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Tracking the next pandemic: Avian Flu Talk

WHO probing child deaths from disease in Cambodia

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hachiban08 View Drop Down
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    Posted: July 03 2012 at 7:25am
WHO probing child deaths from unknown disease in Cambodia




http://health.yahoo.net/news/s/nm/who-probing-child-deaths-from-unknown-disease-in-cambodia

MANILA (Reuters) - The World Health Organization (WHO) said on Tuesday it was helping Cambodia investigate the cause of an unknown disease that has killed at least 60 children under seven years old, most of whom died within 24 hours of being admitted to hospital.

The children, the majority of whom were younger than three, had been admitted to hospitals in Cambodian capital Phnom Penh and northern city Siem Reap since April due to high fevers and signs of encephalitic or respiratory symptoms, or both, the agency said.

All but one of the 61 children admitted to hospital with the diseases had died with "rapid deterioration of respiratory function," the WHO said.

"At this point in time, the cause and source of the disease in Cambodia is still under investigation," the WHO said in an email to Reuters.

"The World Health Organization is working closely with the Cambodia Ministry of Health and other country partners to find out the cause and source of this disease. WHO has offered technical assistance to the government for epidemiology and active case finding."

The United Nations agency said in a June 30 report that the clinical signs of those afflicted with the disease "appear unusual," with patients suffering from fever and a rapid deterioration of respiratory functions, although platelet counts, liver and renal functions were found normal.

No other hospital patients or staff in Phnom Penh had fallen ill with similar symptoms, the agency's report said.

(Reporting by Rosemarie Francisco; Editing by Stuart Grudgings and Daniel Magnowski)
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Suzi15 Quote  Post ReplyReply Direct Link To This Post Posted: July 03 2012 at 11:31am
This could be serious. Testing time for H5N1 should be really quick. It's not like it's anything new.
Biological warfare pops into mind. Why aren't their parents getting it?
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hachiban08 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote hachiban08 Quote  Post ReplyReply Direct Link To This Post Posted: July 03 2012 at 5:38pm
I kind of wonder that myself, or perhaps its like how Hand, Foot and Mouth Disease is, where children are more susceptible? Odd thing is, my friend just came down with Hand, Foot and Mouth; and she's Twenty-three years old (she worked with teenagers and older children though), so it makes me wonder if it has anything to do with immune systems or something being inhaled from the air. Biological warfare would make sense in that case, but yeah, it is pretty odd that parents don't "get" it. However, what if they are carriers to it and it doesn't affect them as badly as the kids.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote pheasant Quote  Post ReplyReply Direct Link To This Post Posted: July 05 2012 at 4:16am
It is reported, in a different story from fox news today, that this event has spanned the last 3 months. This caught my attention, 60 of 61 of the children admitted to the hospital have died. This is significant, they reported that the admissions were in "14 different provinces", and different hospitals.

This is not a localized event. Does anyone have, or seen any previous stories on this one ? or can anyone add more information on this event ?
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Suzi15 Quote  Post ReplyReply Direct Link To This Post Posted: July 05 2012 at 8:30am
They have to know if it is H5N1 or not. After the first few deaths they would be paying attention.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Albert Quote  Post ReplyReply Direct Link To This Post Posted: July 05 2012 at 9:11am
If it is a mutated flu, or h5n1, by virtue of it only effecting children then it would appear that somehow along the road adults aquired immunity to it.  Whatever it is, it's very odd that it's only effecting children. 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote hachiban08 Quote  Post ReplyReply Direct Link To This Post Posted: July 05 2012 at 4:05pm
Mystery disease kills 61 kids in Cambodia

http://health.yahoo.net/news/s/ap/mystery-disease-kills-61-kids-in-cambodia

PHNOM PENH, Cambodia (AP) — A World Health Organization expert says it's too early to know whether a mixture of known diseases or something new is responsible for the deaths of more than 60 children in Cambodia.

The mystery disease has killed 61 of the 62 children hospitalized since April, but there's no indication it is spreading from person to person. Patients suffer a high fever, followed by severe respiratory problems that progress quickly. Some also experience neurological symptoms.

Dr. Nima Asgari of the WHO in Phnom Penh said Thursday that health workers are combing through victims' records to try to determine whether the problem is a combination of known ailments or a new disease.

Most patients reported were under 7 years old and were spread across several provinces in southern and central Cambodia.





So now it has an approximate age for the children. Also, if it's not spreading from person to person, how is it spreading? They are too quick to say what it probably isn't but aren't fully sure what it is. Seems like there are many holes in the storyline.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jdljr1 Quote  Post ReplyReply Direct Link To This Post Posted: July 05 2012 at 7:41pm
 

Deadly Disease Claims Child Victims Across Cambodia, WHO Says

By Jason Gale - Jul 5, 2012

Victims of a disease that’s killed dozens of children in Cambodia were from more than half the country’s provinces, a World Health Organization official said.

