– Advertisement – Werner traded RB Leipzig for Chelsea in a £53m deal in the summer, while his Germany colleague Havertz joined Frank Lampard’s side in a £70m transfer from Bayer Leverkusen.The 24-year-old Werner has settled in at Chelsea the faster, with four goals to his name already, but insisted that his close friend Havertz has the capacity to dominate the English game.“I know Kai very well and I think he is one of the most talented players in the whole world,” said Werner. “He is a young boy, only 21 and he can learn a lot but can already play like a very, very old and wise player. I think up and until now he feels very well here. A bit like me, we have talked a lot about settling in and he feels he is very happy to be here. Asked if he now feels at home at Chelsea, Werner said: “Of course. At the beginning always when you come to a new country, a new league, to come to a different style of football it’s always something different.“Now I think I’m here in the league – I know how to play, I know what ways are better for my game, better for my team, better for my team-mates.“I feel really comfortable now and I hope it will go on like this. I think every team that plays in the Champions League or the Europa League play on Saturday, Wednesday, Saturday, and it’s difficult. But I think we have a big squad, a really big squad of good players.“That’s not normal. We have so many players, and so many good players. We have to have the goal to come very far in this competition.”Lampard praises ‘complete’ Mendy ahead of Rennes reunion – Advertisement – – Advertisement – Frank Lampard has heaped praise on “low maintenance” and “very complete” Chelsea goalkeeper Edouard Mendy as he prepares to face his former club Rennes in the Champions League on Wednesday.He said: “When we looked to sign him, we obviously made enquiries. Petr Cech was heavily involved – I think that’s pretty common knowledge.“All the feedback was that he had a great personality and was a strong personality in the dressing room. Everything I heard, all those positives, have come through.“He’s very low maintenance, he works hard, is eager to engage with his teammates and myself. He’s got a smile on his face and has played well.“When I say low maintenance, I’m not trying to compare to other players. A lot of that is feedback I get from the coaches, and I’ve had that feedback with the other ‘keepers.” Chelsea will entertain Rennes in Wednesday’s Champions League clash at Stamford Bridge, with Werner confident he has already adapted to the English game.And having had time to assess Chelsea’s new-look squad, Werner believes the Blues boast an abnormal amount of talent – leaving him even more confident about their chances of major silverware.Werner arrived at Chelsea insisting he had moved to London to win the biggest titles, and sees no reason to temper that ambition, having found his feet in London. Speaking on The Football Show, former RB Leipzig head coach and sporting director Ralf Rangnick believes Chelsea have secured a significant signing this summer, paying Kai Havertz the highest compliment Timo Werner has hailed compatriot and Chelsea team-mate Kai Havertz as one of the world’s most talented players.Striker Werner believes Havertz already boasts wisdom beyond his 21 years, backing the Blues playmaker to improve rapidly as he settles into life in England.- Advertisement – 2:52 Image:Werner and Havertz are also team-mates at international level “In a lot of games he has shown what he can do, what he can bring to the team. For Kai it is very important to score, but I think what you can see in his game he is a lot more than scoring goals as a midfield player.“He plays a lot of key passes, makes a lot of movement for other players. He is very talented and feels good.“He will get better and better, like me he has come to a new country, language and style of football and has to learn. But until now he plays very good and we will see a lot more good games from him.” 1:19 1:57 FREE TO WATCH: Highlights from Chelsea’s win against Burnley in the Premier League Chelsea head coach Frank Lampard praises new goalkeeper Edouard Mendy after keeping four clean sheets in his last four games.
