[Hlth] Flu News 1/3 to1/9 2005

JPD

Inactive
Odds of avian flu outbreak researched

http://www.canoe.ca/NewsStand/LondonFreePress/News/2005/01/03/805585-sun.html

Scientists want to know how easily the virus can mate with human flu bugs.

HELEN BRANSWELL, CP 2005-01-03 01:55:55

TORONTO -- The alarm now sounds with increasing frequency and urgency: the world could be on the brink of an influenza pandemic sparked by the highly virulent avian flu strain ravaging poultry stocks in Southeast Asia, experts fear. But can that strain -- known as H5N1 -- actually acquire the ability to spread easily to and among people? And if it can, how likely is that dreaded event to occur?

U.S. scientists soon will begin experiments that should provide some answers to those questions. In the process, they hope to learn more about why a virus that nature designed to infect migratory water birds has the astonishing capacity to kill mammal species ranging from house cats to tigers to humans.

The work won't indicate how soon a pandemic might start. And the findings can't be taken as a guarantee the virus will evolve as the science predicts.

"Like a lot of science, it's an imitation of nature," explains Frank Plummer, scientific director of Canada's National Microbiology Laboratory.

"It doesn't replicate exactly what happens. But I think it gives you an idea of the propensity of the H5N1 virus to do this thing."

The researchers, from the influenza branch of the Centers for Disease Control in Atlanta, will mate H5N1 and human flu viruses in a process known as reassortment. Viable offspring will be tested in animals thought to be good surrogates for humans, to see if the viruses can infect, can be transmitted easily from infected animals to healthy ones and to note the severity of disease each provokes.

In other words, researchers will be engineering viruses of pandemic potential. It's high-risk but crucial work, the influenza community insists.

"It's a dangerous experiment," admits Robert Webster, a world-renowned expert on influenza based at St. Jude Children's Research Hospital in Memphis, Tenn.

Still, Webster has no doubt the work needs doing. Science must gain a better understanding of the menacing H5N1 virus.

"These experiments are fully justified, knowing what we know," he stresses.

"This is the worst virus I've ever met in my long career."

The World Health Organization has been pleading for months for qualified research facilities -- of which there are few -- to undertake this work.

The Geneva-based agency would like to be able to put odds on how likely H5N1 is to become a pandemic strain and how deadly -- or not -- H5N1 reassortment viruses might be in humans.

If none of the hybrids causes severe disease, the organization might step down its high level of alert, explains Klaus Stohr, director of the WHO's global influenza program.

REASSORTMENT STUDIES

Scientists from the U.S. Centers for Disease Control will soon begin experiments designed to see how likely it is for the H5N1 avian influenza virus to ignite a human flu pandemic. Some facts about reassortment studies and the work they will undertake:

The aim: To get a better handle on how easy or hard it is for the virus to mate with human flu viruses and create a hybrid capable of infecting people and spreading easily among them.

Secondary goals: By seeing which gene combinations go together in viable and transmissible viruses, scientists may gain some clues about why H5N1 is so deadly. By testing the viruses in animals, they should get a sense of which combinations are particularly worrisome and require heightened responses should they arise.

Method: There are two ways to produce reassortment viruses -- by using a process called reverse genetics or by simultaneously infecting tissue culture with H5N1 and a human flu virus. CDC plans to use both methods.

Reverse genetics: A relatively new technology, this process allows scientists to custom-tailor a virus using a predetermined combination of genes from each of the parent viruses. It is quicker and less laborious than the alternative.

Co-infecting tissue culture: The classical way of producing reassortments, this involves adding H5N1 and a human flu virus -- either H3N2 or H1N1 -- to culture and seeing what grows. It's time- consuming, but more closely mimics what happens in nature.
 

JPD

Inactive
WHO calls for control measures against bird flu in Vietnam:

http://www.newkerala.com/news-daily/news/features.php?action=fullnews&id=53409

[World News]: New York, Jan 1 : The United Nations' health agency has called for heightened control measures against bird flu in Vietnam following reports of a new human case.

In a statement, the World Health Organisation (WHO) warned that coming Lunar New Year in February creates favourable condition for the spread of the disease as consumption of poultry increased during the period leading up to the celebration.

The WHO noted that the latest reported case was the first detected in Vietnam since early September and coincided with several fresh poultry outbreaks reported in southern provinces of the country in December.

The WHO has warned several times over the past year of the potential evolution of the virus into a human pandemic which, in the worst scenario, could have a devastatingly deadly result.

Since January 2004, 28 human cases have been detected in Vietnam. Of these, 20 were fatal.

Thailand has also reported human cases, bringing the total in Asia for 2004 to 45 cases, of which 32 have been fatal. The outbreaks resulted in the deaths or culling of more than 100 million birds. PTI
 

JPD

Inactive
Intensified measures to detect and prevent avian flu outbreaks

http://www.vov.org.vn/2005_01_04/english/xahoi.htm#Intensified measures to detect and prevent avian flu outbreaks

The Ho Chi Minh Municipal People’s Committee has issued an instruction on intensifying measures to prevent the spread of bird flu from now until after the lunar New Year Festival (Tet).

Under the instruction, local steering committees for bird flu epidemic control are asked to strictly supervise the poultry slaughter and transport of poultry products and strengthen sterilisation measures at poultry farms.

From March to December, 2004, a campaign to prevent the recurrence of bird flu was launched in the Southern province of Long An.

As a result, more than 11 places were detected to have more than 16,220 birds infected, but only four places confirmed with poultry testing positive with H5N1 virus. All these places were located in districts of Chau Thanh, Ben Luc, Tan Thach, Tan Hung and in Tan An town.

By December 29, 2004, 10,600 birds had been culled in town out of the nine districts of Tien Giang province. Meanwhile, 2,600 ducks died from contracting avian influenza virus Type H5.

On January 2, 2005, the Veterinary Department of the Mekong Delta province of Can Tho burned 162,5 kg of frozen quail meat on sale which were unclear of origin at the Hung Loi- Can Tho Metro Centre. The same day, Can Tho culled 140 chickens which had come from Hau Giang but were overdue for quarantine.

To encourage people to prevent the spread of the bird flu epidemic, Ha Tay province announced awards ranging from VND50,000 to 100,000 for any individual who early discover outbreaks.

Ha Tay also provides heads of local veterinary department with an allowance of VND190,000 per month with the aim of encouraging them to strictly apply preventive measures.
 

JPD

Inactive
China rings alarm over possible flu pandemic

http://news.xinhuanet.com/english/2005-01/04/content_2412830.htm

www.chinaview.cn 2005-01-04 09:14:00

BEIJING, Jan. 4 -- China has increased measures to guard against a possible flu pandemic this winter-spring period in response to the World Health Organization (WHO) warning that an outbreak is long overdue.

The Ministry of Public Health has recently discussed an emergency program to guard against flu and experts reiterated that the world should prepare for a flu pandemic.

Dr. David Ho, a prestigious Chinese-American expert on AIDS and epidemics, warned that a new round of flu triggered by a new virus strain is expected to break out from southeast Asia or China.

China should fully prepare since the epidemic might do the most damage there, Ho said at China's annual meeting of scientists in November.

Large cities have stepped up surveillance measures on flu.

Guangzhou, capital of south China's Guangdong Province neighboring Hong Kong, has built up 19 surveillance sites at hospitals. In fact, Guangzhou suffers from more than ten small flu outbreaks each year and it's especially important to detect flu in the most dangerous season from winter to spring, according to Guangzhou Municipal Health Bureau.

