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The number of confirmed H5N1 cases (almost certainly clade 2.3.2.1) in Bangladesh has increased to three

http://pandemicinformationnews.blogspot ... ected.html

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Monday, March 5, 2012
Bangladesh-3 market workers infected with bird flu
3 market workers infected with bird flu
Mon, Mar 5th, 2012 9:10 pm BdST

Nurul Islam Hasib
bdnews24.com Senior Correspondent

Dhaka, Mar 5 (bdnews24.com)—Detection of three new human infections with the deadly H5NI strain of bird flu in a week has set alarm bells ringing as scientists have found evidence of the virus in the live-bird market in crowded Dhaka.

The Institute of Epidemiology, Disease Control and Research (IEDCR) confirmed a human case on Feb 26 when a worker of a live-bird market in southern part of the capital was tested H5N1 positive at the IEDCR's surveillance site.

Its director Prof Mahmudur Rahman told bdnews24.com that they had informed the government's Department of Livestock right away and suggested 'immediate' steps to disinfect wet markets.

bdnews24.com saw no cleaning drive but learned the livestock department fixed a technical committee meeting for Wednesday instead of beginning to disinfect the market.

In the meantime, the IEDCR that oversees human infections of bird flu disclosed on Monday that another two cases were confirmed on Sunday night in their lab.

"They are also live-bird market workers," Prof Rahman told bdnews24.com and added that they expected the livestock department to move quickly for the sake of public health safety.

"The virus's presence in live-bird market means it is now even closer to people," he added.

A scientist with the IEDCR told bdnews24.com that they had run into evidence suggesting presence of the H5N1 virus in the live-bird market's garbage, as well.

The virus has the potential to cause severe illness in human with a high fatality rate.

"We are lucky as the strain (clade 2.2) of H5N1 that circulates in Bangladesh is less virulent, but it can change into another class (2.1), which is highly infectious to human," the IEDCR director said.

According to World Health Organisation, across the globe H5N1 killed 349 out of its 592 victims, except the latest two detected in Bangladesh.

Livestock authorities could not be reached immediately.

Chief veterinary officer Mosaddek Hossain, who oversees poultry infections of bird flu, declined comment when bdnews24.com approached him at around 6.30pm.

Prof Nitish C Debnath, FAO expert on avian influenza, told bdnews24.com that the government should launch 'wet market cleaning' drive at this moment.

"All should be vigilant to prevent sick poultries from entering into the market," he warned.

With four strains of flu virus – H5N1, H1N1, H3N2 and H9N2 – circulating in Bangladesh, the Food and Agriculture Organisation in Aug last year warned of a possible major resurgence of bird flu.

It said a mutant strain of the H5N1 virus is spreading in Asia including Bangladesh.

The government has confirmed first case of human infection with H5N1 in 2007, and two cases were reported in 2011.

IEDCR advises people wash egg shells and suggests consuming well-cooked poultry products.

It also urged not to litter giblets and dead birds just anywhere and maintain personal hygiene – cough into the crook of elbow and wash hands with soap often.

The first human infection from H5N1 was detected in 1997 in Hong Kong.

http://bdnews24.com/details.php?id=219613&cid=2

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2 March 2012 - The Ministry of Health and Family Welfare, Bangladesh has confirmed the fourth case of human infection with H5N1 avian influenza in the country.

The case is a 40 year-old male from Dhaka City, who was identified as part of the live bird market surveillance system on 26 February 2012. The case presented with cough and currently has recovered.

The case was confirmed by the Institute of Epidemiology, Disease Control and Research (IEDCR) and the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B).

An epidemiological investigation and monitoring of the situation is currently being conducted jointly by IEDCR and ICDDR,B.

The first case of human infection with H5N1 was reported in the country in 2008, and two cases were reported in 2011.

http://www.who.int/csr/don/2012_03_02/en/index.html

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Published Date: 2012-03-03 12:13:50
Subject: PRO/AH/EDR> Avian influenza, human (28): Bangladesh (Dhaka) WHO
Archive Number: 20120303.1059658

AVIAN INFLUENZA , HUMAN (28): BANGLADESH (DHAKA) WORLD HEALTH ORGANISATION
**************************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Fri 2 Mar 2012
Source: World Health Organisation (WHO), CSR, Disease outbreak news [edited]
http://www.who.int/csr/don/2012_03_02/en/index.html


Avian influenza situation in Bangladesh
---------------------------------
As of 2 Mar 2012 the Ministry of Health and Family Welfare, Bangladesh, has confirmed the fourth case of human infection with H5N1 avian influenza in that country.

