Saturday, April 25, 2009

Avian and pandemic influenza invades provincial ‮ ‬ ‮ .. ‬والأجهزة الحكومية تعلن الطوارئ ‬ and government agencies declare emergency

إصابة جديدة في طنطا وحالة اشتباه في كفر الزيات‮.. New infections in the case of suspicion of Tanta and Kafr Al-Zayat ‮ .. ‬وإغلاق ‮٧ ‬مزارع في الدقهلية And the closure ‬ ‮ 7 ‬ farms in Dakahlia
الغربية ـ عاطف دعبس والدقهلية ـ عزة فهمي‮:‬ بدأ وباء انفلونزا‮ ‬الطيور‮ ‬غزو المحافظات خلال الأيام القليلة الماضية‮. West Atef Dabs, Dakahliya Azza Fahmy ‮: ‬ started a flu pandemic influenza ‮ ‬ ‮ ‬ invasion provinces over the past few days ‮. ‬أعلنت وزارة الصحة منذ ساعات عن ظهور الاصابة رقم‮ ‬68‮ ‬في‮ ‬مدينة طنطا،‮ ‬وتم نقلها الي مستشفي حميات العباسية‮. ‬ and the Ministry of Health announced a few hours ago as the emergence of infection No. ‮ ‬ 68 ‮ ‬ ‮ ‬ in the city of Tanta, ‮ ‬ transfer has been admitted to hospital in Abbasiyah ‮. ‬أشارت مديرية الصحة بالغربية إلي أن اصابة وفاء عبدالمجيد ربة منزل‮ »‬34‮ ‬سنة‮« ‬لمخالطتها للطيور‮. ‬ meeting Sunday attended by the health department indicated that the injury and the fulfillment of Abdulmajeed housewife ‮ »‬ 34 ‮ ‬ years ‮« ‬ contact with the birds ‮. ‬كما أعلنت مديرية الصحة احتجاز ربة منزل بمستشفي حميات كفر الزيات للاشتباه في اصابتها بالمرض،‮ ‬وتم ارسال عينة من الدم الي معامل وزارة الصحة‮.‬ أعلنت الأجهزة الحكومية بالمحافظات حالة الطوارئ واستمرت في متابعة تطبيق قرارات اللجنة الوزارية بحظر نقل الطيور الحية بين المحافظات‮. ‬ Department of Health also announced the detention of housewife fevers Kafr Zayat hospital on suspicion of illness, ‮ ‬ was sent a sample of blood to the laboratories of the Ministry of Health ‮. ‬ organs GOVERNORATES declared state of emergency and continued to follow up the implementation of the resolutions of the Committee of Ministers to ban the transport of live birds between provinces ‮. ‬كما انتشرت فرق الطب الوقائي والبيطري في المحافظات التي بدأت تظهر فيها بؤر جديدة،‮ ‬وتقرر تزويد المستشفيات بعقار‮ »‬التامفلو‮« ‬تحسبا لظهور اصابات جديدة‮. ‬ The spread difference and veterinary preventive medicine in the provinces where there were hotbeds of new, ‮ ‬ hospitals and decided to provide the drug ‮ »‬ Altamflo ‮« ‬ anticipation for the emergence of new cases ‮. ‬أعلن اللواء سمير سلام‮ ‬محافظ الدقهلية،‮ ‬اغلاق ‮٧ ‬مزارع للدواجن لمدة‮ ‬6‮ ‬أشهر لمخالفتها قرار حظر بيع وتداول ونقل الدواجن‮. Rear Admiral Samir ‬ ‮ ‬ peace Dakahlia governor, ‮ ‬ ‮ 7 ‬ closure of poultry farms for ‮ ‬ 6 ‮ ‬ months for violating the decision to ban the sale and circulation and the movement of poultry ‮. ‬كما وافق المحافظ علي تشغيل ‮٤ ‬مجازر آلية في مراكز دكرنس وميت‮ ‬غمر والمنصورة وأجا‮.‬ وشنت أجهزة الأمن بالقاهرة حملة علي محلات الطيور بالتنسيق مع الطب البيطري ومديرية الصحة تم خلالها‮ ‬غلق‮ ‬45‮ ‬محلاً‮ ‬خالف أصحابها قرارات تنظيم ذبح وبيع الطيور وضبط‮ ‬10‮ ‬آلاف دجاجة‮.‬ كما شنت أجهزة الأمن‮ ‬بالاسكندرية حملة علي المحلات أسفرت عن ضبط‮ ‬15‮ ‬ألف دجاجة وإغلاق‮ ‬149‮ ‬محلا مخالفا‮.‬ ‬ governor also agreed to operate ‮ 4 ‬ massacres in the centers and Dekerness dead ‮ ‬ Ghamr, Mansoura Wagga ‮. ‬ security services launched a crackdown on shops in Cairo, in coordination with the birds of Veterinary Medicine and the Department of Health which has been shut down ‮ ‬ ‮ ‬ 45 ‮ ‬ ‮ ‬ pregnancy violated their decisions to slaughter and sell birds and control ‮ ‬ 10 ‮ ‬ thousands of chickens ‮. ‬ also launched the security services ‮ ‬ Alexandria, a crackdown on shops resulted in the seizure ‮ ‬ 15 ‮ ‬ A chicken and the closure of ‮ ‬ 149 ‮ ‬ pregnancy contrary

Avian influenza virus has not mutated in Egypt


آخر تحديث: السبت 25 ابريل 2009 9:28 ص بتوقيت القاهرة Last Updated: Saturday, April 25, 2009 9:28 GMT Cairo

هشام الميانى – مصطفى هاشم - Hisham Alemyany - Mustafa Hashem --

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فى الوقت الذى تتزايد فيه المخاوف إلى درجة الهلع فى مصر والعالم من تحور فيروس إنفلونزا الطيور ليصبح قابلا للانتقال للعدوى بين البشر، اختتم أمس فريق من منظمة الصحة العالمية برئاسة الخبيرة نيكى شندو زيارته التفقدية لمصر، والتى تمت بدعوة من وزارة الصحة واستغرقت ثلاثة أيام. At a time of growing concern to the degree of panic in Egypt and the world of the bird flu virus will mutate to become capable of transmission of infection in humans, concluded yesterday a team of World Health Organization, headed by expert Average Hando inspection visit to Egypt, which was the invitation of the Ministry of Health and lasted three days.
وعلمت «الشروق» أن التقرير المبدئى عن نتائج هذه الزيارة ــ والتى شملت عددا من المحافظات ــ ينفى تماما حدوث تحور فى الفيروس فى مصر، وأن مصر مثلها مثل بقية دول العالم لاتزال فى المرحلة الثالثة من (جائحة) إنفلونزا الطيور، وهى المرحلة التى تنحصر فيها العدوى فى نطاق الطيور نفسها، أو تنتقل من الطيور إلى البشر المتعاملين معها. Al «sunrise» that the original report on the outcome of the visit, which included a number of provinces denied the occurrence of mutation in the virus in Egypt, and Egypt, like the rest of the world is still in the third phase of the (pandemic) influenza virus, which is confined to a stage where infection within the bird itself, or transmitted from birds to humans working with them.

