Strengthening quarantine, the risk of influenza death from Cambodia

(Reuters) - Within a month, in Cambodia has happened 4 deaths due to bird flu A/H5N1. Vietnam has intensified international medical quarantine to prevent the spread of this deadly flu infection.

Ministry of Health and the need to strengthen international medical quarantine to prevent the spread of A/H5N1 flu in Vietnam.

On 4/2, Deputy Director of Preventive Medicine Tran Thanh Duong signed the power to strengthen prevention and control of influenza A/H5N1 infection risk in Vietnam, especially in the provinces bordering with Cambodia.

Accordingly, the Department of Health requires health departments should strengthen the international festival quarantine activities, early detection of cases of high fever and signs of respiratory tract infection, quarantine, treatment to minimize the spread of A/H5N1 flu in the country.

And should coordinate with the Agriculture strengthen supervision of poultry, waterfowl, imported and domestic, early detection of outbreaks in poultry, waterfowl, implement timely measures.

In addition need to strengthen surveillance, early detection of suspected cases of influenza A/H5N1 infection in humans. The hospital must be willing to collect content, isolation and timely treatment of patients according to the protocol of the Ministry of Health and timely notification to the Center for Preventive Medicine for investigation and handling of the outbreak.

Department of Preventive Medicine also suggested that hospitals need to be willing to medications, supplies, chemicals, and timely means of support for local implementation of the measures for handling the outbreak. http://dantri.com.vn/suc-khoe/tang-cuong-kiem-dich-phong-nguy-co-lay-cum-chet-nguoi-tu-campuchia-693337.htm

Vietnam-Strengthening international quarantine

4-2 days,
  the Ministry of Health issued the electric: 110/CD-DP send medical provinces: An Giang, Dong Thap, Long An and Tay Ninh, Binh Phuoc, Dak Nong, Dak Lak, Gia Lai, Kon Tum on strengthening the prevention of influenza A (H5N1).

Accordingly, the local promotion of international quarantine detected cases with symptoms such as: fever, acute respiratory isolation and treatment to reduce transmission of influenza A (H5N1) in the country it.

Coordinate local agriculture and monitoring poultry, waterfowl imports and promote the propagation of measures to prevent transmission of influenza A (H5N1).

 At the same time, monitoring, early detection of cases of suspected influenza A (H5N1) in humans, the hospital ready to collect content, isolation and treatment of patients, as well as willing, materials, chemicals, means of implementing the measures for handling the outbreak. http://www.nhandan.com.vn/cmlink/nhandandientu/thoisu/doi-song/i-s-ng-tin-chung/ti-p-nh-n-b-s-u-t-p-kh-ng-nh-ch-quy-n-c-a-vi-t-nam-i-v-i-hoang-sa-va-tr-ng-sa-1.390169

Cambodia: H5N1 Flu complicated- video

Monday, 04/02/2013, 8:00 PM (GMT +7)
Only in the second half of January 2013, Cambodia has 5 cases of H5N1 influenza virus infection, 4 people died. In particular, there is a case very close to the border with Vietnam.  http://us.24h.com.vn/tin-video/video-3-campuchia-dich-cum-h5n1-dien-bien-phuc-tap-c499a519174.html

Jordan makes plans against bird flu

Health dropped plans to deal with bird flu

Amman - Petra - Ministry of Health began activating and review plans for dealing with cases of bird flu in the event of suspicion in any situation and make sure their readiness and willingness anticipation of any emergency as director of primary care Dr Bassam Hijjawi. 
said to Jordan News Agency (Petra) on Monday said a review of the ministry to earlier plans to deal with bird flu cases come within the framework of precautionary measures after registering cases of the disease among humans and birds in Southeast Asia and a number of European countries as well as the final decision of the Ministry of Agriculture to prevent the import of poultry from Germany. 
, adding that the monitoring system National implemented by the Ministry Health monitors the types and patterns of influenza all including (H 1 to 1 and H-5 that 1) and other year-round. 

said that precautionary measures to the ministry at this stage is based on making sure there Reagents for tests and provide treatment (Tami flu) and coordination with the Ministry of Agriculture to make sure there deaths of HIV infection among birds. 
  pointed out that HIV infections among humans do not come only through infection confirmed infected birds is not transmitted between humans. 

saw Kingdom by Hijjawi decline of cases registered by swine flu (H 1 to 1) as not reported The ministry reported any cases during the last five days. 

total number of injuries recorded swine flu in Jordan during the current winter season 111 cases and three deaths.

http://www.alrai.com/article/566510.html

China's State General Administration of Quality Supervision, Inspection and Quarantine requirements: to prevent new coronavirus was introduced to China

Feb 03, 2011 20, 2013 

　　China news agency, Beijing, February 3 (Reporter Liu Changzhong) - Reporter was informed, China's State General Administration of Quality Supervision, Inspection and Quarantine requirements of the inspection and quarantine authorities to strengthen inspection and quarantine personnel from the Arabian Peninsula and its neighboring countries to prevent the new coronavirus incoming China.