The first 57 patients were from 14 of Cambodia’s 24 provinces, with most coming from the southeastern provinces of Kampong Cham, Kampong Speu and Prey Veng, said Joy Rivaca Caminade, a technical officer with WHO’s Regional Office for the Western Pacific in Manila. The Ministry of Health was first alerted to the cases by Kantha Bopha Children’s Hospital in the capital, Phnom Penh, Caminade said in an e-mail today.

Health officials are searching for the cause of the deaths, which may be the result of a combination of different diseases, according to Caminade. Surveillance in the Southeast Asian nation hasn’t picked up anything of this scale in recent years, she said. So far, there is no evidence of clustering of cases that could indicate that it’s spreading from person to person.

Children admitted to the hospital with symptoms including high fever, breathing difficulty and neurological problems saw their respiratory function worsen quickly, Caminade said yesterday. A review of 57 cases found 46 of them died within 24 hours of admission, with the rest suffering the same fate within three days, she said. The stricken children were aged three months to seven years.

The United Nations health agency is working with Cambodia’s health ministry and has offered support and access to international experts in areas such as epidemiology, she said. The WHO is on standby to provide support for clinical management and supplies of medicines if requested.

To contact the reporter on this story: Jason Gale in Singapore at j.gale@bloomberg.net

To contact the editor responsible for this story: Phil Serafino at pserafino@bloomberg.net

®2012 BLOOMBERG L.P. ALL RIGHTS RESERVED.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Albert Quote  Post ReplyReply Direct Link To This Post Posted: July 05 2012 at 8:14pm
This one is a little odd.   Even for this site.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Suzi15 Quote  Post ReplyReply Direct Link To This Post Posted: July 06 2012 at 9:32am
Hope it's not some trial run to tweek their formula.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Suzi15 Quote  Post ReplyReply Direct Link To This Post Posted: July 06 2012 at 9:14pm
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Post Options Post Options   Thanks (0) Thanks(0)   Quote hachiban08 Quote  Post ReplyReply Direct Link To This Post Posted: July 08 2012 at 11:08pm
PHNOM PENH (Reuters) - A virus that causes hand, foot and mouth disease may have been responsible for some of the mysterious deaths of dozens of children in Cambodia since April, the Health Ministry said in a joint statement with the World Health Organization (WHO).

Fifty-nine cases had been identified involving children between the ages of three months and 11 years, with the majority younger than three years old. In all, 52 had died but samples were not available in the majority of cases.

"Based on the latest laboratory results, a significant proportion of the samples tested positive for Enterovirus 71 (EV-71), which causes hand, foot and mouth disease (HFMD). The EV-71 has been known to generally cause severe complications among some patients," the statement published late on Sunday said.

It said a number of other pathogens were found including dengue and streptococcus suis, which is a pig pathogen that can be transmitted to humans.

"Further investigation is ongoing and this includes the matching of the laboratory and epidemiological information. We hope to be able to conclude our investigation in the coming days," Cambodian Health Minister Mam Bun Heng said in the statement.

The WHO said on July 3 it was helping Cambodia investigate the deaths of at least 60 children under seven years of age, most of whom had died within 24 hours of being admitted to hospital in Phnom Penh or the northern town of Siem Reap.

They had high fevers and signs of encephalitic or respiratory symptoms, or both, it said.

Hand, foot and mouth disease usually affects infants and children and is spread through direct contact with the mucus, saliva, or feces of an infected person. It typically occurs in small epidemics in nursery schools or kindergartens.





Weird that they think its from Hand, Foot and Mouth Disease. My friend recently got that too and she's 23 years old, she worked for a non-profit org that worked with teenagers 13-17, which isn't the age group. However, since she came down with that, they laid her off.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote hachiban08 Quote  Post ReplyReply Direct Link To This Post Posted: July 18 2012 at 3:37pm
Cambodia shuts all schools to fight virus spread

http://health.yahoo.net/news/s/ap/cambodia-shuts-all-schools-to-fight-virus-spread

PHNOM PENH, Cambodia (AP) — Cambodia is closing all kindergarten and primary schools two weeks before a regular vacation to try to stop the spread of a virus that has killed hundreds of young children around Asia.

Deputy Education Minister Mak Van said more than 2,700 kindergartens and 7,000 primary schools closed Wednesday to try to cope with the menacing form of hand, foot and mouth disease known as enterovirus 71 strain, or EV-71.

