Sunday, December 31, 2017

Saudi MEWA: Four More Detections Of H5N8 In Riyadh Area - Dec 31st



















#13,018


The Saudi Ministry of Environment, Water & Agriculture (MEWA) continues to provide us with daily updates on their surveillance and containment efforts against the recently arrived H5N8 avian flu. The latest report finds 4 new detections in the Riyadh region. bring the total over the last 3 days to 16.

Recording (4) new infections in the Riyadh area of ​​bird flu (H5N8)
13/04/1439

- During the twenty-four hours past the ministry recorded 4 new cases of bird flu H5N8)) among birds, in the city of Riyadh, and the province Dhurma in the Riyadh region, all of them in the backyard traditional breeding.

- The number of samples that arrived at the veterinary diagnostic laboratory in Riyadh to this day (1851) sample since the beginning of the outbreak, and collected samples based on the reports of citizens, and procedures for the survey and investigation in the vicinity of the affected areas.

- reached the  number of communications to the emergency room during the past twenty - four hours (19) tip, were directly (8) of which, while arrived in the emergency room 66 inquiries.

-bulg the number of rounds the awareness of bird flu during the twenty-four hours last (25) awareness tour of the markets and communities in all regions of the Kingdom.
- the continuation of the ministry ban on all poultry projects and transport companies, as well as bird breeders and individuals, any transfer of birds between the regions of the Kingdom without obtaining a permit from the ministry.
The ministry also emphasizes the poultry farms in the Kingdom of the need to tighten biosecurity measures, and the lack of transport in the incidence of areas of bird flu, and the need to cleanse and wash transport vehicles at the entrances of farms and poultry processing plants and feed mills in the projects, and will field teams of the Ministry of its visits of inspection, and the closure of offending facilities and the rhythm of the sanctions on the violator according to the regulations. The ministry let bird breeders in the kingdom to avoid buying live birds from unknown sources, and not to bring birds to markets and places selling random, to reduce the risk of the spread of the disease.

Iran: Bird Flu, Food Insecurity & Civil Unrest














#13,017


Although Iran has not reported an outbreak of avian flu to the OIE since February of 2017, we continue to see unofficial reports of large losses in their poultry sector due to HPAI H5. Five days ago, Iran's Hidden Bird Flu Burden, we looked at recent reports that bird flu has - over the past 8 months - caused the culling of more than 12 million birds
Whether that number is low, or accurate, is impossible to assess.  Iran routinely holds such numbers close to their vest.
But it comes on the heels of reports last February of 6 million birds having been culled (see H5N8 & H5N1: Murmurs From The Middle East) and OIE reports from earlier in 2017 that totaled in the millions.

This has led to shortages both in poultry, and in eggs, and steadily rising prices for Iranian consumers - not to mention serious losses for farmers, and those who sell, distribute, or work with poultry products.
Over the past three days the world has watched as Iranians have taken to the street - initially due to rising prices - but increasingly over a long list of grievances with their government. Some of those protests have ended with violence, and overnight, media reports suggest some protesters have been killed.
The Washington Post's most recent report (Report: 2 protesters in western Iran killed at night rally) actually cites government officials as blaming `bird flu'  as responsible for the rising poultry prices (up 40%) that supposedly started this civil unrest.
Unemployment remains high, and official inflation has crept up to 10 percent again. A recent increase in egg and poultry prices by as much as 40 percent, which a government spokesman has blamed on a cull over avian flu fears, appears to have been the spark for the economic protests.
While this overlooks other factors (e.g. Internet access and the proliferation of cell phones providing Iranians a `window to the outside world', a repressive government, etc.), food insecurity historically has been the straw that has broken many a repressive regime's rule.

The FAO's report The State of Food Security and Nutrition in the World 2017 shows a sharp rise in food insecurity around the world since 2014 (see chart below), and warns:

http://www.fao.org/3/a-I7787e.pdf

  •  In 2016 the number of chronically undernourished people in the world is estimated to have increased to 815 million, up from 777 million in 2015 although still down from about 900 million in 2000.
  • After a prolonged decline, this recent increase could signal a reversal of trends. The food security situation has worsened in particular in parts of sub-Saharan Africa, South-Eastern Asia and Western Asia, and deteriorations have been observed most notably in situations of conflict and conflict combined with droughts or floods.
  • This report sends a clear warning signal that the ambition of a world without hunger and malnutrition by 2030 will be challenging – achieving it will require renewed efforts through new ways of working.

Even before the return of avian flu to Iran in 2016, food insecurity there was a serious concern. In 2016's Prevalence of Food Insecurity in Iran: A Systematic Review and Meta-analysis, researchers found:
The prevalence of food insecurity was 49% among households (95% CI: %40-%59), 67% in children (95% CI: %63-%70), 61% in mothers (95% CI: %35-%88), 49% in adolescents (95% CI: %33-%66) and 65% in the elderly (95% CI: %44-%86).
One of the reasons we devote so much time tracking avian influenza - beyond the obvious concern that one could someday spark a pandemic - is that it has the ability to cause food shortages and economic losses that could potentially drive major world events. 
Not unlike the civil unrest we are seeing in Iran.
In 2013's Food Insecurity, Economics, And The Control Of H7N9, we looked at some of the factors that led China to move to a vaccination policy - rather that stamping out the virus through strict culling - as is done in most of the rest of the world.

