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Showing posts with label WHO. Show all posts
Showing posts with label WHO. Show all posts

Sumatra on alert as bird flu comes back

Antara News, Fardah, Sat, April 2 2011

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Jakarta (ANTARA News) - The sudden death of thousands of chickens has been reported in several cities on Sumatra Island over the past several months.

Local health authorities have confirmed that most of the chickens had died of bird flu or avian influenza (H5N1).

The poultry deaths due to bird flu have occurred among other things in the Sumatran provinces of West Sumatra, Bengkulu, Jambi and Bangka Belitung.

In Padang, West Sumatra, the M Jamil General Hospital had treated a total of 27 patients suspected of being infected with the bird flu virus since January 2011.

Padang is the worst-affected city in West Sumatra, as 24 of the total 27 patients are residents of the city, according to Gustavianof, a spokesman of the M Jamil Public Hospital.

"While patients from outside Padang, include one from Bukittinggi, one from Pesisir Selatan District, and another from Dharmasraya," he said in Padang, Thursday (March 31).

Up to Thursday, two patients were still undergoing intensive treatment at the hospital.

The hospital has taken blood samples from the two patients and sent them to the laboratory of the Jakarta-based health ministry`s Health Development and Research Agency (Balitbangkes), to confirm whether they are negative or positive of bird flu virus infection.

In 2009, the M Jamil Public hospital had treated nine bird flu suspect cases, and seven cases in 2010, including one patient that had died while being treated in the hospital.

A total of 1,866 chickens were dead in Payakumbuh city, West Sumatra Province recently.

West Sumatra has prepared two hospitals, including M Jamil Public Hospital, to give free-of-charge medical treatment to patients suspected of having been infected by the H5N1 virus.

As H5N1 virus cases have been reported in many regions in Bengkulu Province, also on Sumatra Island, the province has declared that the province is on alert of bird flu.

"Although the number of bird flu cases does not increase, Bengkulu is still cautious of bird flu, and we ask the local residents to monitor their poultry," Emran Kuswadi, Coordinator of Local Disease Control Center (LDCC), said in Bengkulu, last Tuesday (29/3).

Up to now, a total of 1,881 chickens had been killed by the bird flu virus in Bengkulu, according to Emran.

Seven districts - Bengkulu, Seluma, Lebong, Bengkulu Tengah, Kepahiang, Kaur and Rejang Lebong - have been particularly declared bird flu alert.

The worst bird flu-affected district is Seluma where 1,175 chickens died of the H5N1 virus at two sub districts, he said.

In Jambi, bird flu has reportedly killed several hundred chickens in Kerinci District, Jambi Kota, and Jambi Luar Kota neighborhoods.

The virus has infected a number of chickens in four villages of Kota Jambi subdistrict and had spread to Pijoan village, Jambi Luar Kota subdistrict.

Head of Muarojambi district`s veterinarian office Paruhuman Lubis said, "We have checked that there are chickens that suddenly died but we cannot confirm yet whether they are infected by the (bird flu) virus or not."

In Bangka Belitung (Babel) Province, at least 484 chickens had died during January and February 2011. Junaidy of the local animal husbandry office, confirmed in Pangkalpinang, that they had been infected with bird flu virus.

Despite the reports of bird flu breakout in some parts of Sumatra, there are no reports of confirmed cases of human infection with bird flu virus or fatalities on the island this year.

In fact, the health ministry recently announced a confirmed case of human infection with bird flu virus on Java Island.

The case concerned a 28 year old female from Gunung Kidul district, Yogyakarta Province. She developed symptoms on 1 March, was admitted to a health care facility on 6 March and referred to a hospital on 11 March. She died on 14 March, according to the Avian Influenza Update on the official website of the World Health Organization (WHO).

Indonesia has been infected by bird flu since 2005, but the situation has been relatively under control over the past few years.

Of the total 176 cases confirmed to date in Indonesia, 145 have been fatal, according to WHO.

According to the WHO fact sheet, Avian influenza (AI), commonly called bird flu, is an infectious viral disease of birds. Outbreaks of AI in poultry may raise global public health concerns due to their effect on poultry populations, their potential to cause serious disease in people, and their pandemic potential.

