Re: Egypt Human Suspected/Confirmed Cases April 9, 2009 +
Re: Egypt Human Suspected/Confirmed Cases April 9, 2009 +
The face of a savage new avian influenza aimed at children ..
Expert control: early detection and prompt treatment is the rescue
Required non-traditional outreach strategies .. And discipline in the application of the resistance
By: Amani Saleh
More than 3 years after the emergence of the first human case of bird flu in Egypt and still come under the preventive and awareness-raising efforts is suspected .. We recently Tal virus in the various targeted young, less than three years, "often" the last of the Muhammad Ali of Shubra al-Khaimah victim No. 63 for the flu by only two years old.
Preceded in the list of victims: Suleiman Abu Wafa "18 months of El," Israa Saad Shafi, "two and a half years" of Qena. Yusuf Mohamed Said, "two years" from the Fayoum. Abdullah Naji, "two years and 8 months" of Alexandria and the names of the other complementary to the case of 32 of the total 63 cases of the disease was true that all the previous cases of children of Ali Mohammed Ali, the failure fully recovered early detection and rapid treatment .. However, the recurrence of injuries among children and raises numerous concerns and points to an imbalance in the means of awareness-raising to the mother, which insists on escorting her during the feeding of birds or cleaning or disposal of dead birds with the result that the child is weak and vulnerable group many more likely to have infection.
In the next lines with experts discussing the causes of the phenomenon of bird flu infection in children and convey disregard warnings of the disease is endemic during the summer. Demanding the continuation of outreach efforts to change perceptions and behavior of human beings, especially to Egypt - and according to the World Health Organization - is ranked third globally in total injuries and a candidate for the virus mutates, "God forbid" to spread among humans.
Early detection
Dr. clarify at the outset. Mr. Nasrallah, Assistant Secretary for Health Affairs that the most protective of recent injuries to the children under the age of 3 years and the total casualties of bird flu, the situation of children all recovered 31 "as well as a few days ago discovered the situation of children of Shubra al-Muhammad," and refuses to d. Insist on the tone of pessimism in children, stressing that early detection of cases and in less than two days of the injury is not evidence of the success and credit of the conviction and the experience of the Egyptian - and still talk to him - to deal swiftly with such cases, which is the expected result of her mother near the nanny both during slaughter or disposal of waste .
120 suspected case
Hospital received Imbaba fevers alone since the outbreak of bird flu in Egypt three years ago, 120 cases of children suspected of being infected, two of which only positive. Mary in 2007 and finally, Sarah, "a year and a half year" .. D explains the large number of cases. Fathi Shabaneh Imbaba hospital director admitted that the step up to the mother and the baby gazelle Vtaatrkh on the ground, while the service is the birds and poultry, and children of the land near them more Altqata of infection close to the Sblp "bird feces" The other reason - according to Dr. Shabana - is for parents to adopt children in order to dead birds in the garbage.
Describes the director of the hospital medical diets to deal with suspected cases of access and start as soon as receiving the drug Tamiflu and the taking of a sample and the situation remains in an isolation ward after receiving treatment and 72 hours a second sample is taken to ensure a positive or negative situation. Positive situation, "infected" the side of receiving Tamiflu. Antibiotics to protect them from bacteria and respiratory infections.
Remain in isolation until negative samples taken 3 to ensure full recovery from the disease.
And d enough. Shabana, stressing that all children have been cured because of the deal with the rapid Valohl may Ithaonon in the case of the disease they are suffering, but they quickly go to the doctors in the motion, was the emergence of any symptoms of the children, stressing the need for attention to the symptoms of cold-like symptoms with the importance of going to the nearest hospital and doctors News clearly, "I have chicks or birds have died or with my daughter, etc. ..." Even doctors deal quickly and decisively with these situations.
D and enthusiasm. Fathi Shabaneh to raise the awareness of the seriousness of women of child-rearing poultry and convince them that the entrance to the maternity Istahbn gazelle and children are not children in a place where live poultry .. The interest of safety. He pointed out that the awareness and sound information is through the prevention message out to increase awareness of the expert opinion "doctors" with figures close to the people.
Not the causes of immune
And by virtue of his experience sees d. Nasr El Din Tantawi Epidemiology Consultant, World Health Organization earlier that the injuries of children and women represent the vast majority of cases in most countries affected by bird flu in Egypt, not only children love playing with pet birds and have no awareness of the need to avoid direct contact with birds. Confirming the absence of immunologic causes of female children, or distinguish them from men, or render them more susceptible to the disease.
He adds that the chances of multiple injuries is a mutation of the virus in the long run, which no one can predict where it arises, or keep an appointment or the type of virus that would cause a pandemic.
And evaluate control measures monitors the accuracy of the planning without the necessary discipline in the application of vaccination programs, both in domestic birds or in small farms or in the response of modern citizens with vaccination efforts. As well as obstacles in the process of disposal of birds in the vicinity of the infected focus and inadequate efforts to detect infected foci in poultry, which are often later for the detection of human cases is not unprecedented.
And Tantawi is to increase awareness of the continued provision of the newly infected poultry and exposure to illness and death, although without a change perceptions or behavior, which clearly indicates the importance of non-traditional educational strategies.
The attention to the obstacles met by the sector of veterinary surveillance programs such as the lack of manpower and the difficulty of transportation and which requires continuous efforts to raise the efficiency of monitoring programs and get rid of the birds and the speed of testing all elements of the national plan for responding to a pandemic.
It demands a consultant on epidemiology to overcome obstacles and continue to provide therapeutic properties and a higher degree of health sector preparedness for the rapid diagnosis and adequate training of physicians in critical care and infection control and awareness of citizens to change their behavior, taking into account that this is not taking place in the short term.
Third place
According to the World Health Organization, Egypt is still in third place globally in terms of bird flu infection rates, "the case of 63" and mortality "23 case".
Dr. clarify. John Gbor Medical Officer, Department of Epidemiology fight against the regional office of the World Health Organization said that Egypt comes after Vaitnam followed by Indonesia and China, stressing that the bird flu is no different in nature in any of these countries is the same strain HNS and the causes of injury from exposure to the near dead birds.
D see. Gbor crisis of bird flu in Egypt is difficult to control the education of the household sector, poultry farmers were able to strongly regulate its affairs and the protection of workers and influenza vaccination practices are human to the core of the problem is that women and children by 90% of the victims of the disease because women deal directly with the slaughter of birds and cleaning and children a result of playing with the birds and exposure to residues.
An international team
Refers to the medical officer and deal with the Ministry of Health in charge of bird flu will be the exchange of experiences and training at the provincial level and coordination with different sectors, which the participation of WHO, through its representative in the Higher Committee of the bird flu will be at the request of the Egyptian side to bring a team of international experts to provide technical support to contain more human cases.
He pointed out that Egypt and Indonesia, is a candidate to mutate the disease and its transmission among humans, it is necessary to curb the continuing work of the particular nature of Egypt and bring it closer to the geographical city of large open and here comes the difficulty of controlling the disease as compared to Indonesia, "a group of small islands."
Therefore strongly cautioned against any inaction in the face of disease, especially during the summer - less active - of the virus. Stressing the importance of awareness of human behavior and the wrong change.
http://translate.google.com/transla...huria/today/fpage/&sl=ar&tl=en&hl=en&ie=UTF-8
