Monday, March 15, 2010

No contact with infected poultry remains influenza A (H5N1)


Updated at: 8:28 AM, March 16, 2010

No direct contact with infected poultry, not directly eat meat or poultry sick but she died T., 25, in Phu Ninh, Soc Son, Hanoi still infected influenza A (H5N1).

>> Unpredictable risk of a new influenza pandemic

According to Nguyen Dang Tuan, emergency resuscitation science, Bach Mai Hospital, the direct treatment for Ms. T., ca influenza A (H5N1 first in Hanoi, when the patient was moved to second on years of healthy patients should have a serious decline, most viscera failure. We still have her appear more ventilation and air filled lung membranes. The doctors can not the data on the lives of patients.

Dr. Tran Nhu Duong, Institute of Hygiene and Epidemiology Institute vice Central, said, according to initial epidemiological survey from early March until now, the area around a patient's T. a sick bird, dead scattered. Dr. Yang also for not exclude cases where influenza A virus (H5N1) dispersed in the environment around the house, can be transmitted to the source patient.

Therefore, experts recommend epidemiology, people should notify local authorities if discovered sick birds, dead with no known cause for environmental remediation measures in time. Also, when exposed to infected poultry, poultry sickness, death must be equipped with adequate labor protection, wash your hands with soap and antiseptic solution after contact with poultry. Especially when there are manifestations of fever, cough, shortness of breath, need to just medical facility for examination and treatment in time, especially those with less resistance as the elderly, young children and people with decline of resistance such as pregnant women, new birth or who have chronic ..

Not found the source of the disease spreading influenza A/H5N1 infection in Hanoi

8:31 PM, March 15, 2010
Not found the source of the disease spreading influenza A/H5N1 infection in Hanoi
(VOV) - Before the detection of patients infected with influenza A/H5N1, local detects scattered dead sick poultry. Something worth saying that at least 10% of poultry Phu Linh commune is not epidemic prevention vaccine

Afternoon 15 thirds, Sub-Department of Animal Health, Hanoi announced the results of serum samples and throat service almost poultry from infected patients in family households influenza A/H5N1 and neighboring Phu Linh commune, Soc Son District. Accordingly, 60 samples have tested negative for influenza A/H5N1 virus. That means not find the source of infection of patients with influenza A/H5N1 in Hanoi.

Full Phu Linh commune, Soc Son District, Hanoi has nearly 30,000 poultry. Before the detection of patients infected with influenza A/H5N1, local detects scattered dead sick poultry. Something worth saying that at least 10% of poultry Phu Linh commune is not vaccine epidemic prevention; including 17 chickens of the family of patients.

Sub-Department of Animal Health, Hanoi direct vets base deployed pepper spray toxic chemical environment, destruction of propaganda people dead birds with no known cause and promote the A/H5N1 influenza vaccine for the prevention forums poultry.

Can Mr. Van Binh, Deputy Director Chi Chi Ha Noi Department of Animal Health said: "The prevention of AI in general depends heavily on raising awareness of, the community. Current low rate of vaccination is due to the combination of raising the agency has strict animal health. Many households raising subjective, is ignored, belittled, and no vaccination for their flocks so by improving vaccination rates as well as implementing the work of vaccination to be effective requires a strong direct decision of the authorities, especially the communal authorities.

While at the Faculty of Islamic power positive, Bach Mai hospital, patients infected with influenza A/H5N1 residing in Phu Linh commune, Soc Son District, Hanoi still in critical condition: pneumonia, acute respiratory failure is evolution; Patients with multiple organ failure, multiple organ side, must be artificially ventilated. Doctor Nguyen Van Tuan, the direct treatment of patients said that the concern is that patients with signs of pulmonary membrane and gas spills, low white blood cell is less protected, requiring more intervention procedure so easy to infection and secondary bacterial drug resistance.

From this case, doctors recommend Nguyen Van Tuan: "With the disease so we must be careful to spread resources. For this disease should be conducted carefully and isolate, perform hand hygiene, eating and hygiene. People to discover the disease must be reported functional agencies to stamp out progress soon, the symptoms should go to health facilities to visit soon hope to study new treatment, a higher survival rate " .

Ministry of Health recommended several times: when detecting birds sick or dead absolutely not slaughter and use that to immediately notify local authorities handled promptly; no shipping purchase poultry unknown origin, particularly in areas where the bird flu outbreak, ensuring cooked food, drink boiling; wash hands with soap before eating and after using the toilet.

Thus from the beginning of the year has discovered four local flu A/H5N1 patients. For Hanoi, this is the first patient within 5 years. Other three patients with previously detected in the provinces of Tuyen Quang, Khanh Hoa and Tien Giang, still have not found the source of infection for patients with this disease. /.

Vietnam: Drop-empty chicken population indifferent whether people infected with H5N1 have

This is a hard article to understand. This is just my interpretation, as I see it. I believe the article is stating quotes from husband. He doesn't understand how his wife got BF. They have chickens. They have not be vaccinated. They have been healthy chickens, and he never bought chickens from "outside". For Tet, they did not eat chicken. They do not like chicken, so don't normally consume. He's heard neighbors have dead chicken, and are being thrown in the canal.....Something about he/she works at home...and she has grandchildren 3 months old (she's 25....).....

I think it is saying the chickens tested negative in their household as well as adjacent homes...

" However, 60 samples (patients and their households raising adjacent) sent for tests to date are negative, "Binh said."



Updated: 2 Hours
Kênh: Channel: VnExpress

Although local people infected with bird flu to hospital, but many families in rural Cong Hoa, Phu Linh commune, Soc Son District, Hanoi still drop empty chicken forums, including households with infected people.
Phần lớn số gia cầm này chưa được tiêm phòng.
The majority of poultry has not been vaccinated.

