WHO/Europe: Coronavirus infections: new strain identified

05-12-2012

In September 2012, WHO was alerted to the identification of a novel coronavirus in two patients from Saudi Arabia and Qatar who presented with symptoms of severe respiratory disease. Upon further investigation, a total of 9 cases, 5 of which were fatal, have been identified since April 2012 and reported to WHO under the International Health Regulations (IHR) in three countries, Saudi Arabia, Qatar and Jordan. This particular strain of coronavirus has not been previously identified in humans and the characterization of the full genome sequence of the virus indicates that it belongs to a novel species of coronavirus in the genus Betacoronavirus that is distinct from other known coronaviruses and severe acute respiratory syndrome (SARS).

Background

Coronaviruses are a large family of RNA viruses capable of infecting humans and a number of animal species. In humans, coronaviruses may cause a range of illnesses, from the common cold to SARS. Currently, 4 coronaviruses are known to circulate in the human population, HCoV-229E, -OC43, NL63, and –HKU1, where they usually cause mild to moderate upper-respiratory tract illness. Viruses of this family cause a number of animal diseases.

WHO/Europe will continue to provide input to all aspects of this response. In this way, more information on transmission, severity and clinical impact will be obtained and disseminated to Member States.

http://www.euro.who.int/en/what-we-do/health-topics/communicable-diseases/influenza/news/news/2012/12/coronavirus-infections-new-strain-identified 

Vietnam: More Information on Suspected H5N1 Avian Influenza Death, Tested Negative

[Here is another article on the death in Vietnam.  If he was transferred there over the weekend, and was there for 5 days, he could have died last Saturday, as the previous article stated that he died "over the weekend".]

(SGGP). - Dinner at 3-12, Dr.-BS Nguyen Van Vinh Chau, director of the Hospital for Tropical Diseases Ho Chi Minh City, said suspected cases of avian influenza A/H5N1 died after being treated here. That NVS patients (42 years old, live in Kien Giang) is transferred from the hospital in Binh Duong to the Hospital for Tropical Diseases Ho Chi Minh City over the weekend in a state of high fever, cough, sore throat, shortness of breath ...

X-ray results reported patients with large cardiac shadow, pleural effusion associated with clinical symptoms doctors suspected of being infected with influenza virus A / H5N1. HCMC Hospital for Tropical Diseases and the Pasteur Institute in Ho Chi Minh City have taken swabs from molecular biological tests but showed negative results for influenza A/H5N1 virus.

After 5 days of active treatment, patients with S. died of severe pneumonia, acute respiratory distress ... Mr. S. are working women in the town of Thuan An, Binh Duong. Before admission, he visited the home in Kien Giang and eat ducks die from farming families.

http://www.sggp.org.vn/ytesuckhoe/2012/12/305799/

How animals spread diseases to us

By Tara C. Smith Slate.com

IOWA CITY — "Everybody knows that pestilences have a way of recurring in the world; yet somehow we find it hard to believe in ones that crash down on our heads from a blue sky." — Albert Camus, "The Plague"
In May, 1997, a 3-year-old boy was admitted to an ICU in Hong Kong after suffering from influenza for a week. Two days later, the boy died of pneumonia. His case would have been merely a curiosity if it weren't for 17 more patients who came down with the illness months later. In all, six people died from a strain of influenza that had never been seen in humans before, dubbed H5N1.
However, H5N1 wasn't really "new." It had caused outbreaks in Scottish chickens in 1959 and British turkeys in 1991. It had killed geese in Guangdong, China, in 1996. But these bird outbreaks weren't considered important by physicians or researchers on human disease — this was an avian strain of influenza, and it was thought that humans had little to be concerned about.
That changed abruptly in 1997, when the human cases led to the destruction of 1.3 million chickens in Hong Kong to stop the outbreak. That strategy seemed to work in the short term, but H5N1 has since surfaced in more than two dozen countries and caused more than 600 human infections since 1997 — almost half of them fatal.

Continued:  http://clintonherald.com/topnews/x983018961/How-animals-spread-diseases-to-us

DHS seeks help in quickly detecting agricultural pathogens

2012-12-05

By: Jacob Goodwin

Coping with avian influenza

DHS is gathering information from potential small business 8(a) contractors about how they might assist the department by developing field-deployable detection systems that can detect agricultural pathogens -- such as foreign animal diseases and certain pests -- within minutes.

DHS wants to be able to use such detection systems during a disease outbreak or during routine surveillance, explains a notice published by the department’s chief procurement officer on Dec. 5.
“The cost to deploy tests must be inexpensive due to a large number of samples that are anticipated for processing,” says the notice.

The agricultural pathogens that DHS would like to be able to detect and identify include such foreign animal diseases as avian influenza, classic swine fever, foot-and-mouth disease, rift valley fever and others. The partial list of pests that concern the department includes Mediterranean fruit flies, bark and ambrosia beetles, Khapra beetles, potato brown rust and others.

The chief procurement officer emphasized that his office is only issuing a Request for Information (RFI), and has not committed itself to any future procurement. The department plans to conduct a workshop, “where capable contractors could demonstrate their capabilities in providing analytical approaches to meeting the possible future government needs,” explains the notice.
Further information is available from Vaughn Oswald, a contract specialist, at 202-254-2406 or vaughn.oswald@dhs.gov

http://www.gsnmagazine.com/node/27968?c=disaster_preparedness_emergency_response

Nature News: FDA under pressure to relax drug rules

Industry says antibiotic pipeline is being blocked by overly stringent clinical-trial requirements for new treatments. Heidi Ledford 04 December 2012 The latest skirmish in the battle between human and microbe played out on 29 November in a hotel conference room in Silver Spring, Maryland. There, an assembly of scientists and clinicians debated the merits of an experimental antibiotic. For some, the coveted prize was not just an endorsement of the drug itself, but a sign that the US Food and Drug Administration (FDA) is finally ready to rethink its clinical-trial requirements for antibiotics — requirements that the drug industry says are unrealistic. The number of FDA approvals of new antibiotics has dropped even as multi-drug-resistant strains of bacteria have proliferated. FDA advisers at last week’s meeting did recommend approval of telavancin (Vibativ) — a derivative of vanco­mycin — for the treatment of hospital-acquired pneumonia when alternative drugs are not suitable. But that vote came nearly two years after the FDA had rejected the drug for a second time because clinical data did not measure up to the agency’s guidelines. Continued:

India: Two Separate Suspected Outbreaks in Birds

On December 3rd, I reported several dead cranes in Amreli, Assam here. Today, I reported a story of at least 50 Great Cormorant, that died in Kaziranga National Park, here. It is hundreds of miles between the two.

