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Pakistan: Human H5N1 Cluster December 2007

Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

Two of the brothers died from pneumonia-like symptoms but were buried by family members before health officials could take blood samples to test for the virus.

From post #105 - I don't find this statement credible. Everytime I've been hospitalized they drew blood soon and continuosly, and I didn't have an infectious disease.
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

The vet is/was in the same hospital, too, right?
Yes, given the new information, and assuming multiple errors in the media stories, it is possible to squeeze the patients down to the seven in the latest report on confirmed cases and assume cluster 1 and 3 are the same.

That would give seven patients - four in one cluster (2 died and 2 recovered, including the discharged patient), 2 in another (culler and daughter) plus the hospitalized male.
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

Bird flu Surveillance Cell set-up in Islamabad
'Pakistan Times' Wire Service

ISLAMABAD: Federal Health Ministry has Friday set up Surveillance Cell here in view of the looming threat posed by bird flu in the country.
Federal Health Secretary Khushnood Lashari said the cell will oversee the bird flu situation across the country. Director General of National Health Institute will head the cell with the provincial secretaries as its members.
According to Khsunood Lashari, all provincial departments have been directed to ensure the effective implementation of surveillance system regarding the bird flu.
Lashari said that no case of bird flu was reported in the past ten days across the country.
Responding to a question, the federal health secretary said bird flu could not be confirmed even in the death of two brothers who died in Peshawar.
Meantime, Caretaker Health Minister Fozia Lari called a meeting of experts on Saturday in connection with bird flu.

http://www.pakistantimes.net/2007/12/15/top16.htm</B>
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

Bird Flu Infects Five People in Pakistan; Cases Rise (Update1)

By Khaleeq Ahmed

Dec. 15 (Bloomberg) -- Bird flu infected at least five people in Pakistan, a health official said, adding to the four cases recorded in Indonesia, China and Myanmar this month.

Pakistan's ministry of health in Islamabad reported the nation's first human avian influenza cases yesterday and said it can't confirm whether two brothers who died last week had also been infected with the lethal H5N1 strain because they were buried before specimens were collected.

``The two brothers died from pneumonia-like symptoms, but were buried by family members before health officials could take blood samples to test for the virus,'' Federal Health Secretary Khushnood Lashri said in an interview yesterday.

The new cases show the deadly H5N1 flu strain is continuing to spread, putting people at risk of the disease and creating opportunities for the virus to become adept at infecting humans. The World Health Organization says millions could die if the virus becomes as contagious as seasonal flu and touches of a global pandemic.

At least 340 people in 13 countries have contracted the virus since 2003. Three of every five cases were fatal and most were caused by contact with infected poultry, such as children playing with them or adults butchering them or plucking feathers, according to the Geneva-based WHO.

Including the five most recent cases, nine people are reported to have been infected with H5N1 so far this month, the most since June. There were five recorded cases in December 2006.

Poultry Outbreaks

Pakistan has reported 44 H5N1 outbreaks in poultry to the World Organization for Animal Health since early 2006. The most recent occurred on Nov. 27 and 28 in the states of Punjab and North-West Frontier Province, killing almost 20,000 chickens.

Suspected H5N1 fatalities in Pakistan were reported by the News yesterday. Two brothers died Dec. 10 at Khyber Teaching Hospital in Peshawar after contracting the virus, possibly at the poultry farm on which they worked in Mansehra, the daily national newspaper reported, citing Siddiqur Rahman, the hospital's acting chief executive. Mansehra is in North-West Frontier Province, which borders Afghanistan.

Of those who have tested positive for the virus, three have been hospitalized in Mansehra, said Lashri at the health ministry. The most recent infection was diagnosed Dec. 5, he said. The other cases are in the provincial capital, Peshawar, one of whom has recovered and was discharged from the hospital.

