3/23/08-3/30/08|Weekly Bird Flu Thread:Bird flu alarm in Turkish village

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Bird flu alarm in Turkish village

http://www.thepeninsulaqatar.com/Di...nth=March2008&file=World_News200803232481.xml

ISTANBUL • Turkish authorities quarantined a village in northwestern Turkey and began culling poultry after test results showed that chicken deaths there had been caused by bird flu, state run Anatolian said

yesterday.

The report did not specify the strain of the bird flu virus.

Private broadcaster CNNTurk said close to 1,000 chickens had

been culled in the province of Edirne, 215 kms (134 miles) from Turkey's largest city Istanbul.

Three villages were quarantined and nearly 2,000 birds culled last month after tests proved the presence of bird flu in another province in northwestern Turkey.

Turkey lies on the migratory route for wild birds flying south from Scandinavia and Siberia to north Africa for winter.

Four people died from bird flu in eastern Turkey in 2006 after they came into contact with sick birds.

Although bird flu remains an animal disease, experts fear the virus could mutate into a form easily passed from man to man and kill millions.
 

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Tamiflu Resistance Challenges Influenza Genetics Dogma

http://www.recombinomics.com/News/03230801/H274Y_Dogma.html

Recombinomics Commentary 01:49
March 23, 2008

The recently released sequences from H1N1 seasonal flu isolates in the United States by the Centers for Disease Control (CDC) further challenge the influenza genetics dogma, which maintains that such evolution is driven by selection of random mutations. Conceptually, such selection is easily understood when the virus is under attack by antivirals, such as oseltamivir (Tamiflu). Virus which randomly created the mutation which codes for H724Y would be about 1000 fold more efficient at budding from an infected cell, and therefore would have a strong selection advantage.

However, the sudden apperance of the resistance was in countries which usually did not use Tamiflu, in patients who had not been treated with Tamiflu eliminates the antiviralo selection. Prior studies had indicated that H274Y would make the virus less fit, so the selective advantage in Tamiflu treated patients would not exist in influenza infected patients who were not under treatment, but the levels H274Y in almost 70% of H1N1 in Norway clearly indicated that H1N1 with H274Y was evolutionarily fit.

This fitness was supported by the recently released sequences by the CDC. All were the Brisbayne/59 strain and mapped to the same branch of an H1N1 phylogenetic tree (for both NA and HA) and in many cases the NA `sequences were identical, indicating the resistant strain could spread across the country (multiple sequences were released from Arizona in the west and New Jersey in the east).

However, other isolates with H274Y mapped to another branch composed of isolates from western states (Hawaii and California), while other resistant strains were the genetically distinct New Caledonia strain, which was more prevalent in prior years. Thus, not only was the resistant H1N1 evolutionarily fit, but it was formed via multiple independent introductions (at least three in the small number of positives from the US).

Moreover, like the isolates in Europe, the increase in resistance was sudden. Some isolates were identified last season, but the vast majority was from this season, which is also true for countries in Europe, which began to report the detection when multiple isolates from Norway were resistant.

The above scenario is difficult to explain by random mutations, even if a “fitness” mutation was widespread and help the resistant strains compete, because the sudden appearance does not correlate with countries that commonly use Tamiflu or recently increased the use of Tamiflu.

However, the change in Tamiflu usage preceding the sudden increase in H274Y in seasonal flu is found in the increased use of Tamiflu to treat H5N1. Although Tamiflu can inhibit the neuraminidase in all nine serotypes, it is less effective in N1. Moreover, it is less effective in H5N1 than H1N1, and in Tamiflu blanket applications, it is used at half the treatment dosage. This set of circumstances lead to the report of Tamiflu resistance Vietnam in 2005 and the genetic change in H5N1 was identical to the change in H1N1.

Moreover, the Tamiflu resistance in Vietnam was also associated with a reduced case fatality rate in northern Vietnam in 2005. In the north, the fatality rate fell from 70% in 2004, to less than 10% in 2005. Moreover, the lower case fatality rate was coincident with more efficient transmission to humans, increasing the likelihood of co-infections of H5N1 and H1N1, including H5N1 with H274Y linked to Tamiflu blanket applications. Although clusters in northern Vietnam were larger, the efficiency of transmission human to human was still markedly below seasonal flu, but recombination in co-infected host would allow for the acquisition of H274Y by H1N1, which could then be more efficiently spread human to human.

In addition, H274Y could be acquired by additional N1 serotypes in birds and swine followed by acquisition of H1N1 at distant locations, such as Norway. In either case, the introduction of H274Y into the human population could then be followed by acquisition of H274Y by other strains via recombination, and would not require new selection of random mutations.

Moreover, the sudden appearance of H274Y in human populations would follow the sudden increase in Tamiflu treatment of H5N1 in multiple locations, including Vietnam, Indonesia, Turkey, and Egypt.
 

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Indonesia limits sharing of bird flu samples

http://africa.reuters.com/commodities/news/usnJAK39573.html?rpc=401&

JAKARTA, March 24 (Reuters) - Indonesia will not fully share bird flu virus samples with the World Health Organisation until a new global mechanism is in place, a senior official said on Monday.

Indonesia is the nation worst hit by H5N1 avian influenza, with 129 human cases, of whom 105 have died.

Indonesia sent bird flu virus samples last month to the U.S. Centers for Disease Control and Prevention (CDC), a WHO-collaborating laboratory, after a nearly 6-month hiatus when it won assurance that it would get access to affordable vaccines.

But Bayu Krisnamurthi, head of a national commission dealing with bird flu, said Indonesia would only send virus samples on a case-by-case basis until a new virus sharing mechanism currently being drawn up by the WHO took effect.

"The health ministry decides whether or not to send samples," he told a news conference on the sidelines of a meeting to step up the campaign against bird flu in the capital Jakarta and surrounding areas.

He declined to say under what circumstances the ministry would decide to send samples to a WHO collaborating laboratory.

Indonesia drew international concern when it defied protocol and refused to share its virus samples last year, saying it wanted guarantees from richer nations and drugmakers that poor countries would get access to affordable vaccines derived from their samples.

Talks hosted by the WHO last year in Geneva failed to reach an agreement on a new virus-sharing system, and the impasse only seemed to ease when Indonesia handed over samples last month.

The WHO says it has begun to disclose how and where samples it receives are used in response to poor countries' demands for more transparency.

