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Hendra outbreaks in horses and humans in Queensland, 2009

kiwibird

Editor, Senior Moderator
Tests confirm Hendra virus killed horse

10 August 2009 | 05:47:15 PM | Source: AAP

A central Queensland stud is in quarantine and health officials are assessing workers after the death of a horse from Hendra virus.

A prized Anglo filly from J45 Equine Nursery at Cawarral, east of Rockhampton, died on Saturday, with tests confirming on Monday that it had Hendra virus.

Queensland Health officials are also assessing stud workers, including the manager who is believed to have been sprayed with bodily fluids from the horse.

Stud manager Deb Brown said she was eager to be tested after watching the horse's violent death.

"She was frothing at the nose and the mouth and she was just totally incoherent and she died pretty violently," Ms Brown told Network Ten.

"I want to be tested now. I want to be tested so that I know that I'm healthy or I'm not."

Two other horses have died at the stud in the past two weeks but their deaths were put down to a snakebite and old age.

Primary Industries Minister Tim Mulherin said bats may be to blame for passing on the virus, as there were many in the area.

He warned that people who had come into contact with the horse had a high risk of contracting the virus.

The Department of Primary Industries has quarantined the stud and a neighbouring property.

Ms Brown and a local vet called the Biosecurity Queensland hotline when the third horse died on Saturday, and officials attended within an hour and a half, taking a sample from the animal.

On being told of the positive test for Hendra, John Brady, co-owner of the stud, told AAP his business was "in big ****".

"It's going to devastate us," he said.

He said he was trying to return to Rockhampton from the Gold Coast as soon as possible.

Mr Brady told AAP before the test results came through there was no link between the filly's death and that of the two other horses.

"One died of old age and the other died of a snakebite," Mr Brady said.

But he said his stud manager had been sprayed by fluid from the horse.

Mr Brady said also on that property were foals and a champion stallion, which he fears may have to be put down.

He said a vet saw the filly the first day it showed signs of illness on Thursday.

By Friday it was gravely ill and a vet prescribed antibiotics but the following day it died.

Queensland's chief biosecurity officer Rick Webster said horse owners should contact their vet if their horses showed symptoms.

"Many horses will show high temperatures but the vast majority will not be Hendra virus," he said.

"The virus does kill people."

A Hendra outbreak in August last year killed Brisbane vet Ben Cunneen, the first person to die of the disease in 10 years.

His colleague, nurse Natalie Beohm, survived infection.

The owner of the vet clinic at the centre of last year's outbreak said it was common in recent times for horses to be tested for Hendra.

But David Lovell, the owner of the Redlands clinic, said the illness was "very rare".

First identified in Brisbane in 1994, Hendra virus has spread from flying foxes.

Of the 11 equine outbreaks in Australia, four have led to human infection, with three of the six known human cases being fatal.
http://www.sbs.com.au/news/article/1070192/Dead-horse-had-Hendra-virus:-Qld-govt
 
Horse dies of Hendra virus; Vet tests positive, workers exposed

Horse dies of Hendra virus; Vet tests positive, workers exposed

http://news.brisbanetimes.com.au/br...orse-workers-await-testing-20090811-efrd.html

Hendra horse workers await testingAugust 11, 2009 - 2:34AM .
Queensland Racing's veterinary officer will be in Rockhampton on Tuesday following the death of a horse from Hendra virus, as stud workers await testing.

Prized Anglo filly Princess, from J45 Equine Nursery at Cawarral, east of Rockhampton, died on Saturday with tests confirming on Monday that it had the virus.

Queensland Racing Limited (QRL) director of integrity operations Jamie Orchard has urged all racehorse owners and trainers to be especially vigilant for any signs of the disease.

"Any horses with a high temperature or other abnormal signs should immediately be seen by a veterinarian," Mr Orchard said.

Veterinary officer Dr Martin Lenz will provide advice to owners, trainers and veterinarians regarding the disease at QRL's Rockhampton office on Tuesday.

His visit comes as workers who looked after the dying horse await being tested for the potentially deadly virus.

Stud manager Deb Brown said she was eager to be tested, after witnessing the horse's violent death.

A Queensland Health spokeswoman said officials were assessing the level of human exposure before deciding whether blood tests were needed.

Test results, if conducted, would be returned by the week's end, she said.

The virus first made headlines in 1994 when Vic Rail, the trainer of champion galloper Vo Rogue, died of a heart attack a week after being admitted to hospital with symptoms of morbillivirus (Hendra virus).

