Friday, March 12, 2010

Commonground's Map of Vietnam Outbreaks: H5N1; H1N1

Click on map



http://maps.google.com/maps/ms?ie=UTF8&hl=en&msa=0&msid=116313796443585830729.00047ab92b6235a6f4329&ll=15.496032,105.600586&spn=25.67104,47.724609&z=5

China's Notice" (2010 General Notice No. 25)

State Administration of Quality Supervision, Inspection and Quarantine, "on the prevention of countries such as Egypt and Indonesia, people are infected with highly pathogenic avian influenza spreading to China's Notice" (2010 General Notice No. 25)
>" onmouseover="this.style.backgroundColor='#ebeff9'" onmouseout="this.style.backgroundColor='#fff'">Time: 2010-03-12 17:07:49 Source: State Administration of Quality Supervision, Inspection and Quarantine comments ""
Key words: highly pathogenic avian influenza in Egypt to enhance the symptoms of bird flu

Summary: World Health Organization (WHO) 2 24 and 26 reported so far Indonesia has confirmed 163 cases of human infection with highly pathogenic avian influenza H5N1 cases, including 135 cases of death; Egypt confirmed 99 cases of human infection with highly pathogenic H5N1 cases of bird flu has killed 30 cases. The port inspection and quarantine institutions should strengthen propaganda and education on bird flu prevention and control work, and increase awareness of disease prevention immigration officers.

2010, No. 25

With regard to countries such as Egypt and Indonesia to prevent human infection

Highly pathogenic avian influenza spreading to China's announcement

World Health Organization (WHO) 2 24 and 26 reported so far Indonesia has confirmed 163 cases of human infection with highly pathogenic avian influenza H5N1 cases, including 135 cases of death; Egypt confirmed 99 cases of human infection with highly pathogenic avian influenza H5N1 cases, 30 cases had died. Recently, the two countries have continued to bird flu confirmed cases, and appears dead. In order to prevent human infection with influenza A H5N1 highly pathogenic avian influenza spreading to China, to Egypt and Indonesia to protect our health and safety personnel, according to "The People's Republic of China Frontier Health and Quarantine Law" and its Implementing Regulations of the relevant provisions of the notice are as follows:

One
person from Egypt or Indonesia, if fever, cough, headache, general malaise and other symptoms, and immigration should take the initiative to an oral declaration of entry-exit inspection and quarantine institutions. After entering the above symptoms should seek medical care immediately to the doctor explain the recent travel history to receive timely diagnosis and treatment.

2,
Inspection and Quarantine officers from these areas to strengthen the immigration officer to monitor body temperature, medical and other health and quarantine inspection work, reporting or on-site inspection staff found to have these symptoms should be careful investigation, to find people who highly pathogenic avian
Influenza Infected or Infected suspect, it is necessary to take timely medical intervention.

Third
, to the above-mentioned people are infected with highly pathogenic avian influenza endemic areas of personnel, be able to entry-exit inspection and quarantine institutions and their international travel health care centers consultation or visit the AQSIQ Web site (www.aqsiq.gov.cn) Health
quarantine and travel health column, to understand the epidemic situation in the region to grasp the bird flu preventive measures. Travel or travel after the discovery of avian flu-related symptoms should immediately seek medical treatment, and to the entry and exit inspection and quarantine agency reported.

Fourth,
the port inspection and quarantine institutions should strengthen propaganda and education on bird flu prevention and control work, and increase awareness of disease prevention immigration officers.
Personnel to these areas should avoid contact with bird flu, infected poultry and their droppings or contaminated with faecal matter of the dust, soil; avoid eating raw or undercooked poultry meat; in outbreaks point, poultry breeding, sale, slaughtering and processing establishments must be taken to wearing masks and gloves, protective measures; Always wash hands; to the avian influenza virus may contaminate the area disinfected items.

This announcement is issued from the date of 3 months effective.

March 10, 2010

H5N1 bird intrusion Hanoi -Female 25

m H5N1 bird intrusion Hanoi
Updated at 17:47, Friday, March 12, 2010 (GMT +7)
,

- On March 12, the Ministry of Health of Vietnam, Hanoi has reported H5N1 infections ca first in 2010.

Department of Preventive Health and Environment (Ministry of Health) for patients infected with avian influenza A/H5N1 in Hanoi are female, 25 years old, residing in Phu Ninh commune, Soc Son District, HCMC. Hanoi.



Patients with disease onset on 05/3/2010 to 380C fever, cough, sore throat, headache, shortness of breath. On July 3, 2010, patients to hospitals north of Thang Long examination and diagnosis of suspected pneumonia virus. Here, patients were treated drug-resistant virus, antibiotics help.

