Sunday, February 15, 2009

Egypt monitors migrant birds for deadly avian flu strain

DUBAI, 15 February 2009 (IRIN) - Egypt has begun implementing its first programme to monitor the movement of migrant birds in the country in a bid to discover if they are able to transmit the highly pathogenic H5N1 bird flu subtype or not, media reports said.

The 10-day initiative uses remote sensing techniques and satellite tracking of migrant birds. The government programme - which has been carried out before in China, Nigeria and India - is being undertaken in cooperation with the US Geological Survey, the UN Food and Agriculture Organisation and the US Medical Research Unit.

Meanwhile, Egypt's health ministry said last week that a boy had contracted the deadly H5N1 strain of avian flu. He was the second such case in Egypt within a week, bringing the total number of human infections in the country to 56 since 2006.
hat-tip Florida1

Tuban

[If you travel west on 25, you will come to Semarang (15F) confirmed, Nov. '08.]



Tuban is a small town and regency in East Java, Indonesia. It is located on the north coast of Java, about 110 km east of Surabaya, and borders Lamongan and Bojonegoro regencies, and to the west, Rembang, Central Java.
Province East Java
Area 1,904.70 km²
Population approx. 1 million
Geographical coordinates 6°53′S & 112°03′E


The grave of Sunan Bonang, a sixteenth-century Islamic missionary who was involved in the initial spread of Islam in Java, is located in Tuban. This site is an important destination for Muslim pilgrims. For other uses, including people named Islam, see Islam (disambiguation). ...


Tuban is famous for tobacco and hardwood tree (jati) production. PT Semen Gresik, a major state-owned cement company, opened the largest cement factory in Indonesia in Tuban in 1994. A petrochemical plant operated by Trans-Pacific Petrochemical Indotama (TPPI) opened in 2006 after several years of delays. Species Nicotiana acuminata Nicotiana alata Nicotiana attenuata Nicotiana benthamiana Nicotiana clevelandii Nicotiana excelsior Nicotiana forgetiana Nicotiana glauca Nicotiana glutinosa Nicotiana langsdorffii Nicotiana longiflora Nicotiana obtusifolia Nicotiana paniculata Nicotiana plumbagifolia Nicotiana quadrivalvis Nicotiana repanda Nicotiana rustica Nicotianasuaveolens Nicotiana sylvestris Nicotiana tabacum Nicotiana tomentosa Ref: ITIS 30562 as of August 26, 2005... In the most general sense of the word, cement is a binder, a substance which sets and hardens independently, and can bind other materials together. ... Petrochemicals are chemical products made from raw materials of petroleum (hydrocarbon) origin. ...


Tuban also known as the "thousand cave city" because there are many caves in the area.

Sunan Bonang Cemestery belived as a holy place, the cemetery is visited by pilgrims from the whole country.

Lying further west along the beach, not far from the town centre, is the klenteng Kwan Sing Bio, East Java’s largest Chinese temple. Tuban is also a traditional centre for the production of batik, the art of decorating textiles by the wax resist process, for which Java is world famous.

Tuban today is a small, sleepy town on East Java's north coast, about 90 kilometres west of Surabaya. Four hundred years ago, however, it was one of the island's principal seaports, active in the spice trade and supporting a large population of foreign merchants.

Tuban is located in a coastal and mountainous land surface, with its total area of 183,902.29 Ha, by 1,007,986 people, with the average population density 545 person/ km2. The number of the population increases 1,15%/year.

The north coastal part of Tuban is very potential for its fishery product, especially Banjar Subdistrict which is now provided with the fish landing port supported by the European Economic Society.

Compared to the southern part of the district, the middle part is considerably mountainous and infertile, so it is suitable for industrial estate.

Almost all of the parts of Tuban occupy the land surface about 25-100 m above the sea level (75.683 Ha/40,72%). 47,543 Ha (25,58%) of the total area occupies 100 m and more whereas the rest belongs to a coastal area which is about 65 km stretching from the east to the west. In the south part, especially along the river bank of Bengawan Solo is relatively fertile and considerably as rice stock place for Tuban.

Awakening from the quiet and gentle sleep of village life, South Kuta (often referred to as Tuban) is now Bali's all encompassing family destination. South Kuta still retains the charm of village life - with two main Hindu temples and traditional ceremonies galore, - yet it has every amenity to satisfy the most discerning traveler.

