Thursday, November 28, 2013

Qatar Supreme Council of Health Statement On MERS-CoV In Camels

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# 8016

 

Yesterday was a bit of a `lost day’ for me, but I’m slowly catching up.  Below you’ll find the official statement from the Qatar’s Supreme Council of Health on the detection of the coronavirus in three camels. For more context, I would refer you to a pair of overnight blogs by  Dr. Mackay On MERS Cluster In Camels. 

Based on recent Scientific Research:

Three camels hit by MERS Coronavirus in Qatar

Doha - Wednesday, 27 Nov 2013

The Supreme Council of Health and the Ministry of Environment in collaboration with the National Institute of Public Health and Environment (RIVM) of the Ministry of Health and the Erasmus Medical Centre in the Netherlands announced confirmation of the first case of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) in 3 camels in a herd in Qatar in a barn, which is linked to two confirmed human cases who have since then recovered.

 

For transparency purposes, we can confirm that the 3 camels were investigated among a herd of 14 camels, and the samples were collected as part of the epidemiological investigation in coordination between the Public Health Department and the Department of Animal Resources. It is to be noted that none of the 14 camels showed any sign of disease when the samples were collected. As a precautionary measure, the 14 camels were put in quarantine since the initial sampling and after 40 days as of now, none have shown any symptom or sign of the disease.

 

For information, the presence of the MERS-CoV is newly recognized among animals, and currently there is neither clear scientific case definition nor enough information as to the role animals may play in transmitting and spreading the diseases.

 

All contacts of the two recovered MERS-CoV cases, including relatives, friends and workers in the same barn have been screened with negative results. The two Departments are following up with the reference laboratory and Erasmus Medical Centre to test additional samples from other animal species and from the environment of the barn. The joint team of the Supreme Council of Health and the Department of Animal Resources is continuously monitoring the development of this disease and taking all necessary measures to prevent the spread of the disease.

 

This discovery came as a result of the collaborative efforts between the two ministries, and the RIVM laboratory and Erasmus Medical Centre in the Netherlands, together with the World Health Organization (WHO). Currently the two Departments are conducting a national survey to investigate the presence of virus in animals, humans and the environment, and the potential modes of transmission and exposure to the virus among humans who are in close contacts with animals. Until more information is available, it is recommended, that as a precautionary measure, any animals that have been in close contact with newly detected human MERS-CoV cases are separated for investigation of the presence of infection with the virus.

 

It is also recommended that people with underlying health conditions, such as heart disease, diabetes, kidney disease, respiratory disease, the immunosuppressed, and the elderly, avoid any close animal contacts when visiting farms and markets, and to practice good hygiene, such as washing hands

Dr. Mackay On MERS Cluster In Camels

 

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Photo Credit Wikipedia


# 8015


While I’ve been occupied trying to determine if one can put their Thanksgiving dinner in a blender and then drink it through a straw (I’m 36 hours post-wisdom teeth extraction),  Dr Ian Mackay has doing something considerably more productive.  He’s been hot on the story of Qatari camels testing positive for the MERS virus.

 

Ian has two blogs, which I’ve linked to in reverse order. In addition to Ian’s insights you’ll find comments by both Marion Koopmans, DVM, PhD, head of virology at the Laboratory for Infectious Diseases at the RIVM in the Netherland and Prof Andrew Rambaut, of the Institute of Evolutionary Biology, University of Edinburgh.

Highly recommended.

 

Clustered camel coronavirus cases...

and

Dutch researchers in collaboration with Qatar are at work sequencing MERS-CoV from camels...

NASA Webcast: Comet ISON’s Close Encounter With Our Sun

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Photo Credit NASA

 

 

 

# 8014

 

It’s been touted as possibly the brightest comet in a century, but first ISON must survive a close encounter with the sun as it reaches perihelion: just 1 million miles above the surface.  Will it survive?  

 

No one is quite sure, but NASA will be live streaming video coverage, and expert commentary this afternoon.

 

 

WATCH LIVE THURSDAY: Comet ISON Buzzes the Sun - NASA Webcast @ 1 p.m. ET

by SPACE.com Staff   |   November 27, 2013 12:00pm ET

NASA will hold a live Google+ hangout on Thursday (Nov. 28) to webcast the solar passage of Comet ISON as it whips around the sun. The webcast will begin at 1 p.m. EST (1800 GMT) and last until 3:30 p.m. EST (2030 GMT). You will be able to watch the webcast live in the window below at the start time. LATEST STORY: Comet ISON's Thursday Sun Encounter a Thanksgiving Feast for NASA

China: Zhejiang Province Reports H7N9 Case

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#  8013

 

 

For the 5th time this fall, and the 3rd time this November, we’ve a report of a human infection from the emerging H7N9 avian virus in China.  Although the number of cases this fall thus far  pales when compared to last spring, they do show that the virus continues to circulate widely in the Eastern provinces of that country.

