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Djibouti reports first human case of deadly bird flu in east Africa

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  • #31
    Re: Djibouti - the little girl who is infected

    This really seem to be the real baby,

    Here is from a francophone site.

    http://www.djibnet.com/news/story.php?id=9419

    Choukri, le premier cas humain de grippe aviaire
    La Nation - 15/05/2006


    L'annonce est brutale, effrayante. A Damerjog, petite bourgade du district d'Arta, à 9 kilomètres au Sud-est de la capitale, les gens sont bouleversés. Dans ce hameau paisible où se côtoient éleveurs et maraîchers, la nouvelle est tombée comme un couperet. Les villageois agglutinés par petits groupes aux alentours du centre de soins, n'ont que ça à la bouche.
    Tout le monde a peur de cette maladie. La grippe aviaire est devenue une réalité du jour au lendemain. Eux qui étaient accoutumés à l'anémie, la malnutrition ou à la fièvre dengue n'arrivent pas à comprendre cette nouvelle maladie. Pour eux, c'est juste une mauvaise publicité pour Damerjog, cette bourgade qui commençait à redresser la tête économiquement avec l'arrivée des Américains. Pourtant, la grippe aviaire existe bel et bien et la première victime s'appelle Choukri Abdi Ali.

    La fillette au H5N1
    Samedi dernier lors d'un reportage, nous avons rendu visite à cette fillette ordinaire de 2 ans. Le regard vitreux, le teint halé, elle semble à première vue éreintée. Dans les locaux de la pharmacie du centre de soins communautaire de Damerjog aménagé à l'occasion, la fillette est allongée sur un lit sommaire sous perfusion. Selon les médecins, elle semble tirée d'affaire avec le TAMIFLU. Cet anti-grippal censé être efficace contre la grippe aviaire lui a été administrée. "Mais des montées de fièvres intermittentes persistent ", déclare Kamil Issa, l'infirmier de garde.

    A côté d'elle, ses frères et sœurs ainsi que sa mère avec son dernier-né sous le bras. L'infirmière major en poste au CSC de Damerjog nous a affirmé que les autres enfants de la famille ont développé les mêmes symptômes que leur sœur.

    A ce titre, selon la responsable, pour des analyses poussées, des échantillons de sang de ces enfants ont été envoyés au laboratoire de Namru III du Caire, celui- là même qui a diagnostiqué le H5N1 chez Choukri.

    A notre arrivée, la fillette incrédule, paniquée par les crépitements des flashs éclate en sanglots. Sa mère, plus par désespoir que par réflexe maternel, essaie de la rassurer tant bien que mal. Cette femme au foyer a du mal à croire que sa fille hospitalisée depuis jeudi dernier souffre de cette étrange maladie. Comme un malheur n'arrive jamais seul, elle a peur pour ses trois autres enfants, alités auprès de Choukri.
    Des volailles d'une basse cour à l'origine de la contamination
    Comme il n'existe pas d'élevage de volailles à Djibouti, il est normal que la population émette des doutes sur l'apparition soudaine de cette maladie. Selon toute vraisemblance, la petite Choukri Abdi Ali a été contaminée par les poules de sa basse-cour (onze).
    Des volailles qui eux côtoient des oiseaux d'eaux issus de l'importante zone de conservation d'oiseaux de la côte qui borde le village de Damerjog.
    Cette zone qui serait située sur un important couloir aérien des oiseaux migrateurs représente désormais un danger permanent pour les riverains. D'ailleurs, c'est pour cela que les responsables du ministère de l'Elevage qui ont recensé quelques 3000 têtes de poules dans le pays entreprendront une campagne massive d'abattage de volailles très prochainement. Il faudra par ailleurs, selon eux, mettre un terme à l'importation des volailles, surtout de ceux provenant des pays limitrophes.
    A ce titre, les importateurs ont toujours fait fi des interdictions, et continuent toujours à vendre leurs volailles au vus et au su des autorités concernées. Le temps est venu d'agir vite. Et de sévir contre ceux qui refusent de coopérer.

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    • #32
      Re: Djibouti - the little girl who is infected

      Machine Translation
      of
      http://www.djibnet.com/news/story.php?id=9419


      The advertisement is brutal, alarming. In Damerjog, small village of the district of Arta, with 9 kilometers in the South-east of the capital, people are upset. In this peaceful hamlet where stockbreeders and market-gardeners côtoient themselves, the news fell like a chopper. Villagers bound by small groups in the neighbourhoods of the center of care, do not have that that with the mouth.