The virus struck with similar flu-like symptoms to equine influenza in Rail's Hendra stables, killing 14 horses and shutting down racing in Brisbane for three weeks.

It surfaced again in August last year and killed Brisbane vet Ben Cunneen.

His colleague, nurse Natalie Beohm, survived infection.
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

http://www.abc.net.au/news/stories/2009/08/10/2651818.htm?section=australia

Hendra outbreak: Stud manager not yet tested
By Charlotte Glennie for PM



Posted 8 hours 38 minutes ago
Updated 8 hours 16 minutes ago


The virus has resurfaced 10 times since it was discovered in 1994. (ABC News - file photo: file photo)

Video: Hendra virus confirmed in horse death (ABC News) Audio: Queensland Health slammed for outbreak of deadly Henra virus (PM) Map: Rockhampton 4700
Related Story: Properties quarantined in Hendra outbreak A Queensland stud manager has hit out at health authorities' handling of an outbreak of the deadly Hendra virus.

Debbie Brown is one of two managers in quarantine on a horse stud at Cawarral, east of Rockhampton.

The property has been quarantined following the death of a horse on Saturday. A neighbouring property has also been sealed off.

Ms Brown said the Anglo-Arabian mare that died became sick on Friday about lunchtime and the death was "very rapid".

Well aware that Hendra can be lethal in humans too, Ms Brown says she immediately called Queensland Health to ask that she and fellow manager Mr Daniels be tested for the virus.

They had both been in direct contact with body fluids from the sick horse.

"Since Saturday I've been calling and calling and asking Queensland Health to test us and they still haven't," she said.

Ms Brown says she was told she had to wait until the Hendra virus was confirmed in the mare.

That announcement was made about lunchtime today by Queensland's Minister for Primary Industries, Tim Mulherin.

Two other horses had also died at the property in the last fortnight but Mr Mulherin says those deaths might not be related to the virus.

"One death occurred on the 28th of July. Biosecurity Queensland ... wasn't advised of that incident. It was put down to snakebite," he said.

"And then again on the 7th of July an old horse died and that was put down to just the age of the horse."


Still waiting

But Ms Brown is still in quarantine on her property waiting to hear from Queensland Health.

"I was surprised and shocked that it took a confirmation of a horse's death to worry about people," she said.

"Princess had all of [the] symptoms so I was sure that Princess had died of Hendra.

"Let's look at the worst case scenario that the first horse died of Hendra. Well, our incubation period is well underway."

She says she has not yet been tested but Queensland Health are "in conference" regarding the issue.

She says she is getting increasingly concerned for herself and her other manager.

"I live by the belief that if you can do something about something do it. If you can't then travel on," she said.

"We can do something about this. Something should be getting done about this."


'Risk assessment'

PM asked Queensland Health for a response to Ms Brown's concerns. No one would be interviewed but the organisation released a statement.

"Queensland Health will follow up using established protocols for the management of humans exposed to horses with Hendra virus infection," it said.

"This involves identifying people who may have had contact with the horses, assessing their risk of exposure and providing information and advice, including blood testing where appropriate."

Dr Rick Webster from Biosecurity Queensland says about 30 horses will all be tested for the virus.

"At present I don't know if any horses have moved off this property. In the meantime there will be tracing done," he said.

"There is always the possibility that there could be other cases close by which are entirely separate from this case because of the bats carrying the virus and their opportunity always to spread the virus to horses."
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

http://www.theaustralian.news.com.au/story/0,25197,25912273-5006786,00.html

Hendra virus puts lives at riskFont Size: Decrease Increase Print Page: Print By Natalie Gregg and Janelle Miles | August 11, 2009
Article from: The Courier-Mail

Horse dies of Hendra virus
Vet staff, stud workers face anxious wait
No vaccine available

Sprayed ... stud manager Debbie Brown and fellow worker Adrian Daniels meet DPI officials / Jeff Camden
UP to 30 people may have been exposed to the potentially deadly Hendra virus after tests confirmed it killed a horse on a stud near Rockhampton in Queensland.

Veterinary staff and workers at the Cawarral horse stud at the centre of the latest outbreak face an anxious wait of several days to learn if they are infected. Queensland Health began testing yesterday and results are expected by the end of the week, The Courier-Mail reports.

There is no vaccination for the disease, which has claimed the lives of three Queenslanders in recent years, most recently Brisbane veterinarian Ben Cunneen last year.

A prized filly from the J4S Equine Nursery collapsed and died from the virus on Saturday.

Two other horses at the same property have died in the past two weeks, but it's not known if they also had the virus.

