Wednesday, January 30, 2013
Volume 19, Number 2—February 2013
Influenza A(H5N1) Virus Surveillance at Live Poultry Markets, Cambodia, 2011
Author affiliations: Author affiliations: Institut Pasteur, Phnom Penh, Cambodia (S.V. Horm, S. Sorn, P. Buchy); Ministry of Agriculture, Phnom Penh (S. Sorn); Food and Agriculture Organization, Phnom Penh (L. Allal)
The (Cambodia ‧ Phnom Penh information) before the Spring Festival, the avian flu attacked four provinces and cities in Cambodia, five cases of H5N1 avian influenza in 20 days, four people were killed.
The Health Ministry said that the Cambodian domestic avian flu pandemic risk persists, call for people to enhance self-protection, to avoid contact with birds to avoid infection.
Takeo Province village is a serious public chickens large number of deaths after the occurrence of avian influenza, the working group of the Ministry of Health immediately went to the avian flu settlements inspections and testing samples for virus testing, but no detectable abnormalities circumstances, a temporary source of the avian influenza virus is unknown.
Ministry of Health and the World Health Organization yesterday morning jointly issued a circular pointed out that continued last week found three people after two people died of bird flu, the Ministry of Health has discovered two new cases of avian flu have died ineffective treatment, bringing this year's avian flu deaths toll to four people.
Informed introduction, a case in real Habitat Province Gong Bixi County 17 girls, on January 13 with fever, cough, runny nose and vomiting and other symptoms, treatment at a local private hospital invalid on the 17th sent to Phnom Penh Kun Tepa take the hospital for treatment.Although doctors heart treatment, but still invalid rescue the girls' lives, her death on the 28th.
Another case is the the Gong Bu Province, Xiangshui the 9-year-old girls, fever and cough on the 19th. Therapy at a local private hospital, kun the Tepa flowers Children's Hospital in Phnom Penh, was sent on the 27th the treatment ineffective died on the 28th of this month.
Last year only informed three
Earlier three cases were Phnom Penh Municipal the Bodhisattva Senzhi District 8-month-old baby boy, the Takeo province slope ceremony gaba County's 15-year-old girl, and the the the real ranking Province Gong Bixi County's 35-year-old man, in addition to eight month-old baby boy has recovered, while the rest have died.
According After an investigation, the five patients before the onset had contact with sick or dead chickens and eating chicken.
Last year, Cambodia informed three H5N1 avian influenza, all died this year alone, an outbreak of avian flu cases far more than last year. Since 2005, Cambodia outbreak of 26 cases of avian flu, 23 of which treatment died.
Minister of Health of Mongolia Wenxing said the H5N1 strain of avian flu is threatening the health of the people of Cambodia, especially the children who are most threatened. The Monte Wunsing remind parents to take care of their own children, to keep them away from sick or dead poultry. Shortness of breath or difficulty breathing, send their children to the nearest health clinic for treatment and to inform health officials about whether they had contact with sick or dead poultry.
Infectious disease of domestic avian flu and prevention measures to the Centers for Disease Control website ( http://www.cdcmoh.gov.kh ) introduced under inquiry, or call toll-free 115 hotline If you are not able to dial a simple code phone numbers, please dial 012488981,089669567 contact. http://www.sinchew-i.com/cambodia/node/30019?tid=4
Sonny Inbaraj Krishnan, the WHO's communications officer, said Wednesday, January 30, that the organization remained concerned at the deaths from H5N1, which is better known as avian flu.
"These are the first cases globally this year," he said.
Avian flu was first reported in Cambodia in 2005 when four people died. The highest annual toll was in 2011 when eight Cambodians died.
H5N1 is extremely dangerous once it jumps from poultry to humans. Worldwide it has killed 364 people out of 615 infected since 1997.
Although there have been no proven cases of human-to-human transmission, Krishnan said, experts fear H5N1 could undergo a recombination and re-assortment with another influenza virus.
"And that could give rise to a new virus that is transmittable between humans," he said.
Children at risk
Seventeen of Cambodia's 26 confirmed infections have occurred in children, the Ministry of Health said Tuesday. The victims who died on Monday were a 1-year-old girl and an 8-year-old girl. Earlier this month the disease claimed a 15-year-old girl and a 35-year-old man. The fifth person infected, a baby, recovered.
In response, the authorities have sent teams to the villages where the victims lived, culled thousands of chickens and ducks, and sprayed disinfectant.
Minister of Health Mam Bunheng said parents must tell their children to wash their hands and keep them away from areas where poultry live.
"If [children] have difficulty breathing, they should be brought to medical attention at the nearest health facilities and attending physicians be made aware of any exposure to sick or dead poultry," Mam Bunheng said.
The WHO's Krishnan said health teams have monitored the condition of people who came in contact with the victims, adding that all had tested negative for the virus. The government has also boosted the number of television and radio spots warning of avian flu and telling people how to protect themselves, and staff at health clinics in the affected provinces will receive refresher training on avian flu in February.
However, two imminent events will add to the challenges of containing the spread of the disease.
The first is the February 4 cremation of Norodom Sihanouk, the country's revered former king, in Phnom Penh. The government expects that more than a million people will travel to the capital to pay their respects. Many will bring food, including live poultry.
The other is Chinese New Year on February 10. In preparation for the festival, large numbers of chickens and ducks are usually transported ahead of that date to markets in the cities and towns.
