Flu researchers call for enhanced swine surveillance

Lisa Schnirring Staff Writer
Jun 8, 2009 (CIDRAP News) – Government officials and researchers may have underestimated the potential role of pigs as "mixing vessels" for influenza viruses and the importance of swine surveillance for identifying new pandemic threats, veterinary experts from Mexico asserted recently.

The group based their conclusions on two genetic analyses tracing the evolution of the novel H1N1 virus that lend support to the mixing vessel theory. Their findings appeared in the Jun 4 issue of Eurosurveillance.

Following virus protein clues

Serious H1N1 cases in Canadian Inuits raise concern

Colleagues,

Now that the global SO-H1N1/2009 outbreak has overwhelmed our capacities to track and report on the number of cases, one of the mission critical activities is monitoring clusters of severe illness, Please note the cluster of severe cases in Northern Canada in the article below. These populations were also hit hard with high mortality rates in 1918.

Outbreak Trigger Points

Trigger Point 1: WHO Alert 3: Pathogen proven to cause human to human transmission
Trigger Point 2: WHO Alert 4: Pathogen creating human to human spread in 1 country
Trigger Point 3: WHO Alert 5: Pathogen creating increasing cases in at least 2 countries
Trigger Point 4: WHO Alert 6: Pathogen spreading worldwide
Trigger Point 5: Disease spreading within one’s own country
Trigger Point 6: Disease spreading within one’s own region, or where you have traveled
Trigger Point 7: Disease spreading within one’s community, or where you have traveled

Australia flu 'may tip pandemic'

The World Health Organization last declared a pandemic 41 years ago
A sharp increase in swine flu cases in Australia may mean the infection has become a pandemic, the World Health Organization says.
For that to happen, officials would have to verify that the disease had become established outside North America, where the crisis began.
"Once I get indisputable evidence, I will make the announcement," said WHO director general, Margaret Chan.
More than 1,200 people have contracted the virus in Australia - none fatally.
The total means Australia has seen a four-fold increase in a week.

WHO To Incorporate Disease Severity Into Pandemic Alert Scale

KFF Monday, June 08, 2009

A meeting of the WHO's emergency committee held Friday to discuss the H1N1 (swine) flu ended without a pandemic declaration, but experts concluded that declarations would now be based upon the severity and transmission pattern of a virus, Reuters reports (Nebehay, Reuters, 6/5). "The Emergency Committee is composed of international experts and its task is to give advice to the WHO chief on influenza outbreak responses," according to Xinhua writes (Xinhua, 6/6).

Avian Flu Fears Said to Help U.S. Prepare for Swine Flu

June 4, 2009
By Donald G. McNeil Jr.

Six years of worrying about bird flu did much to prepare the United States for the current swine flu outbreak, federal officials and an independent monitoring group said Thursday, but they cautioned that there were still gaps in planning.

After the H5N1 avian flu emerged widely in Asia in 2003, killing about 60 percent of those infected by it, many countries took steps to head off the crisis that would emerge if that virus were to acquire the ability to jump easily from human to human. It has not, but a number of the measures were helpful.

Pandemicflu.gov specific sub sites and checklists

From JR:
I recommend visiting the pandemicflu.gov website as a starting point.

This is the state and local homepage http://www.pandemicflu.gov/plan/states/index.html

This health insurer planning checklist might relate to crisis care
http://www.pandemicflu.gov/plan/workplaceplanning/healthinsurer.html

The faith based check list was interesting http://www.pandemicflu.gov/plan/community/faithcomchecklist.html

Suggestion: collate GHI checklist from the 3 above.

Flu Experts Discuss Severity Scale for WHO's Phase 6 June 6, 2009

By Stephanie Nebehay

Flu experts held emergency talks to assess introducing a severity scale into the World Health Organization's top level of pandemic alert and to discuss the spread of the H1N1 virus, officials said.

WHO Director-General Margaret Chan called the emergency committee meeting, but no decision is expected on crossing the threshold to the highest phase, a spokeswoman said.

"The agenda is not to decide on phase 6, I would like to stress this," WHO spokeswoman Fadela Chaib told a news briefing in Geneva.

© 2009 Reuters

For full article, visit:

Getting an Edge on Disease Outbreaks 05/05/2009

Kumanan Wilson and John Brownstein on using the internet to track outbreaks
http://www.globalhealthmagazine.com/guest_blog/getting_an_edge_on_disease_outbreaks

The SARS outbreak of 2003 resulted in hundreds of deaths and billions of dollars of economic losses. While officially reported in February 2003, there was Internet evidence of the outbreak as early as November 2002. International awareness of the outbreak at that time could have led to measures that could have limited its global impact.

Vietnam Publishes Report Documenting MDG Progress

KFF
Wednesday, June 03, 2009

Vietnam recently published a report tracking its progress towards the U.N. Millennium Development Goal (MDG) targets, which outlines the health ministry's work with other government and international agencies, Vietnam News reports.

Deputy Minister of Planning and Investment Cao Viet Sinh said Vietnam is one of the first countries to integrate the MDGs into its own socio-economic development plan. At an event to mark the release of the report, Vietnam made seven proposals to expedite the achievement of the MDGs by 2015.

FEMA Encourages Public Participation

By Ed O'Keefe
Washington Post Staff Writer
Thursday, June 4, 2009

FEMA Administrator Craig Fugate said this week that he will devote considerable efforts to boosting citizen participation in disaster preparedness, a shift from previous emergency management perceptions of the general public as a liability.

Part of those efforts, he said, should include a concerted effort by the federal government to better promote preparedness as a basic American responsibility.

WHO weekly update on Swine Flu: "Moderate"

In the weekly update and question and answer session (5 PM every Tuesday from Geneva, Switzerland) WHO spokes person Dr. Keijii Fukuda reports confirmed infection in 64 countries. They are seeing travel related spread, as well as community spread of the virus with-in some countries. Mexico, United States and Canada are showing a mixed pattern of waxing and waning spread of the swine flu virus so that the flu will appear to be ending in a community, than re-surge.

Pondering How to Tell the World Swine Flu is a Pandemic

Source: Bloomberg.com Worldwide News
Date: 02 June 2009
Author(s): Jason Gale

The World Health Organization is caught between a virus and a hard place.

Swine Flu Now Reported in All 50 States

By Steven Reinberg, HealthDay Reporter
HealthDay / MSN on line

MONDAY, June 1 (HealthDay News) -- Swine flu cases have now been reported in all 50 states, with the total number of people infected probably surpassing 200,000, U.S. health officials said Monday.

"It's accurate to say that there are probably several hundred thousand people that have been impacted by this flu," said Tom Skinner, a spokesman for the U.S. Centers for Disease Control and Prevention. "But that's in line with what we would see with seasonal influenza if we had the number of cases we are reporting right now."

New York Times Editorial Calls For Wealthy Countries To Keep Promises To Help The World's Poorest

Regardless of the current economic crisis, "developed countries must not overlook the particular vulnerability of the world’s poor," a New York Times editorial says, pointing to a recent WHO health statistics survey that found many developing countries are falling short of the U.N. Millennium Development Goals.

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