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Nigeria: Overview of Current Situation

hawkeye

Well-known member
This is a definite read. Scroll down to the beginning of the highlighted parts.



Nigeria: Bird Flu - How to Stay Out of Trouble

February 7, 2007
Posted to the web February 7, 2007

Okey Ndiribe
Lagos

Last week's confirmation by the Minister of Information Mr. Frank Nweke (jnr) that the dreaded avian flu had claimed its first human victim in the country has raised fresh fears about the disease across the country, reports Okey Ndiribe

ARE you one of those who drink fresh eggs? If your answer is yes, you had better desist from doing so until further notice to prevent getting infected with the dreaded bird flu virus. The Lagos State Government has already issued a statement that the bird flu disease which recently led to the death of a 22-year-old woman at Isolo area of Lagos could be contracted through consumption of fresh eggs. The statement further indicated that in addition to this, uncooked eggs should not be used in food items that will not be cooked, baked or heat-treated in other ways. Giving reasons for the directive given to residents of the state, the state government further stated that eggs could contain the H5N1virus which causes the diseases both on the shell and inside, including the yolk and the white. The statement also warned that the greatest exposure to the virus was by handling, slaughtering, and preparation of sick or dead infected poultry for food.

The statement was issued after the dead woman was confirmed to have been infected with H5N1 virus. About three weeks ago, a case of suspected human avian flu was reported by a private hospital in Lagos. After the report was received, officials of the State Avian Flu Response Team visited the hospital and further investigation revealed that the unnamed 22-year-old female patient from Oke-Afa, Isolo was admitted in the hospital on January 15, 2007 with symptoms of difficulty in breathing, cough and fever.

A diagnosis of pneumonia was subsequently made when the patient failed to respond to the treatment for pneumonia. Earlier on, the patient had been treated in a private hospital at Isolo where she was diagnosed with typhoid fever. The lady eventually died the following day. Samples reportedly collected from the corpse and other contacts including family members, nurses and mortuary workers were later taken to the virology laboratory at Abuja.

In a joint statement made available to Vanguard by the Permanent Secretary, Lagos State Ministry of Health Dr. Jide Idris, and his counterpart in the Ministry of Agriculture and Natural Resources,Mr. Wale Raji, results of the these tests were confirmed. In the statement, they declared: "Reports reaching us from Abuja tentatively confirmed the diagnosis of avian influenza. We also do know that samples were sent to the Center for Diseases Control (CDC) in Atlanta and the World Health Organisation (WHO) laboratory for confirmation".

However, reacting to the development, the president of the Animal Science Association of Nigeria (ASAN) Dr. Oyedele Oyediji said the bird to human infection stage of the disease was not particularly new, adding that it had occurred in 47 other countries, including Vietnam.

He explained that the mutation of the virus from the bird to bird stage to the bird to human stage could occur in two ways; a drift which usually takes a longer time to manifest or a shift which could take a shorter time. Oyediji asserted that the spread of the disease in either of these ways could lead to a pandemic.

He pointed out that what the entire world population has been scared of since the outbreak of the disease is the mutation of the virus to a stage where human to human infection would become possible, adding that many countries had already reached an advanced stage in preparing themselves against this possible eventuality.

He further stated that a similar type of human to human flu infection which occurred in 1918 in Spain led to the death of about 50 million people. Another outbreak of flu which occurred in Asia in 1957 also led to the death of two million people, while another one million lost their lives when the disease hit Hong- Kong in 1968.

Oyediji further stated that only strict adherence to bio-security measures could prevent spread of the disease, adding that nothing could be done to prevent mutation of the virus from its present stage to the human to human infection stage.

Said he: "The only thing that could be done now is to prepare for that stage in case it comes".

The Federal Government has already procured one million doses of the anti-bird flu drug as part of its preparation against this dreaded stage of the disease.

Nevertheless, there is growing apprehension among other stakeholders that the federal and various state governments in the country have not done enough to enforce measures that ought to be put in place to prevent spread of the virus from bird to human infection stage.

