Illness cluster linked to Disney tour baffles officials

•  
• By Jason Garcia, Orlando Sentinel

  5:48 p.m. EDT, July 25, 2012

Orange County health officials are investigating a cluster of illnesses linked to Walt Disney World's "Wild Africa Trek" experience, a boutique tour in which small groups of people get up-close access to some of the wildlife in Disney's Animal Kingdom and a catered meal served on the theme park's manmade savannah.

Investigators have documented "several dozens of cases" of illnesses among guests who took the Disney tour in June and July, said Dain Weister, a spokesman for the Orange County Health Department.
The source of the illness remains a mystery.

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"It appears to be some kind of stomach bug," Weister said. "It could be food-borne, it could be water-borne, it could be something that's passed on person-to-person, it could be something that's picked up by surface."
Disney has taken several precautionary steps, including "deep cleaning" various surfaces that guests touch, distributing more hand sanitizers, and re-emphasizing hand-washing policies to guests and employees.
"We are working closely with the Orange County Health Department to review the situation," Disney spokeswoman Andrea Finger said...

The county Health Department was alerted to the outbreak on June 11. Weister said the agency immediately inspected the kitchen at Disney World where employees prepare the food served on the trek, but they found no problems.

....Investigators also began contacting guests who took the tour, beginning with those who did so during the first two weeks of June and the first week of July. A majority of the cases they found occurred during the first week in June, though a handful were also found in July, so investigators are now surveying people who took the tour in the latter half of June...

..One of those who posted said he or she was "extremely sick" by midnight the day after taking the tour, with vomiting that lasted for about five hours and pain, cramping and diarrhea that endured for more than a week. Another said his wife had to take him to the emergency room because of complications....
http://www.orlandosentinel.com/the-daily-disney/os-disney-wild-africa-trek-illness-20120725,0,5555612.story

Thailand-BMA closely monitoring hand, foot and mouth disease #EV71

        Thursday, 26 July 2012
BANGKOK, July 25 -- Bangkok Governor Sukhumbhand Paribatra said the Bangkok Metropolitan Administration (BMA) has closely monitored the situation on hand, foot and mouth disease as there were 13,000 patients nationwide and some 3,000 in Bangkok were infected with the virus.

The governor on Tuesday inspected Wat Ratchanadda School under BMA supervision to ensure the measures to prevent the spread of hand, foot and mouth disease are being strictly observed.

The BMA has instructed the schools to screen students everyday, to clean teaching aid equipment and toys. Schools were advised to educate students on how to improve personal hygiene and to wash their hands properly.
Mr Sukhumbhand said he was satisfied with the measures implemented in the city’s schools to prevent the spread of the disease and stressed that the public should not panic.
He said the BMA has closely monitored the situation during January-July and found that there were some 13,000 patients nationwide while in Bangkok alone, there were 3,000 patients.
The Department of Disease Control on Tuesday announced that a lab test confirmed a two-year-old girl died of a severe strain of hand, foot and mouth disease.
The toddler is the first HFMD death this year in Thailand. She died last Thursday at Nopparat Rajathanee Hospital and hospital director Passakorn Chaivanichsiri said Enterovirus 71 (EV-71) was found in her body.  http://www.pattayamail.com/news/bma-closely-monitoring-hand-foot-and-mouth-disease-14989

Shanghai Pasteur developed for the intestinal virus EV71 neutralizing monoclonal

antibody font size 15:08 on the July 26, 02 012

Recently, the international academic journals, Journal of Virological Methods, published online Chinese Academy of Sciences, Institut Pasteur of Shanghai Huang research group successfully prepared for the latest research results of the intestinal virus EV71 neutralizing monoclonal antibody.
The intestinal virus EV71 cause hand, foot and mouth disease pathogens. HFMD often occurs in children under the age of five infectious disease, some patients with severe neurological symptoms of encephalitis, pulmonary edema and paralysis or even death. In recent years, hand, foot and mouth disease in the Asia-Pacific region, widespread and poses a serious threat to the healthy development of children. In China, only the 2010 and 2011 the Ministry of Health statistics, on a total of 3,394,375 cases of infection, of which 1414 cases of death. However, the lack of simple and rapid detection of EV71 virus, and no preventive vaccines and therapeutic drugs. Therefore, the development of diagnostic reagents and antivirals is of great significance for the prevention and treatment of foot and mouth disease.
Pasteur of Shanghai, PhD library Zhiqiang Shi Jinping and Liu Qingwei in Huang researcher under the guidance of, the use of genetic engineering methods to prepare infectious EV71 virus-like particles as immunogens, with anti-immunized mice to produce virus ability of neutralizing antibodies. Then, using traditional hybridoma technology preparation of the three that secrete neutralizing antibody hybridoma D5, C4 and H7.
The biochemical analysis showed that these monoclonal antibodies can specifically recognize the surface of the capsid protein of EV71 virus. Immunofluorescence experiments showed that these antibodies are also able to detect EV71 virus infected cells. Therefore, these monoclonal antibodies can be used to further the development of diagnostic kits for EV71. More importantly, in vitro experiments, the monoclonal antibody in very low concentrations can effectively prevent the virus from invading cells, suggesting that they have developed into a humanized monoclonal antibody drug for the treatment of the potential.

