Indonesia: Batam with #H5N1 Avian Influenza in Chickens

DOK

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

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

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

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

Indonesia: Suspected Padangpariaman Case Tests Negative

2/14/13

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

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

Continued:  http://padangekspres.co.id/?news=berita&id=40490

Britain reports novel coronavirus family cluster

2/13/13
CIDRAP
Excerpt:

The HPA continues to monitor close contacts of the two new CoV patients, as well as members of health teams treating them. The ECDC said so far none have shown symptoms

The ECDC also said the HPA is in contact with an airline to follow up on passengers who may have been exposed to the virus while flying with the first patient.

In another development related to 60-year-old man's infection, Ziad Memish, MD, Saudi Arabia's deputy minister for public health, yesterday suggested that health experts reconsider the current CoV case definition, according to his post on ProMED-Mail, the online reporting system of the International Society for Infectious Diseases.

He wrote that although the HPA emphasized the patient's travel to the Middle East, the incubation period and the appearance of symptoms are ambiguous enough to warrant a more cautious statement. "…it remains unknown where and when this patient became infected," he wrote.

Memish also urged caution about interpreting the pH1N1 co-infection until the test results are confirmed by an independent source. He said a thorough search hasn't turned up any similar dual infections in Saudi Arabia.

Surveillance for SARIs in Saudi Arabia is ongoing, tests on 300 sick Hajj pilgrims found no coronavirus cases, and personal communications with French and Egyptian health officials have also revealed no CoV infections, Memish wrote.

He pressed for an expanded search for more cases. "Thus far it is less associated with focused or even regional outbreaks than it is with sporadic disease in widely separated locales. Unless and until SARI investigations are expanded, our understanding of its epidemiology and disease spectrum will remain limited. An urgent discussion of the current case definition is needed. 

http://www.cidrap.umn.edu/cidrap/content/other/sars/news/feb1313corona.html 

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

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

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

Cambodia & China Human Cases 2013 #H5N1 #Birdflu

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Cambodia & China 2013

First section is a condensed listing, and then a more detailed listing.

Cambodia

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

Jan 27/Kampong Speu/Kong Pisei/1-23/35(M)/DOD 1-21

Jan 27/Takeo/Prey Kabass/1-22/15(F)/DOD 1/21

Jan 27/Phnom Penh/Porsenchey/1-22/8(mos)/Recovered

Jan 28/Kampong Speu/Kong Pisei/1-26/17(mos)/DOD 1-28

Jan 29/Kampot/Teouk Chhou/1-28/9(F)/DOD 1-28

Feb 8/Takeo/Prey Kabass/1-22/5(F)/DOD 2-7

Feb 13/Kampot/Angkor Chey/2-11/3 (F)/DOD 2-13

Feb 21/Kampot/Angkor Chey/2 (M)/DOD 2-19

 

Kampong Speu​

Date 1/27/13

Name:  35(M)
From:  Trapeang Sla village, Preah Nipean commune,  Kong Pisey district, Kampong Speu
Onset:  1/13
Adm:  Treated by private practioner
Adm:  1/21
Hospital:  Khmer-Soviet Friendship Hosp. Phnom Penh, sym's fever, dyspnea
DOD:   1/21
Notes:  Prepared sick chicken for food prior to being sick.
Confirmation:  1/23/13 - Positive

Takeo

Date:  1/27/13

Name:  15(F)
From:  Snao village, Prey Kabass district, Takeo Province
Onset:  1/11/13
Adm:  Treated by private practioner.
Hospital:  Kantha Bopha
Adm:  1/17/13 sym's fever & shortness of breath.
DOD:  1/21/13
Notes:  Previous dead poultry in village.  Prepared sick chicken for food prior to being sick.
Confirmed:  1/22/13 - Positive

