THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

[Shannon Bennett]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

You would have to treat all the patients on the ward, the doctors who treated them, the nurses who were on the ward, the janitorial staff, and for good measure visiting families. This is one of the major problems. We are all within 6 degrees of separation. Unless someone is over cautious and isolates everyone who might be a patient of bf, these kinds of things are going to happen. Yet one more reason to take all necessary precautions, because there is no way to stop the progress of the disease.

 

[Commonground]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

You're right Shannon. Never thought of all of those people. Hmmmm Well, everyone seemed to fair pretty well in Indonesia. No Dr's or nurses getting sick.

 

[Commonground]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

But the Drs & nurses had all the right equipment on. If everyone is hospitalized under the presumption of dengue, and it may be H5N1....then, we will have a very busy weekend keeping up with the news.

 

[Laidback Al]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

You're right Shannon. Never thought of all of those people. Hmmmm Well, everyone seemed to fair pretty well in Indonesia. No Dr's or nurses getting sick.

Yet

 

[Siamese]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

that will tell the story, if and when HCW's start getting ill.

 

[Shannon Bennett]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

Commonground, why would the medical staff wear protective gear while treating dengue patients? It is a mosquito borne disease not one that is contagious.

 

[Commonground]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

Shannon, they wouldn't need to wear it for Dengue. My problem now is I think that maybe they are misdiagnosing other patients for dengue, when they have H5N1. But like siam said.....time will tell on that one.

 

[Shannon Bennett]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

I agree with you 1,00% about misdiagnosed dengue patients. Not to mention a host of other diseases that may be mistaken for flu.
Here we go again with the wait and watch.

 

[Theresa42]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

This case is now confirmed by WHO.

http://www.who.int/csr/don/2006_07_26/en/index.html

WHO says 17 yo male from Thap Khlo district, Phichit province. Onset on July 15, hospitalized on July 20, and died on July 24.

Any comments on discrepancies or which information is correct, age, location, dates, etc.?

Looking through the posts in this thread, I come up with these slightly different versions of the story:

Yongyuth Daengmeesri (16/17M) - d. Monday, July 24

Chicken burying: July 8
Onset of symptoms: July 15
First visited doctor: July 17
Hospitalized: July 19 or July 20 or July 22

From Tabklor district of Phichit

- Thai Public Health Ministry press release: Yongyuth developed high fever w/headaches on July 15, a week after burying dead chickens. Hospitalized with flu-like and haemorrhagic symptoms four days later (July 19) -- tested neg for bf then.

- Became sick July 15 and was admitted to the hospital Saturday, July 22
- Died in hospital one week after first visiting a doctor (that would be July 17 he went to the doctor)
- Died after being admitted to Phichit hospital on July 20

- Had dengue fever and bird flu

- Helped father bury (10) dead chickens last week
- One report says he helped bury dead chickens seven days before he became ill on July 15 -- chicken burying would have happened on July 8 then

- Did not report the death of his fighting cock

 

[Laidback Al]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

Theresa--I am trying to nail down the information for the list of flu cases. Thap Khlo shows up in Google Earth. Tabklor does not. Since you are the foreign language specialist could Tabklor be a different transliteration of Thap Khlo?

Niman, in an above post, suggests that WHO dates for onset, hospitalization, and death are generally more accurate than media reports. The only date in question is the hospitalization date. Finally, the age of the individual is not clear. Which should we pick 16 or 17?

 

[Theresa42]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

Theresa--I am trying to nail down the information for the list of flu cases. Thap Khlo shows up in Google Earth. Tabklor does not. Since you are the foreign language specialist could Tabklor be a different transliteration of Thap Khlo?

Yes. I am sure that Tabklor=Thap Khlo.

Thap Khlo is written ทับคล้อ in Thai. If you try translating that on www.thai2english.com, the transliteration it offers is táp-klór. ('P' is more 'b' sounding in many Thai words: http://www.thailao.net/thaiphon.htm )

 

[Theresa42]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

Niman, in an above post, suggests that WHO dates for onset, hospitalization, and death are generally more accurate than media reports. The only date in question is the hospitalization date. Finally, the age of the individual is not clear. Which should we pick 16 or 17?

