12/20 H5N1: China

Nuthatch

Inactive
from www.news.scotsman.com

Bird flu home held 22 ducks and chickens
SCIENTISTS today reported on the first confirmed case of a human death caused by H5N1 bird flu in mainland China at a home holding 22 chickens and ducks.

A 12-year-old girl from rural Hunan developed a fever, sore throat, and cough showed October 8 and died nine days later.

Her nine-year-old brother developed fever and a cough on October 10 but responded to antiviral treatment in hospital.
 

Nuthatch

Inactive
UK to end bird-flu ban on pigeon racing, bird shows
Tue Dec 20, 2005 11:58 AM GMT

LONDON (Reuters) - Britain is ending a ban on bird shows, pigeon racing and falconry events imposed in late October shortly after a lethal strain of avian flu was found in eastern Europe.

"The ban has been kept under review and following subsequent risk analyses, it is now considered appropriate for the ban in England and Wales to be lifted," the farm ministry said on Tuesday.

The deadly H5N1 bird flu virus has killed millions of birds and more than 70 people in Asia since 2003.

Bird fairs, exhibitions, shows and markets had been banned except under a specific license following a veterinary risk assessment.

Organisers no longer have to obtain that license but will still have to advise local animal health officials in advance that the event is taking place, the ministry said.

The lethal bird flu strain has not been detected in the bird population of Britain.
 

Nuthatch

Inactive
China hands over bird flu virus strains to WHO

www.chinaview.cn 2005-12-20 20:10:42


BEIJING, Dec. 20 (Xinhuanet) -- The Chinese Center for Disease Control and Prevention (CDC) on Tuesday handed over H5N1 human case isolates to the World Health Organization (WHO).

Two strains of bird flu isolated from human infections in China were forwarded to Dr. Shigeru Omi, WHO western Pacific regional director, by Wang Yu, director of the Chinese CDC, along with relevant virus information on Chinese human cases.

Offered to the organization for further research, the strains will help trace the virus' mutation and develop anti-retroviral drugs. It is a major contribution made by China to the global fight against the epidemic, said Omi.

Omi said good collaboration in the international community will be crucial in dealing with the immense challenge posed by bird flu,and China, as one of the centers of the global fight, can play an important role in this regard.

Chinese experts will join in the WHO's research of these isolates.

On his visit to the Chinese National Influenza Center, also on Tuesday, Omi was introduced to the monitoring, lab testing and control of human bird flu.

China has announced six human cases of bird flu since November 16, including at least two fatalities, according to the Ministry of Health.

Lab tests show that the genotype of H5N1 seen in human bird flu infections in China are different from those spotted in humans in Vietnam, indicating that the virus has mutated.
 

Nuthatch

Inactive
3:36 PM PST, December 19, 2005 latimes.com : National News

Bird-Flu Bill Slammed as Loophole for Drugmakers
By Ricardo Alonso-Zaldivar, Times Staff Writer


WASHINGTON -- Bird flu preparedness legislation headed for a final vote in the Senate this week would create loopholes allowing vaccine makers to avoid legal liability even if a patient is harmed by negligence, critics said today.

Democrats and the Assn. of Trial Lawyers of America derided the legislation as a gift to the drug industry, but its supporters said the lawyers were acting in their own self-interest. Nonetheless, a leading public health group also criticized the liability language.


"We recognize the need for liability protections to get the industry into the game, but we're uncomfortable with the breadth of the liability protections and the fact that they are not balanced by an appropriately strong compensation program," said Jeffrey Levi, a policy advisor with the Trust for America's Health, which advocates stronger government action to deal with the threat of a flu pandemic.

The liability provisions are contained in a mammoth defense spending bill that would also provide $3.8 billion of President Bush's $7 billion request for pandemic preparedness.

"Washington Republicans tucked a huge Christmas present for the drug companies into the appropriations bill in the dead of night," said Rep. Henry A. Waxman, D-Los Angeles. "The liability shield can be granted to any product used to prevent or treat an epidemic or a pandemic, and the (administration) gets to decide what that means."

Backed by Senate Majority Leader Bill Frist, R-Tenn., the provision would allow the government to extend legal immunity to vaccine and drug makers by declaring a public health emergency.

Manufacturers of drugs designated to deal with the emergency would be shielded from lawsuits unless they had engaged in "willful misconduct." Such a threshold is so high it would protect companies that were negligent or reckless, critics said.

Although the legislation would create a compensation program for patients injured by pandemic vaccines, it allocates no money for the fund. That would be determined according to need in a given emergency, supporters of the bill said.

Some critics said the language is broad enough it could allow the secretary of Health and Human Services to declare an emergency for any serious health problem facing the country, such as obesity or diabetes. The bill specifies that the secretary's decision could not be challenged in any federal or state court.

