7/29-8/4 | Weekly Bird Flu Thread: "112 people from 14 provinces under watch for BF"

PCViking

Lutefisk Survivor
Thailand

112 people from 14 provinces under watch for bird flu

The Public Health Ministry has placed 112 people from 14 provinces under close medical supervision while it waits for tests to determine whether they have contracted the birdflu virus.

The ministry is waiting for the results of blood tests to confirm whether the patients have been infected with the H5N1 virus,
the ministry's permanent secretary, Dr Prat Boonyawongvirot, said on Saturday.

Most of the patients, 75, are from Pichit, while 14 are from Sukhothai and five are from Kanchanaburi. There are three patients from Nakhon Sawan and three from Suphan Buri, while Bangkok and Phetchabun are both home to two patients. Kampang Phet, Nakhon Nayok, Nakhon Pathom, Nonthaburi, Maha Sarakam and Uthai Thani all have one suspected case.

"Blood test on other patients showed that they just had the flu, not bird flu," Prat said.

The country is once again on high alert for bird flue after a teenage boy in Pichit province died from the disease. He was the first fatality in seven months.

Now 37 people in his village, including three members of his family, are being monitored. None, however, have shown any birdflu symptoms.

The Nation

http://nationmultimedia.com/2006/07/29/headlines/headlines_30009899.php

:vik:
 

JPD

Inactive
113 suspected with bird flu

http://www.bangkokpost.com/News/30Jul2006_news04.php

Test results awaited, condition 'not worrying'

The number of patients suspected to have bird flu has reached 113 across the country and all are being kept under strict surveillance, the Public Health Ministry said. The results of laboratory tests are still awaited and until then health workers cannot say for sure how many, if any, have picked up the disease.

The ministry said 75 suspected patients were in Phichit, 14 in Sukhothai, five in Kanchanaburi, three in Nakhon Sawan, three in Suphan Buri, two each in Bangkok, Phitsanulok, and Phetchabun and one each in Kamphaeng Phet, Nakhon Nayok, Nakhon Pathom, Nonthaburi, Maha Sarakham, Uthai Thani and Uttaradit.

All were under close supervision pending test results from the Department of Medical Sciences.

The ministry played down the report, however, saying the patients' condition was not worrisome.

Uttaradit was the latest province to be put on red alert after a patient was hospitalised.

The patient, an employee at Tha Pla Hospital, developed bird flu-like symptoms. The patient had close contact with fighting cocks.

Livestock Development Department deputy chief Sakchai Sriboonsue said the agency has distributed disinfectants, gloves, and face masks to anti-bird flu volunteers in Uttaradit as a precautionary measure.

During his field trip, Mr Sakchai found several villagers were not keeping domestic chickens in enclosed areas.

That posed the threat of a pandemic breaking out in the neighbourhood.

He also inspected fowl-quarantine checkpoints to keep an eye on the movement of poultry across provinces.

Public Health Ministry inspectors-general and health officials in 19 zones were urged to tighten control measures to prevent a possible spread.

Siriporn Katchana, an inspector-general in zone 3, urged all local health stations to keep monitoring patients who suffered from colds, developed irregular breathing and had come into contact with poultry.

She also encouraged the public to cooperate with health officials, and not to conceal health-related information.

Ms Siriporn said 20% of patients, mostly adults, failed to disclose such information about having close contact with fowl carcasses.

If the patients failed to do so, they run the risk of contracting the deadly disease, she said
 

JPD

Inactive
Thailand

New suspected bird flu case found in Uttaradit

http://etna.mcot.net/query.php?nid=23705

UTTARADIT, July 30 (TNA) - A hospital worker with recent direct contact with a sick bird has emerged as Thailand's latest suspected bird flu case, pending result of blood test verification on Monday, a senior official said Saturday.

News about this latest case emerged during a visit to Uttaradit, classified as one of seven high-risk areas for avian influenza in Thailand by Deputy Director-General of the Livestock Development Department Sakchai Sriboonsue.

Mr. Sakchai led a delegation to distribute equipment and inspect prevention measures regarding a possible bird flu outbreak in the provincial seat and three other districts.

Speaking to reporters afterward, Mr. Sakchai expressed concern that many villagers are still raising chickens the "traditional way" by letting them roam freely, a practice that he said could heighten the risk of bird
flu outbreaks.

The authorities are asking the villagers to abandon free-range practices and raise poultry in enclosures instead, taking special precaution to prevent themselves from contracting the disease.

During the visit, the delegation was informed by the provincial hospital that it has admitted a suspected bird flu case--an employee of the Ta Pla District Hospital.

From the medical team's inquiry the man was found to have culled a chicken that appeared to be ill without first covering his mouth and nose, and he thereafter fell ill with bird flu-like symptoms.

The hospital sent the patient's blood samples for further laboratory tests in nearby Phitsanulok province and result will be known by Monday. (TNA)-E007
 
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JPD

Inactive
Thailand intensifies inspection for bird flu outbreaks

http://english.eastday.com/eastday/...node95960/node95962/userobject1ai2214015.html

28/7/2006 10:48

Thai Agriculture and Cooperatives Minister Sudarat Keyuraphan Thursday ordered relevant agencies to intensify their examination on the avian influenza virus in the country's lower North, especially areas having previous experiences of bird flu outbreaks.

The minister issued the order after the Public Health Ministry confirmed Wednesday that a young man aged 17 who died in Phichit Province recently had been infected with the H5N1 bird flu virus after having direct contact with a dead chicken and not notifying the authorities.

The victim was the first human bird flu patient in the kingdom during the past one and a half years -- since February 2005.

Sudarat, who traveled to Phitsunulok Thursday to chair a meeting of heads of livestock and public health offices from seven provinces in the lower North, said she had ordered a thorough examination and monitoring for bird flu in all vulnerable areas previously affected by bird flu outbreaks.

In areas where poultry die from unknown causes, the living fowls remaining within a one kilometer radius must be culled and samples must be sent for lab tests.

Implementations in each location must be complete within five days from Thursday, as in the next two months there will be another risk factor of bird flu outbreak in the region -- that is an annual influx of immigrant birds, the minister said.

Meanwhile, the minister said that she had assigned a vice minister of the ministry and a head of the Livestock Department to remain in Phitsanulok to follow up the bird flu situation and give advice to livestock officials in bird flu-prone areas.
 

Seabird

Veteran Member
I wish my geography was a tad better than it is! :lol: I have no clue half the time what country the reports are from. I guess that means it's not so close to home yet, so that's good.


Thanks for keeping the fire lit with info. With everything else going on in the world, it seems that even back-burner topics can be deadly, though silent for the time being.


Seabird
 

JPD

Inactive
Five new patients suspected of having caught bird flu in Thailand

http://english.eastday.com/eastday/...node95960/node95962/userobject1ai2213998.html

Five new patients in Phitsanulok and Phichit, the Thai provinces declared bird flu red zones, are suspected to have caught the deadly H5N1 virus, local media Friday reported.

The Thai Public Health Ministry was quoted by the Bangkok Post as saying the new cases pushed the number of suspected cases to 44 nationwide, all awaiting bird flu laboratory test results.

Bunchai Theerakan, acting chief of Phitsanulok Public Health Office, said three new patients in the province were admitted to local hospitals during the past two days.

They showed symptoms similar to influenza, and all had had direct contact with chicken in areas where mass chicken deaths were reported. The hospitals were waiting for blood test results.

In Phichit, two patients, a 42-year-old woman and a four-year-old girl, fell sick after they touched dead chicken carcasses at their homes, according to the Phichit Hospital.

Mysterious mass chicken deaths have also occurred in Phichit.

Five other provinces listed among the bird flu alert zones are Sukhothai, Uttaradit, Suphan Buri, Kanchanaburi and Nakhon Pathom.
 

JPD

Inactive
Thailand

H5N1 virus detected among chicken in Nakhon Phanom

http://nationmultimedia.com/breakingnews/read.php?newsid=30009930

Some 300,000 chicken in Nakhon Phanom will be culled Sunday after the deadly H5N1 bird flu virus has been detected there, caretaker Deputy Agriculture Minister Adisorn Piengket announced.

Adisorn told a press conference in Khon Kaen Sunday that lab tests confirmed that the strain of bird flu virus was detected in some of 2,200 chicken died in the farms in Nakhon Phanom last week.

As a result, the ministry ordered the culling of 300,000 chickens in 78 farms there.

The Nation
 
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JPD

Inactive
Thailand

80 patients nationwide being monitored for bird flu

http://etna.mcot.net/query.php?nid=23718

BANGKOK, July 30 (TNA) - Thailand's Public health Ministry has named 80 patients in 19 provinces nationwide as being under close monitoring for bird flu infection, ministry permanent secretary Prat
Boonyawongvirot said on Sunday.

The patients, now under treatment at hospitals and public health care units throughout the country, include 18 in Phichit, 14 in Sukhothai, nine each in Phitsanulok and Suphanburi, seven in Nan, four in Nakhon
Sawan, three each in Phetchabun and Uttaradit, two each in Nakhon Phathom and Nonthaburi, and one each in Bangkok, Kanchanaburi, Kamphaeng Phet, Chacheongsao, Nakhon Nayok, Phathum Thani, Phrachin Buri,Lampun, and Uthai Thani.

All are awaiting the results of laboratory tests to find out whether they have caught the deadly virus or not after they developed flu-like symptoms including high fever and coughs and had records of contact
poultry which died of unknown causes, Dr. Prat said.

