Thursday, February 28, 2013

Editorial - Disaster preparedness a necessity

Thursday, February 28, 2013 09:02
On Wednesday, the U.S. Senate unanimously passed a bill to strengthen national preparedness for public health emergencies, such as major pandemics, natural disasters, even nuclear attacks. The Senate has mandated the Department of Health and Human Services to devise an all-encompassing National Health Security Strategy and
submit it to Congress by 2014.
The Pandemic and All-Hazards Preparedness Reauthorization Act, introduced by Rep. Mike Rogers (R-Mich.), was passed overwhelmingly in the House of Representatives last month and needs only to be signed into law by the president. The far-reaching nature of the provisions in the bill are outweighed by the obvious necessity of a plan of action should a widespread disaster take place.
In 2002, The People’s Republic of China experienced a sweeping epidemic of severe acute respiratory syndrome (SARS), which resulted in a reported 806 infections and 34 deaths.
At the time, SARS had yet to be identified as a new infectious disease. The Chinese government discouraged its press from reporting on SARS and lagged in reporting the situation to the World Health Organization, delaying the initial report, only relaying warnings in the province in which the initial outbreaks took place. As an indirect result, the disease was not properly documented until its next major outbreak in 2003.
More recently, Hurricane Sandy, often referred to as Superstorm Sandy, devastated portions of the Caribbean and Northeastern U.S. when it made landfall in October. The storm affected 24 states and caused more than $71 billion in damage. The Senate voted on a bill to allocate $60 billion in relief efforts in December, but voting in the House was postponed until the next congressional session.
Suffering people shouldn’t be at the whim of an indecisive, divisive government every time a new mass emergency arises. The Pandemic and All-Hazards Preparedness Reauthorization Act may serve as a benchmark for consistent relief in the wake of future disaster.

prevent new coronavirus into China

2013-03-01 08:46  The AQSIQ 27th "prevent new coronavirus into China's announcement on its official website. The announcement clearly, personnel from the Arabian Peninsula and the United Kingdom, if any, fever, cough, shortness of breath, difficulty in breathing and acute respiratory symptoms, immigration should take the initiative to the entry-exit inspection and quarantine agencies oral declaration. After entering the above symptoms should seek medical care immediately.

Hong Kong Government rumor: No new SARS is indeed human metapneumovirus infection

2013 03 01 09:32 
  Recently, a number of members of the public in Hong Kong fever and respiratory infection symptoms, the news about the new SARS outbreak in the network all of a sudden be crazy to pass, the Hong Kong Hospital Authority announced yesterday denied the claim.
  Hong Kong Hospital Authority said that recently circulated on the Internet Pok Oi Hospital suspected infection of SARS patients essence of human metapneumovirus infections, the virus was first discovered in 2001 in the Netherlands. It is understood that the human metapneumovirus is a single-stranded RNA viruses belonging to the paramyxovirus genus including parainfluenza viruses and respiratory syncytial virus, so the virus is not SA RS the novel coronavirus ie new SA RS.
  According to Xinhua News Agency, the mainland of the General Administration of Quality Supervision, Inspection and Quarantine issued a notice to prevent new coronavirus into China. February 20 report of the World Health Organization, the United Kingdom this month confirmed three cases of human infection with the novel coronavirus cases. Since September 2012, the World Health Organization has confirmed a total of 13 cases of new cases of coronavirus from the Arabian Peninsula and the United Kingdom, of which 7 died.
  Notice requirements, personnel from the region, if any, fever, cough, shortness of breath, difficulty in breathing and acute respiratory symptoms, and entry to the entry-exit inspection and quarantine authorities should take the initiative to make an oral declaration.

Crazy Crony Case Counts

This not the first time it has been reported that there have only been 13 cases of the new coronavirus. It is in referral to the confirmed cases, which is very deceptive. There also may be 2 more on the way. The 13 cases meme is not telling you the whole truth. They seem to be hiding very likely cases and in a way, screwing up the real case count, mild cases, recovered cases and the real cfr. Nobody want's to talk about this either. 

