Monday, April 20, 2009
China: Ministry of Agriculture will strive to control bird flu at the lowest level
China's Chen Xianyi, director of the Office of the Ministry of Health Emergency, said here today that China is now the province of individual highly pathogenic avian influenza outbreak was brought under control, there is currently no human cases of highly pathogenic avian influenza infection.
He is the State Council Information Office held a press conference when answering a reporter's question he said.
If the emergence of China on human infection with highly pathogenic avian influenza cases after the issue of whether the closure of the border, he said, first of all, China should strengthen the patient's treatment and isolation and observation, it is necessary to actively treat patients. Second, we must actively protect others from disease problems, for some people to carry out observation, the establishment of appropriate protective measures. As to whether the closure of the border, it should be in accordance with the international approach to make the passage, the World Health Organization in this respect the guidelines, China will in accordance with the World Health Organization and the international practice to do.
China's Chief Veterinary Officer Jia Youling said, adding that because of the prevention and control of avian influenza is first of all poultry in the epidemic prevention, prevention, prevention and control, if the poultry in bird flu prevention and control of the poor are reached sooner or later things.
Jia Youling said that the Chinese Ministry of Agriculture will continue its efforts to try to control the epidemic at the lowest level, to ensure that non-infectious to humans.
Qinghai Provincial Center for Disease Control and Prevention
Referred to as influenza Influenza is a virus caused by acute respiratory infections. Its clinical manifestations of acute onset, high fever, myalgia, headache with severe discomfort, dry cough, sore throat, or rhinitis, the majority of patients can be resumed within 1-2 weeks. Avian influenza is caused by influenza A virus disease of poultry, which by the H5 and H7 sub-strains (H5N1 and H7N7 as a representative) of highly pathogenic avian influenza can infect humans, human infection with bird flu after the called person.
In late December 2008, China's one after another report of eight cases of human infection with highly pathogenic avian influenza cases, including 5 deaths, 3 cases were treated and cured. February-March in northern China is in the spring, the peak influenza outbreak period, 2 months, the country has reported a total of 49 outbreaks of influenza.
Province throughout the lakes, wetlands, is an ideal habitat for migratory birds, a large number of migratory birds every year in our province, in addition to Qinghai Lake in recent years,扎陵湖, lung occurred Plover bird flu migratory birds. Since the school opened in March, the province occurred in two cases of influenza outbreaks in schools, in our province of influenza / avian influenza prevention and control of people is extremely critical.
Ministry of Health in accordance with the actual situation in our province, in the province's disease prevention and control institutions at all levels to set up a public health emergency response team, ready to participate in the investigation and handling of the outbreak, laboratory testing, such as emergency work. Medical personnel in the province to carry out intensive training to do a good job, technical, material reserves work.
Key areas in the province to set up sentinel hospitals, pay close attention to the incidence of influenza. At present, sentinel influenza surveillance in our province a total of 10 hospital sentinel hospitals (including five national-level, five provincial hospitals). Professional organizations, schools and childcare institutions to carry out the investigation and potential, Bird Island in Qinghai Lake area and other key personnel to carry out site monitoring arrangements.
Health Bureau of highly pathogenic avian influenza control program
* In January the CPC Central Committee and State Council, the provincial CPC committee and government highly concerned about the leadership at home and abroad mainly of highly pathogenic avian influenza epidemic dynamics, attaches great importance to highly pathogenic avian influenza prevention and control work and made important instructions, the State Council issued a emergency notification (国办发power [*] 1), the Ministry of Agriculture by the State Council called for the national prevention and control of highly pathogenic avian influenza has made the deployment.
我县In order to ensure that people's lives and property我县safe and effective protection of the healthy and stable development of the livestock industry and government decision
* in February in the framework of a full and speedy我县carried out the work of highly pathogenic avian influenza control. For a really good job in the work of highly pathogenic avian influenza control to prevent the outbreak of highly pathogenic avian influenza occurred in我县and spread, especially to develop the program of work are as follows:
First, strengthen prevention and control of highly pathogenic avian influenza work领导.
Avian influenza is a class of potent infectious diseases, hidden dangerous than the "*", and not only affect the development of animal husbandry, but also on political, economic, social, international image, and so have a serious impact.
Towns, and units must practice the "*" important thinking of the party and the highly responsible attitude towards the people and enhance the work of highly pathogenic avian influenza prevention and control leadership. Towns, all units have a high degree of political sensitivity and a strong sense of responsibility work.
Political stand, talk about the overall situation, fully understand the highly pathogenic avian influenza prevention and treatment of the importance and urgency, meticulously organized, comprehensive mobilization, implementation of effective prevention measures for bird flu to be early detection, early decision, early action, rapid response, rapid processing, to prevent the spread of highly pathogenic avian influenza outbreak, to ensure that people's lives and property. ... ...
Virgin Islands (UK) Participates in Second Regional Simulation Exercise
updated 5 hours, 14 minutes ago
by: Department of Disaster Management
The Humanitarian Allied Forces (FAHUM), with support from the United States Army Southern Command (US SouthCom) in coordination with Caribbean Disaster Emergency Response Agency (CDERA) and others, executed a regional exercise today for the Pandemic Influenza in the Caribbean and Central America.
The Virgin Islands (UK) along with other CDERA member states participated in this regional exercise which was designed to improve FAHUM’s exchange of information and skills across the Caribbean and Central American countries. The exercise provided an opportunity for the Virgin Islands to test the Territory’s plan and procedures for the Pandemic Influenza threat.
Today’s exercise took the form of a desktop simulation and was executed in real time with all other CDERA member states and the Coordination of Natural Disaster Prevention in Central America (CEPREDENAC) states. Feedback from participants indicated that the exercise allowed for an opportunity for them to test the local Influenza Pandemic Preparedness Plan and to identify issues that were not currently addressed in the Plan.
The Exercise was the first of its kind to test the use of WebEOC tool which is a web-enabled crisis information management system that provides secure real-time information sharing to help emergency managers make sound decisions quickly during activation of National Emergency Operation Centres. Between the periods of 2007-2008, four (4) members of the DDM staff received training in the use of this tool and were able to utilize it fully during the desktop exercise.
FAHUM activities will continue in Antigua Barbuda and Grenada on April 21 where earthquake and tsunami exercises will be executed respectively. This will be followed by an After Action Review meeting in St. Kitts/Nevis.
Local agencies participating in the drill included Royal Virgin Islands Police Force, Virgin Islands Fire and Rescue, BVI Health Services Authority, Ministry of Health and Social Development, Environmental Health Unit, and the Department of Disaster Management.
hat-tip Shiloh
Simulation Penanggulangan Episenter pandemic influenza in the city of Makassar, South Sulawesi, 25-26 April 2009
To date, the bird flu virus transmission still comes from poultry to humans.
But in the face of a possible influenza pandemic, the Government of Indonesia has prepared two scenarios, namely when episenter occurred in Indonesia and episenter occurred outside Indonesia. Scenario has been written down in the National Plan of Preparedness and Response Facing pandemic influenza (the National Pandemic Preparedness and Response Plan / NPPRP) Edition March 2008.
To increase the capacity, technical capabilities, and coordination of all related sectors including the community in episenter of pandemic influenza will be held episenter simulation of pandemic influenza in the city of Makassar on 25-26 April 2009.
Episenter pandemic influenza is the first location finding signals and signal epidemiology virologi pandemic influenza.
To report preparation Simulation, Simulation Executive Committee Penanggulangan Episenter influenza pandemic led dr. Arie Bratasena Head of Sub Directorate of ISPA to the hearing with the Mayor of Ir. H. A. Herry Iskandar, MSi, Friday (17/04).