Stud manager Debbie Brown and horse manager Adrian Daniels have been in self-imposed quarantine since nursing the dying horse.

The horse was due to be sold at the Magic Millions on Saturday.

Mr Daniels said they feared they might be infected and did not want to risk the lives of their families or infect their own horses.

"The mare sneezed and coughed on us and we had bodily fluids from her on our hands," Mr Daniels said. "We had a dying horse and we were trying to save it."

It is believed humans become infected after direct exposure to horse secretions or tissue, and flying foxes host the virus.

Ms Brown said Queensland Health had told them to visit their GPs for tests, but they said they did not feel it was safe to go into the community.

"We can't go home. (There) have only been six cases of Hendra virus in humans, so I don't believe they can assure us 100 per cent we won't pass it on to our children. Queensland Health should be sending someone out here. We will stay in quarantine until we get the all clear."

The Department of Primary Industries has ordered an animal quarantine of the property and will test the remaining 30 horses today.

Queensland Health deputy director-general Aaron Groves said yesterday the department was contacting more than 30 people and tests were being carried out yesterday and today.

The incubation period in humans is estimated at five to 15 days.

On July 28, a filly at the property died of a suspected snake bite. A pony being treated at the nursery died on August 1 of a suspected hoof disease. Blood samples were taken from these horses and if still available will be tested for the Hendra virus.
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

http://news.xinhuanet.com/english/2009-08/10/content_11858230.htm

Hendra virus confirmed in Australian horse death


www.chinaview.cn 2009-08-10 17:22:29 Print

CANBERRA, Aug. 10 (Xinhua) -- A central Queensland stud is in quarantine and health officials are assessing workers after the death of a horse from Hendra virus, Australian Associated Press reported on Monday.

A prized Anglo filly died on Saturday at a stud located east ofRockhampton, with tests confirming that it had Hendra virus.

Queensland Health officials are also assessing stud workers, including the manager who is believed to have been sprayed with bodily fluids from the horse.

Stud manager Deb Brown said she was eager to be tested after watching the horse's violent death.

"She was frothing at the nose and the mouth and she was just totally incoherent and she died pretty violently," Brown told Network Ten.

Two other horses have died at the stud in the past two weeks, but their deaths were put down to a snakebite and old age.

Primary Industries Minister Tim Mulherin said bats may be to blame for passing on the virus, as there were many in the area.

He warned that people who had come into contact with the horse had a high risk of contracting the virus.
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

http://www.news.com.au/story/0,27574,25907850-29277,00.html

Horse deaths see property quarantined

AAP
August 10, 2009 11:38am
Text size
+ - Print Email Share Add to MySpace Add to Digg Add to del.icio.us Add to Fark Post to Facebook Add to Kwoff What are these? A HORSE that died on a central Queensland property on the weekend in a possible outbreak of the Hendra virus was the third to die there in two weeks.
The horse, currently being tested for the virus, was bleeding from the nose and mouth before it died at the horse stud at Cawarral, east of Rockhampton, on Saturday.

The Department of Primary Industries has quarantined the property and a neighbouring property, ahead of the test results this afternoon, a spokesman for minister Tim Mulherin said.

The spokesman said a horse had died at the horse stud on Friday, and another on July 28.

The property manager and a local vet called the Biosecurity Queensland hotline when the third horse died on Saturday, and staff responded quickly, taking a sample from the animal.

A Hendra outbreak in August last year killed Brisbane vet Ben Cunneen, the first person to die of the disease in 10 years.

First identified in Brisbane in 1994, the Hendra virus spreads from flying foxes.

Of the 11 equine outbreaks in Australia, four have led to human infection, with three of the six known human cases being fatal.
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

This is a legitimate news source. I can't believe they printed the two bold lines.

http://www.theaustralian.news.com.au/story/0,25197,25917674-5013404,00.html

Handlers face long wait on word of Hendra infectionFont Size: Decrease Increase Print Page: Print Natasha Bita and Sarah Elks | August 12, 2009
Article from: The Australian
DISTRESSED horse handlers exposed to the deadly Hendra virus face an agonising weeks-long wait to know if they are infected.

Queensland Health, under orders from an angry Anna Bligh, yesterday sent a nurse, a psychologist and a health worker to the quarantined horse stud outside Rockhampton to take blood samples from workers who have been demanding tests since Saturday.

John Brady, who owns the J4S Equine Nursery where up to three horses have died of the Hendra virus, yesterday said the initial results would take a fortnight. After those results are returned, staff will be re-tested to confirm whether or not they have the potentially fatal virus.