The study of early diagnosis of EV71 infection and monoclonal antibody drug development has laid a good foundation. The work was supported by the Chinese Academy of Sciences "Hundred Talents Program" funded.


Figure monoclonal antibody protective effect. (A) uninfected RD cells; (B) medium incubated; control mAb (C) 1.25ug/ml of anti-HBsAg; (D) 0.3125ug/ml the D5 monoclonal antibody; (E) 0.3125ug/ml H7 monoclonal antibody; (F) 1.25ug/ml the C4 monoclonal antibody
http://news.hexun.com/2012-07-26/144013578.html

Hua Lampong train station in Bangkok #EV71

A worker sprays disinfectant as a precaution against hand, foot and mouth disease, at Hua Lampong train station in Bangkok
A worker sprays disinfectant as a precaution against hand, foot and mouth disease (HFMD), at Hua Lampong train station in Bangkok, July 26, 2012. The death of a two-year-old girl last week caused by the enterovirus 71 (EV-71), a strain of the HFMD virus, was the first HFMD fatality in Thailand this year, according to local media citing the Public Health Ministry. REUTERS  http://www.trust.org/alertnet/multimedia/pictures/detail.dot?mediaInode=58e8209d-dff7-4258-97f7-4f3e7f73455b

 To the public. Cleaning station - train carriages.
 Department of Transportation. Railway of the country.The Department of Disease Control Officer in October, 9. East Railway Police and the State Railway of Thailand staff. Sila station.  East Railway Station. Cleaning stations and train carriages.  To prevent and control disease, I hand foot mouth after the outbreak of the recent permission to Mon 88 patients already accumulated.
http://translate.google.com/translate?sl=th&tl=en&js=n&prev=_t&hl=en&ie=UTF-8&layout=2&eotf=1&u=http%3A%2F%2Fwww.komchadluek.net%2Fdetail%2F20120726%2F136122%2F%25E0%25B8%25A7%25E0%25B8%25B4%25E0%25B8%2597%25E0%25B8%25A2%25E0%25B8%25B2%25E0%25B9%2580%25E0%25B8%25AD%25E0%25B8%25B2%25E0%25B8%25AD%25E0%25B8%25A2%25E0%25B8%25B9%25E0%25B9%2588%21%25E0%25B8%25A2%25E0%25B8%25B1%25E0%25B8%2599%25E0%25B8%25A3%25E0%25B8%25B1%25E0%25B8%259A%25E0%25B8%25A1%25E0%25B8%25B7%25E0%25B8%25AD%25E0%25B8%25A1%25E0%25B8%25B7%25E0%25B8%25AD%25E0%25B9%2580%25E0%25B8%2597%25E0%25B9%2589%25E0%25B8%25B2%25E0%25B8%259B%25E0%25B8%25B2%25E0%25B8%2581%25E0%25B9%2584%25E0%25B8%2594%25E0%25B9%2589.html

CAMBODIA - Alert for an epidemic of foot and mouth disease that primarily affects malnourished children

Phnom Penh (Agenzia Fides) - According to some experts, the high rate of malnutrition in Cambodia has led to the rapid spread of an outbreak of foot and mouth disease that, since last April, has claimed the lives of 54 poor children . In the country have closed all kindergartens and primary schools to try to contain the spread of enterovirus-71 (EV-71), which is the responsible course of the outbreak of the disease known as HFMD Hand, foot and mouth (HFMD .) The HFMD affects especially children and infection occurs through contact with the mucus, saliva or feces of an infected person. Outbreaks usually occur in Southeast Asia during the rainy season.



The Kantha Bopha hospital in the capital of Cambodia, most infected children have died between April and late June. In several provinces there have been mild forms of the disease and could be hundreds of cases not detected by the health services are very limited in the country. It is impossible to determine the mortality rate from severe form of HFMD.

Only recently the government of Cambodia has begun to collaborate with the World Health Organization (WHO) for monitoringIn a joint investigation by the Ministry of Health of Cambodia and the WHO has shown that the virus EV-71, is one of the known causes of HFMD, estuva present in most reported cases. Many children have died during the first day of hospitalization and before the disease were malnourished or suffering from other chronic diseases.



