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Bird flu pandemic

The following list was put together by the World Health Organisation (WHO) and is the best description of a bird flu pandemic that we have seen so far.

Below the list are the most up-to-date news headlines relating to the bird flu pandemic threat

1. Pandemic influenza is different from avian influenza.

Avian influenza refers to a large group of different influenza viruses that primarily affect birds. On rare occasions, these bird viruses can infect other species, including pigs and humans. The vast majority of avian influenza viruses do not infect humans. An influenza pandemic happens when a new subtype emerges that has not previously circulated in humans. For this reason, avian H5N1 is a strain with pandemic potential, since it might ultimately adapt into a strain that is contagious among humans. Once this adaptation occurs, it will no longer be a bird virus--it will be a human influenza virus. Influenza pandemics are caused by new influenza viruses that have adapted to humans.

2. Influenza pandemics are recurring events.

An influenza pandemic is a rare but recurrent event. Three pandemics occurred in the previous century: “Spanish influenza” in 1918, “Asian influenza” in 1957, and “Hong Kong influenza” in 1968. The 1918 pandemic killed an estimated 40–50 million people worldwide. That pandemic, which was exceptional, is considered one of the deadliest disease events in human history. Subsequent pandemics were much milder, with an estimated 2 million deaths in 1957 and 1 million deaths in 1968. A pandemic occurs when a new influenza virus emerges and starts spreading as easily as normal influenza – by coughing and sneezing. Because the virus is new, the human immune system will have no pre-existing immunity. This makes it likely that people who contract pandemic influenza will experience more serious disease than that caused by normal influenza.

3. The world may be on the brink of a bird flu pandemic.

Health experts have been monitoring a new and extremely severe influenza virus – the H5N1 strain – for almost eight years. The H5N1 strain first infected humans in Hong Kong in 1997, causing 18 cases, including six deaths. Since mid-2003, this virus has caused the largest and most severe outbreaks in poultry on record. In December 2003, infections in people exposed to sick birds were identified. Since then, over 100 human cases have been laboratory confirmed in four Asian countries (Cambodia, Indonesia, Thailand, and Viet Nam), and more than half of these people have died. Most cases have occurred in previously healthy children and young adults. Fortunately, the virus does not jump easily from birds to humans or spread readily and sustainably among humans. Should H5N1 evolve to a form as contagious as normal influenza, a bird flu pandemic could begin.

4. All countries will be affected.

Once a fully contagious virus emerges, its global spread is considered inevitable. Countries might, through measures such as border closures and travel restrictions, delay arrival of the virus, but cannot stop it. The pandemics of the previous century encircled the globe in 6 to 9 months, even when most international travel was by ship. Given the speed and volume of international air travel today, the virus could spread more rapidly, possibly reaching all continents in less than 3 months.

5. Widespread illness will occur.

Because most people will have no immunity to the bird flu pandemic virus, infection and illness rates are expected to be higher than during seasonal epidemics of normal influenza. Current projections for the next pandemic estimate that a substantial percentage of the world’s population will require some form of medical care. Few countries have the staff, facilities, equipment, and hospital beds needed to cope with large numbers of people who suddenly fall ill.

6. Medical supplies will be inadequate.

Supplies of vaccines and antiviral drugs – the two most important medical interventions for reducing illness and deaths during a pandemic – will be inadequate in all countries at the start of a pandemic and for many months thereafter. Inadequate supplies of vaccines are of particular concern, as vaccines are considered the first line of defence for protecting populations. On present trends, many developing countries will have no access to vaccines throughout the duration of a pandemic.

7. Large numbers of deaths will occur.

Historically, the number of deaths during a pandemic has varied greatly. Death rates are largely determined by four factors: the number of people who become infected, the virulence of the virus, the underlying characteristics and vulnerability of affected populations, and the effectiveness of preventive measures. Accurate predictions of mortality cannot be made before the bird flu pandemic virus emerges and begins to spread. All estimates of the number of deaths are purely speculative. WHO has used a relatively conservative estimate – from 2 million to 7.4 million deaths – because it provides a useful and plausible planning target. This estimate is based on the comparatively mild 1957 pandemic. Estimates based on a more virulent virus, closer to the one seen in 1918, have been made and are much higher. However, the 1918 pandemic was considered exceptional.

8. Economic and social disruption will be great.

High rates of illness and worker absenteeism are expected, and these will contribute to social and economic disruption. Past pandemics have spread globally in two and sometimes three waves. Not all parts of the world or of a single country are expected to be severely affected at the same time. Social and economic disruptions could be temporary, but may be amplified in today’s closely interrelated and interdependent systems of trade and commerce. Social disruption may be greatest when rates of absenteeism impair essential services, such as power, transportation, and communications.

