Thailand - 08/02 - 08/15

[Theresa42]

Previous Thailand thread:

http://www.flutrackers.com/forum/sho...?t=8645&page=3

[Theresa42]

Also, unusual poultry deaths in Phichit & Uttaradit....

Machine-translated from Thai:

Authority that work relate with bird flu shall receive check/examine virus also (19.45 o'clock)
วันพุธที่ 2 สิงหาคม 2549

Province Nakhon Phanom watch/guard carefully patient in community part of infected with bird flu 111 person include staff that perform one's duty related with bird flu must/contact receive check/examine also everyone.

Livestock province Nakhon Phanom and military depart camp Pra Yot Meuang [?] destroy chickens in farm [?] more than 70 locations in region habitation center district Meuang Nakhon Phanom authority assure that can control area spread be able to part military and authority total already more than 1 person that perform one's duty relate/involve with bird flu everyone shall must receive check/examine health and watch symptoms in order that be sure that nobody infected with bird flu.

Doctor maintain watch [?] person go on a tour of inspection Ministry of Public Health disclose that can bring community villagers in area that there is outbreak check/examine health 111 persons result check everyone sterile bird flu however must detain watch symptoms continually full 14 days.

As for place province Phichit though today will altogether 5 days that endeavor keep that province will must totally bird flu but still there is chicken die not known cause in area habitation recently number 1 even though recently number 9 district Meuang Gao in region district Meuang that authority can enter collect sample go check and then but until at present also not find virus bird flu increase.

When authority still go out spray disinfectant cover all 884 villages over all province in order that protect virus bird flu spread together with campaign villagers know even though means protect.

[Name] minister administer Ministry of Agriculture disclose that find poultry die unusual that district [? - ต รอน] province Uttaradit 1 point and that district Dong Jay Rin province Phichit 4 points because order authority enter control situation already as for problem misunderstanding with nation Laos can assign field [name] minister delegate enter try to understand with authority Laos already.

http://www.ch7.com/news7ch_news_temp...p?NewsID=79219

[Theresa42]

Hat-tip, SolitaireUK!

Migrating southward
Health authorities keep watchful eye on Central plains after woman falls sick
August 03, 2006

The bird-flu epidemic seems to be spreading south as a suspected case was reported yesterday in the lower Central region.

The patient was identified as a 61-year-old woman in Lop Buri's Sa Bot district who fell ill with bird-flu-like symptoms soon after her backyard chickens all suddenly dropped dead.

She had initially tested positive for avian influenza and was being treated in an isolation ward pending confirmation from laboratory tests, said Dr Charn Tantiwa-raporn, director of Ban Mi Hospital, where the victim was admitted on Tuesday.

After being notified about the case, provincial livestock authorities rushed to the woman's home to check for bird flu.

District chief Somsak Intra-watana said he had ordered an urgent cull of all poultry in the province after being notified by the livestock authorities.

This district did not have many chicken farms and most of the poultry were fighting cocks and native hens, he said.

Although denying the existence of bird flu in Sa Bot district, provincial livestock chief Jintana Danwiwatporn said experts were coordinating with other agencies in dealing with hundred of thousands of migratory birds.

Along with warning against cooking and eating sick poultry, the Public Health Ministry was distributing some 100,000 manuals designed to educate the public about bird flu and ways to prevent infections, said Dr Narongsak Ungkhasuwaphala, the ministry's deputy permanent secretary.

Caretaker Deputy Minister Anutin Charnveerakul said that as of Tuesday, 144 patients from 24 provinces, mostly in the North, had been put on the watch-list for bird flu.

The government had stocked up on enough oseltamivir - three million doses - to cover this year, he said. The anti-viral drug can treat bird-flu patients if administered in time.

Two more suspected human cases were found in Phichit, where the first case of human bird flu was recently confirmed. Phetchabun also reported four cases and Phitsanulok three cases.

Nakhon Phanom Governor Mongkol Tansuwan said he had sent a letter to the governor of Khammouane in Laos explaining media reports that blamed that country for starting the bird-flu epidemic that was passed over the border to the province in the Northeast.

http://nationmultimedia.com/2006/08/...l_30010244.php

Lopburi Province:
http://en.wikipedia.org/wiki/Lopburi_Province

[Commonground]

So the 61 yr. old initially was tested positive (nasal swab?) but are awaiting lab results (blood sample?)

And then the 144 suspected cases, minus the 111 in Province Nakhon Phanom, right? Seems like Phichit has traded places with Nakhon Phanom, as far as suspects goes. Unless I've got it wrong.

[Theresa42]

Originally Posted by Commonground

And then the 144 suspected cases, minus the 111 in Province Nakhon Phanom, right? Seems like Phichit has traded places with Nakhon Phanom, as far as suspects goes. Unless I've got it wrong.

No -- I don't think these 111 from Nakhon Phanom are included in the 144 total from around the country. I think these are additional folks just being watched in case they develop any symptoms -- they don't have any at this point -- just have had contact with sick/dead poultry somehow.

[Commonground]

Right, I know there's not anyone confirmed. But thanks for the clarification that it is in addition to the 144. So it's around 255 people they are monitoring.

[Theresa42]

Originally Posted by Commonground

Right, I know there's not anyone confirmed. But thanks for the clarification that it is in addition to the 144. So it's around 255 people they are monitoring.

That's my impression -- the 144 total from around the country are people with flu-like symptoms who have had contact with poultry ... the additional 111 from Nakhon Phanom are folks who have had contact with sick/dead poultry, but have no symptoms -- villagers with sick/dead chickens, soldiers who have been (presumably) culling, people collecting samples, etc.

[Commonground]

Many, many Thanks, Theresa42, for all that you do, and your kindess.

[HenryN]

Commentary at

http://www.recombinomics.com/News/08..._Lop_Buri.html

[tsalagiT]

Theresa 42:

I second the kudos to all you do here for us. You obviously put in many hours daily (beginning to think you live here 24/7) to keep us informed.

And I really appreiciate the link to the map to Lop Buri. you make it so much easier to keep up to date, that those who are not ....well, it's their own fault.

Also, thanks to all for the leeway given me during my own personal moments when I saw where this was going. I took some time away, hopefully before i really made a pain of myself :o , and I feel better now....well, i'm in better control anyway.

[Niko]

Commentary

H5N1 Confirmed Patient in Lop Buri Thailand

Recombinomics Commentary
August 2, 2006

The bird-flu epidemic seems to be spreading south as a suspected case was reported yesterday in the lower Central region.

The patient was identified as a 61-year-old woman in Lop Buri's Sa Bot district who fell ill with bird-flu-like symptoms soon after her backyard chickens all suddenly dropped dead.

She had initially tested positive for avian influenza and was being treated in an isolation ward pending confirmation from laboratory tests, said Dr Charn Tantiwa-raporn, director of Ban Mi Hospital, where the victim was admitted on Tuesday.

After being notified about the case, provincial livestock authorities rushed to the woman's home to check for bird flu.

The above case is the second H5N1 bird flu positive case in Thailand. The initial fatal case was in Pichit. A large number of patients with symptoms have been hospitalized. However, the above case is the first reported positive since the fatal case in Pichit. This case was in Lop Buri, indicating the H5N1 is spreading.

The earlier case was near the Laotian border, where there have been reported outbreaks in poultry. Earlier this year H5N1 was isolated in Laos and Malaysia. The H5N1 was the Fujan strain, which has been responsible for all reported human cases in China. The Fujian strain is a Clade 2 strain, which is distinct from the Clade 1 isolates detected in Vietnam, Thailand, and Cambodia patients in the past.

Movement of the Fujian strain into Thailand is cause for concern. More details on the H5N1 identified previously in patients or poultry would be useful.

http://www.recombinomics.com/News/08..._Lop_Buri.html

[Sharpe]

There appears to be a little confusion (what's new?) in Thailand about human cases. People's Daily is reporting that a 9 year old girl in Lop has died and is being tested for bird flu. This is separate from the 61 year old woman in the same province who tested positive and now? is going to be denied as a case.

http://english.peopledaily.com.cn/20...03_289620.html

9-year-old Thai girl dies, suspected of catching bird flu

A Thai girl, who was suspected of contracting bird flu, died at the Lop Buri Provincial Hospital Thursday morning, hospital official said. Officials were quoted by the web edition of local newspaper the Nation as saying that the nine-year-old girl was suffering from severe lung infections. The girl was admitted to the hospital Wednesday afternoon after suffering from high fever since Sunday. Lop Buri chief public health officer Doctor Pranom Khamthiang said she was awaiting a lab result to confirm if the girl had contracted the bird flu virus. Source: Xinhua

[Sharpe]

More on the 61 yo woman from Lop Buri, from People's Daily.


http://english.peopledaily.com.cn/20...03_289572.html

Woman confirmed bird flu as 144 suspected in Thailand

The initial test of a 61-year-old woman in central Thailand who fell ill with bird-flu-like symptoms showed positive for avian influenza, Thai officials and local media reported Thursday. The patient in Lop Buri Province's Sa Bot district fell ill with bird-flu-like symptoms soon after her backyard chickens all suddenly dropped dead, Thai newspaper the Nation said. She had initially tested positive for avian influenza and was being treated in an isolation ward pending confirmation from laboratory tests, said Dr. Charn Tantiwa-raporn, director of Ban Mi Hospital, where the victim was admitted on Tuesday. After being notified about the case, provincial livestock authorities rushed to the woman's home to check for bird flu. District chief Somsak Intra-watana said he had ordered an urgent cull of all poultry in the province after being notified by the livestock authorities. This district did not have many chicken farms and most of the poultry were fighting cocks and native hens, he said. Although denying the existence of bird flu in Sa Bot district, provincial livestock chief Jintana Danwiwatporn said experts were coordinating with other agencies in dealing with hundred of thousands of migratory birds. Along with warning against cooking and eating sick poultry, the Public Health Ministry was distributing some 100,000 manuals designed to educate the public about bird flu and ways to prevent infections, said Dr Narongsak Ungkhasuwaphala, the ministry's deputy permanent secretary. Meanwhile, Anutin Charnveerakul, caretaker deputy health minister, said as of Wednesday, 144 patients from 24 provinces, mostly in northern Thailand, had been put on the watch-list for bird flu. Two more suspected human cases were found in Phichit Province, where the first case of human bird flu was recently confirmed. Phetchabun Province also reported four cases and Phitsanulok three cases.

[HenryN]

Originally Posted by vaffie

There appears to be a little confusion (what's new?) in Thailand about human cases. People's Daily is reporting that a 9 year old girl in Lop has died and is being tested for bird flu. This is separate from the 61 year old woman in the same province who tested positive and now? is going to be denied as a case.

http://english.peopledaily.com.cn/20...03_289620.html

It is hard to deny the dead cases, so the 9 year old will likely be confirmed, why will also lead to confirmation of the 61 year old. Why do you think the 61 year old will be denied?

[HenryN]

Commentary at

http://www.recombinomics.com/News/08...op_Buri_2.html

[Bruce]

Woman confirmed bird flu as 144 suspected in Thailand

The initial test of a 61-year-old woman in central Thailand who fell ill with bird-flu-like symptoms showed positive for avian influenza, Thai officials and local media reported Thursday. The patient in Lop Buri Province's Sa Bot district fell ill with bird-flu-like symptoms soon after her backyard chickens all suddenly dropped dead, Thai newspaper the Nation said. She had initially tested positive for avian influenza and was being treated in an isolation ward pending confirmation from laboratory tests, said Dr. Charn Tantiwa-raporn, director of Ban Mi Hospital, where the victim was admitted on Tuesday. After being notified about the case, provincial livestock authorities rushed to the woman's home to check for bird flu. District chief Somsak Intra-watana said he had ordered an urgent cull of all poultry in the province after being notified by the livestock authorities. This district did not have many chicken farms and most of the poultry were fighting cocks and native hens, he said. Although denying the existence of bird flu in Sa Bot district, provincial livestock chief Jintana Danwiwatporn said experts were coordinating with other agencies in dealing with hundred of thousands of migratory birds. Along with warning against cooking and eating sick poultry, the Public Health Ministry was distributing some 100,000 manuals designed to educate the public about bird flu and ways to prevent infections, said Dr Narongsak Ungkhasuwaphala, the ministry's deputy permanent secretary. Meanwhile, Anutin Charnveerakul, caretaker deputy health minister, said as of Wednesday, 144 patients from 24 provinces, mostly in northern Thailand, had been put on the watch-list for bird flu. Two more suspected human cases were found in Phichit Province, where the first case of human bird flu was recently confirmed. Phetchabun Province also reported four cases and Phitsanulok three cases. Source: Xinhua

http://english.peopledaily.com.cn/20...03_289572.html

[FrenchieGirl]

http://etna.mcot.net/query.php?nid=23823

Suspected bird flu patients isolated in Chachoengsao

CHACHOENGSAO, Aug 3 (TNA) - Two patients, hospitalised for human flu in a state hospital here, were put in an isolation ward on suspicion of having bird flu as doctors conducted laboratory tests to confirm the diagnosis, a senior health official said Thursday.

Dr. Thawat Suntrajarn, director of the Department of Disease Control, said that after earlier tests confirmed an infection of human influenza, doctors at Ban Pho Hospital isolated the two patients in a closed-circuit television equipped camera to monitor for bird-flu related symptoms around the clock.

''Because they are having a human influenza, further tests are need to confirm what type of the human flu virus they have and whether they also have bird flu,'' Dr. Thawat said.

The patients' names were not released by officials but they were referred to as a 17-year-old youth and a 42-year-old woman. Dr. Thawat said the young man had touched ducks as both he and the woman worked in a duck slaughterhouse in the eastern province of Chachoengsao, not far from Bangkok.

A local livestock official said the province has raised some 5 million chickens in farms but no bird flu outbreak has been reported in local poultry.

According to Dr. Kasiwat Sripradit, the hospital director, the two patients were admitted with high fever and bad cough.
He said that doctors and clinical technicians found no evidence of infection in their lungs, such as the pneunomia-like symptoms suffered by bird flu patients, and their temperatures have gradually reduced.

''We have only 70 tablets of Tamiflu in our drug stockpile. A suspected bird flu patient needs two tablets a day for five consecutive days. If we run out we still could get more supply within an hour from nearby hospitals,'' Dr. Kasiwat said.

Ban Pho Hospital has also set up special teams of doctors and medical staff to deal with suspected cases of bird flu and a drill is planned for September to test their readiness, said the doctor.

Thailand recently confirmed an emergence of bird flu which last week killed a teenage boy in the northern province of Phichit. He became the country's 15th victim of bird flu since early this year.

Officials said of 144 patients currently listed throughout Thailand, about 70 of them live in Phichit and were awaiting tests for bird flu. Other 74 patients live in Sukhothai and Suphanburi.

An outbreak of the deadly H5N1 strain of bird flu virus was also confirmed in the country's northeastern border province of Nakhon Phanom where some 765 people remain under close observation for possible avian influenza infection after close contact with infected birds.

Local officials said some 300,000 commercially-farmed chickens were culled last Sunday in an attempt to contain the outbreak. (TNA)-E110


Last Update : 2006-08-03 / 16:02:07 (GMT+7:00)
___________________________________________

[Theresa42]

Machine-translated from Thai:

Total patient watch/guard carefully test bird flu 164 cases from 21 provinces
โดย ผู้จัดการออนไลน์ 3 สิงหาคม 2549 17:09 น.

Ministry of Public Health confirm still not find patient bird flu case new authority watch/guard carefully method strict accept everyone that [?] there is history contact poultry sick die treat in hospital field examiner royal public health area part east hospital everywhere in 8 province prepare card repeat sound alarm people everyone origin treat hospital inform history contact poultry specially in case of is child in order that assort filter can be fast accurate treat in time while total patient watch/guard carefully 164 cases from 21 provinces.

Today (3 August) Mr. [name] act for minister administer Ministry of Public Health assign [name] director-general department control disease [name] go on a tour of inspection Ministry of Public Health regularly area region east 8 province [?] deputy director Dept of Medical Science together with doctor public health province Chachoengsao Province travel arrive check visit system readiness check assort filter patient location in scope watch/guard carefully bird flu of hospital Baan Poh [Bo Tree] district Baan Poh province Chachoengsao because basically place as before there is outbreak of bird flu in poultry in around 3 year arrive this.

[Name] say that from check/examine visit discover that hospital Baan Poh receive lay down measures assort filter question history patient that have a fever test cough in order that separate search for bird flu keep method cautious reserve medicine Tamiflu 70 capsule [?!] at the same time group test bird flu can use immediately today there is patient have a fever measure to be at in scope watch/guard carefully lie down treat in room separate specific of hospital 2 cases is man age 17 year and female age 42 year work in factory process poultry accept enter on time 18.00 o'clock yesterday this result check also group test find infected with influenza result first lung normal both 2 cases give a prescription Tamiflu and today get send phlegm check assure that Dept of Medical Science expect that will know result tomorrow (4 August).

[Name] say blame from assessment symptom patient both 2 cases not should worry history contact creature in factory find that is factory that be up to standard there is preventive measure contact poultry type strict to be at and then and poultry all bodies come from farm that pass through inspection subordinate from Dept of Livestock and then symptoms current both 2 cases fever become lower and then if result check confirm be not bird flu also will return home can however in area Chachoengsao Province basically place part Ministry of Public Health then still use measure strict 100% go together with perform of Department of Livestock.

"For total patient in scope watch/guard carefully test bird officially yesterday this (2 August) there is amount all 164 cases from 21 provinces divide is Phichi 107 cases; Sukhothai 14 casee; Nan, Phitsanulok, Phetchanbun and Kamphaeng Phet province each 4 cases; Kanchanabuir, Chiang Mai, Uttaradit, Nakhon Phanom province each 3 persons; Nakhon Pathom, Prachin Buri, Lampang, Nakhon Sawan province each 2 cases; Nonthaburi, Lop Buri, Sing Buri, Prachauap Khiri Khan, Nakhon Nayok and Mae Hong Son province each 1 case.

Field [name] go on a tour of inspection Ministry of Public Health say that at present can hospital in all places in 8 provinces part east make document warning people in regarding history that contact inform doctor strictly can to contact poultry sick die unusual poultry in habitation there is sick die unusual and poultry sick die [?] habitation adjoining in order that log in assort filter patient bird flu 100 percent because is document piece distribute patient and relatives origin/source ask for card check treat that structure patient outside everyone that will cause people specially in case that is child that history doctor cannot relatives also will history clearly more because stress in 3 provinces that basically that piece once find bird flu in person and animal in around 3 year preceding to Nakhon Nayok, Prachin Buri and Chachoengsao Province.

As for in about treatment look after patient location in scope watch/guard carefully hospital everywhere there is readiness very much all medicine personnel rooms separate look after including team investigate move suddenly there is training readiness go out perform immediately all over 24 hours.

http://www.manager.co.th/QOL/ViewNew...c7%d1%b4%b9%a1

[Theresa42]

Suspected bird flu patient died in Lop Buri

LOPBURI, Aug 3 (TNA) – A nine-year-old girl, suspected of having bird flu, was pronounced dead Thursday, one day after being admitted to a hospital in this central province, according to a health official.

The body of Kaewtip Chiang-in was kept at the hospital awaiting a lab test to determine if she was infected with bird flu.

The girl suffered from fever, sore throat and severe cough for two days. She was rushed to the hospital after having breathing difficulties.

Her family raises about 20 fighting cocks.

Provincial health officials had inspected her house and nearby areas although none of the fighting cocks died of any unknown cause.

In the northern province of Nan, four suspected bird flu cases were reported and officials are waiting from their lab test results.

Meanwhile, Agriculture and Cooperatives Minister Sudarat Keyuraphan said Thailand would jointly discuss with officials of neighboring countries on measures to control bird flu disease.

The ministry will also hold a meeting of livestock officials in 21 at-risk provinces on Saturday to thrash out measures to prevent bird flu.

http://etna.mcot.net/query.php?nid=23829

[Theresa42]

Not sure where the 25 negative cases are from, but the test results seem to have come from the "center science medical number 5 province Nakhon Ratchasima" -- not sure then if all the samples came from Nakhon Ratchasima and/or other nearby provinces?

Machine-translated from Thai:

Buri Ram establish barrier guard deep border Cambodia - intercept secret movement poultry enter Thailand
โดย ผู้จัดการออนไลน์ 3 สิงหาคม 2549 16:21 น.

News agency Nakhon Ratchasima - Province Buri Ram joint strength much group establish points check/patrol deep route border Thailand-Cambodia protect not permit there is smuggle movement poultry every kind from Cambodia enter in Thailand strictly at the same time support budget purchase equipment spray disinfectant with every district to share control protect bird flu spread.

Today (3 August) chief [name] hand provincial governor Buri Ram say that at present can join power police, military, administration authority livestock and royal administration local accompany with establish points check intercept along route border Thailand-Cambodia method strict in order that protect not permit there is smuggle move poultry every kind from country Cambodia enter domestic strictly because fear will bring virus bird flu enter outbreak in area.

Moreover province also can allocate budget [?] government service province model integration or budget [?] buy equipment spray disinfectant give with district every district use in mobilize spray disinfectant protect bird flu include specially in area piece as before there is outbreak of virus.

However at present province Buri Ram still not have any report outbreak of virus bird flu anyhow therefore ask for cooperation people if find poultry duck chicken sick die unusual forbid bring cook eat absolutely and quickly inform authority that relate enter bring sample virus send check and control disease quickly.

Lastly, there is report patient influenza pneumonia that there is symptoms be within the scope of watch/guard carefully infected with bird flu amount 25 cases mostly is person that have history contact poultry from bringing sample send check virus receive confirm from center science medical number 5 province Nakhon Ratchasima that result final [?] is negative all 25 cases is not find virus bird flu anyway will there is follow/track result watch/guard carefully continuously further.

http://www.manager.co.th/Local/ViewN...c7%d1%b4%b9%a1

Buri Ram province (borders Cambodia and Nakhon Ratchasima province, among others):
http://en.wikipedia.org/wiki/Buri_Ram_province

[Theresa42]

Avian Influenza surveillance in human
As at August 2, 2006.
Bureau of Epidemiology, Department of Diseases Control, Ministry of Public Health

Since January 1, 2006 to August 2, 2006, the Bureau of Epidemiology has received reports of influenza or pneumonia cases in Avian Influenza Surveillance Network from the Provincial Health Offices and Disease Prevention and Control Regional Offices. The investigation and analysis were summarized as follows:

1. Cumulative number of patients under surveillance are 2,318 cases; 67 provinces. Today reports are 164 cases; 107 cases from Phichit, 14 from Sukhothai, 4 each from Nan, Phitsanulok, Phetchabun and Kampaengphet, 3 each from Kanchanaburi, Chiengmai, Uttradit and Nakhonphanom, 2 each from Nakhonpathom, Prachinburi, Lampang and Nakhonsawan, and 1 each from Nonthaburi, Lopburi, Singburi, Suphanburi, Prachubkirikhun, Nakhonnayok and Maehongson.

2. Confirmed human case of avian influenza 2006 = 1 death cases; from Phichit province.

3. There are 279 suspect case reported, of which waiting for laboratory result.

Conclusion:

· In 2005, there are 5 confirmed human cases of avian influenza, with 2 death cases.
· In 2006, there is 1 confirmed human dead case of avian influenza.

http://thaigcd.ddc.moph.go.th/AI_cas...rt_060802.html

[Theresa42]

This is useful. The definitions of "suspected case", etc., that the Thai authorities us:

*Case definitions for Avian Influenza in Humans in Thailand (1 June 2006)

1. Suspect: An individual
- whose body temperature is more than 38°C and who has at least one of the following symptoms: muscle pain, cough, breathing difficulty, or shortness of breath, or physician suspects pneumonia or influenza, and - who has a history of direct contact with sick or dead poultry in the last 7 days or there were reports of unusual poultry deaths in the village in the last 14 days or had been looking after another pneumonia patient in the last 10 days before illness onset, but
- who does not have a specimen which complies with the recommendation for laboratory testing for Influenza A/H5.

2. Probable case: a suspect
- who developed signs and symptoms of, or died from, acute respiratory failure.

3. Confirmed case: a suspect
- who has a final standard laboratory confirmation of Influenza A/H5 through at least one of the following methods:
A. Single RT-PCR method using two primer/probe sets, or using specimens collected from at least two different locations (such as throat swab and nasopharyngeal aspirate, etc.), or using at least two specimens collected from a patient at different period of illness),
B. Viral culture
C. Neutralization test (four-fold antibody increase between acute and convalescent serum)

4. Case under investigation: a patient
- whose additional clinical information, and/or history of exposure to risk factors, and/or laboratory results are needed before any conclusion can be made.

5. Excluded case: a patient
- who does not fall under any of the above definitions and is therefore excluded.

http://w3.whothai.org/LinkFiles/Media_AI3Aug06.pdf

[colormyquilt]

Interesting post #18 from FrenchieGirl- "we have only 70 tablets of Tamiflu in our drug stockpile. A suspected bird flu patient needs two tablets a day for 5 consecutive days. If we run out we still could get more supply within an hour from nearby hospitals." I wonder: 1) are all suspected cases put on the Tamiflu immediately? 2) 70 tablets would care for 7 patients for 5 days of treatment- what preps are in place for those who require more care? 3) would HCW's be receiving Tamiflu at the same time? or would they need to register with symptoms? 4) Thailand is presenting with many suspected cases- and the list seems to increase- is this 70 indicative of a limited supply? or simply limited information?

[Theresa42]

Originally Posted by vaffie

Two more suspected human cases were found in Phichit Province, where the first case of human bird flu was recently confirmed. Phetchabun Province also reported four cases and Phitsanulok three cases.

Ministry of Public Health Phichit advance/progress measure base [?] strike goal habitation search patient suspected test bf
โดย ผู้จัดการออนไลน์ 3 สิงหาคม 2549 10:54 น.

Morning today doctor [name] public health province Phichit bring volunteer public health progress campaign protect and solve bird flu continuously because emphasize measure foot [?] trespass even though habitation every household that [?] chicken domestic fighting cock and there is die like not known cause in area district Meuang Phichit and district Baang Moon Naak later find people majority also there is behavior piece against contagious bird flu like contact poultry empty handed because not have prevention which public health and [?] suggestion practice oneself be out of danger from bird flu also not contact poultry that there is symptoms or die model empty handed include not bring carcass chicken come cook/prepare eat or bring go throw away according to water source natural if find that chicken die contact inform authority livestock enter bury conceal like in a correct way together with spray disinfectant protect bird flu [?] cycle place [?] besides in the event of sick have a fever test after there is history contact poultry because to not have safeguard forbid buy medicine reduce fever come eat only absolutely and must quickly go find doctor place hospital together with disclose information contact poultry straightforwardly not hide in order that check/examine treat and pierce blood check search for virus bird flu happen correctly rapid while hospital Phichit receive body patient suspect infected with bird flu more 2 cases is boy 3 months and girl age 3 years save observe symptoms after patient there is symptoms fever high breathe gasp for breath and there is history contact with chicken die also empty handed at present bring phlegm and blood send check with car mobile move of Dept of Medical Science already.

http://www.manager.co.th/Home/ViewNe...c7%d1%b4%b9%a1

[Theresa42]

Machine-translated from Thai:

[?] Trang confirm 4 persons suspected not is bird flu
โดย ผู้จัดการออนไลน์ 3 สิงหาคม 2549 15:14 น.

Trang - Doctor [name] field medicine protect office public health province Trang confirm patient 4 persons that suspected is bird flu from result check thoroughly find that did not be bird flu certainly.

Today (3 August) doctor [name] field medicine protect office public health province Trang say that from wait watch symptoms patient 4 cases in area district Meuang Trang and district [?] that find place each 2 cases because there is feature resemble bird flu that at present result proof disease come out and then appear that patient all 4 cases did not is bird flu certainly and besides patients all 4 cases this and also not find patient that there is feature suspected resemble with bird flu in ground province Trang now.

Doctor [name] say [?] office public health province Trang still send authority [?] down area check watch/guard carefully because include every area in 87 districts include area piece is district [?] as before there is poultry die because not known causes when time last and ask for cooperation from people every area that if sick have a fever quickly come find doctor that hospital immediately and if patients there is contact poultry also will must inform doctor know also in order that bring about diagnosis correct.

http://www.manager.co.th/Local/ViewN...c7%d1%b4%b9%a1

Trang province (in the South):
http://en.wikipedia.org/wiki/Trang_province

[Sharpe]

Originally Posted by Theresa42

Machine-translated from Thai:

[?] Trang confirm 4 persons suspected not is bird flu
โดย ผู้จัดการออนไลน์ 3 สิงหาคม 2549 15:14 น.

Trang - Doctor [name] field medicine protect office public health province Trang confirm patient 4 persons that suspected is bird flu from result check thoroughly find that did not be bird flu certainly.

Today (3 August) doctor [name] field medicine protect office public health province Trang say that from wait watch symptoms patient 4 cases in area district Meuang Trang and district [?] that find place each 2 cases because there is feature resemble bird flu that at present result proof disease come out and then appear that patient all 4 cases did not is bird flu certainly and besides patients all 4 cases this and also not find patient that there is feature suspected resemble with bird flu in ground province Trang now.

Doctor [name] say [?] office public health province Trang still send authority [?] down area check watch/guard carefully because include every area in 87 districts include area piece is district [?] as before there is poultry die because not known causes when time last and ask for cooperation from people every area that if sick have a fever quickly come find doctor that hospital immediately and if patients there is contact poultry also will must inform doctor know also in order that bring about diagnosis correct.

http://www.manager.co.th/Local/ViewN...c7%d1%b4%b9%a1

Trang province (in the South):
http://en.wikipedia.org/wiki/Trang_province

Do you guys realize that Trang is just 300 miles from Karo, Indonesia? They're practically just across the water from each other.

[emmysue]

Two patients isolated on bird flu suspicion in eastern Thailand
http://english.peopledaily.com.cn/20...04_289657.html
UPDATED: 07:35, August 04, 2006

Two patients hospitalized for human flu have been put in an isolation ward on suspicion of having bird flu in Thailand's eastern province of Chachoengsao, as doctors conducted laboratory tests to confirm the diagnosis, media here reported Thursday.

Thawat Suntrajarn, director of the Department of Disease Control, said that the two patients, who had been earlier admitted to Ban Pho Hospital in Chachoengsao with high fever and bad cough and confirmed an infection of human influenza, were isolated in a closed-circuit television equipped camera to monitor for bird-flu related symptoms around the clock.

"Because they are having a human influenza, further tests are needed to confirm what type of the human flu virus they have and whether they also have bird flu," Thawat was quoted by Thai News Agency as saying.

Authorities didn't release the patients' names but referred them as a 17-year-old youth and a 42-year-old woman. Thawat said both of them worked in a duck slaughterhouse in Chachoengsao, not far from Bangkok.

A local livestock official said the province has raised some 5 million chickens in farms but no bird flu outbreak has been reported in local poultry.

[Sharpe]

http://www.newsnow.co.uk/newsfeed/?n...rd+Flu&x=7&y=5
Public health official reports no new bird flu cases
BANGKOK, Aug 4 (TNA) - Public Health Ministry lab tests confirmed that three suspected bird flu cases in Lop Buri and Chachoengsao tested negative to the H5N1 bird flu virus, a senior ministry official said
Friday.

Department of Disease Control director-general Dr. Thawat Suntrajarn said the nine-year-old girl who died in hospital in the central province of Lop Buri Thursday, as well as two patients with flu symptoms in hospital in Chachoengsao, were not infected with the H5N1 virus but with Type A flu virus.

Dr. Thawat said the child did not have direct contact with chicken or other birds and at the first stage, the cause of death was believed to be severe pneumonia.

The other two suspected cases were workers who slaughtered ducks in a processing factory but they
were raised under sanitary conditions and were free of disease.

Moreover, there have been no suspicious deaths of poultry in the province.

Dr. Paichit Warachit, director-general of the Department of Medical Sciences said that provincial health offices have implemented preventive measures against bird flu.

As of August 4, there were 39 outstanding suspected cases awaiting lab test results, according to Dr. Paichit. (TNA)-E004

[FrenchieGirl]

With respect to:

Quote -- "Department of Disease Control director-general Dr. Thawat Suntrajarn said the nine-year-old girl who died in hospital in the central province of Lop Buri Thursday, as well as two patients with flu symptoms in hospital in Chachoengsao, were not infected with the H5N1 virus but with Type A flu virus." -- Unquote

So far as I know, H5N1 is a Type A flu virus. Please correct me if wrong.

[Sharpe]

Yes it is. What they meant, though, is a normal human influenza A virus--H1N1 or H3N2. Those two strains can and do cause severe pneumonia, killing patients in the process. It is relatively unusual for them to kill a 9 year old girl however.