　　World Health Organization report, based on a retrospective survey, as of November 30, 2012 worldwide confirmed nine cases of human infection with the new coronavirus cases, 5 deaths, a fatality rate of 55.6%. Confirmed cases were from Saudi Arabia, Qatar and Jordan.

　　View of the sources and routes of transmission of the virus is not clear, in order to prevent the virus was introduced into China, and protection to the health and safety of the personnel of the Arabian Peninsula and its neighboring countries, according to the People's Republic of China Frontier Health and Quarantine Law, the State General Administration of Quality Supervision, Inspection and Quarantine issued Notice that the personnel from the Arabian Peninsula and its neighboring countries, if they run a fever, cough, dyspnea, acute respiratory symptoms, entry, entry-exit inspection and quarantine authorities should take the initiative to make an oral declaration. After entering the above symptoms should seek medical care immediately, to the the doctors instructions recent travel history, in order to receive timely diagnosis and treatment.

　　Inspection and quarantine institutions should strengthen management and immigration staff person in charge of the transport from the region declared a health declaration, temperature monitoring, medical inspections, personnel reporting or on-site inspection found that the above symptoms should be good protection on a timely basis taken under the procedure medical investigation and disposal measures.

　　The AQSIQ remind personnel to travel to these areas should maintain good personal hygiene, such as washing hands frequently, to maintain good indoor ventilation. Travel or travel fever, cough, breathing difficulties and other acute respiratory tract infection symptoms should seek medical care immediately, reporting to the inspection and quarantine authorities at immigration http://news.yninfo.com/china/201302/t20130203_1945377.htm

A day after Karachi’s first case surfaces, govt again postpones polio drive

A day after the first case of polio disease was confirmed in over a year, the government decided to postpone the anti-polio drive – which was expected to begin in the first week of February – due to security concerns.

According to health authorities, the drive is being postponed due to the ongoing incidents of violence in Karachi and the unavailability of a sufficient number of police and Rangers to guard the campaign workers.

“There are multiple killings in the city every day. It is not possible to conduct campaign in such conditions,” said an official from the health department requesting anonymity. “We cannot afford any more incidents like the one in December.”

Meanwhile, health department officials in Islamabad tested blood samples of 24-month-old Musharaf Usman, a resident of Bin Qasim Town, and confirmed on Friday that he suffered from the disease.

In the December round of the door-to-door campaign, the health department had hoped to vaccinate 4.4 million children in 22 districts of Sindh. However, the campaign had to be stopped after five female health workers were shot dead in Karachi on December 17. After the incident, the health department decided that the campaign would be conducted in a more erratic manner in Karachi with different areas being inoculated at different times to provide greater security to the health teams.

The health official also mentioned that the health department, security agencies and representatives from Sindh government, will meet on February 4 to improvise the new schedule for the vaccination and to officially announce the postponement.

According to government data, a total of 34 cases of polio were reported in Pakistan in 2012, four of which occurred in Sindh. Karachi, the most populous city of the country, had no cases of polio in 2012.  http://tribune.com.pk/story/501907/a-day-after-karachis-first-case-surfaces-govt-again-postpones-polio-drive/

Dien Phuoc (Dien Khanh): Determination of environmental pollution dead chickens

02/02/2013, 23:11 [GMT +7]

From 20-1 until now, at the beginning of sentences I (Dien Phuoc Dien Khanh, Khanh Hoa) appears 12 bags of dead chicken polluting the surrounding area.

Environmental pollution caused by throwing dead chickens in Double Bridge I (Dien Phuoc)

Pham Van Man, Animal Health Dien Phuoc said first 8 how the chickens appear on 20-1, he was how far buried processing, but to of 25-1 appear more 4 bags. Due to the slow processing of odor emitted polluting the surrounding area.

