Announcement

**HenryN** · January 25, 2009, 01:55 AM

Re: Nepal finds suspected human infection of bird flu

Updated map

H5N1 India 2009 - Google My Maps

http://maps.google.com/maps/ms?ie=UTF8&hl=en&msa=0&msid=106484775090296685271.00045da2c3c24f4d59de3&t=p&ll=27.019984,87.668152&spn=2.192223,3.57605&z=8

H5N1 in 2008/2009 season in India and adjacent regions.

**HenryN** · January 25, 2009, 01:59 AM

Re: Nepal finds suspected human infection of bird flu

This lab confirmation follows reports of 5 patients hospitalized (for more than a week) in critical condition.

**Laidback Al** · January 25, 2009, 02:03 AM

Re: Nepal finds suspected human infection of bird flu

Background information on Damak

Damak is situated in the western part of Jhapa district, which lies in the eastern part of Nepal.Damak lies between the border of Ratuwa and Mawa rivers,beside it itself acts as a border of Jhapa and Morang District,and Mechi and Koshi Zone too.

Seperated into 19 wards, the total area of this city is 7531 hector ,which spreads from north to south. Nine of the wards touches the highway, i.e. the Mahendra Highway. Ward no.10,11,12,13 and 14 lies in the bazar area. With132 meters above the sea level, it has Lakhanpur in its east, Urlabari, Rajghat and Madhumalla in the west and Chulachuli Illam and Kohabari V.D.C in the north and the south, respectively. The total population of Damak municipality is about 58590 in which 76.93% are literate.

http://jhapadamak.blogspot.com/2008/01/nepal-jhapa-damak.html

**HenryN** · January 25, 2009, 02:09 AM

Re: Nepal finds suspected human infection of bird flu

Damak दमक is a town and municipality in Jhapa District in the Mechi Zone of south-eastern Nepal. It is situated between the Ratua Khola (River) in the east and the Mawa Khola (River) in the west. At the time of the 1991 Nepal census it had a population of 41,321 people residing in 7,644 individual households.<SUP class=reference id=cite_ref-0>[1]</SUP>
Damak was changed to a municipality from a VDC (Village Development Committee) in the year 1982 AD. The Damak municipality consists of 19 wards which also includes the large Himalayan Tea State, where the Royal Family has also invested. The municipality covers an area of 7,513 hectares and is at an average of 100 meters above the sea level. Lakhanpur is to the east, Urlabari, Rajghat and Madhumalla in the west and Chulachuli Ilam and Kohabara vdc in the north and the south, respectively.
According to the census of 2001, Damak had 7,178 households containing about 35,000 people. The total area is 7,513 hectares out of which 1406.7 hectares is covered by residential area whereas 5,586.30 hectares is used for agriculture. The market area consists of 400.00 hectares, 215 hectares as forest plant area and 265.00 hectares is used in other purposes. In 056/057 there was 1 Health post, 1 Hospital (AMDA) and 1 Nursing Home (Life Line) which contains 50 beds in total. The Population Growth Rate is 5.14 per annum as per 2047/48 census. As per 056/057 census, there were about 88 industries, 1011 shops, 244 hotels and 9 financial institutions. Black topped road were 29 km, graveled roads were 150 km and earthen road were 500 km. In addition to it, the drainage runs 3.5 km through the main highway. There are 512 street lights and 1,114 telephone lines to public.
Post Office - 1
Number of Drinking Water Taps

private - 1402
Public - 4

Educational Institutions (Including Private) (057/058)

Primary - 38
Lower Secondary - 7
Secondary - 9
Technical School Under CTEVT - 1
Higher Secondary - 15
Campus - 1
University - 0

http://en.wikipedia.org/wiki/Damak

**HenryN** · January 25, 2009, 02:13 AM

Re: Nepal finds suspected human infection of bird flu

Cold claims life
DAMAK: Ganesh Budhathoki, 55, an employee of a Damak-based hotel died of severe cold in Jhapa district on Saturday, the police said. Inspector Govindaraj Kafle said the police were searching for his relatives to hand over his body. ? HNS

The Himalayan Times | ERROR 404

http://www.thehimalayantimes.com/fullstory.asp?filename=aNPata0sdqzpla7Sa3ra.axamal&folder=aNPataiaoanaaal&Name=National&sImageFileName=&dtSiteDate=20090125

himalayantimes

**HenryN** · January 25, 2009, 02:21 AM

Re: Nepal finds suspected human infection of bird flu

<TABLE class=txt cellSpacing=0 cellPadding=0 width="95%" align=center border=0><TBODY><TR><TD class=txtheading>Culling of Birds Begins in Jhapa Today</TD></TR><TR><TD></TD></TR><TR><TD class=news>THT Online</TD></TR><TR><TD class=news>Jhapa, January 18:

</TD></TR></TBODY></TABLE>

A meeting held here today made a decision not to allow the sale of the checked poultry, Hamal said. According to district veterinary office, 350 poultry farms and 1,35,000 chickens were in their watch. Police said the watch had been extended to Damak and bordering Gaurigunj as well.

http://74.125.47.132/search?q=cache:OF9chI8PkEMJ:www.thehimalayantimes.com/fullstory.asp%3Ffilename%3DaFanata0va3qzpla7Wa9a9a.axamal%26folder%3DaHaoamW%26Name%3DHome%26dtSiteDate%3D20090118+damak+culling&hl=en&ct=clnk&cd=2&gl=us

**HenryN** · January 25, 2009, 03:02 AM

Re: Nepal finds suspected human infection of bird flu

Commentary

H5N1 Lab Confirmed in Patient in Damak Nepal

http://www.recombinomics.com/News/01250902/H5N1_Damak.html

Recombinomics Commentary

**AlaskaDenise** · January 25, 2009, 03:54 AM

Re: Nepal finds suspected human infection of bird flu

Originally posted by niman View Post

Commentary

http://www.recombinomics.com/News/01...5N1_Damak.html

Commentary

H5N1 Lab Confirmed in Patient in Damak Nepal
Recombinomics Commentary 07:53
January 25, 2009

bird flu has been suspected to have infected Santosh Dahal from Damak who was taken to nearby BP Koirala Institute for Health Sciences (BPKIHS) in Dharan. Communication spokesperson for BPKIHS Bijay Rimal said bird flu virus has been suspected to have been found in Dahal's blood sample during test in institute's laboratory. He said Dahal's blood sample has been sent for further tests in a sophisticated laboratory. He said Dahal was showing symptoms of bird flu infection.

Dahal was referred to Dharan by Lifeline Hospital in Damak following three-day treatment there.

The above comments describe the first lab confirmed H5N1 case in Nepal. The sample has been sent for third party confirmation. Since Weybridge confirmed H5N1 in Nepal poultry, it seems likely that the sample was sent to Mill Hill in England.

This report provides more specifics to reports of human cases in Nepal. An earlier report described 5 patients in critical condition, but specifics were lacking. They were said to have developed symptoms about a week ago, which is consistent with the above case, who was hospitalized locally for 3 three days prior to transfer to Dharan (see satellite map).

More detail on the symptoms and condition of this patient would be useful.

If confirmed, the case would cast serious doubt on India?s claim that there are no human H5N1 cases there.

.

**Giuseppe** · January 25, 2009, 04:58 AM

Re: Nepal finds suspected human infection of bird flu

People under medical supervision in bird flu area discharged

REPUBLICA
KATHMANDU, JAN 25:

Three people held under medical supervision after their symptoms matched those of bird flu are now considered to be out of the infection, a concerned official confirmed.

"All three, that include two members of a culling team and a woman of Dhulabari, near to Mechinagar ? 10, government-declared bird flu crisis zone, have been discharged from hospital," said Manas Kumar Banarjee, coordinator of the Avian Influenza Control Project, under the Ministry of Health and Population. "They were not infected with the bird flu."

Two members of the chicken culling team, an animal health worker suffering diarrhea and a veterinary doctor suffering cough, throat pain and fever, were admitted to the Mechi Zonal Hospital.

Similarly, a woman of Dhulabari suffering fever, cough and throat pain was also admitted to the hospital.

The hospital discharged the animal health worker after confirmation his health problem was not due to avian flu.

Similarly, the veterinary doctor was diagnosed with kidney problems, while the woman?s symptoms were found to be attributed to a medical abortion. She was discharged yesterday, Dr Banarjee said.

On January 22, the Ministry began active surveillance on those living around the crisis zone.

Symptoms of bird flu are siimilar to the symptoms of general flu among human, such as cough, fever and throat infection.