Phnom Penh

Date:  1/27/13

Name:  8 month male
From:  Chrey Korng Village, Sangkat Chorm Chao, Khan Porsenchey district, Phnom Penh
Onset:  1/8/13Hospital:  National Pediatric Hosp.
Adm:  1/9 sym's fever, cough, runny nose, vomiting.
Notes:  Samples sent on 1/11.  History of contact with poultry.
DOD:  survived and recovered
Confirmed:  1/22/13 - positive

Kampong Speu

Date 1/28/13
Name:  17 month girl
From:  Kong Pisei district, Prey Nhat commune, Kampong Speu
Onset:  1/13, fever, runny nose, vomiting
Adm:  private practitioner
Adm:  1/17 fever, cough, somnolence & dyspnoea 
Hospital: Kantha Bopha Phnom PenhNotes:  Recent poultry death in village.  Contact with poultry.
DOD:  1/28
Confirmed:  Positive 1/26

Kampot Province

Date 1/29/13

Name:  9 yo girl
From:  Thmei village, Thmei commune, Toeuk Chhou district, Kampot Province
Onset:  1/19, fever, cough
Adm:  Initially treated by a private practitioner
Adm:  1/27
Hospital:  Kantha Bopha with fever, cough, somnolence and dyspnoea
DOD:  1/28
Notes:   Poultry dead around village.
Confirmed:  Positive - 1/28

Takeo Province

Date  2/8/13

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

Kampot Province

Date:  2/13/13

Name:  3 yo female

From:  Trapeang Kamphleanh village, Ang Phnom Toch commune, Angkor Chey District, Kampot Province

Adm:  2/6

Hospital:  Kantha Bopha Hospital, fever, abdominal pain, drowsiness

Onset:  2/3 red rash, initially treated by private practioner

Notes:  Recent death of poultry in village, history of contact.  Critical Condition w/severe breathing problems.

Confirmation:  2/11/13

DOD:  2/13/13

Kampot Province

Date:  2/21/13

Name:  2 yo male

From:  Angkor Chey, Kampot Province

Onset:  sick for at least 5 days before admission

Adm:  Kantha Bopha Hospital, Phnom Penh

DOD:  2/19/13 (18 hours after admission)

China

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

Feb 10/Guiyang/2-10/21/Shuai Pengyue/2-13

Feb 10/Guiyang/2-10/31/(M)/crit. cond.

Date:  February 10, 2013

Name:  Shuai Pengyue (21)(F)

From:  Guiyang City, Guizhou

Onset:  2/2

Adm:   2/10 Guizhou Provincial People’s Hospital ICU

Notes:  No contact with poultry

Confirmation:  Positive on 2/10/13

DOD:  2/13/13

Date:  February 10, 2013

Name:  31 (Male)

From:  Guiyang

Onset:  2/3

Adm:  2/8 Guiyang People’s Hospital ICU

Notes:  No contact with poultry

Confirmation:  Positive on 2/10/13

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

February 13, 2013
Excerpt

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

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

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

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

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

China: Guizhou Provincial Health Department Statement on #H5N1 Death

Translation:

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

Original:

2月13日9时41分，贵阳市人禽流感患者帅朋月因病情恶化，多器官功能衰竭，经贵州省人民医院抢救无效死亡。

帅朋月，女，21岁。2013年2月2日发病，病情加重后，转入贵州省人民医院救治，2月10日上午，经中国疾控中心对其呼吸道标本复核检测，确认为人禽流感（H5N1）病例。

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

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

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

February 11, Communist China Ministry of Health, Guizhou Guiyang City confirmed two cases of human infection with highly pathogenic avian influenza (H5N1) cases. On the morning of February 13, the 21-year-old female patient's condition deteriorated, multiple organ failure and death. The woman onset, February 2 exacerbations transferred to Guizhou Provincial People's Hospital for treatment.

Another 31-year-old male patient in critical condition, is still receiving treatment. Its incidence in the February 3, since the purchase of the drug administration is still in the doldrums, and transferred to the Second Hospital of Guiyang.

