05/27-28 | Weekend BF: "Bird-flu bill lets medical officers seize land, cars"

PCViking

Lutefisk Survivor
New Zealand

Bird-flu bill lets medical officers seize land, cars

SATURDAY , 27 MAY 2006

By KAMALA HAYMAN

Nurses will sign death certificates and medical officers will be able to seize any land, buildings or cars needed during a flu pandemic if far-reaching law changes are approved.

International health experts are warning all nations to prepare for a global pandemic as the lethal bird-flu virus spreads across Asia and into Europe, killing millions of birds and more than 100 people.

Seven members of a family have died in Indonesia despite no apparent contact with infected birds, raising the spectre the virus could be spreading between humans, although only through close and prolonged contact.

New Zealand health authorities are planning for a pandemic that could infect 40 per cent of the population and kill 33,000 people, overwhelming health services.

Now an Epidemic Preparedness Bill proposes extending the powers of nurses and medical officers to help authorities cope.

The bill proposes allowing nurses to sign death certificates – currently only done by doctors – if no doctor was available for at least 24 hours. However, it forbids the issuing of a death certificate if a doctor or nurse who attended the patient during the illness had refused to issue the death certificate because the cause of death was not clear.

Medical Association chairman Ross Boswell said this proposal was "odd" because nurses were likely to be even busier than doctors during a pandemic. "We need nurses looking after patients, not doing paperwork."

He suggested lawyers be asked to sign the certificates if doctors were not available. "It is a medico-legal (document) and they will not be involved in care of the sick and dying."

Pegasus Health nursing director Shelley Frost said health services would change significantly during a pandemic.

"Doctors and nurses are going to get sick, so we will be struggling with a greatly reduced workforce and will need to take on different roles," she said.

She agreed nurses would be busy, but everyone would have to adapt during the crisis.

The bill proposes significantly extending the powers of medical officers.

They would be able to requisition any land or buildings – publicly or privately owned – for a wide range of reasons, including the treatment of patients or storing or disposal of bodies.

Vehicles could also be taken if they were needed to transport patients, doctors or medical equipment, or to carry food, tents or other temporary facilities.


Medical officers would also have the authority to close any premises in their district, except private homes, courts and prisons, and to insist on certain infection-control measures.

Police would have the power to "do anything reasonably necessary, including the use of force", to help medical officers exercise their powers.


Canterbury medical officer of health Mel Brieseman said the law currently listed the types of premises medical officers could close, so was too restrictive, and in some cases, such as billiard halls, out of date.

Currently, the law allowed buildings to be requisitioned during an emergency, but only if they were needed for a hospital. Medical officers could not seize land or vehicles under existing law.

The parliamentary administration select committee is due to report on the bill by July 31.

http://www.stuff.co.nz/stuff/0,2106,3681325a11,00.html

:vik:
 

PCViking

Lutefisk Survivor
Experts track spread of disease by tracing deaths

By MAGGIE FOX
Washington _ A suspicious-looking cluster of human bird flu cases in Indonesia illustrates just how difficult it will be to detect the beginning of a pandemic, should one occur, scientists said. The World Health Organisation issued assurances on Tuesday that the virus had not changed into a clearly dangerous form, but experts said if it had changed, the information would have come much too late.


In fact, they said, the only way anyone will know that a dangerous form of the virus is circulating will be when people start to become sick and die in large numbers.


''We are not going to know it until a lot of people are infected,''
said Dr Eric Toner.


Dr Toner is an expert in emergency medicine at the Centre for Biosecurity at the University of Pittsburgh Medical Centre.


And the canaries in the mine will be people trying to cope with the outbreak.


''If it is being transmitted efficiently, we would see health care workers being sick,''
Dr Toner said.


High technology genetic sequencing may give some answers after the fact, but the only way to actually detect a beginning epidemic will be after it has already started, using old-fashioned epidemiology _ the study of a disease's impact on a population.


''We have to, because the genetics of the virus is going to come too late,'' said Dr Arnold Monto, an expert in infectious disease epidemiology at the University of Michigan. It takes days or weeks to completely sequence the eight genes of a flu virus.


WHO hopes that countries will be able to quickly identify and isolate human cases of bird flu while investigators check to see how dangerous the strain is.


But the case in Indonesia shows this does not often happen in the real world.


''We are going to be making some crucial decisions based on very incomplete information and speed is of the essence here,'' said Michael Osterholm, an infectious diseases expert at the University of Minnesota.


And nothing happened speedily in Indonesia. ''The first cases were in late April,'' Dr Osterholm said.


WHO issued its first definitive statement on the situation on Tuesday _ nearly a month later.


Had efficient and sustained human transmission been under way, that would be time for many people to have been infected.


The H5N1 avian influenza virus is still almost exclusively a bird virus. It has killed or forced the culling of hundreds of millions of birds as it has moved through Asia, across Europe and into many parts of Africa.


It only occasionally infects people _ 218 in 10 countries, killing 124 of them. But only a few genetic changes would allow the virus to easily infect people, and it would likely sweep around the world if this happened, killing millions.


Scientists fully expect the occasional human case of avian flu.


But they become more concerned when they see a cluster, like the case of the seven family members in the northern part of Indonesia's Sumatra island.


So far everyone known to have been infected was either in close contact with an infected bird, or in very close contact with an infected person _ and in fact, with a blood relative, which suggests some people may be genetically susceptible to infection.


But in Indonesia it is not yet clear how the first victim in this cluster, a 37-year-old woman, became infected.


Scientists were reassured by the first genetic analysis of virus samples taken from some of the Indonesian patients, although no one is certain of all the genetic changes that would be needed to allow the virus to infect many people. REUTER

http://www.bangkokpost.com/News/27May2006_news19.php

:vik:
 

Fuzzychick

Membership Revoked
Interesting posts here, in this state we can pronounce deaths...that part won't change but all this other shit will be an eye opener...:shkr:
 

PCViking

Lutefisk Survivor
Fuzzychick said:
Interesting posts here, in this state we can pronounce deaths...that part won't change but all this other shit will be an eye opener...:shkr:

Laws are tested in far-away places... much like product testing.

I could see this one being quite popular (with legislators) in the English speaking world...

:vik:
 

Mongoose333

Inactive
Whats new. The government owns everything they are kind enough to let us rent it from them. There is a document that car manufactures give to the state. That shows who the owner is. The title they give to the buyer just shows you have the right to use, transfer etc.. Think it may be called the certificate of origin or something like that. Don't pay property taxes see what happens. Americans used to get allodial titles to the land. They can not charge property taxes with that type of title so they switched us over to fee simple. Uncle controls us as surley as the Chinese or Russians control their peons.
 

Beetree

Veteran Member
In New Orleans..

The news showed police driving those brand new SUVs they had just taken. It does not have to be the flu. I went to an open house the other day and asked the real estate agent how much the taxes and insurance would come to per month. She said 700 dollars. It was a nice 2500 sq. ft. home. That is 700 d. a month that never ends. CAN NEVER be paid off. Taxes and insurance. Pathetic!
 

JohnGaltfla

#NeverTrump
PCViking said:
Bird-flu bill lets medical officers seize land, cars

SATURDAY , 27 MAY 2006

By KAMALA HAYMAN

Nurses will sign death certificates and medical officers will be able to seize any land, buildings or cars needed during a flu pandemic if far-reaching law changes are approved.

International health experts are warning all nations to prepare for a global pandemic as the lethal bird-flu virus spreads across Asia and into Europe, killing millions of birds and more than 100 people.

Seven members of a family have died in Indonesia despite no apparent contact with infected birds, raising the spectre the virus could be spreading between humans, although only through close and prolonged contact.

New Zealand health authorities are planning for a pandemic that could infect 40 per cent of the population and kill 33,000 people, overwhelming health services.

Now an Epidemic Preparedness Bill proposes extending the powers of nurses and medical officers to help authorities cope.

The bill proposes allowing nurses to sign death certificates – currently only done by doctors – if no doctor was available for at least 24 hours. However, it forbids the issuing of a death certificate if a doctor or nurse who attended the patient during the illness had refused to issue the death certificate because the cause of death was not clear.

Medical Association chairman Ross Boswell said this proposal was "odd" because nurses were likely to be even busier than doctors during a pandemic. "We need nurses looking after patients, not doing paperwork."

He suggested lawyers be asked to sign the certificates if doctors were not available. "It is a medico-legal (document) and they will not be involved in care of the sick and dying."

Pegasus Health nursing director Shelley Frost said health services would change significantly during a pandemic.

"Doctors and nurses are going to get sick, so we will be struggling with a greatly reduced workforce and will need to take on different roles," she said.

She agreed nurses would be busy, but everyone would have to adapt during the crisis.

The bill proposes significantly extending the powers of medical officers.

They would be able to requisition any land or buildings – publicly or privately owned – for a wide range of reasons, including the treatment of patients or storing or disposal of bodies.

Vehicles could also be taken if they were needed to transport patients, doctors or medical equipment, or to carry food, tents or other temporary facilities.


Medical officers would also have the authority to close any premises in their district, except private homes, courts and prisons, and to insist on certain infection-control measures.

Police would have the power to "do anything reasonably necessary, including the use of force", to help medical officers exercise their powers.


