Human transmission likely in 2004 Thai avian flu cases

first_imgJan 24, 2005 (CIDRAP News) – Researchers who analyzed a family cluster of three cases of H5N1 avian influenza in Thailand say in an article published today that two family members probably acquired the disease from the third.The mother and an aunt of an 11-year-old girl who died of probable avian influenza last September most likely caught the disease from the girl when they cared for her in a hospital, according to the report published online by the New England Journal of Medicine.The findings appear to be the strongest evidence so far of person-to-person transmission of H5N1 avian flu since the disease became widespread in Southeast Asia last year. But the authors say they found no sign of any further transmission and no evidence of mutations that could enable the H5N1 virus to spread easily among people. Disease experts fear that such mutations could lead to a flu pandemic.The 11-year-old girl, who lived with her 32-year-old aunt, died of pneumonia on Sep 8, 2004, according to the report by Kumnuan Ungchusak, MD, MPH, of the Thai Ministry of Public Health, and colleagues from Thailand and the US Centers for Disease Control and Prevention. The girl had fallen ill 3 or 4 days after having contact with dying chickens.While the girl was in a hospital, her 26-year-old mother, who worked in a distant city, came to be at her bedside, providing “16 to 18 hours of unprotected nursing care,” the report says. The mother, who had no known exposure to poultry, became ill with a fever Sep 11 and died Sep 20.The girl’s aunt also helped care for her in the hospital, spending about 12 hours at her bedside on Sep 7. The aunt in turn fell ill with fever Sep 16 and eventually experienced pneumonia, but she gradually recovered and was discharged Oct 7.Because no adequate tissue samples were preserved, investigators could not confirm that the girl had avian flu, but her case had all the cardinal features of previous cases, the report says. Laboratory tests (reverse-transcriptase polymerase chain reaction) confirmed the disease in her mother and aunt.The mother made a 10-minute visit to her daughter’s household Sep 7 but had no known exposure to poultry before she became ill on Sep 11, the article says. The aunt’s last known exposure to poultry was 17 days before she fell ill, a period longer than the typical incubation period of 2 to 10 days.”We believe that the most likely explanation for the family clustering of these three cases of avian influenza is that the virus was transmitted directly from the infected index patient to her mother and to her aunt,” the report states.Epidemiologic investigation revealed no other human cases associated with the family cluster. In addition, RT-PCR analysis and phylogenetic analysis of the virus showed no changes that could equip it for efficient person-to-person transmission.The report says avian flu has spread from person to person before. For example, in Hong Kong’s 1997 outbreak of H5N1, some healthcare workers were found to have antibodies to the virus, and one reported mild symptoms. However, “The current family cluster is unique in that the secondary infections resulted in severe disease and death and in that the epidemiologic circumstances and laboratory findings made it possible to rule out transmission from poultry.”The lack of further transmission in the family cluster should not be an excuse for complacency, the authors write. If H5N1 avian flu remains endemic for years in the affected countries, “it is likely that such clusters will occur again, and it will be necessary to investigate each one rapidly and thoroughly to determine whether a critical change in the virus has occurred,” they conclude.Ungchusak K, Auewarakul P, Dowell SF, et al. Probable person-to-person transmission of avian influenza A (H5N1). N Engl J Med 3005;352(4):333-40 [Full text]last_img read more

