Thursday, April 02, 2009

Riau: Bird Flu Fatality’s Family Reporting Fever

 


# 2966

 

 

With just about everyone, except the Indonesian Minister of Health, reporting that Wahyu Ibnu Saputra (age 2 years, 9 months) died of bird flu last week – our focus now shifts to family, friends, and contacts of the deceased little boy.

 

Over the past couple of days there have been various media reports suggesting that one or more family members were suffering from `fever’.

 

There are, of course, many possible causes of fever in Indonesia. But anytime close contacts of a confirmed H5N1 infection fall ill within a week or two, it deserves our attention.

 

Mojo, a newshound who frequents the Flu Wiki and the newly formed Flu News Network, has this translation of an article that appeared overnight from the Riau Pos Newspaper.

 

From this translation it appears that Wahyu’s father, grandmother, and grandfather are experiencing fevers.  

 

Blood tests have been taken, but not returned as yet.

 

 

Thursday, April 02, 2009, 07:25:00
Family Rev. fell ill Summer Fever
Neighbors worry contracting Bird Flu

Reports MASHURI KURNIAWAN, Pekanbaru


The death of Rev. Ibn Saputra (2.9) fell ill a positive bird flu virus caused the family and neighborhood residents living around the home place was fear. They fear the bird flu virus infecting the area and they will swallow the victim again. Moreover, the deceased parents at this time, Haryono (42) experience symptoms of heat illness with fever fell dizzy.

 

Jalan Kuantan worries residents VII, RT 07, RW 04, Kelurahan Tanjung Rhu, District Limapuluh this disclosed Kasi Observation and Disaster Management Health Department (Diskes) to the SKM Naviri Pekanbaru Riau Pos, Rabu (1 / 4) in between the activities and conduct of identification observations on the deceased's house.

 

He also said, Tumirah (59) and Kadiran (67) who is deceased grandfather and grandmother also experienced symptoms of high fever and fell dizzy heat. Both also have had intensive treatment in hospitals Arifin Achmad.

Three people ''Rev. deceased family (father, grandfather, and grandmother, red) had the disease have a high fever heat. One of them parents of the deceased at this time Haryono still getting intensive treatment and have checked the blood in the hospitals,''Naviri clear.

 

Naviri add, Diskes still do identisifikasi and location data in a bird flu virus mewabahnya to Saturday (11 / 4) future. Results of blood checks, diakuinya not known because it is still in check.

 

 

We get an alternative translation from Ida at the Bird Flu Information Corner, which more easily summarizes the information.

 

Pekanbaru, Riau update

April 2, 2009

Wahyu’s family are suffering for fever.

 

Fatality of Wahyu Ibnu Saputra (2,9) due to bird flu virus causes wary to family and neighbor. They afraid that virus is still circulating and taking lives. Particularly, victim’s parent, Haryono (42) is developing high fever.

 

This phenomena is mentioned by head of Monitoring and Disaster Section Health Service Pekanbaru, Naviri (Wednesday, 1/4) while her team was doing identification and observation in victim’s house.

 

She also mentioned, Tumirah (59) and Kadiran (67), victim’s grandparents were also developing high fever. They both had been treated intensively at Arifin Ahmad regional hospital. Meanwhile, victim’s father, haryono is still under intensive treatment. Hopsital have collected their blood samples for further test.

 

Naviri said health service is now doing data recording and identification around outbreak are is still ongoing. Agriculture service officers of Pekanbaru, Sentot Djoko Prayitno have done depopulation measures to chickens and disinfection to area within 100 meter from victim’s house.

 

 

It should be noted that another newspaper article (hat tip BFIC) has Wahyu’s father already tested and diagnosed with `common flu’.

 

Haryono is having fever since last Tuesday, and family has brought him for medical check up. Fortunately, the test resulted Haryono was only developing common flu, said Azizman Saad, coordinator of Bird Flu eradication of Arifin Ahmad hospital, Pekan baru.

 

 

So, it isn’t entirely clear what is going on.

 

Reporting out of Indonesia is often complicated by a reluctance on the part of public health officials to speak openly about their bird flu problem.    We often only get snippets of `unofficial’ information coming from multiple sources of unknown quality.

 

For now, about all we can do is watch to see what happens with the family, neighbors, and friends of little Wahyu.  

 

 

If any of them have, indeed, contracted the virus – it should be readily apparent over the next few days.

Australia: Radio Interview On Bird Flu Threat

 


# 2965

 

 

 

With the recent spate of human cases in China and Egypt, and unsubstantiated reports coming out of Indonesia, the media once again is taking notice of the Avian Influenza threat.

 

Mark Colvin Presents is a popular radio show heard on the ABC (Australian Broadcasting Corporation) network.  

