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WHO Warns Countries to Be on Alert for New Bird Flu Infections

AlaskaDenise

In Memoriam
Monday, December 17, 2007

The World Health Organization warned Monday that countries should be on alert for bird flu because it is again on the move, with Pakistan reporting new infections and Myanmar logging its first human case.

"The key to the public health response is surveillance," said Peter Cordingley, spokesman for the WHO Western Pacific region in Manila. "If we do actually get to the cases with antivirals early on, the health outcome is a lot better."

WHO experts arrived in Pakistan to try to sort out cases reported there, South Asia's first human infections. They were expected to visit a hospital and affected areas Tuesday, said WHO country representative Khalif Bile in Islamabad.

"They are here to get more information and to provide more support in the case of any potential risk," he said, adding that the Health Ministry, Agriculture Ministry and WHO are now working closely together following a "communication gap" when the government did not immediately report suspected cases to the WHO.

Four brothers and two cousins fell ill last month in Abbotabad, a small city north of Islamabad, while three others who slaughtered poultry in the same area and a nearby town tested positive for the H5N1 bird flu virus earlier this month.
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Two of the brothers died, but specimens were collected from only one.
The cases were positive for H5N1 in initial government testing, but WHO will conduct further analysis to confirm the results.

WHO spokesman Gregory Hartl in Geneva said Sunday human-to-human transmission had not been ruled out, but added that poultry outbreaks had earlier been reported in the area and it was unclear if all patients had links to sick birds or infected surroundings.

A doctor who cared for the brothers also experienced mild flu-like symptoms, but more testing needs to be carried out to determine if she was infected, Hartl said.

Two poultry farms near Abbotabad have been closed and health workers are taking temperatures of those living in the affected area twice a day, but no new suspected cases have been reported, said Minhajul Haq, a district health officer.

"We are on high alert, though we still await any confirmation of human-to-human transmission," he said.

At least 208 people have died from the virus, which began plaguing Asian poultry stocks in late 2003. It remains hard for people to catch, but scientists worry it could mutate into a form that spreads easily among people, potentially sparking a pandemic.

With fresh poultry outbreaks reported in a number of countries, including Germany over the weekend, WHO urged nations to be vigilant in identifying and reporting cases in both birds and humans.

Myanmar's first human case was reported Friday in a 7-year-old girl who fell ill last month and survived, while Indonesia, the country hardest hit by the virus, has announced its 93rd death from the virus.

Two human cases were also recently confirmed in China, one of whom died.

The H5N1 virus often flares during the winter months. In some countries, like Indonesia, poultry outbreaks and human cases are reported year round, but many countries experience a flurry of activity when temperatures drop.

"It starts to pop at this time of the year, not just in this region where it's endemic, but it starts to appear in the West," Cordingley said. "Between now and April is a very dangerous time of the year."

Most human bird flu cases have been linked to sick birds, but experts suspect limited person-to-person transmission may have occurred in a few cases involving blood relatives.

http://www.foxnews.com/story/0,2933,317085,00.html


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Re: WHO Warns Countries to Be on Alert for New Bird Flu Infections

<TABLE style="DIRECTION: ltr" width="100%" border=0><TBODY><TR><TD>Health Officials Call for Increase in Bird Flu Surveillance</TD></TR><TR><TD vAlign=top>By Naomi Martig
Hong Kong
17 December 2007

</TD><TD vAlign=top align=left></TD></TR></TBODY></TABLE>
Experts with the World Health Organization are urging countries to step up surveillance of bird flu outbreaks in poultry. The announcement follows Pakistan's first human bird flu fatality and Burma's first reported human case of bird flu. As Naomi Martig reports from VOA's Asia News Center in Hong Kong, concern is also growing that as colder weather sweeps through much of the northern hemisphere, so will cases of the potentially deadly virus.


<TABLE class=APIMAGE style="DIRECTION: ltr" width=210 align=left><TBODY><TR><TD>
AP_Pakistan_bird_flu_17Dec07_210.jpg
</TD></TR><TR><TD class=imagecaption>Hospital staff clean and disinfect room in isolation ward where bird flu patient was treated in Abbotabad, Pakistan, 17 Dec 2007 </TD></TR></TBODY></TABLE>The World Health Organization says the bird flu virus is likely to become more prevalent in the coming months, because just as people are prone to sickness in cold weather, so are birds.

Malik Peiris teaches microbiology at Hong Kong University. He was part of a team that in 2003 provided the first genetic map of the bird flu virus and its mutations. He says more temperate parts of the world will see increased transmission of the virus.

"And the reason for this may be the fact that the virus seems to survive for a long period of time in the cooler temperature, especially when it is moist and wet," Peiris said.

Bird flu has killed more than 200 people, mostly in Asia, since 2003. The two countries with the greatest number of human cases are Indonesia and Vietnam.

Hans Troedssan, spokesman for the World Health Organization's Beijing office, says the WHO is urging health workers to be alert, including those in countries where there have been few cases of bird flu.

"There is risk which we have seen in come countries, the risk of complacency particularly among the public and thinking that there is no danger anymore," Troedssan said.

Japan, Malaysia and Vietnam are among the countries that have been praised for efficiently dealing with bird flu outbreaks in poultry. But Troedssan warns that complacency is greatest in countries that have had the most success containing the virus.

The majority of people infected by bird flu contracted the virus from sick poultry. But there have been cases of human transmission. Peiris says experts are concerned the virus could mutate into a form easily passed between people.

"The most worrying thing is that if the virus does adapt to human transmission and causes a pandemic, the severity of human disease could be catastrophic," Peiris said. "It could be much worse even than the 1918 pandemic. And I think that is why we have to take it seriously."

The World Health Organization has sent medical teams to Pakistan to investigate the possibility of human-to-human transmission in the country's first human cases of bird flu. At least five of the eight people infected are from the same family.

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