Left Postmark: Amreli; Right: Borbeel

India: Migratory birds die in Kaziranga National Park,probe ordered

Kaziranga National Park

December 04, 2012
At least 50 Great Cormorant migrant birds have been found dead inside the Kaziranga National Park, a world heritage site, following which a probe has been ordered.
The birds were found dead at Borbeel in Bagori range on November 28 last.
"We are concerned at the death of the winged creatures who are annual visitors to the park from other places in Assam and north India. A probe has been ordered", Assam chief conservator of forest and director KNP N K Vasu told PTI.

"The Centre for Wildlife Rehabilitation and Conservation (CWRC) and the state veterinary department were called. Samples were collected and they would soon submit a report", he said.
Initial reports suggested it could be a result of poisoning but later findings ruled it out. "So we called experts from the North Eastern Regional Disease Diagnostic Laboratory for a probe and the report is expected soon", Vasu said.
Samples were collected and a team headed by deputy director of the state veterinary department and his team had reached the spot the next day for verification, he said.
"We observed the behaviour of fishes and pelicans inside the park and found no change. There was also a possibility of avian influenza but that was also ruled out", the director said.
All the 152 forest camps inside the 840 sq km park were asked to report about about any death of avians but after that date nothing was reported, he said.
The National Park has been in the news this year for poaching of the highly endangered one-horned rhinos.
Apart from housing nearly 2200 one horned rhinos, the highest in the world, the KNP also has a pelican park of migratory birds who annually visit the park from various parts of the world, including Russia.

Indonesia: Update on Bekasi #H5N1 Outbreak

I previously posted on the outbreak, here.
Excerpt:
Once there tested positive of bird flu (H5N1) from the rapid tests on dozens of chickens that died suddenly in Kampung Pulopajang, Sukamakmur Village, District Sukakarya, made ​​of Animal Health Animal Husbandry Department of Fisheries and Marine Resources (EPF) Bekasi Regency (29/11) and then, until now there is no preventive action from Bekasi regency.
Therefore, there is no prevention for the spread of H5N1 that.

Residents accused Bekasi regency is not serious and indifferent to overcome the virus that causes the deadly disease. One resident, believers say, having known positive test result declared, Bekasi regency should react quickly to address the spread of this virus. This case should not be taken lightly, Bekasi regency should fast motion, then if there are even blaming the victim," he complained.

Admittedly, the EPF has done spraying disinfectant around the cages were dozens of chickens died suddenly. However, he regretted that after that no follow-up, as the case of bird flu was over.

Vietnam: 42 yo suffers with Influenza Symptoms Similar to Bird Flu

Like bird flu deaths

42-year-old male patient with acute respiratory suspected H5N1 flu death last weekend in HCMC Hospital for Tropical Diseases.

Doctors Hospital for Tropical Diseases Ho Chi Minh City, said the patient was transferred up from Binh Duong Hospital in critical condition.

"Patients with severe pneumonia, acute respiratory distress. Emergency We have positive but he has not recovered," a doctor said.

According to medical reports, patients with symptoms consistent with the H5N1 avian influenza infection, such as sore throat, prolonged fever, shortness of breath and fluid. Before getting sick, I have been in contact with influenza duck and duck meat.

"The epidemiological factors and disease manifestations are made doctors think of the H5N1 bird flu. Yet tests at the hospital and the Pasteur Institute in Ho Chi Minh City were negative," said Dr. Le Manh Hung, deputy director of the disease Hospital for Tropical Diseases Ho Chi Minh City said.

According to the patient, before you get sick, you can go home in Kien Giang play. Here you contact with infected ducks and duck meat. When back to the Pacific, he began to feel tired, sore throat and fever that lasts.

 

Kien Giang Province

U.S.: Earliest start to flu season in nearly a decade

By Rachael Rettner

Published December 03, 2012
Excerpt:

Flu activity around the country is high enough that health officials announced Monday the season is under way. It's the earliest start to the season since the 2003-2004 flu season, excluding the 2009 pandemic, said Dr. Thomas Frieden, director of the CDC.

-snip-

While the course of a flu season is always unpredictable, this year's early start and the specific strains circulating suggest "this could be a bad flu year," Frieden said.
Last year, flu season did not begin until late February, which was the latest start in 24 years.
The level of flu activity that health officials are seeing now is usually not seen until January.
Fortunately, the strains in this year's flu vaccine closely match the strains in circulation, Frieden said.
If you haven't been vaccinated yet, it's time to get your shot, Frieden said.
"Vaccination is by far the best tool we have to protect ourselves against flu," he said. About 37 percent of the U.S. population ages 6 months and older have been vaccinated so far, the CDC said.

Read more: http://www.foxnews.com/health/2012/12/03/earliest-start-to-flu-season-in-nearly-decade/#ixzz2E1akjeBr

Sick chickens come home to roost: Deadly infection avian influenza or bird flu is present in our country

3 Dec, 2012, 07.12AM IST, Nidhi Nath Srinivas

What are the chances that a chicken infected with bird flu will land on your plate? Zero. What are the chances that a bird flu infection will increase the price you pay for chicken and eggs? 100%.
A virulent and deadly infection called avian influenza or bird flu is present in our country. The virus usually affects wild fowl which then infect chickens. The virus can survive for considerable lengths of time outside of the bird and can also be spread through vehicles, equipment and people travelling between farms, markets and abattoirs. Bird flu attacks can wipe out entire flocks. In 1997, scientists found for the first time that H5N1 flu could infect humans.
Till now, our border states -- the northeast, Odisha and West Bengal -- suffered from frequent attacks due to infection carried in from Bangladesh and Nepal. Southern India that produces 40% of our chicken and eggs escaped unscathed. Now the virus has breached this wall too.
In October, Karnataka reported bird flu at a government-run turkey farm that was so deadly that the birds died before they could display the classic symptoms. Immediately, the authorities scrambled into action to stop the infection from spreading. Even so the economic cost of such episodes is huge.
The Central Poultry Development Organisation and Training Institute, which ran the farm, has no work for now since its entire stock has been wiped out. Poultry farms within the 10-km radius have to kill their chickens to stamp out the infection. For an average-sized farm of 10,000 birds, this means losing minimum Rs 1 lakh and 20,000 kg meat. Neighbouring states bar eggs and chickens from the infection zone.
Exports are hit because major markets in the Middle East, most recently Oman, immediately banned Indian poultry and egg products. These bans are reviewed after 90 days in keeping with international norms. Two days ago, Japan, New Zealand, South Africa, South Korea and the US suspended all poultry imports from Australia because of bird flu on just one farm.
The curtailed domestic supply raises prices for consumers, restaurants and food companies in a market that is expanding 10% annually. In short, the damage is serious. A recent outbreak in Mexico cost the country $860 million.
Clearly, it is in everyone's interest to eradicate bird flu. The big question is can it be done? Government does not allow vaccination against bird flu. There are good reasons. One, vaccination is a herculean task. India has 649 million chickens. When even the Pulse Polio programme can't claim 100% success, there is a slim chance that small farmers will spend money to vaccinate chickens in their backyard. Since there is a new flock of broilers every two months, stamping out bird flu through vaccination is impossible, as Vietnam's experience shows.
There are trade issues as well. Both infected and vaccinated chickens carry bird flu antibodies. Unless farmers use specially formulated imported vaccines designed to overcome this confusion, Indian chickens could face unwonted hurdles overseas.
Faced with such issues, the current government policy of forcing farmers to cull birds and root out infection seems suitable. The catch is that farmers often suppress information about an outbreak to avoid losing their entire flock. Surreptitiously burying the few sick birds is common. In fact, the Karnataka episode was immediately highlighted only because it was on a government farm, say industry insiders.