According to Man, it is not clear how the chickens come from a locality but this is the area bounded by 2: Electrical Phuoc Tho. Top of the Bridge Hill is also home to the garbage. Last time, the area with the phenomenon of dead birds scattered but the most severe backyard chicken farms of Mr. Trinh Dinh Major (village Phuoc Tuy 2), adopted in 1600 the, finisher 400 children, died 1200 children within 2 days.Veterinary Dien Phuoc District Veterinary Station reports.

Related to the handling of the chickens, said Nguyen Van Dung, Vice Chairman Dien Phuoc said, after hearing the report, the commune has directed officials Veterinary and Cadastre hiring process. However, after a few days at this position appear the other chickens how affect treatment progress while funding difficulties.

Of the epidemic in the area, Nguyen Xuan Tan, Chief Veterinary Station Dien Khanh said the district is implementing Month Hygiene disinfection from 28-1 to 28-2, advised farmers to spray disinfectants antidotal housing, apply measures raising safety ... Recently, due to weather changes, the area has a number of dead birds scattered, mostly chicks. District Veterinary Officer checked to detect avian influenza is not due to food poisoning. Poultry farms in Electrical Son, An still function normally. District Veterinary Station are closely monitoring the situation.

Design thinking, Dien Phuoc should quickly deal with how the chickens, no pollution to the surrounding environment.

http://www.baokhanhhoa.com.vn/doi-song/201302/Xa-dien-Phuoc-dien-Khanh-Xac-ga-chet-gay-o-nhiem-moi-truong-2217197/

Nearly 80,000 cases of flu and respiratory infections registered in Romania in a week

The National Center for Surveillance and Control of Communicable Diseases announced that between January 21 and 27, over 80,000 people were diagnosed with respiratory infections and flu in Romania. Fortunately, there were no casualties during the week. This was 10.5 percent more than in the previous week, and 2.5 percent more than in the same week in 2012.

During the same week, the number of flu cases was limited  and sporadic. So far have been a total of four deaths, of which two were confirmed due to the flu, namely the one on January 19, in Cluj county, and the one on January 9, in  Bistrita-Nasaud. From the beginning of the season of acute respiratory infections and until January 29, 37 cases of flu were confirmed, of which 25 were type AH1, four were AH3 and eight were type B.

In Bistrita-Nasaud, a 55-year old woman, who had the flu shot in December last year, died on January 9 after being hospitalized with broncho-pneumonia at the Bistrita County Emergency Hospital. Another death was registered in Buzau County, in the case of 37-year old obese person, where doctors confirmed  the presence of the “coronavirus 229 E”.

So far this winter, over 720,000 Romanians in high risk categories have had the flu shot from the Ministry of Health.  http://www.romania-insider.com/nearly-80000-cases-of-flu-and-respiratory-infections-registered-in-romania-during-a-week/74337/

Yekaterinburg-Pneumonia killed rookie again

The second of this year 19-year-old soldier died in the South Ural Yekaterinburg hospital.The cause of death has once again become very severe bilateral viral and bacterial pneumonia.Man fighting for life force of military and civilian medicine from all over Russia.However, to save him and failed.

Sergei Karabatov was called last fall and sent to serve in the anti-aircraft missile units Chebarkul garrison. In late December, the rookie was sworn in, and soon after was hospitalized.

"He was in a medical unit complaining of cough. December 28 was the last time on the phone with his father, after which came a few days of silence - the unknown. Only 2 January said the father, the son is in the military hospital in Yekaterinburg in a coma.The doctors said that the condition is critical, but they are doing their best. In this state he remained for three weeks. From a large number of medicines kidney failure. And even before the doctor arrived from St. Petersburg does not help "- a message left on the page of Sergey Karabatova" Vkontakte "his friend Max Boot.

The press service of the CVO report that to save the soldier was pulled best military doctors Russia. Consulted with leading specialists Defense, Council of Health Ministry experts Sverdlovsk region. The treatment involved the chief military anesthesiologist-intensivist physicians and Pulmonology Department of the Military Medical Academy named after Kirov. But all this does not work, the guy lives cut short on January 25.

Currently, Elanskii, Yekaterinburg and Chebarkulsky garrisons and military hospital in the district began a full-scale inquiry into outbreak of pneumonia. About mass disease troops became known on January 11. Ombudsman of the Chelyabinsk region Alexei Sevastyanov left today Chebarkul garrison to assess the living conditions of detention of soldiers and have a conversation with them.

This is the second death of a soldier from pneumonia in the Chelyabinsk region in 2013.Also in Yekaterinburg hospital January 13 died on 19-year-old conscript Dmitry Glebov.In addition, from December 26 to January 6, in the suburbs of the same disease had died four soldiers.  http://vecherka.su/katalogizdaniy?id=44784

Mubende ‘strange disease’ linked to malaria

Hattip to Crof

Thursday, January 31  2013 at  02:00\

The Ministry of Health has linked the strange disease that broke out in Mubende District to malaria.