OlderMiami Beach leads 2020 North America World Travel Awards winners “We remain focused on cash generative flying over the winter season in order to minimise losses during the first half and retain the flexibility to ramp capacity back up quickly when we see demand return,” explained a statement to markets.At the same time, easyJet confirmed the sale and leaseback of a further eleven aircraft with two counterparties. The transactions generate total cash proceeds of approximately £130 million.- Advertisement – On completion of these further sale and leaseback transactions, easyJet now retains 141 fully owned and unencumbered aircraft, representing approximately 41 per cent of the fleet.Today’s sales following deals for nine aircraft last month. – Advertisement – Ten A320 family aircraft were sold to ACS Aero 2 Beta.The cash sales proceeds were approximately £96 million, and the aircraft will be leased back for an average term of 58 months, creating lease obligations of approximately £67 million.easyJet also sold one A320 family aircraft to JLPS Holding Ireland for cash proceeds of approximately £35 million.- Advertisement – Low-cost carrier easyJet has said it now expects to fly no more than 20 per cent of planned capacity over the next three months. The decision follows from France, Germany and the UK in recent day to reintroduce stricter measures to tackle growing numbers of cases of Covid-19. – Advertisement –
Should the government explain why Chinese apps were banned? We discussed this on Orbital, our weekly technology podcast, which you can subscribe to via Apple Podcasts, Google Podcasts, or RSS, download the episode, or just hit the play button below.For the latest tech news and reviews, follow Gadgets 360 on Twitter, Facebook, and Google News. For the latest videos on gadgets and tech, subscribe to our YouTube channel. Technology companies’ services could be banned from the European market if they do not follow European Union regulations, Europe’s industry chief Thierry Breton told German weekly Welt am Sonntag, as the European Commission finalises rules on internet companies. Breton will announce new draft rules known as the Digital Services Act and the Digital Markets Act together with European Competition Commissioner Margrethe Vestager on December 2.The rules will set out a list of do’s and don’ts for gatekeepers — online companies with market power — forcing them to share data with rivals and regulators and not to promote their services and products unfairly- Advertisement – The new draft rules come as critics of US tech giants, which include companies and industry bodies, question the EU’s rulings against Alphabet unit Google, saying they have not curbed its allegedly anti-competitive behaviour. Some want EU enforcers to go further than just ordering companies to stop such practices. The draft rules would allow the EU to ban companies or part of their services from the 27-country bloc as an extreme optionUntil the draft rules are adopted EU antitrust and digital regulators do not currently have the power to impose such bans. “Strict rules must be enforceable”, Breton told Welt am Sonntag. “For this, we need the appropriate arsenal of possible measures: Impose fines, exclude companies or parts of their services from the Single Market, insist that they split up if they want to keep access to the Single Market or a combination of all of these.”He added that these sanctions would only apply to companies that do not respect the EU’s rules, and that the toughest measures would only be used in exceptional circumstances. In a sign of how much tech firms fear the new regulation, Google unit last month launched a 60-day strategy to get US allies to push back against the EU’s digital chief.- Advertisement –
Less than a month later, someone sneaked 28 parrots from Indonesia into Taiwan. Authorities euthanized the intercepted birds, which tested negative for the H5N1 virus, according to postings on the ProMED-mail Web site on Dec. 17, 2004. Role of domestic ducks as ‘silent’ reservoir for H5N1http://www.who.int/csr/don/2004_10_29/en/ The possibility of encountering sick animals makes education and safety paramount for inspectors, she said. A smelly, leaking container at an airport once turned out to contain bush meat. “You open it and see the bloody hands and arms of nonhuman primates,” Woulard said. When a Thai man landed at the Brussels airport Oct 18, 2004, customs agents found two rare eagles in plastic tubes in his suitcase. They looked relatively healthy, but tests showed both had H5N1 avian flu. No human cases of H5N1 were found as a result of the smuggling attempt. CDC rules/bans on importing animalshttp://www.cdc.gov/ncidod/dq/animal.htm In Malaysia, 30 chickens and quail were thought to have acquired H5N1 infections by consuming contaminated remains of infected fighting cocks smuggled from Thailand, according to a ProMED-mail posting on Sep 8, 2004. Smugglingan evolving gameNo matter how tough the import rules may get, smugglers will still dodge them. Ask Tamesha Woulard, FWS supervisory wildlife inspector in Chicago. See also: “Customs has always lent a hand,” Cleva added. Immigration and Customs Enforcement (ICE) officers often investigate related criminal activity. The government has only 100 Fish and Wildlife Service (FWS) inspectors at ports of entry and 250 investigators nationwide. FWS, part of the Department of the Interior, also relies on other agencies to keep an eye out for smuggled creatures. The FWS’s goals concerning wildlife imports are to protect threatened species and shield the nation from economic or ecological damage from imported pests, Cleva said. FWS also enforces the rules of other agencies, such as the Centers for Disease Control and Prevention (CDC). “We see enforcing these bans as a way to help our counterpart agencies and protect the American people,” Cleva said. Import inspectors are fewThe United States relies on a network of agencies and a patchwork of rules to prevent illegal importation of wildlife. Jan 21, 2005 (CIDRAP News) The next infectious disease to enter the United States might