A 13-month-old girl was detected with bird flu virus in the capital yesterday. The girl, however, is not having any serious breathing problem, which is normally the case. The symptom is so mild that it has been detected because of the extensive surveillance, Mahmudur said, adding that proper treatment of the girl has been ensured. “She is fine now and will recover soon.”

The above comments describe a mild H5N1 case in Dhaka, Bangladesh. This case follows the first confirmed case in Bangladesh (also in Dhaka) (Snip) Like this year’s case, a link to birds was not described, and treatment with an antiviral was not stated.  These two cases strongly suggested that H5n1 infections in Bangladesh and India are far more widespread than the two confirmed cases in Bangladesh (and no confirmed cases in India).

(Snip) Israel also reported a suspect case with mild symptoms that was not lab confirmed. However, the frequent reports of human cases in Egypt strongly suggest that the lack of confirmed cases in Israel is surveillance / reporting related, which is also the case for India. (Snip)  Many countries with high levels of H5N1 in poultry, like Egypt or Indonesia, rarely test symptomatic cases that do not have a poultry link.  Milder cases (Snip) would rarely seek medical attention, and most who did would rarely be tested for H5N1.

The recent receptor binding domain change (S227R) reported in H5N1 in Japan continues to increase concerns that H5N1 in humans is widespread in patients who are not tested.

http://www.recombinomics.com/News/03141101/H5N1_Dhaka_Toddler.html

Bangladesh
•  15,000 chickens culled (Link)

Canada
•  CIDRAP: Canadian doctors report viremia in 2009 H1N1 patients (Link)

Egypt
•  WHO confirms human H5N1 case (fatal)  (Link)

Georgia
•  Number of influenza victims in Georgia hits 40 people (Link)

Indonesia
•  Since January There Are 19 Patients Unforeseen Bird Flu – Dr. M Djamil Central General Hospital in Padang, West Sumatra (translated) (Link)

Vietnam
•  PM calls for missionary zeal to control cattle, poultry disease (Link)
•  Demand for Tamiflu increases as H1N1 cases rise (Link)

General
•  ProMED: Influenza (21): WHO Update (Link)
•  CIDRAP: H5N1 cases reported in Indonesia, Bangladesh (Link)

Research
•  Antibiotics May Make Fighting Flu Harder (Link)

Bangladesh
•  15,000 chickens culled (Link)

•  Efforts on to nip bird flu in the bud (Link)
•  Another human case of bird flu surfaces (2 cases in 2 days)(Link)
•  WHO confirms (yesterday’s) human H5N1 case (Link)

Canada
•  CIDRAP: Canadian doctors report viremia in 2009 H1N1 patients (Link)

China
•  China’s flu center designated as WHO collaborator (Link)

Egypt
•  WHO confirms human H5N1 case (fatal)  (Link)

Georgia
•  Number of influenza victims in Georgia hits 40 people (Link)

Indonesia
•  Since January There Are 19 Patients Unforeseen Bird Flu – Dr. M Djamil Central General Hospital in Padang, West Sumatra (translated) (Link)

•  Garut confined Epidemic (translated) (Link)
•  26 Citizens Esophageal Malaria, 7 Dead (translated) (Link)
•  Improved patient suspect bird flu (Link)
•  Medan, North Sumatera – Bird flu suspect recovering (translated) (Link)

Japan
•  3 new H5N1 cases in wild birds (Link)

Taiwan
•  Cattle egrets may spread bird flu virus: researchers (Link)

United States
•  MT: LMC issues visitation advisory due to increase in flu cases (Link)

Vietnam
•  PM calls for missionary zeal to control cattle, poultry disease (Link)
•  Demand for Tamiflu increases as H1N1 cases rise (Link)

General
•  ProMED: Influenza (21): WHO Update (Link)
•  CIDRAP: H5N1 cases reported in Indonesia, Bangladesh (Link)

Research
•  Antibiotics May Make Fighting Flu Harder (Link)

Commentary
•  Recombinomics: H5N1 Confirmed In Another Bangladesh Toddler (Link)

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