Possibility of a pandemic grows as WHO discovers another SARS-related virus

Excerpts: The WHO reported that as of Friday two deaths in Jordan were among five confirmed deaths from the new virus in the Middle East this year. “These cases were discovered through testing of stored samples from a cluster of pneumonia cases that occurred in April 2012,” the U.N. agency said. In the Saudi Arabian family cluster, two of the three confirmed cases were fatal. One more family member also had a similar illness and recovered but tested negative by polymerase chain reaction, the WHO stated. Saudi Arabia’s deputy minister for public health, Ziad A. Memish, MD, today suggested that the virus in the Saudi Arabian family cluster may be different from the strain in the earlier cases. “We think the virus in the last family cluster is different as it had significant spread among households while none of the previous cases behaved in a similar way,” Memish said in e-mailed comments to CIDRAP News. Memish was among the authors of a description of Saudi Arabia’s second novel CoV case, published this week in the Saudi Medical Journal. But if the new virus is able to spread from person to person, even if inefficiently, that raises the possibility it can become more mobile, moving through human populations. “Even if the cases in Jordan were human-to-human spread — and we don’t know that — it wasn’t sustained,” WHO spokesman Gregory Hartl told the Canadian Press.

Child in Iowa Diagnosed with H3N2v Influenza A Strain

December 3, 2012 Cedar Rapids child diagnosed with rare strain of swine flu. The Centers for Disease Control and Prevention confirmed the H3N2v influenza A strain in the child, KCRG-TV in Cedar Rapids reported. State epidemiologist Dr. Patricia Quinlisk said the child, who has since recovered, had not been in contact with swine, one of the modes of transmission. Continued:

40 demoiselle cranes found dead in Amreli

Amreli is in India.

AHMEDABAD: At least 40 demoiselle cranes were found dead near Victor Dam at Rajula in Amreli district. While preliminary investigation suggested the migratory birds died due to breathing problem, experts are not ruling out the possibility of bird flu.

 "We carried out the post-mortem locally and doctors opine the birds died of breathing disorder. We have sent the samples to the veterinary hospital in Jungadh to know whether the birds were infected with avian influenza," said district forest officer G C Makwana.

Dr Asad Rahmani, director of Bombay Natural History Society (BNHS), said, "The possibility of bird flu cannot be ruled out since the cranes died in large numbers. The forest department should collect the blood samples and send them to the High Security Animal Disease Laboratory in Bhopal."

On Saturday, volunteers brought five dead cranes to the forest department office in Rajula and one was in its last throes. The crane was treated and was sent to the forest hospital where its condition is said to be stable. Interestingly, two kites were also found dead in the same area. Officials believe that scavengers might have fed on the carcass of the cranes. Dinesh Goswami, a wildlife activist, said, "I was in the area and about 10 cranes died within 30 minutes. It looked like the birds were having some breathing trouble and were frothing as well."

Oman: And Wreikat: laboratory results proved the death of two cases last April «new Coruna

12/03/2012

Oman -  Constitution Kausar Sawalha Health Minister Dr. Abdul Latif Wreikat officially recognized laboratory results injuring two died in April last illness «new Coruna» with an emphasis on the non-registration of new cases of the disease SARS-like new since April this year. announcement came in a press conference held yesterday, commenting on the announcement of the World Health Organization within the registration cases disease «Corona new», where the statement that «It is said that the number of cases detected disease Coruna new 9 cases recorded in the Eastern Mediterranean Region, five cases in Saudi Arabia, and two in Qatar, and two in Jordan ».  

minister added that after been definitely confirmed that two deaths in Jordan Natjtan disease Coruna new that were not until recently known internationally is not available with reagents, it was announced that to remove ambiguity imposed nature of the disease the new knowledge derived for the world around him, and availability Reagents for him. between the announcement at this time gives the opportunity for the WHO team is currently in Jordan to investigate and investigate the epidemiological situation, a procedure followed by Saudi Arabia and Qatar after recording injuries sick new, as well as allowing scope for raising the capacity of the epidemiological monitoring laboratory for diseases flu kinds in laboratories Jordanian all.  

confirmed Wreikat that the ministry did not register since last April until today any case virus Koruna new characterized deploy limited. Minister reviewed at the conference sequence recording the cases mentioned in hospital blue state, explaining that the cases were fired upon and the media in April last «mysterious disease», because in that time recorded in the Department of intensive care in hospital blue state 11 cases of pneumonia severe during the period from 7 to April 21, including two cases of doctors and 9 cases among cadres nursing, and underwent all the treatment and turned severe cases of infection to a hospital for . , adding that the ministry has taken preventive measures and treatment by protocols health tired globally in such cases were withdrawn samples Laboratory for examination in laboratories Ministry and King Hussein Cancer Center and the University of Science and Technology did not show laboratory results then any positive result for the disease intractable and the results were negative for any type of flu viruses such as bird flu and swine and SARS and even Koruna except some positive results for the bacteria pseudomonas aeroginosa. said 

«In the meantime, and on April 19, died nurse Ash from with pneumonia severe hospital blue, it is under treatment at a private hospital, and died later on April 26 also demanded university at the age of 25 years, a resident of the blue, and ministry announced at the time of these deaths ». , he noted instructed then in April to transfer university student from hospital blue government to Prince Hamzah Hospital as he was complaining of a sore membranes heart and suspicion disease tuberculosis and encountered his hospitalization in conjunction with the pandemic it. 

said «did not stop the ministry from continuing operations monitoring and survey epidemiological laboratory for cases with symptoms similar in blue did not report any injury outside the hospital and close the file at the time for lack of evidence of any cases of disease flu kinds laboratory either in laboratories Jordanian or reference to the World Health Organization as well as the lack of injuries similar through monitoring and survey epidemiological ».  

