Re: Bird Flu Update (a public service to MFW)



Wow. A useful post at last! ;-)
Well done!

I'll be passing this on to my poultry lists....

Thanks!

In article <btaas1p6jh2cu3h9cr7uvi6l3d18aee4hv@xxxxxxx>,
TBR <TBR@xxxxxx> wrote:

> New findings challenge bird flu assumptions
> By Elisabeth Rosenthal International Herald Tribune
>
> WEDNESDAY, JANUARY 11, 2006
>
>
> ANKARA Two young brothers, aged 4 and 5, are being closely watched at
> the gleaming new Kecioren Hospital here, a police car at the entrance
> guarding a potential scientific treasure. Though both boys have tested
> positive for the H5N1 virus after contact with sick birds, neither has
> any symptoms of the frequently deadly disease.
>
> Doctors are unsure if - for the first time - they are seeing human
> bird flu in its earliest stages, or if they are discovering that
> infection with the H5N1 virus does not necessarily lead to illness.
>
> In any case, the unusual cluster of five cases detected in this
> capital city over the past four days is challenging some doctors'
> assumptions about bird flu and giving them new insights into how the
> virus spreads and causes disease.
>
> These cases have raised the possibility that human bird flu is not as
> deadly as has been thought, and that there may be many mild cases that
> have gone unreported.
>
> "The two brothers are a very interesting finding that may for the
> first time give us a chance to monitor the human response to the
> disease," said Guenael Rodier, who is leading a team of doctors and
> researchers from the World Health Organization to study bird flu here.
>
> [At a news conference here Wednesday, WHO officials urged the public
> to remain calm over the recent outbreak and to avoid contact with sick
> or dead poultry, The Associated Press reported. Turkey has raced to
> contain the outbreak, destroying 300,000 fowl and blaring warnings
> from mosque loudspeakers.
>
> "The worst situation is a panic situation. There is no reason to
> panic," Dr. Marc Danzon, the organization's regional director for
> Europe, said at a news conference with Health Minister Recep Akdag of
> Turkey. Danzon said health officials are doing "everything that is
> known to maintain and manage this difficult situation."
>
> In Rome, the UN Food and Agriculture Organization cautioned that the
> outbreak in Turkey could spread to farms in neighboring countries.
>
> "The virus may be spreading despite the control measures already
> taken," said Juan Lubroth, senior animal health officer at the agency.
> "Far more human and animal exposure to the virus will occur if strict
> containment does not isolate all known and unknown locations where the
> bird flu virus is currently present."]
>
> The run of flu outbreaks and infections that have beset this country
> in the past week is leaving international scientists perplexed on many
> fronts, because it has been so unusual. Turkey is the first country
> outside East Asia to have human cases, and the first one anywhere to
> have so many poultry outbreaks simultaneously.
>
> In one week, Turkey has announced 15 confirmed human cases of H5N1;
> Asia has seen about 140 cases in five years. In that same week,
> Turkish agricultural authorities have announced bird flu outbreaks in
> 18 cities from Aydin on the west coast to Van in the far east; in
> Asia, outbreaks have occurred more sporadically.
>
> "We are not yet sure of the mechanism," said Keith Sumption, an expert
> with the UN Food and Agriculture Organization.
>
> The five cases in Ankara hospitals are different than most of those
> seen in Asia. First, four of the five display only mild symptoms or no
> symptoms at all. Although all five had some recent contact with birds,
> Rodier said, they live on the fringes of a major city; they are not
> farmers or people who keep birds in their backyards.
>
> All human cases so far have occurred through close contact with birds,
> though scientists are worried that the virus might gain the ability to
> spread more easily to humans or be transmitted among them, setting off
> an epidemic.
>
> The group includes two sets of brothers: The pair who show no symptoms
> at all, and a pair from the distant suburbs who developed mild
> symptoms after contact with gloves that had been used to dispose of a
> dead duck. The fifth case is a 65-year-old man, who lives in the city
> itself. The Health Ministry said he had "close contact with a
> chicken," without elaborating on the details.
>
> In addition to observing the boys, who are being treated with
> anti-viral medicines, scientists are struggling with other questions,
> like whether bird flu might not be as deadly as thought.
>
> A study released Tuesday in the Archives of Internal Medicine
> suggested that the H5N1 virus might cause a wide spectrum of disease,
> but that doctors in Asia might only detect the severest cases, the
> ones that went to the hospital. The four children in Ankara bolster
> that theory.
>
> In Ankara, where even people with mild symptoms are going to the
> hospitals to be checked for bird flu, milder cases might be more
> likely to be detected. The government has been sending vans with
> loudspeakers through areas like the Sincan District, where the
> 65-year-old lived, urging people to report symptoms and avoid fowl.
>
> "I'm sure that part of the explanation for the high number of cases in
> Turkey is better surveillance," said Maria Cheng, a spokeswoman for
> the WHO in Geneva. "Also because of the small number of cases in Asia,
> we may not be seeing the full spectrum of disease there, and we've
> getting a better picture of that here."
>
> In one urban district of pastel-colored apartment blocks and a few
> small homes, residents said almost nobody in the area kept birds; they
> bought poultry at the supermarket.
>
> "After all these announcements we've decided not to eat chicken at
> all," said Parlak Inci, an elderly woman.
>
> But poultry is found all around Turkey. Ibrahim Ercan keeps seven
> chickens in the backyard of his small tire store, he said, "mostly as
> pets, to create a farmlike atmosphere." He is supposed to call to have
> them killed, though he has not yet.
>
