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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.


bird flu pandemic - Google News
GPs might take flight in bird flu crisis - The Australian Fri, 08 Aug 2008 15:03:45 GMT

GPs might take flight in bird flu crisis
The Australian, Australia - 5 hours ago
A SIGNIFICANT minority of GPs might stay at home and decline to treat patients in the event of a bird flu pandemic, for fear that they or their families ...
13 People Hospitalized With Bird Flu Symptoms - TopNews Fri, 08 Aug 2008 07:22:50 GMT

Vancouver Sun

13 People Hospitalized With Bird Flu Symptoms
TopNews, India - 13 hours ago
Blood reports of these people will clarify the suspicion of bird flu. Doctors fear that bird flu virus might mutate into a pandemic strain. ...
Indonesia slaughters birds, awaits flu tests AFP
13 people show bird flu symptoms The Press Association
Suspected bird flu cases in Indonesia village: report Reuters UK
Reuters - France24
all 81 news articles
Flu pandemic beats terrorism and flood in official table of ... - Times Online Thu, 07 Aug 2008 22:32:23 GMT

Flu pandemic beats terrorism and flood in official table of ...
Times Online, UK - 22 hours ago
The Department of Health has purchased 3.3 million doses of vaccine for the H5N1 strain of bird flu that could give a degree of protection. ...
Greatest threat to Britain is a flu pandemic that could kill ... Daily Mail
Flu, not terrorism is Britain's main threat Public Servant Online
all 270 news articles
GPs refuse to treat bird flu patients - NEWS.com.au Mon, 04 Aug 2008 18:48:52 GMT

GPs refuse to treat bird flu patients
NEWS.com.au, Australia - Aug 4, 2008
Australian Medical Association state president Dr Peter Ford said most doctors had received no formal training in dealing with a flu pandemic. ...
Indonesian man dies of bird flu, official says - The Associated Press Sun, 03 Aug 2008 04:03:19 GMT

Indonesian man dies of bird flu, official says
The Associated Press - Aug 2, 2008
JAKARTA, Indonesia (AP) — An Indonesian factory worker died of bird flu, bringing the death toll in the country worst hit by the virus to 112, ...
Bird flu claims one in Indonesia Independent Online
Bird flu claims 112th Indonesian victim Bangkok Post
Indonesian man dies of bird flu, brings toll to 111 Reuters
SINDH TODAY
all 160 news articles
Britain faces 75000 deaths in bird flu pandemic, Lords report predicts - guardian.co.uk Mon, 21 Jul 2008 10:02:51 GMT

Telegraph.co.uk

Britain faces 75000 deaths in bird flu pandemic, Lords report predicts
guardian.co.uk, UK - Jul 21, 2008
Up to 75000 Britons will in die in an "inevitable" flu pandemic that could kill as many as 50 million people worldwide, a parliamentary committee warns ...
World warned over killer flu pandemic Independent
UK report casts doubt on pandemic response effectiveness News-Medical.net
Grim flu report unhelpful: experts Sydney Morning Herald
Mirror.co.uk - The Statesman
all 57 news articles
Novavax widens loss - Bizjournals.com Fri, 08 Aug 2008 20:15:19 GMT

Novavax widens loss
Bizjournals.com, NC - 36 minutes ago
... this year the Rockville-based vaccine maker completed enrollment in a Phase2a clinical study for its pandemic influenza, or bird flu, vaccine candidate. ...
ASEAN states to test readiness on bird flu pandemic - Radio Australia Wed, 23 Jul 2008 17:19:44 GMT

AFP

ASEAN states to test readiness on bird flu pandemic
Radio Australia, Australia - Jul 23, 2008
Bird flu experts from the Association of Southeast Asian Nations have agreed to assess the ability of their governments to respond to a deadly human ...
Rockeby gets orders for bird flu tests Sydney Morning Herald
all 15 news articles
Listening needed to communicate bird flu risks - Jakarta Post Wed, 06 Aug 2008 03:19:06 GMT

Listening needed to communicate bird flu risks
Jakarta Post, Indonesia - Aug 5, 2008
Rather than being satisfied with the various kinds of one-size-fits-all "Beat The Bird Flu" campaigns, journalists need to lend their ears more to the ...
ASEAN states to test readiness on bird flu pandemic - AFP Wed, 23 Jul 2008 10:00:55 GMT

AFP

ASEAN states to test readiness on bird flu pandemic
AFP - Jul 23, 2008
JAKARTA (AFP) — Bird flu chiefs from across Southeast Asia have agreed to assess the ability of their governments to respond to a deadly human pandemic of ...