Friday, February 15, 2013

Nepal: Bird Flu On The Rise; Farmers Resist Veterinarians #H5N1

KATHMANDU, Feb 16: With the growing incidence of bird flu in the Valley, vet officials and technicians have been encountering intense resistance and threats from poultry farmers, the Directorate of Animal Health (DoAH) said. Due to the resistance and threats from farmers, efforts to control the disease have becoming a serious challenge for the officials.

According to DoAH officials, poultry farmers have even stopped reporting the death of fowls to veterinary offices, which they said is a dangerous trend and a great threat to public health. 

The office said that strains of H5N1 virus have been spreading rapidly in the poultry farms of the Valley and adjoining districts. This week alone, the capital witnessed four outbreaks of the virus, in which over 12,000 chickens were culled. 

In the last one-and-half months, a seventh outbreak has occurred in the district. Rapid response teams comprising vets destroyed thousands of chickens in Dhading, Nuwakot, Bhaktapur and Lalitpur during this period.

"The disease has been spreading rapidly and we have been encountering more resistance from farmers," said Dr Narayan Prasad Ghimire, senior veterinarian at DoAH, adding, "They tried to dare the rapid response teams to destroy the infected chickens." 

The office had to seek the assistance of police to carry out disinfection in several farms. 

Ghimire, who is also spokesperson of DoAH, said that the trend of obstructing vet officials disinfecting the tainted farms is dangerous. 

"Had we not intervened on time, they (farmers) would sell all the ailing chickens in the market," he added. He said that due to the resistance of farmers, the office could not assure that all the chicken in the market is safe for consumption.

DoAH-deployed surveillance officers have been complaining that the farmers do not even let them enter their poultry farms for inspection."We cannot take the police to each and every farm for inspection," Dr Ghimire added. 

In recent outbreaks, several farmers have themselves dumped the dead chicken without informing veterinary officials. 

Veterinary doctors said that farmers are at high risk of contracting the disease. They urged the farmers to exercise high alert and inform vet officials if chickens start to die in huge numbers. Fowls avoiding feed, standing still with the head down and excreting saliva could be symptoms of infection by the H5N1 virus, vet officials said.

China: 52 People Receive Medical Observations in Relation To 2 Confirmed Cases

Translation
February 16, 2013
According to Xinhua News Agency, Guizhou recently diagnosed two cases of human infection with highly pathogenic avian influenza, are now recognized history of close contact with poultry, there are still 52 people in close contact with two patients undischarged medical observation.
Reporters from the Guizhou provincial government emergency management office on the 15th, this year on February 7 and 8, Guiyang two patients to the hospital, were diagnosed with unexplained cases of pneumonia and severe pneumonia complicated by respiratory distress syndrome, the 10th Once confirmed human case of bird flu. A 21-year-old female patient in critical condition in the 13th rescue died, another 31-year-old male patient is still in the emergency treatment. According to the survey, case history of close contact with poultry.
As of now, Guizhou Province not then received new outbreaks have been reported, 110 people have had close contact with the two patients, 58 people have been lifted under medical observation, the remaining 52 continue to receive medical observers were not abnormal clinical manifestations such as fever.

It is understood that, Guizhou emergency deployment to start the emergency response, and composed of three special working group to carry out prevention and control work to deal with municipalities, state poultry farms to carry out a comprehensive investigation, and organizational work group to Guiyang City and county, city, district The farmer's market, the the poultry market place, scale farms to be checked. The Guiyang carry out investigation, disinfection work, start a human bird flu monitoring, the implementation date reports and 零报告制度.
Guizhou Province requirements, the next step in the prevention and control of the disposal of focus: First, adhere to the scientific treatment of active treatment, best treatment patients; increase prevention and control efforts, and increase the social aspects of the investigation and to prevent the emergence of new cases; strengthen coordination among various departments, do a better job of human avian influenza prevention and control of the source of governance work.
It is understood that the people infected with the highly pathogenic avian influenza in acute respiratory infections caused by influenza A H5N1 virus. The majority of patients with high fever and pneumonia, acute onset, rapid progression and high mortality. Currently, bird flu from poultry to humans, yet found sustained human-to-human transmission.
http://news.sina.com.cn/o/2013-02-16/030026269478.shtml