Canterbury medical officer of health Mel Brieseman said the law currently listed the types of premises medical officers could close, so was too restrictive, and in some cases, such as billiard halls, out of date.

Currently, the law allowed buildings to be requisitioned during an emergency, but only if they were needed for a hospital. Medical officers could not seize land or vehicles under existing law.

The parliamentary administration select committee is due to report on the bill by July 31.

http://www.stuff.co.nz/stuff/0,2106,3681325a11,00.html

:vik:


Just HOLY FREAKING S***!!!!!!!!!!!!!!!!!!!!

IF THIS IS HAPPENING IN NZ, then what the hell will the idiots in our Congress propose????????????????????????

Folks, if this isn't the most urgent slap in the face, wake up call, etc. I've ever read on a survivalist board, I give up.

I request this story be given it's own thread and a sticky.

If a modern western society like New Zealand is in this mindset, then we are not far behind.

Or not one E.O. away from it.

:dot5: :dstrs: :siren: :siren: :siren: :siren: :siren: :siren: :shkr:
 
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<b><center>Stern: Hospital must prepare for pandemic
<font size=+1 color=red>Health director advises doctors to plan now for the next pandemic flu </font>

By JIM HALL
Date published: 5/27/2006
By JIM HALL
<A href="http://www.fredericksburg.com/News/FLS/2006/052006/05272006/194552">www.fredercksburg.com</a></center>
This week's headlines from Indonesia gave urgency to Dr. Donald R. Stern's message: Now is the time to begin preparations for a pandemic flu.

Stern, the director of the Rappahannock Area Health District, told doctors and nurses at Mary Washington Hospital yesterday that a severe and widespread flu outbreak is likely, though the timing is unknown.</b>

Stern quoted another flu expert as saying: "The pandemic clock is ticking. We just don't know what time it is."

As Stern was speaking, several flu experts were in the Kubu Sembelang village of North Sumatra to investigate a cluster of six deaths from a single family there.

The family members died after contracting the H5N1 avian influenza virus, according to the World Health Organization. The latest death was a 32-year-old man who developed symptoms May 15 and died May 22.

All of the cases have been linked to close and prolonged exposure to a severely ill patient, according to the WHO. To date, the investigators have found no spread to the general community. They also have found no evidence that the virus has mutated to make it easier to spread from chickens to humans or from humans to humans.

"So far, the spread of H5N1 virus from person to person has been rare, inefficient and unsustained," according to the federal Centers for Disease Control and Prevention.

As of May 23, the WHO has recorded 218 cases of avian flu in humans, with 124 deaths. Stern refers to these as "incidental" cases, usually among people who have had contact with diseased chickens.

The disease occurs naturally in wild birds and can be deadly in domestic fowl. The disease was first identified in 1997 and continues to spread. Now it can be found in Asia, Europe and Africa.

But it is the possibility of a genetic shift in the virus and more efficient transmission from humans to other humans that concerns health officials, Stern said.

"There's a huge population that's being exposed to this virus," Stern said.

A "novel" virus for which the public has little immunity--like a mutated bird virus--could move swiftly around the globe and cause thousands of deaths, Stern said. Such pandemics occurred in 1918, 1936, 1957 and 1977.

"History tells us that we have these pandemics periodically," Stern said.

Stern spoke to hospital leaders recently about preparing for such an outbreak, and he speaks to elected officials next week.

His message: "How are we going to handle the demand for health support? We have some work to do."

Stern estimated that a "moderate" pandemic of the type that hit in 1958 would result in 78,000 illnesses in the Fredericksburg area. Over a three-month period, 700 people would need hospitalization, 100 would need intensive care and 50 would need the support of a ventilator.

"How many ventilators do we have in this hospital?" Stern asked the doctors.

When no one answered, he said, "Anybody know? Any pulmonary folks here? Anybody take a guess?"

Still there was silence.

"How can we plan for this if we don't even know how many ventilators we have on board?" he asked. "We need to know this."
 
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<B><font size=+1 color=brown><center>Bird flu kills Indonesia siblings as warning system is speeded</font>

Saturday, May 27, 2006
BY MARGIE MASON
Associated Press
<A href="http://www.nj.com/news/ledger/index.ssf?/base/news-7/114870403981540.xml&coll=1">www.nj.com</a></center>
MEDAN, Indonesia -- Preliminary tests have identified two new fatal cases of bird flu in Indonesia, officials said yesterday as they investigated a separate case involving the largest family cluster ever reported.

Meanwhile, the 192-nation World Health Assembly agreed to speed up preparations for a possible bird flu pandemic by allowing member nations to establish a global warning system a year early. </b>

World Health Organization officials so far have confirmed 33 human deaths from bird flu in Indonesia, out of 124 worldwide.

Indonesia's latest victims, an 18-year-old and his 10-year-old sister from West Java, died Tuesday in the state-run Hasan Sidikin hospital in Bandung, the capital city, said Achmad, an official at the ministry's special task force post for bird flu, who uses only one name. They died within hours of each other, less than a day after arriving at the hospital, he said.

Local tests found they were infected by the H5N1 virus, said Nyoman Kandun, head of the Health Ministry's office of communicable disease control.

The tests will be sent to a WHO laboratory for confirmation.

In Geneva, the chief decision-making body for WHO approved without debate a resolution allowing countries to immediately introduce a fast reporting system to guard against the start of a possible flu pandemic.

The bird flu warning system had been scheduled to start on June 15, 2007. But the resolution said countries could formally introduce it immediately because there is a "serious risk to human health, including the possible emergence of a pandemic virus, arising from ongoing outbreaks in poultry of highly pathogenic avian influenza."

The decision came as health officials probed a second family cluster in Indonesia's northern Sumatra, in which at least six of seven family members died of bird flu, the most recent on Monday. An eighth family member who died was buried before tests could be done, but she was also considered to be among those infected with bird flu.

WHO officials have not been able to link the family members to contact with infected birds, and have said it's possible that limited human-to-human transmission may have occurred. Similar isolated cases of transmission among humans is believed to have occurred in four or five other family clusters, said WHO spokesman Dick Thompson. The Indonesia case would be the largest ever reported.

WHO has stressed that the virus has not mutated in any way and has shown no signs of spreading outside the family -- all blood relatives who had very close contact with each other.

Experts fear the H5N1 bird flu virus will eventually mutate into a form that spreads easily among people, possibly sparking a pandemic. So far, the virus remains hard for people to catch, with most human cases linked to contact with infected birds.

A team of international health experts and villagers is closely monitoring the area in northern Sumatra where the family in the large cluster lived to ensure no one else experiences flu-like symptoms.

About 30 people in the village of Kubu Simbelang have been asked to stay inside their homes and avoid close contact with others as a precautionary measure, Thompson said.

Experts also are exploring whether the first woman sickened in the family may have had contact with sick or dead chickens. She worked at a market where chickens were sold and may have used chicken feces as a garden fertilizer, WHO officials have said.

A special task force will be established to help slaughter birds in the affected area and carry out poultry vaccinations, said Aburizal Bakrie, coordinating minister for people's welfare. Bakrie said anyone who hinders or resists efforts to control the bird flu virus could be jailed for up to one year.

The announcement came after villagers in Sumatra refused to cooperate with health officials, many of them blaming black magic for the deaths.
 
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<B><font size=+1 color=green><center>Preparedness for killer flu urged</font>

By KATHRYN MARCHOCKI
Union Leader Staff
May 27 2006
<A href="http://www.unionleader.com/article.aspx?headline=Preparedness+for+killer+flu+urged&articleId=aa2f94c9-fa27-4eee-8a54-83b1069b0ec0">www.unionleader.com</a></center>
Manchester – With the world on guard against another pandemic, possibly from the H5N1 virus infecting birds, federal and state officials yesterday urged action, but not alarm.

“It’s a time for us to be inspiring preparedness, but not panic,” U.S. Health and Human Services Secretary Michael Leavitt told the more than 200 health and safety experts, lawmakers and community leaders at the state’s pandemic planning summit hosted by Gov. John Lynch. </b>

Leavitt acknowledged many people question whether concern about the deadly bird flu triggering the next pandemic is just “Y2K all over again.

“Is this the little boy who cried wolf? May I say, I hope so,” said the former three-term governor of Utah.

But pandemics have been a biological fact of life throughout human history and another is inevitable, even if the culprit turns out to be something other than the H5N1 virus infecting wild fowl and poultry, he said.

And Leavitt said the nation is not as prepared as it should be to cope with the social and economic upheaval and surge in demand for health care the next pandemic would bring.

He warned against relying solely on federal and state governments to battle the next global killer flu given their limited resources.

Rather, this is a war that will be won by foot soldiers in the field — individual families, cities and towns, local businesses and schools — whose preparations now will be crucial to beating back, or at least containing, an outbreak, state and federal officials said.

“Any community that fails to prepare with the expectation or the illusion that the federal government or, for that matter, the state government, can come to their rescue. . . will be sadly mistaken,” Leavitt said.

Health officials advised residents to stockpile non-perishable foods, prescription medications and drinking water and plan for child care, given schools will be closed for weeks. More suggestions may be found at pandemicflu.gov.