And that, in the development of a global later, World Health Organization announced abruptly for two deaths Natjtin for new disease types of flu called Koruna new in Saudi Saudi Arabia in July of this year and announced it officially in September. minister said that the ministry has stepped up its measures preventive, as vaccinated pilgrims Bmtaum flu seasonal before traveling to Saudi Arabia, as well as giving Scion of health personnel in hospitals, and when pilgrims return to Jordan was conducted process monitoring them and give them precautionary preventive treatment for flu at border crossings. and pay announcement WHO ministry to demand from laboratories Navy SEAL (NAMRU 3) in Cairo, re-examination of samples of the disease named Corona new which was not known previously, that particular lab reagents for the disease became available after the announcement of the deaths in Saudi Arabia Bcesp new disease.showed results of laboratory tests to NAMRU 3 in November 14 of last Arbainet deceased (nurse) and the young university it was positive for Corona new. informed the ministry WHO on Thursday registered cases of injury بالكورونا new after ascertaining diagnostic laboratory, despite the non-registration of any similar injury since April this year so far, according to Dr. Wreikat who said that this confirms that the cases were limited to the intensive care unit in a hospital blue. 

 WHO representative in Oman Dr. Akram Toum confirmed Send organized a technical team to support the efforts of the Ministry of Health in the survey and surveillance of the disease and respiratory epidemiological situation in general at the provincial level, and it depends protocols to investigate the disease, especially new viruses Lyman Organization importance of research and survey in the detection of infected cases and provide early treatment and conduct field and laboratory research. He added that Jordan is a beacon for technical cooperation in the various fields of health, especially monitoring, he developed and developing countries at the level of the region, compared with other regions in the world, because the Kingdom has strong health systems. 

 And the director of Primary Health Care Department, Dr. Bassam Hijjawi that disease Koruna new is a viral disease that affects the respiratory system and is accompanied by a rise in temperature, dry cough and difficulty in breathing which often infects humans and animals and is similar to SARS is not available to him vaccine does not treat the two types. said Hijjawi The ministry adopted since 2008 monitoring system in 3 hospitals in Amman and the north and south, to investigate the respiratory disease severe as it has been withdrawn 234 sample from April until the end of last June were sent to laboratories (NAMRU 3) and appeared results negative is, they is infected with coronavirus new. He said the teams epidemiological survey in accordance with the approved monitoring systems in the ministry, and in collaboration with the technical team of the World Health Organization (WHO), yesterday went to Karak to make sure monitoring systems capabilities there and investigate the epidemiological situation.

http://www.addustour.com/ViewTopic.aspx?ac=%5CLocalAndGover%5C2012%5C12%5CLocalAndGover_issue1868_day03_id453118.htm#.ULyq4ZPjnA4 

Sequence and phylogenetic analysis of highly pathogenic avian influenza H5N1 viruses isolated during 2006--2008 outbreaks in Pakistan reveals genetic diversity

Virology Journal Published: 3 December 2012
Abstract (provisional) Background

Since the first outbreak recorded in northern areas of Pakistan in early 2006, highly pathogenic avian influenza H5N1 viruses were isolated from commercial poultry and wild and domestic birds from different areas of Pakistan up to July 2008. Different isolates of H5N1 were sequenced to explore the genetic diversity of these viruses.

Results

Phylogenetic analysis revealed close clustering and highest sequence identity in all 8 genes to HPAI H5N1 isolates belonging to unified H5 clade 2.2, sub-lineage EMA-3 recovered from Afghanistan during the same time period. Two subgroups with in Pakistani H5N1 viruses, from domestic and wild birds, were observed on the basis of their sequence homology and mutations. HPAI motif, preferred receptor specificity for alpha-(2, 3) linkages, potential N-linked glycosylation sites and an additional glycosylation site at the globular head of HA protein of four Pakistani H5N1 isolates. While, the amino acids associated with sensitivities to various antiviral drugs (Oseltamivir, Zanamivir, Amantadine) were found conserved for the Pakistani H5N1 isolates. Conspicuously, some important mutations observed at critical positions of antigenic sites (S141P, D155S, R162I & P181S) and at receptor binding pocket (A185T, R189K & S217P) of HA-1. A high sequence similarity between Pakistani HP H5N1 and LP H9N2 viruses was also observed. Avian like host specific markers with the exception of E627K in PB2, K356R in PA, V33I in NP, I28V in M2 and L107F in NS2 proteins were also observed.

Conclusions

Various point mutations in different genes of H5 viruses from Pakistan were observed during its circulation in the field. The outbreaks started in Khyber Pakhtoon Khawa (North West) province in 2006 and spread to the Southern regions over a period of time. Though migratory birds may have a role for this continued endemicity of clade 2.2 H5N1 viruses during 2006--2008 in Pakistan, the possibility of their transmission through legal or illegal poultry trade across the borders cannot be ignored.

The complete article is available as a provisional PDF. The fully formatted PDF and HTML versions are in production.  http://www.virologyj.com/content/9/1/300/abstract 

Egypt: Strict measures in Gharbiya in anticipation of emergence of foci infected with foot and mouth disease or avian influenza

Translation 2-12-2012 Counsel issued Muhammad Abdul Qadir, governor of the West on Sunday instructed the Undersecretary of the Ministry of Veterinary Medicine Gharbiya take all preventive measures in case of suspected epidemic diseases of animals, such as foot and mouth disease, or bird flu, and the implementation of programs that have been developed for this purpose. noted conservative to the importance of awareness necessary for educators to protect themselves and their children and animals from epidemic diseases which they may be exposed, and the implementation of all credit conditions in animal husbandry farms, or home education. For his part, Dr. Wafik star, Undersecretary of the Ministry of Veterinary Medicine, that in case of the emergence of foci satisfactory any epidemic disease is routed to a committee of veterinarians to replace the focus to assess the epidemiological situation and take preventive measures instant such as isolating infected animals from healthy animals and give medicines required under veterinary supervision. and pointed out that it is implementing the program sprayed with disinfectant for viruses to reduce the spread of the disease, and the closure of markets selling animals in the region replaced the focus, with emphasis on the non-transfer of animals to or from the affected area, in coordination with the police, and in the case of the presence of dead animals is coordination with the EEAA to get rid of dead animals and buried in the cemetery healthy and make a place disinfected necessary.

Emerging diseases like new coronavirus being monitored closely in Oman: WHO

Madhuparna Bhattacharjee

01/12/2012 9:18 am 

 

The World Health Organization (WHO) office in Muscat has said that emerging diseases like the new Severe Acute Respiratory Syndrome (SARS)-like virus outbreak are being constantly monitored in Oman.

The surveillance system in the sultanate is capable finding cases (if any), which includes the latest coronavirus that affected two GCC countries.

Dr Abdullah Saleh Assaedi, the WHO representative in Oman, said, “Monitoring any emerging disease is a very crucial task and we are doing it.”
He said that monitoring is done through International Health Regulations (IHR). “The country’s Ministry of Health reports it to IHR, which in turn reports to WHO.” He added that WHO encourages all member states to continue their surveillance on Severe Acute Respiratory Infections (SARI) and is currently reviewing the case definition related to the novel coronavirus.

