statcounter

Friday, July 6, 2012

Unknown Disease Killing Children Across Cambodia, WHO Says

Victims of a disease that’s killed dozens of children in Cambodia were from more than half the country’s provinces, a World Health Organization official said.
The first 57 patients were from 14 of Cambodia’s 24 provinces, with most coming from the southeastern provinces of Kampong Cham, Kampong Speu and Prey Veng, said Joy Rivaca Caminade, a technical officer with WHO’s Regional Office for the Western Pacific in Manila. The Ministry of Health was first alerted to the cases by Kantha Bopha Children’s Hospital in the capital, Phnom Penh, Caminade said in an e-mail today.

Enlarge imageUnknown Disease Killing Children Across Cambodia, WHO Says



People wait with their children for free medical treatment at Kuntha Bopha Hospital in Phnom Penh. Photograph: Landov



People wait with their children for free medical treatment at Kuntha Bopha Hospital in Phnom Penh. Photograph: Landov




Health officials are searching for the cause of the deaths, which may be the result of a combination of different diseases, according to Caminade. Surveillance in the Southeast Asian nation hasn’t picked up anything of this scale in recent years, she said. So far, there is no evidence of clustering of cases that could indicate that it’s spreading from person to person.
The undiagnosed syndrome has been reported in 67 hospital patients since April, 66 of whom have died, said Aphaluck Bhatiasevi, a WHO spokeswoman, in a telephone interview fromPhnom Penh today. It’s unlikely influenza is the cause, she said.
No Autopsies

“No autopsy was done on any of the cases,” said Nima Asgari, the leader of the WHO’s emerging disease surveillance and response team in Cambodia.
Health officials are reviewing hospital records and treatments provided, as well as surveying relatives of patients, to understand the events that occurred from when the children fell ill to their hospitalization. The information is then being matched with laboratory data, he said.
“As you can imagine, this will take time and we are still at the data analysis part,” Asgari said in an e-mail today.

Children admitted to the hospital with symptoms including high fever, breathing difficulty and neurological problems saw their respiratory function worsen quickly, Caminade said yesterday. A review of 57 cases found 46 of them died within 24 hours of admission, with the rest suffering the same fate within three days, she said. The stricken children were aged three months to seven years.
The United Nations health agency is working with Cambodia’s health ministry and has offered support and access to international experts in areas such as epidemiology, she said. The WHO is on standby to provide support for clinical management and supplies of medicines if requested. http://www.bloomberg.com/news/2012-0...-who-says.html

 



July 5, 2012

The Agriculture, Fisheries & Conservation Department has shut down the Mong Kok Bird Garden for three weeks due to the detection of the H5N1 virus. It was found in a swab sample collected from a birdcage holding an Oriental magpie robin on June 25.

The department has closed the shop involved and sent its birds to the department's animal management centre in Sheung Shui to be put down. It has ordered all pet bird shop operators in the garden to thoroughly clean their stalls.

The Centre for Health Protection has put all stall operators and workers in the garden under medical surveillance. It has opened a hotline, 2125 1122, to provide health advice to the public.
Three hundred swab samples are collected per month from 39 pet bird stalls, including the 18 stalls in the Bird Garden, to test for avian flu viruses. More than 1,700 swab samples have been collected from stalls so far this year. Of the 3,200 samples tested last year, none were positive for avian influenza.

Meanwhile, a dead house crow found in Yau Yat Chuen on June 29 has tested positive for H5N1. Cleaning and disinfection in the area has been stepped up.

 



July 5, 2012

JAKARTA - AFP: Directorate General of Disease Control and Environmental Health (P2PL) Ministry of Health to ensure the death of the girl residents Khanewal district, West Java, KK (8) is due to bird flu (H5N1). Director General Tjandra Yoga Aditama P2PL in Jakarta, Thursday ( 5/7), said the new cases of H5N1 have been confirmed by the Center for Basic Biomedical and Health Technology, Balitbangkes, Ministry of Health.
In chronological order, describing the case of KK Tjandra since June 18, 2012 from a fever. Then, on June 19 KK went on holiday to Singapore and the next day seeing the doctor and was diagnosed with strep throat. On June 24, KK returned to Jakarta in unsanitary conditions, so on June 25 went to Hospital B in Khanewal district with heat complaints over one week, vomiting, cough, no appetite. Of the RS, KK diagnosed febrile and impairment of consciousness and the images thorax there Duplex bronchopneumonia . On June 26 households forcibly asks to go home from the hospital, then went to the hospital's in West Jakarta. But the situation got worse, so ventilator and intointensive care unit (ICU). Two days later, on June 28, families are referred to the RSP with the diagnosis of suspected bird flu, and on June 29 the results of the sample by the Research and Development (BTDK) Positive H5N1. "Worse case condition and eventually died on July 3, 2012 at 22:45 pm," said Tjandra. local health office and home epidemiological investigation of cases, the environment, markets and hospitals where the case was referred to hospital were treated before referral FB (RSP) . "It was found possible risk factors is due to contact with poultry on June 12, is concerned to go to market with his father and brother, bought 5 chickens alive and voted to cut the chicken in poultry slaughterhouses. KK also hold the chicken is cut, "said Tjandra. In that incident, the cumulative number of bird flu in Indonesia since 2005 until today is 190 cases with 158 deaths. (Ant/OL-16)

 



Friday, July 06, 2012

Excerpt:
Twenty-five stall owners and workers and 14 staff members from the department have been put under medical surveillance by the Centre for Health Protection.
Health and agriculture officials said the announcement of the infected tourist spot - the first in five years - was not delayed, even though droppings inside the cage of the magpie robin were collected on June 25.
Tests on the samples usually take weeks to complete, and the results from the department laboratory came out only yesterday morning.
So far this year 22 dead wild birds have been found to be infected, a five- year high.
University of Hong Kong scientists will genetically sequence the virus to see if it has not shifted from the dominant strain, clade 2.3.2.1, said HKU professor of virology and gene sequencing expert Guan Yi.

Hong Kong Closes Bird Market Over Avian Flu Virus



Excerpt:
Hong Kong. Hong Kong on Thursday closed a popular tourist spot where hundreds of caged birds are on display after the deadly H5N1 avian flu virus was detected at one of the stalls.

The agriculture, fisheries and conservation department said it was closing the Yuen Po Street bird market in the city’s bustling Mongkok district for 21 days. There are about 70 bird stalls in the market.

