Thursday, April 05, 2007

Nature continues on relentlessly


Indonesian man dies of suspected bird flu


An Indonesian man who has developed bird flu symptoms died Thursday at a hospital in the Central Java town of Solo and could be the 73th bird flu casualty in the country if his blood sample is tested positive.

The patient, identified only as Suramto, 29, died at the Moewardi Hospital after being treated since March 30, reported leading news website Detikcom.

His body was packed in a plastic bag and relatives were banned from opening the coffin, a standard procedures for bird flu victims, the report said.

Source: Xinhua

Good idea, now let's just do it!


State seeks volunteers for future disaster duty

By Staff and wire reports, April 4, 2007

Last updated: Wednesday, April 4, 2007 3:20 PM EDT
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HARRISBURG — The state Health Department wants to know who would be willing to lend a hand in the event of a statewide emergency as it joins a nationwide effort to establish a registry of potential volunteers.

The department on Tuesday unveiled the State Emergency Registry of Volunteers in Pennsylvania, or SERVPA, during a news conference on emergency preparedness. The online registry will help the state build a database of volunteers with a wide range of backgrounds — including doctors, nurses, contractors and law enforcement — who can be mobilized when disaster strikes, Health Secretary Dr. Calvin B. Johnson said.

“If you have a skill or service to provide that may well be needed in the event of a disaster... we would love to have you be a part of it,” Johnson said.

The system is intended primarily for the registration of health care professionals, but states have the option of broadening their volunteer bases, Wolfson said. At least 24 other states have established registries, including Florida, Ohio, Michigan and New Jersey, he said.

The federal government’s focus on health professionals is a tip-off, according to Karen Kirk — a member of a committee organized by Cumberland County Emergency Services to prepare for the potential of an Avian flu pandemic.

“It’s a subtle point, but you’ve hit the nail on the head if you think this is aimed at Avian flu,” Kirk says. She contends there are other subtle indicators that Avian flu is a real threat.

Kirk says she saw a poster in a drug store advertising “normal tips” for avoiding seasonal flu. At the bottom of the poster, in small print, was a Web site for information on Avian flu pandemic. Kirk says larger packages of products like rice, flour and sugar are appearing on grocery store shelves — another subtle hint, she says.

“Everyone is being careful not to cause a panic,” Kirk says. But she believes official sources must become more aggressive in educating the public about the difference between seasonal flu and pandemic flu, and increasing public awareness of the potential for disaster.

Checking in advance

Tom Moriarty, another member of the county committee, has a different perspective.

He says conditions in the aftermath of Hurricane Katrina in August 2005 fuel the volunteer registry effort as a tool for any disaster.

He says the goal is to line up people with specific backgrounds who may not be retired or no longer working in their profession.

“After Katrina, doctors and nurses came to the disaster area, but they were not allowed to help because they weren’t certified in that place,” Moriarty says. “Doing this in advance will create a roster of professionals. The advance training will be to identify what a large-scale disaster will look like. How things will be handled differently if you have 10,000 people who have to be treated quickly.”

All 50 states are developing statewide volunteer registries under legislation passed by Congress in 2002 in response to the Sept. 11, 2001, terrorist attacks and the anthrax attacks that followed. The federal government is spending about $10 million on the program, dividing the money about evenly among all the states.

“There was such an outpouring of people that wanted to help, they said, ‘We really need a way of tracking them,”’ said Marc Wolfson, a spokesman for the U.S. Department of Health and Human Services.

Eliminating confusion

Pennsylvania’s online registration takes about 10 to 15 minutes. Registrants are asked whether they belong to or would like to join medical-assistance teams, how far they are willing to travel, and their occupations.

“We’d like to get people in there ahead of time, so we can check their credentials, we can do background checks, and we can even provide them with some advanced training ... so they’re prepared to deploy,” said Meghan Treber, director of the state Office of Public Health Preparedness.