The United Nations' Food and Agriculture Organisation (FAO) said last week Indonesian efforts have done little to control bird flu and the nation needed more help in controlling the virus.

Surveillance and response teams are working in 193 out of 448 districts in Indonesia, yet birds in 31 out of 33 provinces are affected, FAO Chief Veterinary Officer Joseph Domenech said.

Krisnamurthi said bird flu had cost Indonesia 4.1 trillion rupiah ($446.6 million) since cases in poultry were discovered in 2004, excluding the impact of job losses and reduced protein consumption among the population.

But he said there had not been evidence that the virus had mutated into a form that could jump easily between people.

The chief of Jakarta's animal husbandry department, Edy Setiarto, told the same news conference that he expected the city to be free of live poultry by 2010.

He said the current campaign to rid the capital of backyard poultry had faced problems because some residents had resisted.
 

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Indonesia to stop live bird trade in capital to battle flu

http://hosted.ap.org/dynamic/storie...ME&TEMPLATE=DEFAULT&CTIME=2008-03-24-05-30-35

JAKARTA, Indonesia (AP) -- Indonesia will ban the trade of live chickens in the capital in 2010 to sharpen the fight against bird flu in world's hardest-hit nation, a livestock official said Monday.

Poultry will have to be killed at government-licensed slaughterhouses outside Jakarta before being transported to the market, Edy Setiarto said, adding that authorities would need two years to prepare regulations and business owners for the changes.

Currently, many customers prefer to buy live chickens, which are then slaughtered to order to ensure the meat is fresh.

Setiarto noted that 70 percent of Indonesia's soaring bird flu cases occur in Jakarta and surrounding districts. Last year, city residents were told they could longer keep backyard chickens, but the order appears to have been largely ignored.

"The government will improve efforts to stop the spread of bird flu," Setiarto said.

Bird flu started sweeping through poultry populations across Asia in 2003 and has since jumped to humans, killing at least 236 people, nearly half of them in Indonesia, with 105. It remains hard for people to catch, but experts worry the virus could mutate into a form that passes easily among humans, sparking a pandemic. So far, most human cases have been linked to contact with infected birds.

Despite millions of dollars in international aid, the U.N. Food and Agriculture Organization said this month the virus was entrenched in 31 of Indonesia's 33 provinces. It warned of an increased possibility that the virus may mutate into a deadlier form.
 

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STMicro launches speedy chip to detect bird flu

http://news.yahoo.com/s/nm/20080324/tc_nm/stmicro_birdflu_dc

SINGAPORE (Reuters) - Europe's top semiconductor maker, STMicroelectronics (STM.PA), said it has developed a portable chip to detect influenza viruses including bird flu in humans.
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The device, which functions as a mini laboratory on a chip, can screen and identify multiple classes of pathogens and genes in a single diagnostic test within two hours, unlike other tests available on the market that can detect only one strain at a time and require days or weeks to obtain results.

The chip can differentiate human strains of the Influenza A and B viruses, drug-resistant strains and mutated variants, including the Avian Flu or H5N1 strain.

There have been 236 human deaths globally from the H5N1 strain, according to the World Health Organisation, though it remains mainly a bird virus.

"ST sees new high growth opportunities in the healthcare market, especially in areas like patient care," said Francois Guibert, STMicro's Asia Pacific chief executive, at a briefing in Singapore on Monday marking the commercial launch.

The VereFlu Chip was developed by the Franco-Italian chipmaker together with Singapore's privately held Veredus Laboratories after more than a year of research. The application underwent extensive evaluation trials at Singapore's National University Hospital last year.

It allows users to process and analyze patient samples -- comprising human blood, serum or respiratory swabs -- on a single disposable thumbnail-sized microchip.

Guibert said revenue contributions from its biomedical chip business would remain "negligible" for at least another three to five years.

Veredus Chief Executive Rosemary Tan said the company had obtained "very promising" sales orders from hospitals and non-hospital customers, but declined to provide details.

Another big potential market is the screening of travelers at airports and border checkpoints, Tan said.

Experts are monitoring the H5N1 virus for signs of mutation into a form easily transmitted from person to person, a development that could trigger a deadly pandemic. So far most human cases can be traced to contact with infected birds.

STMicro and Veredus have set up a joint laboratory in Singapore, where their experts will work on developing new biomedical applications using STMicro's chip platform for other infectious diseases, oncology and heart-disease markers.
 

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Bird Flu Scientists Say Mallards May Carry Virus Long Distances

http://www.bloomberg.com/apps/news?pid=20601202&sid=arKQGHf6l.tk&refer=healthcare

By Jason Gale

March 24 (Bloomberg) -- Scientists in the Netherlands tracking the spread of bird flu in wild ducks say mallards may be the best long-distance carrier of the deadly H5N1 virus.

Researchers at the Erasmus Medical Center in Rotterdam experimentally infected six wild-duck species with H5N1 to determine which were capable of excreting the virus without succumbing to the disease. Pochards and tufted ducks shed the most virus, though tend to become ill or die earlier, they said.

``Of the six wild duck species studied, the mallard is the prime candidate for being a long distance vector,'' the researchers wrote in a study published in the April edition of Emerging Infectious Diseases. ``It was the only species to show abundant virus excretion without clinical or pathologic evidence of debilitating disease.''

The study suggests mallards should be given priority in any surveillance for the H5N1 virus in wild ducks, the authors wrote. The H5N1 strain has spread to more than 60 countries since 2003 through trade in poultry and the movement of wild birds. It has infected people in 14 countries and world health officials say it may spark a pandemic if it becomes capable of spreading among humans through coughing and sneezing.

While the transport of infected poultry, contaminated equipment and people associated with the poultry industry has helped spread H5N1 among poultry flocks, wild birds are ``suspected of playing a major role as long-distance'' carriers of the virus, the researchers said.

Besides ducks, other water bird species, such as geese, swans and gulls also play a role in the epidemiology of avian flu, they said. There about 9 million mallards in Western Europe, making it the most abundant species in the family that includes ducks and duck-like waterfowl, according to the study.

Disease Link

``Part of the population migrates long distances northeast to southwest between breeding and wintering areas,'' wrote the researchers, led by Juthatip Keawcharoen. ``It is found on nearly every type of wetland and is very tolerant of human presence, thus forming a potential link between wild waterfowl, domestic animals and humans.''