Yeah, I don't rely 100% on WHO dates either -- for instance, their admission dates are often incorrect (or misleading) because they'll give the admission date to a major hospital, but overlook the fact that the patient may have spent 2 or 3 days in a smaller, regional hospital somewhere. No doubt they have other errors, too ... the kind I just described are the easiest kind to spot.

So, I'm not sure when this kid was admitted. I'd be inclined to go with the 19th or 20th -- the Public Health Ministry press release indicates the 19th. The WHO says the 20th -- that's pretty close.

I think the kid was 17 -- again, I'm trusting the Public Health Ministry's press release. The age of 16 was stated by the Prime Minister who also got the province wrong. Either he's not getting enough sleep ... or he had another kid in mind ....

http://www.flutrackers.com/forum/showpost.php?p=22048&postcount=18

 

[Sharpe]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

the Prime Minister who also got the province wrong. Either he's not getting enough sleep ... or he had another kid in mind ....

How does the Prime Minister get the wrong province on something as big as this? Smells fishy to me!

 

[Theresa42]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

How does the Prime Minister get the wrong province on something as big as this? Smells fishy to me!

He got the age and the province wrong. One year off on the age ... and he said a neighboring province -- Phetchabun instead of Phichit.

Like I said, either he's a very busy man and isn't getting enough sleep or misread his notes or something ... or he had someone else in mind ....

I also think the two stories as to how the poor kid got infected are fishy. Either his fighting cock died and he disposed of it ... or he helped his father bury some chickens that died. And, one report said he didn't live at home in Phichit. ??

 

[Sharpe]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

He got the age and the province wrong. One year off on the age ... and he said a neighboring province -- Phetchabun instead of Phichit.

Like I said, either he's a very busy man and isn't getting enough sleep or misread his notes or something ... or he had someone else in mind ....

I also think the two stories as to how the poor kid got infected are fishy. Either his fighting cock died and he disposed of it ... or he helped his father bury some chickens that died. And, one report said he didn't live at home in Phichit. ??

I smell a rat (or a fish), either way, it's pretty smelly. It sounds like there were two different people, both reported simultaneously. The media started asking him questions on the assumption that there was just one person (because the media couldn't fathom the existence of two), and he changed the story playing along, leaving the 'story' a big strange mess of contradictions.

 

[Theresa42]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

Public Health Minister Pinij Charusombat said yesterday that a laboratory test of a phlegm sample confirmed that the teenager was infected with the deadly H5N1 strain.

A phlegm sample?!

 

[Sharpe]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

You gotta see the picture. China loves pictures like this.
http://english.people.com.cn/200607/27/eng20060727_287122.html
A child plays with pigeons at a park in Bangkok. Thailand has reported its first bird flu death in over seven months but authorities insisted they could contain the outbreak, with health officials going on high alert.

 

[Theresa42]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

Yeah, I don't rely 100% on WHO dates either -- for instance, their admission dates are often incorrect (or misleading) because they'll give the admission date to a major hospital, but overlook the fact that the patient may have spent 2 or 3 days in a smaller, regional hospital somewhere. No doubt they have other errors, too ... the kind I just described are the easiest kind to spot.

So, I'm not sure when this kid was admitted. I'd be inclined to go with the 19th or 20th -- the Public Health Ministry press release indicates the 19th. The WHO says the 20th -- that's pretty close.