The move came after the virus was found in a swab sample collected from a cage holding an oriental magpie robin during a routine avian influenza surveillance operation.

All the stall’s birds would be killed, the department said in a statement.

A spokeswoman told AFP they were still investigating the cause of the virus as the bird itself was not infected.

Indonesia Ministry of Health Update: Bird Flu Case report 190



Laporan Kasus Flu Burung ke 190

July 5, 2012

Ministry of Health, "Directorate General of Disease Control and Environmental Health" announced one new case of H5N1 have been confirmed by the Center for Basic Biomedical and Health Technology, Balitbangkes.
Case on behalf of the families (female, 8 years) who Falkirk District, West Java. On June 18, 2012 the case began to experience fever, June 19, the case went on holiday to Singapore and the next day for treatment didokter private practice, was diagnosed with strep throat. On June 24, returned to Jakarta. June 25, the case went to the hospital. Falkirk District B with a complaint over a week heat, vomiting, cough, no appetite and was diagnosed with febrile and impairment of consciousness and no radiographic results Duplex bronchopneumonia. June 26, forced to go home, then went to the hospital. S West Jakarta, the situation gets worse case then mounted ventilator and ICU admission, on June 28, referred to the RSP with the diagnosis of suspected bird flu, on June 29, the results of the sample by the Research and Development (BTDK) Positive H5N1.Kondisi case worsened and finally died world on July 3, 2012 at 22:45 pm.
Epidemiological investigations have been done to the house of the case, the environment, markets and hospitals where the case was referred to hospital were treated before referral FB (RSP). Acquired risk factors, namely the possibility of contact with poultry as before (date June 12) the case goes to market with his father and brother, bought 5 chickens living in which case the vote and cut the chicken in the poultry abattoir (TPU), the case also hold the chicken been deducted. Every day the case to the school through a new market Falkirk existing poultry seller.
With the increase of these cases, the cumulative number of bird flu in Indonesia since 2005 until this news was broadcast on 190 cases with 158 deaths.
Director General of Disease Control and Environmental Health Prof. dr. Tjandra Yoga Aditama as the focal point of the International Health Regulations (IHR) has been informed about the case to the WHO.
This information is published by the Center for Public Communication, Secretariat General of the Ministry of Health. For further information please contact via telephone: (021) 52907416-9, fax: (021) 52921669, Fast Response Response Centre (PTRC): 500-567 and 081 281 562 620 (sms), or e-mail kontak@depkes.go . id

Mexico Ministry of Health insists that bird flu is not transmitted to humans

  Given the low reported in egg consumption, the health secretary in Jalisco, Antonio Muñoz Serrano insists that the bird flu affected farms in Jalisco is not transmitted to humans.  It tells people there is no risk from eating any animal protein, "That the virus survives at low temperatures and with increasing temperature either in the cooking food, or else to be outside the virus becomes dehydrated and dies ... ".  Add that on farms in the Highlands of Jalisco was decreed a quarantine, so that no product from other sites will be in the market.  http://www.notisistema.com/noticias/?p=510340

Indonesian girl who travelled to Singapore dies from avian flu

SINGAPORE - The Health Ministry says it has been informed of a case of avian influenza A (H5N1) in an eight-year-old girl from Indonesia who had travelled to Singapore.

In a statement, the ministry said the girl developed fever in Singapore on June 18 and returned to Indonesia on June 24. She died on July 3 this year.


Singapore's Health Ministry is in close contact with the Indonesian health authorities and the World Health Organisation.
The Indonesian health authorities have reported that the girl had exposure to poultry while in Indonesia, a few days before her travel to Singapore. They are monitoring her close contacts, including family members. All contacts have remained well.

As a precautionary measure, Singapore's Health Ministry has alerted hospitals to the case and commenced contact tracing in Singapore.

The girl stayed at a hotel in Singapore with her mother and other relatives from 19 to 24 June 2012 on a vacation. She was brought to see a general practitioner for high fever on 22 June and was given treatment. Her relative who lives here and the general practitioner who treated the case are both well.
http://www.todayonline.com/Singapore/EDC120706-0000142/Indonesian-girl-who-travelled-to-Singapore-dies-from-avian-flu

Mexico hides threat from #H7N3 #BIRDFLU

Mexico has spent a lot of time, telling me that their H7N3 Outbreak is
 1-Under control
 2-It will not effect exports
3-Humans can't catch it
 4-Eat all chicken and products from them without worry



 The Ministry of Health insisted that citizenship should be quiet, because the strain of the H7N3 virus is only transmitted between animals, but not to humans. http://www.oem.com.mx/elsoldemexico/notas/n2605916.htm

State of Puebla called the people to be calm, because this strain is spread only among animals and fails to humans.
http://www.elgolfo.info/elgolfo/nota/121303-ssa-llama-a-la-tranquilidad-en-puebla-por-gripe-aviar/
I beg to differ 

Influenza A virus subtype H7N3
http://en.wikipedia.org/wiki/Influenza_A_virus_subtype_H7N3

 Zoonotic potential of highly pathogenic avian H7N3 influenza viruses from Pakistan
http://ukpmc.ac.uk/abstract/MED/19535120/reload=0;jsessionid=Ct905QPdCi3usLwwUqdd.0

Human Illness from Avian Influenza H7N3, British Columbia
http://wwwnc.cdc.gov/eid/article/10/12/04-0961_article.htm

The appearance of human infections caused by avian influenza A H7 subtype viruses underscores their pandemic potential and the need to develop vaccines to protect humans from viruses of this subtype
http://www.osti.gov/energycitations/product.biblio.jsp?query_id=1&page=0&osti_id=21141027

WHO update-Undiagnosed illness in Cambodia

Undiagnosed illness in Cambodia - update

The Ministry of Health of the Kingdom of Cambodia is conducting active investigation into the cause of a recent undiagnosed syndrome that has caused illness and deaths among children in the country.
Preliminary findings of the investigation identified a total of 74 cases who were hospitalised from April to 5 July 2012. Of these, 57 cases (including 56 deaths), presented a common syndrome of fever, respiratory and neurological signs, which is now the focus of the investigation.
The majority of the identified cases to date were under three years old. Most of them were from the southern and central parts of the country and received treatment at Kantha Bopha Children’s hospital, which is a reference paediatric hospital. Despite all efforts, many of the children died within 24 hours of admission.
Available samples have been tested at the Institut Pasteur in Cambodia. Although a causative agent remains to be formally identified, all these samples were found negative for H5N1 and other influenza viruses, SARS, and Nipah.
The Ministry of Health was first alerted to this by Kantha Bopha Children’s hospital in Phnom Penh, where the majority of the cases were hospitalised.
The Ministry of Health notified WHO about this event through the IHR notification mechanism as it met the criteria for notification of any event where the underlying agent or disease or mode of transmission is not formally identified.
WHO and partners are assisting the Ministry of Health with this event which focuses on hospitalised cases, early warning surveillance data, laboratory data and field investigations.
While this event is being actively investigated, the Government is also looking at other diseases occurring in the country, including dengue, hand-foot-mouth and Chikungunya.
Parents have been advised to take their children to hospital if they identify any signs of unusual illness. The Government is also reinforcing awareness of good hygiene practices to the public, which includes frequent washing of hands.   http://www.who.int/csr/don/2012_07_06a/en/index.html