Pochards and tufted ducks, along with mute swans, are more likely to act as sentinels for H5N1 in wild bird populations, the study found. Some of the pochards and tufted ducks studied developed neurologic disease that caused them to compulsively swim around in circles, the researchers said.

The virus's ability to invade multiple tissues, including the brain, suggests tests on live birds should include swabs of the throat as well as the end of the digestive tract or cloaca, they said. Tests on wild duck carcasses should also probe internal organs such as brain, pancreas, liver, kidney and spleen, the authors found.
 

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Village quarantined after bird flu confirmed

http://www.todayszaman.com/tz-web/detaylar.do?load=detay&link=137108

Turkish authorities quarantined a village in northwestern Turkey and began culling poultry after test results showed that chicken deaths there had been caused by bird flu.
The report did not specify the strain of the bird flu virus.


Private broadcaster CNN Türk said close to 1,000 chickens had been culled in the province of Edirne, 215 kilometers from Turkey's largest city, İstanbul. Three villages were quarantined and nearly 2,000 birds culled last month after tests proved the presence of bird flu in another province in northwestern Turkey.

Turkey lies on the migratory route for wild birds flying south from Scandinavia and Siberia to north Africa for winter. Four people died from bird flu in eastern Turkey in 2006 after they came into contact with sick birds. Although bird flu remains an animal disease, experts fear the virus could mutate into a form easily passed from human to human and kill millions.
 

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China confirms bird flu outbreak in southern city of Guangzhou

http://www.thecanadianpress.com/eng...ame=w031640A&newsitemid=17811016&languageid=1

HONG KONG - Chinese officials have confirmed that bird flu was to blame for killing chickens in poultry markets in the southern city of Guangzhou, Hong Kong's Food and Health Bureau said Sunday.

China's Ministry of Agriculture notified the administration that the birds tested positive for the H5N1 bird flu virus, marking the country's fifth outbreak among poultry this year, the bureau said in a statement.

The Ministry of Agriculture also said on its website that last week's outbreak in Guangzhou killed 114 birds and resulted in the slaughter of 518 others. But it has been contained, the ministry said.

China, which raises more poultry than any other country worldwide, has vowed to aggressively fight the virus. H5N1 has killed at least 235 people worldwide, according to the World Health Organization. Scientists fear it could mutate into a form that spreads easily among humans, potentially sparking a pandemic that kills millions. So far, most human cases have been linked to contact with infected birds.

China has already reported three human bird flu deaths this year, including a 44-year-old migrant worker last month in southern Guangdong province. It has recorded 20 human deaths since the virus began ravaging Asian poultry stocks in late 2003.
 

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Migration Route of Tamiflu Resistance to Scandinavia

http://www.recombinomics.com/News/03240801/H274Y_Route.html

Recombinomics Commentary 04:14
March 24, 2008

The recent sudden appearance of H274Y in H1N1 seasonal flu has raised questions that seriously challenge the basic tenets of influenza genetics, which use selection of random mutations generated by copy errors as the mechanism of genetic drift. As has been noted, the Tamiflu resistance has been most prevalent in Norway, where use of Tamiflu is not common. Moreover, the H1N1 with H274Y is evolutionarily fit and linked to multiple introductions.

However, the genetic change in H1N1 seasonal flu, has been reported previously in H5N1 patients in Vietnam treated with Tamiflu, including at least one patient treated with a prophylactic dose of Tamiflu in Vietnam in 2005. That was followed by the appearance of the same mutation in H5N1 in wild birds in Astrakhan in the fall of 2005.

The sequence of the Astrakhan isolates shared polymorphisms with H5N1 in Denmark and Sweden and had also acquired human polymorphisms. Thus, a pathway from Vietnam to wild birds in central China (Qinghai Lake), Mongolia (Erhel Lake), and Russia (Chaney Lake) in the spring and summer of 2005, followed by migration to Astrakhan (Volga Delta) in the fall of 2005, followed by Scandinavia, is established by H5N1 analysis of public sequences,

This migration of individual polymorphisms is easily explained by recombination which demonstrates movement geographically and well as genetically.

However, the influenza experts who were startled by the sudden appearance of Tamiflu resistance in seasonal H1N1 isolates in Europe have actively ignored recombination as a mechanism underlying genetic drift. Genetic efforts have focused on reassortment, which involves the exchange of whole gene segments in hosts infected by two or more influenza genomes. Similarly, the movement of H5N1 by migratory birds has been discounted, even though all H5N1 west of China has been the same clade 2.2 subclade first identified in wild birds at Qinghai Lake in China in the spring of 2005.

The denial of homologous recombination and the movement of such recombinants by migratory birds continues to endanger the world’s health. Sequences which define the migration routes are still being withheld by the public health agencies that are funded to improve the world’s health, and many of the hoarding institutes are the WHO consultants who collect the samples from other public health agencies and then hoard the sequence data.

The Tamiflu resistance in NA in Astrakhan was promptly reported by health agencies in Russia in 2005. At that time countries in western Europe, the Middle East, Africa, and south Asia were denying any H5N1. After patients began to die from H5N1 in Turkey in early 2006, countries in all of the above regions suddenly “discovered” H5N1 in subsequent months in early 2006. All of the isolates were the same Qinghai strain of H5N1, and in many countries, the H5N1 was only found in wild birds. However, many of the sequences from early 2006 still have not been released.

The Astrakhan H5N1 was related to a subclade that has been reported in northern Germany, Denmark, Sweden, and Scotland. Full sequences have been released from Denmark and recently the sequences from the one isolate from Scotland were released. Sequences from only one gene have been released from the isolates in Sweden, and only HA and partial NA sequences have been released from the isolates in northern Germany, even though all of these isolates were collected well over two years ago, in early 2006.

Some of these sequences were held in a WHO private database which can only be accessed by WHO consultants. The laboratories focus on reassortment and actively ignore recombination and withhold the sequences which provide additional support for recombination and the tracing of polymorphisms from location to location, which can be used to identify the origins of the Tamiflu resistances as well as hundreds of additional polymorphisms which define genetic drift.

The continued hording of sequences, and the active ignoring or recombination and the transport and transmission of these polymorphism by migratory birds, continues to be hazardous to the world’s health.
 

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US officials launch bird flu stockpile in Thailand

http://www.straitstimes.com/Latest+News/Asia/STIStory_220374.html

BANGKOK - US OFFICIALS on Tuesday officially opened a stockpile of equipment in Thailand designed to help Asian nations react rapidly to battle outbreaks of potentially deadly bird flu.