 

Yesterday journalist David Mark interviewed Anne Kelso, Director of the WHO collaborating centre for Influenza in Melbourne, and Dr Alan Hampson- Chair of the Australian Influenza Specialist Group – on the Mark Colvin show.

 


We have both the written transcript, and the audio available on the Internet.

 

A hat tip to KobieT on Twitter for alerting me to this story.

 

 

 

Transcript

This is a transcript from PM. The program is broadcast around Australia at 5:10pm on Radio National and 6:10pm on ABC Local Radio.

 

You can also listen to the story in REAL AUDIO and WINDOWS MEDIA and MP3 formats.

 

New bird flu case a reminder pandemic still a threat


 
PM - Thursday, 2 April , 2009  18:38:00
Reporter: David Mark

MARK COLVIN: A two-year-old Egyptian boy has caught the virulent H5N1 bird flu virus. He's the tenth person to contract the disease in Egypt this year.

 

Researchers have described the spate of new outbreaks in Egypt and in China as worrying. The number of cases appeared to have peaked three years ago but these outbreaks seem to buck that trend.

 

David Mark reports.

 

DAVID MARK: Egypt is the new ground zero for bird flu. The two-year-old boy is the sixth Egyptian to get the disease in the past month.

Professor Anne Kelso is the director of the WHO collaborating centre for Influenza in Melbourne.

 

ANNE KELSO: The WHO is reporting cases and deaths at the moment in China, Egypt and Vietnam. I think particularly worrying are the number of cases in China, which are scattered throughout different provinces.

 

DAVID MARK: The avian influenza of H5N1 virus first jumped from birds to humans in 2003. The number of cases grew steadily. In 2006 115 people in nine countries caught the disease; 79 of them died. Bird flu was a big story.

 

(Montage of archival stories)

(Continue . . . )

Wednesday, April 01, 2009

Egypt Reports 61st Human Bird Flu Infection

 

# 2964

 

 

For the 10th time thus far in 2009, Egypt has announced another human H5N1 infection – this time of a 2-year-old boy from the province  of Beheira in northern Egypt.

 

In 2008 Egypt only reported a total of 8 human cases for the entire year. This makes the 6th reported human case out of Egypt since March the 1st.  

 

This report from Reuters.

 

Egyptian boy contracts bird flu virus – agency

01 Apr 2009 17:48:38 GMT

Source: Reuters

CAIRO, April 1 (Reuters) - A two-year-old Egyptian boy has contracted the highly pathogenic bird flu virus, bringing to 61 the number of confirmed cases in the most populous Arab country, state news agency MENA said on Wednesday.

 

Egypt, hit harder by bird flu than any other country outside of Asia, has seen an upswing in bird flu cases over the past month, with six new human infections.

 

The boy, from the province of Beheira in northern Egypt, was believed to have contracted the H5N1 virus after coming into contact with infected birds, MENA quoted health ministry spokesman Abdel Rahman Shahine as saying.

 

The boy was taken to hospital on Monday after he came down with a high fever while visiting extended family in another province. He was being treated with the antiviral drug Tamiflu.

(Continue . . . )

Fargo: Disaster Preparation Pays Off

 

# 2963

 

 

 

 image

 —Photograph by Carolyn Kaster/AP

 

Over the past week Fargo, North Dakota has faced the duel threats of a record cresting of the Red River and a blizzard on top of it.   The pictures are as heartbreaking as they are instructional.

 

Disasters can happen anywhere, and at anytime.  In 2008, there were 75 Federally declared disasters in the United States alone.

 

This past weekend it was Fargo, in December it was New England that saw 800,000 homes plunged into darkness for several days after a severe ice storm, and last September it was Galveston Island inundated by the surge tide of Hurricane Ike. 

 

Next week, or next month. . . who knows?

 

All of which points out the need for every community to prepare, and to drill, to be ready to deal with disasters.   

 

We get a fascinating story today from ProPublica, which describes itself as `an independent, non-profit newsroom that produces investigative journalism in the public interest’.

 

The article is written by Dr. Sheri Fink, who has reported on health, medicine and science from around the world.

 

Fink is the author of the acclaimed book War Hospital: A True Story of Surgery and Survival (Public Affairs, 2003) – the harrowing tale of doctors and nurses working in a besieged city during the Bosnian War.

 

 

Dr. Fink’s account of the evacuation of nearly 200 medically fragile hospital and nursing home patients in the face of devastating flooding shows the importance of community preparedness and training to deal with a variety of hazards and emergencies.

 

As Dr. Fink points out, things didn’t always go smoothly, but when you compare this situation to that faced during the flooding of New Orleans in 2005, the difference is remarkable.

 

As you read this, ask yourself. 

 

In the face of disaster, is your community as well prepared to deal with the unexpected?

 

Please follow the links to read the article in it’s entirety.  It is well worth the effort.

