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Keiji Fukuda in Indonesia

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sharon sanders

Editor-in-Chief & President
Indonesia, World Health Discuss Bird Flu Control Plan (Update1) June 21 (Bloomberg) -- Indonesian officials began a meeting with world health authorities today to help fight bird flu, which has killed a person every six days in the nation this year.
Keiji Fukuda, the coordinator of the World Health Organization's global influenza program, and other experts will advise the government on ways to gain better control of the H5N1 flu strain that's spread in poultry to most of the country's 33 provinces. The Southeast Asian nation accounts for a third of the 130 human H5N1 fatalities reported worldwide since late 2003.
``We want to pose the question to experts: this is the reality, so what do we need to do next?'' Bayu Krisnamurti, secretary of a government-appointed committee on avian and pandemic flu, said in an interview before the three-day meeting in the capital, Jakarta. ``We want to see if the implementation of our strategic plan needs to be refined.''
Diseased fowl increase the risk for humans and provide more chances for the virus to mutate into a pandemic form capable of killing millions of people. Disease trackers are monitoring for H5N1, described by some scientists as the most lethal avian flu strain yet recorded, which has spread in birds to almost 40 countries in Asia, Europe and Africa this year.
Zambia in southern Africa is investigating a possible avian flu outbreak after more than 40 wild birds were found dead at a Victoria Falls resort town, Agence France-Presse reported yesterday. A laboratory in the capital, Lusaka, is testing the dead birds discovered over the past two days, AFP said, citing Jack Shoko, chief veterinary officer in the town of Livingstone.
To date, H5N1 has infected 228 people in 10 countries, killing 130 of them, the WHO said yesterday. Indonesia has reported 34 cases, including 28 fatalities, this year alone.
Indonesia's Strategy
Indonesia's strategy of using animal vaccines, disinfecting coops and incinerating dead birds hasn't prevented the disease from becoming endemic in the country that has 1.3 billion poultry.
The government hasn't raised sufficient public awareness of the dangers of the H5N1 virus and can't properly fund its avian flu programs, particularly those aimed at controlling the virus in poultry, Krisnamurti said.
Indonesia must focus on culling poultry to eradicate the disease and control its spread, Tri Satya Putri Naipospos, vice chairwoman of the government's avian and pandemic flu committee, said on June 19.
Surveillance of the disease should be given higher priority, the World Bank said this month, adding that there is a mismatch between the government's national avian flu plan and the allocation of funding. The 2006 national budget includes 555 billion rupiah ($59 million) for avian flu, of which a third is for animal health and two-thirds for human health, it said.
Backyards
Indonesia has about 70,000 villages spread across 17,000 islands. Poultry are raised in the backyards of about 80 percent of the country's 55 million households, said John Budd, head of communications with the United Nation's Children's Fund, or UNICEF, in Jakarta.
The nation of 238 million people confirmed its 51st human H5N1 case yesterday. The country attracted international attention last month, after seven members of a family from the island of Sumatra were infected. They represent the largest reported instance in which H5N1 may have been spread among people and the first evidence of a three-person chain of infection.
Today, Indonesian officials will meet representatives from the United Nations health and agriculture agencies, the U.S. Centers for Disease Control and Prevention, European Center for Disease Control, Epicentre France and Japan's National Institute for Infectious Diseases to assess the avian flu situation.
``With this consultation, Indonesia is taking another step to assess how best to protect the health of its people,'' Paul Gully, a senior adviser for communicable diseases at the WHO, said in a statement yesterday. ``The results will certainly be of great importance to all worldwide, who are eyeing the risk of the next pandemic.''

http://www.bloomberg.com/apps/news?pid=10000101&sid=aCArWAVGRzmg&refer=japan#
 
Re: Keiji Fukuda in Indonesia

WHO: Bird Flu Spread Among Family Members

POSTED: 5:09 pm EDT June 21, 2006
UPDATED: 5:09 pm EDT June 21, 2006

<!--startindex-->JAKARTA, Indonesia -- The World Health Organization has concluded that human-to-human transmission likely occurred among seven relatives who developed bird flu in Indonesia.

In a report obtained Wednesday by The Associated Press, WHO experts said the cluster's index case was probably infected by sick birds and spread the disease to six family members. One of those cases, a boy, then likely infected his father, it said.

The U.N. agency stressed the virus has not mutated and that no cases were detected beyond the family.
Seven of the eight relatives died last month, but one was buried before samples could be taken to confirm bird flu infection.

"Six confirmed H5N1 cases likely acquired (the) H5N1 virus through human-to-human transmission from the index case ... during close prolonged contact with her during the late stages of her illness," the report said.

The report was distributed at a closed meeting in Jakarta attended by some of the world's top bird flu experts. The three-day session was convened after Indonesia asked for international help. The country has recorded the world's highest number of human bird flu cases this year, and 39 of those infected have died.

