Egypt H5N1: Appearance of four spots positive for bird flu Menoufia

18-6-2011

Dr. Ahmed Fouad, director of Veterinary Medicine Menoufia 4 for the emergence of new foci positive for bird flu in the village center Sroheet Menouf.

Foci appeared citizens homes draw Fathi Ibrahim Badr Abdel Baki, Ahmed Ayad Ali Gad Mounir Emad Ridha and as a result of education at home, where a sample was taken from domestic birds and sent to central laboratories and as a result of the sample were positive.

Dr. Ahmed Fouad to the fact that the focus has been discovered through field tests conducted by the Directorate and found to be breeding domestic birds have been culled and vaccinated birds nearby to prevent the spread of the disease.

Indonesia: H5N1 Family Suspected Cases in Agam Regency

Google Translation:
One Family Suspect Bird Flu
Friday, June 17, 2011 01:38

AGAM, the bow - A family of four people, residents Jorong Koto Panjang, Nagari Kapau, District Tilatang Kamang, Agam, believed to have contracted bird flu after seven chickens died suddenly as pets since last Friday. They are Efrizal (43) and three children Adi (14), Gilang Ramadhan (9) and Nuzuli (5.5).

"Yesterday four people Koto Kapau Long had we refer to the RSAM Bukittinggi to do a medical examination, because the chickens that died suddenly they are determined to have contracted bird flu," said Chief Public Health Center Dr. Vivi Mayerni Kapau through to the bow via cell phone on Thursday (16 / 6).

He said last Friday that only two chickens that died suddenly at home, then went 2 heads again on Saturday. After that, the owner of the hot chicken fell sick since Monday.

"Hot body is very high and not fall down. If it falls, the heat back up. So to be sure, we refer to the RSAM for follow-up, whether the owner of the chicken is bird flu, "said Vivi.

Latest information, said Vivi on Thursday (16 / 6), four suspect bird flu, the body heat has gone down in RSAM. "We pray that they are not tested positive for bird flu, although the chickens were examined in laboratory animals have tested positive for bird flu," please Vivi. (h / jon)



Toggletext Translation:
One Keluarga Suspect Flu Burung PDF Cetak Surel
Friday, June 17 2011 01:38

IN A VIRILE MANNER, HALUAN Satu the family had a membership of 4 people, the resident of the Koto Panjang Ellipse, Nagari Kapau, of Keca matan Tilatang Kamang, Agam, was expected terjangkit postmortem bird flu me you dak him 7 chickens maintained an him since Friday last week.

They were Efrizal (43) and his three children of Adi (14), Gilang Ramadhan (9) and Nuzuli (5.5). "Yesterday four residents Koto Panjang Kapau were reconciled by us to RSAM Bukittinggi to be carried out by the medical inspection, because of one chicken that died me you dak this was ascertained lunge at kit bird flu, the" Kapau" Community Health Centre headword through Dr Vivi Mayerni to the Course via his mobile phone, on Thursday (16/6). He said, Friday last week that only two chickens that died suddenly in his pen, then continued 2 tails more on the Saturday.

After that, the owner of the chicken fell ill hot since Monday. It was "hot that his body was very high and did not descend-descended." If descending, hot him again rose. Then to memasti would him, was reconciled by us to RSAM to be followed up, was the owner of this chicken attacked by bird flu, said Vivi.

Last information, said Vivi, on Thursday (16/6), four people suspect the bird flu, hot his body has descended in RSAM. "Kita prayed semo ga they were not positive terjangkit bird flu, despite one chicken that was checked in"

Cambodia moves to bar Thai chicken

• Published: 16/06/2011 at 12:00 AM
  

Cambodia yesterday barred imports of chicken products from Thailand after authorities raided chicken slaughterhouses in Nakhon Ratchasima for selling decomposed chicken, Xinhua news agency reported.

"The Ministry of Commerce instructs all levels of authorities along the border between Cambodia and Thailand to prevent all imports of chicken products from Thailand even though the products have phyto-sanitary certificates in order to protect our people's health," Cham Prasidh, Cambodia's minister of commerce, wrote in a directive.

The move came after Thai officials raided chicken slaughterhouses in Nakhon Ratchasima province on Monday and seized about eight tonnes of decomposed chicken.

The slaughterhouses had soaked dead chickens in a strong-smelling formalin solution before processing them as food products for human consumption.

Wachirawit Kritrittisak, deputy chief of Nakhon Ratchasima police, said police had already pressed at least 10 charges against the operators of four of the 11 slaughterhouses.

The suspects allegedly said that they typically supplied chicken carcasses to fish and crocodile farms. They told police they had bought them from middlemen.

The investigating team is gathering evidence against the operators of the other slaughterhouses, according to Pol Col Wachirawit.

Meanwhile, Nakhon Ratchasima Governor Raphee Phongbupphakit yesterday said a committee has been set up to look into claims of negligence after learning the slaughterhouses had allegedly sold to local food processors meat from chickens that had arrived at their facilities already dead.

The probe is expected to be completed in three days, Mr Raphee said.

The panel yesterday invited Pak Chong livestock chief Wibul Rattanapornwong, police chief Col Pakawat Thamde and two senior officers from Pak Chong and Klang Dong police stations to testify.

Earlier, the governor ordered a transfer of the provincial livestock chief, Suksawat Thongnoi, to an inactive post pending the probe into his conduct in relation to slaughterhouse operations in the district.

Blue ear pig disease spreads to Irrawaddy Region, Mon State

Thursday, 16 June 2011 21:22 Kyaw Kha

Chiang Mai (Mizzima) – The blue ear pig virus continues to spread. It has now reached the southern Irrawaddy Region and into Mon State in southeast Burma.

So far, six regions or states have reported outbreaks of the disease, according to the Rangoon Region Animal Husbandry and Veterinarian Department.

The virus has spread so widely due to ineffective bans on the transportation of pigs, veterinarians said.

Early this month, the Animal Husbandry and Veterinarian Department banned transporting pigs and pork into Rangoon Region.

The disease, which affects the reproductive organs and respiratory tract, was first found in the Mandalay area in February and has spread to Naypyitaw, Magway, Pegu, Rangoon, Irrawaddy and Mon states.

In early May, pathologists from the Veterinarian Institute in Thailand, who are researching the disease, visited Burma to make observations in the affected areas and offer suggestions to prevent and control the spread of disease.

In early May, although the Rangoon Region banned transporting pigs and pork from the Pegu Region, transporting pigs and pork from the Irrawaddy Region was allowed.

Rangoon Region authorities have ordered meat shops in Rangoon not to sell infected pork and said that violators would be punished. Meanwhile, the price of pork has dropped by half.

‘Earlier the price of pork thigh was 6,000 kyat (about US$ 8) per viss (1 viss =1.6 kg) but many people bought it. Now the price is just 3,500 kyat but people don’t want to buy’, a pork butcher at Thingangyun market told Mizzima.

‘To show that the pork in my shop is not infected, I hung pig heads and ears in front of my shop’, the butcher said.

