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Toronto meeting--Influenza VI

Johnny Yuma

Well-known member
I hope that all countries will start to tell the truth about their outbreaks now. These new rules cannot do it alone----political pressure must be applied. Posting suspicious outbreaks will be very helpful.


New international health regulations will lead to new norm of openness: WHO
Provided by: Canadian Press
Written by: HELEN BRANSWELL
Jun. 17, 2007

TORONTO (CP) - New international health rules that require countries to report disease outbreaks that could pose a global health threat will lead to greater openness and enhance public health security, a senior official of the World Health Organization said Sunday.

Dr. David Heymann said the International Health Regulations, which came into force on June 15, will change the way infectious diseases are managed on a global level.

"We've been able to change the norm. Countries understand now that you can't hide infectious diseases and that it's honourable to report, even if it costs you money," said Heymann, assistant director general for communicable diseases and the Geneva-based agency's pandemic preparedness czar.

Heymann was in Toronto for the opening of a major international conference on influenza known as Options for the Control of Influenza.


The rules, referred to in the shorthand of the public health community as the IHR, were endorsed by the 193 member countries of the WHO. They are an expansion of an earlier set of disease reporting rules that only required countries to report outbreaks of three diseases - yellow fever, cholera and plague.

Epidemics of Ebola virus and the 2003 SARS outbreak spurred a rewriting of the rules to extend them more broadly to known and future disease threats.

Dr. David Butler-Jones, Canada's chief public health officer, said the regulations reflect the fact that the global community believes disease threats must be addressed in a co-ordinated and open way.

"It's the realization that we need to as countries work together to address these things," he said in an interview following the opening session of the week-long conference.

Butler-Jones said experiences like SARS have driven home for countries the importance of addressing disease outbreaks in a rapid way at the source, so that they don't slip across into other states.

"So the IHRs in place help to reinforce that, but I think there's real interest and collaboration around the world that is so much better than it was even five years ago," he said.

Butler-Jones noted the recent case of an American man infected with a dangerous form of tuberculosis who travelled to Europe and back to North America through Canada was "a stark reminder of our collective vulnerability to infectious diseases."

Heymann acknowledged that the new international disease reporting mechanism does not come equipped with enforcement powers.

"We are not a policing agency," he said of the WHO.

"All we can do is change what's the norm and the standard. In other words, the norm is now to report. And there are enough checks and balances in our global safety net of surveillance and response to make sure that if countries don't report, it's known. So it's in countries' interest to report for many different reasons."


http://bodyandhealth.canada.com/cha...7&news_channel_id=1020&channel_id=1020&rot=11
 
Re: Toronto meeting--Influenza VI

Helen Branswell gave a talk this morning on the interface between the press and scientists. Included was a discussion of high and low path H5N1 and she somehow used that to indicate the H5N1 in the dead goslings on Prince Edward Island was low path.

Once again, spoon feeding is alive and well, and the story on H5 on PEI being low path continues. The talk was an excellent example on how these stories are made public.

Of course there is NO data indicating the H5 in the dead goslings was low path, and an abundance of circumstantial evidence that it was Qinghai H5N1.

And of course there was no mention of the size of the insert, which is the key data

http://www.recombinomics.com/News/06210603/H5_PCR_PEI.html
 
Re: Toronto meeting--Influenza VI

Stella Chungong gave a talk this morning on H5N1 in Africa. She mentioned Ghana, but not Togo (although she didn't say H5N1 wasn't in Togo). She brought up cooperation issues between the ministry of health and ministry of agriculture as well as a lack of testing.

WHO should be pushing to use NAMRU-3 more in western Africa, since they are already in place in Ghana.
 
Re: Toronto meeting--Influenza VI

Although the new IHR rules do not provide for enforcement, when the US voluntarily accepted and implemented the new rules last December, they included an 'Understanding' that '...other countries have an oligation to reports events outside their borders.' (emphasis mine)

What the US is saying to the world here is that 'if you don't report it, we will.' Additionally WHO now has the ability to report and 'event' and implement the rules protocols based upon reports of any kind, including press stories.

Again, there is no enforcement, but there is real heat being brought to bear on recalcitrant countries.
 
Re: Toronto meeting--Influenza VI

Although the new IHR rules do not provide for enforcement, when the US voluntarily accepted and implemented the new rules last December, they included an 'Understanding' that '...other countries have an oligation to reports events outside their borders.' (emphasis mine)

What the US is saying to the world here is that 'if you don't report it, we will.' Additionally WHO now has the ability to report and 'event' and implement the rules protocols based upon reports of any kind, including press stories.

Again, there is no enforcement, but there is real heat being brought to bear on recalcitrant countries.
There are many "events" in western Africa. Time will tell on how many are reported.
 
Re: Toronto meeting--Influenza VI

That's true Dr. Niman. But, since this 'Understanding' was announced while Michael Leavitt was in Bejiing last December I believe the message was intended for China. Just my hunch.
 
Re: Toronto meeting--Influenza VI

That's true Dr. Niman. But, since this 'Understanding' was announced while Michael Leavitt was in Bejiing last December I believe the message was intended for China. Just my hunch.
There are many "issues" out there and China is just one.
 
Re: Toronto meeting--Influenza VI

Jonathan Nguyen-Van Tam gave an update on H7N2 in UK and Wales. Human positives were recorded th THREE very distinct areas (2 in Wales, on in Mount Helens). They are doing serology followups, which will identify MANY examples of H2H.
 
Re: Toronto meeting--Influenza VI

Tonight, as they were turning off the lights at the Convention Center, random mutations died (it was very swift and much deserved).
 
Re: Toronto meeting--Influenza VI

:applause: CONGRATULATIONS DR. NIMAN!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!:applause:
 
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