 

While it is probable that there may be more mild or asymptomatic cases not being picked up by Chinese surveillance, so far we have not seen evidence of sustained human-to-human transmission of this virus.

 

Nevertheless, no one from the Chinese CDC (see Chinese CDC: Be Alert For H7N9), to Hong Kong’s CHP (see Dr. Ko Wing-man: Joint Measures To Control H7N9, to our own CDC (see CDC: H7N9 Update) is taking this viral threat lightly.

 

This report from Xinhua News.

 

 

China reports 3rd H7N9 case in Nov.

English.news.cn   2013-11-28 15:09:15
 

HANGZHOU, Nov. 28 (Xinhua) -- A new human H7N9 bird flu case was reported in east China's Zhejiang Province, the fifth in China this autumn, according to local health authorities on Thursday.

 

The patient surnamed Zhang, 57, from Anji County tested positive for the H7N9 virus on Wednesday when he went to the First Affiliated Hospital of College of Medicine, Zhejiang University, for treatment for a fever, said the Zhejiang Provincial Health Department.

 

He then suffered respiratory failure and shock and is still in critical condition, said the hospital.

 

This is the third case reported in November, following the one confirmed on Nov. 4 in Zhejiang and one on Nov. 5 in southern Guangdong Province

 

In October, two new human H7N9 avian flu cases were reported. No new cases were reported in September.

 

China had reported 134 cases by the end of August, with 45 fatalities, according to the National Health and Family Planning Commission.

Tuesday, November 26, 2013

Thanksgiving Roll Call 2013

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@FLA_MEDIC on Twitter

It is hard  for me to believe this makes my eighth Thanksgiving blogging at Avian Flu Diary.  Somehow, even after 8,000 blog posts, I still find there are new and interesting things to write about nearly every day. 

In November of 2006 I began what has turned out to be a joyous tradition for me - taking the time to publicly acknowledge and thank those working in the public health arena to prevent, or mitigate, global health threats, and to mention some of the friends I've made along the way on this remarkable journey through Flublogia.

While I pen AFD alone, this is by no means a solitary effort.  I rely (heavily) on the the advice, expertise, hard work, and generosity of dozens of others in Flublogia, without whom, this blog would not be possible.

This is my once-a-year chance to thank them.

You’ll find earlier editions of this roll call at:

Thanksgiving Roll Call 2012

Thanksgiving Roll Call 2011

Thanksgiving Roll Call - 2010

Thanksgiving Roll Call 2009

Thanksgiving Roll Call - 2008

Thanksgiving Roll Call, Redux

AVIAN FLU THANKSGIVING ROLL CALL

Over the years this list has grown in length to the point where it is a bit unwieldy, and so this year I’m trimming it down a bit. This is, in no way, a complete list.

But it’s a start.

 

You may know some of these people by name, and some by the organizations they represent, while others you may not be aware of at all. So, in no particular order, a tip of the hat and a world of thanks go to:

 

The career members of the HHS, CDC, and FDA who during the spring of 2009 were faced with an emerging pandemic during a time of political transition. The kind of work they do in the face of an outbreak was nicely dramatized a couple of years ago in the movie Contagion (see  The `Contagion’ Conversation Continues).

 

There are countless people at the CDC, the NIH, the WHO, ECDC, FAO, and OIE who are working, mostly anonymously and often in less than optimal conditions, to promote better public health and hopefully to prevent the next pandemic. But four names you might recognize, and may want to follow on twitter are Gregory Hartl and Sari Setiogi at the World Health Organization, Marc Sprenger, director of the ECDC, and Dr. Thomas Frieden, director of the CDC.

 

There are also researchers and scientists, too numerous to mention, but who’s work moves us closer to understanding infectious diseases. A woefully inadequate list of flu researchers would include:

 

Dr. Robert G. Webster at St. Jude’s Research Hospital, Greg Poland of the Mayo Clinic, John Oxford, Professor of Virology at St Bartholomew’s and the Royal London Hospital, Dr. Allison E. Aiello at the University of Michigan,  Professor Peter Doherty, and Richard Webby of St. Judes, Ab Osterhaus and  Ron Fouchier of Erasmus Medical Center in Rotterdam, and Chairul A. Nidom, at the Tropical Disease Centre at Airlangga University.