Top snooker referee joins coronavirus frontline battle

first_img Loading… “Normally I would have been in Sheffield, so this fortnight was clear in my diary. When I was asked to take on this role, I didn’t even have one second of doubt. “Ever since I was a young child I wanted to work in medicine and I have been working for 28 years. So when this came up, I jumped at it, even if there are some risks. “It is tough of course. Just as you do in the UK, we have problems here getting enough personal protective equipment. “This weekend we started using scuba diver masks which were bought in a sports shop, because we don’t have enough of the correct masks. Read AlsoRugby legend tackles COVID-19 mental health “The worst thing is the heat. The body produces a lot of heat but it can’t escape from the costume. “I am often wearing two pairs of gloves – one for the whole day and another pair when I am treating patients. By the end of the day my hands feel like gum Top snooker referee Olivier Marteel has joined the health heroes on the coronavirus front line and is using scuba diver masks in a bid to fill the void left by lack of equipment. Marteel, who took charge of the 2015 World Championship final, combines his sporting duties with working as a radiology nurse in Belgium. The 50-year-old would normally have been at the Crucible this week before the tournament was postponed due to the pandemic. But instead Marteel finds himself in A&E at the AZ West Hospital in Veurne after volunteering to assist in the crisis. Olivier Marteel different role in pandemic era He said: “When the virus became widespread, each hospital created an extra Accident and Emergency department. “So there was one for Covid patients and one for everything else. My head nurse asked me if I could work on the Covid A&E department. FacebookTwitterWhatsAppEmail分享 Promoted ContentTop 8 Most Fun Sylvester Stallone Movies6 Things You Didn’t Know About Channing Tatum’s Ex-WifeThe Top 9 Oddest Underwater Discoveries No One Can Explain8 Fascinating Facts About CoffeeBirds Enjoy Living In A Gallery Space Created For ThemBest Car Manufacturers In The World8 Facts About Sasha Obama10 Risky Jobs Some Women Do6 Of The Best 90s Shows That Need To Come Back ASAPCan Playing Too Many Video Games Hurt Your Body?The Very Last Bitcoin Will Be Mined Around 2140. Read More6 Incredibly Strange Facts About Hurricaneslast_img read more

David Horsey not distracted by Ryder Cup qualification ahead of Russian task

first_img “I just want to keep playing well. I’m not really thinking about it being the start of the Ryder Cup race at all,” he said. “I just want to turn up every week and try and compete every week, do my own thing and get my preparation done and try to win. “It is always great to come back and defend a title, even if it is a different golf course.” The Cheshire golfer admits even in victory last month he learned a lesson after missing the cut the following week at the Czech Masters. “I was probably a little bit mentally tired last week, it takes a lot out of you that you don’t realise when you win,” he told his pre-tournament press conference. “Your confidence is high and you think you can win every week so maybe I have to learn from that. “It was a course which didn’t really suit me, but I felt like I could score but maybe ran out of batteries on Friday.” Horsey succeeded Michael Hoey as Russian Open champion, but the Northern Irishman is back in Moscow looking to rediscover some form in the city where the most recent of five career European Tour victories came. Qualification for Darren Clarke’s team to go to Hazeltine in a year’s time begins with the event at the Skolkovo Golf Club, which is owned by Chelsea Football Club owner Roman Abramovich. However, Horsey, who recorded his fourth European Tour win last month in Denmark, is concentrating on retaining the trophy he won in a play-off at the Tseleevo Golf Club. “It’s a good opportunity here for myself and some of the younger guys to come and try get a win because the field isn’t as strong as the likes of Wentworth or the bigger tournaments,” said the 36-year-old. “I used to play Challenge Tour at Moscow Country Club, which was always a fantastic course and when I won two years ago it was at Tseleevo – another great golf course. “I haven’t really been totally sharp this year. We had a baby at the end of last year so we have two kids now and that can be tough with the travelling. “I’m definitely disappointed not to have challenged as much this year, but I’ve secured my job on the European Tour for next year so at least I have that. “It’s been a tough year with the two young one, but it should get easier and I’m feeling great now so hopefully the end of the year can be good. “I’m hitting the ball well but I just need to hole a couple of putts. I putted really well two years ago and it was a similar course so if I can do that this week then you never know.” England’s David Horsey is focused on defending his Russian Open title rather than the start of the race for the 2016 Ryder Cup. Press Associationlast_img read more