The victims sometimes suffer high fever, brain swelling, paralysis and respiratory shutdown, though they may have been infected by people with few or no symptoms. The recent deaths of almost 60 Cambodian children raised the alarm over the disease.

Vietnam and China have also had outbreaks. And in neighboring Thailand, three schools in Bangkok closed Wednesday over new cases in students.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote justintime Quote  Post ReplyReply Direct Link To This Post Posted: July 19 2012 at 3:49pm

Disease forces Thailand schools closure



Concerns over the spread of the hand, foot and mouth disease virus among young children in Thailand and Cambodia were fuelled on Thursday when Thailand suspended some primary and secondary school classes after closing more than 100 elementary schools, 22 of them in Bangkok

The closures come after nearly 14,000 cases of the virus were reported in Thailand, nearly all among children under five years old. No Thai deaths have been reported, but in Cambodia at least 55 children have died from the virus since April 1 – even though there are currently just 61 reported cases in the country.

The reason for the high death rate from such a small number of reported cases in Cambodia is because the virus is new to the country, explained World Health Organisation officials.

The disease has also killed 321 people in China in the second quarter of 2012, 50 per cent more than during the same period last year.

Officials from China’s centre for disease control have blamed the higher incidence on hot temperatures and have called on schools and parents to be more vigilant.

Symptoms can be as mild as general malaise or fever but can range to severe respiratory problems and even pulmonary failure; thus, only the most severe cases end up in Cambodian hospitals, said Brenton Burkholder, acting WHO representative in Bangkok. “This is most likely just the tip of the iceberg,” he said.

HFMD principally affects children under five, mainly because it is transmitted by person to person contact, Dr Burkholder said. However, Thai officials have detected some cases in children as old as 12.

A senior western diplomat in Bangkok said embassies had received calls from worried expatriate parents, but were advising them that Thai authorities were taking swift and appropriate steps to bring the situation under control. “It is reassuring to see how quickly Thai health workers were sent out to schools and playgrounds to scrub everything down,” he said, citing television news images of government efforts to counter the virus.

Thailand has an “extensive surveillance system” for the HFMD virus, having dealt with outbreaks before, Dr Burkholder said. “They know how it progresses, and based on historical records, it tends to peak in the rainy season. This year, though, the outbreak appears to be higher than usual.”

Thai health officials have also dismissed fears of a possible mutation of the virus. Pornthep Siriwanarangsan, head of the Thai health ministry’s disease control department, said no new strains of HFMD had been detected and that most of the infections had been caused by common strains, particularly the Enterovirus 71, or EV-71.

Thailand’s Bureau of Emerging Infectious Diseases on Wednesday said HFMD is near its peak and, while it could spread further in the next four to six weeks, would subside after that.

Additional reporting by Simon Rabinovitch in Beijing.

http://www.ft.com/intl/cms/s/0/198de33e-d18c-11e1-bbbc-00144feabdc0.html#axzz216wXLfnb


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Post Options Post Options   Thanks (0) Thanks(0)   Quote justintime Quote  Post ReplyReply Direct Link To This Post Posted: July 19 2012 at 4:01pm

2 RP EV-71 cases distinct from Cambodia virus ­DoH

Manila, Philippines – The Department of Health (DoH) said Tuesday that the Enterovirus 71 (EV-71) that affected two kids in the country is not the same as the one found in Cambodia.

In an interview, DoH Assistant Secretary Dr. Eric Tayag said the virus found here was not the same as the one found in Cambodia.

“They tested positive for human Enterovirus but it’s not the same as EV-71 because there are a lot of Enterovirus. Among them are EV-71, polio virus and Coxsackievirus 16. Even the common cold, these are Enteroviruses,“ Tayag said.

EV-71 also causes Hand, Foot, and Mouth Disease (HFMD). The severe form of HFMD affected and killed several Cambodian children.

Tayag explained that doctors usually test if the patient is positive for human Enterovirus. If it yields a positive result, the patient will then be tested for which Enterovirus has caused the disease to know if it is EV-71 or Coxsackievirus 16.

At present, he said there are seven suspected HFMD cases. Two of them have tested positive for human Enterovirus. They will be subjected to another round of test that will determine whether they were affected with EV-71 or Coxsackievirus 16. DoH expects the test to be released this week.

“The EV-71 is what we call Neurotrophic which means they cling to the brain. One example of a virus that does this is the polio virus. When experts have eradicated po lio, they are predicting that Enterovirus will become sort of like the new polio,“ Tayag said.

He said the virus is self-limiting but the patient must be protected against dehydration because severe dehydration is fatal.

Currently, there is no vaccine against EV-71

http://www.tempo.com.ph/2012/2-rp-ev-71-cases-distinct-from-cambodia-virus-%C2%ADdoh/

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