Vietnam: Ca Mau detected 4 cases of H1N1 flu in a week

We have one more case in Ca Mau.  See article for original location of other 3 cases.

7/04/13

Dr. Nguyen Thanh Dan, director of the Preventive Medicine Center of Ca Mau Province said: "Creative 4.7, HCM City Pasteur Institute announced results Tran Hoang Tham patients (30 years old),  Bến Bàu, xã Quách Phẩm Bắc, H. Đầm Dơi (Ca Mau) positive for influenza A/H1N1. "

Dr. Dan additional information, so in a week in the province of Ca Mau detected 4 cases positive for influenza A/H1N1 and 4 suspected cases still awaiting test results from the Pasteur Institute.

The health sector Mau ongoing epidemiological investigation, he found Detective cause flu. The patients were spraying disinfectant chemical disinfection. Relative exposure to the patient guidance and treatment methods are recommended early to health facilities when symptoms fever, shortness of breath.

Earlier, Ca Mau 3 patients found positive for influenza A/H1N1, no deaths, including Mr. Le Hoang Baby (Director of Provincial Affairs), Mr Luong Van Dua (67 years old, live social Nguyen Plugs, HU Ming) and Tran Thi Season (live Cai Doi Vam town, H.Phu Tan).

Currently flu situation is complicated in the province so doctors advised people need to know how to protect themselves by simple measures such as proper hygiene, child care habit should wash their hands with soap sterilizing room before eating, after using the toilet and after playing to minimize bacteria from hands by ingestion, breathing into the body.

If any family members have the early signs of flu to health care facilities to detect the disease and timely treatment.

http://www.xaluan.com/modules.php?name=News&file=article&sid=645784

 

Qatar: New face mask to combat #coronavirus

July 4, 2013

DOHA: New data presented at the International Consortium for Prevention and Infection Control (ICPIC) 2013 in Geneva has provided a welcome relief for pilgrims planning for visiting the Holy City of Makkah and concerned about the recent coronavirus outbreaks in Saudi Arabia.

Continued:  http://thepeninsulaqatar.com/qatar/243897-new-face-mask-to-combat-coronavirus.html

Pandemics: European Union Strengthens its Alert and Response System

Plenary Session
Public Health - 03/07/2013

The EU's ability to cope with serious cross-border health threats such as coronavirus, the 2011 E. Coli epidemic or the 2009 H1N1 flu will be strengthened by legislation voted on Wednesday. The text introduces an early warning system, facilitates joint buying of vaccines and will make it possible to declare an EU-wide emergency in the event of a crisis.

EU legislators draw on experience of crises such as the epidemics of Escherichia coli virus in 2011 and H1N1 flu in 2009, as well as difficulties in dealing with the volcanic ash cloud of 2010. Existing EU-wide arrangements will be strengthened to improve coordination and reduce response times.

Joint buying of medicines and vaccines

MEPs also introduce a scheme to enable EU member states to buy medicines jointly and thus more cheaply. It should also ensure fairer access to vaccines.

"This is without a doubt the greatest achievement under this decision," said the rapporteur, Gilles Pargneaux (S&D, FR). "Access to vaccines will be fairer because they will be available at fairer prices. This is welcome progress, particularly in the smaller member states which simply could not afford the exorbitant prices charged during the recent pandemics," he said. The agreement he negotiated with Council was adopted by 678 to 21 votes, with 4 abstentions.

During the 2009 (H1N1) flu epidemic member states competed with each other to procure vaccines that were available only in limited quantities.

EU-wide public health emergency

The text also introduces the possibility of declaring a European "public health emergency" to accelerate the authorisation of medicines needed to combat the crisis. Current legislation requires the EU to wait until the World Health Organization declares an international emergency on all continents.

As some recent epidemics were linked to viral strains of avian or porcine origin, the text aims to ensure that preparedness and response planning in the veterinary and human health sectors are interoperable.

Independence of experts

The text stresses that the system must work transparently. When consulted, experts should declare any interest, direct or indirect, which could be considered prejudicial to their independence.

