information

For more information about the emerging yellow fever situation in South America and the Caribbean, see the following resources.

Pan American Health Organization (PAHO) Updates:

  • Page last updated: February 17, 2009

ProMED: AVIAN INFLUENZA, HUMAN (37): VIET NAM, WHO

[Vietnam has not reported any outbreaks in Ninh Binh. OIE does not have any reports of outbreaks in Ninh Binh. I wonder where he was exposed? OIE link is here: http://www.oie.int/downld/AVIAN%20INFLUENZA/A_AI-Asia.htm]

Archive Number
20090218.0671
Published Date
18-FEB-2009
Subject
PRO/AH/EDR> Avian influenza, human (37): Viet Nam, WHO
AVIAN INFLUENZA, HUMAN (37): VIET NAM, WHO
******************************************
A ProMED-mail post

ProMED-mail is a program of the
International Society for Infectious Diseases


Date: Wed 18 Feb 2009
Source: WHO Epidemic and Pandemic Alert and Response (EPR) disease
outbreak news [edited]



Avian influenza situation in Viet Nam - WHO update 2
----------------------------------------------------
The Ministry of Health in Viet Nam has reported a new confirmed case
of human infection with the H5N1 avian influenza virus. The case has
been confirmed at the National Institute of Hygiene and Epidemiology (NIHE).

The case is a 32-year old man from Kim Son district, Ninh Binh
province. He developed symptoms on 5 Feb 2009 and was hospitalized on
13 Feb 2009. He is currently in a serious condition. The case is
known to have had recent contact with sick poultry prior to the onset
of his illness.

Further investigations are currently underway. Control measures have
been implemented and close contacts are being identified and monitored.

Of the 109 cases confirmed to date in Viet Nam, 52 have been fatal.

--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp

FLU, NOT MENINGITIS, KILLED GIRL

February 18, 2009
Posted: 1:33 am
February 18, 2009

A 10-year-old Long Island girl whose mysterious death sparked a meningitis scare at her elementary school actually died from the flu, health officials said yesterday.

The fifth-grader at Northside Elementary in Levittown, not identified by officials, died early Saturday morning at a local hospital after falling sick just a few hours earlier.

"It happened so quickly," the girl's grieving mother Theresa Barbaro said on Monday. "There was no explanation."

The school sent out an e-mail alert the next day to parents and posted a message on its Web site suggesting that the girl may have died from viral meningitis.

But the Nassau County Department of Health said yesterday that the "presumptive cause of death in the 10-year-old Levittown student" was "influenza A," the more serious form of the disease.

Barbaro blasted her daughter's school for setting off a meningitis scare before her child's cause of death was determined.

WHO: Recommended composition of influenza virus vaccines for use in the 2009-2010 northern hemisphere influenza season

It is recommended that vaccines for use in the 2009-2010 influenza season (northern hemisphere winter) contain the following:

— an A/Brisbane/59/2007 (H1N1)-like virus;*
— an A/Brisbane/10/2007 (H3N2)-like virus;**
— a B/Brisbane/60/2008-like virus.#

* A/Brisbane/59/2007 is a current vaccine virus; A/South Dakota/6/2007 (an A/Brisbane/59/2007-like virus) is a current vaccine virus used in live attenuated vaccines.
** A/Brisbane/10/2007 and A/Uruguay/716/2007 (an A/Brisbane/10/2007-like virus) are current vaccine viruses.
# B/Brisbane/33/2008 is a B/Brisbane/60/2008-like virus.

For more information


Recommended composition of influenza virus vaccines for use in the 2009-2010 influenza season [pdf 44kb]

South Korea bird flu outbreak killed more than 20,000 buried only free-range chicken

New Tang Dynasty TV www.ntdtv.com 2009-2-18 19:37


【New Tang Dynasty February 18, 2009讯】 (Central News Agency, Seoul, JIANG Yuan-zhen Mar on the 18th), South Jeolla Province in South Korea Suncheon, Goseong, three Boseong to keeping free-range chicken farms, one after another outbreak of low pathogenic H5 avian flu, epidemic prevention authorities immediately culled and buried more than 22,000 free-range chicken only. To prevent the spread of the epidemic has entered a state of emergency.

