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China Confirms Avian Influenza
H5N1 Now In Pigs

From Patricia Doyle, PhD
dr_p_doyle@hotmail.com>
8-27-4
 
[1] Date: Thu, 26 Aug 2004
From: ProMED-mail Source:
CIDRAP News, 24 Aug 2004 [edited]
 
http://www.cidrap.umn.edu/cidrap/content/hot/
avianflu/news/aug242004avflu.html
 
China Confirms Avian Influenza H5N1 Now In Pigs
 
Chinese health officials confirmed yesterday that H5N1 avian influenza had been found in pigs there in 2003 but says no such findings have occurred in 2004. They also stated that the occurrence had been made public earlier in the year, although the UN Food and Agriculture Organization (FAO) says there has been no official report of the disease in pigs.
 
The Chinese ministry of agriculture in a press release stated that, spurred by the widespread outbreaks of avian flu in Asia earlier in 2004, they have tested 1.1 million samples from poultry and some samples from pigs and that no H5N1 has been found in pigs, Chinese news agency Xinhau reported.
 
The agency said also that the 2003 finding of the virus in pigs had been made public earlier in 2004. It turns out that an article reporting the findings appeared in the January issue of the Chinese Journal of Preventive Veterinary Science and another in the May issue. The latter reported that the virus was found in April 2003 in pigs at 4 locations near the east coast of China. The articles are in Chinese; translation for FAO and the World Health Organization (WHO) is under way. [See below, postings on Avian influenza, porcine, H5N1 - China. - Mod.AS]
 
Confusion began when a prominent Chinese avian influenza expert, Chen Hualan, an author of the 2 studies, said in a presentation at an international meeting late last week that the H5N1 virus had been found in pigs in China in both 2003 and 2004, to the surprise of WHO and FAO officials, who were not aware of this. A New York Times story says a press official of the Chinese health ministry was likewise surprised when told later of the expert's comments and that he said his office had no information on the subject. It is unclear whether Chen's remarks had been officially authorized.
 
The state-run Beijing Times ran a story today saying that Chen, after several days of silence, called the amount of avian flu virus in the pigs "extremely small," with the probability of isolating H5N1 from the animals "less than one in 1000," according to an AFP story. The story also stated that an unnamed spokesperson for the ministry of agriculture said "some experts' remarks" were at odds with the government's view of events.
 
FAO official Juan Lubroth said several details about the cases in pigs, including whether the animals in which H5N1 was found became sick, are crucial, the New York Times story says. If the pigs did not become ill, he explained, they would be harder to detect and quarantine or destroy, although this might also indicate that the virus had lost some of its potency. The WHO, in a statement on its Web site, points out the importance of comparing the H5N1 isolated from pigs with the strain isolated from poultry to determine whether the virus was passed directly from poultry to pigs. Shigeru Omi, WHO regional director for the Western Pacific, told AFP that "We have asked [Chinese officials] for information, but so far there have been no additional details. Overall the Chinese government has been cooperative and I hope they will remain so."
 
In other developments, the state-run Thai News Agency reported the August [2004] death of a dozen pigs in a northern province, according to a Xinhau story. The animals reportedly had symptoms of coughing, breathing difficulty, and swelling eyes. Chickens on the same farm had died earlier of avian flu, the story says. This report has not been confirmed. [More details will be appreciated. - Mod.AS]
 
[Byline: Marty Heiberg, Managing Editor, Center for Infectious Disease Research & Policy Academic Health Center -- University of Minnesota]
 
****** [2] Date: Thu, 26 Aug 2004
From: ProMED-mail promed@promedmail.org
Source: WHO update of 25 Aug 2004, via F.I.C., 26 Aug 2004 [edited] http://www.flu.org.cn/newsparticular.asp?link_id=59
 
 
Avian Influenza Update: Implications of H5N1 Infections in Pigs in China
 
-------------------------------------------------
 
Considering the widespread nature of the current H5N1 outbreak in Asia and the capability of influenza viruses to jump the species barrier, it is inevitable that H5N1 virus will be detected in some pigs. Pigs can be infected with both avian and human influenza A viruses -- for instance, human influenza H3N2 viruses have been detected in pigs in Asia, Europe and Africa.
 
Some of these human and avian influenza viruses might become adapted to pigs and then begin circulating in pig populations. The co-circulation of avian, human, and pig viruses in pigs is of significant concern because of the potential for a genetic exchange, or "reassortment," of material between these viruses. Such an occurrence has the potential to produce a new pandemic influenza strain.
 
Last week, a researcher at China's Harbin Veterinary Research Institute announced that pigs from farms in parts of China had been infected with the H5N1 strain of avian influenza. China's Ministry of Agriculture has since confirmed the researcher's findings. What is unclear from the few studies that have been conducted is whether the H5N1 virus has already become established in pig populations in China.
 
Because the findings remain preliminary and are not necessarily indicative of widespread infection among pigs, assessing the consequences of this information for public health is difficult. Providing a detailed risk assessment of the current situation requires an understanding of the main factors influencing the potential for the emergence of a pandemic influenza strain: the prevalence of H5N1 and human H3N2 virus in pigs in Asia, and the likelihood of a reassorted virus and its possible pathogenicity.
 
The role of pigs in genetic reassortment is not fully understood. While there has been no known natural occurrence of reassortment of influenza viruses in pigs that resulted in a new pandemic strain, the probability of this occurrence is not negligible.
 
The chances for genetic reassortment depends upon both the duration of H5N1 circulation in pigs as well as the simultaneous presence of human and pig influenza A viruses (such as H3N2 or H1N1). As long as human and avian influenza viruses are co-circulating -- whether in humans or in pigs -- the possibility of an exchange of genetic material exists.
 
To better understand the implications of the findings in China, WHO is encouraging that additional studies be conducted on H5N1 and other influenza A viruses in pigs in China, as well as in other countries which have experienced H5N1 avian influenza outbreaks. In addition, laboratory experiments would be required to shed some light on the probability for virus reassortment, the possible pathogenicity of a reassorted virus, and the chance that pigs will act as a pathway for the emergence of a potential pandemic strain. These results will help national and international public health authorities not only to assess the role pigs and humans play in the emergence of a new influenza pandemic virus from H5N1, but also to structure the necessary public health interventions.
 
 
 
 
Patricia A. Doyle, PhD Please visit my "Emerging Diseases" message board at: http://www.clickitnews.com/ubbthreads/postlist.php?
Cat=&Board=emergingdiseases
Zhan le Devlesa tai sastimasa
Go with God and in Good Health


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