Thailand - Phichit Province (2006)

[AlaskaDenise]

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

[quote=tsalagiT....... I thought blood tests were only used for antibodies....2 weeks or longer after infection. ......[/quote]

Remember not too long ago, they discovered BF can sometimes be SPREAD via blood? I can't remember the country, but there was concern about donated blood being contaminated.

.

[Theresa42]

Phitsanulok province - 3 bf suspects / all members of same family

Machine-translated from Thai:

Province Phitsanulok find poultry sick die unusual - patient suspected is bird flu 3 persons
โดย ผู้จัดการออนไลน์ 27 กรกฎาคม 2549 09:38 น.

Veterinarian [name] livestock province Phitsanulok say that from date 8-24 July can destroy poultry in order that control bird flu in 7 districts but lately still find poultry sick die unusual continuously at the same time also find patient to be at in range watch/guard be careful bird flu 3 cases is man age 40 year, 11 year and 3 year to be at in family same in area at the present time 5 locality (village) Mae Ra Gaa, district Wang Tong at present time all 3 persons to be at in room/chamber sterile hospital wait for result task examine/diagnose confirm by laboratory when domestic animal province still guard/watch dark be careful first district because task strike entrance house search for disease when find poultry sick die will bury destroy immediately in order that control/limit task spread of disease.

Chief science [name] head livestock province Chiang Rai say that at present also not find task spread or there is poultry die unusual but in order that information not careless can set down path guard against save strict [?] can send authority inspector livestock connect with authority much group survey deep port and border [Taa Reua Lae Rim] thoroughly way river Mekong and barrier frontier border disease country Burma/Myanmar in order that guard against task smuggle bring poultry and carcass every kind that suspect that is bird flu enter also Thailand.

http://www.manager.co.th/Home/ViewNews.aspx?NewsID=9490000095837&Keyword=%e4%a2%e9%cb%c7%d1%b4%b9%a1

[Theresa42]

Update from the Nakhon Sawan DPC - July 26, 2006

July 26: 40 suspected human bf cases "on investigation." Fifteen (15) new suspected cases reported on the 26th from Phichit province -- two (2) new suspected cases reported from Kamphaeng Phet (one of these was "excluded" today).

2 cases seem to have been excluded from Phichit from the 24th to the 25th -- and, of course, one case was confirmed.

The breakdown - "on investigation" as of July 26:
Nakhon Sawan = 0
Uthani Thani = 0
Kamphaeng Phet = 1
Phichit = 39

http://dpc8.ddc.moph.go.th/db8/disease/04_bird_day/up/group4_VGxifYR26072006.pdf

[Sharpe]

Re: THAILAND [Phichit] - [Three] Several new suspected cases in Phichit

Do you guys realize why news like this is so terrible?

Poultry farms have been infected for years, but when has it resulted in a 3 year-old, 11, and 40 year old in the same family to be infected simultaneously? What this means is that if true, this virus is now incredibly infectious, that it doesn't take much exposure to it at all. If it doesn't take much virus, then people can get it from each other even if they don't shed a lot of it. It also makes evolution of the virus far more rapid. Because here we have three people in the same family infected. If we go on the premise that they didn't get it from each other but that they all got it from exposure to the same poultry, that means that now they all have the same strain. We have seen in the past how the virus mutates in people quite regularly. If they're shedding the virus, then each of them will possess not only the virus that was in them already but also those mutated ones that they're getting from their family members. Those now have the potential to recombine. What that ultimately means is that all 3 of them now have an infinitely higher number of recombinant and mutant possibilities. When you then multiply this by the size of the infected population in Thailand and the region, that's a heck of a lot of possibilities.

[prepdeb]

Thailand Phichit 2

Eleven more suspected bird flu cases in Phichit
PHICHIT, July 27 (TNA) - Eleven more suspected bird flu cases were reported in Thailand's lower northern province of Phichit on Thursday.

Dr. Prajak Wattanakul, head of the Phichit provincial public health office, said that the 11 patients, mostly children aged between 4-14, are suspected of being infected with avian influenza virus and were admitted to five different hospitals in the province on Thursday.

Some of them had contacted with dead poultry and others live in areas where a large number of fowls died of unknown causes.

All the 11 patients were quarantined and samples of their blood and phlegm were sent for laboratory tests in the medical science centre in Nakhon Sawan, expected to be able to release the test results Friday, the doctor said. (TNA)-E009

http://etna.mcot.net/query.php?nid=23654

[Toaster2]

11 more suspected human BF cases in Phichit

http://etna.mcot.net/query.php?nid=23654

Eleven more suspected bird flu cases in Phichit
PHICHIT, July 27 (TNA) - Eleven more suspected bird flu cases were reported in Thailand's lower northern province of Phichit on Thursday.