Malnutrition affects 40% of Cambodian children, making them more vulnerable to infectious diseases. The country recorded the third highest rate of child malnutrition among members of the Association of Southeast Asian Nations (ASEAN), and 28% of children under 5 are underweight or too small for age. The "hidden hunger", lack of vitamins or minerals, is another serious problem in the country where half of all children under 5 years, the most vulnerable to HFMD, are anemic, mainly due to iron deficiency . Nearly 9 in 10 are already anemic year-old.



According to WHO, this year, there have been in China more than 1.27 million cases of mild and severe foot and mouth disease, with 356 deaths, compared with just over 711,300 cases last year. It also appears that the number of cases in Singapore has grown from 871 to over 26,000 in the first six months of this year. (AP) (Agenzia Fides 26/7/2012)http://www.fides.org/aree/news/newsdet.php?idnews=33886&lan=spa

Doctor slams WHO for causing virus panic #HFMD #EV71

Thursday, 26 July 2012

Bridget Di Certo

A Cambodian girl walks out of a school with her father in Phnom Penh on July 18, 2012. Cambodia closed all its kindergartens and primary schools on July 18 to prevent the spread of an illness. AFP PHOTO/0Tang Chhin Sothy

“The WHO in Cambodia should be closed” is the emphatic sign-off to a lengthy and vivid analysis by Kantha Bopha Children’s Hospitals of the recent “mystery disease” scare.

While the World Health Organization and Ministry of Health have declared that a series of recent child deaths are linked to EV-71, causing severe hand, foot and mouth disease, Kantha Bopha founder Dr Beat Richner has slammed the conclusion as a “catastrophic declaration”.

Richner said 72 cases of the unexplained illness have appeared in his hospitals, and of those, 68 have died.

The WHO yesterday said the totals from the Ministry of Health stood at 61 cases and 56 deaths, including one new death over the weekend that fit the case definition of severe HFMD.

The “case definition” is the critical impasse between the MoH and WHO, and Kantha Bopha, which treat 85 per cent of all Cambodian children.

Kantha Bopha’s “case definition” is encephalitis and complete lung destruction leading to a rapid death.

Not one of these cases showed lesions associated with HFMD, Richner’s statement says.

However, WHO communications officer Sonny Inbaraj Krishnan told the Post yesterday that of the cases recorded by the UN agency and the MoH, rashes and blisters were present.

“Sometimes, with EV-71, either blister or rash appears and it could be one or the other,” he said. “The case definition [for WHO and MoH] is that the child has fever with neurological systems such as vomiting and prolonged stretches of sleepiness or convulsions and respiratory symptoms such as difficulty breathing.”

This conclusion is wrong and is still confusing the media and public, Richner rebuts in his statement.

The question that has still not been answered, Richner said, is “what is destroying the lungs in these 72 cases of encephalitis in the last 6 hours of their life, all treated in private clinics?”

Richner believes that the administration of incorrect drugs to these 72 children could be a factor in the astonishing destruction of the lungs present in the cases that have been recorded by his hospitals.

The most “catastrophic” press release by the MoH and WHO, according to the Swiss doctor, was the most recent, in which the joint investigation conclusion is that a mix of pathogens and a root affliction with EV-71 has been aggravated and worsened by the use of steroids.

The Post previously reported Richner decrying WHO’s criticism of the use of steroids as “absolute nonsense”.

The doctor emphasised that all patients arriving with the unknown illness at Kantha Bopha hospitals showed signs of encephalitis, which requires steroids to stem fatal swelling of the brain.

A high number of platelets during the final moments before death could be a sign that underlying tuberculosis is complicating treatment, Richner said in the statement.

Kantha Bopha Children’s Hospitals operate in parallel to the public health system in Cambodia and provide outpatient and emergency care free of charge at their five hospitals in Phnom Penh and Siem Reap.

However, a bitter relationship between Kantha Bopha and the WHO appears to be complicating investigations into and solutions to the child deaths.

MoH Secretary of State Heng Tay Kry said only the minister or WHO could respond about Richner’s allegations.

Minister Mam Bunheng, Communicable Disease Control Department director Sok Touch and his deputy, Ly Sovann, could not be contacted yesterday.

WHO country representative Pieter Van Maaren, told the Post he considered Richner’s statement “irrelevant”.

“We don’t communicate with Kantha Bopha through the media,” Van Maaren said. “And we don’t give comment [on press releases]. The Ministry of Health and WHO joint press releases state what is our position [on the child deaths]." http://www.phnompenhpost.com/index.php/2012072657646/National-news/doctor-slams-who-for-causing-virus-panic.html

Thailand-Steroids can worsen #FMD #EV71

Immunosuppresants would worsen disease

• 26/07/2012 at 03:50 AM

The Public Health Ministry has warned people against taking steroid-based medicines for suspected hand, foot and mouth disease (HFMD) without consulting doctors, saying the drugs could accelerate progression of the disease.

