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Turkey Bird Flu - 2 More
Children Released From Hospital

Agence France Presse (AFP)
1-26-6
 
2 more children have been discharged from hospital after recovering from avian influenza in eastern Turkey doctors said, as they stressed that early treatment after infection was proving crucial for survival. A 9-year-old girl and her 3-year-old brother, 2 of 21 people who have been infected with avian influenza in Turkey, were discharged late Monday [22 Jan 2006] from the University Hospital in Van, their doctor, Ahmet Faik Oner, told AFP by telephone. These siblings were cousins of a 16-year-old girl, one of 4 victims who have died of the disease in the country since 1 Jan 2006, the 1st human fatalities from avian influenza outside Southeast Asia and China.
 
7 other carriers of the potentially deadly H5N1 avian influenza virus remain under treatment in different Turkish hospitals. Turkish officials say the outbreak in their country appears to be fading, with no new cases reported in nearly a week and infected people staging recoveries.
 
In the Van hospital, where all 4 deaths occurred, physicians said they were hopeful of saving the remaining 2 patients there, including the 5-year-old brother of the deceased 16-year-old, who is described as one of the gravest cases.
 
Turkish doctors say the mortality rate they are observing -- 19 percent -- is encouraging when compared with the 58 percent in eastern Asia, where the disease has claimed some 80 lives since 2003. "We see that the sooner the patients are brought to hospital after infection, the more successful the treatment is," Oner told AFP. "If we compare the 4 dead children to those who survived, we see that they came to the hospital 10 days on average after they began showing symptoms, while the others were hospitalized after 5 days on average," he said.
 
While optimism in Turkey is growing, there were fears that avian influenza may have spread to the Turkish-occupied northern 3rd of Cyprus. Authorities there have begun culling poultry, after 2 sick birds showed signs of what could be avian flu, officials said on Tue 24 Jan 2006. Ferdi Sabit Soyer, the prime minister of the Turkish Republic of Northern Cyprus (TRNC) -- a breakaway state recognized only by Turkey -- said on Monday [23 Jan 2006] that a routine veterinary inspection had revealed 2 suspected cases in a village near Famagusta, on the eastern coast of the Mediterranean island.
 
"Our labs are unable to determine whether or not this is bird flu," a senior official told AFP in Nicosia. Samples have been sent to Turkey and Britain for analysis, and results are expected Thursday [26 Jan 2006]. If the disease is confirmed, they would be the 1st bird flu cases in Cyprus, which lies just 40 nautical miles off Turkey's southern coast. The internationally-recognized Greek Cypriot government in the south of the island said in early January 2006 that it was looking for cooperation from Turkey and the TRNC to prevent the spread of bird flu.
 
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ProMED-mail
 
As of 25 Jan 2006, there is a continuing discrepancy between the number of confirmed human cases of H5N1 avian influenza virus infection in Turkey cited by WHO and those reported by the Turkish authorities.
 
http://www.who.int/csr/disease/avian_influenza/country
/cases_table_2006_01_25/en/index.html
 
According to the WHO, the cumulative number of human cases of H5N1 virus infection in Turkey remains at 4 with 2 deaths, figures very different from the 21 cases with 4 deaths reported by the Turkish Ministry of Health. If the WHO figures are used, the mortality rate becomes 50 percent, which is similar to that observed in East Asia, rather than the 19 percent estimate given by the Turkish authorities. The discrepancy needs to be resolved: either the Turkish authorities are over-estimating the number of human avian influenza cases, or the number of cases of infection in East Asia is being under-estimated. - Mod.CP
 
Patricia A. Doyle, DVM, PhD- Bus Admin, Tropical Agricultural Economics
Please visit my "Emerging Diseases" message board at:
 
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Cat=&Board=emergingdiseases
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http://drpdoyle.tripod.com/
Zhan le Devlesa tai sastimasa
Go with God and in Good Health
 

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