A veterinarian said that the blue pig ear disease had spread from China to Burma, while another source noted that pig traders usually export pigs from Mandalay to China.

Blue spots often appear on the ears and skins of infected pigs. Because of the virus, some blood-vessels of the infected pigs are broken and the blood cannot circulate to some parts of a pig including the ears. First, red spots appear and then they turn blue, according to the Animal Husbandry and Veterinarian Department.

When the disease affects the reproductive organs, pigs can have a miscarriage or they give birth to dead or disabled piglets. When the disease affects respiratory tracts, pigs will lose their appetite, wither, run a temperature and have dripping noses and coughs, according to the department. The blue ear pig virus infection rate is more than 50 per cent.

Starting in February, state-run newspapers have periodically run articles on how to prevent the disease and authorities have launched a public awareness campaign in some townships.

On the other hand, an editor of a Rangoon-based journal told Mizzima that the government’s public awareness campaign should also be conducted in villages and in rural areas.

‘If they hear that the disease has spread to a ward, they will conduct an awareness campaign without enthusiasm only in the neighbouring wards. It’s not effective’, he said.

‘The disease has spread for a long time. They know that it is out of control. So, they should go to villages and townships in states and regions to talk directly with people in the areas. Advising people in only some areas is not enough. Some people do not read state-run newspapers’, he said.

At least 39 dead from killer bacteria outbreak in Germany

Updated: June 17, 2011Berlin:

At least 39 people have died from an outbreak in Germany of a killer strain of E Coli bacteria but the rate of new infections continues to drop, authorities said today.

The national health center, the Robert Koch Institute (RKI), added one fatality to its daily report on the Enterohaemorrhagic E Coli (EHEC) contamination, which emerged in early May.

It said the confirmed death toll in Germany itself had risen to 38, in addition to a woman in Sweden who is believed to have been infected during a visit to Germany days before she died.

Egypt reports 5 H5N1 infections, 3 fatal

Lisa Schnirring Staff Writer


Jun 16, 2011 (CIDRAP News) –
Egypt recently announced five new H5N1 avian influenza infections that occurred in May, three of them fatal, the World Health Organization (WHO) said today.

The infections were reported from four different governorates, and four of the case-patients are adults. The WHO said investigations revealed all five of the patients had been exposed to poultry that had suspected avian influenza. Their infections push Egypt's H5N1 totals to 149 cases, including 51 deaths.

The first case is in a 40-year-old woman from Aswan governorate who got sick May 14. She was hospitalized, where she was treated with oseltamivir (Tamiflu). She recovered and has been discharged from the hospital.

Two of the patients are from Menoufia governorate's Ashmoun district, a 21-year-old pregnant woman and a 16-year-old boy. The report didn't say if the two cases had any connections, besides the geographic location. They both started having symptoms on May 21.

The woman died on May 29 after she was hospitalized and treated with oseltamivir. The boy was in critical condition, but is recovering in the hospital after antiviral treatment.

The fourth case-patient is a 31-year-old man from Qaliobia governorate who got sick on May 21 and died on Jun 5 after he was hospitalized and treated with oseltamivir.

The fifth H5N1 infection was detected in a 32-year-old man from Cairo governorate who became ill on May 23 and was hospitalized and received oseltamivir. He died on Jun 2. The United Nations Food and Agriculture Organization (FAO) reported a fatal H5N1 infection in an Egyptian patient from Cairo governorate in a Jun 8 report, with few other details available other than a May 23 observation date. It's not clear if the WHO and FAO reports are referring to the same patient.

So far Egypt has reported 30 H5N1 infections this year, which exceeds the 29 cases it reported for all of 2010. However, the number of infections is still below 2009 levels, when the country saw its H5N1 case count hit 39, its highest yearly total.

Egypt's latest H5N1 infections raise the global count to 561 cases, including 328 deaths.

Cause of death is pneumonia, lung radiation?

Fukushima nuclear power plant after the accident, 11 people were killed in Japan are already pyeseomyuhwajeungeuro. In addition, these symptoms of radiation when the Chernobyl disaster was caused a lot of documents had been found to significantly. (radiation pneumonitis)"과 " 폐섬유화증 (pulmonary fibrosis) "이라고 한다.

Radiation sickness can occur in the lungs of the disease that is representative of the "radioactive pneumonia (radiation pneumonitis)" and "pyeseomyuhwajeung (pulmonary fibrosis)" is called.

.

6 people in our country are being hospitalized with pneumonia on woninmo the pregnant one was killed recently.

.

According to reports, doctors and other experts have already this disease is not contagious pathogen was not identified said.

.

If so, I conclude that the virus also semyida sex.
.

If this pulmonary fibrosis caused by exposure to the radiation if the disease is not contagious pathogen that has not been found are in accordance with said information.

Unidentified lung, 母子 raised liver · "cross-infection rather than the family seemed"

Wed, June 15, 2011 07:29:29 Reporter Lee, Youn sun@newscj.com



[Heaven Lee, Youn Daily = Reporter] acute lung disease after three two-year-old daughter to that found in children and pregnant mothers to have occurred too hwakindwae similar symptoms to health authorities launched the investigation.

14 days, according to the Centers for Disease Control confirmed acute lung cap (母子) last May of the second two-year-old child suddenly shows signs of coughing and respiratory intensive care unit at a university hospital in Seoul were treated in the hospital.

Dolbodeon by the end of May after maternal child may develop symptoms from the pulmonary fibrosis had the surgery in the hospital intensive care unit, the 11th received a lung transplant, said health officials.

The child was transferred to the general ward hojeondwae symptoms, the mother is watching to lapse after a lung transplant.

The hospital officials admitted that they "have a problem child since birth, but she forced fibrosis lung transplant do not have symptoms improved," and "family cap between the initial symptoms were similar between the infection can be seen as there is no clear evidence "he said.

Centers for Disease Control also progress or organization other than the test results can not be viewed as a family for the hepatitis is the position.

Meanwhile, the cause is unknown so far, the treatment of pneumonia batdeon maternal deaths so far, while the mother hid the four patients increased.

Maternal mortality and the causes lung disease ... the government launched full-scale
Among pregnant women with severe lung disease of unknown cause and one died yesterday.

The Ministry of Health to identify the root cause of this disease in collaboration with relevant academics decided to conduct a large study.

Last April, a large hospital in Seoul, ran 30 on the lung disease in pregnant women receiving treatment to finish yesterday has died.

This last unknown cause severe respiratory diseases and death among 12 people who have risen to four.

I do not know the cause of prevention of the disease without serious government officials to investigate and gather relevant Institute has undertaken research.

"Interview" yangbyeongguk (CDC Director): "a large-scale government funded over the long-term investigations to identify clearly the cause of disease will become."

Sometimes similar disease in the past, but a national report is the first time a systematic investigation.

Health officials attribute the case definition of disease as soon as the collection and analysis of patient samples through with rust, I'm planning in earnest.

"Interview" goyunseok (Ulsan University): "the possibility of infection is very low, it reported, but left open the possibility'm looking. In addition, environmental toxins are involved, or something like this (is planned to investigate.)"