Certain drugs, especially those containing steroids, often make the patient initially feel better but eventually could result in the suppression of the immune system, Medical Services Department director-general Wilawan Juengprasert said Wednesday.

Steroid-based drugs suppress the immune system, which causes the disease progression to advance and could possibly lead to death, Dr Wilawan said.

She was speaking at a meeting of more than 500 paediatricians from both state and private-run hospitals.

The conference was organised by the ministry and aimed at updating medical specialists with the latest news of HFMD in the country.

Parents whose children are suspected of contracting HFMD are strongly advised to inform doctors, especially if their children have chronic diseases...

...As of Sunday, the accumulated number of patients diagnosed with HFMD in the country rose to 16,860, including a two-year-old girl whose death was confirmed on Tuesday to have been caused by the enterovirus 71 strain of the disease. The girl died at a hospital in Bangkok last week.

More confirmed HFMD infections were reported Wednesday, including four cases who were students of Thaworn Witthaya Kanchanaburi School in Muang district of Kanchanaburi.

Another case was a Mathayom 2 student of Suankularb Wittayalai School in Phra Nakhon district of Bangkok.

In Nakhon Ratchasima's Muang district, director of Wat Sa Kaeo School Suwat Boonyanuson dismissed rumours that a Prathom 1 student, who died on Tuesday after falling ill on July 16, had contracted HFMD.

He said the school had been informed by her doctors that the student was diagnosed with dengue fever


http://www.bangkokpost.com/news/local/304292/ministry-warns-against-steroids-as-hfmd-cure

Vietnam has plenty of dead ducks lately..

After appearing in two local Quang Binh and Hai Duong province, was recently discovered H5N1 virus in poultry of Hai Phong province. Specifically, in An Thai and An Lao district (Haiphong), Mr. Ho Van Hung discovered nearly 1,000 ducks in 7000 herd of commercial ducks died for unknown reasons. At the same time, his family Ngo Thanh Hoa also found approximately 1,700 ducks in the herd more than 10,000 children died in an unusual way.
Before that, a flock of Dao Van The family and the next expression also translated and Steering infection prevention and control of avian influenza An Thai had to organize the destruction of 2,800 ducks. Before this situation, Hai Phong Animal Health Department held a gathering in An Thai duck samples for testing and the results confirmed ducks were positive for H5N1 flu virus, then organized the destruction of nearly 20,000 children ducks.http://www.sggp.org.vn/ytesuckhoe/2012/7/294864/

Mexico to vaccinate 10 million birds in flu outbreak

MEXICO CITY — Mexico will start vaccinating some 10 million poultry Thursday against the highly contagious bird flu strain that has already led to the deaths of five million birds which either fell ill or were slaughtered.
"Starting tomorrow, we are going to vaccinate hens and chicks across the country to put an end to this bird flu epidemic," Mexican President Felipe Calderon said.
The president indicated that the ultimate goal is to have a batch of 80 million vaccinations, so that "in the coming weeks, (Mexico can) end this economic impact on poultry producers."
The virus responsible for the outbreak, H7N3, has occasionally affected humans in various parts of the world, according to the United Nations..
http://www.google.com/hostednews/afp/article/ALeqM5hTu84YaVf49twHhy76fHBIAwzebQ?docId=CNG.3876fdf485e35325ed293043a826a741.f1

World's first dengue vaccine beats three virus strains

Posted July 26, 2012 10:55:18

The world's first vaccine against dengue fever has protected against three of the virus's four strains in a keenly awaited clinical trial in Thailand.

French drugmaker Sanofi says the proof of efficacy is a key milestone in the 70-year quest to develop a viable dengue shot.
The company says the results also confirm the safety profile of its vaccine candidate.
The mosquito-borne disease is a threat to nearly 3 billion people and is caused by four different types of virus.
Sanofi's vaccine generated an antibody response for all four dengue virus types, but evidence of protection was only demonstrated against three of the four strains circulating in Thailand.
The Phase IIb .. http://www.abc.net.au/news/2012-07-26/an-dengue-vaccine/4156196?section=world