The majority of human cases of H5N1 infection have been associated with direct or indirect contact with infected live or dead poultry. There is no evidence that the disease can be spread to people through properly cooked food. Controlling the disease in animals is the first step in decreasing risks to humans.

The Indonesian health and agriculture ministries have received helping hands from countries such as the United States and Australia in fighting the bird flu problem.

The Australian Government has set up a $22 million, four-year project to help Indonesia control the spread of bird flu.

"The news comes after two people died in West Java of bird flu, and more cases of sick birds were reported in Bali," ABC reported on March 28, 2011 .

A project called the Strategies Against Flu Emergence (SAFE) is launched by the US government in partnership Indonesia to reduce the impact of Avian Influenza (AI) on animals and humans and limit the threat of pandemic influenza in Indonesia.

"Avian influenza continues to pose a serious public health and pandemic threat for Indonesia and the world," USAID/Indonesia Mission Director Walter North said in a press release issued by the US embassy in Jakarta Friday (April 1).

The SAFE project will collaborate with the United Nations Food and Agriculture Organization (FAO) and WHO to promote early detection and healthier behavior in AI high-risk districts.

Editor: Aditia Maruli

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Bird flu kills hundreds of chickens in Jambi

Antara News, Tue, March 1 2011

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Jambi (ANTARA News) - Bird flu has killed several hundred chickens in certain areas of Jambi Kota and Jambi Luar Kota neighborhoods, Jambi province, over the past few days.

The deadly virus had also infected tens of chickens in four villages of Kota Jambi subdistrict and had spread to Pijoan village, Jambi Luar Kota subdistrict, locals said on Tuesday.

In response to the local residents` reports, Head of Muarojambi district`s veterinarian office Paruhuman Lubis said he had been aware of those dead chickens but it was not yet clear whether they were infected by the bird flu virus or other diseases.

"We have checked that there are chickens that suddenly die but we don`t know yet whether they are infected by the (bird flu) virus or not," he said.

The samples of those dead chickens would immediately be examined in a laboratory to enable his men to know the real causes of the chickens` deaths," he said.

If the laboratory tests had verified that the bird flu virus was behind the chickens` deaths, the related authorities would conduct disinfectant sprays for the people`s chicken cages, while the dead chickens were burned, he said.

However, the Muarojambi district`s veterinarians could not conduct the disinfectant sprays alone. Instead, they should be assisted by members of the provincial government`s team, he said.

Indonesia has 33 provinces. Only three have been confirmed free from the bird flu threat.

Indonesia has been plagued by bird flu since 2005. However, the H5N1 type influenza is also known to have attacked chickens and birds in other Asian countries, such as Thailand, Cambodia, China, and Vietnam.

According to the World Health Organization (WHO), avian influenza or "bird flu" is a contagious disease among animals caused by a virus that normally infects only birds and, less commonly, pigs.

WHO has warned that avian influenza can spread very rapidly in a poultry or fowl population.

Over the past three weeks of January 2011, bird flu has also infected chickens in Mugirejo village, Sungai Pinang subdistrict, in Samarinda, East Kalimantan.

A bird flu outbreak had also spread in Kerinci district, Jambi province, recently.

According to a veterinarian in West Java, the bird flu virus attacking Indonesia was classified as "highly pathogenic avian influenza" (HPAI).

Editor: Aditia Maruli

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Bogor children suffers from lead poisoning

The Jakarta Post | Thu, 11/11/2010 7:46 PM | Jakarta

A government-sanctioned team has found that children in one village in Bogor, West Java, have been suffering from chronic lead poisoning.

The Committee for the Leaded Gasoline Phase-out found that children in Cinangka Village, Bogor, have an average lead level of 32.62 micrograms per deciliter of blood, exceeding the safe level of 10 micrograms per liter set by the World Health Organization (WHO).

Local chairman of the committee Ahmad Safrudin attributed the high lead-to-blood level to a battery recycling plant set up in the vicinity of the village.

“Cinangka Village has been the center of the home industry specializing in battery recycling, which has been operational since the early 1980s,” Safrudin said.

In the village alone, there are more than 40 battery recycling plants, some of which were shut down due to the hazards they posed on the environment.

