12/30 H5N1 Is Not Spreading Along Flight-Paths

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<B><font size=+1 color=red><center>Avian flu not following flight path</font>

December 30 2005
BY ANDREW BRIDGES
THE ASSOCIATED PRESS
<A href="http://www.theolympian.com/apps/pbcs.dll/article?AID=/20051230/NEWS/51230022/1001">theolympian.com</a></center>
WASHINGTON — Bird flu appears more likely to wing its way around the globe by plane than by migrating birds.

Scientists have been unable to link the spread of the virus to migratory patterns, suggesting that the thousands of wild birds that have died, primarily waterfowl and shore birds, are not the primary transmitters of bird flu.</b>

If that holds true, it would suggest that shipments of domestic chickens, ducks and other poultry represent a far greater threat than does the movement of wild birds on the wing.

It also would underscore the need to pursue the virus in poultry farms and markets rather than in wild populations of birds if a possible pandemic is to be checked, U.S. and European experts said.

The H5N1 strain has infected millions of poultry throughout Asia and parts of Europe since 2003. The virus also has killed at least 71 people, many of whom had close contact with poultry.

To date, the virus hasn’t been shown to spread from person to person, but many fear that it could mutate into a strain that could, potentially killing millions in a global pandemic.

While the prospect that migrating birds could carry the virus worldwide still worries health authorities, that sort of scenario doesn’t appear to be playing out.

“There is more and more evidence building up that wild migratory birds do play some role in spreading the virus, but personally I believe — and others agree — that it’s not a major role,” said Ward Hagemeijer, a wild bird ecologist with Wetlands International, a conservation group in Wageningen, Netherlands.

“If we would assume based on this evidence that wild birds would be a major carrier of the disease we would expect a more dramatic outbreak of the disease all over the world.”

Reports this summer and fall of the spread of the H5N1 strain strongly suggested wild birds were carrying the disease outward from Asia as they followed migration patterns that crisscross the Earth. The timing and location of outbreaks in western China, Russia, Romania, Turkey and Croatia seemed to point to wild birds en route to winter grounds.

That put places like Alaska, where birds from the Old and New Worlds gather each summer to create what some call an “international viral transfer center,” on alert that the virus could arrive this coming spring. And from there, species like the buff-breasted sandpiper and others that split their time between North and South America could in theory transport the virus farther afield.

Since the early fall, however, there have been only scattered reports of more outbreaks. The disease has been glaringly absent, for example, from Western Europe and the Nile delta, where many presumed it would crop up as migrating birds returned to winter roosts.

That suggests the strain has evolved to specifically exploit domestic poultry, whose short lives spent in tight flocks mean a virus has to skip quickly from bird to bird if it is to survive, said Hon Ip, a virologist with the U.S. Geological Survey’s National Wildlife Health Center in Madison, Wis.

That also means that while the virus can pass from domestic to wild birds, the latter might not be suited as transmitters of the strain — at least so far.

“By the timing of the spread and the pattern of outbreaks within a country and between countries, it does not make sense relative to a role for migratory birds as a means of spreading the virus,” Ip said.

For example, the virus killed thousands of bar-headed geese in May and June at Lake Qinghai in western China. The deaths raised immediate fears that the virus was on the move, jumping among hosts in the wild. In the Aug. 19 issue of the journal Science, scientists wrote that the virus “has the potential to be a global threat.”

But Ip and others suggest the lake is not as remote and pristine as initially portrayed, and that poultry raised in the area could have been the source of the flu strain that killed the geese.

“It is still patchy — the pattern of outbreaks — to really make a very definitive link between migratory birds and the disease,” said Marco Barbieri, the scientific and technical officer for the United Nations Environmental Program’s convention on migratory species in Bonn, Germany.

Experts caution that wild birds cannot be ruled out as future transmitters of the H5N1 strain, which has yet to be detected in North America. Migratory birds, for example, have been clearly implicated in the spread of West Nile virus, which has killed at least 762 people in the U.S. since 2002.

The H5N1 flu strain already is known to be lethal to nearly 60 species of birds; further mutations of the strain could allow it to infect many more. One of the latest victims is the Asian tree sparrow, according to a study published in the December issue of the Journal of Virology.