Identification of unknown causes of diseases that would take a minimum of 1 year health officials said.

'Maternal death or' heightened tension, Asan Medical Center

'Maternal death or' heightened tension, Asan Medical Center
Unexplained respiratory diseases and hospital intensive ... "sign (死因) heavy downpour"


Continues unknown causes of deaths are increasing their focus on patients with lung disease are receiving hospital treatment, Asan Medical Center (Director bakseonguk) on the tension is rising.

Over time, patients with similar symptoms but not determine the cause of the Asan Medical Center, died in the two situations should not occur again because.

Last 14 days early"morning of the 14th", unknown cause lung disease in intensive care at the Asan Medical Center, 36 year old mother died batdeon.
At first light the two women suddenly show symptoms of cough, lung ttakttakhaejyeo forced birth, and last month was pyeyisikkkaji.However, in acute rejection after lung transplantation from complications of stroke have been reported.

Cause disease in situations where it is unclear to almost any treatment haenghaetjiman will eventually early death. This far from the same lung disease that killed four people die mother.

And now the Seoul Asan Hospital, the patients with symptoms such as hospitalized one more was known.

Last March pyeseomyuhwa hospitalized patients start showing symptoms as unexplained pneumonia cases identified so far, except for two of the power being treated at Asan Medical Center, the ICU is the situation.

Asan Medical Center official said, "Most of the patients have been treated in our hospital," said "the first known cases of mother-daughter groups also are in the hospital. My mother 11, the daughter of a large hospital in Busan, 9 days, we transported to a hospital emergency , "he explained.

Asan Medical Center, did not intend, at any moment you can not find the cause of this disease 'in intensive care hospitals' role has enabled.

Centers for Disease Control specifically directed to patients who do not, Asan Medical Center, even though patients are still flocking to this place.

At first, excellent staff and facilities, Asan Medical Center, found that the patient, but now patients with similar symptoms so far, they are all gathered here because of the fact that the analysis is Rodion.

The days of excellent doctors and facilities furnished for the recognition, even if confirmed, Asan Medical Center is not able to slow down the tension. Almost all of the hospital to interview the actual specifications, such as the nerve is gonduseo.

Hospital officials "to treat the patient's shoulders is very heavy staff. Focused national attention because the hospital euroseoneun situation very carefully and are nervous, "he told the hospital atmosphere.

Meanwhile, other cases of pregnant women and their families, known as cross-caps (母子) in the current Shinchon Severance Hospital, Kangnam, and each is being treated.

Severance Hospital official said, "Both patients receive all care in Shinchon Severance Hospital, Gangnam, the mother can be transferred for the pyeyisikyi past 11 days received single lung transplantation," and the "two-year-old son is treated in Shinchon," he said.

Fourth death in the family ... even suspected outbreak

2011-06-14 22:43
Unknown cause of deaths from severe lung infections came again.

Is already the fourth.

Within the family, as well as suspected cases of disease have been confirmed.



Treat severe lung infections of unknown cause batdeon 36-year-old mother has died, Mr. Mo Park.

The fourth is already dead.

Pregnancy 36 juyeotdeon second night he visited the hospital last March after the forced birth symptoms deteriorated and received single lung transplantation, acute rejection superimposed appeared to have died after the hemorrhage complications.

Family of suspected cases were reported in the outbreak.

26-year-old mother and 23-month-old son, late last month, health authorities are conducting investigations.

However, closure was not different in patients who are found extensive damage to the specificity.

The severe lung inflammation in the bronchiole, causing what, but a relatively good condition because the alveoli.

Maternal health authorities because of the severe lung disease is committed to clarify whether or not.

[Interview: gwonjunuk, Health and Welfare Policy Division of the disease]
"After the biopsy to obtain lung tissue into microscopic pathological lesions show no difference whether that analysis of some of the work will be done."

Check out the results dekkajineun seems to take about two weeks.

Deaths occurred in a row, and suspected cases reported to the family When my disease, public health authorities to expand the monitoring target is the intention of supporting academic research.

Pulmonary pregnant one person and determine the cause of death ...

Severe lung disease of unknown cause in pregnant women treated with batdeon died again today.

This is the fourth fatality. Health officials, academics and a large study to determine the cause and agreed to.


Last April, a large hospital in Seoul, ran to get treatment in the lung single lung transplantation in 30 pregnant women have died waiting for the end of today.

This last unknown cause severe respiratory diseases and death among 12 people who have risen to four.

When it became increasingly serious issues related to public health authorities of the emergency meeting, open to participation by all the causes for the large-scale study has been to join.

"Interview" yangbyeongguk (CDC Director): "a large-scale government funded over the long-term investigations to identify clearly the cause of disease will become."

For this study, the first systematic national survey to identify and arrange the exact size has occurred.

When cases of disease, define the nature of collecting and analyzing patient samples to determine the cause and will enter through a full-fledged.

"Interview" goyunseok (Asan Medical Center, University): "the possibility of infection is very low, it reported, but left open the possibility'm looking. In addition, environmental toxins are involved, or something like this (is planned to investigate.)"

For the investigation of unknown causes of diseases that the study would take at least one year health officials said. video

Seoul: Unidentified Lung Disease another death today

Date 14/06/2011 (19:36)

'Pulmonary pregnant' again ... the causes of death

Being admitted to a university hospital in Seoul, of unknown etiology among pregnant women with severe lung disease has killed another person.

Centers for Disease Control to investigate the causes of diseases has entered a long-term study.

Gimmincheol news reports.

"Reports>

Lung disease of unknown cause pregnant again today after one has died.

Centers for Disease Control at a university hospital in Seoul, seven people in the treatment of maternal pulmonary batdeon spoken with nine months of pregnancy 30 women were killed by adding one says today.

Shortness of breath due to the two women were admitted last April after it is ready to single lung transplantation in interstitial lung disease death is said to be discovered.

This seven people died in pregnant patients has risen to four.

The remaining 3 patients in the intensive care room and common room treatment each If you are a person, a patient was discharged.

Separately from two university hospitals in Seoul yesterday, pregnant women are hospitalized for another university and a son, and spent all 30 women and two daughters to show signs of pulmonary fibrosis, familial disease has been confirmed as cases.

Centers for Disease Control, patients and families, but they rule out a family that is not due to infection outbreaks are reported.

Meanwhile, the Centers for Disease Control and the unidentified lung disease to get into an in-depth epidemiological studies and related academic societies, and government officials today attended the meeting and opened more than 10 similar cases to determine the long-term operation beolyeonaga decided to determine the cause.

Severe pulmonary disease in the family?

Unknown cause severe lung disease is suspected in the case of the family have been identified.

But until now little known lung disease symptoms and other side of it, health authorities in the investigation is in progress.
Patients with familial disease identified in 26-year-old mother and 23-month-old son, late last month, health authorities are conducting investigations.

Like already been identified in 8 patients, the lungs showed a dramatic hardening curing symptoms of fibrosis of the lung disease bronchiolitis obliterans big feature was also observed.