Local health department will keep close watch on patients suffering from fever, cough and sore throat for three days.

Hong Kong Special Administrative Region (SAR) has drafted a plan outlining a clear command and response coordination structure for any influenza outbreak, catering for three different response levels, "alert," "serious" and "emergency."

The Hong Kong SAR government proposed to the Legislative Council Panel on Health Services ordering 1.1 million antiviral doses in advance of the peak winter influenza season.

Shanghai has set up 43 surveillance sites to monitor flu cases. Nine municipal surveillance sites will collect typical flu samples for Shanghai Municipal Disease Control and Prevention Center.

Shanghai generally watches for flu outbreaks from November 15 to April 1, said Wang Panshi, director of the Shanghai Health Bureau disease control center, and the municipality has laid out new programs to guard against SARS, flu and other infectious diseases until April 2005.

Zhong Nanshan, of the Chinese Academy of Engineering, recently urged the public to receive flu vaccinations. So far, however, less than one percent of Chinese have received flu vaccination, far fewer than the 27 percent in the United States and the 7.8 to 17.7 percent in European countries.

A recent survey of 1,100 residents of Chinese cities show more than half of them think influenza is about the same as a cold, and 80 percent believe there is no necessity to take any precautionary measures.

During a department store promotion in Beijing, customers were allowed to choose various gifts including a medical card for influenza vaccine worth about 100 yuan (12 US dollars) and other small commodities less than 20 yuan (2.4 US dollars) each. Most customers preferred the commodities to the vaccine.

In China, each domestically produced vaccine is priced at about 70 yuan (8.43 US dollars) and each imported one is priced at about 100 yuan (12.05 US dollars).

Analysis shows flu virus mutates dramatically about every 39 to40 years and the mutation can trigger a global pandemic.

The WHO says the flu virus has not mutated significantly for 36 years, indicating a major outbreak is probably impending.

Fears of a new global outbreak have also been spurred by last year's epidemic of severe acute respiratory syndrome (SARS), which struck hardest in Asia. The flu-like disease killed nearly 800 people worldwide.

Worries also have been stoked by the H5N1 bird flu virus, which decimated poultry stocks in Asia and spread to people. But there was no evidence it had acquired human-flu characteristics it would need to be passed easily among people.

If that were to happen, the resulting pandemic could cause as many as 7 million deaths, the WHO has warned.

"It is most worrying that bird flu could mix with human flu virus, giving rise to a mutated strain that would become transmissible among people," said Xu Ruiheng, deputy director of the Guangdong Provincial Disease Prevention and Control Center.

"Compared with SARS, the outbreak of a flu pandemic is more hazardous," Xu said.
 

JPD

Inactive
Probably "normal" flu, what strain?...

THE FLU HAS ARRIVED; 100,000 CASES IN ITALY

http://www.agi.it/english/news.pl?d...-CRO-0-NF11&page=0&id=agionline-eng.oggitalia

Milan, Jan. 3 - "The flu has arrived", according to Fabrizio Pregliasco, who is in charge of the laboratory for influenza of the Institute of Virology of the State University of Milan. "We are in the first stage", Pregliasco said, " and so far about 100,000 cases of flu and 400,000 of syndromes similar to flu have been reported in Italy". Doctor Pregliasco said that forecasts are being confirmed and the epidemic "should not be particularly strong and the cases should reach 2.5 million in the next 6 weeks". The beginning of the school winter season will be crucial: "A remarkable increase will be recorded because 40pct of all the cases are children aged between 0 and 4 years". (AGI) -
 

JPD

Inactive
Ontario Swine Flu Related to British Columbia Bird Flu

http://www.recombinomics.com/News/01030501/Ontario_BC_Related.html

Recombinomics Commentary
January 3, 2005

Two H3N3 Ontario swine flu isolates, A/swine/Ontario/K01477/01(H3N3) and A/swine/Ontario/42729A/01 (H3N3) have become publicly available at GenBank. The isolates contain genes that are most closely related to avian influenza (bird flu) isolates from North America.

The H3 is most closely related to avian H3 such as A/mallard/Alberta/199/99(H3N6) or A/pintail/Alberta/37/99(H3N8) although there is also relatively high homology with seal who died of pneumonia along the cape Cod peninsula of Massachusetts in 1992, A/Seal/MA/3911/92 (H3N3) and A/Seal/MA/3984/92 (H3N3).

The N3 however is most closely related to avian isolates from Texas, A/blue-winged teal/TX/2/01(H7N3), New Jersey, A/ruddy turnstone/NJ/2242/00(H5N3) as well as British Columbia A/GSC_chicken/British Columbia/04(H7N3), A/GSC_chicken_B/British Columbia/04(H7N3). The British Columbia isolates were from the devastating infection in Fraser Valley last season.

Four of the remain six genes, PB2, PB2, PA, NP also had close homology with the 2004 isolates from British Columbia. The other two genes, MP and NS, were also related to avian genes from the Northeast coast of the US or Ontario, Canada, respectively.

These isolates were distinct from the H3N2 swine isolates that were similar to the recent H3N2 turkey isolates from Minnesota, North Carolina, Ohio, and Missouri. In those cases the H3 is closely related to human H3 from patients infected in the mid to late 1990's. The N2 is closest to H1N2 swine isolates from North America and Korea, which is related to human N2 from infections in the mid-90's.

The swine isolates with homology to contemporary human isolates are quite distinct from the recent H1N1 swine isolates in Korea. The H1 and N1 come from the 1933 human lab virus WSN/33, as do 5 of the other 6 genes. In the Korean H1N1 isolates, only PB2 is from a Korean avian H9N2 source. The WSN/33 genes are also found in 4 additional H0N2 swine isolates.

Although the sequences of these isolates have been made public for over a month, there has been no official announcement on the significance of these sequences.
 

JPD

Inactive
CDC Weekly Report: Influenza Summary Update
Week ending December 25, 2004-Week 51


http://www.cdc.gov/flu/weekly/

The following information may be quoted:

Synopsis:
During week 51 (December 19-25, 2004)*, influenza activity continued to increase mostly in the eastern United States. One hundred thirty-four (10.0%) specimens tested by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories were positive for influenza viruses. Fifty-six percent of all isolates this season have been reported from the Mid-Atlantic, New England, and Pacific surveillance regions**. The proportion of patient visits to sentinel providers for influenza-like illness (ILI) is slightly below baseline. The proportion of deaths attributed to pneumonia and influenza is below the national baseline. Delaware, New York State, and New York City reported widespread influenza activity, 6 states reported regional influenza activity, and 16 states reported local activity. Twenty-six states, the District of Columbia, and Puerto Rico reported sporadic influenza activity.

Laboratory Surveillance*:
During week 51, WHO and NREVSS laboratories in the United States reported testing 1,340 specimens for influenza viruses, of which 134 (10.0%) were positive. Of these, one was an influenza A (H1N1), 27 were influenza A (H3N2) viruses, 85 were influenza A viruses that were not subtyped, and 21 were influenza B viruses.

Since October 3, WHO and NREVSS laboratories in the United States have tested a total of 29,134 specimens for influenza viruses and 773 (2.7%) were positive. Among the 773 influenza viruses, 589 (76.2%) were influenza A viruses and 184 (23.8%) were influenza B viruses. Two hundred fifty (42.4%) of the 589 influenza A viruses have been subtyped; 248 (99.2%) were influenza A (H3N2) and 2 (0.8%) were influenza A (H1N1) viruses. One hundred sixty-six (21.5%) of the 773 isolates have been reported by the Mid-Atlantic region**, 149 (19.3%) were from the New England region, and 115 (14.9%) were from the Pacific region.