Next steps

The decision will take effect on the day it is published in the EU Official Journal.

Procedure: Co-decision (Ordinary Legislative Procedure), 1st reading agreement

REF. : 20130701IPR14764

http://www.europarl.europa.eu/news/en/pressroom/content/20130701IPR14764/html/Pandemics-EU-strengthens-its-alert-and-response-system 

EU: FAQ: Serious Cross-border Threats to Health Decision

Below are a few excerpts from a FAQ Memo on the vote taken in the European Union's Parliament to strengthen legislation on the EU's alert and response system to pandemics. 
With this new legislation, they could declare a pandemic outside of the WHO decision to declare one.  Below, bolded in red (mine) Coronavirus, MERS, would fall into the last category, as of today, because we still do not know it's origin...

European Union Press Release

FAQ: Serious Cross-border Threats to Health Decision

Reference: MEMO/13/645 Event Date: 03/07/2013

What types of health threats will the new legislation cover?

The categories of serious cross-border threats to health and related agents to be covered by the new legislation are:

1. Threats of biological origin, relating to communicable diseases or caused by biotoxins and special health issues such as antimicrobial resistance and healthcare associated infections
2. Threats of chemical origin like those caused by acute release of dangerous substances deliberately or during an accident or an explosion
3. Threats of environmental origin, including extreme weather conditions such as heat waves and cold spells
4. Public health emergencies of international concern
5. Threats of unknown origin

The Decision further foresees that health threats other than those covered by the scope may, in exceptional emergency situations - if it is considered that public health measures taken prove insufficient to protect human health - be referred for a coordinated response to the Health Security Committee.

How will health emergencies confined to Europe be handled?

Coordination of public health measures will be managed at EU level.

Until now, for health emergencies confined to the EU, the Union had only a clear legal mandate to coordinate public health measures for communicable diseases. For these cases only, the EU could e.g. adopt guidelines on protective measures and information to the public at EU level. The new Decision once in force will extend the Commission's co-ordination role to all types of health crises – biological, chemical, environmental, or of an unknown nature.

The proposal also foresees that the European Commission recognises a public health "emergency situation" independently from the World Health Organisation (WHO). This will allow the European Union to use existing pharmaceutical legislation to quickly authorise medicinal products and therefore make vaccines immediately available on the market in the absence of such a decision by the WHO.

http://europa.eu/rapid/press-release_MEMO-13-645_en.htm

European Union - Lawmakers vote to strengthen response to cross-border health threats

July 4, 2013

The Parliament on Wednesday (3 July) voted to strengthen legislation on the EU's alert and response system to pandemics. The text introduces an early-warning system, facilitates the joint purchase of vaccines and will make it possible to declare an EU-wide emergency in the event of a crisis.

Communicable diseases and health threats caused by chemical or biological agents, or environmental events, do not respect borders, which is why the EU wants to be at the forefront of coordination of action if one emerges.

The European Commission's assessment of past public health crises, such as the 2009 H1N1 flu epidemic or the e.coli crisis in 2011 revealed shortcomings in the health security framework currently in place.

The gaps identified were notably in risk assessment, preparedness and response planning and crisis management.

MEPs have voted for an introduction of a scheme that will enable EU countries to buy medicines jointly and thus more cheaply. It should also ensure fairer access to vaccines.

During the 2009 H1N1 flu epidemic, EU states competed with each other to procure vaccines that were available only in limited quantities. 

"This is without a doubt the greatest achievement under this decision," said Gilles Pargneaux, a French MEP who drafted the Parliament's opinion on the proposal for the Socialists and Democrats (S&D).

"Access to vaccines will be fairer because they will be available at fairer prices. This is welcome progress, particularly in the smaller member states which simply could not afford the exorbitant prices charged during the recent pandemics," he added.

Faster EU emergency response

Health Commissioner Tonio Borg said people in Europe would be better protected from a wide range of health threats through strengthened preparedness planning and coordination.