Hodge, Jangoo miss tons as Hurricanes fight back to end on 355-7

first_imgBy Clifton RossLEEWARDS Hurricanes batsmen Montcin Hodge and Amir Jangoo narrowly missed out on centuries as the visitors gained a 94-run lead over Guyana Jaguars heading into the final day of action at Providence. Despite facing a deficit, the defending champions will fancy their chances with one day of play left as the Hurricanes ended day 3 on 355 for 7 with a lead of 94 and Rakeem Cornwall (1*) and Jerimiah Louis (6*) the pair to resume on today’s final day.Hodge top-scored with 98 (9×4) and should have got to a century after facing some 368 balls. He shared an important 171-run third-wicket partnership with Jangoo, who also missed the chance of recording his first century at this level, but nevertheless oozed class, as he found the ropes on 10 occasions to go along with his lone six.After putting on some 88 runs in the morning session, with Hodge resuming on 60 and Jangoo 62, Hurricanes went to lunch firmly placed on 161-2.The pair of half-centurions maintained their disciplined approach which rewarded them with runs and continuing to expose the Jaguars bowlers who were picked off for the occasional boundary now and then.Smith could have made a breakthrough but Hodge was given a life when he was dropped on 68 as the Windwards continued to press on with their wiping off the deficit.  Left-arm spinner Veerasammy Permaul (3-88), had other ideas as he broke the century partnership by trapping Jangoo lbw, prior to tea as the Leewards went in on 251-4.Hodge shrugged off his partner’s loss and continued to play his shots but just when it seemed like the West Indies-A batsman would reach his milestone, left-arm seamer Raymon Reifer (2-70), broke the opener’s edge which sailed into the gloves of a waiting Anthony Bramble behind the stumps.Wicketkeeper Jahmar Hamilton (67) carried the Hurricanes charge for the final session of day 3 smashing 10 fours and a six in his way to a rather brisk fifty which further added to the visitors’ small lead. The final day’s action starts today at 10:00hrs.last_img read more

Appiah wants Black Stars to rediscover their shine against Uganda

first_imgKwesi Appiah is expecting his Black Stars to rediscover their shine when they meet Uganda in Kumasi on Saturday.Ghana are meeting for the first time since their participation at the World Cup in Brazil, with the Cranes match the first of two-quick qualifying matches for the 2015 Africa Nations Cup ahead of their qualifier in Togo next week.The build-up has been overshadowed by off-field matters on the back of their World Cup exit in the first round.Some negativity has surrounded the Black Stars since then but Appiah insists the team will need to pull together with the jury still out on them.”Automatically, there’s pressure not because of the up-coming match but due to the distractions created by our disappointing World Cup campaign,” Appiah told www.ghanafa.org on Monday in Kumasi.”Ideally, we would have expected to be enjoying all the plaudits but that is not the case now. We hope to draw important lessons from that experience and shine again. “I trust our fans to stick by us as we begin another important campaign. Their support is key so we can all have another opportunity to dream again.”Appiah hopes to put his best foot forward for the opening Group E contest at the Baba Yara Stadium and he trusts his called up players to be up for a tough game against Uganda.”We have to start well. We want to win and that is our focus. However, we are expecting a tough game,” he said.”Uganda come in with no pressure compared to us. Football always defies the rule book so nothing can be left to chance. “Our opponents will come in seeking to win just like we will be doing. It’s a very important start for either side but one that we must strive to get out of the way. “Their last encounter here in 2005 ended in a draw so they will be aware of what they can do even though it’s been a while since they played at the Nations Cup.”Expectations will be high but we must deal with it and deliver a good performance.”last_img read more

Deputy Sports Minister happy with Ghana League progress

first_imgDeputy Youth and Sports Minister Vincent Oppong Asamoah says he is impressed with the level of play and patronage in this season’s Ghana Premier league.The excitement and level of play after match day 5 has been the major talking points in the league.Lots of positives have been seen so far and Vincent Asamoah, an avid follower of the league, hopes we can build on those positives to make this season’s league a memorable one“I think we are seeing the best spectating so far in the league and that is impressive. The fans have been so splendid and I must say I am impressed,” he told Joy Sports“The quality of play has been fantastic and officiating too has not been bad at all.”“We need more of the games on TV and aside Supersports, if the other local stations can show matches I think it will also go a long way to promoting and making it very good.”  –Follow Joy Sports on Twitter: @JoySportsGH. Our hashtag is #JoySportslast_img