There have been three pandemics in the last century, the most serious of which was the Spanish Flu of 1918-1919, which killed nearly 40 million people worldwide, said Admiral John O. Agwunobi, assistant secretary for health at the U.S. Department of Health and Human Services.

The avian flu’s strong genetic and clinical similarities to the Spanish Flu make it especially worrisome, he said.

Still, the H5N1 virus has not proven itself capable of sustained, efficient human-to-human transmission that would classify it as a pandemic, Agwunobi said.

Agwunobi said it’s “entirely likely” a bird infected with H5N1 will make it to U.S. shores.

“But that wouldn’t mean we are any closer to a pandemic,” he said. “For pandemic to occur, it’s about humans, not birds.”

Gov. Lynch stressed the need for all state agencies to be prepared for a possible pandemic.

“It is clear to me . . . that an unconstrained outbreak would be a catastrophe,” he said.

New Hampshire was the first state in the country to conduct statewide pandemic preparedness drills, has a comprehensive response plan, trained emergency responders, and now is working to ensure local communities and the region have their own plans in place, he said.

Lynch said he already spoke with Massachusetts Gov. Mitt Romney and Vermont Gov. Jim Douglas about expanding drills to include the region, noting the pressure a surge of out-of-state residents fleeing to New Hampshire would place on the state.

“If there is a surge coming out of Massachusetts, we need to be prepared for it,” the governor said.

Leavitt identified schools, businesses and hospitals as weak points in the emergency planning process.

State Health and Human Services Commissioner John Stephen said the state’s schools have emergency plans as part of the “all-hazards” approach that encompasses anything from a hurricane to a terrorist attack.

But Stephen acknowledged there is a need for businesses — particularly small- and medium-sized companies — to plan better.

Stephen said the state recently got $813,000 to plan for a pandemic, most of which will be distributed at the local level.
 
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<B><font size=+1 color=blue><center>Indonesia quarantines villagers over bird flu </font>

2006.05.27
<A href="http://www.koreaherald.co.kr/SITE/data/html_dir/2006/05/27/200605270020.asp">www.koreaherald.co.kr</a></center>
Health officials in Indonesia have told more than 30 Indonesian villagers they should go into quarantine, in a bid to contain one of the world's biggest clusters of fatal human bird flu cases.

The residents of Kubu Sembilang, in north Sumatra's Karo district, were all in close contact with the six members of an extended family who were confirmed to have died from bird flu, or a seventh also suspected to have died from the virus. </b>

They are now being monitored for symptoms by a team of Indonesian health officials and World Health Organisation (WHO) staff, Sari Setiogi of WHO Indonesia told The Straits Times Thursday (May 25).

"This is an ongoing contact tracing exercise which we began on May 9, soon after the outbreak was reported," she explained.

"If those being monitored show signs of falling ill, we will quarantine them in a hospital and give them Tamiflu."

Tamiflu is an anti-flu drug that has helped reduce the death rate from avian flu when taken in the early stages of the illness.

Sari said efforts to pin down the exact source of the infections are also continuing, with tests still being carried out on village poultry.

Meanwhile, the world is anxiously tracking developments in the Sumatran cluster to see if the H5N1 bird flu virus has mutated to one that is easily transmitted between humans. If that were to happen, a pandemic which could kill millions worldwide may be triggered.

On Wednesday (May 24), remarks made by WHO West Pacific region spokesman Peter Cordingley in Manila, calling the Sumtran cluster "the most significant development so far in terms of public health", were played up in the media.

But the WHO struck a less alarmist note on its website, saying that while the Kubu Sembilang victims may have caught the virus from one another through close contact, limited human-to-human transmissions have been seen before.

It also said there was fresh evidence that the virus in Indonesia has not mutated to one that can spread easily among people.

The UN health body is also keeping its pandemic alert unchanged at level three, where it has been for months, meaning there is "no or very limited human-to-human transmission".

Indonesia's human bird flu death toll now stands at 33, with 22 of the victims dying this year.

That is about a quarter of the worldwide toll of 124.

Viet Nam's overall death toll is higher, at 42, but no one has died from the virus there this year.
 
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<B><center> May 26, 2006
<A href="http://english.peopledaily.com.cn/200605/26/eng20060526_268629.html">english.peopledaily.com.cn</a>

<font size=+1 color=purple>Indonesia's local test shows another bird flu cluster death </font></center>
Two people from one family, who died earlier this week in West Java province, have been tested positive to bird flu virus by a local lab, the Indonesian Health Ministry said in Jakarta Thursday.

"They are brother and sister, both are positively infected," Director of Health and Environmental Health of the Ministry I Nyoman Kandun Kandun told Xinhua. </b>

However, he could not confirm whether the two had contact with fowls.

Their blood samples have been sent to the World Health Organization affiliated laboratory for bird flu test in Hong Kong, he said.

The death of the two came after the biggest bird flu cluster death in North Sumatra province earlier this month.

Indonesia is probing into possible human-to-human transmission.

Experts fear that the virus could mutate to a certain form that can easily transmit from human to human, which can kill millions of people.

The WHO has confirmed 32 people have been killed by the highly pathogenic H5N1 virus in Indonesia.

Source: Xinhua
 
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<B><font size=+1 color=red><center>New England states may hold joint bird flu drills </font>

By Dan Gorenstein
Fri May 26, 6:04 PM ET
<A href="http://news.yahoo.com/s/nm/20060526/us_nm/birdflu_newengland_dc;_ylt=A0SOwmWx4ndE2D4BjAEWIr0F;_ylu=X3oDMTA5aHJvMDdwBHNlYwN5bmNhdA--">news.yahoo.com</a></center>
MANCHESTER, New Hampshire (Reuters) - Health and emergency officials in New Hampshire and five other Northeast U.S. states may hold a region-wide bird flu pandemic emergency drill, New Hampshire officials said on Friday.

The preparations reflect concern that bird flu, already spreading across Asia, Europe, the Middle East and Africa, could cross over to the Americas this year, possibly entering along migration routes for birds from Europe.</b>

Some U.S. states bordering eastern Canada including Maine have already begun testing birds and holding avian influenza preparation drills amid concern that birds infected by the virus could enter the country through New England.

New Hampshire Health and Human Services Commissioner John Stephen said his agency was trying to identify regions where people infected by the deadly H5N1 strain of the flu could be isolated and quarantined.

The New England state officials are scheduled to attend a joint meeting on bird flu preparations in June in Boston, where Stephen said he expected the idea of coordinated exercises would be addressed.

H5N1 avian influenza is in the spotlight because that particular strain is dangerous to people. Since 2003, it has killed at least 115 people in Africa, Asia and Europe. Milder forms of the flu have also affected birds.

The H5N1 strain has never been found in North America, but government and industry officials are worried migratory birds could bring it to the continent, possibly this year.

New Hampshire Gov. John Lynch said preparations needed to consider a dramatic movement of people from one state to another if humans start to become infected.

"If there is a surge coming out of Massachusetts, we need to be prepared for that. We need to discuss with Massachusetts how communication will occur, how decisions will be made. And that is something that has not yet happened," Lynch said.

Overseas, the disease has spread to people who have been in close contact with infected birds.

What worries scientists is the possibility the strain could mutate to a form that could easily pass from person to person. A bird flu pandemic could fly around the world in weeks or months, killing tens of millions.

The officials were speaking at a forum on New Hampshire's bird flu preparations.
 
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<B><center>26 May 2006 2327 hrs

<font size=+1 color=brown>US prepares to tackle spreading bird flu </font>

By Channel NewsAsia's
US Correspondent Priscilla Huff
<A href="http://story.irishsun.com/p.x/ct/9/id/fa42e6f6de673d3c/cid/2411cd3571b4f088/">story.irishsun.com</a></center>
WASHINGTON : The world remains at risk from bird flu and from pandemic influenza, according to top US administration officials.

The comments come as the World Health Assembly convenes in Geneva, Switzerland, where avian flu is high on the agenda.

Back in Washington, the Bush administration is emphasising halting the spread of bird flu. </b>

Indonesian officials are refusing to rule out the possibility that bird flu can be transmitted from human to human after a cluster of cases in one family.

There had been hopes the spread of bird flu was slowing.

But many fear, it could still evolve into the first global influenza pandemic of the 21st century.

The Bush administration is worried.

"Our concern is still the same; this is a virus that last year seemed to only affect 20 countries and now over 50. It's one that we have to watch and monitor closely. We believe that taking very effective measures, quick surveillance and good surveillance as well as rapid response is really the key to watching this," said Paula Dobriansky, Undersecretary for Democracy & Global Affairs, US Department of State.

Earlier this month, the Bush administration released its plan on pandemic flu which emphasised on keeping the sick away from the healthy.

One particular focus is a recommendation on quarantine. It aims to halt a pandemic before it spreads across the US by quarantining incoming international flights.

At Dulles Airport outside the American capital, the US Centres for Disease Control has expanded its quarantine offices.

Medical officers already know how they will handle a suspected case on board an international flight.

Said Michael Doney at US Centres for Disease Control: "After the plane has landed, we would board the plane in the company of paramedics, customs and border officials to perform a public health assessment. This would involve interviewing the passenger, determining their symptoms, where they'd been, what their activities had been."