Epidemiologists from the ministry were recently sent to the district to investigate the cause of the disease reported mainly in Kiryandongo Parish in Kisanda Village.

In an interview yesterday, the permanent secretary, Dr Asuman Lukwago, said the team led by the head of the epidemiological unit, Dr Issa Makumbi, had investigated most of the cases and chances of the Ebola haemorrhagic fever, and the Marburg virus had been ruled out.

“We discovered that the people are suffering from a complicated form of malaria. This was confirmed from the three people that have been tested so far. The biggest challenge was that people thought that the disease was as a result of witchcraft. So they would seek the services of traditional healers and in the process they were delayed. By the time they went to hospital, their condition was already worse,” Dr Lukwago said.

“The malaria outbreak was as a result of the heavy rains that were experienced in Mubende. These led to floods thus causing mosquito breeding. But the situation is under control because our team is doing surveillance.”

The disease, that broke out at the beginning of the month, has so far killed five people and more than 30 others are admitted.
The disease is said to cause heat around the chest and itching in the neck, and after a few hours, vomiting, bleeding through the nose and the mouth. http://www.monitor.co.ug/News/National/Mubende--strange-disease--linked-to-malaria/-/688334/1680072/-/dqay9pz/-/index.html

Dr Issa Makumbi, is head of Epidemiology and Surveillance at the ministry of Health. He may know something and they just got a new lab upgrade this summer..so we will see..they only have tested 3 people.

here is a snip about the lab.. 

26 JUNE 2012

.."Many zoonotic diseases are notoriously difficult to diagnose as they are often confused with other diseases; for example, where malaria is present, fevers owing to brucellosis may be misdiagnosed," he explains.

It response, the US Centres for Disease Control and Prevention (CDC) and the Uganda Virus Research Institute (UVRI) renovated the viral haemorrhagic fever lab (VHF) in Entebbe.

The lab provides for rapid detection, surveillance and diagnosis of viral diseases associated with haemorrhagic fevers like Ebola and Marburg. The lab includes specialized diagnostic equipment for virus detection, rapid tests for characterization of viruses, a high containment area with secure and limited access and improved ventilation and air access systems...

http://allafrica.com/stories/201206281101.html

Measles outbreak confirmed in Hoima

The Uganda Virus Research institute has released medical results confirming that the strange disease that has affected the people of Hoima district is measles.

Last week the ministry of health took samples to the research institute to establish whether the disease that has so far claimed is killing people in Hoima district measles.

The Hoima district health inspector Fredrick Byenume says victims develop red eyes, general body skin rash, cough, diahorrea, vomiting and a running nose but did not have the exact diagnosis to prove the disease.

Speaking to the journalist after receiving the results, the ministry’s public relations officer Lukia Nakamatte said they have intensified treatment to ensure that the disease does not spread to other parts of the country.

Nakamatte adds that they continue to trace for patients with symptoms and subject them timely medication...

http://www.weinformers.net/2013/01/17/measles-outbreak-confirmed-in-hoima/

Bird flu 'attacked' Tet

TP - Last week, Tay Ninh, bordering areas of Cambodia, appearing two outbreaks of avian influenza. Experts warned the risk of epidemic spread in the great Tet, when the consumption of poultry origin still rampant.

The risk of avian influenza outbreaks huge illegal poultry spill in Ho Chi Minh City and Tay Ninh appeared two outbreaks..

http://www.tienphong.vn/Suc-Khoe/612899/Cum-gia-cam-tan-cong-dip-Tet-tpp.html

Bird flu outbreak in 4 Districts, A week Thousands of chickens died suddenly

FEBRUARY 2, 2013

Bird flu outbreak in 4 Districts, A week Thousands of chickens died suddenly

FEBRUARY 2, 2013

The bird flu virus continues to spread widely in Polewali Mandar, West Sulawesi.Just within the past week tens of thousands of ducks and chickens ready to harvest in four districts of sudden death. Officers checked the local animal husbandry department to make sure farmers coop chickens and ducks that died confirmed positive bird flu or H5N1 variant 232. Animal husbandry department officers and citizens continue to be mass destruction to isolate the spread of the deadly virus.