"One of the key achievements of the decision is that it establishes the legal basis for the coordination of voluntary joint procurement of vaccines and medicines at EU level. We will start with the procurement of pandemic vaccines: the member states who participate in this process will be able to provide their citizens with vaccines under better conditions than in the past," Borg said.

The text also introduces the possibility of declaring a European "public health emergency" to accelerate the authorisation of medicines needed to combat the crisis.

Current legislation requires the EU to wait until the World Health Organisation (WHO) declares an international emergency on all continents.

As some recent epidemics were linked to viral strains of avian or porcine origin, the text aims to ensure that preparedness and response planning in the veterinary and human health sectors are interoperable.

http://www.euractiv.com/health/eu-strengthens-response-cross-bo-news-529064

UK Cluster Commentary #Coronavirus #MERS

An excerpt from the Telegraph, in the previous post from ProMED:

In February [2013], 2 members of the same family died from the virus. One, a 39-year-old man, died in Birmingham having picked up the virus from his father, who had recently travelled to Saudi Arabia. The father then died around a month later in Manchester's Wythenshaw hospital. A female relative was also treated for mild MERS symptoms, raising fears of human-to-human [transmission].

From my Case List - on that specific incident:

Date Report:  2/11/13 [Case #10]

Name:  Abid Hussain (60) -  Father.  Index Case.

From:  Winson Green, UK Resident

Onset:  1/24/13 (Arrived back on 1/28, unwell)

Adm:   1/31  Wythenshawe Hospital, Manchester,  ICU with severe lower resp. tract infection.

Notes:  Arrived back to UK from Mecca Saudi Arabia on 1/28. 10 days before onset he visited Pakistan from 12/16-January 20, 2013 and Saudi Arabia from January  20-28^th.  Lab specimens from 2/1/13 revealed both influenza A H1N1pdm09 and NCoV (novel coronavirus) Alive.  In Coma.

DOD:  3/19 – 10^th Death, 17 Cases

  

Date Report:  2/13/13 [Case #11]

Name:  Khalid (39) - son to Abid above. 

From:  UK resident

Adm:   2/9  Queen Elizabeth Hospital, Birmingham.  ICU with resp. sym’s.

Onset:  2/6

Note:  Diagnosed with Brain Cancer.  Caught Coronavirus when Father first returned from Mecca in Saudi Arabia (where he went to pray for Son’s Health)

DOD:  2/17

Date Report:  2/15/13 [Case #12]

Name: Daughter to Index Case & Sister of Khalid (above)

From:  UK resident

Onset:  2/5 typical influenza-like sym’s ..

Adm:  no.   Patient is recovered from mild respiratory illness.

Note:  Wife tells story. Father, Son and Daughter.  Son diagnosed with brain cancer.  Father goes to Mecca in Saudi Arabia to pray for Son (Khalid).  When he first came back from Saudi Arabia he infects his Son.  Son died of Coronavirus.  Father is in a coma.  Daughter caught it, but immunity was fine and she survived.

link: http://www.guardian.co.uk/science/2013/mar/15/coronavirus-victim-widow-scientists-treatment

ProMED: UK - One Fatality #Coronavirus #MERS

This is the case that is referred to below:

Date Report:  9/22

Name:  Male (49)

From:  Qatar

Notes:  Travelled to Mecca, Saudi Arabia

Onset:  9/3 respiratory sym’s

Adm:  9/11 Transferred to UK via air ambulance

Adm:  9/7 ICU, in Doha, Qatar

Notes:  developed renal failure.  Still hospitalized as of 2/13/13.

Confirmation:  9/21

From ProMED
Published Date: 2013-07-03 19:25:39
Archive Number: 20130703.1803607
In this update:
[1] Saudi Arabia - 2 fatalities
[2] UK - one fatality


[2] UK - one fatality
Date: 3 Jul 2013
Source: UK Telegraph [edited]
Excerpt:
A man being treated in a London hospital for a lethal, SARS-like Middle Eastern virus has died. The man, a Qatari national, had been admitted to a private clinic in London in September [2012] before being transferred to the specialist centre at Guy's and St Thomas' Hospital.