The US ambassador to Thailand Eric John presided over the Bangkok launch ceremony for the Regional Distribution Centre (RDC), which is located in Thailand's eastern province of Chachoengsao.

'The RDC will help ensure that countries in Asia will be able to take fast action to counter avian influenza without endangering the lives of rapid-response teams,' Mr John said.

'This centre will help ensure that avian influenza outbreaks can be contained safely and efficiently,' he added.

The warehouse, funded by the US government's aid arm USAID, will initially stockpile 45,000 protective suits, 400 decontamination kits, 10 laboratory specimen kits and other equipment worth a total of 548,300 dollars.

Mr John MacArthur, infectious diseases advisor with USAID, warned that bird flu remained a serious threat in the region around the Mekong river, and said the kits could be shipped to outbreaks within 24 hours.

Authorities in Laos earlier this month reported a fresh bird flu outbreak near its northwest border with Myanmar and China, while Vietnam has so far reported five bird flu deaths this year.

The World Health Organisation (WHO) has confirmed that 236 people have died worldwide from bird flu since 2003.

The H5N1 avian influenza virus mainly kills animals but scientists fear it could mutate to easily jump from human to human, sparking a global pandemic. -- AFP
 

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Indonesia loses 450 mln USD due to bird flu

http://www.vnanet.vn/Home/EN/tabid/119/itemid/241935/Default.aspx

Hanoi (VNA) - Indonesia has suffered economic losses of 4.1 trillion Rp (about 450 million USD) due to bird flu, Indonesia’s Antara news agency reported.

The estimation of losses was based on the impact of bird flu outbreaks during 2004-2007, Antara cited Bayu Krisnamurthi, chief of the country’s National Committee on Bird Flu Control, as saying on March 24.

The losses, which do not include the loss of job opportunities and the decrease in protein consumption by the public, might be much greater when the disease has entered its pre-endemic and pandemic level, the official said.

Bird flu infection on poultry, which was first reported in 2003, has spread in 31 out0 of 33 provinces in Indonesia.

Up to now, 105 people in Indonesia had died of bird flu, Antara said. –Enditem
 

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Indonesia: Warnings on Failure to Contain Avian Flu
and on Increased Risk of Deadly Mutation

http://www.nytimes.com/2008/03/25/h...lth&adxnnlx=1206444180-708qMlzy6OPjH9VOYgSpdg

The avian flu situation in Indonesia is grave, and the risk of mutation into a human pandemic form will worsen if more is not done, the United Nations Food and Agriculture Organization warned last week.

“The human mortality rate from bird flu in Indonesia is the highest in the world,” said Dr. Joseph Domenech, the agency’s chief veterinary officer, “and there will be more human cases if we do not focus more on containing the disease at its source in animals.”

Indonesia is failing to contain its poultry epidemic, Dr. Domenech said. He blamed decentralized government, a shortage of veterinarians, indifference by commercial producers, a lack of political commitment and the fact that 30 million Indonesians raise backyard chickens.

Indonesia has confirmed 129 cases of H5N1 flu, of which 105 were fatal, according to the World Health Organization. The only other countries reporting human cases thus far this year are China, Egypt and Vietnam.

Health authorities are also worried, however, about poultry outbreaks in Bangladesh and India. This month, Bangladesh reported culling at more than 400 farms. Across the border in the West Bengal state of India, the government claimed to have wiped out its outbreak, then found new cases. Since the disease was found in crows, it presumably crosses borders there easily.

Dr. Domenech also noted that new H5N1 strains were evolving in Indonesia, possibly rendering current poultry vaccines useless. In Egypt, newly emerging strains found even in vaccinated flocks suggest that bad vaccine matches are speeding mutations.
 

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Report: Don't just blame the chickens for bird flu outbreaks

http://chealth.canoe.ca/channel_hea...el_id=1020&news_channel_id=1020&news_id=24807

Provided by: Associated Press
Written by: Kevin Freking, THE ASSOCIATED PRESS
Mar. 24, 2008

WASHINGTON - Intensive rice farming and large duck populations - not the number of chickens raised - may be the best predictors of where bird flu might develop in Southeast Asia, according to researchers reviewing outbreaks in Vietnam and Thailand.

About 140 million birds in Southeast Asia have been killed in recent years to prevent the H5N1 virus from spreading. Researchers are trying to understand what factors have contributed to continued outbreaks despite significant control efforts.

By isolating those factors, policymakers can better target efforts to stem or prevent future outbreaks. For example, they could limit the movement of ducks into the rice paddies at certain times of the year, which would reduce the prospects of the virus being exchanged between domestic ducks and wild birds.

Researchers reviewed three outbreaks in early 2004 through late 2005. They looked at five variables: duck abundance, human population, chicken numbers, elevation and rice cropping intensity.

The researchers concluded that monitoring duck populations for H5N1 and tracking rice paddies by satellite were the best ways to predict where outbreaks were most likely to occur. They said that chickens are no longer a "highly significant predictor" of the presence of the H5N1 virus for Vietnam and Thailand.

"Essentially, (the virus) is so pathogenic in chickens that it kills them before they can spread it," said Marius Gilbert of the Free University of Brussels, Belgium.

The outbreaks were most concentrated in regions where rice is cultivated two or three times a year.

"Rice paddy fields are an important habitat of free-ranging ducks, but also for wild waterfowl exploiting the same food resource in the wintering season," the researchers said. "Thus, they may form a critical risk factor in ... virus introduction, persistence and spread."

The researchers described the predictive power of their models as "moderate." They also said that their work appeared to warrant development of maps in other Southeast Asian countries identifying those areas most susceptible to future bird flu outbreaks.

Since 2003, bird flu has killed at least 236 people. Although it has been hard for people to catch, experts worry the virus could mutate into a form that passes easily among humans, sparking a pandemic. So far, most human cases have been linked to contact with infected birds.
 

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Asia's first anti-bird flu facility opens in Bangkok

http://www.channelnewsasia.com/stories/southeastasia/view/337371/1/.html

BANGKOK: Asia's first anti-bird flu facility has opened in Bangkok to help fight any new avian influenza outbreaks in the region.

In Bangkok, the first of three worldwide anti-bird flu stockpiles is fully operational. It is ready to counter new occurrences of the disease with rapid response emergency kits.