وحددت بعثة منظمة الصحة العالمية المشكلة الرئيسية فى تعامل مصر مع المرض بأنها مشكلة بيطرية من الدرجة الأولى حتى الآن، أما المشكلة الثانية فهى مشكلة سلوك اجتماعى للبشر المتعاملين مع الطيور. The mission identified the World Health Organization, the main problem in Egypt deal with the problem of animal disease as first-class so far, and the second problem is the problem of social behavior of human beings dealing with the flu. وأضاف التقرير المبدئى أن أجهزة المكافحة فى وزارة الصحة المصرية لديها شبكة جيدة للرصد، وأنه تم الاتفاق على رفع درجة التعاون بين السلطات المصرية والمنظمة الدولية للحيلولة دون انتقال المرض للمرحلة الرابعة وهى ظهور بؤرة مصابة بفيروس متحور تظهر أعراضه على ٢٠ أو ٢٥ شخصا، أما المرحلة الخامسة التى يحذر منها سيناريو منظمة الصحة العالمية فهى تعدد البؤرات مع ارتفاع عدد المصابين للبؤرة الواحدة من ٥٠ إلى ٦٠ شخصا، وذلك قبل أن تأتى المرحلة الأخيرة التى تضرب الملايين بالفيروس وهى المرحلة الوبائية. The report added that the organs of the initial control in the Ministry of Health in Egypt has a very good system for monitoring, it was agreed to raise the degree of cooperation between the Egyptian authorities and the international organization to prevent the transmission of the disease for the fourth phase, the focus of the emergence of mutated prion infected with HIV show symptoms of the 20 or 25 people, and the fifth phase which warns that the scenario of the World Health Organization is the multi-Albwrat with the high number of casualties to the center of one of the 50 to 60 people, before it's final stage, which hit millions of HIV, the epidemic stage.

من جانبه انتقد الدكتور حمدى السيد موقف أصحاب المزارع من أزمة إنفلونزا الطيور، وقال فى تصريحات خاصة لـ«الشروق»: «إن القرار الصادر بتحويل محال بيع الدواجن الحية إلى بيع دواجن مجمدة لم ينفذ حتى الآن بسبب عدم تعاون أصحاب المزارع مع الحكومة، مشيرا إلى أن المزارع لاتزال ترسل الطيور حية إلى المحال، وقال: «لابد لأصحاب المزارع أن يشاركوا فى حل الأزمة، فالحكومة عرضت عليهم قروضا ليقوموا بإنشاء مذابح آلية. For his part, Dr. Hamdi Al-Sayyed, the position of the plantation owners of the bird flu crisis, "he said in exclusive statements to Al« sunrise »:« The decision of the conversion of stores that sell live poultry to the sale of frozen poultry has not yet been implemented because of lack of cooperation with the government, farmers, pointing out that the farms are still alive birds sent to the assignee, and said: «to be the owners of farms to participate in solving the crisis, the government offered them loans to establish their mechanism of massacres.
وأضاف أن «الحلقة لازم تكمل» مشيرا إلى أن المذابح الآلية الموجودة فى مصر لا تكفى إلا لذبح ٣٠٪ من إنتاج الطيور. He added that «the ring to complete the necessary», pointing out that the existing mechanism of massacres in Egypt is not sufficient only to cut 30% of the birds.

فى إطار الجهود المبذولة للحفاظ على صحة المواطنين ومواجهة إنفلونزا الطيور، قامت مديرية أمن القاهرة بحملة موسعة لضبط المخالفين فى مجال بيع الطيور. In the context of efforts to preserve the health of citizens and face the bird flu, the Cairo Security Directorate extensive campaign to catch offenders in the sale of birds.

بالاشتراك مع وزارة الصحة ومباحث التموين والأجهزة المحلية وأسفرت عن إغلاق 45 محل بيع طيور مخالفا وبدون ترخيص بجميع أحياء العاصمة، وتم ضبط 10 آلاف دجاجة تم تطهيرها وتسليمها لأجهزة الطب البيطرى للتصرف فيها بمعرفتها.. In conjunction with the Ministry of Health and the Investigation of Supply and local authorities and resulted in the closure of 45 shops and birds without a permit, contrary to all districts of the capital, was seized 10 thousand chickens have been cleared and delivered to the organs of Veterinary Medicine for disposal knowledge .. وتم القبض على عدد من المخالفين وأحالهم مدير أمن العاصمة إلى النيابة العامة للتحقيق. He was arrested on a number of offenders and security of the capital referred to the Director of Public Prosecutions for investigation.

Texas family quarantined after son contracts swine flu

Excerpt:
updated 29 minutes ago

(CNN) -- As Hayden Henshaw was being rushed to the doctor's office after becoming ill, his father heard that his son's classmates had been struck with the deadly swine flu virus like the one sweeping through Mexico.

Patrick Henshaw called his wife immediately to have Hayden checked for it. Later, they received the bad news.

Hayden had become the third confirmed case of swine flu at his Texas high school. It is a virus that has killed 68 people in Mexico and infected at least eight people in the United States.

Health officials arrived at the Henshaws' house Friday and drew blood from the whole family, then told them to stay inside and away from the public, Henshaw told CNN.

The whole family is quarantined indefinitely, according to CNN-affiliate KABB. Henshaw said his family was shocked when they got the news about their son.

"Stunned. My wife was having a panic attack," Henshaw told the affiliate.

-snip-





WHO: swine flu deaths in Mexico reach 62

Excerpt:
Sat, 25 Apr 2009 08:53:42 GMT

Mexico City/Geneva - The World Health Organisation (WHO) in Geneva said Saturday that the number of deaths from swine influenza in Mexico had reached 62. WHO spokeswoman Fadela Chaib gave the figure, while saying that the organisation's Strategic Health Operations Centre was now involved in the efforts in the region.

The WHO was in constant contact with health authorities in the United States, Mexico, and countries in the Latin American region in monitoring the situation, she said. On Friday, Mexican authorities had confirmed the deaths of 20 people due to swine influenza over the past three weeks, while a further 48 deaths were suspected from the disease.
-snip-

CDC Media Advisory

For Immediate Release
April 25, 2009

Contact: CDC Media Relations
(404) 639-3286

Media Availability on CDC Investigation of Human Cases of Swine Influenza

WHAT: Media availability for press with questions related to the
investigation of cases of swine influenza.

WHO: Anne Schuchat, M.D., Interim Deputy Director for Science and Public
Health Program

Daniel Jernigan, M.D., Ph.D., Medical Epidemiology, Influenza Division

WHEN: Saturday April 25, 2009 at 1 p.m. ET.

DIAL-IN:
Media: 888-798-0855
Listen Only: 800-779-9078
INTERNATIONAL: 1-630-395-0068
PASSCODE: CDC Media

Important Instructions: If you would like to ask a question during the call,
press *1 on your touchtone phone. Press *2 to withdraw your question. You
may queue up at any time. You will hear a tone to indicate your question is
pending.

LISTEN-ONLY AUDIO WEBCAST
This press briefing media will also be available via listen-only audio web
site at www.cdc.gov/media. We strongly encourage non-media participants to
use the webcast.

TRANSCRIPT
A transcript of this media availability will be available following the
briefing at the CDC web site at www.cdc.gov/media.

NOTE
An update on the ongoing investigation will be available at
http://www.cdc.gov/flu/swine/investigation.htm. This page will be daily
updated at 3 p.m. ET until further notice.
hat-tip Goju

Possible Swine Flu Outbreak At NYC Prep School

Apr 25, 2009 12:25 am US/Eastern
Department Of Health Officials Testing 75 Students At St. Francis Preparatory School In Queens

As many as 75 students at St. Francis Preparatory School in Queens got sick on Thursday. More got sick on Friday. What health officials want to know is was it swine flu or something more benign.

There are mounting fears about a deadly swine flu virus that is reported to have killed as many as 60 people in Mexico, one that health officials fear has already seeped into the United States.

St. Francis Prep was ordered to cancel an evening program Friday night because the New York City Department of Health isn't sure what made students sick Thursday and Friday with flu-like symptoms.

"I just saw lot a lot of kids lined up along the wall near the nurse's office," sophomore Kelsey Dittmeir said.

If it's the flu, the question is what kind of flu? And could it be the unique strain suspected in 20 recent deaths?

Tests are underway.

"It could be a strain we've seen before. It could be the regular flu," Dr. Ross Weiss said. "It could be flu B that happens late in the year. It could be any of those so we really can't speculate at this point. That's why we were very anxious to get samples to the lab and get them tested so we can find out what we are dealing with."