On March 10, 2010, the disease progressed more severe, the patient was transferred to Bach Mai Hospital.



There are ventilation patients, active treatment at the Faculty of treatment of active - Bach Mai Hospital.



Initial epidemiological investigations showed that high inflation 3/2010 far, the area around the patient is sick birds / dead scattered.



Earlier (on 9 / 3), Commission and bird flu prevention Vietnam has made the comment avian influenza are at risk of outbreak of avian influenza in 2010. According to Department of Animal Health (Ministry of Agriculture and Rural Development), the six provinces throughout the country have re-appeared translated H5N1.



Ministry of Agriculture and Rural Development has instructed require local agencies began a new round of vaccination for poultry in March, and strict control by the Forum ducks in Cuu Long River Delta can carry disease-causing virus.



Now the Ministry of Health also continues to strongly recommend that people absolutely must not slaughter and use of sick birds / dead, they must immediately notify the local authorities handled promptly. When symptoms of fever, cough, shortness of breath related to bird flu, people have to just the nearest medical facility for examination and treatment.



In addition, people without transportation, purchasing poultry unknown origin, especially in areas where the bird flu outbreak, ensuring cooked food, drink boiling; wash hands with soap before eating and after when toilet.http://vietnamnet.vn/xahoi/201003/Cu...Ha-Noi-898489/

Indonesia: Padang - 30 Day Standby I

Friday, March 12, 2010 11:14:36
Print  version

Sudah ada 9 desa di Kecamatan Padang Guci Hilir yang sudah terserang virus flu burung. There have been 9 villages in the district of Padang's Vases Lower the bird flu virus. Agar tak terus meluas ke daerah lain, kita tetapkan siaga I, ungkap Bupati Kaur Drs H Warman Suwardi MM kepada BE kemarin. In order not continue to spread to other areas, we set the mode I, said Regent Drs Kaur H Warman Suwardi MM to BE yesterday.

Diakui Warman, pihkanya terus melakukan intruksi kepada Kepala Dinas Peternakan dan Dinkes, untuk segera melakukan penyemprotan di sekitar penyebaran virus flu burung. Recognized Warman, continue pihkanya instructions to the Head of Animal Husbandry Department and the health office, to immediately conduct spraying around the bird flu virus spreading. Terutama di 9 desa yang sudah terserang. Especially in the 9 who had attacked the village.

Jika nantinya masih ditemukan ayam dan unggas yang mati secara mendadak, maka tidak menutup kemungkinan statusnya akan ditingkatkan lagi menjadi gawat flu burung. If the future is still found in chickens and poultry that died suddenly, it did not rule out the status will be increased again to a head of bird flu.

Untuk itu kita lihat dulu perkembangannya dalam satu bulan masa siaga I ini, ujar bupati. For that we first see progress in one month standby time I was, said the regent.
Selanjutnya, penyebaran virus flu burung yang terdekteksi kecenderungan semuanya di pinggir sungai. Furthermore, the spread of bird flu virus all terdekteksi tendency on the riverbank.

Setelah ditelusuri ternyata masyarakat membuang bangkai ayam atau unggas di sungai tersebut dan bahkan menyembelih unggas dengan tidak dikubur atau ditanam, sehingga penyebaran virus flu burung terus meluas. After the waste was traced chicken or poultry carcass in the river and even slaughtering poultry by not buried or planted, so the spread of bird flu virus continues to spread.

Kendati demikian, Pemkab tetap akan mengupayakan perlindungan kepada masyarakat jangan sampai virus ini menyerang manusia karena sangat berbahaya.

Nevertheless, Regency will continue to seek the protection of the public do not let the virus infect humans because it is very dangerous.


Untuk mengantisiapsi penyebaran virus flu burung kita telah menggerakkan Satgas baik di kantor maupun di lapangan. To mengantisiapsi spread of bird flu virus we have both moved Task Force in the office or in the field.

Sementara selain 20 liter desinfektan yang merupakan stok Dinas Peternakan Kabupaten Kaur nantinya bisa dimanfaatkan oleh masyarakat untuk menjaga lingkunganya agar lebih bersih dan indah, terang Warman. Meanwhile, in addition to 20 liters of disinfectant that is stock Kaur District Animal Husbandry Department will then be used by communities to maintain lingkunganya to be more clean and beautiful, bright Warman.

Sementara itu, akibat menyebarnya virus Flu burung di Kecamatan Padang Guci, membuat masyarakat di sekitar menjadi resah. Meanwhile, due to the spread of bird flu virus in the district of Padang Vases, making people around became restless.

