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<<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>

 
arkay (OP)

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02/26/2013 08:54 PM

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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
The Public Health Agency of Canada has produced an up to date look at all things relevant to the H5N1 Avian Influenza situation, worldwide.

This is an excellent document which contains a snap shot look at the current situation with activity worldwide and also includes excellent information in relation to several practical aspects, for us all to have as a reference.

I would strongly recommend all readers to take the time to absorb this valuable and informed information.

Current Avian influenza (H5N1) affected areas
Human infection with avian influenza H5N1 viruses
Human infection with the H5N1 virus remains a rare event. Direct contact with infected poultry, or surfaces and objects contaminated by their faeces, is presently considered the main route of human infection. Exposure is considered most likely during slaughter, defeathering, butchering, and preparation of poultry for cooking.

There is no evidence to suggest that the avian influenza virus can be transmitted through the consumption of poultry and poultry products as long as standard precautions regarding food storage, handling, preparation are followed. Consumers should ensure that poultry is thoroughly cooked (juice runs clear and no visible pink meat). Internal temperatures for whole chicken should reach 85°C, for chicken parts should reach 74°C and eggs should be cooked until the yolk is no longer runny.

For poultry preparation guidelines please visit: Avian Influenza & Poultry.

Table 1, below, provides an up-to-date list of countries experiencing human cases of H5N1 avian influenza.

The Asian strain of avian influenza H5N1 virus has been confirmed in poultry and wild birds in several countries in the following regions: Asia, Europe, Africa and the Middle East. While this demonstrates the rapid and ongoing geographical spread of the virus, information to date has shown that the greatest risk to humans arises when the virus becomes established in small backyard poultry flocks, which allow continuing opportunities for close human contact, exposures, and infections to occur.

Table 2 and Table 3 below, provide an up-to-date list of countries experiencing H5N1 avian influenza outbreaks or activity in domestic poultry and wild birds. These tables include only those countries officially reporting avian influenza H5N1 activity to the World Organisation for Animal Health (OIE) and do not necessarily include all countries experiencing such activity in poultry and wild birds. When using these tables, please consider that some countries have not reported outbreaks in poultry or wild birds but have reported human cases, implying that there may be a risk of infection upon exposure to poultry or wild birds in some regions even if this country is not found in the tables below.

Tables 2 and 3 below contain information for the period September 1, 2010 to the present.

For detailed information on H5N1 activity in poultry and wild birds please refer to this website:

&#9632;World Organisation for Animal Health
Table 1: Cumulative Number of Confirmed Human Cases of Avian Influenza A/(H5N1) Reported to WHO 1 - Since 2003 (Updated 2013-02-15) 1.Cumulative number of confirmed human cases for avian influenza A(H5N1) reported to WHO, 2003-2012

Country Total Cumulative
Cases (deaths)
(2003 to present) Most Recent Cases (deaths)
(Sep. 1, 2012 - present) Most recent symptom onset date (or hospital admission)
Azerbaijan 8 (5) 0 (0) 2006-03-11
Bangladesh 6 (0) 0 (0) 2012-02-26
Cambodia 28 (25) 7 (6) 2013-02-03
China 45 (28) 2 (0) 2013-02-03
Djibouti 1 (0) 0 (0) 2006-04-23
Egypt 170 (61) 2 (1) 2013-01-16
Indonesia 192 (160) 1 (1) 2012-11-30
Iraq 3 (2) 0 (0) 2006-03-15
Lao PDR 2 (2) 0 (0) 2007-02-26
Myanmar 1 (0) 0 (0) 2007-11-21
Nigeria 1 (1) 0 (0) 2007-01-16
Pakistan 3 (1) 0 (0) 2007-11-21
Thailand 25 (17) 0 (0) 2006-07-24
Turkey 12 (4) 0 (0) 2006-01-05
Viet Nam 123 (61) 0 (0) 2012-03-04
Total 620 (367) 12 (8) 2013-02-15
Table 2: OIE 1 confirmed Avian Influenza H5N1 Activity in Poultry
Updated 2013-02-25 Country Date of Outbreaks Total number of Outbreaks
(1 Sept. 2012 - present) 2
Initial Most recent
1.OIE: Office International des Epizooties ( World Organisation for Animal Health)
2.Country grouping is based on United Nations Environment Programme mapping