However, closure was not different in patients who are found extensive damage to the specificity.

The severe lung inflammation in the bronchiole, causing what, but a relatively good condition because the alveoli.

[Interview: yangbyeongguk, Director of Infectious Disease Center for Disease Control]
"Acute interstitial pneumonia and the last part of the lung alveolar lesions occurring in the intensive compared to the characteristics of the lung rather than the alveolar bronchiole lesions in what goes in the center ..."

Maternal health authorities because of the severe lung disease is committed to clarify whether or not.

[Interview: gwonjunuk, Health and Welfare Policy Division of the disease]
"Secure the biopsy of lung tissue after the microscope toward the pathological lesions which show no difference whether there is work to analyze what is going to be there."

Check out the results dekkajineun seems to take about two weeks.

However, lung biopsy results of children and mothers with the infection does not seem to differ with each other and says.

Previously confirmed cases of 40 men after having steadily emerged as the likely onset familial, health officials monitored in the future to let pregnant women due to low immunity to the patient in the hospital is ditto.

Unknown cause lung disease, pregnant women, the first simultaneous onset within the family

Unknown cause lung disease from a pregnant mother and two year old son has been confirmed that both ill.

With pregnant women and their families suffer from this disease is the first time.

Seumulilgopin that the mother
Two days ago was undergoing surgery for lung transplantation
ICU is intensive treatment.

Was five months pregnant last April coughing begins
After ten days
Until 23 months old son were living together
Was hospitalized for such symptoms.

Both son and mother no less than a month
Hardens rapidly curing lung fibrosis
Was in progress.

Shortness of breath as she
Late last month of pregnancy 27 jumanin
Although forced to birth
No state has continued to worsen.

◀ INT ▶ baekhyochae Professor of Thoracic and Cardiovascular Surgery, Severance Hospital, Kangnam
"Unlike typical talk with patients
Shortness of breath has come pyesonsangyi rapidly. "

She is a triangle with the outbreak, including cases
Showing the same symptoms, twin brother
If the deceased was
Pregnant women and their families with the outbreak cases,
This is the first time.

◀ INT ▶ Kim Professor of Internal Medicine, Severance Hospital,
"Have not been confirmed it's contagious.
Just because it is in the same environment
There is that possibility ... "

Centers for Disease Control and
Had occurred in 8 patients at a time
Unknown cause lung disease and matched
To verify that says it took two more weeks

This time, the son of concurrent pregnancy unexplained pulmonary disease

Lung disease of unknown cause and her mother with the three outbreaks (9 to 13 reported not had), but this time you are pregnant after A (27) and Mr. A's son (2) at the same time that the disease was confirmed.

Mr. A was 5 months pregnant last April after ten days with a cough begins with symptoms such as sons, were living in Seoul was admitted to a university hospital.

A no lungs and his son in a month, both hard and progress was rapid curing fibrosis. A undergoing surgery for lung transplantation for the past 11 days in the ICU is intensive care.

A pregnant 27 weeks with respiratory distress who late last month and forced to birth a universal condition. Yep, that was the case with three ill ill while pregnant and the son is the first time. This year for the three people who died of unknown causes lung disease likely to be infected pregnant women in the family situation is not entirely be ruled out.

KCDC in the eight patients with unknown origin occurred at a time consistent with lung disease to confirm that it took two more weeks, he said.

Ministry probes mystery disease

2011-06-13 18:25
The government is keeping a close watch on three members of a family reportedly suffering from idiopathic pulmonary fibrosis.

The disease is thought to be similar to the mysterious virus which recently killed three pregnant women.

According to the Korea Centers for Disease Control and Prevention, an agency under the Ministry of Health and Welfare, a 32-year-old woman and her 6-year-old daughter, both unidentified, were admitted to a general hospital in Seoul with the disease.

The illness hardens tissue, impairing lung function. Another girl, aged 1, has been admitted to a hospital in Busan with the same symptoms ― constant coughing and breathing problems.

While the mother and the older child have been put on the waiting list for a lung transplant, the 1-year-old is too young to receive the surgery, the KCDC said.

All eyes are on whether their disease is related to the pulmonary disease that killed three of seven pregnant women who were hospitalized with it since April. If so, it will be the first case reported since May and will concern the government, which has flatly denied the possibility of a massive outbreak.

The authorities said the recent case differs from the previous disease in its pattern of development.

“Since the two children are too small to have a biopsy using a pulmonary endoscope, it is hard to get exact information. But it seems that the pattern of developing the idiopathic pulmonary fibrosis is not similar to that of the other patients reported to have similar symptoms,” a ministry official said.

“Doctors said the mother-daughter case seems to be a simple developed form of pneumonia,” Yang Byung-gook, a KCDC official, said.

Experts have detected adenovirus in one of the seven patients diagnosed with the earlier disease, but have yet to identify it or the route of infection. The government has denied that the disease is infectious since no additional patient has been reported since mid-May.

Unexplained pulmonary disease ... This time the mother and son continue to fear the onset of simultaneous Arrive

2011.06 22:07 0.13

Two year old son and 27 year old mother with severe acute lung disease of unknown etiology have been identified as showing symptoms again on the 13th, MBC said. Pregnant mother and son with the same time it took for lung disease of unknown etiology is the first time.

According to this announcement, the mother was five months pregnant and cough last April and recently more rapidly at a university hospital in Seoul under a lung transplant, being in intensive care in the ICU. Have started with a cough at the beginning of life was 23 months old son came down with similar symptoms of lung disease. Mother and son are almost identical to the symptoms that you describe the patient's guardian and caregiver. Both son and mother in a month, no curing lung stiff lung fibrosis progression was rapid.

Yep, even the day before with three unexplained cases of lung disease was known in the jam, the twin brother of the deceased to show the same symptoms, but pregnant women and their families with the outbreak was the first time that the broadcast said. However, patients with similar symptoms before pregnancy and in the lung, such as caps on the patient took at least 2 weeks it took to confirm that this announcement, citing the Centers for Disease Control, said.

For the broadcast year, only three people that died of unknown causes lung disease infected pregnant women in the family had been unable to rule out the possibility entirely, said.

'lung' ... family is still in question onset

Suddenly, the lungs become hard and lung disease of unknown cause, even today, after yesterday confirmed cases of interfamily.

The authorities concluded that it rolls down the contagious, the fire of controversy remains.

Medicine is a professional journalist Kwangsik.

"Reports>

Hospitalized for breathing difficulties late last month in Seoul and then surgery for lung transplantation at a university hospital's 23-month-old son, 26 year old pregnant woman was found from the pyeseomyuhwa phenomenon.

Families will be checked again in the additional cases of.

Earlier yesterday, a mother and two daughter in a family with severe acute lung disease outbreak was also reported cases.

"Interview" interstitial pneumonitis, family caregivers: "(bottled geolringe) is the youngest'm the difference between a month or so. Saljjarineun mother and six a week or so."

They have in common is rapid breathing hard as interstitial pneumonitis, lungs become hard.