Warga pun diketahui sudah banyak yang menjual ayam dan unggasnya karena tukut terjangkit. Residents were known to have sold a lot of chicken and poultry because tukut infected.
Seperti yang diungkapkan Hen (27) Warga Linau dan Midir (34) warga Desa Muara Jaya. As expressed Hen (27) Citizens Linau and Midir (34) citizens of the village of Muara Jaya.

Mereka mengatakan menjual ayam dan unggasnya bukan karena takut virus flu burung namun mengatisipasi penyebaran virus yang belum ada obatnya ini. They said selling chickens and poultry not for fear of bird flu virus but mengatisipasi viruses that do not have this medicine.

Untuk ukuran besar kita jual perekornya Rp 50 ribu, dan bukan saya yang menjual ayam namun masih banyak ratusan dijual oleh masyarakat sekitar. For large size we sell perekornya USD 50 thousand, and not I who sells chicken, but it still sold by many hundreds of people around.

Sebagaian mereka merasa takut jika ayam mereka terinfeksi flu burung, ujar mereka berdua. Part of them feel afraid if they are infected chicken bird flu, they said. (823) (823)

Vietnam: Latent A/H5N1 OFFICE AGAINST HIGH RISK IN THE COMMUNITY

[another mention of the virus liking the humidity..and the heat]

Within a month, the Health Ministry announced three consecutive new cases of influenza A/H5N1 in Khanh Hoa, Tien Giang and Tuyen Quang, including a child 3 years old and a new died. Article notably maps epidemiological disease fluctuates when disease is not only circulated in the North are high humidity, the virus that causes favorable development, but also appear in the southern provinces hot weather.

By MA. Nguyen Hong Ha, deputy director of the Hospital for Tropical Surgeons, disease manifestations after 3-4 days, new patients to the hospital examination and the disease was identified by phase early specific treatment, many patients with signs of respiratory distress must ventilation, multi-organ failure to carry out dialysis. Currently, the world has developed methods of resuscitation exmo (lung replacement) for the treatment of resuscitation for patients with respiratory insufficiency.

According to this method, the body will be given oxygen through the system outside the body. This means that the lungs of patients in respiratory distress phase will completely relax the body but still provide adequate oxygen demand. This method is also being made in promoting tropical disease hospital in the central and only hope that in near future, patients will have access and beneficiary benefits from this high-tech.

For avian influenza H5N1, is not disperse birds sick / die, the destruction must comply with strict means of protection such as gloves, pro, mask. Must make a special disinfectant, sterilizing the cages and not kill or eat more meat soup. When flu symptoms appear to be the basis of medical examination to determine diagnosis and early treatment, particularly to track the evolutions of the disease, especially respiratory function, circulation ...

The health system in the first line as communes and wards have noticed detect new cases appear to get medical diagnostic products identified influenza A/H5N1 or A/H1N1 influenza or complications to treatment promptly time, to avoid spreading the community. Although this time, influenza A/H1N1 service temporarily settled down but still appear avian influenza in some places as mentioned above should be wary of a new virus strain H5N1 combined with H1N1 is essential.

Eng. Nguyen Hong Ha said that the world as well as in Vietnam, the process of treating influenza A/H5N1 usually undergoes two phases: first phase of treatment is specific and early the next stage of treatment for feedback. If detected and treated early can be very good for recovery as well as the health of patients but this is difficult to implement because patients are not identified early because of the number of infected patients isolated, scattered, disease manifestations Now the same respiratory infection in the early stages (due to no epidemiological factors). Moreover, few patients have access to specific treatment.

Thursday, March 11, 2010

S'pore buys 1m H5N1 shots

Mar 12, 2010

H5N1 bug could be a bigger killer than H1N1 if it mutates

By Salma Khalik, Health Correspondent


SINGAPORE has bought a million doses of a vaccine to protect the people here against the H5N1 bird flu.
The vaccine will arrive by the end of the year.
The bug is particularly scary for Singapore, which sits next to Indonesia, the country with the most cases (163) and deaths (135) from the virus. Vietnam, with the next highest number of cases (115) and deaths (58), is also nearby.
Both countries have already had one death each this year.
Unlike the H1N1 pandemic that swept the globe last year, the H5N1 bug could be a bigger killer by far if it mutates.
Of the 486 people reported to have been infected by H5N1 since 2003, 287 have died. This works out to an almost six-in-10 death rate.