cross the border taped to a traveler’s leg or tucked snugly under a tourist’s hat. CDC and other federal health agencies can ban trade in animals that pose a health threat. The agency banned the importation of African rodents in June 2003, civets in January 2004, and birds from eight Asian countries in February 2004. The US Department of Agriculture’s (USDA’s) Animal and Plant Health Inspection Service issued a similar order regarding Asian birds. She has added avian flu to her checklist of worrisome diseases, along with SARS and monkeypox. Safety net is ‘insufficient’Unfortunately, one CDC expert noted, bans often address only known threats without covering potential threats. Moreover, import restrictions don’t necessarily cover all the species that pose a threat. Scientists know that many dangerous infectious diseases are naturally carried by animal hosts, but they don’t always know which animals carry disease. “Prairie dogs aren’t normally exposed to monkeypox,” said Paul Arguin, MD, acting branch chief of the CDC’s Geographic Medicine branch, which deals with travelers’ health and imported zoonoses. “They ended up being a wonderful host for transmission.” Enforcement efforts, “if they exist at all, are totally underfunded,” Knights said. He recommends that the United States focus on “obvious chokepoints,” such as Senegal and Cameroon, creating teams of people on-site to stop animals before they are smuggled out of their homeland. “They’re finding out this bird flu can transfer to mammals,” Woulard said. (Cats, tigers, and leopards have contracted the flu.) “That puts [people] at risk even more.” In response to the outbreak, CDC banned domestic sales of prairie dogs as well as importation of African rodents. However, it’s still legal to import many rodents from other countries, even though they could carry diseases new to the United States. He advocates campaigns to educate the public and echoes the call for improved enforcement. When SARS was recognized in 2003, it didn’t take long for investigators to learn that civets, used as food in southern China, carried the virus. But it wasn’t until last fall that researchers identified domestic ducks as silent carriers of the H5N1 avian flu virus, about 7 years after the first human outbreak of H5N1 in Hong Kong in 1997. Thailand recently completed a study of wild birds and found that several species not previously known to carry the H5N1 virus were infected. Arguin recommends strengthening the monitoring of legal and illegal importation through stronger partnerships, more staff, more ports, more inspections, and improved interagency information sharing. Smuggling “seems an almost demonically designed mechanism to spread disease,” said Knights. “The wildlife trader takes it from one remote place and ships it round the world.” Smuggling of wild animals has always posed hazards to human health, but the stakes may be getting higher today, given the role of animal hosts in lethal outbreaks such as SARS (severe acute respiratory syndrome) and avian influenza. “We don’t have wildlife inspectors at every port of entry,” Sandy Cleva, an FWS law enforcement spokeswoman in Arlington, Va., told CIDRAP News. Instead, FWS collaborates with Customs and Border Protection (CBP) officers, part of the Department of Homeland Security, “so they would be alert to intercepting wildlife that’s coming in illegally,” she said. The United States is vulnerable to the same threats. The nation bans the importation of animals thought to pose a disease risk (as well as animals that are legally protected because of their threatened status). Authorities acknowledge, however, that controlling illegal imports is a constant battle. “It’s a risk-benefit analysis,” Arguin said. “To try to prevent all of the zoonotic disease, we’d have to close the doors. It’s very hard to get to zero risk.” “Our safety net needs to improve,” Arguin said. “The monkeypox outbreak occurred. That is evidence our safety net is insufficient.” Limiting the marketReducing illegal imports of animals that can cause human diseases may depend on reducing the market for imported wildlife through education. That task is part of the mission of Peter Knights, executive director of San Franciscobased Wild Aid, which tries to eliminate wildlife trade in the name of species protection and animal welfare. MMWR monkeypox report of Jul 11, 2003http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5227a5.htm “I’d say the strategy in the past has been reacting in a very event-focused [way],” Arguin said. But he said the CDC is in the process of revising its animal import rules to include more comprehensive restrictions on high-risk animals. Woulard, who has inspected creatures as small as spiders and as large as a killer whale, likened wildlife smugglers to other criminals. “Are all drug dealers getting caught? Are all drunk drivers getting caught? They will always find ways to smuggle, then we’ll adapt, then they’ll find something new,” she said. The stakes are high, he said. “The frightening thing with the bird stuff is it only takes one smuggled bird coming in to spark an outbreak.” Monkeypox is a good example. Seventy-one people contracted monkeypox in 2003 after contact with prairie dogs used as pets. The prairie dogs had been exposed to Gambian giant rats imported from Africa, the CDC’s Morbidity and Mortality Weekly Report noted on Jul 11, 2003. It was the first US outbreak of the disease. Any country can be one misstep away from an outbreak. Consider these cases: In addition to working on new rules, CDC recently increased its network of human quarantine stations from eight to eleven, adding sites in El Paso, Houston, and Washington, DC, Arguin noted. Staff duties may include monitoring the arrival of nonhuman primates. If CDC officials saw a possible disease risk in primates, they would call the USDA, which manages animal quarantines. For instance, small mammals in general pose a risk of carrying communicable diseases, according to Arguin. Although he couldn’t specify when the rules would change, he said they will focus on prevention, within reason.