The Deadliest Virus

 by David Levin
From Harvard Magazine
Bird flu (H5N1) has receded from international headlines for the moment, as few human cases of the deadly virus have been reported this year. But when Dutch researchers recently created an even more deadly strain of the virus in a laboratory for research purposes, they stirred grave concerns about what would happen if it escaped into the outside world. “Part of what makes H5N1 so deadly is that most people lack an immunity to it,” explains Marc Lipsitch [11], a professor of epidemiology at Harvard School of Public Health (HSPH) who studies the spread of infectious diseases. “If you make a strain that’s highly transmissible between humans, as the Dutch team did, it could be disastrous if it ever escaped the lab.”

H5N1 first made global news in early 1997 after claiming two dozen victims in Hong Kong. The virus normally occurs only in wild birds and farm-raised fowl, but in those isolated early cases, it made the leap from birds to humans. It then swept unimpeded through the bodies of its initial human victims, causing massive hemorrhages in the lungs and death in a matter of days. Fortunately, during the past 15 years, the virus has claimed only 400 victims worldwide—although the strain can jump species, it hasn’t had the ability to move easily from human to human, a critical limit to its spread.

Continued:

http://harvardmagazine.com/2013/03/h5n1-the-deadliest-virus

New Mexico: Pnuemonia shots recommended, cases rise

February 15, 2013
New Mexico has experienced 89 flu & pneumonia-related deaths this season:

The New Mexico Department of Health reports two children have died from the flu in New Mexico over the past month, bringing to 89 the number of flu- and pneumonia-related deaths in the state this season.
Health officials say a 2-year-old girl from McKinley County and 15-year-old boy from Torrance County have died from influenza-related illnesses. That compares to just one flu-related pediatric death last season.  Continued...
  http://www.10tv.com/content/stories/apexchange/2013/02/13/nm--nm-flu-deaths.html
They are now recommending the pneumococcal vaccine.  

ALBUQUERQUE (KRQE) - With the number of pneumonia cases on the rise in New Mexico, doctors and pharmacists recommend that people should get a pneumonia shot.  So far, 78 people have died from pneumonia here in the state within the last few months.
It's clinical term is pneumococcal conjugate vaccine or PCV-13. It's been out for a while and it's recommended for many different age groups. 


Continued:  http://www.kasa.com/dpps/news/krqe_news/region_1/pnuemonia-shots-recommended-as-cases-rise-dr_5560309

Thailand Keeps Close Watch On #Coronavirus

BANGKOK, Feb 15 (Bernama) -- Thailand's Department of Disease Control under the Ministry of Public Health has been on high alert against Coronavirus, keeping a close watch particularly on pilgrims who have returned from the Middle East, Thai News Agency (TNA) reported.

In response to reports that there have been 11 Coronavirus cases globally, with the patients suffering from an acute respiratory problem, pneumonia and kidney failure, Dr. Prasert Thongcharoen, an advisor to the Department of Disease Control, insisted on Friday that Thai health authorities have kept monitoring the situation.

Continued:  http://www.bernama.com/bernama/v6/newsindex.php?id=928174

Coronavirus: Philippines: DOH asks hospitals to report cases of unusual severe pneumonia

February 15, 2013


MANILA, Philippines - Following reports on people contracting a new Severe Acute Respiratory Syndrome-like virus in other countries, the Philippine Department of Health on Friday asked hospitals to report to the DOH if they have patients suffering from unusual severe pneumonia.
"Sa ngayon wala pang narereport sa amin kaya nananawagan uli kami sa mga hospital na magreport sa amin kung may pasyente silang nasa intensive care unit at may severe pneumonia pero negative naman sa mga routine tests for influenza,” said DOH Assistant Secretary Enrique Tayag.

Continued:  http://www.interaksyon.com/article/55146/novel-coronavirus-alert-doh-asks-hospitals-to-report-cases-of-unusual-severe-pneumonia

Indonesia: Bali Suspect in Overcrowded Sanglah Hospital

February 15, 2013
There appears to be a suspected human case of bird flu in the Sanglah hospital in Bali, Indonesia.