Dr. Phaijit Warachit, head of the Medical Science Department, Sunday visited Phichit in the north, which is currently the province worst affected by the bird flu outbreak. He went to inspect testing operations at the department's mobile laboratory unit.

More scientists and technical specialists were deployed to conduct the tests as the number of suspected bird flu patients in Phichit and nearby provinces increased, he said.

However, the doctor said so far the more than half of those tested have caught the common influenza or flu, and not the feared H5N1 virus, and that some others have been infected by other diseases.

No new bird flu cases have been found, Dr. Phaijit said, and the remaining 17 patients in the province are waiting for the test results. (TNA)-E009
 
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JPD

Inactive
Door-to-door effort turning up new bird-flu cases in Indonesia

http://www.columbusdispatch.com/health/health.php?story=dispatch/2006/07/30/20060730-A15-00.html

Sunday, July 30, 2006
Margie Mason
ASSOCIATED PRESS
Maria Dewi, left, and Wiwin Aprianti go door-to-door in Indonesian villages looking for hidden outbreaks of deadly avian flu.

CANGKURAH, Indonesia — Indonesia, the world’s latest hot spot for bird flu, appears to be taking steps at last to beat back the spread of the disease in its poultry flocks.

In just six months, teams of veterinarians marching along dusty, twisting paths in the remote villages of this sprawling country have uncovered more flu outbreaks among birds than experts had imagined.

"It’s still just the tip of the iceberg," said Jeff Mariner, an animal-health expert from Tufts University in Medford, Mass., who has been working with the effort since it began in January.

This new, but still limited, cooperation through a pilot project has somewhat heartened world health officials who have watched with dread as Indonesia’s human bird-flu cases quietly mounted while the government did little.

With 42 deaths since July 2005, Indonesia now is tied with Vietnam as the world’s hardesthit country in human avian flu deaths. However, Vietnam has had no bird-flu deaths since last year.

Indonesia’s new effort to gain control of the disease has dozens of veterinarians and other health workers doing detective work — going door-to-door to uncover hidden outbreaks in poultry flocks. They’ve found about 90 so far.

In Cangkurah, government veterinarians Wiwin Aprianti and Maria Dewi spot a telling clue: empty bird cages. Could it be a new bird-flu outbreak? The two young women start knocking on doors, asking residents if they’ve heard of poultry dying around here. Nothing.

In their tan uniforms, wearing backpacks loaded with protective gear and testing tools, they move down the street, trying again at each house.

Eventually, they hear a story that is becoming all too familiar in the country that has the most bird-flu cases reported this year.

"It started and infected other chickens — south to north — all through the village," says Zaenudin, who like many Indonesians uses one name. "During the daytime they looked healthy, but during the nighttime, the heads became very black."

A half-dozen neighbors chime in, saying the same thing happened to their birds last month. They all looked fine and then suddenly — just keeled over dead. Now, nearly everyone’s chickens are gone.

So far, Cangkurah has been lucky: No humans have fallen ill.

When it comes to sleuthing out bird flu, Aprianti, 27, and Dewi, 31, have the skills of Sherlock Holmes.

They carry out five-minute tests on sick or dead birds. If the H5N1 virus is found, they notify a response team that helps with slaughtering and vaccinating.

Eventually, hundreds of similar detectives will form community-based surveillance and response teams. The project is a cooperative one between Indonesia’s government and the U.N. Food and Agriculture Organization.

The task is mind-boggling in an archipelago that roughly stretches the width of the United States, with 220 million people and billions of backyard chickens. Health workers hope to reach a third of Indonesia’s nearly 450 districts by spring.

Indonesia grabbed world attention in May when seven of eight infected members of a single family died. The World Health Organization concluded that limited human-to-human transmission was likely to blame, but the virus did not spread beyond the blood family members — the world’s largest cluster.

Experts fear the virus will mutate into a form that spreads easily among people, potentially sparking a global pandemic. So far, at least 134 people have died worldwide since the disease began spreading in Asia in late 2003.

Most human cases have been linked to contact with infected birds.

Although Vietnam’s mass poultry slaughter helped nip the threat there, circumstances are very different in Indonesia. While communist Vietnam has a strong centralized government, the power to fight bird flu in Indonesia lies largely at local levels. Jakarta’s recommendations mean little unless community officials are on board.

The surveillance and response teams are a way to reach those leaders, by empowering local veterinarians to work directly with backyard farmers.

More help is expected soon, but for now, Aprianti and Dewi are covering 440 villages.
 

JPD

Inactive
New bird flu outbreak confirmed along Thai-Lao border

http://www.alertnet.org/thenews/newsdesk/BKK78049.htm

30 Jul 2006 06:55:52 GMT
Source: Reuters

BANGKOK, July 30 (Reuters) - The H5N1 bird flu virus has been found in the Thai northeast bordering Laos, prompting culling of 310,000 hens after the virus killed a teenager elsewhere in the country last week, the Agriculture Ministry said on Sunday.

"The lab results confirmed last night chickens from a village in Nakohn Panom province have died of bird flu," Vice Agriculture Minister Charal Trinwuthipong told Reuters.

"The culling on all 78 farms has already begun and we hope to finish them all by tonight," he said.

Charal said the outbreak in Nakohn Panom, 740 km (460 miles) northeast of Bangkok, might be caused by H5N1-infected egg trays taken from "the other side" of the border, in an apparent reference to Laos.

"These egg merchants were too lazy to swap eggs from their trays to those of their customers'. They just swapped the trays and that's how the disease spread to the village," he said.

A 17-year-old man died of bird flu on Monday in the northern province of Phichit, where authorities have slaughtered hundreds of birds and restricted poultry movement in a bid to stamp out Thailand's first outbreak in eight months.

The U.N. Food and Agriculture Organization (FAO) said on Friday the deadly virus was also found on a poultry farm in Laos, the country's first major outbreak since 2004.

The outbreak occurred on a commercial farm 25 km (15 miles) south of Vientiane where about 2,500 chickens died last week, according to state media reports.

The same farm experienced an outbreak in early 2004 when the virus swept through parts of Asia, including Communist-led Laos where most of its 5.6 million people live in remote rural areas.

The FAO was due to send a bird flu expert to Laos on Tuesday to assess the situation, an FAO official said.

Charal said the ministry instructed governors of provinces bordering Laos, Cambodia and Myanmar to step up surveillance on animals transferred from these countries -- where basic health care barely exists outside urban areas.
 

PCViking

Lutefisk Survivor
Current nominees for WHO's top slot

WHO's Margaret Chan Nominated by China to Head UN Health Agency

July 25 (Bloomberg) -- The World Health Organization's Margaret Chan, who helped lead pandemic influenza preparations, will step aside from her post after she was nominated by China to lead the United Nations health agency.

Chan, who is also assistant director-general for communicable diseases, begins a leave of absence today, said Christine McNab, a WHO spokeswoman. Chan, 58, joined the Geneva- based agency in 2003 after serving for four years as director of health in Hong Kong, which supports her nomination.

``We feel she's fully capable of the new position,'' York Chow, Hong Kong's secretary for health, welfare and food, said today in an e-mailed transcript of a speech. ``She has orchestrated efforts among developing countries to prevent a bird flu epidemic. She also gained support from major countries and influenced drugmakers to develop vaccines.''

Chan is the third senior WHO official to step aside since June after being nominated by a member-state for director- general, a post held by South Korea's Lee Jong-Wook, who died in May after surgery to remove a clot on his brain. Employees of the WHO aren't able to continue working at the organization if they are being considered for an elected position.

``I am honored by this nomination,'' Chan said in an e-mail today.

At the WHO, Chan has helped spearhead a global program to prevent the spread of the H5N1 strain of bird flu and prepare for any pandemic the virus might spawn. Human H5N1 fatalities have almost tripled this year as the virus spread in wild birds and domestic poultry to at least 38 countries.

`No Interruption'

``There will be no interruption of the work on the global influenza program, or on any other work regarding communicable diseases,'' McNab said in an e-mail. David Heymann, representative of the director-general for polio eradication, will assume Chan's duties, McNab said.

During the past three years, H5N1 has infected at least 231 people in 10 countries in Asia and the Middle East, killing 133.

Shigeru Omi, the WHO's Manila-based regional director for the Western Pacific, began a leave of absence in June after Japan nominated him. The Philippines will most likely support Omi's candidacy, said Health Secretary Francisco Duque.

Kazem Behbehani, the WHO's assistant director-general of external relations and governing bodies, also stepped aside after nomination by the government of Kuwait.

Proposals from member states are being accepted by the WHO secretariat until Sept. 5. Anders Nordstrom will continue as the acting director-general of the WHO until a new head takes office, the agency said on May 30.

The executive board of the UN agency will decide on a shortlist of five candidates and interview them from Nov. 6-8, the WHO said. The World Health Assembly will vote on the board's nomination at a one-day special session on Nov. 9 and decide when a contract for the new director-general would take effect.

http://www.bloomberg.com/apps/news?pid=20601082&sid=auSF3HoT4pTk&refer=canada

:vik:
 

JPD

Inactive
Bird flu outbreak spreading

http://www.bangkokpost.com/News/31Jul2006_news01.php

Poultry cull underway, human watchlist drops

POST REPORTERS

Mass killings of up to 300,000 chickens are underway in tambon Ban Klang in Nakhon Phanom's Muang district after a laboratory test confirmed the area had been hit by the bird flu outbreak. The province has mobilised 1,500 health officials to carry out the cull on 70 farms.