A total of 45,000 pieces of personal protective equipment, 440 decontamination kits, ten laboratory specimen kits and four training packs worth over half a million US dollars will be stored in a warehouse near Suvarnabhumi Airport.

He Change Chui, Assistant Director General, Food and Agricultural Organisation, said: "The very purpose of this centre is to deliver equipment, commodities in the shortest time possible. In a few hours, Bangkok can reach anywhere."

US Ambassador to Thailand, Mr Eric John, inaugurated the Regional Distribution Centre, which is partly sponsored by United States Agency for International Development (USAID).

Oliver Carduner, Director of USAID RDMA, said: "We're able to mobilise these life-saving commodities within 24 hours of the order. Previously when they were based in the United States, depending on the method of shipment, it could take as long as two to three weeks to transport them."

The deadly H5N1 virus remains a grave threat around the region because of the large chicken and duck populations, with new outbreaks reported from the Laos border earlier this year.

Seventeen Thais have died from the disease since 2003 and Vietnam has reported five deaths so far this year.

Though the number of human deaths has declined since last year, scientists fear the virus could mutate and jump from human to human, sparking a global pandemic.
 

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Culling worker sick, mopping up on in Malda

http://www.mid-day.com/web/guest/news/national/article?_EXT_5_articleId=1058192&_EXT_5_groupId=14

Malda, WB: A culling worker who reported sick has been kept under observation in Malda district, even as mopping up operations continued for the second day today in bird flu-hit areas of the district.

Fifty-eight-year-old Haripada Das, who had fever on the second day of culling operations, was thoroughly examined and blood samples were sent for examination, official sources said today.

He is under observation, the sources said.

The mopping up operation began on Sunday to locate if there was any bird left in the affected areas in Englishbazar, Old Malda town and adjoining Sahapur, an ARD official said.

Altogether 1,178 birds were to be killed during yesterday's mopping up operations which was carried out with police escort.

Since the target could not be met yesterday, the operation was continuing today, the official said.

At least 23,000 birds were killed during culling and mopping up operations in the district till yesterday.
 

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New H5N1 Outbreaks in West Bengal India

http://www.recombinomics.com/News/03270801/H5N1_WB_New.html

Recombinomics Commentary 10:14
March 27, 2008

Jalpaiguri became the third district to be declared bird flu-hit for the second time after Malda and Murshidabad, with death of 112 chicken reported from its Sadar sub-division, official sources said on Thursday.

The deaths occurred among backyard poultry in Boalmari under Jalpaiguri Sadar sub-division, Banamali Roy of Jalpaiguri Zilla Parishad said.

Over a week ago, avian flu was reported from English Bazar in Malda and Raghunathganj and Jiaganj areas in Murshidabad district.

Avian flu deaths among poultry had been reported earlier from Falakata area in Jalpaiguri district.

The above comments provide additional evidence for widespread H5N1 in West Bengal. New reports of H5N1 in poultry are not unexpected. Testing in the earlier outbreaks was minimal in many areas, as was cooperation from villagers. In addition to the excessive poultry deaths, there were deaths of wild birds in proximity to H5N1 confirmed cases.

H5N1 has been widespread in neighboring Bangladesh and H5N1 has been confirmed in wild birds there.

Moreover, in some locations, such as southern Russia, early migration of birds to the north has been reported. Although India has never reported an H5N1 positive wild bird, the linkage of migration paths in India to regions in China, Russia, and Mongolia where H5N1 has been reported previously in long range migratory birds for the past several years leaves little doubt that H5N1 has migrated into India.

Thus, additional reports of H5N1 in poultry in India are expected.
 

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Jalpaiguri declared bird flu-hit

http://www.hindustantimes.com/Story...678&Headline=Jalpaiguri+declared+bird+flu-hit

Press Trust Of India
Jalpaiguri, March 27, 2008

Jalpaiguri became the third district to be declared bird flu-hit for the second time after Malda and Murshidabad, with death of 112 chicken reported from its Sadar sub-division, official sources said on Wednesday.

The deaths occurred among backyard poultry in Boalmari under Jalpaiguri Sadar sub-division, Banamali Roy of Jalpaiguri Zilla Parishad said.

Samples sent to the High Security Animal Diseases Laboratory (HSADL) in Bhopal had tested positive for H5N1 virus, Roy said. The district administration has convened a meeting today to chalk out a strategy to combat the situation, Roy said.

Over a week ago, avian flu was reported from English Bazar in Malda and Raghunathganj and Jiaganj areas in Murshidabad district. Avian flu deaths among poultry had been reported earlier from Falakata area in Jalpaiguri district.
 

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Bird flu sweeps Egypt

http://www.ameinfo.com/151332.html

Egypt is now the third most affected country by bird flu, after Indonesia and Vietnam. To date there have been 47 human cases, with 20 deaths from the H5N1 influenza virus. So far the government has closed 18 infected chicken farms this year as the disease sweeps the country, but authorities said it is still difficult for humans to catch. Generally, victims catch the virus after inhaling the blood, feathers or powered faeces of chickens.
 

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Indonesian boy dies of suspected bird flu

http://www.straitstimes.com/Latest+News/Asia/STIStory_220982.html

JAKARTA - A 15-year-old Indonesian boy has died of suspected bird flu, a doctor said on Thursday.

The boy, identified only as AY, was being transferred to a hospital in West Java when he died late Wednesday, said Hadi Yusuf, head of the facility's bird flu team.

'He has a history of contact with poultry on the family's own backyard farm,' Dr Yusuf said.

Tissue samples have been set away to be tested for the H5N1 virus, he added.

Two positive results are needed before Indonesian authorities confirm a human bird flu infection.

Indonesia has the world's highest number of human bird flu victims, with 105 known fatal cases.

Experts fear the virus, which is usually spread directly from birds to humans, could mutate into a form easily transmissible between people, sparking a deadly global pandemic.

Eleven people have died of bird flu in Indonesia this year, 10 of them from Jakarta and its surrounding areas. -- AFP
 

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4 culling workers under watch for bird flu infection

http://sify.com/news/othernews/fullstory.php?id=14630552

New Delhi/Kolkata: Four workers involved in culling operations in West Bengal were put under medical supervision for "suspected symptoms" of bird flu infection.

"Four animal husbandry workers involved in culling and mop-up activities are under medical supervision," a union health ministry statement said in the capital.