Backers of the legislation said emergency legal immunity would only be granted in extremely rare cases, such as an outbreak of highly virulent flu or a bio-terrorism attack, and would eventually expire. Amy Call, Frist's spokeswoman, disagreed with critics who say the language is overly broad.

"It is very targeted," she said.

"The trial lawyers apparently would prefer to keep filing frivolous lawsuits and collecting excessive attorney fees rather than making sure public health is protected," she said.

Call said the drug industry had some input into the legislation, but was not totally pleased.

That any pandemic funding would also include liability protections for vaccine makers was widely expected. Indeed, Bush requested it. The specific language was added at the last minute at the request of Frist and House Speaker J. Dennis Hastert, R-Ill., said a Republican staffer involved with the bill.

Such provisions are sometimes called "midnight riders," because they are not vetted through the full process of hearings and committee deliberations.

"This is another midnight rider that should never be given the chance to ride," said Sen. Edward M. Kennedy, D-Mass. "This outrageous provision has nothing to do with protecting our troops, and should be struck from the bill."

Odds of that happening are considered slim. But the Senate should revisit the issue, said professor Carl Tobias of the University of Richmond School of Law. "The question is how high the liability shield needs to be," Tobias said. "I think 'willful misconduct' is too high. We usually use some kind of negligence standard in these situations. It would be very unusual that you could prove that intentional misconduct had happened."
 

Nuthatch

Inactive
Turkey gobbled up despite bird flu fears
Tue Dec 20, 2005 4:10 PM GMT

LONDON (Reuters) - Sales of turkeys are strong in supermarkets, despite concerns over bird flu, retailers said on Tuesday.

Sainsbury's reported a 25 percent year-on-year rise in the number of fresh turkey sales.

Tesco, the country's biggest retailer, said sales of fresh turkeys had been strong since they went on sale on Monday.

"We have seen no impact from bird flu fears," a Tesco spokeswoman said. "Sales are strong as expected."

The spokeswoman said no turkey sales data was available yet.

Peter Bradnock, chief executive of the British Poultry Council, said bird flu concerns might even have prompted consumers to buy their festive bird early.

"If anything, people were concerned that if we got avian flu then there wouldn't be any turkey to go around," Bradnock said.

Scientists fear the H5N1 bird flu virus could mutate into a strain capable of moving between humans, millions of people.

More than 70 people have died of bird flu in Asia since the virus swept through much of the region in late 2003, almost all of them from direct contact with infected foul.
 
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<B><font size=+1 color=red><center>Ukraine: Authorities, Crimean Villagers Worry That Bird Flu Is Spreading </font>

By Valentinas Mite
December 20 2005
<A href="http://www.rferl.org/featuresarticle/2005/12/61faea1b-4d19-4d9f-ba99-36580b206481.html">rferl.com/</a></center>
Authorities acted swiftly when news of a bird-flu outbreak in Ukraine's Crimean Peninsula emerged early this month. But now Ukrainian officials fear that efforts to contain the deadly disease may not be working, and are considering placing the entire Crimean Peninsula under quarantine. </b>

Prague, 20 December 2005 (RFE/RL) -- An outbreak of bird flu in the Crimean Peninsula is still a serious threat despite the Ukrainian authorities' efforts to contain the disease -- including the killing of more than 60,000 domestic birds in the past two weeks.

Ukraine quickly implemented tough measures to combat the disease after the outbreak was discovered in early December. Troops were dispatched to cull birds and a state of emergency was declared in three regions located in the wetlands near Lake Sivash. The region is a popular resting place for migratory birds thought to be potential carriers of the disease.

The quarantine was initially imposed on 15 villages in the peninsula, but reports of poultry dying in 20 additional villages has raised alarm that bird flu is continuing to spread.

Petro is a resident of Nekrasovka, a quarantined village near Sivash Bay, says he noticed something wrong with his poultry only recently.

"My birds started dying some two weeks ago. In the village itself things went wrong some two months ago. [The disease starts] when the head of a bird turns bluish and a bird starts twisting his head. Twists, twists, and dies," Petro says.

Veterinarians have ordered that domestic fowl be kept indoors and that farmers' homes be disinfected. But while officials insist the measures are intended to quarantine birds and not people, many villagers are becoming frustrated.

In the quarantined village of Prisivashskoye, people gathered this week to vent their fears and concerns.

Villager Valentina Makarova recalls how her domestic birds were dying.

"I saw my rooster just sitting and not moving yesterday. My second little rooster was also sitting this way -- scum coming from his beak, his eyes swollen," Makarova says. "I informed local official Yeremey [his first name] about it. They [officials] came, have drawn up a report, and have taken my birds."