The committee conducted a field test on elementary school students in April by taking blood samples from 40 children in Cinangka Village.

Laboratory tests showed that the highest level of lead was found in the body of a 7-year-old, at 60 micrograms per deciliter.

The lowest level was found in the blood of a 6-year-old boy at 16.2 micrograms per deciliter.

Lead affects a number of body processes, damaging organs and tissues including the heart , bones , intestines , kidneys , and reproductive and nervous systems. People can be exposed to lead through contaminated air, water, soil, food and consumer products.


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Malaria threatens Bengkulu residents

Antara News, Monday, October 18, 2010 22:25 WIB

Bengkulu (ANTARA News) - A total of 7,654 residents of Bengkulu province`s capital of Bengkulu had suffered from Malaria, a disease caused by anopheles mosquitoes, this year, a health worker said.

Head of Bengkulu city`s health office, drg.Mixon Sahbuddin, said here Monday that 4,088 of them were infected by this disease within the past three months.

In halting the spread of malaria, the health authorities, community members and other related stakeholders need to work together to create a healthy life condition in the city, he said.

Sahbuddin said the healthy life style was the best option for locals because fogging was so costly but not enough effective in crushing mosquitoes.

"The fund needed for fogging the entire areas of Bengkulu city a year is Rp15 billion. Adopting a healthy life style and keeping our neighborhood clean are the best options," he said.

Therefore, locals were urged to take care of their neighborhood areas and destroy anopheles mosquito breedings by getting rid of stagnant water, especially during the rainy season, he said.

In connection to Indonesia`s vulnerability to malaria attacks, Secretary of the Indonesian Medical Doctors Association (IDI)-West Kalimantan Provincial Chapter Nursyah Ibrahim recently said that it was related to its people`s unhealthy life style.

This condition had even made Indonesia become one of the world`s malaria-vulnerable nations, he said.

According to the Global Fund`s research findings, about seventy percent of Indonesian people were vulnerable to the malaria disease, he said.

In 2009, Indonesia had almost two million malaria cases but there were more cases that were not revealed, he said.

According to the World Health Organization (WHO), malaria in Indonesia mainly occurs in Papua, Nusa Tenggara, Sulawesi, Kalimantan, and Sumatra islands.

"It occurs with low frequency or is non-existent in Java and Bali where approximately 70 percent of the population live. All strains of human malaria are to be found in Indonesia," WHO said.

In the past, the eastern parts of Indonesia were home to P. malariae and P.ovale, but the two strains had also been found in Lampung Province and Nias Island, North Sumatra, in recent years.

Indonesia had set itself to become malaria-free by a long shot in 2030.

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Bird flu kills 49,000 Makassar chickens, ducks

Antara News, Sunday, October 10, 2010 03:58 WIB

Makassar, S Sulawesi (ANTARA News) - Bird flu has killed at least 49,000 chickens and ducks in South Sulawesi province over the past four months, a government official said.

Head of South Sulawesi Province`s animal husbandry office Murtala Ali said here Saturday he had ordered related authorities in districts and cities to destroy the infected chickens and ducks.

"We have also prohibited the transportation of chickens from infected areas to other places," he said.

The dead chickens and ducks were found in 11 districts and towns, namely Takalar, Makassar, Luwu Timur, Luwu Utara, Soppeng, Pinrang, Parepare, Sidrap, Barru, Bulukumba and Bone.

Chickens in other 13 districts and towns in South Sulawesi were declared "free from the bird flu virus", he said.

Besides destroying the bird flu-infected animals, Ali said his people had intensified the vaccinization of chickens, spraying chicken nests, and public awareness campaigns.

He said the high rainfall in the province could trigger the spread of bird flu virus to other chickens.

Therefore he had ordered related authorities to halt the transportation of chickens from infected areas to elsewhere in the province.

Despite the concerning situation, the bird flu virus did not endanger local residents, he said.

Four bird flu suspects being hospitalized at Wahidin Sudirohusodo General Hospital here had been confirmed free from the deadly virus infection, he said.

"Nobody has died of flu here over the past two years," he said.

Various parts of Indonesia remain vulnerable to bird flu.

The Balikpapan city government had even declared state of bird flu alertness on October 4, 2010 following the death of 96 chickens last September.