May 6, 2005 (CIDRAP News) – The Department of Health and Human Services (HHS) will soon receive the first of 5 million doses of anthrax vaccine for civilian biodefense under a $122.7 million contract that was awarded today.Following up on plans announced last November, HHS is buying the supply of Anthrax Vaccine Adsorbed (AVA) from Bioport Corp. of Lansing, Mich., HHS announced in a news release. The Department of Defense (DoD) uses the same vaccine in a program that has generated controversy and lawsuits because of concern about side effects.”BioPort is already manufacturing the vaccine, and we expect to start taking delivery within the next couple of weeks,” Marc Wolfson, a spokesman for the HHS Office of Public Health Emergency Preparedness in Washington, told CIDRAP News. He said the company has 18 months to deliver all 5 million doses.The vaccine will be stored in the Strategic National Stockpile for use in the event of an anthrax attack, HHS said. “The BioPort vaccine will add another important medical countermeasure for anthrax to the Strategic National Stockpile,” said Stewart Simonson, HHS assistant secretary for public health emergency preparedness, in the news release.The BioPort contract is the third one awarded under the Project Bioshield Act of 2004, which authorized spending of up to $5.6 billion on medical defenses against biological, chemical, radiological, and nuclear threats.HHS first revealed plans to buy 5 million doses of anthrax vaccine from BioPort last November. At about the same time, the department announced the award of an $877 million contract for 75 million doses of a new, as-yet-unlicensed anthrax vaccine from VaxGen Inc. of Brisbane, Calif.To provide full protection, AVA requires six doses over 18 months, followed by annual boosters, which is the regimen used in the military. Authorities hope that the VaxGen vaccine will provide protection with three doses and have less frequent side effects. Wolfson said HHS expects to receive the first doses from VaxGen in November 2006.The VaxGen vaccine uses a recombinant form of just one anthrax component, protective antigen, whereas AVA is derived from whole anthrax microbes and therefore contains protective antigen and a mix of other components, HHS officials have said.Under the BioPort contract, the cost of AVA is about $24.50 per dose, more than double the per-dose cost of about $11.70 under the HHS contract with VaxGen.”I’m not sure what accounts for the difference in cost,” said Wolfson. He said the VaxGen vaccine involves “a whole separate process with a separate set of negotiations.”Wolfson said he didn’t know what DoD is paying BioPort for its supply of the vaccine, and information was not immediately available from DoD officials this afternoon.Officials announced earlier this week that DoD’s anthrax vaccination program would resume on a voluntary basis after being suspended by a federal court order since last October. A judge in Washington, DC, ruled in October that the Food and Drug Administration (FDA) had not followed proper procedures in approving the vaccine for inhalational anthrax.DoD obtained an emergency authorization from the FDA to resume the vaccination program because of the perceived risk of anthrax attacks on US troops. But the authorization required that the shots be optional, instead of mandatory as in the past.See also:May 6 HHS news releasehttp://archive.hhs.gov/news/press/2005pres/20050506.html
Jun 28, 2006 (CIDRAP News) – The Chinese Ministry of Health is conducting its own investigation into the report of a man who died of H5N1 avian influenza in late 2003, according to a report today by Agence France-Presse (AFP). The case was first described by eight Chinese researchers in the Jun 22 issue of the New England Journal of Medicine (NEJM).The Chinese Ministry of Health said it was conducting its own tests to try to confirm the case, Roy Wadia, World Health Organization (WHO) spokesman in China, told AFP. The date given for the case, November 2003, was 2 years before China officially reported any human H5N1 cases to the WHO.The Ministry of Health said it was unaware of the case until the researchers’ report appeared in NEJM, Wadia told AFP. He said the WHO has asked the health ministry to determine where the man caught the H5N1 virus and whether there were other deaths. He also said it was unclear why the scientists, who work at state institutions, did not report their findings to the health ministry.Adding to confusion about the case, the NEJM reported last week that the authors had e-mailed the journal requesting that the report be withdrawn, but the request was too