CAMBODIA - A disease whose origin is still unknown, killed 63 children since last April

Hattip Pathfinder

Since April, Cambodia, on 64 infected children, only one girl survived this unknown disease. The Pasteur Institute, in collaboration with the Kantha Bopha Foundation, attempts to locate the origin of this pathology. A mysterious disease, hitherto unknown to researchers, has killed 63 children since April in central and southern Cambodia. 90% of them were under 5 years.
In collaboration with the Kantha Bopha Foundation, researchers at the Pasteur Institute are examining samples from the patients and try to find the origin of pathology.Which symptoms does one recognize this strange disease? Two recurring syndromes characterize it: infection encephalitis - affecting one part of the brain - and a lung infection.
"Usually, we get a lot of children in the hospital for dengue, pneumonia, encephalitis and meningitis, explains Denis Lawrence, a biologist for the Kantha Bopha Foundation. But since April 20, we were surprised by a very serious development of acute pneumonia. Children die very quickly, between 24 and 48 hours after arrival.

"Kantha Bopha FoundationThe Kantha Bopha foundation has existed since 1992 and is led by the Swiss pediatrician Beat Richner. It comprises five hospitals (three in Phnom Penh to Siem Reap and two). These establishments do not care for the children from poor families, free of charge. Its budget is fed mainly by private donations.

Nevertheless, the expert believes that there is no cause for alarm: no new cases have been recorded since the beginning and the risks of epidemics are lower.
In addition, doctors have "done a lot of samples that have helped to eliminate the origins of the most dangerous in terms of contagion," says Philippe Buchy, head of virology division at the Pasteur Institute. "This disease could simply be the most severe form of a common disease in Cambodia and in neighboring countries," said he

.Another avenue is explored: a link between a virus and a drug reaction or chemical. "All children who died had taken drugs prior to their arrival at the hospital. The girl who survived the disease had not received the other hand, says the biologist. There is a real problem of self-medication in Cambodia. more poor buy medicines, often counterfeit, without the original packaging and it is difficult for doctors to know what patients have ingested.

"WHO rushed"
The warning from the WHO [World Health Organization, ed] on this disease has caused some panic in Phnom Penh. People call us to know whether to leave the country. This announcement was made too early, we do not have enough information about the disease, "laments Denis Lawrence.
Researchers at the Pasteur Institute hope to receive conclusive results explaining the cause of the disease within a week and a half.http://www.lexpress.fr/actualite/sci...e_1135343.html

Philippines DOH ready for 'mysterious' respiratory disease


By Sheila Crisostomo July 07, 2012 12:00 AM

MANILA, Philippines - The Philippines has prepared plans for cases like the “mysterious” respiratory disease that had claimed the lives of 61 children in Cambodia, the Department of Health (DOH) said yesterday.
For cases like this, the DOH has prepared plans, and usually, the National Epidemiology Center is the responsible agency within the department while the Bureau of Quarantine increases its surveillance for such disease crossing the borders,” the DOH said in a statement...

“We are advising the public to understand the risk of travel to Cambodia and to withhold unnecessary travel to this country. People going to the area should practice necessary precautions,” the DOH noted...

..But DOH Undersecretary Dr. Ted Herbosa said there is no need yet to place in quarantine travelers from Cambodia who will manifest any illness upon arrival in the country’s airports.
“There is no cause for alarm. The monitoring is just part of our contingency measures. The WHO had issued the advisory so that people can be forewarned... that there is this thing there,” he said in a telephone interview. – With Rudy Santos http://www.philstar.com/Article.aspx...bCategoryId=63

Cambodia: undiagnosed illness affecting children


06 Jul 2012
ECDC
An outbreak of an undiagnosed illness affecting children has been reported by the Ministry of Health of the Kingdom of Cambodia to World Health Organization (WHO). Out of the 62 children, 61 have died. No apparent clustering of cases or signs of transmission have been reported so far.
Between April and June, a total of 58 children below age of 7 years have been admitted to a hospital in Phnom Penh. Further 4 children were admitted to a hospital in Siem Reap, with high fever and encephalitic and/or respiratory symptoms. In total, 62 cases were reported, the majority being on children under 3 years of age.
Fifty-six of 58 patients hospitalized in Phnom Penh and four of four patients hospitalized in Siem Reap have died. Of these cases, 46 died within 24 hours of admission, and the majority of the rest died between 1-3 days after admission. Sixty-one deaths were reported.
The Cambodian Ministry of Health and WHO are conducting an active investigation in order to determine cause and source of the illness. ECDC is closely monitoring the situation. http://ecdc.europa.eu/en/press/news/Lists/News/ECDC_DispForm.aspx?List=32e43ee8-e230-4424-a783-85742124029a&ID=666

Avian influenza affects 29 farms in Jalisco #BIRDFLU


Mexico City. - At the moment there are registered 29 farms infected by the avian flu virus from a universe of 100 in the Los Altos de Jalisco, so said the president of the National Union of Poultry Farmers (A), Sergio Chavez Gonzalez



http://www.aztecanoticias.com.mx/notas/finanzas/120770/gripe-aviar-afecta-a-29-granjas-de-jalisco

Message from U.S. Embassy in Cambodia

EMERGENCY MESSAGES AND PUBLIC ANNOUNCEMENTS

“Mystery” Disease affecting kids


According to the Phnom Penh Post some sixty younger children have died from something that affects the brain and lungs, mainly in southern provinces. The exact cause has yet to be determined. Very early evidence suggests that it is not Dengue or pandemic flu. According to the article, Kantha Bopha hospital’s officials were also concerned about initial management of these very sick children, which may have contributed to so many deaths. The Cambodian Ministry of Health, international health organizations, and Kantha Bopha officials are conducting investigations to try to determine the cause.