A brief excerpt from that blog reads:
In many parts of the world - poultry - whether factory farmed or from backyard flocks, represents a major source of income, protein, and accrued wealth for hundreds of millions of people.
Take that away, and you risk destabilizing an entire region.
China, which produces more poultry than anyplace else on earth, reportedly raises in excess of 15 Billion birds (cite Vaccines for pandemic influenza as of 2005) each year.

Any avian virus, or a culling policy to control that virus, that seriously threatens their poultry industry also raises the specter of mass hunger in the world’s most populous nation.

And hunger, as China’s leaders know, often leads to social unrest and political instability.
The results from China's vaccination policy have not been entirely positive, however.
While they've reduced poultry losses, the problem is that as avian viruses evolve, poultry vaccines become increasingly less effective; often only masking the symptoms of infection. 
Poor vaccine matches can allow AI viruses to spread silently among flocks, to continue to reassort and evolve, and potentially lead to the emergence new subtypes of avian flu. A few earlier blogs on that include:
Subclinical Highly Pathogenic Avian Influenza Virus Infection among Vaccinated Chickens, China).

Study: Recombinant H5N2 Avian Influenza Virus Strains In Vaccinated Chickens

EID Journal: Subclinical HPAI In Vaccinated Poultry – China

Over the past 12 years we've gone from dealing with just one major HPAI virus (H5N1), to seeing the emergence in China of multiple clades and/or lineages of H7N9, H5N8, H5N6, H10N8, H5N2, H5N3, H5N5 and more. 
Some of these subtypes pose a pandemic threat, while others currently only affect avian species.  But all are threats to global stability. 
Of course, it isn't just avian flu.  Climate change, the emergence of new plant viruses and fungi (i.e. wheat rust, Banana blight, etc.), FMD and African Swine Fever, and yes - even the prospects of agroterrorism - all threaten the world's food supply.
There's a prepper's adage that the world is only 9 meals away from anarchy.
A prospect that has many governments around the globe - and particularly Iran's right now - laying awake at night, wondering how to deal with whatever comes next.

Saturday, December 30, 2017

Saudi MEWA: 5 new cases of H5N8 in Riyadh and Al-Ahsa - Dec 30th















#13,016

From the Saudi Ministry of Environment, Water & Agriculture (MEWA) we get a fresh update on the last 24 hours of their detection and containment efforts for H5N8 avian flu.  `Injuries' in these reports refer to birds, or flocks of birds, not humans.


Registration (5) new cases of bird flu (H5N8) in Riyadh and Al-Ahsa  

12/04/1439

- The number of casualties high pathogenic avian influenza (H5N8) among birds during the twenty-four hours last in the Kingdom (5) injuries, including (3) in Al-Ahsa province in the Eastern Province came in the backyard farms traditional breeding, and two in the city of Riyadh, one injury poultry project, and the other in a traditional breeding farm.

- The number of samples that arrived at the veterinary diagnostic laboratory in Riyadh to this day (1820) sample since the beginning of the outbreak of the disease, and collected samples based on the reports of citizens, and procedures for the survey and investigation in the vicinity of the affected areas.

- continue to field teams in the governorates of Al-Kharj and Dhurma and Almzahmip safe disposal of birds and disinfection and prevention measures in (3) Poultry projects, being in full implementation of the contingency plan in those sites and disinfect the affected areas.
- In addition, it continued to field teams in Al-Ahsa province safe disposal of infected birds procedures in a number of courtyards in the vicinity of areas that have been discovered where the infection, and complete the implementation of the contingency plan to maintain and disinfect the affected areas.
- also it continued to field teams in the Qassim region epidemiological investigation procedures on farms and rest houses located in the vicinity of the area where the infection is detected and announced earlier, was implemented an emergency plan in full and cleanse the affected area.
- The number of communications received amounted to the emergency room during the past twenty-four hours (17) tip, were directly (16) a communication which, while arrived in the emergency room (46) inquiries.
- continued epidemiological investigation and guidance of veterinary disease, high bird flu virulence during the last twenty-four hours (25) awareness point in the markets and communities in all regions of the Kingdom.
The ministry emphasizes all bird breeders to prevent buying and selling from areas recorded cases of the disease and that the ministry, in cooperation with other agencies, will be what is necessary to all prove to be committed to the ban on buying and selling birds in those areas, the protection of birds and to prevent the risk of the spread of infection to other areas make it difficult to follow up the disease and elimination efforts


Saudi Update On H5N8 - Dec 29th


















#13,015


Although I haven't found yesterday's update posted on the MEWA (Ministry of Environment, Water & Agriculture) web site, several Arabic media sources have published the following  statement on behalf of the Ministry.
We learn that over the last 24 hour reporting period 7 more outbreaks of H5N8 have been detected (5 in Riyadh, 1 in Qassim, and 1 on the island of Tarot (aka Taurot) in the Eastern Province).
This confirms the Media Reports Of H5N8 In Al-Qassim Region I mentioned on Thursday afternoon. There are also media reports of precautionary closing of live bird markets around the country - even in areas where H5N8 has not been detected.