Swine Flu at an Indiana County Fair #H3N2v

Jul 25, 2012

By Anna Tomasulo

Photo credit: pidoubleg, August 2010 via flickr

The Indiana State Department of Health is investigating the potential outbreak of variant influenza A virus, or swine flu.
Shortly after the LaPorte County Fair, held from July 8 to July 14, four individuals reported symptoms of cough, fever and sore throat. Test results from the patients were positive for variant influenza A. To determine the source of the outbreak, swine from the fair are also being tested.
The State Department of Health is working with the Indiana Board of Animal Health and the LaPorte Country Health Department to collect information and determine the spread of the outbreak.
According to the Department of Health, each of the individuals had direct contact with swine, and each has since fully recovered.
Variant influenza viruses are called so because they do not occur seasonally, nor do they normally affect humans. Influenza A viruses regularly cause outbreaks in pigs. Symptoms of influenza A in infected pigs include, sneezing, respiratory distress, fever, depression or lack of appetite. When infected pigs and humans are in close proximity or direct contact, influenza can be transmitted. The symptoms of human infection with a variant influenza A virus are similar to seasonal flu symptoms (fever, coughing, nausea, lack of appetite, etc.). In rare and limited cases, variant influenza has spread from person-to-person.
Swine flu, or variant influenza A virus, infections are concerning because pigs are susceptible to avian, human and swine influenza viruses. If a pig is infected with influenza viruses from different species at the same time, the creation of a new virus is possible. This process, in which genes from different viruses mix to create a new virus, is called antigenic shift. The 2009 H1N1 pandemic was the result of human infection with a genetically different influenza virus, against which humans had no protection. Now, flu vaccines include protection against the H1N1 virus.
The Indiana State Department of Health recommends frequent washing of hands when working with animals. Additionally, the department cautions against eating around animals, particularly if you have a weakened immune system. Swine owners are also encouraged to contact a veterinarian if their animals show any signs of swine flu. http://www.healthmap.org/news/swine-flu-indiana-county-fair-72512

Pigs, humans had same virus in Indiana #H3N2v

Pigs, humans had same virus

By Matt Fritz

Published: Wednesday, July 25, 2012 5:03 PM CDT
La PORTE — Sick humans and pigs at the La Porte County Fair had one thing in common — the H3N2 virus.

Yesterday the Indiana Board of Animal Health and the Indiana State Department of Health determined that the same virus was responsible for both animal and human sickness at the annual event, which drew more than 20,000 people to the La Porte fairgrounds earlier this month.

According to a health department press release, four people associated with the fair were diagnosed with the illness after having direct contact with the animals. They have all since recovered.

Janelle Thompson, public information officer for the Indiana Board of Animal Health, said samples were collected from sick people and animals on July 16 after several respiratory illness complaints in both pigs and the children were reported.


Thompson classified the type A influenza as a zoonotic disease, meaning it can be transmitted from animals to humans or vice versa.

The health department release said human infections are more likely to occur when people are in close proximity to live infected swine, such as in barns and livestock exhibits at fairs. Influenza viruses are not transmitted by eating pork and pork products.

Thompson agreed.

"All the people who were diagnosed in this situation had direct contact with the swine," she said. "They were all in the barn working with the animals. At this time we have not heard of any fairgoers becoming ill. So pork is still completely safe to eat."

One parent associated with the swine program (who asked to go unnamed for fear of retaliation) said he had two kids sent to the emergency room, one with a temperature of 102 degrees and the other with a temperature of 104 degrees.

He explained that participants started noticing the problem on July 12.

He said he knew of 41 sick pigs. He owned one of them.

According to the health department, the reported symptoms included coughing, fevers and sore throats. It's continuing to collect information on the extent of the illnesses.
The department release said 17 human cases of this virus have been identified nationwide. Six of these cases have been identified in Indiana.

It recommended individuals to wash hands with soap and water before and after petting or touching any animal, and to never eat, drink, or put anything in their mouths in animal areas. And older adults, pregnant women, young children and people with weakened immune systems should be extra careful around animals.
http://heraldargus.com/articles/2012...f288598925.txt

Health Officials are Investigating Flu Illness From LaPorte County Fair

Start Date: 7/25/2012 Start Time: 12:00 AM
End Date: 7/25/2012 End Time: 11:59 PM


INDIANAPOLIS—The Indiana State Department of Health, the Indiana Board of Animal Health, and the LaPorte County Health Department are actively investigating an outbreak of four human illnesses associated with the LaPorte County Fair, held July 8-14. All four individuals had direct contact with swine and all four cases are now recovered.


The State Health Department continues to collect information to determine the extent of the illnesses. Symptoms reported include cough, fever and sore throat. Confirmed test results on patient specimens indicate the cause as a variant influenza A virus. Swine specimens also tested positive for this virus.

Influenza viruses can be directly transmitted from swine to people and from people to swine. Human infections are most likely to occur when people are in close proximity to live infected swine, such as in barns and livestock exhibits at fairs. Influenza viruses are not transmitted by eating pork and pork products.

Since 2011, 17 human cases of variant influenza A virus have been identified nationwide. Six of these cases have been identified in Indiana.

Individuals should always wash hands with soap and water before and after petting or touching any animal. Never eat, drink, or put anything in your mouth in animal areas. Older adults, pregnant women, young children, and people with weakened immune systems should be extra careful around animals.

