Third avian flu case verified in area of possible Indonesian cluster

first_imgAug 21, 2006 (CIDRAP News) – A third human case of H5N1 avian influenza has been confirmed in a remote part of Indonesia where a number of suspected cases are being investigated, but most of the cases probably resulted from exposure to sick poultry, the World Health Organization (WHO) said today.The confirmed case was in a 35-year-old woman from the subdistrict of Cikelet in West Java province who died shortly after she was hospitalized Aug 17, the WHO said.  She is the 46thIndonesian to die of the illness, out of 59 confirmed cases, by the WHO’s count. An Aug 20 Agence France-Presse (AFP) report identified the woman as Euis Lina.Multiple cases in close proximity raise the possibility of human-to-human transmission.  The disease was confirmed in two other people from Cikelet in the past week: a 9-year-old girl who died Aug 15 and a 17-year-old boy who is still alive.Three other people in the area died previously of suspected avian flu but were buried without being tested, according to Agence France-Presse (AFP). One of them was the daughter of Euis Lina, said Indonesian Health Minister Siti Fadilah Supari, as quoted by AFP.Sixteen other people in the area have been tested for the virus, AFP reported today. Their initial results were negative, but the tests are being repeated, an Indonesian official told AFP.WHO and Indonesian experts have been investigating in the Cikelet area since Aug 17, according to AFP. The WHO said investigators think the human cases are related to poultry outbreaks that began in late June.Cikelet encompasses about 20 isolated hamlets of around 200 to 400 people each, situated in a basin surrounded by steep mountains and accessed only by rocky, winding paths, the WHO said.  People in the area have little access to healthcare and often die of endemic diseases such as malaria.No mass poultry deaths are known to have occurred in the area before late June, when some chickens were bought from an outside market and added to local flocks, the WHO said. Large numbers of chickens began dying shortly afterward in an outbreak that continued through July and the first week of August.’High-risk behaviors’ cited”As the population had no experience with this disease, high-risk behaviors commonly occurred during the disposal of carcasses or the preparation of sick or dead birds for consumption,” the agency said. “These exposures are, at present, thought to be the source of infection for most confirmed or suspected cases.”Some people in the area died of respiratory illnesses in late July and early August, but no samples were taken and medical records are generally poor, the WHO said, adding, “Though some of these undiagnosed deaths occurred in family members of confirmed cases, the investigation has found no evidence of human-to-human transmission and no evidence that the virus is spreading more easily from birds to humans.”The Cikelet situation comes about 3 months after seven confirmed avian flu cases and one probable case occurred in an extended family in the Indonesian province of North Sumatra. That cluster brought the first laboratory-confirmed instance of human-to-human transmission and the first three-person chain of cases. However, the WHO concluded that the disease did not spread outside the family.Indonesian officials today played down the likelihood of a case cluster with person-to-person transmission in Cikelet, according to the AFP report.I Nyoman Kandun told AFP that the cases couldn’t be classified as a cluster at this point because the patients lived too far apart to have come into contact.The 17-year-old boy who survived the illness had contact with a cousin who was one of the three people who died of possible avian flu without being tested. The WHO said previously that person-to-person transmission was highly unlikely in that instance because both patients were exposed to sick chickens and both got sick the same day, whereas there would have been a delay if one had been infected by the other.Another suspected case-patient from the Cikelet area, a 4-year-old girl, was removed from a hospital today by family members against the advice of doctors, the Jakarta Post reported. After she showed some improvement, the family decided to treat her at home, though her test results were still awaited, said a spokesman for Dr. Slamet General Hospital in Garut regency.The story described the girl as one of 11 people from Cikelet with suspected or confirmed avian flu.The latest confirmed case raises the WHO’s global avian flu toll to 240 cases with 141 deaths. That includes 95 cases so far this year, equal to the total for all of 2005. Sixty-four people have died of the illness so far this year, compared with 41 for all of last year.FAO lists Balkans as high-risk areaIn other developments, the United Nations Food and Agriculture Organization (FAO) said today that the spread of avian flu among poultry has slowed in most countries, but warned that the southern Balkan countries and the Caucasus are a “high-risk region” for more outbreaks.”The region is not only a prime resting ground for migratory bird species, but poultry production is mostly characterized by rural and household  husbandry with little in terms of biosecurity and strong regulatory inspection. In Romania it is still too early to say if the situation has stabilized,” said Juan Lubroth, head of the FAO’s Emergency Prevention System for Transboundary Animal Diseases, in a news release.The agency said H5N1 has been confirmed in 55 countries, up from 45 in April. But the virus’s spread among poultry has been slowed by efforts to improve surveillance, strengthen veterinary services, and, in some cases, vaccinate poultry, officials said.”More than 220 million birds have died from the virus or been killed in culling activities aimed at stopping the spread of the disease,” the FAO said.To fight avian flu, the agency said it has received US $67.5 million so far and has signed agreements with donors for another $29 million. An additional $25 million has been promised. The FAO has disbursed $32.5 million since donor countries at a conference in Beijing last January pledged $1.9 billion for the campaign to stop the virus.See also:Aug 21 WHO statement 21 FAO news release read more