As the outbreak spread within families interested in whether Le successively drawn, but health authorities are still deny the possibility.

"Interview" yangbyeongguk (Centers for Disease Control Infectious Disease Management Center): "According to our investigation there may be among family members is infected with pathogens that cause has not been separated."

Until now, the lung disease, pregnant women in three people who died.

However, as seen in familial cases of non-pregnant adults and children are salient.

In fact, for the past five years Excluding pregnant adults or children with this disease has killed 472 people.

"Interview" bakjundong (Seoul National University and Professor of Child and Adolescent): "In patients who are 12-36 months from February to June each year will feature heavily on the causes."

The problem is not yet known the cause is unknown to even have prevented.

"Interview" yangbyeongguk (Centers for Disease Control Infectious Disease Center): "We do not know many related diseases that are the limits of modern medicine."

Accordingly, the causes for the efforts of health authorities and scientists is a more desperate situation.

Video

Add unconfirmed cases of acute pulmonary disease confirmed in family

In a university hospital in Seoul, unidentified cases of acute lung disease in the family that was further confirmed.

Symptoms of cough, dating back to last April 27 pregnant 27 year old pregnant woman last week, an unidentified owner of acute lung hwakindwae cesarean deliveries over the weekend after receiving a lung transplant, is currently hospitalized in the intensive care unit.

Three year-old eldest son of pregnant women in the last May there was a recent unconfirmed acute cold symptoms, was diagnosed with pulmonary disease being treated in hospital.

Centers for Disease Control did not come out the biopsy results yet, but the staff positions of the clinical course of these lung diseases is similar to the unknown says.

Unidentified acute lung 'familial disease Add ' Check

Unconfirmed cases of acute lung disease within the family is ill and has been confirmed.

A university hospital in Seoul last April and had a 27 year old pregnant women with symptoms of cough, acute lung disease, suffering from an unidentified confirmed last week that six million.

Women through a caesarean section last weekend, received a lung transplant.

The two women from the three year old son last month show signs of a cold recently been diagnosed with unidentified acute lung disease is treated in the hospital.

Unidentified lung disease found in family members

SEOUL, June 12 (Yonhap)

-- South Korea has detected what could be seen as the first case of members of the same family suffering from an unidentified severe acute lung disease, the state-run disease control agency said on Sunday.

A 32-year-old woman and her 6-year-old daughter were hospitalized in Seoul after their lung tissues became hardened and they had difficulties breathing, according to the Center for Disease Control (CDC).The mother and the daughter, who currently rely on respirators to breathe, are waiting to undergo lung transplant surgery, according to the center. The CDC has conducted tests on tissue samples taken from them.The case is raising fears over the spread of an unknown virus, which might have caused the deaths of three pregnant women since May.

A 36-year-old woman died in early May in the intensive care unit at a Seoul hospital due to an unidentified virus, the first of its kind in Korea, after being admitted in April for tuberculosis. The woman was pregnant when she was hospitalized.

HATTIP RORO

Drug resistant, the H1N1 virus mutated in Singapore and Australia

June 12, 2011 04:04
Singapore - Researchers to the World Health Organization (WHO) states that the H1N1 flu virus that has swept the world in 2009 has been mutated, and now appeared in Singapore and Australia.

New H1N1 virus has a stronger genetic so it is more resistant to drugs such as Tamiflu and Relenza, which is believed to be the mainstay drugs to cope with the H1N1 virus.

Page channelnewsasia.com states, WHO hypothesis was obtained after the researchers found that given the suspect bird flu drug Tamiflu and Relenza was no longer able to cope with the virus attack.

The researchers said the H1N1 virus resistant to Tamiflu, and patients with weak immune eventually died.

But laboratory tests showed the drug was still effective Peravimir flu virus H1N1 overcome.

WHO also reveal new variants in other parts of Asia Pacific. It is feared that if the new form will trigger the spread of swine flu H1N1 virus resistant to the drug would be more serious.

Germany blames sprouts for E. coli outbreak, experts say cook them first to be safe

Excerpt:

E. coli can stick to the surface of sprout seeds.

"They can lay dormant on the seeds for months," said Stephen Smith, a microbiologist at Trinity College in Dublin.

Unfortunately for sprout-eaters, the germs are then inside the sprout as well as outside.

At that point, "washing has no effect," Smith said.

The European Food Safety Authority doesn't recommend avoiding certain foods, but advises consumers to take basic precautions, like washing all fruits and vegetables with clean water and peeling or cooking them when possible.

For now, German authorities are recommending people avoid all sprouts.

[Click on title]

Cambodian girl dies of H5N1

English.news.cn 2011-06-10 17:51:51

FeedbackPrintRSS

PHNOM PENH, 2011-06-10 17:51:51 June 10 (Xinhua) --

Cambodia's Ministry of Health and the World Health Organization announced Friday that a seven- year-old girl from the eastern province of Prey Veng has died of avian influenza H5N1.

The girl died on June 7 as a result of respiratory complications after contracting human avian influenza virus H5N1, said a joint statement sent to the media.

"The girl is the 16th person in Cambodia to become infected with the H5N1 virus and the 14th person to die from complications of the disease since 2005," it said.

The patient became sick on May 24 and she was initially treated by private practitioners; however, her condition continued to worsen and she was later brought to Kantha Bopha Children Hospital in Phnom Penh for treatment on May 31, where she died on June 7.

"Avian influenza is still a threat to the health of Cambodians. Compared to last year, we have seen more H5N1 cases this year and children appear to be most vulnerable," the Minister of Health Mam Bunheng said in the statement.

"I would like to urge parents and guardians to keep children away from sick or dead poultry and if they develop signs of respiratory infections, they should be brought to medical attention at the nearest health facilities as soon as possible," he added.

German tests link bean sprouts to deadly E. coli

10 June 2011 Last updated at 05:14 ET

New data released in Germany strongly suggest that locally produced bean sprouts were, as suspected, the source of the deadly E. coli outbreak.

"It's the bean sprouts," said Reinhard Burger, head of Germany's centre for disease control

New data released in Germany strongly suggest that locally produced bean sprouts were, as suspected, the source of the deadly E. coli outbreak.

"It's the bean sprouts," said Reinhard Burger, head of Germany's centre for disease control.

"People who ate sprouts were nine times more likely to have bloody diarrhoea than those who did not," he added.

He warned that the outbreak, which has killed 29 people and sickened some 3,000, was not over.

It also generated a crisis for EU vegetable-growers, with Spanish cucumber producers wrongly blamed for the contamination.

Mr Burger, who heads the Robert Koch Institute, told reporters on Friday that even though no tests of the sprouts from a farm in Lower Saxony had come back positive, the epidemiological investigation of the pattern of the outbreak had produced enough evidence to draw the conclusion.

The institute, he added, was lifting its warning against eating cucumbers, tomatoes and lettuce, but keeping it in place for the sprouts.

Virus hits Queen Elizabeth's swans

08 June 2011

More than 180 of Britain's Queen Elizabeth's swans have died on the River Thames due to an increase in the duck virus enteritis.