Simulation will be held at 1 Kelurahan RW kassi and Kassi-RW in 2 villages Bontomakio, RS Gresetelina, RSUP Wahidin Sudirohusodo (RS references) and the Port of Sukarno Hatta Makassar. This also involves the simulation of the whole device area, in the police and the TNI, the company is located in the area of simulation.
At the Mayor of Makassar mengimbau community and business locations in the simulation in order to contribute to menyukseskan success of the simulation because the simulation will take the name of the city of Makassar in South Sulawesi province and not only at the national level but also at world level. Because this simulation will be attended not only by officials but by central agencies and various international agencies as observers.
Simulation involves about 600 actors from various policy stakeholders in the city of Makassar, South Sulawesi and Central. Number of observers consisted of 132 people from 54 national and international institutions.
Simulation episenter pandemic influenza in the city of Makassar is a simulation of the two. The first simulation was conducted in the Village of Dangin Tukadaya, Kabupaten Jembrana, Bali, on 25-27 April 2008.
Makassar was selected because the role of the community that are high and adequate infrastructure as the transportation network faster, the growth of trade and development to the entire Eastern India and particularly the world in general. Expected learning from the simulation in the city of Makassar to disseminate learning preparedness in Eastern Indonesia.
This broadcast by Central Public Communication, Secretariat General of the Ministry of Health RI. For more information you can contact via the phone number / fax: 52907416-9, 52921669, or e-mail address puskom.publik @ yahoo.co.id, KLB Posko or South Sulawesi Province on the phone number / fax (0411) 585400 and email : skd_klb@yahoo.com.
hat-tip Florida1
Recombinomics: WHO Sending Team to Egypt To Investigate H5N1 Clusters
WHO Sending Team to Egypt To Investigate H5N1 Clusters
Recombinomics Commentary 18:01
April 20, 2009
According to Dr. Nasr's Assistant Minister of Health, and Dr. Amr Kandil Undersecretary for Preventive those tests are conducted for all the positive cases to ensure full identification of the type of infection and the virus and the genetic makeup of it. He said Dr. Abdel Rahman Shahin, official spokesman of the ministry that all the tests proved that there are no changes or mutations in the virus.
The translation above described a WHO investigation of H5N1 in Egypt scheduled to begin on Thursday. Egypt has reported mild H5N1 cases in toddlers this year. To date there have been 15 confirmed cases, including three in the last three days. So far none have died, although several of the older recent cases have been reported as being in critical condition and on ventilators. All three of the recent confirmed cases belong to geographic clusters, which increases concerns of more efficient H5N1 transmission to humans.
The absence of "mutations" referenced in the above translation merely refers to the lack of reassortment involving human flu genes (as reported to Egypt by Weybridge/Mill Hill, CDC, and NAMRU-3. However, such natural reassortment including H5N1 genes has not been reported anywhere, although there have been multiple descriptions of human to human transmission between close contacts. These examples of H2H2H or H2H transmissions did not involve H5N1 that had acquired human genes. However, for most clusters involving clade 2.2, which is present in Egypt, there have been changes in the receptor binding domain of H5N1 isolates from human clusters.
One such cluster in Egypt involved two siblings from Qena in the spring of 2007. Both sequences had a 3 BP deletion (S129del) and the sequences from the siblings were identical supporting human to human (H2H) transmission based on the 4 day gap in hospital admission dates. These cases well mild and the siblings quickly recovered. Symptomatic contacts tested negative. This 3 BP deletion has been reported in 13 public sequences from Egypt, including human and poultry in 2007 and 2008.
A recent paper on similarities between a subset of H5N1 isolates in Egypt, and H1N1 seasonal flu included the sequences with the 3 BP deletion. Moreover the two examples used in the table and figure in the paper used a human and chicken sequence with the deletion.
The association of position 129 with the receptor binding domain, raises concerns that this change could increase the efficiency of human H5N1 transmission. The WHO phylogenetic tree in the report of vaccine target for 2009 includes the first two HA sequences from Egypt in 2009. Both sequences were similar to each other and appeared to map to the same position as prior public sequences with the deletion. Although WHO has used prior examples of the deletion in reports in 2007 and 2008, no such public sequences were include in the 2009, which makes the assignment of the deletion to the 2009 cases less certain.
The lack of certainty would be removed however if the sequences were released. The WHO tracking system indicates NAMRU-3 has the samples from the 2009 cases, but no sequences have been made public from the 2008/2009 season (human or poultry). The presence of the deletion in some or all of the 2009 would raise significant concern.
These sequences should be made public immediately.
China: SARS and avian flu drugs to备足
Date: [April 20, 2009]
By (Xinhua Yan Hua) lack of public health emergencies of emergency drugs, tens of thousands of people may pose a serious threat to life. Dongguan City Health Department recently asked the city's public hospitals at all levels, including the military reserves, including more than 200 kinds of notebooks emergency supplies, including the treatment of SARS and avian flu drugs with a focus on the object.
Dongguan City emergency meeting held yesterday morning, the city health bureau responsible person revealed that last year there were seven Dongguan public health emergencies, including six hand-foot-mouth disease outbreak, a food poisoning. Have been effectively controlled. Are not significant in public health emergencies, there are some hospitals to deal with defects. -snip-
Therefore, in this meeting, it announced the "health system in Dongguan City, emergency supplies reserve program (Trial)", requiring the city's public hospitals at all levels should be adequate contingency reserve related materials in order to enhance emergency response capabilities.-snip-
City health department said that the recent call by the hospitals will be strictly according to the directory fully emergency supplies will also be asked to focus on hospitals with SARS and bird flu treatment drugs.
Examine the results of action to combat bird flu on Wednesday

Higher Committee to combat bird flu
The Higher Committee to combat bird flu after a meeting on Wednesday, headed by Major General Mohamed Abdel Salam Mahgoub, Minister of Local Development, to discuss the results of actions taken by the ministries and provinces, and the next phase of the required procedures to control the spread of bird flu and its prevention.
The meeting will discuss the results of the efforts of ministries and departments for the prevention of the disease and to surround and non-proliferation, and follow-up to implement the national plan to combat the disease and preventive measures necessary for the monthly monitoring of suspected cases of human-level domestic and global, as well as the hotbeds of avian flu, and the continuing work of the ministries concerned with operating rooms and the provinces to receive any communications from citizens from any suspicion of any infection.-snip-
Indo: The Department of Health prepared the step faced the influenza pandemic
Excerpts:
The influenza illness has for a long time been known to be public by the community as the illness that was easy to spread through air, but had never been found by the case that made his sufferer until died. Although never finding the case of the death because of influenza,...
I believe what all of this is saying is that it has not gone human-to-human transmission yet. Rest of the article:
...but the Department's side of the Health announced their strategy to prevent the influenza expansion becoming the pandemic and claiming fatalities. The Department of Health sent this strategy in laman official they, this afternoon, with clarified that the Indonesian government prepared two scenarios that is to the location that the possibility was affected by the pandemic influlenza in in the Indonesian territory and episenter that happened outside the Indonesian territory.
To facilitate this strategy, the Department of Health also planned to carry out the simulation in the Makassar City on Saturday April 25 and on Sunday April 26 2009 and in the Dangin Tukadaya Village, Kabupaten Jembrana, Bali. -snip-
The other factor the formation of this strategy, according to the Head of the Harian Executive the Nasional Flu Burung Commission and Pendemi Influenza, Bayu Krisnamurthi, began the case emergence of the plague of world influenza.-snip-
At this time, said he, the global community was worrying if the bird flu virus (H5N1) that spread from the poultry to humankind, having a mutation, then could spread between humans.