Should I worry? No. The details are still very early. At this time there does not appear to be spread of this illness within households and none of the hospital staff who took care of the sick children have become sick.

What should I do if I have a young child? It is important to remember that most Western children have excellent immunization coverage. If your child gets a high fever and cough you should have them seen by a medical provider as you normally would.

Should I take other precautions? Simple measures like hand washing and yearly flu vaccination go a long way to reduce disease spread.
We will continue to closely monitor the situation. Our Centers for Disease Control and Naval Medical Research Unit experts are monitoring the situation closely.
We encourage you notify us of your presence in Cambodia by enrolling in the Department of State’s Smart Traveler Enrollment Program (STEP).
The American Citizen Services Unit of the U.S. Embassy is located at #1 Street 96, Phnom Penh, Cambodia and can be reached by calling 023-728-000, or by e-mailing ACSPhnomPenh@State.gov.

 http://cambodia.usembassy.gov/acs_di...ting_kids.html

Investigators probe mystery disease killing Cambodian children

Investigators probe mystery disease killing Cambodian children

By Madison Park, CNN
July 6, 2012
STORY HIGHLIGHTS
  • 62 dead out of 64 cases in mysterious disease in Cambodia, says doctor
  • Surrounding countries notified of disease; doctors on alert in Hong Kong
  • Children suffered swelling in their brain and died because lungs failed

Hong Kong (CNN) -- The World Health Organization (WHO) and Cambodian health officials are investigating why at least 61 children in the country have died mysteriously after suffering severe neurological and respiratory complications.
Dr. Beat Richner, of the Kantha Bopha Children's Hospitals who first alerted Cambodia's health authorities about the unknown disease said as of Friday, he knew of 64 cases, in which only two children have survived.
Countries surrounding Cambodia were informed of a deadly disease that killed dozens of children earlier this week, through the International Health Regulations event information system, which provides public health communications.
In Hong Kong, a major air hub in the region, health officials responded by alerting doctors to be watchful for patients returning from Cambodia who have respiratory symptoms. Travelers who have been to Cambodia were told to visit their doctors if they developed respiratory symptoms.
The unknown illness appears in children, according to the WHO and the Cambodian Ministry of Health.
The children who fell ill first experienced a high fever followed by respiratory problems. Some of them also had neurological symptoms that included convulsions, according to the WHO.

Richner said the patients suffered from encephalitis, which is the inflammation of the brain.
"They are hospitalized," he said. "They arrive in our hospital, in the last moments... they die because their lungs are destroyed."
They arrive in our hospital, in the last moments... they die because their lungs are destroyed.
Dr. Beat Richner, Kantha Bopha Children's Hospitals



When asked what he thought caused the deadly illness, he said: "I think our idea is an enterovirus or an intoxication of a drug," or a combination of both.
Richner added that the number of cases affected by the unknown disease is low -- 34 cases in June compared with the 75,000 sick children at Kantha Bopha's outpatient clinics and 16,000 hospitalized kids.
The majority of the cases came from the southern part of the country, but there haven't been signs of clustering, according to the WHO.
The young patients were brought to hospitals in the capital, Phnom Penh, and the northern tourist hub of Siem Reap -- the two biggest cities of Cambodia. The Angkor Hospital for Children in Siem Reap reported one case of the mysterious illness as of Friday, according to an email received by CNN from Dr. Bill Housworth, executive director of the hospital.
"WHO supports the Ministry with the investigation and detailed analysis of each of these cases to find out the cause," wrote Dr. Pieter Van Maaren, a representative of WHO in Cambodia in an email Friday.

Thursday, July 5, 2012

Health and quarantine fence and Acatic Tepatitlán in Los Altos

Health and quarantine fence and Acatic Tepatitlán in Los Altos

The Ministry of Agriculture has set up checkpoints on roads animal health near Tepatitlan, Jalisco. Photo: AFP

July 5, 2012Isaura Lopez / The West
Guadalajara, Jal. - Although the H7N3 avian influenza outbreak is controlled in poultry farms and Acatic Tepatitlán in Los Altos de Jalisco continues quarantine is prohibited entry and exit of laying hens live and derivatives except with certificate healing.
The call to the producers of the region to maintain vigilance and report quickly any symptoms in animals and maintain biosecurity measures in their production units.
Control is maintained at 40 and 60 miles of farms identified with virus, for surveillance work incorporated the Federal Preventive Police to prevent the movement of sick animals in the municipalities was set up a cordon sanitaire.
The National Health Service, Food Safety and Food Quality (SENASICA) argues that the virus is identified in laying hens and broiler production focused on poultry meat and eggs...http://www.oem.com.mx/elsoldemexico/notas/n2606505.htm

Warning as disease kills Cambodia kids

Mary Ann Benitez and Phoebe Man
Friday, July 06, 2012

Travelers to Cambodia are being advised to take precautions as the World Health Organization and the country's health ministry race to identify a disease that has killed 61 children since April.

However, the WHO is yet to issue a global alert regarding the disease.
Some 150 Hong Kong tourists in five groups are currently in Phnom Penh and Ankor Wat, and about 500 more in 30 tour groups are set to leave for Cambodia, which is bordered by Thailand, Laos and Vietnam..

..Laboratory test results suggest that this syndrome is unlikely to be associated with avian influenza. It can be a mixture of known diseases which have been reported as one syndrome, or something new," said Joy Rivaca Caminade, technical officer (risk communications) of the WHO Regional Office for Western Pacific.
http://www.thestandard.com.hk/news_detail.asp?pp_cat=30&art_id=124110&sid=36947782&con_type=1

Control of avian influenza virus

the virus is contained in a perimeter of 40 to 60 kilometers.
the radius quarantine is guarded by federal police.   http://www.latarde.com.mx/index.php/panorama/1644-controlan-virus-de-gripe-aviar

INFLUENZA - MBDS REGION (04): MYANMAR (IRRAWADDY)



A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

Date: Wed 27 Jun 2012
Source: 7Day News Journal [in Myanmar, trans. Mod.YMA, edited]
http://www.thithtoolwin.com/2012/06/blog-post_1643.html

In Maubin Town of Irrawaddy Region, about 20 students from Saint Rita catholic church had nausea, vomiting, dizziness, and fever, and were admitted to the hospital. On 24 Jun 2012, a 16-year-old child got sick and the infection was transmitted overnight to other 17 children in the church. They were urgently admitted to hospital, according to a humanitarian worker to 7Day News.

