17 ill Indonesians tested for H5N1

by SophiaZoe on November 13, 2008

The Jakarta Post offers an English version of the report of 17 ill in South Sulawesi Indonesia.

17 in hospital with suspected bird flu [excerpt]

A South Sulawesi hospital was overwhelmed as it admitted in two days 17 patients believed to have bird flu, an official said Thursday.

The patients, mostly children, presented with symptoms of the disease, such as a high fever, cough and respiratory problems, spokesman for Wahidin Sudirohusodo General Hospital in Makassar, Andi Kurnia Bintang, said.

Kurnia said the first patient, 5-year-old Salman, was hospitalized Wednesday morning, followed in the evening by his siblings Nurul Awaliah, 3, and Nur Fadillah, four months old, and four neighbors.

He said the patients, all residents of Sudiang subdistrict in Biringkanaya district, Makassar, were brought to the hospital after suffering a high fever for about two days.

“According to Salman’s parents, 27 chickens belonging to their neighbors died on Nov. 7. In the two days after that, their four chickens also died,” he said.

Kurnia said the hospital had conducted urgent tests for the first seven patients, with the results indicating the presence of  the H5N1 avian influenza virus.

The hospital is waiting for confirmation of the results from blood tests conducted by the Micro Laboratory of the Hasanuddin University Medical School and the Visual Conversion Reaction, he said.

Continues

It is too early to know whether or not any of the 17 are actually infected with H5N1, and it would seem to be highly unlikely that all of them would be. However unlikely it would be, this is Indonesia, and Indonesia does have the distinction of being the country with the most human cases of H5N1.

Being located half-way around the world I can dispassionately sit here and think that regardless of whether any or all of these suspect cases are indeed positive for H5N1 based on serological testing, this is a good exercise for the Indonesians. Selfishly, I also have a small hope that Indonesian officials might re-think their stance on viral sample sharing because facing an outbreak of 17 without international goodwill might be a bit more “sobering” than facing one case “here and there”.

Has Indonesia’s opportunity to extract lucrative agreements from vaccine manufacturers evaporated in the current economic climate? Speculative investments, even by the most financially sound drug companies, would hardly seem to be likely for the foreseeable future, or at least until the world recovers from the current financial tough times.

Indonesia isn’t alone in the need to evaluate the likelihood of private industry investments for an unquantifiable future potential threat with an equally unquantifiable profitability in the current financial reality. Will research already in the pipeline suddenly lose funding?

 

With 17 suspect cases, though unlikely all are positive, we would do well to remember research and answers cost money as well as international goodwill and cooperative relationships.

Hopefully we will not have to wait too long for a definitive answer to these suspected cases – and hopefully that answer will be negative.

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Welcoming a new blog

by SophiaZoe on November 13, 2008

Thanks to Fla_Medic for the heads-up on a resource that I had not been aware. Pandemic Information News Blog by long-time, tireless, and informed fellow Flublogians Commonground and Treyfish.

Be sure to bookmark their site if you haven’t already done so. It’s heartening to see an expansion of Flublogia, especially from two such respected and dedicated Flubies.

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This evening’s homework

by SophiaZoe on October 21, 2008

My thanks to the STEPScentre for passing along a treasure-trove of reports on avian influenza and a potential pandemic, focusing on the global response. Their AI portal (here) contains links (towards the bottom) to their reports, freely available and licensed under Creative Commons (with restrictions).

I’ve only this evening started my first report, however, thus far I’m impressed and wanted to pause a moment to put the link up for those who wish to do the reading for themselves. First impressions: I’ve been handed a fresh perspective that doesn’t pull any punches. Assessments on “the good, the bad, and the ‘are you on crack?’” [my phrase, not the report's] seem presented with an honesty I do not often see on the issues.

Now, I’m off to my reading assignments…


SZ

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Hong Kong crow positive for H5N1

by SophiaZoe on October 20, 2008

Highly pathogenic H5N1 is endemic in much of Southeast Asia and finding a crow infected with the virus is not a surprise, nor probably especially newsworthy, but the news this morning is interesting for its possible implications.

The International Herald Tribune:

Hong Kong finds bird flu virus in crow

Reuters

Monday, October 20, 2008

HONG KONG: A house crow found dead in a crowded district in Hong Kong last week has tested positive for the highly pathogenic H5N1 bird flu virus, a government spokeswoman said on Monday.