"We're still sitting on a knife-edge," Mr Brady, a professional risk manager for the mining industry, told The Australian.

He said Queensland Health staff had tried to assure him the risk was low, "but I just put them straight".

"I told them not to bloody bullshit me about risk," he said. "I said, 'You've got six people in Australia affected by the virus and three of them are dead'."

All six of the world's known cases of the Hendra virus in humans have occurred in Queensland, and three of those infected people died. The virus first emerged in 1994 in the Brisbane suburb of Hendra, when it killed horse trainer Vic Rail and 14 horses.

There is no vaccine or proven anti-viral treatment for the virus, which is carried by fruit bats.

Authorities believe the virus's incubation period is between five and 14 days, meaning early tests are likely to be inconclusive.

Queensland Health deputy director-general Andrew Wilson said initial tests often gave false negatives or false positives, which wrongly gave the patient either hope or concern. This was why re-testing after two or three weeks was essential, he said.

Stud manager Debbie Brown -- who was sprayed with the blood and mucus of a dying mare on Saturday -- yesterday admitted that a vet had told her to stay away from the ailing filly, Regal Princess.

"But I couldn't stay away from her," the mother of two teenagers said. "She was struggling for her life and I had to help her. She was choking over the stable door. I don't care if I was suited up or not (in protective gear), I would do exactly the same thing."

Co-worker Adrian Daniels tried to laugh off the risk yesterday. "The biggest trouble is when we wake up in the morning we don't know if it's the XXXX (beer) or the Hendra," he joked.

Mr Brady said his staff were just putting on a brave face. "That's all front," he said. "Debbie and Adrian and myself are very, very delicate at this stage, not very well at all."

Symptoms of the Hendra virus in humans include a flu-like illness which can progress to pneumonia
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

Another horse sick at Hendra virus property

Posted 19 minutes ago
The stud property was placed in quarantine after a horse died of the virus on Saturday. (ABC TV News)

<SCRIPT type=text/javascript><!-- if (typeof showPhotos == 'function') showPhotos('2653139-mediarss.xml'); --></SCRIPT>

Another horse has fallen ill on the central Queensland property affected by Hendra virus.
The horse stud at Cawarral, east of Rockhampton, was placed in quarantine after a horse died of the virus on Saturday.
Queensland Health says it is closely monitoring five people who had direct contact with the horse that died at the property at the weekend.
Three horses have died on the Cawarral stud in the past fortnight, but authorities say only the most recent horse death has been blamed on Hendra virus.
Cawarral property owner John Brady says he will get a vet to examine the sick horse today.
"One mare's a little bit doughy this morning - we're a bit concerned about her," he said.
"There's a lot of pregnant mares here and it's coming onto foaling season and so we don't really know - it's just too early to tell - but I will be asking the vets to look after her today."

Apology


Queensland Health apologised yesterday for its handling of the outbreak of Hendra virus at the property.
Mr Brady and two of his stud staff went into self-imposed quarantine after it was confirmed a mare died of Hendra virus at the weekend.
He is angry he and his staff were originally told to go to a GP for testing.
"But Queensland Health tells us it's quite okay for you to go into town and sit in a doctor's surgery and get a blood test," he said.
Queensland Health deputy director-general Dr Andrew Wilson says Queensland Health should have handled the emergency better.
"We may not have responded as well as we could've to them and I'd like to apologise to them," he said.
Dr Wilson says at this stage no people have become ill.
"There were originally 34 people on the farm during the period when this might have been a relevant exposure," he said.
"Only half of those had any significant contact and of those, only about five had a very significant exposure and of those, only three will be tested and the other two have already been tested."
But Queensland Opposition Leader John-Paul Langbroek said yesterday authorities put horses before people.
"The Department of Primary Industries is more interested in animals than Queensland Health is in people," he said.

