Saturday, May 20, 2006

Romanian arrests

Four arrested in Romania for spreading bird flu
May 19 7:02 AM US/Eastern
The manager of a major industrial poultry farm in Romania has been arrested on charges of allowing the farm to sell chickens possibly infected with a potentially lethal form of bird flu, prosecutors in the town of Brasov said.

The unnamed manager is the third person from the Drakom Silva poultry operation in Codlea to be arrested in the last few days. The farm's veterinarian, Virgil Udrea, and its owner were both arrested on Wednesday, as was Pati Prod, the owner of another poultry farm in the town.



The two owners have been charged with "spreading disease among animals" and could face up to 15 years in prison if convicted.

Udrea is accused of knowingly allowing the sale of contaminated live birds to private farmers, according to prosecutors.

Romanian Agriculture Minister Gheorghe Flutur said on Friday that the bird flu virus has continued to spread across the country. It had contaminated poultry in 18 villages over the past week, bringing the number of localities affected to over 60, he said.

An additional 25 villages in six regions were being investigated for possible contamination, he said.

"Samples from a dozen of these sites have been sent to the British laboratory in Weybridge," Flutur said Friday, referring to the European Union's reference laboratory for bird flu tests.

"We expect results early next week that will tell us whether the strain is an especially lethal (strain)."

The highly virulent H5N1 strain of bird flu can be transmitted to humans and is potentially fatal.

Flutur said the authorities had seized almost 325 tonness of chicken product from Drakom Silva that might be contaminated with bird flu.

There has so far been no case of human contamination from the animal disease.

Friday, May 19, 2006

Update Indonesia



CDC, WHO experts visit Indonesia to inspect H5N1 cluster

May 18, 2006 (CIDRAP News) – An international team of scientists from the World Health Organization (WHO) and the US Centers for Disease Control and Prevention (CDC) arrived today on Indonesia's Sumatra island to investigate the largest cluster to date of confirmed human cases of H5N1 avian influenza, according to news services.

In addition, the WHO reported today that a 75-year-old Egyptian woman died of H5N1 infection, becoming the sixth fatality in Egypt.

In a news release about the Indonesian cluster today, the WHO said the source of infection was not yet known for any of the cases. "The possibility of limited human-to-human transmission cannot be ruled out," the agency said.

"A cluster is always serious," the WHO's Thomas Grein told Bloomberg news today after visiting North Sumatra. "This one by its sheer size and that it has occurred in an area where there have been no confirmed outbreaks is of course of interest."

In its statement today, the WHO gave some details on the cases in six extended family members from Kubu Sembelang village in the Karo district of North Sumatra—five of whom died—as well as on another Indonesian woman who died of avian flu in Surabaya in East Java. Her death was reported by news media yesterday.

In North Sumatra, the outbreak may have begun Apr 27 when a 37-year-old woman contracted a respiratory disease, which took her life May 4. However, no specimens were obtained from her body for confirmatory testing, but the WHO said she is considered the initial case in the cluster.

Her relatives, according to the WHO, constitute the six who tested positive for H5N1. The woman's 15-year-old son died of avian flu May 9, her 17-year-old son died May 12, her 10-year-old nephew died May 13, and her 28-year-old sister died May 10. The sister's 18-month-old daughter died May 14. In addition, her 25-year-old brother tested positive for H5N1 but is still alive.

These latest WHO confirmations raise Indonesia's case total to 40 (23 in 2006), with 31 deaths (20 in 2006), according to WHO data. Indonesia has reported by far the most cases and fatalities this year. Egypt has the second-most cases with 14 (6 deaths), and China has the second-highest death rate, with 7 deaths in 10 cases.

Although the WHO release about the cluster states that "If human-to-human transmission has occurred, it has not been either efficient or sustained," officials are concerned about the lack of an identified source for the virus.

"The source of exposure for the initial case is still under investigation, with exposure to infected poultry or an environment contaminated by their faeces considered the most plausible source," the agency said.

"The likely source of infection for the additional cases has not yet been determined," the statement continued. "Multiple hypotheses are being investigated. Apart from living in close proximity to each other, the cases in this cluster are known to have participated in a family gathering around 29 April. The cases may have acquired their infection from a shared environmental exposure yet to be identified."

