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  • AlaskaDenise
    replied
    Re: India - Human

    Commentary

    Sixty URI Patients In Barpeta India Raise H5N1 Concerns
    Recombinomics Commentary 22:44
    December 11, 2008

    In Barpeta District, out of the total population of 33,934 in the 0-3 km radius area from the affected area, a population of 6,032 have been surveyed

    So far, 60 cases of fever with URI have been detected in the 0-3 km radius area.

    The above comments describe excessive upper respiratory infections with fever in the Barpeta district (see satellite map). Assam is setting up monitoring patients in the 0-3 km radius and 3-10 km radius around various epicenters of H5N1 infection. The update gives the number of people residing in the area, as well as how many have been surveyed.

    The Barpeta district has 33,934 people, but only 6,032 were surveyed and 60 patients with symptoms were identified. In contrast, similar numbers for the target population were given for Nalbari
    (7,761/34,627), but only 1 patient with symptoms was identified. The smaller Azara block in the Kamrup district had 7,222 surveyed, and only 2 patients had symptoms.

    Thus, the frequency of patients with symptoms is 30-60 fold higher in Barpeta than Azara or Nalbari, respectively.

    These types of numbers are raising concerns that the region is not equipped to handle these patients, especially since less than 1/5 of the at risk population in Barpeta has been surveyed and Barpeta was one of the earliest outbreaks.

    These numbers of symptomatic patients are cause for concern.


    .

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  • HenryN
    replied
    Re: India - Human

    Commentary

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  • HenryN
    replied
    India - 150 Human Cases of Upper Respiratory Track Infections in Assam

    Respiratory tract infection cases coming in
    </B>
    Staff reporter
    GUWAHATI, Dec 11 ? ?The State Health Department is not fully equipped to meet a situation if the bird flu transmits to humans in a full-fledged manner. If it turns to be a disaster, we don?t have the facilities to face it,? said Health Minister Himanta Biswa Sarma at a press conference here this morning.

    ?Once the disease transmits to humans in a full-fledged manner, then there will be a major disaster,? he warned and made an appeal to the poultry farmers not to take the phenomenon casually, expressing concern over the indifference shown to it by some farmers. The poultry farmers should cooperate with the Veterinary Department in tackling the situation, he urged.

    Apprising the newspersons that reports of cases of upper respiratory tract infections (URI) have started coming, the Minister said it was a matter of concern. The URI cases have come to the knowledge of the authorities due to the surveillance undertaken by the ASHA and Health Department workers.

    However, the Minister said, Central Government teams of doctors comprising physician, epidemiologist, microbiologists and public health experts, under the Regional Director of Health and Family Welfare, are stationed in the affected areas of Hajo, Rani and Rampur Development Blocks in Kamrup District and affected areas of Barpeta and Nalbari Districts. Teams for other affected areas are being readied. The situation is being monitored on a daily basis, he said.

    Isolation facilities have been strengthened to admit and treat suspected cases and 10,000 capsules of Tamiflu, 6,000 surgical masks, 600 personal protective equipment, 200 N-95 masks and two ventilators have been supplied to the State by the Ministry of Health and Family Welfare, while additional logistics are also being mobilised, said the Minister.

    The communication materials developed by the Ministry of Health and Family Welfare and the UNICEF in Assamese for both the print and electronic media have been sipplied to the State Government, he said.

    Giving details of the URI cases found so far in the State, the Minister said that in the Hajo Development Block of Kamrup District, a human population of 23,473 in the 0-3 km radius area around the affected area, spreading over 25 villages, is under active surveillance. Of which, a population of 21,412 was covered under surveillance on December 10. In the 3-10 km radius area, out of 1,08,416 people, 32,929 have been covered.

    Four cases of URI with fever were reported from the area, but no case of influenza like illness with history of contact with infected poultry has been detected in them. Moreover, five cases of URI have been identified in the out patient department of the identified hospital, but none of them has any history of exposure to sick or dead poultry, said the Minister.

    In the Rampur Development Block of the district, a population of 39,830 has been covered in the 0-3 km radius area by active surveillance. A total of 30 cases of URI and fever have been detected. None of these has, however, a history of exposure to infected poultry. In the 3-10 km radius area, of the affected area of the block, active surveillance has covered a population of 18,916, he said.

    While conducting the passive surveillance in the health facilities, 14 cases of URI and fever have been detected and none of them has any history of exposure to infected poultry, said the Minister.