If it's the new strain of swine flu it could be a problem. Most cases have been reported in Mexico, where schools, museums and public gathering places have been closed.

Eight patients have also turned up in California and Texas, although their symptoms have been mild.

Students told CBS 2 HD they plan on getting tested over the weekend. One senior we spoke to said she left school Thursday before her fellow classmates got ill.

"My chest just hurts and I have shortness of breath. My ears were hurting me earlier but they are okay now. My head is still in and out," Noel Alexandria said.

Added Dr. Weiss: "There were people tonight interviewing students and we'll be here tomorrow. And when we get the test results that will dictate what our next steps are."

The city hopes to identify those symptoms as flu it has seen before. If the tests come back negative they will be sent down to the Centers for Disease Control. So far, officials have been told all the cases have shown mild symptoms.

Mexico flu fatalities raise global epidemic fears

Combined News Services
10:33 PM EDT, April 24, 2009

People wear surgical masks as they ride the subway in Mexico City. The Mexican government says at least 68 people have died in a swine flu outbreak. (AP Photo / April 24, 2009)

Excerpt:
Friday night, New York City health officials said testing was under way to rule out the strain after about 75 students at the Queens private high school, St. Francis Preparatory, were ill with flu-like symptoms.
-snip-

The New York State Health Department will send flu specimens that cannot be easily identified directly to the CDC, spokeswoman Beth Goldberg said Friday.

Staff writer Delthia Ricks contributed to this story.
hat-tip Rickk

Continental and US Airways relax ticketing policies for Mexico City passengers over swine flu outbreak

At least two airlines will allow passengers heading to or from Mexico City to reschedule or reroute their itineraries without penalties because of the swine flu outbreak that has killed up to 60 people, according to online notices at the airlines’ websites.
-snip-
U.S. Airways passengers traveling to, from or through Mexico City between Friday (April 24) and April 30 may change their itinerary “up to seven days before or after the scheduled origination date” without change fees.”

Also, passengers can use their value of their tickets toward the purchase of tickets to a different destination, provided they start traveling within seven days of their original travel date. For details, go to U.S. Airways’ web page Mexico City Influenza Outbreak.
Continental Airlines is allowing customers to reroute or reschedule their flights to or from Mexico City as well as the cities of Puebla and Toluca.
Tickets must have an original travel date between Friday and April 28. Some (but not all) fees will be waived depending on whether your rescheduled travel starts before or after May 8.

Egypt: 8 new cases of detention on suspicion of bird flu in the West

.. ونقل الحالة «٦٨» إلى «صدر العباسية» And the transfer of the «68» to «a Abbasiyah»

كتب نبيل أبوشال وعادل ضرة وأيمن أبوزيد ومحمد محمود خليل ومحمد حمدى ومحمد السمكورى وحمدى قاسم وياسر شميس وأحمد على ٢٥/ ٤/ ٢٠٠٩

Nabil wrote Obchl, just dug Ayman Mahmoud Abu-Zeid, Mohamed Khalil, Mohamed Hamdi Mohamed Hamdi Asamkory Kassem Yasir Ahmed Shamis, the 4-25-2009

أعلن الدكتور عصام عثمان، مدير عام الطب الوقائى، فى مديرية الصحة بالغربية أمس، أنه تم تحويل الحالة رقم ٦٨ المصابة بمرض أنفلونزا الطيور إلى مستشفى صدر العباسية بعد أن أكدت تحاليل المعامل المركزية بوزارة الصحة إيجابية حالتها، وهى لسيدة من مدينة طنطا تدعى وفاء عبدالمجيد عبدالجواد «٣٤ سنة ـ ربة منزل».

Dr. Essam Othman, Director General of Preventive Medicine, in a meeting Sunday attended by the Directorate of Health yesterday, it was transferred Case No. 68 infected by bird flu to hospital after a Abbasiyah laboratory tests confirmed that the central Ministry of Health, a positive situation, a woman called from the city of Tanta and fulfillment Abdel-Jawad «34 year housewife».

وأجرت مديريتا الصحة والطب البيطرى مسحاً شاملاً لمنطقة كفر السجن التى تقيم بها المريضة، وتم أخذ عينات من زوجها وأولادها الثلاثة وكذلك أخذ عينات من سكان العقار المقيمين فى الطابقين الأول والثانى بالمنزل، كما تم فرض كردون أمنى مشدد وإزالة العشش وإعدام الطيور التى عثر عليها بداخلها فى المدافن الصحية المعدة لذلك.

The Directorates of Health and Veterinary Medicine a comprehensive survey of the prison of Kfar valued patient, samples were taken from her husband and three children, as well as sampling of the population living in the real estate first and second floors of the house, as was imposed Kerdoun tight security and the removal of nests and the execution of the birds found in the inside cemeteries for the health to do so.


كما احتجزت مستشفيات حميات المحلة وطنطا وكفر الزيات ٨ حالات جديدة للاشتباه بإصابتهم بالمرض، هم محمد الحربى الهنداوى «٤ سنوات» من عزبة الشامى، وآية عبدالمجيد «٤ سنوات» من قرية سندسيس التابعة لمركز المحلة، وهاجر مالك محمد «عامان» شارع البسانية بقسم ثان المحلة، وعادل السيد يوسف صقر «٢٨ سنة» من قرية سماتاى مركز قطور، وعبلة عبدالفتاح الشرقاوى «٥٠ سنة» وهدير محمد محمود «٣٥ سنة» من قرية أبيار مركز كفر الزيات، وماجدة محمود محمود أبوديبة «٣٧ سنة» من قرية سملا مركز قطور، وصباح صديق عبدالوهاب الفيشاوى «٤٠ سنة» عزبة الفار التابعة لقرية أبوجندى مركز قطور.

Also detained, hospital admitted Tanta-Mahalla, Kafr Al-Zayat 8 new cases of suspected disease cluster, are Mohammed al-Harbi, Hindawi «4 years» of al-Shami, and any Abdulmajeed «4 years» from the village of Sandsis Center Mahallah, migrated and Malik Mohammad «two», Department of Second Street Albassanip Mahala, Adel Youssef Saqr Mr. «28 years» from the village of Smatay Center Qtor and Abla Abdul الشرقاوى «50 years» and the roar of Mohamed Mahmoud «35 years» from the village of Kafr Al-Zayat Abyaar Center, and Magda Mahmoud Obodibp «37 years» from the village of Simla Qtor Center and Sabah Abdul Wahab friend Fishawi «40 years» Izbat mouse belonging to the village Obojendy Qtor Center.

وعثر أهالى قرية شوبر التابعة لمركز طنطا على كميات كبيرة من الطيور النافقة داخل أجولة بلاستيكية، ملقاة فى إحدى الترع المارة بالقرية، وانتقلت على الفور فرق الطب البيطرى والصحة وتم انتشال كميات كبيرة من الأجولة الممتلئة بالطيور النافقة.

And found the people of the village Schober of the Center for Tanta large quantities of dead birds in plastic bags, thrown in a canal passing the village, and moved immediately to the veterinary teams and health have been recovered large quantities of sacks full of dead birds.

وفى الإسكندرية، شنت مديرية الأمن، أمس الأول، بالتنسيق مع مباحث التموين حملة مكثفة على أسواق المحافظة، أسفرت عن غلق ١٤٩ محلاً وتحرير ٩٤ محضراً وإعدام ١٥٥٠٠ دجاجة، وتحصين حوالى ٥ آلاف دجاجة فى قرى أبيس.

In Alexandria, launched the Security Directorate, the day before yesterday, in coordination with the Investigation of Supply intensive campaign to market the province, resulted in the closure of 149 shops and 94 minutes and the liberation of the execution of 15500 chickens and vaccinated about 5 thousands of chickens in the villages of Apis.

