Thailand 7/24-7/27

[Theresa42]

More on Phitsanulok...

More on Phitsanulok...

More on what's going on the Phitsanulok province, including Má-Bpraang and Wang Tong....

Machine-translated from Thai:

Phichit - Phitsanulok main dark catch bird flu
โดย ผู้จัดการออนไลน์ 26 กรกฎาคม 2549 05:29 น.

Public health province Phichit down district Baang Moon Naak distribute glove rubber and mask to villagers protect virus bird flu at the same time measure keep an eye on be careful dark continuously when Phitsanulok find chicken die 4 districts repeat every district strict watch be careful.

Reporter report task spread out virus bird flu in chicken domestic in district at the present time 11 [?] olive district Baang Moon Naak province Phichit by province then announce give every district basically that red and forbid transfer poultry every kind that lately (25 July) bureau public health province can bring glove rubber and mask cover up nose too much distribute offer with farmer in order that protect against virus bird flu at the same time repeat not allow bring chicken die marshland ("maap" -- มาบ ริโภค) at the same time authority livestock still bring carcass chicken that remain send inspect/examine search for virus and spray disinfectant coop chicken.

By field Mr. [name] assistant provincial governor Phitsanulok good success [?] people co-operate public health province veterinarian Ms. [name] livestock province chief officer Baang Gra Toom at the same time authority livestock set move immediately down district village Gra Toom that is area adjoining province Phichit that there is problem virus bird flu spread in district Baang Moon Naak because chicken in district Baang Gra Toom die excessively more hundred each 5 in 4 district 6 village which authority can enter/reach destroy chicken that remain and keep an eye on be careful district method strict besides also meet institute in region repeat in measure control bird flu.

In order that since date 4-24 July this province Phitsanulok destroy poultry in area find death not known cause already 4 districts is district Ma-Braang (เนิน มะปราง), district Wang Tong, district Baang Gra Toom and district Prom Pi-Raam total more than 7,000 bodies [poultry/chickens].

http://www.manager.co.th/Local/View...000095277&Keyword=%e4%a2%e9%cb%c7%d1%b4%b9%a1

 

[Mellie]

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

http://www.recombinomics.com/News/07250602/H5N1_Pichit_Fatality.html

Suspect H5N1 Bird Flu Patient in Pichit Thailand Dies

Recombinomics Commentary
July 25, 2006

A 17-year-old youth from the northern province of Phichit who died from acute lung infection and flu-like symptoms on Monday had probably been infected with the deadly H5N1 bird flu virus, a senior Public Health official revealed yesterday. ''There is a high possibility that this man died from avian influenza,'' the official said, adding that doctors had failed to detect the virus because the tissue samples from the patient had deteriorated.

The official said the youth, from Thap Khlo district, was admitted to the hospital last Tuesday after developing a high fever. His condition deteriorated rapidly.

The teenager had buried about 20 fowls that had died of unknown causes in his village shortly before he fell ill.

The above description strongly suggests that H5N1 human fatalities will soon be confirmed in Thailand. HPAI H5 was reported to the OIE on July 24, 2006, leaving little doubt that H5N1 bird flu was causing fatalities in Thai poultry.

Several patients linked to dead or dying birds are being tested, However, the death of a 17 year with bird flu symptoms which developed after handling dead poultry is a likely bird flu case.

Recent sequences from Laos and Malaysia indicated the Fujian strain of H5N1 in China had moved into southeast Asia. All reported human cases in China in 2005 and 2006 have been the Fujian strain, which is clade 2 and distinct from the earlier clade 1 isolates in Vietnam, Thailand and Cambodia cases in 2004 and 2005.

The large number of reported cases in Thailand suggest there are unreported cases in neighboring Cambodia, Laos, and Vietnam. The reported and unreported human cases are cause for concern.

 

[Sharpe]

Re: More on Phitsanulok...

Re: More on Phitsanulok...

