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Worst case scenario: Pandemic preparedness drill is ‘a scenario that could happen’
Before you panic, please note that what follows is only an exercise:
We are two weeks into an expected eight-week flu pandemic with 1,200 people hospitalized and 52 dead in the state of Oregon.
The virus responsible is antigenically similar to the H2N2 virus, which killed 1 to 4 million in 1957, and at its known attack and mortality rate, Oregon can expect 2,500 deaths by the end of next month.
Again, this is only a test, but that is the scenario the Wasco Sherman Public Health Department and the Mid-Columbia Medical Center were working with yesterday, as they participated in a state-wide exercise to test health systems’ readiness to respond to a potential real pandemic, or worldwide outbreak, of influenza.
All fall down
SOMETHING that doesn't yet exist poses a deadly threat to the entire world, possessing the potential to exterminate millions and devastate the economy. The culprit is not visible to the naked eye, you can't taste it and it's undetectable by scent, sound or touch, yet scientists predict that it will kill around 85% of its prey. It's a virus, and there's little we can do to thwart its attack.
According to experts, these predictions of natural bioterrorism are not scientific theory, they're global fact. Just when it seemed like the perceived threat from a human strain of bird flu had diminished, the Horizon team brings us a film, part documentary, part dramatisation, that creates a possible scenario showing how a pandemic might break out and be dealt with - or not. It doesn't make comforting viewing.
Apparently, the current H5N1 avian flu, which has managed to jump species from birds to humans in 224 known cases, is only one to two mutations away from becoming a strain that passes easily between humans. This is terrifying news. Research shows that the terrible influenza outbreak in 1918, which killed an estimated 50 million people in 14 months at the end of the First World War, was an avian virus that had spread to humans. It was transmitted by coughs and sneezes and resulted in organ failure, massive haemorrhaging and a horrible death. Another disturbing factor was the virus's unusual habit of sparing the usual flu victims, the very young and the old and infirm; this disease's victims were mostly aged 25 to 35.
In a week that has seen three deaths from avian influenza in three days, all in Indonesia... On Friday a 27-year-old woman from Central Java died a day after being hospitalized with flu-like symptoms. Her death was confirmed Wednesday by the World Health Organization as being directly attributable to avian influenza -- Indonesia's 55th such death. ...Then Saturday an unidentified 11-year-old boy died in Jakarta's Sulianto Saroso Hospital for Infectious Diseases. ...On Sunday a 72-year-old grandmother died of avian influenza in a highly unusual case that also saw her affected by encephalitis. The woman, from Cisarua in West Java, was placed in a bird-flu isolation ward Oct. 7 and lost consciousness for a day due to encephalitis. Her kidneys were also affected. ...No other Indonesian bird-flu victim has been affected by encephalitis...
***
Bird flu found in pigs in Indonesia's Bali
The H5N1 bird flu virus has infected pigs on the Indonesian resort island of Bali, a senior agriculture ministry official said on Monday.
"There were two pigs that were infected by bird flu in Bali. These were old cases that happened last July," Musni Suatmodjo, agriculture ministry director of animal health, told Reuters. ...It was not clear if the pigs died.
Pigs are a concern because they are susceptible to many of the viruses that infect humans. Swines can act as mixing vessels in which genetic material from avian flu viruses can mix with human influenza viruses, potentially producing new and deadly strains for which humans have no immunity.
In Indonesia, for example, the disease is spreading quickly at the moment. ...The World Health Organization is warning that scientists have discovered a virulent strain of the H5N1 virus in China’s poultry flocks and it is spreading fast too.
WASHINGTON - Scientists have discovered a new strain of bird flu that appears to sidestep current vaccines. It's infecting people as well as poultry in Asia, and some researchers fear its evolution may have been steered by the vaccination programs designed to protect poultry from earlier types of the H5N1 flu.
The discovery by Yi Guan of the University of Hong Kong and colleagues is reported in Tuesday's issue of Proceedings of the National Academy of Sciences.
The new variant has become the primary version of the bird flu in several provinces of China and has spread to Hong Kong, Laos, Malaysia and Thailand, the researchers report. It is being called H5N1 Fujian-like, to distinguish it from earlier Hong Kong and Vietnam variants.
Originally posted by Relentless
Sofi - have you seen this?
New Strain Caused by Vaccine?
I would think this is something to watch.