He was diagnosed as suffering from the MERS virus -- Middle East Respiratory Syndrome -- which has affected 77 people worldwide, with 43 deaths.

"Guy's and St Thomas' can confirm that the patient with severe respiratory illness due to novel coronavirus [MERS-CoV] sadly died on Friday [28 Jun 2013], after his condition deteriorated, despite every effort and full supportive treatment," said Robin Wilkinson, a spokesman for the hospital.

The death of the Qatari man brings to 3 the number of victims who have died in the UK.

In February [2013], 2 members of the same family died from the virus. One, a 39-year-old man, died in Birmingham having picked up the virus from his father, who had recently travelled to Saudi Arabia. The father then died around a month later in Manchester's Wythenshaw hospital. A female relative was also treated for mild MERS symptoms, raising fears of human-to-human [transmission].

The disease is spread by people coughing or sneezing and can cause breathing difficulties, lung damage and pneumonia.

"We still don't know exactly what killed him," said Dr Jon Bible, a virus expert at Guy's and St Thomas'. "In the end, his lungs were worn down, so secondary infection is the real problem. The virus effectively turns your lungs to jelly."

Known cases of the illness have quadrupled since April 2013, and it is deadlier than SARS, which killed 774 people in 2003. SARS killed one in 10 affected people; MERS has proved fatal in 65 per cent of cases.

Continued:  http://beta.promedmail.org/direct.php?id=20130703.1803607

WHO: 13th New Human Case of Avian Influenza H5N1 in Cambodia in 2013

[editing is mine]
 
Joint news release of the Ministry of Health of the Kingdom of Cambodia and World Health Organization

PHNOM PENH, 2 July 2013 - The Ministry of Health (MoH) of the Kingdom of Cambodia wishes to advise members of the public that one more new human case of avian influenza has been confirmed positive for the H5N1 virus. This is 13th case this year and the 34th person to become infected with the H5N1 virus in Cambodia. Of the 34 confirmed cases, 23 were children under 14, and 21 of the 34 were female. In addition, there were only 4 cases out of 13 cases this year survived.
The 13th case, a six-year-old girl from Preyleu village, Bantheay Meas commune, Bantheay Meas district in Kampot province was confirmed positive for human H5N1 avian influenza on 28th June 2013 by Institut Pasteur du Cambodge. She developed fever and headache on 24th June. On 26th June her condition worsened with cough and dyspnea and she was taken to a private clinic. On 28th June, the girl was admitted to Kantha Bopha Hospital with fever, dyspnea and cough. In Kantha Bopha Hospital, the girl was treated with Tamiflu but died later in the night.
There have been recent poultry deaths in the village and the girl was likely to be exposed to sick and dead poultry before she became sick.

The 11th case, a five-year-old girl from Tep Rom village, Veal Ponn commune, Thpong district in Kampong Speu province tested positive for influenza A (H1N1) on 30 January 2013. After random retrospective re-testing of samples, it was confirmed on 2nd May that the girl was also infected with the H5N1 human avian influenza virus. The girl has recovered.

The 12th case, a 58-year-old man from Sangkat Chroy Chorng Va, Khan Roeusey Keo, Phnom Penh, tested positive for influenza on 9 January 2013. After routine retrospective testing of samples, it was confirmed on 21st June that the man was also co-infected with the H5N1 human avian influenza virus. He was discharged from the Khmer-Soviet Friendship Hospital and has recovered.
 
"Avian influenza H5N1 remains a serious threat to the health of all Cambodians. This is the 13th case of H5N1 infection in humans this year. Children also seem to be most vulnerable and are at high risk because they like to play where poultry are found. I urge parents and guardians to keep children away from sick or dead poultry and prevent them from playing with chickens and ducks. Parents and guardians must also make sure children wash their hands with soap and water after any contact with poultry. If they have fast or difficult breathing, they should seek medical attention at the nearest health facility and attending physicians must be made aware of any exposure to sick or dead poultry,” said H.E. Dr. Mam Bunheng, Minister of Health. 