Tuban: Hundreds of poultries in the Village Bektiharjo died Suddenly

Friday, February 13, 2009
Triggered by the Genetic Change in the Virus Tuban

Cepatnya the distribution of the bird flu virus in nine Tuban territories of the Regency subdistrict, was expected strong the genetic change from the virus of Avian Influensa happened (AI). This extraordinary development from this deadly virus, was known after the Kesehatan Service side (Dinkes) Tuban researched the saliva and chicken excrement that were attacked by this virus. Moreover, the characteristics of the poultry that is attacked by bird flu unlike usually. In the case of the AI attack in Tuban, there were no characteristics of the blue cock's comb and the saliva that menunjukan the chicken was attacked by the virus. Results of the inspection rapit test had the characteristics of the AI attack, but had the deadly addition quickly against the poultry that was attacked. �Kondisi the chicken like the healthy chicken, but suddenly died together. We suspected the genetic change from the AI virus that attacked the poultry happened in Tuban,� source words was believed in Dinkes Tuban, yesterday. After that, the migration of the virus to the other area also very fast. In the calculation 50 days spread to 13 villages in 9 from 20 subdistrict territories in Tuban.
The head of Dinkes Tuban, Dr H Tri Hadi Sanyoto, said his side carried out the step in anticipation against the attack of the bird flu virus. Moreover since last 2007, all the community health centres were in Tuban prepared by the power and medical treatment facilities for the affected human patient bird flu. So he made a plea to the community to chase the distribution of the AI virus the resident was asked to apply PHBS (the Pattern of the Bersih Life and Healthy). Because, the spreading of this virus was increasingly fast in the unhealthy environment.
Whereas, Head of Sector Pemberantasan of infectious diseases of Dinkes Tuban, Dr Syaiful Hadi, said his side moved with the Service of Peternakan Tuban in the form of Distric Soveyer Observer (DSO). Every time had the field activity from the Peternakan Field from the Pertanian Service, was carried out with Dinkes.


12/2/2009 15:08 WIB

Sumali - Tuban, Residents four villages in the Bektiharjo Village, Kecamatan Semanding, Kabupaten Tuban, East Java was disturbed with the death of hundreds of tails of the poultry suddenly in two last weeks. The resident of four villages, namely the Bogor Village, Dusun Medokan, Dusun Ngroto and the Jegong Village claimed worried the death of the poultries resulting from the virus attack avian influenza or bird flu that had happened in this village around one months ago. One of the residents of the Medokan Village, Untung to ELSHINTA, this Thursday morning (12/2) mentioned, in a day in general the number of poultries that died reached 25 tails, especially from the chicken kind, both the thoroughbred chicken and talk to. To anticipate the spreading of the bird flu virus, the resident at once buried and burnt poultries that died this. In the meantime, related this, the Head of the Field of Inserted Breaker Peternakan Dinas Pertanian Kabupaten Tuban, Sulistiani said, his side hoped to the resident that his poultries died to immediately report. His side was ready for 24 hours to immediately entered to the field. (der)

Four residents Sukamulya was expected most Flat Burung Flu

[The previous post here, has up to 30 residents receiving Tamiflu, with fever, cough....and their blood was drawn for testing]

Sabtu, 14 Februari 2009

The medical team from the community health centre came to check the resident it was suspected was affected by bird flu

Bekasi: four villagers Sukamulya, Kecamatan Sukatani, of Kabupaten Bekasi, West Java, suffered hot high after mengonsumsi the poultry that it was suspected was affected by the bird flu virus. Indeed, around three days ago 42 tails of the poultry belonging to the resident died instantly. When being taken the sample by the local service this poultry positive was affected by the bird flu virus. The four Sukamulya villagers have been given tamiflu by the medical team from the local community health centre to calm hot their body. However, up to now the four residents are not yet carried to the hospital because still was waiting for results of the blood test.

Saturday, February 14, 2009

WHO Update: Avian Influenza Situation in Nepal

Avian Influenza - Situation in Nepal

An outbreak of H5N1 in backyard poultry in Jhapa district in Eastern Nepal was declared on 16 Jan by the Nepal Government.

Samples collected from the sick poultry on 8 January were tested H5 positive in Central Veterinary Laboratory in Kathmandu. Suspected samples were sent for further investigation to the OIE Reference Laboratory, Weybrige, UK which confirmed H5N1outbreak.

The outbreak areas have been identified and control measures including quarantine, movement control, zoning and culling were carried out immediately.

A total of 25,000 birds were culled.

The Government of Nepal in close collaboration with national and international partners acted quickly to contain this outbreak. A medical team was at hand to examine cullers before they began culling and 13 Rapid Response Teams were mobilized for culling operation.

WHO assisted Nepal government to conduct rapid assessment of avian influenza preparedness and arranged emergency supply of 15,000 capsules and 600 syrup bottles of oseltamivir .

Technical expertise has been provided to establish human AI surveillance and case management in Eastern Nepal.

Arrangement has been made to provide hands-on-training on human AI diagnosis using RT-PCR in National Public Health Laboratory in Kathamndu.

The government announced 26 districts of Nepal bordering with India and China as possible high risk districts and surveillance has been reinforced with the help of local administration.

No suspected cases of human avian influenza have been reported.