    In the Azara Development Block of Kamrup District, out of a total population 8,572 in 24 villages in the 0-3 km radius, a population of 7,222 has been covered. In the 3-10 km radius area around the affected part of the block, a population of 5,608 has been covered by the surveillance programme, the Minister said.

    Two cases of fever and URI are identified in the 0-3 km radius area around the affected part of the block. In the 3-10 km radius area, six cases of fever with URI and fever have been identified. But none of them has any history of exposure to sick or dead birds. The identified hospitals of the block, have reported a total of 23 fever and URI cases. But none of them has any history of exposure to infected poultry.

    In Barpeta District, out of the total population of 33,934 in the 0-3 km radius area from the affected area, a population of 6,032 have been surveyed and the surveillance in the 3-10 km radius area from the affected area is being initiated. So far, 60 cases of fever with URI have been detected in the 0-3 km radius area. None of them has, however, any history of exposure to the infected birds, the Minister said.

    In Nalbari district, the surveillance programme has covered a population of 7,761, out of the total population of 34,627 in the 0-3 km radius area. One case of fever with URI has been detected in the 0-3 km radius area. However, the patient has no history of exposure to diseased birds, said the Minister.

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  • Gert van der Hoek
    started a topic India - Human Respiratory Track Infections

    India - Human Respiratory Track Infections

    Dispur sounds health alert

    - Assam lacks wherewithal to treat humans affected by avian flu, admits minister


    Dec. 11: Dispur today sounded a grim warning over the probable spread of avian influenza to humans, saying the state was not equipped to handle such a health scenario.

    The alert came in the wake of 82 cases of upper respiratory track infections in humans that were reported from six districts affected by bird flu. However, it was not yet confirmed whether these were bird flu-related cases.

    An infection in the upper respiratory track is one of the symptoms of the disease in humans.

    ?If human beings are affected it would be a bigger disaster than floods or blasts,? health minister Himanta Biswa Sarma told mediapersons here today.

    He said that the health department could only handle 100 to 200 cases if the disease were to be transmitted to humans.

    ?Central teams under the regional director for health and family welfare are monitoring the situation in areas where the outbreak of the disease has been reported,? the minister said.

    ?The people are taking the matter very lightly without realising the consequences. There are allegations of chicken and ducks being kept away from culling.?

    The minister urged the people to co-operate with veterinary officials as a precaution.

    Sarma said culling operations were on in full swing with over three lakh poultry lined up for the purpose within the next few days. He said the figures were likely to go up after the outbreak in Dibrugarh and Chirang yesterday.

    Barpeta, Kamrup (rural), Kamrup (metro) and Nalbari have already been affected by the flu.

    Close to 2.5 lakh poultry has been culled so far. The ban on sale and movement of poultry and poultry-related products from affected areas has been imposed.

    Culling operations will begin in Dibrugarh town tomorrow morning, two days after a case of avian flu was detected there.

    Dibrugarh deputy commissioner Ashutosh Agnihotri said all necessary arrangements had been completed for the operations and rapid response teams were ready to carry out the drive.

    The focal point in Dibrugarh town from where the bird flu case was detected as positive is ward number 6 under Dibrugarh Municipal Board. The 3km radius would cover the entire township, including Dibrugarh University and its adjoining areas.

    The positive case was detected after poultry retailer Biswajeet Das from the Chiring Chapori area reported to the local veterinary department officials that around 120 of his birds had died all of a sudden on November 6.

    ?We had collected the samples of the dead birds and sent them for tests to the Bhopal-based High Security Animal Disease Diagnostic Laboratory. Thereafter, we received a report from the laboratory confirming the case as positive?, a veterinary department official said.

    To compound matters, shortage of trained veterinary staff slowed down the culling of birds at Khanapara in the capital city which began this morning after the bird flu outbreak was confirmed at a government-run chicken rearing farm there yesterday.

    ?We have engaged five culling teams overnight after bird flu was confirmed at Khanapara. The areas within 3km of the epicentre has been declared as alert zone or high risk zone where culling will be carried out,? a government official supervising the operations said.

    The alert zone in the city comprises Jawahar Nagar, Beltola, Six Mile, Rukminigaon, Dispur, Ganeshguri, parts of Hatigaon and Panjabari, among others.

    The official admitted that their efforts had been impeded by shortage of trained staff for culling in the city as most of them were engaged in similar operations in other affected areas of the state.

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