South Korea, "Joint Press News Agency," reported today that the South Korean Ministry of Agriculture, Forestry and Fisheries Food and is located in southwestern Korea Jeollanam-do (Province) revealed that the National Veterinary Research and Quarantine Service for the Abelian Shuntian, solid three Toki City, and Po and other cities The three chicken farms in the samples examined, confirmed are low pathogenic H5 avian influenza.

Ministry of Agriculture, Forestry and Fisheries of food sources said that the confirmation of avian influenza antibodies in individuals infected with avian flu, is a fight against the avian flu virus and the formation of an immune body, not because the bird flu virus into the chicken in vivo and lead to their死亡.


Reported that so far, although they are free-range chicken farms did not appear dead, but their excretion was detected in a low pathogenic avian influenza antibodies. In order to prevent the spread of the epidemic on the three farms more than 22,000 free-range chicken for only culled and buried.

In December last year, South Jeolla Province to the migratory birds rest - Hampyeong County Dadong droppings of migratory birds in the pond, were found to have low pathogenic avian influenza virus; in November last year in Hampyeong, and Po Naju city market to sell the ducks droppings found a low pathogenic avian influenza virus antibodies; in October last year in the Tung Wah Group of the Great Wall gun face, Hampyeong-gun Dorasan Crescent side of face and duck rearing farms, also occurred in the low pathogenic avian influenza.

South Jeolla Province said over the past Administration of low-pathogenic avian flu has not taken measures culled and buried, but in order to prevent the spread of the epidemic, this year decided to kill and bury.

新唐人电视台http://www.ntdtv.com/xtr/gb/2009/02/18/a259019.html
New Tang Dynasty TV http://www.ntdtv.com/xtr/gb/2009/02/18/a259019.html

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hat-tip Muscade

INFURU entered a period of two infected birds in Hong Kong stage =

(09/02/18 07:42)




Teru's Tiyou Hiroshi chief of the Hong Kong Bird Watching, collected from a large crow butterfly mint嶼山collected in large cay and Hitoshi Azuma, in common with the occult and garbage and dead birds found in埔heron, Aoi Because of avian influenza in Hong Kong has already entered a period of two and the stage of infection (large AD)


AD [Japan] Hong Kong University on February 18 this year, dead birds were collected from the coast and the west gate and嶼山屯H5N1 was detected in a large series of bird-flu virus. Feb. 15, police said Mamoru Osamu more natural to fish farming, Hitoshi Azuma cay's 12 confirmed detection of the virus in dead butterflies were collected in peppermint. Birds, bird flu expert from Hong Kong are The second phase and has entered a stage of infection, the Chinese authorities and the prosecution of the negligent supervision, a strong possibility that the hidden information of the infected birds INFURU he said.

Teru's Tiyou Hiroshi chief of the Hong Kong Bird Watching, collected from a large crow butterfly mint嶼山collected in large cay and Hitoshi Azuma, in common with the occult and garbage and dead birds found in埔heron, Aoi Because of avian influenza in Hong Kong has already shown that the two means that the stage into the stage of infection.

* Infection from poultry to wild birds

Mr. Zhang, the infection status of the time, "ie, after finding the carcasses of poultry infected with bird INFURU along the coast, from the outbreak of the infection in birds, H5N1 is the virus from infected poultry to wild birds it is clear that. "

Currently, in Hong Kong and found a total of 40 carcasses of poultry birds, 12 birds in the H5N1 virus was detected in bird-INFURU. Mr. Zhang, from these cases, it is INFURU birds can also be transmitted through the channel, said Chinese authorities could not find the problem that caused a great deal of investigation. Mr. Zhang said, "These dead and washed away to be dumped into the sea and islands. This possibility, we will pay attention in the last year, prosecutors from the failure to specifically monitor the coast, caused problems it, "he said.

* Chinese authorities bird INFURU or concealed information

Mr. Zhang is in China, already this year eight cases have occurred in full-infected bird. However, despite the outbreak of bird flu in poultry was. Thus, the government was neglecting the test questions呈SHITA cover up the circumstances that forced INFURU birds. In addition, "for people in China, died of illness in poultry should not be eating, and whether or how to handle television, has not introduced any. Meanwhile, in Hong Kong is strictly for people's attention the call. continent should learn from Hong Kong. "

* Infected birds found in densely populated, high-risk

Mr. Chang, as an example屍骸heron found in埔Aoi, a little before, the heron is possible when eating infected food at the coast and the continent can not be ruled out. In addition, some cases of infected birds were discovered recently, and found that in densely-populated city, and the high risk of large residential area.