9. Every country must be prepared.

WHO has issued a series of recommended strategic actions [pdf 113kb] for responding to the influenza pandemic threat. The actions are designed to provide different layers of defence that reflect the complexity of the evolving situation. Recommended actions are different for the present phase of pandemic alert, the emergence of a pandemic virus, and the declaration of a pandemic and its subsequent international spread.

10. WHO will alert the world when the bird flu pandemic threat increases.

WHO works closely with ministries of health and various public health organizations to support countries' surveillance of circulating influenza strains. A sensitive surveillance system that can detect emerging influenza strains is essential for the rapid detection of a pandemic virus. Six distinct phases have been defined to facilitate pandemic preparedness planning, with roles defined for governments, industry, and WHO. The present situation is categorized as phase 3: a virus new to humans is causing infections, but does not spread easily from one person to another.

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bird flu pandemic - Google News
Chronicle of a Hysteria: The Swine Flu Panic of 2009 - Spiegel Online Fri, 12 Mar 2010 13:14:10 GMT+00:00

RTE.ie

Chronicle of a Hysteria: The Swine Flu Panic of 2009
Spiegel Online
Fukuda and Cox had once worked together to fight the Asian bird flu. Both scientists remembered all too well how the aggressive killer surfaced in Hong Kong ...
Pandemic has not yet peaked: Flu expertsCanada.com

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What H1N1 taught us - Los Angeles Times Fri, 26 Feb 2010 09:03:47 GMT+00:00

What H1N1 taught us
Los Angeles Times
It lacks the virulence factors that make highly pathogenic bird flu, or the 1918 pandemic flu virus, so deadly. In the beginning, the pandemic seemed to ...

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After H1N1, Researchers Warn of a Potential New Superbug - TIME Mon, 22 Feb 2010 20:58:13 GMT+00:00

After H1N1, Researchers Warn of a Potential New Superbug
TIME
That could mean bird flu will remain a dead end, infecting the occasional unlucky person but never turning into a full-blown pandemic. ...
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Deadly Hybrid Flu PossibleBusinessWeek
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S'pore buys 1m H5N1 shots - Straits Times Fri, 12 Mar 2010 01:04:53 GMT+00:00

Straits Times

S'pore buys 1m H5N1 shots
Straits Times
SINGAPORE has bought a million doses of a vaccine to protect the people here against the H5N1 bird flu. ...

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Virus hybridization could cause pandemic bird flu - Examiner.com Thu, 25 Feb 2010 22:36:58 GMT+00:00

Examiner.com

Virus hybridization could cause pandemic bird flu
Examiner.com
The swapping of genetic material between the avian flu (H5N1) and seasonal human flu strains, like H1N1, has to potential to create a new hybrid pandemic ...
New Avian Flu Committee Shows Indonesia's Maturing Approach to EpidemicsJakarta Globe
Bird flu kills Vietnam womanStraits Times
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WHO Flu Research Lab Planned for Indonesia - Jakarta Globe Fri, 12 Mar 2010 02:29:48 GMT+00:00

WHO Flu Research Lab Planned for Indonesia
Jakarta Globe
“There has been one human bird flu case found so far this year even while the effects of the H1N1 influenza [swine flu] pandemic are still being felt around ...

Pandemic Hybrid Of Bird And Human Seasonal Flu Possible Say Scientists - Medical News Today Wed, 24 Feb 2010 12:12:12 GMT+00:00

Pandemic Hybrid Of Bird And Human Seasonal Flu Possible Say Scientists
Medical News Today
An international team of scientists has created a highly pathogenic laboratory hybrid of the H5N1 bird flu and human seasonal flu viruses by swapping just ...
Virus Hybridization Could Create Pandemic Bird FluScience Daily (press release)

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Swine Flu Pandemic and Vaccines Under Investigation - The Healthier Life Thu, 18 Feb 2010 16:12:34 GMT+00:00

Swine Flu Pandemic and Vaccines Under Investigation
The Healthier Life
Since governments have sealed contracts with vaccine producers, securing orders in advance, (like with Tamiflu during the Bird Flu scare) producers of ...
H1N1 flu has hit kids with neuromuscular disorders especially hardUSA Today
Swine Flu Threat DiminishesHome and Away
Egypt: H1N1 flu down but not outSpero News

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Campus Connection: UW study indicates pandemic bird flu possible - Capital Times Mon, 22 Feb 2010 20:08:15 GMT+00:00

Campus Connection: UW study indicates pandemic bird flu possible
Capital Times
The new findings -- which appear in the online edition of the Proceedings of the National Academy of Sciences -- raise concerns that H5N1 and pandemic H1N1 ...

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Experts call for bird flu control strategy - Viet Nam News Tue, 09 Mar 2010 03:38:04 GMT+00:00

Experts call for bird flu control strategy
Viet Nam News
HA NOI — The latest outbreak of bird flu has affected the provinces of Dien Bien and Nam Dinh in the north, Nghe An and Khanh Hoa in the central region, ...

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