A health care worker from Maubin said that most of the children had an influenza-like illness with symptoms such as nausea, vomiting, diarrhea, dizziness, and fever. However the symptoms vary in each individual.

U Tun Myint, head of Maubin Township Hospital, said, "It is seasonal influenza. The children have fever, headache, nausea, vomiting, and diarrhea. There is nothing to worry about. As the church is a boarding school, the transmission occurred very rapidly. Some children will be discharged from the hospital tomorrow [28 Jun 2012]. A total of 20 children were admitted in our hospital."

Among the 115 students in the catholic school, about 60 children are infected.

The school is closed for a week and entrance to the nearby areas is not allowed. Preventive and control measures have been implemented in the area, according to a resident from Maubin Township.

-- Communicated by: PRO/MBDS

[The influenza outbreak in Maubin Township has spread to 60 children in a short period. However, the type of influenza infection is not mentioned in the newswire above. Influenza surveillance should be maintained and the pandemic preparedness and response plans for pandemic influenza H1N1 2009 should be updated according to the seasonal trends of influenza infection. Recently, 41 suspected cases of pandemic H1N1 2009 infection were reported from a local hospital in Nakhon Ratchasima province, Thailand (see prior PRO/MBDS posting Influenza - MBDS region (03): Thailand (Nakhon Ratchasima), H1N1 20120623.1404).

For a map of Myanmar with administrative divisions, see http://www.nationsonline.org/oneworld/map/myanmar_map2.htm. A HealthMap/ProMED-mail interactive map of Myanmar can be seen at http://healthmap.org/r/2H4V. - Mod.YMA]  http://www.promedmail.org/direct.php?id=20120704.1518

Mystery disease kills Cambodian children

 06-07-2012

 The World Health Organisation and Cambodian officials are investigating an unknown disease that has killed more than 60 children. The Cambodian Ministry of Health said the disease starts with high fever followed by rapid deterioration of respiratory functions.

The Controller of the Centre for Health Protection in Hong Kong, Thomas Tsang, said they are in close contact with their Cambodian counterparts and the WHO. He said letters would be sent out to alert local doctors.

The Travel Industry Council is closely monitoring developments. Its executive director, Joseph Tung, said there are Hong Kong tour groups in Cambodia.

But, he said the affected area is a long way from popular tourist spots, and there does not appear to be a need at present to warn people to avoid Cambodia.  http://rthk.hk/rthk/news/englishnews/20120706/news_20120706_56_853060.htm

Social Bats Pay a Price With New Fungal Disease: Study Determines Which Bats Are Headed for Extinction

 05-Jul-12 10:21AM A price with new fungal disease


The impact on bat populations of a deadly fungal disease known as white-nose syndrome may depend on how gregarious the bats are during hibernation.
Species that hibernate in dense clusters even as their populations get smaller will continue to transmit the disease at a high rate, dooming them to continued decline, according to a new study led by researchers at the University of California, Santa Cruz. One gregarious species has surprised researchers, however, by changing its social behavior.

White-nose syndrome has decimated bat colonies throughout the northeast since it first appeared in New York state in 2006, and it continues to spread in the United States and Canada. In the new study, researchers analyzed population trends in six bat species in the northeast. They found that some bat populations are stabilizing at lower abundances, while others appear headed for extinction. The study, published July 3 in Ecology Letters, examined data from bat surveys between 1979 and 2010, covering a long period of population growth followed by dramatic declines caused by white-nose syndrome.

All six species were impacted by white-nose syndrome, but we have evidence that the populations of some species are beginning to stabilize, which is really good news," said Kate Langwig, a graduate student at UC Santa Cruz and first author of the paper. "This study gives us an..

Phl warned of unknown respiratory disease in Cambodia

By Sheila Crisostomo July 06, 2012 12:00
MANILA, Philippines - The Philippines and neighboring countries have been warned of an “unknown respiratory disease” that has killed 61 children in Cambodia..
..The WHO said the neighboring countries of Cambodia “have already been officially informed through a posting made through the International Health Regulations (IHR) event information system.
http://www.philstar.com/Article.aspx?articleId=824581&publicationSubCategoryId=63

Hong Kong closes bird market over H5N1 virus

Hat tip Tetano
HONG KONG — Hong Kong on Thursday closed a popular tourist spot where hundreds of caged birds are on display after the deadly H5N1 avian flu virus was detected at one of the stalls.
The agriculture, fisheries and conservation department said it was closing the Yuen Po Street bird market in the city's bustling Mongkok district for 21 days. There are about 70 bird stalls in the market.
The move came after the virus was found in a swab sample collected from a cage holding an oriental magpie robin during a routine avian influenza surveillance operation.
All the stall's birds would be killed, the department said in a statement.
A spokeswoman told AFP they were still investigating the cause of the virus as the bird itself was not infected... http://www.google.com/hostednews/afp/article/ALeqM5jdoaJ2YAbzQ821h49g0CDSbZGTyQ?docId=CNG.051f804d4677263cca8ea52a406c33d6.431

Iraq bans import of birds and eggs from 18 countries

 Thursday, July 5, 2012 15:09

 Baghdad - the way
Iraq decided to prevent the import of birds and eggs from 18 countries in order to preserve the environment from bird flu.
An official source said on Thursday that the government ban, which included both types of eggs hatching and table and live birds of prey and the decorations.
He added that the countries covered by the ban are Bangladesh, Bhutan, Cambodia, China, India and Hong Kong, Laos, Mainmar, Egypt, Vietnam, Japan, Korea, Netherlands, South Africa, Indonesia, Nepal, Australia and Sri Lanka.

  http://www.assabeel.net/%D9%85%D9%86%D9%88%D8%B9%D8%A7%D8%AA/misc/96998-%D8%A7%D9%84%D8%B9%D8%B1%D8%A7%D9%82-%D9%8A%D8%AD%D8%B8%D8%B1-%D8%A7%D8%B3%D8%AA%D9%8A%D8%B1%D8%A7%D8%AF-%D8%A7%D9%84%D8%B7%D9%8A%D9%88%D8%B1-%D9%88%D8%A7%D9%84%D8%A8%D9%8A%D8%B6-%D9%85%D9%86-18-%D8%AF%D9%88%D9%84%D8%A9.html

