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Experts say H5N1 picture not greatly improved since 2003 - Wednesday, July 28, 2010

Center for Infectious Disease Research & Policy
Academic Health Center -- University of Minnesota

Experts say H5N1 picture not greatly improved since 2003

http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/jul2310avian2.html

Jul 23, 2010 (CIDRAP News) – The global H5N1 avian influenza situation has not improved very much since the virus began spreading widely in 2003, and many human cases have probably gone unreported, French health experts conclude in an assessment published yesterday in Eurosurveillance.

While the deadly virus still has not gained the ability to spread easily from person to person, "The overall worldwide situation of influenza A(H5N1) . . . is not markedly improved since 2003," says the report by researchers from the French Institute for Public Health Surveillance (Institut de Veille Sanitaire) in Saint-Maurice, a French government agency.

"This fact, and regular reintroduction of the virus by wild birds in countries where foci have been controlled (such as Bulgaria, Romania, Turkey or Vietnam) underscore the importance of maintaining adequate surveillance and response capacities for infections in both animals and humans," the authors add.

They also write that the World Health Organization's (WHO's) human H5N1 case count "probably vastly underrepresents the true case burden worldwide." The count reached 501 cases, including 297 deaths, yesterday.

In Indonesia, they say, the case-fatality rate (CFR) for H5N1 is 88%, and nearly all the cases identified since January 2009 have been on the island of Java, which suggests that access to diagnosis is uneven and that severe cases are overrepresented in the official count.

The CFR is lower in Egypt, probably reflecting better access to timely diagnosis and care, the report adds, "but suspected human cases occurring in remote locations may not all be officially detected and/or reported and would have contributed to a higher CFR."

Reviewing the H5N1 situation in birds, the authors note that 63 countries and territories in Asia, Africa, and Europe have had outbreaks in poultry and/or wild birds since the end of 2003. Twelve countries have had poultry outbreaks so far this year: Bangladesh, Bhutan, Cambodia, Egypt, India, Indonesia, Israel, Laos, Myanmar, Nepal, Romania, and Vietnam.

"Many other countries, notably in sub-Saharan Africa, have suspected transmission in predominantly backyard flocks but lack surveillance systems to document it," the article says.

Discussing the patterns of human cases, the report observes that the numbers have generally trended downward over the past 6 years and that most cases have occurred in the months from November to April, though Indonesia has cases throughout the year. In recent years the number of cases has fallen in Asia and grown in the Near East, mainly Egypt. The latter accounted for 66 of 149 cases (44%) from Jan 1, 2008, to Jul 1, 2010.

At least 40 clusters of human cases, accounting for more than 100 illnesses in all, have occurred since 2003, the researchers report. Common exposure to sick poultry was the source of infection in the vast majority of these, but investigators concluded that limited human-to-human transmission occurred in some of the clusters, most of which were in families.

Genetic susceptibility probably has played some role in the clusters, as suggested by the three-generation cluster in Indonesia in 2006 and by clusters in Turkey, the report says. It adds that no instances of transmission in healthcare settings have been confirmed since 2003.

In conclusion, the experts say that some countries that were hit hard by H5N1 before 2007, such as Thailand and Turkey, seem to have controlled the problem and reduced risks to humans. But the virus continues to circulate in poultry elsewhere, especially Egypt, Indonesia, and Bangladesh.

While Egypt and Indonesia face a complex situation, "communication in these countries is transparent and constructive and allows for quick reporting of cases, especially if suspected clusters should arise," the article says. It notes that Indonesia authorities last December resumed the practice of reporting cases to the WHO. In June 2008 the Indonesian health minister had said the government would no longer report cases as they occurred and instead would give only periodic updates.

The virus still has the potential to spark a human pandemic, the researchers state. Unlike in 2003 and 2004, poultry outbreaks and human cases now are occurring in some of the most densely populated areas in the world, which may increase the risk of transmission from birds to humans and make it harder to contain the virus if it starts spreading among humans, the experts assert.

Tarantola A, Barboza P, Gauthier V, et al. The influenza A(H5N1) epidemic at six and a half years: 500 notified human cases and more to come. Eurosurveillance 2010 Jul 22;15(29) [Full text] http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19619


The One Health Initiative Website Welcomes …Worldwide One Health Submissions for Posting - Monday, July 26, 2010

 

OPEN NOTICE (Contact Us):

 The One Health Initiative Website Welcomes …

 Worldwide One Health Submissions for Posting on:

·                         One Health News page

·                         Publications page

·                         Upcoming Events page

Comments and suggestions also appreciated...