The appearance of the virus in Hong Kong, more active in the cooler months between October and March, is closely watched as it may indicate the level of activity of the virus in mainland China, which has a poultry population of 13 billion.

The virus is endemic in poultry in parts of Asia but experts fear it will mutate into a form that is easily passed from human to human, sparking a pandemic which could kill millions of people.

“House crows are common in Hong Kong. We have no idea if it came from elsewhere, how it was infected,” the spokeswoman for the Agriculture, Fisheries and Conservation Department said.

The crow was found dead in a public refuse bin on Wednesday.

 

Crows are highly intelligent omnivores. The Asian house crow has evolved to coexist with humans and is not found in areas where humans do not live. House crows will eat carrion and as such eyed as not only a harbinger of H5N1 but also a potential spreader of the pathogen.

Flublogia has long decried the dangers presented by improper disposal of poultry with confirmed or suspected infection of highly pathogenic H5N1, an issue that is manifestly more dangerous when an infected flock is not known or suspected to be so when biosecurity measures may not be a priority.

Tossing dead birds or the entrails of slaughtered poultry onto the local rubbish heap is a common practice around the world, even at a time when the world is watchful for H5N1. Old habits and customs are not easily overturned.

Some snips on the Bernard Matthews outbreak in Britain in early 2007 that highlight suspicions of vectors not traditionally assumed may have been causative…

OUTBREAK OF HIGHLY PATHOGENIC H5N1 AVIAN INFLUENZA IN SUFFOLK IN JANUARY 2007

A REPORT OF THE EPIDEMIOLOGICAL FINDINGS BY THE NATIONAL EMERGENCY EPIDEMIOLOGY GROUP, Defra

5 APRIL 2007

9. The disease was confined to a single turkey house (house 10) on the site (of the 22 sheds that contained turkeys), at the time of detection. This shed was unusual compared to others on the site in that it was in a poor state of maintenance. There were holes in the woodwork (probably rodent damage), the ventilation vents were not covered in mesh, side vents were close to the ground and the roof leaked. These features would allow access for either small wild birds, rats or mice that could mechanically carry virus into the house, or ingress of water contaminated by birds outside.

11. Rodent control was practised routinely on the turkey farm and was in evidence; however reports of visits from pest controllers show that despite the control efforts, rodents were an ongoing problem on the site and particularly in House 10.

19. There was clear evidence that gulls loafed on the roofs of the turkey houses, and also flew regularly between the farm and the factory where they scavenged waste. There was also a clear route by which pests such as rats and mice can travel between the factory and the farm.

 

Hong Kong, being hyper-vigilant, is at little risk of a local outbreak going undiscovered, but the dead crow begs the question of where a bird that has an infection severe enough for a fatal outcome managed to pick up the infection. In other words, the old “too sick to fly” controversy comes to mind.

Of course, I am making a rather large assumption that the bird died as a direct result of its infection. An assumption, not based on anything, because, for all I know the bird could have been the victim of poisoning. Admitting the assumption: it is probably safer to assume H5N1 was the cause, at least until proved otherwise.

SZ

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H5N1: Bangladeshi poultry outbreak

by SophiaZoe on October 19, 2008

The StraightsTimes.com announces a fresh outbreak of H5N1 in Bangladesh:

Oct 19, 2008

Bangladesh finds more bird flu

DHAKA - BANGLADESH authorities said on Sunday they have detected fresh bird flu at a poultry farm four months after the deadly virus was last reported in the country.

Livestock department spokesman Salahuddin Khan said at least 300 birds were destroyed in a farm in the northern Naogaon district last week after the deadly H5N1 strain of avian influenza was detected.

The area of the outbreak is marked on the google map with the “A”.

 

A map from the CIA’s World Factbook on Bangladesh gives us an uncluttered look at Bangladesh along with its major waterways.


…many people are landless and forced to live on and cultivate flood-prone land; water-borne diseases prevalent in surface water; water pollution, especially of fishing areas, results from the use of commercial pesticides; ground water contaminated by naturally occurring arsenic; intermittent water shortages because of falling water tables in the northern and central parts of the country; soil degradation and erosion; deforestation; severe overpopulation.



Bangladesh covers an area slightly smaller than the size of the state of Iowa and roughly half the population of the entire United States live within its borders.