In fact, said Bayu, not only bird flu, the pandemic could also happen resulting from the mutation of the other virus.
He added, the government of the centre and the area must co-operate faced the threat of the influenza pandemic. "Indonesia must immediately activate the simulation program and the response nationally," said Bayu.
Charge of Parliament for the Government's plans in the face of the evolution of avian influenza

D. Hamdi Hassan
Books - Hassan Mahmoud:
Dr. Hamdi Hassan, called the Assistant Secretary-General of the parliamentary bloc of the Muslim Brotherhood that the Government was cooperating fully with the bird flu control; after the arrival of the martyrs of the number of patients with avian influenza virus to 66 people, five of them only during a single month.
He described the rise of martyrs to the reduction in the face of an urgent statement to Dr.. Ahmed Nazif, the Prime Minister Dr. The woman as a real recipe for disaster, if the rate as it is now, saying: "We have done away with the difficulties and misfortunes of a negative impact, and added to the national economy and the air is exhausted."
He asked for clarification of the statement by the Minister of Health, who confirmed that plans were inadequate to cope with the disease in the event of a disaster, general as a result of the virus mutates to be contagious from human to human, which would be a disaster to occur in the case - God forbid - does not know the extent of their impact but God alone.
He wondered: If the provision of "Tamiflu" is just what the minister meant That calamity; that time that Egypt would be all under quarantine and will be isolated from the whole world tourism, trade and transactions, and I do not know Is the Government aware of this? Has plans for it or not?!.
He pointed out that it is alarming in this disaster is the government's inability so far as the transfer of pig farms from the center of the populated areas to remote areas of safety; especially after making sure that the pig is one of the main reasons for the disaster, the virus will mutate to spread between humans.
He said: "We are not asking for the execution of the seriousness of the pigs was also killed millions of birds - and this is the right of the danger - but we call for the transfer of environmentally safe and healthy, and if the Government felt that the critical pork linked to the Christian brothers, the virus will not differentiate between Christian or Muslim, not even the Jews" .
Original:
اتهام برلماني لخطط الحكومة في مواجهة تطور إنفلونزا الطيور
كتب- حسن محمود:
طالب الدكتور حمدي حسن الأمين العام المساعد للكتلة البرلمانية للإخوان المسلمين الحكومة بأن تتعامل بكل جدية مع مرض إنفلونزا الطيور ومكافحته؛ بعد وصول عدد شهداء مرضى إنفلونزا الطيور إلى 66 شهيدًا منهم خمسة فقط خلال شهر واحد.
ووصف ارتفاع الشهداء إلى هذا الحد في بيان عاجل وجه إلى د. أحمد نظيف رئيس مجلس الوزراء ود. حاتم الجبلي بأنه ينذر بكارثة محققة، إذا استمر المعدل كما هو عليه حاليًا، قائلاً: "نحن في غنى عن مصاعب أو مصائب تؤثر سلبًا، وتضاف على اقتصادنا القومي المنهك والعليل".
وطالب بتوضيح تصريح وزير الصحة الذي أكد فيه وجود خطط كافية لمواجهة المرض في حالة وقوع كارثة عامة نتيجة تحور الفيروس لتكون العدوى من بشر لبشر، والتي ستكون في حالة حدوثها كارثة- لا قدر الله- لا يعلم مدى تأثيرها إلا الله وحده.
وتساءل: إذا كان توفير "التاميفلو" فقط هو ما يقصده الوزير فتلك مصيبة؛ لأنه وقتها سيتم وضع مصر كلها تحت الحجر الصحي، وسيتم عزلها عن العالم كله سياحة وتجارة ومعاملات، ولا أدري هل تعي الحكومة ذلك؟ وهل أعدت خططها لذلك أم لا؟!.
وأوضح أن الأمر المفزع في هذه الكارثة هو عجز الحكومة حتى الآن عن نقل حظائر الخنازير من وسط الأماكن المأهولة بالسكان إلى مناطق بعيدة آمنة؛ وخاصةً بعد التأكد من أن الخنزير هو أحد الأسباب الرئيسة لكارثة تحور الفيروس لينتقل بين البشر.
وقال: "نحن لا نطالب بإعدام الخنازير لخطورتها كما تم إعدام ملايين الطيور- وهذا حق لخطورتها- بل نطالب بنقلها لمناطق آمنة بيئيًّا وصحيًّا، وإذا كانت الحكومة تستشعر الحرج من كون الخنزير مرتبط بالإخوة المسيحيين فإن الفيروس لن يفرق بين مسيحي أو مسلم ولا حتى يهودي".
http://www.ikhwanonline.com/Article.asp?ArtID=47945&SecID=250
War, the situation of avian influenza after 66 A team of World Health in Egypt on Thursday to assess the seriousness of the disease
Mohamed Al-Hassan:
Ahram Al-Massai aware that a team of experts from the headquarters of the World Health Organization, Geneva, will arrive in Cairo on Thursday to assess the procedures and monitoring of the Egyptian reality of the situation after the high incidence of infection (66) after a confirmed human case of the Ministry of Health on Wednesday evening from a new infection in a girl from the village Chaabas status Kulain kaafirs Amir Sheikh claims Manar Saad Ibrahim Zidan (18 months) after exposure to dead birds suspected of being infected with the disease.
This comes at a time when Egypt was at the forefront globally in terms of human cases this year after 15 confirmed cases in the first four months of this year compared to 8 cases in the last year, as well as the discovery of Case (27) the incidence of disease among children under the age of ten years.
In the meantime, the delegation of the World Health Organization to monitor all matters relating to the genetic composition of the virus through samples taken from cases (66) that emerged in Egypt until the present, as they prove the case of any positive tests by Central Laboratory of the Ministry of Health is sent to a global reference laboratories 3 Bmarjeitha recognized by the World Health Organization, a factor 3 and factor Nmro CNN Center. de.'s Reference Laboratory and the U.S., United Kingdom.
According to Dr. Nasr's Assistant Minister of Health, and Dr. Amr Kandil Undersecretary for Preventive those tests are conducted for all the positive cases to ensure full identification of the type of infection and the virus and the genetic makeup of it. He said Dr. Abdel Rahman Shahin, official spokesman of the ministry that all the tests proved that there are no changes or mutations in the virus.
original:
اشتعال حرب إنفلونزا الطيور بعد الحالة66
فريق من الصحة العالمية في مصـر بعد غد لتقييم خطـــورة الإصابــة بالمرض
يأتي ذلك في الوقت الذي احتلت فيه مصر موقع الصدارة عالميا من حيث الحالات البشرية هذا العام بعد تأكد15 حالة في الأشهر الأربعة الأولي من العام الحالي مقابل8 حالات في العام الماضي كله, كذلك اكتشاف الحالة رقم(27) لحالات الإصابة بالمرض بين الأطفال دون سن السنوات العشر.
في غضون ذلك, سيقوم وفد منظمة الصحة العالمية برصد جميع الأمور المتعلقة بالتركيبة الجينية للفيروس من خلال العينات التي تم أخذها من الحالات الـ(66) التي ظهرت في مصر حتي الآن, حيث إن أي حالة تثبت إيجابيتها من خلال تحاليل المعامل المركزية لوزارة الصحة يتم إرسالها إلي3 معامل عالمية مرجعية معترف بمرجعيتها من منظمة الصحة العالمية وهي معامل نمرو3 ومعامل مركز سي.دي.سي الأمريكي والمعمل المرجعي بالمملكة المتحدة.