“The dogma right now is it is the waterfowl — ducks, sandpipers, gulls, plovers — essentially any bird that is water-associated,” said A. Townsend Peterson, a University of Kansas professor and curator of the school’s Natural History Museum and Biodiversity Research Center. “I will predict that that dogma will eventually fall by the wayside. I will guess that what we will eventually see is that avian influenza is much more widely distributed among birds and that land birds also play a significant role in the picture.”

That has made increasing the understanding of the migratory routes followed by birds more important than ever. It also draws attention to how little is still known about the routes.

The conventional maps that show flyways as fat arrows that can span continents and oceans lack the nuance and detail of how birds really move, including when and in what numbers, experts said. The maps also can gloss over how migratory patterns can vary among subspecies.

Traditional methods like bird watching and banding are helping flesh out the maps. And now tracking by satellite or radio, as well as genetic and isotopic sampling, are playing an increased role in sussing out the finer details of where birds travel and when.

In places like Alaska, where millions of individual birds representing more than 200 species arrive each spring, scientists readily confess the situation isn’t all clear.

“Fuzzy would be an operative word. We are in the process of defining the Alaskan migration system, and it is remarkably complex,” said Kevin Winker, curator of birds and an associate professor at the University of Alaska, Fairbanks.

In the United States, the U.S. Geological Survey, Fish and Wildlife Service and the Agriculture Department plan next year to step up their surveillance of wild flocks of birds.

In the past several weeks, scientists have winnowed down their list of birds they want to keep tabs on, said Dirk Derksen, a biologist with the USGS Alaska Science Center in Anchorage. All spend at least part of the year in Asia.

Early detection would buy time in forestalling the further spread of the virus — a situation no one wants.

“Initially, wild birds are primarily victims. Someday they may become vectors. We don’t know how that will play out,” Ip said. “What I would like to see is the virus stopped before it gets to America so we don’t see the last reel of this film played out in North America.”
 
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<B><font size=+1 color=brown><center>WHO Warns China at Risk From Small-Scale Outbreaks of Bird Flu</font>

<A href="http://www.voanews.com/english/2005-12-30-voa21.cfm">By VOA News </a>
30 December 2005</center>
The World Health Organization is warning of the danger of small, undetected bird flu outbreaks in China, following the country's third confirmed human fatality from the virus.</b>

China announced on Thursday the latest bird flu victim was a 41-year-old woman in Fujian province who had died last week. No outbreaks were reported in the area where she lived, and authorities are unsure how she contracted the virus.

The WHO's spokesman in Beijing, Roy Wadia, said Friday many bird flu outbreaks among wild birds and poultry in China are small and hard to detect.

He said it is hard for China to alert the public when infected birds die in small numbers.
 
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<B><font size=+1 color=green><center>WHO warns on latest flu deaths</font>

31dec05
<A href="http://www.heraldsun.news.com.au/common/story_page/0,5478,17693518%255E24331,00.html">Herald Sun</a></center>
BEIJING -- China's third confirmed bird flu death highlights the danger of small, undetected H5N1 outbreaks, the World Health Organisation said.

China's Health Ministry announced a woman, 41, from the eastern province of Fujian, died on December 21 after contracting the H5N1 virus about two weeks earlier. </b>

But the woman, a factory worker, lived in an area where no bird flu had been reported.

"We still don't know through which channel this woman was infected," a Health Ministry official said.

China has confirmed a total of seven human cases of bird flu in the past two months.

More than 70 people have died from bird flu throughout Asia since late 2003, with almost 40 of them this year.

China is seen as a potential flashpoint for a feared global pandemic because it has the world's biggest poultry population combined with often primitive farming conditions where humans and animals live together.

INDONESIA'S bird flu death toll may have risen to 12 with the death of a man, 48, in central Java, a health official said.

The man was admitted to the Tidar state hospital in Magelang, in central Java, suffering high fever and breathing problems, Nurul Safariah, the city's chief health administrator, said.

Ms Safariah said he died after 10 hours.

She said blood samples had been taken from the victim's relatives and neighbours for testing.

Health authorities test suspected cases locally before sending positive results to laboratories overseen by the WHO abroad for verification.

ROMANIA confirmed the deadly bird flu strain was present in six villages east of Bucharest yesterday.

Test results from a British laboratory detected the H5N1 virus in poultry.

Bird flu was detected in the villages earlier this month but Romania is not able to test for the highly pathogenic strain.

The six villages are Modelu, Traian, Reviga, Odaile, Marsilieni and Tataru.
 