The Ministry of Health's Rapid Response Teams (RRT) are currently in the village to identify the girl’s close contacts, any epidemiological linkage among the 13 cases and initiate preventive treatment as required. In addition, a public health education campaign is being conducted in the village to inform families on how to protect themselves from contracting avian influenza. The government's message is - wash hands often; keep children away from poultry; keep poultry away from living areas; do not eat dead or sick poultry; and all poultry eaten should be well cooked. 

H5N1 influenza is a flu that normally spreads between sick poultry, but it can sometimes spread from poultry to humans. Human H5N1 avian influenza is a very serious disease that requires hospitalization. Although the virus currently does not easily spread among humans, if the virus changes it could easily be spread like seasonal influenza. Hence, early recognition of cases is important.

Globally since 2003, there have been 632 laboratory confirmed human cases of H5N1 avian influenza with 376 related deaths.
The Ministry of Health will continue to keep the public informed of developments via the MoH website www.cdcmoh.gov.kh where relevant health education materials can also be downloaded.
For more information on human influenza please call the MoH Influenza Hotline numbers: 115 (free call); 012 488 981 or 089 669 567

or contact:

Ministry of Health of Cambodia
Dr Sok Touch: Tel +855 12 856 848
Dr Ly Sovann: Tel +855 12 825 424
World Health Organization
Dr Pieter Johannes van Maaren: Tel +855 23 216 610
Dr Reiko Tsuyuokoa: Tel: +855 23 216 610

http://www.wpro.who.int/mediacentre/releases/2013/20130703/en/index.html 

CIDRAP: Cambodian man survived H5N1 coinfection

Cambodian health officials have identified another H5N1 avian influenza case, in a 58-year-old man who tested positive for flu in January but whose samples revealed co-infection with H5N1 in routine retrospective tests.
The man's infection was announced yesterday in a joint statement from Cambodia and the World Health Organization (WHO). It included news of the recent death of a 6-year-old girl from H5N1 and another retrospective H5N1 case, that of a 5-year-old girl, that was confirmed in early May.
The man is from Phnom Penh and was first tested for flu on Jan 9. He had been hospitalized in Khmer-Soviet Friendship Hospital and has since recovered. The statement didn't say what other strain the man had along with H5N1.
The man's illness was counted as Cambodia's 12th H5N1 case so far this year, and his infection and the 6-year-old girl's death raise the country's cumulative total to 34 cases, of which 28 were fatal. The two new Cambodian cases raise the global H5N1 count to 632 cases and 376 deaths, according to the WHO.
Jul 2 WHO/Cambodia joint statement
Jul 2 CIDRAP News story "Cambodian girl dies from H5N1 infection"

http://www.cidrap.umn.edu/news-perspective/2013/07/flu-scan-jul-03-2013 

China - National Influenza Center Director: H7N9 this fall and winter will be back