CIDRAP: H5N1 avian flu virus reproduces in gut as well as lungs

The H5N1 avian influenza virus can replicate in the human gut as well as in the lungs, according to Chinese researchers writing in the Journal of Infectious Diseases. The researchers found viral antigen in samples of gut tissue from a patient known to have died from H5N1, and they also experimentally infected samples of human gut tissue with the virus in the laboratory. Unexpectedly, gut epithelium, like lung epithelium, turns out to contain specific areas where the sialic acid alpha-2,3 receptors to which avian flu viruses preferentially bind are expressed. The finding illuminates the gastrointestinal illness reported in some H5N1 victims, and also suggests that H5N1 may spread from person to person not only via the exhaled droplets that are the primary mode of transmission, but also via feces.
Mar 8 J Infect Dis abstract

Despite contracting to 5 million vaccine UN official: Egypt the only country not feed its citizens against "pigs"

Author: Heba Magdy Thursday, March 11th, 2010 at 08:27 evening

Said David Patarrd Special Representative of the Secretary General of the United Nations on food security, the UN coordinator for avian and human beings that Egypt is the only country which did not get its citizens to be vaccinated for swine flu symptoms due to fear of the vaccine, but many countries where the same the same thing, but in truth serum safe and effective and has no side effects and does not cause cancer, as claimed by some Egyptian media.

He noted that the Egyptian government to have high transparency in the spread of swine flu and flu as it rushed to report the cases to international organizations, led by the World Health Organization without a cover or reduce infections.

He said during a press conference today that Egypt, the things you do not by any country in the world to compensate the owners of farmers and breeders to missing a large number of birds and pigs at the beginning of the outbreak of the disease, pointing out that the preparation with swine flu in Egypt 16 الف and 138 of them 232 deaths from the beginning 2010 died 72 cases and most of the cases, mostly of pregnant women and young people under the age of 21 years and, more recently said that injury is a big disease.

He said the first wave and second wave ended no one knew how serious this disease is the fiercest disease known to mankind in the twentieth century, if repeated in the second wave of the disease the disease is very fierce, adding that the disease status of each not exceeding two weeks, as were vaccinated 3400 of pilgrims to the old Prophet's Birthday that the swine flu last from 10:5 years in Egypt and that the first country to spread the flu Mexico.

He said the plan formulated by the Ministry of Health for the Eradication of swine flu effective despite the attack on his ministry CV Egyptian government, which distributed them with the utmost transparency and the Egyptian people did not interact with the data Aldlell seriously and they have refused to take the vaccine.

He said that Egypt signed a contract for 5 million vaccine at a cost of $ 730 million and took them only 3 million from the World Health Alaalmipbalenciq with France and there are excess amounts of the vaccine for human use are valid for a period of 5 years and expressed his admiration for the Egyptian hospital that has a rapid response in the hygiene of doctors ordering 0

Egypt: The death of a new case of bird flu, bringing the death toll to 32

Thursday, March 11th, 2010
وفاة حالة جديدة بأنفلونزا الطيور ليصل اجمالى الوفيات إلى 32 حالة

أعلنت وزارة الصحة فى بيان لها فى 10 / 3 / 2010، عن حالة وفاة جديدة مصابة بمرض "أنفلونزا الطيور" ليصل اجمالى الوفيات منذ ظهور المرض فى مصر عام 2006 إلى 32 حالة وفاة. The Ministry of Health said in a statement on 10 / 3 / 2010, on the status of the death of new infected with "bird flu", bringing the total deaths since the disease appeared in Egypt in 2006 to 32 deaths.

وأوضح البيان أن حالة الوفاة لسيدة تبلغ من العمر 20 عاما من محافظة القاهرة ظهرت عليها الأعراض نتيجة للاشتباه فى تعرضها لطيور منزلية مصابة . The statement said that the case of death of a woman aged 20, from Cairo Governorate, developed symptoms as a result of suspicion of exposure to infected domestic birds.

At a press conference for the United Nations Office .. The end of the first wave of swine flu in Egypt

Thursday, March 11th, 2010 - 18:43

Dr. Nasr El-Sayed Assistant Secretary for Health Affairs that the incidence of preventive Bonflonz pigs becoming less so as not to exceed 20 -25 cases per week, after it was up to 235 cases per week, affirming the end of the first wave of the virus.

The Mr. during the conference organized by the Office of the United Nations in Egypt in cooperation with the Chamber of crises, the central information center in the Council of Ministers that, for the validity of vaccination for the prevention of virus imported Egypt did not unite so far, especially as it is not recognized in the form of the next wave of the virus.

Sayed said that vaccination comes from the company in two parts: "catalyst" which is a two-thirds the price of dose and is valid for 3 years, indicating that it would be suitable for use in case of change of vaccination.

The second part is "Aloltren," he said of Mr. that the agreement between the Egyptian government and includes the company to exchange the latest in this part if the virus mutates, which is the active part in this wave of the virus.