 

 

 

Disaster Preparedness Pays Off in North Dakota

by Sheri Fink, ProPublica - March 31, 2009 12:52 pm EDT

Dora Pratt, center, is helped to a waiting van as she is evacuated with all residents at the Elim Rehab & Care Center on March 26, 2009 in Fargo, N.D. (Carolyn Kaster/AP Photos)


Dora Pratt, center, is helped to a waiting van as she is evacuated with all residents at the Elim Rehab & Care Center on March 26, 2009 in Fargo, N.D. (Carolyn Kaster/AP Photos)

 

Last Thursday night, Dr. Bruce Pitts, an executive vice president at MeritCare Hospital [1] in Fargo, ND, faced an excruciating decision. His two-campus hospital, the largest in the state, had whittled its patient population down through discharges and transfers as the Red River rose, but 180 patients remained. They included fragile babies in the neonatal ICU, complicated long term acute care adult patients, and high risk obstetrics patients. Moving them would be risky and difficult.

 

But just hours earlier, the predicted height of the river’s crest had jumped, and Pitts received word that a nearby dike looked vulnerable. The Department of Homeland Security was encouraging local officials to consider a city-wide evacuation. Once the sun rose on Friday, the roads would likely be clogged with volunteer sandbaggers and residents fleeing town, including those from local nursing homes. If the State mandated an evacuation of all healthcare facilities, Pitts’ hospital, whose service area is roughly the size of the state of New York, would be competing for available ambulances and busses.

 

Pitts and his incident command team gathered for a meeting. The mood was somber as they discussed various options. “We decided,” he said, “to pull the trigger.”

 

Today, as a blizzard whips [2] Fargo, city residents are keeping a wary eye on the still-swollen Red River, whose levels are, for now, dropping. Disaster officials have rested easier knowing that fewer of the city’s most vulnerable remain, those who would have faced particular danger if a flood cut off road access and drowned city utilities such as power, drinking water and sewage services.

 

(Continue Reading . . . )

 

 

 

 

 

My thanks go to Maryn McKenna, the Editor of the Superbug blog who is busily working against a deadline on her soon to be published book - SUPERBUG: The Rise of Drug-Resistant Staph and the Danger of a World Without Antibiotics - for sharing this link with me.

Beijing Conference On M/XDR-TB

 

 

# 2962

 

 

 

MDR-TB (Multi-drug Resistant Tuberculosis) and XDR-TB (Extensively Drug Resistant Tuberculosis) are both on the rise worldwide, and pose a significant threat to the world’s population.

 

This week the health Ministers from 27 countries are in Beijing, China for a high level Ministerial conference on the growing threat of M/XDR-TB.

 

Over the past few years the number of these drug resistant TB cases has grown swiftly, and the countries with the highest burden of the disease are listed by the WHO (World Health Organization) as:

Armenia, Azerbaijan, Bangladesh, Belarus, Bulgaria, China, Democratic Republic of Congo, Estonia, Ethiopia, Georgia, India, Indonesia, Kazakhstan, Kyrgyzstan, Latvia, Lithuania, Republic of Moldova, Myanmar, Nigeria, Philippines, Russian Federation, Pakistan, South Africa, Tajikistan, Ukraine, Uzbekistan, Viet Nam.

 

If the problems of M/XDR-TB in places like Myanmar and Uzbekistan seem far removed from your life, consider this:

 

In our highly mobile global society, infectious diseases know no borders.  

 

A problem in Kyrgyzstan today can easily become a problem in London, or New York City tomorrow.

 

According to the AP report on today’s conference, Margaret Chan, Director-General of the WHO had this to say:

 

"Call it what you may — a time bomb or a powder keg," Chan said at the opening of a three-day meeting on drug-resistant TB in Beijing. "Any way you look at it, this is a potentially explosive situation."

 

 

First some coverage of the meeting in Beijing, then some additional TB resources for you to explore.

 

 

 

WHO calls for "urgent action" against global epidemic of drug-resistant TB

www.chinaview.cn 2009-04-01 11:51:54
 

    BEIJING, April 1 (Xinhua) -- The World Health Organization (WHO) urged countries where tuberculosis (TB) is prevalent to take urgent action to curb the spread of multidrug-resistant and extensively drug-resistant (M/XDR-TB) forms of the disease.

 

Addressing a meeting here Wednesday, WHO Director-General Margaret Chan said the world faced a "precarious situation" due to the emergence and spread of drug-resistant TB.

 

"The situation is already alarming, and it is poised to grow much worse, very quickly," she told health ministers and officials from more than 30 countries and regions, who gathered at the Ministerial Meeting of High M/XDR-TB Burden Countries, organized by WHO.