وحسب تصريحات الدكتور نصر السيد مساعد وزير الصحة والدكتور عمرو قنديل وكيل الوزارة للشئون الوقائية فإن تلك التحاليل يتم إجراؤها لجميع الحالات الإيجابية للتأكد التام من الإصابة وتحديد نوع الفيروس والتركيبة الجينية له. ولفت الدكتور عبدالرحمن شاهين المتحدث الرسمي باسم الوزارة إلي أن جميع التحاليل أثبتت عدم وجود أي تغييرات أو تحورات في الفيروس.
http://massai.ahram.org.eg/Index.asp?CurFN=fron7.htm&DID=9923
Division is considering the problems of poultry trade in poultry

Minister of Trade and Industry, Rashid Mohamed Rashid
Written by Mona Fahmy
Organized by the Division for poultry Chamber of Commerce in Cairo, under the chairmanship of Dr. Abdul Aziz Abdul Aziz, during the next meeting to discuss the problems affecting the poultry market in the spread of avian flu.
The meeting will be attended by a number of Division members, merchants and officials, the Federation of Chambers of Commerce and government officials, will also discuss the key issues and challenges facing the poultry trade in the domestic market, especially after the government announced the No. 65 human infection from bird flu last Friday.
For his part, said Ahmed, a member of the Governing Council of the gift of poultry Division Chamber of Commerce in Cairo, said that the increase in poultry prices is the lack of market supply, and low rates of production in the farms because of the spread of bird flu recently, confirming fears that the increasing negative impact of the epidemic.
Called the gift of the government to support poultry farmers to overcome the crisis, and to meet the import of poultry from the outside, and the expansion of the industry and the cultivation of fodder crops used, particularly corn and soybeans, for the continuation of the poultry industry and red meat in Egypt to meet the acute shortage and high prices of imported feed.
States that the Division of poultry Cairo Chamber of Commerce includes in its membership a number of senior staff in the sector, such as Abdel Nabi Mohammed Abdel-Al, Khalid Ibrahim, Saad Rashad Qurani.
The First International Conference of the crisis management will discuss "Avian flu"

Dr. Majid Othman, head of the Center for Information and Decision Support
Najla wrote Kamal
Held by the Information and Decision Support, headed by Dr. Maged Osman
The First International Conference for the management of crises, disasters and risk reduction in collaboration with the German Konrad Adenauer Foundation on Wednesday and Thursday, April 22.23 Hall Hotel Hilton Ramses Ramses entitled "Towards a more effective disaster risk reduction."
It is scheduled to attend the conference, Major General Abdel Salam Mahgoub, Minister of State for Local Development, the Chancellor Qaliubiya Governor Adli Hussein, Governor of the East and the governor of South Sinai and Aswan Governor and the Governor of the West, Major General Hassan Hemeida Vice President and General Coordinator of the Higher Committee to combat bird flu, and Mr. James Rawle United Nations Coordinator and Representative UNDP Resident of the United Nations in Cairo, and Dr. Andreas Jacobs Resident Representative of the German Konrad Adenauer Foundation, and a large number of members of the People's Assembly and Shura Council and the heads of the Egyptian universities and representatives of institutions and scientific bodies, academic and specialized research in Egypt, as well as representatives of civil society institutions and the private sector and organizations of the United Nations in Cairo, and a large number of foreign experts.
The Conference Center in the framework of the cause of crisis and disaster management and the optimal method, which helps to mitigate the effects of gravity and the reduction of community, where the conference aims to support local capacity and national and regional levels to achieve the necessary competence in responding to crises, disasters and risk reduction, and multi-sectoral cooperation between the government and the private sector and non-governmental organizations in activities related to disaster risk reduction, the promotion of regional cooperation in this area.
The conference will discuss at its various number of topics, the most important ways to reduce disaster risks and how to prepare and respond effectively, and reduce the risks, and successful experiences in the Egyptian area, as well as community outreach and the role of media in the management of crises and disasters, the analysis also deals with those responsible for the management of crisis in the State, and the required coordination between these various actors, as well as the role of civil society, NGOs and voluntary work in the face of crises and stages of this role and ways of its activation and kept, as the inter-conference forum on the role of localities in crisis management, which is due to be attended by a number of gentlemen Governors for the transfer of experiences in this regard.
Original:
كتبت نجلاء كمال
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يعقد مركز المعلومات ودعم اتخاذ القرار برئاسة الدكتور ماجد عثمان
المؤتمر الدولى الأول لإدارة الأزمات والكوارث والحد من مخاطرها بالتعاون مع مؤسسة كونراد أديناور الألمانية يومى الأربعاء والخميس 22،23 أبريل بفندق هيلتون رمسيس قاعة رمسيس بعنوان"نحو فعالية أكثر للحد من أخطار الكوارث".
ومن المقرر أن يحضر المؤتمر اللواء عبد السلام المحجوب وزير الدولة للتنمية المحلية، والمستشار عدلى حسين محافظ القليوبية ومحافظ الشرقية و محافظ جنوب سيناء ومحافظ أسوان ومحافظ الغربية واللواء حسن حميدة نائب الرئيس والمنسق العام للجنة العليا لمكافحة مرض أنفلونزا الطيور، والسيد جيمس راولى منسق الأمم المتحدة والممثل المقيم للبرنامج الإنمائى للأمم المتحدة بالقاهرة والدكتور أندرياس ياكوبس الممثل المقيم لمؤسسة كونراد أديناور الألمانية، وعدد كبير من أعضاء مجلسى الشعب والشورى ورؤساء الجامعات المصرية وممثلى المؤسسات والهيئات العلمية والأكاديمية والبحثية المتخصصة بمصر، فضلاً عن ممثلين لمؤسسات المجتمع المدنى والقطاع الخاص ومنظمات الأمم المتحدة بالقاهرة، وعدد كبير من الخبراء الأجانب.
يأتى المؤتمر فى إطار اهتمام المركز بقضية الأزمات والكوارث وإدارتها بالأسلوب الأمثل، الذى يساعد على التخفيف من آثارها والحد من خطورتها على المجتمع، حيث يهدف المؤتمر إلى دعم القدرات المحلية والقومية والإقليمية لتحقيق الكفاءة اللازمة فى مجال الاستجابة للأزمات والكوارث والحد من مخاطرها، وتحقيق التعاون متعدد القطاعات بين الحكومة والقطاع الخاص والمنظمات غير الحكومية فى الأنشطة المرتبطة بالحد من مخاطر الكوارث، وتشجيع سبل التعاون الإقليمى فى هذا المجال.
ويناقش المؤتمر فى جلساته المختلفة عدداً من الموضوعات، أهمها سبل الحد من أخطار الكوارث وكيفية الاستعداد والتصدى الفعال لها، والحد من أخطارها، والتجارب المصرية الناجحة فى هذا المجال، وكذلك التوعية المجتمعية ودور الإعلام فى إدارة الأزمات والكوارث، كما يتناول المؤتمر بالتحليل الجهات المسئولة عن إدارة الأزمات فى الدولة، والتنسيق المطلوب بين مختلف هذه الجهات، فضلاً عن دور المجتمع المدنى والجمعيات الأهلية والعمل التطوعى فى مواجهة الأزمات، ومراحل هذا الدور وسبل تفعيله وتعظيمه، كما يتخلل المؤتمر منتدى عن دور المحليات فى إدارة الأزمات والذى من المقرر أن يشارك فيه عدد من السادة المحافظين لنقل تجاربهم فى هذا الشأن.