The Public Health Ministry yesterday put the number of patients suspected of having bird flu at 80, from 19 provinces nationwide. The number has fallen from the 113 suspected cases reported on Saturday.

This will be the second cull in Nakhon Phanom in as many days. Late last week, 40,000 chickens were slaughtered as a precautionary measure, after poultry died mysteriously.

Governor Nikhom Kerdkhanmak said samples of chicken carcasses were sent to the Centre for Veterinary Research and Development in Khon Kaen for tests, and the result showed the dead chickens were infected with bird flu.

To prevent further spread of the disease, all chickens in the community would be culled, he said.

Health workers would set up checkpoints to spray disinfectant on vehicles. A ban on poultry movements has also been imposed along the Thai-Lao border.

Chaweewan Liewwijak, deputy chief of the Livestock Department, said the outbreak of bird flu was worrying. All chickens must be killed to contain the disease as quickly as possible.

Every household would be sprayed with disinfectant while residents have been put under surveillance, Ms Chaweewam said during an inspection trip at tambon Ban Klang yesterday.

Peera Areerat, an expert attached to the public health office in Nakhon Phanom, said 122 villagers had records of being in contact with chickens. Two were suspected of having bird flu and were placed under supervision. Denchai Sorakit, chief of public health in Nakhon Phanom, said the two suspected patients were boys, both aged 14. He said initial tests showed they did not have avian influenza.

''Blood samples of the patients were sent to a medical science centre in Ubon Ratchathani and the results are expected in hours,'' said Dr Denchai.

The Public Health Ministry yesterday gave a provincial breakdown of the 80 patients suspected of having bird flu. Phichit has the highest number of suspected cases with 18, followed by Sukhothai, 14; Phitsanulok and Suphan Buri, nine each; Nan, seven; Nakhon Sawan, four; Phetchabun and Uttaradit, three each; Nakhon Pathom and Nonthaburi, two each; Bangkok, Kanchanaburi, Kamphaeng Phet, Chachoengsao, Nakhon Nayok, Pathum Thani, Prachin Buri, Lamphun and Uthai Thani one each.

Buri Ram has banned cock-fighting matches in August as a preventive measure, after mysterious poultry deaths were reported.

The province has also prohibited poultry movements.

Buri Ram Governor Yai Rojasuvanitchakorn said the ban on cock fighting could be extended if the bird flu situation does not improve.

Samroi Yod National Park in Prachuap Khiri Khan has warned immigrant workers not to catch birds for eating or they could be infected with bird flu.

Thawatchai Sathiankan, chief of the national park, said migrant birds in the national park would be caught and tested for bird flu.

In Phangnga, livestock officials yesterday sprayed disinfectant on chicken farms and in households where chickens were raised.

So far, there has been no outbreak of the disease in the province.

The bird flu scare has hurt Java dove raisers in the South as three neighbouring countries have suspended imports of the doves from Thailand. Prasit Disaor, owner of a dove farm in Songkhla, said Malaysia, Indonesia and Singapore had suspended imports.

The Livestock Department has transferred Wannee Santamanat, chief of the Phitsanulok livestock office, to the Suphan Buri office after claims her office did not do enough to contain bird flu.

Residents in Wang Thong district had warned of mysterious poultry deaths, but the office said the deaths were not related to bird flu. Some residents dumped the chickens in the river, while others ate them. The province is listed as a bird flu alert area
 

PCViking

Lutefisk Survivor
UPDATED: 09:04, July 31, 2006

Bird flu outbreak confirmed at Thai farm

Thai officials yesterday ordered the slaughter of 300,000 chickens after the second outbreak this year of the deadly H5N1 bird flu virus was discovered on a farm in the northeast.

"The H5N1 virus was found in chickens in a local farm,"
said Charal Trinvuthipong, assistant to the agricultural minister.

The outbreak at a farm in Nakhon Phanom Province, 740 kilometres northeast of Bangkok, follows the death on Wednesday of a boy from bird flu Thailand's first such death in seven months.

"It is the second outbreak (this year) following the one in Phichit Province," Charal added. He said more than 100 volunteers had been deployed to cull about 300,000 chickens near the affected area.

Authorities earlier threatened people with a US$52 fine for failing to report any sick or dead poultry.

Agriculture ministry officials said the measures, due to be officially announced today, would be enforced across the country.

"People will be guilty if they fail to report sick and dead poultry, with a maximum fine of 2,000 baht," an official said, adding that the measures would come under existing legislation to counter animal-linked epidemics.

Health authorities have been on high alert since Wednesday's death. The victim, a 17-year-old boy, caught the virus from one of his fighting cocks in northern Thailand. He had not reported the death of his bird because he feared the rest would be culled.

Source: China Daily

http://english.peopledaily.com.cn/200607/31/eng20060731_288378.html
 

JPD

Inactive
Thailand

300,000 hens to be culled in Northeast

http://www.manager.co.th/IHT/ViewNews.aspx?NewsID=9490000097456

By ThaiDay 31 July 2006 15:11

Charal Trinvuthipong, assistant to the agriculture minister, said more than 100,000 volunteers had been deployed to cull the birds on 78 farms across the province.

The move follows laboratory tests on more than 2,000 layers in the Northeast which had died in suspicious circumstances last week. They were later found to have died of bird flu.

Meanwhile, the Health Ministry has named 80 patients in 19 provinces who are being monitored for bird flu, the ministry Permanent Secretary Prat Boonyawongvirot said yesterday. One of the patients is from Bangkok.

However, the ministry said it was confident the patients would test negative for the disease because there is no evidence they had handled sick birds or were otherwise exposed to avian flu.

The latest outbreak in Nakhon Phanom province, which borders Laos, is the second in a week.

Last week, Agriculture Ministry officials ordered hundreds of birds to be culled in the Central Plains provinces, more than 500 kilometers from the latest outbreak.

Last Wednesday, a 17-year-old boy from Phichit province became the country’s 15th avian flu victim. It was reported that the teenager had buried a dead fighting cock without wearing protective clothing.

According to local media reports, he did not report the death of the bird because he was afraid the authorities would order the culling of his other poultry.

Before the latest outbreaks, the country had been free of H5N1 for more than seven months. Thailand has been internationally lauded for its bird flu prevention programs, but the Agriculture Ministry acknowledged last week that people were becoming complacent about the disease.

“Farmers are failing to report suspicious poultry deaths and are not taking precautions when disposing of sick birds,” said Agriculture Minister Khunying Sudarat Keyuraphan.

Authorities have been anticipating a resurgence of bird flu since the beginning of the rainy season, when the disease is more likely to appear, and have designated certain provinces as bird flu hot spots.

The Agriculture and Health ministries were busy last month educating people about the disease and training them how to handle dead birds. They are also threatening to impose a 2,000 baht fine on anyone failing to report sick or dead poultry. The fine has been on the books for more than a year but has never been widely enforced.

Recently, the government announced its intention to rid the country of bird flu within three years.

The Health Ministry has been routinely testing patients with severe respiratory illness or other flu-like symptoms for avian flu for more than a year, said Dr Paijit Warachit, director-general of the Medical Science department at the Health Ministry.

Since the beginning of the influenza season last month, the ministry has been testing about 40 patients with flu-like symptoms a day, Dr Paijit said.

Although the disease has so far killed more than half of the people who have been diagnosed with it, it is extremely difficult to catch.

Worldwide, there have been fewer than 230 human cases of the disease since the first reported outbreak in 2003.

According to the World Health Organization, most have caught the disease after coming into close contact with infected birds, although it is not ruling out the possibility of human-to-human transmission.

If the virus mutates into a form more easily transmittable among humans, health experts fear it could kill tens of millions of people worldwide.

Bird flu has also been found in Laos, according to the UN Food and Agriculture Organization.

On Wednesday, Thai health officials plan to visit Laos for talks on joint cooperation against avian flu.
 

JPD

Inactive
Laos holds emergency meeting on bird flu

http://www.bangkokpost.com/breaking_news/breakingnews.php?id=111909

Bangkok (dpa) - Communist Laos called an emergency cabinet meeting Monday to discuss combatting an outbreak of avian influenza in the landlocked country, state-run radio said.

The government has also imposed a temporary ban on the sale of chicken meat at markets and restaurants in Vientiane and over the weekend culled more than 6,000 birds at a poultry farm run by Dong Bang Co, Radio Vientiane said in a broadcast monitored in Bangkok.

The Lao government last week acknowledged that its poultry population had been infected by the H5N1 virus, which has also proven deadly in humans, after receiving complaints that infected birds had been exported to neighbouring Thailand.

Thailand has been tackling a bird-flu pandemic since late 2003. After the country declared itself bird-flu free during the first six months of this year, the virus reappeared among poultry in July when it also claimed its 15th human victim in the kingdom.

The Ministry of Public Health said in its latest statistics that 80 people in 19 Thai provinces are now suspected of having bird flu.
 

JPD

Inactive
131 suspected bird flu cases awaiting tests

http://www.bangkokpost.com/breaking_news/breakingnews.php?id=111917

Thailand's Public Health Ministry said Monday that the country now has 131 suspected bird flu cases under surveillance, waiting for lab test results to determine whether they have contracted the bird flu virus.

Department of Disease Control Director General Thawat Suntrajarn said that since the beginning of this year, there have been 1,960 suspected cases of bird flu, with 1,828 cases testing negative to the disease.