"We have not yet found any evidence of the ongoing transmission among chickens in that area," said Shigeru Omi, WHO director for the Western Pacific region, as quoted in the Bloomberg story today. However, the story quoted Indonesia's agriculture minister as saying that 10 of 11 pigs tested in the district had antibodies to avian flu in their bloodstream, and about half of the 400 households in Kubu Sembelang raise pigs, chickens, and ducks.

Although the presence of antibodies in the pigs could signal a previous infection, "If the virus is in pigs, that would be a major concern," said Ton Schat, professor of virology and immunology at Cornell University, according to Bloomberg. Pigs are susceptible to both human and avian strains of influenza, and simultaneous infection with both types could allow viruses to trade genetic material, potentially giving rise to a hybrid that could spread among humans.

According to the WHO, instances of human-to-human H5N1 transmission have occurred, but in no case has the virus spread beyond people who have had close contact with an infected person, like family members.

In a Washington Post story today, Sari Setiogi, spokesperson for WHO's Indonesia office, said, "We are taking this very seriously. The good news is that, from our investigation to date, there's no evidence of further spread of the virus beyond the family."

Thursday, May 18, 2006

News from CIDRAP



Romania fires vet officials as avian flu spreads

May 18, 2006 (CIDRAP News) – Romania has fired two top veterinary officials and arrested a private veterinarian amid spreading outbreaks of avian influenza in the past 2 days, according to news agencies.

Meanwhile, Denmark has found an H5 avian flu virus in domestic birds for the first time, and Nigeria is reporting a new outbreak of H5N1 in poultry after a lull of several weeks, according to Agence France-Presse (AFP).

The president and vice president of Romania's National Veterinary Health Authority were dismissed yesterday for failing to get poultry companies to take proper biosecurity precautions, AFP reported. That word came as the government announced that at least 10 new avian flu outbreaks in poultry had been discovered.

The government had reported the discovery of H5N1 avian flu on commercial poultry farms in three central counties several days ago. Before that, the virus had been found in several dozen backyard poultry flocks starting in October 2005, but had not been detected on commercial farms.

AFP reported today that Romanian authorities had arrested a veterinarian named Virgil Udrea for allegedly allowing poultry infected with avian flu to be sold to farmers. He worked at an industrial farm called Drakom Silva in Codlea in central Romania. Government officials say the current outbreaks began at Drakom Silva.

The head of Drakom Silva and the director of another farm were also detained, on charges of "spreading disease among animals," according to AFP.

Agriculture Minister Gheorghe Flutur said samples from seven farms had been sent to Britain for confirmatory testing, the story said.

Flutur said another 25 possible outbreaks were under investigation, according to AFP. "The number of locations where the presence of the virus is confirmed is sure to increase over the next few hours, since analysis usually confirms the preliminary tests carried out at the farms," he told reporters.

Several people with suspicious symptoms were tested for avian flu in Bucharest, the capital, this week, but no cases were found, AFP reported.

In Denmark, an H5 virus was found in poultry on a petting farm, the country's first such report involving domestic birds, AFP said in a separate story today.

Peter Bagge, a veterinary official, said about 100 chickens, ducks, and geese on the farm in Hundsley on Fyn Island were destroyed, according to the story. Bagge said tests were under way to determine if the virus is the deadly strain of H5N1.

Denmark has found several wild birds infected with H5N1 since mid-March, but no H5 or H5N1 infections in domestic birds.

The government set up a 3-kilometer protection zone and a 10-kilometer observation zone around the petting farm, AFP reported. Officials said the country can continue exporting poultry raised outside the observation area to European Union members, but they fear that other countries may ban Danish poultry products.

In Nigeria, a likely new avian flu outbreak has been found on a farm near Kano in the northern part of the country after several weeks with no new outbreaks, according to another AFP report published today.

Shehu Bawa, head of the Kano State committee on avian flu, said signs of an outbreak were found on a farm with 16,000 chickens in Kakara village, 9 miles from Kano, the story said. Bawa said the discovery ends a "24-day lull."

Samples from 11 chickens were sent to a national laboratory for testing, but Bawa said he was convinced the disease was H5N1 because the signs matched those seen in "hundreds of thousands of cases" over the past few months.