http://www.youm7.com/News.asp?NewsID=90871
Egypt: Confirmed Cases 2009
# 53 - 2 years, female, onset date - January 23, 2009, Manofia Governorate, Shebin Elkom District
# 54 - 2 years, male, onset date - February 2, 2009, Suez governorate, some 120 km east of Cairo
# 55 - 2 years, male, onset date - February 7, 2009, village of Aljaddamy, Minya Governorate.
# 56 - 2 years, male, onset date - February 25, 2009, Yousef el seddik district of Fayoum Governorate
# 57 - 2 years, male, onset date - March 1, 2009, Ameriya, Alexandria governorate
# 58 - 1.5 years, female, onset date - March 6, 2009, village of metropolitan Mnov Menofia Center.
# 59 - 38 years, female, onset date - March 14, 2009, village of Al Fatah Almasrp Center Assiut Governorate
# 60 - 2.5 years, female, onset date - March 23, 2009, Nagaa' Abou Shouk village, Dandara, Qena governorate.
# 61 - 2 years, male, onset date - March 27, 2009, from Kom Hamada District, El Behira governorate
# 62 - 2 years, male, onset date - March 31, 2009, from Kom Hamada District, El Behira governorate (cousin of # 61)
# 63 - 6 years, male, onset date - March 22, 2009, from Shubra El Khema District, Al Qalyubiyah governorate.
# 64 - 33 years, female, onset date - April 7, 2009, Kellin (aka Kulain) district, Kafr el-Sheik province,
# 65 - 25 years, female, onset date - April 6, 2009, from Al-Marg area, Cairo governorate.
# 66 - 18 mo., female, onset date - April 15, 2009, Chaabas Amir Kulain Village, Kellin (aka Kulain) district, Kafr el-Sheik province
hat-tip Florida1
http://www.flutrackers.com/forum/index.php
Indonesia: BIRD FLU: Zulaika Diduga Suspect

Senin, 20 April 2009
BANDAR LAMPUNG - Zulaika (30), the resident Sukajadi, Tanggamus, it was suspected contracted bird flu (suspect). That happened after he was touching with his kept poultry that died. Zulaika was carried to the Public Hospital of Abdul Moeloek (RSUAM) Banda Lampung on Friday (17-4), around struck 20,00. He was placed in the room that was isolated. Information that was assembled Lampung Post, last week Zulaika found his chicken that died near the house. Without the mask and some sort patrons, the mother of three children buried this chicken. Indeed in the area of his place was kept having approximately 16 chickens that died. Officially Peternakan local also ascertained the chicken that died this contracted bird flu.
The Pekon Sukajadi head, M. Amin, said Zulaika several times went out entered the community health centre to take medicine. The temperature of his body was high. Initially the doctor that checked only diagnosed Zulaika contracted flu and the common fever. However, medicine that was given by this doctor will never cure him. Then the Peternakan Service local observed the chicken that died. Then the service side suggested Zulaika was immediately checked to the hospital. The family afterwards brought Zulaika to the Peringsewu Public Hospital, Tanggamus, on Thursday (16-4), to be checked further. After hearing the family's story and examining the patient, finally the doctor said if Zulaika suspect bird flu and immediately must be brought and checked further in RSUAM. n MG-3/K-1
In less than 30 hours ..The announcement of the 66 bird flu infection

Injury is the third No. 66, respectively, in the case of less than three days
Written by Amira Abdel-Salam
Confirmed on Sunday evening, no human infection from bird flu, 66 to baby girl named Manar Saad Ibrahim Zidan, the old year and a half from the village, "Amir Chaabas" status Kulain province of Kafr el-Sheikh, according to a statement, Dr. Abdel Rahman Shahin, official spokesman of the Ministry of Health.
Sahin said that the onset of symptoms were infected on 15 this month, entered on their impact on Saturday, a hospital admitted Kafr el-Sheikh with a high temperature and cough after exposure to dead birds suspected of being infected with bird flu, he said that immediately after the suspected infected with the disease were given the drug Tamiflu, a stable and satisfactory condition.
. A positive injury case No. 66, which is the third in a row in less than three days open the door of the seriousness of a new outbreak of bird flu in Egypt and the feasibility of this treatment of the disease.
قال شاهين، إن بداية ظهور الأعراض على المصابة كانت يوم 15 من الشهر الجارى، دخلت على إثرها أمس السبت، مستشفى حميات كفر الشيخ وهى تعانى من ارتفاع فى درجة الحرارة وسعال عقب تعرضها لطيور نافقة يشتبه فى إصابتها بمرض أنفلونزا الطيور، لافتاً أنه فور الاشتباه فى إصابتها بالمرض تم إعطاؤها عقار التاميفلو وحالتها المرضية مستقرة.
الإعلان الإيجابى لإصابة الحالة رقم 66، والتى تعتبر ثالث حالة على التوالى فى أقل من ثلاثة أيام يفتح الباب من جديد حول مدى خطورة انتشار وباء أنفلونزا الطيور فى مصر وجدوى العلاج الحالى للمرض
China confirms bird flu outbreak in Lhasa
اكدت وزارة الزراعة الصينية امس الاحد/19 ابريل الحالي/ اندلاع انفلونزا الطيور من جديد فى لاسا بمنطقة التبت ذاتية الحكم فى جنوب غرب الصين. The Chinese Ministry of Agriculture on Sunday / 19 April / bird flu outbreak again in Lhasa, Tibet Autonomous Region in southwestern China.
اكد معمل انفلونزا الطيور الوطنى ان فيروس انفلونزا الطيور اتش 5 ان 1 تم العثور عليه فى دجاج بيع فى سوق جملة لبيع الدجاج فى حى تشنغقوان فى لاسا يوم 12 ابريل. The National Bird Flu Reference Laboratory said the bird flu virus virus 5 to 1 was found in chickens on sale in the wholesale market in the neighborhood chicken Chengqguan in Lhasa on April 12.
اتخذت اجراءات عاجلة وتم وضع الوباء تحت السيطرة وقالت وزارة الزراعة فى مذكرة مقتضبة ان 1679 دجاجة قد اعدمت بعد اندلاع المرض. Urgent action was taken, bringing the epidemic under control, the Agriculture Ministry said in a brief memorandum of that 1679 chickens had been culled after the outbreak of the disease.
وقالت ادارة الصحة المحلية انه لم يتم العثور على اى شىء غير عادى بين الناس المتصلين بالدواجن وفقا لما ذكرته الوزارة. The local health department has not been found anything unusual among the people related to chickens, according to the ministry.
(شينخوا) (Xinhua)
Recombinomics: Clustering H5N1 Clusters Raise Pandemic Concerns in Egypt
Recombinomics Commentary 07:40
April 20, 2009
The Directorate girl Manar Saad Ibrahim Zidan (18 months) from the village of Chaabas Amir Kulain confirmed the status of her disease
The above translation describes the 66th confirmed H5N1 case in Egypt, which is the third confirmed case in three days. However, more alarming than the frequency is the fact that all three cases are members of clusters and the six most recent confirmed cases form three distinct clusters.
The 66th case is a toddler from the Kellin district of Kafir el Sheik as is case #64 (33F). The village of Shabas Emier is only a few miles from the town of Kellin (see updated map), suggesting the two members of the Kellin cluster are from a small geographic area. The precise location of case #64 was not released, but it is possible that both cases are from Shabass Ameir and/or are related or have contact. Since the disease onset dates are 8 days apart, contact between the two cases would strong support transmission of H5N1 from case #64 to case #66.
Similarly, case #65 forms a Cairo cluster with case #63. Both were admitted to the Ain Shams hospital in Cairo and treatment was delayed for both suggesting they denied a poultry connection. These two cases also appear to be a few miles apart at the northern edge of Cairo (see updated map).
The third is the Beheira cluster created by two cousins in . The cousins were next door neighbors and developed symptoms four days apart, strong supporting the infection of one cousin by the other.