The 131 cases are waiting for the lab test results. Of these, the highest number is 37 cases in the northern province of Phichit, followed by 35 and 16 cases in neighbouring Sukhothai and Phitsanulok Provinces and 12 cases in the central province of Suphanburi.

After meeting public health officials, Public Health Minister Pinij Jarusombat said he had ordered medical specialists and senior officials to be on alert around the clock to control bird flu, dengue fever and hand, foot and mouth syndrome.

He also said that 765 persons in the northeastern province of Nakhon Phanom had been monitored for two weeks after having come into contact with diseased chickens.

As many as 300,000 fowls were culled on Sunday in the province, where a bird-flu outbreak was detected with the H5N1 virus.

The bird-flu virus killed a teenage boy in Phichit last week.

Two mobile labs were sent to Phichit and Nakhon Phanom on Monday and 20 specialist teams visited "red zone" areas in the affected provinces to give 24-hour advice to local health officials. (TNA)
 

Bill P

Inactive
Questions for my learned TB2K colleagues:

Under what circumstances could SARS be considered an emerging disease?

How will these newer technologies be used to fight a pandemic? in the third world?



Apec does battle with emerging diseases

RFID, nanotech and telemedicine drafted into war on bird flu, Sars etc


The Apec Centre for Technology Foresight has been working with the National Electronics and Computer Technology Centre (Nectec), the National Nanotechnology Centre (Nanotec), and the National Centre for Genetic Engineering and Biotechnology (Biotec) to draft a road map for Converging Technologies to Combat Emerging Infectious Diseases.


The plan's objective is to study and explore the possibility of using converging technologies that can contribute to the prevention and management of infectious diseases that are widespread in the Apec (Asia-Pacific Economic Cooperation) region.


Nares Damrongchai, executive director of the Apec Centre for Technology Foresight, said the road map was being drafted, with the first version expected to be ready by the end of the year. The plan covers both emerging diseases, like Sars and avian influenza, and re-emerging diseases such as tuberculosis and hemorrhagic fever that have affected the economies of Apec member countries.


The costs of treatment and hospitalisation have led to a draining of resources in the Apec area. These diseases also lead to indirect expenditures from time lost at work, the subsequent reduction in purchasing power, as well as unfounded trade sanctions that can hinder economic activity.


"The risk of region-wide global pandemic is very high. For Apec to have sufficient pandemic preparedness besides building drug stockpiles and pharmaceutical and non-pharmaceutical control options, must also be considered and fully explored," said Nares.


He said the plan would focus on using specific converging technology-application fields such as nano-filters, radio frequency identification (RFID), sensor networking, biomedical imaging, and telemedicine to help tackle the emerging diseases.


Nares described the technology road map as a suitable tool to explore the different ways of developing key future technologies and identifying barriers and gaps in developing and using technologies.


"Drafting of a technology road map is a highly collaborative venture between Apec member countries. Thailand, represented by the centre and as host of the project, has worked with other countries like Japan and Australia to jointly identify and assess such rapidly advancing technologies to combat emerging and re-emerging infectious diseases," said Nares.


The first draft of the road map will be put to a public hearing at a national conference, scheduled to take place in Thailand this December.


Subsequently, the centre will revise the draft and roll out the final version at a symposium in Thailand by the end of 2007.

Asina Pornwasin


The Nation

http://www.nationmultimedia.com/2006/07/31/byteline/byteline_30009944.php
 

Bill P

Inactive
Not that these Third World countries ever had control of the situation....

Lack of aid 'weakening bird flu control in Asia'

Asia needs more aid to fight bird flu, says the FAOT. V. Padma
31 July 2006
Source: SciDev.Net

[NEW DELHI] Weak disease-surveillance and inadequate aid are thwarting efforts to control bird flu in Asia, according to a senior official of the UN Food and Agriculture Organization.

The organisation's assistant director-general, He Changchui, was speaking at a press conference following a meeting of health and agriculture ministers from 11 Asian nations in Delhi, India last week (27-28 July).

He said international aid was a third of what was needed to combat the epidemic in the region.

In a joint declaration, the meeting's delegates pledged to strengthen systems for detecting and containing bird flu outbreaks in people and poultry. They agreed to improve collaboration and share more information on outbreaks and research into the H5N1 bird flu virus and how it spreads.

Experts fear that the virus will mutate into a form that can easily infect and spread between people, sparking a human flu pandemic that could kill millions.

Samlee Plianbangchang, the World Health Organization (WHO) regional director for South-East Asia said: "The catastrophic impact of inadequate preparation for this pandemic will be well beyond human imagination."

Changchui called on aid agencies to loosen their purse strings. He said that the region needs US$300 million over the next three years to fight the virus, but that so far only US$62 million has been given and another US$92 million pledged.

Bird flu has cost the region more than US$10 billion in the past two years, and has led to more than 200 million birds being culled, said Changchui.

"The region needs vigilant surveillance and timely reporting and action to control the infection," he told SciDev.Net.

The meeting, organised by the WHO, heard mixed news from the frontlines of the war on bird flu. After an eight-month hiatus, Thailand is witnessing a resurgence in infections, with the WHO confirming the death of a man last week.

Meanwhile India plans to announce that it is bird flu-free on 10 August, after three months without an outbreak. Also this month, India's High Security Animal Disease Laboratory in Bhopal announced it had developed a bird flu vaccine for poultry that is awaiting large-scale trials.

Ministers from Afghanistan, Bangladesh, Bhutan, China, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka and Thailand attended the meeting.

They urged organisations such as Association of Southeast Asian Nations and the South Asia Association for Regional Cooperation to work with international bodies such as the WHO, Food and Agriculture Organization and the World Organisation for Animal Health (OIE) to help countries develop strategies for controlling bird flu.

http://www.birdflubreakingnews.com/...fm?fuseaction=readnews&itemid=3014&language=1
 

Bill P

Inactive
Given the recombination of the deadly H5N1 with the highly contagious H9N2 in Israel; the increasing expansion of HPAI H5N1 into Laos, India, Bangladesh, etc. and the unchecked spread in Indonesia, China and other countries - I dont see much hope that this bug will be checked before it burns its way around the world in a global pandemic.

At some point, the global PTB will IMO shift from trying to fight a losing battle on foreign turf and refocus on minimizing damage to domestic economies at home.

What a Tinderbox with oceans of gasoline simmering just waiting for the wind to ignite the main event.


Bill P attahced this picture and laments that not only is the Third World doomed but so is most of the rest of the Planet we share:


bird-on-a-bike-Ird_22974.jpg
 

PCViking

Lutefisk Survivor
Thailand

Tue, August 1, 2006

Bird-flu alert for entire country

As the number of suspected bird-flu cases increases nationwide, Caretaker Agriculture Minister Sudarat Keyuraphan yesterday declared all 76 provinces of the country animal epidemic control areas, with stricter rules on the transport of poultry and handling of dead birds.

The move follows the mass culling of 300,000 chickens at 78 farms in Nakhon Phanom province on the weekend.

The Public Health Ministry is closely monitoring 765 people who took part in the slaughtering, fearing they might have been exposed to the potentially deadly bird-flu virus.

Caretaker Public Health Minister Pinij Charusombat said all 633 people involved in the culling, plus 111 farm workers, 18 people in the families that operated the farms and three other villagers were put on the provincial bird-flu watch list.

The minister was speaking during a trip to Na Klang district in the north-eastern province where the H5N1 virus was detected.

All 765 people on the list would be monitored for 14 days.

So far, six people had developed a high fever, Pinij said. Two of them had influenza symptoms and had received oseltamivir, the only anti-viral drug that can be used to treat people infected with H5N1. The other four had tested negative for the influenza virus.

He said surveillance and disinfecting in the province had to be stepped up.

The Medical Science Department yesterday sent a mobile laboratory unit to the Nakhon Phanom provincial hospital to conduct further tests on suspected cases.

Pinij ordered the province's public health office to set up a bird-flu advisory team to assist and give advice to community hospitals on how to detect the H5N1 virus in humans and on the appropriate use of oseltamivir.

Besides Nakhon Phanom's Naklang sub-district, there were 45 suspected cases of human infection in 10 provinces, said Pratch Boonyawongwiroj, permanent secretary of the Public Health Ministry.

Fifteen cases were in Sukhothai, eight in Phitsanulok, seven in Suphan Buri, six in Phrae, three in other districts of Nakhon Phanom, and two in Phetchabun. Nakhon Nayok, Uttaradit and Phichit reported one case each.

Pratch said there were no other confirmed cases in Phichit besides that of a 17-year-old boy who died late last month.

Meanwhile, the Department of Livestock Development (DLD) yesterday blamed a "neighbouring country" as the source of the bird-flu outbreak in Nakhon Phanom.

Yukol Limlamthong, the DLD's director general, said his inquiries had found the H5N1 virus entered chicken farms in Nakhon Phanom via egg trays farm workers took from their customers on "the other side" [of the Mekong River].

The province is located on the bank of the Mekong River which forms a natural border between Thailand and Laos. The Lao government last week admitted that much of its poultry population had been infected with the bird-flu virus.

Sudarat yesterday banned the import of all chicken-farm accessories (including egg trays) from neighbouring countries. She said the outbreak in the province had been contained.

