Influenza Virus Mashup

Influenza Virus Mashup

Archive for October, 2011

Via Ida's Bird Flu Information Corner, a translated report from Bali PostDenpasar, Bali ::: Sanglah hospital treats 2 bird flu suspects.

Denpasar – A mother (42-year-old) and her daughter (10-year-old), residents of Banjar Pande, Abiansemal, Badung, treated intensively as bird flu suspect patients in Sanglah hospital. They were referred from Kapal hospital, Friday (28/10). 

Spokesman of the hospital said the patients complained fever, and coughing. There is no history of contact with any birds. Hospital is still waiting for laboratory test for bird flu H5N1 diagnosis of both patients. 

Patients are currently in stable condition. The fever and cough have stopped. 

During 2011, Sanglah hospital has treated 20 bird flu suspect patients, and 2 of them tested positive H5N1 and died.

See Mike Coston at Avian Flu Diary for a very useful discussion of these cases and the problems of accurate H5N1 testing.

[Avian Flu Diary] Watching Bali Again

Posted by Automator On October - 31 - 2011

(Sun, 30 Oct 2011 12:06:00 +0000)

 

 

UPDATED 0630 hrs 10/31 (See bottom of page)

 

image

 

# 5931

 

Ida at BFIC has a brief story (that I should also note has been picked up by the newshounds at The Flu Wiki and at FluTrackers) on the hospitalization and isolation of a mother and child in Bali suspected of H5N1 infection.

 

Denpasar, Bali ::: Sanglah hospital treats 2 bird flu suspects

Posted by Ida on October 30, 2011

Denpasar – A mother (42-year-old) and her daughter (10-year-old), residents of Banjar Pande, Abiansemal, Badung, treated intensively as bird flu suspect patients in Sanglah hospital. They were referred from Kapal hospital, Friday (28/10).

 

Spokesman of the hospital said the patients complained fever, and coughing. There is no history of contact with any birds. Hospital is still waiting for laboratory test for bird flu H5N1 diagnosis of both patients.

 

Patients are currently in stable condition. The fever and cough have stopped.

 

During 2011, Sanglah hospital has treated 20 bird flu suspect patients, and 2 of them tested positive H5N1 and died.

 

 

As noted in the article, of 20 suspected cases in Bali during the month of October, only 2 tested positive for the bird flu virus. Both of those died (see WHO: Indonesian Bird Flu Update #7).

 

A third case – the mother of the two children who – also died a week later, but we’ve not seen any confirmatory test results.

 

While unproven, H5N1 is strongly suspected.

 

As for the others who tested negative, the assumption is that they probably had some other illness (although it is possible – given well documented sensitivity issues with the tests - that some false-negatives may have been returned by the lab). 

 

This is a pattern we’ve seen all along, both in Indonesia and in Egypt, where only a fraction of those suspected of having the H5N1 virus ever test positive for the disease. 

 

Given the potential for spreading in the populace, it is only prudent to suspect H5N1 – and take the appropriate steps of isolation and testing of patients – in those regions where the virus is endemic.  

 

There are plenty of other viral pathogens co-circulating in these regions (ie. seasonal influenza, dengue, RSV, etc.) capable of producing `bird flu symptoms’, hence, we tend to see a great many `suspected cases’.

 

Ideally, those who tested negative would undergo serological retesting 4 weeks later to see if they’d developed H5N1 specific antibodies, but if that is being done in Indonesia, it isn’t being advertised.

 

In November of last year we saw a proposal to do just that sort of seroprevalence testing in Egypt (see A Prospective Avian Influenza Transmission Study For Egypt).

 

And last month, we saw a study that reported the results of this kind of serological testing conducted in a rural village in Thailand in 2008 (see Bangladesh To Share H9N2 Bird Flu Virus). 

 

Out of 800 villagers tested, the authors found 4.7% were seropositive for the Hong Kong H9N2 avian strain, 5.6% had antibodies to A/Thailand/676/2005 H5N1 bird flu, and 3.5% were shown to be seropositive to A/Thailand/384/2006 H5N1 .