Mr. Zhang is also the risk of bird watching in Hashi Yone埔no data were presented with an infected person to a full-bird to bird watching. Experts will have to contact the local birds and bird feces directly shown to be relatively safe.

(Siqin forest reporter, editor靜over translation)

Bird flu hits 9 Vietnam's provinces

[Up to 9. Still do not see the Province that the confirmed case came from....Ninh Binh]

HANOI, Feb. 18 (Xinhua) -- Bird flu is plaguing in nine provinces in Vietnam with a newly-reported coastal province Khanh Hoa was also found the virus, according to Department of Animal Health under Ministry of Agriculture and Rural Development on Wednesday.

In Khanh Hoa province of south central Vietnam, bird flu has killed 27 fowls raised at a local farm, said the department, Vietnam watchdog of bird flu.

Samples of dead ducks found in the province tested positive to the H5N1 virus, said the department.

So far this year, nine provinces of Vietnam nationwide have been hit by avian flu, including four provinces in Mekong Delta, namely Ca Mau, Soc Trang, Hau Giang and Bac Lieu, two northern provinces of Bac Ninh and Quang Ninh, two central provinces of Nghe An and Quang Tri, and the newly-confirmed southern Khanh Hoa, said the department.

Sleman: Bird Flu Outbreak Threatens DIY

Previously reported here: http://pandemicinformationnews.blogspot.com/2009/02/indo-bird-flu-struck-sleman.html

[google translated]
Wednesday, 18 Feb 2009

JOGJA - Pergantian rainy season to the summer or during this period that the increase in the number of flu outbreaks in birds DIY. The air temperature does not menentunya lead to the emergence of the virus Avian influenza (AI) that attack poultry.

"Climate change in the period from January to April will affect the health because of environmental birds play a role in the growth of bird flu virus," said Chairman of the Bird Flu Penanggulangan RSUP dr dr Sardjito Sumardi SpPD (KP) to the journalist in the local hospital, Tuesday (17 / 2).

Mewabahnya back this disease, according to Sumardi can be seen from the cases of dozens of dead chickens in Sleman expressed positive ternjangkit AI virus some time ago. The owner of a dead chicken that even needs to be checked to RSUP dr Sardjito.
Although in the end fell ill expressed negative bird flu, but they were experiencing signs of bird flu fell ill, such as fever, flu and nyerti swallow and was stated suspect bird flu. "But after the test in the laboratory and hospital Sardjito Jakarta to finally expressed their negative bird flu and can go home," he explained.

Therefore Sumardi DIY community can hope to maintain the health environment. For the AI vaccine is currently used for effective new treat bird flu disease in poultry.
While in humans, the vaccine is still in experimental stage. So that the vaccine is not yet known whether it can effectively dimafaatkan to treat human flu virus that infected birds. "Yes indeed, if for poultry, the vaccine is effective for granted but can not be manusi," augment him. (Ptu)

3 questionable statements for you..

There sure are a lot of stories telling us dont worry, yet they seem very contradictory..some even seem to be outright lies..






China bird flu not pandemic, but be prepared: UN
Beijing, February 18, 2009
A recent string of bird flu infections in humans in China posed no pandemic risk as the cases were unrelated, but authorities need to remain alert, UN experts said on Wednesday.

1."The strain we see now is not a pandemic threat," Hans Troedsson, the World Health Organisation's (WHO) representative in China, told journalists.

Troedsson spoke at a press conference in the wake of eight human cases of infection with the deadly H5N1 strain of bird flu reported in China so far this year. Five of those infected died from the disease.

Though the number of cases was up from three in China for all of 2008, Troedsson said the numbers remained too low for great concern, especially as they came during winter months when the virus temporarily gains strength.

2."The eight cases do not really represent anything.... What it only says is that we have a number of cases occurring during a period when we could expect that there should be cases," he said.

With the latest deaths, 25 of the 38 people infected with the H5N1 virus in China since the disease re-emerged in 2003 have succumbed to the illness, adding to fears of an eventual pandemic.