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<B><center>IT needs to prep for avian flu

<font size=+1 color=blue>Potential for pandemic should prompt IT shops to beef up remote collaboration infrastructure</font>

By David L. Margulius
December 30, 2005
<A href="http://www.infoworld.com/article/05/12/30/01OPanalysts_1.html?source=rss&url=http://www.infoworld.com/article/05/12/30/01OPanalysts_1.html">infoworld.com</a></center>
What is it about birds and progress? Why are birds always mucking things up and slowing us down? If they’re not pooping on our windshields, they’re attacking our french fries or flying into our wind generators. And now, just when you thought you were prepared for any IT emergency, here comes the avian flu. </b>

Gartner recently issued a strong warning to IT managers, entitled “Prepare Now for a Coming Avian Influenza Pandemic,” which we’d all better hope turns out to be Chicken Little. The report, by Gartner Fellow Ken McGee, says that an avian flu pandemic is “highly likely” and that IT shops need to prepare, primarily by beefing up work-at-home and remote collaboration infrastructure and by ensuring communication in case conventional voice and data channels get overloaded.

“Two of the three conditions required for a pandemic (little or no human immunity to the H5N1 virus, and the virus’s ability to replicate in humans and cause serious illness) are already in place,” the report notes. “Enterprises should take the widespread agreement on the strong likelihood of a pandemic as a signal to take immediate action.”

The report cites two Congressional Budget Office scenarios projecting the scope and impact of such a pandemic in the United States: “mild,” with 75 million H5N1 infection cases, 100,000 deaths, and a 1.5 percent drop in GDP; and “severe,” with 90 million cases, 2 million deaths, and a 5 percent GDP drop.

Eesh, let’s hope not. We’ve heard this stuff before (remember SARS), but in this case, there’s not much downside to taking Gartner’s IT advice. Best case is there’s no bird flu, and you’re left with better contingency planning that’s transferable to many other types of disruptions. And a more robust virtual collaboration capability that will help you compete and sleep easier at night.

Meanwhile, Razzle-Dazzle Snazzle Some happy end-of-year news for retail IT vendors: AMR Research is reporting that spending on retail applications should top $6.6 billion this year and keep growing briskly “as retailers look to dazzle customers.” Research analyst Marianne D’Aquila says that “customer experience is getting the highest priority” as retailers rush to upgrade their store systems, planning applications, and supply-chain capabilities. And she also notes that retailers will have to wean themselves off costly legacy systems, which constrain their marketing flexibility, and instead focus on new areas such as “advanced selling technologies.”

Do you feel the excitement yet? I ran across my original IBM (Profile, Products, Articles) PC this week and remembered the unparalleled thrill of paying $600 in 1988 for that Intel (Profile, Products, Articles) Inboard 386 processor upgrade. You know, there’s a shopper waiting to be razzle-dazzled in all of us.
 
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<B><font size=+1 color=purple><center>Be wary of bird flu in China: WHO </font>

Friday December 30, 2005 12:02 - (SA)
<A href="http://www.sundaytimes.co.za/zones/sundaytimesNEW/basket7st/basket7st1135936795.aspx">sundaytimes.co.za</a></center>
BEIJING - China's third victim confirmed bird flu death highlights the danger of small, undetected H5N1 outbreaks, the World Health Organisation (WHO) said on Friday, as authorities probed how the victim fell ill.

China's health ministry announced on Thursday that a 41-year-old woman from the eastern province of Fujian had died on December 21 after contracting the H5N1 virus about two weeks earlier. </b>

However the woman, a factory worker, lived in an area where no bird flu outbreaks had been reported, repeating a pattern seen in China this year.

"We still don't know through which channel this woman was infected. The investigations are continuing," an official with the health ministry's media office said on Friday.

China has confirmed a total of seven human cases of bird flu in 2005 - all over the past two months - resulting in three deaths.

Thirty-one outbreaks of the virus among poultry have been reported across large swathes of China this year, but not all the human victims were living in affected areas.

The WHO's spokesman in Beijing, Roy Wadia, said that China's efforts at containing the big, reported outbreaks were impressive.

But he said many people were still in danger from coming into contact with infected poultry via small, undetected outbreaks.

"If it's just a few sporadic birds dying off, people are then exposed and then get sick and die - it means it's a very difficult thing to stop when it's on a small scale," Wadia said.