 

Suggesting that mild or asymptomatic spread of these viruses may be going undetected in parts of Asia.

 

The simple fact that follow-up testing like this is the exception, and not the rule, is one of the reasons why there remain so many unanswered questions about how the virus transmits in humans.

 

But in many regions of the world where the virus is endemic (primarily Asia and the Middle East), a lack of political will, societal and religious customs, and economic barriers make this sort of testing extraordinarily difficult.

 

Although we continue to see isolated human infections around the world, and the virus continues to evolve (see H5N1: An Increasingly Complex Family Tree), for now H5N1 is primarily a threat to poultry.

 

The concern, of course, is that over time that could change.

 

And so the world remains at Pre-pandemic Phase III on the H5N1 virus, and we continue to watch for signs that the virus is adapting better to humans.

 

Updated 10/31/11:  Ida at BFIC has a report from the Bali Post indicating that both patients tested negative, and have been discharged (see Denpasar, Bali ::: Two suspects test negative).  A third patient – a 6 year-old with the initials JS – has been admitted for testing and treatment of a possible bird flu infection.

[Flu Wiki Forum] News Reports for October 31, 2011

Posted by Automator On October - 31 - 2011

(Sun, 30 Oct 2011 01:45:44 GMT)

Reminder: Please do not post whole articles, just snippets and links, and do not post articles from the Las Vegas Review-Journal. Thanks!



?  H (Link)

News for October 30, 2011 is here.


Thanks to all of the newshounds!
Special thanks to the newshound volunteers who translate international stories - thanks for keeping us all informed!

Other useful links:

WHO A(H1N1) Site

WHO H5N1 human case totals, last updated October 10, 2011
Charts and Graphs on H5N1 from WHO
Google Flu Trends
CDC Weekly Influenza Summary
Map of seasonal influenza in the U.S.
CIDPC (Canada) Weekly FluWatch
UK RCGP Weekly Data on Communicable and Respiratory Diseases
Flu Wiki Main Page

[Flu Wiki Forum] News Reports for October 30, 2011

Posted by Automator On October - 30 - 2011

(Sun, 30 Oct 2011 01:45:21 GMT)

Reminder: Please do not post whole articles, just snippets and links, and do not post articles from the Las Vegas Review-Journal. Thanks!

Honduras

?  Honduras detected 111 cases of influenza AH3  (translated) (Link)



?  H (Link)

News for October 29, 2011 is here.


Thanks to all of the newshounds!
Special thanks to the newshound volunteers who translate international stories - thanks for keeping us all informed!

Other useful links:

WHO A(H1N1) Site

WHO H5N1 human case totals, last updated October 10, 2011
Charts and Graphs on H5N1 from WHO
Google Flu Trends
CDC Weekly Influenza Summary
Map of seasonal influenza in the U.S.
CIDPC (Canada) Weekly FluWatch
UK RCGP Weekly Data on Communicable and Respiratory Diseases
Flu Wiki Main Page

[Pandemic Flu Central]

Posted by Automator On October - 30 - 2011

Morning coffee

Two things I’d like to announce:

November 9, 2011, Peter Christian Hall will be a guest poster on Flu Wiki from 7-9. He will discuss how he became interested in Flublogia, ask us questions and we all will discuss his new book American Fever: A tale of Pestilence and Romance, due to be released very soon. It’s a pandemic read, very well put together. cottontop is hoping it makes a movie debut. I invite everyone to join us. Sign up is required to talk with Mr. Hall.

I have joined the National Novel Writers Challenge Post A Day. November 1-30. The challenge is to log in 50,00 words in one month, with no editing (that’s reserved for Dec.) It encourages you to just write. I have been writing off and on for 9 years now. As if I don’t have enough challenges in my daily life, I’m adding one more!