Asia & the Pacific
Japan 2009-04-01 2011-03-16 0
Vietnam 2006-12-07 2012-09-03 4
Nepal 2010-10-25 2013-02-05 17
Hong Kong 2010-03-26 2012-06-25 0
Korea (Rep. of) 2010-11-29 2011-05-16 0
Bangladesh 2007-02-05 2012-12-17 2
Myanmar 2010-03-26 2012-03-05 0
Cambodia 2010-01-10 2013-02-19 5
India 2010-06-02 2012-10-12 1
China (People's Rep. of) 2010-05-25 2012-11-17 2
Indonesia 2007-06-01 2011-04-06 0
Bhutan 2010-03-25 2013-01-14 3
West Asia (Middle East)
Palestinian Auton. Territories 2006-04-19 2011-02-27 0
Israel 2010-02-01 2012-03-13 0
Iran 2008-08-03 2011-10-17 0
Europe
Germany 2012-12-18 2013-02-15 1
Africa
Egypt 2006-02-17 2010-12-30 0
South Africa 2006-07-01 2012-06-11 1
Americas
Mexico 1995-06-01 2013-02-12 16
Oceania
Australia 1997-11-01 2012-11-09 1

&#9632;Month-by-month OIE confirmed avian influenza H5N1 activity in poultry, by country
Table 3: OIE1 confirmed Avian Influenza H5N1 Activity in Wild Birds
Updated 2013-02-25 Country Date of Outbreaks Total number of Outbreaks
(1 Sept. 2012 - present)2
Initial Most recent

1.OIE: Office International des Epizooties (World Organisation for Animal Health)
2.Month-by-month OIE confirmed AI H5N1 outbreak activity by country

Asia & the Pacific
Korea (Rep. Of) 2010-11-29 2010-12-30 0
Japan 2009-04-01 2011-03-25 0
Hong Kong 2010-03-26 2013-01-25 1
Mongolia 2010-06-14 2011-04-05 0
India 2011-11-30 2012-01-10 0
Cambodia 2010-01-10 2011-07-13 0
West Asia (Middle East)
Israel 2010-02-01 2011-04-06 0
Africa
Europe
Denmark 2006-06-01 2012-12-14 1
Americas
Mexico 1995-06-01 2012-09-28 2

&#9632;Month-by-month OIE confirmed avian influenza H5N1 activity in poultry, by country
PHAC recommendations for public health professionals
Health professionals are reminded to refer to their provincial/territorial Ministry of Health for specific recommendations on surveillance and public health.

The Public Health Agency of Canada (PHAC) continues to monitor the global influenza situation and will continue to make recommendations as new official information becomes available, including providing ongoing updates to provinces and territories (P/Ts).

PHAC RECOMMENDATIONS:

i.Public Health authorities in Canada are advised to continue vigilance for the recognition, reporting and prompt investigation of patients with severe respiratory illness (SRI) (PDF, 80 Kb, 7 page) and/or severe influenza-like illness (ILI)* (for national case definitions refer to the SRI protocol (PDF, 80 Kb, 7 page)).
ii.Front line health care providers in hospitals should be advised of the following SRI and severe ILI patient encounters:
THINK – TELL – TEST appropriately:

&#9632;THINK
&#9632;query travel
&#9632;implement best practices for triage, infection control and patient management as indicated
&#9632;TELL
&#9632;Consult your local Public Health for assistance in SRI/severe ILI patients with the following:
&#9632;Recent travel or contact with travelers to an affected area with confirmed H5N1 activity in humans and/or domestic poultry
&#9632;TEST
&#9632;Consult your local Public Health for guidance on appropriate testing, recommended procedures and prioritization for H5N1 investigation IF significant exposure history has been established which may include:

&#9632;Close contact (within 1 metre, i.e. touching distance) with a confirmed human case of H5N1

OR

&#9632;Close contact with sick or dead domestic poultry or wild birds
For detailed background and recommendations on enhanced SRI surveillance in hospitals, please consult your local or provincial/territorial health authorities. Also see the Public Health Agency of Canada's Emerging Respiratory Illness website for health professionals


-------------------------------------------------------------​-------------------

* Influenza-like illness (ILI) in the general population (FluWatch national case definition): Acute onset of respiratory illness with fever and cough and with one or more of the following - sore throat, arthralgia, myalgia, or prostration which could be due to influenza virus. In children under 5, gastrointestinal symptoms may also be present. In patients under 5 or 65 and older, fever may not be prominent.

Severe ILI may include complications such as: pneumonia, Acute Respiratory Distress Syndrome (ARDS), encephalitis and other severe and life threatening complications requiring hospitalization or resulting in death of otherwise healthy individuals.