   Reminds me of Indonesia, where there are many suspected H5N1 patients, all later to be declared negative. Their media and gov't wait to test these people till after a week or 2 of tamiflu..when the tests come back negative. 
 Nevermind, the 2 or 3 more in the same hamlet, coughing up guts with a high fever and dead birds by the 100's laying around everywhere. They just stop reporting on them until a test comes back negative.

It all goes back to the careful wording of confirmed cases.
The WHO and other gov'ts just LOVE to throw out the Confirmed statement, all the while negating to tell you of the other people in the family that were sick, but never tested, or died before they could be tested, OR GOT BETTER and therefor not counted.

Almost all the recent media reports leave out the fact that when this outbreak first garnered media attention by Ronan Kelly at Flutrackers, There were waaay more than the verified 2 in Jordan. There were reports of up to 19 suspected cases or more, which was finally whittled down to 11. These cases were HIGHLY suspected as h2h, and are considered so now.. It is just not reported as such nowadays.

It is this fact that leads me to think there are way more cases, and way too many inconsistancies with the official reports and the way they are reported. Now I am hearing buzz that The latest case went to Egypt.. The first suspected case in Jordan possibly also came from Egypt. They are having a hard time pinning down the first case and where they came from.. or at least telling you

Another point to bring up is the fact that only 2 or 3 women have ever gotten ill from it. It appears that one of the earliest patients was a woman and she is also never counted in official tallies. Jordan and other ME countries may have only mostly male nurses in all their hospitals, but I don't think so. 
In the Jordan hospital, here is a rundown of recent nurses that work at the hospital where the outbreak occurred. This is not a total picture of who works there or did then, but shows a good mix of woman nurses there. There is an abundance of male nurses and probably does not include the full picture of female nurses at that or any ME hospital.

Here again, is the latest, astounding, most precise report ever!..

Until this month, no one had been certain that the virus could spread from person to person..said 
Alison Bermingham of the United Kingdom’s Health Protection Agency..
Then, a 60-year-old U.K. resident who had traveled to Pakistan and Saudi Arabia got sick with the coronavirus and passed it to his son, who died. The case is the first known human-to-human transmission of the virus.   - -  

The virus has sickened 13 people and killed seven of them in the Middle East and England since last April. -

This would help establish whether the 13 cases seen so far are the most severe and represent "the tip the iceberg", said Volker Thiel of the Institute of Immunobiology at Kantonal Hospital in Switzerland..

and here again no mention of the Jordan 11
..A novel coronavirus has infected 13 people, killing seven, Gwen Stephens, with the Saudi Arabia Ministry of Health, said at an American Society for Microbiology biodefense conference in Washington today.

 At least the latest virology report does mention the cluster..and some other interesting news. 

Timeline for confirmed human cases (in chronological 
order of reporting) 
As of 15 February 2013, a total of 12 laboratory confirmed cases of NCoV have been
reported to WHO [14]. The first 9 of these cases have been from the Middle East: 5 cases (3
fatal) from Saudi Arabia, 2 cases from Qatar and 2 cases (both fatal) from Jordan (Figure 1).
The most recent 3 cases (1 fatal) were in individuals living in UK..

30th November 
At the end of November, WHO reported that two cases that had died of an unknown
respiratory infection in April 2012 in Jordan were retrospectively tested for the new
coronavirus and found to be positive [25]. These cases were part of a cluster of 11 cases, 8 of 
whom were healthcare workers who presented with a severe respiratory illness that was 
unexplained at the time, but was notified to the WHO [25].

here is the cluster mentioned by the WHO
 In addition to the two previously confirmed cases, a number of health care workers with pneumonia associated with the cases were also included in the review and are now considered probable case.

Here is a report of at least 16 suspects at the time
There are many other Jordan reports at Flutrackers,
this blog and my old one.

Here is Dr Jones pretending it will all go away..