      Everyone is afraid of this disease. The aviary influenza became a reality of the day at the following day. Them which were accustomed with anaemia, malnutrition or with the fever dengue do not manage to include/understand this new disease. For them, it is right a bad publicity for Damerjog, this village which started economically to rectify the head with the arrival of the Americans. However, the aviary influenza exists indeed and the first victim is called Choukri Abdi Ali.

      The young girl with the H5N1

      Last Saturday at the time of a report, we returned visit to this 2 years ordinary young girl. The vitreous glance, hauled dye, it seems at first sight éreintée. In the buildings of the pharmacy of the Community center of care of Damerjog arranged on the occasion, the young girl is lengthened on a summary bed under perfusion. According to the doctors, it seems drawn from business with the TAMIFLU. This anti-flu supposed effective being counters the aviary influenza was managed to him. "But of the rises of intermittent fevers persist", Declare Kamil Issa, the male nurse of guard.

      At side of it, his/her brothers and s?urs like his mother with her last-born child under the arm. The nurse major posts some with the CSC of Damerjog affirmed us that the other children of the family developed the same symptoms as them s?ur.

      For this reason, according to the person in charge, for pushed analyses, samples of blood of these children were sent to the laboratory of Namru III of Cairo, that one even which diagnosed the H5N1 at Choukri.

      With our arrival, the young girl incrédule, panicked by the cracklings of the flashes bursts in sobs. His/her mother, more by despair that by maternal reflex, try to reassure it after a fashion. This housewife has evil to believe that his/her daughter hospitalized for last Thursday has suffered from this strange disease. As a misfortune never arrives only, it is afraid for her three other children, confined to bed at Choukri.

      Poultries of a low court at the origin of the contamination

      As there is not poultry breeding in Djibouti, it is normal that the population expresses doubts on the sudden appearance of this disease. According to any probability, small Choukri Abdi Ali was contaminated by hens of its farmyard (eleven).

      Poultries which them côtoient water birds resulting from the important zone of conservation of birds of the coast which borders the village of Damerjog.

      This zone which would be located on an important air lane of the migratory birds represents from now on a permanent danger to the residents. Moreover, it is for that that the persons in charge for the ministry for the Breeding who listed some 3000 hen heads in the country will undertake poultry a massive demolition campaign very soon. It will be necessary in addition, according to them, to put a term at the importation of the poultries, especially of those coming from the countries bordering.

      For this reason, the importers always despized prohibitions, and always continue to sell their poultries with seen and with known authorities concerned. Time had just acted quickly. And to prevail against those which refuse to cooperate.
      Last edited by Mellie; May 15th, 2006, 12:48 PM.

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      • #33
        Re: Djibouti reports first human case of deadly bird flu in east Africa

        Djibouti

        Whats up, eny news?

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        • #34
          Re: Djibouti reports first human case of deadly bird flu in east Africa

          http://www.news-medical.net/?id=18028

          Experts concerned over bird flu 'clusters' in Indonesia
          Disease/Infection News
          Published: Wednesday, 17-May-2006


          The World Health Organisation (WHO) has confirmed five bird flu deaths in Indonesia and says that the disease has now spread to the Horn of Africa.
          According to the WHO four of the Indonesian deaths were in members of one family in North Sumatra and one was in the country's second largest city, Surabaya, in East Java where a 38-year-old catering businesswoman who had dealt with live pigs and pork meat died last week.

          Earlier eight members of a single family in North Sumatra were infected and six of them have since died, conclusive test results on the sixth death are still pending.

          To date 30 of the 38 human cases of bird flu in Indonesia have proved fatal.

          Experts are now studying "cluster" cases of the disease for indications that the H5N1 virus may have mutated into a form easily passed between people which could trigger a global human pandemic.

          The virus has already infected poultry in 27 of Indonesia's 33 provinces, including Irian Jaya and the resort island of Bali.

          Critics have castigated the Indonesian government for being reluctant to carry out mass bird slaughters in infected areas.

          Tests have confirmed the two-year-old girl infected in a rural village in Djibouti, in the Horn of Africa has the H5N1 virus and three of her siblings are also suspected of having bird flu.

          According to the WHO Djibouti health authorities are attempting to track the spread of the infection following reports of a small number deaths in chicken deaths in early April but have been hampered by the country's limited resources.

          The WHO says the situation has been rendered even more complicated by an outbreak of dengue fever, which can mask the occurrence of other febrile illnesses with abrupt onset of symptoms.

          The WHO says that there is concern as many households in Djibouti keep small numbers of poultry, and the extent of infection in animals was poorly understood.

          The slaughtering of poultry was apparently halted when angry villagers refused to cooperate unless they received immediate compensation.
          Djibouti has appealed for international help to fight the disease.