Testing


Biosecurity Queensland says it will know by the end of the week whether more horses on the property have Hendra virus.
Queensland chief veterinary officer Dr Rick Symons says samples have been taken from 25 other horses and sent to Victoria for testing.
Dr Symons says 11 horses from eight properties in central Queensland, the Sunshine Coast and Darling Downs in south-east Queensland, and north-west New South Wales were quarantined after they were linked to the Cawarral stud.
"The quarantine - we take a very precautionary approach for that - so what we generally look for is 28 days after the last case," he said.
"So when the last case is there, we take 28 days from that and we will lift the quarantine."
Dr Symons says the horses that have been moved have been isolated and will be tested.
He says those horses only face a low risk.
"Like humans, the transmission between horses is not strong," he said.
"It does occur but it's not a very, very contagious disease.
"It's not like equine influenza or something like that.
"The horses that are in contact on the property have only just been in contact, so we're quite happy that they're very, very low risk."
Officers from Biosecurity Queensland are also checking bat colonies near Cawarral stud to see if they have the virus.:tiphat:http://www.abc.net.au/news/stories/2009/08/12/2653139.htm?site=news
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

Source: http://www.horsetalk.co.nz/news/2009/08/085.shtml

Stud manager opts for Hendra anti-viral treatment

August 13, 2009

The stud manager from a property at the centre of a Hendra outbreak has opted for treatment with an anti-viral drug.

Brisbane's Courier-Mail online reports that Debbie Brown has been admitted to Rockhampton Hospital to begin a five-day intravenous course of ribavirin, a drug normally used in the treatment of hepatitis.

Brown, a mother of two, was sprayed with blood and mucus from a horse who died on Saturday at J4S Equine Nursery, at Cawarall, near Rockhampton.

Testing later confirmed the horse died from Hendra.

The unproven treatment has been offered to four people considered most at risk of contracting the infection.

Just six people are known to have been infected with Hendra since the virus was isolated in 1994. Of those, three died, the most recent being Brisbane veterinarian Ben Cunneen 11 months ago.

Doctors believe the treatment stands the best chance of working if it is commenced before the disease, which has an incubation of five to 15 days, develops.

Thirteen people have been tested for the virus following Saturday's confirmed case, but testing as such an early stage is considered unreliable, given the incubation period.

Test results on more than 30 horses from the property are due back early this evening (NZ time).
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

Eleven people cleared of Hendra virus


  • 14 August 2009 | 11:38:25 AM | Source: AAP
<!-- /.heading --><!--- Video --->
Eleven people believed to be at risk of contracting the potentially deadly Hendra virus have returned negative results in the first round of tests.


<!---------- End conditions ----------->Queensland Health says initial blood tests of 11 of 18 people who came into contact with a horse that died from the virus at a central Queensland stud farm on Saturday show no signs of the virus.
The remainder of the results are expected on Friday.
A second round of testing is needed before anyone is cleared of the virus, which has an incubation period of one to two weeks.
Meanwhile, the owner of J4S Equine Nursery says all 25 horses on the property at Cawarral, northeast of Rockhampton, have been cleared of the virus in the first round of tests.
Queensland biosecurity authorities say four horses on the property that developed high temperatures and were of most concern have tested negative.
Mr Brady told ABC radio: "It's the first bit of good news I've had in the last few days but that doesn't mean we're out of the woods by a long shot.
"But it is a bit positive."
He said veterinarians were testing horses daily - "a real ongoing, nerve-wracking wait".
The results of tests on 11 horses that left the property before it was quarantined are expected to be known on Friday.
Four staff who had close contact with the horses are in Rockhampton Hospital receiving a five-day course of an anti-viral treatment.
"They're still nervous but in good spirits," Mr Brady said.:tiphat:http://www.sbs.com.au/news/article/1072372/Eleven-people-cleared-of-Hendra-virus
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

Qld horse tests positive for Hendra virus-Video

<!--*****TMB_ALERT_MODERATOR_START*****--><!--*****TMB_RECOMMENDATION_FEEDBACK_START*****--><TABLE><TBODY><TR><TH>Source:</TH><TD>ABC News</TD></TR><TR><TH>Published:</TH><TD>Friday, August 14, 2009 7:13 AEST</TD></TR><TR><TH>Expires:</TH><TD>Thursday, November 12, 2009 7:13 AEST</TD></TR></TBODY></TABLE>
After initially returning a negative result, another horse has tested positive for the Hendra virus in Central Queensland.:tiphat:http://www.abc.net.au/news/video/2009/08/14/2656624.htm
 
Re: Australia - 2009 Hendra Virus

Re: Australia - 2009 Hendra Virus

Source: http://www.abc.net.au/news/stories/2009/08/19/2661126.htm?section=justin

Fresh concerns over Hendra virus outbreak

Posted 1 hour 0 minutes ago
Updated 52 minutes ago


There are fresh concerns more horses may be infected with Hendra virus on a stud at Cawarral, in central Queensland.

The manager of the stud which was quarantined after an outbreak of Hendra virus, says 25 horses have tested negative.

But she is worried about three animals, including one with a nasal discharge and a high temperature.