These three clusters involving the six most recent confirmed cases create a significant cause for concern. A recent report described a relationship between a subset of H5N1 isolates in Egypt and season flu, H1N1, which is efficiently transmitted to humans. This relationship was tightly linked to a 3 BP deletion, which creates S129del, which involves a position that interacts with the receptor binding domain. Moreover, this deletion was in siblings in the Qena cluster in 2007 and the sibling sequences were identical.
Recently a phyologenetic of the first two cases in 2009 in Egypt were released and the position of these isolates suggests they also have S129del. If these and other 2009 isolates have this deletion, including the six cases that form clusters in 2009, there would be a genetic explanation of the more efficient transmission represented by the clustering.
The release of the 2009 sequences from Egypt is long overdue. NAMRU-3 has not relased any human or poultry from the 2008/2009 season.
In addition, the relationship between the two Kellin cluster members including the distance between residences would be useful.
The clustering of clusters demands more transparency and a much more aggressive testing of toddlers without poultry contact as well as antibody levels in the suspect cases that are PCR negative.
Sunday, April 19, 2009
Sampling of the farm workers for analysis
http://74.125.91.132/translate_c?hl=en&langpair=ar%7Cen&u=http://www.almesryoon.com/ShowDetails.asp%3FNewID%3D62924%26Page%3D6&prev=/translate_s%3Fhl%3Den%26q%3Dbird%2Bflu%2BSunday,%2BApril%2B5%2B2009%26tq%3D%25D8%25A7%25D9%2586%25D9%2581%25D9%2584%2
Recombinomics: H5N1 Cairo Cluster Delays Raise Transmission Concerns
Commentary
Recombinomics Commentary 22:31
April 19, 2009
The above comments detail the gap between admission and the start of oseltamivir treatment for the 65th confirmed case (25F) in Egypt. This five day gap is unusual, because patients with bird flu symptoms and contact with poultry are immediately treated with Tamiflu, and a throat swab is collected for PCR analysis for H5N1.
The delay in treatment for this patient suggests she denied a poultry contact. The possibility is support by the delayed treatment of case #63 (6M), whose treatment was also delayed at the same hospital. Since she was confirmed and was in critical condition, the significance of the treatment should have been well known to the staff at Ain Shams Hospital, because case #63 was also treated there. These two cases appear to be a few miles apart (see updated map), raising concerns that this geographic cluster is signaling more efficient transmission of H5N1.
These concerns were increased by the confirmation of case #66 (2F) in Kafr El Sheik. This case followed a recent case (#64) in Kafr El Sheik in the same district (Kellin). Moreover the 8 day gap in disease onset dates raises concerns that these two cases are related, and case #64 infected case #66.
Such transmission was recent seen in Beheira where two cases from the same districts were subsequently described as next door neighbors and cousins (both 2M). Moreover the 4 day gap in disease onset dates strongly suggests that one cousin infected the other.
The presence of three distinct clusters in Egypt this month, as well as three confirmed cases in three days has raised concerns that H5N1 infections were much higher than the reported 66 cases. The latest case is the 11th toddler between the ages of 1 ½ or 2 ½ in Egypt this year, representing a significant increase in frequency and number of H5N1 confirmed toddlers. This concentration of so many cases in such as small age group (in contrast to 6 toddler cases in the three preceding years), raises concerns that many in older age groups has protective immunity due to a significant prior exposure to H5N1.
These results indicate that toddlers with bird flu symptoms, but no contact with poultry, should be tested for H5N1. Moreover, the 99% of suspect cases with poultry contact who test negative by PCR should be tested fro H5N1 antibodies.
Recent results have suggested that the 3 BP deletion (S129del) in a subset of cases produces similarities with H1N1, and phylogenetic analysis of the first two toddler cases in 2009 had this deletion, raising concerns that this change, which interacts with the receptor binding domain, has produce H5N1 which is more efficiently transmitted.
Recombonimics: H5N1 Confirmed Kellin Cluster Causes Concern in Egypt
Recombinomics Commentary 21:01
April 19, 2009
The above translation describes the latest confirmed H5N1 case (#66) in Egypt, who like case #64 is in the Kellin district of Kafr El Sheik (see updated map) raising concerns that this case is related to the earlier case (33F), who developed symptoms on April 7, and possibly is her child.
More information on the distance between the residences of these two confirmed H5N1 cases in the Kellin District, as well as any relationship, would be useful.
Media Links
The emergence of the 66 avian influenza in Kafr El-Sheikh
[20:34 مكة المكرمة ] [19/04/2009] [20:34 Mecca] [19/04/2009] |
مصر هي البلد الثالث من حيث انتشار إنفلونزا الطيور Egypt is the third country in terms of the spread of avian influenza |
كتب- أحمد المصري: Books - Ahmed the Egyptian: |
أعلنت مديرية الصحة بمحافظة كفر الشيخ ظهور الحالة 66 المصابة بمرض إنفلونزا الطيور على مستوى الجمهورية والحالة الثانية بالمحافظة. Department of Health announced the province of Kafr el-Sheikh the emergence of the 66 infected with avian influenza at the level of the Republic and the second case the county. وأوضحت المديرية أن الطفلة منار إبراهيم زيدان سعد (18 شهرًا) من قرية شباس عمير مركز قلين تأكد إصابتها بالمرض، وأنها تتلقى العلاج بمستشفى منشية البكري بالقاهرة بدءًا من عصر اليوم. The Directorate girl Manar Saad Ibrahim Zidan (18 months) from the village of Chaabas Amir Kulain confirmed the status of her disease, and that they receive hospital treatment, the capital Cairo, starting from this afternoon. ومنذ عام 2003م أصاب فيروس (H5N1) 412 شخصًا على الأقل في 15 دولة، وتسبب في وفاة 254 منهم، كما أدَّى إلى نفوق أو إعدام أكثر من 300 مليون طائر في 61 دولة في آسيا والشرق الأوسط وإفريقيا وأوروبا. Since the 2003 virus (H5N1) 412 people, at least in 15 countries, and caused the deaths of 254 of them, also led to the deaths or culling of more than 300 million birds in 61 countries in Asia and the Middle East, Africa and Europe. وتُوفي نحو 23 مصريًّا بعد الإصابة بالفيروس، معظمهم خالطوا طيورًا منزلية مصابة في بلدٍ تعتمد فيه خمسة ملايين أسرة على تربية الدواجن في المنازل كمصدرٍ مهم للغذاء والدخل. He died about 23 Egyptians after infection with HIV, most of whom had contact with infected domestic birds in a country adopts the five million families to raise poultry at home as an important source of food and income. ونادرًا ما ينتقل فيروس (H5N1) بين إنسانٍ وآخر؛ لكن الخبراء يخشون من أنه قد يتحور إلى شكلٍ يمكن أن ينتقل بسهولةٍ بين البشر، ويصبح وباءً قد يقتل ملايين الأشخاص. Rarely transmitted the virus (H5N1) between the man and another; but experts fear it could mutate into a form that passes easily between humans, a pandemic that could kill millions of people. وقالت منظمة الصحة العالمية هذا الشهر إنها تشعر بالقلق من أن بعضَ المصريين ربما يحملون الفيروس المسبب للإصابة بأنفلونزا الطيور دون أن تظهر عليهم الأعراض، وهو ما قد يزيد من فرصة تحور الفيروس إلى سلالةٍ تنتشر. The World Health Organization said this month that she was concerned that some of the Egyptians may have the virus that causes bird flu without showing symptoms, which may increase the chance the virus will mutate into a strain spread. |
The Department of Health Object had Singaporean Flu
Jakarta - the department of the RI Health denied the existence of the 'Singaporean Flu' illness. The illness that was easy to spread to the child and the baby this be classed as still was the Tangan Illness Foot and the Mouth (PTKM) or Hand Foot Mouth Disease (HFMD). "In the medical world did not have the" Singaporean" Flu "term, this was the Tangan Illness Foot and the Mouth (PTKM) or Hand Foot Mouth Disease (HFMD) that was caused by the virus, the" central" headword of Publik Setjen Communication the Department of the Health of Lily S. Sulistyowati through the press release that was sent to the office detikcom, on Sunday (19/4/2009).