11 / 3, Institute of Hygiene and Epidemiology is the central test results confirmed product samples of the patient's 25-year-old village of the Republic of positive with H5N1.
5 ngày đầu, bệnh cảnh của chị rất nặng, phải thở máy, đang được điều trị tích cực tại Bệnh viện Bạch Mai.
5 days early, scene of her very serious illness, have ventilation, are being actively treated in Bach Mai Hospital.
Tuy nhiên, ông Nguyễn Văn Xây, bố chồng của bệnh nhân vẫn không hiểu vì sao con dâu mình có thể nhiễm.
However, Nguyen Van Construction, published her husband's patients still do not understand why you can get the strawberry.
"Nhà tôi nuôi 17 con gà, dù chưa tiêm phòng con nào, lại thả rông chứ không nuôi nhốt nhưng con nào con nấy đều khỏe, không có con nào bị ốm chết. Gia đình cũng chưa bao giờ mua thịt gà ở ngoài", ông Xây nói.
"The 17 I raise chickens, although I have not vaccinated children, and, again, not drop empty captivity but nấy children are healthy children do not have any sick child died. The family never bought chicken outside" he said Building.
Đàn gà nhà ông Xây vẫn được thả rông ngoài vườn dù con dâu ông bị cúm gia cầm.
In addition, the New Year far from his family not to eat any chicken once, especially the couple seal ever are not like chicken, so rarely eat.
Ông chỉ nghe nói, ở khu xóm giữa có một nhà gà chết, đem vứt ra sông, ra ngòi.
He heard, in the neighborhood with a dead chicken, bring thrown into the river, the canals.
Nhưng con dâu ông chủ yếu làm việc ở nhà, không đi ra ngoài mấy, chị cũng vừa sinh cháu được hơn 3 tháng.
But the law he mainly worked at home, not go out a few, she also has grandchildren born more than 3 months.
Cũng vì tin đàn gà nhà mình khỏe mạnh nên sau khi đã được tiêm phòng, ông vẫn tiếp tục để gà chạy rông.
Information forums because his home healthy chickens should be vaccinated after he continued to run empty chicken.
Nhiều hộ gia đình gần đó cũng không nhốt đàn gà lại mà vẫn thả như mọi khi dù đã có khuyến cáo của ngành thú y.
Many households nearby will not confine Left Forum chickens still drop as always though was recommended by the veterinary sector
Có những hộ chăn nuôi khi được hỏi thì cho rằng, gà nhà ai chết chứ gà nhà họ chưa bao giờ chết.
There breeding households when asked, said that the chickens who killed the chickens, but they never die.
Từ trước đến nay, họ vẫn thả như vậy mà không sao.
Ever, they still do not pull so.
"Đến thời điểm này, ngành thú y mới chỉ khuyến cáo người dân nên nuôi nhốt gia cầm lại, đồng thời tuyên truyền các biện pháp phòng tránh lây nhiễm bệnh sang người. Ngoài ra, chưa bắt buộc phải tiêu hủy vì chưa chắc đàn gà đó đã nhiễm bệnh", ông Cấn Văn Bình, Chi cục phó Chi cục Thú y Hà Nội cho biết.
"To this point, veterinary science only recommend people should captivity birds back, while the propaganda measures to prevent infection from spreading to humans. In addition, not destroyed as required in doubt Forums chickens that were infected, "said Can Van Binh, deputy Chi Chi Department of Animal Health Department Hanoi said.
Trong khi đó, phần lớn đàn gà trong các hộ gia đình này vẫn chưa được tiêm phòng.
Meanwhile, most chickens in the forums households has not been vaccinated.
Theo thống kê, thôn Cộng Hòa có khoảng 7.500 con gia cầm, tỷ lệ tiêm văcxin cúm đạt 80%, số còn lại 20% không tiêm phòng chủ yếu là chăn nuôi nhỏ lẻ, chăn thả tự do.
According to statistics, there are about 7500 villages of the Republic of poultry, the percentage of injected flu vaccine reached 80%, the remaining 20% are not vaccinated are mainly small livestock, grazing freely.
Tỷ lệ tiêm chủng chung của cả thành phố Hà Nội cũng chỉ đạt khoảng 80%.
Vaccination coverage of the whole of Hanoi will only reach about 80%.
Lý giải việc vẫn còn tỷ lệ tương đối lớn gia cầm chưa được tiêm phòng, ông Cấn Văn Bình cho rằng, một năm ngành thú y tổ chức 2 đợt tiêm chủng đại trà cho gia cầm và có tổ chức tiêm chủng bổ sung hằng tháng.
Explain the still relatively large proportion of AI has not been vaccinated, he said Doi Van Binh, a veterinary science in the second round of mass vaccination for poultry vaccination and organized additional monthly .
Tuy nhiên, nhiều hộ chăn nuôi vẫn chủ quan không tiêm phòng, nghĩ rằng mình chăn nuôi nhỏ lẻ nên coi thường.
However, many households still subjective livestock vaccination not, think you should consider raising small often.
"Có người sợ tiêm rồi gia cầm giảm đẻ, giảm tăng trọng nên không tiêm. Ngoài ra, nếu tiêm thì phải sau 14 ngày mới được tiêu thụ. Chúng tôi cũng không thể cử người đến từng hộ gia đình để tiêm được vì lực lượng thú y không thể phục vụ hết", ông Bình nói.
"There is a fear of injections and birds lay off, reduced weight increase was not vaccinated. Also, if injected after 14 days, they must be consumed. We can not appoint persons to each household to be vaccinated because of power of veterinary services can not end, "Binh said.
Ông cho biết những hộ chăn nuôi dưới 50 con thì phải tự giác đem gia cầm ra những điểm tiêm tập trung tại thôn, xã để tiêm.
He said households raising children under 50, they must bring self to the point vaccinated poultry concentrated in villages and communes to injection.
Còn nếu có hơn 50 con thì thú y có thể đến tận nhà để tiêm.
If more than 50 children can go to the vet to take the vaccine.
"Nếu có kết quả xét nghiệm đàn gà nào nhiễm cúm H5N1, chúng tôi sẽ lập tức đem tiêu hủy, lập các chốt chặn, hạn chế việc buôn bán vận chuyển gia cầm trong khu vực cho đến khi hết 21 ngày mà không có thêm gia cầm nào chết. Tuy nhiên, 60 mẫu (của hộ có bệnh nhân và các hộ chăn nuôi liền kề) gửi đi xét nghiệm đến nay đều cho kết quả âm tính", ông Bình nói.
"If the test result that chickens infected with H5N1 forums, we will immediately bring destruction, set up the key blocks, limiting the movement of poultry trade in the region until 21 days without further any dead birds. However, 60 samples (patients and their households raising adjacent) sent for tests to date are negative, "Binh said.
Trước đó, tại xã Phù Linh lác đác vài con gà chết nhưng theo xác nhận của ban thú y là do bệnh tụ huyết trùng.
Before that, in Phu Linh commune lác features several chickens died, but the confirmation of the convergence of veterinary diseases the blood is the same.
Chi cục thú y Hà Nội đã yêu cầu ban thú y xã tổ chức tiêu độc môi trường trên địa bàn xã 3 lần một tuần, tại chủ hộ có bệnh nhân vệ sinh tiêu độc 7 ngày liên tiếp.
Veterinary offices Hanoi has asked the social organization of veterinary exclusive environmental goals in the commune three times a week, at the head of household hygiene and patient goals are unique seven consecutive days.
Trong tháng 3 hoàn thành tiêm phòng văcxin bổ sung cho đàn gia cầm.
In March to complete vaccination vaccines in addition to poultry.
Bộ Y tế cũng khuyến cáo, dịch cúm H5N1 trên người đang có chiều hướng biến đổi theo hướng động lực mạnh hơn.
Ministry of Health also warns that progress on the H5N1 influenza have tended to transform the direction of stronger motivation.
Đặc biệt trong năm 2009, cả 5 trường hợp mắc cúm gà đều đã tử vong.
Especially in 2009, including five cases of bird flu have died.
Tích lũy từ năm 2003 đến nay, cả nước đã có 58 ca tử vong.
Accumulated from 2003 to now, the country has had 58 deaths.
Năm 2010 cũng đã ghi nhận bệnh nhân cúm gia cầm đầu tiên tử vong ở xã An Thái Trung, huyện Cái Bè, tỉnh Tiền Giang.
2010 also recorded the patient's first bird flu death in An Thai Trung commune, Cai Be district, Tien Giang Province.
Nam Phương