Name:  MD (2.5)
From:  Hamlet Sidawa Tamanbali village
Adm:  2/13, fever, cough, breathlessness (9:00 pm)
Adm:  2/12 Bangli Hospital (9:30 pm)
Onset:  2/10
Notes:  Poultry deaths recently at residence

The only problem is Sanglah hospital is experiencing some problems.
They are overcrowded and they are mixing infectious cases in with others...here's an excerpt from a post I made a few days ago:

" However, it also meant special care for babies and patients such as patient infections, both TB and HIV should not be combined with other patients."

I was concerned when I read this article a few days ago, enough so that I provided a toggletext translation in addition to the now "standard" google translation:

Of the 10 largest disease must be hospitalized at Sanglah, it turns out most were cases of premature rupture of membranes, followed by cesarean section. Lung disease or pneumonia followed in third. While diarrhea and dengue occupy the fourth and fifth most diseases, hospitalized at Sanglah, followed by heart disease, childbirth, stroke, appendicitis and kidney failure. '' In general, both infectious and non-infectious diseases are still prevalent and no one has been significantly improved,'' he said.
[original statement:  'Secara umum, baik penyakit infeksi maupun noninfeksi masih merata dan belum ada yang meningkat secara signifikan,'' ujarnya.]
[toggletext of statement:  'Secara the public, both the infection and non-the infection was still equitable and not yet there are those that increased significantly', he said.]
http://www.balipost.co.id/mediadetail.php?module=detailberita&kid=2&id=73945

Thursday, February 14, 2013

Indonesia: Batam with #H5N1 Avian Influenza in Chickens

Plague Avian Influenza in Batam
DOK

Batam City Government wiping out thousands of chickens from a number of areas in the city of Batam as outbreaks of bird flu virus.Thousands of chickens died suddenly owned by ranchers who allegedly caused by exposure to bird flu. Dept. of Marine Fisheries, Agriculture and Forestry (KP2K) Batam city, DVM Suhartini, said more than 2270 chickens joint venture owned by the three groups (KUB) in Kelurahan Air Raja, Kecamatan Nongsa, dan Tanjungriau, City  Batam died suddenly in the last month. Data from Batam City KP2K mention of dead chickens 2270, approximately 200-20's tail belong to the citizens Kavling Seitemiang Agriculture, Village of Tanjung Riau. [Kavling Pertanian Seitemiang, Kelurahan Tanjung Riau.]The rest is owned by three KUB poultry which is a relief from the Ministry of Social Affairs. Third KUB was the Bunga Durian, Sariwati, dan Mekar Sari..  

"This case could have been avoided if farmers want to report early for chicken deaths have occurred since the beginning of January and the new farmers reported a few weeks ago," he said in Batam, Thursday (14 / 2). Having received a report from a breeder, the Animal Husbandry Department of Batam lower PDSR Team (Participatory Disease Surveillance and Response) to perform pamantauan and inspection of the site and the results of the rapid test is known birds that died suddenly due to bird flu positive exposure. For that, Suhartini appealed to farmers not to sell to consumers sick or carrying out of the farm locations so that the virus does not spread.  The farmers are also required to comply with preventive measures, not to infect humans.  

Meanwhile, thousands of chickens were not infected in the endemic areas of the Kelurahan Air Raja, Kecamatan Bulang, dan Seitemiang, Kecamatan Batuaji, has been annihilated by buried with distance one kilometer from the plague. Batam Mayor Ahmad Dahlan, said that there are thousands of tail in endemic areas should be culled to stop the spread of bird flu virus. It was also necessary so that the virus does not spread to humans. In the meantime, the farmers will not receive compensation from the government. "For people who allegedly infected with the bird flu virus melaporkanya immediately so as not to spread to other people and immediately get treatment," he said.  
[original:  "Bagi warga yang diduga terinfeksi virus flu burung segera melaporkanya agar tidak sampai menyebar ke warga lainnya dan segera mendapat penanganan," katanya.]

http://koran-jakarta.com/index.php/detail/view01/112645 

Indonesia: Suspected Padangpariaman Case Tests Negative

2/14/13
Patients suspected (unexpected) initials AI, D, 73, a resident of Sanur District Padangpariaman treated at the department of Dr M Djamil Padang, could breathe. Because the results of the laboratory stating that the patient is suffering from a virus H5NI negative.