-snip-
Without being treated by the Sufferer Singaporean Flu recovered Personally
Excerpts:
Sabtu, 18 April 2009
"apart from not endangering the spirit, Singaporean Flu also entered the category of the minor illness, so as to be easy to be cured.".....-snip-
...."Except for the individual that his body resistance was ugly, then his illness could hinder in the disturbance" of the "function" of the "other body," said Kesehatan Special Capital District Dien Emawati Section Head when discussing with okezone in Jakarta, on Saturday (18/4/2009)...-snip-
The Singaporean machine of the Flu Detector was operated
Excerpts:
The machine was placed in the Arrival Terminal 2D and 2E the airport. -snip-
The inspection was set aside for passengers who came from Singapore.-snip-
If the beginning diagnosis showed the assumption infected Singaporean flu or other infectious diseases, these passengers were at once reconciled to the Hospital of Sulianti Saroso Jakarta.
In fact, the government had this machine since four years set followed the rule from the Peduli Kesehatan Organisation of the World that required the main airport to have the machine of the infectious diseases detector.-snip-
The airport Soeta put on the Singaporean Flu Detector [and bf detector, SARS & "that other"......]
Since Saturday (18/4) international airports Soekarno Hatta (Soeta) began to activate the detector of various illnesses, including Singaporean Flu. Kasi [let/allow/to give] Quarantine Health of the Soeta Airport, Nata Saputra said, in fact the detector fitting that was mentioned with this Body Clean Disinfection Health Quarantine was installed since one months ago. “Namun, just was activated on Saturday (18/4) kemarin,” Nata words to Republika, Ahad (19/4).
The detector, said Nata, specially not only to detect Singaporean Flu, but also to detect various illnesses like Bird Flu, SARS and that was other.
“Installing the detector was the condition for the international airport from WHO,” revealed Nata. -snip-
This implement detected the temperature of air of the passengers who just came from overseas.
If sushu air someone exceeded 38 levels selsius, then this implement will sound.
When being asked, how if a passenger was detected by the illness because the temperature of his body exceeded 38 levels selsius, Nata stated, his side will furthermore check the aircraft passengers. -snip-
That was most important, said he, the Department of the Health, has provided the implement as efforts if passengers that from overseas both the Indonesian citizen and WNA. “So the virus did not spread to other humankind that was in Indonesia. That also consented to by Section Head Health of the Tangerang City, Lilly Indrayani. -snip-
Canada to change breakdown of flu drugs in stockpile
Canada will adjust the mix of antiviral drugs in an emergency pandemic stockpile this year, a response to concerns over the vulnerability of the main drug in the arsenal, Tamiflu, to the development of viral resistance.
Supplies of the drug zanamivir – sold as Relenza by GlaxoSmithKline – will be beefed up in the national emergency stockpile, says Dr. Arlene King, the senior official responsible for pandemic influenza planning at the Public Health Agency of Canada.
As well, some stocks of an older flu drug, amantadine, will be added to the mix as an inexpensive extra. Scientists are studying whether using Tamiflu in combination with amantadine or a sister drug, rimantadine, will lower the likelihood flu strains will develop resistance to the few drugs currently marketed to treat influenza.
"I think the general view is that from a scientific perspective, greater diversification (of stockpiles) would be desirable," says King, director general of the public health agency's centre for immunization and respiratory infectious diseases.
"And as I've said, we've made that decision at a federal level."
King says discussions are still underway with provincial and territorial partners about whether to diversify the holdings of another stockpile, known as the national antiviral stockpile, where the bulk of Canada's pandemic flu drugs are held. The cost of building up and maintaining this stockpile is shared by the federal, provincial and territorial governments.
The national antiviral stockpile contains 55.7 million doses of drug, enough to treat nearly 5.6 million people. Tamiflu, which is sold by Hoffman-La Roche, makes up 90 per cent of the holdings. Relenza accounts for the remaining 10 per cent.
Over the past five years a number of countries have stockpiled antiviral drugs – mainly Tamiflu – as a hedge against a feared flu pandemic. Tamiflu seemed to be a safe bet. Resistance to the drug was rarely seen. And laboratory studies suggested viruses that acquired resistance would be weakened and less able to spread from person to person.
To widespread dismay that theory was proven to be wrong in the winter of 2008. A resistant strain of influenza A virus of the H1N1 variety emerged in Northern Europe. The strain took off, rapidly spreading around the world.
It is now the dominant strain of H1N1 viruses circulating. Almost 100 per cent of all H1N1 viruses tested in North America this winter were resistant to Tamiflu.
While other flu viruses – including the worrisome H5N1 avian flu strain – have not followed suit, the demonstrated vulnerability of the drug has prompted a number of governments to rethink how heavily their pandemic response plans lean on Tamiflu.
The U.S. Department of Health and Human Services is considering altering the composition of its national pandemic stockpile, which is 80 per cent Tamiflu to 20 per cent Relenza, according to Dr.Robin Robinson, director of the department's biomedical advanced research and development authority, which oversees pandemic preparedness.
And earlier this year Britain bought more than 10 million additional doses of Relenza, which to date hasn't developed the resistance problem seen with Tamiflu.
In Canada, Tamiflu makes up the lion's share of both the national emergency stockpile, which is maintained by the federal government, and the national antiviral stockpile.
The two stockpiles combined, along with other stores of flu antivirals held by governments, are estimated to contain enough antivirals to treat about a quarter of the population during a pandemic, King says.
That is within the range of the holdings of a number of similar countries, though Britain has stockpiled enough of the drugs to treat half its population.
Canada's national emergency stockpile, which is meant to act as a backup to the larger stockpile, currently contains 14 million doses, enough to treat about 1.4 million people. Relenza makes up just under 30 per cent of those supplies. King says an additional two million doses of antivirals will be added this year.
"This upcoming year we'll be purchasing a little bit more zanamivir and a little bit more amantadine," she says.
As well as adding drugs, authorities are now facing decisions about what to do with expiring drugs. Some of the supplies in the stockpiles have reached their expiration date or will do so this year and next.
"The replacement strategies right now are being considered and acted on by each of the jurisdictions that have expiring stock," King says.
In the national emergency stockpile alone, enough drugs to treat roughly 275,000 people will have reached their expiration date by 2010-2011. King says the federal government is looking at a variety of strategies, including approving an extension of Tamiflu's shelf-life.
Tamiflu was originally sold with a five-year shelf-life, but Roche has data showing the drug is still active at seven years.
As well, the company has offered governments the opportunity to reprocess expiring supplies of Tamiflu.
In an interview last year, Roche's Dr. David Reddy said the company could extract the active ingredient, insure its quality and purity and reformulate it into capsules.
That process is the equivalent of "resetting the clock on the drug," said Reddy, the company's pandemic influenza task force leader. He would not say what the process costs, but said it provides significant savings over the cost of buying new supplies of the drug.
.. Wounding a pregnant woman's first bird flu in Egypt
19/04/2009 19/04/2009 السيدة تفقد جنينها.. Ms. lose her baby ..And «health» denies causing the virus to abortion
The Ministry of Health on Wednesday evening - Friday - No. 65 of human infection of bird flu, a woman claims a gift Salah Ragab -25 years - Lawn neighborhood in Cairo, bringing the number of reported cases during the current year to 14 cases in less than four months.