 

And there are universities and medical centers around the world; places like the University of Minnesota, St. Jude Research Hospital, UPMC Center For Biosecurity,The University of South Florida, Australian National University, and Baylor College of Medicine in Houston, which are major sponsors of influenza and emerging infectious disease research - along with others too numerous to mention.

 

Readers of this blog no doubt have noticed that I’ve referenced the work of CIDRAP  often over the years. The reason is simple: The reporting from CIDRAP News  is always first rate, with most of the heavy lifting done by Editor Robert Roos, and Lisa Schnirring.

 

Besides, Dr. Michael Osterholm, Director of CIDRAP, is arguably the best spokesperson on pandemic influenza in the country.  Before devoting his attentions to CIDRAP, Dr. Osterholm served for 24 years (1975-1999) in various roles at the Minnesota Department of Health (MDH), the last 15 as state epidemiologist and chief of the Acute Disease Epidemiology Section.

 

I consider myself fortunate indeed to have become friends with Lisa, Robert, Nick Kelley – CIDRAPs Preparedness Program Coordinator - and Dr. Osterholm.

All of them have been very supportive of me, and my blog, and I am very grateful.

 

CIDRAP, of course, is made up of more than just the handful of people I've mentioned. A more complete list is available here along with their mission statement.

 

This year I’m extraordinarily pleased to help welcome Virologist  Dr. Ian Mackay, curator of the Virology Down Under Blog, and associate professor of clinical virology at the University of Queensland to Flublogia.

 

Not only does Ian lend a much appreciated level of scientific expertise to the flu blogging scene, he’s fun to read, and a genuinely nice fellow. If you aren’t already reading his blog, you need to add him to your list.

 

Last year I added a new friend, Dr. John Sinnott, MD FACP FIDSA and Director of the Florida Infectious Disease Institute, who has also been extraordinarily kind to this blogger.

 

I’d be remiss if I didn’t mention another generous MD, Dr. Michael Greger, Director of Public Health and Animal Agriculture at the Humane Society of the United States, and author of Bird Flu: A Virus of Our Own Hatching. The entire text of which is available online, without charge (thank you Dr. Greger!).

 

Among members of the fourth estate, there are some truly remarkable science and health writers and reporters.

 

Helen Branswell, health reporter for the Canadian Press, has produced some of the finest reportage on the emergence of the H5N1 virus (and now H1N1) as exists anywhere in the world, and she started back when few had heard of the threat.

 

Her writing is clear, concise, and absent of the breathless prose that many lesser journalists rely upon.  Whenever I find a Branswell article, I know in advance it is going to be well worth reading.

 

Likewise, Maggie Fox - who has recently moved over to NBC News from the National Journal (and before that, Reuters) - is another standout in the world of health reporting. Maggie understands the science, having completed fellowships at the National Institutes of Health on Genomics, at Harvard Medical School on infectious disease, and at the University of Maryland on child and family health policy.

 

Declan Butler, senior reporter for Nature, and blogger, who very early on called the attention of the world to the pandemic threat, and who has used Google Earth to great effect mapping avian flu outbreaks around the world.

 

And for overall excellence in science writing I would also hasten to mention Carl Zimmer at The Loom and Ed Yong at Not Exactly Rocket Science, both of whom relocated to National Geographic over the past year.

 

Other luminaries in the health & science field include Jason Gale of BloombergPatrick Thibodeau of ComputerWorld, Betsy McKay at the Wall Street Journal, Robert Bazell at NBC News and Dr. Richard Besser at ABC News, and Laurie Garrett at Foreign Policy.

 

On the Internet we have a number of dedicated and astute bloggers, and they too deserve special mention.  Among them:

 

Crawford Kilian, author of Crofsblog, was one of the first to devote his blog to pandemic flu – but has branched out to cover many of the neglected diseases and disasters - like Dengue, Malaria, Chikungunya, and the Cholera epidemic in Haiti.

 

Writer and blogger Maryn McKenna lends considerable talent and expertise to Flublogia, particularly on the antimicrobial resistance front.

 

In 2010 her second book, SUPERBUG: The Fatal Menace of MRSA was published to sterling reviews (you can read my review here). Her Superbug Blog continues to be one the best resources on antibiotic resistance issues available online. Maryn is also the author of Beating Back The Devil, the inside story of the CDC’s Epidemic Intelligence Service, and an upcoming book on MRSA.