Link here...

[link to www.phac-aspc.gc.ca]

Printed in full with permission.
arkay (OP)

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Australia
02/26/2013 09:00 PM

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Re: <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
Tunisia is reporting the tragic death of two pregnant hospital employees as a result of H1N1 swine flu infection.

Swine Flu Deaths of Pregnant Hospital Workers Spark Outrage
Amira Masrour | 26 February 2013

The deaths of two pregnant women working in Gabes Regional Hospital from the “swine flu” virus have prompted controversial reactions from family members, colleagues, and unionists.

Najwa Zammali, a nurse working in children’s section, died on February 16 from the H1N1 virus. Sourour Retal, a secretary in the radiology department, died two days later.

Sleh Bisheikh, the general manager of the hospital, confirmed to Tunisia Live that both women had contracted H1N1, more commonly known as swine flu.


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[link to www.tunisia-live.net]
arkay (OP)

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02/26/2013 09:12 PM

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Taiwan has reported the deaths of two of its citizens during February due also to H1N1 swine flu.

2 lives claimed by H1N1 in February: CDC
The China Post news staff
February 27, 2013, 12:08 am

TAIPEI, Taiwan -- The H1N1 flu strain claimed two lives this month, as the number of diagnosed influenza cases surged due to increased travel over Chinese New Year, the Centers for Disease Control (CDC, &#30142;&#30149;&#31649;&#21046;&#23616;) said yesterday.
During the recent flu season, 365 cases of influenza were reported, resulting in 29 deaths, according to the CDC, which has attributed 26 of the deaths to the H3N2 virus strain and three deaths to H1N1.

The first victim to be claimed by H1N1 earlier this month, a 48-year-old man, had reported flu-like symptoms of fever, soreness and pain on Jan. 19, but did not seek medical attention until Jan. 24. The man died on Feb. 5 despite the efforts of doctors.

The second victim, a 38-year-old woman, became feverish and felt discomfort on Feb. 14, but did not receive medical attention until Feb. 18 when she was rushed to the ER. She was resuscitated but died on Feb. 21.


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[link to www.chinapost.com.tw]
arkay (OP)

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02/26/2013 09:43 PM

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Well now, it would seem that we might not be to only interest group that might be questioning the WHO's practise of monthly reporting of H5N1.

Here we have comments from another highly credible blog site that also tracks H5N1 among other topics of importance, making mention of having to wait for WHO reports for H5N1 incidents.

Cambodia: Still no official report on latest H5N1 case
It's almost 5:00 p.m. Tuesday here in Vancouver, and almost 8:00 a.m. Wednesday in Phnom Penh. While we got a report from Xinhua some 12 hours ago on the 9th Cambodian H5N1 case of the year, we still have no official confirmation from the Ministry of Health or WHO Western Pacific Region; they issue a joint release about each case. So until that release appears, we don't really know what's happened.


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[link to crofsblogs.typepad.com]
arkay (OP)

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02/26/2013 10:13 PM

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It appears that this years significant presence of H1N1 swine flu in the Northern Hemisphere will see vaccinations with protection against it being included in next years vaccination recepie.

Add swine flu to regular flu vaccine: WHO

The World Health Organization is recommending that swine flu be added to regular flu vaccines next season.
The swine flu pandemic virus, or H1N1, emerged too late last year to be added to the regular flu vaccine, and a separate vaccine was needed.
For this year’s northern hemisphere flu season, however, the two vaccines should be combined, WHO flu chief Keiji Fukuda said Thursday after the agency met this week to decide which strains should be recommended to drug makers for vaccines.


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[link to www.arabtimesonline.com]
Treyfish

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02/27/2013 08:10 AM
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Outbreak worst ever
“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 &#8722; 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... [link to www.phnompenhpost.com]
Treyfish

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02/27/2013 08:12 AM
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Fever patient tests negative for novel coronavirus
(HKSAR) - The Centre for Health Protection (CHP) of the Department of Health (DH) received a report from Prince of Wales Hospital (PWH) today (February 27) of a suspected case of Severe Respiratory Disease associated with Novel Coronavirus.

The patient is a 39-year-old woman, with good past health, who presented with fever, cough and sore throat since February 23. She was admitted to the isolation ward of PWH today. Her current condition is stable.

Investigations by the CHP revealed that the patient travelled to Riyadh, Saudi Arabia, from February 20 to 22 and returned to Hong Kong on February 23.