Yukol insisted the H5N1 virus had only been detected in Phichit's Bang Moon Nak district and Nakhon Phanom's Na Klang sub-district, despite reports of chickens dying of suspicious causes in other provinces. The first human bird-flu victim this year died in Phichit's Tap Klo district.

"I am also wondering why there are confirmed human cases in areas where the virus is not found in poultry. Medical doctors have to investigate," he said in a telephone interview.

Under the Agriculture Ministry's latest epidemic control measures, anyone found transporting birds illegally, dumping poultry carcasses in natural waterways or burying dead poultry without informing livestock officials would face a fine or jail.

http://www.nationmultimedia.com/2006/08/01/headlines/headlines_30010082.php

:vik:
 

Bill P

Inactive
Not H5N1 - this H11Nx

Bird Flu Detected in Three People in Iowa, Study Finds

Amitabh Avasthi
for National Geographic News

July 31, 2006
A duck hunter and two wildlife workers in Iowa have tested positive for a nonlethal form of avian flu, according to a team of U.S scientists. Their study is the first to suggest that bird flu can be transmitted to humans from wild birds.

"We did not detect H5N1, the virus that has caused such a high death rate in the humans it has infected," said the study's lead author James Gill, a disease specialist at the University of Iowa Hygienic Laboratory in Iowa City.

Instead the researchers found that the infection was caused by the H11 virus, a strain commonly found in ducks, geese, and shorebirds but not previously associated with human illness.

The study was conducted as part of ongoing surveillance efforts to track diseases that could be transmitted from animals to humans.

(See National Geographic magazine's "Tracking the Next Killer Flu.")

The research involved 39 duck hunters and 68 wildlife experts from the Iowa Department of Natural Resources.

Their blood serum was tested for traces of antibodies against the influenza virus. Antibodies are signs of infection.

"Our research found that one duck hunter and two of the wildlife professionals had been infected with the H11 virus, likely caught from wild waterfowl," Gill said.

The findings appear in the August issue of the journal Emerging Infectious Diseases.

Virus Mutated?

It is still not clear what possible adaptations the H11 virus may have undergone to infect the human hosts or how exactly it may have spread to them.

"We did not isolate the virus from the three infected persons. Our [test] was designed to detect antibodies in their blood," Gill said.

He says that the H11 virus may have an increased ability to infect humans, but the virus also may have been spotted now due to better detection techniques.

"There are numerous strains of influenza circulating in birds, and it is possible more such strains may be detected in future," Gill said.

Gallery: The Next Killer Flu

While the animals themselves may not get sick, people in close proximity to wild birds could be at risk, he adds.

"Wildlife frequently carries potential human pathogens," Gill said. "This study demonstrates that the handling of wild waterfowl, such as ducks and geese, is a risk factor to human health."

But he notes that such infections can be prevented.

"Humans [should] wear gloves when handling wild animals and then wash or thoroughly clean their hands afterwards. They should also avoid smoking or eating while handling wild animals."

Circumstantial Evidence?

Robert Atmar, an infectious disease physician at Baylor College of Medicine in Houston, Texas, says he thinks there are several problems with Gill's study.

"This is an interesting paper, but there isn't enough information to draw any firm conclusions," he said.

"For starters, the study fails to explain the specificity of the [test]. The presence of antibodies could mean there was an infection, or it could be a false positive. There is no way of knowing."

Atmar also suggests that the study might have been more accurate if the researchers had included subjects who had had no exposure to birds.

"The lack of a control group makes it difficult to say anything. The findings are intriguing but largely circumstantial," he said.


http://www.birdflubreakingnews.com/...graphic.com/news/2006/07/060731-bird-flu.html
 
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PCViking

Lutefisk Survivor
H5N1 H3N2 Reassortants Are Not Evolutionarily Fit

Recombinomics Commentary
July 31, 2006


an H3N2 reassortant virus with avian virus internal protein genes exhibited efficient replication but inefficient transmission, whereas H5N1 reassortant viruses with four or six human virus internal protein genes exhibited reduced replication and no transmission. These findings indicate that the human virus H3N2 surface protein genes alone did not confer efficient transmissibility and that acquisition of human virus internal protein genes alone was insufficient for this 1997 H5N1 virus to develop pandemic capabilities, even after serial passages in a mammalian host. These results highlight the complexity of the genetic basis of influenza virus transmissibility and suggest that H5N1 viruses may require further adaptation to acquire this essential pandemic trait.

The above comments from "Lack of transmission of H5N1 avian-human reassortant influenza viruses in a ferret model", published ahead of the press in today's Proceedings of the National Academy of Sciences adds more detail to earlier observations that H5N1 does not reassort well with human genes. Most of the data in the above publication use an islate from 1997 for the transmission experiments, but additional test using H5N1 from 2003 and 2005 also indicated that the human gene decreased the ability of the reassortant to replicate efficiently.

These data had been discussed in 2004 and are not a surprise. However, it is reassortment that is the used in WHO reports as well as government reports offering reassurance that H5N1 has not acquired complete human genes. These reassurances offer little reassurance because H5N1 does not evolve via reassortment with human genes.

H5N1 has been evolving via recombination. The changes are small but frequent. Currently, there are at least four different versions of H5N1 bird flu circulating.
Clade 1 has caused reported human fatalities in Vietnam, Thailand, and Cambodia. For clade 2, there are at least three distinct versions. One is in Indonesia. Most of the human cases in Indonesia have a novel HA cleavage site that has not been reported in any avian isolate. In the current paper discussed above, the Indonesia/5/05 isolate was detected in respiratory secretions of infected ferrets. A second clade 2 version is the Fujian strain, which is represented in all public human isolates from China in 2005 and 2006. Thus strain has also been detected in birds in Laos and Malaysia. The third clade 2 strain is the Qinghai strain, that is being transported and transmitted worldwide by migratory birds. There are multiple versions of this strain, but it has cause human fatalities in Turkey, Azerbaijan, and Egypt and has also caused a human infection in Djibouti.

H5N1 infections in long range migratory bird has lead to the spread of the strain into India, Afghanistan, Europe, the Middle East, and Africa. Further spread is expected throughout the Americas, as H5N1 continues to evolve via recombination. The Qinghai isolates have discordant polymorphisms, indicating this evolution is primarily, if not exclusively being driven by recombination.

H5N1 has acquired mammalian polymorphisms via recombination. These acquisitions continue to drive H5N1 evolution. The reassortment with human genes has not been demonstrated, and the current publication suggests that evolutionary pressures are stacked against H5N1 reassortment with human genes.

H5N1 can efficiently replicate in humans. It currently is not efficiently transmitted. However, this transmission is primarily driven by H and reassortment and acquisition of human H1 or H3 would not create a pandemic strain, since it would have the current H1 or H3, for which most humans have immunity. The current paper indicates that human internal genes in H5N1 ould decrease the replication capacity of the reassortant, which again indicates that creation of a pandemic H5N1 via reassortment is unlikely.

These data should focus attention on the changing, not swapping of genes. The changing of genes is driven by recombination.

http://www.recombinomics.com/News/07310601/H5N1_H3N2_Fit_Not.html

:vik:
 

Bill P

Inactive
Navy Sets Up Bird Flu Labs
U.S. ships in Asia will have labs to quickly detect bird flu.
July 31, 2006

A Singapore-based bioscience startup said Monday it’s setting up bird flu test labs on ships of the U.S. Navy’s Seventh Fleet, which operates in the western Pacific and Indian Ocean.



Three-year-old Veredus Laboratories said the fleet will use its kit for rapidly detecting bird flu’s H5N1 virus, which has caused deaths in animals and humans in Asia, Europe, and Africa. The deal will enable the fleet to prevent avian flu outbreak or quickly contain one.



“With limited supplies of Tamiflu and no proven avian flu vaccine, having this capability is paramount to force health protection and will be critical in an actual pandemic,” Capt. Charles Baxter, surgeon for the Seventh Fleet, said in a statement.



The Seventh Fleet includes 50 ships, 120 aircrafts, and 20,000 sailors and marines.



The Navy, along with other branches of the military, wants to be able to quickly identify avian flu because the disease can spread rapidly. Because the fleet does dock at ports in various countries, sailors and marines who spend time on land can be exposed to bird flu.



“They are interested in testing everybody who comes back from the ship. By going from port to port, they can be carriers,” said Joanne Stephenson, vice president of business development at Response Biomedical, a diagnostic tool company in Burnaby, Canada. Response Biomedical is carrying out clinical trials for a bird flu kit that uses a nasal swab sample to determine the presence of the antigen, all within 15 minutes.



Veredus CEO Rosemary Tan has carried out training sessions on the fleet’s command ship, the U.S.S. Blue Ridge, on bird flu test procedures. Veredus, which is a finalist for the Red Herring 100 Companies in Asia, declined to disclose the financial terms for the deal.



The company’s H5N1 test, launched in August 2005, can determine the presence of a virus in RNA samples from humans or animals within hours. That’s faster than the days it often takes to confirm a deadly disease in clinical labs. Those types of tests require the specimens be sent to specialized labs.



“Molecular DNA analysis is quickly becoming accepted as a very specific, sensitive, and accurate detection method in viral infection,” Ms. Tan said in a statement.



Because bird flu has the potential to unleash a pandemic, the World Health Organization and governments around the world are demanding diagnostic tools that can be used in airports and healthcare clinics in rural areas to show accurate results in less than 30 minutes.



No such tests are available now, but large medical device companies, such as Roche, are developing such tests (see Finding the Flu).



