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Spend money on dengue, not bird flu: WHO

Shiloh

Editor, Senior Moderator
Source: http://news.theage.com.au/world/spend-money-on-dengue-not-bird-flu-who-20080919-4jxv.html

Spend money on dengue, not bird flu: WHO
September 19, 2008

Money spent trying to stop bird flu in the Pacific would be better used fighting a pandemic of dengue fever affecting thousands in the region, the World Health Organisation says.

Dr Kevin Palmer, the WHO representative in Samoa, said the Pacific needed more funds to battle what was likely the worst-ever dengue fever outbreak.

"There has been hundreds of millions of dollars spent on bird flu and bird flu pandemic preparedness. Bird flu is something that hasn't happened and probably won't happen," he said.

"The Pacific is experiencing this dengue outbreak, a dengue pandemic, and it would require only a very small amount of funds to really make a difference.

"This is a pandemic that is real, it is here, it is now, and having a direct effect on the health and the economy of the people that it has hit," Palmer said.

Fiji authorities say 966 people have been affected by the disease this month, causing 118 people to be treated in hospital.

Kiribati has had 831 diagnosed cases this year, New Caledonia had 866 and Samoa had 427.

There have also been serious outbreaks of dengue fever in French Polynesia, the Cook Islands and elsewhere.


"Look at bird flu. How many people? Eight hundred people total have been affected since we started counting years ago. It is minuscule," Palmer said.

Dengue fever is contracted when people are bitten by infected Aedes mosquitoes and if untreated can be fatal.

The disease was unheard of in the Pacific until last century, and is thought to have been introduced with mosquitoes aboard a shipment of used tyres from Asia in the 1960s.

With global warming it was possible more of the Pacific and Australia, where the disease was not currently endemic, would experience dengue problems, Palmer said.
 
Re: Spend money on dengue, not bird flu: WHO

"Look at bird flu. How many people? Eight hundred people total have been affected since we started counting years ago. It is minuscule," Palmer said.


WHO - website says 387 were infected with bird flu.

http://www.who.int/csr/disease/avian_influenza/country/cases_table_2008_09_10/en/index.html

Like many others infectious diseases, bird flu probably is underreported; 800 would not be surprising, but mr. Palmer- from WHO - may be should explain this.


Also may be he could explain why a bird flu pandemic will not happen.

According to WHO website " The world may be on the brink of another pandemic" http://www.who.int/csr/disease/influenza/pandemic10things/en/index.html


He is right about dengue fever, seems to spread: in Asia, the Pacific, Africa, Latin America and with global warming, it will eventually come to Northern America and Europe.


From WHO website:


Global burden of dengue


The incidence of dengue has grown dramatically around the world in recent decades. Some 2.5 billion people – two fifths of the world's population – are now at risk from dengue. WHO currently estimates there may be 50 million dengue infections worldwide every year.

In 2007 alone, there were more than 890 000 reported cases of dengue in the Americas, of which 26 000 cases were DHF.

The disease is now endemic in more than 100 countries in Africa, the Americas, the Eastern Mediterranean, South-east Asia and the Western Pacific. South-east Asia and the Western Pacific are the most seriously affected. Before 1970 only nine countries had experienced DHF epidemics, a number that had increased more than four-fold by 1995.

Not only is the number of cases increasing as the disease is spreading to new areas, but explosive outbreaks are occurring. In 2007, Venezuela reported over 80 000 cases, including more than 6 000 cases of DHF.

Some other statistics:

During epidemics of dengue, infection rates among those who have not been previously exposed to the virus are often 40% to 50%, but can reach 80% to 90%.
An estimated 500 000 people with DHF require hospitalization each year, a very large proportion of whom are children. About 2.5% of those affected die.
Without proper treatment, DHF fatality rates can exceed 20%. Wider access to medical care from health providers with knowledge about DHF - physicians and nurses who recognize its symptoms and know how to treat its effects - can reduce death rates to less than 1%.

The spread of dengue is attributed to expanding geographic distribution of the four dengue viruses and their mosquito vectors, the most important of which is the predominantly urban species Aedes aegypti. A rapid rise in urban mosquito populations is bringing ever greater numbers of people into contact with this vector, especially in areas that are favourable for mosquito breeding, e.g. where household water storage is common and where solid waste disposal services are inadequate.


http://www.who.int/mediacentre/factsheets/fs117/en/

Edit: Guess his frustration on how little is done to prevent dengue fever made him vulnerable for an attack of "flu fatigue", another threat according to WHO.
http://www.flutrackers.com/forum/showthread.php?t=79635
 
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