The following (translated) report, although dated today, appears to be yesterday's update.

"Environment" issued daily summary of follow-up cases of bird flu H5N8


Date December 30, 2017
The number of samples that arrived at the veterinary diagnosis laboratory in Riyadh till today was 1720 samples since the outbreak of the outbreak. The samples were collected on the basis of citizens' reports and procedures of surveying and investigation in the vicinity of the affected areas.
The number of bird flu cases among birds during the 24 hours in the Kingdom of 7 cases, including 5 in Riyadh, and one in the center of sight in Qassim, and one on the island of Tarot in the Eastern Province, and all cases of injuries outside Riyadh came in the margins of rural farms.
Field teams in Al-Kharj and Al-Kharj governorates continue to conduct safe disposal of birds in two poultry projects. The emergency plan is fully implemented and the affected area is cleared.
In addition, field teams in Al-Ahsa governorate completed the safe disposal of 1,325 birds in a number of habitats in the vicinity of the area where the infection was detected. The emergency plan was fully implemented and the affected area was cleared.
The field teams in Al-Qassim have also completed the safe disposal of 800 birds in a number of habitats in the vicinity of the area where the infection was detected. The emergency plan was fully implemented and the affected area was cleared.
Near the city of Riyadh, the field teams, in collaboration with the municipality of Darmaa, continue cleaning and prevention measures in a poultry project and safe disposal of 813 birds in the surrounding area.
- The number of communications received by the emergency room during the past 24 hours was 27, 22 of which were issued, while 37 were in the emergency room.
- The number of rounds of bird flu awareness in the last twenty-four hours 25 awareness tour in markets and gatherings in all regions of the Kingdom.
- The ministry emphasizes poultry farms in the Kingdom of the need to tighten biosecurity measures, and non-transport in the areas of infection with avian influenza, and the need to clean and wash transport vehicles at the entrances of farms, slaughterhouses and poultry feed factories within the projects, and field teams will visit the inspection, And the pace of sanctions according to regulations.
- The ministry banned all poultry projects and transport companies, in addition to bird breeders and individuals, ie, transport of birds between the regions of the Kingdom without obtaining permission from the ministry.
- The ministry called on poultry breeders in the Kingdom to avoid buying live birds from unknown sources, and not to bring birds to markets and places of sale indiscriminately, to reduce the risk of spreading the disease.

It's possible we'll see another update later today.

South Korea: 2 More Duck Farms Hit By H5N6


















#13,014


As the last week of 2017 slips away South Korea continues to report an uptick in HPAI H5N6 poultry outbreaks, along with a growing number environmental detections of various LPAI & HPAI viruses around the country.
On Wednesday of this week South Korea's Ministry of Agriculture (MAFRA) announced their 5th HPAI H5N6 poultry outbreak in just over a month.  
Unlike the H5N6 virus that arrived last winter from China, this is a new reassortant H5N6 spun off from the European H5N8 virus, which has also been reported in the past month in Japan, The Netherlands, and most recently Switzerland,

http://afludiary.blogspot.com/2017/11/tottori-university-shimane-hpai-h5n6.html


Today, in addition to reporting several more H5 detections (subtype and pathogenicity tests pending) across the country, MAFRA is reporting two more duck farms struck by H5N6. The first (below), is established as HPAI, while the second those tests are pending.

Kind of duck farms in Naju South Jeolla inspection results Highly Pathogenic AI (H5N6 type) confirmed

Added     2017-12-30 18:48:00

Agriculture, Forestry, Animal Husbandry and Food. (Secretary: gimyoungrok) is 12.29 (Fri) AI Agriculture, Forestry and Livestock Quarantine Office for the South Jeolla Province Naju material kind of duck farms (breeding scale 23,000 number) confirmed H5 type in the inspection process, the final inspection results, 12.30 (Sat ) today announced that confirmed a highly pathogenic AI (H5N6 type) virus.
Agri-food section was to prior confirmed as highly pathogenic to preemptive action when confirmed H5 antigen "temporarily move the stop command," the official announcement (12.29. From 12 pm 12.30. 12 pm) ever conducted in Japan moved to stop and disinfection, H5 confirmed antigens At the same time it announced that enhanced enforcement of quarantine measures - to prevent further action ever occurs. *
① All poultry farms and workers seven days to move and access control,
② all poultry breeding farms inspections carried out,
③ banned poultry distribution of material Naju Naju traditional markets in Naju
 
This second outbreak, and the ambiguity over its pathogenicity, are interesting because of its location; Yeonam, Jeonnam (South Jeolla).
This is only a few miles from where a `second strain' of HPAI H5N6 was reported 10 days ago (see South Korea Reports `Second Strain' Of Newly Reassorted H5N6 Virus), collected from duck farm on December 10th.
It will probably be a couple of days before the pathogenicity question is answered, and probably next week before we get a more detailed genetic analysis.