late. Karen Pederson, NEJM spokeswoman, told CIDRAP News today that the journal then asked the researchers to explain the rationale for their withdrawal request.The journal took the withdrawal request seriously, Pederson said, because one of the e-mail messages requesting withdrawal came from the real address of one of the researchers. She said the authors responded that they stood by their report and none of them said they had e-mailed a request to withdraw it.In the AFP article, Wadia declined to speculate about a cover-up by the Chinese government. “We are just waiting for further information as to when exactly it was confirmed and why was it not conveyed to the Ministry of Health,” Wadia told AFP.The November 2003 death of a 24-year-old Beijing man attributed last week to avian influenza was originally thought to be from severe acute respiratory syndrome (SARS), according to the authors of the NEJM report. The case is significant because, if confirmed, it revises the timeline and geographic pattern of human cases of avian flu (see link to Jun 22 CIDRAP News story below).See also:Zhu Q-Y, Qin E-D, Wang W, et al. Fatal infection with influenza A (H5N1) virus in China (letter). N Engl J Med 2006 Jun 22;354(25):2731-2 [Full text]Jun 22, 2006 CIDRAP News story “Report: China had human H5N1 case in late 2003”
Feb 7, 2008 (CIDRAP News) – European health officials today reported signs of an increasing rate of resistance to oseltamivir (Tamiflu) in Europe’s predominant subtype of influenza virus, but they cautioned that the rate seen in isolates tested so far may not reflect the real situation.The European Centre for Disease Prevention and Control (ECDC) reported that 20% (151 of 755) of influenza A/H1N1 isolates tested so far had a mutation linked with resistance. That compares with 14% (59 of 437 isolates) reported a week ago.”However, these changes probably mostly reflect vigorous testing” by national influenza centers, the United Kingdom Health Protection Agency, and a World Health Organization (WHO) collaborating center in London, the ECDC stated in Eurosurveillance Weekly. “Hence, week-on-week changes need to be interpreted cautiously, as they are more a reflection of having more testing than any changes in the underlying epidemiology.”Norway still has the highest rate of resistance at 63% (42 of 66 isolates), but this is down from about 72% reported a week ago. Meanwhile, the rate doubled in France, to 39% (81 of 208 isolates). Germany had a rate of 8.5% (7 of 82 isolates) and the United Kingdom had 6.6% (12 of 181). Most other European countries reported few or no resistant isolates.In a separate online statement today, the ECDC said, “From the limited data, the proportion of influenza viruses exhibiting resistance to oseltamivir must be significant, but probably not as high as in Norway.”In the United States, 8.4% (15 of 179) of the H1N1 viruses tested so far had the resistance mutation, according to a WHO table that was updated today. The table shows a 6.3% (8 of 128) resistance rate for Canadian isolates.Oseltamivir resistance has also been reported in 5.6% (2 of 36) H1N1 isolates in Australia and in 7.5% (5 of 67) in Hong Kong, the WHO table shows. In Japan, where the antiviral is used much more than in most other countries, no resistant viruses have been reported.The WHO table shows resistance has been found in a total of 14 countries, 10 of them in Europe. The overall resistance rate is about 6%, or 89 of 1,396 isolates. No resistance has been found in the few African and Latin American countries where testing has been done, according to the WHO.While H1N1 is the predominant flu strain in Europe this winter, about a third of specimens tested are influenza B, the Eurosurveillance report said.European officials repeated previous statements that this year’s flu vaccine is expected to be as effective against the resistant viruses as against susceptible ones. They also said the experience in Norway suggests that people infected with the resistant variant do not seem to get sicker than those infected with susceptible strains.See also: Feb 7 Eurosurveillance updatehttp://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=8032Feb 1 CIDRAP News story “Europe says Tamiflu-resistant virus seen in 9 countries”