وفى جنوب سيناء، أصدر المحافظ محمد هانئ متولى تعليمات مشددة لمنع دخول الطيور الحية خوفاً من دخول المرض المحافظة السياحية وضرب السياحة بعد أن أصبح المرض متوطناً فى مصر. In South Sinai, the governor Mohammed Metwally Carefree strict instructions to prevent the entry of live birds from entering, fearing the disease hit the tourism and preservation of tourism after the disease has become endemic in Egypt.

وقال خلال الجلسة الأخيرة لمجلس محلى المحافظة أنه تم إعدام ٤٠٠ دجاجة فى منطقة عيون موسى، وتم عمل لجان بمداخل المحافظة لمنع أى طيور قادمة إليها دون تصاريح رسمية. He said during a recent meeting of the Council of a local preservation had been culled 400 chickens in the eyes of Moses, was the work of the committees Bmdakhl the province to prevent any birds arriving without official permits.

وفى القليوبية، قال المحافظ المستشار عدلى حسين، إن نسبة ما تم ضبطه من الدواجن الحية فى مصر لا تزيد على ٥٠٪ وهى مثل المخدرات تماماً، مشيراً إلى أن المشكلة تكمن فى الأسواق العشوائية لأنها تستمر ساعتين فقط ولا نستطيع أن نلحق بها، كما أنهم يبيعون طيوراً مصابة من خارج المحافظة ورخيصة، وبالتالى تباع بسرعة.

In Qaliubiya, said Adly Hussein, governor's adviser, said that the rate has been adjusted from the live poultry in Egypt do not exceed 50%, such as a drug completely, pointing out that the problem lies in the slums, markets continue to be only two hours and we can not keep, as they sell with infected birds from outside the province and cheap, and consequently sold quickly.

وفى قنا، أكد اللواء محمود جوهر، مدير الأمن، أنه تم شن حملة موسعة على الأسواق لضبط الباعة الجائلين للحد من انتشار المرض، موضحاً أن الحملة أسفرت عن إغلاق ٦ محال للطيور الحية، إغلاقاً إدارياً لها عن طريق رئيس الوحدة المحلية وإعدام ١٥٠٠ طائر وإزالة ١١ عشة من أسطح المنازل فى المدينة وضبط ٥ باعة جائلين يبيعون الكتاكيت، كما تم فحص ١٢ منزلاً توجد طيور بها. In Qena, the essence, Mahmoud, director of security, a campaign that was launched on the market expanded to control the street vendors to reduce the spread of the disease, adding that the campaign resulted in the closure of shops for the 6 birds live, whether it through the administrative head of the local unit and the execution of 1500 and the removal of 11 birds straw from the roofs of the houses in the city and seized 5 Jailin vendors selling chickens, and 12 homes were examined there by the birds.

وفى البحيرة، أعلن المحافظ محمد شعراوى عن إغلاق ٥٦ محلاً لبيع الدواجن الحية فى مدينة دمنهور، موضحاً أنه جار إغلاق باقى محال بيع الدواجن الحية فى باقى مراكز المحافظة، مؤكداً توفير غاز أول أكسيد الكربون للقضاء على الدواجن المصابة بالمزارع.

In the lake, the governor Mohammed Sharawi from the closure of 56 shops selling live poultry in the city of Damanhour, adding that the ongoing closure of the remaining stores that sell live poultry centers in the rest of the province, saying the provision of carbon monoxide for the elimination of infected poultry farms.
hat-tip Sally

Fear, anger and fatalism over swine flu in Mexico

1 hr 42 mins ago

MEXICO CITY – The schools and museums are closed. Sold-out games between Mexico's most popular soccer teams are being played in empty stadiums. Health workers are ordering sickly passengers off subways and buses. And while bars and nightclubs filled up as usual, even some teenagers were dancing with surgical masks on.

Across this overcrowded capital of 20 million people, Mexicans are reacting with fatalism and confusion, anger and mounting fear at the idea that their city may be ground zero for a global epidemic of a new kind of flu — a strange mix of human, pig and bird viruses that has epidemiologists deeply concerned.

Tests show 20 people in Mexico have died of the new swine flu strain, and that 48 other deaths were probably due to the same strain. The caseload of those sickened has grown to 1,004 nationwide, Mexico's Health Secretary Jose Angel Cordova said.

The same virus also sickened at least eight people in Texas and California, though there have been no deaths north of the border, puzzling experts at the U.S. Centers for Disease Control and Prevention.

Scientists have warned for years about the potential for a pandemic from viruses that mix genetic material from humans and animals. This outbreak is particularly worrisome because deaths have happened in at least four different regions of Mexico, and because the victims have not been vulnerable infants and elderly.

The most notorious flu pandemic, thought to have killed at least 40 million people worldwide in 1918-19, also first struck otherwise healthy young adults. -snip-

No vaccine specifically protects against swine flu, and it is unclear how much protection current human flu vaccines might offer.

A "seed stock" genetically matched to the new swine flu virus has been created by the CDC, said Dr. Richard Besser, the agency's acting director. If the government decides vaccine production is necessary, manufacturers would need that stock to get started. Actually producing the vaccines could take months.

The CDC says two flu drugs, Tamiflu and Relenza, seem effective against the new strain. Roche, the maker of Tamiflu, said the company is prepared to immediately deploy a stockpile of the drug if requested. Both drugs must be taken early, within a few days of the onset of symptoms, to be most effective.

Cordova said Mexico has enough Tamiflu to treat 1 million people — only one in 20 people in greater Mexico City alone — and that the medicine will be strictly controlled and handed out only by doctors.

-snip-


Bloomberg: Swine Flu Shuts Mexican Schools, Raises Pandemic Risk (Update1)

By Tom Randall and Andres R. Martinez

April 25 (Bloomberg) -- Swine flu struck hundreds people in Mexico City, California and Texas, raising the threat of pandemic and leading health authorities to distribute masks and shutter schools, museums, movie theaters and libraries.

At least 68 died and more than 1,000 became sick with flu- like symptoms in the Mexico City region in the past month, Jose Cordova, Mexico’s Health Minister, told reporters yesterday. Swine flu was confirmed in 20 of the deaths so far, he said. Of 14 tissue samples tested from Mexico, half were a genetic match with the swine flu reported in eight people in California and Texas, the U.S. Centers of Disease Control and Prevention said.

The new influenza strain, a conglomeration of genetic fragments from swine, bird and human viruses, is the biggest threat of a large-scale flu pandemic since the emergence of the H5N1 strain that has killed millions of birds and hundreds of people, said William Schaffner, an influenza expert at Vanderbilt University School of Medicine in Nashville, Tennessee.

“It recombined to create something totally new,” David Butler-Jones, Canada’s chief public health minister, told reporters yesterday. “How, when, or where it did that I don’t think we know.

“What it will lead to is impossible to predict,” Butler- Jones said. “It is very concerning.”

The World Health Organization is using its Strategic Health Operations Center, a war room-type facility at its Geneva headquarters, to coordinate its response, said Gregory Hartl, a spokesman for the agency.

Emergency Meeting

The United Nations agency will hold an emergency teleconference with 15 international experts at 4 p.m. Geneva time today to decide whether the situation constitutes “a public health event of international concern,” Hartl said in a telephone interview today.

If the panel decides it does, WHO Director-General Margaret Chan will immediately convene a separate meeting to discuss whether the agency’s level of pandemic alert needs to be increased. It is currently at level 3, meaning there is no or very limited human-to-human transmission of a potential pandemic virus.

“We are taking this very seriously,” Hartl said yesterday. The disease is affecting “otherwise healthy adults,” he said.

International health experts say that the world is now closer to another influenza pandemic than at any time since 1968, when the last of the previous century’s three pandemics occurred.

Pandemic Alert

WHO uses a series of six phases of pandemic alert as a system for informing the world of the seriousness of the threat and of the need to launch progressively more intense preparedness activities.