It was announced that the government canceled Mr. importing 3 million doses and only 1.9 million doses given only to a weak demand for vaccination, indicating that the bait is located in Egypt, enough to vaccinate the pilgrims until the end of 2010, as 3400 pilgrims have been vaccinated so far.

Mr. denied the existence of any side effects of the virus at all, which was also confirmed by Dr. John Jaber, regional adviser for communicable diseases in the Regional Office for the Eastern Mediterranean of the United Nations, said that the rumors in the media, which led to weak demand for vaccination in the whole world.

And for the evolution of bird flu, David Nabarro Representative of the Secretary-General of the United Nations on food security and the United Nations coordinator for avian and human beings, that Egypt is still affected by bird flu virus, and there are 5 countries in the world are the most affected countries including Egypt.
He added that he can not imagine the end of the disease in Egypt before the period ranging from 5 - 10 years to come, pointing out that the organization plans to deal with the worst-case scenario.

For his part, Dr. Nasr El-Sayed, during 2010 showed 16 cases of bird flu in Egypt, including 5 deaths, confirming that it is a large percentage indicates that the virus still exists in Egypt, and needs to change the cultures over a long period.

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Wednesday, March 10, 2010

Indonesia: Minister of Health Comments from "Handling of BF & Pandemic Influ" Meeting

Menkes SUPPORTS ESTABLISHMENT KOMNAS ZOONOSA

Jakarta, 10/3/2010 (Kominfo-Newsroom) - Minister of Health of Indonesia Endang Rahayu Sedyaningsih welcomes the establishment of the National Commission plans Zoonosa (diseases originating from animals). The new Commission was formed to handle the outbreak of diseases and viruses that can be handled animal sourced quickly.
"More than 60 percent of diseases originating from animals, so better to stay there as the coordinator of the institution," said Minister of Health at the opening of National Coordination Meeting on "Handling of Bird Flu and Pandemic Influenza" in Jakarta, Wednesday (10 / 3).
According to him, the handling of bird flu & pandemic influenza in Indonesia 2005-2009 period has been running well and successfully, even if the problem persists, due in 2010 were still detected a case of avian influenza (H5N1) in humans, and WHO declared pandemic influenza A New (H1N1) is still going on despite the over the top.
For that, said the minister, the most important thing related to pandemic influenza is the preservation and improvement of preparedness to cope with the next influenza pandemic that occurred as a result of mutation or reassortment "virus of avian influenza or bird flu virus H5N1 is highly pathogenic.
"Therefore, the plan of national influenza pandemic preparedness continue to be maintained and enhanced to be able to cope with an influenza pandemic that turned out to arise again and time at which it is difficult to predict," said Minister of Health.
He added, during the bird flu is still endemic in animal populations, especially poultry, in most parts of Indonesia, as long as it is also the possibility of human bird flu virus still exists.
The government, he said, currently under review to replace the National Commission for Avian Influenza Zoonosa with the National Commission. It was considered necessary for handling the various outbreaks of running a systematic and not temporary (adhoc).
Stated, it will Zoonosa Commission is expected to accommodate the handling of bird flu, anthrax, rabies, and others. Commission also will handle the task of handling the bird flu virus is still handled the National Avian Influenza Control and Pandemic Influenza (FBPI).
Based on Presidential Regulation No. 7 of 2006, he said, is adhoc FPBI Commission, and his tenure ended on March 13, 2010. Has achieved success include West Kalimantan province has been declared free of bird flu based on RI Mentan Decree No. 316 Year 2010 dated January 21, 2010.
The case of bird flu (H5N1) was first discovered in poultry in Indonesia in August 2003, while the virus infects humans was recorded in July 2005 in Tangerang. At the national level, endemic H5N1 in poultry occurred in a sporadic in many areas, and only two provinces (Gorontalo and North Maluku) are declared free of bird flu in poultry.
In 2009, the number of cases of human bird flu found in 13 provinces and 51 districts / cities, with the CFR (Case Fatlity Rate) of 82.2 percent. A total of 162 people tested positive for infection, and 134 of whom died. (T.Jul / ysoel)

Egypt: H5N1 Death - 20 yo from Cairo Gov't. 32n'd Death (possibly #105)

The death of Case No. 32 of avian flu


Wednesday, March 10th, 2010 - 17:02


Minister of Health
Abdul Salam wrote Princess


Ministry of Health announced the death of a new case of avian flu this morning, Wednesday, March 10th, 2010 for the old lady (20 years) from the Cairo governorate following the coming into contact with dead birds suspected of being infected with the virus.

This brings the total number of deaths in Egypt 32 cases, as confirmed by the Ministry of Health in its official statement this morning since the emergence of the disease in 2006 so far.
hat-tip Twall

PubMed Abstract: Avian Influenza A(H5N1) Viruses Can Directly Infect and Replicate in Human Gut Tissues.