2.7 million birds infected with #AH7N3 virus


Tepatitlán, Jal. Two weeks after being detected, the AH7N3 avian influenza virus has infected 2.7 million birds killed in farm Tepatitlán 987.701 and Acatic, which so far has focused the outbreak.
The National Health Service, Food Safety and Food Quality (SENASICA) confirmed that the number of farms affected by avian flu is 24, out of 129 sampled within a radius of 40 kilometers, the region's poultry Los Altos, where other producing 10 ships were subjected to the virus.
Based on the National Emergency Animal Health has analyzed the SENASICA 14.4 million birds, of which there are 2.7 million affected, so it keeps a tight control around the quarantined area, including the presence of elements Federal Preventive Police (PFP) in checkpoints to prevent movement of sick animals, meat, eggs, offal and poultry.
SUFFICIENT SUPPLY
The head of the agency under the Ministry of Agriculture, Enrique Sánchez Cruz, reiterated that it guaranteed the supply of chicken and eggs for domestic consumption.
Mexico is a country that has about 500 million birds as a whole, of these, about 200 million are in position.
Jalisco has 90 million laying hens and identified the problem area has a population of between 8 and 10 million laying hens "he said.
He said the virus has been detected only in laying hens and broiler or chicken production and reiterated that "there is no shortage of eggs or meat."
REQUESTS OPEN BORDERS SAGARPACruz Sanchez said that the closure of borders Jalisco poultry products is not justified,0 so SAGARPA asked governors across the country and their respective secretaries of Agricultural Development does not restrict the movement of pasteurized egg, dehydrated and processed product poultry, since they are subject to thermal processes that eliminate the virus.
He said that in the eight points are in operation monitoring and control, so that the products leaving poultry farms, both domestically and for export, are suitable and safe for consumption, the official said. He said the proof is the resumption of exports to Japan industrialized egg is produced in Los Altos.
The federal official made a new tour of the affected area, checkpoints and surveillance as well as regional diagnostic laboratories for emerging diseases, located in the municipalities of El Salto and Zapotlanejo, and the mobile unit for animal diagnosis.
SALES DOWN
However, the health crisis and the increase in the price of a kilo of whole chicken egg and caused a drop in wholesale trade sales of 15% and 25% to retailers, reported Alfredo Neme Martinez, director for Latin Union Global Wholesale Markets.
He said that the reported increase in food was 25% in just one week. Required the Ministry of Economy and the Federal Consumer verification instrument operating supply centers, public markets and convenience stores.
NOT BEEN ABLE TO IMPORTVACCINE WILL BE READY BY THE END OF MONTH
Guadalajara, Jal. It will be the end of July when the Mexican government has the first batch of vaccines against avian influenza virus H7N3 subtype produced in the country, said Hugo Fragoso Sanchez, general manager of Animal Health National Health Service, Food Safety and Food Quality (SENASICA).
After clarifying that the import process of biological products in Asian countries has not been possible because "there is no vaccine available," because there are active outbreaks in Pakistan and Italy, the official said that the main strategy to immunize poultry population the country is the production of the vaccine in labs set up in Mexico.
We have a Mexican national laboratory that has the ability to produce the vaccine does not occur in a week or two ... A vaccine production may exceed three months. "
He added that after completing the respective tests in August may have 80 million doses in the country, but in principle, the production will be limited.
We believe having an initial production, a first batch of 2 million doses. "
HIGH COSTAlthough he declined to mention how much it cost to produce the biological, the official said that a vaccine of birds between 15 and 25 cents each dose and at this time is required to immunize at least 30 million birds that make up the flock in the area under review . What would an estimated 900 to 1,500 million pesos, whereas two doses per animal, but in laying hens are usually applied to three.
This vaccine will be applied in regions close to the affected area to prevent the problem out there, "said Fragoso.. http://eleconomista.com.mx/estados/2012/07/04/suman-27-millones-las-aves-infectadas-virus-ah7n3

Indonesia- 8 yr old dies from #Birdflu #h5n1

HAT TIP  Gert van der Hoek
Ministry of Health Confirms A Karawang Citizen Dies from Bird Flu
Thursday, July 5, 2012


JAKARTA - : Directorate General of Disease Control and Environmental Health (P2PL) Ministry of Health to confirm the death of the girl residents Karawang district, West Java, KK (8) is due to bird flu (H5N1).

Director General Tjandra Yoga Aditama P2PL in Jakarta, Thursday ( 5/7), said the new cases of H5N1 have been confirmed by the Center for Basic Biomedical and Health Technology, Balitbangkes, Ministry of Health.
http://www.mediaindonesia.com/read/2012/07/05/331091/293/14/Kemenkes-Pastikan-Seorang-Warga-Karawang-Meninggal-akibat-Flu-Burung

HAT TIP Ronan Kelly

Indonesian Girl, 8, Dies of Bird Flu in Jakarta Hospital: Health Ministry
July 05, 2012


An eight-year-old girl from Karawang, West Java, died after catching the deadly H5N1 bird flu virus, the Health Ministry said on Thursday.

The girl, identified as “K.K,” lived near the Karawang market. She often walked past the market's live stock and bird pens on her way to school.

On June 12, K.K. carried a clutch of freshly killed chickens home from the market with her father, said Tjandra Yoga Aditama, director general of disease control and environmental health at the Health Ministry.

She became ill six days later on a trip to Singapore. A doctor there diagnosed the girl with laryngitis, Tjandra said.
...
http://www.thejakartaglobe.com/home/...inistry/528789

Int'l infectious diseases expert to lead Duke-NUS programme

 05 July 2012
SINGAPORE: An international infectious diseases expert will lead a signature programme of the Duke-NUS Graduate Medical School Singapore...

Professor Wang Linfa was appointed as director of the Emerging Infectious Diseases (EID) research programme from July 1.
It said Prof Wang is a renowned expert on identifying new and emerging diseases of bat origin.

He's a Science Leader for the Office of the Chief Executive and Senior Principal Research Scientist in CSIRO Livestock Industries' Australian Animal Health Laboratory in Geelong, Australia.

At CSIRO, he led a project team of more than 20 staff who study new and emerging viruses that affect both humans and animals.

..He is especially noted for his work on bat-borne viruses that have the potential to impact human and animal health.

http://www.channelnewsasia.com/stories/singaporelocalnews/view/1211775/1/.html

Cambodia Outbreak Is Unlikely to Be Influenza

Hat tip Tetano
By JAMES HOOKWAY

International health officials investigating the outbreak of an unidentified disease in Cambodia that has killed more than 60 children since early April say it is unlikely to be a form of influenza, but they still face a long struggle to identify the precise nature of the illness.

