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Pakistan - BF Suspected Human Cases December 18, 2007 to Feb 2, 2008

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Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

KARACHI: ?No bird flu in Sindh poultry?



<CENTER>By Mukhtar Alam</CENTER>
local02.jpg
KARACHI, Dec 26: Bird flu has not been found in poultry in Karachi and Sindh during the current winter but there is a continued need to remain on high alert, said health, agriculture and livestock officials of the Karachi district and the provincial government at a meeting held on Wednesday.

While urging that there was no need for panic, the meeting concluded that efforts must be made to counter the existing communication gap on the H5N1 bird flu virus, said a source privy to the proceedings.

The meeting, convened by the executive district officer (health) of the city district government Karachi (CDGK), came in the wake of Pakistan?s first human death caused by the deadly virus. About a week ago, federal health officials confirmed the death of one of the eight people who had tested positive for the H5N1 bird flu virus in the NWFP since October. It is not yet known whether the latest cases of bird flu in humans were linked to sick birds or were transmitted from human to human.

The CDGK meeting reviewed the city?s preparedness in terms of combating the spread of bird flu, caused by the H5N1 virus and also known as avian influenza or Asian bird flu. Amongst the attendees were EDO health Dr A.D. Sajnani, EDO agriculture Dr Mohan Lal, Director Poultry Ali Akbar Soomro, Dr Aslam Jalali of the provincial livestock department, Dr Aslam Pervez of the CDGK, representatives of the World Health Organisation and the Pakistan Poultry Association, and representatives of poultry farmers.

According to Dr Jalali, poultry samples were being culled and frequently tested in laboratories but no bird flu cases had so far been found in Karachi or Sindh. He said that his department had also conducted tests on backyard poultry and the birds in the big Empress Market shops.

Dr Sajnani pointed out the dearth of communication between the livestock, agriculture and health departments, and the poultry farmers. This was obvious, he said, given that the handlers of public health and hospitals sometimes gained information from the media about a bird flu outbreak. ?Only a timely flow of information can help evolve strategies and effective implementation and counter-measure plans,? he stated.

Some participants also laid emphasis on the need for the CDGK health department to build its capacity in case of the H5N1 virus being transmitted to humans.

Meanwhile, a poultry farmer?s representative said that there was a need to test wild birds, the seasonal migratory birds at Manchar Lake and other water bodies across the province, and the birds housed in zoos and Empress Market.

Mutation fears

The H5N1 virus has been circulating in Asia since 1997 and first appeared in Pakistan around two years ago. Since then, several outbreaks have been reported in various parts of the country, an official told Dawn.

The national poultry disease reference laboratory last confirmed the presence of the virus in Karachi in the first week of April this year. Prior to confirmation from Islamabad, between four and seven thousand birds died of the viral infection while about 28,000 birds were killed at three Gadap town poultry farms, which were then maintained by the farms and provincial livestock department.

At least 208 people have died from the virus. Experts say that in its present form, bird flu is transmitted only through people with some sort of contact with infected birds.

However, scientists are of the opinion that the virus is evolving and could mutate into a form that spreads easily amongst people, which could potentially spark a pandemic. Many countries have stockpiled anti-viral bird flu medicines that could prevent some of the effects of the virus in humans by boosting the body?s immune system.

http://www.dawn.com/2007/12/27/local6.htm
 
Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

We are an apolitical site, however, we do follow events as they impact the ability to ascertain disease status. Serious internal turmoil is of interest in this regard.

AP News Service via CNN TV is reporting that she is now dead.


RAWALPINDI. Pakistan (CNN) -- Former Pakistan Prime Minister Benazir Bhutto is said to be critically wounded following a suicide attack on a political rally in Rawalpindi, her husband, Asif Ali Zardari, was quoted as saying on CNN affiliate Geo TV.
<!--startclickprintexclude-->
art.bhutto.jpg
Bhutto is helped from her vehicle following the October 18 suicide attack on her motorcade.