The official reported that the people infected with the highly pathogenic avian influenza in acute respiratory infections caused by influenza A H5N1 virus. The majority of patients with high fever and pneumonia, acute onset, rapid progression and high mortality. Currently, human avian influenza from poultry to humans.

Now is the Chinese mainland A celebration period, the New Year is the peak of the public consumption of poultry and its products, is also prone period of the highly pathogenic avian influenza. Guizhou recognized in the New Year ahead between the two cases of human infection with highly pathogenic avian influenza, caused panic. Part going to the Chinese New Year holidays, travel to Guiyang people said it would give up the trip. Popular appeal during the Chinese New Year, we have to avoid contact with sick or dead poultry, birds, if they run a fever or flu-like symptoms should seek immediate medical attention.

Chongqing Daily reported that the Chongqing-Guizhou Expressway secure crossing, crossing Guizhou into the main city of Chongqing, the most efficient. Transferred Chongqing animals and their products from Guizhou, five or six percent "clearance" from here into the Chongqing.Director of the Chongqing the Qijiang District Animal Health Authority Wengchang Long said.Chinese New Year is the animals and their products are imported into the peak period. Chongqing keep crossing, avian influenza from Guizhou invasion.

Guizhou outgoing diagnosed two cases of human infection with the H5N1 avian flu caused attaches great importance to. Taiwan CDC has asked the airport, port personnel to strengthen passenger fever, to investigate the history of bird contact.

CHP spokesman in Hong Kong, Hong Kong will be vigilant and maintain stringent port health measures and press the developments.

http://translate.google.com/translate?hl=en&sl=zh-CN&u=http://www.epochtimes.com/gb/13/2/13/n3800351.htm&prev=/search%3Fq%3DH5N1%2B%25E7%25A6%25BD%25E6%25B5%2581%25E6%2584%259F%26hl%3Den%26lr%3D%26tbo%3Dd%26tbs%3Dqdr:d&sa=X&ei=cJ8bUZHPDY389gSj1ICgAw&ved=0CIcBEO4BMAo 

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

 2/13/13

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

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

Cambodia Map of Kampot Province and Districts

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

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

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

The seventh case:

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

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

Beijing resident: "The poison is surrounded our daily life, look no also found toxic food, from wine to milk, meat and beans. We must eat the poison produced by the country"

Xinhua said the troop out this time, the Chinese police have destroyed 220 production facilities concentrated dirty food after investigation of the basis of production of edible oils, meat and products for every meal day for people in the New Year.

China's Ministry of Public Security said this is just the opening act for the attack campaign on crime "dirty" which lasted until the end of 2013. Most likely will be the "big catch" in the coming days.

Serial scandal scandal

"We have to eat the poison by the countries themselves produce" A Beijing resident

... City Police Xiangyang (Hubei) was besieged and destroyed two factories producing fake drinks brands. People's Daily said the two facilities beverage produced from chemical to milk and food coloring with output of more than 2,000 cans per day.

Liaoning ... At factory Thang Thai police were sealed and seized more than 50 tons of fake goat meat production is made from chicken mixed with nitrite salt and some chemicals against rot before this workshop could hit the market during the holiday.

Police Beijing also break the line food supplement tablets contain banned substances by the Company Duong Quang production and consumption in 23 provinces. In this way, they have a profit of 30 million yuan (4.8 million USD). Police have arrested six people.

... Yinchuan Police (Autonomous Region Ningxia Islamic nation) has closed a series of production facilities sprouts contain hyper mass growth and other additives. Within days, the police have confiscated and destroyed nearly 7 tons of poison.

... In the city of Weifang, Shandong Province, monthly follow-up and ambush, interdisciplinary inspection team had arrested nine people dead in pork processing line of fresh pork. According to the police, who rose quickly to all parts of the province, colluded with the state's swine slaughter companies to purchase hundreds of tons of dead pigs.Then they use a chemical cleaning, soaking and industrial food coloring to turn into fresh pork sold in the market profit of 2.6 million yuan ($ 417,349).