Around 180 of Britain's Queen Elizabeth's swans have died due to an increase in duck virus enteritis.

The mute swan population of the River Thames in South East England have suffered as a result, and David Barber, the queen's swan marker, believes fewer cygnets will be born as a result.

He said: "Unfortunately more than 180 swans were found either dying or dead on the river between Reading and Windsor, with over 115 deaths being reported in the Windsor area alone.

The dead swans included many of the Thames' new breeding pairs and we anticipate that fewer cygnets will be born this year as a result of the outbreak.

"The dead swans included many of the Thames' new breeding pairs and we anticipate that fewer cygnets will be born this year as a result of the outbreak."

The harsh winter in the UK and a rise in the number shot by yobs has also contributed to the increase in deaths.

He added: "Vandalism is one of the primary causes of fatalities among mute swans and young cygnets.

"The number of attacks has continued to increase over the past year. Shootings by youths with air rifles and catapults cause horrific injuries and slow deaths."

Cucumbers back in E coli spotlight

• June 09, 2011 6:16AM

CUCUMBERS are back on the radar of German health authorities as the possible cause of an E coli outbreak in Europe that has killed at least 26 people and sickened more than 2700 others.

Two weeks ago, investigators blamed cucumbers from Spain for the deadly outbreak and then later ruled them out as the source.

Then, the focus shifted to sprouts from northern Germany, but none that were tested turned out to be contaminated with the bacteria strain blamed for the outbreak.

Now, suspicions have fallen on a cucumber of an unknown country origin that sickened a family in eastern Germany.

The cucumber - the first food found to be contaminated with the strain that has sickened thousands - was in the family's compost, but there is no conclusive evidence that it's the source.

"It's unclear whether the cucumber infected the people, or the people the cucumber," said Holger Paech, the spokesman for Saxony Anhalt state's health ministry.

The father of the family had diarrhoea, the mother was admitted to hospital for several days and their 22-year-old daughter is among about 700 people across Europe with a severe complication that can lead to kidney failure.

She has been in hospital for almost two weeks.

"The family was sick," Mr Paech said. "So, they could have contaminated the cucumber instead of the other way round."...

Genetic drift evolution under vaccination pressure among H5N1 Egyptian isolates

The highly pathogenic H5N1 is a major avian pathogen that intensively affects the poultry industry in Egypt even in spite of the adoption of vaccination strategy. Antigenic drift is among the strategies the influenza virus uses to escape the immune system that might develop due to the pressure of extensive vaccination.

H5N1 mutates in an intensified manner and is considered a potential candidate for the possible next pandemic with all the catastrophic consequences such an eventuality will entail.

Methods:
H5N1 was isolated from the pooled organ samples of four different affected flocks in specific pathogen free embryonated chicken eggs (SPF-ECE). A reverse transcriptase polymerase chain reaction (RT-PCR) was performed to the haemagglutingin and neuraminidase.

Sequencing of the full length haemagglutingin was performed. Sequence analyses of the isolated strains were performed and compared to all available H5N1 from Egyptian human and avian strains in the flu data base.

Changes in the different amino acid that may be related to virus virulence, receptor affinity and epitope configuration were assigned and matched with all available Egyptian strains in the flu database.

Results: One out of the four strains was found to be related to the B2 Egyptian lineage, 2 were related to A1 lineage and the 4th was related to A2 lineage. Comparing data obtained from the current study by other available Egyptian H5N1 sequences remarkably demonstrate that amino acid changes in the immune escape variants are remarkably restricted to a limited number of locations on the HA molecule during antigenic drift.

Molecular diversity in the HA gene, in relevance to different epitopes, were not found to follow a regular trend, suggesting abrupt cumulative sequence mutations. However a number of amino acids were found to be subjected to high mutation pressure.

Conclusion: The current data provides a comprehensive view of HA gene evolution among H5N1 subtype viruses in Egypt.

Egyptian H5N1-AIVs are constantly undergoing genetic changes and reveal a complex pattern of drifts. These findings raise the concerns about the value of using influenza vaccines in correlation with the development of antigenic drift in influenza epidemics.

Author: Ahmed Abdel-MoneimManal AfifiMagdy El-Kady
Credits/Source: Virology Journal 2011, 8:283

Another Outbreak of E. Coli in Germany

June 7, 2011

Another 94 people have been infected with E.coli in Germany. That figure comes as European ministers meet in Luxembourg to hold emergency talks on the outbreak and how to deal with it. Video courtesy Sky News.

No source of killer bug as toll hits 25

• June 08, 2011 6:13AM

GERMANY was no closer overnight to discovering the source of the killer E. coli bug that has so far killed 25 people, after tests on a suspected source proved negative.

The latest confirmed victims were two elderly women from Lower Saxony who died from complications linked to the bacteria. The number of sick people has climbed to more than 2300, AFP reported.

The number of sick Americans has also risen from four to six, The Wall Street Journal said. Two were US military personnel who were based in Germany. The other four were travelling in Hamburg in May. Three developed hemolytic-uremic syndrome and were admitted to hospital while the fourth developed bloody diarrhea...

Has E.coli claimed its first life in America? Fears after Virginia girl dies

A two-year-old girl in America who died at the weekend was found to have E.coli, prompting fears the killer bacteria has reached the U.S. 'The lab results confirm the presence of E.coli 0157:H7,' Mr Parker said.

The child, from Dryden, Virginia, died at Johnson City Medical Center Sunday after being exposed to the lethal strain.

According to Tricties.com, Virginia Department of Health Public Information Officer Robert Parker said tests proved the bacteria was in the child

'That's a strain of E.

The website says a Washington County, TN Sheriff's Office Coroner's Report says the child was brought to the medical center Pediatric Intensive Care Unit with bloody diarrhea after she was 'believed to be exposed to E. coli from a contaminated pool.'

Her brother was also been brought in with similar symptoms.

So far the bug has killed at 22 people and left 2,300 seriously ill.

And the virulent strain shows no sign of stopping as more cases of people falling ill from E.coli are confirmed in America.

Tricities.com reported the Northeast Regional Health Office Medical Director Dr. David Kirschke confirmed a similar severe strain in Northeast Tennessee.

Dr. Kirschke said a Northeast Tennessee child is suffering complications in a Knoxville hospital and there are seven other confirmed cases of E. coli from four Northeast Tennessee counties.

'Everyone is doing fine,' Dr. Kirschke said of the seven people. 'From the initial tests, these look like the less severe type of E coli. We are treating it like an outbreak. We are investigating it like an outbreak.'

Authorities have instructed people to thoroughly cook their meat, wash raw fruits and vegetables, and avoid swimming in places like rivers and lakes that could have access to agricultural run-off.

coli that causes severe illness.'

