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Message Subject <<Advancing Bird Flu-H5N1...Now following MERS and Ebola approaching PANDEMICS>>>
Poster Handle arkay
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After reading the following, does anyone else get the sense of us all sitting on a time bomb?

I do!

For an overall pictue of our present picture of the H5N1, H7N9 and H1N1 viruses that we do focus on here, this post does give a very good snapshot of the current situation.

Source: World Health Organization, full PDF document: (LINK). Edited.]


Influenza at the human-animal interface, Summary and assessment as of 7 October 2013


Human infection with avian influenza A(H5N1) viruses

From 2003 through 7 October 2013, 641 laboratory-confirmed human cases with avian influenza A(H5N1) virus infection have been officially reported to WHO from 15 countries. Of these cases, 380 died.

Since the last WHO Influenza at the Human Animal Interface update on 26 August 2013, four new laboratory-confirmed human cases of influenza A(H5N1) virus infection were reported to WHO from Cambodia (3)and Indonesia (1).

All cases are considered to be sporadic, with no evidence of community-level transmission.

As influenza A(H5N1) virus is thought to be circulating widely in poultry in Cambodia and Indonesia, additional sporadic human cases or small clusters might be expected in the future.


Table 1: Laboratory-confirmed human cases of avian influenza A(H5N1) virus infection (26 August 2013 – 7 October 2013)

[Country – Province – Age – Sex - Date of onset - Date of Hospitalisation - Oseltamivir treatment Start date - Date of death - Exposure to]

Cambodia
Phnom Penh - 15 months – M - 16/08/2013 - 26 /08/2013 - 27/08/2013 – NA - Under investigation
Takeo - 5 year – F - 07/09/2013 - 12/09/2013 - 13/09/2013 – NA – Sick and dead poultry
Kampot - 2 year – F - 11/09/2013 - 15/09/2013 - 16/09/2013 - 17/09/2013 - Under investigation
Indonesia
West Java – 28 – M - 16/09/2013 - 20/09/2013 – NA - 27/09/2013 - Song birds and pigeons
NA: not applicable or not available
____

Overall public health risk assessment for avian influenza A(H5N1) viruses:

Whenever influenza viruses are circulating in poultry, sporadic infections or small clusters of human cases are possible, especially in people exposed to infected household poultry or contaminated environments. However, this influenza A(H5N1) virus does not currently appear to transmit easily among people. As such, the risk of community-level spread of this virus remains low.

(...)


Human infection with other non-seasonal influenza viruses

Avian influenza A(H7N9) in China

Since the last update of 26 August 2013, China has reported no new cases of human infection with avian influenza A(H7N9) virus, but reported one death in a previously reported case. As of 7 October 2013, 135 human cases of influenza A(H7N9) virus infection were reported to WHO. Of these cases, 45 died. Most human cases presented with pneumonia.

Most human A(H7N9) cases have reported contact with poultry or live animal markets. Knowledge about the main virus reservoirs and the extent and distribution of the virus in animals remains limited and, because it causes only subclinical infections in poultry, it is possible that the virus continues to circulate in China and perhaps in neighboring countries. As such, reports of additional human cases and infections in animals would not be unexpected, especially as the Northern Hemisphere autumn approaches.

Although four small family clusters have been reported among previous cases, evidence does not support sustained human-to-human transmission of this virus.


Overall public health risk assessment for avian influenza A(H7N9) virus:

Sporadic human cases and small clusters would not be unexpected in previously affected and possibly neighboring areas/countries of China. The current likelihood of community level spread of this virus is considered low.

Continued vigilance is needed within China and neighboring areas to detect infections in animals and humans. WHO advises countries to continue surveillance and other preparedness actions, including ensuring appropriate laboratory capacity. All human infections with non-seasonal influenza viruses such as avian influenza A(H7N9) are reportable to WHO under the IHR (2005).


Break...

Influenza A(H3N2) variant virus infections in humans in the USA

To date in 2013, the United States of America (USA) reported 18 cases of human infection with influenza A(H3N2)v from Illinois (1), Indiana (14), Michigan (2)and Ohio (1). Only one person was hospitalized and no deaths have occurred. All cases reported close contact with swine in the week before illness onset and no ongoing human-to-human transmission has been identified.

Limited serological studies indicate that adults may have some pre-existing immunity to this virus but children do not. Seasonal vaccines do not provide cross-protection to influenza A(H3N2)v viruses in adults or children. Three candidate vaccine viruses specific for A(H3N2)v have been developed in the USA and could be used to produce an (H3N2)v vaccine if needed.


Overall public health risk assessment for influenza A(H3N2)v viruses:

Further human cases and small clusters may be expected as this virus is circulating in the swine population in the USA and the season of agricultural fairs is ongoing. The current likelihood of community level spread and public health impact of this virus is considered low.

Close monitoring of the situation, including continued characterization of viruses to detect any changes, is warranted.


Non-seasonal A(H1N1) virus infections in humans in the USA

The USA announced two new human infections with a non-seasonal influenza A(H1N1) virus. The cases had contact with swine in the week before illness onset. Both patients recovered fully.

These viruses are genetically similar to viruses circulating in swine in the region and to non-seasonal A(H1N1) viruses detected in humans in previous years.

It is expected that the human populations are largely protected by existing immunity except for young children, and by the seasonal influenza vaccine.


Overall public health risk assessment for non-seasonal influenza A(H1N1) viruses:

Further human cases and small clusters may be expected as this virus is circulating in the swine population in the USA. The current likelihood for community level spread and public health impact of this virus is considered low.


Link here...

[link to www.flutrackers.com]

As can be seen, the specific viruses that we have been reporting on this thread do continue to be active, making their presence a threat to us all.

If, more likely, when the ideal conditions arrive, if we were to drop our guard against them and become complacement we will pay the ultimate price with an uncontrollable and deadly pandemic, which each of these viruses can sponsor.

We must, as a matter of high priority, continue to monior these outbreaks and diagnoses and constantly act to contain them, well before they can get any type of foot-hold and establish any potential threat that we know that they do present to humans.

There is no safe ground with these very potential manances, viglinance no matter the cost is the only solution.

arkay
 
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