Three human samples collected from Jhapa among influenza-like-illness cases were tested negative for influenza A virus.
hat-tip: Ironorehopper

Impact Non- Health pandemic Bird Flu

FRIDAY, 13 FEBRUARY 2009 | 21:07 WIB
STONE, FRIDAY - In the film a few scenes seen in a village in Bali rage, because in the last few weekends they do not have access to economic development.

Social and economic paralysis in the village, including the tourism and the arts become a mainstay of government revenue in the province of Bali.

Foreign and domestic tourists are forbidden entrance to the village, including local communities Bali itself. Community in the village also can not go out to other regions. Needs for food, they get a shipment from the local government.

Movies that show the impact of pandemic bird flu in a region that cause social disruption. This movie tells that if the bird flu pandemic is the status, not only impact on the health problems, but also on non health.

Broad impact of a bird flu pandemic is revealed in the second day national workshop in Batu, 10-13 February, with the theme "Simulation pandemic influenza response." Activities that are held with the Public Health Jatim supported Unicef, Komnas Bird Flu Control and Preparedness Facing pandemic influenza (FBPI) followed by the messenger of the government and private institutions.

In the simulation, the participants consisting of elements from the government and the private sector is divided into several groups according to its assignment to identify the various possible if barada East Java in a bird flu pandemic.

Group presentations on transportation, telecommunications and tourism presented by the show Endah, an area will be distracted because of all the sectors affected.

"Access delayed due to economic limitations of social interaction, limiting the distribution of goods and services, and terganggunya the business world," said Endah.

If you are a bird flu pandemic occurs, the government will not restrict people to stay out so that there is no economic activity. Moreover, if the area is to be diisolasi, then there will be no supply of food from outside.

"In situations like that, there will be a situation not stabilized in the community. Society will snatch food, so need to involve the police and military apparatus," said Hendy, a critic of defense and security themes.

Therefore, he said, in a situation like that, need the efficiency in all areas, including the utilization of food in foreign rice to ensure food needs remain terpenuhinya community.

Vice Chairman of the Executive FBPI dr Emil Agustiono MKes also revealed that the bird flu pandemic is indeed very influential on many aspects.

"All public services will be paralyzed. However, we may not be 100 percent of the impact of it, but we can reduce its impact," he said.

Deputy Coordinating Minister for People's Welfare was revealed that in dealing with this problem need a better coordination of all the parties in an area affected by bird flu pandemic.

Therefore, according to him, at this time is very urgent for the local committee was formed FBPI that occur if a bird flu pandemic can be directly taken steps with all the components involved in various sectors of government, private sector, and communities.

He explained, because it comes off the virus from poultry, then the local government should make a regulation on poultry. Through the regulation of traffic can be arranged by the birds out into the area.

"With the regulations can be set to birds that sent to other regions truly free of disease, including the birds into the area," he said.

In addition, he said, must also be prevented so that the birds were not out of an area through the port is not official. If the port is not official, the poultry disease that can not be terpantau.

"It is not easy to make regulations that must be because there is agreement between the government and people through its representative in the Legislative," he said.

Workshop on the simulation of pandemic influenza, said Emil, it is one of the efforts to bring all elements of the community to alert the possibility of pandemic bird flu.

Moreover, he said, bird flu pandemic cycles that occur between 20 and 40 years. Available records, pandemic influenza is the first time happened years 1918-1919 with the name of spain flu that caused the death of 40 million to 50 million people.

Then, 37 years later, the Asian flu emerged, ie, in the year 1957 can be a victim soul two million to four million people and then Hong Kong flu emerged in 1968 with the 1 million victims. With the view that the cycle pandemic, it does not close the possibility of pandemic will occur in the years of this.

"To this kesiapsagaan, Komnas FBPI will conduct a comprehensive skills training to cope with bird flu of islands in East Java with the involvement of the TNI AL, TNI AD, the Office of Health and the other in May 2009 in Surabaya and the Madurese," he said.

Meanwhile, Unicef Representative East Java and NTB is also concern in the effort to put the handling in case of pandemic bird flu in East Java with the program and the simulation.

"Socialization and simulation activities in 2009 is our budgeting about 300 thousand U.S. dollars in order to protect children from the dangers of influenza virus," said Unicef Representative Representative Head East Java and NTB, D. Sinung Kristanto.

According to him, a year ago also the simulation activities with the funds hamir same. Region that is the focus attention Tulungagung, Kediri Regency and City and District and Mojokerto.

"This is because the fifth case there was bird flu that befall humans. We provide training on the teachers, women's organizations and artists involved, namely the Kartolo invited to make 'parikan' (libretto Javanese) influenza problem with the message," he said .

He points out, his side to give attention to the problem because the culture still often let children play with the birds without any protection.

"We advise that children keep away birds and always wash hands with soap. We also know that water can be used as soap to clean the cage of birds," he said.