Those still infected have been quarantined and authorities from the Ministry of Food, Agriculture and Livestock are checking whether the disease has spread further among poultry flocks. Supplies of Roche Holding AG's antiviral medicine, Tamiflu, have been dispatched to affected districts.

Myanmar Case

Myanmar, formerly known as Burma, confirmed its first human H5N1 infection in a 7-year-old girl from the township of Kyaing Tone in eastern Shan state, WHO said in a statement yesterday. The case was detected through routine surveillance following an outbreak of H5N1 in poultry in the area in mid-November, the agency said.

The girl developed fever and a headache on Nov. 21 and was hospitalized six days later. She has now recovered, WHO said. The National Health Laboratory in Yangon and the National Institute of Health in Thailand made the initial diagnosis, which was confirmed at the WHO Collaborating Centre for Reference and Research on Influenza in Tokyo, the agency said.

To contact the reporter on this story: Khaleeq Ahmed in Islamabad on paknews@bloomberg.net
Last Updated: December 15, 2007 02:44 EST

http://www.bloomberg.com/apps/news?pid=20601091&sid=aTtDAjTZwqxI&refer=india
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

Theresa42, can you edit my list that you posted?



Correct Information:

Mohammad Owais Durrani - Cared for Ishtiaq in hospital. Died
on 11/29.
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

Post #128 by AnneZ:

Bird flu infected at least five people in Pakistan, a health official said, adding to the four cases recorded in Indonesia, China and Myanmar this month.

said it can't confirm whether two brothers who died last week had also been infected with the lethal H5N1 strain because they were buried before specimens were collected.

Including the five most recent cases, nine people are reported to have been infected with H5N1 so far this month,


Suspected H5N1 fatalities in Pakistan were reported by the News yesterday. Two brothers died Dec. 10 at Khyber Teaching Hospital in Peshawar after contracting the virus, possibly at the poultry farm on which they worked in Mansehra,

How can they say here, two brother contracted virus, when above, they state they can't "confirm" because buried without specimens collected.

Of those who have tested positive for the virus, three have been hospitalized in Mansehra,.....
The most recent infection was diagnosed Dec. 5, he said. The other cases are in the provincial capital, Peshawar, one of whom has recovered and was discharged from the hospital.

3 people hospitalized in Mansehra. Maybe Cluster 2: Laboror and "3rd person hospitalized", and who else? I think the daughter has been discharged. Most recent diagnosis, 12/5.

Those still infected have been quarantined.....
Supplies of Roche Holding AG's antiviral medicine, Tamiflu, have been dispatched to affected districts.
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

"Including the five most recent cases, nine people are reported to have been infected with H5N1 so far this month, the most since June. There were five recorded cases in December 2006."

I think this part refers to the entire world, not just Pakistan since it follows a paragraph on world totals.

The situation in Pakistan is not clear at this time. Hopefully WHO personnel can evaluate the situation.

A press release from the CDC would be a nice addition to the information. At least we could have a better understanding of the details of one cluster of brothers.

Thank you Commonground for all of your hard work.

In fact, thank you to everyone on all the "bird flu" sites that are contributing to finding the truth of this situation (in no particular order): yielddude, Niko, Dutchy, Niman, Theresa42, FrenchieGirl, Shannon, Laidback Al, ironorehopper, AlaskaDenise, Blue, Snowy Owl, Farmer, and AnneZ.

I understand some of the "bird flu" bloggers are following this event too: Scott McPherson, Fla Medic, Monotreme. If you would like to place your blogs about this event here at FT or in this thread, please do. Thank you for rising the awareness level with your commitment to thoughtful expression.

This is why FT promotes all sites. We want the dialog. We have our particular way and other sites have theirs. It is a rich tapestry of information exchange.
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

"Including the five most recent cases, nine people are reported to have been infected with H5N1 so far this month, the most since June. There were five recorded cases in December 2006."

I think this part refers to the entire world, not just Pakistan since it follows a paragraph on world totals.