Oyediji said that the embargo that was placed on inter-state movement of poultry products which was one of the measures adopted by stakeholders to check the rapid spread of the disease that broke out in the country about a year ago was enforced only for sometime but was later relaxed.

Said he: "If you go to the markets in Lagos now, you would notice that poultry products like guinea fowl, ducks, turkey and local chicken from the Northern part of the country are still available".

He complained that smuggling of banned poultry products like hatch-able eggs and frozen chicken across Nigeria's border with Republic of Benin is still going on.

Oyediji also cited the decision to quarantine and kill all poultry products within a five kilometre radius of any infected area as another measure which is not being enforced.


He wondered why the advise given by the World Health Organisation (WHO) stating that the best preventive measure against the avian flu is the implementation of bio-security measures has not been taken seriously.

Such biosecurity measures include embargo on visitors to places susceptible to the disease; hygienic practices, sanitisation, disinfection and pest control in order to prevent the carrying of disease organisms from one point to another.

Oyediji expressed worry that "an evaluation of poultry and pig farms within the country in the past one year showed that only 10 per cent of them had bio-security measures put in place.


Citing reasons why the level of adoption of biosecurity measures were abysmally low, Oyediji said that it was because the enlightenment which was carried out by the various tiers of government did not involve private sector stakeholders.

Said he: "The veterinary and medical doctors in some states where these measures were supposed to have been applied did not want to involve private sector stakeholders because of selfishness on their part".

He regretted that inter-ministerial rivalry and intrigues which characterise a lot of government programmes had set in and some of the government departments involved, run parallel programmes without bothering to work together.

It was learnt that in some states of the federation, animal scientists and poultry farmers were not even members of the committee. Apart from this, many of the public sector professionals who are members of committees that were set up in various states across the country have not been re-trained for many years and therefore have little knowledge of the avian flu.

Oyediji urged the various tiers of government to give grants to poultry farmers to buy sprayers and the right pesticides which should be sold to them at subsidised prices to prevent the spread of the virus. He added that this should be done the way prices of tractors and other farm inputs are being subsidised.

Commenting on the entry of the avian flu virus into the country, Oyediji said it was traceable to the importation of 20,000 hatch able eggs infected with the virus from the Netherlands in 2003.

He had a poser for the Federal Government and Nigerian citizens: "We should ask ourselves why we should be importing breeding stock for chicken when we have animal scientists and the National Animal Production Research Institute at Shika in Zaria?

"Animal scientists there have produced an indigenous commercial breeder called Shika Brown".
 
Re: Nigeria: Overview of Current Situation

The Netherlands eggs are nonsense. That outbreak was H7N7.

Nigeria has Qinghai H5N1.
 