Chief Medical Officer of Sumatra Rosnini Savitri told reporters, test blood samples from patients suspectbird flu negative. "From the laboratory results that we received, the patient was negative bird flu virus," said Rosnini. If the patient D had gradually recovered, according Rosnini, patients will be repatriated to their home.

Wednesday, February 13, 2013

Britain reports novel coronavirus family cluster

2/13/13
CIDRAP
Excerpt:
The HPA continues to monitor close contacts of the two new CoV patients, as well as members of health teams treating them. The ECDC said so far none have shown symptoms
The ECDC also said the HPA is in contact with an airline to follow up on passengers who may have been exposed to the virus while flying with the first patient.
In another development related to 60-year-old man's infection, Ziad Memish, MD, Saudi Arabia's deputy minister for public health, yesterday suggested that health experts reconsider the current CoV case definition, according to his post on ProMED-Mail, the online reporting system of the International Society for Infectious Diseases.
He wrote that although the HPA emphasized the patient's travel to the Middle East, the incubation period and the appearance of symptoms are ambiguous enough to warrant a more cautious statement. "…it remains unknown where and when this patient became infected," he wrote.
Memish also urged caution about interpreting the pH1N1 co-infection until the test results are confirmed by an independent source. He said a thorough search hasn't turned up any similar dual infections in Saudi Arabia.
Surveillance for SARIs in Saudi Arabia is ongoing, tests on 300 sick Hajj pilgrims found no coronavirus cases, and personal communications with French and Egyptian health officials have also revealed no CoV infections, Memish wrote.
He pressed for an expanded search for more cases. "Thus far it is less associated with focused or even regional outbreaks than it is with sporadic disease in widely separated locales. Unless and until SARI investigations are expanded, our understanding of its epidemiology and disease spectrum will remain limited. An urgent discussion of the current case definition is needed. 

Coronavirus: Further UK case of novel coronavirus (person-to-person transmission has occurred)

UK Health Protection Agency
13 February 2013
The Health Protection Agency (HPA) can confirm a further case of novel coronavirus infection in a family member of the case announced on Monday 11 February. The patient, who is a UK resident, does not have any recent travel history and is currently receiving intensive care treatment at The Queen Elizabeth Hospital, Birmingham. It is understood that this patient has an existing medical condition that may make them more susceptible to respiratory infections. This latest case brings the total number of confirmed cases globally to 11, of which three have been diagnosed in the UK.
Professor John Watson, head of the respiratory diseases department at the HPA, said: "Confirmed novel coronavirus infection in a person without travel history to the Middle East suggests that person-to-person transmission has occurred, and that it occurred in the UK. This case is a family member who was in close personal contact with the earlier case and who may have been at greater risk of acquiring an infection because of their underlying health condition.
“To date, evidence of person-to-person transmission has been limited. Although this case provides strong evidence for person to person transmission, the risk of infection in most circumstances is still considered to be very low. If novel coronavirus were more infectious, we would have expected to have seen a larger number of cases than we have seen since the first case was reported three months ago. However, this new development does justify, the measures that were immediately put into place to prevent any further spread of infection and to identify and follow up contacts of known cases.
“We will continue to provide advice and support to healthcare workers looking after the patients and to contacts of both cases.
"In light of this latest case we would like to emphasise that the risk associated with novel coronavirus to the general UK population remains very low. The HPA will continue to work closely with national and international health authorities and will share any further advice with health professionals and the public if and when more information becomes available."

http://www.hpa.org.uk/NewsCentre/NationalPressReleases/2013PressReleases/130213statementonlatestcoronaviruspatient/ 

Cambodia & China Human Cases 2013 #H5N1 #Birdflu

-->
Cambodia & China 2013
First section is a condensed listing, and then a more detailed listing.