Sunday, March 14, 2010

A/H1N1 in Myanmar

March 04, 2010

Seven townships of Yangon, former capital of Myanmar get wide spread of A/H1N1 virus infection. These are Bahan, Shwe-pyi-tha, Hlaing Thaya, Hmawbi, North-Dagon, East Dagon, ad ost of the cases are t North Dagon. In North Daon, there has been at ward 43; Chin nationals at gathered-boarder. Now 43 of them are treated as in-patient at hospital. There are 2 patients positiveA/H1N1 curently.


From January 2010 to February 212010 there have been 56 patients and last year, 69 patients with A/H1N1.


Then more patients with A/H1N1 found at Shwe -pyi -tha garment factory soon. 7 patient withA/H1N1 on Feb.19 and junta said that total number of 124 patients in Myanmar but no death, they said.


And also 55 patients from Chin state, and5 from northen Shan state Junta declared.


World Health Organization said more than 40 million Myanmar people would get vaccination against A/H1N1 free-of-charge by WHO at the end of February. Priorities include health personals and whom risky for A/H1N1. Dr.Myo Lwin, government servant physician said that vaccination could effect one year after single dose.


WHO will help to get Tamiflu easily for Myanmar.


http://www.groundreport.com/World/A-H1N1-in-Myanmar_1/2919035

Pilgrims prohibited to go to World Largest Buddhist' Image, Monywa for...

March 13, 2010

Monywa is the capital of Sagaing Division, situated at north-west region of Myanmar. Its boarders are closed to India, Nepal andBingladesh and innerly, Mandalay division as well. Monywa is a hot city , including the hottest areas in Middle Myanmar. Monywa has many beautiful Tamarind trees at each road. So these green trees make cool for people.


Now unfortunately, Monywa has H5N1 soread,junta controlling.


First outbreak on H5N1 infection in Monywa has been at 2008. Now, 4 years later, thjere has been soread of H5N1 as re emerge.


On March 1, Thyet-Kan village near Yin-Mar-Bin township, near Monywa ther was an established case of H5N1 infection and about 10.000 hens killed for suspection. But some said more than 13,000 hens killed.


At 2006 in March8, there has been about 650,000 of chicken and other avians killed in sagaing and Mandalay divisions.

S'pore buys 1m bird flu vaccine doses

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

Sun, Mar 14, 2010
The Straits Times

By Salma Khalik

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.

H5N1 Figures

250,000 adjuvant doses are worth an estimated $3 million.

287 - the number of deaths from H5N1 infection, out of the 486 reported to have been infected by the virus since 2003.

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.