According to the World Health Organization (WHO), avian influenza or "bird flu" is a contagious disease of animals caused by viruses that normally infect only birds and, less commonly, pigs.

The WHO has warned that infection with avian influenza viruses could spread very rapidly among the poultry population.

Indonesia has been dealing with bird flu cases since 2005. However, the H5N1 virus is also known to have attacked chickens and birds in other Asian countries, such as Thailand, Cambodia, China, and Viet Nam.

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Bird flu alertness status declared in Balikpapan

Antara News, Monday, October 4, 2010 23:57 WIB

Balikpapan, E Kalimantan  (ANTARA News) - The East Kalimantan city of Balikpapan government has declared the bird flu alertness status since Sunday following the death of 96 chickens last September.

"Those dead chickens have positively been infected by bird flu virus," Mayor of Balikpapan City Imdaad Hamid said in response to the sudden death of 96 chickens in four villages.

Hamid said the infected chickens belonged to local residents of four villages -- Gunung Bahagia, Sepinggan, Manggar, and Prapatan.

The bird flu virus had so far infected chickens, not birds, and there were no reports of fatalities, he said.

"Therefore, the status that we declare is watching bird flu but if there have been human casualties, we shall increase the status to `extraordinary`," he said.

In anticipating the unexpected eventualities, the city`s government had intensified surveillance and instructed the burning of all bird flu-infected chickens, he said.

The related authorities had even activated check points at such seaports as Kariangau and Kampung Baru to ensure the flows of healthy chickens into and out of the city areas, he said.Various parts of Indonesia remain vulnerable to the bird flu cases.

According to the World Health Organization (WHO), avian influenza or "bird flu" is a contagious disease of animals caused by viruses that normally infect only birds and, less commonly, pigs.

The WHO has warned that the infection with avian influenza viruses could spread very rapidly through poultry flocks.

Over these past few days, the bird flu viruses had attacked a few hundreds of chicken in Pademawu Timur village. The number of infected chickens tended to increase, he said.

Indonesia has been dealing with the bird flu cases since 2005. However, this H5N1 typed influenza is also recorded to have attacked chicken and birds in other Asian countries, such as Thailand, Cambodia, China, and Viet Nam.

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WHO assistance to create healthy, pleasant traditional markets

Antara News, Thursday, September 23, 2010 00:10 WIB

Gunung Kidul, Yogyakarta (ANTARA News) - The World Health Organization (WHO) has provided 2,400 US dollars to support a program to improve the sanitary health infrastructure of the Argosari traditional market in Wonosari, Gunung Kidul district.

A Health Ministry official, Wilfred M Purba, said here Wednesday the financial assistance was given under a cooperation agreement between the ministry and WHO.

"The program has a non-physical aspect , namely to change the general public`s perception of traditional markets as disorderly, untidy, dirty establishments so that they would be able to compete with modern markets which were already beginning to operate in Gunung Kidul district." he said.

He said the physical assistance in the form of infrastructure was given based on the traditional market`s needs determined by market`s stakeholders and the Gunung Kidul district government.

According to Wilfred, the best way to create a healthy traditional market was changing the market stakeholders behavior, namely the behavior of the people selling their goods in the market, the market visitors, the market traders` association and the market management.

He said altering the stakeholders` behavior was important to change the traditional market`s image in addition to the provision of supporting facilities needed to keep the market healthy, clean, neat and pleasant to see.

"The direction of the traditional market can be used for buying and selling transactions and tourism market so that visitors besides buying what they need can also engage in recreation," he said.

He said the Argosari traditional market as one of tens of traditional markets in Indonesia which turned into model traditional markets.

A WHO Indonesia officer, Tri Prasetyo, said the aim of the programs was also to anticipate the spread of avian influenza.

"The interest of market users will possible decrease if directly talking about the anticipation of avian influenza so that we have delivered to the people about a healthy market as general," he said.

He said that the traditional market program had been implemented since July 2009 and it would end on 2011. "Now we are coming to the phase of training the market management." he said.