Mar 10, 2008 (CIDRAP News) – Egypt’s health ministry announced recently that an 8-year-old boy has been hospitalized with an H5N1 avian influenza infection, the country’s second such illness in a child in less than a week.Egypt’s health ministry said on Mar 8 that the boy, from Fayoum governorate, about 53 miles south of Cairo, was admitted to a hospital after he got sick with a fever, breathing difficulties, and pulmonary inflammation, Reuters reported 2 days ago. If his case is confirmed by the World Health Organization (WHO), he will be listed as Egypt’s 47th case-patient.Abdel Rahman Shaheen, a health ministry spokesman, said the boy was moved to a Cairo hospital where he is receiving oseltamivir (Tamiflu), according to the Reuters report.A 25-year-old woman, also from Fayoum governorate, died of an H5N1 infection earlier this month, according to a Mar 4 WHO report, which did not list the exact date of her death. However, a health official said there appeared to be no connection between the boy and the woman.News reports on the boy’s illness did not list a possible source of his H5N1 infection. Most patients in Egypt who have contracted H5N1 have been women or girls, who are the primary caretakers of poultry. However, the past two infections have been confirmed in boys.In the past 2 weeks Egypt has reported four H5N1 cases. One, in the 25-year-old woman, was fatal; the other three occurred in children.A recent report from the United Nations Food and Agricultural Organization (FAO) said the spread of the H5N1 virus in Egypt is related to a large and quickly moving poultry supply chain, for which biosecurity levels are low, according to a report today from the Integrated Regional Information Networks (IRIN), part of the UN Office for the Coordination of Humanitarian Affairs.The FAO publication said recent outbreaks are apparently related to the close proximity of ducks and chickens raised on rooftops and backyards to industrial poultry facilities, according to the IRIN report, which also noted that ducks were instrumental in the spread of the H5N1 virus.Abdel-Nasser Abdel-Ghafar, a health ministry official on Egypt’s avian influenza committee, told IRIN that though Egyptian laws prohibit raising birds in urban areas, not everyone abides. In urban areas, the birds raised on rooftops are relatively isolated, he said. However, he said in villages, people and chickens often live in the same space.”Changing the culture of people is not easy,” Abdel-Ghafar told IRIN. “[Some] people don’t believe [the dangers of avian influenza], and they of course will not believe until something happens to them.”See also:FAO report on socioeconomic impacts of cross-border animal diseases
Aug 13, 2009Canada develops business preparedness toolsCanada’s health minister Leona Aglukkaq yesterday urged businesses to prepare for another novel flu surge, Agence France-Presse (AFP) reported. She said small- and medium-size firms lag behind larger corporations that have more resource for continuity planning. To help smaller companies prepare, the country’s public health agency has contracted with two groups to develop tools to assist with such tasks as flu-related communications and staffing issues.http://www.google.com/hostednews/afp/article/ALeqM5h-I6zC_h-KtKipTEk7OksHyWAhvQAug 12 AFP storyEU issues school and travel pandemic recommendationsThe European Union (EU) today issued two pandemic H1N1 policy statements, one on school closures and one on travel. The EU’s health security committee said it doesn’t see a need for mass preemptive school closures, but said that local closures when large numbers of staff and students are infected may help delay virus transmission. The travel advisory urges sick people to stay home but does not support restriction of individual travelers or movement of people across borders.http://europa.eu/rapid/pressReleasesAction.do?reference=IP/09/1234&format=HTAug 13 EU school closure and travel statementsWHO: pandemic H1N1 reported in 170 global sitesIn an update on the novel flu pandemic yesterday, the World Health Organization (WHO) said the virus has now been confirmed in 170 countries and territories. Newly confirming first cases are Timor-Leste, Pakistan, Kirabati, Maldives, French Guiana, Falkland Islands, and Wallis and Futuna. Global deaths, as of Aug 6, rose to 1,462. Flu activity is waning in many southern hemisphere countries and is picking up in tropical regions.http://www.who.int/csr/don/2009_08_12/en/index.htmlAug 12 WHO situation update 61India urges restraint in media flu coverageIndia’s broadcast ministry has asked media organizations to avoid creating panic over the pandemic H1N1 virus that is quickly spreading in the country, Indo Asian News Service (IANS) reported today. The ministry, however, said it supports efforts to raise flu awareness. In other developments, Delhi province officials have ordered private hospitals with 200 or more beds to help diagnose and treat flu patients as a means of reducing burden on