In order that since date 4-24 July this province Phitsanulok destroy poultry in area find death not known cause already 4 districts is district Ma-Braang (เนิน มะปราง), district Wang Tong, district Baang Gra Toom and district Prom Pi-Raam total more than 7,000 bodies [poultry/chickens].

http://www.manager.co.th/Local/ViewNews.aspx?NewsID=9490000095277&Keyword=%e4%a2%e9%cb%c7%d1%b4%b9%a1

So, we can add #5 and 6 to the map of cases--in the south and the NW of the province. District #6 is only 18 miles from the very first warning news article that occurred on June 28th, when two small children were admitted to the hospital after their chickens died. District #5 is 5 miles from the next warning news article on July 4th in which a 7 year old girl was hospitalized. What this means is that the districts that are being reported about in Thailand are the ones where everything began. In other words, there is at least a 4-8 week lag between these outbreaks and the reports we are getting. No wonder they have so many sick people and already at least one death if not many more.

 

[Theresa42]

Re: More on Phitsanulok...

Re: More on Phitsanulok...

What this means is that the districts that are being reported about in Thailand are the ones where everything began. In other words, there is at least a 4-8 week lag between these outbreaks and the reports we are getting. No wonder they have so many sick people and already at least one death if not many more.

Yeah, I agree. You don't get an explosion of cases like this overnight -- this has been brewing for a while now. There's so much info leaking (pouring!) out now that it's hard to keep up ... my head is spinning. This didn't just happen the other day....

 

[Theresa42]

5 yr-old boy suspected case in Má-Bpraang / Army hosp handling overload of patients?

5 yr-old boy suspected case in Má-Bpraang / Army hosp handling overload of patients?

Machine-translated from Thai:

People province Phichit be nervous after find chicken die because bird flu (19.45 o'clock)
วันอังคารที่ 25 กรกฎาคม 2549

Villager group 11 [?] olive district Baang Moon Naak province Phichit different worry that there is chicken die a great number of and task examine prove carcass chicken of Mr. Chumphon find that infected with bird flu that authority can destroy poultry in the period of 5 kilometers and prohibit move poultry in radius 10 kilometers together with enter spray disinfectant place house Mr. Chumphon and house adjacent as for family of Mr. Chumphon also contact watch symptom continuously on time 21 days which at present also not find abnormality

Then can go that home Huay Gruat district Poom Peua Yiam home of girl 10 year that suspected be infected bird flu that also be treated to be at that hospital Phichit at the same time give information to villagers in prevention bird flu for sick persons that wait result confirmation there is to be at 6 persons

When farmer person [?] duck remove field different bring prevent fear but still feel relieved that there is livestock arrive investigate and also not find that infected with bird flu

Province Phitsanulok district Roi Dtor province Phichit also be nervous also because there is chicken die count hundred bodies and also there is boy 5 year have temperature high after touch chicken die then bring send hospital Má-Bpraang

When director-general Dept of Livestock get report situation instruct Council of Ministers (Cabinet) which Prime Minister instruct/order watch/guard be careful and spray disinfectant continuously and every province persuade people bring fighting cock come register every body for province Phichit will ask for approve bring budget help victim nature that province there is to be at 50 million baht come compensate farmers before

Mr. [name] minister administer Ministry of Public Health say that can command every province that find poultry infected with or die unusual everywhere basically that red and tomorrow will go follow situation that province Phichit also onself

There is sick persons too much that hospital armed forces [Army Hospital] catch up with increase [That sounds to me like there are too many patients for the regular hospital to handle so a military hospital is taking the overload...?] again 2 persons result task check find that have a fever blood go out both 2 persons that to be at in district that there is common house mosquito plentiful as for that hospital Uthani Thani find patient fever blood go out 1 person total is patients whole 165 persons and wait results check blood again 4 persons

http://www.ch7.com/news7ch_news_temp_news1.php?NewsID=78216

 

[Sharpe]

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

http://www.bangkokpost.com/breaking_news/breakingnews.php?id=111423
Phichit livestock chief ousted for flu coverup

Agriculture Minister Khunying Sudarat Keyuraphan ordered the transfer of Phichit Province`s chief livestock officer on Wednesday, accusing him of failing to report situation of bird flu disease to the ministry.

The transfer was issued after Khunying Sudarat and caretaker Public Health Minister Pinit Jarusombat visited the province after a teenager was confirmed to have died from the avian disease.

Pracha Assavametha, the chief livestock officer of Phichit, was transferred to the ministry on Wednesday as he failed to prevent the spreading of the disease in the province and failed to report the situation to the minister.

However, Mr Pracha said he actually had reported the situation of mysterious deaths of birds and chickens to the ministry and the minister.