Avian Influenza A(H5N1) Viruses Can Directly Infect and Replicate in Human Gut Tissues.
Shu Y, Li CK, Li Z, Gao R, Liang Q, Zhang Y, Dong L, Zhou J, Dong J, Wang D, Wen L, Wang M, Bai T, Li D, Dong X, Yu H, Yang W, Wang Y, Feng Z, McMichael AJ, Xu XN
J Infect Dis. 2010 Mar 8;

The human respiratory tract is a major site of avian influenza A(H5N1) infection. However, many humans infected with H5N1 present with gastrointestinal tract symptoms, suggesting that this may also be a target for the virus. In this study, we demonstrated that the human gut expresses abundant avian H5N1 receptors, is readily infected ex vivo by the H5N1 virus, and produces infectious viral particles in organ culture. An autopsy colonic sample from an H5N1-infected patient showed evidence of viral antigen expression in the gut epithelium. Our results provide the first evidence, to our knowledge, that H5N1 can directly target human gut tissues.

abstract Abstract · PubMed

hat-tip tetano

Indonesia: Crisis Communication Determine Success

Wednesday, March 10, 2010 | 07:36 pm
ATLANTA, KOMPAS.com - Communication crisis in the health sector increasingly important as bermunculannya various infectious diseases that have the potential to be catastrophic, such as bird flu, severe acute respiratory syndrome or SARS, and influenza A-H1N1. A good crisis communication in the health sector in determining the success of control issues, including holding the spread of the disease.

It was stated communication experts from the Center for Disease Control and Prevention (CDC) United States, Barbara Reynolds, in Crisis and Emergency Risk Communication (CERC) Training, such as Indira Kompas reported Permanasari journalists from Atlanta, United States, Tuesday (9 / 3).

Reynolds says, crisis and risk communication in emergencies especially important when dealing with cases of disease that can cause death, easily transmitted, and unprecedented. In some studies, for example, cases of influenza A-H1N1 and avian influenza (H5N1), with a crisis communication strategy to the public good, at least not a large explosion in the case of fast time.

"With a good crisis communication, remains an increase in cases, but with a more sloping curve and then slowly down the number of cases. If there is no good public communication, cases tend to increase sharply in place quickly and then just come down after the treatment. However, the victim of spilled milk, "he said.

He said the health problems directly touches the lives of the people so that it appears a disease, let alone new infections, the public needs information related to the danger. In addition, steps can be done so that the disaster would not befall them, and how to care for themselves.

Responsibility in communicating to the public about the crisis, especially in the hands of government and related organizations concerned. Reynolds said, leaders at various levels to provide honest information with empathy about the situation to the public quickly. Information must also be constantly updated.

"Dishonesty in providing an explanation even backfire in the long run because people will lose faith," he said.

More dangerous, more Reynold, people then did not want to follow the medical recommendations given that control more difficult.

"People can see whether a leader who communicates honestly crisis or not," Reynolds said.

Failure to communicate a crisis to happen because so many comments from some experts that ended up confusing people.

Separately, a consultant Risk Communication World Health Organization, Jodi Lanard, said there are many dilemmas in crisis situations to communicate honestly to the public. It often happens because of various interests. However, the public interest to get honest information in the middle of crisis and uncertainty poor can not be ignored.

"The way to calm the people instead of saying that all the control on the first day, it was certainly hard to believe. Better to be truthful about the situation, "he said

Indonesia: Disease 'Zoonosis' The Threat

[Indonesia has tracked H5N1 outbreaks for years now. This article, and the preceeding article, must be talking about a combination strain of the both of them combining.]

Similar article..excerpt:

similar article, excerpt:

"Public health infrastructure must be prepared to anticipate the possibility of extraordinary events diseases like this," he said.
Keberadaan sistem intelijen epidemi, juga sangat penting untuk mendeteksi secara cepat kemunculan zoonosis yang berpotensi menimbulkan wabah penyakit dan pandemi.
The existence of an epidemic intelligence system, is also very important to quickly detect the emergence of a potentially zoonotic diseases and pandemic outbreaks.
Kepala Pusat Komunikasi Publik Kementerian Kesehatan Indonesia, Tritarayati mengatakan, pemerintah Indonesia telah mempunyai sistem pengendalian penyakit zoonosis.
Head of Public Communication Center of Health Ministry of Indonesia, Tritarayati said, the Indonesian government has had a zoonotic disease control system.
Pemerintah, kata dia, berencana membentuk komite yang khusus menangani pengendalian penyakit zoonosis.
The government, he said, plans to form a special committee dealing with zoonotic disease control.
"Tapi zoonosis memang belum menjadi prioritas utama. Prioritas utama pemerintah masih pada pengendalian penyakit menular yang prevalensinya tinggi dan dampaknya besar seperti DBD, tuberkulosis, malaria, dan HIV," katanya.
"But zoonoses are not a top priority. The main priority of government is still in control of infectious diseases and high prevalence of major impact such as dengue, tuberculosis, malaria, and HIV," he said.