The Chinese fear of Chinese food

The ongoing scandal was uncovered that Chinese consumers are not out of the main concerns of food "made in China" inherently threatening to their daily meals. The Standard newspaper in Hong Kong said in the beginning of the month 2-2013, Chinese consumers flocked to Hong Kong to buy milk and waves have caused consumer audience most of the time here. Status of Chinese milk stuffed full of bags and large boxes at the station, the pier to take the mainland, after being put on television, making Hong Kong the anger and protest.

Experts said that in an effort to crackdown "dirty food" from the past month, the Chinese government is trying to control the market for fear of trust of the people continue to suffer serious erosion. In early 2013, Chinese Vice Premier Li Keqiang stressed China's need to bring the issue of food safety top priority. Li vowed to punish severe offenses relating to food safety and to regain the trust of the people. Administration Food and Drug Administration of China announced those findings are violations of food safety can be awarded up to 300,000 yuan ($ 48,100).

"The poison is surrounded our daily life, look no also found toxic food, from wine to milk, meat and beans. We must eat the poison produced by the country, "China Daily quoted a Beijing resident urgent.

http://tuoitre.vn/The-gioi/533346/trung-quoc-truy-quet-thuc-pham-ban.html 

Vietnam: 2 dead, people protested the destruction of pigs

Translation:
12/02/2013

He sharpened, Chairman Dai Tan confirmed the pigs destroyed the of Vo Thien Born, head of the veterinary and General Tan. 4-2 previously, she Pham Thi Nguyet (42) Binh Tay village pig slaughterhouse owner, Dai Thang buy his 24 pigs Born furnace brought to slaughter sold.

However, after surgery, eight pigs, Nguyet with symptoms of fever, diarrhea, and intestinal bleeding.

Family for Nguyet admission but to date 8 - 2 Nguyet die. Then he Born to bring the remaining pigs to slaughter pigs by Nguyen Nguyen, 41, Xuan West, Dai New to surgical help. But when the surgery was 2 pigs, Mr. Nguyen Nguyet like symptoms and morning Day 10 - 2 died.

Mr. Phan Thanh Thien, Dai Loc district veterinary station, said when receiving information from the commune, Dai Loc district veterinary station sent someone to the victims' families to move some pigs for destruction.

However, hundreds of people did not agree, requires local government to check swine disease swine and do not want to bury patients at village should have prevented and occurs clashes with security forces.

"Right now we do not identify the pig disease that was nothing but two people died when exposed to pigs. First, we will destroy the remaining diseased swine disease swine and submit the form to the Regional Veterinary IV in Da Nang to check the results and will soon have to reassure people, "Thien said.

http://tuoitre.vn/Chinh-tri-Xa-hoi/533816/2-nguoi-chet-dan-phan-doi-tieu-huy-heo-dich.html 

Epidemiological update: case of severe lower respiratory tract disease associated with a novel coronavirus

11 Feb 2013
On 11 February 2013, the UK Health Protection Agency (HPA) announced that an additional case of the novel coronavirus (NCoV) infection has been confirmed in a UK resident. The patient, a 60 year old male, became ill on 24 January 2013 and was admitted to hospital in England, with a severe lower respiratory tract disease on 31 January.
In the 10 days before his illness onset, the patient had visited both Pakistan (from 16 December 2012 to 20 January 2013) and Saudi Arabia (from 20 to 28 January 2013). After hospital admission, his condition deteriorated and he was transferred for extracorporeal membrane oxygenation (ECMO) treatment on 5 February. He remains severely ill in intensive care.
Laboratory investigations of respiratory specimens from 1 February have confirmed both an influenza A H1N1pdm09 infection and a NCoV infection. Because of the latter, the UK posted an alert through the EU Early Warning and Response System and the International Health Regulations.The HPA is coordinating the response to and further investigation of the potential contacts. Infection control measures have been instituted around the case. Contacts are being followed up and investigated if they develop relevant symptoms following the nationally recommended protocol.

