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Monday, September 24, 2012

Novel Coronavirus infection in the United Kingdom


Novel Coronavirus infection in the United Kingdom

 On 22 September 2012, the United Kingdom (UK) informed WHO of a case of acute respiratory syndrome with renal failure with travel history to the Kingdom of Saudi Arabia (KSA) and Qatar.
The case is a previously healthy, 49 year old male Qatari national that presented with symptoms on 3 September 2012 with travel history to the KSA prior to onset of illness. On 7 September he was admitted to an intensive care unit (ICU) in Doha, Qatar. On 11 September, he was transferred to the UK by air ambulance from Qatar. The Health Protection Agency of the UK (HPA) conducted laboratory testing and has confirmed the presence of a novel coronavirus .
The HPA has compared the sequencing of the virus isolate from the 49 year old Qatari national with that of a virus sequenced previously by the Erasmus University Medical Centre, Netherlands. This latter isolate was obtained from lung tissue of a fatal case earlier this year in a 60 year-old Saudi national. This comparison indicated 99.5% identity, with one nucleotide mismatch over the regions compared.
Coronaviruses are a large family of viruses which includes viruses that cause the common cold and SARS. Given that this is a novel coronavirus, WHO is currently in the process of obtaining further information to determine the public health implications of these two confirmed cases.
With respect to these findings, WHO does not recommend any travel restrictions. Information regarding requirements and recommendations for the Hajj season in 2012 can be found at http://www.who.int/ith/updates/20120730/en/index.html  http://www.who.int/csr/don/2012_09_23/en/index.html

Saudi Govt issues guidelines to prevent coronavirus attack


MENAFN - Arab News - 24/09/2012 (MENAFN - Arab News) A senior official from the Ministry of Health said yesterday that people should take extra precautions against a new form of the coronavirus, which was recently found in the Kingdom among some patients.

The virus was diagnosed in three people causing the death of two of them; the third is still undergoing treatment.

"There is no cause for alarm about the coronavirus. However, people should be aware of its presence and they should take preventive measures to keep the disease away from them," Undersecretary to the Ministry of Health for Public Health Ziad Al-Memish told Arab News yesterday.

With the changing weather at this time of the year and the start of the Haj season, a new strain of coronavirus has been detected in three patients.
Coronaviruses are considered one of the common etiological agents of the common cold.

Al-Memish said the first case was a Saudi patient diagnosed in one of the hospitals in Jeddah; the second was also a Saudi patient and the third a patient from a GCC country. Two were diagnosed with the illness in London. Two patients died and the third is under treatment.

The official said coronaviruses are well known and most of the patients recover completely with no complications after receiving therapy. He pointed out that 95 percent of the patients recover quickly without complications.
The official said the symptoms of the virus include runny nose, general feeling of illness, mild sore throat, cough, headache, low fever and chills. It can also cause respiratory, intestinal and neurological illness. He advised people to contact their doctors if the symptoms continue for more than two days. Such patients should take Vitamin C as a remedial measure, he added.
"A few patients are infected with this novel strain; complications can develop affecting the respiratory system and the kidneys. It can cause death especially among the elderly and in patients with chronic respiratory and cardiac conditions and among immuno-compromised patients." 

The undersecretary said that such negative occurrences happen rarely and emphasized that there are no reasons for concern.

Human coronaviruses cause about 33 percent of cases of the "common cold." Known human coronaviruses include human coronavirus, human enteric coronavirus and severe acute respiratory syndrome (SARS) coronavirus.

The official said people should be careful when they mingle in mass gatherings.

"It is advisable to wear masks in crowded places and change them frequently," he said, adding that they also should pay special attention to personal hygiene, hand cleansing, and covering the mouth and nose while sneezing would help prevent the spread of the disease.

Al-Memish urged Umrah and Haj pilgrims to take necessary precautions and vaccines recommended by the government of Saudi Arabia. The Foreign Ministry has instructed all its missions abroad to issue entry visas to t
he kingdom provided the pilgrims comply with the quarantine regulations of the country.

Prior to the commencement of the Umrah and Haj season, the Foreign Ministry, on the advice of the Health Ministry, sent out circulars to all its embassies abroad indicating the quarantine requirements in the respective countries for the issuance of pilgrim visas.
Health Ministry spokesman Khalid Al-Mirghalani told Arab News that the Kingdom has been carefully monitoring developments of instances of infectious diseases. He pointed out that the stipulated requirements in the new circular are in line with the World Health Organization's requirements to control the spread of infectious diseases.