Although the H5N1 virus now cannot spread from human to human, experts fear that it will mutate enough to do so one day.

So before this can happen, the Ministry of Health has acted to secure supplies of the vaccine, since vaccines take a notoriously long time to produce.

The order is being made in advance so that the ministry can avoid being caught flat-footed again, as it was with the H1N1 vaccine last year. The first batch of H1N1 vaccine came last November, more than six months after the pandemic was declared.

The H5N1 vaccine is what is called a 'pre-pandemic vaccine' - one made based on existing strains of a virus that could possibly cause a pandemic. It might be slightly or even very different from the actual pandemic strain, since viruses mutate.

The hope is that it will be sufficiently similar to the pandemic strain to provide a high level of protection, should the need arise.

Already, countries such as the United States, Switzerland, Finland and New Zealand have stocked up on this vaccine.

Singapore's order, which runs into millions of dollars, is with GlaxoSmithKline (GSK).

Explaining the purchase, Health Minister Khaw Boon Wan told The Straits Times that the H5N1 bug remained endemic among chickens and ducks, and that the countries around Singapore have plenty of such infected fowl.

'We have been lucky that the feared mutation has yet to take place. Experts continue to say that it is just a matter of time.

'I can only hope that they are wrong; but we need to insure ourselves against the possibility that they may be right,' he said.

Aside from buying the vaccines, Singapore is also stockpiling antivirals and N95 masks, and creating more isolation rooms and intensive care units in hospitals, he said.

Antivirals are drugs that attack the flu virus by reducing its ability to replicate in the body. This often results in less pain and a slightly shorter period of illness.

The pre-pandemic vaccine from GSK comes in two parts - the more expensive adjuvant or booster, and the antigen, which is the actual vaccine.

The two parts are combined just before the vaccine is administered. A much smaller amount of antigen is needed when an adjuvant is used.

Singapore already has about 250,000 doses of GSK adjuvants from its purchase of the H1N1 vaccines. As these can also be used with the H5N1 antigen, the ministry has saved money from not having to buy as many adjuvants.

A Ministry of Health spokesman said the 250,000 adjuvant doses are worth an estimated $3 million. The total cost of the million doses is confidential as it was the result of a tender, he said.

Of the 1.3 million doses of H1N1 vaccine bought last year, more than 850,000 doses are still available.

The ministry estimates that about 430,000 people here have already been infected by H1N1, although only 13,450 cases have laboratory confirmation.

H1N1 killed 21 people here, including the very young. This is mild, relative to the seasonal flu, which kills about 600 people a year here.

Vietnam: Conference reports new avian flu strains

[This article has quite a few things that are not translated correctly, or they just spoke incorrectly....it was the "National Conference of activity prevention and pandemic influenza in humans" and there is more on this conference here:
http://pandemicinformationnews.blogspot.com/2010/03/risk-of-outbreak-of-influenza-h5n1.html]


Saturday ,Mar 13,2010

The swine flu A/H5N1[translation error: Avian flu A/H5N1] virus has mutated into seven antigen groups since it appeared in the country, according to a conference on the virus in Hanoi to discuss last year’s results and plans for 2010.

The virus’s future development would be hard to predict, Dr. Nguyen Huy Nga head of the Preventive Health and Environment Department told the national swine flu conference in Hanoi March 12.

The same day of the conference, the Preventive Health and Environment Department reported that a 25 year old woman was being treated for the virus in Bach Mai hospital in Hanoi. She had fallen sick on March 5.

Five cases, all fatal, were infected with A/H5N1 virus in 2009 nationwide, the conference heard.

In the first three months of this year in Vietnam, there have been four cases of the virus, including a 38-year old woman who died in Mekong Delta province of Tien Giang, said Nga.

Health experts warned that another new stronger virus could emerge from a combination of current strains to cause a new pandemic.

Nga said the steering committee for A/H1/N1 flu prevention needs to step up its monitoring and quarantine activities especially in hotspots in case a new more virulent strain develops.

Residents should not sell, buy or kill poultry without testing first and should never eat poultry that has died of an illness.

Bird flu outbreak reported in five countries

By Stephanie Dearing.



Reports are coming from Nepal, Bangladesh, Indonesia and Vietnam of bird flu outbreaks resulting in the deaths of thousands of birds thus far. Egypt is reporting more human cases of illness caused by the disease.

There is confusion in Kathmandu, Nepal where hundreds of birds are reportedly becoming ill quickly and dying fast. Health authorities have been experiencing difficulty getting the proper permission to take samples to confirm the deaths are being caused by H5N1, and thus a bird cull has not occurred yet, although it is anticipated that this will change shortly. One adult has reportedly contracted the virus.

In Bangladesh, the bird cull is well under way, with nearly 120,000 birds killed on one farm alone. After 400 chickens died suddenly on Saturday, a test confirmed bird flu, and most of Kazi Farm's birds were killed. Thousands of eggs were destroyed as well. So far there have been no reports of human contraction of the virus, and the virus has been found only on the one farm. The loss for the farm is approximately $6 million. It is not known if the virus has spread to other farming operations.

H5N1 has also been determined to be the cause of illness in a woman in Hanoi, Vietnam. An outbreak of the disease had occurred in a Vietnamese village in late February. Officials reported in early March the outbreak had been contained after thousands of birds were culled.

The deaths of thousands of chickens in Jambi, Indonesia in the past month have been confirmed as caused by the Avian flu. Officials in Jakarta are relocating illegal poultry slaughter houses in an attempt to curb the spread of H5N1. Backyard farming has also been banned. The death of one person in February was attributed to the bird flu in Jakarta, but the country has not released information on outbreaks of the disease.