Keep your chicken bird flu free! | Some quick facts about bird flu | Full coverage: Bird flu hits West Bengal

The bird flu virus resurfaced at a state-run poultry farm at the English Bazaar in Malda district two weeks ago. About 200 chickens have died at the poultry farm since March 13, 2008.

India's worst ever bird flu outbreak was declared in West Bengal January 15, 2008. It hit areas in Murshidabad and Malda districts after a month's gap and the culling of nearly 40 lakh birds.

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"India has not reported a single case of human infection so far. But the current development is a little worrying as all the four under supervision were part of the culling operations. It means they were closely in touch with the poultry birds," a health ministry official said on anonymity.

"We hope they do not turn out as positive cases," he said.

However, the ministry clearly said India has not reported a single human case of bird flu and adequate stock of medicines and personal protective equipments are available with the State and district authorities.

Earlier in the day, authorities in West Bengal said that they have completed the culling operation in English Bazaar.

"We have begun a mopping up drive in some notified areas to slaughter the remaining chickens stocked at different poultry farms," said N K Shit, deputy director of the West Bengal Animal Resource Department (ARD).

"We have decided to take police help if anyone refuses to hand over their chickens to our ARD teams. The operation would be carried out in all 24 mouzas, (small rural areas) including the Malda municipal area.

"We have already culled about 24,000 poultry birds in Malda. Though the target was to kill about 44,000 chickens initially, we saw the actual figure was about 24,000 as we started working in the field," he said.

After India declared an outbreak of bird flu in January, it has affected 13 districts — South 24-Parganas, Howrah, Hooghly, Birbhum, South Dinajpur, Murshidabad, Nadia, Burdwan, Bankura, Malda, Cooch Behar, Purulia and West Midnapore.
 

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HCM City: H5N1 suspected in death

http://english.vietnamnet.vn/social/2008/03/775484/

VietNamNet Bridge – A 20-year-old patient from the central province of Nghe An died at HCM City-based Pham Ngoc Thach Hospital on March 26, with clinical symptoms of type A/H5N1 flu.

Before going to the hospital, the patient showed typical symptoms of type A/H5N1, for example coughing, fever, breathing difficulties. Doctors diagnosed the patient with acute pneumonia but they didn’t reject the possibility of type A/H5N1.

According to the patient’s family, bird flu was reported in the area where the patient lives in Nghe An. On March 15, the patient slaughtered a duck. He then returned to HCM City to work and got ill.

Pham Ngoc Thach Hospital has sent the patient’s blood sample to the HCM City Pasteur Institute for testing.

On this occasion, HCM City Department of Health told local residents to be vigilant against bird flu.
 

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More effective medication needed in fighting bird flu

http://www.thejakartapost.com/node/164845

More effective medication is needed to fight the H5N1 virus that causes Avian Influenza, as symptoms of resistance toward Osetamivir, the current medicine, had appeared in bird flu patients in some regions, an official at an Avian Influenza Summit said.

"We have learnt some bird flu patients in Hong Kong and Vietnam have shown resistance to old medicines," head of the National Working Group on Avian Influenza Eradication Amin Subandrio told reporters at the summit held at Nusa Dua resort Thursday.

"That's why we gather here, to find out whether or not we are ready to tackle the possibility that people are becoming immune to bird flu medication," Amin said.

Representatives from 25 countries attended the two-day summit, including from the U.S., Japan, South Korea, Indonesia and Kenya, who discussed the need for new medication to fight the AI virus

An exhibition demonstrating medical breakthroughs in treating bird flu by pharmaceutical companies from participating countries was also held.

Many countries are currently using Osetamivir, locally known as Tamiflu, to treat patients diagnosed with bird flu.

Tamiflu must be given to bird flu patients early as it reacts with the virus while it is still in the patient's blood. Once the virus enters the patient's lungs, the tablet is not much use, Amin said.

"We must then mix it with other medication to avoid further damage," he said.

The disease has killed 105 of the 129 people who have contracted the disease in Indonesia.

Amin said Tamiflu was still needed to treat patients suffering from bird flu.

"But we must be very careful not to give this medication to people who haven't been officially diagnosed with bird flu. If we do, they could become resistant to the medication in future," he said.

With new bird flu medication expected to be available in five to ten years time, campaigns on the necessary precautions to take were essential to avoid the disease, Amin said.

Head of the Surveillance and Epidemiology division of the Agriculture Ministry, Muster Any Ragman Nor, said the campaign has generated promising results in some regions but had failed in some others.

"The campaign failed in slum areas where poultry breeders put their poultry cages near their houses. It is not that they are unaware of the new rule that prohibits this, but they lack the funds to build new cages outside the housing area," he said.

Separately, a group of activists from the Asia-Pacific's People for the Ethical Treatment of Animals (PETA) held a rally in front of the summit venue. Two of them wore giant chicken costumes and held a banner calling for people to stop eating meat and become vegetarian.

Ashley Fruno of PETA said people should really stop eating meat as it had long been known to be a source of human illness.

"Besides killing an animal just to get its meat is just another way of justifying slaughter. We should be more caring towards other creatures," Fruno, who has been a vegetarian for 12 years, said Wednesday.

She said the vegetarian lifestyle had been proven to prevent degenerative diseases such as heart attacks and high blood pressure.
 

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Russian expert warns of 'bird flu pandemic'

http://en.rian.ru/russia/20080328/102434951.html

NUSA DUA (Indonesia), March 28 (RIA Novosti) - A Russian scientist said during an international bird flu conference that the virus would cause a global pandemic resulting in thousands of deaths, but did not say when it would happen.

Speaking at the 6th International Bird Flu Summit in Bali, the deputy director of the Russian Health Ministry's Institute of Epidemiology, Viktor Maleyev said: "The world has not seen pandemics for many years, although flu causes them from time to time."

"Diseases know no borders and when they are transmitted by birds, it is twice as true," Maleyev said.

Although no cases of human-to-human transmission of the deadly H5N1 strain of bird flu have been reported, scientists fear the virus could mutate into a strain that could pass easily between people, causing a global pandemic.

"Bird flu is a global problem, and it is also a problem for Russia which is not isolated from the rest of the world," the scientist said.

No human fatalities or cases of humans infected with the virus have been reported in Russia, where the first outbreaks were registered in southern areas of the country and Siberia in 2005. The latest outbreak occurred near Moscow in February, resulting in the culling of thousands of poultry.