Detection of H5N6 type AI antigens in a duck farm of Youngkam, Yeonam, Jeonnam 

Registered 2017-12-30 10:23:00

The Ministry of Agriculture, Forestry and Livestock Food and Beverage (minister: Kim Young-rak) said on December 30 that H5N6-type AI was detected in a duck farm of Yeongam-gun, Chonnam Province (rearing size: 35,000 and 38 days old). *
Whether the disease is highly pathogenic or not will be revealed within 1 ~ 2 days. It is confirmed during the inspection process conducted by the Ministry of Agriculture, Forestry and Livestock Quarantine Headquarters conducted by the whole duck farm (total 21) in Yeongam-gun, Chonnam Province.
The Ministry of Agriculture and Forestry had already been in the process of moving control from the existing dormitory farm (within 3km) from the Yeongam Duck farm in Chonnam, where a highly pathogenic AI occurred. The Central Epidemiological Surveillance Division is dispatched to conduct on-site blocking measures and epidemiological surveys. In addition, emergency disinfection measures for epidemiological-related vehicles, people, and livestock-related facilities according to the results of physical disposal, .
In order to prevent the further spread of AI, the Ministry of Agriculture and Fisheries requested the active cooperation of the people including the poultry farmers to prevent the poultry farmers and migratory birds from visiting the poultry farms,
 
While nothing like the avian flu juggernaut that swept across South Korea last winter - impacting 300+ farms and resulting in the loss of over 30 million birds - this reinvented H5N6 virus does appear to be picking up steam the past couple of weeks. 

And with the start of the 2018 Winter Olympic Games now only 5 weeks away (Feb 9th - 25th), that is not the direction the South Korean authorities want to see things going in. 


Friday, December 29, 2017

FluView Week 51: Influenza `Increased Sharply' Across The Nation

https://www.cdc.gov/flu/weekly/











#13,013


As widespread, and as early, as this week's FluView report makes this year's flu season look - given the inevitable delays in reporting (exacerbated, no doubt, by the Holidays) - things are likely worse than it appears.
There are also ongoing problems collecting data on the Influenza P&I mortality numbers, which are only `current' as of Dec 9th.  Officially we remain below the `epidemic threshold', but those numbers are subject to revision as more data is processed.
In any event, here are the highlights from this week's report.

2017-2018 Influenza Season Week 51 ending December 23, 2017

All data are preliminary and may change as more reports are received.

Synopsis:

During week 51 (December 17-23, 2017), influenza activity increased sharply in the United States.
  • Viral Surveillance: The most frequently identified influenza virus subtype reported by public health laboratories during week 51 was influenza A(H3). The percentage of respiratory specimens testing positive for influenza in clinical laboratories increased.
  • Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
  • Influenza-associated Pediatric Deaths: Three influenza-associated pediatric deaths were reported.
  • Influenza-associated Hospitalizations: A cumulative rate of 8.7 laboratory-confirmed influenza-associated hospitalizations per 100,000 population was reported.
  • Outpatient Illness Surveillance:The proportion of outpatient visits for influenza-like illness (ILI) was 5.0%, which is above the national baseline of 2.2%. All 10 regions reported ILI at or above region-specific baseline levels. Twenty-one states experienced high ILI activity; New York City and five states experienced moderate ILI activity; eight states experienced low ILI activity; 14 states experienced minimal ILI activity; and the District of Columbia, Puerto Rico and two states had insufficient data.
  • Geographic Spread of Influenza:The geographic spread of influenza in 36 states was reported as widespread; Puerto Rico and 13 states reported regional activity; one state reported local activity; and the District of Columbia, the U.S. Virgin Islands, and Guam did not report.
 
Perhaps the most telling chart provided is the following, showing the percentage of doctors visits for ILI, which has very nearly matched the February peak from last year's flu season.  And it continues to climb like a homesick angel.


https://www.cdc.gov/flu/weekly/index.htm#ILIMap
Add caption


This trend is no doubt the inspiration for Wednesday's release of a CDC HAN: Seasonal A(H3N2) Flu Activity & Antiviral Treatment of Patients with Influenza.
Even though it may not provide a lot of protection, if you haven't gotten a flu shot this year, it is still worth getting. 
And I would invite you to visit (if you haven't already) my blog from earlier this morning called:

Yes, We Have No Pandemic . . . But Line Up A Flu Buddy Anyway



OIE: Outbreak In Kostroma, Russia Now Identified As HPAI H5N2












#13,012


Three days ago in Russia: Follow Up & OIE Notification Of H5N8 Outbreak In Kostroma we saw what was initially reported to be an outbreak of H5N8 at a large poultry producer in Kostroma Region, about 200 miles north and east of Moscow.
Today, that OIE notification record is now empty, and a fresh notification has been posted indicating this outbreak is due to a `New strain of a listed disease in the country'; an HPAI H5N2 virus instead.  
 This brings up some interesting possibilities. But first, a look at today's notification.

http://www.oie.int/wahis_2/public/wahid.php/Reviewreport/Review?page_refer=MapFullEventReport&reportid=25549

 
The details, other than the subtype and the report date, are virtually identical to the initial report. The same location, and the same number of birds affected.  As this is listed as a `New Strain' in Russia, there are several plausible explanations for its origins, including:

This could be a case where an LPAI H5N2 virus was carried  in by local birds, and it mutated into an HPAI virus after contaminating the poultry farm.