Either event could promote the spread of the disease. On Tuesday, government and UN health experts met to work out how best to prevent that. Krishnan said officials would hand out information leaflets to people coming to the capital to warn them of the risks and advise them how to avoid contracting the disease. That includes not eating birds that have died from illness, and cooking poultry thoroughly.
Most of the efforts underway are designed to ensure that people do not get infected with avian flu in the first place. Once they do, the chances of recovery are slim - not least due to the country's weak healthcare system. In total, 23 Cambodians out of 26 infected to date with avian flu have died - a fatality rate close on 90 percent, and well above the global figure of nearly 60 percent.
Krishnan said part of the problem is that Cambodians typically first seek medication at their local pharmacy or private clinic. That costs precious days. Given that H5N1 can kill in around a week, by the time patients arrive at hospital "the chances are slim that they will survive."..http://www.dw.de/bird-flu-spreads-in-cambodia/a-16559672
Tuesday, January 29, 2013
TEL AVIV, 29 January 2013 (IRIN) - Health officials in the Occupied Palestinian Territory (OPT) are calling on residents to get vaccinated against the H1N1 virus (“swine flu”) after 25 deaths in recent weeks.
Over 700 infections of H1N1 have been reported in the West Bank and 20 in the Gaza Strip, and officials say the number of recent H1N1-related deaths is almost certainly underreported.
“The virus has claimed 25 lives to date, three of them in Gaza, and we are in the midst of vaccinating,” Asad Ramlawi, general director of primary health care at the Palestinian Ministry of Health, told IRIN.
He said 25,000 people had been vaccinated as part of a regular programme over the last few months, and an additional 25,000 have been vaccinated since the outbreak.
“Right now we are targeting patients at risk of heart disease, diabetes, blood diseases and of course, pregnant women. We are seeing a good response to our efforts to raise awareness [of the importance of] getting vaccinated,” he said, saying they had good stocks of the vaccine in reserve.
Young children, babies and infants under five, old people and pregnant women are considered to be at the highest risk of contracting H1N1, an infection caused by an influenza virus believed originally to have infected the lungs of pigs.
The latest surge of cases was detected in the West Bank in early December 2012 but the first cases in Gaza came to light in mid-January, with reported deaths in the Jenin, Qalqilya and Hebron regions, according to Palestinian health officials.
In the 2009 pandemic, dozens of Palestinians died from H1N1.
And elsewhere in the region?
In Israel, a twenty-eight-year old woman died on Monday night of H1N1 at a hospital in Beer Sheba.
Previously, the only reported H1N1 death was of a three-year-old boy in the city of Petach Tikva in mid-January, the first reported in the country since the winter of 2009- 2010 when 96 Israelis died.
Since then, a large-scale vaccination campaign has been carried out. Four unvaccinated women have been hospitalized with H1N1 in the past few weeks.
Israeli Ministry of Health spokeswoman Einav Shimron- Greenbaum told IRIN H1N1 in Israel is “at a medium level as of now; we are aware of the reported deaths in the PA [Palestinian Authority] and are monitoring the situation, as we are with worldwide reports of the situation.”
Nine confirmed deaths were reported in Yemen in the last two months; three deaths in Iraq; two in Jordan; and 20 non-fatal infections in Tunisia.
In 2009 the World Health Organization declared that the H1N1 strain of the flu virus had become pandemic. It went on to cause the deaths of at least 18,500 people before the pandemic was declared over in August 2010.
According to statistics, about 500 people die from the common flu every year in Israel.
- Hundreds of poultry breeds of chickens and ducks in the village Mulyadadi, District Majenang, Cilacap, Central Java, reportedly died suddenly since Friday (25/01/2013) last week.
"Sudden death in poultry occurred in the hamlet Purwodadi.
According to him, Dinpertanak Cilacap has deployed a team to assess the number of birds that died suddenly and disinvektan spraying the cage in order to anticipate the possibility of bird flu (avian influenza-AI).
Meanwhile, Chairman of Farmers Group "Mukti Tani" Village Mulyadadi, Marijan said the number of birds that died suddenly in this village is in the range of 500 fish.
"Dead birds looked healthy in the morning but the afternoon off, so does that look healthy on the afternoon of the next day off. There are no signs that the bird will die. In fact, sometimes being fed birds, sudden death, "he said.
According to him, cases of sudden death in birds breeds of chickens and ducks for the first time this happened in Hamlet Purwodadi.
"Usually only occurs in chickens and most often affected Newcastle. This time not only sudden death in chickens, but also ducks, "he said.
Head of the Technical Unit Dinpertanak Majenang Region Darta Mulyana said Dinpertanak Cilacap has sought to anticipate the possibility of the spread of bird flu virus.
"Do not let happen transmission of the virus from birds to humans, even from human to human," he said.
Therefore, he urged people to burn the carcasses of poultry that died suddenly before it was buried in a hole with a depth of 1 meter.
"Arson is an effort to destroy the virus because the virus is exposed to heat up to 100 degrees Celsius will die. Once burned, dead birds were buried in a hole with a depth of 1 meter, "he said. http://www.bisnis-jateng.com/index.php/2013/01/flu-burung-ratusan-unggas-di-cilacap-mati-mendadak/?utm_source=twitterfeed&utm_medium=twitter
Mouse Island children's playground, Hoi Wing Road, Tuen Mun'
Biological Hazard in China on Tuesday, 29 January, 2013 at 11:11 (11:11 AM) UTC.