Nigeria was first hit by the virus in early January. The disease has been found in poultry in 12 states and around the capital, Abuja, since then, according to AFP. No human cases have been reported.

In other developments, US wildlife scientists yesterday began testing migratory birds in Alaska for H5N1 avian flu, the Associated Press (AP) reported today. The action marked the launch of an effort to detect any H5N1 invasion early by testing 75,000 to 100,000 wild birds this year.

The first tests involved shorebirds at a wildlife refuge near Anchorage, Bruce Woods of the US Fish and Wildlife Service told the AP. He said the agency would test birds at the refuge for only a few days, but plans call for further testing at more than 50 backcountry camps in Alaska.

Pro med Mail Update on Indonesia



WHO confirms 6 avian influenza cases
------------------------------------
The World Health Organization (WHO) today [17 May 2006] confirmed 6 more
human cases of bird flu infections in Indonesia, including 5 members of a
family whose case has triggered fears of human-to-human transmission.
"There are 6 confirmations. One from Surabaya and 5 from Medan. One from
Medan is still alive," said Sari Setiogi, WHO's Indonesia spokeswoman.

An outbreak of H5N1 bird flu involving up to 8 members of a family at Medan
in North Sumatra province has worried health agencies around the world, but
a Health Ministry official said today [17 May 2006] it was not a case of
human-to-human transmission. "The spread was through risk factors from
poultry or other animals. There is no proof of human to human," Nyoman
Kandun, director-general of disease control, said to Reuters. "The world is
watching us. We are not being hasty." Four of the 5 family members have
died, and samples from a further 3 people believed to be part of the family
cluster of infections are still being tested.

WHO has sent a team to the area near Medan. The agency said it was on alert
for signs the virus is mutating into one that can be easily transmitted
between people, a development that could signal the start of a pandemic in
which millions could die. Such a mutation could occur anywhere there is
bird flu, the WHO says. Mr. Kandun said authorities were still trying to
identify the source of the virus in the cluster case in Kubu Simbelang
village in Karo regency, about 50 km south of Medan.

But an Indonesian agriculture official who declined to be named told
Reuters tests had shed no light on the case. "There is a big question mark.
Blood samples from all kinds of animals, from chickens, ducks, geese,
birds, pigs, cats and dogs, turned out negative so far. Manure has also
been checked. The result is negative," the Jakarta-based official said.

Some reports have suggested chicken manure used as fertilizer might be the
link. Infected birds can excrete large amounts of the H5N1 virus, and this
can be one way it can spread to birds and people.

The 6th case of the 6 cases confirmed today [17 May 2006] was a 38 year old
catering businesswoman from Surabaya who had dealt with live pigs and pork
meat before she died last week.

The latest deaths bring the number of Indonesians who have died from bird
flu to 30, by far the highest death rate in the world this year [2006] from
the disease. Bird flu has killed 115 people worldwide, the majority in east
Asia, since reappearing in 2003. Virtually all the victims caught the
disease from poultry. The H5N1 virus is endemic in much of Indonesia.
Yesterday [16 May 2006], a senior Agriculture Ministry official said H5N1
had been detected for the 1st time in poultry in remote eastern Papua province.

--
Joseph P Dudley, PhD
Chief Scientist
Biosecurity and Bioinformatics
EAI Corporation
4301 North Fairfax Drive
Suite 200
Arlington, VA 22203


******
[2]
Date: Wed 17 May 2006
From: Joe Dudley
Source: Reuters Foundation AlertNet, Wed 17 May 2006 [edited]



H5N1 spread among people not ruled out in Indonesia
---------------------------------------------------
Health experts are investigating how several members of a family in
Indonesia's North Sumatra province contracted the H5N1 bird flu virus and
are not ruling out the possibility of human-to-human transmission. Clusters
of human infections are worrying, as they indicate that the virus, which
has killed 115 people worldwide since late 2003, might be mutating into a
form that is easily transmissible among humans. That, experts say, could
spark a pandemic in which millions might die.

Samples taken from 6 members of the family were sent to a WHO-affiliated
laboratory in Hong Kong, and 5 tested positive for H5N1. Results of the 6th
were still pending. According to the World Health Organization and experts
familiar with the case, the family -- which raised a small number of pigs
and had chickens, ducks and geese in the neighborhood -- held a barbecue on
29 Apr 2006, when they ate pork and chicken.