Preliminary laboratory test results for the patient's nasopharyngeal aspirate today showed that it tested negative for Novel Coronavirus associated with Severe Respiratory Disease but positive for seasonal influenza A (H3).. [link to 7thspace.com]
Treyfish

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02/27/2013 08:58 AM
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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

PHNOM PENH, 27 FEBRUARY 2013 - 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 rece [link to www.wpro.who.int]
Anonymous Coward
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02/27/2013 07:06 PM
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[link to news.yahoo.com]
50% mortality
Anonymous Coward
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02/27/2013 08:11 PM
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Tweets
4 hrs Y &#8207;@yalsubaie
@HelenBranswell Before she died GBHS she was in Egypt for a week or so traveling with another person who also came back sick
View conversation Reply Retweet Favorite More
5 hrs Y &#8207;@yalsubaie
@HelenBranswell no results yet but some family members have nasty flu only - we pray
View conversation
5 hrs Henry Niman &#8207;@hniman
Saudi Arabia import #betacoronavirus in 61F case #Coronavirus #nCoV #CoV #SARS-like #EMC/12 #England1 #England2 [link to fluboard.rhizalabs.com] …
Expand
5 hrs Y &#8207;@yalsubaie
@hniman I believe its better to share more info. Victim7 #coronavirus came from Egypt with 2nd person also has flu like symptoms/ recovered
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12:30 p.m. - Feb 27, 2013 · Details
Anonymous Coward
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02/27/2013 08:17 PM
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[link to latimesblogs.latimes.com]
arkay (OP)

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02/27/2013 11:21 PM

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There has been a new outbreak of H5N1 avian influenza in a province of Vietnam where it has never previously been seen.

A-H5N1 flu outbreak detection in Kien Giang

Last updated at 17:10, Wednesday, 02/27/2013 (GMT +7)

Nhan Dan Online - The Morning 27-2,

Department of Agriculture and Rural Development said Kien Giang, agriculture and health has culled all 300 birds infected with influenza virus A-H5N1 in a household in Hon Dat district (Kien Giang).

This is the first outbreak of A-H5N1 flu discovered in Kien Giang


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[link to translate.google.com]
arkay (OP)

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02/27/2013 11:25 PM

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Some common sense coming from our Finnish friends in this memoramdum from their Food Safety Authority.

Shelter poultry during spring months
27.02.2013 12:55

As in previous years, poultry must be protected from any contact with wild birds during the spring migration period in order to prevent the avian influenza virus from spreading. Pursuant to a Decree by the Ministry of Agriculture and Forestry, poultry has to be kept either indoors or in an outdoor area protected fully e.g. with a sufficiently close meshed net between 1 March and 31 May.


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[link to www.evira.fi]
arkay (OP)

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02/27/2013 11:38 PM

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A recent study has looked at the early H1N1 infection rates in Victoria Australia and found that they occurred mainly in schhols.

Unfortunately this commentary doesent make it clear just how in depth the study delved into the reasons as to why the concentration of infections occurred at schools, if it had perhaps many social factors might have thrown light on to this trend.

We, here in Australia as a generalization, tend to look at flu as a type of oversized common cold and treat it accordingly.

We also have an abysmal attitude towards infections and how they spread, with little education to correct coughing and sneezing techniques, handwashing etc, etc.

Our only real asset is that we are an island nation and as a result have so far been afforded certain relief from invaders because of out geographic situation, certainly not from good education.

Two thirds of early 2009 pandemic cases in Victoria, Australia, were in school kids
Two thirds of early-pandemic cases in Victoria state, Australia—where the 2009 H1N1 (pH1N1) pandemic spread first in that country—were in school-aged children, and limited, short-term school closures appeared to have no impact, according to a study yesterday in PLoS One. Australian researchers studied records from the first 1,000 lab-confirmed pH1N1 cases reported in the state from May 20 to Jun 5, 2009.


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[link to www.cidrap.umn.edu]
arkay (OP)

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02/27/2013 11:50 PM

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Russia is reporting that 70% of their flu cases in St Petersberg are positive for H1N1 swine flu.

70% of flu in St. Petersburg due to the H1N1 virus

Since the beginning of the year of complications from swine flu in the city killed five people. According to doctors, the peak incidence is yet to come

In Rospotrebnadzor St. Petersburg and Leningrad region argue that the number of newly infected with swine flu (H1N1) is 70% of the total number of cases. For the past few weeks the virus active. So, last week the Federal Service registered 60,503 cases, of which 500 are caused by influenza. As noted by the Department Head of Rospotrebnadzor Tatiana Chhinzheriya, mortality (five people died in St. Petersburg because of complications from swine flu) is not associated with the infection, and the weak state of the patients.