 Please send to kkm@onehealthinitiative.com c/o Contents Manager

_____________________________________

Bottom line of One Health Implementation:  Untold millions of lives will be protected and/or saved in our generation and those to come!


One Health: The Intersection of Humans, Animals and the Environment - Institute for Laboratory Animal Research (ILAR) Journal Volume 51, Number 3 - Friday, July 23, 2010

One Health: The Intersection of Humans, Animals and the Environment

 

Please see the current issue of the Institute for Laboratory Animal Research (ILAR) Journal Volume 51, Number 3.

 

http://www.ilarjournal.com/index.html

 

The One Health Initiative website team considers this to be a significant and important contribution to One Health literature.  In toto, it provides more concrete evidence sustaining the premise recognized by many international health scientists that One Health implementation is essential for this generation and for those to come. One Health implementation will help protect and/or save untold millions of lives in our generation and for those to come.

 

Introduction: One Health Perspective (first article) may be viewed by the gracious permission of the ILAR Journal, National Research Council of the National Academies, Washington, D.C. 20001 via issue Managing Editor, Cameron H. Fletcher.  

 

Please see PDF on the Publications page of this website at http://www.onehealthinitiative.com/publications.php (scroll down).

 

Issue Editor: James G. Fox, DVM, MS, DACLAM

                   Director of the Division of Comparative Medicine and

                   Professor in the Division of Biological Engineering at the Massachusetts Institute of Technology

                   Cambridge, MA 02139

 


“One Health in Action” pearl from a Veterinarian who teaches in a U. S. Medical School - Monday, July 19, 2010

“One Health in Action” pearl from a Veterinarian who teaches in a U. S. Medical School

 

An article in The Scientist.com  http://www.the-scientist.com/2010/7/1/22/1/  entitled ‘Litter bug’ presents some interesting stories about the transmission of the protozoan disease toxoplasmosis caused by the parasite Toxoplasma gondii.  It occurs worldwide in mammals and birds and is a common infection in humans.

 

The true ‘stories’ are always more complex than the media ones; it's always an interesting classroom session when I explain to 2nd-yr. medical students that humans are much more likely to become infected with 'toxo' [toxoplasmosis] from eating undercooked pork, lamb, or beef than they are from handling the litter boxes of house cats, especially if those cats are fed commercial cat food.

 

Since the advent of HIV, case-control studies have shown no causal association[s] between the opportunistic clinical toxoplasmosis suffered by many AIDS patients and their ownership of domestic cats.

 

When I explain how easily feed grains in bins and silos can be 'infested' w/mice, rats, and feral cat feces and that, sometimes, those feces & mummified mice end up in the feed mill ... you can almost see the light bulb 'turn on' above the students' heads; most of them have no rural or agricultural experiences and never thought about the pathway that red meat actually takes to the supermarket.  Sadly, even today (esp. after the popular press releases of the mid-'70s), most 'human school' microbiology faculty still over-emphasize the toxoplasmosis/cat feces "link", but not the importance of meat hygiene, i.e. cooking meat thoroughly.  Having said that, I also tell the students that immunocompromised humans, and especially pregnant women, should be counseled to only eat meat that has been thoroughly cooked, and always practice adequate hand washing following taking care of any of the family's pet animals.   

 

Provided by Dr. Ronald Warner:

 

Ronald D. Warner, DVM, MPVM, PhD
Professor
Director, TravelMed Clinic
Director, Preventive Medicine Division

Coordinator, Comm. Med./Public Hlth Residency Rotation
Dept of Family and Community Medicine, School of Medicine
Texas Tech Univ. Health Sciences Center
3601 4th Street
Lubbock, TX 79430-8143 (USA)
e-mail: ronald.warner@ttuhsc.edu  
voice: (806) 743-1100, ext 261
fax: (806) 743-1292


1st International One Health Congress - REMINDER: Call for Abstracts Now Open … - Thursday, July 15, 2010

1st International One Health Congress - REMINDER

 Human Health, Animal Health, the Environment and Global Survival

 

Call for Abstracts Now Open …

 

Melbourne Convention Centre

Victoria, Australia

February 14 -16, 2011

 

 See Website for More information

http://www.onehealth2011.com/

 Welcome to the 1st International One Health Congress!