government facilities.China, Singapore report Tamiflu-resistant H1N1The WHO said yesterday that China and Singapore have found osteltamivir (Tamiflu)-resistant novel H1N1 viruses, according to a report from the Canadian Press. The story also said the WHO has informal information on a small, unspecified number of other oseltamivir-resistant viruses. The WHO has received formal notification of seven oseltamivir-resistant cases from Japan, Canada, Denmark, Hong Kong, and now Singapore. China has yet to file a formal report on its case.http://www.thestar.com/news/canada/article/680265Aug 12 Canadian Press reportSeven novel flu cases found in Peruvian tribeSeven members of the native Amazonian Matsigenka tribe tested positive for pandemic H1N1 and have recovered, Peruvian health officials said yesterday, according to Reuters. But because the tribe lives near a reserve set aside for tribes that have limited contact with modern society, human rights groups fear the virus could spread to the more isolated native people who lack immunity to the disease.http://www.reuters.com/article/middleeastCrisis/idUSN12120370Aug 12 Reuters story
Oct 30, 2009 (CIDRAP News) – The H1N1 influenza virus is now widespread in all but two states and has claimed the lives of 114 children, 19 more than the toll a week ago, the Centers for Disease Control and Prevention (CDC) reported in an update today.”Essentially what we see is more virus, more vaccine, and more deaths,” CDC Director Dr. Thomas Frieden said at a press briefing.An online CDC update says 22 flu-related pediatric deaths were reported this week, of which 19 were due to confirmed H1N1 infection and 3 were due to influenza A strains that were not subtyped. Since April, 114 pediatric deaths have been confirmed as H1N1-related and another 12 were from non-subtyped influenza A.More than two thirds of the 114 children who died had underlying health conditions that increased their risk, said Frieden.He said the national trend in H1N1 cases continues upward, though there have been decreases in a few areas, particularly in the Southeast. The only two states not included on the CDC’s online list of those with widespread flu are Hawaii and South Carolina.Recent CDC survey data indicate that many people at risk for severe H1N1 cases have not sought treatment when sick, Frieden reported.”One thing we’re surprised to see is that even among people who have an underlying condition, only half sought care for flu-like illness,” he said. Those with health conditions that put them at risk should seek treatment promptly, he added. The CDC has been stressing the importance of early antiviral treatment for such patients.To relieve spot shortages, the CDC is releasing the remaining 234,000 treatment courses of liquid oseltamivir (Tamiflu) for children in the Strategic National Stockpile, Frieden reported. The agency had released 300,000 courses on Oct 1.Some of the supply was held in reserve awaiting a clearer picture of the needs around the country, he said, adding, “It’s now clear that it’s best to release all we have and get more from the manufacturers as soon as they can provide it.”Delivery of more liquid oseltamivir is expected from the manufacturers early in 2010, he said. In the meantime, pharmacists can make a liquid formulation by using adult capsules and a syrup, he noted.On the H1N1 vaccine supply, Frieden said the cumulative total of doses available (including doses already distributed) has reached 26.6 million, which is 10.5 million more than a week ago. CDC officials recently predicted that the supply would reach about 28 million doses by the end of October.As for vaccine uptake, some “very preliminary and partial information” is that about half of the doses are going to children and half to adults, Frieden reported. Only about 1% to 2%, he said, is going to people aged 65 and older, who are not a priority group because they seem less susceptible to the virus than younger people.He said the CDC is just beginning to get information about the results of school-based vaccination programs. Because of logistical challenges and the need for parental consent forms, “We are encouraged if we see half or more of the kids get vaccinated in school; we don’t expect to see anything like 80% to 90%.”In other comments, he said 89 million doses of seasonal flu vaccine have been distributed, out of about 115 million doses expected this season. The vast majority of doses have been administered, and the vaccine remains in short supply, he said. The CDC has not seen any seasonal flu strains circulating so far.See also: CDC H1N1 updatehttp://www.cdc.gov/h1n1flu/update.htm