Hoosiers who have direct, routine contact with swine, such as working in swine barns or showing swine at fairs, and have experienced cough or influenza-like illness should contact their health care provider or local health department. Symptoms include cough, sore throat, fever, body aches, and possibly other symptoms, such as nausea, vomiting, or diarrhea.



While influenza is not an uncommon diagnosis in pigs, the State Board of Animal Health encourages swine owners to contact a veterinarian if their animals show signs consistent with flu, including coughing, respiratory illness, off-feed and fever. Most county fairs have a private veterinary practitioner on call for on-site assistance.



Additional information regarding influenza can be found at the Indiana State Department of Health website at www.in.gov/isdh/25462.htm.

Contact Information:
Name: Ken Severson
Phone: 317.233.7104
Email: kseverson@isdh.in.gov

Indiana: 4 humans, many pigs confirmed with H3N2v - suspected additional human cases

Hattip Shiloh
 5:45 p.m. Tuesday, July 24, 2012
4 LaPorte C. flu-like illnesses linked to swine

The Associated Press
INDIANAPOLIS —

Health officials say four people who've developed flu-like illnesses all had direct contact with swine at the LaPorte County Fair in northwestern Indiana.

The Indiana State Department of Health said Tuesday that confirmed test results on patient specimens indicate the cause as a variant influenza A virus... http://www.wsbtv.com/news/ap/health/...o-swine/nP3M4/

Discovery of poultry infected with #bird flu on a farm in Fayoum #H5N1

Fayoum by day - Tuesday, July 24, 18:26


Confirmed the central laboratory of the Ministry of Health a positive sample was obtained from a poultry farmer in Fayoum Center Snurs "bird flu" and that the sample was infected with the disease and the Department of Preventive Medicine Department of Veterinary Medicine in Fayoum has received over the past week.

The competent organs of anti-bird flu detected in Fayoum has found injuries among poultry in the village farm private compromise of the Department of Veterinary Medicine Psonors, and got them on the samples and after laboratory testing showed that the samples were obtained and sent for analysis positive for the disease.

Notified the Department of Veterinary Medicine Snurs police station of the reservation to non-poultry markets and leaked to the Preventive Medicine Department for disposal of health through the application and instructions of the Ministry of Health on how to get rid of the infected chickens epidemiological fear of transmission of the citizens.

For his part, charged Ahmed Ali Ahmed Governor of Fayoum governorate crisis management to pursue the disposal of poultry infected health burials prepared for this purpose outside the residential block. http://www.fayoumtoday.com/fayoum-news/14066/%D8%A5%D9%83%D8%AA%D8%B4%D8%A7%D9%81-%D8%AF%D9%88%D8%A7%D8%AC%D9%86-%D9%85%D8%B5%D8%A7%D8%A8%D8%A9-%D8%A8%D9%85%D8%B1%D8%B6-%D8%A5%D9%86%D9%81%D9%84%D9%88%D9%86%D8%B2%D8%A7-%D8%A7%D9%84%D8%B7%D9%8A/

Public Health: Thailand's Hand, Foot and Mouth in the human population

MedicareNewsNetwork.Com

Wednesday 25 July 2012

The Thai News Agency reports that as many as 14,000 people have been infected with Hand, Foot and Mouth Disease (HNFD) in an outbreak that is spreading across the region and the world. Reports say that the number of reported cases has fallen in the past week but is still worrying enough for the Prime Minister, Yingluck Shinawatra Yingluck, to have issued a statement saying that disease control measures are to be stepped up and that there must be increased vigilance.

In Cambodia, EV-71, a particularly virulent form of the disease, has killed at least 54 people but medical sources say that the number may have been increased by the innaproriate use of steroids in an attempt to cure what was, at first, an unidentified illness amongst children in a Phnom Penh hospital. Other non-fatal cases have now been identified. Most of the deaths were of infants of less than three years of age. To combat the spread of the disease, Cambodia closed schools in the affected area.
In the USA, doctors have reported a significant increase in the number of cases in Hartford, Connecticut. One hospital has reported seeing as many as nine patients in one day, most infants or young children.
The spread of the disease in Argentina has led to Japan introducing restrictions on imports from that country.
An outbreak in Sabah, in Malaysian Borneo, led to a one-week closure of schools and daycare centres in May this year and the outbreak appears to have been contained. In Sarawak, also in Malaysian Borneo, there were 806 cases in the first seven weeks of this year - almost four times the number in the same period in 2011. But the Malaysian Health Ministry said that the number did not qualify to be classified as an "outbreak." Again, kindergartens were closed.  http://chiefofficers.net/888333888/cms/index.php/news/industries/health_care_pharma/public_health/public_health_thailand_s_hand_foot_and_mouth_in_the_human_population