The Flu Kit Market

Veredus is not the only company that has developed the bird flu kit. In fact, Veredus is competing with much larger and established competitors who also see lots of money-making opportunities in the global preparation for bird flu. Those competitors include AJ Roboscreen, based in Leipzig, Germany, and Qiagen in Venlo, The Netherlands.



Avian flu has yet to mutate to become easily transmittable from human to human, although there are 232 confirmed human cases, including 134 deaths, since 2003, according to the World Health Organization (see Death Watch and Fighting the Flu).



Those deaths typically involved contact between humans and diseased livestock. Most of the deaths occurred in Asia, where the Seventh Fleet sails.



Veredus, which has received $1 million in funding from investors including Huit Investments, is developing a test kit that can determine not only the bird flu but also the common, milder types of seasonal flu. The startup is developing this lab-on-chip and a portable reader with Geneva-based semiconductor company STMicroelectronics. The product is expected to launch early next year.

http://www.redherring.com/Article.a...+Labs&sector=Industries&subsector=Biosciences
 

JPD

Inactive
765 villagers under H5N1 surveillance

http://www.manager.co.th/IHT/ViewNews.aspx?NewsID=9490000097717

By ThaiDay 1 August 2006 14:29
Some 765 villagers in bird flu-infected Nakhon Phanom province have been put under medical surveillance for 14 days to establish if any of them have contacted the H5N1 virus, Health Minister Phinij Jarusombat said yesterday.

All of the villagers have either been in direct contact with dead chickens or lived in areas where they died.

Six of the villagers were reported to have high fever yesterday, but laboratory tests were still being conducted to verify whether any of them had the deadly bird flu virus.

A Medical Science Department mobile-lab vehicle was scheduled to arrive at the Nakhon Phanom provincial hospital yesterday evening, and would immediately commence operations.

At a meeting with senior public health officials in Bangkok yesterday, Phinij gave instructions to all public health and medical personnel in Nakhon Phanom to be on the alert around the clock with no days off, even during the weekends, until the spread of the virus in the northeastern province bordering Laos is under control.

The discovery of bird flu in the province last week caught public health and livestock authorities by surprise because the virus had been reported mainly in Central Plains provinces in earlier outbreaks.

Meanwhile, Deputy Agriculture Minister Charan Trinwutthipong said initial findings indicated that the virus might have been spread to Nakhon Phanom by unscrupulous egg traders who switched eggs from restricted zones in the Central Plains for sale in the Northeast. He confirmed that the latest bird flu outbreaks remained restricted to Phichit and Nakhon Phanom provinces.

In a separate incident, Uttaradit provincial livestock officer Phanom Meesiripan reported that officials yesterday found more than 50 dead ducks in a roadside ditch. They were apparently dumped by duck farmers who feared their entire flocks would be culled if they reported the dead birds to the authorities.
 

JPD

Inactive
131 suspected bird flu cases awaiting lab tests in Thailand

http://news.xinhuanet.com/english/2006-08/01/content_4903867.htm

BANGKOK, Aug. 1 (Xinhua) -- Thailand now has 131 suspected bird flu cases under surveillance, waiting for lab test results to determine whether they have contracted the bird flu virus, local media Tuesday reported.

Officials from the Public Health Ministry was quoted by the Bangkok Post as saying that since the beginning of this year, there have been 1,960 suspected cases of bird flu, with 1,828 cases testing negative to the disease.

Thawat Suntrajarn, director general of the Department of Disease Control, said that the 131 cases are waiting for the lab test results. Of these, the highest number is 37 cases in the northern province of Phichit, followed by 35 and 16 cases in neighboring Sukhothai and Phitsanulok Provinces and 12 cases in the central province of Suphanburi.

After meeting public health officials, Public Health Minister Pinij Jarusombat said he had ordered medical specialists and senior officials to be on alert around the clock to control bird flu, dengue fever and hand, foot and mouth syndrome.

He also said that 765 persons in the northeastern province of Nakhon Phanom had been monitored for two weeks after having come into contact with diseased chickens.

As many as 300,000 fowls were culled on Sunday in the province, where a bird-flu outbreak was detected with the H5N1 virus.

The bird-flu virus killed a teenage boy in Phichit last week.

Two mobile labs were sent to Phichit and Nakhon Phanom on Monday and 20 specialist teams visited "red zone" areas in the affected provinces to give 24-hour advice to local health officials. Enditem
 

JPD

Inactive
Health Ministry Issues Bird Flu Warning for Autumn and Winter

http://www.zaman.com/?bl=hotnews&alt=&trh=20060801&hn=35262

By Cihan News Agency
Tuesday, August 01, 2006
zaman.com

The Turkish Health Ministry on Monday issued a warning against another bird flu outbreak expected in the autumn and winter, calling on governors and local health directors to take the necessary precautions.

The ministry said that the virus strain would show a transformation with the potentiality for transmission from human to human.

Experts have suggested that the statement distributed to the local authorities would increase measures against the bird flu.

A flock of migratory birds is expected to pass over Turkish lands from Russia and Central Asia before reaching the warm climates in the south.

The deadly H5N1 strain of the bird flu virus had killed 133 people across the world by July 25, 2006 according to a World Health Organization (WHO) release.

The first Turkish bird flu outbreak appeared in western Turkey in October 2005 but no deaths or infections of humans were reported.

In a second outbreak in eastern Turkey in January, the H5N1 virus claimed the lives of four children aged between 11 and 15, three of whom were siblings.

More than 1.7 million poultry were culled across the country in efforts to contain the second Turkish bird flu outbreak.
 

JPD

Inactive
Laos reports additional bird flu outbreaks

http://english.people.com.cn/200608/01/eng20060801_288899.html

Laos has announced two more bird flu outbreaks in two farms in Vientiane capital, Lao newspaper Vientiane Times reported Tuesday.

Recent testing results have shown that samples from dead fowls at the two farms in Xaythany district were positive to bird flu virus strain H5, the paper said.

Last week, the Lao government announced a bird flu outbreak which killed more than 2,000 fowls in a farm about 25 km south of Vientiane.

To prevent the widespread of the disease, Laos has culled some 19,000 poultry at the affected farms.

The country has also placed a temporary ban on sales of poultry meat at markets and restaurants, established quarantine checkpoints, monitored transports of fowls, and detoxificated farms.

Source: Xinhua
 

JPD

Inactive
Hundreds of chickens on Indonesia's Bali island test positive for avian flu

http://bodyandhealth.canada.com/cha...6&news_channel_id=1020&channel_id=1020&rot=11

Provided by: Canadian Press
Aug. 1, 2006

BALI, Indonesia (AP) - Hundreds of dead chickens found on Indonesia's Bali island resort have tested positive for the H5N1 strain of avian flu, an animal health official said Tuesday.

Around 300 birds died of the virus over the past week, said I Gusti Ngurah Sandjaja in Bali's westernmost Jembrana district. "We have carried out a rapid test and found that they were positively infected by the bird flu virus," Sandjaja said. "Fortunately, there are no indications that the virus has spread to humans here."

Indonesia, a vast archipelago comprising nearly 18,000 islands, has posted 42 human deaths since July 2005 and is tied with Vietnam as the world's hardest-hit country.

The World Health Organization has said that limited human-to-human transmission may have occurred in a family on Sumatra island, the location of the world's largest cluster of human infections.

Health authorities were forced to cull large numbers of ducks and chickens on Bali earlier this year after birds became ill.
 

PCViking

Lutefisk Survivor
Ferrets help understand bird flu

ATLANTA, Georgia (CNN) -- Initial results from tests using ferrets suggest the deadly H5N1 bird flu virus has to undergo complex genetic changes before it could develop into a pandemic flu virus.

Researchers are trying to better understand what genetic changes this avian flu virus would have to undergo before it would be easily transmitted from human to human, which could lead to a pandemic.

They conducted a series of tests to see what would happen if a strain of the H5N1 virus mixed with a common human flu virus (H3N2).

"We were not able to see efficient transmission from an infected animal to a healthy animal," according to Dr. Jacqueline Katz, one of the Centers for Disease Control and Prevention (CDC) researchers working on the ferret experiments.

In addition to not seeing easy transmission from one animal to another, when an animal did get sick, the virus was "not able to cause as severe disease as the original H5N1 virus," Katz explained.

Ever since the emergence of the H5N1 avian flu virus in Asia, researchers and public health officials have been fearing it could change in a way that it would easily transmit from human to human.

If this scenario were to occur, it would cause a pandemic because humans do not have built in immunity against this particular virus.

CDC director Dr. Julie Gerberding cautioned this did not mean the deadly H5N1 virus could not turn into a pandemic virus.

"Influenza is a virus that constantly evolves," Gerberding told reporters in a teleconference last Friday.

What the research shows is that it's "probably not a simple process and more than simple genetic exchanges are necessary" for the the H5N1 virus to easily spread between humans.

Researchers used ferrets because they get the flu the same way humans do -- droplets carrying the virus are spread through coughing and sneezing and spread the disease.

Yoshihiro Kawaoka, a professor in the department of pathobiological sciences in the School of Veterinary Medicine and flu expert at the University of Wisconsin, was not involved with this research.

"This is very interesting," he said, "and we may be a bit relieved, but we shouldn't underestimate flu viruses."

Like Gerberding, Kawaoka warned that the results of this experiment did not mean that the H5N1 did not have the potential for turning into a pandemic virus.

