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WHO probes human bird flu link
Monday, February 2, 2004 Posted: 12:52 PM EST (1752 GMT)
[B](CNN) -- Asian nations are battling new cases of bird flu as the World Health Organization investigates what may be the first instance of humans transmitting the disease in the current outbreak. [/B]
China on Monday said it believed bird flu has reached poultry in one of its remotest regions, and reported five more areas with suspected cases, bringing the number of outbreaks in the nation to 11.
And the region's death toll is now at least 12, following the death of a teenager in Vietnam Monday and confirmation from Thai health officials of the country's third death from bird flu.
The latest death came early Monday at Vietnam's Hospital for Tropical Diseases in Ho Chi Minh City, according to hospital deputy director Tran Tinh Hien. The youth was admitted last Thursday.
Thai officials said Monday an autopsy on a 58-year-old woman who had previously died from an illness suspected to be bird flu, produced test results that confirmed she actually had the disease.
Charal Trinwuttthipong, Thailand's Director General of Communicable Disease, said 81 cases of people with flu-like symptoms were being "examined closely," but had not be moved into the suspected-case category.
Three of Thailand's four confirmed cases of bird flu have died. There are 18 suspected cases of bird flu in Thailand still awaiting test results. There have been deaths in half of the suspected cases, including a six-year-old boy who died Monday afternoon.
So far 10 nations across Asia are struggling to stop a disease that has already killed at least 12 people and millions of chickens.
On Sunday the WHO said two Vietnamese sisters who died from bird flu on January 23 may have caught the illness from their brother, although WHO officials have not ruled out contact with poultry yet.
If confirmed, it would be the first known case of human-to-human transmission of the virus during the current outbreak sweeping Asia.
While limited transmission of the virus between humans is not considered a serious danger, experts fear the virus might mutate into a form that passes easily between people
The WHO said it is still trying to confirm the source of the infection for the two sisters, aged 23 and 30, who died on January 23.
"WHO considers that limited human-to-human transmission, from the brother to his sisters, is one possible explanation," the organization said in a statement Sunday.
[B]Family cluster[/B]
The sisters are part of a cluster of four cases which includes their brother and his wife, in Thai Binh province.
The brother died shortly before his sisters were hospitalized, but it is not clear if he was infected with the H5N1 bird flu because no samples were available to test.
His wife was admitted at the same time as the two sisters, but recovered.
"The investigation failed to reveal a specific event, such as contact with sick poultry, or an environmental source to explain these cases," according to the WHO statement.
"At the same time, such exposures cannot be discounted, either."
Bird flu spread between humans in a 1997 outbreak in Hong Kong that killed six people.
Of Vietnam's 10 confirmed human cases of avian influenza, nine have died and one has recovered.
While the bird flu has spread in poultry across Asia, so far only Vietnam and Thailand have confirmed human cases. Thailand has confirmed three fatalities from bird flu, including the woman Monday.
That brought the total number of confirmed cases of bird flu in Thailand to four, including three dead. There are 18 suspected cases of bird flu in Thailand still pending confirmation, with 9 of those 18 already dead.
Officials in Cambodia last week reported two boys who played with chickens are suspected of having come down with the virus.
[B]Dwindling chances[/B]
China announced five new suspected cases in poultry on Monday, including one in its remote northwestern region of Xinjiang -- underlining the potentially broad range of the disease.
Xinjiang is more than 2,000 kilometers (about 1,200 miles) from the southern region of Guangxi, where China's first case of bird flu was confirmed last week.
With the new report, China now has three confirmed cases and eight suspected cases in poultry.
The WHO on Saturday urged China to take swifter action against bird flu, warning that its chances to contain the disease may be dwindling.
Beijing has closed poultry markets and processing factories in some bird flu-affected areas.
In addition to Vietnam, Thailand and China, the flu has been discovered in Pakistan, Japan, South Korea, Laos, Cambodia and Indonesia. A different strain of bird flu has been detected in Taiwan. |
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