In addition, he said, the data show that 119 people from bird flu in Indonesia who died, 60 to 70 persennya are children. "Since 2005, bird flu cases in Indonesia is 145 cases and 119 people who died," he said.

Indo: Important Role of Religion Atasi Figures Bird Flu

FRIDAY, 13 FEBRUARY 2009 | 21:10 WIB
STONE, FRIDAY - Head of Controlling Diseases and Health Issues in the East Java office of MOH, dr Budi Rahayu, MPH, points out, religious leaders held an important role to encourage people to bird flu.

"Religious figures and community leaders that it is true that more be imitated and obeyed. Therefore we must be approaching the figures that invites the public to be aware of dangers of bird flu," he said at the national workshop on "Simulation Response pandemic influenza" in the Stone, Friday .

He points out, look in the bird flu cases, the small things must be considered by the community, such as not holding the chicken or duck stroke pet markets.

"After holding the stroke or pet duck, hands should be washed with soap also use water that flows," he said.
-snip-
"Office in the area of health, including animal husbandry office is ready to do even simple handling facilities, as in every health clinic," he said.

He points out, a workshop involving the components of local governments and the private sector and social organizations are also in order to increase awareness on the possibility of a pandemic bird flu.

Worriedly Bird Flu, 30 residents of the Sample Test of Blood

14/2/2009 19:39 WIB

Bekasi, the health Service of the Bekasi regency, West Java today takes as many as 30 samples of the resident's blood in Rt 13/6 the Sukamulya village, the Sukatani subdistrict, the Bekasi regency to prevent the spread of the bird flu virus.


Beforehand was found by as many as 42 chickens that died suddenly and after being checked evidently positive bird flu. The head of the Pengendalian Field of the Illness and Lingkungan Sanitation, Rudi Ruhdiat said the residents who showed the sign of bird flu of the beginning like the cough and hot and cold has been given medicine. And his side collected data on the resident who was contaminated by the death of this poultry. Further, the sample of the resident's blood will be carried to the Department of Health research and development laboratory and just it was known results 1-2 this coming Sunday. His side then gave control medicine of the bird flu virus free.

Recombinomics: A193T Fixed in Tamiflu Resistant H1N1 in United States



Commentary

A193T Fixed in Tamiflu Resistant H1N1 in United States
Recombinomics Commentary 15:52
February 11, 2009

The US CDC has released 43 HA and 42 NA sequences from H1N1 isolates. Two of the HA sequences were clade 2C (Hong Kong), which are oseltamivir sensitive and adamantine resistant. One of the isolates was from the summer, while the other was from the fall. The remaining 41 isolates were from the fall and the vast majority were collected in November and December, 2008. The CDC is to be commended for the timely release of these important and evolving sequences.

These recent 41 isolates are all clade 2B (Brisbane) and all had H274Y. Phylogenetic analysis indicated all isolates were related to a sub-clade that emerged last season in the United States and Europe. All HA sequences from this sub-clade had A193T. Over the summer the dominant sub-clade in South Africa was also from this sub-clade and had N187S and G189N in addition to A193T. Recent sequences from Kenya also had this series as did an isolate from Washington State collected over the summer.

Isolates from the early fall in the US also evolved from this sub-clade. All isolates had A193T and the dominant sequence also had G189V and H196R. This dominant sequence was from isolates in HI, TX, and PA. The same set of receptor binding domain changes, was report in Japan, including a large outbreak in elementary schools in Sendai. These data supported the emergence of H274Y via recombination and hitch hiking, which was described in a recent paper in Nature Precedings.

The recently released sequences support and extend the above observations. The majority of HA sequences have the same set of receptor binding domain changes, G189V, A193T, and H196R. However, sequences with these changes were collected from isolates throughout the US (see list below).

A smaller series (see list below) was similar to the South Africa/Kenya sequences and had S187N and A193T. However, these isolates had G189S instead of G189N, which was also noted in an earlier phylogenetic analysis, which included isolates from Seychelles.

Although there were some additional variations, all recent clade 2B isolates from the US had A193T and supported its role in the genetic hitch-hiking by H274Y, which has led to H1N1 levels approaching 100% across the northern hemisphere. A recent WHO update on isolates collected over the same time period in the last quarter of 2008. The only northern hemisphere country with levels lower than 97% was China.

-snip-

Flu cases surge due to vaccine problems

11 hrs ago

DENVER - Flu season has been underway for weeks, it's been a mild one, and we haven't heard much about it, until now.

Advertisement

Health officials are reporting a sudden surge in flu cases, and they've pinpointed at least one reason why.

The Centers for Disease Control says every state is now reporting flu, with widespread outbreaks in 16 states, including Colorado.