LPAI viruses are commonly found in wild and migratory birds, and generally only produce mild symptoms in poultry. The concern is -  when LPAI H5 and H7 viruses are not quickly controlled in poultry flocks -  they have the potential to mutate into highly pathogenic strains.
Hence all H5 & H7 outbreaks are reportable to the OIE, and must be quickly eradicated.
Over the past couple of years we've seen an unusual number of spontaneous LPAI-to-HPAI mutations, both in Europe (see here, here, and here) and last year in the H7N8 outbreaks in Indiana and again this year with the H7N9 outbreaks in Tennessee
Another strong possibility is that HPAI H5N8 has (once again) reassorted with a local LPAI virus, and has produced another spinoff. 
Clade 2.3.4.4. H5N8 has proven itself quite capable of reinventing itself, as we've seen with H5N2 and H5N1 in North America, H5N5 and H5N6 in Europe, and H5N2 and H5N3 in Taiwan. These events were so common during last winter's epizootic in Europe, it led Germany's Friedrich-Loeffler-Institut (FLI) to repeatedly warn that:
`Generation of reassortants always must be expected when different high and low pathogenic influenza viruses are circulating in one population.'
We'll have to wait for further genetic analysis to learn the origins of this HPAI H5N2 virus.  Perhaps it came from one of the two scenarios mentioned above, or perhaps we'll find it came from another less-likely source. 
What we can say with certainty is that the roster of HPAI viruses around the world continues to grow.  
The plot, as they say, thickens.  Stay tuned.
 
 

Yes, We Have No Pandemic . . . But Line Up A Flu Buddy Anyway

https://www.cdc.gov/flu/pdf/freeresources/general/influenza_flu_homecare_guide.pdf



#13,011

While we aren't currently embroiled in a novel flu pandemic, over the next 6 to 12 weeks we are likely to see an unusually high burden from influenza. In the months ahead thousands of Americans will likely die, either due to direct effects from influenza, or complications (see Int. Med. J.: Triggering Of Acute M.I. By Respiratory Infection).
While that's the reality every year, this year - with a flu vaccine that is expected to be less effective than usual (see ECDC: H3N2 Flu Vaccine Component Likely `Suboptimal'), and an expected H3N2-centric flu season (which tend to be rougher on the elderly than H1N1 years) -  this year has the potential to be a rough one.
Earlier this week the CDC issued a HAN Advisory stressing the early and aggressive  treatment of severe influenza - particularly for `high-risk' patients - with antivirals.  While flu was already picking up across the nation, holiday travel during the second half of December is likely to act like an accelerant.  
Nearly 1 person in 10 in the United States lives alone.  That’s roughly 27 million people who are particularly vulnerable during an influenza epidemic. Add in single households with small children, or adult children taking care of elderly parents, and the number of `short-handed’ households goes up considerably.  
More than a decade ago, when H5N1 loomed as a pandemic threat,  I began to promote the idea of each of us having, and being a, `Flu Buddy’.  Particularly for those who lack an in-house support system.   

 I fleshed out the idea in a 2008 blog called Lifelines In A Pandemic.
A `Flu Buddy’ is simply someone you can call if you get sick, who will then check on you every day (by phone, social media, or in person), make sure you have the food and medicines you need (including fetching prescriptions if appropriate), help care for you if needed, and who can call for medical help if your condition deteriorates.
Those people who care for others, like single parents, also need to consider who will take care of their dependents if they are sick.
While the current threat is seasonal, not novel flu, it won't make that much difference to you if your beloved Aunt Martha or Uncle George was one of 500,000 who died living alone during a pandemic, or one of 50,000 who succumbed during a particularly bad flu season.

Even if we get lucky - and this year's flu season isn't that bad - think of this as a `dry run' for a pandemic. This is an opportunity to hone your `flu buddy' network connections now, establish a routine, and work out the kinks.
And maybe in the process save a friend, relative, or neighbor's life.
Right now, it also wouldn't be a terrible idea to make sure you have ample hand sanitizer, a box of exam gloves, some surgical or N95 masks, and some basic OTC flu meds, since they may become harder to find as the flu season wears on.

After the 2009 pandemic ended, I reworked the `flu buddy' idea into a more generic `Disaster Buddy’ concept in a 2010 blog called  In An Emergency, Who Has Your Back?. While we tend to think of disasters as large scale events, it doesn’t require a pandemic, earthquake, or hurricane to put you in perilous straits.
A house fire, car accident, sudden illness, or some other more limited emergency can overwhelm as well, and having a preexisting support system makes a lot of sense.
Earlier this year, when I had to evacuate due to Hurricane Irma, I found myself very glad to have a small network of disaster buddies of my own to rely on.
And they of course know, it is reciprocal.
While some people invest in a stockpile of freeze dried food, or buy the latest survival  gadgets, and think themselves prepared   . . .  I can assure you that having people  you can really depend on in an emergency is the greatest prep of all. 
 

Thursday, December 28, 2017

Saudi Arabia: Media Reports Of H5N8 In Al-Qassim Region


















#13,010


With the caveat that as I post this it is just after 10pm in Riyadh, and I haven't found any official announcements, Arabic social media (twitter Search انفلونزا الطيور  aka `Bird Flu') has come alive in the last hour with reports of H5N8 now having now been found in the Al-Qassim region, roughly 200 miles north and East of Riyadh.
The story is being carried by several Arabic media outlets, although the wording is nearly identical in each article, suggesting a bit of an echo chamber effect at work.
This follows an announcement earlier today by MEWA of the detection of the virus in the Eastern Province. We've also seen government denials in the press of rumored outbreaks in Mecca.  So, until we get government confirmation, take the following with a pinch of salt.