Translation out of China.  editing is mine.
7/3/13
National Influenza Center director Shu Yuelong team studies have shown that the virus can cause excessive body immunity, need close monitoring, development of vaccines dialogue character     Shu Yuelong China CDC deputy director of the virus, the National Influenza Center, World Health Organization Influenza Reference and Research Collaboration Director of the Centre. The world's first novel H7N9 isolates of avian influenza virus people. Dialogue motivation     it is a kind of virus, both seasonal flu virus receptor binding, but also easy with avian influenza virus receptor binding; also in humans off "cytokine storm", causing infections in critical condition. Today, the new issue of "Nature" magazine published scientific research team, Professor Shu Yuelong article, said a large number of biological characteristics indicate, H7N9 avian influenza virus to humans remains a major threat to the H7N9 continued close monitoring and research in order to allow humans have to resist This new recombinant viruses.     This spring, the Chinese come and gone H7N9, exactly what are the "secret"? Yesterday, the Beijing News reporter Shu Yuelong exclusive dialogue with the "Nature" magazine synchronization opened to the public in the dark side of H7N9.[Infectious]     H7N9 vulnerable people who can not infect humans     Beijing News: This year the H7N9 outbreak seems to have ended?     Shu Yuelong: I firmly believe, H7N9 avian influenza virus in poultry is still popular among asymptomatic.     Beijing News: Now the virus to carry out research mainly focus on what areas?     Shu Yuelong: This new reassortant viruses have a lot of mystery that we have not solved, for example, why the sudden emergence of the virus? Why would infect humans? Will not transmissible among humans? Why most infected illness so heavy?H7N9 outbreak in humans in future What is the risk? This is the main problem we are studying.    Beijing News: What are some of these new research findings?     Shu Yuelong: We found that H7N9 avian influenza virus is with the "sides" of the virus, both like the seasonal flu virus, easy and human upper respiratory tract, such as tracheal cells combined; also equipped with highly pathogenic avian influenza virus of H5N1 characteristics, people can go to the lower respiratory tract and the lungs cell receptor binding. This finding explains why H7N9 H5N1 more susceptible than people.     Beijing News: the more susceptible people, do you mean the possibility of human to human transmission occurs H7N9, H5N1 is much greater than that?     Shu Yuelong: Not necessarily. Because our study also found that, H7N9 avian influenza virus replication in human tracheal low capacity, much lower than the ability to replicate in the lungs, which led directly to H7N9 avian influenza virus is not yet effective human transmission.     Beijing News: Influenza viruses change quickly, if there is one day, H7N9 mutations, it will have the ability to person to person?     Shu Yuelong: This is most likely. Therefore, we are on the one hand to study and find out the person's upper and lower respiratory H7N9 replication efficiency of different reasons such as scientific issues, the other hand to strengthen the monitoring, always find the virus to mutate.【】 Virulence     virus causes severe hyperimmune cited     Beijing News: You are in "Nature" magazine mentioned in the article, H7N9 infection in humans will happen "cytokine storm", causing symptoms of infection in critically ill. What is a "cytokine storm"?     Shu Yuelong: When the H7N9 avian influenza virus infection in people after the body's immune system will automatically start to resist. But when there is excessive, intense immune response disorder, it will cause a lot of abnormally elevated cytokine expression, thus causing pathological damage to human tissue. This phenomenon has been aptly called a "cytokine storm."     Beijing News: "cytokine storm" in other influenza virus who have not come across?     Shu Yuelong: H5N1 infection in people, he will rise to a "cytokine storm." This explains why the H7N9 and H5N1 avian influenza virus infection in people after heavier than the symptoms, mortality is also high. Of course, the "cytokine storm" just cause infections occur in critically ill one of the main symptoms. There is a chronic infection itself, can lead to exacerbations. Also, what kind of person, there will be immune overreaction, now is not very clear.     Beijing News: "cytokine storm" can find ways to curb?     Shu Yuelong: Under certain conditions, reduce the immune response may inhibit the "cytokine storm" is valid. Such as Tamiflu and other neuraminidase inhibitor class of drugs for the H7N9 avian influenza infection in clinical treatment is effective, but there have been a pair of Tamiflu-resistant virus, once it will affect the anti-viral drug treatment should therefore be closely monitored its drug resistance. [Prevention]     H7N9 whereabouts of "hidden" difficult to find out the     Beijing News: the very real problem, do you think this year, autumn and winter, H7N9 will comeback do?     Shu Yuelong: I think it would, because the virus does not disappear automatically.     Beijing News: Reserve now developed a vaccine against H7N9 is very urgent?    Shu Yuelong: very urgent. So far, the world has not yet developed H7N9 vaccine success.Development of vaccines, with such technical reserves, and future people else fight this vaccine are two different things.     Maybe for H7N9 vaccines have been developed, never be used, but as a national public health system, to protect public health, need to have this ability to withstand potentially dangerous.     Beijing News: Why human H7N9 infections were more severe symptoms, but the infection of H7N9 in poultry almost asymptomatic?     Shu Yuelong: This is the most confusing and worrying doubts, but also H7N9 dark side. Although it is on the route of infection with H5N1, there are many similarities, but is completely different, H5N1 on poultry and people, can bring fatal injuries. So, when H5N1 struck, people can more clearly see where it is; while H7N9 in poultry popular among not the disease, it is difficult to ascertain its whereabouts.Just like a "black box", how to open the "black box", agriculture and health sectors need to work together to find the "key."     Beijing News: Now is not the epidemic, do you think that how to track H7N9?     Shu Yuelong: I appeal to health and agriculture departments should strengthen active surveillance for H7N9, including active surveillance among poultry, as well as in human syndromic surveillance. Our country is now established a comprehensive monitoring system for influenza-like symptoms, and unexplained pneumonia reporting system. If a person has flu-like symptoms, unexplained pneumonia, if the reasons for other viral infections were excluded, what should be screened for H7N9 infection. Calm the nation's public health system does not mean you can sit back and relax.     Beijing News: In the group of healthy birds, monitor H7N9 easy to do it?     Shu Yuelong: not easy, but I hope that the agricultural sector can be sustained in animals active surveillance.     Beijing News: It is necessary to carry on the healthy population screening for H7N9 do?     Shu Yuelong: not necessary.     Original title: Shu Yuelong: "H7N9 this fall and winter will be back"     This article Source: Beijing News (Boxun boxun.com)
http://boxun.com/news/gb/china/2013/07/201307040559.shtml#.UdSuZD772DM 