The 1st person to fall ill was a 37 year old woman, and 2 of her sons, her
brother, sister, niece, and nephew later fell sick. Except for the woman's
brother, everyone has since died. Contrary to earlier reports from the
Indonesian government that 8 members of the family were infected, the WHO
says the 8th person, a woman, had fever for only a day and is now well.
Local tests showed she was not infected with H5N1.

Samples taken from 11 pigs, 4 geese, 4 ducks and an unspecified number of
chickens in Kubu Simbelang village in Karo regency, where the family lived,
have also turned up negative for H5N1, but experts are not ruling anything
out. "The possibility that they may have been infected by the same source
is still there," said Sari Setiogi, the WHO spokeswoman in Indonesia. More
animal samples will be collected for local tests.

"Any time we have a cluster, it raises the suspicion that human-to-human
transmission may have occurred. We don't rule out either way ... it is too
early to make any conclusion because investigations are still going on,"
Setiogi said. More than 15 people attended the barbecue, but there were no
signs of any spread beyond this cluster of 7, she said.

There have been a few other probable cases of human-to-human transmission
of the virus in Hong Kong and Thailand in the past, possibly due to
prolonged and very close contact, although these have never spread beyond
the initial clusters.

But Indonesia's Health Ministry said the cluster in Sumatra was not a case
of human-to-human transmission. "The spread was through risk factors from
poultry or other animals. There is no proof of human-to-human," Nyoman
Kandun, director-general of disease control, told Reuters. But an
Indonesian agriculture official who declined to be identified said animal
tests have not shed any light. "There is a big question mark. Blood samples
from all kinds of animals, from chickens, ducks, geese, birds, pigs, cats
and dogs, turned out negative so far. Manure has also been checked. The
result is negative," the Jakarta-based official said.

In Hong Kong, microbiologists tasked with decoding the genomic sequence of
the 6 virus samples cautioned against making any quick conclusion either
way. Guan Yi, who heads the laboratory decoding the samples, said the long
time lag of 9 days between the 1st and last victims showing symptoms of the
disease was unusual. The 37 year old woman fell ill on 27 Apr 2006, while
one of her sons and her sister -- the last ones to fall sick -- felt the
1st symptoms on 5 May 2006. WHO recommends that an incubation period of 7
days be used for field investigations. "If they were all infected by the
same source, their onset time (of illness) would have been closer, but that
is not the case ... The later cases may involve the possibility of
human-to-human transmission," Guan told Reuters. "They may have infected
one another ... but we have no evidence. This needs to be investigated by
the locals."

Some reports say chicken manure used as fertilizer might be the link.
Infected birds can excrete large amounts of the virus, and birds and people
can be infected this way. "This could be one likely infection source," Guan
added.

[byline: Tan Ee Lyn]

--
Joseph P Dudley, PhD
Chief Scientist
Biosecurity and Bioinformatics
EAI Corporation
4301 North Fairfax Drive
Suite 200
Arlington, VA 22203


[With contrasting interpretations of the same events, there is not yet
sufficient information available to resolve the important question of
human-to-human transmission or independent transmission from a common
source. Further details are awaited. ProMED-mail acknowledges receipt of
similar information from Mary Marshall. - Mod.CP]

[see also:
Avian influenza, human - worldwide (64): Djibouti, Indonesia 20060516.1378
Avian influenza, human - worldwide (63): Indonesia 20060513.1363
Avian influenza, human - worldwide (62): Indonesia, Djibouti 20060512.1351
Avian influenza, human - worldwide (61): GI trans. 20060509.1338
Avian influenza, human - worldwide (60): Indonesia 20060508.1331
Avian influenza, human - worldwide (50): Sudan case neg 20060420.1162
Avian influenza, human - worldwide (40): Egypt 20060403.0998
Avian influenza, human - worldwide (30): Cambodia, Egypt 20060322.0890
Avian influenza, human - worldwide (20): Asia 20060302.0668
Avian influenza, human - worldwide (10): Iraq, India 20060219.0547
Avian influenza, human - Worldwide (01) 20060209.0433]

.......................cp/msp/sh


*##########################################################*

Worrying at 2 am

I woke up early, early this morning to worry. I am worrying about what is going on in Indonesia and how difficult it is to assess the situation. I hope the Indonesian I know at work will be there on Friday night, so she can help me look at some of the local newspapers and hopefully figure out what is going on. I keep looking at the WHO website, thinking that they should have an Indonesia update, but so far, none.