Department Polewali Mandar ranch continues to invite people in various places who have contracted the bird flu virus in order to carry out culling thousands of birds belong to them voluntarily. Understandably the government can not meberi damages whatsoever against the cage breeder bird flu.

Capacity of 5000 chicken coop belonging anas Mammi rural districts binung polewlai this mandar mislanya least 4000 chickens ready for harvest had been destroyed en masse because the cage was confirmed positive for H5N1 virus variant 232, after two days previously discovered hundreds of chickens died suddenly circuitry distinctive traits such as bird flu and meat black comb kecoklata.

Step genocide committed breeders and animal husbandry department officials is considered as the best way to isolate the spread of bird flu virus continues to plague quickly, so as not to spread more widely to other districts.

In addition to mass destruction in a positive bird flu, officials are also now aggressively spraying and mass dissemination   of bird flu prevention ordinances. Transition seasons such as this could potentially lead to more widespread outbreak of bird flu.

The bird flu virus first infects hundreds of ducks in the district Wonomulyo and liboro, Polewali Mandar, since two weeks ago. This deadly virus quickly spread to other districts. To this day the clerk recorded at least four districts in the Wonomulyo Polewali Mandar, Limboro, andreapi and binuang stated positive bird flu..

http://peace-journalism.blogspot.com/2013/02/flu-burung-merebak-di-4-kecamatan.html

Thousands of duck deaths in Bandung Regency

Thousands of duck deaths in Bandung Regency New Kind Suspected Bird Flu

DISTRICT BANDUNG, Saturday (2/2). As seen in the field objec duck will die of disease symptoms resemble Newcastle Disease or the more familiar called Tetelo disease in poultry. If the state is attacking birds, these birds will be difficult to stand, neck turning, there is a white spot on the eye.

But for the affected poultry Tetelo or ND is, the time to death can be up to one day after showing symptoms. But sometimes if the breeder is responsive, their domestic poultry can still be helped. As for the case of an attack duck, ducks when the ducks show symptoms for a period of up to two hours after going to die...

http://www.pjtv.co.id/berita/detail/berita-daerah/4005/kematian-ribuan-bebek-di-kabupaten-bandung-diduga-flu-burung-jenis-baru.html

Week, Thousands of chickens died suddenly

KOMPAS.com / JunaediTens of thousands of ducks and chickens in Polewali mandar died suddenly due to bird flu in the past week. 232 variant H5N1 virus continues to spread rapidly. Penagangan are not suspected to be a trigger for further simultaneous outbreaks of bird flu in the region.

http://regional.kompas.com/read/2013/02/02/08554448/Sepekan.Puluhan.Ribu.Ekor.Ayam.Mati.Mendadak

'Nipah' kills child in Joypurhat

 'Nipah virus claimed the life of a girl child in Joypurhat on Thursday, says Joypurhat Health Department officials.

Sumaiya Begum, 3, daughter of Shawkat Ali of Dasra Sarail village in Khetlal upazila, died at Shaheed Ziaur Rahman Medical College, Bogra around 1:30am, said family members.

Earlier on Monday, the girl was admitted to Joypurhat Modern Hospital with fever and headaches, symptoms of Nipah virus infection, the hospital's Medical Officer Md Saidur Rahman said. http://www.thedailystar.net/newDesign/news-details.php?nid=267502

NEPAL-Tarai districts at high risk of bird flu

Tarai districts at high risk of bird flu

: Banke, Bardiya and Dang of Mid-western Tarai region are at high risk of bird flu, sources said today. 

Regional Livestock Directorate today organised a press conference in Nepalgunj and informed that due to the open border these districts are at high risk of bird flu.

Directorate’s Regional Director Dr Dambar Bahadur Singh said that mid-western’s Banke, Bardiya and Dang are at high risk, while Rukum and Surkhet are at moderate risk of bird flu. 

Dr Singh said due to the open border with India, birds and bird-related equipments are imported illegally even though administration has banned the import of such goods from India. 

He said quarantine check posts have been established in Banke, Bardiya and Dang to control the import of birds and related equipments. He further said they have been spreading awareness regarding bird flu danger through campaigns and pamphlets. ..
http://www.thehimalayantimes.com/fullNews.php?headline=Tarai+districts+at+high+risk+of+bird+flu&NewsID=364358

Avian influenza – situation in Cambodia – update

1 FEBRUARY 2013 - The Ministry of Health (MoH) of the Kingdom of Cambodia reported five new human cases of avian influenza that were confirmed positive for the H5N1 virus in January 2013.

