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EPIDEMICS
Bird flu researchers agree to 60-day halt
by Staff Writers
Washington (AFP) Jan 20, 2012

Indonesia reports second bird flu death this year
Jakarta (AFP) Jan 20, 2012 - Indonesia on Friday reported its second human death from bird flu this year, with the death of a five-year-old girl who recently lost her relative to the deadly virus.

Concerns about avian influenza have risen in the region after China in late December reported its first fatality from the H5N1 virus in 18 months.

Vietnam on Thursday reported its first human death from the virus in nearly two years, as the virus also claimed the life of a toddler in Cambodia.

The latest Indonesian victim lived in the same house with a 24-year-old relative who died of the virus on January 7 but authorities say there is no evidence of human-to-human transmission between the two infected people.

"The child passed away after being treated for a few days at a hospital," Tjandra Yoga Aditama, the head of communicable diseases at Indonesia's health ministry, told AFP.

"We have conducted several tests and the results showed that she contracted the same H5N1 avian influenza virus that was detected before, so the virus has not developed," he said.

The girl had contact with poultry around their neighbourhood, he said, but could not confirm whether she had contracted the virus from chickens or pigeons -- both found in her neighbourhood of Tanjung Priok in north Jakarta.

Indonesia has been the hardest-hit by bird flu, with 150 deaths reported between 2003 and 2011, according to the World Health Organization.

"With this case, the cumulative number of bird flu cases in Indonesia since 2005 has reached 184 cases, 152 of those ended in death," the health ministry said on its website.

Nine Indonesians died from the virus last year, including two children on the resort island of Bali in October.

The virus typically spreads from birds to humans through direct contact, but experts fear it could mutate into a form easily transmissible between humans, with the potential to kill millions in a pandemic.


International scientists on Friday agreed to a temporary two-month halt to controversial research on a bird flu virus that may be easily passed among humans, citing global health concerns.

Two separate teams of researchers, one in the Netherlands and the other in the United States, found ways late last year to engineer the H5N1 virus so that it was transmitted among mammals, something that has previously been rare.

The breakthrough raised alarm the method could fall into the wrong hands and unleash a massive flu pandemic that could cost millions of lives, and a US advisory panel in December urged that key details should remain unpublished.

"Resulting from concerns about recent research on avian influenza, scientists working on transmission of the H5N1 strain have agreed to halt this area of research for 60 days to allow time for international discussion," said the letter from the researchers, published by the journals Science and Nature.

"We recognize that we and the rest of the scientific community need to clearly explain the benefits of this important research and the measures taken to minimize its possible risks," it added.

"We propose to do so in an international forum in which the scientific community comes together to discuss and debate these issues."

The US journal Science and the British magazine Nature have been working with researchers on edits to the manuscripts but have not said when or if they would eventually be published.

Until now, bird flu has been rare in humans, but particularly fatal in those who do get sick. H5N1 first infected humans in 1997 and has killed more than one in every two people that it infected, for a total of 350 deaths.

The concern is the virus could mutate and mimic past pandemic flu outbreaks such as the "Spanish flu" of 1918-1919 which killed 50 million people, and outbreaks in 1957 and 1968 that killed three million.

Shortly after the research came to light, the US National Science Advisory Board for Biosecurity, a non-governmental panel of 23 experts, urged the two leading scientific journals to edit out key details.

National Institutes of Health experts have been working with researchers and editors to pare back the reports for publication, despite outcry from some scientists who said the work must be shared.

Among them was top Dutch scientist Ron Fouchier, who downplayed the threat to biosecurity and told AFP in December that the data "needs to be shared with countries where H5N1 viruses cause outbreaks so that the countries can now be on the lookout if these mutations arise."

However, Fouchier and other top researchers all signed the latest letter agreeing to a temporary halt to research.

"We would like to assure the public that these experiments have been conducted with appropriate regulatory oversight in secure containment facilities by highly trained and responsible personnel to minimize any risk of accidental release," the letter said.

The research aimed to provide "positive public health benefits," it added, but pointed out that whether or not these ferret-adapted flu viruses "have the ability to transmit from human to human cannot be tested."

NIH director Francis Collins and Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases issued a joint statement in support of the moratorium.

"We applaud the decision by these scientists, who have demonstrated great responsibility and flexibility in pausing their work to allow for a full dialogue about the risks and benefits of this research," it said.

"Officials with the World Health Organization are now working to organize a forum for the international scientific community to discuss these issues in the coming weeks."

While some experts questioned whether 60 days would be enough to sort out the complex issues surrounding the research, researcher Adolfo Garcia-Sastre of the Mount Sinai School of Medicine said he hoped it would be "ample time."

"After that I hope that we agree on the best way how to quickly advance scientific progress while minimizing potential risks," he told AFP.

Related Links
Epidemics on Earth - Bird Flu, HIV/AIDS, Ebola




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Two die of A(H1N1) swine flu in Mexico: official
Mexico City (AFP) Jan 21, 2012 - An outbreak of A(H1N1) swine flu claimed the lives of two people -- 19 and 21 years old -- in Mexico's capital in the first weeks of the year, health authorities said Saturday.

The health secretary of Mexico's Federal District, Armando Ahued, said there were 138 confirmed cases of the flu, including 110 cases of A(H1N1), a novel strain of the swine flu that was first detected in 2009.

Nationwide, 333 cases of the virus have been confirmed, the federal government's health secretary said earlier in the week, without saying how many deaths had been attributed to it.

The latest victims were a 19-year-old and a 21-year-old who died in separate hospitals.

"The tendency toward an increase in flu cases is normal because January is the month with the lowest temperatures," said Ahued adding that the incidence of flu should begin to subside in February.

The first outbreak of the A(H1N1) virus occurred in April, 2009 in Mexico and the United States, and quickly became a global pandemic that claimed the lives of 17,000 people. In Mexico alone, more than 1,250 people died.

The World Health Organization declared the pandemic over in 2010 as the flu returned to typical seasonal patterns.

Libyan baby dies of swine flu in Greece: ministry
Athens (AFP) Jan 20, 2012 - A seven-month old Libyan baby girl died in an Athens childrens' hospital on Friday from swine flu after an emergency airlift from Libya, the health ministry said.

The baby girl, Mohmed Khadija Ben Hussein, had been transferred on January 10 from a Libyan hospital where she had already displayed breathing problems, it added.

"Despite mechanically-assisted respiration and medicine treatment, the patient expired due to irreversible pulmonary damage," the ministry said.

Around 100 people died from the potentially deadly H1N1 virus strain in Greece last year. This is the first case reported in the country this year.

Hundreds of Libyans have been receiving treatment in Greek hospitals following the eight-month insurrection that toppled the regime of Moamer Kadhafi in October.



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