He said that the Kingdom this year has focused on yellow fever, meningitis, seasonal influenza, polio and food poisoning. He added that the stipulated vaccines should be given 10 days before the date of departure for the holy cities of Makkah and Madinah.

"We have prescribed some vaccines considering the incidence of the disease in the respective countries." He added that the ships and aircraft carrying pilgrims should also produce a certificate that the carriers are free of mosquitoes.

The spokesman affirmed that it will continue to monitor the situation locally, regionally and globally in close coordination with the departments concerned and the international health authorities.

http://www.menafn.com/menafn/1093562374/Saudi-Govt-issues-guidelines-to-prevent-coronavirus-attack?src=RSS

Outbreak of new coronavirus - same family as SARS - has WHO on alert


Helen Branswell, Sunday, September 23, 2012 5:16 PM


The World Health Organization is keeping a close eye on a disease outbreak in Saudi Arabia caused by a virus in the same family as the one that caused SARS.

There have been two confirmed infections with the new coronavirus and tests results are pending on a third suspected case, according to media reports from the Middle East. Two of those three people have died.

While word of a coronavirus outbreak immediately brings SARS to mind, there is too little information at this point to say whether this is anything more than a blip on the viral radar.

Still, with pilgrims beginning to gather in Saudi Arabia for next month's Hajj, the public health community is on alert.

"As with any new virus, this is of concern to us and we're watching it very closely," WHO spokesperson Gregory Hartl said Sunday.

There are a large number of coronaviruses. Some infect animals, others infect birds and still others infect people. In humans, coronaviruses typically cause colds.

But a coronavirus was also the cause of the 2003 outbreak of severe acute respiratory syndrome or SARS, which killed 44 people in Toronto and about 775 people worldwide.

The new coronavirus reportedly causes severe pneumonia and kidney failure.


One of the confirmed cases is in intensive care in a hospital in London, Britain's Health Protection Agency said Sunday.

A statement from the WHO said the person is a 49-year-old man from Qatar who had travelled to Saudi Arabia before he became sick. He was admitted to intensive care in Doha on Sept. 7, but was transferred to Britain by air ambulance on Sept. 11.

"Given that this is a novel coronavirus, WHO is currently in the process of obtaining further information to determine the public health implications of these two confirmed cases," the WHO statement said. It did not refer to the third suspect case.

Professor John Watson, head of the respiratory diseases department at the Health Protection Agency, said to date there is no sign of spread to health-care workers.

That is important because health-care workers often serve as inadvertent sentinels of the spread of infectious diseases. During SARS, for instance, health-care workers were disproportionately affected, catching the new virus from patients they were struggling to save.

"Preliminary enquiries have revealed no evidence of illness in contacts of these two cases, including health-care workers,"
the British agency's release stated.

"Based on what we know about other coronaviruses, many of these contacts will already have passed the period when they could have caught the virus from the infected person."

That said, the British agency's release said there have been other cases of serious respiratory illness in the Middle East over the past three months, including in another person who was treated in Britain. That person has since died, the HPA said.

"This person's illness is also being investigated although there is no evidence at present to suggest that it is caused by the same virus or linked to the other two cases. No other confirmed cases have been identified to date in the UK."

A report on the discovery of the new coronavirus appeared last week on ProMED-mail, an Internet-based system for monitoring infectious diseases around the world.

Dr. Ali Mohamed Zaki, a microbiologist from a hospital in Jeddah, revealed that a new coronavirus had been recovered from a 60-year-old man suffering from pneumonia and renal failure. Zaki said the new virus was part of a group of coronaviruses that are closely related to bat coronaviruses.

Tests to confirm that the virus is indeed a newly identified one were conducted at the lab of Dutch microbiologist Ron Fouchier, a leading influenza researcher at the Erasmus Medical Centre in Rotterdam.

In an email Sunday, Fouchier said his team compared the genetic sequence of the virus they received from Zaki to that isolated from the patient in London.

"The two pieces were 99.5 per cent identical. Although it thus seems that the two cases were caused by the same virus, this is still a premature conclusion," he wrote, cautioning his team had only a small sample of sequence data from the London case to compare to their virus.

The WHO statement said work done in Britain to compare the two viruses also showed they were 99.5 per cent alike.

The WHO is not recommending any travel restrictions at this time.

This year's Hajj is expected to take place between Oct. 24 and 29, but according to the Saudi Arabian government's Ministry of Hajj website, the first day for pilgrims to begin to arrive in the Kingdom was Sept. 17.