Antigenic Characterization:

CDC has antigenically characterized 60 influenza viruses collected by U.S. laboratories since October 1, 2004: forty-two influenza A (H3N2) viruses and 18 influenza B viruses. All of the influenza A (H3N2) isolates were characterized as A/Fujian/411/2002-like (H3N2), which is the influenza A (H3N2) component recommended for the 2004-05 influenza vaccine.

Influenza B viruses currently circulating can be divided into two antigenically and genetically distinct lineages represented by B/Yamagata/16/88 and B/Victoria/2/87 viruses. B/Yamagata lineage viruses circulated widely between 1990 and 2001 during which time B/Victoria-like viruses were not identified outside of Asia. However, between March 2001 and October 2003, B/Victoria-like viruses predominated in many countries, including the United States and the vaccine strains were changed accordingly. While both Victoria lineage and Yamagata lineage viruses have been reported worldwide during the past year, Yamagata lineage viruses have once again become predominant. Sixteen of the influenza B viruses isolated this season belong to the B/Yamagata lineage and were characterized as B/Shanghai/361/2002-like, which is the influenza B component recommended for the 2004-05 influenza vaccine. Two influenza B viruses belong to the B/Victoria lineage and were characterized as B/Hong Kong/330/2001-like.

Pneumonia and Influenza (P&I) Mortality Surveillance*:

During week 51, 7.0% of all deaths reported by the vital statistics offices of 122 U.S. cities were attributed to pneumonia or influenza. This percentage is below the epidemic threshold of 7.8% for week 51.

Influenza-Associated Pediatric Mortality*:

As of week 51, no pediatric deaths associated with laboratory-confirmed influenza have been reported to CDC.

Influenza-Associated Pediatric Hospitalizations:

The New Vaccine Surveillance Network consists of three sites in Cincinnati OH, Nashville TN, and Rochester NY. The sites conduct population-based surveillance for laboratory-confirmed influenza among children 0–4 years of age who are admitted to the hospital with fever or acute respiratory illnesses. During October 3–December 11, 2004, there were no laboratory-confirmed influenza-associated hospitalizations for children 0–4 years old. Three hospitalizations previously reported as being associated with influenza have since been reclassified as non-influenza hospitalizations after laboratory results were shown to be false-positives. Hospitalization rate estimates are preliminary and may change as data continue to be collected. In years 2000–2003, the end-of-season hospitalization rate ranged from 3.7 to 12 per 10,000 children.

Influenza-like Illness Surveillance*:

During week 51, 2.4%*** of patient visits to U.S. sentinel providers were due to ILI. This percentage is slightly below the national baseline of 2.5%. On a regional level**, the percentage of visits for ILI ranged from 1.3% in the Mountain region to 4.0% in the Pacific region. Due to wide variability in regional level data, it is not appropriate to apply the national baseline to regional level data.

Influenza Activity as Assessed by State and Territorial Epidemiologists*:

During week 51, Delaware, New York State, and New York City reported widespread activity. Connecticut, Florida, Kentucky, Maryland, Massachusetts, and Minnesota reported regional influenza activity. Sixteen states (Alaska, Colorado, Iowa, Kansas, Maine, Michigan, New Hampshire, New Jersey, North Carolina, North Dakota, Pennsylvania, Rhode Island, South Carolina, Texas, Vermont, and Virginia) reported local activity. Twenty-six states (Alabama, Arizona, Arkansas, California, Georgia, Hawaii, Idaho, Illinois, Indiana, Louisiana, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, Ohio, Oklahoma, Oregon, South Dakota, Tennessee, Utah, Washington, West Virginia, Wisconsin, and Wyoming), the District of Columbia, and Puerto Rico reported sporadic influenza activity.

* Reporting is incomplete for this week. Numbers may change as more reports are received.

** Surveillance Regions: New England (Connecticut, Maine, Massachusetts, New Hampshire, Vermont, Rhode Island); Mid-Atlantic (New Jersey, New York City, Pennsylvania, Upstate New York); East North Central (Illinois, Indiana, Michigan, Ohio, Wisconsin); West North Central (Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota); South Atlantic (Delaware, Florida, Georgia, Maryland, North Carolina, South Carolina, Virginia, Washington, D.C., West Virginia); East South Central (Alabama, Kentucky, Mississippi, Tennessee); West South Central (Arkansas, Louisiana, Oklahoma, Texas); Mountain (Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah, Wyoming); Pacific (Alaska, California, Hawaii, Oregon, Washington)

*** The national and regional percentage of patient visits for ILI is weighted on the basis of state population.

Report prepared: December 29, 2004
 

Attachments

  • usmap51_small.gif
    usmap51_small.gif
    14.1 KB · Views: 142

JPD

Inactive
Recombination in H9N2 Bird Flu Hemagglutinin From China

http://www.recombinomics.com/News/01040501/H9N2_HA_Recombinants.html

Recombinomics Commentary
January 4, 2005

Sequences of the hemagglutinin (HA) gene of H9N2 isolates, A/chicken/Shandong/1/02(H9N2), A/chicken/Hebei/1/01(H9N2), and A/chicken/Beijing/1/00(H9N2), from Shandong Province, Hebei Province, and Beijing in Peoples Republic of China have become available at GenBank. They show evidence of recombination with earlier H9N2 isolates.

Recombination in HA is important because it contains the receptor binding domain wich is a regognition sequence used for facilitate entry into a cell. Swapping of the human binding domain with a virulent avian strain is a likely mechanism for generation of a pandemic bird flu virus. H9N2 is the most prevalent bird flu subtype in China and some isolates have a human receptor binding domain.

Recombination in HA of human H3N2 isolates from Korea has also been observed. The 5' end of the gene comes from earlier H3N2 isolates, while the 3' end is Fujian-like

Recent H9N2 Korean swine isolates, A/swine/Korea/S81/2004(H9N2), A/swine/Korea/S83/2004(H9N2), A/swine/Korea/S109/2004(H9N2), and A/swine/Korea/S190/2004(H9N2) also have extensive recombination in the neuraminidase (NA) gene. These isolates also have human WSN/33 genes from 1933 and two have PB2 recombination, where half of the gene is human and half is avian.

The extensive amount of recombination in HA and NA as well as recombination between human and avian sequences, is cause for concern that H5N1, which has genes that have reassorted with H9N2 genes in both H9N2 and H5N1 isolates, will soon gain efficient human to human transmission and significant pandemic potential .
 

JPD

Inactive
Deadly bird flu virus found in wild birds in Thailand

http://www.newstarget.com/003103.html

News summary:

Source: http://www.chinapost.com.tw/i_latestdetail.asp?id=24980

A deadly strain of bird flu has been found in nine species of wild birds in Thailand, an official said Tuesday.

The discovery comes amid worries that the H5N1 virus could mutate to a form that could spread among humans, sparking a global pandemic that could kill millions of people.

The strain was found in carcasses and anal swab samples of birds native to five provinces in Thailand, said an official from the Ministry of Natural Resources and the Environment, speaking on condition of anonymity.

The birds, which were tested in October and November, lived near farms and schools, he said.

Bird flu swept through farms across Asia this year, ravaging the poultry industry as more than 100 million birds were culled in an effort to stop the spread of the virus.