"What is happening in Indonesia? That is the No. 1 question," said Bayu Krishnamurthi, Indonesia's national bird flu coordinator. "With all of these limited resources _ human, financial, institutional _ what should we do?"

The experts were expected to discuss the large family cluster during the session. One of the remaining mysteries is why only blood relatives _ not spouses _ became infected.

The WHO report theorizes the family shared a "common genetic predisposition to infection with H5N1 virus with severe and fatal outcomes." However, there is no evidence to support that.

Keiji Fukuda, WHO's coordinator for the Global Influenza Program in Geneva, said the Indonesian case appears to resemble other family clusters where limited human-to-human transmission occurred following close contact. He said scientists must find out whether anything is different about the way the virus is behaving.

"The really critical factor is why did that cluster develop?" he said. "What's the reason why people in a cluster got infected?"

Fukuda said that although the cluster in the farming village on Sumatra island grabbed world attention, no country _ including Vietnam and Thailand, which have largely controlled the virus _ is safe from bird flu.

"This is a virus that you both have to respect a lot and (you) have to be concerned about the overall situation, even in areas in which it looks like control has been achieved," he said on the meeting's sidelines. "The real question is: Can you sustain that control for a virus which is really able to persist this way?"

Bird flu has killed at least 130 people worldwide since it began ravaging Asian poultry stocks in late 2003. Experts fear the virus will mutate into a form that spreads easily among people, potentially sparking a pandemic. So far, it remains hard for people to catch, and most human cases have been traced to contact with infected birds.

Indonesian officials said the country lacks manpower and money to battle the H5N1 virus alone. The government has been saddled with a series of natural disasters, including the 2004 tsunami and an earthquake last month on Java Island.
Indonesia needs $50 million from donors in the next three years to establish a system to help fight bird flu in poultry, according to Peter Roeder of the U.N. Food and Agriculture Organization.

Indonesia has said it needs $900 million over the next three years for its overall battle against the H5N1 virus but has only budgeted $59 million.

http://www.wral.com/aphealthandwellnewsnews/9406722/detail.html
 
Re: Keiji Fukuda in Indonesia

WHO: Bird Flu Spread Among Family Members
By MARGIE MASON , 06.21.2006, 04:50 PM
http://www.forbes.com/entrepreneurs/feeds/ap/2006/06/21/ap2831717.html

The World Health Organization has concluded that human-to-human transmission likely occurred among seven relatives who developed bird flu in Indonesia.

In a report obtained Wednesday by The Associated Press, WHO experts said the cluster's index case was probably infected by sick birds and spread the disease to six family members. One of those cases, a boy, then likely infected his father, it said.

The U.N. agency stressed the virus has not mutated and that no cases were detected beyond the family.

Seven of the eight relatives died last month, but one was buried before samples could be taken to confirm bird flu infection.

"Six confirmed H5N1 cases likely acquired (the) H5N1 virus through human-to-human transmission from the index case ... during close prolonged contact with her during the late stages of her illness," the report said.

The report was distributed at a closed meeting in Jakarta attended by some of the world's top bird flu experts. The three-day session was convened after Indonesia asked for international help. The country has recorded the world's highest number of human bird flu cases this year, and 39 of those infected have died.

"What is happening in Indonesia? That is the No. 1 question," said Bayu Krishnamurthi, Indonesia's national bird flu coordinator. "With all of these limited resources - human, financial, institutional - what should we do?"

The experts were expected to discuss the large family cluster during the session. One of the remaining mysteries is why only blood relatives - not spouses - became infected.

The WHO report theorizes the family shared a "common genetic predisposition to infection with H5N1 virus with severe and fatal outcomes." However, there is no evidence to support that.

Keiji Fukuda, WHO's coordinator for the Global Influenza Program in Geneva, said the Indonesian case appears to resemble other family clusters where limited human-to-human transmission occurred following close contact. He said scientists must find out whether anything is different about the way the virus is behaving.

"The really critical factor is why did that cluster develop?" he said. "What's the reason why people in a cluster got infected?"

Fukuda said that although the cluster in the farming village on Sumatra island grabbed world attention, no country - including Vietnam and Thailand, which have largely controlled the virus - is safe from bird flu.

"This is a virus that you both have to respect a lot and (you) have to be concerned about the overall situation, even in areas in which it looks like control has been achieved," he said on the meeting's sidelines. "The real question is: Can you sustain that control for a virus which is really able to persist this way?"

Bird flu has killed at least 130 people worldwide since it began ravaging Asian poultry stocks in late 2003. Experts fear the virus will mutate into a form that spreads easily among people, potentially sparking a pandemic. So far, it remains hard for people to catch, and most human cases have been traced to contact with infected birds.