Evaluating volunteers’ credentials is a critical component of the program, Johnson said. He noted that in situations such as the terrorist attacks and the aftermath of Hurricane Katrina, emergency responders sometimes had difficulty accepting help from people who simply arrived on the scene.

“Without (prior) knowledge of their skills, of their legitimacy as health-care providers or other skills, it’s hard to use them as effectively and appropriately as possible,” Johnson said. “Preparation for that in this kind of registry eliminates that kind of confusion.”

Who am I to judge?


Results today; Shatti ‘mum’ on ‘bird flu positive’

KUWAIT CITY: Kuwait on Wednesday sent samples of the four Bangladeshi bird handlers to WHO laboratory in Cairo for confirmation of test results conducted in Kuwait, says Dr Ahmad Al-Shatti, spokesman for the Health Ministry. According to Dr Al-Shatti, the test results are expected on Thursday. The four workers were earlier referred to the Infectious Diseases Hospital after they showed bird-flu symptoms. Dr Al-Shatti refused to be drawn into the outcome of the preliminary tests conducted in the country. “We have sent the samples of the bird handlers to the WHO laboratory in Cairo and unless we get the results, I am not in a position to say anything. We are the sole body entrusted with announcing the outcome of positive cases of bird flu both in humans as well as in birds,” he added.

Describing the bird flu situation in the country as under control, Dr Al-Shatti said: “The bird handlers are in good health and there is no cause for concern. We have plans in place to deal with any emergent situation.”
Kuwait has so far not detected any human bird flu case. Kuwait reported outbreak of bird flu in late February and since then the authorities are combating the disease on a war-footing.
In this regard, around 1.6 million birds have been slaughtered and the four bird handlers were members of a team that is tasked with slaughtering birds mainly in Wafra area, where a majority of the positive cases were discovered.
Kuwait has around 10 million capsules of Tami flu, an anti-viral drug. Since the outbreak of bird flu in the country, the authorities have shut down the bird market in Shuwaikh in addition to banning sale of poultry products in all residential areas.
The Public Authority for Agricultural Affairs and Fish Resources together with the Ministry of Health (MoH) have formed numerous teams which visit farms across the country in order to fumigate and take samples of birds.
Agencies add:
A total of 106 cases of the strain have so far been confirmed in birds.
In November 2005, the Gulf state announced the first case of a bird infected with the H5N1 strain — a flamingo at a seaside villa.
The H5N1 strain, the most aggressive form, has killed 170 people worldwide, according to WHO, and seen millions of birds destroyed.
H5N1 is an avian influenza subtype with pandemic potential, since it might ultimately adapt into a strain that is contagious among humans.
According to samples tested by Health Ministry, no human bird flu cases were confirmed in Kuwait within the last 24 hours, said Dr Al-Shatti.
Last night, he said, the committee held its annual meeting headed by Health Minister Dr Maasouma Al-Mubarak and reviewed reports submitted by the ministry and Public Authority for Agriculture Affairs and Fish Resources (PAAAFR) regarding the flu’s latest developments.

The committee was informed about the referral of four Asian workers who interacted with birds to the Contagious Diseases Hospital, said Al-Shatti who noted that a total of 22 persons were referred to the hospital during the last five weeks. Al-Mubarak informed the committee about Kuwait leadership’s decision to compensate the owners of birds for their losses and PAAAFR’s assignment of setting guidelines for these compensations. The committee’s members lauded these steps, hoping they would boost cooperation and precautionary measures against the disease.

By Francis A. Clifford Cardozo
Arab Times Staff

Wednesday, April 04, 2007

So many involved in poultry industry



Bangladesh says bird flu spreads despite struggle
04 Apr 2007 13:01:04 GMT


DHAKA, April 4 (Reuters) - Bangladesh said on Wednesday that bird flu had spread to a new poultry farm despite the best efforts of struggling veterinary and health workers.

"The latest farm confirmed to have H5N1 virus is in northern Jamalpur 200 km (125 miles) from the capital Dhaka," an official of the Fisheries and Livestock ministry said.