Today's globalised travel is expected to fuel the spread of pandemic influenza but officials know, they can't close the US borders.

That is why they are focusing on ports of entry from likely hot zones such as airports serving flights to and from Asia.

"I think that you can talk about illnesses like pandemic influenza and broaden that discussion to say communicable diseases in general," said Doney.

"The term globalisation, reflecting the increased movement of people around the world, does introduce the idea that illnesses can be spread with rapidity. So having people, the quarantine health system, quarantine health stations at these ports of entry allow us to actively be where the action is, and respond to these reports of illness," he added.

The quarantine health system is intended to isolate the disease to prevent it from spreading, and not to necessarily lock up thousands of potential patients.

Scientists and health officials say just about any influenza virus could spark a global pandemic, but so far, most of the attention has been on bird flu.

"There have been discussions on what steps need to be taken, in airports and specifically investigating and checking for strains of H5N1. Those are measures and steps the international community is working on," said Dobriansky.

"And through the WHO (World Health Organisation), there are a number of protocols. In fact, there is a protocol that's being finalised on containment and I think that we just need to work together, so we can have some standards that can be applicable to all," she said.

And international cooperation is essential because officials are convinced that the pandemic influenza would cause significant economic impact.

In the US alone, the White House plan imagines a worst-case scenario - as many as 2 million Americans killed, with 40 percent of the workforce out sick.

But despite Mr. Bush's promise of more than US$7 billion to combat pandemic influenza, some are already concerned that preparations are inadequate.

"We are currently not prepared for a pandemic, but the good news that steps are being taken now. We are strengthening our efforts, in terms of trying to prevent a virus, to control it if it should break out and also to build the infrastructure for pandemic response," said Dr Susan Blumenthal at Tufts University.

Everyone agrees the threat is real.

According to the most recent report from the World Health Organisation, the death rate from bird flu is over 50 percent.

So far, out of 217 cases, 123 people have died.

US officials hope their preparations will curb the spread of bird flu or another pandemic influenza.

But they are in a wait-and-see mode and no one is predicting if or when a pandemic could bring its deadly path around the world.
 

Hfcomms

EN66iq
Not to worry...the executive orders have been on the books for 35 years that at the stroke of the pen of the chief executive the U.S. is turned into a defacto prison camp. There is nothing new here...except now perhaps the plans of our "benefactors" is becoming more mainstream. The following have been on the books for a long time just waiting for the appropriate timing:

*

Executive Order #10995: Seizure of all communications media in the United States.

*

Executive Order #10997: Seizure of all electric power fuels and minerals, public and private.

*

Executive Order #10999: Seizure of all means of transportation, including personal cars, trucks or vehicles of any kind and total control of highways, seaports and waterways.

*

Executive Order #11000: Seizure of all American people for work forces under federal supervision including the splitting of families if the government finds it necessary.

*

Executive Order #11001: Seizure of all health, education and welfare facilities, public and private.

*

Executive Order #11002: Empowered the postmaster general to register all men, women and children in the U.S.

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Executive Order #11003: Seizure of all airports and aircraft.

*

Executive Order #11004: Seizure of all housing and finance authorities to establish Forced Relocation Designated areas to be abandoned as "unsafe."

*

Executive Order #11005: Seizure of all railroads, inland waterways and storage facilities, public and private.

*

Executive Order #12919: Signs June 3, 1994, by President Clinton. Encompasses all the above executive orders.
 

JPD

Inactive
WHO puts Tamiflu maker on alert to ready global stockpile

http://www.thejakartapost.com/detaillgen.asp?fileid=20060527150520&irec=3

KUBU SIMBELANG, North Sumatra (AP): The World Health Organization has for the first time asked the maker of the anti-bird flu drug Tamiflu to ready the global stockpile after human-to-human transmission was suspected in a family cluster in Indonesia, aWHO official said Saturday.

The WHO in Jakarta received word from the Indonesian Health Ministry on Monday of possible human-to-human spread of the virus in a village in North Sumatra.

That led to the global health organization, headquartered in Geneva putting Swiss drug maker Roche Holding AG on alert, said Jules Pieters, director of WHO's rapid response and containmentgroup in Geneva.

Six of the seven family members who caught bird flu have died, the most recent on Monday. An eighth family member who died was buried before tests could be done, but she was considered to be among those infected with bird flu.

The deaths in the family cluster were the largest ever reported. The WHO has stressed the virus has not mutated into a version easily passed between people or shown any sign of spreading outside the family - all blood relatives who had very close contact with each other.

Tests for the H5N1 virus in birds in the village of Kubu Sembelang have all come back negative, baffling experts. So far, most human cases have been traced to contact with infected poultry. But there is evidence of isolated cases of limited transmission between people in very close contact with each other.

Scientists are unsure how this has occurred, but they have theorized that the virus may pass from one person to another through droplets sneezed or coughed by humans into the air or food, onto surfaces or in some combination.

It has been suggested that some people may have a genetic susceptibility to the disease. In all four family clusters recorded so far, only direct blood relatives - not spouses - have caught bird flu. (**)
 

JPD

Inactive
Global bird-flu warning system to be set up

http://icwales.icnetwork.co.uk/0100...lu-warning-system-to-be-set-up-name_page.html

May 27 2006

icWales

The 192-nation World Health Assembly agreed yesterday to speed up preparations for a possible bird flu pandemic by allowing member nations to establish a global warning system a year early.

Meanwhile, preliminary tests have identified two new fatal cases of bird flu in Indonesia, and officials are investigating a separate case involving the largest family cluster ever reported.

World Health Organisation officials so far have confirmed 33 human deaths from bird flu in Indonesia, out of 124 worldwide.

In Geneva, the chief decision-making body for WHO approved without debate a resolution allowing countries to immediately introduce a fast reporting system to guard against the start of a possible flu pandemic.

The bird flu warning system had been scheduled to start on June 15, 2007. But the resolution said countries could formally introduce it immediately because there is a serious risk to human health, including the possible emergence of a pandemic virus, arising from ongoing outbreaks in poultry of highly pathogenic avian influenza.

The decision came as health officials probed a second family cluster in Indonesias northern Sumatra, in which at least six of seven family members died of bird flu, the most recent on Monday. An eighth family member who died was buried before tests could be done, but she was also considered to be among those infected with the virus.

WHO officials have not been able to link the family members to contact with infected birds, and have said its possible that limited human-to-human transmission may have occurred. Similar isolated cases of transmission among humans is believed to have occurred in four or five other family clusters, said WHO spokesman Dick Thompson. The Indonesia case would be the largest ever reported.

WHO stressed that the virus has not mutated in any way and has shown no signs of spreading outside the family  all blood relatives who had very close contact with each other.

Experts fear the H5N1 bird flu virus will eventually mutate into a form that spreads easily among people, possibly sparking a pandemic.

A team of international health experts and villagers is closely monitoring the area where the family in the large cluster lived in northern Sumatra to ensure no one else experiences flu-like symptoms.

About 30 people in the village of Kubu Simbelang have been asked to stay inside their homes and avoid close contact with others as a precautionary measure, Thompson said.

Experts also are exploring whether the first woman who became ill in the family may have had contact with sick or dead chickens. She worked at a market where chickens were sold and may have used chicken faeces as a garden fertiliser, WHO officials have said.

A special task force will be established to help slaughter birds in the affected area and carry out poultry vaccinations, said Aburizal Bakrie, co-ordinating minister for peopleswelfare. Bakrie said anyone who hinders or resists efforts to control the bird flu virus could be jailed for up to one year.

The announcement came after villagers in Sumatra refused to cooperate with health officials, many of them blaming black magic for the deaths.
 

JPD

Inactive
H5N1 Bird Flu Onset Dates Confirm Human Transmission

http://www.recombinomics.com/News/05270601/H5N1_Onset_Dates.html

H5N1 Bird Flu Onset Dates Confirm Human Transmission

Recombinomics Commentary
May 25, 2006

Fuelling the suspicion hanging over person-to-person transmission is the unusually long time lag of 15 days between the first and the last person in the cluster falling ill.

The incubation period for the H5N1 is usually no more than seven days and if the family had been exposed to the same source, they would all have fallen ill at about the same time.

"You want to look at the dates of onset of the disease. If they are close together they may have had the same exposure," Thompson said.

The above comments by WHO on the importance of disease onset dates in determining to source of H5N1 bird flu are also used to identify human-to-human transmission clusters. The onset dates are the most important data point because most H5N1 infections have an incubation time of 2-5 days as indicated in the New England Journal of Medicine review of H5N1 cases, authored by physicians who are WHO consultants. The 2-5 dates contradict recent comments to the New York Times that the incubation time for H5N1 was normally 7-10 days. The shorter time explains why most of the H5N1 clusters reported since 2004 have a 5-10 day gap between the index case and other family members. Half of the gap is due to the incubation time in the newly infected patients, and half is due to the time it takes for the index case to be optimally contagious.

Because of the importance of disease onset dates, they are usually included in WHO updates. They were withheld from descriptions of the Turkey clusters involving the two largest families, who were cousins and also withheld in the Sumatra cluster. Although onset dates were given for the first and last victim, there were no dates for the other H5N1 confirmed cases.