The disease also jumped to humans, killing 12 people in Thailand and 20 in Vietnam, but there's no concrete evidence yet of human-to-human transmission.
World Health Organization officials last month warned that a global flu pandemic, most likely triggered by bird flu, is virtually inevitable and could kill as many as 7 million people.

Scientists have been aware that the virus was spreading to species besides chickens and are especially concerned that it could infect ducks, which can carry the virus without succumbing to it, vastly increasing its potential to spread.
 

JPD

Inactive
Human and Bird Flu Recombination and Reassortment in Korea

http://www.recombinomics.com/News/01040502/Korea_Recombination_Reassortment.html

Recombinomics Commentary
January 4, 2005

>> In other words, researchers will be engineering viruses of pandemic potential. It's high-risk but crucial work, the influenza community insists.<<

Much of the critical work has already been done in Korean swine, although such work has yet to be acknowledged by the World Health Organization (WHO), even though they were notified of the "experiment" almost a month ago.

The planned Center for Disease Control and Prevention (CDC) experiment will infect the same cells with and avian virus (H5N1) and a human virus (H1N1 and/or H3N2). The chief drawback from such a procedure is selection pressure. The viruses will surely recombine (mix and match pieces of gene to make new genes) and reassort (shuffle the existing genes to create new viruses which different combinations of avian and human flu genes), but the emerging viruses will be driven by selection pressures.

This "experiment" has been done in nature in Korean swine. The human flu virus was WSN/33, a popular flu virus carried by many laboratories around the world. It was derived from WS/33, the first human flu virus ever isolated. WS/33 came from a London physician, Christopher Mathewes who came down with the flu in London in 1933. Wilson Smith successfully infected ferrets with virus from a nasal swab and isolated the virus, named WS/33, described in Lancet that year.

In 1940 WS/33 was used to infect laboratory mice because many of the fatalities in the 1918 flu pandemic included patients with neurological symptoms. WSN/33 was isolated from the brains of fatally infected mice. The derivative was named WSN (Wilson Smith Neurotropic)/33 (the year of original isolation). The virus became popular in labs because it was neurotropic, virulent, and grew in tissue culture. Its ability to grow in tissue culture was attributed to a mutation in the neuraminidase gene, which abolished a glycosylation site. This mutation allowed the virus to sequester plasminogen, a precursor to a protease in plasma, When activated, this protease will cleave the hemagglutinin precursor into HA1 and HA2, which is required for the virus to infect cells. This ability to use plasminogen allows the virus to grow in tissue culture, mice, and a variety of tissue types.

Recent, WSN/33 found its way from a lab somewhere into swine in Korea. It appears to have acquired some contemporary mammalian polymorphisms through recombination (swimanization). It then generated the CDC experiment in swine, recombining and reassorting with Korean bird flu viruses (H9N2). The six swine isolates, A/swine/Korea/S10/2004(H1N1), A/swine/Korea/S175/2004(H1N1), A/swine/Korea/S81/2004(H9N2), A/swine/Korea/S83/2004(H9N2), A/swine/Korea/S109/2004(H9N2), A/swine/Korea/S190/2004(H9N2) with WSN/33 genes have been deposited at GenBank.

Analysis of those sequences show that the various viruses have done a considerable amount of recombining and reassorting. Two of the viruses are H1N1 and contained many of the tell tale markers such as the missing glycosylation site and a 16 amino acid deletion in NA, a 1 amino acid deletion in HA, and a mutation in the M gene that altered position 31 in the M2 proetin and made the virus resistant to amantadine and rimantadine. In these two instances, 7 of the 8 genes are from WSN/33 (each is over 99% homologous to WSN/33). In both cases, the PB2 gene is from a Korean avian virus (H9N2). The other four isolates are H9N2. Of the remaining 6 genes, these isolates have 5,4, or 3 WSN/33 genes demonstrating several combinations of reassortment.

However, in addition to this reassortment, there has been a considerable amount of additional recombination. Two of the H9N2 isolates have a recombined PB2 gene with the 5' half from WSN/33 and the 3' half from an avian H9N2. The cross over point differs by 25 nt. In addition, there is recombination in the N2 gene involving two Korean avian sources. The are several different cross over points, generating various combinations of N2 genes.

Thus, the CDC experiment has already been done, but it was done in swine on farms in Korea. The ability of each of these recombined and reassorted isolates to cause disease and birds, humans, and mice remains to be seen (the swine has respiratory infections).

However, these viruses appear to be spreading and alerts have yet to be issued.
 

JPD

Inactive
Vietnam reports two suspected human cases of bird flu

http://news.xinhuanet.com/english/2005-01/05/content_2417714.htm

www.chinaview.cn 2005-01-05 10:34:14

HANOI, Jan. 5 (Xinhuanet) -- Two children from Vietnam's southernregion have just been hospitalized after exhibiting symptoms of bird flu, local newspaper Labor reported Wednesday.

A 14-year-old boy and a nine-year-old child from Tra Vinh province were admitted to the provincial hospital after having high temperature, cough and sore throat. The two patients had close contacts with fowls and ate sick chickens, the hospital's doctor Le Minh Dung said.

The boy, Le Quang Vinh, and the child, Thach Phung are now in an isolation treatment area. Vinh is in critical condition.

Several outbreaks of bird flu have recently been detected in Tra Vinh. Notably, three outbreaks in the province killed over 1,000 ducks whose samples were tested positive to the bird flu virusstrain of H5.

Testing by the Hospital of Tropical Diseases in Ho Chi Minh City on Dec. 28 showed that a 16-year-old girl from southern Tay Ninh province is infected with bird flu virus H5N1. The patient now needs respiratory assistance in the hospital. She ate sick chicken.

According to Vietnam's Department of Animal Health, the relapse of bird flu has been seen in 23 communes in 20 districts in 11 localities, mainly in the southern region. In early January 2005 alone, the country detected five outbreaks in the four southern provinces of Tien Giang, Hau Giang, An Giang and Ca Mau, and culled over 8,000 fowls. In late December 2003, over 500 chickens in northern Nam Dinh province died of bird flu.

"From now to mid-February 2005, on the occasion of the Lunar New Year Festival, bird flu situations will progress very complexly. Only by containing the disease in that period, can we eliminate it in the following periods," stated the department's director Bui Quang Anh. Enditem
 

JPD

Inactive
Monitoring Respiratory Infections and Pneumonias for Bird Flu

http://www.recombinomics.com/News/01040503/Pneumonia_Monitoring.html

Recombinomics Commentary
January 4, 2005

>>A Singapore military medical unit has set up in Meulaboh and a surgical team established on Monday saw 150 patients in the first few hours, mainly with upper respiratory infections, unspecified infectious diseases, wounds and diarrhoea.<<

The above is from one of the locations hit hardest by the tsunami, but cases of respiratory infections and pneumonia are likely to appear in many locations. As the number of cases increase the potential for fatal flu in Sri Lanka or bird flu in Indonesia or Thailand to spread undetected increases.

Details on the fatal flu cases in southern Sri Lanka, such as Matara, Padanangala and Embilipitiya, nor have thee been details on the puzzling fatal flu cases in the north in Mullaittivu.

Although there have not been recent H5N1 bird flu reports in Indonesia or Thailand, there were several reports before the tsunami hit, and this is flu season for those countries. At this time last year there were widespread outbreaks in poultry in both countries and human cases in Thailand and Vietnam were just beginning to be reported.

Monitoring the pneumonias or upper respiratory conditions for influenza A or B remains a very high priority.
 