Some 72,000 chickens have been culled so far from 26 farms since the avian influenza was detected in six farms at Savar near the capital March 22.

More than 500 workers at the infected farms have been given a local version of the Tamiflu anti-viral drug as a precaution, health ministry officials said.

No humans have tested positive for the disease in the country.

Bangladesh says it has sufficient Oseflu, a local version of Tamiflu, produced and marketed by a local firm since last year.

At least 170 people have died of bird flu in 11 countries, mostly in Asia, since 2003.

Health experts fear the virus could trigger a pandemic if it mutates to form a strain that can transmit between humans.

Bangladesh has 125,000 small and large poultry firms producing 250 million broilers and 6 billion eggs annually.

About four million Bangladeshis are directly or indirectly associated with poultry farming.

Tuesday, April 03, 2007

The dead may help us live


ndonesia considers autopsies for H5N1 victims

Apr 3, 2007 (CIDRAP News) – Indonesia's national avian influenza commission has recommended that the health ministry conduct an autopsy on each person who dies of H5N1 avian flu to learn more about how the disease affects the body, the Jakarta Post reported today.

Though experts say multiple organ failure plays a role in avian flu deaths, there are no data on humans, Bayu Krisnamurthi, chairman of the National Commission for Avian Influenza and Pandemic Preparedness, told the Post.

Postmortem examination has confirmed the role of multiple organ failure in chickens, and autopsies are needed to determine if the disease also spreads beyond the lungs in humans, Krisnamurthi said. However, he added that autopsies require careful consideration because the practice carries religious, social, and legal ramifications. Religious strictures are the main reason families refuse to allow autopsies, Krisnamurthi said.

The commission has authority only to make recommendations to the health ministry, the newspaper reported. "We hope the ministry takes this call seriously," he said.

In another development, Indonesia's trade minister said today the country was considering teaming up with Egypt to produce a human H5N1 flu vaccine, according to a Reuters report.

"Indonesia and Egypt have bird flu cases. But Egypt has more advanced pharmaceutical experience and has produced a variety of vaccines," Mari Pangestu told Reuters after a meeting with Egypt's trade delegation. "Thus, the possibility for cooperation is wide open."

In February Indonesia, amid a standoff with the World Health Organization (WHO) over sharing its H5N1 virus samples, signed a memorandum of understanding with US vaccine producer Baxter International about possible future collaboration or supply agreements.

However, on Mar 27 Indonesia agreed to resume sharing its H5N1 virus samples with the WHO, under conditions designed to give the country control over which vaccine manufacturers get access to seed viruses made from the samples.

Also today, officials in Egypt told the WHO they had ruled out the possibility of human-to-human transmission in the case of a brother and sister who were recently found to have avian flu, Reuters reported. The boy, age 4, and his sister, 6, are from Qena governorate, about 416 miles south of Cairo, according to WHO reports.

Both children had been exposed to poultry that was infected with the H5N1 virus, the Reuters report said.

"We have heard from the Ministry of Health that human-to-human transmission has been ruled out," WHO spokesman Greg Hartl told Reuters.

The brother and sister are among five Egyptian children in whom H5N1 infections were recently confirmed. All are hospitalized in stable condition, Reuters reported.

More victims in Kuwait?

KUWAIT, April 3 (Reuters) - Four foreign workers in Kuwait have been admitted to hospital on fears of bird flu infection, a Health Ministry official said on Tuesday. "Four Asian workers were transferred to a hospital on suspicion of bird flu, but nothing is confirmed yet," Ahmed al-Shatti told Reuters. Shatti said the workers were part of teams culling birds in the southern region of Wafra near the Saudi border, where the H5N1 deadly strain had been found on chicken farms. Kuwait has culled more than 1.7 million birds, the official Kuwait News Agency reported. The figure represents more than two thirds of the country's egg-laying hens. Kuwait reported 106 bird flu cases in birds this year. Kuwait's zoo and poultry shops in residential areas have been closed and the import of live birds is banned. In 2005, Kuwait reported a case of bird flu in a flamingo.
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