New Bird Flu Virus Replacing Other Strains in Southern China: U.S.-Chinese team calls for sweeping animal, human surveillance in H5N1 regions
A new variant of the highly pathogenic H5N1 bird flu virus, the Fujian-like strain, has replaced most other strains across a large part of southern China since 2005 despite mass poultry vaccinations, according to researchers at the University of Hong Kong and St. Jude Children's Research Hospital in Tennessee. ...The work was supported in part by the U.S. National Institute of Allergy and Infectious Diseases, part of the National Institutes of Health, and the Li Ka Shing Foundation, a Chinese organization that supports education and medical care. ...According to the study, "Emergence and predominance of an H5N1 influenza variant in China," in the November online edition of the Proceedings of the National Academy of Sciences, H5N1 influenza virus caused poultry outbreaks in China in 12 provinces from October 2005 to August 2006 despite a compulsory poultry vaccination program that began in September 2005.
"The Fujian virus doesn't appear to be of any more risk to humans," Dr. Michael Perdue, project leader for avian influenza in the Global Influenza Programme at the World Health Organization, told the Washington File November 2, "other than the fact that maybe it's a little more widespread and it seems to be supplanting the other strains in the region." ...As far as scientists know, he added, "there's no increased - or decreased - likelihood of human transmission. It's basically the same overall genetic content of the other H5N1 viruses."
Since November 2005, some 22 human cases have been confirmed in 14 Chinese provinces, and some of these victims lived in metropolitan areas far from poultry farms. ..."Whether those people were infected locally and directly from affected poultry or other sources, including humans," the study said, "is still unknown." ...The emergence and rapid distribution of the Fujian strain, despite the vaccination program that began in September 2005, suggests that H5N1 control measures are inadequate, said study co-author Robert Webster, a member of the St. Jude Infectious Diseases Department, in a statement. ..."Given the lack of systematic influenza surveillance in poultry at a national level," the authors wrote, "the timely identification of the source of human infection is almost impossible."
Much about the disease remains poorly understood, but the present situation is serious and "the risk that a pandemic virus might emerge is not likely to diminish in the near future".
Results from clinical trials of candidate pandemic vaccines had "not been promising" and it may be premature for countries to choose one to stockpile so as to protect their populations.
"In terms of geographical spread of the virus, mallard ducks are now regarded as the 'champion' vectors; mute swans are highly susceptible birds that are thought to serve as sentinels, but probably not as vectors of virus transmission," it said in the report, posted on its website www.who.int. ...Recent studies had shown that the virus is now moving both ways in "relay transmission", from poultry to migratory birds and back again... Culling birds remains the control strategy of first choice, and had proven successful in Japan and South Korea, if costly. ...High-quality vaccination of poultry was recommended in resource-strapped countries, yet ducks react differently to poultry vaccines which are designed for chickens, it said.
Originally posted by stanstheman
Our little town in Connecticut sent out a hefty disaster booklet this Fall. ...we got a thinner booklet in the mid-Summer that dealt with all disasters and then a couple of months later, the thicker booklet-which by the way is very much based in self reliance and preparedness.
I knew something was up when we got the second one.
"Now that we know the special role of the (highly pathogenic) NS1 gene, we can think about developing a vaccine," Bu said, adding that a vaccine which neutralises the gene known as NS1 could be quickly designed.
"Technically, that can happen very soon, but it is the tests and other procedures that will take a long time."
Originally posted by Grailkeeper
"Now that we know the special role of the (highly pathogenic) NS1 gene, we can think about developing a vaccine," Bu said, adding that a vaccine which neutralises the gene known as NS1 could be quickly designed.
"Technically, that can happen very soon, but it is the tests and other procedures that will take a long time."
This makes me wonder how long is ' a long time'.
Are they talking months, years, etc. Would the virus have time to mutate again and make this discovery irrelevant?
Receptionist, porter robots make debut at Japanese hospital
The receptionist robot, produced by Japanese robot maker Tmsuk Co. Ltd., welcomes visitors at the entrance and answers spoken inquiries.
The two porter robots, which can move around on two wheels at a maximum speed of 1.5 kilometers per hour (about one mph), can carry luggage and take visitors and patients to their destinations.
The 1.3 meter (four-foot four-inch) high white-and-green robotic porters can also alert people to obstacles with their sensors.