1 of 2


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<script type="text/javascript"> var CNN_ArticleChanger = new CNN_imageChanger('cnnImgChngr','/2007/WORLD/asiapcf/12/27/pakistan.sharif/imgChng/p1-0.init.exclude.html',1,1); //CNN.imageChanger.load('cnnImgChngr','imgChng/p1-0.exclude.html'); </script> <!--endclickprintexclude--> The attack has left at least 14 dead and 40 injured, Tariq Azim Khan, former Pakistan information minister, told CNN in a telephone interview.
The bomber is said to have detonated a bomb as he tried to enter the rally where thousands of people gathered to hear Bhutto speak, police said....



http://edition.cnn.com/2007/WORLD/asiapcf/12/27/pakistan.sharif/?iref=hpmostpop
 
Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

Location of assasination is about 25 miles from site of October culling.
 
Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

One reaction so far.....crude futures up $.70 barrel since killing.

A tough situation for national & international agencies investigating disease.

CORRECTED - US STOCKS-Futures fall after reports Pakistan's Bhutto killed

Thu Dec 27, 2007 8:40am EST
(Corrects prices in second paragraph.) (Updates to show reaction to Bhutto)
NEW YORK, Dec 27 (Reuters) - U.S. stock index futures fell on Thursday, after the Pakistani opposition party said their leader Benazir Bhutto was killed.
S&P 500 futures SPc1 were down 6.10 point, below fair value, a mathematical formula that evaluates pricing by taking into account interest rates, dividends and time to expiration on the contract. Dow Jones industrial average futures DJc1 fell 58 points. Nasdaq 100 NDc1 futures were down 8 points.


http://www.reuters.com/articlePrint?articleId=USN2739328720071227
 
Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

Here's my reaction:

SORROW, OUTRAGE, AND ACHING FOR PEACE.



This article tells what others are concerned about, a TRUE GREED TRIBUTE:


Gold and bonds rise after Bhutto death
Thu Dec 27, 2007 2:13pm GMT

LONDON (Reuters) - Gold and government bonds rose while U.S. stock futures fell on Thursday after news Pakistani opposition leader Benazir Bhutto was killed in a gun and bomb attack after a rally in the city of Rawalpindi.

Financial market moves accelerated after weaker-than-expected U.S. economic data released shortly after the news. Data showed new orders for long-lasting U.S.-made manufactured goods rose by a much less-than-expected 0.1 percent during November.

Gold rallied to a one-month high, reaching $834.70 an ounce.


Analysts say the shock of the Bhutto news triggered a classic capital flight to assets which are considered as safe havens in times of geopolitical stress.

"(Bhutto) is just a concern. The move to gold is the flight to safety and quality on the headlines on a quiet illiquid day," said Camilla Sutton, currency strategist at Scotia Capital in Toronto.

U.S. government bond prices were up 78 ticks for a yield of 4.1872 percent. Euro zone government bond prices also rose after the Bhutto news and U.S. data, paring earlier losses to standing slightly down on the day.

U.S. stock futures were down around 0.3 percent, indicating a weaker open on Wall Street later.

World stocks, on a MSCI measure, were up a quarter percent on the day.

(Reporting by Natsuko Waki)

http://uk.reuters.com/article/businessNews/idUKL2770807220071227
 
Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

Here's the winner of the NO BRAINER HEADLINE AWARD for 2007:



Bhutto assassination could bring outbreak of violence


Associated Press - December 27, 2007 9:33 AM ET

RAWALPINDI, Pakistan (AP) - There are fears that Pakistan could erupt in violence, after the assassination of opposition leader Benazir Bhutto.

Aides say she was shot in the neck and chest by an attacker who then blew himself up. The attack took place as Bhutto left a rally where she had addressed thousands of supporters in the city of Rawalpindi.

At least 20 other people were killed in the explosion.

A member of Bhutto's party who was at the hospital where she was taken confirmed her death. Bhutto's supporters exploded in anger, smashing the glass door at the main entrance of the emergency unit. Others burst into tears. Some began chanting that President Pervez Musharraf is a "killer." A few people outside began stoning cars.

The death of the charismatic former prime minister throws the campaign for next month's election into chaos.

Bhutto, who twice served as Pakistan's prime minister, had returned there from an 8-year exile in October. Her homecoming parade was also targeted by a suicide attacker, who killed more than 140 people.