The annual Islamic pilgrimage draws hundreds of thousands to the Saudi city of Mecca. The Hajj is one of several large global events — the Olympics are another — that are a constant source of concern for public health officials because of their capacity to spread diseases to many parts of the globe.http://www.globalnews.ca/canada/heal...674/story.html

The next SARS? Coronavirus case in UK



The UK alerted the World Health Organisation on Saturday to a case of acute respiratory syndrome with renal failure in a 49-year old man who had visited Saudi Arabia and Qatar. The man, a previously healthy, Qatari national, first showed symptoms on 3 September 2012 and was admitted to intensive care in Doha, Qatar on 7th. He was transferred by air ambulance to the UK on 11th where the Health Protection Agency confirmed infection with a previously unknown coronavirus.
According to Global News, there have been two other confirmed cases resulting in two deaths.

Alert as SARS-like virus found in Saudi

Alert as SARS-like virus found in Saudi
London, 2 hours, 22 minutes ago


The World Health Organization (WHO) is keeping a close eye on the detection in Saudi Arabia of a virus in the same family as the SARS virus that killed 800 people in 2002.

There have been three confirmed infections with the new coronavirus, according to media reports and two of those three people have died.

WHO yesterday said the SARS-like virus has been identified in Britain in a man who had recently been in Saudi Arabia.
The UN health body, which issued a statement through its "global alert and response" system, said tests on the patient, a 49-year-old Qatari man, confirmed the presence of a new, or novel, coronavirus.

Coronaviruses are a large family of viruses which includes the common cold and SARS.

Earlier, a Saudi Ministry of Health (MoH) statement said that two Saudis — one at a hospital in Jeddah — and another Gulf citizen in Britain were recently diagnosed with the said virus. Two of them died and the third is still under treatment.

The MoH said that most people afflicted with the virus recover after simple treatment, although "in very rare cases and in a rare pattern of this virus, complications occur to the respiratory system and kidneys, which may lead to death, especially in elderly people and those with chronic cardiac illnesses and immune deficiency," the statement said.

The ministry assured the public that such occurrences are rare and the overall health conditions are "reassuring and do not cause concern."

The MoH advised Haj or Umrah pilgrims to abide by the vaccinations and instructions issued by the ministry. 

The WHO statement said: "Given that this is a novel coronavirus, WHO is currently in the process of obtaining further information to determine the public health implications."

SARS, or Severe Acute Respiratory Syndrome, appeared in China in 2002 and killed some 800 people globally before being brought under control.

Peter Openshaw, director of the Centre for Respiratory Infection at Imperial College London, said at this stage the novel virus looked unlikely to prove a concern, and may well only have been identified due to sophisticated testing techniques.

"For now, I would be watchful but not immediately concerned," he told Reuters.


The WHO said the Qatari patient had first presented to doctors on September 3, 2012 with symptoms of an acute respiratory infection.

On September 7, he was admitted to an intensive care unit in Doha, Qatar, and on September 11, he was transferred to Britain by air ambulance from Qatar.

"The Health Protection Agency of the UK conducted laboratory testing and has confirmed the presence of a novel coronavirus," the WHO said.

It said scientists at the HPA compared gene sequences of the virus from the Qatari patient with samples of virus sequenced by Dutch scientists from lung tissue of a fatal case earlier this year in a 60-year-old Saudi national.

The two were almost identical, it said.

Openshaw said the fact the two cases found so far are apparently unrelated suggests "that what has been picked up is just some rare event that in past times might have been undiagnosed".

But he added: "Any evidence of sustained human-to-human transmission or of contact would be more worrying, raising the worry that another SARS-like agent could be emerging."

The WHO said it was not recommending any travel restrictions but would be seeking further information on the virushttp://www.tradearabia.com/news/HEAL_222491.html?