“It is too early to say whether this will lead to a larger outbreak or could represent the appearance of potential pandemic strain of influenza virus,” the European Centre for Disease Prevention and Control said in a report yesterday.

Teams of disease sleuths have been sent to California and Texas to trace how the malady has spread, and the U.S. offered to send scientists to Mexico, said Richard Besser, acting director of the CDC, during a conference call yesterday. U.S. hospitals are being asked to collect samples from patients with flu-like symptoms, said Schaffner, chief of preventive medicine at Vanderbilt, in a telephone interview yesterday.

“They are asking us who work in hospitals to go to our emergency rooms and our pediatric wards to gather specimens and start testing them,” Schaffner said. “This has a sense of urgency about it.”

Schools Closed

Mexico’s government closed schools, museums, movie theaters and libraries in Mexico City and surrounding areas until further notice, according to an e-mail from the National Arts and Culture Council. It’s also handing out free facemasks and extending the deadline for filing taxes until May 31, Cordova said. A million doses of antiviral medicine are available for distribution, he said.

Twenty-four cases, including three deaths, have been reported in San Luis Potosi, in central Mexico, and four cases have been found in Mexicali near the border with the U.S., according to the WHO.

Flu can spread quickly when a new strain emerges because no one has natural immunity and a vaccine takes months to develop. The so-called 1918 Spanish Flu pandemic, which killed as many as 50 million people, began when an avian flu virus jumped to people, experts said.

The new flu virus contains four different gene segments, representing strains from birds, pigs and humans from North America and Eurasia, CDC said.

“Our concern has grown since yesterday in light of what we’ve learned since then,” said Besser of the Atlanta-based CDC. “This is something we’re worried about and taking very seriously. We are moving quickly, being very aggressive in our approach.”

Obama Informed

President Barack Obama is being briefed, the White House press secretary, Robert Gibbs, told reporters yesterday. California activated its Joint Emergency Operations Center of the Department of Public Health, in coordination with the California Emergency Management Agency, according to an e-mailed statement from the office of the Governor Arnold Schwarzenegger.

The virus is contagious and spreading from human to human, the CDC said in a statement on its Web site. The U.S. patients began feeling sick from March 28 to April 19. All have recovered and only one was hospitalized, according to the CDC. None had direct contact with pigs.

Available Treatments

GlaxoSmithKline Plc’s flu treatment Relenza and Roche Holding AG’s Tamiflu appear effective against the strains of the virus the CDC has tested, the companies said. Glaxo has “ample supplies” of Relenza, Sarah Alspach, spokeswoman for the London-based drugmaker, said yesterday in a telephone interview. Roche, based in Basel, Switzerland, has a stockpile of 5 million Tamiflu doses ready to deploy if WHO asks, said Terry Hurley, a company spokesman.

The U.S. isn’t restricting travel to Mexico, Besser said. Cordova, Mexico’s health minister, said there’s no need to shut workplaces, and the pace of infections and deaths has slowed in the past day. The first case of the swine flu was seen in Mexico on April 13.

The airport for the city of Toluca, about 60 kilometers (37.3 miles) west of Mexico City, is screening travelers to determine whether they may have been infected, according to the government of the state of Mexico. Brazil is intensifying surveillance of ports, airports and borders, checking health of travelers, the Agency for Sanitary Vigilance said on its Web site.

The outbreak is affecting tourism, Octavio Martinez Vargas, a lawmaker from the opposition Party of the Democratic Revolution, or PRD, said in a statement from his office.

Mexico’s lower house of congress is considering holding sessions outdoors to avoid spreading the illness, said Javier Gonzalez Garza, head of the PRD in the lower house, according to an e-mailed statement.

To contact the reporters on this story: Tom Randall in New York at trandall6@bloomberg.net; Andres Martinez in Mexico City at amartinez28@bloomberg.net

Last Updated: April 25, 2009 01:39 EDT

RSOE Emergency and Disaster Information Service Situation Update

Situation Update No. 16
On 25.04.2009 at 03:58 GMT+2

The national laboratory in Winnipeg has confirmed human swine influenza virus in clinical specimens sent from Mexico for testing, Canada's health minister said Friday. "Today we have received … results which confirm that the virus is human swine influenza,'' Leona Aglukkaq told a press conference in Ottawa.

A handful of cases of flu-like illness in Canadian residents who recently returned from Mexico are being monitored, however, "there have been no confirmed cases of human swine influenza yet," said Dr. David Butler-Jones, Canada's chief public health officer.

Mexico sent 51 specimens for testing to Canada's National Microbiology Laboratory on Wednesday. Sixteen positives of swine flu were found among the samples. Mexican Health Minister Jose Angel Cordova said Friday that 20 people were killed in the outbreak and 1,004 were infected throughout the country, prompting the World Health Organization to convene an emergency meeting Saturday.

Officials closed schools, museums and libraries in Mexico City on Friday to limit spread of the virus. Dr. Rich Besser, acting head of the U.S. Centers for Disease Control, said early analysis of Mexican samples of the virus showed it is very similar to those responsible for eight American cases, one confirmed Friday. All the U.S. victims have recovered.

A handful of cases of flu-like illness in Canadian residents who recently returned from Mexico are being monitored, however, "there have been no confirmed cases of human swine influenza yet," Dr. David Butler-Jones, Canada's chief public health officer, told the Ottawa press conference Friday.

Canada is working with Mexican and U.S. health officials to confirm that the virus in both countries is linked and is in fact a new strain of influenza A H1N1 human swine virus, he added. "This is an interesting virus. It's a brand new virus, not only to humans but to the world," said Dr. Frank Plummer, scientific director of the Winnipeg lab.


"About 80 per cent of the virus is highly related to a North American body of swine flu that's been around for a number of years, but about 20 per cent of it comes from an Eurasian variety of swine flu first seen in Thailand, so it's recombined to create something totally new. How it did that, where it did it, when it did it, I don't think we know yet."

WHO spokesperson Gregory Hartl said the agency needs to determine whether the outbreaks constitute an international public health threat.

Hartl also said 12 of 18 samples taken from victims in Mexico showed the virus had a genetic structure identical to that of the virus found in California earlier this week. But he said the agency needs more information before it changes its pandemic alert level, which currently stands at three on a scale of one to six.


The virus was first reported earlier this week as U.S. health officials scrambled to deal with the diagnoses of seven people with the never-before-seen strain in Texas and California. The states share a border with Mexico not far from a town where two deaths were reported. Hartl said health officials are dealing with three separate events in Mexico, with most of the cases in and around the capital, Mexico City. Most of the cases have occurred in healthy young adults, he added. "Because these cases are not happening in the very old or the very young, which is normal with seasonal influenza, this is an unusual event and a cause for heightened concern," Hartl said in an interview from WHO headquarters in Geneva.

In Canada, the advisory includes the same advice given to all travellers: Get a flu shot and take precautions such as covering coughs and staying home when sick. But it also gives locations in Mexico where cases of severe respiratory illness have occurred. However, tourists returning from Mexico who feel well don't need to see a doctor, Butler-Jones said.
hat-tip Solitaire

Indonesia: 10 residents Gunungkidul were expected by bird flu

24 April 2009

Totalling 10 residents of the Klepu Village, Desa Tambakromo, of Kecamatan Ponjong, Gunung Kidul underwent the territory isolation because of being pointed out was affected by bird flu. “At this time was carried out by the security of the territory up until April 27 mendatang,” said Akhmad Akhadi, Kasi Pengendalian of infectious diseases, Dinas Kesehatan DIY this Friday (24/4). The security of the territory was carried out by observing each movement of the poultry and humankind in the territory that indicated infected the virus.

Now the side dinkes still waited for results of the test to ascertain what 10 residents that infected positive was contaminated with the disease. While waiting for results of the test, to be carried out by the handling of the standard, like the inspection, spraying and the extermination of the poultry. This step was taken as the form of anticipation in order to the spread of the virus not happen was faster.