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[link to izvestia.ru]

google translated.
Anonymous Coward
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02/28/2013 06:09 PM
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Woman tested for coronavirus
February 27, 2013
A 39-year-old woman has been admitted to Prince of Wales Hospital in a suspected case of novel coronavirus.

The hospital told the Centre for Health Protection today that a preliminary test was negative for coronavirus but positive for seasonal influenza A.

The patient fell ill on February 23 and was admitted to the isolation ward of the hospital today. Her condition is stable.

She travelled to Saudi Arabia from February 20 to 22.

No human novel coronavirus infection has been identified in Hong Kong so far.
Anonymous Coward
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02/28/2013 06:19 PM
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[link to www.naturalnews.com]
Anonymous Coward
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02/28/2013 06:22 PM
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[link to www.itar-tass.com]
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02/28/2013 06:26 PM
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[link to www.kt.kz]
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02/28/2013 06:29 PM
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[link to www.ynetnews.com]
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02/28/2013 06:31 PM
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02/28/2013 06:33 PM
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[link to www.indianexpress.com]

are you feeling the alarm bells should be ringing by now
Anonymous Coward
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02/28/2013 06:34 PM
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[link to www.deccanherald.com]
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02/28/2013 06:39 PM
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[link to www.youtube.com]

something is seriously wrong and its being kept quiet ...
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02/28/2013 06:48 PM
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[link to penzanews.ru]
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02/28/2013 06:55 PM
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[link to hygimia69.blogspot.co.uk]
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02/28/2013 06:57 PM
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 Quoting: Anonymous Coward 35090902

The United Kingdom has informed WHO of a confirmed case of infection with the novel coronavirus (nCoV). The new case is a United Kingdom resident who developed symptoms of illness on 26 January 2013. A preliminary investigation revealed that the patient had a travel history to Pakistan and Saudi Arabia.

Laboratory investigations on respiratory specimens have revealed infection with both Influenza A(H1N1)pdm09 and NCoV. The patient is currently hospitalized in intensive care in the United Kingdom.

The Health Protection Agency (HPA) of the United Kingdom has instituted stringent infection control measures around the patient and identified contacts who may have been exposed to him during his illness. Further investigation into the case is ongoing.


a merging of corona virus and h1n1 the increasing deaths in india russia bagladesh h1n1
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[link to www.plosone.org]
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Coronaviruses
Novel coronavirus present in European bats
Annan et al. Human Betacoronavirus 2c EMC/2012–related Viruses in Bats, Ghana and Europe. Emerg Infect Dis 2013; doi: 10.3201/eid1903.121503. [Impact Factor = 6.17]
Faecal samples from 4758 bats from Ghana and 272 bats from four countries in Europe (Germany, the Netherlands, Romania and Ukraine) were screened for the human betacoronavirus EMC/2012 using nested RT-PCR against the RdRp gene. Viruses related to the novel coronavirus were only found in Nycteris bats in Ghana and were present in 25% of Nycteris bats. Betacoronaviruses were present in 14.7% of Pipistrellus bats from Europe. The Nycteris bat CoV differed from the 2c-prototype viruses HKU4 and HKU5 by 8.8–9.6% and from EMC/2012 by 7.5%. This study strengthens the evidence that EMC/2012 originated in bats.

Coronaviruses in bats from Mexico
Anthony et al. Coronaviruses in bats from Mexico. J Gen Virol 2013; doi: 10.1099/vir.0.049759-0. [Impact Factor = 3.36]
Previously bats have acted as reservoirs and introducers of zoonoses including Nipah, Hendra, rabies, Ebola Marburg and the SARS coronavirus. With the recent discovery of a novel coronavirus in the Middle East the importance of surveillance screening for emerging coronaviruses is now a priority. The authors screened 606 bats from 42 different species in three areas of Mexico and identified 13 distinct coronaviruses. Nine were &#945;-CoVs, four were &#946;-CoVs. 12 were novel. Host bat species appears to be a strong selective driver in CoV evolution, even where the population is separated by large geographical distances. Moreover, a single species or genus of bat can contain multiple CoVs. One of the &#946;-CoVs had 96.5% amino acid identity to the recent disease-causing &#946;-CoV from Jordan and Saudi Arabia and was found in a Nyctinomops laticaudatus bat.
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