Copyright 2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

http://www.whotv.com/Global/story.asp?S=7546739&nav=menu100_2
 
Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

http://www.who.int/csr/don/2007_12_27/en/index.html

Avian influenza ? situation in Pakistan - update

27 December 2007
The first case of human infection with H5N1 avian influenza has been confirmed in Pakistan. Laboratory tests conducted by the WHO H5 Reference Laboratory in Cairo, Egypt and WHO Collaborating Center for Reference and Research on Influenza, in London, United Kingdom have confirmed the presence of avian influenza virus strain A(H5N1) in samples collected from one case in an affected family. Additional laboratory analysis, including gene sequencing, is ongoing.
At the request of the Pakistan Government, a WHO team traveled to Pakistan to participate with national authorities in the ongoing investigations of several suspected cases of human H5N1 infections. The following conclusions have been made accordingly:
  • The preliminary risk assessment found no evidence of sustained or community human to human transmission.
  • All identified close contacts including the other members of the affected family and involved health care workers remain asymptomatic and have been removed from close medical observation.
The Ministry of Health in Pakistan has taken timely steps to investigate and contain this event including case isolation, contact tracing and monitoring, detailed epidemiological investigations, increasing the availability of personal protective equipment, dedicating hospital facilities for any new suspected cases, and other infection control measures. In addition, agricultural authorities, including the Ministry of Food, Agriculture and Livestock and FAO, have been active technical partners for the effective control of this limited outbreak.
 
Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

WHO confirms human-to-human birdflu case <!-- END HEADLINE -->
<!-- BEGIN STORY BODY -->22 minutes ago


The World Health Organization (WHO) confirmed on Thursday a single case of human-to-human transmission of the H5N1 bird flu virus in a family in Pakistan but said there was no apparent risk of it spreading wider.
A statement from the U.N. agency said tests in its special laboratories in Cairo and London had established the "human infection" through presence of the virus "collected from one case in an affected family."
But it said a WHO team invited to Pakistan to look into an outbreak involving up to nine people, from late October to December 6 had found no evidence of sustained or community human-to-human transmission.
No identified close contacts of the people infected, including health workers and other members of the affected family, had shown any symptoms and they had all been removed from medical observation, the WHO added.
The outbreak followed a culling of infected chickens in the Peshawar region, in which a veterinary doctor was involved. Subsequently he and three of his brothers developed proven or suspected pneumonia.
The brothers cared for one another and had close personal contact both at home and in the hospital, a WHO spokesman in Geneva said. One of them, who was not involved in the culling, died on November 23.
His was the human-to-human transmission case confirmed by the WHO. The others all recovered.
"All the evidence suggests that the outbreak within this family does not pose a broader risk," the WHO spokesman told Reuters. "But there is already heightened surveillance and there is a need for ongoing vigilance."
It was the first human-to-human case of H5N1 transmission in Pakistan, while others have been confirmed in Indonesia and Thailand in similar circumstances of what the WHO calls close contacts in a very circumscribed area.
Global health experts fear the virus -- which has killed 211 people out of 343 infections reported since 2003 -- could mutate into a form that spreads easily from one person to another, possibly triggering a pandemic that could kill millions.
(Writing by Robert Evans)

http://news.yahoo.com/s/nm/20071227...c&printer=1;_ylt=Aojme1yRazdrSNd5O1MSTOsR.3QA
 
Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

Tests confirm 1 positive case in large bird flu cluster in Pakistan

42 minutes ago
The World Health Organization says testing has confirmed that one member of a large family in Pakistan was infected with H5N1 avian flu.
The WHO says blood tests from survivors in the large cluster of suspected cases will be needed to determine if other members of the family were also infected with the virus.
A WHO expert says original samples taken from other members of the family didn't test positive at a WHO reference laboratory in London.
But Dr. Frederick Hayden says that may be because of the quality of the specimens available for testing.
Hayden says there remains a probability other members of the family were infected with the virus, which has killed at least 212 people in 14 countries over the past four years.
Hayden says the WHO still believes the cluster involved limited human-to-human spread of the virus but that all evidence suggests transmission stopped in late November.

http://canadianpress.google.com/article/ALeqM5hdRCUcGhj2ak4ywZGujoEVEKFxXg
 
Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

The World Health Organization (WHO) confirmed on Thursday a single case of human-to-human transmission of the H5N1 bird flu virus in a family in Pakistan but said there was no apparent risk of it spreading wider.
A single case of human-to-human transmission is very different than one individual testing positive. By definition, human-to-human transmission requires two infected individuals.
 
Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

A single case of human-to-human transmission is very different than one individual testing positive. By definition, human-to-human transmission requires two infected individuals.
And positive lab test require samples that are not degraded.
 
Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

Commentary

Confirmation of H5N1 Transmission in Pakistan

Recombinomics Commentary 19:24
December 27, 2007

http://www.recombinomics.com/News/12260701/H5N1_Egypt_First.htmlThe outbreak followed a culling of infected chickens in the Peshawar region, in which a veterinary doctor was involved. Subsequently he and three of his brothers developed proven or suspected pneumonia.

The brothers cared for one another and had close personal contact both at home and in the hospital, a WHO spokesman in Geneva said. One of them, who was not involved in the culling, died on November 23.

His was the human-to-human transmission case confirmed by the WHO. The others all recovered.

"All the evidence suggests that the outbreak within this family does not pose a broader risk," the WHO spokesman told Reuters. "But there is already heightened surveillance and there is a need for ongoing vigilance."

The above comments provide additional data supporting human-to-human (H2H) transmission of H5N1 in Pakistan. The brothers of the index cases had bird flu symptoms, including pneumonia, and had not participated in the cull. However, they did care of each other, providing exposures that could transmit bird flu from one family member to another (H2H).

Confirmation of one of the fatal cases is described above. The other fatal case was said to have not been tested, although media reports indicate samples were collected from both fatal cases. Moreover, recent media reports describe initial confirmation failures at the labs in London.

These reports sound strikingly familiar to reports from the outbreaks in Turkey, two years ago. Although 21 cases were lab confirmed in Turkey, the WHO reference lab could only confirm 12 of the cases and sequences have only been released from four of the cases. In Turkey, almost all positives were from clusters, indicating they were true positives. Two years ago the false negatives in London were attributed to samples degradation.

Media reports suggest more false negatives have been generated in London. These false negatives by WHO regional reference labs again raise serious questions about negatives in human and bird tests. In Turkey, the first four siblings all tested negative initially, and the sole survivor remains unconfirmed.

False negatives by WHO reference labs remain causes of concerns.


.
 
Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

Tests confirms 1 positive case in large bird flu cluster; more testing needed

2 hours ago
One member of a large family of suspected H5N1 avian flu cases in Pakistan was found positive for infection in confirmatory testing by two international influenza laboratories, the World Health Organization announced Thursday.
The finding supports the WHO's belief that limited human-to-human spread occurred in the family but that transmission stopped in late November, a WHO influenza expert said in an interview from Geneva.
Dr. Frederick Hayden said confirmatory tests on specimens taken from a number of other members of the family were not positive. But that shouldn't be taken as a sign that they were never infected, he cautioned.
"I think that there's a probability that other individuals in this family were in fact H5N1-infected," said Hayden, adding that blood testing on surviving members of the family holds the key to fleshing out how many infections actually occurred in this cluster.
The confirmed positive test came from a man who was the third member of a family of several brothers to become sick after one brother, a veterinary worker, was involved in culling poultry infected with H5N1. The man, 25, died on Nov. 28.
The negative results may be the product of degradation of specimens that were shipped to a WHO collaborating lab in London for confirmatory testing, Hayden said. Other factors could also have affected the results, including when in the course of infection the specimens were taken or whether suspect cases were started on antiviral drugs before a sample was taken.
Testing on four other people unrelated to the family suggests none was infected with H5N1. Three were poultry cullers and the fourth was a doctor who treated the family cluster cases. But testing the blood of the doctor for antibodies to the virus will be important to rule out infection, Hayden said.
"Among the other preliminary positives that Pakistan had reported, there are some that are influenza positive but H5 negative. And it looks as if in fact that at least one of them is a seasonal influenza infection - not in that family unit, but in another patient that was reported in another part of the country," he said.
The cluster of family cases dates back to late October, when the veterinary worker who was involved in culling poultry infected with H5N1 fell ill. The man survived his illness.
Two brothers who cared for him, both before he entered hospital and while he was there, later fell ill and died. Hayden said investigations in Pakistan suggest neither of these men were exposed to infected poultry, pointing to the veterinary worker as their source of exposure.
One of the brothers died on Nov. 19; he was not tested for H5N1 and cannot be added to the list of confirmed cases.
The other died on Nov. 28. (The WHO had earlier said the man died on Nov. 29.) This man was the first in the cluster to be tested for H5N1 and his positive test was the first reported by Pakistan.
It was this specimen that also tested positive in London and by experts from a U.S. Navy laboratory in Cairo - the lab is known as NAMRU 3 - who travelled to Pakistan to help in the investigation into the outbreak.
A fourth brother was also hospitalized for illness around the same time. He survived. Several other members of the family tested negative for infection, including a brother and his son who live on Long Island, N.Y. They had travelled to Pakistan to attend at least one of the funerals and suffered mild respiratory symptoms on their return to the United States.
In early December, the U.S. Centers for Disease Control sent a plane to Albany, N.Y., to collect samples taken from the two. Testing at the CDC's labs in Atlanta confirmed the man and his son were not infected with the virus.