Phew!
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

One dead, six infected by bird flu in Pakistan
15 Dec 2007 11:30:03 GMT
<!-- 15 Dec 2007 11:30:03 GMT ## for search indexer, do not remove --> Source: Reuters

<!-- AN5.0 article title end -->
<script language="JavaScript" src="http://www.alertnet.org/bin/js/article.js"></script> <input value="13" name="CurrentSize" id="CurrentSize" type="hidden"> <!-- One dead, six infected by bird flu in Pakistan --> <!-- Reuters --> ISLAMABAD, Dec 15 (Reuters) - One person has died and six other have been infected by the deadly H5N1 bird flu virus in Pakistan's North West Frontier Province in the past two months, a senior Health Ministry official said on Saturday. "Seven in total. One died and six other people were infected with the H5N1 virus," Federal Health Secretary Khushnood Akhtar Lashari told Reuters. "It was confirmed by blood tests." He said two people had recovered and four were in quarantine. (Reporting by Alistair Scrutton; Editing by Robert Birsel)


http://www.alertnet.org/thenews/newsdesk/ISL307895.htm
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

Interesting math.
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

Post #128 by AnneZ:

How can they say here, two brother contracted virus, when above, they state they can't "confirm" because buried without specimens collected.

12/5.

My take on this is that they excluding those two of four brothers from the tally. They are counting: the brother who is a vet, the brother living in America, the chicken culler, the culler's daughter, and the unrelated male.

However, I agree that the dust hasn't settled. There seems to be some discrepency with the previously confirmed cases as well. The article refers to 4 cases outside of Pakistan this month: "Bird flu infected at least five people in Pakistan, a health official said, adding to the four cases recorded in Indonesia, China and Myanmar this month."

I count Five: Two confirmed in Indonesia, two in China, and one in Myanmar.
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

Five cases of bird flu confirmed

By Baqir Sajjad Syed

ISLAMABAD, Dec 14: The Health Ministry on Friday confirmed that five people had been affected by bird flu, but challenged the veracity of two reported deaths linked to the H5N1 infection.

Confirming the bird flu cases, federal health secretary Khushnood Lashri said the infected patients had been quarantined and precautionary steps were being taken in cooperation with the Ministry of Food, Agriculture and Livestock to check further spread of the disease.

Three of the patients are in a hospital in Mansehra and the other two cases have been reported from Peshawar. One of the patients had been discharged from the hospital after recovery, health authorities said.

The last confirmed case had been reported on Dec 5 and there had been no fresh case, a senior health official said.

Stocks of Tamiflu, an antiviral drug used for influenza virus, have been rushed to the affected districts to meet any eventuality.

The two brothers, who were reported to have died of bird flu, were poultry workers and related to two other patients. However, the authorities were still trying to determine if the recent cases involved human-to-human transmission.

Most human cases of H5N1 are linked to contact with infected birds, but experts fear the virus might mutate into a form that spreads easily among humans, potentially sparking a pandemic that could kill a large number of people.

Human-to-human transmissions are extremely rare, with only three previous cases in Indonesia, Cambodia and Vietnam.

Mr Lashari said there was not enough evidence that the two casualties in Peshawar were victims of bird flu.

?Two brothers died from pneumonia-like symptoms, but were buried by family members before health officials could take blood samples to test for the virus.?

The World Health Organisation, he said, had been taken on board about the situation.

Symptoms of bird flu in humans have ranged from typical human influenza-like symptoms ? fever, cough, sore throat, and muscle aches to eye infections, pneumonia, severe respiratory diseases and other life-threatening complications.

So far this year Pakistan has reported 79 outbreaks of bird flu, the latest on Nov 29 in Murree. Of these, 53 outbreaks involved commercial and backyard poultry.

http://www.dawn.com/2007/12/15/top14.htm
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

Does anyone know what culling operation was involved and the dates of that culling, for the 3 cases in Mansehra?