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WHO gives leprosy aid in South Sumatra

The Jakarta Post | Thu, 09/02/2010 10:37 AM

PALEMBANG: The World Health Organization (WHO) gave medicine to leprosy patients at Dr. Rivai Abdullah Hospital in Sungai Kendur, Palembang, on Wednesday.

WHO representative Yohei Sasakawa said he hoped the aid would help free the province from leprosy.

Sasakawa said he appreciated the hospital’s treatment of leprosy patients and told the local administration not to discriminate against people afflicted by the disease.

The Nippon Foundation, which is chaired by Sasakawa, provided the medicine to WHO for patients in Indonesia.

Governor Alex Noerdin said he hoped the package would help reduce the province’s number of leprosy patients.

“We are determined to free South Sumatra from leprosy,” he said.

Hospital director Dr Heriadi Manan said the facility was currently treating 40 leprosy patients and housing 50 rehabilitated patients.

“They have already recovered from the illness, but because of their physical defects, they are reluctant to return to their society because they fear being exiled,” he said. — JP

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Who’s to blame for our antibiotics addiction?

Triwik Kurniasari, The Jakarta Post, Jakarta | Sun, 08/29/2010 11:19 AM

The widespread use of antibiotics has become a major global public health sector problem. The UN World Health Organization (WHO) has urged countries to reinforce national policies on the prudent use of antibiotics to reduce the alarming increase in poorly monitored consumption.

A traveler walks past a drug store at Gambir train
station in Central Jakarta. Different brand of antibiotics
 are easily available as over-the-counter medicine,
 which contributes to the excessive use of the drugs.
JP/Ricky Yudhistira
How have antibiotics become a new source of addiction?

As health experts are busy debating the impact of excessive use of antibiotics, the WHO has called on governments, medical practitioners and the pharmaceutical industry to guard against possible problems associated with antibiotics, especially the potential for microbial resistance.

But what exactly is an antibiotic?

An antibiotic is essentially a substance used for curing illnesses by killing or injuring microbes, including bacteria, pharmacologist Nicolaski Lumbuun of the Pelita Harapan University Medical School said.

Antibiotics have widely been used since the 19th century following research on bacteria by Louis Pasteur and Robert Koch, who discovered that some microorganisms were capable of destroying other microorganisms.  The experiment led to Alexander Fleming’s discovery of penicillin in 1928, which was developed further by English and German scientists.

The invention resulted in a medical revolution, first by significantly reducing mortality rate, Nicolaski said.

“Antibiotics are safe for most human beings, but it have side effects causing allergies, rashes, itching, swelling and even Stevens-Johnson syndrome, which can lead to death,” Nicolaski told The Jakarta Post recently. 

Stevens-Johnson syndrome is a life-threatening condition affecting the skin.

Antibiotics should only be used to treat bacterial infections with symptoms such as fever or inflammation lasting longer than five days, Nicolaski said.

“Antibiotics fight bacteria-related illness, so they are not suitable for treating influenza or the common cold, which are caused by viruses,” he added.

In Indonesia, people tend to excessively consume antibiotics because they are over-the-counter medicines that can be found in drugstores, or even in roadside stalls. In many cases, physicians easily prescribe antibiotics in hopes that their patients swiftly recover. 

Nicolaski once again warned about the side effects of antibiotics.

“First, it is a waste of money because antibiotics are usually expensive. They can lead to allergic reactions and digestion problems. But the most serious effect is that excessive use of antibiotics can
raise the resistance to dangerous bacteria. This situation makes it difficult for doctors to control
infections.” 

Some bacteria become immune if an antibiotic is used over a long period of time, Nicolaski said, adding that this is why some countries have imposed strict regulations over the use of antibiotics.

“In Singapore, for instance, drug stores can only give antibiotics to customers with a prescription from licensed physicians. Such regulations protect citizens,” Nicolaski said.

Other experts have warned about the issue of antibiotics resistance because of microorganisms’ ability to mutate and develop immunity, the chairman of Eijkman Institute for Molecular Biology Malaria Laboratory, Syafruddin, said.

Research indicated that some organisms, such as Staphylococcus aureus, had built up immunity against meticillin, a penicillin-class antibiotic used to treat infection, he said.

Syafruddin also blasted doctors who over-prescribed antibiotics despite knowledge of the associated risks, and suggested that doctors asked their patients about allergies to antibiotics.