Egypt is reporting more cases of human illness caused by bird flu, although it is not known how many birds have been affected. While perfectly capable of travelling around the world, the virus has been most prevalent in China, Indonesia, Egypt and Vietnam, according to the World Health Organization (WHO).
The bird flu is feared because while the spread to humans has been limited, about one-half of all people infected will die from the virus. Seven deaths have been attributed to the virus this year, with a total of 289 deaths since 2003. The WHO has long promoted Avian Flu as the possible source of a pandemic with the killing proportions of the influenza pandemics seen in the early 1900's, although the pandemic has not materialized. While no one can safely predict how the H5N1 virus will mutate, there are fears that it will mutate into a virulently deadly form for humans in the near future. Vietnamese scientists report
"The swine flu A/H5N1 virus has mutated into seven antigen groups since it appeared in the country."
A recent collaborative research project on the H5N1 virus has demonstrated the potential for the bird flu to become the source of mass human deaths remains viable. The United Nations Food and Agriculture Organization (FAO) announced
"substantial progress has been made in the preparedness and response mechanisms" for battling H5N1 avian influenza around the world."
The FAO attributes those improvements to
"... reductions in the numbers of outbreaks of HPAI in poultry, and the number of human cases occurring."
In 2005, the World Bank pegged the cost of a bird flu pandemic of $800 billion.

Bangladesh slaughters 117,000 birds over avian flu

20 mins ago
DHAKA (AFP) – At least 117,000 chickens were destroyed in northern Bangladesh Sunday after avian flu outbreak on one of the country's largest poultry farms, a local official said.

The deadly H5N1 strain of flu was detected on Saturday when 400 chickens died suddenly at the Kazi Farms complex in Thakurgaon town, district livestock chief Mosaddekur Rahman told AFP.

"Tests confirmed presence of the H5N1 bird flu in 15 sheds of the farm and we ordered destruction of all 117,600 layer chickens," he said.

Kazi Farms is Bangladesh's largest poultry bird and egg producer. General manager of the company Ataur Rahman said another 200,000 eggs had also been destroyed in the single largest outbreak of bird flu in the country.

"Our loss will be more than 400 million taka (six million dollars)," he told AFP.
Bangladesh was hit by bird flu in February 2007, when more than one million birds were slaughtered on thousands of farms across the country.

The last major outbreak was in November 2008 when 10,000 birds were culled over a two-month period, with smaller outbreaks detected in 2009.

Bangladesh's poultry industry is one of the world's largest, producing 220 million chickens and 37 million ducks annually.
The country reported its first confirmed human case of bird flu in May 2008, but the government said the 16-month-old baby who contracted the virus recovered.

Nepal: Bird flu spreading fast in Parasi

Tika R Pradhan
KATHMANDU: The government has been keeping the public in the dark despite the outbreak of bird flu in different parts of the country on the rise, it was learnt today.

Around 500 backyard birds have died in Jhyalbas and Deurali VDCs of Nawalparasi district in the past few weeks.

Following the outbreak, a team of veterinarians led by senior officer at the Animal Health Directorate (AHD), Dr Narayan Prasad Ghimire, was sent to the VDCs for a stamping out operation following verbal orders from Dr Ram Krishna Khatiwada, the programme director, AHD,yesterday.

The team comprised Dr Dayaram Chapagain of Department of Livestock Service (DLS), Chitwan, Dr Laxman Bahadur Dhakal, Chief of DLS Nawalparasi, Dr Damodar Neupane and a technician from the National Avian Laboratory, Chitwan.

However, the team had to return from the VDCs without any job done as they failed to receive a written order from the Department of Livestock Services (DLS) to carry out the same. It is learnt that Dr Khatiwada had assured the team members of the written order from the centre. However, in the last hour, Dr Khatiwada directed the members to return.

Dr Khatiwada said that the report of the sample was not ready. “It might come by Sunday evening,” he said.

When asked about the team sent to the site, he said that was for the diagnosis and to make preparation for culling if the result was found to be positive. “We need to prepare for several things including financial matters before culling the birds in order to maintain international norms,” he said.

One of the team members said the condition in those areas was ‘horrible’ as more birds are being infected and dying fast.

Sources said the birds of local resident Bal Bahadur Bakwal (Magar) of Jhyalbas tested positive for H5N1 virus in the central veterinary laboratory, Tripureswor.

However, the authorities are reluctant to reveal the truth. As per the Bird Flu Control Order- 2064 BS, the government needs to declare “Crisis Zone” after a sample tests positive for H5N1 Avian virus either in the Central Veterinary Laboratory, Tripureswor or in any of the World Organisation for Animal Health reference laboratory. Nepal used to send the samples to the reference laboratory in Waybridge, London, for confirmation.

The government had earlier failed to declare the outbreak in Budhabare-Jhapa, Chainpur-8 in Chitwan, Buddhanagar in Rupandehi and Fultekra in Nepalgunj on time.

It may be noted that the authorities had revealed the outbreak only after The Himalayan Times reported that the government had been keeping the public in the dark.

Nepal Veterinary Association (NVA), Chitwan chapter, has condemned such act of the government and the DLS.

In a statement, the Chitwan chapter of NVA said that the department is being run in an “unethical manner” and at the cost of public health.

The government is once again trying to hide the outbreak of Bird flu in Nawalparasi district.

Saturday, March 13, 2010

Egypt: H5N1 Confirmed=6 Deaths=2 - in 2 Governorates last 30 days

30 yo [Ash Shaykh] February 10; #101

13 yo [Ash Shaykh] February 10; #102

1 yo [Qalyubia Gov.] February 22; #103

53 yo [Qalyubia Gov.] February 27; #104 (Death)

20 yo [Qalyubia Gov.] Adm: 3/5; #105 (Death)

1.5 [Ash Shaykh] Adm: 3/2; #106



Note the scale on the map.