Five Topics Discussed on First Day Activities High-Level Preparatory (HLP) Meeting for the 66th Session of the WHO-SEARO - One is Pandemic Influenza Preparedness

ULY 3, 2013 | 5:47 PM

Director General of Disease Control and Environmental Health Ministry of Health, Prof.. dr. Tjandra Yoga Aditama, Sp.P, MARS, DTM & H, DTCE, led the delegation of the Republic of Indonesia (delegation) at the High-Level Preparatory (HLP) Meeting for the 66th Session of the WHO-SEARO , which will take place from 1 to 4 July 2013 in the New Delhi . This activity was participated by 11 member states of the WHO-SEARO.

In his email to the Center for Public Communication (seventh), Prof.. Tjandra said that there are 5 topics of discussion on the first day of the event (1/7). The fifth topic of the discussion, namely: 1)Technical discussions regarding the recording of births and deaths; 2) Implementation of the International Health Reguation (IHR) 2005: 3) Target Elimination of Measles in 2020 and Rubella Prevention; 4) aPenyaki Ttidak Diseases (PTM), and 5 ) Pandemic Influenza Preparedness.

According to Prof. Tjandra, countermeasures related Communicable Diseases (PTM) delegation said that Indonesia has done PTM control programs. In addition, Indonesia also commented on the need to incorporate oral cancer as regional targets SEARO region. In Indonesia, smokeless tobacco is not yet widely found. However, the number of smokers who threatened oral cancer continue to show an increasing trend.

Moreover, Prof Tjandra also convey important issues related to Pandemic Influenza Preparedness , namely: WHO needs to speed up the execution of the Standard Material Transfer Agreement (SMTA). Furthermore, the necessary coordination between WHO-SEARO with member states in determining the distribution of partnership contribution , as well as priorities for member countries experiencing H5N1 cases in the region.

Other things, the activities of the Regional Committee, WHO SEARO will be conducted in September 2013, where one of the agenda is the election of the Regional Director of WHO SEARO new.

This information is released by Center for Public Communication, Secretariat General of the Ministry of Health. For further information, please contact Halo MOH hotline <country code> lokal> 500-567; SMS 081 281 562 620, fax (021) 52921669, website www. depkes.go.id and e-mailkontak@depkes.go.id .

http://sehatnegeriku.com/lima-topik-dibahas-pada-hari-pertama-kegiatan-high-level-preparatory-hlp-meeting-for-66th-session-of-who-searo/