JPD

Inactive
Vietnamese boy dies of bird flu

http://www.japantoday.com/e/?content=news&cat=7&id=323901

Thursday, January 6, 2005 at 07:05 JST
HANOI — Bird flu has killed a 9-year-old boy in Vietnam, a health official confirmed Wednesday, marking the first reported death in 2005 from the virus that killed 20 people in the country last year.

The boy, from the southern province of Tra Vinh, reportedly developed a high fever and breathing difficulties last week after eating chicken. He was sent to the Ho Chi Minh City Hospital for Tropical Diseases on Tuesday and later that day. (Kyodo News)
 

JPD

Inactive
Malaysia declared free of bird flu

http://thestar.com.my/news/story.asp?file=/2005/1/6/nation/9827799&sec=nation

KUALA LUMPUR: Malaysia is officially free of bird flu, Agriculture and Agro-based Industries Minister Tan Sri Muhyiddin Yassin declared.

The last case of the potentially deadly H5N1 avian influenza in an animal was reported on Nov 22 last year and, to date, no new cases had surfaced.

“However, the threat is still high as neighbouring countries are still grappling with the disease,” he said yesterday.

As such, he said, the ban on the import of chicken, ducks and eggs from Thailand and other affected countries, as well as monitoring and enforcement activities, would continue.

He said the movement of fowls within Kelantan was now allowed but export from there would be subject to permits from the Veterinary Services Department. – Bernama
 

JPD

Inactive
Hospital denies child’s death caused by bird flu

http://vietnamnews.vnagency.com.vn/showarticle.php?num=01HEA060105

(06-01-2005)

HA NOI — Doctors at HCM City’s Hospital for Tropical Diseases have rejected initial fears that a 9-year-old boy who died in the hospital yesterday had contracted bird flu.

The hospital’s deputy director Dr Trinh Tinh Hien said he had died of hepatitis.

The patient, Thach Phung of Tra Vinh Province’s Cau Ke District, had been transferred to the HCM City facility from his province’s general hospital on Monday after suspicions he had been infected by the lethal H5N1 virus.

Director of the Tra Vinh Province hospital, Mai Khac Chon, said another 14-year-old boy had been sent to the HCM City hospital but that tests for the disease proved negative.

Dr Hien said that a 16-year-old girl was the only patient being treated at the hospital for avian flu. The girl, from the southern Tay Ninh Province, had been admitted in late-December and remained in critical condition, he said.

Director of the Ministry for Agriculture and Rural Development’s Animal Health Department, Bui Quang Anh, said yesterday that avian flu had spread to eight provinces and cities in Viet Nam, mostly in the south.

Truc Thai Commune in Nam Dinh Province was the only area in the north to have sick poultry, Anh said.

About 17,000 birds have died or been culled in the country since December 19.

The number, he said, was much higher than previous months because of the chilly weather and higher demand for poultry before Tet (lunar new year), which comes in mid-February.

"Prevention must be extremely prompt and drastic," he warned, pointing out that the period from now to Tet was the most critical in the spread of the disease.

Anh urged local authorities to bolster preventive measures against outbreaks and scrupulously follow instructions from government agencies.

In response to the new outbreak, HCM City has enlisted the police to join in supervising poultry transportation.

Ha Noi has also stopped entry of poultry from dubious sources, increased inspection at markets and disinfected live poultry trading areas.

Ha Tay Province has, besides similar preventive measures, announced rewards of VND50,000-100,000 for anybody raising the alarm about infected poultry. — VNS
 

JPD

Inactive
Case Clusters of H5N1 Bird Flu in Mekong Delta in Vietnam

http://www.recombinomics.com/News/01070503/Cluster_Mekong_Delta_Vietnam.html

Recombinomics Commentary
January 7, 2005

Media reports on the 5 confirmed or suspect H5N1 bird flu cases in the Mekong Delta region of Vietnam fall into 2 case clusters.

The first cluster is linked to Dong Thap Province, which is at the western side of the Mekong Delta region, adjacent to Cambodia. The first reported case of laboratory confirmed H5N1 this season, a 16 year old female, had obtained a chicken in Dong Thap and developed symptoms in Tay Nihn. On December 26 she transferred to Ho Chi Minh Hospital for Tropical Diseases and is on a respirator in critical condition. The other linked case, the first reported H5N1 death was a 6 year old boy, who was also from Dong Thap. He was treated at the Mekong Delta Hospital, where he died on December 30, 2004. He was the first confirmed H5N1 death of this season.

The second cluster is on the east side of the Mekong Delta, The first H5N1 confirmed death of 2005 was a 9 year old male who transferred to Ho Chi Minh Hospital and died January 4, 2005. He was initially hospitalized January 2 and was from Tra Vihn. The other two H5N1 cases have not been confirmed. One is a 14 year old boy, also from Tra Vihn. He is in critical condition on a ventilator. The most recent reported suspect case is an 18 year old female. She is from adjacent Tien Giang Province and is also at Ho Chi Minh hospital in critical condition on a ventilator.

Thus, there are two clusters of cases in the Mekong Delta. The earlier cluster is linked to the western Dong Thap Province while the more recent cases are from the eastern Tra Vihn and Tien Giang Provinces. Details on the poultry linkage have not been reported, but at least two of the cases appear to involve associations with chickens. The report of a high frequency of H5N1 positive ducks is in Can Tho city which is located midway between the two clusters.
 

JPD

Inactive
Vietnam reports new suspected human case of bird flu

http://news.xinhuanet.com/english/2005-01/07/content_2427578.htm

www.chinaview.cn 2005-01-07 10:42:29

HANOI, Jan. 7 (Xinhuanet) -- An 18-year-old girl from Vietnam's southern region has just been hospitalized for being suspected of having contracted virus H5N1, raising the number of confirmed and suspected cases of bird flu to five, local health official told Xinhua Friday.

"The patient was admitted to our hospital yesterday after exhibiting symptoms of high temperature and difficult breathing. We'll conduct testing to see whether she is infected with H5N1 or not," said Tran Tinh Hien, deputy director of the Hospital of Tropical Diseases in Ho Chi Minh City.

The girl from Tien Giang province lives in an area suffering bird flu-infected fowls, he said.

"To date, we've received reports from hospitals in other southern localities about a total of five suspected cases of bird flu infections. Testing conducted by our hospital, not other professional institutions, showed three samples were positive to H5N1," Hien said.

He said that among the three H5N1-positive cases, a 16-year-oldgirl from southern Tay Ninh province is in a very dangerous condition in the city-based hospital; a nine-year old boy from southern Tra Vinh province died early this week; and a six-year-old child in southern Dong Thap province died last month. All of them had direct or indirect contact with sick poultry.

According to the Department of Animal Health, since last December, the relapse of bird flu has been seen in 11 localities, one in the north and 10 in the south, killing or leading to the forced culling of nearly 29,000 fowls.

In late March 2004, Vietnam declared an end to the bird flu that killed 17 percent of its poultry population and claimed at least 21 human lives during the previous outbreak starting in December 2003. A total of 43.2 million fowls nationwide either died or were culled, causing a total loss of 1.3 trillion Vietnamese dong (82.8 million dollars) to the local poultry industry.
 

JPD

Inactive
States predicting millions of flu shots to be wasted

http://www.indystar.com/articles/2/207583-3862-010.html

The flu-shot shortage has turned into a glut in some areas, raising fears that some vaccine might be wasted.

Aventis Pasteur, supplier of almost all flu-shot vaccine for the USA this year, still has about 3.3 million doses to distribute to U.S. consumers. GlaxoSmithKline is on tap to ship 1.2 million shots from Europe. And MedImmune, a nasal vaccine maker, has supplies.