Makarova's neighbor Vasily claims that earlier this month 12 of his hens died in one night. Vasily maintains that his birds were well cared for, and says he didn't believe veterinary officials who told him they died due to vitamin deficiencies and exhaustion.

Vasily says the official stance has since changed to acknowledge the outbreak of bird flu and to take steps to counter it. But while he understands the reasoning, he admits that he is unhappy with officials coming to destroy his poultry.

Vasily is not alone.

AP news agency reports that some impoverished villagers in the Crimea are putting up strong resistance to authorities who arrive to kill their domestic fowl. Last week, villagers reportedly chased emergency workers with pitchforks. Others were said to be hiding their birds from authorities.

But Volodymir Ivanov, a press secretary of the Crimean department of the Ukrainian Emergency Situations Ministry, tells RFE/RL that such responses are the exception.

"For two weeks we were traveling from one village to another and have monitored the reaction, have monitored how officials of the Emergency Situations Ministry are interacting with people," Ivanov says. "I can tell you that in some villages, understanding people handed over their poultry. In other places, people are doing so reluctantly. In other places people do not want to do that at all. However, people understand they have to do it [hand over their poultry]."

Ivanov says that one key to halting the spread of the disease is to prevent domestic poultry from being exposed to wild birds. If current efforts are not successful, he warns, the entire peninsula could be under quarantine as early as this week.

Ivanov also says that people who have been in contact with dead birds are being closely monitored for health problems. While no human infections have yet been recorded in Ukraine, there are concerns that the H5N1 bird-flu strain -- which has killed nearly 70 people in Asia -- could emerge.
 
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<B><font size-=+1 color=brown><center>UN: Avian-flu battle is being lost</font>
by Kate Walker
Dec 20, 2005
<A href="http://www.postchronicle.com/news/health/article_2122220.shtml">postchronicle.com</a></center>
WASHINGTON, David Nabarro, avian-flu coordinator for the United Nations, said Monday that the world is "losing the battle" in regard to avian flu in birds.
"We are losing the battle against this particular (avian-flu outbreak in birds and domestic poultry). We must focus on stamping it out.</b>

"This H5N1 virus is slowly changing though genetic re-assortment or mutation. The change is slow, but if this virus undergoes the change that leads to sustained human-to-human transmission, then we have a major problem. Then we probably will have the next human pandemic influenza. This is (a) serious risk.

"Virologists who study these things say do not get complacent. It is quite feasible that H5N1 could mutate. The fact that it has taken some years should not lead you to believe that we are through the worst.

"We believe that it is starting to spread into Africa. I do hope that the Malawi case is not H5N1. If they are, then it's very serious."

Meanwhile:

-- Thousands of dead birds discovered in the central Malawi district of Ntchisi have sparked fears of avian influenza.

Thousands of Fork-Tailed Drongos began dropping dead in the Mwera Hills district, and locals took the birds home to eat.

"Someone alerted police that people are feasting on mysterious manna from heaven and when police contacted us we sent officials to caution the people not to eat them since they may have the avian flu which has proved deadly to humans in other countries," said Wilfred Lipita, director of livestock and animal health in Malawi's Ministry of Agriculture and Food Security.
 
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<B><center><font size=+1 color=green>Governor Says Arkansas Preparing in Case of Pandemic</font>

Tuesday December 20, 2005 12:47pm
<A href="http://www.katv.com/news/stories/1205/287455.html">KATV Channel 7 </a></center>
Little Rock (AP) - Governor Huckabee announced Monday that the Department of Health and Human Services is preparing a plan for a possible pandemic flu outbreak. Speaking at the Division of Health offices in Little Rock, Huckabee said Arkansans should be concerned about the avian flu but that there is no need to panic. </b>

Huckabee said a group at the department has been named to write the plan,which will be unveiled in early 2006. An anti-viral stockpile is also being assembled for use in the event of a pandemic. Huckabee said there are already thousands of doses of anti-viral medicines on hand and that the stockpile will grow.
 
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<B><center>Avian Flu: Economic Cost to Hospitals Likely to Be Huge

<font size=+0 color=blue>The avian flu is likely to place a huge financial strain on U.S. hospitals unless the government offsets losses not covered by insurance, authors of a book chapter on international health management predict.</font>

20/12/2005
<A href="http://www7.medica.de/cipp/md_medica/custom/pub/content,lang,2/oid,17593/ticket,g_u_e_s_t/parent,6453/local_lang,2">7.medica.de</a></center>
The financial effect of the avian flu on hospitals that treat stricken patients likely will be enormous, predicted James Romeis, Ph.D., professor of health services research at Saint Louis University. </b>

“If avian flu occurred in the U.S., a large financial loss would probably be borne by the treating institution unless the government offsets losses not covered by insurance,” Romeis says. “We may be reasonably well prepared to respond to the clinical aspects of the epidemic, but may be inadequately prepared for the economic and operational impact. What will not be reimbursed is the lost business at hospitals, and those indirect losses can be enormous.”