          The addition of the latest cases takes the bird flu death toll to 120 out of the 213 people in 10 countries infected by the disease.

          Virtually all victims caught the disease from poultry.

          At present the virus remains a disease in birds and is difficult for humans to catch.

          Bird flu first emerged in the far east in 2003 but has spread to Africa and Europe in recent months.

          Although more than 200 millions birds have died, the disease has rarely spread to humans but experts fear the virus might mutate into a form which transfers between people.

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          • #35
            Re: Djibouti reports first human case of deadly bird flu in east Africa

            "Tests have confirmed the two-year-old girl infected in a rural village in Djibouti, in the Horn of Africa has the H5N1 virus and three of her siblings are also suspected of having bird flu."

            This is also known as a cluster.

            "The WHO says the situation has been rendered even more complicated by an outbreak of dengue fever, which can mask the occurrence of other febrile illnesses with abrupt onset of symptoms."

            Actually the outbreak is most likely Chikungunya, which can also mask the occurrence of H5N1.

            "The WHO says that there is concern as many households in Djibouti keep small numbers of poultry, and the extent of infection in animals was poorly understood."

            Now this statement is highly suspect because previous reports about Djibouti say that "chicken is considered a luxury by most of the population and 90% of the poultry eaten in the country is imported frozen."

            Furthermore in this information found here http://www.flutrackers.com/forum/showthread.php?t=6044 we can see that when Vets assisted by police in the village of Bahour, they slaughtered 26 chickens this week.

            Yes 26 chickens in the whole village. Staggering numbers aren't they?

            So clearly we have a conflict here. WHO is saying that many households in Djibouti keep small numbers of poultry, they use the word many, but that flies directly in the face of the information that has been reported. This is clearly evidenced by fact that chicken is a luxury, 90% of it is imported and the massive slaughter that occurred in Bahour, when 26 chickens were sent to their deaths contradict the claim that 'many households' keep chickens.

            Something is not adding up.

            So I ask, what is really going on in Djibouti?
            Last edited by DB; May 17th, 2006, 05:14 PM.

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            • #36
              Re: Djibouti reports first human case of deadly bird flu in east Africa

              More on the Djibouti case.
              http://www.dailypress.com/news/local...ws-local-final
              Portsmouth sailor fights bird flu
              sheinatz@dailypress.com 247-7821
              July 28, 2006
              For most of his 18 years in the Navy, Petty Officer 1st Class Linwood Pulley has trained and fought alongside Marines.

              He's a hospital corpsman. His job is to be there should a Marine get hurt.

              But since February, the 36-year-old Portsmouth native has been involved in what he calls, "work that's more about helping people and less about defense."

              Pulley is in Djibouti, on the Horn of Africa, where he is using his medical expertise teaching people how to detect and keep from being infected by the H5N1 strain of the bird flu, which humans are not immune to.

              In early April the first case of the virus, which has infected birds and people mostly in Asia, was found there.

              Several chickens in a backyard flock suddenly died.

              The Ministry of Agriculture was notified, and a four-person team, which included Pulley, was assembled to investigate.

              The U.S. Central Command - the Defense Department unit that oversees operations in Iraq and Afghanistan - also leads the Djibouti-based Combined Joint Task Force, Horn of Africa. Djibouti is sandwiched between Eritrea and Somalia and borders the Gulf of Aden and the Red Sea.

              Long-term missions there include combating terrorism. In the short term, service members are also providing clean water to Djiboutians, improving roadways and working in medicine.

              When Pulley was sent out to check on those chickens, he was admittedly a bit scared. Since 2003, 133 people have died from their infections.

              "But the fear factor fades," Pulley said during a phone interview Thursday.

              He donned protective gear - masks, gloves and a white suit that he pulled over his uniform and boots.

              "We went in there and inspected and tested a few chickens in the yard," Pulley said.

              Three chickens tested positive.

              Then a little girl living a few miles away in a small village was found to be infected.

              Medical personnel still don't know how she caught the virus. She had no contact with the dead chickens as far as Pulley said they could tell.

              While a British company announced this week that, if approved, it could mass-produce a vaccine next year, finding this first case of the virus in Djibouti was cause for concern.

              "So we've been helping educate people," Pulley said.

              The military medical team, with the French military and the World Health Organization, is teaching people what the bird flu is.

              They're putting medical personnel on "what we call on-the-job-training. We show them how to detect the virus. We teach them the different safety measures we use to draw blood, to do throat swabs."

              No additional cases have been found since those first positive tests.

              "But there is still a lot of research to be done."

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