According to information available on WHO’s website, ‘Until more information is available, it is prudent to consider that the virus is likely more widely distributed than just the two countries of Saudi Arabia and Qatar, which have identified cases. Member states should consider testing of patients with unexplained pneumonias for the new coronavirus even in the absence of travel or other associations with the two affected countries.’

Dr Assaedi said that the cases in Saudi Arabia and Qatar are rare ones but “strict surveillance is a must for all countries.”
With the onset of winter, cases of influenza could be on the rise. With many cases of H1N1 reported in the Indian subcontinent, reasons to keep a close watch exist. “As far as H1N1 is concerned, we are not expecting any huge outbreak this time in the sultanate,” he said.

 

http://www.muscatdaily.com/Archive/Oman/Emerging-diseases-like-new-coronavirus-being-monitored-closely-in-Oman-WHO-1ve8 

Two Jordan cases in April shift novel coronavirus picture

CIDRAP:  Robert Roos  News Editor

Nov 30, 2012 (CIDRAP News) – The World Health Organization (WHO) reported today that two cases of novel coronavirus (CoV) infection occurred as part of a cluster of hospital respiratory infections in Jordan back in April. Besides adding one more to the list of affected countries, the announcement signaled that the virus emerged 2 months earlier than previously thought and increased the likelihood that it can spread from person to person.

Also today, the WHO said testing confirmed the virus in a fatal case that was part of a previously noted family cluster of four illnesses in Saudi Arabia. Today's developments increased the overall case count to nine, including five deaths, in three neighboring countries: Saudi Arabia, Qatar, and Jordan.

The cases include five, with three deaths, in Saudi Arabia; two in Qatar; and the two fatal illnesses in Jordan. The latest count is two more than reported yesterday. Five cases involved acute renal failure.

The Jordanian illness cluster in April involved 11 people, including eight healthcare workers, in a hospital intensive care unit in Zarqa, according to a report from the European Centre for Disease Prevention and Control (ECDC) on May 4. Health officials had mentioned the cluster previously as suspicious in light of the novel coronavirus. Until now, the first novel CoV infection was believed to be that of a Saudi man who died in his home country in June, though his case was not reported until September.

At the time of the Jordanian cluster, officials from US Naval Medical Research Unit 3 (NAMRU 3) in Cairo tested patient samples at Jordan's request and found they were all negative for known coronaviruses and other viruses, the WHO said in one of its two statements today. No specific tests for the novel virus existed at the time, since it hadn't been discovered yet.

In October, after the discovery of the novel CoV, Jordan sent stored samples to NAMRU-3 for testing, the WHO said. Recently the lab provided results that confirmed the novel virus in two of the cases. The WHO did not say how many of the patients were tested.

In response to Jordan's request, WHO experts arrived in Amman on Nov 28 to help investigate the cases and strengthen the country's sentinel surveillance for severe acute respiratory infections, the agency reported.

The WHO said the existence of the case clusters in Jordan and Saudi Arabia increases "the possibility of limited human-to-human transmission or, alternatively, exposure to a common source. Ongoing investigation may or may not be able to distinguish between these possibilities."

In the Saudi Arabian family cluster, two of the three confirmed cases were fatal. One more family member also had a similar illness and recovered but tested negative by polymerase chain reaction, the WHO noted.

Despite the two clusters, the WHO said, "Based on current information, it [the virus] does not appear to transmit easily between people, unlike the SARS [severe acute respiratory syndrome] virus." The SARS virus, also a coronavirus, sickened about 8,000 people and killed about 900 in 2003.

Saudi Arabia's deputy minister for public health, Ziad A. Memish, MD, today suggested that the virus in the Saudi Arabian family cluster may be different from the strain in the earlier cases.

"We think the virus in the last family cluster is different as it had significant spread among households while none of the previous cases behaved in a similar way," Memish said in e-mailed comments to CIDRAP News. Memish was among the authors of a description of Saudi Arabia's second novel CoV case, published this week in the Saudi Medical Journal.

The Jordanian cases seem to confirm the need to watch for the novel virus in places beyond just Saudi Arabia and Qatar, as recommended by the WHO lately. Last week the agency called for broader vigilance, and yesterday it offered more detailed surveillance recommendations.

The WHO reiterated those recommendations today. It said authorities should consider testing of patients with unexplained pneumonia, especially if they live in or visited the Arabian peninsula or neighboring countries. Any cluster of severe acute respiratory infections in healthcare workers should be carefully investigated, regardless of the location, the statement said.

Memish agreed on the need for wider surveillance, commenting, "We have been saying all along that cases of novel coronavirus are not limited to KSA [the Kingdom of Saudi Arabia] and Qatar. And today's announcement from WHO about the two cases from Jordan in early April 2012 is an evidence supportive of our suspicions.

"No country in the world screens all pneumonia patients for novel coronavirus except KSA and Qatar, and as long as this is the case no novel coronavirus cases will be recovered anywhere else," he added.

The WHO said it is not recommending special screening for the virus at points of entry, nor does it recommend any travel or trade restrictions.

In other developments, the WHO today revised a statement it issued yesterday to correct the number of deaths attributed to the virus at that point. Yesterday's statement mentioned seven cases with just one death; the revised statement changed the number of deaths to three. 

http://www.cidrap.umn.edu/cidrap/content/other/sars/news/nov3012corona.html 

Background and summary of novel coronavirus infection – as of 30 November 2012

Editing is mine:

Over the past two months, WHO has received reports of nine cases of human infection with a novel coronavirus. Coronaviruses are a large family of viruses; different members of this family cause illness in humans and animals. In humans, these illnesses range from the common cold to infection with Severe Acute Respiratory Syndrome (SARS) coronavirus (SARS CoV). 

Thus far, the cases reported have come from Qatar, Saudi Arabia and Jordan. All patients were severely ill, and five have died.
The two Qatari patients are not linked. Both had severe pneumonia and acute renal failure. Both are now recovering.
A total of five confirmed cases have been reported from Saudi Arabia. The first two are not linked to each other; one of these has died. Three other confirmed cases are epidemiologically linked and occurred in one family living within the same household; two of these have died. One additional family member in this household also became ill, with symptoms similar to those of the confirmed cases. This person has recovered and tested negative, by polymerase chain reaction (PCR) tests, for the virus.

Two confirmed cases have been reported in Jordan. Both of these patients have died. These cases were discovered through testing of stored samples from a cluster of pneumonia cases that occurred in April 2012. 

The two clusters (Saudi Arabia, Jordan) raise the possibility of limited human-to-human transmission or, alternatively, exposure to a common source. Ongoing investigation may or may not be able to distinguish between these possibilities.

The current understanding of this novel virus is that it can cause a severe, acute respiratory infection presenting as pneumonia. Acute renal failure has also occurred in five cases.
WHO recognizes that the emergence of a new coronavirus capable of causing severe disease raises concerns because of experience with SARS. Although this novel coronavirus is distantly related to the SARS CoV, they are different. Based on current information, it does not appear to transmit easily between people, unlike the SARS virus. 