Kafr Ash Shaykh Gov.


Qalyubia Gov.

Friday, March 12, 2010

Health precautions advised people influenza A/H5N1 outbreaks again


(VnMedia) - Height 12 thirds, Department of Preventive Health and Environment official confirmed cases positive for influenza A/H5N1 virus in Hanoi in the first year after the Institute of Hygiene and Epidemiology central review confirmed the results testing positive for influenza A/H5N1 virus on 11 / 3

Influenza A/H5N1 virus is pathogenic back stronger!

Saturday, March 13, 2010, 8:16


>> In case the first positive for influenza A/H5N1 in Hanoi

TP - In just over two months of 2010, Vietnam had four patients with influenza A/H5N1, one patient died. Ministry of Health to receive, H5N1 virus has returned with more powerful destructive power.

Patients T. (Soc Son, Hanoi) are treated in scientific treatment of positive, Bach Mai Hospital (photo taken at 12-3). - Photo: Xuan Phu

Dr Le Quynh Mai - Dean Virus (National Institute of Hygiene and Epidemiology Surgeons) said that the latest research by specialists of the Institute of Epidemiology showed that the isolated more than 300 influenza A/H5N1 virus in poultry and patients in Vietnam, up to at least seven antigens on avian influenza.

Scientists have discovered the exchange and integration between the influenza A/H5N1 virus circulating in our country, as recorded by the evolution of the gene segments of genes between different virus.

This is the reason to create a new virus on line poultry in Vietnam, rather than exotic virus.

Particular, new research has pointed out so fast evolution of influenza A/H5N1 virus and the vaccine is highly pathogenic.

Experts have discovered a number of changes of antigen reduces the sensitivity of influenza treatment.

Dr. Mai concern the increasing trend of change of the pathogenic H5N1 virus will cause danger to public health.

Team doctor, nurse members in the treatment room isolation positive science Bach Mai Hospital (12-3 photographs, dinner) - Photo: Xuan Phu

Epidemiology specialists are concerned, may in future will be a new virus, generated from recombinant strains of old.

Dr. Nguyen Huy Nga - Director of Department of Preventive Health and Environment (Ministry of Health) said that the risk of avian influenza outbreak on a strong back is easy to happen, because people in many places, special special population in areas still far from slaughtering and eating infected poultry.

Department of Animal Health said, the country is still six provinces including Ca Mau, Nghe An, Dien Bien, Khanh Hoa, Tuyen Quang and Ha Giang with bird flu has 21 days.

According to Department of Animal Health representative, a few years, not avian influenza outbreak has many strong local subjective in prevention.

Russia received the TS, winter-spring weather favorable for virus development, while Vietnam is at the same time is the existence of influenza A/H1N1 virus, Influenza A/H5N1 in humans, and avian influenza is very easy to make translated into many local spread.

Risk of influenza A/H5N1 service before spreading, the Health Ministry continues to make strong recommendations about preventive measures.

Accordingly, people must be absolutely done cooked food, drink boiling, do not use, contact with infected birds, cleaning their hands after contact with poultry.

Along with that, step up surveillance of avian influenza, prevent trafficking, transport and slaughter poultry not through quarantine.

Yesterday, the Ministry of Health report, Hanoi has a A/H5N1 flu patients. Female patients, aged 25, residing in Phu Ninh commune, Soc Son District. Disease onset 5-3 days 38oC with fever, cough, sore throat, headache, shortness of breath.

7-3 days, the patient to the hospital North Thang Long examination and diagnosis of suspected pneumonia virus. Here, patients were treated drug-resistant virus, antibiotics help.

However, 10-3, more severe disease progression, 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 investigation showed that from early May 3-2010 far, the area around the patient is sick birds / dead scattered. On 11-3, Institute of Hygiene and Epidemiology Surgeons confirmed test results positive for influenza A/H5N1 virus.

WHO Update: Egypt - H5N1 Case #105 & #106

Avian influenza - situation in Egypt - update 32

12 March 2010 -- The Ministry of Health of Egypt has announced two new cases of human H5N1 avian influenza infection.

The first case is a 20 year-old pregnant female from El Khanka district, Qaliobia Governorate. She was hospitalized on 5 March where she received oseltamivir treatment and died on 9 March.

The second case is a 1 and a half year-old male from Elhamool district, Kfr Elsheikh Governorate. He was hospitalized on 2 March, where he received oseltamivir treatment. He is in a stable condition.

Investigations into the source of infection indicated that the two cases had exposure to sick and dead poultry.

The cases were confirmed by the Egyptian Central Public Health Laboratories, a National Influenza Center of the WHO Global Influenza Surveillance Network (GISN).

Egyptian authorities have also reported the death of a previously announced case; the 53 year-old male from Shobra Elkhima district, Qaliobia Governorate who developed symptoms on 27 February.

Of the 106 laboratory confirmed cases of Avian influenza A(H5N1) reported in Egypt, 32 have been fatal.

Risk of outbreak of influenza A (H5N1)

2:05 on 13-03-2010
'In people i'm guessin since it's already wide open season on the birds there?
"
ND - The Department of Health Preventive and Environment (Ministry of Health), on 12-3 confirmation of cases positive with the virus influenza A (H5) in Phu Ninh, Soc Son district (Hanoi). Patients are ventilation, treatment positive at the Faculty of treatment positive - Bach Mai Hospital. Investigate the epidemiology original shows, early March, the area around the patients had bird sick or dead scattered. On 11-3, Institute of Hygiene and Epidemiology Surgeons confirmed test results positive for the virus influenza A (H5). Thus, from the beginning of the year, the country has had four cases of influenza A (H5N1), in which one person died and a case of being treated positively.