Germany says no proof organic sprouts caused E. coli outbreak; expert calls probe a 'disaster'

HAMBURG, Germany (AP)

First they pointed a finger at Spanish cucumbers. Then they cast suspicion on sprouts from Germany. Now German officials appear dumbfounded as to the source of the deadliest E. coli outbreak in modern history, and one U.S. expert called the investigation a "disaster."
Backtracking for the second time in a week, officials Monday said preliminary tests have found no evidence that vegetable sprouts from an organic farm in northern Germany were to blame.
The surprise U-turn came only a day after the same state agency, Lower Saxony's agriculture ministry, held a news conference to announce that the sprouts appeared to be the culprit in the outbreak that has killed 22 people and sickened more than 2,330 others across Europe, most of them in Germany, over the past month.
Andreas Hensel, head of Germany's Federal Institute for Risk Assessment, warned, "We have to be clear on this: Maybe we won't be able anymore to identify the source."
Last week, German officials pointed to tainted cucumbers from Spain as a possible cause, igniting vegetable bans and heated protests from Spanish farmers, who suffered heavy financial losses. Researchers later concluded the Spanish cucumbers were contaminated with a different strain of E. coli.

EHEC recommended: Early neurological therapy

Hundreds of people are currently using a hemolytic-uremic syndrome in German hospitals, particularly in the north. Note the neurological disorders. The professional society recommends therefore, neurologists involved early in the therapy.
BERLIN (NES). The current wave of EHEC is special - not only because of the rare pathogen and the size of the outbreak, but also because of the neurological consequences for patients.
The German Society of Neurology (DGN) reported about half of patients with hemolytic-uremic syndrome (HUS), which may suffer from severe and sometimes irreversible neurological disorders.
As alarming call it the two Hamburg neurologist Professor Joachim Roether and Professor Christian Gerloff, that the neurological condition in spite of early plasmapheresis does not improve or even deteriorating.
Gerloff is director of neurology at the University Hospital Hamburg-Eppendorf (UKE), Roether is Chief of Neurology at the Asklepios Clinic Altona. Hamburg, Schleswig-Holstein to the trouble spot of the current wave of EHEC.
Apparently striking is the early appearance of neurological symptoms.
Gerloff, 'You can already develop simultaneously with renal and gastroenterological symptoms. " Crucial features of HUS are bloody diarrhea, hemolysis, and renal dysfunction.


On the neurological symptom complex in HUS the first professional association is one of confusion, reduced vigilance, irritability and delirium. There are also many cases in aphasia and apraxia, and disturbances of the brain stem functions. In severe cases, patients develop myoclonic seizures and sometimes that can lead to coma. The neurologists suspect the cause of these symptoms in the Shiga toxin 2, the EHEC releases. In addition to the hemolytic effect of the toxin leads to a swelling of the vascular endothelium. As a result, the toxin could also lead to a widening of the intracranial vessels and a disturbance of autoregulation in the kidneys.
Also could play the complement cascade at the neurological deficit involved. Nephrologists suggest that Shiga toxin can activate the cascade, such as by binding to the C3 convertase of the alternative activation pathway.

One therapeutic approach is the monoclonal antibody eculizumab, which inhibits the C5 convertase and therefore interrupts the terminal cascade. Initial success in the current HUS cases were hospital doctors reported already. Whether the drug is a general treatment option, however, so far the doctors can not yet be estimated.
The neurologist and Gerloff Röther argue, given the severe neurological responses for 'drastic therapeutic measures'. Also, she said eculizumab should be considered in each case. UKE on 30 patients treated so far are just that, at the Asklepios Clinic in Hamburg-Altona five. At the first neurological abnormalities to speak both in favor of early anti-shock therapy, such as anti-epileptic levetiracetam. Diagnostic method of choice is the MRI, the findings are more sensitive than CT.


[link to www.aerztezeitung.de]
A Hatttip to Tetano

E.coli in Canada

3:32 PM
TORONTO – An Ontario man has Canada's first suspected case of E.coli linked to the deadly outbreak in Europe.


The Ministry of Health and Long-Term Care says the Peel Region man travelled to Germany earlier this spring where he ate local salad products.

The outbreak has also spread to the U.S. where four people in Atlanta were apparently sickened by the bacteria while visiting northern Germany last month.
In Canada, some farmers fear the outbreak is already proving bad for business.

The organization that represents Ontario's greenhouse vegetable growers says some of its members have reported a drop in sales as demand slips on news the source of the deadly bacteria remains unknown.

Sprouts from northern Germany were ruled out as the cause of the outbreak, as were contaminated cucumbers from Spain last week. Officials are focusing tests on tomatoes, cucumbers and lettuce from the EU to pinpoint the cause of the outbreak that has sickened thousands and left over 20 people dead

A spokesman for the Ontario Greenhouse Vegetable Growers ..

Official: Mich. resident sickened in outbreak

Jun 6, 2011 5:39am

DETROIT (AP) — A heath official says a Michigan resident who recently was in northern Germany is among four people in the U.S. apparently sickened by the food poisoning outbreak in EuropeKelly Niebel, a spokeswoman for the Michigan Department of Community Health, tells The Detroit News for a Monday story that the person is recovering in southeast Michigan.
The Centers for Disease Control and Prevention on Friday announced that three of the four were hospitalized with kidney failure, a complication of E. coli that has become a hallmark of the outbreak. The News reports the person from Michigan had kidney failure.
The E. coli outbreak in Europe that's linked to vegetables has killed 22 people and sickened more than 2,200.

E. COLI O104 - EUROPEAN UNION (11): CASE UPDATE, POSSIBLE SPROUT

05-JUN-2011
Subject	PRO/AH/EDR> E. coli O104 - EU (11): case update, poss. sprout source

SOURCE
Date: Sun 5 Jun 2011
Source: Associated Press [edited]
<http://news.yahoo.com/s/ap/20110605/ap_on_he_me/eu_contaminated_vegetables_europe>


Initial tests have confirmed that bean sprouts grown in northern
Germany are the likely cause of an _E. coli_ [O104:H4] outbreak that
has killed at least 22 people and sickened over 2200, an agriculture
official said Sun 5 Jun 2011.

Different kinds of sprouts from one organic farm in the greater
Uelzen area, between the northern cities of Hamburg and Hanover, could
be traced to infected persons in 5 different German states, Lower
Saxony Agriculture Minister Gert Lindemann told reporters. "There were
more and more indications in the last few hours that put the focus on
this farm," Lindemann said at a press conference in Hanover.

"Many restaurants that suffered from an _E. coli_ outbreak had those
sprouts delivered," his spokesman, Gert Hahne, told The Associated
Press. The farm was shut down Sunday [5 Jun 2011], and all of its
produce, including fresh herbs, fruits, flowers and potatoes, was
recalled. At least one of the farm's employees was also infected with
the _E. coli_ bacteria, the minister said.

Lindemann said 18 different sprout mixtures were under suspicion,
including sprouts of beans, broccoli, peas, chickpeas, garlic lentils,
mungo beans and radish. The sprouts are often used in mixed salads.
Lindemann urged Germans to not eat sprouts until further notice and
said definitive test results would be available Monday [6 Jun 2011].
He said authorities could not yet rule out other possible sources for
the outbreak and urged Germans to continue avoiding tomatoes,
cucumbers and lettuce until further notice.