But more than a dozen states contacted by USA Today say they have enough vaccine to meet the demand. That is because many people at high risk for the flu opted to forego shots this season, believing other people needed them more.
 

JPD

Inactive
Monitoring of Bird Flu with Pandemic Potential

http://www.recombinomics.com/News/01060501/Monitoring_Pandemic_Potential.html

Recombinomics Commentary
January 6, 2005

Eight of the 12 patients had direct exposures to ill poultry 2-8 days before onset. Seven of the 12 were young children, and routine laboratory testing at the time of admission to hospital identified marked lymphopenia in 8. Although the initial chest radiographs would not immediately identify these cases as unusual, deaths in children and younger adults from hospitalized, radiographically confirmed pneumonia typically range from 1% to 10% and from 1%-5% among patients with radiographically confirmed pneumonia in rural Thailand. Thus, the progression in 9 of the 12 patients to ARDS, followed by the death of 8 patients, separates these cases as a form of unusually severe pneumonia.<<

The recent report on missed bird flu case in Thailand at the beginning of 2004 raises questions about monitoring, A new flu season is beginning and new human fatalities have been reported in Vietnam along with H5N1 infections in poultry in Vietnam, Thailand, and Indonesia. Conditions created by the tsunami in Thailand and Indonesia raise additional monitoring concerns.

The recent report focuses on H5N1 confirmed cases in Thailand in early 2004. However, similar missed cases were also reported in Vietnam and Thailand over the summer. In Vietnam there was a case cluster involving a brother, cousin, and older sister. The brother and sister developed bird flu symptoms and died prior to collection of samples for testing for H5N1. The older sister subsequently developed symptoms and she tested positive for H5N1. The family was located in Hau Giang and isolates from infected chickens were closely related to earlier isolates. A similar cluster was also detected in Thailand involving a mother daughter and aunt. The daughter developed bird flu symptoms but was diagnosed as having Dengue Fever and died before samples had been collected. Her mother and aunt subsequently developed bird flu symptoms and tested positive for H5N1. The mother died, but viral RNA was isolated from cadaver tissues and the sequence was closely related to H5N1 from earlier that year. Had the index cases transmitted virus to relatives, the cases would have also probably gone undetected.

A similar situation has developed in Korea. Swine isolates have been sequenced and shown to contain human genes from 1933, The genes are from a popular lab cell line, WSN/33 and have been publicly available for over a month at GenBank. The sequences raise questions on their origin as well as their pandemic potential since the H1N1 isolates have human surface proteins and the virus produces lethal neurotropic infections in mice. These sequences have yet to be publicly acknowledged.

Thus far H5N1 has not been reported to have acquired efficient human to human transmission and there have been no reports of WSN/33 like infections in humans. However, flu season is beginning, and close monitoring of these virus is warranted, including H5N1 in tsunami affected areas.
 

JPD

Inactive
Bird flu alert activated

http://news.gov.hk/en/category/healthandcommunity/050106/html/050106en05004.htm

The Alert Response Level has been activated following reports of avian influenza cases in Vietnam.

Preventive measures were launched after a suspected case involving a 16-year-old girl was reported in the country last week.

In addition to ongoing health screening measures, including temperature screening at the airport, health messages are being broadcast on all inbound flights from Vietnam and health information leaflets distributed to passengers leaving for the country.

Doctors in Hong Kong and hospitals have been alerted and are required to report suspected cases to the Department of Health. The Centre for Health Protection will step up health advice for the public and is liaising with the World Health Organisation and Vietnamese authorities.

The Hospital Authority will remind staff to continue infection control measures and stay vigilant to symptomatic patients returning from Thailand and Vietnam. The authority plans to activate its Yellow Alert at noon tomorrow and appropriate infection control measures will be implemented accordingly.

Travellers going to areas with infection cases are reminded not to touch chickens or visit farms.
 

JPD

Inactive
From ProMed email:

http://www.promedmail.org/pls/promed/f?p=2400:1000

Viet Nam: 2 More Suspected Human Cases of Avian Influenza
--------------------------------------------------
As of 7 Jan 2005, an 18-year-old girl from Viet Nam's southern region has
been hospitalized on suspicion of having contracted avian influenza A
(H5N1) virus, raising the number of confirmed and suspected cases of avian
influenza to 5, local health official told Xinhua on Fri 7 Jan 2005. "The
patient was admitted to our hospital yesterday after exhibiting symptoms of
high temperature and difficult breathing. We'll conduct testing to see
whether she is infected with H5N1 or not," said Tran Tinh Hien, deputy
director of the Hospital of Tropical Diseases in Ho Chi Minh City. The girl
from Tien Giang province lives in an area where there are bird flu-infected
fowl, he said.


"To date, we've received reports from hospitals in other southern
localities about a total of 5 suspected cases of avian influenza virus
infections. Testing conducted by our hospital, not other professional
institutions, showed 3 samples were positive to H5N1," Hien said. He said
that among the 3 H5N1-positive cases, a 16-year-old girl from southern Tay
Ninh province is in very dangerous condition in the city-based hospital; a
9-year-old boy from southern Tra Vinh province died early this week; and a
6-year-old child in southern Dong Thap province died last month. All of
them had direct or indirect contact with sick poultry.


According to the Department of Animal Health, since December 2004, the
recurrence of bird flu has been seen in 11 localities, one in the north and
10 in the south, killing or leading to the forced culling of nearly 29 000
fowls. In late March 2004, Vietnam declared an end to the bird flu that
killed 17 percent of its poultry population and claimed at least 21 human
lives during the previous outbreak starting in December 2003. A total of
43.2 million fowl nationwide either died or were culled, causing a total
loss of 1.3 trillion Vietnamese dong (82.8 million dollars) to the local
poultry industry.


--
Stephen M. Apatow
Director of Research and Development
Humanitarian Resource Institute Biodefense Reference Library
Eastern USA: (203) 668-0282
Western USA: (775) 884-4680
<s.m.apatow@humanitarian.net>


[It would appear that there are 2 suspected human cases of avian influenza
A (H5N1) virus infection in addition to those reported yesterday in
ProMED-mail post "Avian influenza, human - East Asia: Viet Nam (02)
20050106.0032". Therefore the number of suspected and confirmed cases in
Viet Nam now becomes 33 (or 32 according to WHO figures). The number of
fatalities remains unchanged at 22. - Mod.CP]
 

JPD

Inactive
Flu Season a Mild One... So Far
Experts caution the worst may be yet to come


http://www.healthday.com/view.cfm?id=523289

By Amanda Gardner
HealthDay Reporter

FRIDAY, Jan. 7 (HealthDayNews) -- While this year's flu season has been a mild one so far, experts warn that things could take a nasty turn at any time.

"Overall, we're seeing a mild season but the flu season is so unpredictable that it doesn't mean we can't have that turn around within the upcoming weeks," said Llelwyn Grant, a spokesman for the U.S. Centers for Disease Control and Prevention.

"We are slowly building up. I expect that, over the next few weeks, it's probably going to ramp up quite a bit," added Dr. Jonathan McCullers, assistant member of infectious diseases at St. Jude Children's Research Hospital in Memphis, Tenn.

McCullers' prediction rests partly on the particular strain of virus, H3N2, prevalent this year. "The years where H3N2 is the predominant virus are typically much worse than when the other two types of virus circulate," he said. "We see a lot more infections, a lot more serious complications, a lot more deaths during those years."