I think the kid was 17 -- again, I'm trusting the Public Health Ministry's press release. The age of 16 was stated by the Prime Minister who also got the province wrong. Either he's not getting enough sleep ... or he had another kid in mind ....

http://www.flutrackers.com/forum/showpost.php?p=22048&postcount=18

Note: The Nakhon Sawan Dept of Disease Prevention and Control has a short note about this case since Phichit falls under their jurisdiction:

ในรอบที่ 3 พบผูปวยยืนยัน 1 ราย เพศชาย อายุ 17 ป อยูในพื้นที่ ม.11 ต.ทับคลอ อ.ทับคลอ จ.พิจิตร เริ่มปวยเมื่อ 15 ก.ค. 49
ไปรักษาตัวที่โรงพยาบาลทับคลอ เมื่อวันที่ 18 ก.ค.2549 มีประวัติจับซากไกจํานวน 10 ตัว ดวยมือเปลาไปฝงกลบในชวง 7 วันกอนปวย
เสียชีวิต 24 ก.ค.49 การวินิจฉัย Severe Pneumonia ตรวจพบเชื้อ 25 ก.ค.49

http://dpc8.ddc.moph.go.th/db8/disease/04_bird_day/up/group4_VGxifYR26072006.pdf [text in red]

They give the guy's age as 17, onset of symptoms July 15, and going to the hospital (or at least to get medical treatment) on July 18. They also mention that he handled 10 chicken carcasses. Died on July 24 -- supposedly of severe pneumonia on that date. On the 25th, his tests were positive for H5N1.

 

[Theresa42]

Re: THAILAND - Bird Flu Kills Man in Thailand's First Human Case in 7 Months

From an article in The Nation:

7 areas on red alert
July 28, 2006

(...)

The bird-flu victim's father said yesterday he doubted whether his son died from the virus, given the fact that the teenager's contact with a dead chicken took place last month.

Full article here:
http://www.flutrackers.com/forum/showpost.php?p=22233&postcount=21

 

[Jody]

Dengue/H5N1 mutation????

Dengue/H5N1 mutation????

ERRRR.....How actually likely is this???? Comments Please!!

Friday 28 July 2006 05:02:26 AM (GMT+7:00)

Dengue impact on bird flu not yet known, says medical official

BANGKOK, July 27 (TNA) - Thai health officials Thursday said that test results were not yet conclusive regarding a possible role that dengue fever might have also played in the death Wednesday of a teenage boy who was confirmed to have succumbed to the H5N1 avian influenza virus.

Complex medical reports have some members of the public worrying that bird flu virus has mutated with dengue fever after the teenager died from bird flu earlier this week in the northern province of Phichit.

The boy was the first bird flu death this year and the country's 15th since the first outbreak hit Thailand's poultry nearly three years ago.

Dr. Paijit Warachit, Director General of the Department of Medical Sciences, said further test results would be issued next week as doctors also suspected that the victim was infected with dengue fever at the same time.

The suspicion caused concern among some who fear the two viruses could mutate if they meet, but there is no medical evidence that such has occurred.

The latest victim was reported to have caught bird flu virus while burying one of his fighting cocks which had died.

Three of the victim's relatives have been quarantined and are under close watch for flu-like symptoms.

The death came just a day before Thailand confirmed a new outbreak of the lethal H5N1 strain in Phichit, the boy's home town.

Movement of poultry in the province was immediately banned as the government has deployed teams of veterinarians from Bangkok to contain the outbreak.

Health authorities in seven other provinces in the region have been put on high alert to monitor for the virus's emergency.

Meanwhile, Sithisatya Jiemwongpaet, Director of the Bangkok Metropolitan Administration (BMA)'s Health Department, said he would meet with BMA officials Thursday to discuss measures to prevent an emergency regarding the disease in the capital.

He said it was possible that government workers would conduct house-to-house checks for the virus in many districts across Bangkok which had been affected by the virus during the last outbreaks.

He said the BMA had already restricted poultry movements since past outbreaks and would continue to strictly enforce it.

''I have directed officials to quarantine fowls that have been moved without permission and if found infected with the virus, they must be destroyed at once,'' he said. (TNA)--E110



Last Update : 2006-07-27 / 18:35:54 (GMT+7:00)


MCOT Public Company Limited. All Rights Reserved.2004
Tel : 662-201-6000
webmaster@mcot.net Tel : 662-201-6145
Powered by Computer Department of MCOT

http://etna.mcot.net/query.php?nid=23651