I hope you will either join me in this challenge or be curious enough to see what I’m up to on my writing blog, The Writing World of Nia Rane

http://niarane9.wordpress.com/

If you would like to join in on this insane challenge:

http://www.nanowrimo.org/en

Either way, I hope to see you.

thanks for dropping in on Flu News Network.
cottontop
aka
nia rane

Swine-Origin Novel Influenza A Case in Maine: Maine CDC Recommendations for Healthcare Providers

Please report any cases of laboratory positive influenza to Maine CDC by fax (1-800-293-7534) or by phone through our 24 hour Disease Reporting and Consultation Hotline (1-800-821-5821). All influenza A rapid positive tests should be confirmed by PCR.

The above request by the Maine CDC to area Healthcare Providers requests samples from influenza A positives. It goes beyond the earlier request by the US CDC for samples from patients with flu-like symptoms who have a swine exposure. The broader Maine request indirectly acknowledges the fact that although all confirmed 2011 trH3N2 have some sort of rather loose swine “exposure”, the identities between all 5 2011 trH3N2 sequences, including the presence of an M gene segment from H1N1pdm09 (pandemic H1N1) which was “critical” for the jump of H1N1pdm09 from swine to human, is compelling evidence of human transmission in the absence of a swine “exposure”.

The swine “exposure” is less than convincing for swine transmission. The constellation of flu genes in all five 2011 human trH3N2 cases has yet to be found in any reported swine sequence in spite of increased swine surveillance in the US and worldwide. Continued:

http://www.recombinomics.com/News/10271102/trH3N2_ME_A.html

Canada
• Ottawa’s flu shot season begins Saturday

Honduras
• Over 200 children attend daily for respiratory disease (translated)

Philippines
• Monitoring of migratory birds stepped up

Mexico
• Madero, Tamaulipas: Increased cases of respiratory ailments, expecting even more in the health center
• Morelos: Respiratory disease, severe cold increase

United Arab Emirates
• Doctors put UAE on flu alert as weather changes

United States
• CA: First flu case reported in Orange County
• PA: Pa. firefighters get flu shots and parking tickets
• CDC: US flu activity stays low
• MA: Massachusetts getting 50,000 more doses of flu vaccine
• MN: First flu death reported in Minnesota
• MT: Health officials: One third of population could get flu

Vietnam
• $25 mln provided for Vietnam H5N1 prevention project

Research
• Australia: Study says flu epidemics bring increase in children’s febrile seizures
• Highly heterogeneous temperature sensitivity of 2009 pandemic influenza A(H1N1) viral isolates, northern France

General
• NPR Discusses the new flu efficacy study
• Myths about the Flu Shot

Commentary
• Recombinomics: Week 42 MMWR Reports Seventh trH3N2 Case In 2011

[Pandemic Flu Central] Indonesian News

Posted by Automator On October - 30 - 2011

Mother and Child Bird Flu Suspects
October 29, 2011

Badung: Suspected of having bird flu, a mother and child from Banjar Pande, Abiansemal, Badung, Ni Nyoman S. (42) and Ni Kadek S. (10), on Saturday (29/10) yesterday were treated at Sanglah Hospital. Both were treated intensively in the living bird flu Sanglah Hospital. Both patients were referred from the Hospital Ship, Friday (28/10) and then, at 15:32 pm by ambulance.

According to the Head of Public Relations Sanglah Hospital, dr. Kadek Nariyantha, the patients present with complaints of fever and coughing. Although referred to the status of suspect bird flu, the history of contact with poultry remains unclear. Meanwhile, the lab results for the two patients are still not yet out, so the patients are treated in accordance with SOPs handling of bird flu. It is said, the second condition of the patient is still stable. That is, the patient had no fever or coughing again.