WHO has closely monitored the situation since detection of the first case and has been working with partners to ensure a high degree of preparedness should the new virus be found to be sufficiently transmissible to cause community outbreaks. Some viruses are able to cause limited human-to-human transmission under condition of close contact, as occurs in families, but are not transmissible enough to cause larger community outbreaks. Actions taken by WHO in coordination with national authorities and technical partners include the following:

• Investigations are ongoing to determine the likely source of infection and the route of exposure. Close contacts of confirmed cases are being identified and followed up.
• An interim surveillance recommendation has been updated to assist clinicians to determine which patients should undergo laboratory testing for the presence of novel coronavirus.
• Laboratory assays for the virus have been developed. Reagents and other materials for testing are available, as are protocols, algorithms and reference laboratory services. WHO has activated its laboratory network to assist in testing and other services. WHO has also issued preliminary guidance for laboratory biorisk management.
• Guidance is available for infection control.

Based on the current situation and available information:

• WHO encourages all Member States to continue their surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns.
• Further, testing for the new coronavirus of patients with unexplained pneumonias should be considered, especially in persons residing in or returning from the Arabian peninsula and neighboring countries. Any new cases should be promptly reported both to national health authorities and to WHO.
• In addition, any clusters of SARI or SARI in health care workers should be thoroughly investigated, regardless of where in the world they occur. These investigations will help determine whether the virus is distributed more widely in the human population beyond the three countries that have identified cases.
• WHO does not advise special screening at points of entry with regard to this event nor does it recommend that any travel or trade restrictions be applied.

WHO continues to work with Member States and international health partners to gain a better understanding of the novel coronavirus and the disease in humans and will continue to provide updated information. As the situation evolves, WHO will reassess its guidance and revise it accordingly. 

http://www.who.int/csr/disease/coronavirus_infections/update_20121130/en/index.html 

The deaths of two people in Jordan-like virus "SARS"

December 01, 2012
Translation
World Health Organization said Friday it was concluded that the deaths of two people in Jordan in April / April resulted from injuries new virus from the same family virus severe acute respiratory syndrome, SARS, which raised a warning globally in September / September. organization added the United Nations that confirmed so far infected at least nine people in three countries in the Middle East with the virus, which was not known in humans, including a Saudi, was wounded acute respiratory last month.

but Georgi Hartl, spokesman for the organization said that the two deaths in Jordan, which Takdta in Samples were tested recently in a lab collaborates with the World Health Organization in Egypt does not alter the assessment of the organization that the virus does not spread easily apparently among humans. he told Reuters: "cases in Jordan does not alter the risk assessment at the moment. have not seen a new pattern. they are two Kadimtan . " the organization said that the Geneva-based said in a statement: "I was informed the organization today the cases and deaths Erdnitan bringing the total number of cases that were confirmed laboratory to nine."
The results of the initial checks of the samples had tested negative for HIV and other viruses associated with respiratory in April / April . and share new virus with, SARS, in some of the symptoms, the organization said that "the new virus can seem sore pneumonia, as acute renal failure in five cases.  

Overall, confirmed so far five cases of HIV infection new in Saudi Arabia, including three cases of one family died, including three, also confirmed wounded two in Qatar, both recovering. " Hartl said that the two deaths Alerdnitan were among 12 cases of acute respiratory appeared in April / April and were related to hospital in Zarqa, about 40 kilometers from Amman, He added that most cases were health workers.

http://www.alarabiya.net/articles/2012/12/01/252719.html

Predicting the next zoonotic pandemic

Excerpt: LONDON, 30 November 2012 (IRIN) - Chances are high the world’s next pandemic will be a disease originating in animals, like 60 percent of current documented human infectious diseases. Even after hundreds of thousands of human deaths from zoonoses (diseases transmitted from animals to humans), experts say there is still limited information about how zoonoses are spread or just how to predict the next outbreak. “There is no question of whether we will have another zoonotic pandemic,” wrote Stephen Morse, a public health professor at Columbia University in New York, in a November 2012 series on zoonoses in the UK medical journal, The Lancet. “The question is merely when, and where, the next pandemic will emerge.” -snip- The Nairobi-headquartered International Livestock Research Institute (ILRI) has pointed out how urban livestock and agriculture can breed disease in some of the world’s most crowded places. In a recent survey in Dagoretti, one of eight districts of Kenya’s capital, Nairobi, the institute found up to 11 percent of households were affected by cryptosporidiosis, a diarrhoeal disease caused by a pathogen found in cattle, raw milk, soil, vegetables and contaminated water. Changing harvests may be another contributor to the spread of zoonoses. In the southwestern USA where El Niño (rising sea surface temperatures across the central and eastern Pacific Ocean) dumped more rain, vegetation growth increased, which then attracted more rats. Hantavirus is not fatal in rats - which carry the disease - but is in humans who became infected through the rats. The interplay of biology, ecology and sociology make forecasting the next pandemic difficult, say experts in the Lancet series who call for boosting cooperation between experts (often working in silos) to meet the “huge, and rising” threat of zoonoses.

Novel coronavirus infection - update

30 November 2012 - In addition to the fatal case of novel coronavirus in Saudi Arabia reported to WHO on 28 November, two fatal cases in Jordan have been reported to WHO today, bringing the total of laboratory-confirmed cases to nine.
The latest confirmed case from Saudi Arabia occurred in October 2012 and is from the family cluster of the two cases confirmed earlier.
The two cases from Jordan occurred in April 2012. At that time, a number of severe pneumonia cases occurred in the country and the Ministry of Health (MOH) Jordan promptly requested a WHO Collaborating Centre for Emerging and Re-emerging Infectious Diseases (NAMRU – 3) team to immediately assist in the laboratory investigation. The NAMRU-3 team went to Jordan and tested samples from this cluster of cases.
On 24 April 2012 the NAMRU-3 team informed the MOH that all samples had tested negative for known coronaviruses and other respiratory viruses. As the novel coronavirus had not yet been discovered, no specific tests for it were available.
In October 2012, after the discovery of the novel coronavirus, stored samples were sent by MOH Jordan to NAMRU-3. In November 2012 NAMRU-3 provided laboratory results that confirmed two cases of infection with the novel coronavirus.
The MOH Jordan has requested WHO assistance in investigating these infections. A mission from WHO Eastern Mediterranean Regional Office (EMRO) and headquarters arrived in Amman on 28 November 2012 to assist in further epidemiological surveillance and to strengthen the sentinel surveillance systems for severe acute respiratory infections (SARIs).
In summary, to date a total of nine laboratory-confirmed cases of infection with the novel coronavirus have been reported to WHO – five cases (including 3 deaths) from Saudi Arabia, two cases from Qatar and two cases (both fatal) from Jordan.

http://www.who.int/csr/don/2012_11_30/en/index.html 

Fifth coronavirus death reported

Hat-tip Caregiver

30 November 2012
By James Gallagher

A fifth person has died from a new respiratory illness similar to the Sars virus, according to the World Health Organization.