The disease has already killed two horses on the property near Rockhampton.

Biosecurity Queensland says it is monitoring the animals.
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

Read this one carefully - Ribavirin is NASTY stuff. This is the reason it is only used with very serious viruses (Lassa, SARS, Lujo, Hendra).

http://www.abc.net.au/news/stories/2009/08/19/2660943.htm?section=australia

Hendra patients 'treated like guinea pigs'
By Nicole Butler for The World Today



Posted 11 hours 49 minutes ago
Updated 9 hours 31 minutes ago


The Hendra virus killed horses at north Queensland's Cawarral stud, east of Rockhampton. (AAP: Dave Hunt)

Map: Rockhampton 4700
Related Story: Authorities hopeful Hendra virus outbreak contained Related Story: Qld authorities clear horses of Hendra virus Related Story: Horses cleared of Hendra virus Related Story: Second horse tests positive for Hendra Queensland's health authorities are again being criticised over their handling of an outbreak of the deadly Hendra virus.

Four people who have been exposed to the disease on a horse stud near Rockhampton say Queensland Health has callously treated them like guinea pigs.

Stud manager Debbie Brown says the group was given an experimental treatment and there was no proper supervision.

She says the treatment made them so sick that one woman could not even remember her name.

Hendra virus has a high mortality rate but it is a rare disease and little is known about it. So after it killed horses at the Cawarral stud, staff became so worried they agreed to the experimental treatment.

Ms Brown says she feels sicker now than she did before she was hospitalised for the five-day treatment.

"We've been trialled with a combination of chloroquine - [which] has been used for Malaria overseas - and Ribavirin, which has been used to treat Hepatitis C," she said.

"And we've actually had that intravenously four times a day, every six hours at four times what would normally be the daily dose. We're actually the first people ever to have had this.

"[I am] probably more worried today than I was a week ago. If this was last week I don't think I would have gone in. It could be the thing that is going to save my life, so I don't regret agreeing to the treatment. I regret not getting in writing what they were actually going to do for us."

Ms Brown says Queensland Health told them over a telephone conference that it was a trial drug, which could potentially be a preventative medicine.

"It was highly experimental, they didn't know what would happen, and that we would be monitored throughout," she said.

Ms Brown says the only reason staff agreed to the experimental treatment was because they believed an expert would be there to monitor them.

But she says that did not happen.

"That's the part that totally blew me away. If anyone was to go up to Queensland Health now and say 'OK, what were their side effects on day three?' ... They wouldn't have a clue," she said.

"Heavens above, if you're going to send people to be guinea pigs, do what you say you're going to do - like monitor us."


'No supervision'

The stud manager says nurses did take their blood pressure, pulse and temperature every six hours. But Ms Brown says she was the only one taking notes about the trial medication and the side effects.

"In the first half hour of the first dose, which was actually a double dose of the Ribavirin, my fingers swelled, they got hot, they got tingly, and it varied from that to facial swelling, rashes, vomiting, diarrhoea," she said.

Ms Brown says everyone who underwent the trial was discharged from hospital after their five-day treatment. But she believes that should not have been allowed in some cases.

"When Angie came here yesterday afternoon to sign the registrar ... she couldn't even spell or write her own name," she said.

Queensland Health's chief health officer, Jeanette Young, has hit back at the criticisms.

"There were nursing staff and medical staff there on the ward. The four people involved were admitted to hospital for the period that they received the drug, so they were monitored," she said.

Dr Young says the stud workers have never been left to fend for themselves.

"If they've got any queries at all, really they should go back to the hospital and speak to the doctor who was treating them," she said.

Ms Brown and Dr Young were able to interact on an ABC local radio program in Brisbane, and Ms Brown responded to Dr Young's comments.

"Which doctor would you like us to go back and see?" Ms Brown asked.

"We never saw one doctor, we saw about eight very, very briefly. The doctor that was in charge to see us popped his head in once."

Ms Brown also pressed the point that senior Queensland health officers did not know what was going on during the medical trial.

"What side effects did we have?" she asked Dr Young.

"I haven't been involved in the details of your care," replied Dr Young.

It is not the first time staff at Cawarral have criticised Queensland Health over its handling of the Hendra virus outbreak. The department was forced to back flip soon after the virus was detected.

Queensland Health had told staff at the quarantined property to go to their GPs to be tested for the disease. But there were outcries about the risk of sending potentially infected people into public waiting rooms, when so little is known about Hendra.