The economy has grown 5-6% over the past few years despite inefficient state-owned enterprises, delays in exploiting natural gas resources, insufficient power supplies, and slow implementation of economic reforms. Bangladesh remains a poor, overpopulated, and inefficiently-governed nation. Although more than half of GDP is generated through the service sector, nearly two-thirds of Bangladeshis are employed in the agriculture sector, with rice as the single-most-important product. Garment exports and remittances from Bangladeshis working overseas, mainly in the Middle East and East Asia, fuel economic growth.


Back to The
Straights Times article…

‘We have already taken extra surveillance measures across the country,’ he said. ‘Farmers have been told to step up bio-security.’

Mr Khan said the outbreak was the first in four months, with the virus becoming dormant at the onset of the summer but now coming back ahead of the cold season.

Officials said the outbreak was a warning for the country’s US$1.5 billion (S$2.2 billion) poultry industry.

Bangladesh was hit by bird flu in February 2007, and the virus made another comeback in January this year.

At the outbreak’s peak, some 50 of the country’s 64 districts were affected, and more than a million birds were slaughtered.

If we can safely assume Bangladesh was indeed successful in its eradication program for the January outbreak it is testament to extraordinary effort and determination in a country that has the degree of poverty it does.

Recent financial news from Bangladesh is at best “mixed” but certainly better than some. From The Daily Star:

Banks may suffer liquidity crunch

Star Business Report

Banks may face a liquidity constraint due to any delay in repayments from commodity importers for loans and manufacturers may incur losses because of a freefall in inventory value.

“Manufacturers who have huge stocks of commodities purchased earlier at higher prices will face losses because of falling prices. Such losses will affect repayments to banks,” said Mahmood Sattar, chairman of Association of Bankers Bangladesh, yesterday.

“If we cannot get repayments against our financing in time, we may suffer liquidity crunch,” he said.

Sattar’s remark exposed concerns that played out at a seminar on the global financial crisis and its probable fallout on Bangladesh.

Citibank NA organised the programme at its Motijheel office, where analysts observed that the country’s two biggest foreign exchange earners — exports and remittance inflows — might hurt if the world economic meltdown that tipped into a recession, prolonged.

The impact on Bangladesh’s economy will be minimal as its financial markets are insulated from the global financial markets, analysts said.

A thin portfolio investment in the stock market is another factor that helps Bangladesh remain free from any major shock.

Bangladesh may also benefit from the US recession as exporters generally export cheap garment items to the US more than the expensive ones. Higher labour costs in Bangladesh’s trade competitors in the segment may also help it gain a portion of the market, the analysts added.

Over the last three months, the prices of major commodities plummeted by almost half.

“Edible oil was bought between $1,000-$1,200 a tonne. But the current market price is almost half the amount. It has already increased our losses,” said Mohammad Abul Kalam, director of TK Group, one of the biggest edible oil importers.

There is a small silver lining: The decline in commodity prices raises the possibility of easing inflation.

“Inflation will come down in future,” said MA Taslim, chief executive officer of Bangladesh Foreign Trade Institute, who took part in yesterday’s programme. Reduced import costs will also help ease the pressure on the balance of payments, he said.

Zahid Hussain, a senior World Bank economist, however, said new policy dilemmas were likely to emerge if export earnings began to slow and currencies of Bangladesh’s competing countries depreciate.

Former ambassador Farooq Sobhan pointed to neighbouring countries such as India and said they had already depreciated their currencies to maintain a competitive edge over other countries for exports.

“Their exports are going to be more competitive than ours,” Sobhan said, adding that a competitive exchange rate is crucial for exporters.

The US is the largest single market for Bangladesh’s garments. “So the US economy is important to Bangladesh. We will see a long-term impact,” he said.

Finishing with The Straights Times

Bangladesh’s poultry industry is one of the world’s largest, producing 220 million chickens and 37 million ducks annually.

Industry officials said the bird flu outbreak at its peak early this year led to closure of 40 per cent of the nation’s poultry farms and left half a million workers jobless.

To take another financial hit of this magnitude at this time would be frightful on a very human level, to say nothing of the macroeconomic, when every billion is meaningful overall. Perhaps Bangladesh, informed with its earlier outbreak, will respond with a rapidity that will obviate the earlier measures and their impact. One can hope.


SZ

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