The WHO said the two latest deaths were in Jordan. The disease had previously been detected only in Saudi Arabia and Qatar, although one patient was transferred to the UK for treatment.
It brings the total number of cases of the infection to nine.
There may also be evidence of human to human spread of the virus.
It causes pneumonia and sometimes kidney failure.
There was a series of severe cases of pneumonia in Jordan earlier in the year. However, the novel coronavirus had not been discovered at the time so did not appear in routine tests.
Two of the deaths in April have now been confirmed as being part of the outbreak.
 
Sars-like
Coronaviruses are a group of viruses ranging from the common cold to the Sars (severe acute respiratory syndrome) virus. They infect a wide range of animals.
In 2002 an outbreak of Sars killed about 800 people after the virus spread to more than 30 countries around the world.
The WHO is still trying to work out where the infection came from. Studies show that the virus is closely related to one found in some species of bats.
How readily the virus spreads will be important for assessing how great a threat it poses.
The WHO said that, unlike Sars, the new coronavirus, "does not appear to transmit easily between people".
However, it warns that two clusters in Saudi Arabia and Jordan, "raise the possibility of limited human-to-human transmission" or they could have been exposed to the same source of the infection.

http://www.bbc.co.uk/news/health-20554760 

WHO Corrects Coronavirus Statement

From Avian Flu Diary

The `buzz’ in flublogia yesterday centered around the low-profile release of a new statement on the novel Coronavirus by the World Health Organization.  Not unexpectedly, it increased the number of confirmed cases to 7 (with 1 probable).

Somewhat confusingly, however, it cited only one death, contradicting earlier reports of two deaths(see WHO Confirms 7th Coronavirus Case for the original statement).

Sometime over the past 12 hours or so, a corrected version of the statement has been uploaded to the WHO site, and now they cite three deaths.

Continued:  http://afludiary.blogspot.com/2012/11/who-corrects-coronavirus-statement.html

Indonesia: Poultry Die-off Bekasi & Sanden

Map of outbreaks

Blue: Bekasi, Red: Sanden

Sanden:
Esophageal Suspected Bird Flu, Poultry in Sanden Dozens of Sudden Death
November 29, 2012
BANTUL - Dozens of birds ducks in the District of Sanden and Jetis known died suddenly since last two months. Allegedly, the mass death of birds due to virus attack Avian Influenza (AI). According to the Head of Animal Health Department of Agriculture and Forestry (Dispertahut) Bantul, Agus Riyadmadi, so far it only received reports from a number of farmers in the village of Srigading, Sanden, and Village Trimulyo, Jetis. "Data while, there were about 50 ducks that died suddenly. Symptoms are almost the same, lame duck walk, giddy, and finally seizures. It is similar to the symptoms of H5N1 (bird flu). However, this is not the bird flu, " said Agus, Thursday (29/11). Agus explained, the virus that causes the death of dozens of ducks this time more virulent than H5N1. Therefore, the H5N1 virus is not known to cause death in ducks. To ascertain the cause of death, Center for Veterinary Wates Yogyakarta has taken samples about two months ago. It takes about two to three months for the Center for Veterinary publish the results of the study. Kasi Animal Health Services Dispertahut Bantul, Subeno added, duck deaths with symptoms of paralysis and seizures can also be due to environmental factors.

Bekasi:

Sukakarya - Hundreds of chickens owned by Andi (35), in Kampung Pulo Panjang, Sekamakmur Village, District Sukakarya, Bekasi, died suddenly. Poultry was confirmed positive for bird flu.

According to Andi, already one week chicken flocks continue to die suddenly, before dying, the chicken was issued a number of symptoms or signs. Such discoloration comb, from red to blue, otherwise it looks like the head to swell. Meanwhile, officers of livestock, fisheries and marine (EPF) Bekasi, Marullah which today conducted a space to explain, based on examination repit test known that, hundreds of chickens tested positive for bird flu or H5N1 virus. Department immediately undertake countermeasures by providing disinfectant disekitaran chicken coop and ordered the owner to be gutted chickens to death by burning. "When there are people who have a fever then advised to immediately health check to the nearest health center for fear of contracting the H5N1 virus hit-borne sick chickens, "said Marullah.

Russia: #H5N1 in Temryuk District

Samples from the place of death of birds in Temryuk district tested in Moscow

Bird flu - the main cause of mass death of birds in Temryuk district and Anapa. This was officially announced today in the Regional Office of Rosselkhoznadzor.


Among the dead birds - swans, cormorants, ducks, coots. According to local environmentalists, have been found and curly pelicans, which are listed as endangered. To date, about a thousand dead birds of different species.


The prosecutor's office launched a probe region. In the so-called endangered area now check all poultry and poultry will hold vaccination.


"There will be a compulsory monitoring of blood tests to exclude the circulation of the virus in poultry in private yards and at poultry farms, respectively, will be vaccinated against bird flu," - said Alexander Malakhov, Deputy Head of Rosselkhoznadzor in Krasnodar Krai and Adygea.


Now all samples from the scene PE sent to Moscow, to the central laboratory Rosselkhoznadzor. There or confirm strain H5N1, or call another cause of bird death. Internet forums have already started discussing the possible poisoning of birds. And the administration Temryuk district deputy head today held an emergency meeting to denote the potential solutions to the problem.


The last outbreak of bird flu was detected in the region in 2007. Then killed more than three thousand wild birds. This happened in Anapa. H5N1 strain infects the respiratory system of birds and the digestive organs. Almost always causes death. Route of infection - airborne.


Specialists suggest that this time the flu was in our region due to the seasonal migration of wild birds from other countries.

http://krasnodar.bezformata.ru/listnews/gibeli-ptitc-v-temryukskom-rajone/8127071/ 

New Vaccine May Offer Better Protection in the Event of a Flu Pandemic

By Kristin Hayes, About.com GuideNovember 28, 2012
A new flu vaccine being developed by Medicago Inc., and not yet on the market, may offer better cross protection against the flu as well as have a shorter manufacturing time than current flu vaccines. Researchers gave mice a dose of the vaccine, developed to prevent avian influenza H5N1, but were surprised to find that the vaccine not only protected against that virus but a second strain of H5N1 and another flu virus dubbed H2N2.