El Gobernador Wolf a Pennsylvania: Debemos mantener el rumbo, debemos cumplir con la ley

first_img SHARE Email Facebook Twitter El Gobernador Wolf a Pennsylvania: Debemos mantener el rumbo, debemos cumplir con la ley May 11, 2020center_img Español,  Press Release,  Public Health El Gobernador Tom Wolf recordó hoy a los residentes de Pennsylvania que las medidas del estado para detener la propagación de la COVID-19 funcionan y que debemos mantener el rumbo y cumplir con la ley o habrá consecuencias negativas.“Los residentes de Pennsylvania estamos luchando por nuestras vidas”, dijo el Gobernador Wolf. “Luchamos contra este virus mortal de la mejor manera posible y nos sacrificamos de maneras que nunca podríamos haber imaginado. Se trata de un nuevo tipo de heroísmo. En muchos sentidos, un heroísmo tranquilo. Esos actos heroicos merecen cumplirse sin rendirnos y manteniendo el rumbo”.El gobernador reiteró que la reapertura apresurada puede provocar que la COVID-19 se propague, que haya un aumento de casos y muertes y que los cierres se vuelvan a implementar quizás por mucho tiempo más.Las decisiones respecto de la reapertura se basan en el asesoramiento de científicos, profesionales médicos y epidemiólogos del estado. Los factores que informan las decisiones incluyen el recuento de casos, el modelado, la ubicación geográfica, la capacidad de los condados individuales, de las regiones y del estado de realizar el rastreo de contactos y las pruebas. Cada condado se considera individualmente antes de decidir la situación de fase roja, amarilla o verde. Los condados en fase amarilla tienen menor riesgo de propagación del virus. Los condados en fase roja tienen mayor riesgo de propagación del virus.“No puedo permitir que los residentes de un condado en fase roja se enfermen porque sus funcionarios locales no pueden ver el riesgo invisible del virus en su comunidad”, dijo Wolf. “Por lo tanto, no tengan dudas que habrá consecuencias si un condado levanta las restricciones a nivel local cuando el estado aún no le ha dado la autorización”.El Gobernador describió las siguientes consecuencias para los condados que no cumplan con la ley de permanecer cerrados:Los condados no serán elegibles para recibir los fondos discrecionales de estímulo federal que el estado recibe y tiene la intención de brindar a los condados con poblaciones de menos de 500,000 habitantes.Las empresas en los condados que no cumplan con la ley ya no serán elegibles para contar con el seguro de responsabilidad empresarial y las protecciones que otorga. El Departamento de Seguros de Pennsylvania publicó mayor información al respecto más temprano en el día de hoy.Los restaurantes que vuelvan a abrir para cenar en el lugar en los condados que no hayan sido autorizados para volver a abrir correrán el riesgo de perder su licencia de venta de bebidas alcohólicas.Los residentes del condado que reciben la compensación por desempleo podrán continuar recibiendo los beneficios incluso si su empleador vuelve a abrir. Los empleados pueden decidir no regresar a trabajar por motivos de seguridad personal y por la seguridad de los compañeros de trabajo.“Este no es momento de rendirse”, dijo Wolf. “Es momento de volver a dedicarnos a la tarea de vencer a este virus. Tengo la intención de seguir luchando y creo que la inmensa mayoría de mis conciudadanos de Pennsylvania también tienen la intención de seguir luchando. Con esa unidad, sé que podemos ganar”.Ver esta página en inglés.last_img read more