Describing the initial finding as "positive," World Health Organization physician and public-health specialist Nima Asgari said the mystery illness "doesn't look like any kind of influenza."

http://online.wsj.com/article/SB10001424052702303684004577508372906028072.html?mod=googlenews_wsj

The experts said the fatal strange disease of children in Cambodia may be mixed disease

 2012-07-05 2050)
Nima Asgari, public health experts of the World Health Organization in Cambodia, the Xinhua News Agency reporter that fatal abnormal Cambodian children may be mixed illness of several known diseases, including viral diseases, bacterial diseases, the specific cause is still under investigation.

http://translate.googleusercontent.com/translate_c?hl=en&ie=UTF8&prev=_t&rurl=translate.google.com&sl=zh-CN&tl=en&u=http://realtime.zaobao.com.sg/2012/07/jg120705_061.shtml&usg=ALkJrhgsnxDDgQxD-CUwaf9oIuXJAY_dsQ

Wednesday, July 4, 2012

Continued health fence in the area of Jalisco Tepatitlan

4 picsContinúa el cerco sanitario en la zona de Tepatitlan Jalisco. Foto Rosendo Khan.Continued health fence in the area of Jalisco Tepatitlan
http://www.fotojalisco.net/foto.asp?id_foto=18662

Another 800 thousand birds with influenza in Jalisco


Health Service, Food Safety and Food Quality reported that the number of birds affected increased from 1.7 to 2.5 million, will prepare influenza virus vaccine.

 
July 4, 2012 by David Patiño Torres National Section
 
Health Service, Food Safety and Food Quality (SENASICA), an agency of the Ministry of Agriculture, reported that the number of birds affected by avian flu outbreak in Mexico increased from 1.7 to 2.5 million, of which almost one million died or were culled.
SENASICA infromó The device also applies to health farms and backyards of Jalisco for the study and processing of 14.4 million birds in order to tackle the outbreak of avian influenza virus type A, subtype H7N3, which does not affect humans
, according to authorities.
"We reviewed 129 poultry farms and has been confirmed, until the evening of Tuesday, July 3, the presence of exotic virus in 24 farms, ten more were negative and the rest is followed by laboratory diagnosis," said SENASICA .
Fragoso Hugo Sanchez, head of the agency, said that it has issued the import permit of a suitable vaccine to control the outbreak and Mexican scientists conduct tests to develop other national production.
For vaccines produced in Mexico will have the support of private laboratories, and according to Fragoso Sanchez, all vaccine against avian influenza virus will be ready by August, when it is expected the production of at least 80 million doses.
In this regard, said the vaccine will meet all safety standards recommended by the World Organization for Animal Health, will be tested for efficacy and protective capacity, and its no harm to birds, as it will be applied in regions near the affected area to prevent the virus from leaving the area.

http://www.sexenio.com.mx/articulo.php?id=16838

Joint WHO and Cambodia Statement PDF

http://www.wpro.who.int/cambodiadisease_english.pdf

Mexico-Vaccines against avian flu not until late July #BIRDFLU

Vaccines against avian flu until late JulyJuly 4, 2012



El Salto, Jalisco. - The first batch of two million doses of vaccine made in Mexico to prevent avian influenza will tentatively later this July, said Director of Animal Health SENASICA Hugo Sanchez Fragoso.
At a news conference, said that Mexico will produce, with the support of private laboratories, the whole virus vaccine for avian influenza is required by August, when production is expected at least 80 million doses.
He stated that the vaccine produced will comply with all safety standards recommended by the World Organization for Animal Health, will be tested for efficacy and protective capacity and not harm the birds, as it will be applied in regions close to the affected area to keep the virus out of there.
The director of the National Health Service, Food Safety and Food Quality (SENASICA), said the Mexican vaccine production is one of the three options you have to combat this health challenge facing the country.
He added that there is a national laboratory that has the ability to produce the vaccine, but that takes time because the epidemic was first detected and began working in the biological to combat it.
He said another possibility considered is to bring a vaccine made and ready to apply, "but it is available anytime, anywhere and when you need it" because it is exotic disease has only been introduced in some countries world.
He said that no active outbreaks of bird flu in Pakistan and Italy, but you can not bring the vaccine because their production is compromised.He said that was available in some countries being located with an import permit to bring it to Mexico, but you have to develop a series of tests to determine whether it is safe and whether it protects, plus it's available at most three million dose.
He added that the third option in which you work is coordinated with research scientists at the Department of Agriculture United States, which has a world reference laboratory for avian influenza.

http://conexiontotal.mx/2012/07/04/vacunas-contra-gripe-aviar-hasta-finales-de-julio/

Mexican government detects more birds with bird flu

: add 2.5 million
July 4, 2012

The number of birds affected by an outbreak of bird flu in western Mexico went from 1.7 to 2.5 million, of which nearly a million died or were destroyed, according to a government report released Wednesday.
..
Meanwhile, in Guatemala, Deputy Agriculture Minister Mario Marcucci announced that redoubled vigilance along its border with Mexico to prevent the virus from entering the Central American country.
0http://noticias.terra.com.pe/gobierno-mexicano-detecta-mas-aves-con-gripe-aviar-suman-25-millones,b0f3519190458310VgnVCM3000009acceb0aRCRD.html

THAILAND-Ministry warns against bird flu

THAILAND-Ministry warns against bird flu

 

The Public Health Ministry yesterday instructed health officials nationwide to keep an eye out for birdflu infections among humans.

This move follows a report that more than 150,000 chickens in China's northwestern region of Xinjiang were culled due to an outbreak of bird flu.
Public Health Minister Witthaya Buranasiri said members of the public should report to health volunteers or livestock officials immediately if they find any suspicious deaths among birds in their area.
Disease Control Department's deputy director Dr Suwanchai Wattanayingchareon said symptoms that a bird might be infected include diarrhoea, bluish purple cockscomb, a loss of appetite, softshelled eggs and a drop in egg production.  http://www.nationmultimedia.com/national/Ministry-warns-against-bird-flu-30185512.html

Undiagnosed illness in Cambodia

The Ministry of Health of the Kingdom of Cambodia has notified WHO of an outbreak of an undiagnosed illness which has affected 62 children, of which 61 have died since April 2012.


The majority of cases were from the southern part of the country, and were hospitalised in a children's hospital in Phnom Penh. The symptoms observed are high fever, followed by respiratory and/or neurologic symptoms with rapid deterioration of respiratory functions.

