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Bird flu sparks emergency measures in India, Europe, Africa
By Patrick Martin
21 February 2006
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In the most rapid and far-flung extension of the area of infection
since the most recent strain of avian flu was first detected nine
years ago, health authorities in India, Western Europe and parts
of Africa reported new outbreaks of the disease and announced
emergency measures over the weekend.
The current strain of avian influenza, A(H5N1), first surfaced
in Hong Kong in 1997. It took eight years to spread throughout
China and South East Asia, but in the last few months the disease,
apparently carried by wild migrating birds, has spread throughout
Asia, Europe and now Africa.
The most alarming new focus of infection is in India, where
two separate outbreaks were reported, and state and federal authorities
took sweeping measures to cull flocks and curb the spread of the
disease to human beings. A house-to-house search for people suffering
from unexplained fevers began in the Nandurbar district of Maharashtra,
the huge western state that includes the countrys principal
financial center and largest city, Mumbai (Bombay). At least six
people were quarantined Monday in hospitals with flu-like symptoms,
bringing the total to eight.
Health minister Anbumani Ramadoss said that there were no human
cases of avian flu in India, despite press reports that a young
poultry farmer had died of the disease over the weekend in Gujarat
state, which is adjacent to Maharashtra. The dead man, Ganesh
Sonarkar, 27, was a resident of Nandurbar district. A second outbreak
was feared in Uttar Pradesh, Indias most populous state,
in the Ganges Valley, where 1,400 chickens died at a farm. Tests
had not yet confirmed the cause of those deaths.
Home minister Shivraj Patil said that all chickens within a
two-mile radius of the Maharashtra outbreak would be slaughtered,
while those between two and six miles away would be inoculated.
The disease has already killed 50,000 chickens in the state. Hundreds
of thousands of chickens were slaughtered in the region around
the town of Navapur, the center of the states poultry industry,
in an effort to forestall spread of the pandemic, with the carcasses
dumped into pits dug by earthmovers.
Federal health secretary P.K. Hota confirmed that the governments
resources for fighting a flu outbreak were extremely limited:
only 100,000 courses of the antiviral drug tamiflu are on hand,
in a country with a population of over one billion.
Neighboring Nepal, Bangladesh and Pakistan all banned imports
of live poultry and poultry products from India. Pakistan was
threatened from both sides, as avian flu was detected last week
in wild swans in Iran, its western neighbor, as well as in India.
The outbreaks in India arouse the greatest public health concern
because the combination of dense populations, overstretched medical
systems, and extreme poverty in the rural areas, where many poor
families share living quarters with poultry and livestock. This
maximizes the possibility of a mutation of the avian flu viruswhich
up to now is transmitted only rarely from bird to humaninto
a human virus which could be transmitted directly from person
to person.
In Western Europe, Germany confirmed its first cases of the
lethal strain of bird flu in wildlife, with dozens of swans already
dead on the Baltic island of Ruegen. The German military was mobilized
to search for dead birds on the island and to try to prevent passage
of the disease to the mainland, with 60 soldiers in biohazard
suits landing on the island and air force planes deployed on reconnaissance
missions along the coastline.
New cases were reported in new countries in Europe on a daily
basis, as the disease spread to Denmark, Poland, Austria, Italy,
Slovenia, Croatia, Bosnia, Romania, Greece, Bulgaria, Ukraine
and the European portions of Russia. In Western Europe the disease
has been found only in wild birds, and many countries were taking
measures to try to protect their huge flocks of domesticated poultry.
Ministers from the 25 member nations of the European Union
met in Brussels Monday to discuss efforts to fight the spreading
epidemic, but there is such a wide variation of capacities and
concern that a truly coordinated campaign seems doubtful.
Netherlands, Sweden and Denmark ordered millions of chickens,
ducks and turkeys kept indoors to keep them away from migrating
wild birds. French authorities set up a three-kilometer security
zone around the location near Lyon where the first infected bird
in that country, a wild duck, was found. French farmers will vaccinate
900,000 birds, although the vaccine offers only generic protection,
and is less effective against the new H5N1 strain.
The deaths of wild birds in three regions of southern Italy,
Apulia, Calabria and Sicily, touched off a nationwide buying panic,
as shoppers refused to buy chicken and other poultry. The Italian
television news channel RAI News 24 described the situation as
one of bird flu psychosis.
In Britain, where no cases have yet been detected in either
poultry or wild birds, the Blair government and the media have
sought to spread complacency and avoid damage to agricultural
business interests. There has been no order, as yet, even for
locking up domestic fowl indoors. Reliance on the English Channel
and the North Sea to stop the flight of infected birds is worse
than useless, however.
One French expert told the news agency Agence France-Presse
that cross-contamination between wild birds and domestic fowl
was inevitable throughout the continent. We have absolutely
no control over the introduction of the virus by migratory birds
that are about to start returning from Africa to Siberia, Scandinavia
and Greenland, Jean Ahars said. It is unavoidable.
The disease has already jumped the Mediterranean and crossed
the Sahara Desert, with reports of new outbreaks in both North
Africa and West Africa. Egyptian officials acknowledged multiple
outbreaks Friday, and urged people to stop breeding poultry at
homea major source of protein in the diet of millions of
poor people. The Cairo zoo was closed after 83 birds died there,
six of them testing positive for H5N1.
Cases of dead birds were reported in Nigeria and health officials
in countries from Niger to South Africa were assembling tiny stockpiles
of tamiflu in anticipation of the spreading epidemic.
The transformation of avian flu into a worldwide pandemic among
fowl is nearly completeonly the Western Hemisphere remains
exempt, and there are multiple bird flyways connecting eastern
Siberia and northern North America which could serve as a conduit.
See Also:
The dangers of a global
birdflu pandemic
[4 November 2005]
Lack of government
preparation for flu pandemic
[20 October 2005]
EU states downplay
risk as bird flu spreads toward Western Europe
[10 September 2005]
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