March 17 Flu UpdateAn 11 year old boy has died of bird flu in Vietnam.
Bird flu hits an 11th region in Vietnam.
A new region of India is having a bird flu scare.
ProMed on outbreaks in Vietnam and China (this one was reported yesterday).
Bird flu is also back in Borno, Nigeria.
Article on "caution" in Hong Kong
CIDRAP on the CDC pandemic exercise....the whole article is must read....but this excerpt rings pretty true, in my opinion.
The question of school closings and related "community mitigation" (CM) measures (also known as nonpharmaceutical interventions, or NPIs) arose early and often. At the first morning press briefing, Gerberding said, "As of this morning we're not recommending widespread school closures or other measures to reduce spread in crowds, but those measures are likely." She added that actual closings would be local decisions.
When she was asked what should trigger CM measures, Gerberding said, "When a community begins to see acceleration in the number of cases that suggests that transmission is really taking off, that's when closing schools and avoiding crowds can help. It's important to do it early, because if you wait till you have 1,000 or 10,000 cases, it's too late."
Hesitation and concerns about CM measures emerged in an hour-long Tuesday afternoon teleconference between senior CDC staffers and health officials from states affected by the pandemic. (The state officials were mostly played by CDC staffers in the Exercise Control Group, but three people from state health departments had joined the group for the exercise, according to Jerry Jones, director of the group.)
The Michigan official wanted to know if the CDC could recommend any particular NPIs as better than others. He said the state had a case-fatality rate of 7% in its 100 cases, signaling a severe pandemic under the CDC's community mitigation plan, so the state needed to launch mitigation steps. "But the local health departments are telling us they don't want to do all that work," he said. "So if there's one thing working better than others, we'd like to recommend it."
Revere blogs this as well, and note links to the FluWiki, where DemfromCt wrote extensively on this as an observer. Revere notes that exercises are one thing---but properly supported public health agencies are another.
Is it too risky to have backyard poultry?