WHO is working with the Ministry and other partners to investigate the outbreak, to identify the cause and source of the illness. Assistance is being provided in the area of field epidemiology and active case finding.

http://www.who.int/csr/don/2012_07_04/en/index.html

60 children killed in Cambodia by mystery disease

Hat tip Ronan Kelly

60 children killed in Cambodia by mystery disease

Wednesday, 04 July 2012
Bridget Di Certo and Chhay Channyda
Phnom Penh Post


120704_01a
A small child is treated at Kantha Bopha hospital in Phnom Penh. 60 children have died from a new and unidentified disease, while only two of the 62 admitted to the hopsital have survived. Photograph: Hong Minea/Phnom Penh Post
An unknown deadly illness has appeared in Cambodia, killing at least 60 children in the past three months, health officials said yesterday.

Of the 62 children admitted to the Kantha Bopha Children’s Hospitals with similar symptoms of severe fever and respiratory and neurological destruction, only two were able to be saved, hospital founder Dr Beat Richner said yesterday.

In a letter from Richner to Minister of Health Mam Bun Heng sent on June 20 and obtained by the Post yesterday, the Swiss doctor raised the urgency of the issue and told the minister such a disease had not been seen in the past 20 years in Cambodia.

“They [the children] are suffering from an Encephalitis and in the last 6 hours they develop a most severe pneumonia," he wrote. “The X Ray and CT are showing that the alveolus [pockets in the lung for oxygen exchange] are destroyed within hours before passing away.”

All the children who died, died within 24 hours of being hospitalised in what Richner called a “dramatic evolution” of the lung-destroying disease.

At the time of the letter, 47 children had died. In the 13 days following, there have been a further 13 deaths at the Kantha Bopha hospitals.

World Health Organization public health specialist Nima Asgari yesterday confirmed the international organisation had teamed this week with the Ministry of Health to investigate the mysterious and fatal affliction.

“It is very early to find the cause. We are still trying to gather data,” Asgari said, adding it was unlikely the disease was related to dengue or the re-appearance of Chikungunya in the Kingdom.

The United Nations agency said in a June 30 report that the clinical signs of those afflicted with the disease “appear unusual,” with patients suffering from fever and a rapid deterioration of respiratory functions, although platelet counts, liver and renal functions were found normal.

Ministry of Health officials, including minister and deputy director of the Communicable Disease Control Department Ly Sovann, referred all questions to department director Sok Touch, who could not be reached for comment yesterday.

A hotline official at the Communicable Disease Control Department said two teams from the Health Ministry had visited Takeo and Kampong Cham provinces yesterday to investigate other cases of the unknown disease.

“It has happened in 14 provinces across the country,” the official said. “We have not found the cause of this disease yet, but they [patients] have severe respiratory problems,” he said, adding that a third team would go to the Kantha Bopha hospitals on Thursday.

Takeo provincial hospital deputy director Te Vantha said he had joined a meeting with Ministry of Health and Kantha Bopha officials on June 29 to discuss the situation.

Kantha Bopha has informed us about the rapid development of a disease that can kill children within 24 hours, so we must be careful,” Vantha said. “This unknown disease happens to children mostly under the age of 5 years and the symptoms are fever, coughing and difficulty breathing.”

He said that in Takeo, there were two known cases of children dying from the unknown lung-destroying disease in June.

Speaking from the Kantha Bopha hospital in Siem Reap, where there have been two deaths, Richner said his team had been unable to definitively determine a cause yet but worried it may be the result of what he termed “wrong treatment”.

“All these children had encephalitis [acute inflammation of the brain] and were hospitalised and treated at private clinics before coming to us," he said. “I worry that a wrong treatment and drug intoxication at some private clinics has destroyed the lungs leading to a pneumonia we cannot treat.”

He added that his hospitals had been receiving a high number of encephalitis cases.  http://camwatchblogs.blogspot.com/2012/07/60-children-killed-in-cambodia-by.html

Tuesday, July 3, 2012

Colima Closes border with Jalisco bird flu

Colima | Monday July 02

The Colima government prohibits the entry of birds was detected after an outbreak of H7N3 avian influenza in two municipalities of Jalisco


The state government, through its Ministry of Rural Development and the State Committee for Livestock Promotion and Protection, announced the closure of its border with the state of Jalisco to keep out commercial poultry, chicken fat, chicken manure and chicken manure , "by the risk that through these products can carry the avian influenza virus."

The Ministry of Rural Development, said that the measure was taken after it was detected in the neighboring state of Jalisco an outbreak of H7N3 bird flu detected in municipalities and Tepatitlán Acatic.

Reported that the National Agrifood Health and Quality (SENASICA) activated the national emergency device of animal health in the region of "Los Altos de Jalisco", so in Colima is strictly prohibited the entry of birds for slaughter, chick for fattening, chicken manure and chicken manure from Jalisco.

Similarly, reported that Colima is free of this disease, which was recognized by the SENASICA and continuously observed by avian health campaigns conducted by the assistant animal health agency of the State Committee for the Promotion Animal Protection and Colima.

In the case of birds entering the state, Colima reported that supplies chicken to sacrifice and immediate consumption of Nayarit state, so it is prohibited the entry of live poultry from the entities of Jalisco and Michoacan, "because have lower animal health status Colima, this in relation to avian diseases such as salmonella, avian influenza and Newcastle disease. "

Furthermore, it has a strict control of the income of birds, their products and by-products through control of the mobilization of Colima products entering the main road through the seven booths phytozoosanitary established in the state, which monitor to prevent pests entering and diseases of quarantine...


http://www.eluniversal.com.mx/notas/856982.html

Mexico declares bird flu emergency

 03 July 2012 0651 hrs

MEXICO CITY: The Mexican government declared a national animal health emergency on Monday in the face of an aggressive bird flu epidemic that has infected nearly 1.7 million poultry.

More than half the infected birds have died or been culled, the agriculture ministry said of an epidemic that was confirmed on Friday by the UN's Food and Agriculture Organisation (FAO).

"We have activated a national animal health emergency... with the goal of diagnosing, preventing, controlling and eradicating the Type A, sub-type H7N3 bird flu virus," the min..



..H7N3, has occasionally caused human disease in various parts of the world, according to the UN, but has not shown itself to be easily transmittable between humans.  http://www.channelnewsasia.com/stories/afp_world/view/1211303/1/.html