Earlier Wednesday, caretaker Prime Minister Thaksin Shinawatra said the 16-year-old boy from Phichit had died of bird flu, making him the country`s first casualty from the virus in over seven months. (See Bangkok Post story at left)

Mr Thaksin said the boy caught the virus from one of his fighting cocks in northern Thailand.

"The 16-year-old boy did not report the death of his fighting cock because he was afraid that authorities would slaughter his birds," Mr Thaksin said. "But it`s too late, he died of bird flu after touching the dead bird that had been sick."

Thai authorities Tuesday confirmed a new outbreak of the deadly H5N1 strain of the virus in Phichit, but the boy was not living on the farm where the disease was found.

Thawat Suntrajarn, chief of the Phichit province disease control department, said the victim suffered from a deadly combination of dengue fever and bird flu, which he said was common in people who die from the H5N1 strain of the virus. (Agencies)

 

[Siamese]

Re: 5 yr-old boy suspected case in Má-Bpraang / Army hosp handling overload of patients?

Re: 5 yr-old boy suspected case in Má-Bpraang / Army hosp handling overload of patients?

Has there been any word on WHO and the cache of Tamiflu being used?

 

[Theresa42]

Thai poultry farmers urged to register after seemingly new outbreak of bird flu

Thai poultry farmers urged to register after seemingly new outbreak of bird flu

Thai poultry farmers urged to register after seemingly new outbreak of bird flu
July 26, 2006

Thailand's caretaker Prime Minister Thaksin Shinawatra on Wednesday urged poultry farmers to report to the authorities on any mysterious death of their birds, following the death of a young man from bird flu and the hospitalization of three other persons in northern Thailand.

It appears that a new outbreak of bird flu, the fourth round of its kind, has emerged in Thailand after the cases in northern province of Phichit were reported, according to Thai public health authorities.

The government has banned the movement of poultry and will notify the World Health Organization (WHO) and the World Organization for Animal Health.

Caretaker prime minister Thaksin Shinawatra asked poultry producers at all levels, whether household farmers who keep a few birds or large-scale commercial producers, to inform public officials immediately if any of their fowls died of unknown causes.

However, Thaksin said the government would not declare the entirety of Phichit Province a bird flu outbreak area, but would only declare specific locations where the disease had been detected as being at-risk areas.

Public Health Minister Pinij Jarusombat conceded on Wednesday morning that a 17-year-old boy from Tabkhlo District of Phichit who died recently had been infected with the H5N1 bird flu virus, the first victim of human bird flu in the kingdom during the past one and a half years since February 2005.

Meanwhile, a nine-year-old boy from the same area is suspected of having contracted bird flu as some 50 chickens in his neighborhood died suspiciously of the same disease. Another two suspected bird flu patients, a 56-year-old man and a 78-year-old Buddhist monk, have been admitted to hospital in the province. Their blood test results have not yet been completed.

Source: Xinhua

http://english.peopledaily.com.cn/200607/26/eng20060726_286988.html

 

[Sharpe]

Re: Thai poultry farmers urged to register after seemingly new outbreak of bird flu

Re: Thai poultry farmers urged to register after seemingly new outbreak of bird flu

\
Meanwhile, a nine-year-old boy from the same area is suspected of having contracted bird flu as some 50 chickens in his neighborhood died suspiciously of the same disease. Another two suspected bird flu patients, a 56-year-old man and a 78-year-old Buddhist monk, have been admitted to hospital in the province. Their blood test results have not yet been completed.

I think this is the first mention of this 9 yo boy and possibly of the other two (but I vaguely recall hearing about them, though I can't find any proof of it).

 

[tsalagiT]

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

"Their blood tests have yet to be completed"

Am I wrong? I thought blood tests were only used for antibodies....2 weeks or longer after infection.

Or....is this their method of declaring negitive test results?

 

[Snicklefritz]

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

I think you're close to the truth Tsalagit. If you want to hide H5N1 behind dengue fever you can do it with tests for antibodies. Since dengue is endemic in Thailand all you have to do is test for antibodies to dengue, which most will have whether they have an active infection or not. If you find antibodies there is no need to look any further - like nasal swabs for H5.