Wed, Feb 27, 2013
..Despite this, Ian Jones, a professor of virology at Britain's University of Reading, said he believes "the most likely outcome for the current infections is a dead end" - with the virus petering out and becoming extinct..
Others say they fear that is unlikely.
"There's nothing in the virology that tells us this thing is going to stop being transmitted," said Osterholm. "Today the world is one big virological blender. And if it's sustaining itself (in humans) in the Middle East then it will show up around the rest of the world. It's just a matter of time." 
Now in all fairness, the reports are for the general public, even though some are mentioned at scientific events or symposiums. Constantly telling me there have only been 13 cases is starting to wear on my conscience.   Don't you be fooled by funny case count numbers. You haven't been even told half the truth on severity, spread or source of infection. They refuse to tell you. Do you really think they just don't know? Soon they will have to tell you what the hell is really going on. It is worse than you think.  Until then, take all those happy reports of only a few cases so far, with a big grain of salt!
Jordan up to 19 cases,11 is the number they go with
Saudi Arabia 5 cases
Qatar 2 cases 
UK 3  A fourth case from this family also presented with similar symptoms, but laboratory tests revealed that it was negative?
That is 22 right there. I can easily get up to 30-35 suspected or confirmed cases so far, from various reports. Why do I have to? Why are the health agencies making us try to guess wth is going on? Why are they and the MSM telling you only 13 have gotten sick so far?

Jordan has too many in tents

Jordan has too many in tents, Wait till they find some corona in this place.. then you will be having fun. How long till then?

Jordan receives more than 12 thousand new Syrian refugees in 4 days

    Jordan receives more than 12 thousand new Syrian refugees in 4 days

    With continuous flow Alajian Syrians to Jordan, which Arepettf recent rate exceeds 3 to refugees daily expect observers to exceed total roof half a million refugees by the end of next March. 
    According to the General Coordinator for Refugees Syrians in Jordan Anmar Hmoud number Syrian refugees in Alarzin until the morning of Tuesday 26 / 2/2013 about 413 thousand and 516 refugees.

     ...continues to flow Syrian refugees into the Kingdom through points border front, it has been met border guards during twenty-four hours the past 3973 refugees mostly women and children, the elderly and many of them sick and injured, according to an official source at the General Command of the Armed Forces..
    United Nations: We are not able to Syrian refugee relief
    UN - AFP
    Thursday, February 28, 2013
    Warned senior officials from the "battles in Syria much so no longer the United Nations and aid agencies other, capable with to meet the needs of the refugees hu

    refugees in Jordan exceeds 421 thousand...

    2 patients in Kien Giang were negative for influenza A/H5N1 virus

    03:01:00 28/02/2013
    National Influenza Center confirmed: The two cases of patients Kien Giang were negative with influenza A/H5N1 virus.
    The last few days, the public concerned about information 2 cases in Kien Giang suspected influenza A/H5N1 with continuous high fever above 38 ° C, headache, muscle fatigue.
    To clarify the cause of the disease 2 patients, the Center for Preventive Medicine of Kien Giang has sent samples to the National Influenza Center of the Pasteur Institute in Ho Chi Minh City.
    The afternoon of 27/2, Dr. Nguyen Van Binh, director of the Preventive Medicine Department (Ministry of Health) said: The results of the test at 11am 27/2 of the National Influenza Center confirmed: The 2 cases above were negative with influenza A/H5N1 virus. 2 patients are still being treated in hospital in Kien Giang Province

    Tay Ninh announced bird flu in a social

     Tay Ninh announced bird flu in a social

    (TNO) Information from the Department of Animal Health said Kien Giang province on 28.2 have discovered an outbreak of influenza A/H5N1 occurred on chicken farms under the Department of Agriculture PC Land H.Hon.

    Chickens on a total of 559 children between the ages of 1-3 months. The whole chicken is not A/H5N1 flu vaccination. After serum samples were positive for influenza A/H5N1, Veterinary Department Kien Giang, the  Steering Committee for Disease Control and Prevention local poultry for slaughter all the chickens and spraying chemicals, disinfection antiseptic regional epidemics. 
    Earlier, in Hau Giang, bird flu has also re-broadcast on 3000 flocks of Ms. Dang Thi Tuoi, My Thanh hamlet, Tan Phuoc Hung, H.Phung United, Hau Giang. Causes of bird flu as well as poultry are not vaccinated.
    From the beginning of the year, in the Mekong Delta also has had 1 death from A/H5N1 flu in H.Giong particular, Kien Giang.
    * On 28.2, Tay Ninh provincial People's Committee has decided to publish bird flu in the whole Net Thuan and Bridge H.Bến.
    According to this decision, the provinces prohibit carrying out of the service area of ​​poultry or poultry products not processed within 21 days from the occurrence of the last outbreak.
    PPC also directed H.Ben Bridge, authorities in collaboration with the provincial Department of Animal Health focuses on prevention announced service area and the neighboring communes threatened.
    At the same time, the province decided to set up temporary checkpoints animals , division of 24/24 at the gateway to the border points to prevent the sale of poultry running bird or put from across the border.