Recently, the number of suspected human-to-human clusters acknowledged by WHO has been rising. However, the vast majority of prior clusters have the 5-10 gap in disease onset dates, indicating most are due to human-to-human transmission, since bird to human infections are very rare and two independent infections from birds are unlikely. Authors from the WHO and the CDC wrote a report on the first 15 clusters, and most had the 5-10 day gap. The report was on cluster through there first cluster in Indonesia. Subsequent clusters have shown the same pattern, and clusters are common in Indonesia.

However, WHO investigates these cases, focusing on non-human sources and if found assuming the non-human source infected all family members, instead of just the index case. Thus, the presence of infected birds in the area does not explain the time gap, which is most easily explained by human-to-human transmission.
 

JPD

Inactive
Four bird flu cases confirmed in Indonesia

http://www.smh.com.au/news/world/fo...ed-in-indonesia/2006/05/27/1148524935098.html

May 28, 2006

A WHO-recognised laboratory confirmed four bird flu cases in Indonesia, including a 10-year-old girl who died this week in Bandung city and a shuttlecock maker who is alive.

"The girl is confirmed by the WHO," said I Nyoman Kandun, director-general of communicable disease control. He added that the source of the girl's infection was likely to be sick poultry in her village in Bandung in west Java.

The laboratory in Hong Kong, whose findings are considered definitive by the global medical community, also confirmed H5N1 infection in the 18-year-old shuttlecock maker, who used to sort feathers in a factory in Surabaya in east Java.

He is alive in hospital. His condition was not known.

The third person is a 43-year-old in Jakarta who is alive, and the fourth is a 39-year-old, also from the capital, who died, although it was not immediately clear when.

Confirmation of the source of the two deaths brings the H5N1 death toll in Indonesia to 35, and the worldwide total to 126.

The girl's 18-year-old brother, who also died on Tuesday, tested positive locally for H5N1 this week, but was not considered a bird flu case by the Hong Kong laboratory.

"It's a borderline case ... It may be because of the procedure of specimen collection, handling, maybe the Hong Kong lab had problems. We had the same experience before in another case," Kandun said.

Though the brother is not classified as a H5N1 case, Kandun said he exhibited the same clinical symptoms as his sister.

Dead chickens were found in their village a few days before they fell ill and sick poultry may well have been the source of their infection, he said.

Kandun considered the case of the siblings as Indonesia's seventh human bird flu cluster since the disease found its way into chickens in the sprawling archipelago in late 2003.

Indonesia's bird flu problem captured the world's attention this month after the virus killed as many as eight members of a family in a remote village in Sumatra, one of Indonesia's largest islands in the far west.

Health experts and epidemiologists have narrowed the likely source of their infection to poultry but they say limited human-to-human transmission may also have occurred.

But the WHO says genetic analyses of virus samples from the Sumatran victims have not shown changes or traits that are known to date to allow the virus to spread efficiently among people - a necessary precursor to the start of a pandemic.

Some who died later had taken care of those who fell sick earlier and may have been infected during close and prolonged contact.

Kandun said victims in every one of the seven clusters were blood relatives - which gives credence to a theory that people who are infected by the H5N1 are genetically predisposed to it due to a unique make-up of their respiratory tracts.

"Maybe they have genetic susceptibility," he said.

Another observation that backs up the theory is that spouses were never infected even though they had close contact with the Sumatran victims.

"If you look at two wives in the family, they were very close to the sick members and they are not sick," Kandun said.

"If efficient human-to-human transmission was happening, nurses and other contact persons must be sick."

Meanwhile, WHO announced that for the first time it had asked the maker of the anti-bird flu drug Tamiflu to ready the global stockpile, after human-to-human transmission was suspected in Indonesia.

"We have no intention of shipping that stockpile," said Dick Thompson, WHO spokesman. "We see this as a practice run."

WHO in Jakarta received word from the Indonesian health ministry on Monday about a human cluster in Kubu Simbelang village in North Sumatra. That led to the global health organisation, headquartered in Geneva, putting Swiss drug maker Roche on alert, said Jules Pieters, director of WHO's rapid response and containment group in Geneva.

"We were quite keen to inform Roche quite timely," Pieters said.

He said a precautionary 9,500 treatment doses of Tamiflu along with protective gear was flown into Indonesia on Friday. It took about 72 hours to arrive.
 

geoffs

Veteran Member
Iran rejects reports of human bird flu cases :shk:

Sat. 27 May 2006
TEHRAN, May 27 (Reuters) - Iran's Health Ministry said on Saturday the country had no human cases of the deadly H5N1 bird flu virus, dismissing statements by a medical official and lawmaker that early tests showed a third person had died of it.

A senior medical official told Reuters on condition of anonymity that preliminary tests in the northwestern city of Kermanshah showed a 30-year-old man died on Wednesday morning from H5N1 bird flu.

He said this would be the third death after a 41-year-old man and his 26-year-old sister were also shown by preliminary tests to have died of bird flu in Kermanshah, which lies some 100 km (60 miles) from the Iraqi border.

Kermanshah's parliamentarian Jahanbakhsh Amini was quoted by the Etemad-e Melli newspaper as saying: "Preliminary tests on three members of a family who died in a suspicious manner in Kermanshah were positive."

However, Amini told Reuters these samples were then sent to Tehran where laboratories reported they were negative.

The Health Ministry said no "credible" tests had delivered a positive result on H5N1.

"The Health Ministry denies any news of bird flu cases in Kermanshah," it said in a statement.

Amini said samples would have to be sent abroad for checks by the World Health Organisation (WHO) to end the confusion.

The WHO said on Thursday it had asked Iran for details on the tests run on two dead pneumonia patients that the government said were negative for H5N1.

However, Iranian officials said it was untrue that the WHO was seeking more details.

Iran's neighbours Turkey, Iraq and Azerbaijan have all reported deaths from the H5N1 virus in recent months but Tehran says it has so far found no human cases.

"Although in the initial phases one of the diagnoses was bird flu, we could not spread terror among the people by saying it was 100 percent certain that it was bird flu," Amini said.

The medical official said Roche AG's Tamiflu bird flu treatment was being given to all staff at the hospital where the three died.

If confirmed in western Iran, human H5N1 would come as a big blow.

Iran's poultry industry employs 600,000 people directly but the Union of Chicken Meat Farmers says as many as three million people are dependent on the fowl trade. A commercial cull would be devastating.

Iran's provinces along the Turkish and Iraqi borders are already simmering with social and ethnic discontent from minorities such as the Arabs, Kurds and Azeris.

Iran first reported H5N1 in February, when the virus was found in wild swans.

The H5N1 virus remains mainly a virus of birds, but experts fear it could change into a form easily transmitted from person to person and sweep the world, killing millions within weeks or months.

http://www.iranfocus.com/modules/news/article.php?storyid=7371
 

Hiding Bear

Inactive
This story is similar to the Tamiflu story above. On a side note, it seems that today's earthquake will only worsen the spread of bird flu.

WHO Puts Roche on Alert
For Tamiflu Stockpile

Associated Press
May 27, 2006 12:27 p.m.

KUBU SIMBELANG, Indonesia -- The World Health Organization put the maker of the global stockpile of the anti-bird flu drug Tamiflu on alert for the first time after human-to-human transmission was suspected in Indonesia, officials said Saturday.

The organization said that a precautionary 9,500 treatment doses from a separate WHO reserve, along with protective gear, were flown into Indonesia on Friday, but the shipment was not expected to be followed by movement of the global stockpile.

"We have no intention of shipping that stockpile," WHO spokesman Dick Thompson said.

An Indonesian health official, meanwhile, said tests had confirmed five more cases of bird flu, three of them fatal.

One of those cases was of a 32-year-old man who on Monday became the last fatality in a human cluster in Kubu Simbelang, a village of about 1,500 people in North Sumatra.

No health workers could be seen Saturday in the village, where dozens of chickens and geese ran among houses and through backyards framed by high mountains and surrounded by rich fields of chilis, oranges and limes.

The family infected by the virus lived in three houses near the church in the Christian village.

The WHO in Jakarta received word from the Indonesian Health Ministry about the cluster on Monday. The Geneva-based organization put Swiss drug maker Roche Holding AG on alert hours later, said Jules Pieters, director of WHO's rapid response and containment group.

Roche spokesman Baschi Duerr said the stockpile, which consists of 3 million treatment courses kept in Europe and the United States, is ready to be shipped at any time to any place.

"We are in very close contact with WHO, even today, and our readiness is geared to be able to deliver," Mr. Duerr said. "We are ready to fly it wherever and whenever it's needed."

Mr. Pieters stressed the alert was part of standard operating procedure when WHO has "reasonable doubt" about a situation that could involve human-to-human transmission. He said Roche would remain on alert for approximately the next two weeks, or twice the incubation period of the last reported case.

"We were quite keen to inform Roche quite timely," Mr. Pieters said. "We knew Thursday would be a holiday in Europe and wanted to make sure Roche warehouses would be open."

The shipment from the separate WHO reserve likely would be handed over to the Indonesian government, which would then decide how to use it, WHO spokeswoman Maria Cheng said.

On Saturday, Nyoman Kandun, a director general at Indonesia's health ministry, said a WHO laboratory in Hong Kong has confirmed five more cases of human bird flu, three of which were fatal.