With the receipt of two bird flu suspect patients, origin Abiansemal, Badung, at Sanglah Hospital, then throughout the year 2011 the total number of bird flu suspect patients who received approximately 20 people, two of whom tested positive for bird flu and eventually died.

translated

http://www.balipost.co.id/mediadetail.php?module=detailberita&kid=10&id=58163

Infected with Bird Flu
Infected with Bird Flu
Saturday, 29 October 2011
Prabumulih-Afian outbreak of bird flu or influenza (AI) began to spread in the region Prabumulih city. In recent days, dozens of chickens died suddenly of H5N1 virus (bird flu virus carriers).

The presence of chickens infected with bird flu was discovered after a resident of RT 1 and RT 2 Petai Village Children, Northern District of Prabumulih reported that their chickens died suddenly. The team of animal and veterinary public health (Kesmavet) Department of Agriculture, Plantation, Forestry, Animal Husbandry and Fisheries (PPKPP) Prabumulih city then perform the examination.

“Having checked with the rapid test method, was tested positive for bird flu. We calculate the exact number yet, but have not been many dozens just the tail, “kataKepala Office Hj Hanunah PPKPP Prabumulih city yesterday. Once confirmed infected with bird flu, officials and then destroy the chickens owned by residents by means of burnt and buried.

Furthermore, in order not to spread the virus, officials injected another ayamayam with vaccines against bird flu. “Until now the chickens are positive there is a new bird flu in Petai Children’s Village, District of North Prabumulih. However, because the transmission is very fast, we do anticipate as soon as possible so as not to spread to other chickens, “he said.

Hanunah added that other measures to prevent transmission to other animals, it will do the spraying with disinfectant substances into the cages of chickens owned by residents. He also asked residents to temporarily not release pet birds. “We request that the belonging ayamayam residents temporarily grounded or not removed from the cage, especially after the spraying,” he explained. Head of Section (Kasi) Kesmavet Office of the City PPKPP Prabumulih drh Gustina Nora explains, the characteristics of chicken bird flu disease is usually seen lethargic and colors on the crest often membiru.Selain blood spots also appear on the skin that are not hairy like a leg bone, and there is mucus in the stools.

“If you see a chicken with these characteristics, should not be consumed,” he remembers. A few months ago had hit the bird flu virus in District Four in the City Prabumulih. As a result of the attack such diseases, hundreds of chickens owned by residents died suddenly.

translated

http://www.seputar-indonesia.com/edisicetak/content/view/439769/

Bird Flu But Still Threatens Government’s Anticipation
October 28, 2011

TRIBUNNEWS.COM – Chicken is still a favorite food of Indonesian society. Take for example when we celebrate the religious holiday.

It was often present in chicken meat and chicken curry opor form, even fast food restaurants that provide chicken meat on the menu spread
everywhere.

Data from the Ministry of Agriculture noted that in one year produced 600 million chickens. These production figures are always a surplus. For example, the need for poultry in August 2011 at 244,710 tonnes, where the number production by 246,291 tons, and some 78 tons to be exported, so there is a surplus of 4688 tons.

“Indonesia does not need to import chicken meat again because domestic production is still insufficient to meet national needs” said Ahmad Suryana, Head of Food Security, Ministry of Agriculture.

But on the other hand there is a looming threat to poultry production in Indonesia. Until mid-2011 there were still cases of birds infected with bird flu died. For example, in District Banyuresmi, Garut regency, West Java, recorded six villages affected by bird flu virus since mid-January 2011. The number of dead chickens infected with bird flu since 1375 reached the tail. Then, about 4,000 chickens died suddenly was found in Gunung Mas, East Barito, Joyless Kingdom, North Barito, and Palangkaraya in late May 2011.

Most of the dead birds are chickens. Is bird flu still a threat to food security Indonesia? Due to the high number of deaths of poultry in different regions in 2003, the Government then anticipated by establishing institutions of national bird flu control commission, chaired by Coordinating Minister for People’s Welfare in 2004. The Commission is coordinating with 13 other ministries plus the Chief of TNI, Police and Red Cross
Indonesian.