Re: Nigeria: Overview of Current Situation

Avian Influenza: One Year After, Another Storm

<tt style="color: black;">By Godwin Haruna, 02.08.2007</tt>


It was early in 2006 that most Nigerians were introduced to the virus called avian influenza. Before then, not many people have heard of bird flu beyond the known traditional diseases that afflict birds and chickens. But all that changed when the outbreak of H5N1 bird flu hit Nigeria in 2006, but no human infections had been reported until January 31, 2007. Soon after its reportage, the frenzy about poultry products and bird flu has started in the country once again.
Since the avian flu outbreak was first detected in February 2006 millions of birds have been killed or become infected in the country. This has also continued to cause severe hardship for farmers, who have had very little support from the government since compensation issues have compounded the entire tragedy.
Unlike diseases such as smallpox and measles, for which there are effectively protecting vaccines, the flu virus constantly mutates according to health experts. Each year the virus is slightly different from the last, this is the genetic drift of the virus - small point mutations on the surface to evade the human immune system.
During a recent two-day seminar titled: "Avian and Human Pandemic Influenza: Getting the Story" put together by Voice of America in conjunction with Development Communications Network and others in Lagos, participants were drilled on steps to be taken on reportage of the bird disease that has started infiltrating humans in the country. Just as the seminar was ending, the tide changed for the disease in the country.
Nigerian authorities reported that the country has recorded the first human death due to bird flu in sub-Saharan Africa. A 22-year old woman, who tested positive for the H5N1 virus, died suffering from flu symptoms in Lagos according to the Multi-Sectoral Steering Committee on Avian Influenza in Nigeria.
Another female member of the same household has also been diagnosed with the virus but is responding to treatment, said Abdulsalam Nasidi, chairman of the Nigeria Avian Influenza Control and Human Pandemic Preparedness Response Project. As demanded by international protocols, virus samples have been sent to the World Health Organization and the US-based Centers for Diseases Control and Prevention, according to Mr. Frank Nweke, Nigeria's minister of information and communication. He said the government was strengthening surveillance efforts across the country with particular emphasis on monitoring human contact with poultry to prevent animal-to-human and human-to-human infections.
He stressed that the surveillance system is also being extended to cover all health institutions, including private facilities. Measures being put in place include risk communication, emergency medical care and infection control measures. The government has also prioritised training for staff working as laboratory technicians and those working in surveillance and clinical management.
"Eggs can contain H5N1 virus both on the outside (shell) and the inside (albumen and yolk). Eggs from areas with H5N1 outbreaks in poultry should not be consumed raw or partially cooked. Uncooked eggs should not be used in foods that will not be cooked, baked or heat-treated in other ways," the minister said.
So far, the statement added there is no evidence to indicate that people get infected after eating properly cooked poultry or eggs.
However, the minister stressed the danger of slaughtering and preparation of sick or dead poultry for consumption, and urged restriction on inter-state movement of poultry.
Nasidi said research institutes are being urged to set up disease isolation centres, and the country had increased its stocks of the bird flu drug Tamiflu.
There have been a renewed frenzy over the safety of poultry and poultry products since the confirmation by the World Health Organization (WHO).
A trip around major poultry markets within Lagos metropolis revealed that the sales of chickens had slumped significantly. At the chicken markets in Mushin, Olosa, Palmgrove and the market close to the Nigerian Breweries, Iganmu, large broilers which sold like hot cakes during the yuletide were only being picked up in very few numbers.
Particularly at the Nigerian Breweries, Iganmu poultry market, marketers, who told THISDAY that they had recovered from the shock losses of last year the previous week, have been stunned since the re-occurrence of the bird flu brouhaha this year. Alhaji Ahmed Duwa, chairman of the Poultry Sellers Association in the market, told THISDAY on Monday that the story has changed from their experience in the last forthnight. He said although there was no open boycott, buyers scarcely visit them in the wake of the confirmation of the reported death.
Duwa declared that they have not recorded any sickness among the population of the poultry products in the market. He said his association has contributed money to fumigate the entire area of the market. He said the huge sales they recorded during the festivities is being reversed now due to the latest information.
In his presentation during the seminar on factors inhibiting research, Dr. Olukayode Oyeleye of The Guardian Newspapers observed that rural infrastructure including electricity and roads are not in place, just as veterinary departments are either short-staffed or not equipped. Oyeleye further regretted that public sector veterinary officers were available, lack capacity because "there are no provision for retracing or continuing education".
Other lapses, he identified, include farmer's disregard for scientific knowledge and media adding that hygienic measures (bio-security) at the farm levels are very poor.
Oyeleye identified the need for poultry industry in Nigeria to be regulated maintaining that there is inadequate coordination among relevant ministries and parastatals. His words, "poultry industry in Nigeria not hitherto regulated".
Also speaking in his paper, Dr. Godwin Oyediji, president, Animal Science Association of Nigeria noted that Nigeria has nothing on ground to combat bioterrorism and called for international assistance. According to Oyediji, strategic activities for this must be put in place.
The poultry farmer noted that there is need to trace the origin of all frozen chicken imports into Republic of Benin against bioterrorism, as 95 per cent of such imports often ends up in Nigeria.
In his presentation, Prof. Michael Asuzu, National Chairman, Association of Community Physicians of Nigeria (ACPN) and Professor of community health, University of Ibadan noted that the country don't seem to be prepared for any Human Pandemic of Avian Influenza. Asuzu declared that there was no budgetary provision for the control of HPAI in 2006.
He said Avian Flu or Bird flu is an infectious disease of birds caused by type A strains of the influenza virus. "It affects the respiratory, enteric and nervous systems of many kinds of poultry and other birds; and rarely, pigs. The current strain of avian flu (H5N1) with pandemic tendency in humans has been reported in Asian and European countries since 2003", he said,
From historical perspective, he said there have been three pandemics of avian flu, namely the Spanish flu of 1918-1919, where 100 million persons died, the Asian flu of 1957-1958, where 2 million deaths were recorded and the Hong Kong flu of 1968-1969 with 1 million deaths. The worst case scenario in the present circumstance according to public health experts is for a highly infectious and virulent strain of the virus to sprout from the tropics and overwhelm health and medical defenses of even the developed world, spreading therefrom.
"We must thank God that the Avian flu in Nigeria has not been worse than it is and congratulate the Federal government for the high level action it has taken in that regard. However, as professionals and intellectuals, we must ask why these things are done in fire brigade fashions. Why would a well established health sector-wide committee that has produced such a comprehensive emergency preparedness and mitigation action plan and only waiting for the recommended fund to be given and with enough time to the time when the flu actually got here to have been able to nip the thing in the bud be quietly forgotten when the flu actually came? Why should the comprehensive plan still not be followed and episodes of the epizootic keeps occurring all over the country since then?", the don queried.
In the wake of the confusion trailing the human infection of the avian influenza in Nigeria, WHO said the following practices represented the highest risk to human infection and were the most important to avoid. These include; when handling raw poultry or live or dead birds, the global health agency said that it was imperative to disinfect hands and surfaces with soap and water.
Consumers, it said, also need to be sure that during the cooking process, poultry reaches temperatures of at least 70?C in all parts and that eggs are fully cooked throughout.