This year there are two additional problems. One of the major strains of A influenza , the most serious type, is resistant to the drug Tamiflu, often used to treat symptoms and once conceived as the future defense against a severe outbreak - a pandemic

"We're very concerned now that Tamiflu may not be as useful in pandemic circumstances or even year to year now as it has been in the past," Dr. William Schaffner with Vanderbilt University said.

Another problem, the vaccine offers no protection against this year's B influenza, which is not as serious, but can still make people miserable.

INDONESIA: Steps taken to confront bird flu but danger remains

[This is the first reference I have seen that the Bali patient has been hospitalized. It could be an error]

JAKARTA, 12 February 2009 (IRIN) - Indonesia is making progress in its fight against avian influenza but the danger posed by the H5N1 virus to humans remains high, specialists said.

Last month, the Indonesian Health Ministry announced that two more people had died of the disease, bringing the death toll to 115, the highest in the world.

Investigations indicated that both victims visited wet markets before contracting the disease.

On 8 February, a 20-year-old man on the resort island of Bali was hospitalised for suspected bird flu after dozens of chickens in his village tested positive for the virus. Tests were being carried out to determine whether he had contracted bird flu.

However, Bayu Krisnamurthi, executive director of Indonesia's National Committee for Bird Flu Control and Pandemic Preparedness, said there was no evidence the virus had mutated into a form that could make it easier for humans to be infected.

"Bird flu has now become like other infectious diseases spread by animals. The virus is around us, but there's no clinical evidence that it is any more dangerous than before," Krisnamurthi told IRIN.

Progress

James McGrane, team leader of the UN Food and Agriculture Organization's Influenza Control Programme in Indonesia, said the government had made substantial progress in bringing avian influenza under control, but more needed to be done.


Photo: Brennon Jones/IRIN
A specially-trained nurse at the East Java Provincial Hospital, Indonesia needs to work harder to tackle the disease, particularly on Java, where most of the deaths have occurred
"The disease appears to have been contained, with data appearing to indicate that both overall incidence and geographic spread are decreasing, although the disease remains entrenched in some areas," McGrane told IRIN.

"These advances have been made despite the unprecedented challenges presented to avian influenza control given Indonesia's massive and diverse poultry population," he said.

But McGrane said Indonesia needed to work harder to tackle the disease, particularly on Java, where most of the deaths have occurred.

Twelve of Indonesia's 33 provinces have recorded human cases of bird flu while only two provinces have had no avian flu in poultry, the national bird flu committee said.

Chairul Anwar Nidom, a virologist with the Tropical Disease Centre at Airlangga University in Surabaya, said a common policy on bird flu was lacking among government agencies, making controlling the disease more difficult.

"By and large the government has done a good job and people are aware of the danger of bird flu," Nidom said.

But Nidom criticised the government's policy of vaccinating poultry rather than culling, believing that it masks the virus, and ultimately contributes to its mutation.

"There's still no common agreement on this issue among government agencies. The agriculture and farming sector sees the need for vaccinations to save the economy. We are at a crossroads, having to choose between saving poultry and protecting human beings," said Nidom.

Nidom, who first revealed the outbreak of bird flu in Indonesia, said the threat of a pandemic remained high given the unpredictable nature of the H5N1 virus.

"Frankly, we still don't know exactly the virus's pattern of infection and its predispositions. As long as it remains so, it will remain a threat to humans," he said.


Photo: Brennon Jones/IRIN
Bird sellers at a market in East Java say they are unconcerned about the risk of avian flu or a pandemic
Krisnamurthi said despite the progress, there was no room for complacency and the government continued its campaign to warn the public about the danger of bird flu.

Last month, the Indonesian National Committee for Bird Flu Control and Pandemic Preparedness, supported by the UN Children's Fund (UNICEF), launched workshops on pandemic preparedness in 10 cities across the country, he said.

Since last year Indonesia has adopted a policy of only publicly reporting human infections from time to time rather than as they occur.

In addition, the country has been locked in a dispute with the World Health Organization over sharing virus samples for the past two years. Health Minister Siti Fadilah Supari has insisted Indonesia will not share virus samples unless it receives assurances it will be given any vaccine made from the viruses.

atp/bj/mw

Indo: All the chickens in Balinese Disemprot disinfektan

[Still no confirmation on Putu Prana Yoga (19), who owned the chicken used in the cock fighting. He is symptomatic, being treated at home with Tamiflu]
Kamis, 12 Februari 2009

Metrotvnews.com, Denpasar: the Peternakan Perikanan Service and Marine Kota Denpasar, Bali, carried out spraying disinfektan to anticipate the spreading of bird flu in the Island of the Gods, on Thursday (12/2). Spraying was carried out in several of the resident's houses as well as the vehicle pengangut in the highway. In the Penatih Village, for example, the official dismissed each vehicle that carried the chicken pedaging that will enter Denpasar. All the chickens were afterwards sprayed, including the vehicle that carried him. The head of the Supervision of the Unggas Potong Dinas Traffic of Kelautan Livestock Breeding and fisheries of Kota Denpasar, Made Ngurah Sugiri said, this activity to prevent the entry of the bird flu virus. Moreover a week beforehand belasan the fight chicken belonging to the resident in found died suddenly and was stated positive bird flu. (ICH)

Indo: Dozens of poultries were in Bekasi infected H5N1

[Nad (5); confirmed positive, was from Bekasi. Unfortunately, the health minstry update, did not inform us of his location. All we have is "Bekasi".]