Typical of the media reports is this from Ajel.

The emergence of bird flu in Al-Qassim .. and the closure of the bird market Friday
Thursday - 10 Rabi 1439-28 December - 2017 21:18

The General Directorate of Agriculture in al-Qassim announced on Thursday the registration of a number of birds infected with influenza (H5N8) in one of the farms.

In a letter distributed to a number of concerned departments, the General Administration of Agriculture in Qassim explained that it is a reference to the field survey carried out for the poultry breeders. In view of the cases of avian influenza in Riyadh region, samples were taken and sent to the veterinary diagnostic laboratory in Riyadh, H5N8) in one of the farms in the center of sight, west of Breda.

Due to the seriousness of the disease and fear of spreading among the farms, the cultivation of Qassim and a number of agencies to execute all birds urgently at the injured site and prevent the entry or exit of cars until the disease is controlled.

While the Secretariat announced the closure of the Qassim bird market in the city of Buraidah, on Friday, as a precaution in coordination with the General Directorate of Agriculture in the region to avoid the spread of bird flu.

Saudi MEWA: H5N8 Confirmed In Al-Ahsa - Eastern Province


















#13,009


Until today, in the little more than a week since it was first identified, detections of H5N8 have been centered in and around the capital city Riyadh and in surrounding Riyadh province.
Today, however, we learn that the virus has been found at a  poultry facility in Al-Ahsa, in the Eastern Province - some 300 km to the east. 
This update from the Saudi Ministry of Environment, Water & Agriculture (MEWA).

Daily briefing to follow up on cases of avian influenza (H5N8)

10/04/1439
- The number of samples that arrived at the veterinary diagnostic laboratory in Riyadh to this day (1503) samples since the beginning of the outbreak, and collected samples based on the reports of citizens, and procedures for the survey and investigation in the vicinity of the affected areas.

- the number of cases of bird flu among birds reached during the twenty-four hours past one injured in a barn breeding especially in Al-Ahsa in the Eastern Province, the ministry began the application of the emergency plan in cooperation with the competent authorities.

- continue to field teams in Dhurma work to complete disinfection procedures and prevention in a poultry project, and completed field teams in cooperation with the municipality Dhurma safe disposal of 120 thousand birds in the project.

- also continues to field teams in the output of work to complete disinfection procedures and prevention in one of the affected areas, and completed field teams in collaboration with Al-Kharj municipality safe disposal of (4240) birds.

-     in Almzahmip also continue to field teams in cooperation with the Municipality Almzahmip disinfection procedures and prevention of eight sites were safe disposal of (1573) birds.
- also completed field teams in cooperation with the Secretariat of Riyadh, cleansing procedures and prevention in a poultry project in the city of Riyadh, was safe disposal of 103.640 birds on the site.

- The number of communications received amounted to the emergency room during the past twenty-four hours (14) tip, were directly (21) a communication which, while arrived in the emergency room (42) inquiries.

- The  ministry emphasizes the poultry farms in the Kingdom of the need to tighten biosecurity measures, and the lack of transport in the incidence of areas of bird flu and the need to cleanse and wash transport vehicles at the entrances of farms and poultry processing plants and feed mills in the projects, and will field teams its visits of inspection, and the closure of offending facilities, and the rhythm of sanctions , according to the regulations.
- The ministry has banned all poultry projects and transport companies, as well as bird breeders and individuals, any transfer of birds between the regions of the Kingdom without obtaining a permit from the ministry.

- The ministry of bird breeders in the kingdom called to avoid buying live birds from unknown sources, and not to bring birds to markets and places selling random, to reduce the risk of the spread of the disease.

Switzerland Reports HPAI H5N6 In Sick Swan













# 13,008


Swiss Authorities at the Federal Office Of Food Safety and Veterinary Affairs (OSAv) have announced that country's first detection of the reassorted H5N6 virus which appeared in the Netherlands not quite three weeks ago (see Netherlands Bird Flu Identified As Reassorted H5N6).
Switzerland becomes the second European country to report this recently reassorted virus this year.
This represents a jump of over 600 miles (south & slightly east) of its first appearance in Biddinghuizen (municipality of Dronten, Flevoland Province) earlier this month.

Given the spread of a very similar virus from South Korea, to Japan, and Taiwan over the past six weeks, it isn't all that surprising to find this virus is taking a European tour.
So far, however, this reassortant H5N6 virus hasn't shown anywhere near the level of activity that we saw from H5N8 last winter.
While this is but a single detection, you can be sure the French - whose border is just 20 miles from Lake Biel - and who were the hardest hit during last year's record setting avian epizootic, are taking notice. 