The case is a 40 year-old male from Dhaka City, who was identified as part of the live bird market surveillance system on 26 Feb 2012. The case presented with cough and currently has recovered.

The case was confirmed by the Institute of Epidemiology, Disease Control and Research (IEDCR) and the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B).

An epidemiological investigation and monitoring of the situation is currently being conducted jointly by IEDCR and ICDDR,B.

The first case of human infection with H5N1 was reported in the country in 2008, and two cases were reported in 2011.

--
Communicated by:
ProMED-maail Rapporteur Marianne Hopp


[This is the WHO confirmation of the single case of avian A/(H5N1) influenza virus infection previously reported in ProMED-mail post: Avian influenza, human (26): Bangladesh (Dhaka) 20120301.1057954. This is only the fourth case reported from Bangladesh, all of whom recoverd. This case raises the global total of human cases of avian A/(H5N1) virus infection to 591, with number of fatalities remaining 349 (59.05%).

The HealthMap/ProMED-mail interactive map of Bangladesh showing the location Dhaka can be accessed at
http://healthmap.org/r/1VpI. - Mod.CP]


See Also

Avian influenza, human (26): Bangladesh (Dhaka) 20120301.1057954
2011
----
Avian influenza, human (36): Bangladesh, Cambodia, Egypt, WHO 20110411.1147
Avian influenza, human (28): Bangladesh (DA) 20110317.0847
2008
----
Avian influenza, human (50): Bangladesh, WHO 20080529.1740
Avian influenza, human (48): Bangladesh 20080523.1704]
.................................................cp/ml

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Comentary
http://www.recombinomics.com/News/03051 ... aka_3.html

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Vietnam, Bangladesh report more H5N1 cases
Robert Roos News Editor


Mar 5, 2012 (CIDRAP News) – The World Health Organization (WHO) today reported another human H5N1 avian influenza illness in Vietnam, while an online newspaper reported two more cases in poultry market workers in Bangladesh.

The patient in Vietnam is a 22-year-old man from Thanh Hoa province who lived and worked in Binh Duong province, the WHO reported, citing Vietnam's Ministry of Health. He got sick on Feb 17, sought medical care on Feb 21, and was admitted to the intensive care unit of the Hospital for Tropical Diseases on Feb 23, the agency said. He received oseltamivir on entering hospital, where he remained today.

The Pasteur Institute in Ho Chi Minh City confirmed the man's H5N1 infection Feb 25, the statement said.

Epidemiologic investigators from the institute found that the man was involved in slaughtering and eating ducks, the WHO said. It said some close contacts of the patient have had fever and received prophylactic treatment, but all have tested negative for the virus.

Vietnam has had 122 confirmed H5N1 cases, of which 61—exactly half—were fatal, the WHO noted. The agency's global H5N1 count has now reached 592 cases with 349 deaths.

Meanwhile in Bangladesh, the Institute of Epidemiology, Disease Control and Research (IEDCR) said it confirmed two more H5N1 cases in live-bird market workers in Dhaka yesterday, according to a bdnews24.com report today. A case in a poultry market worker was reported last week and confirmed by the WHO on Mar 2.

The story gave no information on the patients' condition, but the IEDCR director said the strain that circulates in Bangladesh, clade 2.2, is less virulent than some. The man whose case was reported last week fully recovered.

A United Nations Food and Agriculture Organization expert on avian flu, Nitish C. Debnath, said the government should immediately launch a campaign to clean Dhaka's "wet markets," the story said.

The two new cases bring the total number of H5N1 cases in Bangladesh to six, the story noted. The first case was reported in 2008. The two latest cases have not yet been noted by the WHO.

See also:

Mar 5 WHO statement

Mar 5 WHO cumulative H5N1 case count

Mar 5 bdnews24 story
http://www.cidrap.umn.edu/cidrap/conten ... cases.html

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Published Date: 2012-03-05 17:27:20
Subject: PRO/AH/EDR> Avian influenza, human (30): Bangladesh (DA) bird market
Archive Number: 20120305.1061684

AVIAN INFLUENZA, HUMAN (30): BANGLADESH (DHAKA) LIVE-BIRD MARKET STAFF
**********************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Mon 5 Mar 2012
Source: bdnews24.com [edited]
http://bdnews24.com/details.php?id=219613&cid=2


Detection of 3 new human infections with the deadly H5N1 strain of bird flu in a week has set alarm bells ringing as scientists have found evidence of the virus in the live-bird market in crowded Dhaka.