The thing I am primarily concerned about is the report about health care worker(s) becoming ill after caring for the dying patients with H5N1. I have seen reports of from one to five health care workers ill. I saw a report that one just had a regular case of the flu. If health care workers are truly contracting the disease, it would mean human to human transmission (unless they are caring for sick poultry too!).

The website http://www.avianflutalk.com has running commentary on Indonesia and other potential hotspots. Check it out.

Wednesday, May 17, 2006

Report sick or dying birds in your area


There are many instances every year when birds, mainly waterfowl and shorebirds, become sick or die from a variety of causes, such as trauma, predation, avian botulism or avian cholera. USDA along with the U.S. Department of the Interior and state wildlife agencies routinely investigate these events if large numbers of birds are impacted. Investigating sick or dead wild bird events serves as an effective tool for the early detection of highly pathogenic avian influenza.

If you notice sick or dead birds, please contact your local USDA Wildlife Services office at 1-866-4-USDA-WS.

Monday, May 15, 2006

Possible Cluster Report from IndonesiaNews.net


Bird Flu Strikes Indonesian Family Again


May 14, 2006 : 1:50 pm ET

JAKARTA, Indonesia -- A fifth member of an Indonesian family has died of bird flu, according to local tests, a senior medical official said Sunday.

The other four died from the disease early last week, said Nyoman Kandun, head of the Health Ministry's office of communicable disease control. In all, eight members of the family in Tanah Karo village on Sumatra are suspected of having contracted the virulent H5N1 bird flu virus.

Indonesia's official human death toll from the virus is now 25, the world's second-highest after Vietnam, which recorded about four dozen deaths but where international health experts said earlier this year that outbreaks of H5N1 infections in people and poultry had been largely stamped out.

Officials pay particular attention to cases of multiple related deaths such as those in Indonesia. The virus now is almost always transmitted from birds to humans, and experts study "cluster" cases looking for signs that H5N1 may have mutated into a form easily passed between humans -- a scenario that many fear could trigger a global human pandemic.

Kandun said samples from the patients had been sent to a World Health Organization-accredited lab in Hong Kong for confirmation that they died of bird flu.

He also revealed that a sixth family member died previously, but samples from the body had not been taken for laboratory investigation. "The person died earlier and has been buried," he said.

Asked whether doctors would obtain samples from the body, Kandun declined to comment.

"We are continuing to investigate this case," he said. "We are trying to find the source of the virus."

He said investigators were checking poultry near the family's village, since veterinarians had found no signs of bird flu among chickens and other animals in the village itself.

International experts hope Vietnam's campaign to vaccinate its poultry against H5N1 will serve as an example for other countries in dealing with the virus, which has killed more than 100 people in all.

Once the epicenter for bird flu, Vietnam hasn't had seen any people infected since November and there haven't been any poultry outbreaks since December.

"We are actually disease-free in Vietnam for the moment," Hans Troedsson, the World Health Organization representative in Vietnam, said in late March. "We're probably not virus-free, but what the mass vaccination has done is reduce the virus load in the environment -- we have less virus circulating."

Vietnam started its nationwide eradication campaign in August 2005. Officials in the poor communist nation say they vaccinated millions of chickens and ducks, slaughtered millions more and educated citizens about the disease.

Outside experts, however, caution that immunization is not a simple solution.

It is so expensive that "you just can't keep it up," said Peter Roeder, an animal health expert with the U.N. Food and Agriculture Organization who advises Asian countries on bird flu.




Copyright 2006 Associated Press. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
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Indonesia Update




Indonesia's Bird Flu Deaths Fuel Concern Over Control (Update4)

May 15 (Bloomberg) -- At least five Indonesians from North Sumatra province are suspected to have died in recent weeks from bird flu, a World Health Organization official said, fueling concern over the country's ability to halt the virus in poultry.

An Indonesian laboratory found five relatives were fatally infected with the H5N1 avian influenza virus, Sari Setiogi, a WHO spokeswoman in Jakarta, said yesterday. A Hong Kong laboratory will conduct confirmatory tests, she said. A sixth person who also died will be tested.