Romeis made his observations based on the impact of SARS on the Taiwanese health care system in 2002-2003. He found that patients there delayed care, postponed elective procedures and stayed away from the emergency rooms of hospitals known to treat SARS patients because they were afraid of contracting the disease.

“For instance, during the peak of the SARS crisis, the National Taiwan University Hospital’s number of surgeries dropped from 3,576 in May 2002 to 519 in May 2003, an astonishing decrease rate of 85 percent,” he said. “At one point early in the epidemic, the hospital temporarily closed down its emergency room.”

Without national government reimbursement, the hospitals would have lost millions of dollars related to decreases in hospital utilization, he says.

MEDICA.de; Source: Saint Louis University Health Sciences Center
 
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<B><font size=+1 color=purple><center>Avian Flu Pandemic Possibility Increases</font>

by J. Grant Swank, Jr.
Dec 20, 2005
<A href="http://www.postchronicle.com/news/health/article_2122203.shtml">postchronicle.com</a></center>
"'This H5N1 virus is slowly changing through genetic re-assortment or mutation. The change is slow, but if this virus undergoes the change that leads to sustained human-to-human transmission, then we have a major problem. Then we probably will have the next human pandemic influenza. This is (a) serious risk.'"
David Nabarro, avian-flu coordinator for the United Nations, was speaking. The bottom line: the world community is "'losing the battle.'" Avian flu in fowl is not lessening but increasing. </b>

Certain areas of the globe are naïve about the subject. The populations don't have the basic, critical information. They don't understand the seriousness of the threat. They go about their daily routines as if all is well, or at least not so bad.

In these geographies where birds are mingling and flying and eaten by humans, the bird flu virus could ignite into a pandemic worldwide.

According to UPI's Kate Walker, the birds are presently the threat. "'Virologists who study these things say do not get complacent. It is quite feasible that H5N1 could mutate.'"

The world community does not have a full-proof vaccine to combat such a new virus. The time frame for discovering same is not soon.

"'The change is slow, but if this virus undergoes the change that leads to sustained human-to-human transmission, then we have a major problem. Then we probably will have the next human pandemic influenza.'"

Dead birds were everywhere in central Malawi region of Ntchisi. Fork-Tailed Drongos dropped dead in the Mwera Hills district. Humans living there were eating the birds. They did not have any idea that they could be eating their deaths.
 
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<B><font size=+1 color=red><center>UN offers Ukraine to help combat bird flu </font>

16:08 | 20/ 12/ 2005
<A href="http://en.rian.ru/world/20051220/42581809.html"> RIA Novosti - world - news</a/></center>
KIEV, December 20 (RIA Novosti) - The United Nations has proposed Ukraine to help combat the bird flu virus in the Ukrainian autonomy of the Crimea near the Black Sea, UN Resident Coordinator in Ukraine Francis M. O'Donnell said Tuesday.</b>

The Ukrainian Emergency Situations Ministry supported the initiative and suggested that the government ask UN organizations to finance anti-virus measures.

Ukraine currently needs 60,000 respiratory and skin protection kits, 3,500 disinfecting devices and four incubators, among other things for preventing the spread of the bird flu.
 
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<B><font size=+1 color=brown><center>U.S. to Help Ukraine Fight Bird Flu</font>

Created: 20.12.2005 14:31
<A href="http://mosnews.com/news/2005/12/20/usukrflu.shtml">MosNews</a></center>
The U.S. ambassador to Ukraine promised Tuesday to deliver medical and protective equipment the following day to the Ukrainian government to help fight bird flu.</b>

The U.S. Embassy press office, quoted by the ForUm website, reported that Emergency Minister Victor Baloha, the first deputy health minister and chief state sanitary inspector, Serhiy Berezhnov, and mission director for the USAID Regional Mission in Ukraine, Earl Gast, will be present for the delivery ceremony.

Currently, bird flu has been registered on the Ukrainian peninsula of Crimea. A source in the Ukrainian Ministry of Agrarian Policy quoted by local television on Monday said bird flu quarantine would be imposed this week throughout the Crimea region. The minister Oleksandr Baranivsky said this measure might help prevent the virus from spreading throughout the autonomy and to other Ukrainian regions.

The bird flu was registered at 15 locations in the Crimea. Russian and British laboratories confirmed the presence of the potentially lethal H5N1 strain of the virus, which has already claimed people’s lives in Southeast Asia. More than 60,000 fowl have been slaughtered, but the virus has continued to spread, which has prompted the new measures.
 

Faith

Veteran Member
Thanks Nuthatch and Shakey for all your hard work in gathering
information and shareing with us regarding the bird flu.


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