 

Ian York, who now works at the CDC, also pens the  wonderful Mystery Rays blog (although his work schedule has severely limited his blogging). His eclectic meanderings through the world (and history) of infectious diseases are a delight for disease geeks and highly recommended.

 

In 2009, after several years of email correspondence, I finally got to meet the irrepressible (and now zombified!Scott McPherson. We were both part of the CIDRAP H1N1 summit in September 2009, and I got to spend two glorious days hanging out with him and Indigo Girl (of the AllNurses forum), forming what we called The Flu Amigos.

A fellow Floridian, Scott is the CIO of the Florida House of Representatives, and rubs elbows with State and Federal officials every day.  His insights, often sprinkled with a dash of healthy whimsy, are always a pleasure to read.  I remain hopeful that Scott will resume blogging on a regular basis again in the future.

 

While not necessarily flu-centric, some other bloggers of note that I follow, and recommend include:

 

Vincent Racaniello’s always excellent Virology Blog, which devotes a good deal of time to influenza.   His TWiV and TWiP  podcasts are also highly recommended.

Assistant Professor of Epidemiology, Tara Smith’s blog Aetiology and Celeste Monforton and Liz Borkowski of The Pump Handle are highly recommended as well.

Jim Garrow’s The Face of the Matter explores emergency communications in an age of social media.

And for a variety of infectious disease news, there’s Giuseppe Michieli’s eclectic A Time’s Memory.

And last, but hardly least, there’s Dr. Peter Sandman who, along with his wife and colleague  Dr. Jody Lanard, produce a wealth of invaluable risk management and pandemic communications advice on their Risk Communication Website.

 

Relatively new are the Twitter generated daily newspapers, like Cesar Sanchez’s Microbiology Daily, and All Hands’s Emergency Management Daily and Business Continuity Daily, Jim Garrow’s Public Health Daily, and Dave Walker’s Healthcare Daily.

 

In a special category I mention author, journalist, filmmaker, and friend Peter Christian Hall who’s pandemic novel American Fever (see It Gives You Fever ) was published in paperback this year. After the release of the movie `Contagion’ -  Peter interviewed flu bloggers for The Huffington Post (see Contagion Grips ‘Flublogia').

And every day outside of the limelight dozens of hardworking flubies scour foreign language news reports, using search engines, text-finding software, and translating programs to bring us the latest tidbits of news from around the world.

 

While there are many who contribute, some of the names that pop up most often on the sites I visit include: Gert van der Hoek, Shiloh, Pathfinder, Emily, Sally, Giuseppe Michieli, Treyfish, Commonground,  Carol@SC, mojo, bgw in MT, Readymom, Sharon Sanders, Cottontop, dbg, Tetano, Diane Morin, Missouriwatcher, and Ronan Kelly.

 

There are many others, of course.  My sincere apologies to those I failed to name.

I’ve written numerous times about the work they do, but if you want to know how they do it, check out Newshounds: They Cover The Pandemic Front. The work they do is remarkable. And I couldn't do much of what I do without them.  Thank you all.

 

The owners and moderators of the flu forums deserve mention, too. 

 

Labors of love, and devourer's of both time and money, flu forums provide a place for laymen and professionals to gather to discuss the various aspects of pandemic planning, and quite often, the science behind influenza and epidemiology. The founders and moderators do a terrific job keeping things on track, and do so without compensation.  Most of the time, the costs (which can run into the hundreds of dollars each month) are borne by the owners.

 

There are a number of flu forums out there, but the two where I hang my hat are the Flu Wiki and  Flutrackers. Each has their own style and personality, and in many cases, members of one forum belong to several other forums as well. The Flu Wiki, the first of the dedicated flu forums, was founded by DemFromCt, Pogge, and Melanie Matson.  In 2008, we lost Melanie after a long illness.  She was a pioneer, and an activist, and is greatly missed.

 

FluTrackers, founded by Sharon Sanders (but is run with the aid of dozens of tireless volunteer moderators), boasts nearly 2,000 members and prides themselves on maintaining an impressive library of scientific literature on pandemic influenza and other emerging infectious diseases.

 

Sharon is also a dear friend, fellow Floridian, confidant, and unindicted co-conspirator.  

 

And then there are the flubies, which number in the thousands. Some are active posters on the flu forums, while others take a more passive role.  Many have become activists in their communities.

 

Readymom, whom I've highlighted before in these pages, runs her own website Emergency Home Preparation.