Indonesia: Zoonosis Disease Threats Increasing

toggletext translation
Wednesday, March 10, 2010 11:56 pm

The infection threat that spread from the animal to humankind or zoonosis increased in several last years consequently the government must give more attention in prevention efforts and the control of these infectious diseases. "More attention must be given in new illnesses that emerged resulting from the nearness" of "relations between the animal and humankind that could spread," said Henry Walke, Kepala of the Development of the Program in the Pengembangan Division of the Kesehatan Capacity of the Global Community in Centers for Disease Control and Prevention (CDC) the United States in Atlanta, on Wednesday.

CDC, said Walke ended spoke in the training of risk communication for the crisis period and kedaruratan, had special attention in control efforts zoonosis in various countries.

That, according to him, must be done remembered uptil now most plagues of new infectious diseases that happened as a result of by zoonosis including among them influenza of A H5N1 or bird flu and influenza of A H1N1 or pig flu.

"Indonesia as the country with the inhabitants's population and the high animal better give special attention to control efforts" of "this illness," he said. He said, countries with the risk of the spread zoonosis high must increase their capacity in detecting and responding to the incident zoonosis. The "infrastructure" of the "health" of the "community must be prepared to anticipate the possibility" of the "extraordinary incident emergence illnesses like this," he said.

The existence of the system of epidemic intelligence, he added, also very important to detect quickly the emergence zoonosis that had the potential to cause the plague of the illness and the pandemic.

The head of the Centre of Publik Kementerian Communication of the Tritarayati Health said, the Indonesian government had the control system of the illness zoonosis. The government, said he, also planned to form the special committee handled the control of the illness zoonosis. "But zoonosis indeed did not yet become prioitas main." The main priority in the government still in the control of infectious diseases that his prevalence was high and his impact was big like DBD, tuberculosis, malaria, and the HIV, he said. (M035/B010)

Excerpt of Google translation:

That, according to him, must be given during most of the new infectious disease outbreaks that occur are caused by zoonoses including influenza A H5N1 or bird flu and H1N1 influenza A or swine flu.

"Indonesia as a country with a population of high animal population and should give special attention to efforts to control this disease," he said.

He said countries with a high risk of zoonotic transmission should enhance their capacity in detecting and responding to incidents of zoonoses.

"Public health infrastructure must be prepared to anticipate the possibility of extraordinary events diseases like this," he said.

The existence of an epidemic intelligence system, he added, is also very important to quickly detect the emergence of a potentially zoonotic diseases and pandemic outbreaks.

Monday, March 8, 2010

CIDRAP: NEWS SCAN: Egypt launches new H5N1 measures; more pepper recalled

Mar 8, 2010

Egypt launches new strategy to curb H5N1 spread
In the wake of rising human H5N1 avian influenza outbreaks, coupled with an increasing number of outbreaks in poultry, Egypt's health ministry said it is implementing new measures to curb the spread of the virus, including restricting the sale of poultry across governorate borders, the United Nations' Integrated Regional Information Networks (IRIN) reported today. The health ministry said it will also launch a campaign to warn the public about the risk of raising poultry at home and will stop vaccinating poultry, because the practice has not curbed the spread of the disease, according to IRIN. Egypt has reported several dozen poultry outbreaks so far this year, most of them in household birds. The country has also experienced a surge in human cases since the first of the year, with14 so far, including 3 deaths, according to a recent update from the World Health Organization (WHO). In other developments, Egypt's health ministry reported another H5N1 death, according to translated reports that appear today on the FluTrackers infectious-disease message board. The death appears to be that of a 53-year-old man from Qalyubia governorate whose illness was detailed in a Mar 4 WHO update. He had been listed in critical condition.
Mar 8 IRIN story
FluTrackers thread on Egypt's 104th H5N1 case