All five had earlier tested positive for the H5N1 virus in a local laboratory. Bird flu has now infected 48 people in Indonesia, and 36 of them have died.

Indonesia's number of human bird flu cases has jumped rapidly this year, but public awareness of the disease remains low and government commitment has not equaled that of other countries. Indonesia's reaction has raised concerns it is moving slowly and ineffectively in containing the disease.

Vietnam, the country hardest-hit by bird flu, has been hailed for controlling the virus through strong political will and mass poultry vaccination campaigns. No human cases have been reported there since November.

Indonesia, a sprawling nation of 17,000 islands, has refused to carry out mass slaughters of poultry in all infected areas _ one of the U.N. Food and Agriculture Organization's most basic containment guidelines _ saying it cannot afford to compensate farmers. And bio-security measures are virtually nonexistent in the densely populated countryside, home to hundreds of millions of backyard chickens.

Bird flu has killed 124 people worldwide since the virus began ravaging Asian poultry stocks in late 2003.

The latest confirmed deaths were a 39-year-old man from Jakarta, a 10-year-old girl from West Java and the 32-year-old man in the North Sumatra cluster.

He was among six members of an extended Indonesian family who caught bird flu and died. Another family member who died was buried before tests could be done, but she was considered to be among those infected with bird flu.

Health experts have been unable to link the family members to infected birds, leading them to believe the virus may have passed among them. None of the poultry in the village have tested positive for the virus.

But health officials have struggled to gather information or take blood samples from villagers, many of whom believe black magic is responsible for their neighbors' deaths.

The WHO has stressed the virus has not mutated into a version easily passed between people, which would trigger a potential deadly pandemic, or shown any sign of spreading outside the family _ all blood relatives who had very close contact with each other.

So far, the virus remains hard for people to catch and most human cases have been linked to contact with infected birds.

The organization has said that limited human-to-human transmission is believed to have occurred in about four previous clusters. It was not immediately clear why WHO had not ordered previous alerts for the global stockpile.

But the most recent and largest human cluster comes after the organization developed important new protocols for mobilizing reserves of the drug.

Copyright © 2006 Associated Press

http://online.wsj.com/article/SB114874326341665158.html?mod=home_whats_news_us
 

PCViking

Lutefisk Survivor
Memories of 1918 flu pandemic haunt 21st century By Toni Reinhold

Sat May 27, 1:46 PM ET

As health agencies worldwide scramble to stop bird flu from becoming a pandemic that could claim millions of lives, memories of the murderous flu that swept the globe almost 100 years ago haunt the 21st century, passed on from generation to generation, or, in my case, from grandmother to granddaughter.

My grandmother lived through the Great War, the Roaring Twenties, the Great Depression, World War Two, the cultural revolution of the '60s and three decades beyond.

There was little that could threaten her nerve but until the day she died, Marie Starace was afraid of two things. One was lightning. The other was "The Grip" -- the deadly flu that wreaked havoc on the Brooklyn, New York, neighborhood where she was born and raised.

So vivid were her memories of the influenza pandemic of 1918-19 that whenever she saw us with open coats and throats exposed to the cold, she would gravely warn: "Button up or you'll get the grip." When I was a teenager -- about 50 years after the horrible episode -- I had the sense to ask what this dreaded "grip" was.

"It was a terrible thing. So many people died from the grip when I was a little girl that it seemed like every family lost someone," my grandmother told me.

"It was heartbreaking to see mothers crying for their children. Some of them lost two and three children. I'll never forget one woman crying in my mother's arms because she lost her children and her husband."

"People didn't want to say when someone in their house was sick because the place would be quarantined and no one could get out to work," Granna recalled.

"Some people went out in the middle of the night to get the undertaker because they didn't want it to get around that someone in their house had died from the flu. They were afraid of being reported to the Health Department and quarantined."

'SPANISH FLU'

The flu that killed an estimated 20 million to 100 million people worldwide was known in the United States as the Spanish flu or "La Grippe" because it ravaged Spain early on.

Studies show that it was caused by an avian flu virus -- the H1N1 strain -- that could be passed from human to human. The fear today is that the current H5N1 strain of bird flu could mutate and do the same.

In 1918, word of the illness in Europe was carried to Brooklyn's shores by troops returning from the battlefields of World War One and seamen who helped breathe life into New York City's ports. It was suspected that some of them carried the flu as well.

My grandmother lived on Van Brunt Street in an area of Brooklyn known as Red Hook. Folks on Van Brunt called their patch Erie Basin for the water basin that was a port to ships from around the world. My great-grandfather, Salvator Starace, earned a living there as a longshoreman and ship's pilot.

Erie Basin bustled with hard-living, hard-working families, many of them European immigrants and their children.

Granna had her ninth birthday on November 11, 1918 -- the day peace was declared in "the war to end all wars" -- and she hiked to an armory with throngs of Brooklynites to mark the day. It was a long walk from the docks but for a precocious youngster it was part of the thrilling and gritty life of early 20th century Brooklyn.

"There was a big parade. I marched alongside the soldiers and one of them gave me a nickel. People were crying because the war was over," she recalled.

An ocean of tears would be shed in the months that followed as the country returned to mourning -- this time for victims of The Grip.

SOUP FOR THE SICK

"Momma would make soup and bring it to the sick," Granna told me. "A lot of them were very poor and the war didn't help. We didn't have so much but she did the best she could."

As the flu spread, my great-grandmother, Antonia, had to take greater care lest she bring it home to her children. "It got so bad that momma had to leave the soup at people's front doors," she said.

The Grip caused high fevers, headaches, coughing, pain, and a pneumonia so virulent that it left people struggling for breath until they suffocated. Death came quickly by many accounts.

"They had a hacking cough and raging fevers,"
Granna said. "But they couldn't go to hospitals even if they wanted to because they were filled up. And they died so fast."

By many accounts, hospital staffs were severely depleted as doctors and nurses succumbed to the flu. "Men who had been medics in the Army tried to help the sick. But there was no place to put them,"
Granna said.

Children skipped rope to the rhyme "I had a little bird, Its name was Enza. I opened the window and in-flu-enza." Meanwhile, evidence of the scourge around them mounted.

The city handed out gauze masks to stem the spread of the flu. In Erie Basin, "People tied handkerchiefs and scarves around their faces to protect themselves when they went outside," Granna recalled.

"It seemed like there was a black wreath on almost every door," my grandmother said of the markers of loss. "So many people died that they ran out of space for the dead. Bodies were put on ice inside horse-drawn trucks that came around to pick up the dead. There were hardly any funerals. I don't know how they could have had that many funerals. And besides, people were afraid to go to church."

ONLY MINUTES FOR FUNERALS

By a number of accounts, bodies piled up as morgues ran out of space and the supply of coffins dwindled. At a time when wakes for the dead were often held at home, funerals were restricted to only minutes to limit people's exposure to each other.

Potters Field, a burial ground for the poor and anonymous on Hart Island in New York City, became a resting place for some of Erie Basin's dead because their families couldn't afford cemetery plots, my grandmother said.

"No one really knew what to do. No one knew how to treat it. What could anyone do? You couldn't stop living," Granna said.

In 1918, 4,514 people in Brooklyn died from influenza from a population of 1,798,513, according to almanacs published in 1918 and 1920 by the Brooklyn Daily Eagle newspaper. Thousands more had been infected but survived.

Over the years, I spent many hours with my grandmother talking about the past and her memories of The Grip were consistent. I walked the streets of Erie Basin with her when I was a little girl, visiting her father who lived on Van Brunt street until he died in the 1960s. My great-grandmother died in the 1970s. Granna died in 1996.

But as I read the stories about the spread of bird flu today and six members of a family in north Sumatra dying from the H5N1 virus in eight days, I hear Granna's voice warning: "Button up or you'll get The Grip."

http://news.yahoo.com/s/nm/20060527/hl_nm/birdflu1918_dc

:vik:
 
=




<B><center> May 27, 2006
<font size=+1 color=purple>Bird flu outbreaks multiply in Romania </font>

<A href="http://english.peopledaily.com.cn/200605/27/eng20060527_268984.html">english.peopledaily.com.cn</a></center>
The number and rate of Bird flu outbreaks have increased significantly in Romania, with a total of 75 to date, the Rompres reported on Friday.

The bird flu virus has been confirmed in 75 locations from 12 counties including the capital city of Bucharest, with a further 35 suspected outbreak locations. </b>

Most of the outbreaks have been in the county of Brasov, some 170 km north of the capital city of Bucharest.

The Romanian government is worried about the rapid spread of the virus and is taking measures to control the situation.

The first bird flu case in Romania was detected in the Danube delta last October. Since then, the epidemic has spread to more regions of the country.

No cases of human infection have been reported in the country so far.

Source: Xinhua
 

Fuzzychick

Membership Revoked
My grandmother, God rest her soul, recalled la GRIPPE...yep, alot of french blood....her mother, my great grandmother and her both recalled the stories when I was a kid...they passed on alot of horror stories and how many triumphed against this virulent bug. This isn't going to be pretty...
 

