February 5 Flu UpdateHere's the must read of the day. This article from Indonesia notes something that has been circulating for a while. While we know that human-human transmission is still rare, we also don't know how many of these people are getting sick. There is no obvious answer.
"The behaviour (of the virus in Indonesia) is mysterious and we are competing with the dynamics of the virus. There needs to be deeper study on why there are more cases in humans, what are the risk factors... so we can cut the chain of infection to humans," Widjastuti said.
CIDRAP on two new cases in Indonesia, one fatal, one very serious. Note the cluster of cases in one suburb for monitoring....
Excellent BBC story from the ground in India on "risky" or (in my opinion) reckless practices during culling.
The only people in the village with protective gear for bird flu are the five members of the culling team - and this correspondent.
Local official Aloka Mondal says she is busy trying to meet government targets for culling birds and does not have the time to follow the safety protocol.
Flu spreads in Bangladesh (30 districts).
Revere notes that Bangladesh has big problems and little ability to deal with them. Having said that, they are not sharing viruses with India.
CIDRAP on fresh outbreak in Bangladesh and Pakistan.
ProMed also has the Pakistani story. Note references to poultry import patterns.
West Bengal says no human cases there.
India has culled 3.4 million birds to no avail.
Poultry workers in Pakistan are being tested for H5N1. (very low probability of anything here).
Pakistanis are also told poultry and eggs are safe to eat.
Vietnam is keeping the alert up.....
Thailand appears to be taking the latest outbreak in stride.
Upper Pradesh says it has not been hit by bird flu.
ProMed from Turkey and India on the migratory bird debate.