Prof., Dr. Nguyen Huy Nga, Director of Department of Health Preventive and Environment received the, translated influenza A (H5N1) in people at risk of outbreak back to the sense of prevention of the people is not high, especially in a some local areas far still status slaughtering and eating of poultry diseases. After investigating epidemiology, most patients with a history of exposure to poultry disease. Meanwhile, the situation translated influenza in poultry in our country still appear scattered. Notified by the Department of Animal Health (Ministry of Agriculture and Rural Development), currently, both countries six provinces: Ca Mau, Nghe An, Dien Bien, Khanh Hoa, Tuyen Quang and Ha Giang with avian influenza less than 21 days. Nghe An Province is the latest recognition service influenza in poultry (on 28-2). Experts also are concerned, the existence of influenza A (H1N1), influenza A (H5N1) in humans and avian influenza, along with the weather winter spring are favorable conditions for the flu virus to develop and progress spread to many localities. With the existence simultaneously of the virus H1N1 and H5N1, requires monitoring closely the situation in epidemiology and conducting research for the risk of a combination of two viruses, the variables are the virus more pathogenic dangerous than very high.

Meanwhile, at the National Conference of activity prevention and pandemic influenza in humans, Dr Le Quynh Mai, Dean viruses, Institute of Hygiene and Epidemiology Surgeons said, through isolated more than 300 micro - virus influenza A (H5N1) in poultry and patients in the local experts have detected at least seven antigens in the virus bird flu since the viruses have in our country . The research team noted approval evolution of segments of genes between the genetic variations of flu virus, also detected with the exchange and integration between the virus influenza A (H5N1) circulation in our country ...
The analysis of molecular genetic material-virus influenza A (H5N1) in our country is that evolution is too fast the virus and are under strain highly pathogenic, with the change of antigen reduce the sensitivity of treatment flu. This is a matter dangerous to public health by the forecast of experts is not soon, then later, a new virus may appear from the recombinant of the vaccine viruses old and triggers a pandemic to the extent unpredictable.

Influenza A/H5N1 and H1N1 outbreak strong risk


Saturday, March 13, 2010, 1:45 (GMT +7)


(VNA). - Influenza A/H5N1 virus is evolving with more pathogenic, A/H1N1 influenza pandemic remains difficult to predict evolutions ... This is the information given at the National Conference results in prevention of pandemic influenza 2009 and implementation in 2010 held in Hanoi on 12-3.

By PGS-TS Nguyen Huy Nga, Director of Department of Preventive Health and Environment, in 2009, the country recorded only five cases of influenza A/H5N1 and all five of these questions were fatalities. Entering 2010, only three months of the year but the country has to influenza A/H5N1 infected four people, including one case of female patients age 38 die in Tien Giang.

More worryingly, experts have discovered at least seven group antigens on avian influenza since the virus is present in our country. This is a very dangerous issue for public health because the forecast of experts, the virus can occur from recombinant strains of old and trigger a pandemic with the degree unpredictable.

Before practice, the Director General Nguyen Huy Nga said that, not too difficult to predict service influenza A/H5N1 in humans at risk of outbreak of strong returns in the near future. Therefore, the Steering Committee for pandemic influenza prevention at all levels should promote activities to monitor and inspect. Strengthen monitoring of cluster cases in the community, aimed at early detection of suspected cases of influenza A/H5N1 and H1N1, implement isolation and treatment in time, limiting the spread. About the people must be absolutely done cooked food, drinking boiled, not trade, transport and slaughter poultry not through quarantine, aquatic bird influenza illness die.

12-3 pm, Department of Preventive Health and Environment has announced recognition of cases positive for influenza virus A (H5) in Hanoi. Accordingly, a female patient, 25 years old, residing in Phu Ninh commune, Soc Son District, Hanoi, onset 5-3 days. Currently, patients receiving mechanical ventilation, positive treatment in Bach Mai Hospital.

Bill proposes 'stormtroopers' to enforce health laws



HEALTH officials in gas masks bashing through front doors is the kind of scenario usually reserved for sci-fi movies.

But it is now a reality that health planners warn the public must prepare for as the state confronts a bewildering array of modern public health issues.

The proposed South Australian Public Health Bill, with its new tough stand against everything from the obesity epidemic to swine flu, sent shockwaves through the public health sector when released late last year. Experts now have had the chance to respond to the draconian measures, and some warn individual rights are being overlooked.

The 59 responses released by the Health Department this week show the plan has received a mixed reaction from health professionals and those who must implement the new measures. Many concerns will make their way into the final legislation.

The Bill, which reviews the outdated 1987 Act and has been in the pipeline since 2000, includes ideas as diverse as using public transport to stop obesity and locking up people to stop a disease outbreak.

When the current Act was written, attempts to stop the spread of AIDS were limited to TV commercials, the obesity epidemic was only being revealed in scientific journals and many of the threats were unknown or little known. Think meningococcal, swine flu, bird flu, SARS, terrorist anthrax attacks or mad cow disease.

Desperate times require desperate measures, advocates argue. The gas-masked official storming through your front door would be the new all-powerful Chief Public Health Officer, or one of his deputies, and for this scenario to occur, you would have to pose an extreme threat to the health of others.

The Bill says: "For example, they can ask questions, inspect articles or substances found in a premise or vehicle, remove samples, require papers, books or specifications to be produced, examine, copy or take extracts, and so on. They may forcibly enter any premises or vehicles if they have a magistrate's warrant."