I'm confused on the culling on Oct. 30th, and the culling involved for the 3rd cluster.

The incident and culling of the 1st cluster is not being discussed now? But 4 were tested positive, from that particular incident....:confused:
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

One dead, six infected with bird flu in Pakistan

Sat Dec 15, 2007 5:32pm IST

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[-] Text [+]


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ISLAMABAD (Reuters) - Pakistan has recorded its first human death from bird flu and six other people have been infected with the deadly H5N1 virus over the last two months, a senior Health Ministry official said on Saturday.
"Seven in total. One died and six other people were infected with the H5N1 virus," Federal Health Secretary Khushnood Akhtar Lashari told Reuters. "It was confirmed by blood tests."
The cases were reported in the North West Frontier Province, Lashari said.
Two people have recovered and four are in quarantine.
While Pakistan has registered cases of bird flu in poultry this is the first time it has been reported in humans, Lashari said. The first poultry case appeared in early 2006.
Lashari said no more poultry or human cases had been detected in the last two weeks. A World Health Organisation (WHO) team will arrive in Pakistan in the next few days.
Some 340 people worldwide are known to have contracted the disease which has killed more than 200 since 2003, WHO says.
Indonesia has the heaviest toll, with 115 human cases including 92 deaths, followed by Vietnam with 100 cases and 46 deaths.
Humans rarely contract H5N1 which is mainly an animal disease and has been reported in some 60 countries. Experts fear the strain could spark the next global pandemic and kill millions of people if it mutates.


http://in.reuters.com/article/southAsiaNews/idINIndia-31001620071215
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

6 Pakistanis infected, one fatally, with H5N1 bird flu, government says


2007-12-15 13:57:35 -

ISLAMABAD, Pakistan (AP) - Six people in northern Pakistan were infected with H5N1 bird flu last month and at least one person has died of the disease, the government said Saturday.
It was not immediately clear if the World Health Organization also had identified the bird flu virus as the deadly H5N1 strain.
Of the six people who tested positive, ?Five of them have fully recovered. One of the confirmed cases died in hospital, while his brother who could not be tested has also died,? the Health Ministry said in a statement.
<!--APIMG-->
http://www.pr-inside.com/pakistanis-infected-one-fatally-with-r349809.htm
 
Re: Pakistan: Bird Flu claims 2 lives; more suspects

Re: Pakistan: Bird Flu claims 2 lives; more suspects

One dead, six infected with bird flu in Pakistan

Sat Dec 15, 2007 6:58am EST
(Adds comment)

ISLAMABAD, Dec 15 (Reuters) - Pakistan has recorded its first human death from bird flu and six other people have been infected with the deadly H5N1 virus over the last two months, a senior Health Ministry official said on Saturday.

"Seven in total. One died and six other people were infected with the H5N1 virus," Federal Health Secretary Khushnood Akhtar Lashari told Reuters. "It was confirmed by blood tests."

The cases were reported in the North West Frontier Province, Lashari said.

Two people have recovered and four are in quarantine.

While Pakistan has registered cases of bird flu in poultry this is the first time it has been reported in humans, Lashari said. The first poultry case appeared in early 2006.

Lashari said no more poultry or human cases had been detected in the last two weeks. A World Health Organisation (WHO) team will arrive in Pakistan in the next few days.

Some 340 people worldwide are known to have contracted the disease which has killed more than 200 since 2003, WHO says.

Indonesia has the heaviest toll, with 115 human cases including 92 deaths, followed by Vietnam with 100 cases and 46 deaths.

Humans rarely contract H5N1 which is mainly an animal disease and has been reported in some 60 countries. Experts fear the strain could spark the next global pandemic and kill millions of people if it mutates. (Reporting by Alistair Scrutton; Editing by Robert Birsel and Robert Woodward)

http://www.reuters.com/articlePrint?articleId=USL15305867
 
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