For the last few years, the One Health concept has brought together experts working in the areas of animal and human disease. One Health has provided a new synthesis for veterinary and public health communities, particularly in the United States of America, Europe and Australia.

However, there is an urgent need and a growing interest to broaden the agenda to incorporate a truly global perspective and to consider environmental issues.

This 1st International One Health Congress will achieve these goals by focusing clearly on the risks and challenges brought about by the interactions between animal and human health and the environment.  It will consider these in the general context of the science and research being undertaken, but critically it will focus on the outcomes that need to be achieved to effectively manage the growing risks to global health.

The Congress aims to make recommendations on policy and organisational changes using the underlying science to inform and drive the process.  For the first time, it is envisaged that a global consideration of interrelated issues of animal and human health and the relationship with the environment can take the science to the policy maker and thus drive real and profound change. We see this as setting a pathway that in 10 -15 years will result in a seamless approach to infectious disease management  with both the  resources and those with the skills and knowledge intimately linked with the focus clearly on delivering outcomes in a fully united way.

Selected recently as the most livable city in the world, Melbourne is renowned as a global sports capital. Melbourne and the surrounding area offers everyone something in which to delight. So our invitation goes beyond the science and thought and extends to enjoying all that Australia has to offer as a unique global venue for such meetings. We look forward to sharing this with you in February 2011.


Multidisciplinary Speaker Line-up for Zoonoses Conference - Monday, July 12, 2010

PRESS RELEASE - For immediate release

July 12, 2010

 

 

Multidisciplinary Speaker Line-up for Zoonoses Conference

 

OAK BROOK, IL  July 12, 2010:  Experts from across the professional disciplines of human health, disease control and veterinary medicine will be featured at the Sept. 23-24 symposium,

Zoonoses: Understanding the Animal Agriculture and Human Health Connection.

 

The symposium, which will examine connections between zoonotic diseases, animal agriculture and human health, will be at the Grand Hyatt Hotel, Washington, D.C.  The symposium is a program of Farm Foundation, NFP with support provided by  USDA's Economic Research Service (ERS) and Animal Plant Health Inspection Service (APHIS); Hormel Foods; the National Assembly of State Animal Health Officials; the U.S. Animal Health Association; and the American Veterinary Medicine Association. 

 

"The relationships of zoonoses, animal production and human health are characterized by diverse and complex issues," says symposium coordinator H.L. Goodwin, professor and poultry economist at the University of Arkansas, Fayetteville. "This symposium program represents a unique gathering of global leaders from across the disciplines.  Sharing issues and concerns within and across disciplines reinforces the collaborations needed if we are to address the complexity of issues surrounding zoonoses."

 

Among the featured speakers at the symposium are:

  • Dr. Juan Lubroth, Chief Veterinary Office, United Nation's Food Agriculture Organization,
  • Dr. John Clifford, Deputy Administrator, Veterinary Services, USDA Animal Plant Health Inspection Service (APHIS),
  • Dr. Ali Khan, Assistant Surgeon General and Deputy Director, National Center for Emerging and Zoonotic Infectious Diseases, Center for Disease Control and Prevention,
  • Dr. Carol Rubin, Associate Director for Zoonoses and One Health at the Center for Disease Control and Prevention,
  • Dr. David Heymann of the Centre on Global Health Security, Chatham House, United Kingdom, and
  • Dr. Dave Harlan, Director of Global Animal Health, Cargill, Inc.

The program is designed to clarify specific issues in the relationships between animal agriculture and human health, broaden understanding of the relationship between diverse production systems and practices and zoonotic diseases, and identify questions that need more research or attention. The current program is posted on the Farm Foundation Web site.

 

Targeted for participation in the symposium are the multiple disciplines involved in any disease outbreak-public health officials, epidemiologists, virologists, veterinarians, agriculture producer groups and media representatives, particularly those responsible for health, science and agricultural coverage. 

 

"Regardless of the disease, each profession has a key role in the prevention or management of a zoonotic disease outbreak," says Farm Foundation, NFP Vice President Sheldon Jones.  "As evidenced by the recent H1N1 disease outbreak, significant questions exist with both professionals and the general public about the relationship between diseases, agricultural production systems and human health.  This symposium is designed to help build a systematic knowledge and a more holistic understanding of those relationships."

 

To build the symposium program, Farm Foundation brought together a diverse planning committee of representatives from academia, the veterinary health community, public health agencies, livestock production and the media.  The program emphasizes the need for science-based and cohesive communication between the multiple disciplines involved in any disease outbreak.