``Any time we see clustered cases, it raises questions, the greatest of which is whether the virus has evolved'' and is becoming easily transmitted from person to person, said William Aldis, coordinator of health policy and research for the WHO in Southeast Asia, in an interview in Jakarta today.

World health officials are concerned H5N1, which has infected more than 200 people in the past three years, may mutate into a form that spreads easily among humans, touching off a pandemic similar to the one in 1918 that killed as many as 50 million people. A cluster of H5N1 infections may signal the virus is becoming more contagious to people.

Representatives from the WHO, the United Nations' Food and Agriculture Organization and Asia-Pacific governments are meeting this week in Indonesia's capital, Jakarta, to discuss food security, poverty and preparing for disasters, such as a flu pandemic.

In the U.S., health officials agreed to pay as much as $32.3 million over five years to King of Prussia-Pennsylvania- based Tunnell Consulting for personnel and expertise to help build stockpiles of drugs and vaccines.

The H5N1 virus has killed at least 115 of 208 people known to have been infected since late 2003, the Geneva-based WHO said on May 12.

Economic Cost

In Asia, more than 200 million domestic fowl have died or been culled to contain the spread of H5N1, costing countries between $10 billion and $15 billion, Laurence Gleeson, Bangkok- based regional manager of the FAO's Emergency Centre for Transboundary Animal Diseases, told the conference today.

In Romania, as many as 1 million fowl may have to be culled to control the country's first outbreak on a poultry farm, Radio Romania Actualitati reported today. Health inspectors found chickens infected with an H5 avian flu virus at a farm near Codlea in the central Romanian county of Brasov.

Chicken meat and live poultry from the farm may have been sold in at least four other counties in the country, the radio station said, citing Romanian Agriculture Minister Gheorghe Flutur.

This year, 39 people are confirmed to have died from H5N1, almost as many as the 41 fatalities reported in the whole of 2005. More than a third of this year's fatal cases have come from Indonesia.

Outbreaks Widespread

Indonesia, the world's fourth-most-populous nation, has had outbreaks of H5N1 in poultry in 26 of its 33 provinces. Avian flu in poultry poses a greater risk to humans in Indonesia, where people and birds live side by side in rural and urban areas. Thirty million households in Indonesian villages keep more than 200 million chickens in backyards, according to the FAO.

Since July, 33 Indonesians are confirmed by the WHO to have been infected. Of those, 25 have died. If confirmed, the five North Sumatra cases will bring to one a week the average number of new H5N1 cases being reported in Indonesia since September.

Family Members

The suspected cases comprise two men, two women and an 8- year-old girl who lived closely with each other and had common ancestors, Agence France-Presse reported yesterday, citing I Nyoman Kandun, director general of disease control with the Indonesian Health Ministry.

The five had been in contact with sick poultry and pigs before they died within days of each other over the past three weeks, AFP reported. Three other people from the group also tested positive, the report said.

A WHO epidemiologist has been sent to the province to investigate the cases.

``This needs to be investigated rapidly so we can determine if there was any human-to-human transmission, or if anything else may have happened to suggest the virus is behaving differently,'' said Maria Cheng, a WHO spokeswoman in Geneva.

Almost all human H5N1 cases have been linked to close contact with sick or dead birds, such as children playing with them or adults butchering them or taking off the feathers, according to the WHO. Cooking meat and eggs properly kills the virus.

Monitoring

Avian flu controls in Indonesia, which successfully eradicated foot-and-mouth disease in cattle in the 1970s, have suffered because the government doesn't have enough people to monitor the spread of the virus in poultry. A law that came into effect in 2001 gave power to provinces and regencies with little supervision from the national government in Jakarta.

``They have particular institutional issues with coordination,'' FAO's Gleeson told reporters at the conference. ``The country is doing what it can with its resources. You could throw a huge amount of money at influenza control in this country and if certain other things are not in place, it's a waste of money.''

Gleeson said there needs to be more cooperation from Indonesia's general public.

``People have to understand that if they've got bird flu in their chickens the first thing they don't do is take it down to the market and sell it, which is one of the very common practices,'' he said.