"Every incident raises tension, as there is still a lot we do not know. We are only aware of 1% of all the micro organisms that are in our environment, and 99% of them we know nothing about," the health expert said.

"Each year 25 million severe respiratory infections are recorded in Russia," Maleyev said, "We know the cause of a mere 10% of these incidents," adding that it was not clear what caused the remaining 90% and how many people failed to seek medical treatment.

"Often when an infection fades away, people think that it is down to the health service, but they [infections] often appear and disappear regardless of what we do," he noted.

Maleyev said, however, there was a lot that could be done to fight the virus and avoid widespread panic, including public health awareness campaigns, training for medical staff, drawing up a vaccination action plan and rapid testing for the disease.

Igor Krasilnikov, a senior R&D specialist at the Moscow-based Mikrogen company told the summit on Thursday that Russia was ready to cooperate with Southeast Asia in producing bird flu vaccines.

According to the World Health Organization, avian influenza has so far killed 230 people out of 364 confirmed cases worldwide.
 

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More bird-flu outbreaks in Quang Nam Province

http://english.vietnamnet.vn/social/2008/03/775688/

VietNamNet Bridge – Many bird flu outbreaks were reported in central Quang Nam Province on Wednesday although the epidemic has now narrowed down to only five provinces nationwide as other affected provinces have not reported outbreaks in the past three weeks.

The National Animal Health Department on Wednesday reported that new outbreaks occurred at local farms in Dai Loc and Nui Thanh communes in Quang Nam Province, killing nearly 100 fowls.

At least 750 ducks in Nui Thanh Commune are positive with H5N1 virus, 63 of killed by the virus. Most ducks there have not been given vaccination, and local animal health workers culled the remaining ducks and disinfected the environment.

The National Animal Health on Wednesday said that bird flu is now still active in five provinces, namely Quang Tri, Quang Binh, Quang Nam, Ca Mau and Soc Trang.

Deputy Minister of Agriculture and Rural Development Bui Ba Bong on Tuesday assigned the National AnimaI Health Department to revise up the amount of financial support for farmers whose poultry flocks were culled due to the virus.

Bong said at the meeting in Hanoi that many local farmers were complaining about the low supporting rate as they only received VND15,000 for each poultry culled.

"The supporting rate will increase by 70% to around VND20,000-22,000 for each fowl being culled on a par with market prices," Bong said.

In a move of preparedness against bird flu on humans, the Ministry of Health has recently allowed for testing bird flu vaccine on humans.

The Vietnam News Agency reported that two people are healthy 18 days after getting the inoculation. At least 10 people who are workers at the Central Hygiene and Epidemiology Institute joined the vaccine testing.

If the initial test is successful, the test will be applied to 300 people, which is expected to start in April this year.

Since early this year, bird flu has attacked 20 provinces nationwide, claiming at least 10,000 ducks and 8,000 chickens.

While bird flu is yet to be contained, the foot and mouth disease is returning to the central region with Nghe An and Ha Tinh being infected.

The National Animal Health reported an outbreak in Ha Tinh Province with two buffalos infected on Tuesday, The disease also killed these buffalos at a local farm in Tan Loc Commune, Loc Ha District.

Up to date, the province has two districts and eight communes being infected.

Last year, foot and mouth disease killed thousands of animals.

An official from the department warned that the epidemic will likely spread because local farmers have poor awareness about the epidemic and still keep the habit having their cattle roaming on the field.

The foot-and-mouth disease has also spread to Ha Tinh's neighboring province of Nghe An as an outbreak was reported in Quynh Luu District, with a buffalo killed by the disease.
 

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Recombination in Human Swine and Avian Influenza

http://www.recombinomics.com/News/03270804/Human_Swine_Avian.html

Recombinomics Commentary 18:20
March 27, 2008

Specifically, because our analysis is necessarily based on viral consensus sequences rather than the myriad individual viral molecules that characterize any infection, it is equally plausible that the ‘recombinants’ detected here in fact represent cases of mixed infection in individual hosts followed by the amplification and sequencing of different viral molecules, thereby producing laboratory-generated artificial recombinants. Hence, to demonstrate conclusively the occurrence of homologous recombination in influenza A virus it will be necessary either to clone (or plaque purify) and sequence multiple viral genomes from an individual host and demonstrate the presence of the recombinant and both parental genotypes within the sample (1), or to show that recombinant sequences form a distinct circulating lineage, with readily identifiable parents, that is transmitted among multiple individuals in a population (30).

The above comments are from the ahead of press publication, “Homologous Recombination is Very Rare or Absent in Human Influenza A Virus”. Although the paper presented data showing that the likelihood that the short regions of recombination in NA H3N2 human influenza was due to chance was less than a billion to one, the authors relied on lab artifact to maintain their position that homologous recombination doesn’t happen in influenza in general, or in human influenza in particular.

However, the requirements delineated in their discussion have already been met for human, swine, and avian influenza, so going through the public data is worthwhile.

Although the paper excluded the best evidence for clear cut homologous recombination in human influenza, the sequences are public and meet the above requirements. All six sequences from six individuals in South Korea have the same recombination. All have a version of human H3N2 human influenza in circulation worldwide at the time. However, each isolate has a 1991 H3N2 HA sequence in the center third of the gene, thus meeting the requirement of the same recombinant transmitted among multiple individuals in a population. Since all six sequences were generated in the same lab, ad hoc arguments for lab error could be developed, but would have to include contamination of all six isolates with a 1991 lab sequence resulting in the contaminant replacing the center of the 2002 sequence resulting in three similar sequences and three additional sequences where 2002 sequences nested inside of the 1991 sequence. Although such a scenario would be possible, it would be highly unlikely.

The authors cited a Recombinomics preprint at Nature Precedings, which met the “proof” criteria for swine influenza. Recombination evidence was presented for all 8 gene segments, but the most compelling examples were for PB2 or PA and involved sequences from two closely related 1977 isolates from Tennessee. The data for PB2 had clear evidence for recombination, involving exact matches for large portions of the gene, even though the Canadian swine isolates were from 2003/2004, while one set of parental sequences were from 1977.