In the last five weeks Mexico Slaughters nearly 5 million birds

In the last five weeks

 Mexico: Outbreak of avian influenza forced the slaughter of nearly 5 million birds

Tuesday, July 24, 2012 | 8:04 pm 
Other 9.3 million birds could be at same fate because they are near the focus where it was detected and lvirus About 4.9 million birds have died since five weeks ago came an outbreak of bird flu in Jalisco state farms in western Mexico, Mexican officials said.    The National Health Service, Food Safety and Food Quality (SENASICA) indicated that they are all laying hens have died from the disease or have had to be slaughtered under strict measures to prevent the spread of the H7N3 virus.    He also indicated that keeps under surveillance 16.5 million birds, of which 9.3 million are related to the outbreak, ie, they are very near the site or area where the virus has been detected and therefore are more risk of contagion...
http://www.larepublica.pe/24-07-2012/mexico-brote-de-gripe-aviar-obligo-sacrificar-casi-5-millones-de-aves

Strain of HFMD killed toddler : doctors EV71

Strain of HFMD killed toddler : doctors

POUNGCHOMPOO PRASERT
THE NATION July 25, 2012 1:00 am

 

Dr Prasert Thongcharoen told a media conference yesterday the 2-year-old girl, who had chronic asthma, developed a fever and respiratory difficulties on July 12, but had no blisters in her mouth.

She later developed high blood pressure, respiratory failure, a high amount of white blood cells, and faster-than-normal heart rate - symptoms in line with the enzyme test result for myocarditis. As a result, doctors stated she had died from respiratory failure, he explained.

Samples from the girl's faeces and spine fluid didn't show HFMD, but a B5 type of Enterovirus 71 was identified in her throat, he said. Although her symptoms weren't typical for HFMD, some - such as myocarditis - did match the disease, and the expert team concluded the girl died from severe HFMD...

http://www.nationmultimedia.com/national/Strain-of-HFMD-killed-toddler-doctors-30186928.html

Prasert emphasised there was no evidence linking particular HFMD strains to severe diseases.

He said the B5 type of Enterovi-rus 71 wasn't normally dangerous but the girl had severe symptoms because of other factors (such as her pre-existing illness and the late admission for treatment). He said the team found doctors had treated the girl properly and consulted experts frequently.

Prasert also said that the other two deaths did not involve HFMD; the 16-year-old boy in Sa Kaew died from encephalitis (also caused by Enterovirus 71) while the 3-year-old girl in Lop Buri had a heart condition and was admitted with high fever, vomiting, and shortness of breath, but the lab test couldn't find Enterovirus 71 virus.

Department of Medical Sciences chief Dr Boonchai Somboonsuk reported at least 30-40 HFMD samples were being submitted for lab tests each day. Next week, the department will train 14 centres in polymerase chain reaction (PCR), a DNA amplification, so they will have more manpower to detect |diseases better and faster |(within 2-3 hours), he said.

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Vietnam-20,000 Ducks with #H5N1 #BIRDFLU

Hai Phong, Hai Duong: Re-appearance of avian influenza
24/07/2012 08:48:35
According to the Veterinary Department of Hai Phong, from 19/7 to date, in An Thai, An Lao district appeared a series of dead duck status, the number of over 20,000.
Also in Vinh Lap Thanh Ha district, Hai Duong province, nearly 6,000 poultry died along with the symptoms of H5N1 influenza epidemic.

The competent authorities of Hai Phong and Hai Duong has taken samples sent veterinary quarantine office Zone 2 and the samples were tested positive for H5N1 avian influenza virus. Local authorities and veterinary officials have localized spraying and stamping out. All the sick poultry, death has been destroyed

  http://www.cand.com.vn/vi-VN/kinhte/2012/7/176902.cand

Thailand: small Cambodian returned to their country for fear of #EV71

Thailand: small Cambodian returned to their country
July 24, 2012
A hundred street children were expelled by the Thai authorities to Poipet. EV71 virus has killed a little Thai in Bangkok.The little beggars expelled to the border post 21 and July 22 had a high fever, symptoms of infectious disease Hand, foot and mouth (MPMB) that killed sixty children in Cambodia since April , reported the Phnom Penh Post newspaper of 23 July.