Dr. Prajak Wattanakul, head of the Phichit provincial public health office, said that the 11 patients, mostly children aged between 4-14, are suspected of being infected with avian influenza virus and were admitted to five different hospitals in the province on Thursday.

Some of them had contacted with dead poultry and others live in areas where a large number of fowls died of unknown causes.

All the 11 patients were quarantined and samples of their blood and phlegm were sent for laboratory tests in the medical science centre in Nakhon Sawan, expected to be able to release the test results Friday, the doctor said. (TNA)-E009

[Toaster2]

Re: Eleven more suspected bird flu cases in Phichit

http://dpc8.ddc.moph.go.th/db8/disease/04_bird_day/up/group4_HapQVgJ27072006.pdf

Today's table at 15.00 lists 16 under investigation. 33 of yesterdays 40 have tested negative. I do not see where the 11 fit in, maybe these were reported after 15.00 ?

BTW there are now multiple Thailand threads - can they be merged ?

[Theresa42]

Re: Thailand 7/27

7 areas on red alert
July 28, 2006

Seven provinces have been labelled as bird-flu red zones where surveillance is being increased for the highly contagious disease.

They are Phichit, Sukhothai, Phitsanulok, Kamphaeng Phet, Uttaradit, Nakhon Sawan and Nakhon Pathom.

Currently, 44 patients are under close supervision after developing symptoms similar to avian flu. Laboratory tests are ongoing to determine whether they have the lethal H5N1 virus, which killed a 17-year-old boy in Phichit on Monday.

The boy was first diagnosed with dengue fever and initial tests for bird flu were negative. After he died, a further test showed he was infected with the bird-flu virus.

Caretaker Public Health Minister Pinij Charusombat yesterday called on doctors across the country to carefully check patients with fever, especially those who had come into close contact with fowls.

The bird-flu victim's father said yesterday he doubted whether his son died from the virus, given the fact that the teenager's contact with a dead chicken took place last month.

Medical Sciences Department director-general Paijit Warachit said the victim's blood sample was undergoing another test to double-check whether he had dengue fever. The result should be available next week.

According to caretaker Agriculture Minister Sudarat Keyuraphan, the government paid out several billion baht last week as compensation for fowls exterminated last year as the country tried to curtail the spread of avian flu.

"If we take preventative measures at the beginning, we will be able to prevent outbreaks," she said.

She told authorities to immediately cull fowl suspected of having bird flu and to disinfect their areas.

http://www.nationmultimedia.com/2006/07/28/national/national_30009756.php

[Theresa42]

Re: Eleven more suspected bird flu cases in Phichit

http://dpc8.ddc.moph.go.th/db8/disea...gJ27072006.pdf

Today's table at 15.00 lists 16 under investigation. 33 of yesterdays 40 have tested negative. I do not see where the 11 fit in, maybe these were reported after 15.00 ?

BTW there are now multiple Thailand threads - can they be merged ?

That 16 "on investigation" as of today are from the whole of the area covered by the Nakhon Sawan DPC, not just Phichit province.

The Nakhon Sawan DPC covers (as far as I can tell) 4 provinces (listed in this order in the left-most column of the daily update spreadsheet):
Nakhon Sawan
Uthani Thani
Kamphaeng Phet
Phichit

So, according to their update -- as of 15.00 -- 9 new cases were reported today (second column is cases reported today) -- 1 from Nakhon Sawan and 8 from Phichit, with 15 totally "on investigation" from Phichit.

Still doesn't fit the 11 from this latest news report -- but then the news reports and the daily updates haven't been matching in the last week or so anyway.

[Theresa42]

44 suspected cases - Phichit, Sukhothai, Suphan Buri, Phitsanulok, Yasothon

At the end, sounds like maybe an order is going out not to prescribe Tamiflu without positive test results...?

Machine-translated from Thai:

"Carefully" admit there is patient suspected bird flu 44 cases

โดย ผู้จัดการออนไลน์ 28 กรกฎาคม 2549 10:43 น.