“In handling food, we comply with the institutional system, under Regulation 28 of 2004 on safety, quality and nutritional food. It is established that the regulatory and or determination of requirements, and retail food safety standards administered by the Food and Drug Supervisory Agency (BPOM) , while in terms of setting and / or determination of fresh food safety requirements administered by the Department of Agriculture, “said Ahmad.

The Government has 9 strategies in dealing with virus outbreaks. Strategy is (1) Improved biosecurity, (2) vaccination of infected areas, (3) depopulation are limited and compensation, (4) traffic control poultry products, (5) monitoring and tracking of return, (6) filling the cage; (7) stamping in newly infected areas; (8) public awareness, and (9) monitoring and evaluation.

“Currently the handling of food security in the homeland has been carried out in accordance with accepted standards and in accordance with the rules correctly, both nationally and internationally,” said Ahmad Suryana.

In other words, Ahmad wanted to say that the operational safety of foods including poultry industry is considered safe. The Committee is intended for prevention in terms of health and food distribution were made from the chicken, is a form of training for veterinarians specializing in poultry field. The program is in collaboration with the private sector.

translated

http://www.tribunnews.com/2011/10/28/flu-burung-masih-mengancam-tapi-pemerintah-sudah-antisipasi

[Crof's H5N1] EID Journal: Cholera In Haiti

Posted by Automator On October - 30 - 2011

Thanks to Mike Coston at Avian Flu Diary for posting about the special November issue of EID Journal: Cholera In Haiti. I expect to spend some time this weekend reading the articles and posting about some of them.

[Avian Flu Diary] EID Journal: Cholera In Haiti

Posted by Automator On October - 30 - 2011

(Sat, 29 Oct 2011 12:17:00 +0000)

 

 

# 5930

 

 

The first cholera epidemic in Haiti in more than a century has now been spreading for a full year, and according to a recent UN Radio report, The World Health Organization’s spokesman in Geneva, Tarik Jasarevic, gave the following update :

“As of 9 October 2011, the cumulative number of reported cholera cases was close to 470,000 of which 250,000 persons were hospitalized, and 6,595 persons had died. The exact figures could be found in the note at the back of the room. If current trends continued, they could expect another 75,000 cases by the end of the year, bringing the total cases to approximately 500,000 since the beginning of the epidemic.”

 

This ongoing tragedy comes on the heels of Haiti’s  2010 7.0 earthquake that claimed, by some estimations, more than 200,000 lives.

 

The November issue of the CDC’s  EID Journal devotes much of its content to this re-emerging disease threat.  Twenty-three articles, studies, and letters comprise this issue’s theme.

 

image

 

THEME ISSUE: CHOLERA IN HAITI

 

Synopses

Lessons Learned during Public Health Response to Cholera Epidemic in Haiti and the Dominican Republic

J. W. Tappero and R. V. Tauxe

Safe water and sewage systems must be constructed to prevent future epidemics.

 

 

Rapid Development and Use of a Nationwide Training Program for Cholera Management, Haiti, 2010

R. V. Tauxe et al.

Rapid training of health care staff was followed by lower death rates.

Cholera—Modern Pandemic Disease of Ancient Lineage

J. G. Morris

Environmental triggers may lead to increases in Vibrio cholerae in environmental reservoirs, with spillover into human populations.

 

 

Considerations for Oral Cholera Vaccine Use during Outbreak after Earthquake in Haiti, 2010−2011

K. A. Date et al.

Many logistical and operational challenges prevented implementation of a vaccination campaign.

 

 

Research

Comparative Genomics of Vibrio cholerae from Haiti, Asia, and Africa

A. R. Reimer et al.

A strain from Haiti shares genetic ancestry with those from Asia and Africa.

 

Characterization of Toxigenic Vibrio cholerae from Haiti, 2010–2011

D. Talkington et al.

A virulent clone from Africa or southern Asia was likely introduced at a single time point.