Currently, CDC tracking records show about 2.4 percent of U.S. hospital visits are attributable to influenza-like illnesses, compared to 7 percent at this time last year. To show how mercurial the flu can be, in 2002, the rate was 2.4 percent.

Some areas, particularly in the Northeast, are faring worse. New York state has reported considerable statewide activity. The New York City Department of Health and Mental Hygiene is reporting twice as many visits for flu-like illness to local emergency departments since early December. There have been more than 40 outbreaks in city nursing homes and other institutional settings since October, more than were seen all of last season, the department reported.

The severity of this year's flu vaccine shortage has lessened in recent weeks, and the CDC has consequently expanded its high-priority recommendations to include adults 50 and older as well as people in contact with high-risk individuals. Previously, the CDC said flu shots should only be given to adults 65 and older, as well as children less than 2 years old, pregnant women and people with chronic health conditions. The new recommendations took effect Jan. 3.

"Basically we have softened it a bit, where if states have fulfilled their outreach to high-priority risks, they could expand to adults 50 and older and those who have household contact with high-priority individuals," Grant said.

Local areas seem to be following suit. New York City has expanded flu shot eligibility to include people 50 and older as long as supplies permit. New Mexico also has eased restrictions, adding adults 50 and older and children 5 and younger to the list of people who should get vaccines.

In early October, federal health officials announced that the nation's anticipated supply of 105 million flu shots had been slashed by nearly half after a key manufacturer detected bacterial contamination in this year's batch. Of the initial stock, 3.5 million to 3.6 million doses still need to be distributed, Grant said, adding, "They should be available by mid-January."

The drug maker Aventis has also agreed to provide 3 million additional doses from a surplus, which should be available in January. Finally, 1.2 million doses of vaccine under an investigational new drug application will be available from GlaxoSmithKline's German facility. And there are still about 2 million available doses of FluMist, a nasal spray flu vaccine, according to Grant. The maker of FluMist, MedImmune Inc., agreed to produce 3 million doses of the vaccine for this flu season with the encouragement of U.S. health officials. The fact that the company has only been able to sell 1 million doses highlights many Americans' reluctance to try the nasal spray alternative, the Washington Post reported Friday.

Health experts are urging people to continue getting vaccinated. "This is actually a good time to vaccinate," said Dr. Marc Siegel, a clinical associate professor of medicine at New York University School of Medicine. "We had a distribution problem and we have less of one now."

McCullers added: "We need to make sure that we use all the vaccine we can. We've done a decent job of vaccinating most of the high-risk persons although there are still one-third to one-half who haven't been vaccinated and we still have vaccine left over. We need to use it all up."

"We need to get over our apathy that the big flu hasn't hit yet and maybe we're safe, and get rid of all the vaccine," he continued.

St. Jude started administering its remaining vaccine stock to all employees on Jan. 6.

Last year, the flu season peaked early, in December. Usually, it peaks at the end of January, Siegel said. "This year people think it's over, but it's not," he said.

Each year approximately 200,000 Americans are hospitalized due to flu complications, and about 36,000 people die, according to the CDC.

More information

The U.S. Centers for Disease Control and Prevention has more details on the flu.

http://www.cdc.gov/flu/

SOURCES: Marc Siegel, M.D., clinical associate professor, medicine, New York University School of Medicine, New York City; Llelwyn Grant, spokesman, U.S. Centers for Disease Control and Prevention, Atlanta; Jonathan McCullers, M.D., assistant member, infectious diseases, St. Jude Children's Research Hospital, Memphis, Tenn.; New York City Department of Health and Mental Hygiene statement; Jan. 5, 2005, Albuquerque Journal
Last Updated: Jan-07-2005
 

JPD

Inactive
Tsunami Driven Pneumonia and Influenza

http://www.recombinomics.com/News/01070506/Tsunami_Pneumonia_Influenza.html

Recombinomics Commentary
January 7, 2005

But overcrowding at refugee camps has intensified the spread of pneumonia, and health officials fear that respiratory diseases may claim many lives in the already devastated region.<<

The crowded conditions and rainy weather with lack of shelter has led to an increase in respiratory diseases and spread on pneumonia. This situation is worrisome because human cases of H5N1 are appearing at an alarming frequency in the Mekong Delta region of Vietnam. In the past two weeks there have been five confirmed or suspected cases of H5N1 avian influenza and the H5N1 seems to be as virulent as last season. Two patients have died and the other three are in critical condition on ventilators. So far the cases seem to be linked to poultry outbreaks, but the concentration of H5N1 ducks in the Can Tho city area is alarmingly high, with almost half of all samples scoring as positive for H5N1. It is not clear if these ducks have symptoms, but WHO had issued an earlier warning about the ability of H5N1 from Vietnam and Thailand to cause fatal infections in humans, but merely grow to high titers in asymptomatic ducks.

The number or locations reporting H5N1 bird flu is growing rapidly, radiating out from the high concentration of infected ducks near Can Tho city. Although there is no evidence of human to human transmission, last season there were clusters in Vietnam and Thailand that appeared to involve transmission via close contact. Similarly, there appeared to be tiger to tiger transmission in a Sri Racha Tiger Zoo over the summer and laboratory tests showed that the virus could transmit from domestic cat to domestic cat..

Thus, although transmission from mammal to mammal appears to require close contact, an infection in overcrowded relief camps where displaced tsunami victims have lowered resistance, could provide conditions for human to human spread, even if H5N1 does not undergo further genetic change.

In addition, there was a fatal flu circulting in the southern portion, Matara, Padanangala and Embilipitiya, of Sri Lanka before the tsunami and in the northeastern region , Mullaittivu, after the tsunami and this flu was efficiently transmitted human to human.
 

JPD

Inactive
A Sixth Suspect Bird Flu Case in Mekong Delta

http://www.recombinomics.com/News/01080501/Sixth_Vietnam.html

Recombinomics Commentary
January 8, 2005

>>Another state-run newspaper, Tuoi Tre reports that a further two suspected bird flu patients, an 18-year-old girl and a 65-year-old man, are being treated.
Both are from Tien Giang in the south and are being treated in Ho Chi Minh City's Hospital for Tropical Diseases.
The country is implementing drastic measures to prevent bird flu spreading, especially in the Mekong river delta provinces.
At least 29,000 birds have been culled in Vietnam since December to try to contain the disease, according to local officials.<<

The 65 year old male suspect case would extend the number of confirmed or suspect bird flu cases to six. He would also extend the number of cases in Tien Giang to two and the more recent cluster to four. The more recent cluster would include the 9 year old male who died on January 4 as well as the 14 year old male from Trah Vihn and the 18 year old female and 65 yer old male from adjacent Tien Giang.

At this time, only the three earliest cases have been laboratory confirmed positives for H5N1. The 14 year old boy from Trah Vihn and the two cases from adjacent Tien Giang are only suspect cases.

The two clusters are on opposite sides of the cluster of ducks in the area of Can Tho city. Almost half of the ducks tested have been positive for H5N1 avian influenza. The ducks, as well as the six confirmed or suspect cases are all in the Mekong Delta region of Vietnam.
 

JPD

Inactive
Vietnam confirms new bird flu deaths

http://www.abc.net.au/news/newsitems/200501/s1278759.htm

Vietnam has officially confirmed that two young boys have died from bird flu amid reports that two other people are suspected of contracting the virus.

"We assert that there have been three people infected with the H5N1 virus since December 16, of whom, two had died," the daily Lao Dong newspaper quoted the legal department's Tran Duc Long as saying.