So Queensland Health announced medical staff would be sent out to test the stud workers and deputy director-general Andrew Wilson conceded the situation could have been much better managed.
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

An earler post in this thread mentioned that one person under observation said that he didn't know if symptoms were being caused by Hendra or by beer. Now we can add Ribavirin to the list of suspects.

http://www.news.com.au/story/0,27574,25951659-29277,00.html

Hendra patient claims hospital mistreatment
By Angela Harper
AAP
August 19, 2009 12:20pm
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+ - Print Email Share Add to MySpace Add to Digg Add to del.icio.us Add to Fark Post to Facebook Add to Kwoff What are these? QUEENSLAND'S chief doctor has rejected claims that patients given potentially life-saving experimental treatment to fend off the deadly Hendra virus were mistreated in hospital.
Two horses died from the virus on August 7 and 8 at the J4S stud at Cawarral, east of Rockhampton, and a number of handlers were put at risk of infection.

Tests performed on a veterinarian and stud manager Debbie Brown and colleagues Adrian Daniels and Angela Webber have so far returned negative results.

Ms Brown, one of four patients given the five-day treatment at Rockhampton hospital and released yesterday, has complained about their treatment.

"It (the therapy) was highly experimental, and they didn't know what would happen, and (health staff said) we would be monitored throughout," Ms Brown told ABC radio.

The entire time Ms Brown said she had to write down her own symptoms, which included vomiting, diarrhoea and swelling.

Throughout the five days, hospital staff recorded only their temperature, pulse and blood pressure and failed to make any other observations noticeable to the patients, Ms Brown said.


"If you're going to send people to be guinea pigs, do what you say you're going to do - monitor us for Christ's sake," Ms Brown said.

"We thought an expert on Hendra would be there to monitor us."

Upon discharge, all of them felt ill and "Angie couldn't even write her own name", she said.

The veterinarian has since been readmitted.

Queensland's chief health officer Jeannette Young told ABC Radio the patients were told to return to the hospital and speak to the doctor treating them if they had concerns.

The monitoring was supposed to focus on the possibility of anaemia and any other side-effects from the treatment.

"There were medical staff and nursing staff there on the ward, and the four people were admitted to hospital for the period that they received the drug, so they were monitored," Dr Young said.

"We don't know whether or not the treatment is of benefit.

"Ribavirin is a drug commonly used to treat other viruses, but we don't know whether it will have any impact on Hendra virus."

She praised Ms Brown for taking notes of her side-effects during the experimental treatment and said there would be follow-up blood tests for anaemia.

Final tests for the disease would be done at the end of the month, after the 21-day incubation period, Dr Young said.
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

Vet exposed to Hendra virus ill in hospital


<!-- END Story Header Block --><!-- // .article-tools -->Janelle Miles, Peter Morley and Natalie Gregg
August 20, 2009 12:17pm

<!-- Split page --><!-- Lead Content Panel -->A VETERINARIAN exposed to Hendra virus on a central Queensland property earlier this month is back in hospital and undergoing further testing.
The man was one of four people treated for five days at the Rockhampton Hospital with the anti-viral drug ribavirin and released. But he was readmitted to the Rockhampton Hospital earlier this week and it's understood he has since been transferred to Brisbane's Princess Alexandra Hospital where he is believed to be critically ill.
The vet had contact with an infected horse at the J4S Equine Nursery at Cawarral, near Rockhampton.
Two horses died on August 7 and 8 from the virus. Another which died on July 28 is suspected of having the disease.
Stud manager Debbie Brown, who was also treated with ribavirin, said the vet was so sick when he was first discharged from hospital in Rockhampton, he should never have been allowed to leave.
Hendra has only ever been identified in six people, all Queenslanders. Three have died.
The last death was Redlands veterinarian Ben Cunneen a year ago today.:tiphat:http://www.news.com.au/couriermail/story/0,23739,25956350-3102,00.html
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

Not the beer or the Ribavirin.

http://www.horsetalk.co.nz/news/2009/08/137.shtml

Vet in hospital with Hendra infection

August 20, 2009

A male veterinarian involved in the treatment of two Hendra-infected horses at a Queensland property has tested positive for the deadly virus.
He is the seventh known person to have contracted the virus.

The vet, from Rockhampton, was admitted to Princess Alexandra Hospital yesterday.

He was one of four people considered at risk of infection who spent five days in hospital receiving an experimental anti-viral treatment with a drug called ribavirin, normally used in the treatment of hepatitis.

He underwent the treatment in the hope it would reduce the chance of infection developing.

He is reported to be in a critical but stable condition.