Sunday, September 23, 2012

Swine flu vaccine linked to child narcolepsy: EU watchdog


STOCKHOLM — A swine flu vaccine used in 2009-10 is linked to a higher risk of the sleeping disorder narcolepsy in children and teens in Sweden and Finland, the European Centre for Disease Prevention and Control said Friday.
The EU agency studied the effects of the Pandemrix vaccine on children in eight European countries after Sweden and Finland reported higher incidences of narcolepsy among children who were inoculated with the vaccine during the swine flu pandemic in 2009 and 2010.
"The case-control study found an association between vaccination with Pandemrix and an increased risk of narcolepsy in children and adolescents (five to 19 years of age) in Sweden and Finland," the ECDC said.
"The overall number of new cases of narcolepsy being reported after September 2009 was much higher in Sweden and Finland ... compared with the other countries participating in the study," it said.
In the six other countries -- Britain, Denmark, France, Italy, The Netherlands and Norway -- no link was found based on a strict statistical analysis, which tried to address media bias.
However, other confirmatory analyses did identify an increased risk, the report said.
The report included several recommendations for further study to try to distinguish between true vaccine effects and media attention.
An ECDC spokesman said that while the study did not quantify the increased risk compared with non-vaccination, national studies showed the risk of developing narcolepsy after taking Pandemrix, which is produced by British drug company GlaxoSmithKline, was around one in 20,000 for children and adolescents.
Narcolepsy is a chronic nervous system disorder that causes excessive drowsiness, often causing people to fall asleep uncontrollably, and in more severe cases to suffer hallucinations or paralysing physical collapses called cataplexy.
In Finland, 79 children aged four to 19 developed narcolepsy after receiving the Pandemrix vaccine in 2009 and 2010, while in Sweden the number was close to 200, according to figures in the two countries.
Both countries recommended their populations, of around five and 10 million respectively, to take part in mass vaccinations during the swine flu scare. Pandemrix was the only vaccine used in both countries.
Meanwhile, a recent study in the medical journal The Lancet said that between five and 17 people in Finland aged 0-17 are estimated to have died as a direct result of the 2009-10 swine flu pandemic, while the same number for Sweden was nine to 31.  http://www.google.com/hostednews/afp/article/ALeqM5gvpKKmslwQNOXjgKLZV_jktLuzPQ?docId=CNG.22bd75739109921aecd025e841808edd.1a1
In the past year, the Finnish and Swedish governments have both agreed to provide financial compensation for the affected children after their own national research showed a link between the inoculation and narcolepsy.

Quang Tri: The risk of disease due to dispose of carcasses on the river



22:55:00 22/09/2012
Recently, avian flu has reappeared area city of Dong Ha, Quang Tri Province, many farmers have crumbled because of disease. But there is a fact that today, many families when animals die unconsciously buried but thrown into the river polluting the environment and cause the risk of disease spread ...  http://www.cand.com.vn/vi-VN/clips/2012/9/181263.cand

Zhanjiang bird flu yet spread to the Shenzhen market



2012-09-23 11:54:01 
  Recently, Zhanjiang occurred duck H5N1 highly pathogenic avian flu incident caused a high degree of concern to the people of Shenzhen.Reporter learned yesterday from the city's largest poultry supply market - Nanshan agricultural grant, the normal supply of poultry in the market, yet by the impact of the epidemic. However, the person in charge of the market still remind the general public to the regular poultry premises, be sure to buy poultry and good family and personal precautions to avoid infection with avian influenza.
  Reminded the public to avoid infection with avian influenza, the Nanshan poultry wholesale market administrator, should go to regular poultry premises to buy poultry, the elderly, children, the infirm, weak immune system personnel do not enter poultry premises. Especially members of the public in the purchase of live poultry, should try to avoid contact with their droppings, do not blow the tail of the chicken, after contact with poultry, wash your hands thoroughly.  http://city.sz.net.cn/city/2012-09/23/content_3019231.htm

Quang Ngai discovered and destroyed more than 100,000 birds


Quang Ngai published avian influenza H5N1

(VOV) - By this time, Quang Ngai discovered and destroyed more than 100,000 birds sick.

Avian influenza occurred in 66 households in 39 villages in 27 communes in 6 districts of Quang NgaiBefore this movement, Quang Ngai has announced the H5N1 avian influenza in the whole province. To 20/9 there were 16 villages in 10 communes have 21 days no new outbreaks.
To actively prevent bird flu, the Department of Agriculture and Rural Development in Quang Ngai province to direct the local veterinary forces and deploy deploy preventive measures prescribed; mobilize people not the poultry epidemic when selling; enhance movement control sale and slaughter of poultry in the province.
Provincial Department of Animal Health Quang Ngai has allocated 1 million doses, 7500 liter chemical ben-her-acid iodine for local vaccination and disinfection of the environment, control of the outbreak.    http://vov.vn/Xa-hoi/Quang-Ngai-cong-bo-dich-cum-gia-cam-H5N1/225930.vov 

Vietnam is warning you


New branch bird flu virus can be spread on a large scale 
23/09/2012, 06:20 (GMT +7)

Information from the Department of Animal Health (MARD) said the new influenza A/H5N1 virus group (group C, the branch 2.3.2.1 - is a group of highly virulent and can cause rapid death, dead waterfowl, from July in many provinces in the north and central provinces) tend to spread to the south. There are no vaccines appropriate to prevent bird flu by branching virus causes...