 
 
Historical Reviews

Cholera in Haiti and Other Caribbean Regions, 19th Century

D. Jenson and V. Szabo

Epidemic cholera did not occur in Haiti before 2010.

 
Dispatches

Risk Factors Early in the 2010 Cholera Epidemic, Haiti

K. A. O’Connor et al.

 

Rapid Assessment of Cholera-related Deaths, Artibonite Department, Haiti, 2010

J. A. Routh et al.

 

Epidemic Cholera in a Crowded Urban Environment, Port-au-Prince, Haiti

S. E. Dunkle et al.

 

 

Toxigenic Vibrio cholerae O1 in Water and Seafood, Haiti

V. R. Hill et al.

Drug-Resistance Mechanisms in Vibrio cholerae O1 Outbreak Strain, Haiti, 2010

M. Sjölund-Karlsson et al.

 

Cholera Management and Prevention at Hôpital Albert Schweitzer, Haiti

S. Ernst et al.

 

Knowledge, Attitudes, and Practices Related to Treatment and Prevention of Cholera, Haiti, 2010

V. E. De Rochars et al.

 

Cholera Prevention Training Materials for Community Health Workers, Haiti, 2010–2011

A. Rajasingham et al.

 

Cholera in United States Associated with Epidemic in Hispaniola

A. E. Newton et al.

 

Travel Health Alert Notices and Haiti Cholera Outbreak, Florida, USA, 2011

M. U. Selent et al.

 

Multinational Cholera Outbreak after Wedding in the Dominican Republic

M. L. Jiménez et al.

 

Commentaries

Haiti in the Context of the Current Global Cholera Pandemic

E. T. Ryan

Letters

Preparing Health Care Workers for a Cholera Epidemic, Dominican Republic, 2010

C. Mendoza et al.

 

Understanding the Cholera Epidemic, Haiti

S. B. Pun

Etymologia

Etymologia: Cholera

N. Männikkö

Conference Summaries

Academic Consortia: Untapped Resources for Preparedness, Response, and Recovery—Examining the Cholera Outbreak in Haiti

L. M. Gargano et al.

(Sat, 29 Oct 2011 11:08:00 +0000)

 

image

FEMA Director Craig Fugate - Photo Credit FEMA

# 5929

 

 

On November 9th of this year, at 2:00pm Eastern Time, FEMA, along with partners NOAA and the FCC, will conduct the first ever nation-wide test of the Emergency Alert System (EAS).

 

The EAS can be activated in the event of a national emergency by the President of The United States, and on a more localized level by the NWS to issue severe storm warnings, and by state governors and local emergency managers for more geographically limited emergencies.

 

Although those of us who grew up during the cold war are well familiar with early CONELRAD and later EBS alerts, we have become a `wired’ nation, and no longer depend primarily on over-the-air radio and TV broadcasts.

 

With newer technologies such as satellite TV,  cable TV, satellite Radio, etc. the task of alerting the nation during a crisis has grown considerably more complex. Telling people to turn to 640 or 1240 on their AM dial in the event of an emergency doesn’t cut it anymore.

 

Hence a need to test the system on a nationwide basis.

 

FEMA, which will spearhead this nationwide test, wants everyone to know – in advance – that the test messages to be issued on November 9th are just a test.

 

To that end, they have released a short video that will help to explain exactly what you may hear or see during this upcoming test.

 

 

For more on all of this, I would invite you to visit the FEMA BLOG.

 

FEMA Blog

October 28, 2011

Help Us Spread the Word – On November 9, “This is Just a Test”

Published by: Public Affairs

Over the past few months, we have written on this blog about the upcoming nationwide test of the Emergency Alert System, which is now less than two weeks away. The test will take place on Wednesday, November 9th at 2:00 pm eastern standard time, and will be the first time this system, which is often tested and used by officials at the local level, will be tested across the entire country.

(Continue. . . )

For those of you on twitter, I would also suggest you follow @FEMA, @CraigatFEMA, and @ReadydotGov for the latest Emergency information.