 

Starting in mid-2007, more than a dozen volunteers worked to put together the GetPandemicReady.Org website.   There you will find more than 3 dozen easy-to-follow preparedness guides, written by some pretty familiar names from the Flu Forums.

 

Now is a good time to remind my readers that agencies like the Red Cross, Red Crescent, CARE, Save The Children, UNICEF, and others are working around the world every day to combat poverty and disease, including pandemic flu.

They could use your support. These NGO’s do a great deal with very little, and even small donations can help make a difference.

 

Often forgotten, I also send out thanks to all who wear the uniform of our country, and who will are often called upon to be on the front lines during any crisis, including a pandemic.

 

This includes our military and national guard troops, both at home and abroad. You guys and gals do a tough, often thankless job, 365 days a year; and are deserving of both our respect and our nation's gratitude.

 

Please know, you have mine.

 

There are hundreds of thousands of doctors, nurses, technicians, EMT's, paramedics, firefighters, and law enforcement officers out there who put it on the line each and every day. I'm proud to have been able to be a part of that universe. And my thanks, and fervent best wishes go out to each of you.

 

And of course, thanks go to the readers of these forums and blogs. There are far more of you out there than you imagine.

 

Those that post on flu forums, or comment on blog sites are just the tip of the iceberg. Ninety percent of our visitors read and absorb the information here, and say nothing. We know you are out there because our web counter software logs every visit.

 

No, I’m not going to `out' anyone. Your secret is safe with me.

 

But even this humble blog gets visits every day from hundreds of corporations, government agencies, financial institutions, and even medical research facilities. Names that you would readily recognize. And that is both extremely gratifying and humbling at the same time.

 

It has been an amazing journey, these past eight years blogging on influenza and emerging infectious diseases.  I've been fortunate enough to meet scores of people, either in person, or via email or chat, from around the world due to this blog.

 

To Camille, Sharon & Lance, Cliff, Cheryl, Scott and Crof, Maryn, Maggie and Helen, MTO & Lisa & Nick & Robert at CIDRAP, Chacal & Family, Dr. John Sinnott, Dr. Ian Mackay, Jody Lanard & Peter Sandman, Peter C. Hall,  Anne, Eric Starbuck, Rolf, Dr. Michael Greger, Jim in Thailand, Anne, Seazar, Paul, Joel, AnnieRn, Caroldn,and Bonnie  (and many more I've no doubt  left out) a special holiday thanks to you and your families.  

 

You guys, whether you know it or not, help light the path for me every day.

 

And to everyone else, a safe, happy, and healthy Holiday.

Editor’s Note;  I’m having two wisdom teeth extracted later today (and at my age!) , and so I probably won’t be blogging anymore today and probably not tomorrow as well. 

Given how loopy pain pills make me, that’s probably a good thing. ;)

WHO: Update On Polio Detection In Syria

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Syria - Credit Wikipedia

# 8012

 

The World Health Organization has announced the detection of an additional two cases of polio in Syria, one each in rural Damascus and Aleppo, which confirms the ongoing spread of the virus.  Earlier this month 13 cases of AFP (Acute Flaccid Paralysis) in Syria were confirmed due to the WPV1 polio virus (see WHO: Polio Update In Syria – Nov 11th).

 

 

Polio in the Syrian Arab Republic - update

Disease outbreak news

26 November 2013 - A total of 17 cases due to wild poliovirus type 1 (WPV1) have been confirmed in the Syrian Arab Republic. In addition to 15 cases confirmed in Deir Al Zour province, two additional cases have been confirmed, one each in rural Damascus and Aleppo, confirming widespread circulation of the virus. The case with most recent onset developed paralysis on 8 October 2013.

 

A comprehensive outbreak response continues to be implemented across the region. Seven countries and territories are holding mass polio vaccination campaigns targeting 22 million children under the age of five years. In a joint resolution, all countries of the WHO Eastern Mediterranean Region have declared polio eradication to be an emergency, calling for support in negotiating and establishing access to those children who are currently unreached with polio vaccination. WHO and UNICEF are committed to work with all organizations and agencies providing humanitarian assistance to Syrians affected by the conflict to ensure all Syrian children are vaccinated no matter where they live.

 

It is anticipated that outbreak response will need to continue for at least six to eight months, depending on the area and based on evolving epidemiology.

 

Given the current situation in the Syrian Arab Republic, frequent population movements across the region and subnational immunity gaps in key areas, the risk of further spread of wild poliovirus across the region is considered to be high. A surveillance alert has been issued for the region to actively search for additional potential cases in addition to implementing the recommended supplementary immunization activities with oral polio vaccine.