Case details include an 8 month old male from Phnom Penh with onset 9 Jan 2013, a 17 year old female from Takeo Province with onset 11 January, a 35 year old male from Kong Pisey district, Kampong Speu Province with onset 13 January, a 17 month old female from Kong Pisey district, Kampong Speu Province with onset 13 January and a 9 year old female from Toeuk Chhou district, Kampot province with onset on 15 January 2013.

The cases all presented with fever, cough and other ILI symptoms. Four of the cases died, with 1 case, the 8 month old male, recovering after only experiencing mild ILI. Laboratory samples were tested by the National Institute of Public Health's laboratory and by the Institut Pasteur du Cambodge.

Preliminary evidence does not support human-to-human transmission and four of the cases are known to have had close contact with sick/dead poultry.

The Ministry of Health's Rapid Response Teams (RRT) have gone to the hospitals and the field to identify the patients’ close contacts, any epidemiological linkage among the five cases and initiate preventive treatment as required. In addition, public health education campaigns are being conducted in the villages to inform families on how to protect themselves from contracting avian influenza. The teams are checking records for evidence of increased ILI activity in the local health centres or any increase in number of SARI cases from the affected areas. Results from testing of those who have ILI symptoms among close contacts for A/H5N1 influenza to date were negative. There is enhanced surveillance for ILI and SARI in local health centre and hospital for a further two weeks. Health education messages have been distributed to the community. The World Health Organization is actively assisting the Ministry of Health in their investigations.  http://www.who.int/csr/don/2013_02_01/en/index.html

Plague Fighters - Nova Documentary on the world most deadliest Virus - Ebola

Published on Jan 31, 2013

Plague Fighters - This documentary film deals with a very crucial issue related to health and tries to inform people about the intensity of this problem. Ebola can easily be declared as the most terrifying virus ever as it has all tendencies to kill people. Its first outbreak was in 1995 in Zaire and killed almost 77 percent of people affected by it. Kikwit, the affected area, was separated from other parts of the village in order to limit the virus and protect other areas from its deadly impact. But what it did to the victims was very horrible and painful...

http://www.youtube.com/watch?v=RYrFaFtpFMg

Ebola lab work 12 pics

Ebola lab work

 12 pics

Before the virologist Lisa Oestereich enters the new high-security lab, she puts on a protective suit. Soon she will be conducting research in the airtight space to GM Lassa, Marburg, Ebola, and Crimean-Congo virus.  | © Christian Charisius / dpa

Funny it looks when the virologist Lisa Oestereich attracts her work clothes: The inflated suit reminds us of the Michelin Man, it must additionally boots, head protection, and several pairs of gloves. But the precautions are not exaggerated. For the virologist working in new high-security laboratoryof Hamburg Bernhard Nocht Institute for Tropical Medicine. Here she and her colleagues are now exploring some of the world's most dangerous viruses: Lassa, Ebola, Marburg and Crimean-Congo virus.  http://www.zeit.de/wissen/2013-01/fs-labor-bni?

Ministry investigates Mubende disease

 

Publish Date: Jan 28, 2013

The health ministry has dispersed a team of experts to Mubende district after a strange infectious disease killed six people and left 30 others affected in a space of three weeks.

 

Medical officers say the disease manifests in the form of excessive heat around the chest and itching in the neck and within a few hours, the patient starts vomiting and bleeding through the nose and mouth. It also causes diarrhoea and fever.

 

Earlier this month when it had just broken out, the disease was suspected to be ebola as it claimed three lives at Mubende Hospital within two days.

 

Residents attributed it to witchcraft and a few weeks ago, they hired a traditional healer to ‘cleanse’ the village of would-be witches.

 

However, Dr. Wilson Mubiru, the district health officer, ruled out witchcraft and said they were yet to receive results from blood samples sent to the Uganda Virus Research Institute in Entebbe.

 

“We are still investigating what exactly this disease is and what its cause could be. Nothing has been confirmed yet,” Mubiru said while dismissing claims of ebola.

The team, which comprises experts from Mulago, the World Health Organisation and other health agencies was led by the ministry’s head of surveillance, Dr. Isa Makumbi. The group has pitched camp in Mubende since last Thursday.

 

The experts visited areas of Kiganda and Kassanda sub-counties last week, where dozens of residents are said to be infected with the peculiar disease.

 

Dr. Bosco Ssendikadiwa, the Mubende district assistant health officer, said the exercise was challenging because the residents were unco-operative.