“If doctors are not sure about their diagnoses, they shouldn’t give their patients antibiotics,” he said.
Syafruddin added that doctors should be encouraged to provide patients with more general medicines to prevent antibiotic resistance. 

While many doctors freely offer their patients antibiotics, there are other doctors who are more cautious.

Nina, a doctor who refused to give her full name, said that she only prescribed antibiotics if her patient suffered from a high fever for more than three days.

“I will prescribe regular [non-antibiotic] medication if my patient’s fever lasts less than three days. If the fever lasts longer than three days, I will prescribe an antibiotic. But I check the patient’s condition before I make the prescription,” she said.

It is also important to ask patients whether they have allergies when they request prescriptions for antibiotics, Nina said.

“Sometimes parents panic when their children are sick and ask the doctor to prescribe antibiotics. Many people think that antibiotics will solve illnesses immediately.

I myself will not prescribe antibiotics if the patients don’t need it, and I will give the reason why,” Nina said, adding that pregnant women have to be careful because the consumption of antibiotics can give harm the fetus.

But some people are simply clueless about antibiotics and the possible effects they may have. 

“I don’t even know what an antibiotic is. All I know is that if the doctor gives us an antibiotic, we must eat it, but I never ask my doctor why,” said Gayatri Nur Andewi, a 28-year-old mother of two.

“I don’t want my kids taking too much of any medicine, and I stop giving them the drugs once they feel better.

The most important thing is that the sickness is gone,” Gayatri said. She said she never bought antibiotics without a prescription because it was too risky.

“It’s a matter of safety. I don’t know what antibiotics are available in stores,” she said.

For others, antibiotics are their drugs of choice. Private employee Gracia Maya Savitri said she bought antibiotics from drugstores without a prescription.

“Yes, I bought Amoxicillin for my toothache. My dentist suggested I take the antibiotic and I buy them without a prescription,” she said.

“I used to give my sick toddlers antibiotic syrup, but I only gave it for three days,” she said.

Why does not she consult a physician? “I don’t want to stand in line, especially as my pediatrician
has a lot of patients,” Gracia said. 

Nicolaski urged the public not to buy antibiotics without a prescription.

“If you get a cough, cold or flu [for less than three days], it’s not recommended to take antibiotics without a doctor’s prescription, because these illnesses are caused by viruses and antibiotics won’t work,” Nicolaski said. The excessive use of antibiotics to fight ailments like common colds has contributed to a global antibiotic resistance crisis, he said.

“Don’t use antibiotics for prevention, such as taking antibiotics before or after having sexual intercourse with a sex worker. The medicine will not prevent sexually transmitted infections,” he said.

Nicolaski also encouraged patients to prevent infection and side effects by maintaining discipline when a doctor prescribed an antibiotic.

The WHO also recommended that governments ensure rational use of antibiotics by educating healthcare workers and the public on the most appropriate dosage.

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Swine flu advisers' ties to drug firms: Five WHO experts linked with vaccine producers

Daily Mail, By SOPHIE BORLAND, 13th August 2010

A third of the experts advising the World Health Organisation about the swine flu pandemic had ties to drugs firms, it has emerged.

Five of the 15 specialists who sat on the emergency committee had received funding from pharmaceutical giants, or were linked to them through their research.

The revelation will prompt speculation that the 'pandemic' was wildly overestimated and largely fuelled by the drugs industry who stood to benefit from the panic.


Last month it emerged that the Government had spent more than £1.2 billion tackling swine flu - most of it going towards vaccines

Last month it emerged that the Government had squandered more than £1.2 billion tackling swine flu - most of it going towards vaccines following experts' dire predictions that as many as 65,000 Britons would die.

In fact the virus claimed just 457 lives - a third of those killed every year by ordinary seasonal flu.

But today it emerged that many of the scientists on the WHO's emergency panel had links with firms including GlaxoSmithKline, who made millions manufacturing swine flu vaccines.

It follows revelations by the Daily Mail earlier this year that more than half of the scientists advising the British Government's own taskforce on the pandemic had links to drugs giants.

One of the 15 scientists advising the WHO was British professor Neil Ferguson - who last year warned the pandemic would be so bad all schools would need to close.