Thai authorities were acting as part of a national campaign to prevent the disease and started on July 20 to screen children to cross the Cambodian border. But their Cambodian counterparts denounced overzealous. "The Thai authorities are afraid of the spread of EV71 [enterovirus that causes the disease] Thai children at the border, and therefore they provide a free medical examination and drug Cambodian children," said the newspaper Keo Sopheaktra, the director of health department of the province of Banteay Meanchey. "But they do not have the disease. They have a simple fever can be treated with simple medication. "



According to Thai media, some 300 Cambodian children taken by the Thai side their parents would have received free medical examination.
For its part, the daily Bangkok Post reported July 23 that a little girl of two and a half years died July 18 at a hospital in Bangkok, the first death attributed to MPMB this year in Thailand. His lungs, his heart and his brain would have been achieved, but it did not have the common symptoms of blisters on hands, feet and mouth, and experts are not all agree on the causes of death. Health authorities, who want to avoid widespread panic, however, confirmed that EV71 was concerned, traces of the virus being found in the victim's throat. His body is the subject of an autopsy, and discovered the virus is being analyzed to see if it has not mutated. According to the July 24 edition of the newspaper, more than 14,000 cases were reported MPMB in the country yesterday.
In Phnom Penh, the Phnom Penh Post reports that the case of a three year old child with the disease was confirmed on the community site of Borey Keila, where hundreds of families evicted several months ago as well as live evil in makeshift tents and in unsanitary conditions

http://asie-info.fr/2012/07/24/thailande-des-petits-cambodgiens-renvoyes-dans-leur-pays-57121.html

2 More Cambodian Kids Killed by Hand, Foot, Mouth Disease over Weekend

2 More Cambodian Kids Killed by Hand, Foot, Mouth Disease over Weekend

2012-07-24 19:34:04 Xinhua Web Editor: Liuyuanhui

Three more Cambodian children were tested positive for Enterovirus 71 (EV-71) over the weekend and two of them were killed by the disease, bringing the death toll to 56 since April, a senior health official said Tuesday. Ly Sovann, deputy director of the Health Ministry's communicable disease control department, told Xinhua that the two dead children were in Kampong Cham province, some 124 km east of Phnom Penh, and the other one is recovering from the disease at the Kantha Bopha Children's Hospital in Siem Reap province... .  http://english.cri.cn/6966/2012/07/24/2561s713441.htm

Thailand girl caught the B5 type of Enterovirus 71

He said the girl caught the B5 type of Enterovirus 71, which was usually not very dangerous.

Virologists and experts will today hold a meeting to determine the exact cause of the girl's death.
http://www.nationmultimedia.com/national/Experts-to-examine-cause-of-two-year-old-girls-dea-30186801.html

Thailand confirms 1st death this year from childhood virus raging throughout Asia #EV71

Thailand confirms 1st death this year from childhood virus raging throughout Asia

A child stricken with the intestinal virus, identified as enterovirus 71 or EV-71, rests at a hospital in Fuyang, central China's Anhui province, Sunday, May 4, 2008. (AP Photo)

 

Published Tuesday, Jul. 24, 2012 7:10AM EDT

BANGKOK, Thailand -- Thailand has confirmed its first fatality this year from a virus that has killed hundreds of children across Asia.
The 2-year-old girl who died at a Bangkok hospital last week had a form of hand, foot and mouth disease known as enterovirus 71 strain, or EV-71..

Read more: http://www.ctvnews.ca/health/thailand-confirms-1st-death-this-year-from-childhood-virus-raging-throughout-asia-1.890629#ixzz21Xls9rMx

Thailand confirms death from raging child virus #EV71

Thailand confirms death from raging child virus

July 24, 2012 02:23 PM

BANGKOK: Thailand has confirmed its first fatality this year from a virus that has killed hundreds of children across Asia.
The 2-year-old girl who died at a Bangkok hospital last week had a form of hand, foot and mouth disease known as enterovirus 71 strain, or EV-71. The disease is common among children ages 2 to 5 and is usually mild. But the severe form of the illness caused more than 400 deaths in the first half of this year in China, Vietnam and Cambodia.
Disease Control Department senior adviser Doctor Prasert Thongcharoen said Tuesday that laboratory tests showed the Thai girl was more vulnerable because she also had asthma.
The Public Health Ministry said about 16,000 children in Thailand contracted hand, foot and mouth disease this year.

Read more: http://www.dailystar.com.lb/News/Health/2012/Jul-24/181796-thailand-confirms-death-from-raging-child-virus.ashx#ixzz21XkASXqS
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Thailand- #EV71 case 'no cause for panic'

The Nation July 23, 2012 1:00 am

Department of Disease Control chief Dr Pornthep Siriwanarangsan yesterday advised the public not to panic over the discovery that a toddler had died at a Bangkok hospital from an Enterovirus 71 (EV71) infection.

Pornthep said the Nopparat Hospital had sent the virus found in the 2-year-old for analysis at the Department of Medical Sciences.

Pornthep advised parents to take early hospital treatment if they suspected their child was infected, otherwise it could be too late to fight it.

Department spokesman, Dr Wattana Uwanit, said officials are testing if the virus found in the body of the toddler had undergone a significant mutation that might cause it to become more viral...

http://www.nationmultimedia.com/national/EV71-case-no-cause-for-panic-30186748.html