The rapid mutation of the flu virus has been a major hindrance in the effectiveness of current flu vaccines. While more research is needed, if subsequent studies show similar results, the vaccine developed by Medicago could offer better protection against the flu than we've ever had before. Another advantage of this vaccine is that it is manufactured a different and faster way than current vaccines. Hypothetically, if there was an outbreak of a flu virus that we did not have a current vaccination against, the Medicago vaccine could be quickly developed and produced. This vaccine has passed Phase I and II FDA trials but has not finished the approval process. You can read more about this vaccination at Newswise.

http://ent.about.com/b/2012/11/28/new-vaccine-may-offer-better-protection-in-the-event-of-a-flu-pandemic.htm

Philippine Gov't bans Australian poultry

November 29, 2012

THE PHILIPPINE government has banned poultry and poultry products from Australia due to an outbreak of Highly Pathogenic Avian Influenza (HPAI) in New South Wales. Agriculture Secretary Proceso J. Alcala issued Memorandum Order No. 33 dated Nov. 28 that bans the "importation of domestic and wild birds and their products including poultry meat, day old chicks, eggs and semen originating from New South Wales, Australia."

The order also covers the suspension of the processing and issuance of the Veterinary Quarantine Clearance needed by importers of these products.

Except for heat-treated products, imports of poultry and poultry products from New South Wales will be confiscated by quarantine officers and inspectors at all major ports.

An outbreak of HPAI of the serotype H7 was detected in free range laying hens in New South Wales, Australia last Nov. 9.

"There is a need to prevent the entry of HPAI virus to protect the health of the local poultry population as well as human health," the memorandum read.

Avian influenza or bird flu is a disease capable of causing extremely high mortality in domestic or wild birds, which can be transferred to humans, causing diseases or even death.

Antibiotic-Resistant Superbug Spreading Quickly

hat-tip Caregiver!
 Nov 29, 2012

CHARLOTTESVILLE, Va. - The doctors tried one antibiotic after another, racing to stop the infection as it tore through the man's body, but nothing worked. In a matter of days after the middle-aged patient arrived at University of Virginia Medical Center, the stubborn bacteria in his blood had fought off even what doctors consider "drugs of last resort." "It was very alarming; it was the first time we'd seen that kind of resistance," says Amy Mathers, one of the hospital's infectious disease specialists. "We didn't know what to offer the patient."
-snip-
"From the perspective of drug-resistant organisms, (CRE) is the most serious threat, the most serious challenge we face to patient safety," says Arjun Srinivasan, associate director for prevention of health care-associated infections at the Centers for Disease Control and Prevention.
Since the first known case, at a North Carolina hospital, was reported in 2001, CREs have spread to at least 41 other states, according to the CDC. And many cases still go unrecognized, because it can be tough to do the proper laboratory analysis, particularly at smaller hospitals or nursing homes.


Continued: http://www.wgrz.com/news/article/190465/37/Antibiotic-Resistant-Superbug-Spreading-Quickly

HK alert to coronavirus threat

November 27, 2012

Hong Kong has an effective mechanism to detect novel coronavirus cases, Secretary for Food & Welfare Dr Ko Wing-man says, adding the Government has successfully isolated two travellers from the Middle East who had suspicious symptoms when they entered the city.

Speaking to the media today, Dr Ko said the Government is very concerned about the six coronavirus cases reported by the World Health Organisation. With the approach of winter, the Government has already taken numerous measures against influenza and avian flu, he said.

They include the launch of the flu vaccination scheme, and the stepping up of surveillance against influenza, avian flu and novel coronavirus infection among medical staff.

The Government has also boosted surveillance at immigration checkpoints in the detection of novel coronavirus cases, both for local residents returning to Hong Kong, and for visitors.

He urged the public to consult a doctor when they fall ill, and to reveal their recent travel history. He advised the public not to touch wild animals and birds, and not to eat them, or bring them to Hong Kong.

Hong Kong: 22 ill with flu-like infection, 9 Hospitalized

November 28, 2012

The Centre for Health Protection is investigating an upper respiratory tract illness outbreak at a Kowloon City kindergarten, affecting 22 children.

The children are 11 boys and 11 girls, aged three to five. They have developed symptoms since October 28.

Nine required hospitalisation and all are stable. Eight tested positive for adenovirus.

The centre has provided health advice to the kindergarten.

New vaccine may give lifelong protection from flu

25 November 2012
by Debora Mackenzie

Flu season has come early this year in parts of the northern hemisphere, and many people are scrambling to get their annual vaccination. That ritual may someday be history. In a first for any infectious disease, a vaccine against flu has been made out of messenger RNA (mRNA) – the genetic material that controls the production of proteins. Unlike its predecessors, the new vaccine may work for life, and it may be possible to manufacture it quickly enough to stop a pandemic. We become immune to a flu strain when our immune system learns to recognise key proteins, called HA and NA, on the surface of the flu virus. This can happen either because we have caught and fought off that strain of flu, or because we received one of the standard vaccines, most of which contain killed flu virus. Continued:

Few more excerpts from article below

A few more excerpts from the Helen Branswell piece below:

Dr. Fouchier was front and centre in the laboratory effort during the 2003 SARS outbreak. It was his lab, at the Erasmus Medical Centre in Rotterdam, that proved what’s called Koch’s postulates — the test that confirmed that the newly identified coronavirus was actually causing the disease SARS.

During the early days of the SARS outbreak, the WHO rapidly put together a virtual network of laboratories, tapping into expertise around the world to combat the alarming new disease.

But this time? In the summer, Dr. Fouchier’s lab identified and sequenced the new coronavirus and developed a test for it. But since then, it’s been “radio silence,” Dr. Fouchier said in an interview Friday.

“Everything I’ve heard since then has just come from the lay press, which is completely in contrast to how we acted back in the SARS era,” he said.

“That was completely different during the SARS outbreak. We were all talking together, exchanging results and giving each other ideas about what to test, how to test, where to test. And none of that is happening now. We just have to rely that they’re doing the right thing.”
Officials in the know should be sharing more information, Dr. Osterholm agreed.
“At this point in any outbreak investigation, there clearly is more information that is known by health officials than likely has been shared,” he said.

“But if there were ever a time for complete transparency, now is the time. We’ve learned that in the past and I’d hate to see us have to relearn the lesson again.”

Lack of transparency concerns experts following new WHO advice for coronavirus

Helen Branswell
Last updated Sunday, Nov. 25 2012, 11:32 AM EST


The World Health Organization has warned countries to heighten their surveillance for possible cases of infection with the new coronavirus, suggesting patients with unexplained pneumonias should be tested even if they don’t have links to Saudi Arabia and Qatar.

The agency also suggested investigating clusters of severe respiratory infections, and clusters of such illnesses in health-care workers, regardless of where they happen in the world.

Up until now the WHO has said that testing for the new coronavirus should be restricted to patients with severe respiratory infections who had recently travelled to or who were residents of a country that had recorded cases. To date the only confirmed infections have been in Qatari and Saudi nationals.

That change in advice, the basis for which the WHO did not explain, raised eyebrows among some infectious diseases experts, who were quick to try to read between the lines.

Continued:  http://www.theglobeandmail.com/news/national/lack-of-transparency-concerns-experts-following-new-who-advice-for-coronavirus/article5639377/