Bird flu case on Lake Biel

Bern, 12.28.2017 - On the shore of Lake Biel in Erlach was found before Christmas a sick swan. The laboratory analysis showed that the bird was infected with the bird flu virus H5N6. Investigations of the BLV and the cantonal veterinary authorities have been no other cases. therefore currently no precautions are planned.
The virus type H5N6 has also been detected in the Netherlands. It's been proven by a mutation of the virus H5N8, which occurred last winter in Europe. The H5N6 type, which was discovered in Europe is not in connection with the H5N6 type that is common in Asia. The Asian type may be transmitted to humans, the European type no indications have been known.
Reminder: The discovered cases this summer in Swiss lakes (. See press release dated August 15, 2017), show that the virus in wild birds in Switzerland still occurs. Vigilance is therefore still appears: keepers and holders of poultry are required to report suspicious deaths to the vet. Persons who died birds find are asked not to touch them and to inform the nearest police station or gamekeepers.

Saudi Arabia: MEWA Releases Updates On H5N8













#13,007


A couple of hours ago I lamented that the Saudi Ministry of Environment, Water & Agriculture (MEWA) was releasing their H5N8 updates on twitter - in a format I could not translate - and that I was dependent upon media reports instead.

I don't know if someone at MEWA heard me, but over the past hour or two some kind soul there has posted the missing daily reports for the past several days.
Whatever the cause, it is greatly appreciated.  Thank you. 

 You'll find translations of the past three days of updates (newest first) below:

Daily briefing to follow up on cases of avian influenza (H5N8)
 
 10/04/1439 (Dec 28th)

- the number of casualties reached during the last twenty-four hours (8) injuries in Riyadh, Al-Kharj and Harimlae and Quwaiya and Dhurma, one of the poultry project.

- field teams ended in Riyadh in cooperation with the Riyadh Health Secretariat to get rid of (85 627) birds in a poultry projects, the ministry announced the existence of the injury which, during the last period.

- continue to field teams in Almzahmip examination and investigation procedures for areas of injury, were even today to get rid of (1232) birds in 12 locations.

- The number of samples that arrived at the veterinary diagnostic laboratory in Riyadh to this day (1220) sample since the beginning of the outbreak, and collected samples based on the reports of citizens, and procedures for examination and investigation in the vicinity of the affected areas.

- decreased the number of communications during the twenty-four years time to (9) reports, compared to (20) to (30) communication during the first six days since the announcement of the disease.

- The ministry ended the day emergency workshop monitors biosecurity, and how to follow-up control plan and control the bird flu for all veterinary teams in the Kingdom of the disease was transmitted to all networked branches

Daily briefing to follow up on cases of avian influenza (H5N8)   

09/04/1439 (Dec 27th)


- The number of samples that arrived at the veterinary diagnostic laboratory in Riyadh to this day (850) sample since the beginning of the outbreak, and collected samples based on the reports of citizens, and procedures for examination and investigation in the vicinity of the affected areas.

- The number of new infections were registered during the last twenty-four hours (6) injuries in the backyard and household husbandry, all in the Riyadh region, one of the poultry project.

- As a result of infection in poultry project in the city of Riyadh, it was the application of the emergency plan, start safe disposal of birds procedures, in cooperation with the Civil Defense and the Secretariat of the city of Riyadh, was completed 80 thousand birds so far.

- The assessment of the overall situation of the poultry projects throughout the Kingdom, as reassuring, and currently being completed Ajerouat survey in birds and poultry markets projects.

- continue to veterinary teams in Almzahmip safe disposal of birds in the vicinity of the injury previously announced during the past few days.

- The number of communications that reached the emergency room was (25) communication during the last twenty-four hours, were directly (23) a communication from them.

- conducted veterinary teams guiding awareness campaigns for bird breeders and bird markets in 25 locations in the Kingdom


Daily briefing to follow up on cases of avian influenza H5N8    

08/04/1439 (Dec 26th)


- the praise of God has not yet recorded any injuries outside the Riyadh region.

- The number of samples that arrived at the veterinary diagnostic laboratory in Riyadh to this day (614) sample since the beginning of the outbreak, and collected samples based on the reports of citizens, and procedures for examination and investigation in the vicinity of the affected areas.

- continue to field teams survey and investigation and sampling for all markets and concentrations of birds, poultry and projects, throughout the Kingdom.

It was recorded one hit in the rural monsters farm in Al-Kharj province.

- The cover (12) site in Al-Muzahmiyya, and safe disposal of (2400) about the bird infection discovered earlier site.

- recording a new one wounded in the city of Riyadh.

- The safe disposal of (3964) in a bird (3) sites adjacent to the focus of infection in the city of Riyadh, specifically in Azizia markets for birds.

- The number of communications that reached the emergency room (19) communication for today has fully brought in and taking samples from birds tested.
 


South Korea: MAFRA Confirms H5N6 At Jeonnam Goheung Duck Farm



#13,006

South Korea - which has so far detected two different strains of the recently arrived  reassorted (European origin) H5N6 virus - continues to report both widely scattered environmental (wild bird feces) LPAI & HPAI viruses, and sporadic poultry outbreaks of HPAI H5N6 in the six weeks since this fall's bird flu season began.
Last Saturday, MAFRA Reported the 4th Duck Farm Hit By HPAI H5N6, and today we have yet another confirmed outbreak, this time on the south coast (Jeonnam Goheung) of South Korea.  
First the MAFRA statement, then I'll return with a bit more.