“Pengawasan tight also was carried out to the sufferer that already terindikasi terjangkit,” he added sembari stressed, tight observation was in accordance with the standard carried out for 14 days. Some treated against the sufferer by giving the tablet tamiflu (bird flu medicine). resident indicated to suffer bird flu treated as/done as if they connected already positive to suffer.
-snip-

hat-tip Dutchy for link. Translated by me using TT & Indo Dictionary.

Indonesia: Three residents Suspect Flu Burung along with Dozens Of poultries died

Friday, 24 April 2009
Three Locals suspect Bird Flu
Along with poultry Dozens Dead

Ponorogo - bird flu still threatening citizens. Three of Hamlet Ploso Rejo, Kemiri village, District Jenangan, Ponorogo, terindikasi suspect virus Avian Influenza (AI) this. They are decent Dita Saputra, 4, Kateno, 37, and Wandi, 40. At this time, they undergo intensive treatment at local health centers.

From initial inspection, there is a tendency to H5NI virus. They experience high fever, with temperature above 38 degrees centigrade.
In medical terms with their ili (influenza like ilness). Condition is also at the same time with dozens of birds that died suddenly.

Siti Nurfaidah, head of health Jenangan, said the three patients suspect bird flu that has been given tamiflu. A kind of anti-influenza drug that contains the type-A osetalmivir. ''In the end of the examination has indicated that health conditions improve,''explained.

According to him, his side also have to send patients for blood sampling tests conducted in laboratories of hospitals Hardjono Ponorog. Only, not for a while the rays that make sure that their positive disease is death. ''We stumble through the process cost for the rays,''he said.

During this one week, 21 people have been experiencing the same symptoms. However, the stated three critical people who now undergo intensive treatment.
''It is better, after we gave anti-influenza drugs as early prevention,''he said.

Jemini, one of the residents, the claim about the last of dozens of birds died suddenly. It is not known at all. A large number of dead poultry by the direct buried. But there are some who consumed. That''we have to eat, but because the number of chickens that died just so much part of the buried,''he said.


Viewing such conditions, the Office of Agriculture (Disperta) local direct hands down. Some officers do spraying with antibiotics in the residential area of the local people. For chicken''living temporarily forced dikandangkan first. That is to press the spread of bird flu virus,''said Andi Susetyo, Kasi Disperta Animal Health.

Government can not ensure that patients treated at a local health clinic positive bird flu. Given the laboratory test has not been done to the poultry carcass. The''too late to tell to the officers, so we can not ensure,''his him. (Dip / sad)
hat-tip Shiloh

Friday, April 24, 2009

Possible Swine Flu Outbreak At NYC Prep School

Department Of Health Officials Testing 75 Students At St. Francis Preparatory School In Queens

New York City health officials say that about 75 students at a Queens high school have fallen ill with flu-like symptoms and testing is under way to rule out the strain of swine flu that has killed dozens in Mexico.The Health Department's Dr. Don Weiss said Friday that a team of agency doctors and investigators were dispatched to the private St. Francis Preparatory School the previous day after students reported fever, sore throat, cough, aches and pains. No one has been hospitalized.

The handful of sick students who remained at the school were tested for a variety of flu strains. If they're found to have a known human strain that would rule out swine flu.

Results could take several days. In the meantime, the school says it's postponing an evening event and sanitizing the building over the weekend.

Mexican authorities said 60 people may have died from a swine flu virus in Mexico, and world health officials worry it could unleash a global flu epidemic.

Mexico City closed schools, museums, libraries and state-run theaters across the metropolis Friday in hopes of containing the outbreak that has sickened more than 900.

The U.S. Centers for Disease Control and Prevention said tests show some of the Mexico victims died from the same new strain of swine flu that sickened eight people in Texas and California. It's a frightening new strain that combines genetic material from pigs, birds and humans.

The World Health Organization was looking closely at the 60 deaths - most of them in or near Mexico's capital. It wasn't yet clear what flu they died from, but spokesman Thomas Abraham said "We are very, very concerned."

"We have what appears to be a novel virus and it has spread from human to human," he said. "It's all hands on deck at the moment."

WHO raised its internal alert system Friday, preparing to divert more money and personnel to dealing with the outbreak.

President Felipe Calderon cancelled a trip and met with his Cabinet to coordinate Mexico's response. The government has 500,000 flu vaccines and planned to administer them to health workers, the highest risk group.

There are no vaccines available for the general public in Mexico, and authorities urged people to avoid hospitals unless they had a medical emergency, since hospitals are centers of infection.

Some Mexican residents have started wearing blue surgical masks for extra protection, reports CBS News correspondent Adrienne Bard. The federal health minister has warned people not to go near anyone with a respiratory infection and to avoid kissing - traditional Mexican greeting.

ACUTE RESPIRATORY DISEASE - MEXICO, SWINE VIRUS SUSPECTED

[1]
Date: Thu 23 Apr 2009
Source: El Manana [in Spanish, trans. Mod. TY, edited]
<http://www.elmanana.com.mx/notas.asp?id=117125>


At last 500 employees in the health sector in the Federal District have
been infected with influenza virus, announced Antonio Sanchez Arriaga,
secretary general of the National Independent Union of Health Workers. The
infection has now affected employees of the main public hospitals in the
caital, including the Juarez Hospital, the General Hospital and the
National Institute of Respiratory Diseases, and the hospitals in the
Tlalpan area, where the National Institute of Cardiology, the National
Institute of Nurtition and the Manuel Gea Gonzalez, as well as the Polanco
Red Cross, are located.

The union official indicated that the number of infected individuals could
triple this week if the necessary [preventive] health measures are not
taken. "This past Friday [17 Apr 2009] we realized that the disease [was
occurring] and we requested the the representatives in the various
hospitals submit reports of the illnesses, and we found that that the
infection had reached 500 of our fellow workers
, " indicated Sanchez
Arriaga. The leader of the union said that the authorities are overwhelmed
by the presence of influenza in the hospitals and only palliative measures
have been implemented to try to prevent further infections.

"Now they are vaccinating us and giving permission for a week off of work
for the employees who are ill, but this has now turned into an epidemic and
we believe that this will continue this week and we could have more than
1500 cases," he said. Sanchez Arriaga declared that it is urgent to
vaccinate personnel who work in the areas of neonatology, pediatrics,
gynecology and respiratory diseases, since they are those who have thee
greatest possibility of spreading the disease in a high risk population.

[Byline: Imelda Garcia]

--
communicated by:
a healthcare consultant who requested anonymity

******
[2]
Date: Thu 23 Apr 2009
Source: Canada.com [edited]
<http://www.canada.com/story_print.html? id=1527347&tab=PHOT&sponsor=1527>


Warning to travelers
--------------------
Public health officials are on alert for flu-like symptoms among Canadians
who recently travelled to Mexico, following the outbreak of an illness in
that Latin American country that has killed 20 people. However, Ontario's
chief medical officer, Dr David Williams, told a news conference in Toronto
Thursday [23 Apr 2009] that no Canadians have been affected by the illness,
which has surfaced in south and central regions of the vacation hot spot.
"(Canada) hasn't had any cases directly tied to it yet, but it doesn't mean
we won't be vigilant looking for it," Williams said. "We will continue to
look, in case it has any remote connection. We want to see if we can
connect those dots correctly. As a precaution, public health authorities,
family physicians and hospitals across the country have been placed on high
alert to look for any unusual flu-like symptoms in patients. The
government's pandemic surveillance alert has also been increased to a state
of high vigilance, but Ottawa has not as yet issued a travel ban to Mexico.
It is warning prospective Canadian travellers to be vigilant and to take
precautions.