Saturday, September 22, 2012

Bac Can- People raid the dump and sell confiscated chickens


Clarifying the "pirate bird" in Bac Kan
Last updated at 13:47, Saturday, 9/22/2012 (GMT +7)
Nhan Dan Online-Avian influenza H5N1 in Bac Can has been controlled, but these days, people like to sit on the "fire" by thousands of chickens, duck breed of unknown origin, while being destroyed scramble to raise in the community. This can be a source of spread of disease in the future.
Bac Kan market management department, said on 18 - 9 Team management mobile market detection two automobile transport 15 thousand chickens, ducks like quarantine undocumented, unknown origin Cao consumption in the province. After doing the necessary procedures, market management department to coordinate with the authorities take some chickens culled in landfills Khuoi Password Hsuan Tung commune, Bac Kan town.
However, when authorities transporting chickens to landfill Khuoi Password destroyed, there were some people with foam box, locked cage stood waiting. The more time people come to see, catching more winter.In the process of destruction, many cage fallen the escaped chicken out and cover a large jump start, scramble chaotic place.
Village chiefs and village police said Khuoi Password, among chicken scramble, there are a lot of very strange, coming from the unknown. Many people after catching chicken wire cage, wheel, go where no one knows. Status scramble chickens, ducks like chaotic place to work full duty functions culled chicken has no control over the situation.
After scramble chickens, ducks, many people bring to market, sell a million, and the rest brought home for large numbers, but how much detail is no authority in the Province grasp. Since this incident occurred, the people of Bac Can town and elsewhere very worried, because this is chicken, duck breed of unknown origin, can be a source of spread of disease in the future.
A personnel management department Market Bac admitted: Chicken, duck breed of unknown origin must be destroyed, but inadvertent large amount of spread in the community is very dangerous. Find the number of birds now needle in a haystack.
In Bac Kan, the H5N1 avian influenza recently occurred in the area of ​​Na Ri Cho Don district has been controlled, but has caused great damage to the State and farmers. Incident scramble chickens, ducks during the destruction had occurred to make urgent public, farmers worry as sitting on "fire" because the disease could break out, spread on a large scale .
Through this show, some people have no sense of disease prevention, functional staff did not follow correct procedures in handling poultry origin. Opinion suggested that the authorities should persuade those who have bought, catch chickens in landfills Khuoi loss of self-destruction, or surrender for destruction; simultaneously need to closely monitor the disease to timely preventive measures; clarify staff responsibilities to this unfortunate incident. /.   http://www.nhandan.com.vn/cmlink/nhandandientu/thoisu/kinh-te/th-tr-ng/lam-r-v-c-p-ga-b-c-c-n-1.368743

New branch bird flu virus can be spread on a large scale



(VOV) - There is still no suitable vaccine for avian flu caused by this virus branch

Groups of new influenza A/H5N1 virus in 2.3.2.1 branch (group C), was discovered in July so far, is highly virulent group, can cause rapid death, dead waterfowl, are at risk of spreading a large scale. According to information from the Department of Animal Health (Ministry of Agriculture and Rural Development), the current branch of this virus has been detected in several provinces in the north and central provinces; same time tends to spread southward .

Department of Animal Health (Ministry of Agriculture and Rural Development), said the new Group C virus entry into Vietnam and there is still no suitable vaccine for avian flu caused by this virus branch. Therefore, the risk of bird flu continue to arise in the near future is very high. According to Nguyen Xuan Binh, Director of Animal Health Region 6, Ho Chi Minh City, with the bird flu virus changes branch new 2.3.2.1 (Group C), if there are no measures to prevent the risk of transmission spread of avian influenza in the southern provinces is very high.
Implementation of the power of the Ministry of Agriculture and Rural Development to suspend the transportation of live poultry from the north to the south, veterinary Region 6 has directed the units to strengthen coordination with relevant departments to strengthen inspection the gateway to Ho Chi Minh City, reviewed the poultry trade market, especially the market warts bounded by the wards in the area.
Mr. Nguyen Xuan Binh said: "In fact the new branch modified virus with highly pathogenic avian influenza risk spreads in the Mekong Delta and the South as in the current epidemic has spread to the central region. If the virus appears in the Mekong Delta, the risk of an outbreak in the south is very large. So the current solution is to halt and prevent the transport of live poultry from the North to the South, and to implement comprehensive and drastic measures ".   http://vov.vn/Xa-hoi/Virus-cum-gia-cam-nhanh-moi-co-the-lay-lan-tren-dien-rong/225843.vov