Disease background information
As of 7 December 2012, nine laboratory-confirmed cases of severe pneumonia caused by the novel coronavirus (NCoV) had been reported to WHO. This is the 10th confirmed case.
Five of the nine cases were fatal. Onset of disease was from April to October 2012; all cases were resident in Saudi Arabia, Qatar or Jordan during the preceding days however it cannot at this stage be assumed that the viruses are only to be found in those countries.
The novel virus is distinctly different from the coronavirus which caused the SARS outbreaks in 2003 and genetically related to bat coronaviruses. No animal reservoir or mode of zoonotic transmission has yet been identified for the novel coronavirus though it is noted that similar viruses are known to be endemic in bats in many parts of the world.
The two fatal cases in Jordan were part of a cluster of 11 patients with respiratory symptoms linked to a hospital, but the limited information as yet available does not allow confirmation or refutation of their having been human-to-human transmission either in Jordan or in a family cluster in the Kingdom of Saudi Arabia.
After careful and intensive investigation of those exposed to the infections in the previous two cases in Europe, in the UK and Germany, there were no proven secondary infections.
ECDC, jointly with WHO, has mapped the capacity of virology reference laboratories in EU/EEA Member States with regard to the novel coronavirus (RT-PCR/sequencing assay). So far, approximately 250 people have been tested for the novel coronavirus in the EU since the first case was reported. Except for the two confirmed cases, which were referred to the UK and Germany, none of the tests were positive. The results of this survey were published in Eurosurveillance on 6 December 2012.

Conclusions
An additional case of NCov was identified. The patient fell ill 4 days after entering Saudi Arabia, but the  exposure could have happened while in Pakistan or in Saudi Arabia. All nine previous cases identified were reported as having some link with the Arabian Peninsula: Kingdom of Saudi Arabia (5), Qatar (2) and Jordan (2). However the virus reservoir and routes of transmission remain unknown and it should not be excluded that these novel viruses can be found in other parts of the world.
The wide geographical distribution, the long intervals between cases and clusters, and the absence of evidence for mild or asymptomatic human infections which could maintain a chain of transmission between outbreaks, point to intermittent zoonotic transmission or an environmental source. Zoonotic transmission does not exclude human-to-human transmission from an index case but there is only limited evidence to date that this has occurred.
WHO recognizes that the emergence of a new coronavirus capable of causing severe disease raises concerns because of experience with SARS. Although this novel coronavirus is distantly related to the SARS CoV, they are different. Based on current information, it does not appear to transmit easily or sustainably between people, unlike the SARS virus.
The occurrence of such sporadic cases is to be expected in the context of the enhanced surveillance for cases and clusters implemented in the Arabian Peninsula and worldwide.
ECDC notes the WHO advice encouraging Member States to maintain surveillance for severe acute respiratory infections and to carefully review any unusual patterns of infection. Testing for the new coronavirus in patients with unexplained pneumonias, or patients with severe, progressive or complicated illness not responding to treatment, should be considered along with investigations for more likely infections.
This event does not affect the conclusions of the rapid risk assessment published by ECDC on 7 December 2012. However, ECDC will be reviewing and updating its risk assessment in the light of this additional case and other developments in the last 2 months.

Confirmed cases of novel coronavirus infection, April 2012 to 8 February 2013, in order of onset of disease.