    nearly 5,000 infected pigs

    Currently, in Phu Tho appeared fowl disease in cattle, poultry, 100 pigs and chickens, ducks scattered dead. Provincial veterinary industry has warned people to discover the symptoms of high fever, loss of appetite, shortness of breath, weakness, quickly and communicate cries; observed skin thin skin areas such as the abdomen, the skin of the groin, the ear ... see bleeding, water in cans, they must immediately notify the authorities. Absolutely not transport sick pigs out of the area; not eat pork died. According to the Department of Animal Health Hoa Binh, foot and mouth transplant fowl, FMD in pigs occurred in the Hop Hoa, Cu Yen, Lien Son and high RAM Luong Son, 537 infected children, killing 111 pigs. The provincial departments of functions localized emergency service to the organization and control foot and mouth transplant fowl, FMD in pigs in the local epidemic. Blue ear disease in Quang Nam has spread to 160 villages in 37 communes and towns, nearly 5,000 infected pigs. Provincial Veterinary Authority has more than 65 thousand doses of vaccine, set up a hotline message pigs, organized interdisciplinary team check check, closing the block at the local level. Tay Ninh province announced bird flu in Loi Thuan commune, Ben Cau district, prohibits carrying poultry out of the service area, and direct mobilization of forces, disinfectants, vaccines ... focus prevention published in the locality and the neighboring communes threatened. Bac Lieu Province has announced the blue ear disease outbreak occurs and is widespread in some districts. Prior to that, from mid-February until now, many blue-ear pig outbreak appeared in the Hoa Binh district, Gia Rai, with the total number of pigs originally identified nearly 100 children, of which there are many pigs dead people's self-destruction.

    Wednesday, February 27, 2013

    World Health Organization is trying to confirm reports of two additional cases

    Officials Monitor Coronavirus to Avert SARS-Like Spread

    By Anna Edney - Feb 27, 2013 11:03 AM ET
    A deadly respiratory virus in the Middle East and U.K. is being monitored to see if it may evolve into a superbug like the 2002 SARS outbreak that killed almost 800 people, health officials said.
    A novel coronavirus has infected 13 people, killing seven, Gwen Stephens, with the Saudi Arabia Ministry of Health, said at an American Society for Microbiology biodefense conference in Washington today. The World Health Organization is trying to confirm reports of two additional cases, she said.
    Health officials have seen individual cases and infections in family clusters as well as two probable cases of human-to- human transmission that could accelerate the spread of the pathogen. The earliest known are two hospital workers in Jordan who died in April and weren’t found to have the coronavirus until samples were tested in November.
    “Are we looking at the tip of the iceberg, or are we making mountains out of molehills?” Alison Bermingham, with the U.K.’s Health Protection Agency, said at the conference.
    Coronaviruses are a family of pathogens that cause illnesses ranging from the common cold to Severe Acute Respiratory Syndrome, or SARS, which sickened more than 8,000 people and killed 774 in 2002 and 2003, according to the WHO. While the new virus is related to the one that causes SARS, it appears far less transmissible, the WHO said.
    SARS at first was sporadic, and once officials figured out what it was, it had spread to Hong Kong and Hanoi then to Toronto, Singapore, the U.S. and Thailand, Stephens said.
    “There was no stopping it,” she said.

    Bat Infection

    Coronavirus may have the potential to spread more widely, but not without acquiring multiple genetic changes, Ian Jones, a professor of virology at the University of Reading in England, said last week.
    The origin of the novel coronavirus hasn’t been identified, though one suggestion is bats, according to the WHO’s website. Most of those infected live in or traveled to the Middle East or Pakistan. The U.K. is investigating a family of three people with coronavirus, the first who traveled to Saudi Arabia and Pakistan and two who had no travel history.
    Stephens said today that men are becoming infected more than women, noting that in a family of three men who contracted the coronavirus, none of the wives who cared for them or their children became ill. Two women were infected as of Feb. 20.