"People have to become more aware that the birds that are dying could be infected with H5N1, and reporting has to be done fast. It's a case of awareness and strengthening animal surveillance at the grass-roots level."

Wadia said that China was aware of the challenge and was quickly improving its animal surveillance and health monitoring system.

He said the fact that all seven confirmed cases had been reported recently indicated the government may be succeeding in improving detection methods, and not that the problem was necessarily worsening.

"Our impression is, given the greater awareness in the public health system in general about the bird flu, there are ... more aggressive attempts to identify it at the outset," he said.

With the seventh confirmed human case coming as the year drew to a close, Wadia described 2005 as a "very significant" year in the fight against bird flu on the Chinese mainland.

"Human cases have been identified, surveillance has been strengthened and it's been improving all the time," he said.

But Wadia echoed warnings from other Who officials and the Chinese government that the bird flu threat remained high.

"This is not the end of the road. There will be more outbreaks in poultry and possibly more human cases on the Chinese mainland and other countries," he said.

Wadia also repeated warnings made by WHO's regional director Shigeru Omi last week that China's refusal to share information about the animal outbreaks was holding back the global fight against the virus.

"It leaves a question mark over how the virus might or might not be changing in this part of the world," he said.

China's health ministry has passed on information about the human cases, but the agriculture ministry has not shared data about the outbreaks among poultry.

More than 70 people have died from bird flu throughout Asia since late 2003, with nearly 40 of the fatalities occurring this year.

China is seen as a potential flashpoint for a feared global pandemic because it has the world's biggest poultry population combined with often primitive farming conditions where humans and animals live in close proximity.

The virus is currently spread among animals and from animals to humans. The global pandemic would occur if H5N1 becomes easily transferable between humans. Close contact between people and infected poultry raises that danger.
 
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<B><center>Ireland

Dard issues bird flu advice

<font size=+1 color=red>Health warning to foreign travellers</font>

By Michael Drake
30 December 2005
<A href="http://www.belfasttelegraph.co.uk/news/story.jsp?story=674182">Belfast Telegraph</a></center>
Northern Ireland travellers and holidaymakers were today given advice on how to deal with the menace of bird flu while abroad.

The Department of Agriculture has reiterated its advice to travellers who intend entering countries affected by Avian Influenza.</b>

"Avian Influenza has now been confirmed in a number of countries," a DARD spokesman said today.

"Our portal inspectors are offering advice to those who are travelling to Cambodia, China (including the territory of Hong Kong), Indonesia, Kazakhstan, Laos, Maylasia, Mongolia, North Korea, Pakistan, Romania, Russia, Thailand, Turkey and Vietnam.

"The evidence available is that humans who have had confirmed cases of Avian Influenza had very close contact with infected birds.

"We would therefore like to emphasis that the risk is low in any other circumstance.

"However, as a precaution against the risk of contracting the disease when travelling in any affected country, travellers should not visit live bird markets, farms or other places that may be contaminated by bird faeces.

"If people have had any contact with poultry or other birds, or have visited a live bird market or farm, it is imperative, on their return that they do not have any contact with live poultry or any other birds in Ireland for at least seven days. "

What to do if you are in a bird flu zone

If you have been in a country where Avian Flu is present you must, on returning home:

keep away from live poultry or other birds for at least seven days;

dry clean any clothes which may have had any contact with poultry or any other birds or their faeces;

clean and disinfect any footwear that was worn at any live bird market, on a farm or at any other place that may have been contaminated;

do not try to bring in poultry products from affected countries and do not bring in any other meat products.

If you intend going into countries affected by Avian Influenza you must:

avoid visiting live animal markets, poultry farms and places where you might come into contact with wild, domestic or caged birds;

avoid contact with surfaces contaminated with animal faeces or fluids;

do not eat or handle poultry, egg or duck dishes, if any of these are undercooked or raw;

wash hands regularly;

do not attempt to bring any live poultry products back to the UK.
 
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<B><font size=+1 color=brown><center>State to eye armories for a care crisis</font>

By Stephen Smith, Globe Staff
December 30, 2005
<A href="http://www.boston.com/news/local/massachusetts/articles/2005/12/30/state_to_eye_armories_for_a_care_crisis/">Boston Globe</a></center>
State public health authorities have quietly drafted plans to inspect about 40 National Guard armories starting next month to determine if they could be converted into makeshift medical wards in the event that a major health emergency overwhelmed hospitals.</b>

The review will devote particular attention to western and southeastern Massachusetts, swaths of the state with far fewer hospital beds than metropolitan Boston, said Suzanne Condon, an associate commissioner in the state Department of Public Health. The specter of avian flu igniting a worldwide epidemic has hastened the pace of emergency planning across the nation.