> The vast number of bird flu outbreaks across Turkey is also
> perplexing, scientists said. One theory is that migrating birds seeded
> various areas in late December, although such outbreaks have not been
> reported in adjacent countries where birds would have also passed.
>
> Another possibility is that poultry-selling practices in Turkey
> contributed to the spread.
>
> In Dogubayazit, home to four of Turkey's 15 human cases, people said
> that big chicken farms from other areas often send huge trucks of old
> birds to the town, selling them to poor farmers for 1 Turkish lira, or
> about 75 cents. The last truck arrived two or three weeks ago, they
> said. If even one bird on such a truck had bird flu, experts said, it
> could have quickly infected the others on board, disseminating the
> virus to many villages.
>
>
> No new patterns seen
>
> Lawrence K. Altman of The New York Times reported from New York:
>
> New mutations in the H5N1 virus do not appear to account for its
> spread among humans in Turkey, a World Health Organization official
> said Tuesday.
>
> Though scientists have completed only the earliest stages of
> epidemiologic and virologic investigations, they have found "no
> evidence to suggest any difference in the disease pattern than what we
> have previously seen for H5N1," said Rodier, the WHO official.
>
> The molecular pattern of the viruses that have infected people and
> animals is similar, said Rodier, who added that he had "no reason to
> believe anything strange is going on."
>
> The WHO does not intend to issue any restrictions for travel to Turkey
> now, he said.
>
> Rodier said that transmission seemed to be occurring in families with
> children in an epidemiologic picture that closely resembled the one
> seen in East Asia. The recent cases identified in Turkey are the first
> outside of East Asia.
>
> The sudden appearance of a number of cases of avian influenza in
> different parts of Turkey is worrisome, Rodier said, but is probably
> linked to the complexities of bird migration. There seems to be "more
> efficient transmission from animals to humans," he said.
>
> A clearer picture may emerge from studies health workers are
> considering in which they would test blood from a number of people to
> determine the extent of infections in Turkish communities.
>
> ANKARA Two young brothers, aged 4 and 5, are being closely watched at
> the gleaming new Kecioren Hospital here, a police car at the entrance
> guarding a potential scientific treasure. Though both boys have tested
> positive for the H5N1 virus after contact with sick birds, neither has
> any symptoms of the frequently deadly disease.
>
> Doctors are unsure if - for the first time - they are seeing human
> bird flu in its earliest stages, or if they are discovering that
> infection with the H5N1 virus does not necessarily lead to illness.
>
> In any case, the unusual cluster of five cases detected in this
> capital city over the past four days is challenging some doctors'
> assumptions about bird flu and giving them new insights into how the
> virus spreads and causes disease.
>
> These cases have raised the possibility that human bird flu is not as
> deadly as has been thought, and that there may be many mild cases that
> have gone unreported.
>
> "The two brothers are a very interesting finding that may for the
> first time give us a chance to monitor the human response to the
> disease," said Guenael Rodier, who is leading a team of doctors and
> researchers from the World Health Organization to study bird flu here.
>
> [At a news conference here Wednesday, WHO officials urged the public
> to remain calm over the recent outbreak and to avoid contact with sick
> or dead poultry, The Associated Press reported. Turkey has raced to
> contain the outbreak, destroying 300,000 fowl and blaring warnings
> from mosque loudspeakers.
>
> "The worst situation is a panic situation. There is no reason to
> panic," Dr. Marc Danzon, the organization's regional director for
> Europe, said at a news conference with Health Minister Recep Akdag of
> Turkey. Danzon said health officials are doing "everything that is
> known to maintain and manage this difficult situation."
>
> In Rome, the UN Food and Agriculture Organization cautioned that the
> outbreak in Turkey could spread to farms in neighboring countries.
>
> "The virus may be spreading despite the control measures already
> taken," said Juan Lubroth, senior animal health officer at the agency.
> "Far more human and animal exposure to the virus will occur if strict
> containment does not isolate all known and unknown locations where the
> bird flu virus is currently present."]
>
> The run of flu outbreaks and infections that have beset this country
> in the past week is leaving international scientists perplexed on many
> fronts, because it has been so unusual. Turkey is the first country
> outside East Asia to have human cases, and the first one anywhere to
> have so many poultry outbreaks simultaneously.
>
> In one week, Turkey has announced 15 confirmed human cases of H5N1;
> Asia has seen about 140 cases in five years. In that same week,
> Turkish agricultural authorities have announced bird flu outbreaks in
> 18 cities from Aydin on the west coast to Van in the far east; in
> Asia, outbreaks have occurred more sporadically.
>
>
> All human cases so far have occurred through close contact with birds,
> though scientists are worried that the virus might gain the ability to
> spread more easily to humans or be transmitted among them, setting off
> an epidemic.
>
> The group includes two sets of brothers: The pair who show no symptoms
> at all, and a pair from the distant suburbs who developed mild
> symptoms after contact with gloves that had been used to dispose of a
> dead duck. The fifth case is a 65-year-old man, who lives in the city
> itself. The Health Ministry said he had "close contact with a
> chicken," without elaborating.
> ====================
>
> WITHOUT ELABORATING? That sounds like the best part of the story to
> me...
>
--
Om.

"My mother never saw the irony in calling me a son-of-a-bitch." -Jack Nicholson
.



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