One of the clearest examples of nesting can be seen in three of the isolates, 11112, 57561, and 56626. All three have sequences which exactly match a 1998 North Carolina sequence between positions 755 and 1594. This sequence remains intact in 11112, but the 1977 sequence from Tennessee is nested in the other two sequences between positions 1006 and 1326. All of the above are exact matches and represent just a subset of the recombination events depicted in the PB2 sequences. Thus, the shared recombination events are present in multiple swine isolates and would once again satisfy the requirement of the same recombination event in multiple isolates. Once again, these sequences were generated by a single lab, but generation of this data through contamination would require contamination with multiple isolates, including the two mentioned above as well as a 2002 isolate from Korea. Similar large sets of contaminating sequences would be required to generate the recombination events depicted in the other gene segments.

In addition to the large regions of recombination in the human and swine isolates described above, another Recombinomics paper at Nature Procedings provides evidence for recombination between closely related H5N1 avian NA sequences depicted by a single nucleotide polymorphisms, G743A. These data include plaque purification of isolates from one host providing evidence that the same polymorphism was acquired by two distinct clones present in a single host. The two consensus sequences, each represented by multiple clones, differed from each other at 11 positions. One set of sequences differed from one of the Gharbiya cluster sequences at just two positions and one of the two positions was G743A. The other set of sequences matched two other isolates, and differed from related sequences isolated months earlier and differed at three positions, one of which was G743A. Thus, both distinct sequences had acquired the same change, even though the number of changes was only 2 or 3 positions in the two instances. The likelihood that both sequences made the same copy error at the same time is remote.

This type of coincidence is even more remote when the same change was found on multiple additional genetic backgrounds in Egypt, Kuwait, Russia, Ghana, and Nigeria. Moreover, G743A was also on sequences related to the Kuwait sequence in the Czech Republic, multiple locations in Germany, and Krasnodar. Like the first two examples, the acquisitions on the various backgrounds were small numbers (2-6 positions) of changes between the 2007 sequences and closely related sequences from 2006 which did not have the change.

Thus, the above description delineate homologous recombination in human, swine, and avian influenza which are unlikely to be due to lab error or contamination.
 

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Vietnamese man died of pneumonia, not bird flu

http://www.thanhniennews.com/healthy/?catid=8&newsid=37153

A man who died in Ho Chi Minh City on Wednesday was not infected with the H5N1 virus, or bird flu, as was previously suspected.

The director of the city’s Pasteur Institute announced Thursday that the cause of death was, in fact, acute pneumonia.

The patient was hospitalized in Pham Ngoc Thach Hospital Tuesday with breathing difficulties, a cough and high fever, symptoms similar to those of avian influenza.

The death was under suspicion since the deceased’s family in the central province of Nghe An said there had been a bird flu outbreak in the province two months ago.

According to the institute, however, the patient’s immune system had been weakened by a pre-existing kidney condition that led to pneumonia.
 

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Culling begins in Bird flu hit areas in WB

http://timesofindia.indiatimes.com/...lu_hit_areas_in_WB/rssarticleshow/2909534.cms

JALPAIGURI: Culling operation which was delayed in bird flu-hit Jalpaiguri district on Friday began on Saturday with 40 teams fanning out to the affected blocks even as people engaged in the drive were quarantined in Malda district.

Culling which was scheduled to begin on Friday morning, but was delayed as the team members were busy chalking out their plan of action at the office of the deputy director of animal resources department, official sources said.

The teams could reach the affected area of Mondolghat only at 6 pm, the sources said

The district administration has set a target of culling 46,000 chicken in Jalpaiguri Sadar and Moynaguri blocks by Sunday.

Since there is no big poultry farm in the affected villages, the teams set out for the blocks on Saturday to make a door-to-door survey to find out the presence of backyard poultry.

A three-member team is arriving from New Delhi to supervise the operation, District Magistrate Ramchandra Ranjit said.

A report from Malda said two hundred personnel who had carried out culling in the district were quarantined at the district sports authority hostel as a precautionary measure.

Three workers who had developed flu-like symptoms have recovered, Chief Medical Officer R R Banik said. Altogether 23,500 birds were killed during culling and mopping up operations in Malda district till March 26.

Jalpaiguri, Malda and Murshidabad were declared bird flu-hit in a fresh outbreak of avian influenza during the last fortnight.
 

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Vietnam imports bird flu vaccine from China

http://www.thanhniennews.com/healthy/?catid=8&newsid=37179

Sixty million bird flu vaccine doses are expected to arrive in Vietnam Saturday from China, according to the Vietnamese Ministry of Agriculture and Rural Development on Friday.

The ministry said it had to import the vaccine this month instead of in April as planned, because of increasing bird flu outbreaks in the country.

Ten provinces, mostly in the north, have reported outbreaks of the disease this year.

The Mekong Delta risked a massive outbreak due to farming of free-range ducks in many provinces and poor control of poultry transport and trade, according to health officials earlier this week.

Of the 106 human bird flu cases confirmed in Vietnam since 2003, 52 have been fatal.

In related news, the Health Ministry announced Friday the GAVI Alliance (formerly the Global Alliance for Vaccines and Immunization) pledged to aid nearly US$2.15 million for a massive measles vaccination program here.
 

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Bird flu situation improves in Bangladesh with temperature rising

http://news.xinhuanet.com/english/2008-03/30/content_7884436.htm

DHAKA, March 30 (Xinhua) -- With the rise of temperature, bird flu that battered the growing poultry industry in Bangladesh now started to ease off, an expert of the Livestock Department said Sunday.

Sujas Kanti Bhoumik, a technical officer of the Livestock Department, told Xinhua that the situation of bird flu is gradually improving with the rise of temperature.

An official at the Bird Flu Control Room told Xinhua that some 1,536,542 chickens, ducks and pigeons have been culled so far till Saturday since the virus broke out in March last year.

The official said the disease affected 486 commercial farms and42 private farms in 47 districts out of 64 districts in the country.

The government agencies are campaigning through electronic media and SMS services that there is no danger of eating chickens and eggs if cooked and boiled at 70 degree Celsius.

Physicians said there is no reason for the people to be panic about the virus as there is no human infection case in Bangladesh.

People who were earlier panic at the spreading of virus and stopped eating chickens and eggs are now changing their mindset. Many households started eating well cooked chickens and eggs.

The Bangladesh Poultry Industries Association (BPLA) said the deadly virus led to the closure of more than 50 percent of the farms, turning nearly five million people jobless. The BPIA said about 100 billion taka (about 1.43 billion US dollars) were invested in the poultry sector.
 
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