To contact the reporter on this story:
Jason Gale in Singapore at j.gale@bloomberg.net

Last Updated: May 15, 2006 14:12 EDT

Preps in Alaska for testing for avian flu



1:27 p.m. May 15, 2006

FORT COLLINS, Colo. – A key element of the nation's multimillion-dollar bird flu early-warning system is sealed in 2-inch plastic tubes filled with murky brownish liquid and broken cotton swabs.

A Federal Express box containing 115 of the tubes arrived at a federal laboratory here from Alaska late last week.

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The plastic vials hold bird droppings smeared on cotton swabs. The samples come from waterfowl on Adak, a wind-blasted volcanic island in the Aleutian chain, and from Anchorage International Airport.

They are the first of 50,000 fecal samples that will be analyzed this year at the National Wildlife Research Center, a U.S. Department of Agriculture facility in the foothills west of town. The lab received $1.1 million for the project and hired four technicians to work full time on it.

The goal of the effort, part of a multipronged wild bird monitoring program that recently received $29 million in supplemental federal funding, is to quickly detect when the highly pathogenic H5N1 bird flu virus enters the United States – if, in fact, it does.

“This is the most intense, coordinated effort that we have ever had – on a nationwide basis – for a wildlife disease, so our likelihood of detecting it is pretty good,” said Larry Clark, assistant director of the research center.

“The hope is that this becomes essentially a nonevent, but we would be derelict if we did not do things to assure that we're prepared,” he said.

H5N1 is a bird virus and rarely affects humans. It has spread through parts of Europe, Asia and Africa, but has not been found in the Americas. Bush administration health officials said in March, however, that H5N1 is likely to arrive in this country this year.

Since it first appeared in Hong Kong in 1997, the H5N1 virus has caused 208 reported cases of human illness, including 115 deaths, according to the World Health Organization. In nearly all cases, the illnesses resulted from extensive, direct contact with infected birds.

Health officials are concerned the virus could mutate into a form that passes easily from person to person, a change that could trigger a global flu epidemic, or pandemic. At a Denver meeting in March, U.S. Health and Human Services Secretary Michael Leavitt said “we are overdue and we are underprepared” for such a pandemic.

But no one knows if the dreaded H5N1 genetic transformation will happen or not.

The current focus of U.S. wild bird surveillance is Alaska, a crossroads of migratory flyways where waterfowl from Asia mingle with North American birds during the summer. Many investigators say Alaska is the place H5N1 is most likely to enter the country.

Teams of biologists plan to trap and test 75,000 to 100,000 wild birds this year, starting in Alaska and gradually moving southward as the birds migrate.

Other crews are walking along Alaska shorelines frequented by waterfowl, sampling fresh droppings with cotton swabs.

They insert the soiled cotton tips into vials filled with a liquid that stabilizes and protects viruses, then snap off the swabs' wooden shaft and screw the plastic caps in place.

The tubes are sealed in plastic bags that are then duct-taped and placed, along with chemical ice packs and absorbent pads, inside a cooler. The cooler is then packed inside a cardboard box.

All 50,000 of the fecal samples will be sent to the Fort Collins laboratory for initial screening. If tests reveal the possible presence of a highly pathogenic form of avian influenza, such as H5N1, the samples will be forwarded to the USDA's National Veterinary Services Laboratory in Ames, Iowa, for confirmation.

“Basically, this lab is a screening lab for environmental samples, and we're the only ones doing it,” Clark said.

At the Fort Collins lab, the Federal Express packages are unsealed, and bar codes on each plastic vial are scanned. Data about each collection site, including its longitude and latitude, are entered into a computerized data base.

Then a chemical process extracts avian influenza gene fragments – if they are present – from the samples. The fragments are tagged with a fluorescent dye so that suspected “high path” forms, such as H5N1, glow when illuminated by a light beam.

Once the test is completed, the samples are incinerated.

Any positive results will be announced promptly by federal health officials in Washington, said National Wildlife Research Center spokeswoman Gail Keirn.

The vast majority of the fecal samples are expected to come back negative, said laboratory manager Jeffery Hall, a virologist.

“We're looking for a very rare event,” Hall said.

Workers in his lab wear eye protection, latex gloves and lab coats to guard against the virus.

