March 18 Flu UpdateTwo very significant stories today...first, this one. An Indonesian girl was co-infected with bird and seasonal flu in 2007, the first reported occurrence. (CIDRAP)
"This is the first case-report of a human with both influenza A/H5N1 and H3N2 co-infection," the paper states. "Such infections are of great concern due to the possibility of genetic reassortment leading to the emergence of a H5N1 strain that is more easily transmitted human to human, and emphasizes the importance of advanced laboratory-based surveillance in geographic regions where both human and avian influenza viruses are co-circulating."
CIDRAP also reports that FAO says that the flu is so bad in Indonesia that it makes the conditions for mutation very good. Keyword: critical.
An International Conference urges people to look at the socioeconomic effects of bird flu...who owns those culled birds?
CIDRAP on the Indonesian boy who died (reported yesterday).
The bird flu quarantine was lifted in SW China.
Vietnam is now testing a human bird flu vaccine at their military academy.
West Bengal has put more money into flu control.
A USDA official is giving a talk in Palm Beach about bird flu.
Manitoba First Nations are meeting on flu prep.
Delaware continues bird flu surveillance.
Revere blogs on CDC pandemic guidance to states, which was here a couple days ago. Note this on the (limited) benefit of planning.....
Some of this is good and goes in the right direction. Planning, in itself, is a big step forward. But the plan on paper will go out the window in the first week (the old military saying applies: no battle plan survives the first engagement with the enemy), even while the planning is valuable by envisioning what is ahead, meeting your counterparts in other agencies, thinking it through, all tremendously valuable. States and localities need to be strongly and forcefully encouraged to do this. But most states and communities are also fully engaged in the desperate business of trying to keep people alive day to day and until they can get out from the falling debris of a system disintegrating about their ears. In those circumstances, pandemic planning is a luxury, even harmful to the extent it pulls people away from other urgent business.