http://www.thisdayonline.com/nview.php?id=70073
 
Re: Nigeria: Overview of Current Situation

High risk of deadly bird flu in Nigeria, UN official warns

Sun Feb 11, 12:12 PM ET

The risk of the H5N1 virus transferring from animals to humans in Nigeria has not increased since a woman died last month in the first fatality in west Africa from bird flu, a UN official has said.

But Tony Forman, an Australian with the UN Food and Agriculture Organisation (FAO), told AFP Sunday: "The risk is higher in countries where populations are not aware of transmission from bird to human."

The situation in densely-populated Nigeria is similar to that in certain Asian countries, Forman said. "The situation is similar to Asia," he told AFP at the end of an mission here.

The World Health Organisation (WHO) this month confirmed the first human death in Nigeria and west Africa due to the H5N1 virus and sent an expert team to implement an emergency plan of action to prevent the virus spreading throughout the country and elsewhere in the region.

The international team has been cooperating closely with Nigerian officials.
The H5N1 strain was first reported in Nigeria a year ago. The country, with a population of some 140 million, has frontiers with the states of Benin, Cameroon, Chad and Niger.

It is in mainly in Nigeria, Egypt and Sudan that the disease has so far refused to go away in Africa.

Nigerian authorities last Friday announced a fresh outbreak of avian flu, following an eight-month reprieve, in poultry farms in a fourth northern state, Bauchi.

"In the past one week we culled 5,000 chickens following laboratory confirmation of the existence of the avian flu virus in samples of dead chickens," said Bala Usman Suleiman, Bauchi State agriculture commissioner.

Forman said the likely immediate source of the flu outbreak in Lagos was Onipanua poultry market in the north of the city, "where the family (of the deceased woman) bought a chicken a little before Christmas."

"Much poultry sold and eaten in Lagos comes from outside Lagos. That might pose a problem," Forman said. "The difficulty is: which trader sold the infected bird?"

He praised the prompt response of the Nigerian authorities, saying: "The government has done a good job."

This explained why only one human death had been recorded so far in Africa's most populous country, he said. But he also warned: "There may have been undetected or unreported cases."
http://news.yahoo.com/s/afp/2007021...ia_070211171208;_ylt=A0WTUcy_T89Fh0wA_x.TvyIi
 
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