 

Although TB is preventable and treatable, when the TB bacillus becomes resistant to the two most powerful first-line anti-TB drugs, the disease develops into the multidrug-resistant TB (MDR-TB).

 

The more serious XDR-TB, a sub-strain of MDR-TB that developed from the highly drug-resistant strains, has been reported in more than 50 countries -- mainly in Asia, Africa and Europe, according to the WHO.

 

Chan said WHO reports on drug-resistant TB had documented the highest levels of multidrug resistance ever recorded in the general population.

 

The organization estimated that more than 500,000 new cases of MDR-TB occurred during 2007.

 

"If MDR-TB is not vigorously addressed, it stands to replace the mainly drug-susceptible strains currently responsible for 95 percent of the world's TB cases," she said.

 

About 1.7 million people die from TB annually, according to the WHO, which blamed improper use of drugs and mismanagement of treatment for causing multi-drug resistance.

 

Chan urged that high priority be given to the epidemic "because national TB programs cannot, by themselves, manage these new threats."

 

She said the cost of treating MDR-TB can be as much as 200 times higher than normal TB.

 

As a result of the global economic downturn, "we need to look very carefully at areas of public health where any lapse in current efforts will bring us much a bigger and heavier bill very soon.

 

"TB control is a prime example," she said.

 

 

The WHO website has this information about the meeting in Beijing, along with a number of resource materials.

 

 

A ministerial meeting of high M/XDR-TB burden countries

Beijing, China, 1-3 April 2009

Ministers from high M/XDR-TB burden countries1 will meet in Beijing, China, on 1-3 April 2009, to urgently address the alarming threat of MDR-TB. Organized by the World Health Organization, together with the Ministry of Health of the People's Republic of China and the Bill & Melinda Gates Foundation, this ministerial meeting, aims:

  • to build consensus and political commitment globally and in high M/XDR-TB burden countries; and
  • to act immediately to scale up the prevention and management of MDR-TB and start developing 5-year national strategic plans for MDR-TB, embedded within national TB and health sector plans.

It is expected that this will be reflected in a Call for Action on M/XDR-TB to help strengthen health agendas and ensure that urgent and necessary commitments for actions and funding are made to prevent this impending epidemic. A preceding call for action by community representatives coming out of the Stop TB Partners Forum in Rio de Janeiro, Brazil, in March 2009, will also be presented in Beijing.

:: Download the agenda [pdf 256kb]
:: Download the pamphlet [pdf 253kb]

Read more about
More information

:: Key bottlenecks in M/XDR-TB control and patient care
:: M/XDR-TB country profiles
:: M/XDR-TB: challenges, management and surveillance

Seminar Offers Advice On Antiviral Stockpiling

 

# 2961

 

 

Michael Osterholm, director of CIDRAP (Center for Infectious Disease Research & Policy) at the University of Minnesota holds several video-linked conferences each year – usually with one or more guest speakers.

 

Dr. Osterholm is one of the most compelling, and authoritative, speakers on the pandemic threat we have in the world today.  If you’ve never read his Bio,  you should. It is quite impressive, to put it mildly.

 

Yesterday he and Dr. Doug Quarry, MBBS, MSc (Community Health), Medical Director, International SOS Consulting and Online gave a 90 minute presentation on stockpiling of antivirals by businesses.

 

Lisa Schnirring, of CIDRAP News brings us the details of that conference.    I’ve just reproduced the opening to her article, follow the link to read it in its entirety.

 

 

 

 

Experts update businesses on antiviral stockpiling

Lisa Schnirring * Staff Writer

Mar 31, 2009 (CIDRAP News) – Antiviral resistance and the global economic downturn might present new obstacles for corporate antiviral stockpiling, but two medical experts today said the medications are still quick, reliable tools that can help preserve business continuity in an influenza pandemic.

 

At a webinar today sponsored by the Center for Infectious Disease Research and Policy (CIDRAP) Business Source, an online infectious-disease preparedness resource for businesses, Michael T. Osterholm, PhD, MPH, said experts can't predict if high levels of antiviral resistance recently seen in seasonal influenza A/H1N1 viruses will have any bearing on treatment for a future pandemic strain.

 

"The honest truth is no one knows," said Osterholm, director of CIDRAP.

 

However, he told the group that the current level of antiviral resistance won't necessarily persist, as sensitive flu strains might replace resistant ones. Osterholm also pointed out that antiviral resistance hasn't been detected in influenza A/H3N2, a previous pandemic strain that is now a common seasonal strain.

 

Antiviral medications will still have a vital role to play, given that pandemic vaccine capacity will fall far short of the amount needed for the world population and that little is known about the efficacy of nonpharmaceutical interventions such as social distancing, he said. The drugs will allow employers to provide early treatment for employees who become ill or prophylaxis for workers who are critical to essential business operations.

 

(Continue Reading . . . )