Cambodia

Report Date/Province/District/ Con. Date /Name/DOD
Jan 27/Kampong Speu/Kong Pisei/1-23/35(M)/DOD 1-21
Jan 27/Takeo/Prey Kabass/1-22/15(F)/DOD 1/21
Jan 27/Phnom Penh/Porsenchey/1-22/8(mos)/Recovered
Jan 28/Kampong Speu/Kong Pisei/1-26/17(mos)/DOD 1-28
Jan 29/Kampot/Teouk Chhou/1-28/9(F)/DOD 1-28
Feb 8/Takeo/Prey Kabass/1-22/5(F)/DOD 2-7
Feb 13/Kampot/Angkor Chey/2-11/3 (F)/DOD 2-13
Feb 21/Kampot/Angkor Chey/2 (M)/DOD 2-19
 


Kampong Speu​
Date 1/27/13
Name:  35(M)
From: 
Trapeang Sla village, Preah Nipean commune,  Kong Pisey district, Kampong Speu
Onset:  1/13
Adm:  Treated by private practioner
Adm:  1/21
Hospital:  Khmer-Soviet Friendship Hosp. Phnom Penh, sym's fever, dyspnea
DOD:  
1/21
Notes:  Prepared sick chicken for food prior to being sick.
Confirmation:  1/23/13 - Positive
Takeo
Date:  1/27/13
Name:  15(F)
From: 
Snao village, Prey Kabass district, Takeo Province
Onset:  1/11/13
Adm:  Treated by private practioner.
Hospital:  Kantha Bopha
Adm:  1/17/13 sym's fever & shortness of breath.
DOD:  1/21/13
Notes:  Previous dead poultry in village.  Prepared sick chicken for food prior to being sick.
Confirmed:  1/22/13 - Positive

Phnom Penh
Date:  1/27/13
Name:  8 month male
From: 
Chrey Korng Village, Sangkat Chorm Chao, Khan Porsenchey district, Phnom Penh
Onset:  1/8/13
Hospital:  National Pediatric Hosp.
Adm:  1/9 sym's fever, cough, runny nose, vomiting.
Notes:  Samples sent on 1/11.  History of contact with poultry.
DOD:  survived and recovered
Confirmed:  1/22/13 - positive
Kampong Speu
Date 1/28/13
Name:  17 month girl
From:  Kong Pisei district,
Prey Nhat commune, Kampong Speu
Onset:  1/13, fever, runny nose, vomiting
Adm:  private practitioner
Adm: 
1/17 fever, cough, somnolence & dyspnoea 
Hospital: Kantha Bopha Phnom Penh
Notes:  Recent poultry death in village.  Contact with poultry.
DOD:  1/28
Confirmed:  Positive 1/26
Kampot Province
Date 1/29/13
Name:  9 yo girl
From:  Thmei village, Thmei commune, Toeuk Chhou district, Kampot Province
Onset:  1/19, fever, cough
Adm:  Initially treated by a private practitioner
Adm:  1/27
Hospital:  Kantha Bopha with fever, cough, somnolence and dyspnoea
DOD:  1/28
Notes:   Poultry dead around village.
Confirmed:  Positive - 1/28




Takeo Province
Date  2/8/13
Name:  5 yo female
From:  Angk Krasang Village, Prey Lvea commune, Prey Kabass district, Takeo Province.
Onset:  1/25
Adm:  local private practitioner
Adm:  1/31 with fever, cough & dyspnoea
Hospital:  Kantha Bopha Hospital
Confirmed:  Positive, diagnosed on 2/7
DOD:  2/7
Notes:  recent deaths of poultry in village.  Touched & ate dead chicken. 