Jum'at, 13 Februari 2009 12:30 WIB

Dozens of tails of the poultry belonging to the resident Srengseng, Desa Sukamulya, of Kecamatan Sukatani, Bekasi, West Java, was infected by the bird flu virus. Officially Kesehatan of the Bekasi Regency ascertained the resident's 42 chickens Srengseng, Desa Sukamulya, of Kecamatan Sukatani, positive terenfeksi the bird flu virus. This conclusion was received was based on results of the sample test of blood of dozens of poultries that died suddenly several last days. As far as this is concerned the process of the other poultry inspection, as well as spraying of the pen continued to be carried out. The medical team has also checked the condition for the resident around, but results were not yet known. The sub-district head Sukatani, Soleh admits to, up to now, not yet having the extermination plan of the poultry in a mass fashion. Now in Apus Bamboo, Cipayung, Jakarta Timur, the official of livestock breeding of the service merazia all the poultries in the resident's house to be destroyed. The official also destroyed all the poultry pens belonging to the resident to anticipate the spreading of the bird flu virus. (FHD)

Friday, February 13, 2009

Stimulus bill headed for passage minus pandemic funds

Feb 13, 2009 (CIDRAP News) – With money for pandemic influenza preparedness stripped from a huge economic stimulus bill that appears headed for final congressional approval, public health advocates say they have to look to the regular budgeting process for the next chance to get some pandemic funding.

The House of Representatives had included $900 million in pandemic preparedness funds in its version of the massive stimulus package, but it appeared that all but $50 million was removed by the conference committee that ironed out differences between the House and Senate versions, said Richard Hamburg, government relations director for the nonpartisan, nonprofit group Trust for America's Health (TFAH).

The House passed the $787 billion compromise bill this afternoon by a vote of 246-183, with no Republican support, the New York Times reported. The story said the Senate was expected to approve the measure this evening.

The $50 million left in the bill, listed as a Public Health and Social Services Emergency Fund, is for improving information technology security at the Department of Health and Human Services (HHS), Hamburg said. The sums removed included $420 million for pandemic flu and $430 million for biomedical advanced research and development, he reported.

Now it's back to the regular budget process for those seeking pandemic and other public health preparedness funds, leaders of public health groups say.

"Hopefully in the president's budget for 2010 there will again be funding and decisions about funding for preparedness," said Robert (Bobby) Pestronk, executive director of the National Association of County and City Health Officials. The Obama administration is expected to propose its 2010 budget soon.

Nothing left in pipeline
Hamburg said there is no more pandemic preparedness money in the pipeline for state and local public health. "The $600 million that was made available in December 2005, in the fiscal year 2006 emergency supplemental bill, the last of those dollars went out the door this past August," he said.

In addition to the cutoff of pandemic flu funding, public health agencies have seen their "all hazards" preparedness funding drop about 25% since 2005, Hamburg said.

TFAH and its partners are advocating for another $350 million specifically for pandemic readiness and additional money for other public health emergencies, he said.

Fiscal year 2009 budget legislation is still awaiting action, and it could include some pandemic money, but it would all be for federal activities, according to Hamburg.

He said President Bush's proposed 2009 budget included $507 million in one-time spending for pandemic vaccines and countermeasures, plus $312 million for annual recurring pandemic activities at HHS, but no funds for state and local activities. Hamburg expects that Congress may take up the labor and HHS funding bill, which includes that money, later this month.

Some public health money survived
Although pandemic money was stripped from the stimulus package, still included is about $1 billion to support various other state and local public health activities, according to Pestronk.

He said it appears that the sum includes $300 million for community vaccination programs and $50 million for healthcare-associated infections. Funds are also targeted for "evidence-based programs to address chronic disease and to support current and new workforce development for public health." The vaccination funds are part of the Section 317 program, a Centers for Disease Control and Prevention immunization program mainly for uninsured and underinsured children, he said.

"Overall it looks like there will be over $1 billion available," Pestronk said. "I think that while the amounts initially talked about in the Senate committee and in the full House were greater, this is still a success for the public health community."

Story of the deleted $900 million
Hamburg said the $900 million that was dropped from the stimulus package essentially represented the final installment of the $7.1 billion that President Bush proposed for pandemic preparedness back in 2005.