Okdalcanuto and Abdel-Rahman Shaheen, said that the infected were suffering from high fever and respiratory distress after exposure to dead birds suspected of being infected with avian flu,
He pointed out that once the suspicion of being infected with the disease were given the drug «Tamiflu» However, the critical condition of health, which necessitated the development of the affected on a ventilator.
. In a related context, Dr. Amr Kandil - Head of Central Department for Infectious Diseases, Ministry of Health - the case of the latter is the first injury to a pregnant woman since the outbreak of bird flu in Egypt - February 2006 - indicating that the injury to her double pneumonia and a high temperature led to the loss of sick of her in the ninth month of pregnancy, denying that the bird flu virus is the cause of a miscarriage, he said, adding that the patient's condition very critical.
. He noted that the reason for Qandil successive infections in Egypt since the beginning of 2009 is home to birds, pointing out that 62 cases «5,95%» of the total 65 cases have been sought, adding that there are still three cases are subject to intensive hospital treatment because of the seriousness of corresponded with 11 cases of recovery of the total of 14 which was the case during the current year.
. Qandil warned citizens from dealing directly with the flu, he said, pointing to the need to prevent the breeding of domestic birds.
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DAMIETTA: Thwart the smuggling of "remnants of a chicken," without permission

Poultry waste contribute to the spread of avian influenza
DAMIETTA Mu'taz Elsherbini
In Damietta governorate as part of a plan to combat bird flu, were able Investigation of Supply in cooperation with the Directorate of Veterinary Medicine DAMIETTA a transfer of control of the No. 33058 the transfer of Eastern Command Osman Khalid Osman and carrying large quantities of poultry-borne waste from some of the poultry farm without a permit.
Residues were seized and destroyed within the plant, fertilizer Shata, and the emancipation of the record of the incident under the cover of No. 3754 the first police department in Damietta.
original:
فى إطار خطة محافظة دمياط لمكافحة مرض أنفلونزا الطيور، تمكن رجال مباحث التموين بالتعاون مع مديرية الطب البيطرى بدمياط من ضبط سيارة نقل رقم 33058 نقل شرقية قيادة عثمان خالد عثمان وتحمل كميات كبيرة من مخلفات الدواجن تنقلها من بعض المزارع الداجنة بدون تصريح.
وتم ضبط المخلفات وإعدامها داخل مصنع سماد شطا، وتحرر محضر بالواقعة تحت رقم 3754 جنح قسم شرطة أول دمياط.
China confirms bird flu outbreak in Lhasa
China confirms bird flu outbreak in Lhasa |
| www.chinaview.cn |
BEIJING, April 19 (Xinhua) -- China's Ministry of Agriculture confirmed Sunday a new outbreak of bird flu in Lhasa. The national bird flu laboratory confirmed that the H5N1 virus was found in poultry sold on a poultry wholesale market in Chengguan District of Lhasa on April 12. |
Saturday, April 18, 2009
HHS
...The Department of Health and Human Services (HHS) is the United States government's principal agency for protecting the health of all Americans..
..The Department of Health and Human Services (HHS) is the United States government's principal agency for protecting the health of all Americans..
.The Department of Health and Human Services (HHS) is the United States government's principal agency for protecting the health of all Americans..
JUST THOUGHT YOU MIGHT WANT TO SEE THAT IN PRINT... IN CASE YOU FORGOT WHAT YOUR JOB DESCRIPTION IS.
John E. Lange
http://tinyurl.com/c862vz
Hi John. I saw you at a pandemic meeting one time... your participation was very "interesting."
So looky here, John, since you read my news everyday, I suppose I should be getting a check for my work. Seeing as I produce and have informed more people about avian influenza than you have... I figure I should be gettin a CUT OF YOUR CHECK. Before long your name will be at the top of the list of people that failed to prepare or properly warn the American public about the coming pandemic... YOU KNOW.. THE ONE THAT WILL MOST LIKELY BE HERE BY FALL?
Going by the situation in Egypt and Indonesia..That I read Everyday..you must be very busy.. even too busy to tell the rest of the public about the current situation.
For shame, John, for shame.. remind your kids and family that you fail in your duties everyday.
For the CDC
you pass yourselves off as a credible source of online information.
Please send back all the money you steal from the American public.
You will have to come clean on Bird Flu sooner or later..at least pretend that you can be trusted.
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Shaheen: Shaaban Abdel Rahim singing of bird flu was intended
- Camera Essam El Shami
The dawn of the 65 confirmed case of bird flu, a series of questions, especially as it was confirmed after the case of 64 a few hours, are we to a new outbreak of the disease at the end of the winter season? Or to the crisis in the ministry's plan to combat the disease? "Is Tamiflu is still effective in the treatment of infected cases? Or is it just a housing crisis erupted Pthor Verosha avian flu and its transmission among humans?.
Warned the Minister of Health. The woman in a clear message, from the negligence or inaction in dealing with avian influenza, mutate, and because the probability of transmission among humans in Egypt, a large, if there was any kind of complacency in dealing with the flu.
D students. Hatem mountain groups of the Egyptian society, especially groups that deal directly with live birds, the need for caution when dealing with the flu, saying: "We are not calling to prevent the breeding of domestic birds, because it is a source of income for the family, particularly in the areas rural, but following the instructions call for sound health in dealing with the flu. Although a tribute to all the international organizations in Egypt in the face of bird flu control, but that does not mean that we have eliminated the disease, the disease is still in its strength and fear it could mutate and spread from human to human person, and here occur delinquent that take the lives of millions of people and cause economic losses estimated Baltreionat of dollars.
D said. Amr Qandil head of infectious diseases, the Ministry of Health and a member of the National Committee to combat bird flu, said that there are a total of 3 million doses stocks, Ministry of Health strategic drug Tamiflu, the drug only to the processor after the emergence of avian flu symptoms to humans in the early stages, but if the patient's income in a stage of the second degree or late, thus this drug is ineffective, calling on all citizens to go to the nearest health unit or hospital to take the property even in cases of suspicion, which has a positive impact on the recovery situation in the event of confirmed infected with HIV, saying that the ministry is ready to viral mutations in the first stage, even if it turned into an epidemic transmissible between humans.
D said. Abdel-Rahman Shahin, official spokesman of the Ministry of Health and Population, the Ministry launched a national campaign by anti-virus bird flu prevention campaign, pointing out that this information campaign is a campaign to raise awareness of the dangers of the disease include the press, radio and television Vgina "Shaaban Abdel-Rahim," avian influenza not just a "bang" as they are to educate citizens in order to reach all groups, especially the most vulnerable to the disease.
This is in addition to the epidemiological surveillance of the disease by isolating the case until
6337 on suspicion of being infected with the disease, but it was all negative, province of Egypt
came first in the rankings in terms of the number of suspected cases, which amounted to 843 cases, followed by the province of
the West 802 the case, then Al-b 519 case Monoufia 512 and 486, Giza, Damietta and Alexandria, 449 and 403 and 353 Qaliubiya Dakahliya 322 and 294, Menya, Sohag and Qena, 284 and 215 Fayyoum 187 suspected and Beni Suef 172 and 152 lake and 129 East, then 82 and Aswan Asyut 40 case 30 case of Ismailia Luxor 17 and 13, Port Said, Suez and the valley 7 new Helwan, South Sinai, 6 and 4, the Red Sea, North Sinai and 3 cases is one case, the province on October 6, had not been recorded any cases of suspected bird flu, bringing the total positive cases, 65 cases so far.
hattip Sally
THE CANADIAN PRESS