	Onset	Age (yrs)	Sex	Probable place of infection	Date reported	Source	Outcome
1	April 2012	45	F	Jordan**	30/11/2012	WHO/IHR	Dead
2	April 2012	25	M	Jordan**	30/11/2012	WHO/IHR	Dead
3	13/06/2012	60	M	Kingdom of Saudi Arabia*	20/09/2012	Kingdom of Saudi Arabia/Promed	Dead
4	03/09/2012	49	M	Qatar/Kingdom of Saudi Arabia***	22/09/2012	HPA/WHO	Alive
5	NK	NK	NK	Kingdom of Saudi Arabia	04/11/2012	Kingdom of Saudi Arabia/Promed/SMJ	Alive
6	12/10/2012	45	M	Qatar****	23/11/2012	RKI/WHO	Alive
7	NK	NK	M	Kingdom of Saudi Arabia*	19/11/2012-23/11/2012	Kingdom of Saudi Arabia/Promed/WHO	Alive
8	28/10/2012	NK	M	Kingdom of Saudi Arabia*	23/11/2012	WHO	Dead
9	Oct 2012	NK	M	Kingdom of Saudi Arabia*	28/11/2012	WHO	Dead
10	24/1/2013	60	M	Pakistan/Kingdom of Saudi Arabia	8/11/2013	EWRS	Alive

* Part of family cluster
** Healthcare worker and part of outbreak linked to hospital
*** Patient transferred to UK
**** Patient transferred to Germany
NK: not known

http://www.ecdc.europa.eu/en/press/news/Lists/News/ECDC_DispForm.aspx?List=32e43ee8-e230-4424-a783-85742124029a&ID=841&RootFolder=/en/press/news/Lists/News

#H5N1 strikes more poultry farms in Nepal

CIDRAP:
Livestock officials in Nepal today confirmed an H5N1 avian flu outbreak at a poultry farm in Manmaiju village in the Kathmandu valley, according to a Himalayan Times report. About 6,060 chickens as well as the farm's poultry feed were destroyed to curb the spread of the virus.

Continued:  http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/feb1113fluscan.html

China: Ministry of Health Avian Influenza remind public to avoid close contact with poultry #H5N1

2013-02-12 (Translation) Guiyang City, Guizhou Province confirmed two human cases of highly pathogenic avian influenza cases regarding the Ministry of Health issued an emergency prevention and treatment of people infected with the highly pathogenic avian influenza. To remind the public, especially children, should avoid close contact with poultry and wildfowl. According to the Health Department of Guizhou Province, has not yet found the epidemiological association between the two cases. After the outbreak has been taken in accordance with the plans and programs of prevention and control measures, and all close contacts were under medical observation. As of now, it is not found by the medical officer abnormal clinical manifestations observed. The Ministry of Health also released a special human infection of highly pathogenic avian influenza prevention and treatment tips. Prompted daily life to combat avian flu, first of all, a healthy lifestyle is very important. Second, we must keep the room clean the ventilation windows twice a day, at least 10 minutes each time, as little as possible to go to the places with poor ventilation. During the Spring Festival, to pay special attention to food hygiene, eating poultry and eggs thoroughly, processing, to preserve food raw, cooked separately; not eaten raw poultry meat and offal, poultry, livestock and their products anatomy of living (dead) Wash hands thoroughly after. The public, particularly children, should avoid close contact with poultry and wildfowl. According to reports, people infected with the highly pathogenic avian influenza caused by influenza A H5N1 virus in acute respiratory infections. The majority of patients with high fever and pneumonia, acute onset, high fatality rate. Currently, bird flu from poultry to humans, yet found sustained human-to-human transmission.

China: Guizhou blast the avian flu swim Mainland should be careful

2/11/13
Excerpt (translation)

The constantly mutating avian virus

Hong Kong has recently a human case of avian influenza occurred in June last year, a Nagai the Guangzhou-year-old Hong Kong boy was confirmed to have been infected with the H5N1 virus, the the subsequent situation deteriorated concurrent obstructive cerebral edema. After investigation, it is found that the boy before the onset of contact with ducks visiting live poultry markets in Guangzhou.

Constantly mutating strains of avian influenza virus, local chicken farmers at the end of last year began to use the latest bird flu vaccine Re-6, expected in April this year, the Mainland to Hong Kong and local chickens vaccinated with the new vaccine, can be more effective against the latest avian influenza 2.3 branch of .2.1 virus.

http://orientaldaily.on.cc/cnt/news/20130212/00176_013.html