In his proposed 2008 budget, Bush asked for a one-time appropriation of $870 million for vaccines, antivirals, and diagnostics, Hamburg explained. But that was cut from the final budget legislation. Then last August, Bush made a supplemental budget request that included the $870 million, which was for different purposes than the $507 million that was part of the 2009 budget proposal, he said.

"So when the stimulus bill came up, our supporters in Congress saw an opportunity to take care of the $870 million request, with the assumption that the $507 million would be taken care of in the regular appropriations process," Hamburg said.

A Senate committee had approved the inclusion of $870 million in the stimulus bill, but that was removed before the full Senate voted on it. The House supported $900 million, but that was deleted by the House-Senate conference committee.

Hamburg said a number of lawmakers felt that pandemic funding should be handled in the regular appropriations process, not in an economic stimulus measure.

"Now we'll need to take a look at opportunities starting with the fiscal year 2010 funding cycle and the [proposed] budget we'll see in the next month or so," he said.

Dr. Paul Jarris, executive director of the Association of State and Territorial Health Officials, said yesterday, "We are extremely concerned about the diminishing funding for state and local preparedness as well as the removal of all funding for pandemic flu, and the decrease in funding for hospital preparedness. Along with the state budget cuts, this is a matter of losing the infrastructure created over the past several years."

Looking ahead, he said, "We will pursue everything we possibly can, but there are no guarantees. I wouldn’t' say there are any promising leads we're following right now. It seems that Congress is turning a blind eye to state and local health preparedness."

Recurrence risk of avian influenza is very high

. Friday, 13/02/2009, 08:26 (GMT +7)

* Ha Tinh: dispose of pigs die on the beach tả spam

According to the expertise of TP, the risk of recurrence HPAI and influenza A (H5N1) in people is very high due to germs circulating in poultry. According to a monitoring agency's Animal Health region VI, the ratio of circulating avian influenza virus in duck flocks in Dong Thap, Tra Vinh, Long An and Vinh Long is 21/236 samples (6.25%) and the Forum Chicken 1 / 30 samples (3.3%).

* Afternoon 12-2, Nguyen Thanh Binh - Director Department Animal Health Department, Ha Tinh - for the more than 200 pigs die in 4 communes of Cam (Cam Xuyen, Ha Tinh) identified positive khuẩn described, increase the number of dead pigs is described as more than 600 children.

Specifically, the 200 pigs that died were people in 4 communes of Cam brought in to dispose of refuse beach district over a week. To 11-2 pm, the pig died reek thối, the industry functions on the main tennis, and buried in the same number khử on pork.

TT (HCM City, Ha Tinh) - After a week, or districts to which the status of poultry traders living illegally City People's Committee of the criticism will only grow in the prevention of HPAI H5N1 by districts that ". Mr. Nguyen Trung Tin - Vice Chairman of HCMC People's Committee - to declare such a hearing after authorities reported the TP 155 and 40 for (regional) trade of live poultry at unauthorized meeting the 12 -- 2.

Vietnam urgently prevent HPAI

Friday, 13 / 2 / 2009, 10: 2 (GMT +7)

12.2 days, Ho Chi Minh City People's Committee held the implementation of measures to prevent avian influenza outbreaks in the province city.


Report by Department of Animal Health TP, currently there are 7 provinces including Ca Mau, Soc Trang, Nghe An, Hau Giang, Quang Ninh, Quang Tri and Bac Ninh is happening flu. According to test results check monitoring avian influenza disease after vaccination vaccine in the provinces of the Southeast and Mekong Delta, the rate of protection on us chickens, only 51.24% and the flocks of ducks was 18.07 %. Therefore Bùng risk of HPAI on a large scale is very high.

11.2 * Afternoon, Chairman People's Committee of Soc Trang province has officially announced HPAI in H. Ngã year and directed urgently implement the series of measures to prevent outbreaks. To 12.2 pm, H. Ngã year detected 11 poultry flocks with a total on the 3,000 children infected and dying at all.

At TP, the business of poultry have not lived through quarantine is tends to increase again by many a local lơ management. At the meeting, Mr. Nguyen Trung Tin - Vice President of City People's Committee has proposed the function steering drastically the inspection process and cut points on the transport, slaughter and trade of poultry and products influenza unauthorized local city, while the propaganda advantage of alert in the prevention of disease ...

Thi Hen gloom

Thousands of bird flu drug nears expiry dates

Ni Komang Erviani , The Jakarta Post , Denpasar Fri, 02/13/2009 6:24 PM Bali

Thousands of Tamiflu doses, the WHO recommended drug to combat avian influenza, have reached their expiry dates, a high-ranking official says.

Head of the Bali Health Agency, Nyoman Sutedja, said thousands of Tamiflu were stored neatly in the agency's medicine depot, and many of them would no longer be useful this year.

"We're worried that these Tamiflus are getting close to their expiry dates," Sutedja said after a meeting at the provincial legislative council in Denpasar, Thursday.