The big challenge for Hall's team will come in August, September and October, when 80 percent of the fecal samples are expected to arrive. The lab must complete its testing 48 hours after a shipment is received.

“Dealing with 50,000 samples is a challenge, and the 48-hour turnaround is, too,” Hall said. “But we'll get it done. It's doable.”

H5N1 could make it into the United States on the wings of an infected bird. But a jetliner could bring it even sooner, said Laurie Baeten, a wildlife veterinarian with the Colorado Division of Wildlife.

There is growing evidence that international trade in smuggled poultry – including live birds and bird parts – is spreading the bird flu virus, she said.

“I think all the scientists are in agreement that H5N1 is going to make it to the United States,” she said Friday. “It's just a matter of when and how and what level of impact it will have.”

Bali ducks culled due to avian flu


DENPASAR, Indonesia, April 26 (Reuters) - Hundreds of ducks have been culled on Indonesia's Bali island after samples tested positive for the H5N1 bird flu virus, a senior veterinarian said on Wednesday.

The birds were culled in Gianyar regency on the popular tourist island and came from a farm and its surrounding areas.

"We burned 432 ducks yesterday, 392 of them came from that farm while the rest were owned by surrounding residents," Dewa Nyoman Raka Jaya, head of Gianyar's animal husbandry office, said by phone from the central Bali town.

"We assumed that all of them had the bird flu virus because all of the samples were positive."

"Today, we are chasing chickens around the farm. We don't know how many but we will burn them tonight," Jaya said.

Indonesia has the second highest bird flu human death toll of any country. But the government has resisted mass culling of birds, citing the expense and impracticality in a country where keeping a few chickens or ducks in the backyards is common.

Culling at selective farms and their immediate surroundings has been the preferred method.

In Indonesia, the H5N1 virus has been reported in birds in most of the country's 33 provinces, and there have been previous cullings in Bali. No human cases have been reported on the island.

The World Health Organisation has confirmed 24 human deaths in Indonesia from the virus from a total 32 confirmed cases, the majority in and around the capital Jakarta.

A sweeping door-to-door campaign to try to control the disease in the capital, home to 12 million people, only got underway at the end of February.

Fowl news from Romania


BUCHAREST, May 15 (Reuters) - Romania may cull around 1 million domestic birds to prevent the spread of avian flu to highly populated areas after the deadly strain was detected at a chicken farm, authorities said on Monday.

On Saturday, Romania detected a new outbreak of the deadly H5N1 bird flu virus, just a month after the strain was said to have been eradicated in the Black Sea state. Around 2,000 domestic fowl were culled in the county of Brasov.

Romania has culled nearly half a million fowl and gradually stopped around 60 bird flu outbreaks since the first bird flu case was detected in the Danube delta last October.

The new outbreaks occurred in the villages of Hurez, at a chicken farm in Codlea and in the outskirts of the small town of Fagaras in the county of Brasov, some 170 km (106 miles) north of Bucharest.

"If further tests will detect the virus at other farms in the Codlea region, around 1 million birds might be culled there," Romania's chief veterinarian Ion Agafitei told Reuters.

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Sunday, May 14, 2006

Somethings up in Indonesia


ndonesia Local Tests Show Five Positive on Bird Flu

Indonesia local tests show five positive on bird flu

JAKARTA, May 13 (Xinhua) -- Five Indonesian people from a family related by blood were positively infected by avian influenza virus after tested by the country's laboratory, health ministry official said here Saturday.

Director General of Disease Control of the ministry, I Nyoman Kandun said that the five from Indonesia's North Sumatra province had had contacts with fowls and pigs.

He said that their blood samples had been sent to the World Health Organization's (WHO) affiliated laboratory in Hong Kong.

They have been tested, the result were positive, Kandun told Xinhua.

The five are 29 year-old woman, two men of 19 years old and 35, whom have died since at the end of last month, and two others men of 25 years old and 35 years old man, whom survive, according to the director.

They are from one family tree, he said.

The director said that tree others people from the family were suspected of having the virus, including a 40 year-old woman and a 10 year-old boy, both of them have died, and a 35 year-old man whom survive.

According to Kandun the WHO has confirmed 26 out of 35 people contacted by the virus, have died.

The highly pathogenic H5N1 strain is endemic in poultry in Indonesia.