The Institute of Epidemiology, Disease Control and Research (IEDCR) confirmed a human case on 26 Feb 2012 when a worker at a live-bird market in the southern part of the capital tested H5N1 positive at the IEDCR's surveillance site. Its director, Professor Mahmudur Rahman, told BDnews24.com that they had informed the government's Department of Livestock right away and suggested "immediate" steps to disinfect wet markets.

BDnews24.com saw no cleaning drive but learned the livestock department had arranged a technical committee meeting for Wednesday [7 Mar 2012] instead of beginning to disinfect the market. In the meantime, the IEDCR that oversees human infections of bird flu disclosed on Monday [5 Mar 2012] that another 2 cases were confirmed on Sunday [4 Mar 2012] night in their lab. "They are also live-bird market workers," Prof Rahman told BDnews24.com and added that they expected the livestock department to move quickly for the sake of public health safety. "The virus's presence in the live-bird market means it is now even closer to people," he added. A scientist with the IEDCR told BDnews24.com that they had run into evidence suggesting presence of the H5N1 virus in the live-bird market's garbage, as well.

The virus has the potential to cause severe illness in humans with a high fatality rate. "We are lucky, as the strain (clade 2.2) of H5N1 that circulates in Bangladesh is less virulent, but it can change into another class (2.1), which is highly infectious to humans," the IEDCR director said. According to the World Health Organisation, across the globe, H5N1 killed 349 out of its 592 victims, except the latest 2 detected in Bangladesh [in fact all the 4 previous cases recorded in Banglades recovered]. Chief veterinary officer Mosaddek Hossain, who oversees poultry infections of bird flu, declined to comment when BDnews24.com approached him at around 6.30 pm. Professor Nitish C Debnath, FAO expert on avian influenza, told BDnews24.com that the government should launch a "wet market cleaning drive" at this moment. "All should be vigilant to prevent sick poultry from entering the market," he warned.

With 4 strains of flu virus -- H5N1, H1N1, H3N2, and H9N2 -- circulating in Bangladesh, the Food and Agriculture Organisation [FAO] in August last year [2011] warned of a possible major resurgence of bird flu. It said a mutant strain of the H5N1 virus is spreading in Asia, including Bangladesh.

The government has confirmed the 1st case of human infection with H5N1 in 2008, and 2 cases were reported in 2011. IEDCR advises people to wash egg shells and suggests consuming well-cooked poultry products. It also urged people not to throw out giblets and dead birds just anywhere and to maintain personal hygiene, coughing into the crook of the elbow and washing hands with soap often.

The 1st human infection with H5N1 was detected in 1997 in Hong Kong.

[byline: Nurul Islam Hasib]

--
communicated by:
ProMED-mail rapporteur Mary Marshall
<promed@promedmail.org>

[The 1st case described above is the case of avian A/(H5N1) influenza virus infection previously reported in ProMED-mail post: Avian influenza, human (26): Bangladesh (Dhaka) 20120301.1057954, with subsequent WHO confirmation (Avian influenza, human (28): Bangladesh (Dhaka) WHO 20120303.1059658. This case is only the 4th Bangladeshi case, and this case and the preceding 3 cases reported from Bangladesh all recovered after relatively mild illnesses.

Now another 2 live-poultry market workers in Dhaka have been diagnosed with avian A/(H5N1) influenza virus infection, bringing the total of human cases in Bangladesh to 6. Information on the medical condition of these 2 new cases is awaited.

The HealthMap/ProMED-mail interactive map of Bangladesh showing the location of Dhaka can be accessed at http://healthmap.org/r/1WyH. - Mod.CP]


See Also

Avian influenza, human (28): Bangladesh (Dhaka) WHO 20120303.1059658
Avian influenza, human (26): Bangladesh (Dhaka) 20120301.1057954
2011
---
Avian influenza, human (36): Bangladesh, Cambodia, Egypt, WHO 20110411.1147
Avian influenza, human (28): Bangladesh (DA) 20110317.0847
2008
---
Avian influenza, human (50): Bangladesh, WHO 20080529.1740
Avian influenza, human (48): Bangladesh 20080523.1704]
.................................................cp/msp/sh

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Published Date: 2012-03-11 16:33:25
Subject: PRO/AH/EDR> Avian influenza (21): Bangladesh (DA) bird market
Archive Number: 20120311.1067417