The agency first began receiving the drugs from the Health Ministry in 2007, after the first patient died from bird flu. To prevent an outbreak, the ministry has continued to send more drugs.

"And since these drugs were sent to us in phases, a lot of them have different expiry dates," he said.

When asked whether Bali would not have enough Tamiflus should an outbreak occur, Sutedja urged the public not to panic.

"I think bird flu in Bali is still under control.the government itself has an unlimited supply of Tamiflu," he said.

He said bird flu patient could go directly to the three hospitals designated as primary treatment facilities for bird flu patients, namely Sanglah Central Hospital in Denpasar, Sanjiwani Hospital in Gianyar and Regional Hospital in Tabanan.

Meanwhile, head of the Bali Animal Husbandry Agency, Ida Bagus Alit, warned people against contact with fowls suspected of having H5N1 virus.

He said there were still some cases of living fowls being smuggled into Bali through its smaller harbors. The island has more than 20 small, traditional ports along its northern and southern coastlines.

"The public must be aware of fowls from areas outside Bali entering the island. Don't buy fowls infected with bird flu. These fowls would be easy to spot, that is they must be sold at a very cheap price," he said.

Bali recently had another brush with the bird flu. Last week, Jagapati village in the Abiansemal district of Badung saw a resurgence of the virus after officials discovered bird flu in 5 of 15 birds that died suddenly.

These birds were discovered to have been transported from Banyuwangi, East Java, to use in the village's cockfighting arena.

Officials have been stepping up measures to control the flow of the diseases. The Badung Animal Husbandry and Fisheries Agency have culled more than 133 fowls in Jagapati village, while its Denpasar counterparts have sprayed disinfectants in and around the city's birds and pets markets.

Patients do drop dead buffaloes?

Patients do drop dead buffaloes?
Updated: 2:46 PM, 13/02/2009
- In the last few days, in coastal areas of the town of Ha Giang Ha Thanh, Phuong commune, Ha Giang and 6 buffaloes died of the disease is dropped.

According to relatives in the village for the infected buffaloes only appear in winter-spring months was 3 years ago, a new beginning just a few have three children, but this number of infected buffaloes were up nearly 200 children. The year before, infected buffaloes were not dead this winter as spring this year.

Initial symptoms of this disease is the body a few buffaloes appear nốt produce red, and then produce red stain spread rapidly throughout the body buffaloes. From the red nốt products that transition to the landmark white stain and chink skin. When buffalo were infected it can not be sent cày the production of winter-spring, the health needs of scissor buffaloes.

Ha There's more than 100 rooftops and raising more than 300 buffaloes, but has more than half of infected herd this. When this infected buffalo, villages were reported to veterinary stations of the town of Animal Health has to direct visits, identified as mangy buffaloes.

Although the vaccine and medicine for the swimming infected buffaloes are not reduced but increased the number of infected children. Relatives in Ha Thanh was suspected pan not only infected but also visit other strange disease, because very few patients drop buffaloes died?

Triggered by the Genetic Change in the Virus Tuban


Cepatnya the distribution of the bird flu virus in nine Tuban territories of the Regency subdistrict, was expected strong the genetic change from the virus of Avian Influensa happened (AI).
This extraordinary development from this deadly virus, was known after the Kesehatan Service side (Dinkes) Tuban researched the saliva and chicken excrement that were attacked by this virus. Moreover, the characteristics of the poultry that is attacked by bird flu unlike usually. In the case of the AI attack in Tuban, there were no characteristics of the blue cock's comb and the saliva that menunjukan the chicken was attacked by the virus. Results of the inspection rapit test had the characteristics of the AI attack, but had the deadly addition quickly against the poultry that was attacked. �Kondisi the chicken like the healthy chicken, but suddenly died together. We suspected the genetic change from the AI virus that attacked the poultry happened in Tuban,� source words was believed in Dinkes Tuban, yesterday. After that, the migration of the virus to the other area also very fast. In the calculation 50 days spread to 13 villages in 9 from 20 subdistrict territories in Tuban.
The head of Dinkes Tuban, Dr H Tri Hadi Sanyoto, said his side carried out the step in anticipation against the attack of the bird flu virus. Moreover since last 2007, all the community health centres were in Tuban prepared by the power and medical treatment facilities for the affected human patient bird flu. So he made a plea to the community to chase the distribution of the AI virus the resident was asked to apply PHBS (the Pattern of the Bersih Life and Healthy). Because, the spreading of this virus was increasingly fast in the unhealthy environment.
Whereas, Head of Sector Pemberantasan of infectious diseases of Dinkes Tuban, Dr Syaiful Hadi, said his side moved with the Service of Peternakan Tuban in the form of Distric Soveyer Observer (DSO). Every time had the field activity from the Peternakan Field from the Pertanian Service, was carried out with Dinkes. (tbu