    Kien Giang destruction of poultry influenza A/H5N1

    (VOV) - The current weather events are complex, facilitate the development of influenza A/H5N1 virus outbreak.

    According to information from the Department of Animal Health of Kien Giang province, recently, the district Hon detects an outbreak of A/H5N1 flu on the district's chicken ranch.
    Herd chicken 559 chicken resuming from 1-3 months of age, including 16 infected chickens. The entire flock has not been vaccinated with influenza A/H5N1.
    After sending samples sent to the veterinary 7 test results positive for influenza A/H5N1 virus, yesterday the provincial Veterinary Department in collaboration with the the Hon Dat Veterinary Station, Prevention Steering Committee Local poultry diseases to inspect and destroy all infected chickens.
    District Veterinary Station conducted disinfection disinfection, chemical spraying in the area epidemics and chemical levels for neighboring farms sanitizer spray pens. 
    According to current weather events are complex, facilitate the development of influenza A/H5N1 virus outbreak and at any time, especially in small breeding flocks of people not vaccinated.
    Kien Giang Veterinary Department guidance for veterinary stations continue to monitor and track the disease, deploy additional vaccination of A/H5N1 flu vaccine for poultry have not been vaccinated, and guide her livestock care, foster to increase resistance for poultry. /.

    Mexican avian influenza Guatemala to strengthen border disease prevention

    Feb. 27 reported] (Bloomberg the 27th) and in Guatemala Embassy economic counselor at the Mexico avian flu has caused an estimated loss of $ 2,000,000,000. Fortunately, the epidemic has not been extended to Guatemala, Guatemala will also strengthen border quarantine thwart epidemic incoming and.In Hall counselor at quoted Guatemala 23 (local time), according to press reports, the Mexican avian flu (H7N3), approximately $ 2 billion loss.

    Guatemala survived, according to the technical staff said, will strengthen border quarantine measures. And called on the people not to buy the unsolicited chicken products to prevent the epidemic from incoming territory of Guatemala...

    No messages to Americans in Cambodia yet..

    Pig disease, bird flu spread in Vietnam

    HANOI, Feb. 27 (Xinhua) -- Three provinces in Vietnam have reported blue-ear disease in pigs while central Quang Nam province claimed bird flu, according to the department of animal health under the Ministry of Agriculture and Rural Development on Wednesday.
    Localities with blue-ear pig disease are central provinces of Quang Nam, Quang Tri and southern Long An province, said the department.
    It was estimated that more than 4,200 out of 500,000 pigs in Quang Nam province had been infected with the disease while some 680 pigs in Quang Tri province had contracted the disease within one week. The province has distributed 18,600 doses of vaccines against disease.
    Scientists say blue-ear disease does not infect humans but can reduce the immunity of pigs, creating favorable conditions for dangerous bacteria to grow, including Streptococcus. Streptococcus disease can spread from pigs to humans and cause septicemia and meningitis.
    So far, two people in Quang Nam province have died of Streptococcus.
    Meanwhile, Quang Nam province also reported the bird flu disease, and 300 chickens have been culled on Sunday.
    Health officials warn that people are likely to contract bird flu if they have close contact with sick poultry, including slaughtering and eating them.
    The H5N1 bird flu virus has claimed 61 lives in Vietnam since 2003, with most of deaths reported in 2003 and 2004, according to the World Health Organization's latest report.
    Local animal health departments have cooperated with authorized agencies to destroy infected pigs and poultries, spray chemicals to sterilize farms and nearby areas and apply vaccines.