Friday, September 21, 2012

Outbreak of Ebola Isiro: people reluctant to get tested


The inhabitants of Isiro, in Eastern Province, more than 500 km from Kisangani, increasingly refuse to submit to the taking of blood samples of suspected contamination Ebola virus.Civil society expressed concern that the observed resistance including Bede, a town about ten kilometers from Isiro.
This town residents fear losing all goods, goods that the patient died from hemorrhage of Ebola are totally burned. They demand to be compensated before.
Commissions social mobilization and psychosocial fight against this disease undertake to intensify raids on land to raise public awareness.  http://radiookapi.net/en-bref/2012/09/21/epidemie-debola-isiro-les-habitants-reticents-se-soumettre-au-depistage/

Bac Kan has 5,000 infected chickens


According to the Department of Animal Health, last week, animal disease, poultry has leveled off. In only five provinces: Ha Tinh, Ninh Binh, Quang Ngai, Peace and reserves the bird flu and the blue ear disease in four provinces: Dac Lac, Cao Bang, Bac Can and Can Tho.
Avian influenza in Bac Kan has 5,000 infected chickens. So far the outbreak in three communes in Cho Don district has 21 days no more poultry infected with disease, illness death, the provincial Department of Animal Health Monitoring, evaluation and agree to the province announced the end of service. Same time, the province also supports 35 thousand VND / chicken flu to be destroyed.  

Wonosobo people just have the flu.. Dr says


Poultry Bird Flu Positive Flourishing

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e-Limassol - Since last week died suddenly poultry cases continue to occur in the Village District Plobangan Selomerto.Even until yesterday (19/9) number of birds that died suddenly reached 290 tails. Laboratory test results of this mass poultry deaths due to bird flu or avian influenza (AI).
According Mahuri Ahmad, 45, a resident Plobangan chicken farmer claim to about two days ago 30 chickens died suddenly peliharaanya simultaneously. He claimed the chicken then throw it into the pond behind the house. After his dead birds suddenly exposed to a number of people were also the same case.
"Dead birds is not only mine, but my neighbors are also experiencing the same thing," he said.
The village head Plobangan Ismail said the villagers initially dozens of birds died suddenly from 9 September and until Wednesday (19/9) total dead birds had reached 290 tails. The details, in the hamlet of Wonosobo there are 43 heads and 247 tails in Plobangan Wetan.
"People know this case is a symptom of bird flu since the last week," he said.
Head of Animal Health and Husbandry Department of Fish and Fisheries Wonosobo, drh.Sutomo said that the sudden death of poultry and the mass in the Village District Plobangan Selomerto started since 11 September. until the next day amounted to 112 dead birds. After laboratory tests confirmed the death was due gejela chicken bird flu.
"We've done lab tests and confirmed the death of poultry due to bird flu," he said.
After that, he said, the number of poultry include chicken and ducks that died continues to grow. Until yesterday amounted to 290 birds. To attempt to suppress the spread of bird flu virus, it had conducted spraying at home and residential areas.
"Spraying once we have done and we will continue to monitor, because the number of birds that died continues to grow," he said.
Head of District Health Office Wonosobo dr. Okie Hapsoro said, the detection of bird flu cases it had lowered the medical team to do counseling and checks directly to the citizens. In addition, immediate treatment is also carried out to 70 residents gelaja plobangan with regular flu without fever.
"There is no serious symptoms of bird flu affected. The results of our medical team people just have the flu, "he says.
Even so, further Okie, health officials revealed to the village every day Plobangan to do counseling and direct examination. This is to anticipate the people infected with bird flu.
"To this day there has been no positive victims of bird flu. Transmission only among birds, "he concluded.  http://e-wonosobo.com/index.php?option=com_content&view=article&id=2553:unggas-positif-flu-burung-terus-bertambah&catid=101:seputar-wonosobo&Itemid=493   

  So which is it? flu ,fever and coughing.. or without fever? Here is the magic words " no positive victims" and there will not be, because they are all on tamiflu and wont be actually tested till they can be tested negative.. and they clean up all those h5n1 positive birds..