 

In addition to the program sessions, the symposium will feature a poster session, with abstracts to be evaluated in three areas:  wildlife populations, commercial animal agricultural systems, and human health concerns.  Details are posted on the Farm Foundation Web site, www.farmfoundation.org.

 

Conference registration is $300 if paid by Sept. 1, 2010, after which the fee will be $350.  A special student registration rate of $175 is also available if paid by Sept.1, after which it will be $200.  A block of sleeping rooms has been reserved at the Grand Hyatt Hotel, 1000 H Street NW, Washington, D.C.  Hotel reservations can be made by calling (202) 582-1234 or 800-233-1234.  The symposium room rate of $209 per night, single or double occupancy, is available for reservations made by Aug. 25, 2010.

 

For more information:

Sheldon Jones, Vice President, Farm Foundation, 630-571-9393, Sheldon@farmfoundation.org

H.L. Goodwin, symposium coordinator, 479-445-4141

Mary Thompson, Vice President-Communications, Farm Foundation, 630-571-9393, Mary@farmfoundation.org.

 


“One Health” Session Schedule Announced for North American Veterinary Conference (NAVC), in Orlando, Florida (USA) Monday, January 17, 2011 - Saturday, July 10, 2010

“One Health” Session Schedule Announced for North American Veterinary Conference (NAVC), in Orlando, Florida (USA) Monday, January 17,  2011

It was recently announced that The North American Veterinary Conference (NAVC) www.navc.com would present a new session in 2011 which focuses on the important and timely topic of One Health. The One Health initiative is a movement dedicated to improving the health of all species- both human and animal- through the collaborative integration of human health care, veterinary medicine and other scientific health disciplines. This initiative encompasses a diverse collaboration of health care professionals working at multiple levels of government, research institutions of higher learning (e.g. medical, veterinary medical and public health schools), and in private practicing physicians and veterinarians offices (clinics and hospitals), all striving to improve human, environmental, and animal health. 

Discussions by the speaker participants at this session are expected to discuss the important work being done by health care professionals at the global, national, state, county, and local levels.  It will concentrate on activities by physicians and veterinarians in North America who work in private practice(s), caring for patients and companion animals, respectively, in local communities.

Noted speakers and topics to be presented will include:

Donald F. Smith, DVM, DACVS

Professor of Surgery and Austin O. Hooey Dean, Emeritus

Cornell University, Ithaca, N.Y.  14853 (USA)

 

Title: Our Veterinary Legacy: One Health

 

Paul P. Calle, VMD, Dipl. ACZM

Director, Zoological Health, Global Health Program, Wildlife Conservation Society

185th St. and 2300 Southern Boulevard, Bronx, New York 10460 (USA)

www.wcs.org

 

Title: One World One Health – A Field Veterinary Perspective

Kirsten Gilardi, DVM, Dipl. ACZM
Assistant Director, Marine Programs
Wildlife Health Center
One Shields Avenue
University of California
Davis, California 95616

Title: One Health In Action: Preventing the Spread of Disease from people to Animals.  (Dr. Gilardi’s talk will focus on the USAID PREDICT project.)

Florina S. Tseng, DVM
Assistant Professor
Director, Wildlife Clinic
Department of Environmental and Population Health
Wildlife Medicine,

Cummings School of Veterinary Medicine at Tufts University

200 Westboro Road, North Grafton, MA 01536

Title: One Health: A Unique Approach for Human and Animal Health Monitoring.

Kate Hodgson, DVM, MHSc, CCMEP

Medical Education Consultant

Office of Continuing Education and Professional Development

Faculty of Medicine, University of Toronto’

1 Kings College Circle
Toronto, ON M5S1A8, Canada

Title: One Health- Evidence of the Health Benefits of Companion Animals to Human Health.

Dr. Hodgson will look at the importance of integrating companion animal health and disease to human health with an emphasis on how this affects the private practicing veterinarian and the family physician.

Note: NAVC is primarily geared for presenting educational materials for private practice veterinarians.  A One Health booth was graciously provided by the NAVC at the 2009 conference.  The booth was serviced pro bono by representatives from the Florida State Department of Health, the University of Florida’s College of Veterinary Medicine and the One Health Initiative website team.