On Thursday, the Government said that only a 16-year-old girl from southern Tay Ninh province, who is in critical condition in Ho Chi Minh City, had been infected with the H5N1 strain of the bird flu virus.

The two boys, aged six and nine, were also from the south.

They died on December 30 and January 4.

Their deaths bring the total toll from bird flu in Vietnam since late 2003 to 22.

Another state-run newspaper, Tuoi Tre reports that a further two suspected bird flu patients, an 18-year-old girl and a 65-year-old man, are being treated.

Both are from Tien Giang in the south and are being treated in Ho Chi Minh City's Hospital for Tropical Diseases.

The country is implementing drastic measures to prevent bird flu spreading, especially in the Mekong river delta provinces.

At least 29,000 birds have been culled in Vietnam since December to try to contain the disease, according to local officials.

Next month's upcoming Lunar New Year festivities are proving a headache for officials with the demand for poultry consumption expected to boom.

Prime Minister Phan Van Khai has ordered a ban on the transportation of sick poultry from affected areas to keep outbreaks in check.

He has also asked concerned authorities to step up their vigilance, particularly in regions along the border with China.

The Government said in October that it had brought bird flu under control.

It had made a similar announcement on March 30 but later admitted that the declaration had been premature after three people, including two children, died in August after being infected with the H5N1 virus.

- AFP
 

JPD

Inactive
Fatal Bird Flu in Pets in Ho Chi Minh City Vietnam

http://www.recombinomics.com/News/01090502/H5N1_Pets.html

Recombinomics Commentary
January 9, 2005

>>In Ho Chi Minh City: More than 1,000 ducks in Thanh My ward, district #2 tested positive to H5N1. The municipal veterinary agency has disinfected the affected farms and quarantined the ducks for culling.
In district 10, three pets were reportedly dead due to H5N1 contraction. The district veterinary service has captured 200 pets to take samples for tests.<<

More details on the pets that died from bird flu would be useful.

If the pets were caged birds the deaths would be analogous to the parakeet in the mine shaft used to measure fatal airborne elements.

If the pets were ducks, the fatalities would suggest a virus somewhat different than the virus from patients in Vietnam last season, which produced H5N1 that resulted in asymptomatic infections in lab experiments.

If the pets were cats, then it would indicate that the virus in Vietnam had achieved some of the properties seen in the isolates in Thailand that resulted in 147 tiger deaths in the Sri Racha Tiger Zoo or could bet transmitted from domestic cat to domestic cat in the lab.
 

JPD

Inactive
Bird Flu Russian Recombinants

http://www.recombinomics.com/News/01080503/Russian_Recombinants.html

Recombinomics Commentary
January 8, 2005

A series of genes from H5 2001 duck (bird flu) isolates from Primorie in Russia show strong evidence of recombination and contain some polymorphism found primarily in Europe and others found primarily in Asian isolates from Hong Kong , Vietnam, and Thailand. The number of partial sequences made available today is small, and includes HA, NP, and NS from an H5N2 isolate, A/duck/Primorie/2621/01(H5N2), as well as HA and NP from an H5N3 isolate, A/duck/Primorie/2633/01(H5N3), but the sequences clearly show evidence of recombination. Some of the polymorphisn can be found in the first H5N1, isolated from a chicken in Scotland, A/Chicken/Scotland/59 (H5N1), in 1959, while others are found in 2004 isolates from Vietnam and Thailand.

The conservation of polymorphisms from 1959 isolates demonstrate that the viral polymerase does not make frequent errors that lead to annual changes in human or avian influenza genomes. Instead these polymorphisms are simply recycled from earlier times or other places. This recycling is driven by recombination, which is ongoing.

Reassortment may facilitate more rapid change by bringing more distant genes into novel environments as demonstrated by the reassorted and recombined genes in the swine isolates in Korea which have 2004 avian genes and 1933 human genes in the same isolates. Recombination has generated genes that are half human and half avian and the reassortment of additional genes facilitates rapid change via recombination with other human or avian dual infections.

However, the driver of viral evolution and emergence is recombination.

Migrating Russian Bird Flu Recombinants

http://www.recombinomics.com/News/01090501/Migrating_Russian_Recombinants.html

Recombinomics Commentary
January 9, 2005

>>We have subsequently learned that on several occasions H5N1 avian influenza viruses have been isolated from migrating birds in the Novosibirsk region of Russia during the past 4 years. In 2003, an H5 avian influenza virus was isolated and sequenced by the Laboratory to Investigate and Monitor Emerging Zoonotic Diseases (Novosibirsk, Russia) from a wild mallard duck on Lake Chany in the south of Western Siberia. The A/mallard/Chany/9/03 avian influenza virus was related, but not identical, to H5N1 avian influenza viruses currently circulating in domestic poultry in Asia. The virus's hemagglutinin sequence showed 90-95% similarity to the current Asian H5N1, which is in turn similar to Eurasian H5 avian influenza viruses A/duck/Potsdam/1402-6/86 (H5N2) and A/turkey/England/50-92/91 (H5N1).<<

The sequences of the two 2001 H5 isolates released by GenBank have sequences that are similar to the 2003 isolate, A/mallard/Chany/9/03, described above. At Genbank the 1047 bp of A/duck/Primorie/2621/01(H5N2) is virtually identical to the corresponding sequences in A/duck/Primorie/2633/01(H5N3). Thus, it would seem that H5 isolates from southwestern Russia have similar H5 regardless of whether the N is N1, N2, or N3. The H5 has is a recombinant with polymorphisms found in European isolates including the first H5N1 isolate in 1959 as well as polymorphisms found in 2004 isolates from Vietnam and Thailand. Two of the other genes at Genbank, NS and NP also have polymorphisms found in Asia.

The presence of these polymorphisms in migrating birds, including ducks and mallards strongly suggests that these new polymorphisms are brought into regions of Asia hard hit by H5N1 infections last season, and increases the likelihood that new sequences will be found in H5N1 this season.
 

JPD

Inactive
Russian Bird Flu Matrix Gene Also a Recombinant

http://www.recombinomics.com/News/01090503/Matrix_Russian_Recombinant.html

Recombinomics Commentary
January 9, 2005

The sequence of the M (matrix) gene of A/duck/Primorie/2633/01(H5N3) is now also available at GenBank. It also has regions of recombination and has homologies with bird flu isolates in Asia, Europe and the Americas. The are homologies with various H7 isolates including H7N7 from The Netherlands, H7N3 from the Fraser Valley outbreak in British Columbia, as well as H7N3 found in Chile, A/chicken/Chile/4977/02(H7N3).

Rare polymorphisms are also shared with H7N7 that trace back over 70 years when the isolates were call fowl plague virus (FPV), A/chicken/Brescia/1902 (H7N7), A/FPV/Dobson/29 (H7N7), A/FPV/Rostock/34 (H7N7), A/FPV/Weybridge (H7N7). Rare polymorphisms are also shared with avian isolates with H1 genes such as A/Duck/Bavaria/2/77 (H1N1), A/oystercatcher/Germany/87 (H1N1), A/Duck/Hong Kong/193/77 (H1N2)

There are also homologies with H9N2 from Shantou Province in China and some rare polymorphisms are found in Korean isolates such as A/swine/Korea/S452/2004(H9N2), A/chicken/Korea/S1/2003(H9N2). The H9N2 Korean isolates that have reassorted with human WSN/33 match 2004 isolates from Korea. These 2004 Korean isolates are unique, but the number of Russian isolates is very limited and recent Russian isolates are not available at GenBank for comparison.
 
Top