Kampot Province
Date:  2/13/13
Name:  3 yo female
From:  Trapeang Kamphleanh village, Ang Phnom Toch commune, Angkor Chey District, Kampot Province
Adm:  2/6
Hospital:  Kantha Bopha Hospital, fever, abdominal pain, drowsiness
Onset:  2/3 red rash, initially treated by private practioner
Notes:  Recent death of poultry in village, history of contact.  Critical Condition w/severe breathing problems.
Confirmation:  2/11/13
DOD:  2/13/13


Kampot Province
Date:  2/21/13
Name:  2 yo male
From:  Angkor Chey, Kampot Province
Onset:  sick for at least 5 days before admission
Adm:  Kantha Bopha Hospital, Phnom Penh
DOD:  2/19/13 (18 hours after admission)



China
Report Date/Province/District/ Con. Date /Name/DOD

Feb 10/Guiyang/2-10/21/Shuai Pengyue/2-13
Feb 10/Guiyang/2-10/31/(M)/crit. cond.


Date:  February 10, 2013
Name:  Shuai Pengyue (21)(F)
From:  Guiyang City, Guizhou
Onset:  2/2
Adm:   2/10 Guizhou Provincial People’s Hospital ICU
Notes:  No contact with poultry
Confirmation:  Positive on 2/10/13
DOD:  2/13/13

Date:  February 10, 2013
Name:  31 (Male)
From:  Guiyang
Onset:  2/3
Adm:  2/8 Guiyang People’s Hospital ICU
Notes:  No contact with poultry
Confirmation:  Positive on 2/10/13

Cambodia: #H5N1 Avian Influenza Kills 3 Year Old in Kampot Province #Birdflu

February 13, 2013
Excerpt

PHNOM PENH: A three-year-old Cambodian girl has died from bird flu, bringing the country's toll from the deadly virus to six so far this year, the World Health Organisation said on Wednesday.

The girl, from the southern province of Kampot, died in a children's hospital in the capital Phnom Penh, the WHO said in a joint statement with the Cambodian health ministry.

Tests confirmed she had contracted the H5N1 strain of avian influenza and "the girl had a history of coming into contact with poultry (in her village) prior to becoming sick", it added.

Cambodian Health Minister Mam Bunheng said in the statement that "H5N1 remains a serious threat to the health of Cambodians, especially children".

Continued: http://www.channelnewsasia.com/stories/afp_asiapacific/view/1253960/1/.html

China: Guizhou Provincial Health Department Statement on #H5N1 Death

Translation:

At 9:41 on February 13, Guiyang City avian flu patients Shuai Peng months, due to disease progression of multiple organ failure, died Guizhou Provincial People's Hospital.
Shuai Peng months, female, 21 years old. Onset of February 2, 2013, transferred to the People's Hospital of Guizhou Province, where the sicker the morning of February 10, the Chinese Center for Disease Control review of detection of their respiratory specimens confirmed cases of human avian flu (H5N1).

Original:
2月13日9时41分,贵阳市人禽流感患者帅朋月因病情恶化,多器官功能衰竭,经贵州省人民医院抢救无效死亡。
帅朋月,女,21岁。2013年2月2日发病,病情加重后,转入贵州省人民医院救治,2月10日上午,经中国疾控中心对其呼吸道标本复核检测,确认为人禽流感(H5N1)病例。


http://www.gzwst.gov.cn/SysHTML/ArticleHTML/45711_1.shtml

China: #H5N1 Human 21 Year Old Dies of Avian Influenza

[translation out of China]
February 13, 2013 (Epoch Times reporter FANG Xiao roundup) Guiyang, Guizhou Province, Feb. 10 New Year's Eve confirmed two cases of human infection of highly pathogenic avian influenza (H5N1) cases, including 21-year-old woman infected persons died on February 13th. The patients from the onset to death only 11 days. Other men infected in critical condition.