For more information, please contact Dr. Hayley Murphy:

Hayley Murphy, DVM

Director of Veterinary Services

Zoo Atlanta

800 Cherokee Ave., SE

Atlanta, GA 30315

(P) 404-624-5801

(F) 404-624-5959

hmurphy@zooatlanta.org

Veterinary Advisor: Baboon and Gorilla SSP


Notice on Vacancies on the National Advisory Committee on Microbiological Criteria for Foods - United States Department of Agriculture Food Safety and Inspection Service (USDA-FSIS), Washington, D.C. 20250 - July 8, 2010 - Thursday, July 08, 2010

United States Department of Agriculture Food Safety and Inspection Service (USDA-FSIS)

Washington, D.C.  20250        

July 8, 2010

Subject:   Notice on Vacancies on the National Advisory Committee on Microbiological Criteria for Foods     

We are working to recruit new members for the National Advisory Committee on Microbiological Criteria for Foods (NACMCF).  The Committee provides scientific advice and recommendations to the Secretary of Agriculture and the Secretary of Health and Human Services concerning the development of microbiological criteria by which the safety and wholesomeness of food can be assessed. 

We are seeking members with scientific expertise in the fields of epidemiology, food technology, microbiology (food, clinical, and predictive), toxicology, chemistry, risk assessment, infectious disease, biostatistics, and other related sciences. Please see the attached Federal Register Notice for additional details on this Committee and how to apply.

 Please share this notice with others who may have an interest.    If you have any questions, feel free to contact us.

http://www.fsis.usda.gov/Frame/FrameRedirect.asp?main=http://www.fsis.usda.gov/OPPDE/rdad/FRPubs/2010-0001.htm .

Thank you,

Gerri M. Ransom
Director, Executive Secretariat
National Advisory Committee on Microbiological Criteria for Foods
USDA-FSIS, Office of Public Health Science
Room 354 Aerospace (Mail Drop Room 333)

Phone: 202-690-6600
Fax: 202-690-6364
E-mail:
gerri.ransom@fsis.usda.gov

Karen Thomas-Sharp

Advisory Committee Specialist

USDA,FSIS, OPHS

Room 333, Aerospace Center

1400 Independence Ave., SW

Washington, DC  20250-3700

Phone:  202-690-6620

Fax:    202-690-6634

Email:  karen.thomas-sharp@fsis.usda.gov


“One Health in Action” - Veterinarian Earns Professor Promotion at School of Medicine in Lubbock, Texas (USA) - Wednesday, July 07, 2010

“One Health in Action” - Veterinarian Earns Professor Promotion at School of Medicine in Lubbock, Texas (USA)

 

Ronald D. Warner, DVM, MPVM, PhD and a Diplomate of the American College of Veterinary Preventive Medicine (ACVPM) with a specialty in epidemiology was promoted to Professor at Texas Tech University's School of Medicine (TTUHSC) - Lubbock, TX (USA), effective February 26, 2010.  Dr. Warner has been on the TTUHSC Department of Family and Community Medicine faculty since August of 1994, following his U.S. Air Force career.  His primary responsibilities will continue to be: teaching medical and graduate students, as well as medical residents; epidemiology research; and directing the Texas Tech Physicians' Travel Medicine Clinic.

 

Dr. Warner has been and is a noted One Health supporter and advocate.


Establishment of ‘Laboratory of Comparative & Veterinary Virology’ at new Centre for Virus Research at University of Glasgow, Scotland (UK) - Monday, July 05, 2010

Wellcome Trust & Wolfson Foundation Funds Establishment of ‘Laboratory of Comparative & Veterinary Virology’ at new Centre for Virus Research at University of Glasgow, Scotland (UK)

 

 

Prof. Massimo Palmarini, DVM, PhD, Director of the Medical Research Centre, University of Glasgow Centre for Virus Research notified the One Health Initiative website team today (July 5, 2010)—please see letter posted on Publications page—that Wellcome Trust & Wolfson Foundation has provided funds, £4.8 million, for the establishment of a ‘Laboratory of Comparative & Veterinary Virology’ within the new Centre for Virus Research at University of Glasgow, Scotland (UK). 

 

Dr. Palmarini is a longtime One Health supporter and has collaborated with members of the One Health Initiative website for nearly four years.  The One Health Initiative team was honored to provide a letter of support that was included in the application for this grant.  Dr. Palmarini will assume directorship of the Centre on August 1, 2010. 

 

The One Health Initiative team congratulates Dr. Palmarini and his associates and extends our best wishes for success!

 

 


 
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