http://canadianpress.google.com/article/ALeqM5hdRCUcGhj2ak4ywZGujoEVEKFxXg
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Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

WHO confirms inter-human bird flu transmission in Pakistan<!-- Author --><!-- intro -->
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<!-- Subtitle --><!-- Text -->Experts with the World Health Organisation (WHO) on Thursday confirmed the first case of inter-human transmission of bird flu in Pakistan, but ruled out any risk of a widespread outbreak.
Laboratory tests established that the person had been infected with the potentially fatal H5N1 strain of the virus, even though had not been in contact with contaminated poultry.
"Because we have an individual not directly exposed to sick birds suggests a limited human-to-human transmission," said spokesman John Rainford told AFP.
Human-to-human contamination has been reported in Cambodia, Indonesia and Vietnam in recent months, but has not spread beyond a single person. A suspected case in China was denied by the authorities there.
In the latest case in Pakistan, a WHO statement said preliminary checks had found "no evidence of sustained or community human to human transmission."
It added: "All identified close contacts including the other members of the affected family and involved health care workers remain asymptomatic and have been removed from close medical observation."
Experts fear that if the H5N1 strain mutates into a highly contagious form, it would provoke a pandemic on the scale of the 1918 Spanish flu outbreak, which claimed tens of millions of lives.
The WHO team was sent after the ministry announced the death of a man who was one of six people infected with the H5N1 strain in North West Frontier Province along the Afghanistan border.

http://www.france24.com/france24Pub...?id=071227220040.flytgc4y&cat=null&print=true
 
Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

Tests confirm 1 case in large bird flu cluster in Pakistan; more tests needed

37 minutes ago
One member of a large family of suspected H5N1 avian flu cases in Pakistan was found positive for infection in confirmatory testing by two international influenza laboratories, the World Health Organization announced Thursday.
The finding supports the WHO's belief that limited human-to-human spread occurred in the family but that transmission stopped in late November, a WHO influenza expert said in an interview from Geneva.
Dr. Frederick Hayden said confirmatory tests on specimens taken from a number of other members of the family were not positive. But that shouldn't be taken as a sign that they were never infected, he warned.
"I think that there's a probability that other individuals in this family were in fact H5N1-infected," said Hayden, adding that checking the blood of surviving members of the family for antibodies to the virus should reveal how many infections actually occurred in this cluster.
"Until the followup serology (blood testing) is done, we can't be strong in saying that H5 has been ruled out in any of these people. I think especially in the family unit one would want to be cautious," he said.
"But the good news, of course, is the epidemiologic data are secure that this is not an ongoing event."
The news comes at a time when H5N1 activity is on the upswing. In recent days human cases have been reported by Indonesia, Vietnam and Egypt.
The confirmed positive test came from a man who was the third member of a large family to become sick after one brother, a veterinary worker, was involved in culling poultry infected with H5N1. The man who tested positive died on Nov. 28.
Testing done by Pakistan's National Institute of Health earlier in December identified nine possible cases, five in the family cluster, a female doctor who had treated members of the family and three poultry cullers who were unrelated to the family. A 10th possible case, another brother in the family, died without having been tested.
Some of the testing was done using a PCR or polymerase chain reaction test that looks for traces of virus in sputum samples. In other cases the Pakistan lab looked for antibodies in blood using a test which has not been validated as effective in finding H5N1 infections.
Retesting by the WHO collaborating centre for influenza in London and by experts from a U.S. naval laboratory in Cairo - known as NAMRU-3 - did not support the initial positive findings on all the suspect cases, Hayden admitted.
The negative results may be the product of degradation of specimens due to multiple freezing and thawing of the samples, he said. Other factors could have affected the results, including when in the course of infection the specimens were taken or whether suspect cases were started on antiviral drugs before a sample was taken.
As well, tests on some of the suspect cases point to infection with human influenza viruses, not the avian strain. Hayden said it appears the Pakistan laboratory may have set a low sensitivity threshold in their testing in order to be sure to catch all possible cases, but in the process found some human flu infections as well.
Testing on the doctor and the three poultry cullers, who all survived, suggests none was infected with H5N1, though one of the cullers tested positive for the human flu strain H1N1.
The doctor, who had a cough and what looked like a head cold, tested negative in London and by the NAMRU experts.
"To me the available evidence would suggest that she did not have an H5 illness," said Hayden, adding blood testing of the doctor and other health-care workers who cared for the brothers would be important.
The strongest evidence of infection appears to be among four of the brothers. Hayden said for these men, there was either X-ray evidence of pneumonia or pneumonia was suspected because of their symptoms.
The cluster dates back to late October, when the veterinary worker who was involved in culling poultry infected with H5N1 fell ill. The man, who required hospitalization, survived his illness.
Two brothers who cared for him, both before he entered hospital and while he was there, later fell ill and died. Hayden said investigations in Pakistan suggest neither of these men were exposed to infected poultry, pointing to the veterinary worker as their source of exposure.
One of the brothers died on Nov. 19; he was not tested for H5N1 and cannot be added to the list of confirmed cases.
The other died on Nov. 28. (The WHO had earlier said the man died on Nov. 29.) This man was the first in the cluster to be tested for H5N1 and his positive test was the first reported by Pakistan. It was this specimen that also tested positive in London and by scientists from NAMRU.
A fourth brother was also hospitalized for illness around the same time. He survived.
Two more brothers who lived in Pakistan showed no symptoms of illness but were tested. Initial testing suggested one was positive, but that was not confirmed by the London lab, Hayden said. He noted the testing by the NAMRU experts suggest the man may have had influenza, but not H5N1.
"He's another one where I think followup serologic testing is going to be very important," he said.
Yet another brother, who lives on Long Island, N.Y., travelled to Pakistan with his son to attend at least one of the funerals. On their return to the United States they suffered mild respiratory symptoms and consulted their family doctor, who alerted New York State public health authorities.
In early December, the U.S. Centers for Disease Control sent a plane to Albany, N.Y., to collect samples taken from the two. Testing at the CDC's labs in Atlanta confirmed the man and his son were not infected with the virus.
A cousin who lived near the family and who worked at the hospital where the brothers were treated, was also ill with fever at the time. He initially tested positive for H5N1 but testing by NAMRU and in London suggests he was not infected with the virus.
To date there have been 343 confirmed H5N1 cases in 14 countries, with the virus claiming the lives of 212 of those people.

http://canadianpress.google.com/article/ALeqM5hdRCUcGhj2ak4ywZGujoEVEKFxXg
 
Re: Pakistan: December 18+, WHO Begins Investigations

Re: Pakistan: December 18+, WHO Begins Investigations

UN offices closed all over Pakistan
Staff Report

PESHAWAR: The United Nations closed its offices in NWFP and other provinces from today (Friday) till further orders following the assassination of PPPP chairwoman Benazir Bhutto on Thursday.

A notification issued from the UN?s Department of Safety and Security, asked all its offices to suspend operations till further orders, a source told Daily Times here. The notification asked all the international staff of the United Nations in its offices in the provinces to shift to Islamabad forthwith.:tiphat: http://www.dailytimes.com.pk/default.asp?page=2007\12\28\story_28-12-2007_pg7_27
 
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