"There is no evidence as of now, that the illness in Mexico (is) an illness
like SARS," said Dr Danielle Grondin, acting assistant deputy minister at
the Public Health Agency of Canada. "It is serious in Mexico but nothing in
Canada. At this point, there are no clusters of SRI [severe respiratory
illness] in Canada. There are no health concerns for Canadians." According
to Grondin, what is known so far of the illness is that it strikes healthy
people aged 25-44 years, and quickly worsens. A total of 137 people have
been struck by the virus.


A man from Cornwall, Ontario, who returned from Mexico with a mysterious
illness is believed to be one of a handful of people in Ontario who may be
linked to the respiratory ailment, provincial officials say. The 47 year
old man was airlifted to an Ottawa hospital in late March and admitted into
the hospital's intensive care unit, a hospital official said Thursday. He
spent 11 nights in hospital before being released on 9 Apr 2009. During a
news conference in Vancouver, Dr Danuta Skowronski of the British Columbia
(C) Centre for Disease Control said there have been reports of severe
flu-like illness in BC but so far none has been linked to Mexico. "We're
doing our best to keep people informed while our investigation is ongoing,"
added Skowronski, an epidemiologist specializing in influenza and
respiratory illness. The flu-like symptoms include fever, cough, general
aches and pains, and shortness of breath, which quickly progresses to
trouble breathing and severe respiratory illness, she said.

The affected areas of Mexico were Mexico City, San Luis Potosl, Oaxaca and
Baja, Skowronski said. Meanwhile, Dr Arlene King, director general of the
Centre for Immunization and Respiratory Infectious Diseases at the Public
Health Agency of Canada, told the Toronto news conference that one of the
lessons learned from the SARS outbreak in 2003 was the need for effective
communications between various agencies and health care providers. Williams
also stressed that a stringent record of any illnesses that might match the
profile of the respiratory condition should be relayed to the proper
authorities. "We'd rather know more than less . . . we want to know all the
details," he said. "That's why we're engaging our wider medical community
at this time to active surveillance rather than passive surveillance. "For
(Mexico), it's early, and we're pleased they moved so quickly to inform
their partners of what's going on... That's to be applauded and that
probably wouldn't have happened five or seven years ago."

--
communicated by:
HealthMapAlerts
via ProMED-mail
<promed@promedmail.org>

******
[3]
Date: Fri 24 Apr 2009
Source: CNN-cm [edited]
<http://edition.cnn.com/2009/HEALTH/04/24/swine.flu/index.html>


60 dead in Mexico flu outbreak
------------------------------
A flu outbreak in Mexico has killed at least 60 people and sickened nearly
1000, health officials said on Friday [24 Apr 2009]. Swine flu is usually
diagnosed only in pigs or people in regular contact with them. The outbreak
has led health officials in the United States to suspect a connection with
7 known cases of a novel swine flu infection in California and Texas.

As a precaution to avoid further contamination, schools and universities in
Mexico City and the state of Mexico were closed on Friday, said the
national health secretary, Jose Angel Cordova Villalobos. He said the
schools may remain closed for a while. Fifty-seven people have died in
Mexico City, the World Health Organization said on Friday. Another 3 people
have died elsewhere in Mexico, the agency said. Sixteen of the deaths were
from "a new type of influenza virus", Cordova said. Another 45 cases are
"suspicious," he said.

Authorities are investigating the cases of 943 people suffering from a
viral infection, the health minister said. WHO had said 800 people had
fallen ill. Mexican President Felipe Calderon canceled a trip Friday to
northern Mexico so he could remain in Mexico City to monitor the situation,
the state-run Notimex news agency reported. Calderon met with his Cabinet
on Thursday night to discuss the outbreak.

In the United States, 7 cases of a previously undetected strain of swine
flu have been confirmed in humans, the Centers for Disease Control and
Prevention said. All of the patients have recovered, officials said. None
of the patients had direct contact with pigs. Five of the cases were found
in California, and 2 in Texas, near San Antonio, said Dr Anne Schuchat, the
CDC's interim deputy director for science and public health program.

The Mexican samples will be tested at the centers based in Atlanta,
Georgia, spokesman David Daigle told CNN by email. The samples were taken
from an affected area just north of Mexico City. Canada also is testing
samples from Mexico "and has placed a travel alert for travel to Mexico,"
Daigle said. The Public Health Agency of Canada issued a respiratory alert
for Mexico on Wednesday [22 Apr 2009], recommending that health providers
"actively look for cases" in Canada, particularly in people who've returned
from Mexico within the last 2 weeks.

An alert issued on Friday by the International SOS medical and consulting
company said more than 130 cases of a severe respiratory illness have been
detected in south and central Mexico, some of which are due to influenza.
"Public health officials in Mexico began actively looking for cases of
respiratory illness upon noticing that the seasonal peak of influenza
extended into April, when cases usually decline in number," the medical
alert said. "They found 2 outbreaks of illness -- one centered on Distrito
Federal (Mexico City), involving about 120 cases with 13 deaths. The other
is in San Luis Potosi, with 14 cases and 4 deaths." Authorities also
detected one death in Oaxaca, in the south, and 2 in Baja California Norte,
near San Diego, California. There was no indication why the International
SOS tallies did not match the WHO figures.

The majority of cases are occurring in adults between 25 and 44 years of
age. CDC reported on Tuesday that 2 California children in the San Diego
area were infected with a virus called swine influenza A H1N1, whose
combination of genes had not been seen before in flu viruses in humans or
pigs. The 7 patients range from age 9 to 54, the CDC's Schuchat said. "The
good news is that all 7 of these patients have recovered," she said. The
first 2 cases were picked up through an influenza monitoring program, with
stations in San Diego and El Paso, Texas. The program monitors strains and
tries to detect new ones before they spread, CDC said. Other cases emerged
through routine and expanded surveillance.

The human influenza vaccine's ability to protect against the new swine flu
strain is unknown, and studies are ongoing, Schuchat said. There is no
danger of contracting the virus from eating pork products, she said. The
new virus has genes from North American swine and avian influenza; human
influenza; and swine influenza normally found in Asia and Europe, said
Nancy Cox, chief of CDC's Influenza Division. Swine flu is caused by type A
influenza, according to CDC. The virus does not normally infect humans, but
cases have occurred among people, especially those with exposure to pigs.
There also have been cases of one person spreading swine flu to other
people, the CDC said. In 1988, in an apparent swine flu infection among
pigs in Wisconsin, there also was evidence of a patient transmitting the
virus to health workers, CDC said. Experts think coughing, sneezing, and
contaminated surfaces spread the infection among people. From December 2005
to February 2009, 12 human cases of swine flu were documented.

CDC is working with health officials in California and Texas and expects to
find more cases, Schuchat said. There's no need for alarm, but people at
risk -- those who live in or have visited areas where patients live or have
had contact with pigs -- should get tested if they notice symptoms, said Dr
William Short at the division of infectious diseases at Thomas Jefferson
University Hospital in Philadelphia, Pennsylvania.


A pandemic is defined as: a new virus to which everybody is susceptible;
the ability to readily spread from person to person; and the capability of
causing significant disease in humans, said Dr Jay Steinberg, an infectious
disease specialist at Emory University Hospital Midtown in Atlanta. The new
strain of swine flu meets only one of the criteria: novelty. History
indicates that flu pandemics tend to occur once every 20 years or so, so
we're due for one, Steinberg said. "I can say with 100 per cent confidence
that a pandemic of a new flu strain will spread in humans," he said. "What
I can't say is when it will occur."

(by Elizabeth Landau)

--
communicated by:
ProMED-mail <promed@promedmail.org>

******
[4]
Date: Fri 24 Apr 2009
Source: BBC News [edited]
<http://news.bbc.co.uk/1/hi/world/americas/8016909.stm>


Mexico flu outbreak kills dozens
--------------------------------
Dozens of people have died and hundreds of others have been infected in a
viral outbreak in Mexico suspected to have been caused by a strain of swine
flu. WHO thinks the virus may be behind 60 deaths in Mexico since mid-March
[2009]. Mexican authorities have closed schools in affected areas and a
vaccination campaign is being launched. Seven non-fatal cases of a new form
of swine flu have also been confirmed in the southern United States.