 

Zziwa Kiruba, the district council secretary for health said they had resolved to sensitise the people. The mass sensitisation campaign is yet to kick off. http://www.newvision.co.ug/news/639301-ministry-investigates-mubende-disease.html

bird flu in Tay Ninh

Tet: Bird flu onset

Mass bird flu has been detected in Tay Ninh. Most likely source of diseases caused by birds.Just Tet, bird flu starts making authorities concerned.

 

31/1, Animal Health Agency Zone VI (DAH - Ministry of Agriculture and Rural Development), said drive has detected bird flu in Bau village Tep, Tien Thuan, Ben Cau district, Tay Ninh. After a period of calm in the country, now, on the day of Tet, bird flu starts making authorities concerned, especially in the context of Cambodia, the border area of ​​Tay Ninh province, just four people died of bird flu (H5N1).

Two birds "kill" more than 8,000 chickens

Veterinary agencies sent staff to investigate outbreaks and recorded outbreak at his farms Pham Van Rua. He Rua 1020 chickens (about 5 months old) in an open area, surrounded by fruit trees and rubber.

On the chicken farm he Rua, the first day of illness on 22/1 with 50 children died suddenly with symptoms of runny nose, with a crest of pale, loose green. Then his 770 chickens dead Rua on 23 and 24/1.

More than 25,000 kinds of duck eggs not quarantine certificate

illegally transported Duc Animal Quarantine Station seized

On 24/1, Department of Veterinary Medicine Xining take samples sent Veterinary Agency for testing, the results were positive for avian influenza virus. Soon, all of the remaining chicken in his camp Rua destroyed.

Veterinary Authority said this is a new outbreak. Pathogens may be due to birds gives due on 22/1, he Rua found two dead birds front yard. SDAH Tay Ninh is conducting disinfection antiseptic whole livestock sector Tien Thuan and avian influenza vaccine. Animal Health Agency Zone VI proposal SDAH Xining controlled the movement of poultry into the disease.

Dangerous time

Dang Thi Tuyet, Animal Quarantine Station chiefs Thu Duc (HCMC), that should not be underestimated outbreak onset Tay Ninh. " Tay Ninh border with Cambodia. Parties that just four people died of bird flu, we need high alert, "Snow said.

Ms. Snow said the transport, purchase and sale of poultry and poultry products during the New Year very complicated. Transport objects use many tricks to the authorities.

The morning of 29/1, in time to go check on Highway 1, the Animal Quarantine Station staff Duc discovered an unusual bus signs should coordinate with the Police forces blocked check and discovered more than 25,000 egg roll, duck eggs, crackers, eggs, duck north workshops and salted duck eggs hidden on the roof, padding under the seat and vehicle tunnel. Number of eggs of unknown origin, without quarantine certificates.

Earlier, on 19/1, the Animal Quarantine Station Duc also found a truck comes from Tra Vinh illegally transporting more than 700 chickens were slaughtered, about 7000 duck eggs suede ... to the City. According to Snow, not only chicken, but duck eggs hidden upside may also contain bird flu virus on the distribution rights in the shell or in eggs.  http://alobacsi.vn/2013020112572875p0c160/giap-tet-cum-gia-cam-lai-khoi-phat.htm

Cambodia-Plans Outlined to Prevent Spread of H5N1

Plans Outlined to Prevent Spread of H5N1

By Colin Meyn and Khy Sovuthy - January 31, 2013

Government officials met Tuesday in Phnom Penh to outline a strategy to prevent the spread of bird flu as millions prepare to travel from the provinces—where five cases of the virus have been reported in the past two weeks—to attend the late King Father No­ro­dom Sihanouk’s cremation in Phnom Penh.

The meeting was attended by the Ministry of Agriculture, the Ministry of Health, the World Health Organization (WHO), the Food and Agriculture Organi­za­tion and the Center for Disease Control (CDC).

“These are poor people coming from provinces. There is some likelihood they will bring their own food and own poultry,” Son­ny Krishnan, spokesman for the WHO in Cambodia, said of the es­ti­mated 1.5 million people who are expected to arrive for the cremation on February 4.

“We are advising them that if you have to cook chicken, cook it well. We do hope animal health people will do inspections on the movement of poultry,” Mr. Krish­nan said.

The WHO on Tuesday confirmed that four people have died in the past two weeks from the H5N1 virus, also called bird flu, and that they all became infected from contact with live poultry. An 8-month-old boy from Phnom Penh’s Pur Sen­chey district survived infection from the normally lethal virus.

The WHO noted that in all ca­s­es, chickens were reported as be­ing sick or dying in the area, and that no entomological link be­tween the five reported cases had been found.