The unelected Chief Public Health Officer even can step in and take over the powers of a democratically elected council as they relate to the public health issue at hand - for example, the collection of waste.

Prevention of public health disasters is another focus of the changes.

Local councils are expected to bear the brunt of the new workload, but not without warnings that some will not cope and will need more funding.

Modernising the haphazard immunisation strategy - now provided by doctors, councils and the state - is the best example.

The State Government will expect councils to take over running of the scheme. In response to that proposal, the Flinders Ranges Council wants to know how its handful of staff will cope. Its health officer is shared with three other councils.

"The Flinders Ranges Council believes this is merely another cost-shifting exercise on behalf of the State Government," chief executive officer Colin Davies wrote in his submission, echoing the view of numerous council complaints.

The Heart Foundation's Kirsten Potoczky was one of many to point out the limitations councils may have in influencing preventable health epidemics such as obesity.

The South Australian Council of Social Service is one of many organisations that finds the increased powers of detention too extreme.

"SACOSS shares the concerns of member organisations that the powers of authorised officers are too broad and thus problematic," senior policy analyst Tom Stead warns.

Anti-AIDS lobby groups also have concerns about the power of the CPHO, which includes the right to order HIV-testing of people feared to be a public health risk.

Pending the state election outcome, the Bill could be debated in Parliament by mid-year.

Risk of new flu outbreaks


(Source: Reuters)

(ANTD) - Experts said that epidemiology, influenza A/H5N1 virus in the country is changing so fast and increasingly dangerous. Meanwhile, the risk of this disease outbreak back on the people in our country is also visible when the sense of prevention of the people remain poor.

Hanoi is the first patient

Following four cases were identified positive for influenza A/H5N1 in the southern provinces, where a patient died, in turn Hanoi patients first recorded influenza A/H5N1 infected in 2010. According to report from the Department of Preventive Health and Environment - Ministry of Health on 12-3, just one new patients were confirmed positive for influenza A/H5N1 female, age 25, in the Phu Ninh commune (district of Soc Son , Hanoi).

Patients with this disease onset 5-3 days with symptoms of high fever 38 C, with cough, sore throat, headache, difficulty breathing. 7-3 days, the patient visit at BV North Thang Long and pneumonia was diagnosed by the virus, treated with antiviral drugs, antibiotics do not help but support. On 10-3, disease progression and worse patient is brought to BV Bach Mai, is still in mechanical ventilation, treatment of BV positive at this.

After receiving reports of cases, the preventive health center Hanoi held chemical spray sterilizing the area around the patient, and conduct epidemiological investigations, sampling and seven people have close contact with patients taking preventive medications. Public sector patients is independent between the neighbors, near which there are 2 small chicken farms, households in the hamlet were also breeding poultry. From early March until now, the area around the patient is sick birds, dead scattered. In a patient also has adopted seven chickens, one week before a child has died decomposition ...

About a month now, many countries around the world also noted the morbidity and mortality due to influenza A/H5N1 in some countries such as Indonesia and Egypt. Therefore, people need to seriously comply with the recommendations of the Ministry of Health prevention: implementation cooked food drink boiling; not use, contact with infected poultry; cleaning their hands after contact with poultry ...

Prof Nguyen Huy Nga - Director of Department of Preventive Health and Environment to receive, translate influenza A/H5N1 in humans at risk of outbreak back to the consciousness of people is not prevention, especially in some local areas remote, is still status slaughter and eat meat poultry. Through epidemiological investigation, most patients (about 95%) had a history of exposure to sick poultry.

Virus Signs of "oily" drug

Day 12-3, in National Conference on prevention activities pandemic of 2009, implementation took place in 2010 in Hanoi, Dr Le Quynh Mai - Virus Dean, Institute of Hygiene and Epidemiology Central said that the influenza A/H5N1 virus evolved in our country are too fast and are of highly pathogenic strains.


From 2001-2007, there were nine types of the virus genes circulating in our country, including five new gene phenotype was discovered in 2007 and expression of the exchange, integration between the antigens of each gene. Dr. Mai also expressed concern because the H5N1 virus has made the change of antigens reduces the sensitivity of influenza treatment.

This is a very dangerous issue for public health by the forecast of experts, not soon, then later, a new virus may appear from recombinant strains of old and triggers a pandemic with unpredictable levels.

Also at the conference, several experts said that the existence of the time influenza A/H1N1, influenza A/H5N1 avian influenza in humans and, with winter weather - spring is a favorable condition for virus influenza developed and translated into many local spread.

Dr. Nguyen Huy Nga warning, the existence of H1N1 and H5N1 virus at the same time, requires monitoring the situation closely and conduct epidemiological studies for risk combination of two virus formed other pathogenic virus more dangerous is high.

China issued notice against Egypt and other people infected with highly pathogenic bird flu from spreading


At 21:18 on March 12, 2010 Source: China News comments 【Font: ↑ ↓ Small Big】

China news agency, Beijing, March 12 (Reporter Liu Changzhong) - China State Administration of Quality Supervision, Inspection and Quarantine issued a public notice this evening to prevent countries such as Egypt and Indonesia, people are infected with highly pathogenic bird flu into China.

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 highly pathogenic influenza A H5N1 bird flu into China, protecting China to Egypt and Indonesia, workers health and safety, according to "The People's Republic of China Frontier Health and Quarantine Law" and its Implementing Regulations of the relevant provisions of China's national quality inspection General notice requirements, the personnel 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 authorities; after entering the above symptoms, it should be immediate medical treatment to the doctor explain the recent travel history to receive timely diagnosis and treatment.