A WHO spokesman said 12 out of 18 samples taken from the Mexican victims
showed they died from a virus with the same genetic structure as the one
found in the US. WHO would convene an emergency meeting in the "very near
future" to determine whether the event constituted a "public health event
of international concern", Gregory Hartl told Reuters news agency. The
White House said it was following the US outbreak -- in California and
Texas -- closely
.

WHO spokeswoman Fadela Chaib said "unusual end-of-season influenza
activity" was noticed in Mexico starting from the end of March [2009].
Fifty-seven people had died in Mexico City from flu-like symptoms, she
said, and another 3 in San Luis Potosi in central Mexico. There are around
800 suspected cases, she said.

Health minister Jose Angel Cordova said the virus had "mutated from pigs
and then at some point was transmitted to humans". The strain of flu had
been confirmed in at least 16 deaths, with 44 others being tested, the
government said. It urged people to take preventative measures such as not
shaking hands or sharing crockery. All schools and universities in the
capital and in nearby Mexico State have been closed, the BBC's Stephen
Gibbs reports from Mexico City.

In the US, experts say the 7 people who fell ill across two states were
suffering from a new form of swine flu that combined pig, bird, and human
viruses. CDC said none of the 7 victims had been in contact with pigs,
which is how people usually catch swine flu. CDC spokeswoman Anne Schuchat
said that officials did not yet know how widely the virus had spread. But
she pointed out that all 7 victims had recovered. "So far this is not
looking like very very severe influenza," she said.

While the world has been worried over the past few years about the impact
of a pandemic originating from avian flu, the WHO say that swine flu has
been implicated in the emergence of two of the last century's influenza
pandemics, reports BBC science reporter Matt McGrath. Pigs can serve as a
mixing vessel for both human and avian viruses that could combine to create
a more virulent strain, our reporter adds.

Requests SUTGDF provide safety equipment to prevent contamination


It also demanded the implementation of influenza vaccination to all workers in the GDF.

18:18:00 18:18:00

Maricarmen POR PEÑA FAJARDO

The leader of the Unified Trade Union of Workers of the Federal District, Enrique Vázquez Hanff, requested the head of the government of Mexico City, Marcelo Ebrard, providing the medical, paramedical and related working at the Ministry of Health of Mexico City, safety equipment required to prevent the spread of influenza.
It also demanded the implementation of the influenza vaccine to all employees of the City, especially those who work in the Ministry of Health.
"It takes preventive measures to all workers in the GDF, the distribution of cubrebocas, in addition to the facilities given to the workers having symptoms of this disease to reach their treatment and prevent the spread of it," he said.
In this sense, Hanff Vazquez is concerned about the contingency epidemiological happens in the capital, and thus it became clear his full support to the local executive.
"He said that because of how in the past, workers in the City Government, in this case particularly the areas of medical, paramedical and related, contribute to high ethical and professional side of the City, to give full support to the public, "he concluded.

GDF slows vaccination campaign

The city government has reversed its intention to implement a vaccination campaign against influenza for the fact that the doses of which are subject of this vaccine would not stop the outbreak of the disease was caused by a new virus of swine influenza.

Armando Ahued, Secretary of Health of the Federal District, announced this morning that the World Health Organization gave him a recommendation to the Mexican government, stating that the influenza vaccine must be discarded, because it will mitigate the effects of the epidemic.
In the morning and also in a conference call Ahued had said that the federal government an allocation of vaccines against influenza, to implement an immunization plan between the capital, but eventually no longer be launched.
This afternoon after meeting with federal authorities at the official residence of Los Pinos, Armando Ahued also announced that in just 24 hours increased from 79 to 97 the number of people served in Federal District hospitals for respiratory diseases serious may be the symptom of the flu.

On the suspension of general vaccination plan, the Secretary of Health of the city, said that now the alternative to caring for the sick will be the application of antiviral drugs that have yielded excellent results in combating the epidemic.


However, he also explained that the successful implementation of antiviral depends on early detection of influenza, which emphasized the importance of going immediately to a health center or hospital for a medical evaluation when there is a box acute influenza.


He also stressed that, especially young people, not attending meetings or large gatherings of people, because most of those affected by the flu so far are people between 20 and 40 years of age.
One preventive measure is simple but very important to wash your hands, because it prevents up to 50% the risk of contagion.

Mexico swine flu deaths spur global epidemic fears

By MARK STEVENSON, Associated Press Writer Mark Stevenson, Associated Press Writer 4 mins ago
Excerpts:

MEXICO CITY – A unique strain of swine flu is the suspected killer of dozens of people in Mexico, where authorities closed schools, museums, libraries and theaters in the capital on Friday to try to contain an outbreak that has spurred concerns of a global flu epidemic.
-snip-

The outbreak caused alarm in Mexico, where more than 1,000 people have been sickened. Residents of the capital donned surgical masks and authorities ordered the most sweeping shutdown of public gathering places in a quarter century. President Felipe Calderon met with his Cabinet Friday to coordinate Mexico's response.

The WHO was convening an expert panel to consider whether to raise the pandemic alert level or issue travel advisories.

It might already be too late to contain the outbreak, a prominent U.S. pandemic flu expert said late Friday.

Given how quickly flu can spread around the globe, if these are the first signs of a pandemic, then there are probably cases incubating around the world already, said Dr. Michael Osterholm at the University of Minnesota.

In Mexico City, "literally hundreds and thousands of travelers come in and out every day," Osterholm said. "You'd have to believe there's been more unrecognized transmission that's occurred."

There is no vaccine that specifically protects against swine flu, and it was unclear how much protection current human flu vaccines might offer. A "seed stock" genetically matched to the new swine flu virus has been created by the U.S. Centers for Disease Control, said Dr. Richard Besser, the agency's acting director. If the government decides vaccine production is necessary, manufacturers would need that stock to get started.-snip-

Epidemiologists are particularly concerned because the only fatalities so far were in young people and adults.-snip-

The geographical spread of the outbreaks also concerned the WHO — while 13 of the 20 deaths were in Mexico City, the rest were spread across Mexico — four in central San Luis Potosi, two up near the U.S. border in Baja California, and one in southern Oaxaca state.-snip-

The CDC says two flu drugs, Tamiflu and Relenza, seem effective against the new strain. Roche, the maker of Tamiflu, said the company is prepared to immediately deploy a stockpile of the drug if requested.

Both drugs must be taken early, within a few days of the onset of symptoms, to be most effective.

-snip-


WHO rules out of time, quarantine in Mexico

Infected persons will be dealt with in specific hospitals.

  • Traffic into and out of the country will continue as normal

Install the World Health Organization an Emergency Committee that the country will send experts

MEXICO CITY .- Following the outbreak of influenza in the country, Mexico came into contact with the World Health Organization, who determined that it is not necessary until the quarantine, so the traffic into and out to Mexico will continue as normal.

After the meeting the president and his cabinet, Health Secretary Jose Angel Cordova announced that WHO set up an Emergency Committee to which to send experts to support the Mexican government in addressing this contingency, which, according the officer is under control.

Participate in the Committee of Mexico by Dr. Samuel Ponce de Leon.

Cordova Villalobos said that in Mexico there are a million of antivirals for whom it is detected the virus and said that so far only in round numbers a thousand cases are reported nationally.

He also announced that people who have been infected or suspected may have contracted the virus, they will respond in specific hospitals to keep focused and able to follow, among them are the National Institute of Respiratory Diseases, National Institute of Nutrición Salvador Zubirán, a government hospital in the Federal District and another belonging to the health sector.