Chief [name] be in charge minister Ministry of Public Health offer interview during task open campaign project survey Kat Gong [<< place?] patient cancer honor His majesty supreme [?] king Siam crown prince [name] in opening day resemble Buddhist holy day king birth 28 July that center cancer province Udon Thani concern situation patient bird flu that today there is patient lung inflame influenza which suspect bird flu to be at among task investigate disease and wait for result task confirm examine by laboratory amount 44 cases divide is Phichit 11 cases, Sukhothai 10, Suphan Buri 7, place remain province another like Phitsanulok and Yasothon because today can sign in command start faculty doctor diagnose in order that inquire that cases any will give a prescription Tamiflu [ทามิฟลู*] because if again and again will cause task resist drug action.

http://www.manager.co.th/Home/ViewNews.aspx?NewsID=9490000096434&Keyword=%e4%a2%e9%cb%c7%d1%b4%b9%a1

* http://tinyurl.com/jdo3z

[Theresa42]

Re: Thailand - Phichit Province (2006)

NOTE: STARTED THIS THREAD JUST TO PUT ALL THE PHICHIT INFO TOGETHER IN ONE PLACE. ALL OF THESE POSTS ARE ALSO IN THE ONGOING THAILAND DAILY THREADS. (THERE'S ALSO SOME PHITSANULOK INFO HERE.) PLEASE POST NEWS STORIES, DISCUSSION, ETC., ABOUT THAILAND IN THE DAILY THREADS. THANKS.

[HenryN]

Re: Thailand - Phichit Province (2006)

Commentary at

http://www.recombinomics.com/News/07..._Thailand.html

[Siamese]

Re: Thailand - Phichit Province (2006)

<TABLE class=forumline cellSpacing=1 cellPadding=3 width="100%" border=0><TBODY><TR><TD class=row2 vAlign=top width="100%" height=28></TD></TR><TR><TD class=row2 vAlign=center align=left width=150></TD><TD class=row2 vAlign=bottom noWrap width="100%" height=28><TABLE height=18 cellSpacing=0 cellPadding=0 width=18 border=0><TBODY><TR><TD vAlign=center noWrap> <SCRIPT language=JavaScript type=text/javascript><!-- if ( navigator.userAgent.toLowerCase().indexOf('mozilla ') != -1 && navigator.userAgent.indexOf('5.') == -1 && navigator.userAgent.indexOf('6.') == -1 ) document.write(' '); else document.write('</td><td> </td><td valign="top" nowrap="nowrap">


'); //--></SCRIPT> </TD><TD></TD><TD vAlign=top noWrap>


<NOSCRIPT></NOSCRIPT>
</TD></TR></TBODY></TABLE></TD></TR><TR><TD class=spaceRow colSpan=2 height=1></TD></TR><TR><TD class=row1 vAlign=top align=left width=150>

</TD><TD class=row1 vAlign=top width="100%" height=28><TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD width="100%"></TD><TD vAlign=top noWrap> </TD></TR><TR><TD colSpan=2><HR></TD></TR><TR><TD colSpan=2>VIRUS OUTBREAK
Bird-flu patient numbers soar

Minister asks panel to study use of anti-viral drugs over concerns misuse could lead to resistant strains of H5N1

The health minister is demanding definitive answers on the general prescription of anti-viral drugs

to fight bird flu.

Pinij Charusombat asked a special medical committee to report on the prescription of anti-viral oseltamivir, after an escalation in the number of people exhibiting symptoms similar to those caused by bird flu.

He is worried the uncontrolled use of the drug could lead to resistant strains of the killer virus.

The anti-viral oseltamivir is commonly known by one of its trade names, Tamiflu. It is the only drug that successfully treats people infected with the virus.

A 17-year-old in Phichit on Wednesday became the country's first victim of the virus this year. Since then, the number of people in hospital with suspected bird flu has increased.

In Phichit, there were 11 cases on Thursday but that had doubled to 22 yesterday.

Nationwide there are 55 suspected sufferers waiting on test results. There are 10 cases in Sukhothai and seven in Suphan Buri, with the rest scattered.

Hospitals in bird-flu red zones are receiving doses of Tamiflu and influenza test kits.

Medical Science Department director-general Dr Paijit Warachit said there were now more suspected cases because awareness was higher.

Pinij said his committee comprised infectious-disease experts from leading hospitals. They will standardise flu treatment.

Public Health permanent secretary Dr Pratch Boonya-wongsaviroj said the committee started work yesterday.

It had visited hospitals in Phitsanulok and was advising doctors on treatment.

Today the team will go to Phichit, Sukhothai, Phetchabun and Kamphaeng Phet.

Fears of new outbreaks have seen reports of unexplained bird deaths flooding in from many provinces. In Nakhon Panom, more than 12,000 chicken were culled yesterday after the death of chickens on several farms. Specimens have been sent for lab tests.

The Livestock Development Department of the Agriculture Ministry confirmed chickens from a Phichit farm had died of the H5N1 virus.

Director-general Yukol Limlaemthong visited the farm yesterday.
http://www.nationmultimedia.com/2006/07/29/national/national_30009865.php

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

[Jeremy]

Re: Thailand - Phichit Province (2006)

I hate it when numbers start doubling!

[Goju]

Re: Thailand - Phichit Province (2006)

I hate that twice as much as you.