    Ninth new human case of avian influenza H5N1 in Cambodia in 2013

    Joint news release of the Ministry of Health of the Kingdom of Cambodia and World Health Organization
     The Ministry of Health (MoH) of the Kingdom of Cambodia wishes to advise members of the public that one more new human case of avian influenza has been confirmed positive for the H5N1 virus.
    The ninth case, a 35-year-old man from Kbal Ou village, Me Sar Chrey commune, Stueng Trang district in Kampong Cham province, was confirmed positive for influenza H5N1 on 23rd February 2013 by Institut Pasteur du Cambodge. He developed fever on 8th February 2013 and his condition worsened on 10th February 2013 with fever, frequent cough, and dyspnea. Local private practitioners initially treated him but his condition further deteriorated. On 13th February he was admitted to the Kampong Cham Hospital with fever, severe cough and dyspnea and was immediately treated with Tamiflu. He developed pneumonia on 21st February and was transferred to Calmette Hospital in Phnom Penh. Unfortunately, despite intensive medical care he died on 25th February. There is evidence of recent deaths among poultry in the village and the man had history of coming into contact with sick poultry prior to becoming sick. The man is the ninth person this year and the thirtieth person to become infected with the H5N1 virus, and the twenty-seventh person to die from complications of the disease in Cambodia. Of the 30 confirmed cases, 20 were children under 14, and 19 of the 30 were female.
    "Avian influenza H5N1 remains a serious threat to the health of all Cambodians. This is the ninth case of H5N1 infection in humans this year. The greatest risk of exposure to the virus is through the handling and slaughter of infected poultry. Home slaughtering and preparation of sick or dead poultry for food is hazardous: this practice must stop. Children also seem to be most vulnerable and are at high risk because they like to play where poultry are found. I urge parents and guardians to keep children away from sick or dead poultry and prevent them from playing with chickens and ducks. Parents and guardians must also make sure children wash their hands with soap and water after any contact with poultry. If they have fast or difficult breathing, they should seek medical attention at the nearest health facility and attending physicians must be made aware of any exposure to sick or dead poultry,” said HE Dr. Mam Bunheng, Minister of Health.
    The Ministry of Health's Rapid Response Teams (RRT) have gone to the hospitals and the field to identify the man’s close contacts, any epidemiological linkage among the nine cases and initiate preventive treatment as required. In addition, a public health education campaign is being conducted in the village to inform families on how to protect themselves from contracting avian influenza. The government's message is - wash hands often; keep children away from poultry; keep poultry away from living areas; do not eat sick poultry; and all poultry eaten should be well cooked.
    H5N1 influenza is a flu that normally spreads between sick poultry, but it can sometimes spread from poultry to humans. Human H5N1 Avian Influenza is a very serious disease that requires hospitalization. Although the 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 Ministry of Health will continue to keep the public informed of developments via the MoH website where relevant health education materials can also be downloaded.
    For more information on human influenza please call the MoH Influenza Hotline numbers: 115 (free call); 012 488 981 or 089 669 567

    Or contact:

    Ministry of Health
    Dr Sok Touch: Tel +855 12 856 848
    Dr Ly Sovann: Tel +855 12 825 424
    World Health Organization
    Dr Pieter JM van Maaren: Tel +855 23 216 610
    Dr Reiko Tsuyuoka: Tel +855 23 216 610

    Disclosure of H5N1 flu at Ninh Hoa

     Wednesday, 27/02/2013 

    Hoa province has issued decisions on the publication of bird flu (H5N1) in Ninh Hoa town.

    Accordingly, asked the Department of Agriculture and Rural Development to direct the Department of Animal Health in collaboration with the People's Committees of districts, towns and cities urgently take measures for disease prevention and control in accordance with the law and the direction of the provincial People's Committee for this disease. Chairman Ninh Hoa town Steering Steering animal disease prevention and control, poultry and town departments, associated with rapid deployment forces the prevention, treatment decisions, destruction of infected poultry and funding destroyed as prescribed.

    It is known that in the February / 2013, bird flu has appeared in eight households, 7 villages in 5 communes in the province of Ninh Hoa Ninh Quang Ninh Thi Ninh An, Ninh Xuan Ninh Tay. Authorities destroyed 3,260 chickens and 3,400 ducks.

    Guiyang raw poultry farmers market is still closed for disinfection

    ..According to the market management office staff, raw poultry farmers' markets in the red side door after since the New Year Rest has not re-open, and, should be disinfected twice daily.
      As for when to re-open? The staff member said that knowledge, "depends on the arrangement of the relevant departments." She stressed, chicken stalls, re-listing of the farms must have quarantine qualified to prove, before re-entering the market...

    Burst the foot-and-mouth disease in Guangdong culling of nearly a thousand pigs

    [20:03] 2013/02/27
    Mainland Ministry of Agriculture today announced that Maonan and Tibet Qushui, Maoming City, Guangdong Province, each in a foot-and-mouth disease Epidemic. Guangdong Provincial Department of Agriculture Bulletin, confirmed by the National Foot-and-Mouth Disease Reference Laboratory identified 88 Hair pigs only. As of today, the authorities have culled processing 948 pigs only, yet received the new OUTBREAKS have been reported in the province The Maonan has area Farms to expand and strengthen the immune system and disinfection.

    Analysis - Emerging deadly virus demands swift sleuth work

    (Reuters) - The emergence of a deadly virus previously unseen in humans that has already killed half those known to be infected requires speedy scientific detective work to figure out its potential.
    Experts in virology and infectious diseases say that while they already have unprecedented detail about the genetics and capabilities of the novel coronavirus, or NCoV, what worries them more is what they don't know.The virus, which belongs to the same family as viruses that cause the common cold and the one that caused Severe Acute Respiratory Syndrome (SARS), emerged in the Middle East last year and has so far killed seven of the 13 people it is known to have infected worldwide.
    Of those, six have been in Saudi Arabia, two in Jordan, and others in Britain and Germany linked to travel in the Middle East or to family clusters.
    "What we know really concerns me, but what we don't know really scares me," said Michael Osterholm, director of the U.S.-based Center for Infectious Disease Research and Policy and a professor at the University of Minnesota.
    Less than a week after identifying NCoV in September last year in a Qatari patient at a London hospital, scientists at Britain's Health Protection Agency had sequenced part of its genome and mapped out a so-called "phylogenetic tree" - a kind of family tree - of its links.
    Swiftly conducted scientific studies by teams in Switzerland, Germany and elsewhere have found that NCoV is well adapted to infecting humans and may be treatable medicines similar to the ones used for SARS, which emerged in China in 2002 and killed a tenth of the 8,000 people it infected.
    "Partly because of the way the field has developed post-SARS, we've been able to get onto this virus very early," said Mike Skinner, an expert on coronaviruses from Imperial College London. "We know what it looks like, we know what family it's from and we have its complete gene sequence."
    Yet there are many unanswered questions.
    "At the moment we just don't know whether the virus might actually be quite widespread and it's just a tiny proportion of people who get really sick, or whether it's a brand new virus carrying a much greater virulence potential," said Wendy Barclay, a flu virologist, also at Imperial College London.
    To have any success in answering those questions, scientists and health officials in affected countries such as Saudi Arabia and Jordan need to conduct swift and robust epidemiological studies to find out whether the virus is circulating more widely in people but causing milder symptoms.
    This would help establish whether the 13 cases seen so far are the most severe and represent "the tip the iceberg", said Volker Thiel of the Institute of Immunobiology at Kantonal Hospital in Switzerland, who published research this month showing NCoV grows efficiently in human cells.
    Scientists and health officials in the Middle East and Arab Peninsular also need to collaborate with colleagues in Europe, where some NCoV cases have been treated and where samples have gone to specialist labs, to try to pin down the virus' source.
    Initial scientific analysis by laboratory scientists at Britain's Health Protection Agency (HPA) - which helped identify the virus in a Qatari patient in September last year - found that NCoV's closest relatives are most probably bat viruses.
    It is not unusual for viruses to jump from animals to humans and mutate in the process - high profile examples include the human immunodeficiency virus (HIV) that causes AIDS and the H1N1 swine flu which caused a pandemic in 2009 and 2010.
    Yet further work by a research team at the Robert Koch Institute at Germany's University of Bonn now suggests it may have come through an intermediary - possibly goats.
    In a detailed case study of a patient from Qatar who was infected with NCoV and treated in Germany, researchers said the man reported owning a camel and a goat farm on which several goats had been ill with fevers before he himself got sick.
    Osterholm noted this, saying he would "feel more comfortable if we could trace back all the cases to an animal source".
    If so, it would mean the infections are just occasional cross-overs from animals, he said - a little like the sporadic cases of bird flu that continue to pop up - and would suggest the virus has not yet established a reservoir in humans.
    Yet recent evidence from a cluster of cases in a family in Britain strongly suggests NCoV can be passed from one person to another and may not always come from an animal source.
    An infection in a British man who had recently travelled to Saudi Arabia and Pakistan, reported on February 11, was swiftly followed by two more British cases in the same family in people who had no recent travel history in the Middle East.
    The World Health Organisation says the new cases show the virus is "persistent" and HPA scientists said the cluster provided "strong evidence" that NCoV, which like other coronaviruses probably spreads in airborne droplets, can pass from one human to another "in at least some circumstances".
    Despite this, Ian Jones, a professor of virology at Britain's University of Reading, said he believes "the most likely outcome for the current infections is a dead end" - with the virus petering out and becoming extinct.
    Others say they fear that is unlikely.
    "There's nothing in the virology that tells us this thing is going to stop being transmitted," said Osterholm. "Today the world is one big virological blender. And if it's sustaining itself (in humans) in the Middle East then it will show up around the rest of the world. It's just a matter of time."