It has since emerged that Professor Ferguson had acted as a consultant for Roche, who makes Tamiflu, as well as GSK Biologicals until 2007.

Professor Maria Zambon, who was also on the panel, from UK Health Protection Agency's Centre for Infection, said she received funding from several vaccine makers, including Sanofi, Novartis, CSL, Baxter and GSK.

During the outbreak last year Professor Zambon warned that up to a third of school children in Britain had the virus without knowing as they did not have symptoms.

Meanwhile US professor Arnold Monto admitted he had done research for GlaxoSmithKline, Baxter, the two firms contracted to make the jabs, as well as Roche, which makes Tamiflu.

He had also done work for two other large firms Novartis and Sanofi Pasteur.

Critics warned that there was serious conflict of interest amongst these experts whose advice had led to the waste of vast sums of taxpayer's money.

Labour MP Paul Flynn said: 'A year ago, these experts told us the world was facing a grave health emergency.

'On this occasion, regrettably, they got it wrong: their advice led WHO, the EU and national governments to vastly overrate the seriousness of the H1N1 epidemic, wasting large sums of public money and scaring the world unnecessarily.

'With such conflicting pressures, we need to be absolutely certain that the advice of such experts is based on solid scientific evidence and is driven solely by the need to protect public health. The only way to do that is through total transparency.

'When a future pandemic is declared, the public has a right to know, from the outset, who is recommending such a drastic step – as well as any links they may have to the pharmaceutical industry, which stands to profit from such a recommendation.'

Another expert Nancy Cox, from the US Centers for Disease Control, admitted she had received funding from the drugs industry group, the International Federation of Pharmaceutical Manufacturers and Associations (IFPMA) for flu vaccine research and work on viruses.

British scientist John Wood admitted that his research unit at Britain's National Institute for Biological Standards and Control (NIBSC), had undertaken work for Sanofi Pasteur, CSL, IFPMA, Novartis and Powdermed on influenza vaccine.

The panel were instrumental in advising the WHO to officially declare swine flu as the first pandemic in 40 years last June.

Earlier this year it emerged that 11 of the 20 members of the Scientific Advisory Group for Emergencies, which advised the British Government on swine flu, had done work for the pharmaceutical industry or were linked to it through their universities.

A spokesman for the WHO denied that the experts' work gave rise to a conflict of interest.


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WHO swine flu experts 'linked' with drug companies

BBC News, Friday, 4 June 2010 12:14 UK

Governments around the world stockpiled antiviral drugs

Key scientists behind World Health Organization advice on stockpiling of pandemic flu drugs had financial ties with companies which stood to profit, an investigation has found.

The British Medical Journal says the scientists had openly declared these interests in other publications yet WHO made no mention of the links.

It comes as a report from the Council of Europe criticised the lack of transparency around the handling of the swine flu pandemic.

A spokesman for WHO said the drug industry did not influence its decisions on swine flu.

Guidelines recommending governments stockpile antiviral drugs were issued by WHO in 2004.

The advice prompted many countries around the world into buying up large stocks of Tamiflu, made by Roche, and Relenza manufactured by GlaxoSmithKline.

A year after the swine flu pandemic was declared, stocks are left unused in warehouses and governments are attempting to unpick contracts.

Conflict of interest

The BMJ, in a joint investigation with The Bureau of Investigative Journalism, found that three scientists involved in putting together the 2004 guidance had previously been paid by Roche or GSK for lecturing and consultancy work as well as being involved in research for the companies.

Although the scientists involved had freely declared the links in other places and said WHO asked for conflicts of interest forms prior to expert meetings, the ties were not publically declared by WHO.

It is not clear whether these conflicts were notified privately by WHO to governments around the world, the BMJ said, and a request to see conflict of interest declarations was turned down.

In addition, membership of the "emergency committee" which advised WHO's director general Margaret Chan on declaring an influenza pandemic has been kept secret.

It means the names of the 16 committee members are known only to people within WHO, and as such their possible conflicts of interest with drug companies are unknown.

On its website, WHO says: "Potential conflicts of interest are inherent in any relationship between a normative and health development agency, like WHO, and a profit-driven industry.