“Although the [H5N1] virus currently does not easily spread among humans, if the virus changes it could easily be spread like seasonal influenza. Hence, early recognition of cases is im­portant,” the WHO said.

Ly Sovann, deputy director of the CDC, said that, along with the Health Ministry, a number of steps are being taken to mitigate the threat of bird flu in the coming days.

Government ministries and partner NGOs will increase surveillance of people and poultry so that cases of bird flu can be identified and treated sooner. Aware­ness of the disease will be raised through broadcast campaigns on radio and television and the capacity of health workers will be im­proved through refresher training on how to identify and treat bird flu at district-level hospitals.

Mr. Krishnan said that in Phnom Penh, the Health Min­istry along with the Red Cross would distribute brochures to people coming into the city on how to protect themselves from the virus.

Dr. Sin Somuny, director of MediCam, an umbrella organization of health NGOs, said that the Agriculture Ministry’s ability to control the movement of chickens and ducks would be crucial to en­suring that infected chickens are not imported from Vietnam and brought into Phnom Penh during the cremation and ahead of Chi­nese New Year, which starts February 10.

“The Ministry of Agriculture should put up more measures at checkpoints where chickens can be imported. They need to identify infected chickens before they are brought in and kill people,” he said.

Dr. Philippe Buchy, head of the Pasteur Institute’s virology department in Phnom Penh, said that out­breaks of bird flu are often seen during festivals, when demand for chicken rises sharply.

“High risk of transmission [of the H5N1 virus] comes before Chinese New Year, Khmer New Year and Pchum Ben, when there is a huge demand for chicken,” he said, adding that stockpiling of chic­ken in Phnom Penh in preparation for the huge crowds coming to the city for the late King Fa­ther’s cremation may pose an add­ed risk of transmission.

“There is no bird flu epidemic that occurs because of the season —because it is hot or cold. It happens because of festivities,” he said.

In the past week, thousands of chickens and ducks have been slaughtered and the remains burned by the Ministry of Agri­culture in the areas where cases of bird flu have been reported.

In Takeo province’s Prey Kab­bas district, where a 17-year-old girl died of bird flu on January 21, 4,743 ducks and chickens have been burned by local authorities, said That Bunly, a district official with the Ministry of Agriculture’s Ani­mal Health Department.  http://www.cambodiadaily.com/news/plans-outlined-to-prevent-spread-of-h5n1-8722/

Volume 19, Number 2—February 2013

Dispatch

Influenza A(H5N1) Virus Surveillance at Live Poultry Markets, Cambodia, 2011

Article Contents

• The Study
• Conclusions
• Acknowledgment
• References
• Figure 1
• Figure 2
• Table
• Suggested Citation

Srey Viseth Horm, San Sorn, Lotfi Allal, and Philippe Buchy 

Author affiliations: Author affiliations: Institut Pasteur, Phnom Penh, Cambodia (S.V. Horm, S. Sorn, P. Buchy); Ministry of Agriculture, Phnom Penh (S. Sorn); Food and Agriculture Organization, Phnom Penh (L. Allal)

Suggested citation for this article

AbstractIn Cambodia, influenza A(H5N1) virus surveillance at live poultry markets (LPMs) relies on virus isolation from poultry specimens; however, virus is rarely detected by this method. We tested 502 environmental LPM samples: 90 were positive by PCR, 10 by virus isolation. Virus circulation could be better monitored by environmental sampling of LPMs.

Highly pathogenic avian influenza (HPAI) A(H5N1) virus was first detected in 2004 in Cambodia. Since then, outbreaks of subtype H5N1 infection among poultry have been regularly detected, and 21 human cases associated with 19 deaths have been recorded (1).

In Cambodia, where poultry vaccination is not allowed, illegal poultry trade has been a repeated source of reintroduction of the virus (2–4). Surveillance for subtype H5N1 virus at live poultry markets (LPMs) has been conducted in Cambodia by inoculating cloacal or throat swab specimens from poultry into embryonated chicken eggs; however, virus has rarely been detected by this method (S. Sorn, unpub. data). After outbreaks of subtype H5N1 virus in poultry, the viral genome can be detected for >1 week in environmental samples from the outbreak area; thus, environmental surfaces are potential sources of virus transmission to humans and animals (5,6). LPMs have also been reported as sources of virus involved in human subtype H5N1 infection (7–9).

Birds sold at LPMs can originate http://wwwnc.cdc.gov/eid/article/19/2/12-1201_article.htm?s_cid=eid-gDev-email