It showed that this particular combination of the 1997 H5N1 strain and the H3N2 human flu strain did not easily spread.

Other combinations have not yet been tried.


Right now, the highly pathogenic form of the H5N1 avian virus is primarily an illness in birds.

Millions and millions of domestic and wild birds have died as a result of the spread of the virus from Asia to some parts of Europe and Africa.

According to the latest figures from the World Health Organization (WHO), there are 232 known human cases of H5N1, of which 134 have died.

Most human cases are the result of human to bird contact. Very few are the result of human to human contact.

The results of these experiments were published in the "Proceedings of the National Academies of Science."

Find this article at:
http://www.cnn.com/2006/HEALTH/conditions/07/31/birdflu.ferrets/index.html

:vik:
 

PCViking

Lutefisk Survivor
High Levels of Human H5N1 in Ferret Upper Respiratory Tract

Recombinomics Commentary
August 1, 2006

Indon05 virus exhibited severe illness with substantial weight loss (18.8% mean maximum 7 days p.i.) and dyspnea but no sneezing; none of the ferrets survived past day 7 p.i. (Table 1). Although high titers of infectious virus were detected in the upper respiratory tract of Indon05-inoculated ferrets, virus was not detected in any of the nasal washes from the contact ferrets through day 9 p.c.

The above comments from the ahead of the press PNAS publication,
"Lack of transmission of H5N1 avian-human reassortant influenza viruses in a ferret model", indicate the human H5N1 isolate from Indonesia, A/Indonesia/5/05(H5N1), grows to high titer in the upper respiratory tract in inoculated ferrets. This property is cause for concern because the data indicate such a change can be achieved in the absence or reassortment or changes in the receptor binding domain.

WHO and consultants have been offering reassurances that new H5N1 human isolates do not have human genes or changes in the receptor binding domain. However, the publication above uses avian / human reassortants in an ferret model to monitor transmissibility of such reassortants. The data, which includes earlier data on reassortants using a 1997 isoalte, indicate that the reassorted genes do not offer selective advantage. The human genes decrease the ability of the H5N1 to grow in tissue culture or transmit under the experimental conditions that allow for transmission of human flu.

Although most of the human sequences from Indonesia have been withheld, the HA and NA genes of the above isolate have been released. The HA sequence does not have changes in the receptor binding domain. WHO and consultants have been monitoring changes at positions 226 and 228. These changes are thought to affect receptor binding specificities and increase binding for receptors found in the upper respiratory tract of mammals, However, although the human H5N1 isolate from Indonesia does not have these changes, it is able to grow to high titers in the upper respiratory tracts of the ferrets.

Thus, although the parameters being monitored by WHO and consultants have not changed in the Indonesia isolate, the high titers in the ferret upper respiratory tracts indicates other changes have led to this increased ability.

The HA sequence that has been released has a novel glycosylation and cleavage site in HA. The novel cleavage site has caused concern because it has not been reported in Indonesian poultry isolates. The frequency of H5N1 in humans or other mammals by be underestimated because surveillance in animals in Indonesia as poor and human cases are generally not tested for H5N1 bird flu unless there is a history of contact with dead or dying poultry.

Changes in the HA cleavage site can impact tissue tropism because HA cleavage is required for infection, and the cleavage is controlled by tissue specific proteases which cleavage at basic amino acids, but the surrounding sequence regulates the protease target. Most of the human isolates on the large island of Java have the novel cleavage site.

H5N1 evolves via acquisition of new sequences via recombination. The high concentration of H5N1 in Indonesia creates conditions for dual infections and H5n1 evolution. These changes do not require reassortment or changes in the receptor binding domain, the parameters being monitored by WHO.

Instead, H5N1 has been gradually changing and the number of distinct versions of H5N1 that have bee shown to cause fatal infections in humans continue to grow. None of these newly reported isolates reported reassortment with human genes. Instead the lack of such changes have been cited by governments claiming that the human isolates have not "mutated".

These reassurances are far from reassuring because H5N1 can evolve and increase efficiencies in the absence of these changes, as indicated by the high levels of H5N1 in the upper respiratory tract of experimental ferrets.


http://www.recombinomics.com/News/08010603/H5N1_Indonesia_Upper.html

:vik:
 

Bill P

Inactive
This will motivate stae and local .govs to prepare - NOT!

CDC outlines bird flu pandemic likelihood
ATLANTA, Aug. 1 (UPI) -- The U.S. Centers for Disease Control and Prevention says it has decided the likelihood of an avian-flu virus pandemic is less than previously thought.

CDC scientists reached the conclusion after conducting a simulation of one of the two main ways the H5N1 virus might follow in adapting to humans. In that simulation the virus did not create a lethal version that could infect humans, The Wall Street Journal reported.

But scientists cautioned a pandemic might still occur with the avian flu virus evolving in a different manner.

The Atlanta-headquartered CDC experiment involved mixing the bird flu virus with a common human influenza virus. In an alternative transformation, the H5N1 virus might genetically mutate on its own, as it's believed an avian flu virus did to cause the 1918 influenza pandemic that killed millions of people around the world, the Journal said.

http://www.birdflubreakingnews.com/...sTrack/view.php?StoryID=20060801-111509-6396r
 

Bill P

Inactive
'Blackout' threat to bird-flu analysis​

WEDNESDAY, 02 AUGUST 2006

By DAN EATON
Indonesia is failing to send bird flu samples to official laboratories, creating a "data blackout" that could have serious implications for New Zealand as it seeks to ward off a pandemic.

Experts said submitting samples for testing at United Nations-approved facilities was key to global surveillance of the virus, which it is feared will mutate into a form easily passed between people.

They also warned new research unveiled this week in the United States, in which scientists failed to combine the deadly H5N1 strain with common flu in a way that could cause a pandemic, was not as encouraging as it might seem.

"I think the situation in Indonesia is worrying for the rest of the world, and it is rapidly catching up, in terms of the number of outbreaks in poultry species, with Vietnam," said Lance Jennings, a Christchurch virologist.

Jennings, who works as a consultant for the UN's World Health Organisation (WHO), said some samples from indonesia were getting out.

"One of the major issues with a number of countries is that they are putting caveats on those samples; for example, that the information is not allowed to be widely disseminated," he said.

He said the WHO was working to try to find a resolution. "The WHO does manage a global influenza surveillance network and it is imperative that countries do contribute openly to this network."

Experts say some countries have been reluctant to disclose the extent of bird flu infection for fear of sowing panic and damaging tourism.

The weekly scientific journal Nature on July 28 reported that few, if any, avian flu samples from Indonesia had been sent to official laboratories for sequencing over the past year.

It said the data blackout came as surveys of the country were revealing a startling number of previously unrecognised avian flu outbreaks.

Peter Roeder, a consultant with the UN Food and Agriculture Organisation in Indonesia, said the first samples since August last year had finally arrived at the World Organisation for Animal Health reference library in Geelong, Australia.

Without proper sequencing of bird flu viruses, it is difficult to tell whether they are mutating or how human cases correspond to those in birds.

Seven bird flu deaths in an Indonesian family this year led to fear the virus could spread from one person to another as no nearby avian source could be identified.

"It's not really surprising in countries like Indonesia that there are possibly unrecognised pockets of infection still bubbling away," said Environmental Science and Research (ESR) health general manager Fiona Thomson-Carter.

"Quite frankly, Indonesia probably doesn't enjoy First World public health services," she said.

ESR is the New Zealand agency that monitors new organisms and holds the national collection of medical bacteria and viruses.

Thomson-Carter said the failure by US scientists to create a pandemic virus should not get people too excited.

"What nature accomplishes very elegantly, scientists struggle to mimic in a laboratory situation."

However, it was encouraging to know that should terrorists get hold of the virus they would face significant challenges.

"The notion of the white-coated boffin being able to unleash merry hell on the world doesn't always hold," she said.

Biosecurity chiefs this year imported a small quantity of the H5N1 virus and are keeping it under tight security at a lab in Upper Hutt.

Lab manager Joseph O'Keefe said Kiwi scientists would not be conducting US-style experiments.
 

PCViking

Lutefisk Survivor
Date:02/08/2006 URL: http://www.thehindu.com/2006/08/02/stories/2006080204841000.htm

Did wild birds bring avian flu to India?

N. Gopal Raj

A "smoking gun" that could convincingly pin the blame on wild birds is lacking. Even at the global level, unravelling the role of wild birds in the spread of H5N1 is not proving easy.

THE OUTBREAKS of deadly bird flu that occurred among poultry in Maharashtra earlier this year could have been the result of two independent introductions of the virus, possibly by wild birds, according to research that has been published in the journal Current Science.

Tests carried out at the time by the government's High Security Animal Disease Laboratory in Bhopal had shown that the outbreaks in Maharashtra were caused by a strain of bird flu known as H5N1. This virus had ravaged poultry flocks in several East and South-East Asian countries since December 2003. To the world's alarm, the virus did not remain confined to birds but occasionally jumped to humans, often with deadly effect.

In the latter half of 2005, the virus spread to Europe and other parts of the world with frightening rapidity. Its journey out of eastern Asia is usually thought to have begun at Qinghai Lake in western China where large numbers of wild birds congregate before their autumn migration. Thousands of these wild birds suddenly died in mid-2005 and were later found to have been infected by the H5N1 strain.

Shortly afterwards, the virus appeared in Mongolia, Siberia, and Kazakhstan before moving on to countries in central Europe, western Europe, and West Asia.