Detailed investigation of duck farms in Goheung, Goan, Jeollanam province, confirmed that highly pathogenic AI (H5N6) was registered

 2017-12-28 17:08:00

The Ministry of Agriculture, Forestry and Livestock Food and Beverage (Minister: Kim Young-lok) conducted a final inspection of the agriculture, forestry and livestock quarantine headquarters of Kwangyong duck farms (about 17,600 rearing size) in Goheung-gun, Jeollanam province confirmed as H5 type during the 12.26. (H5N6) virus, according to the company.
The Ministry of Agriculture and Forestry is preemptive in confirming the doctor 's congratulation before it is confirmed as a highly pathogenic disease. The farmers and poultry farmers in the area of ​​protection and disinfection, And "H5N6 genotyping."
At the same time, enhanced preventive measures * were implemented to prevent further spread. * 1) All poultry farms in Goheung county and 7 days of moving and access control of workers, 2) Detailed inspection of all poultry farms in Goheung county, 3) Prohibition of poultry distribution in traditional market in Goheung county

While we have not seen the blitzkrieg of bird flu outbreaks that we saw last year in South Korea (300+ outbreaks) - possibly due to ramped up biosecurity efforts by local poultry producers -  HPAI H5N6 continues to chip away at their defenses. 
With the 2018 Winter Olympic Games - which will be held in Pyeongchang County - now just over five weeks away (Feb 9th-25th), there is great pressure for the government to quickly control and contain any and all outbreaks.
The good news is that neighboring China's avian flu season has yet to take off this winter, and so far at least, H7N9 remains stubbornly confined to Mainland China. 

How long that happy state of affairs will last, is anyone's guess.

Updating the Saudi H5N8 Outbreak













#13,005


A few days ago, after the initial outbreak of H5N8 in Riyadh, I was praising the Saudi Ministry of Water, Environment & Agriculture (MEWA) for their daily, relatively detailed, updates posted on their website.
While in Arabic, they were easily translated using Google or Bing Software.
The last such update was posted 5 days ago (Dec 23rd), and since then MEWA has chosen to release information via their Twitter accountTheir most recent update follows:



Unlike the website posts, these are released in graphic format, which makes  them  untranslatable using machine translation software. My attempts over the past couple of days to convert these releases (using OCR software) into translatable text has produced only gibberish. 
So, as much as I prefer using original official source material, I'm forced to rely upon Arabic & English language media reports.
I discussed this dilemma last evening with Sharon Sanders at FluTrackers, and overnight she posted the following (translated) SPA (Saudi Press Agency) report.

Saudi Arabia - SPA reports H5N8 avian flu spread in Riyadh environs - December 27, 2017
Yesterday, 09:45 PM
Wednesday, 1439/4/9 H corresponding to 2017/12/27 SPA

General / "Environment" issued a daily summary of follow-up cases of bird flu H5N8

Riyadh

The Ministry of Environment, Water and Agriculture announced in its daily summary that the number of casualties during the past 24 hours 8 casualties in Riyadh, Al-Kharj, Huraila, Al-Quwaiyya and Dharma, one of which is a poultry project.

The ministry said that the field teams ended in Riyadh city in cooperation with the Riyadh Municipality, the disposal of 85627 birds in a poultry project, and announced the presence of an injury during the last period.

Field teams in Muzahmiyeh continue to conduct screening and investigation of injury areas, and to date 1232 birds have been disposed of in 12 locations.
The number of samples that reached the laboratory of veterinary diagnosis in Riyadh until today 1220 samples since the outbreak, and collected samples on the basis of communications citizens, and the procedures of examination and investigation in the vicinity of affected areas.

In the last 24 hours, the number of communications decreased to 9, compared to 20 to 30 during the first six days since the disease was declared.
The ministry concluded today an emergency workshop for the biosecurity observers and how to follow up the plan of control and control of avian flu to all the veterinary teams in the Kingdom and was broadcast on a network of all branches.

// // ended
17:41 ITM

Although this translation speaks of `casualties', this refers to clusters of bird deaths, not human illness. Since then, the following brief English language report has appeared in the Gulf Daily News.


Infectious H5N8 bird flu spreads to two more governorates in Riyadh

KSA
GDN Online Desk


Riyadh – The infectious bird flu disease (H5N8) has spread to two new governorates in the province of Riyadh in Saudi Arabia.

New cases of the avian influenza were discovered at Al-Quaiya and Dharma.

The H5N8 disease was first discovered at Al-Aziziya Market before hitting the governorates of Al-Kharj and Huraimila.

The Ministry of the Environment, Water and Agriculture reported 8 new cases at a poultry project in Riyadh, which led to the culling of 85627 birds.

The authorities have also culled 1232 birds at 12 locations in the region of Mazahmiya.

Saudi Arabia had confirmed an outbreak of highly contagious bird flu in Riyadh that led to the culling of nearly 16,000 ducks, the World Organisation for Animal Health (OIE) said last Friday.

Since the Saudis filed an OIE report on December 22nd, I'm assuming we'll see (more or less) weekly updates, which should give us a better idea of the extent of incursion by H5N8 into Saudi Arabia.

Until then we'll have to content ourselves with second-hand reports like the ones above.