AVIAN INFLUENZA (21): BANGLADESH (DAKHA) BIRD MARKET
****************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

Date: Sun, 11 Mar 2012
Source: AP via Pakistan Observer [edited]
http://pakobserver.net/detailnews.asp?id=144367


Bird flu hits Dhaka city markets
--------------------------------
Bird flu has hit 6 poultry markets in the capital [Dhaka, Bangladesh]. In the last 15 days, 3 workers from one of the markets came down with the flu; however, they have recovered. The Institute of Epidemiology, Disease Control and Research (IEDCR) and International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR, B) made the detections. The affected markets are among the 16 poultry markets that are under constant surveillance by the 2 research organisations, IEDCR sources say. In the wake of the latest developments, the Department of Livestock Services at a meeting on Wed [7 Mar 2012] decided to form 10 committees to monitor all poultry markets in the capital. The committees will be comprised of livestock officials and personnel from the health ministry, police and Bangladesh Ansar. Musaddique Hossain, a director of livestock services, said they had issued letters to all the stakeholders in poultry trading and processing, asking them to comply with the Animal Disease Act 2008, which prohibits selling sick fowls. Each committee will take steps including checking movement of ill or dead fowls, compelling poultry workers to use gloves and masks and to treat bloods, faeces and feathers properly, he said. Experts say the recent detection of bird flu in market places indicates that more farms affected with the virus are yet to be traced and fowls from these farms are being sold without disclosing the contamination. IEDCR and ICDDR,B sources say the flu might spread to other markets from the affected 6 if precautions are not taken. They have not mentioned the names of the patients or the markets.

This bird flu season, experts say, poultry farmers are not interested to screen their birds seriously, as the government has not compensated the previously affected farms yet. In Bangladesh, the outbreak of the flu, caused by H5N1 virus, begins in November and continues till April. "Due to fund constraints, this bird flu season we are yet to start paying out compensation to the affected farmers. The process will begin soon," said Musaddique Hossain, also the country’s chief veterinary officer. Khaled Saifullah Sohel, secretary of Poultry Farmers’ Association, told this correspondent that this season farm owners are feeling insecure. If they find any sort of avian flu symptoms in their birds, they hurriedly sell them, fearing financial loss.

The situation was quite the opposite last year, he added. The compensation was sufficient and farmers did not conceal any information about flu symptoms. Musaddique said last year they provided Tk 70 for each culled boiler, Tk 150 for each layer, and Tk 250 for a breeder. Of the total compensation, the government was bearing the half and World Bank the rest.

--
communicated by:
ProMED-mail rapporteur Mary Marshall

[Since the HPAI H5N1 outbreak in Bangladesh began in 2006, 526 outbreaks in domestic poultry have been reported to the OIE. The disease has not been declared "endemic", hence periodic follow-up reports are continuously submitted -- the last one, No.37, on 15 Jan 2012. All follow-up reports and an interactive showing the accumulated outbreaks can be accessed at http://web.oie.int/wahis/public.php?pag ... ortid=5154.

So far, 6 human cases of H5N1 have been recorded in Bangladesh: 1 in 2008, 2 in 2011, and 3 since the beginning of 2012. The recent apparent deterioration in the animal (and, consequently, human) health situation is likely to be related to the problems described regarding compensation to owners of culled poultry. - Mod.AS

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1yvE.]

See Also

Avian influenza, human (32): Bangladesh: (DA) WHO 20120308.1064548
Avian influenza, human (30): Bangladesh (DA) bird market 20120305.1061684
Avian influenza, human (28): Bangladesh (Dhaka) WHO 20120303.1059658
Avian influenza, human (26): Bangladesh (Dhaka) 20120301.1057954]
.................................................arn/sh

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7 March 2012 - The Ministry of Health and Family Welfare, Bangladesh has confirmed two new cases of human infection with highly pathogenic avian influenza A(H5N1) virus in the country. These are the 5th and 6th cases reported in the country since 2008.‬‪

These two cases, 26 year-old and 18 year-old males, presented with history of cough, and both have recovered. They were identified in the same live bird market surveillance site in Dhaka City as the fourth case recently reported, and were confirmed by the National Influenza Centre (NIC) of the WHO Global Influenza Surveillance and Response System (GISRS) in Bangladesh.‬‪

Epidemiological investigation and follow-up is being conducted by National Rapid Response teams of the Institute of Epidemiology, Disease Control and Research (IEDCR) and the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B).‬‪

http://www.who.int/csr/don/2012_03_07/en/index.html

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