February 11, Communist China Ministry of Health, Guizhou Guiyang City confirmed two cases of human infection with highly pathogenic avian influenza (H5N1) cases. On the morning of February 13, the 21-year-old female patient's condition deteriorated, multiple organ failure and death. The woman onset, February 2 exacerbations transferred to Guizhou Provincial People's Hospital for treatment.
Another 31-year-old male patient in critical condition, is still receiving treatment. Its incidence in the February 3, since the purchase of the drug administration is still in the doldrums, and transferred to the Second Hospital of Guiyang.
The official reported that the people infected with the highly pathogenic avian influenza in acute respiratory infections caused by influenza A H5N1 virus. The majority of patients with high fever and pneumonia, acute onset, rapid progression and high mortality. Currently, human avian influenza from poultry to humans.
Now is the Chinese mainland A celebration period, the New Year is the peak of the public consumption of poultry and its products, is also prone period of the highly pathogenic avian influenza. Guizhou recognized in the New Year ahead between the two cases of human infection with highly pathogenic avian influenza, caused panic. Part going to the Chinese New Year holidays, travel to Guiyang people said it would give up the trip. Popular appeal during the Chinese New Year, we have to avoid contact with sick or dead poultry, birds, if they run a fever or flu-like symptoms should seek immediate medical attention.
Chongqing Daily reported that the Chongqing-Guizhou Expressway secure crossing, crossing Guizhou into the main city of Chongqing, the most efficient. Transferred Chongqing animals and their products from Guizhou, five or six percent "clearance" from here into the Chongqing.Director of the Chongqing the Qijiang District Animal Health Authority Wengchang Long said.Chinese New Year is the animals and their products are imported into the peak period. Chongqing keep crossing, avian influenza from Guizhou invasion.
Guizhou outgoing diagnosed two cases of human infection with the H5N1 avian flu caused attaches great importance to. Taiwan CDC has asked the airport, port personnel to strengthen passenger fever, to investigate the history of bird contact.
CHP spokesman in Hong Kong, Hong Kong will be vigilant and maintain stringent port health measures and press the developments.

Indonesia: Bed's @ Sanglah Hospital: 3rd Common Adm. is Pneumonia/Lung Disease

 2/13/13

The view of patients waiting for a bed at Sanglah frequent lately. In addition to the transition that causes a lot of people sick, relocation of buildings made ​​Sanglah also makes reference to Bali's main hospital almost every day overwhelmed arrange beds for patients who want to undergo hospitalization.
-snip-
 However, it also meant special care for babies and patients such as patient infections, both TB and HIV should not be combined with other patients.
-snip-
 Of the 10 largest disease must be hospitalized at Sanglah, it turns out most were cases of premature rupture of membranes, followed by cesarean section. Lung disease or pneumonia followed in third. While diarrhea and dengue occupy the fourth and fifth most diseases, hospitalized at Sanglah, followed by heart disease, childbirth, stroke, appendicitis and kidney failure. '' In general, both infectious and non-infectious diseases are still prevalent and no one has been significantly improved,'' he said.
[original statement:  'Secara umum, baik penyakit infeksi maupun noninfeksi masih merata dan belum ada yang meningkat secara signifikan,'' ujarnya.]
[toggletext of statement:  'Secara the public, both the infection and non-the infection was still equitable and not yet there are those that increased significantly', he said.]

http://www.balipost.co.id/mediadetail.php?module=detailberitaminggu&kid=24&id=73870

Cambodia Map of Kampot Province and Districts

There are two human cases from Kampot Province. The first one is the 9 year old girl, that died on January 28th. She was from Teouk Chhou. The second case is the one today, the 3 year old from Angkor Chey. Today's case in interesting, because it initially began with a rash, and developed into abdominal pain. Different symptoms than the others. The 3 year old is currently experiencing severe breathing problems and is in critical condition. The distance from onset of the rash to today is 9 days. Below is a map depicting the Districts inside Kampot Province.

Cambodia: New Human Case #7 for #H5N1 Avian Influenza

February 13, 2013
The Ministry of Health (MOH) of the Kingdom of Cambodia has issued another press release.

The seventh case:

Name:  3 yo
From:  Trapeang Kamphleanh village, Ang Phnom Toch commune, Angkor Chey District, Kampot Province.
Adm:  2/6
Hospital:  Kantha Bopha Hospital, fever, abdominal pain & drowsiness.
Onset:  2/3 red rash, initially treated by private practioner
Notes:  Recent deaths of poultry in village, history of contact.  Critical condition with severe breathing problems.
Confirmation:  2/11/13

http://www.cdcmoh.gov.kh/PressRelease/28thpressrelease_H5N1_Eng.pdf