 

[tsalagiT]

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

Geez. that's all I've been seeing references too.....in most, if not all, cases coming out of thailand. just blood tests.

appears to me that if they can get a postive for dengue, which is correctly tested by blood samples...that's as far as they go. why go further when you have a positive for something other than bf

FYI denge is right now a huge problem in vietnam. 20,000+ cases. a fatality rate of like 60% over normal, if i remember correctly. they've so many in the hospitals, they're putting 4 to a bed. read this yesterday morning. will go back to get a link and post it tonight if i can find it.

 

[tsalagiT]

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

here are links to vietnam situation/"dengue"

sorry. I misspoke the case figures. correct numbers are: dengue cases up 62%, death toll up 42%

vietnam dengue endemic:
http://www.thanhniennews.com/healthy/?catid=8&newsid=17641


hospital conditions..overcrowded and understaffed:
http://www.thanhniennews.com/healthy/?catid=8&newsid=17813

 

[Theresa42]

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

Geez. that's all I've been seeing references too.....in most, if not all, cases coming out of thailand. just blood tests.

One thing to keep in mind is that perhaps the journalists are not very accurate in their reporting. If they hear tests are being done, they just might report "blood tests" since that's one sort of medical test people are familiar with.

Of course, they may really only be doing blood tests -- "Goldilocks testing" as Dr. Niman so aptly calls it! Has certainly been done before....

 

[AlaskaDenise]

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

Remember not too long ago, they discovered BF can sometimes be SPREAD via blood? I can't remember the country, but there was concern about donated blood being contaminated.

.

 

[Theresa42]

Phitsanulok province - 3 bf suspects / all members of same family

Phitsanulok province - 3 bf suspects / all members of same family

Machine-translated from Thai:

Province Phitsanulok find poultry sick die unusual - patient suspected is bird flu 3 persons
โดย ผู้จัดการออนไลน์ 27 กรกฎาคม 2549 09:38 น.

Veterinarian [name] livestock province Phitsanulok say that from date 8-24 July can destroy poultry in order that control bird flu in 7 districts but lately still find poultry sick die unusual continuously at the same time also find patient to be at in range watch/guard be careful bird flu 3 cases is man age 40 year, 11 year and 3 year to be at in family same in area at the present time 5 locality (village) Mae Ra Gaa, district Wang Tong at present time all 3 persons to be at in room/chamber sterile hospital wait for result task examine/diagnose confirm by laboratory when domestic animal province still guard/watch dark be careful first district because task strike entrance house search for disease when find poultry sick die will bury destroy immediately in order that control/limit task spread of disease.

Chief science [name] head livestock province Chiang Rai say that at present also not find task spread or there is poultry die unusual but in order that information not careless can set down path guard against save strict [?] can send authority inspector livestock connect with authority much group survey deep port and border [Taa Reua Lae Rim] thoroughly way river Mekong and barrier frontier border disease country Burma/Myanmar in order that guard against task smuggle bring poultry and carcass every kind that suspect that is bird flu enter also Thailand.

http://www.manager.co.th/Home/ViewNews.aspx?NewsID=9490000095837&Keyword=%e4%a2%e9%cb%c7%d1%b4%b9%a1

 

[Sharpe]

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

Do you guys realize why news like this is so terrible?

Poultry farms have been infected for years, but when has it resulted in a 3 year-old, 11, and 40 year old in the same family to be infected simultaneously? What this means is that if true, this virus is now incredibly infectious, that it doesn't take much exposure to it at all. If it doesn't take much virus, then people can get it from each other even if they don't shed a lot of it. It also makes evolution of the virus far more rapid. Because here we have three people in the same family infected. If we go on the premise that they didn't get it from each other but that they all got it from exposure to the same poultry, that means that now they all have the same strain. We have seen in the past how the virus mutates in people quite regularly. If they're shedding the virus, then each of them will possess not only the virus that was in them already but also those mutated ones that they're getting from their family members. Those now have the potential to recombine. What that ultimately means is that all 3 of them now have an infinitely higher number of recombinant and mutant possibilities. When you then multiply this by the size of the infected population in Thailand and the region, that's a heck of a lot of possibilities.

 

[AlaskaDenise]

Re: Thailand 7/24-7/27

We've always said we'll "know when we see it" and this feels like a preview, especially with regard to the speed of the spread.

hopefullly the preview highly overrates the show.

.