Indonesian officials said the country lacks manpower and money to battle the H5N1 virus alone. The government has been saddled with a series of natural disasters, including the 2004 tsunami and an earthquake last month on Java Island.

Indonesia needs $50 million from donors in the next three years to establish a system to help fight bird flu in poultry, according to Peter Roeder of the U.N. Food and Agriculture Organization.

Indonesia has said it needs $900 million over the next three years for its overall battle against the H5N1 virus but has only budgeted $59 million.


Associated Press reporter Zakki Hakim in Jakarta contributed to this report.
 
Re: Keiji Fukuda in Indonesia

Indonesia Seeks Allies in War Against Bird Flu

http://www.technewsworld.com/story/BZUZV2B6ziM50d/Indonesia-Seeks-Allies-in-War-Against-Bird-Flu.xhtml

By Margie Mason
AP<!--/byline-->
<!--date-->06/21/06 8:00 PM PT

<!--/date--> Indonesia, hit by a recent string of natural disasters from the 2004 tsunami to a devastating earthquake last month, lacks the manpower and money to battle the H5N1 virus alone. Indonesian officials have said the country needs $900 million over the next three years to fight the virus in humans and animals, but has only budgeted $59 million for 2006.

Indonesia appealed Wednesday for international help in fighting bird flu, warning it lacks the resources to stop an increasingly rapid spread of the deadly H5N1 strain of the virus in the country.


The country needs US$50 million from donors over the next three years to establish a system to help fight bird flu in poultry, said Peter Roeder, an animal expert from the U.N. Food and Agriculture Organization, on the sidelines of a three-day meeting of health and animal experts in Indonesia's capital, Jakarta.


At least 39 people have died from the H5N1 bird flu virus in Indonesia, and a recent surge in human cases has put the country on pace to surpass Vietnam as the worst-hit nation. At least 42 people have died in Vietnam.


Limited Resources

"What is happening in Indonesia? That is the No. 1 question that we very much would like to have the answer from you," Bayu Krishnamurthi, Indonesia's national bird flu coordinator, asked the panel of experts at the meeting's opening.


"With all of these limited resources -- human, financial, institutional -- what should we do?"


Indonesia, hit by a recent string of natural disasters from the 2004 tsunami to a devastating earthquake last month, lacks the manpower and money to battle the H5N1 virus alone. Indonesian officials have said the country needs $900 million over the next three years to fight the virus in humans and animals, but has only budgeted $59 million for 2006.


Roeder said the $50 million in aid money would be used to lay the groundwork to strengthen surveillance, coordination and rapid response systems for the country's vast poultry population, which consists of millions of backyard farms.


"I hope this meeting marks a turning point in the world's understanding of the fact that we should be addressing this matter in a holistic way," Roeder said.
Awareness Is Key

Krishnamurthi said education and public awareness were key to fighting the disease, but that was not easy in a poor country with 220 million people spread across thousands of islands. He said many people depend on backyard chickens for their survival.


It is "not an easy task to ask them to kill their chickens because we are saying it is dangerous for them in the future," he said.


The meeting comes a month after six of seven family members from a remote farming village on Sumatra died after testing positive for the virus. An eighth relative was buried before samples could be taken, but the World Health Organisation considers her part of the cluster.


Scientists have not been able to link the infected relatives to contact with sick birds and believe limited human-to-human transmission occurred. However, no one outside the family has fallen ill, and the virus is not believed to have mutated.


"Indonesia in 2006 is the hotspot for H5N1 in poultry and, consequently, in people," said Tim Uyeki, an epidemiologist from the U.S. Centers for Disease Control and Prevention.
No Country Ready

Experts fear the current virus will mutate into a form that is highly contagious among humans, potentially sparking a pandemic. So far, most human cases have been traced to contact with infected birds. At least 129 people have died worldwide since the virus began ravaging Asian poultry in late 2003.


"I can say that if there is widespread human-to-human transmission, there is no country in the world that is ready," said Keiji Fukuda, coordinator for the WHO's Global Influenza Program in Geneva.


Southeast Asian health ministers, meanwhile, met in Myanmar on Wednesday for talks focused on how to respond if bird flu becomes a pandemic. Some nations in the region, including Myanmar, have been accused of secrecy and a lack of transparency in quickly reporting bird flu outbreaks.

 
Conclusions of Jakarta meeting announced?

Conclusions of Jakarta meeting announced?

Bonjour! Je crois bien avoir lu cette semaine qu'une conf?rence de presse ?tait pr?vue ? l'agenda de la rencontre de trois journ?es tenue ? Jakarta (qui a pris fin ce 23 juin). Les conclusions de cette r?union ont-t-elles ?t? publi?es?

I read this week that there was a press conference scheduled at the end of the 3-day meeting in Jakarta. Have the conclusions of this gathering been announced yet?
 
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