More black pepper recalled in Salmonella outbreak
A second company that supplied ground black pepper to the sausage company involved in a 44-state Salmonella outbreak has issued a recall, the Food and Drug Administration (FDA) reported on Mar 5. Mincing Overseas Spice Co., Dayton, N.J., recalled black pepper lots 3258 and 3309, both involving 50-, 25-, and 20-pound cartons bearing the company name. The FDA said a sample from lot 3258 tested positive for Salmonella, and further testing was still under way to determine if it matched the outbreak strain of Salmonella Montevideo. Mincing and Wholesome Spice Co. of Brooklyn, N.Y., both supplied pepper to Daniele Inc., maker of salami and other sausage products linked to the outbreak (Wholesome previously recalled some pepper products). The FDA said it has also tested pepper samples from other customers that received pepper from Mincing and Wholesome. So far, two of those samples have tested positive for strains of Salmonella not associated with the current outbreak. The findings prompted Mincing's recall of lot 3309 and also prompted another company, Heartland Foods Inc. of Indianapolis, to issue a recall, the FDA reported. Heartland's Mar 1 recall notice covered all its coarse black ground pepper distributed between Oct 19, 2009, and Feb 17, and sold in 1-, 4-, and 8-pound containers. The FDA also said it is working on a spice risk profile that could lead to new guidance for the spice industry and FDA inspectors and possibly to new regulations.
Mar 5 FDA update on Salmonella investigation
Mar 5 Mincing recall notice
Mar 1 Heartland Foods recall notice

Vietnam: Response possibility of pandemic

Tuesday, March 9, 2010 1:03

(Bloomberg) - Vice Minister of Agriculture and Rural Development Bui Ba Bong Resident Coordinator and United Nations in Vietnam, John Hendra, on the 8-3 co-chaired the conference for all of the bird flu prevention Influenza and Human Influenza (PAHI), held in Hanoi.

Theo TTXVN, qua hội nghị, Bộ NN-PTNT, Bộ Y tế và các thành viên của PAHI xem xét, đánh giá các hoạt động thực hiện chương trình phối hợp hành động quốc gia phòng chống dịch cúm gia cầm và cúm ở người giai đoạn 2006 - 2010; thông tin về tình hình dịch và các hoạt động của đối tác, đồng thời bàn về những định hướng và ưu tiên cho giai đoạn sau 2010.


Source: Reuters, via conferences, MARD, Ministry of Health and members of PAHI review and assessment activities for the program to coordinate national action preventing avian influenza and human flu period the 2006 - 2010; information on the services and activities of partners, and discuss the direction and priorities for the period after 2010.


Tại hội nghị, nhiều đại biểu nhận định Việt Nam cũng nên rà soát lại toàn bộ công tác chuẩn bị đối phó ở cấp cao nhất với những loại thảm họa quy mô lớn, phức tạp và không thể dự báo.


At the conference, many delegates get to Vietnam should also review all the preparation work at the highest level to deal with the kind of large-scale disasters, complex and unpredictable.

Discovery of the 104 case of bird flu

[I believe the date of this article is faulty. He did not make his statement on the 3rd of March. He made it on the 6th.]

3/3/2010
Ministry of Health announced the discovery of new human case of avian flu to the old man 53 years of Shubra El-Qalubia, bringing the total number of cases 104 cases since the onset of the disease in Egypt.

وأكدت وزارة الصحة أن التاريخ المرضى للحالة يؤكد دخوله مستشفى النيل للتأمين الصحى يوم 27 فبراير الحالى وهو يعانى من ارتفاع فى درجة الحرارة وسعال ورشح والتهاب صدر مزمن، بالإضافة إلى التهاب رئوى أيسر وذلك عقب تعرضه لطيور يشتبه فى إصابتها بمرض أنفلونزا الطيور، وقد تم إعطائه عقار "التاميفلو"، وتحويله إلى مستشفى صدر العباسية بالقاهرة وحالته الصحية حرجة.

The Ministry of Health that the date for the case of patients entering the hospital confirms the Nile to health insurance on February 27, suffering from fever, cough, runny nose and chronic inflammation was issued, in addition to pneumonia, easier and that after being exposed to birds suspected of being infected with bird flu, has been given a drug "Tamiflu", and was transferred to a hospital in Cairo and the Abbasid critical condition.

Egypt: The Ministry of Health: the case of death of a new pandemic flu raises the total to 31

3/7/2010 1:25:00 AM
مصراوي- خاص- أعلنت وزارة الصحة عن وفاة حالة جديدة بفيروس أنفلونز الطيور ليرتفع اجمالي الوفيات الى 31 حالة منذ ظهور المرض في مصر.
Masrawy - Special - The Ministry of Health for the death of a newly infected with bird flu, bringing the total death toll to 31 cases since the disease appeared in Egypt.
وقالت الوزارة في بيان لها مساء يوم السبت أن حالة الوفاة الجديدة لرجل من محافظة القليوبية يبلغ من العمر 52 عاما.
The ministry said in a statement late on Saturday that the new death of a man from Qalyoubia province, at the age of 52 years.


-snip-