He contracted the virus in treating a horse at the J4S Equine Nursery, where two horses are confirmed to have died from the virus.

Three of the six people who contracted the virus before this latest case died, including Brisbane vet Ben Cunneen, who died a year ago after an outbreak at a Redlands veterinary clinic.


More on Hendra
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

http://www.abc.net.au/news/stories/2009/08/20/2662013.htm?site=idx-qld

A vet who was exposed to Hendra virus at a central Queensland horse stud has tested positive to the potentially deadly illness.

The man was admitted to Rockhampton Base Hospital yesterday after showing symptoms.

He was transferred to Brisbane's Princess Alexandra Hospital overnight in a critical condition.

The vet had treated two horses with the virus that died at a Cawarral property on August 7 and 8.

Three other people were also exposed to the virus but Queensland's chief health officer, Jeannette Young, says there is no reason to suspect the trio have the virus.

"The other three, at this point, we don't believe have the infection. If any of them become unwell we've asked them to represent for testing," she said.

The owner of the stud, John Brady, said the situation was "devastating".

"He's (the vet) been admitted into the Princess Alexandra Hospital to be monitored," Mr Brady said.

"It's devastating for all of us. He's in a critical condition.

"I'm going to have a meeting with all of my staff to discuss their symptoms and whether they too should go to the PA."

Hendra virus is potentially deadly for infected people.

Brisbane vet Ben Cunneen died after contracting Hendra from a horse 12 months ago.

- ABC/AAP
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

http://www.theaustralian.news.com.au/story/0,25197,25957029-601,00.html

Vet tests positive after falling ill despite Ribavirin treatmentFont Size: Decrease Increase Print Page: Print Natasha Bita | August 20, 2009
Article from: The Australian
A VET infected with the potentially lethal Hendra virus is critically ill in a Brisbane hospital.

The Rockhampton man, who treated a horse infected with the bat-borne virus, was flown to the Princess Alexandra Hospital last night, just a few days after finishing an experimental anti-viral treatment.

He was in a critical but stable condition in the hospital's intensive care unit this afternoon, the hospital confirmed.

Queensland's chief medical officer, Jeanette Young, today offered ?support and counselling? for the three horse handlers who spent five days in Rockhampton hospital with the infected vet.

The four had been given an experimental treatment with the anti-viral drug Ribavirin in the hope it would prevent infection.

All four had tested negative to the virus in swabs last week.

But the vet was readmitted to hospital when he fell ill yesterday, and further testing confirmed the Hendra infection today.

But Dr Young said more than 30 other people exposed to Hendra-infected horses at the J4S Equine Nursery outside Rockhampton would only be re-tested if they fell ill.

Otherwise, they would wait for a second test to be carried out three weeks after their first exposure to sick horses.

Dr Young denied that the experimental treatment could have worsened the infection.

?Ribarivin is a treatment used to minimise the impact of a viral infection,? she said.

?It hasn't worked in preventing it, but it certainly would't have caused any harm to these people.?

The case is the seventh human infection with Hendra virus, which is borne by bats and can be transmitted to humans through the saliva or blood of sick horses.

The virus killed three of the patients, including Brisbane vet Ben Cunneen, who died a year ago today
 
Re: Horse dies of Hendra virus; workers exposed

Re: Horse dies of Hendra virus; workers exposed

http://www.cqnews.com.au/story/2009/08/20/vet-hospital-amid-hendra-fears/

Vet who treated Hendra horse 'critical'
20th August 2009

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? iStockphoto.com/beerkoffA VETERINARIAN who treated a horse that died from the Hendra virus is in a critical condition in hospital, the horse's owner says.

Queensland Health said one of the four people treated for five days at the Rockhampton Hospital with the anti-viral drug Ribavirin was admitted to another hospital on Wednesday.

The owner of the central Queensland stud where two dead horses tested positive to the virus, John Brady, confirmed to AAP the person readmitted to hospital was the vet who treated one of his infected horses before it died.

He said the vet was transferred to a Brisbane hospital after his condition deteriorated.

"He's been admitted into the Princess Alexandra Hospital (in Brisbane) to be monitored," Mr Brady said.

"It's devastating for all of us. He's in a critical condition.

"I'm going to have a meeting with all of my staff to discuss their symptoms and whether they too should go to the PA."

Three of the six people who have contracted the virus since it was discovered in 1994 have died.

Two horses died at the J4S stud at Cawarral, north east of Rockhampton, on August 7 and 8 from the virus. Another which died on July 28 is suspected of having the disease.
 
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