A pandemic, or a global outbreak of a fatal disease, usually occurs every 25-30 years, Troedsson said.

"What is important is that governments make preparedness plans," he said.

Troedsson also noted that human-to-human transmission, which would signal the virus had mutated to a form easily
transmissible between people, had yet to be seen.

According to the WHO, there have been 407 cases of human bird flu and 254 deaths in 15 countries since the strain re-emerged in 2003, with most occurring in Vietnam and Indonesia.

3. All recorded human infections of avian influenza are believed to have been directly transmitted from either diseased or dead birds, he said.

Still, much remains to be learned about the virus and governments should remain vigilant, said Vincent Martin, an avian flu expert with the UN Food and Agricultural Organisation.

"The virus is entrenched .. you cannot deny that there is infection," Martin said at the same briefing.

"What we are lacking today is a complete and full understanding of the epidemiology of the disease."

2 completely different messages..

UN rings alarm bells over bird flu in China

Wed, 18 Feb 2009 08:35:54 GMT
Beijing - The bird-flu virus is nearly entrenched in China's poultry population and represents a threat to world health, UN experts said Wednesday. "It has the potential for a pandemic," said Hans Troedsson, the World Health Organization's (WHO's) representative in China, which has the world's largest poultry population.

He told journalists in Beijing after China reported five human bird-flu deaths so far this year that health experts were concerned about the breadth and intensity in China of poultry infections of H5N1, the strain of bird flu that can be deadly in humans.

Most human H5N1 infections have occurred after patients have had close contact with infected birds, but health experts fear the virus could mutate into a form that could easily be passed between humans and cause a worldwide pandemic.

"It is posing a pandemic risk," Troedsson said of the bird-flu outbreak in China's poultry.

"No one can escape it," he added. "It will strike the whole world."

A warning to China of a pandemic also came from another UN agency, the Food and Agricultural Organization.

"We should not be complacent," said Vincent Martin, an animal health adviser from the organization. "If it happens, it will be very scary for everyone."

He called for bird-flu prevention and investigations into how the virus spreads, warning that it was evolving.

The experts said they were also concerned that the most recent human infections in China were widely distributed across the country and could not be linked to nearby outbreaks of bird flu among poultry.

WHO has confirmed 407 human bird-flu cases since 2003 in 15 Asian and African countries, 254 of which were fatal. China has seen 26 deaths from 39 cases, eight of which occurred this year.

WHO: China's bird flu cases don't signal pandemic

Feb 18, 3:14 AM EST


BEIJING (AP) -- China's eight bird flu cases last month do not constitute an immediate public health problem, U.N. health officials said Wednesday, but the country needs to step up its vigilance to combat the disease.

Hans Troedsson, head of the World Health Organization in China, said the H5N1 flu infections, which included five deaths, have followed a historic pattern of increasing during the cold season. About 83 percent of China's 38 total cases since 2003 were reported from November to March, he said.

"Why we don't suspect this is the beginning of a pandemic is that you have these cases geographically distributed and there are no links between them," he said in Beijing. "All of them have been exposed to sick or dead poultry or wet markets, so there is a plausible explanation on how they can be transmitted."

He added there was no indication of human-to-human transmission.

Scientists have long feared that the H5N1 strain of avian influenza, which has devastated poultry stock across Asia, could mutate and become highly infectious among people, triggering a deadly global pandemic.

Still, the cases in China have raised concerns because there were no large outbreaks of the flu among poultry in areas where humans fell ill, Troedsson said.

"It is of great concern for us. It's something we are raising, both with WHO and FAO (the Food and Agriculture Organization), with the government," Troedsson said.

China has taken steps to control and monitor its poultry population in the last four years, said Vincent Martin of the Rome-based FAO, but there remain big "gaps" in its ability to monitor its poultry, he said.

"Definitely the Ministry of Agriculture is aware of this problem. They are taking millions of samples to check on the status of the poultry population but it's a huge task and a huge challenge for them," he said.

In addition, China's centuries-old method of "backyard farming," with small farmers living amid and raising livestock together creates immense obstacles to wiping out the bird flu virus completely, he said.

Worldwide, avian influenza has spread across 15 countries, with 407 human cases reported, 254 of them fatal.