    Outbreak worst ever

    Last Updated on 27 February 2013130227 01
    These poultry were brought to sell at Ou Ruessey Market. Photograph: Vireak Mai/Phnom Penh Post
    Less than two months after it began, the Kingdom’s current outbreak of bird flu has become the country’s largest on record.
    Thirty-five-year-old Thoeun Doeun from Kampong Cham died on Monday at about 11pm, becoming the ninth known case and eighth death since the outbreak began. That matches the death toll and surpasses by one the number of cases reported in the entire 2011 outbreak, which spanned a period of approximately seven months.
    Doeun, who is believed to have caught the H5N1 virus almost three weeks ago on February 6 after eating two infected ducks, went to the local health clinic with a fever and cough on February 13, was immediately transferred by ambulance to the provincial hospital and put in an isolation ward.
    His condition deteriorated due to a secondary infection, and he was transferred last Friday to Phnom Penh’s Calmette Hospital, where he died.
    The provincial health department’s director, Kim Soupirun, said test results sent to South Korea confirmed on Saturday the man had avian influenza.
    But by the time he reached Calmette Hospital, “he could not be helped”, Soupirun said.
    A Rapid Response Team was sent to the village immediately after the Doeun’s diagnosis, and more than 300 poultry have since been killed.
    The Ministry of Health’s deputy director for communicable diseases control, Ly Sovann, said he was worried about the “dramatic” spread of the disease in less than two months, and that the last patient had been “careless” in not notifying authorities sooner.
    “I inform and appeal again to the whole population of the country, if you see sick or dead birds, you have to tell local officials and do not touch or eat those birds. Moreover, you have to tell the children to stay away from birds,” he said.
    Sovann said authorities were stepping up their response with enhanced surveillance and a heightened communications campaign.
    World Health Organisation spokesman Sonny Krishnan said they were watching the situation closely.
    “At the moment there’s still no human-to-human transmission of the H5N1 virus, and the disease is still of limited transmissibility between poultry and humans. But we are keeping a very close eye at the village and community level.”
    He said officials had authorised increased television and radio educational advertisements in the lead up to Khmer New Year.
    “In our few investigations there has been a heightened movement of poultry for the Lunar New Year, and we’re expecting another one for the Khmer New Year.”
    Krishnan added that demographic and population changes possibly exacerbated the outbreaks.
    “It’s something further studies need to be done on − where urban areas are expanding into peri-urban and rural areas, with poor people keeping backyard poultry in unhygienic conditions.”
    Meanwhile, Chinese quarantine authorities are ramping up measures to detect bird flu on people and goods coming in to the country from Cambodia.
    A notice on the General Administration of Quality Supervision, Inspection and Quarantine website says people returning from Cambodia who experience symptoms of H5N1 should notify immigration officials immediately.
    There will be increased body temperature checks on travellers, and goods, luggage and parcels coming from Cambodia will be disinfected in quarantine before entering China.
    “These measures are in order to prevent the spread of bird flu in to China and to protect Chinese entering and leaving Cambodia,” it says.
    The procedures will be in place for three months.