By early February this year, chicken were dying of the virus in Nigeria. Shortly afterwards, India announced that the virus had been detected in samples taken from poultry in Nandurbar district in Maharashtra. Soon afterwards another outbreak was reported from nearby Jalgaon district, also in Maharashtra.

H.K. Pradhan and his colleagues at the Bhopal laboratory have been looking closely at the viruses isolated from the outbreaks at Nandurbar and Jalgaon. In particular, they studied the genetic sequence for a key viral protein known as haemagglutinin.

The haemagglutinin gene in the viruses from the Nandurbar and Jalgaon outbreaks were "not identical," suggesting that these outbreaks were possible due to "two independent populations of the virus introduced at two different times,"
noted the scientists in their Current Science paper. J.S.M. Peiris, a noted virologist at the University of Hong Kong, is a co-author of the paper.

The scientists also compared the haemagglutinin gene of the H5N1 viruses found in India to those of 30 H5N1 viruses found in east and south-east Asia, Europe, Eurasia, and Africa. The two Indian H5N1 viruses were genetically closest to the viruses isolated this year from swans in Italy and Iran. Such genetic similarity was "suggestive of spread of the virus to distant places through wild, aquatic bird migration," say the scientists.

These findings mirror those based on analysis of the H5N1 viruses responsible for outbreaks in Nigeria. The paper published recently in the scientific journal Nature suggested that there had been multiple introductions of the virus into the African country. Based on comparisons of the haemagglutinin gene, a team of scientists from Luxembourg, Nigeria, and the Netherlands said three lineages of the H5N1 virus had been "independently introduced through routes that coincide with the flight paths of migratory birds, although independent trade imports cannot be excluded."

The issue of how far wild birds are to be blame for the spread of the H5N1 virus, especially its movement out of eastern Asia, is a contentious one. Wild water birds are known to harbour a rich diversity of bird flu viruses. But these viruses are of low virulence that do not harm the wild birds. It was only when the flu viruses spread to other birds, such as chicken, that they mutate and became highly virulent.

FAO finding

The question has been whether migrating wild birds could also carry the dangerously virulent H5N1 strain over long distances when the virus appeared to be lethal to the birds themselves. A recent report prepared for the Food and Agriculture Organization (FAO) said there was evidence that several species of wild birds may be able to carry the virus without themselves becoming ill. "The search for the main healthy carrier species of H5N1 along these migratory routes is under progress," observed Marius Gilbert and fellow scientists in their report of February 2006.

Conservation groups question whether genetic similarities between the H5N1 viruses found in Nigeria and India with strains isolated in distant places can by themselves be taken as evidence implicating wild birds. "Genetic similarity says nothing whatsoever about the mode of transport between sites," points out Richard Thomas of BirdLife International.

A news feature published in a recent issue of Nature quoted Ward Hagemeijer, programme leader for avian influenza at Wetlands International, as saying that a Nigerian H5N1 strain matching one found only in wild European birds was not convincing evidence that wild birds were the cause of the outbreak. Many more H5N1 strains had been studied in wild birds and than in poultry. So a search for similarities between strains was far more likely to turn up a close relative in the wild bird database than in the database for poultry.

Dr. Richard Thomas makes a similar point about the finding that the Indian H5N1 strains closely resembled those found in dead swans in Iran and Italy. The most plausible source of the virus in the dead swans was contamination from poultry sources in the Black Sea and Caspian Sea regions, where the virus had been present for months prior to the wild bird outbreaks in Europe. "Yet no poultry samples are analysed from this region," he said in an email.

A "smoking gun" that could convincingly pin the blame on wild birds is lacking. In the early months of this year, nearly 5,000 samples were collected from wild birds in 12 African countries. The sample collection included countries that had just reported H5N1 infections. But the virulent H5N1 virus did not turn up in even a single sample.

Likewise, although some 1,100 samples taken from wild birds in India were reported to have been tested at the Bhopal laboratory, none was positive for the H5N1 virus, points out Taej Mundkur of Wetlands International. Moreover, before reaching Maharashtra, wild birds would have had to stop at various places further north in India as well as in neighbouring Pakistan, Bhutan, and Nepal. Yet no deaths of wild birds or poultry as a result of the virus were reported from places along the birds' migratory route prior to the outbreaks in Maharashtra, he pointed out.

The Government had checked and ruled out various routes for the H5N1 virus to have entered the country, such as through smuggled poultry, contaminated feed or poor quality vaccines, according to S.K. Bandyopadhyay, the Union Government's Animal Husbandry Commissioner. But it had not been possible to rule out wild birds and the findings of the Bhopal laboratory lent support to that view.

However, in order to establish that wild birds were indeed responsible, it was necessary that the same or very similar viral strains to those found in infected poultry also be isolated from wild bird samples in India, Dr. Bandyopadhyay told The Hindu . That had not been possible.

Even at the global level, unravelling the role of wild birds in the spread of H5N1 is not proving easy. Laboratory experiments show that certain wild ducks, if they became infected, would be capable of transmitting the virus. But healthy migratory birds that are actually carrying the virulent H5N1 virus have been difficult to find.
More than 45,000 wild birds were tested between October 2005 and January 2006 in countries of the European Union, and not one had the virus. The virus has been detected only among dead and moribund wild birds in Europe.

Does that mean that migratory birds only act as carriers of the virus after they pick it up from infected poultry or other wild birds at an earlier stage in their journey? Or are some species of wild water fowl now able to act as `reservoirs' of the virulent H5N1, as they do with low-virulence forms of bird flu?

There was poor understanding of the H5N1 virus' presence in various wild bird populations, lamented Juan Lubroth, who heads FAO's infectious diseases group, when he addressed a scientific conference in May this year. The virus had been documented too frequently in dead wild birds — and too little in healthy wild bird populations, he pointed out. Limited financial resources, lack of local expertise to carry out such investigations, and the logistics of taking samples from wildlife had constrained the surveillance that was necessary of bird flu viruses in wild birds, he remarked.

Moreover, hitching a ride with wild birds is only one of the ways by which the virus is able to spread. "FAO considers that globalisation and international trade are definitely the main factors in the spread of the virus from one country or region to another, and that wild birds play only a partial role in this," said the organisation's deputy directory-general, David Harcharik, at the May conference.

:vik:
 

JPD

Inactive
Indonesia

Three in Karo District hospitalized for bird flu like symptoms

http://www.antara.co.id/en/seenws/?id=17495

Medan (ANTARA News) - At least three villagers of Karo district in North Sumatra are currently being treated at Adam Malik Hospital here for suspected birdflu.

The head of the hospital`s birdflu control team, Dr Adlin Adnan, confirmed here on Tuesday that the three villagers from Sumbul had been admitted to the hospital for suspected birdflu.

He said the three were referred to the hospital by the Kabanjahe hospital and arrived at the hospital at about 5pm and were eventually isolated in special rooms for birdflu patients.

Seven people from the Karo district died of the disease last May. (*)
 

JPD

Inactive
Three children suspected of having bird flu hospitalized in Indonesia

http://www.forbes.com/business/feeds/afx/2006/08/02/afx2921046.html

08.02.2006, 04:22 AM

JAKARTA (XFN-ASIA) - Three children in Indonesia have been hospitalized on suspicion of having the virus, a senior health official said.

Two siblings aged 10 and six and their 18-month-old neighbor, hailing from a district where a cluster of seven bird flu deaths occurred in May, have been admitted to hospital in North Sumatra's Medan, health official Hariyadi Wibisono said.

The three were moved to the provincial capital from another hospital near their village of Kabanjahe for 'showing initial symptoms of contracting bird flu,' Wibisono told Agence France-Presse.

The health official said the three come from the same subdistrict but a different village in Karo district where the world's first lab-confirmed cluster of human-to-human transmission of bird flu took place.

'Their samples have been taken and I think there are four other people from the same area who are in the process of being moved to Medan for treatment,' Wibisono said. He could not provide further details.

Health Minister Siti Fadilah Supari said in remarks on ElShinta radio that officials had found the sick children while conducting surveillance in the area and that one of them was suffering from pneumonia.

Indonesia has reported the highest number of human bird flu fatalities globally, along with Vietnam. Forty-two people have died here, while outbreaks in poultry have been found in 27 of 33 provinces.
 

JPD

Inactive
Indonesia tests 7 for bird flu from same village

http://thestar.com.my/news/story.as...01_NOOTR_RTRJONC_0_-262095-1&sec=Worldupdates

By Nadim Ladki

MEDAN, Indonesia (Reuters) - Seven Indonesians from the same village in North Sumatra have been hospitalised and are being tested for bird flu, an official said on Wednesday, raising fears of new cluster cases in the country.

The group comes from Karo district in North Sumatra province where bird flu killed as many as seven people in an extended family in May, triggering fears the H5N1 bird flu virus had mutated into a form that could spread easily between people.

"Whether it is a new cluster or not, that must be scientifically proved," said Runizar Ruesin, head of the bird flu information centre at Indonesia's health ministry.

He said the seven were admitted to the local Kaban Jahe hospital, with three referred to the state-run Adam Malik hospital.

The latter three are children -- two siblings aged 10 and six and their 18-month-old neighbour.

"I am still waiting for the result of the tests."

Another official said chickens in the area where they lived had died and tested positive for bird flu. Sick poultry is the usual mode of transmission of the disease, endemic in birds in about two-thirds of the country's provinces.
 
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