So which is it Hans?..Posing a pandemic risk no one can escape, or just run of the mill annual infections? If the recent cases dont represent anything, why are you concerned about the lack of poultry outbreaks in the same areas?..

Tercemar Virus Flu Burung Diberi Kaporit water

on Wednesday, February 18 2009 16:48
the disposal of water in the District of Cilendek Timur Kecamatan Bogor Barat that diindikasi dirtiest the bird flu virus was given chlorine by the Kesehatan Service joint team and the Service of Pertanian Kota Bogor, yesterday.
According to Kasi the Health and the Production Distan the Bogor City drh Ahmad Maolana that came to the location, giving of the chlorine so that the resident around the disposal pond in RT 02/03 not restless. “Untuk saw his influence, two days afterwards the Penelitian Veteriner Body (Balitvet) Bogor will take the sample of water that has been given chlorine tersebut,” said Ahmad. However, resulting from giving of chlorine in this disposal pond, the fish belonging to the resident died. “Walau also how the prevention efforts better than later the resident why-kenapa,” more Maolana to the Bogor Radar, yesterday. Apart from giving of chlorine that was done by the Kesehatan Service of the Bogor City, of Distan also sprayed disinfectant against the poultry around this territory, including around the disposal pond. “Kami also carried out spraying. This as the step in anticipation so that the resident increasingly tenang,” he added. Ahmad added, the resident might not worry dirtiest water not from the source of water that often was used by the resident. “Kan that was given the chlorine not the source of water that often was used by the resident. So, the resident might not khawatir,” he added.
The resident Cilendek East could be restless with the death of hundreds of fish Mas property of the resident in RT 02/03. The sub-district head Bogor Barat Hendi Iskandar calmed the resident that hundreds of fish died not because of the bird flu virus melaikan giving of chlorine disinfectant to release from the virus. “Warga better should not panic first, because the related service was still continuing to make an effort to look for the solution dealt with this problem. At first results of the further inspection also did not yet go out. Who knew after being given water chlorine in this location became free from flu burung,” he said.
Now the measuring pond 8 X 10 metre this was closed and protected in order to not have access entered this location. The sub-district head also asked for the owner of the pond to immediately drain the pond after being stated free bird flu by the official, so as to not have again the resident's concern would tercemar him water around this location. “Kita continued monitored in the location, good to the animal, humankind and the environment, including increasing the co-ordination officially related in order to facilitate the control and give peace in warga,” he added. Prevented increasingly the width of the spreading of the bird flu virus, this year of Distan Kota Bogor was planned memvaksin the poultry at the beginning of March. Periodisation of this vaccination will be held by three times in stages in 68 districts in the Bogor City. “Mudah-mudahan was at the beginning of March done by us the first stage vaccination in the City Bogor,” said Kasi the Health of the Animal and the Production, drh Ahmad Maulana, when being met the Bogor Radar, yesterday. Therefore, Ahmad hoped for the community's participation that maintained the poultry to take part in making one of the preceptive programs successful this bird flu. He appealed to the resident who had the poultry to pen his kept animal when the official of the vaccination came. “Saya hoped the resident wanted to participate by means of penning his kept animal and not making an effort to hide him from the official vaksinator that came to the field nanti,” he added. Resulting from not partisipatif him the resident, vaksinator the poultry often experienced the difficulty when undertaking his task because the resident did not pen his poultry.
In fact, Distan has beforehand coordinated with the local district. “Sebelum our vaccination must coordinate with the district first. But we often must the chase with the chicken belonging to the resident till finally this chicken stress. The stress chicken did not enable to divaksinasi,” he said. Maolana realised the resident often the fear if his poultry died after being vaccinated. So, he appealed to the resident to pen his chicken before being vaccinated. “Itulah his risk if the stress chicken was vaccinated, the possibility of the death was bigger. The death of the chicken also often was caused by the application mistake like the dose and the process of the injecting, but we had the special procedure for that. Therefore the resident should not takut,” he explained. Maolana added, the vaccination must be against the poultry carried out by the routine every time three months. Apart from the vaccination program, as preceptive efforts Distan bird flu also had the other program like spraying and the extermination of the chicken as well as his pen in territories that it was warned were attacked by the virus H5N1.