"Similar considerations apply when experts advising the Organization have professional links with pharmaceutical companies.

"Numerous safeguards are in place to manage possible conflicts of interest or their perception."

ANALYSIS

  • Fergus Walsh, Medical correspondent, BBC News

    Be open. Be transparent. That seems to be the key learning point for the WHO from this joint investigation.

    It is common practice for academic experts to work closely with the pharmaceutical industry, such as getting funding for drug trials, or to be paid for attending meetings.

    On all clinical papers authors must publicly declare any competing interests.

    So it is surely advisable that the WHO follows the same policy with its advisors.

    And there is surely no logic in refusing to name the members of the emergency committee which advised the WHO about the pandemic.

    To fail to do so presents an own goal to critics and conspiracy theorists.

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Indonesia threatened by highly pathogenic Avian Influenza

Antara News, Wednesday, February 17, 2010 04:49 WIB

Garut, W Java (ANTARA News) - The bird flu viruses attacking Indonesia have been classified as "highly pathogenic avian influenza" (HPAI), a veterinarian said here Tuesday.

In the West Java district of Garut alone, there were at least 75 cases of HPAI between 2006 and 2010 in which more than 2,893 chickens suddenly died, Dida K.Endang said.

The attacks of bird flu viruses in 48 villages of Garut district over the past four years had sparked fears of human infection, said the head of Garut`s veterinary office.

To protect local residents from the worst possibilities, a total of 7,000 infected chickens were culled.

Local authorities paid the owners a compensation of Rp12,500 (US$1,4) for every culled chicken, Endang said.

However, not all people welcomed the amount of compensation. Instead of giving the positively infected chickens for culling, they hid the poultry and just handed over small chickens, he said.

As a result, the efforts to control and halt the spread of bird flu viruses in Garut district were not so successful. This condition was worsened by the lack of locals` health awareness, he said.

Instead of burning the infected chickens, many Garut residents throw them into rivers, creeks, or ponds. Worse, some even consumed the infected chickens, he said.

In curbing the spread of the dangerous viruses, he urged the people to report any suspicious bird flu cases immediately to 12 bird flu surveillance teams.

The team members would have gone to the suspicious spots within 24 hours. The people could also report the condition to the heads of neighborhoods or villages, he said.

The West Java provincial government had targeted that by 2014 the province would have been free from bird flu viruses, Endang said.

The habit of throwing the bird flu-infected chickens into the river was not only found in Garut but also in such other West Java towns as Bogor.

This situation had also made Head of Bogor City`s Health Office Triawan Elan deeply concerned.

"We have asked local residents, who find chickens suddenly die not to throw them into the rivers but to burn them," Triawan Elan said recently.

He warned that the threats of bird flu viruses remained real after tens of chickens in Caparigi suburb suddenly died.

According to the World Health Organization (WHO), avian influenza or "bird flu" is a contagious disease of animals caused by viruses that normally infect only birds and, less commonly, pigs.

The WHO has warned that the infection with avian influenza viruses could spread very rapidly through poultry flocks.

Indonesia has 33 provinces. Only three have been confirmed free from the threat of bird flu viruses.

Indonesia has been dealing with bird flu since 2005. However, the H5N1 type influenza is also known to have attacked chicken and birds in other Asian countries, such as Thailand, Cambodia, China, and Vietnam.


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Female genital mutilation causes aggression

Radio Netherlands Worldwide, 6 February 2010 - 11:04am



Many women who have undergone female genital mutilation suffer psychiatric problems.

This is the finding of a study by Pharos, which gathers information on refugees and health. In the study 66 Dutch African women, who had been subjected to the practice, were questioned. They were found to be stressed, anxious and aggressive. The study also found that this group of women were more likely to have rows with their partners or in some cases would not dare enter a relationship.

On the positive side, women were more likely to say no to the practice if they knew it was banned in the country where they live.

An estimated 50 women or girls are believed to be circumcised every year in the Netherlands. Critics of the practice say it is mutilation of the female genitals.

This is the first time that a study has been carried out into the psychiatric and social complaints associated with female circumcision.

The report has been published to mark the international day against female genital mutilation today.

Related Article:

Female genital mutilation (WHO)



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