Sprouts have been implicated in previous _E. coli_ outbreaks,
particularly one in Japan in 1996 where tainted radish sprouts were
found to have killed 12 people and reportedly sickened more than 12
000 others.

The current crisis is the deadliest _E. coli_ outbreak in modern
history.

The head of Germany's national disease control center raised the
death toll to 22 people on Sunday [5 Jun 2011], 21 in Germany and one
in Sweden, and said another 2153 people in Germany have been sickened.
That figure included 627 people who have developed a rare, serious
complication of the disease that can cause kidney failure. Ten other
European nations and the USA have reported a total of 90 other
victims.

[Byline: Kirsten Grieshaber and Tomislav Skaro]

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

[As the overall number of cases continues to accumulate, it is now
reported that German-grown sprouts may well be the major vehicle. It
is not clearly stated whether the outbreak organism has been isolated
from sprouts, but it is reported that a worker from the farm acquired
the infection. If this farm is the primary source of the organism, the
next step is to find out from where the presumed manure fertilizer
source was obtained. The organism itself is distinctly unusual, and
efforts should be made to try to assess how Mother Nature put the bug
together. - Mod.LL]

EHEC outbreak: Update 8

05-06-2011

In Germany the outbreak of enterohaemorrhagic E. coli (EHEC) continues.

Haemolytic uraemic syndrome (HUS)

As of 05 June at 10:00 CET, Germany had reported 627 cases of HUS (including 15 fatalities): 54 more than the previous day.

Enterohemorrhagic Escherichia coli (EHEC)

As of 05 June at 10:00 CET, 1536 cases of EHEC infection (without HUS) had been reprted in Germany (with 6 fatalities): 108 more than the previous day.

Other countries

As of 05 June at 18:00 CET, 11 other European countries had reported a total of 31 HUS (with 1 fatality) and 71 EHEC cases (with 0 fatalities):

Country	HUS	EHEC
Austria	0	2
Czech Republic	0	1
Denmark	7	11
France	0	10
Netherlands	4	4
Norway	0	1
Poland	1	0
Spain	1	0
Sweden	15	31
Switzerland	0	3
United Kingdom	3	8

In addition, the Centers for Disease Control and Prevention in Atlanta, United States of America, had earlier published information on 2 cases of HUS in the United States linked to this outbreak.

All except 1 of the above HUS and EHEC patients had travelled to or from Germany during the incubation period for infection, typically 3–4 days after exposure (range 2–10 days). An increasing number of cases is laboratory confirmed as EHEC serotype O104:H4 or, more precisely, a strain of enteroaggregative verocytotoxin-producing E. coli (EAggEC VTEC) O104:H4. All of the affected countries are reporting their cases to the German authorities and WHO. European Union countries are also sharing information through the secure Early Warning and Response System (EWRS).

Note

EHEC and HUS have exclusive notification categories, so case numbers should not overlap. The figures in any rapidly evolving outbreak, however, are provisional and subject to change for a variety of reasons.

killer germ EHEC - shoots suspected

Source appears to be a factory in Lower Saxony

Sprouts from a production facility in the district of Uelzen (Lower Saxony) are, according to Lower Saxony's agriculture minister Gert Lindemann (CDU) is a recognizable source of EHEC epidemic. When an employee therefore an EHEC infection was detected, another staff member was also suffering from diarrhea.

However, the minister said: ". We can not recognize that the farmer with a fault in the development of" some sprout mixtures of the operation thus imports from abroad.

The conclusions drawn from 19 different types of seed sprouts have been supplied to restaurants and bars as well as health food shops and weekly markets. According to initial findings, but they were not included in other retail outlets.

In the press conference as Minister of the product among others, the suspected "Sprossfit mild blend ', and it contains sprouts from alfalfa, fenugreek, mung beans, lentils, adzuki beans.

The sprouts were supplied directly or through intermediaries of restaurants in Hamburg, Schleswig-Holstein, Mecklenburg-Western Pomerania, Hesse and Lower Saxony - the spreading area of ​​the intestinal disease!

The operation of the district Uelzen is closed since Sunday, the product was recalled.

Nor the EHEC pathogens in sprouts is not established, however, in the laboratory. So far, the study results are based solely on the trade routes.

Nevertheless, it was certain that a "very strong track down the source of infection" had. "The sequence of events shows very, very strongly that the rungs of a very, very likely to be a clear source of the pathogen," said Lindemann.

The first six major outbreaks of EHEC pathogen can be, according to the Lower Saxony State Office for Consumer Protection (LAVES) supplies the manufacturer shoot back.

According to the Office three canteens in Hesse and North Rhine-Westphalia and three catering establishments in Lower Saxony and Schleswig-Holstein, intermediaries from the nursery in Bienenbüttel district Uelzen were supplied.

The Ministry recommends to refrain currently on the consumption of sprouts. It can not be excluded that the contaminated with EHEC pathogens goods had already been fully processed and sold.

The manager of the establishment concerned, Klaus Verbeck said the "New Osnabruecker Zeitung" that he could make no sense to the allegations against its products. The salad bars would grow only from seed and water and were not fertilized at all. In other divisions of the court will not use animal manure, not even horn meal, Verbeck said the newspaper.

Both samples were investigated in the past two weeks on your own behalf, as well as studies of the food control had been no EHEC strain result of its products. According to Lindemann, the shoots are produced in the operation in 38 degree hot water vapor. "Optimal conditions for the growth of EHEC pathogen," said Lindemann. The pathogen could have been imported already with the seed from which the shoots were produced.

According to Lindemann at the start, shaft and shoots were investigated as a possible cause already.

"But then there was a restriction on three types of vegetables," he said, referring to the warning of cucumbers, tomatoes and lettuce. In a total of 500 samples of vegetables so far no EHEC pathogens through the Lower Saxony State Office has been established. Lindemann did not lift yet on Sunday, the consumption warning tomatoes, cucumbers and lettuce.

Meanwhile, 21 deaths to be associated with EHEC. Nationwide, more than 1,500 cases of EHEC and 620 HUS cases have been reported.

Sprouts were already in Japan 1996 fall associated with EHEC disease is suspected. A final confirmation of the suspected but had not revealed Michael Kuehne said of LAVES. A wave of disease by shoots in Europe is not the LAVES known, he said.

Germany: Sprouts likely cause of E. coli outbreak

HAMBURG, Germany (AP) -- Health authorities say locally grown beansprouts in northern Germany have been identified as the likely cause of an outbreak of E. coli that has killed at least 22 people and sickened hundreds in Europe.
Lower Saxony agriculture ministry spokesman Gert Hahne told The Associated Press his state is sending an alert warning people to stop eating the sprouts, which are often used in mixed salads.
Hahne said official test results have not yet conclusively shown that the Lower Saxony-grown sprouts are to blame but "all indications speak to them being" the cause.

E. Coli Outbreak Now at 22

The death toll linked to Germany’s E. coli outbreak has risen to 22, the European Centre for Disease Prevention and Control said in an e-mailed statement today.