PCViking

Lutefisk Survivor
Churches invited to attend bird flu program
By Staff
May 26, 2006 - 10:46:14 pm PDT

Local churches are invited to send teams to a presentation about how faith communities can deal with avian flu.

Beth Vaughn of the Cowlitz County Health Department will discuss the world avian flu situation during a presentation from 4 to 5:30 p.m. June 7 at the Lower Columbia College Student Center.

Church leader teams with a maximum of four people are encouraged to come and learn what congregational changes they may have to address in case of an outbreak.


Information presented is designed to dispel rumors and anxiety. Topics will include "Safety in Pastoral Visits," "Shared Ministries Between Denominations" and "Staying Responsibly Informed Amidst Anxious Newscasts."

The event is co-sponsored by St. Stephen's Episcopal Church.

http://www.tdn.com/articles/2006/05/27/this_day/news03.txt

:vik:
 

JPD

Inactive
Romanian leader orders creation of bird flu centre amid rise in outbreaks

http://www.canada.com/topics/news/world/story.html?id=7faa5dd2-348e-4e6a-a8db-f664601859de&k=40389

Canadian Press
Published: Saturday, May 27, 2006

BUCHAREST, Romania (AP) - Romanian Prime Minister Calin Popescu Tariceanu ordered the creation of a national centre Saturday to co-ordinate the handling of bird flu as the number of outbreaks of the deadly H5N1 strain continued to climb.

The centre will be called the National Centre to Co-ordinate Bird Flu and will be run by specialists from the finance, interior, environment, health and transportation ministries and public health authorities, Tariceanu said after meeting with experts.

Romanian authorities reported cases of H5N1 in 83 communities in recent weeks after farms in the central town Codlea illegally sold live poultry to small farmers in nearby areas, facilitating the spread of the lethal virus.

Most outbreaks of H5N1 were confirmed near Codlea but some occurred on the edges of the capital Bucharest. No human cases of H5N1 have been reported.

One million birds had been culled in recent weeks, of which more than one-half were from industrial farms in Codlea, said a spokesman for the Agriculture Ministry, Adrian Tibu. He said authorities had finished bird culling in 79 of the communities where H5N1 outbreaks had been reported.

On Friday, the government banned the transport of live birds and ordered fines for farmers who fail to keep birds in their yards. Authorities said they would inspect all large poultry farms to ensure strict bio-security measures are being enforced.

Romania had its first cases of H5N1 in October. In mid-May, the virus was confirmed at two large-scale industrial farms in Codlea. More than 600,000 birds were culled at the two farms and authorities also culled domestic fowl in subsequent outbreaks.

Twenty people, including the Codlea farms' owners and a local vet, are being investigated on suspicion of spreading animal diseases.

One farm buried thousands of dead turkeys to conceal its H5N1 infections, said Gabriel Predoi, head of the National Agency for Animal Health.
 

PCViking

Lutefisk Survivor
Bird Flu Outbreaks in Romania Reach 83

28 May 2006 | 10:11 | FOCUS News Agency

Bucharest. Bird flu has been confirmed in 83 towns and villages in Romania and the number of suspected outbreaks is 23, the National Veterinary-Medical Service in Bucharest announced. Eight more bird flu outbreaks have been registered since Friday. The number of suspected outbreaks of the disease has decreased from 35 to 23.

A statement of National Veterinary-Medical Service published on the Internet says that after a 10-day strict observation, the disease has not been confirmed in the farms in a few villages, which bought poultry from other farms, where bird flu had broken out. Those villages dropped off the list of suspected outbreaks.

The biggest number of bird flu outbreaks was registered in Brasov Country, followed by Prahova (19 outbreaks) and Bakau (11 outbreaks). There are seven outbreaks in Vranca Country, two in Bazau, Sibiu, Mures and Bucharest. The counties Covasna, Arges, Neamtz, Alba and Ilfov have one bird flu outbreak each.

http://www.focus-fen.net/index.php?catid=126&newsid=89210&ch=0&datte=2006-05-28

:vik:
 

Senses On

Inactive
Uh, this is such ooolddd news in the grand ole US of A.

Go to your city or town hall and get a copy of your local Emergency Management Ordinance. Then get copies of your state's Emergency Management Statutes.

These were all slammed through a decade or more ago. Guess what? You don't get any of that "free gummint money" from FEMA for "emergency management" unless you have signed away the rights of your neighbors.

I suspect bird flu will mysteriously "jump" to humans in New Hampshire. The state took a whole bunch of "free gummint money" to prepare -- sort of like to create a "model" for other states to follow. This has been big on the NH TV station (yeah, that's ONE -- the others are too small to mention). They've run "drills" for vaccinating people and are doing all kinds of "outreach" to "local communities" through "regional health networks," etc.

NH will also be accepting $3 million in "free government money" to buy and install new computers/systems for drivers' licenses to become "REAL ID." (That's a federal government identification tag folks -- not a licensing document. And that "tag" is as yet, undetermined. It can be a biochip, fingerprint or whatever "they" decide is in the best interests of society.) The majority REPUBLICAN legislature bent over along party lines in unison on that one. (That one could also be the line in the sand for many New Hampshirites. We won't know until "renewal" cycles begin.) This the "Live Free or Die" state, and the state chosen by the Free State Project. I suspect the latter may be the reason for the feds sudden intersest in clamping chains on NH citizens in a big hurry.
 

Beetree

Veteran Member
JPD said:
Global bird-flu warning system to be set up

http://icwales.icnetwork.co.uk/0100...lu-warning-system-to-be-set-up-name_page.html

May 27 2006

icWales
snip
Experts also are exploring whether the first woman who became ill in the family may have had contact with sick or dead chickens. She worked at a market where chickens were sold and may have used chicken faeces as a garden fertiliser, WHO officials have said.
snip

This can be a warning to all of us to be sure and CLEAN any fruits and veggies we buy at the grocery store. There is no telling where they are imported from.
 

New Freedom

Veteran Member
I am beginning to think that it will be very important for us to listen to the scientists and experts on H5N1 ..... I think that WHO is a POLITICAL MACHINE and we will only get a half truths from them......they have an agenda, while hearing from scientists and biologists ...we may get a better picture of what is really going on..... I think there is danger in listening only to TPTB.

This article from US NEWS & WORLD REPORT, has some good quotes from some very reputable experts........



http://www.usnews.com/usnews/health/articles/060605/5bird.htm


A World of Worry
Disease experts scramble to find out how bird flu infected an Indonesian family

By Nancy Shute

6/5/06

The 37-year-old woman in Kubu Sembelang, a village in North Sumatra, felt sick, but she hosted the family barbecue anyway. Six days later, on May 4, she died. Within a few days, seven other relatives succumbed to the mysterious contagion, including two of her sons and a brother, all of whom slept in the same room as the woman the night of the party. By last week, six had died.t

Those were the bare facts at hand last week, as disease detectives raced to Indonesia to investigate the largest and most frightening avian influenza outbreak yet. It is the first time that the deadly H5N1 virus is thought to have jumped from one person to a second, and then to a third, sparking fears that the bug had mutated into a form that spreads easily among humans. That's all it takes to touch off a flu pandemic that could kill millions.

Bird flu had faded from most people's worry list in recent weeks. The spread of the virus into birds in Europe and Africa over the winter hadn't caused human cases there, and Vietnam and Thailand, two hot spots last year, have reported no human deaths this year. When the Indonesian deaths hit the news, overseas markets twitched and bird flu became Topic A at the water cooler again. The jitters accelerated midweek when Romanian officials quarantined more than 14,000 people in Bucharest, closing businesses and blocking streets with fences after discovering chickens infected with bird flu. Officials backed off after residents complained that they were stranded with no food or other supplies, and international health officials said that quarantine was not justified.

By week's end, with no new cases, it looked as if the world had dodged the bullet--for now. "So far, it seems that the infections are limited to a single family," says Dick Thompson, a spokesman with the World Health Organization's team in Indonesia, "but we won't know their status for a couple of weeks." Investigators are monitoring 54 people who had contact with the victims; they have been asked to "self-quarantine" by staying home and avoiding contact. Of those, 39 are on Tamiflu, an antiviral drug effective against H5N1. The rest are pregnant women, breastfeeding mothers, and children.

The big fear is that a cluster of cases with increased human-to-human transmission signals that the virus has changed in ways that enhance its ability to spread among the human population. WHO officials say that doesn't appear to have happened. The organization reported last week that it found "no evidence of genetic reassortment with human or pig influenza viruses and no evidence of significant mutations."

Since 1997, millions of birds have been infected by H5N1, but there are just 218 known human cases. In most instances, relatives and healthcare workers close to those infected didn't get sick. But in a handful of earlier incidents, it did appear that relatives and caregivers were directly infected. Figuring that out is educated guesswork. Epidemiologists have to find out when people fell ill, extrapolate from that when they became infected, and then investigate to see if they were near infected people or poultry during that time. Because the Indonesian family wasn't around poultry, scientists think these cases provide the first clear evidence of H5N1 sweeping through a chain of people. But it's unclear how the first woman became infected or how the virus infects people. I might be spread through food, coughing, feces, infected surfaces, or a combination of those. There may also be a genetic susceptibility, since blood relations seem to be affected more than in-laws.