Published on 2009-01-25 14:27:51
-

ERROR: The request could not be satisfied

http://www.myrepublica.com/portal/index.php?action=news_details&news_id=1414

------

**HenryN** · January 25, 2009, 05:41 AM

Re: Nepal finds suspected human infection of bird flu

Nepal survives human bird flu infection scareJanuary 25th, 2009 - 5:04 pm ICT by IANS -
Kathmandu, Jan 25 (IANS) Nepal’s health authorities Sunday calmed down fears that the bird flu virus had infected humans in the Himalayan republic after the official media said a man had been admitted to hospital with suspected bird flu infection.Balbhadra Das, director at the B.P. Koirala Institute for Health Sciences (BPKIHS), told IANS that the report by Nepal’s national news agency Rastriya Samachar Samiti (RSS) was wrong.
The RSS had reported that a Nepali from Damak town in eastern Nepal’s Jhapa district - where the first bird flu infection in poultry was reported officially earlier this month - was admitted to BPKIHS with suspected avian influenza.
“The speculation was triggered probably because bird flu was reported in Jhapa and the patient, Santosh Dahal, is from Damak, also in Jhapa district,” Das said.
“Dahal is actually suffering from bronchial pneumonia, some symptoms of which resemble bird flu. He is still under our care but not in any danger.”
Nepal’s epidemiology division also ruled out reports of any suspected bird flu infection among humans.
“We have opened a hotline to monitor the situation and get hourly updates,” said Manash Kumar Banerjee, a doctor. “No human infection has been reported.”
Over 18,000 chickens and ducks were slaughtered in Nepal in the past week after detection of the avian influenza virus in Mechinagar in Jhapa district bordering India’s West Bengal state.
The government has banned the sale of poultry products from Jhapa, announced a high alert in 26 districts adjoining India and stepped up an awareness campaign to keep the disease confined to Jhapa.

http://www.thaindian.com/newsportal/health/nepal-survives-human-bird-flu-infection-scare_100146911.html

**Giuseppe** · January 25, 2009, 05:47 AM

Re: Nepal finds suspected human infection of bird flu

Post no. 10: symptoms (vomiting, diarrhea, cough, sore throat, fever) in poultry workers, veterinarian;

Post no. 11: symptoms (pneumonia)

Very suspected incident...

**HenryN** · January 25, 2009, 05:48 AM

Re: Nepal finds suspected human infection of bird flu

None infected by bird flu; capital safe

Kantipur Report KATHMANDU, Jan 25 - With panic spreading among the public about the bird flu, authorities on Sunday confirmed that no person has been infected with the virus, nor has it spread in the capital.
Director of the BP Koirala Institute of Health Science (BPKIHS) Dr BP Das rebuffed the rumours of two persons, being treated at the hospital, were infected with the avian virus (H5N1).
He clarified that Santosh Dahal, 18, resident of Damak-10 and Hum Bahadur, 41, resident of Morang-8, were admitted at BPKIHS three days ago after being infected with pneumonia, not bird flu.
Dr Das claimed that the media had unnecessarily created false rumours that the two patients had contracted the virus.
He also informed that the hospital had already contacted the government for the provision of additional manpower, tools and medicines, keeping in view the possible outbreak of the avian flu in people.
He added that the hospital has made preparations for a separate ?Tropical Ward? for the treatment of avian flu, if needed.
Likewise, the government has confirmed that the avian virus has not been detected in the capital so far.
Spokesperson at the Ministry of Agriculture and Cooperatives Hari Dahal said, "Few chicken died in the capital recently. We are carrying out the tests but it has not been confirmed yet as to whether the chicken died of the avian virus".
"After carrying out preliminary tests in Nepal, samples have been sent to UK for the confirmation," he informed. The government on January 16 confirmed the outbreak of bird flu virus in the eastern district of Jhapa.

http://www.kantipuronline.com/kolnews.php?&nid=177118

**HenryN** · January 25, 2009, 05:52 AM

Re: Nepal finds suspected human infection of bird flu

Originally posted by niman View Post

None infected by bird flu; capital safe

He clarified that Santosh Dahal, 18, resident of Damak-10 and Hum Bahadur, 41, resident of Morang-8, were admitted at BPKIHS three days ago after being infected with pneumonia, not bird flu.
http://www.kantipuronline.com/kolnews.php?&nid=177118

Absent an etiological agent for the pneumonia, a diagnosis of pneumonia does NOT rule out H5N1, since H5N1 causes pneumoinia (and most H5N1 fatalities follow the development of atypical pneumonia).

**HenryN** · January 25, 2009, 06:13 AM

Re: Nepal finds suspected human infection of bird flu

Updated map

H5N1 India 2009 - Google My Maps

http://maps.google.com/maps/ms?ie=UTF8&hl=en&msa=0&msid=106484775090296685271.00045da2c3c24f4d59de3&t=p&ll=27.283926,86.138306&spn=2.304203,3.57605&z=8

H5N1 in 2008/2009 season in India and adjacent regions.

Announcement

Nepal Government says No Confirmed Cases of Bird Flu in Humans

Nepal Government says No Confirmed Cases of Bird Flu in Humans

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment