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Iraq: H1N1pdm09 or H5N1 or both?

Catbird

Senior Moderator
In looking at reports of flu activity in Iraq, it's unclear which type of flu is being discussed. Some of the confusion is likely due to translation issues but even the officials making comments seem to refer to the flu cases as both "pandemic and avian".

I thought I'd post this here for discussion and perhaps some clarification, as I'm not comfortable with posting on the main forum that there are H5N1 cases currently in Iraq without some more specific and concrete info.

Is anyone else seeing anything more specific? Or reports of confirmed cases of one or the other?

The articles below are some of the ones that I'm seeing which illustrate the confusion about what exactly is going on.



"Shaways emphasizes the need to control the epidemic flu

21/01/2013 15:27:00

Baghdad/ NINA /-- Deputy Prime Minister Ruz Shaways confirmed as presided over today the meeting of the Higher Ministerial Committee to combat epidemic flu the need for concerted efforts of all ministries and institutions as well as to take the necessary measures and precautions to keep the health of Iraqi citizen and control the epidemic flu.

The provinces of Diyala, Najaf and Qadisiyah recently witnessed a number of epidemic flu infection that have emerged recently in Iraq
. / End"




"
Tall of infections of epidemic flu in Maysan up to 6 cases


24/01/2013 12:44:00

Amarah / NINA /--The number of infected of epidemic flu / avian / rose to six people out of 30 patients suspects of being infected .

The Chairman of the Committee on Health and Environment in the province of Maysan said to NINA reporter : " It became certain that six citizens of Maysan province have been infected and that all necessary preventive and remedial are mobilized for control this deadly epidemic. / End"



"Basra Denies the Spread of Pandemic Flu

27 January 2013 ( SHAFAAQ.com )

The Health and Environment Committee of Basra denied on Saturday that there is no case of having patients infected by the pandemic flu and avian flu; while a medical team assured that there was a case of the death of a person suspected of being infected and the existence of a private lounge for that and pointed that the parliamentary health committee finds it difficult to diagnose the disease.

... The head of the Health and Environment Committee in Basra Governorate Council, Mansour al-Moussawi said in an interview for "Shafaq News that I deny completely the existence of any case of bird flu or pandemic flu and this information is not true

"There was a suspected case of a patient and he was giving medicine and recovered fully and was discharged from hospital," adding that "we contacted the health manger and he has denied any cases of these diseases."

For his part, a member of the parliamentary Health and Environment Committee, MP of Basra province, Jawad Al-Bazoni told "Shafaq News", that "there are three death cases that had happened, the first in Hilla , the second in Diwaniyah province and third in Kurdistan and that the issue of disclosure of flu pandemic or avian flu bird need time for the purpose of diagnosis. "

Al-Bazoni explained diagnosis take place by sending special forms to Baghdad and that require several days until you knowing the result and therefore, even if any cases of these diseases took place , it would need time after sending them to the capital."

In a related development; a team of health personnel working in Al- Sadr Teaching Hospital preferred not to be named, said in an interview for "Shafaq News", that "there is a lot of talk at the hospital around some suspected cases of avian flu and others say it is the epidemic flu."

They add that "some time ago, one person died and all the tools close to the dead person have been burned as treatments were given to some nurses who were close to the patient.


It is noted that some Iraqi provinces have witnessed in the past few days symptoms of infection on pandemic flu and avian flu; as some deaths led to increase concern among citizens from the spread of diseases."





"MP: Procedures of MoH succeed in limiting effect of Flu


January 30, 2013.

Baghdad (IraqiNews.com) -MP, Mohammed Iqbal, of the Parliamentary Health and Environment Committee stated that the procedures of the Ministry of Health succeeded in limiting the effect of the Flu.

Speaking to Iraqi News (IraqiNews.com), he said “The Influenza happened in Iraq due to the visits of the foreigners to Iraq,” noting that “Our Committee checked with the MoH and the latter assured that there are some injections given for this Flu.”

The Health Directorate of Maysan province announced the registration of 40 cases expected to be for the Flu.

Some health sources revealed the death of some citizens due to being effected by the Flu in some of the Iraqi provinces.

The Council of Ministers ordered to prevent the importation of all kinds of birds from 21 countries to avoid the increase of the effect of the Flu in Iraq.
"


ETA:

"Baghdad Health committee warns of the spread of influenza pandemic and calls to start vaccination campaigns

Monday, 28 January 2013

"Shafaq News / The Health Committee warned in Baghdad province warned on Monday, from the risk of influenza pandemic and it’s transferring to Iraq after the occurrence of the disease in neighboring countries, as called to take vaccination against the disease and follow the instructions.

The member of Baghdad Provincial Council , Karima al- Fatlawi said in a statement received for "Shafaq News" that "the flu epidemic is contagious and should be avoided, especially after the emergence of rates of infections in the neighboring countries", stressing " the need to take the annual vaccine which gives immunity for a period that doesn’t exceed one year ".

...It is noted that a state of concern has rose among citizens in the past few days; because of the news about of the emergence of infection f patients; by pandemic flu and bird flu, especially after the occurrence of deaths despite the denials of the health authorities that the reason is one of the mentioned diseases.

The Ministry of Health has announced, on Sunday the death of 6 people as a result of the spread of the disease in some provinces, while confirming its control over the disease."
 
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Re: Iraq: H1N1pdm09 or H5N1 or both?

It is important to keep in mind that many Arabic-to-English translators insert the word "bird" or "avian" before (or some times instead) of the word "flu", even when the Arabic word for "bird" is absent. Thus "seasonal flu" might translate as "seasonal avian flu" or even simply "seasonal bird". The same error can turn "swine flu" into something like "avian pigs".

Even ProMED got fooled in 2009 when a tourist swine flu case was turned into a case of "avian pigs flu", which the moderators misinterpreted as "avian AND swine flu" and errantly reported as a co-infection.

A decent (but not foolpoof) way to test whether the translator has done this to you is to attempt to translate the Arabic one word at a time, and see whether any word that translates as "bird" or "pig" is present. Often times, neither word is.

As human H5N1 infections are still reportable to WHO under the 2005 IHR, but H1N1 cases are not, it seems likely IMO that these cases are H1N1.
 
Re: Iraq: H1N1pdm09 or H5N1 or both?

Thanks alert. :)

I didn't use Google or other machine translation for these articles, although the sources of the articles may have. I tend to think they didn't, as the usual butchery of syntax that is a hallmark of machine translation is largely absent in these articles.

I agree that, in general, the terms avian and pandemic/epidemic are used almost interchangeably, and often erroneously, in many Arabic language media reports. But there were several things that caught my eye about these articles that make me wonder if there is some H5 activity.

One is that both types are specified in some of the articles, as in "The Health and Environment Committee of Basra denied on Saturday that there is no case of having patients infected by the pandemic flu and avian flu...". To me, that indicates that they're discussing both types and not just lumping both terms together as one interchangeable thing. The same thing occurs in the article about Basra.

Another thing was what that article mentioned about the possible death of a patient due to flu: "..."some time ago, one person died and all the tools close to the dead person have been burned as treatments were given to some nurses who were close to the patient.". IF the patient did die of influenza, those procedures seem a bit extreme if it was just a case of H1.

The other thing is the article that mentions, "The Council of Ministers ordered to prevent the importation of all kinds of birds from 21 countries to avoid the increase of the effect of the Flu in Iraq." The inclusion of that statement seems to indicate a concern about H5 activity.

It's likely that all of these articles are about H1N1 activity. That's probably the most logical explanation. But these little odd things, taken together, just make me wonder. So I just thought I'd toss this out there and ask if anyone else is seeing anything unusual.
 
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