Puzzle. Indeed, much about H5N1 remains a mystery. Scientists have long been puzzled by the fact that the unusually virulent virus, which has killed millions of birds, rarely infects humans. Earlier this year, researchers discovered that H5N1 isn't equipped to infect humans' upper respiratory tract, as colds and the seasonal flu do. Rather, it infects cells deep in the lungs, making it harder to spread.

Still, infectious disease experts are spooked by the fact that the bug has defied all efforts to eradicate it. Rigorous culling of birds and sanitation measures have extinguished past outbreaks of bird flu. "This thing is not going away," says Donald Low, head of microbiology at Mount Sinai Hospital in Toronto, who led efforts to fight the SARS epidemic there in 2003. "This is unprecedented."

The discouraging news comes after a seeming run of good luck. No human cases of H5N1 have been reported in Europe, though the virus spread to birds there over the past six months. And Vietnam, which reported the most human bird flu cases last year, has had considerable success controlling the virus. Last year, it reported 61 cases of bird flu in humans and 19 deaths. This year, it has reported no new cases.

Then came Indonesia. So far this year, 22 people have died of bird flu there, almost half of the cases worldwide. Two of those people died last week in West Java, Indonesian officials reported. It appears there is no link between their deaths and the northern Sumatra cases. Infectious disease experts say the Indonesian government has been less vigilant than other countries in educating local health workers, culling infected poultry, and quickly isolating human cases. In the Sumatra cases, a man who fell ill after he nursed his son refused treatment and fled before he died, increasing the risk that others would be infected. Experts also say that the country's poultry vaccination program may actually help spread the disease because vaccinated birds could harbor the virus and not fall ill.

Vigilance. Scientists expect more such outbreaks. "The hope is that you can get in there and contain it and reduce the risk of letting this virus learn how to become more humanized," says Low. That, he says, is what happened with SARS. But that requires vigilance worldwide and a quick response to contain outbreaks, a daunting task. Late last week, the WHO's assembly voted to launch a global fast-reporting system immediately. But few countries can provide that level of surveillance. The woman who hosted the barbecue was dead and buried before anyone realized that bird flu was raging in the family, and local residents resisted efforts by federal officials to investigate.

All of this hand-wringing about whether or not it's a pandemic is a distraction, says Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota. "We are woefully unprepared." The world lacks a pandemic flu vaccine, hospitals in the United States have enough oxygen to treat patients for only two or three days, and the global community hasn't figured out how people will get food, water, and medical supplies during a pandemic that could disrupt economies for months. A report from the University of Pittsburgh's Center for Biosecurity says it would cost the average hospital $1 million to gear up, not counting buying more ventilators and antiviral drugs. Says Osterholm: "We're nibbling at the edges of the things we need to do."
 

PCViking

Lutefisk Survivor
Bird flu medicine prepared to ship to Indonesia

By Margie Mason
The Associated Press
Published: Sunday, May 28, 2006

KUBU SIMBELANG, Indonesia - The biggest case yet of humans infecting others with bird flu prompted the World Health Organization to put the maker of the anti-viral drug Tamiflu on alert for possible shipment of the global stockpile for the first time, officials said Saturday.

No further action on the emergency supply was expected for now, according to the U.N. health agency, which called the alert standard operating procedure when a case arises like that in Indonesia.

``We have no intention of shipping that stockpile,'' WHO spokesman Dick Thompson cautioned. ``We see this as a practice run.''

Meanwhile, Indonesia confirmed three more bird flu deaths as the country grapples with a spike in human cases. Bird flu is known to have infected 48 people in Indonesia, with 36 deaths - second highest after Vietnam's 42 deaths.

A precautionary 9,500 treatment doses of Tamiflu from a separate WHO stockpile, along with protective gear, were flown to Indonesia on Friday. The tablets will likely be given to the Indonesian government, WHO spokeswoman Maria Cheng said in Geneva.

Officials revealed the stockpile alert came last Monday as experts puzzled over why six Indonesians from a family in a North Sumatra village died after being infected by the H5N1 virus. A seventh was buried before tests could be done.

Despite the cluster of deaths, the virus has not mutated into a form easily passed among humans, experts said. Scientists have seen examples of bird flu passing between family members in a handful of smaller cases.

``If this virus had evolved into a form that is more easily passed between people, you would have seen some other cases (outside the family) by now,'' Cheng said. ``The virus hasn't passed beyond the family.''

No health workers could be seen Saturday in the family's village of Kubu Simbelang, where dozens of chickens ran among houses and through backyards framed by high mountains and surrounded by rich fields of chilis, oranges and limes.

Indonesia's number of human bird flu cases has jumped this year, but public awareness of the disease remains low and government efforts have not equaled that of other countries.

Indonesia's reaction has raised concerns it is moving slowly and ineffectively in containing the disease.

Vietnam, the country hit hardest by bird flu, has been hailed for controlling the virus through mass poultry vaccination, among other measures. No human cases have been reported there since November.

Indonesia, a sprawling nation of 17,000 islands, has refused to carry out mass slaughters of poultry in all infected areas - a basic containment guideline - saying it cannot afford to compensate farmers. And bio-security measures are virtually nonexistent in the densely populated countryside, with its hundreds of millions of backyard chickens.

http://www.registerguard.com/news/2006/05/28/a13.int.flu.0528.p1.php?section=nation_world

:vik:
 

Fuzzychick

Membership Revoked
Good article Dutch, NH is preparing ahead of the curve big time. Those of us in the healthcare profession received our friendly letters asking us if we wanna play when TSHTF back in October.



The Flying Dutchman said:
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<B><font size=+1 color=green><center>Preparedness for killer flu urged</font>

By KATHRYN MARCHOCKI
Union Leader Staff
May 27 2006
<A href="http://www.unionleader.com/article.aspx?headline=Preparedness+for+killer+flu+urged&articleId=aa2f94c9-fa27-4eee-8a54-83b1069b0ec0">www.unionleader.com</a></center>
Manchester – With the world on guard against another pandemic, possibly from the H5N1 virus infecting birds, federal and state officials yesterday urged action, but not alarm.

“It’s a time for us to be inspiring preparedness, but not panic,” U.S. Health and Human Services Secretary Michael Leavitt told the more than 200 health and safety experts, lawmakers and community leaders at the state’s pandemic planning summit hosted by Gov. John Lynch. </b>

Leavitt acknowledged many people question whether concern about the deadly bird flu triggering the next pandemic is just “Y2K all over again.

“Is this the little boy who cried wolf? May I say, I hope so,” said the former three-term governor of Utah.

But pandemics have been a biological fact of life throughout human history and another is inevitable, even if the culprit turns out to be something other than the H5N1 virus infecting wild fowl and poultry, he said.

And Leavitt said the nation is not as prepared as it should be to cope with the social and economic upheaval and surge in demand for health care the next pandemic would bring.

He warned against relying solely on federal and state governments to battle the next global killer flu given their limited resources.

Rather, this is a war that will be won by foot soldiers in the field — individual families, cities and towns, local businesses and schools — whose preparations now will be crucial to beating back, or at least containing, an outbreak, state and federal officials said.

“Any community that fails to prepare with the expectation or the illusion that the federal government or, for that matter, the state government, can come to their rescue. . . will be sadly mistaken,” Leavitt said.

Health officials advised residents to stockpile non-perishable foods, prescription medications and drinking water and plan for child care, given schools will be closed for weeks. More suggestions may be found at pandemicflu.gov.

There have been three pandemics in the last century, the most serious of which was the Spanish Flu of 1918-1919, which killed nearly 40 million people worldwide, said Admiral John O. Agwunobi, assistant secretary for health at the U.S. Department of Health and Human Services.

The avian flu’s strong genetic and clinical similarities to the Spanish Flu make it especially worrisome, he said.

Still, the H5N1 virus has not proven itself capable of sustained, efficient human-to-human transmission that would classify it as a pandemic, Agwunobi said.

Agwunobi said it’s “entirely likely” a bird infected with H5N1 will make it to U.S. shores.

“But that wouldn’t mean we are any closer to a pandemic,” he said. “For pandemic to occur, it’s about humans, not birds.”

Gov. Lynch stressed the need for all state agencies to be prepared for a possible pandemic.

“It is clear to me . . . that an unconstrained outbreak would be a catastrophe,” he said.

New Hampshire was the first state in the country to conduct statewide pandemic preparedness drills, has a comprehensive response plan, trained emergency responders, and now is working to ensure local communities and the region have their own plans in place, he said.

Lynch said he already spoke with Massachusetts Gov. Mitt Romney and Vermont Gov. Jim Douglas about expanding drills to include the region, noting the pressure a surge of out-of-state residents fleeing to New Hampshire would place on the state.

“If there is a surge coming out of Massachusetts, we need to be prepared for it,” the governor said.

Leavitt identified schools, businesses and hospitals as weak points in the emergency planning process.

State Health and Human Services Commissioner John Stephen said the state’s schools have emergency plans as part of the “all-hazards” approach that encompasses anything from a hurricane to a terrorist attack.

But Stephen acknowledged there is a need for businesses — particularly small- and medium-sized companies — to plan better.

Stephen said the state recently got $813,000 to plan for a pandemic, most of which will be distributed at the local level.
 
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