However, representatives of local health departments and the Massachusetts Public Health Association said this week they had not been told about the pending visits by the state health agency.

''DPH should be doing more than I am aware they're doing with local health officials as they look at these armories," said Geoffrey Wilkinson, executive director of the Massachusetts Public Health Association, a professional organization representing specialists in the field.

Paul Cote, the state's public health commissioner, said in an interview that his agency intends to notify local health boards about the inspections in the next few weeks.

But some local health officials, as well as Wilkinson, are challenging the soundness of conscripting armories during an epidemic.

Frank Singleton, the health director in Lowell, described using such buildings to shelter the ill as an outdated concept, better suited to the early 20th century than now.

During the devastating global flu epidemic of 1918, patients were sequestered in sprawling public buildings, generating iconic photos resurrected in recent months as fears spread about bird flu.

But today's patients require far more complex medical attention -- everything from insulin for diabetes to oxygen for chronic respiratory conditions -- than those struck down by the 1918 epidemic, Singleton said.

''They're fighting the last war," said Singleton, a persistent critic of the state's planning efforts to cope with a widespread disease outbreak. ''The idea of somebody being sick as a dog and needing bed pans and all the modern ancillary care and having that in a gym is absurd."

Instead, Singleton said, patients would be better off staying at home, with medical care coming to them.

Cote agreed, saying he expected that if a flu epidemic struck, up to 80 percent of patients would remain in their homes.

Converting armories or other state-owned facilities into temporary hospitals ''is by far our last option and, in most cases, we don't think we would need to go to that situation," Cote said.

Governor Mitt Romney directed public health authorities in October to explore the feasibility of converting armories, college dormitories, and other big buildings owned by the state into makeshift medical centers.

Since then, state authorities appear to have largely abandoned the notion of using dorms.

''One of the problems with colleges, at least initially, is that there are students who live in these dormitories, and you have to consider the feasibility of what you would do with those students," said Condon, who is responsible for overseeing emergency planning at the Department of Public Health.

Instead, she said, planners have increasingly examined the potential for using armories as well as 500 schools, town halls, and other sites previously identified as venues for giving out vaccines and drugs in a health emergency.

Those drug-dispensing sites could also be used as triage zones, where doctors and nurses could evaluate the condition of patients, Condon said.

The review of armories is expected to concentrate on western and southeastern Massachusetts.

''Those are two areas where we're going to be taking a close look at what backup is available to us," Condon said.

At the same time, state emergency planners intend to analyze how great the need really is in those regions. It's true there are fewer hospital beds than in Boston and its suburbs -- but there are also fewer people.

Wilkinson said authorities in the western reaches of the state are especially anxious about people fleeing Boston and New York if a health emergency arrived, seeking sanctuary in the Berkshires.

In Fall River, nine drug-dispensing sites -- seven in schools, two in senior centers -- have been identified.

But Michael Coughlin, health director in the southeastern Massachusetts city, said that as he evaluates Fall River's ability to handle a wave of illness, he is more concerned with personnel than with bricks and mortar.

Coughlin estimated that 30 to 40 health workers would be needed to run each drug-dispensing site, far more staff than his department could muster.

''Admittedly, this is all a work in progress," Coughlin said. ''If a pandemic struck next week, we'd be racing to keep up."
 
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<B><font size=+1 color=blue><center>Feds work on outbreak plan to isolate avian flu</font>

By DIANE COCHRAN
Of The Gazette Staff
<A href="http://www.billingsgazette.com/index.php?id=1&display=rednews/2005/12/30/build/state/30-bird-flu.inc">www.billingsgazette.com</a></center>
RED LODGE - In the flurry of preparations for a pandemic flu that might never arrive, perhaps the most promising idea is a plan that would stamp out an outbreak before it could get started.

"Theoretically, it ought to work," said Richard Nolan, senior adviser to the director of the Strategic National Stockpile at the Centers for Disease Control and Prevention in Atlanta. </b>

Nolan, who commutes every week from Red Lodge to Atlanta, is working on the plan, which would establish a distribution center for influenza prevention supplies in Bangkok, Thailand.

For avian flu to become a pandemic threat, it would have to mutate into a virus that can be transmitted from person to person. So far, humans can contract the disease only from birds.

Experts think Asia is the most likely place for that mutation to take place.

"People get really up close and personal with their chickens," Nolan said.

That's why it makes sense to put a distribution center in Thailand, where supplies such as Tamiflu - the influenza medication thought most likely to be effective against avian flu - could be quickly shipped around the region, he said.

Field teams of public health specialists are already at work in Asian countries investigating cases of avian flu. Nolan said those teams need quick access to supplies, especially if they identify an avian flu that spreads among people.

If such a flu were identified, it could take as long as nine months to develop and manufacture a vaccine. It would be more effective to corral the virus and prevent it from spreading.

"Can you isolate it enough, given the fact that it's likely to occur in a rural village?" Nolan asked.

He thinks the answer is yes.

But it would require an almost immediate response, including distribution of Tamiflu in the infected population.

"The problem right now is every country in the world worried about pandemic flu is starting to ask the single manufacturer of Tamiflu for massive quantities of it," Nolan said.

The "recipe" for Tamiflu is patented, and Roche, the pharmaceutical company with the rights to produce it, cannot keep up with demand.

The CDC hopes to stockpile Tamiflu regimens for the Asian distribution center, which would be operated by the World Health Organization, Nolan said.

"It's likely to not be an ideal amount," he said. "It's going to be whatever we can get our hands on."

Because of the Tamiflu shortage, health officials - including those at the Yellowstone City-County Health Department - are beseeching individuals to not hoard doses of the drug.

"We are discouraging people from stockpiling," said Dr. Doug Moore, chief of public health for the health department. "We want to make sure we have it for people who do need it."

Tamiflu is available by prescription from medical providers for people are who sick with influenza. It should not be put away on a shelf in case of a future illness, Moore said.

The health department has asked area providers not to dispense the drug preventively, and especially not for the remote possibility of avian flu.

"We don't know if it's going to be effective" against avian flu or even if avian flu will become a human threat, Moore said.

Meanwhile, Moore said, it is up to the federal government to stockpile Tamiflu and other supplies for the possibility of an outbreak on American soil.

"It's at the nation level. It's not done at the local level," he said.

The CDC would probably be charged with distributing supplies around the country during an outbreak, and local agencies, such as the health department, would have little control.

Moore said supplies would be targeted to areas with confirmed disease cases. If avian flu popped up in many places at once, it would be up to federal officials to prioritize dispensation.
 

fruit loop

Inactive
I'm getting disgusted with this paranoia

Every year WHO has predicted "THE killer flu WILL ARRIVE!!!!!"

A few facts:

Most people who get the flu recover quickly. We therefore have no way of knowing how many people have had this "Bird Flu" but didn't know it and recovered fully.

Most people don't bother going to the doctor when they get the flu. They ride it out at home. We therefore have no way of knowing how many people have had this "Bird Flu" and recovered fully.

In ANY flu epidemic we only hear about the deaths, not how many people actually got sick.

A number of the deaths have occurred in countries where medical care hardly operates at a high standard.

In any case, remember what your hitchhiker's guide says : DON'T PANIC. That will not help in any way. Don't stop thinking, and prepare as best you can.
 
fruit loop said:
Every year WHO has predicted "THE killer flu WILL ARRIVE!!!!!"

A few facts:

Most people who get the flu recover quickly. We therefore have no way of knowing how many people have had this "Bird Flu" but didn't know it and recovered fully.

Most people don't bother going to the doctor when they get the flu. They ride it out at home. We therefore have no way of knowing how many people have had this "Bird Flu" and recovered fully.

In ANY flu epidemic we only hear about the deaths, not how many people actually got sick.

A number of the deaths have occurred in countries where medical care hardly operates at a high standard.

In any case, remember what your hitchhiker's guide says : DON'T PANIC. That will not help in any way. Don't stop thinking, and prepare as best you can.

Do you have some links to the specfics you are aluding to? I'd sure like to see them, I may get a better understanding of the situation.

It would be nice to, if you'd contact the CDC and WHO; and inform them as to what it is they are doing wrong in their coverage of the infected areas in Asia.

I know that they'd really appreacate the help....
 
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