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Avian Flu
                                                   Update
                                                                                                                    Avian Flu Update
                                                                                                                       February 2006
                                                                                                                       GUC-SPSA©



                                                                                                      Symptoms of Avian Flu
    What is Avian Flu?
                                                                                                      •     Fever
                                                                                                      •     Sore throat
Avian influenza is an infection caused by avian influenza viruses.
These flu viruses occur naturally among birds. Wild birds world-                                      •     Muscle aches
wide carry the viruses in their intestines, but usually do not get                                    •     Headache
sick from them. However, avian influenza is very contagious
                                                                                                      •     Lethargy
among birds and can make some domesticated birds, including
chickens, ducks, and turkeys, very sick and kill them.                                                •     Eye infections
                                                                                                      •     Breathing problems
Infection with avian influenza viruses in domestic poultry causes
two main forms of disease that are distinguished by low and high                                      •     Chest pains
extremes of virulence. The low pathogenic form may go unde-
tected and usually causes only mild symptoms (such as ruffled
feathers and a drop in egg production). However, the highly                                            If you develop symptoms
pathogenic form spreads more rapidly through flocks of poultry.
                                                                                                        of flu talk to your doctor
This form may cause disease that affects multiple internal organs
and has a mortality rate that can reach 90-100%, often within 48
hours.




        There are some remedies worse than the disease...                                          Only those who work or live in
                                                                                                   close proximity to birds are at
                                                                                                   risk.
                                                                                                   Those working with ducks and
                                                                                                   poultry should wash their
                                                                                                   hands after contact with the
                                                                                                   birds.
                                                                                                   Children are at particular risk
    How does avian influenza spread among birds?                                                   from bird flu, and should be
                                                                                                   kept away from poultry and
Infected birds shed influenza      birds may become infected         have been contaminated with   ducks
virus in their saliva, nasal se-   with avian influenza virus        the virus.
                                                                                                   Those who are particularly at
cretions, and feces. Suscepti-     through direct contact with
ble birds become infected          infected waterfowl or other                                     risk from flu and its complica-
when they have contact with        infected poultry or through                                     tions, such as the elderly and
contaminated excretions or         contact with surfaces (such as                                  those with respiratory or heart
with surfaces that are con-        dirt or cages) or materials                                     disease, should consider
taminated with excretions or       (such as water or feed) that                                    vaccination each year
                                                                     Go To the next page..
secretions. Domesticated
Can people get bird flu directly from infected birds?
Yes, although it is a rare occurrence, peo-    flu cases. Since 2003, there have been
ple have become infected with the Asian        more than 100 cases of human infections
bird flu and other bird flu viruses directly   in Asia due to infection with the Asian bird
from birds. Most human infections have         flu virus. There has been very limited
occurred after people had extensive ex-        spread of infection from person to person,
posure to infected chickens, ducks, tur-       but a few cases have occurred among
keys or their environment. Generally in-       healthcare providers and family mem-
fections with bird flu have resulted only in   bers.
a mild eye inflammation (conjunctivitis).
However, many people in Asia who were
infected with the current Asian bird flu
strain developed typical influenza symp-
toms of fever, cough, muscle aches, and
headache, and the illnesses were fatal in
a high proportion of reported Asian bird




How do people become infected with avian influenza viruses?
Most cases of avian influenza infection in     have direct or close contact with infected
humans have resulted from direct or            birds or with surfaces that have been
close contact with infected poultry (e.g.,     contaminated with secretions and excre-
domesticated chicken, ducks, and tur-          tions from infected birds.
keys) or surfaces contaminated with se-
cretions and excretions from infected
birds. The spread of avian influenza vi-
ruses from an ill person to another person
has been reported very rarely, and trans-                 Happiness lies, first of all, in health...
mission has not been observed to con-
tinue beyond one person. During an out-
break of avian influenza among poultry,
there is a possible risk to people who




What are the implications of avian influenza to human health?
Two main risks for human health from           spreads easily from per-
avian influenza are:                           son to person.
1) The risk of direct infection when the
virus passes from the infected bird to
humans, sometimes resulting in severe
disease.
2) The risk that the virus - if given enough
opportunities - will change into a form
that is highly infectious for humans and




Avian Flu Update                                                                              PUBLIC HEALTH @ GUC-SPSA©
How is avian influenza in humans treated?
Studies done in laboratories suggest that    But antiviral drugs, such as Tamiflu which
the prescription medicines approved for      are already available and being stock-         N.B
human influenza viruses should work in       piled by countries such as the UK, may
treating avian influenza infection in hu-    help limit symptoms and reduce the
                                                                                            Influenza vaccine for the 2005-06 season
mans. However, influenza viruses can         chances the disease will spread.
                                                                                            does not provide protection against avian
become resistant to these drugs, so these    Concerns have been prompted by news            influenza.
medications may not always work. Addi-       that patients in Vietnam have become
tional studies are needed to determine       partially resistant to the Tamiflu, the drug
the effectiveness of these medicines.        that doctors plan to use to tackle a hu-
There is not yet a definitive vaccine, but   man bird flu outbreak.
prototypes which offer protection against
the H5N1 strain are being produced.          Scientists say it may be helpful to have
                                             stocks of other drugs from the same fam-
                                             ily such as Relenza (Zanamivir).




Is there a risk for becoming infected with avian
influenza by eating poultry & eggs?
There is no evidence that properly           FDA discourages the consumption of             Egg mixtures made with an egg-milk base
cooked poultry or eggs can be a source       eggs that have not been adequately             cooked to an internal temperature of 160
of infection for avian influenza viruses.    cooked. FDA advises consumers to avoid         degrees Fahrenheit (71 degrees Celsius)
Experts say avian flu is not a food-borne    eating or tasting foods that may contain       also are safe.
virus, so eating chicken is safe.            raw or lightly-cooked eggs. Commercial
The only people thought to be at risk are    mayonnaise, dressings, and sauces that
those involved in the slaughter and          contain pasteurized eggs are safe to eat.
preparation of meat that may be infected.
However, the WHO recommends, to be
absolutely safe all meat should be             He who has health has hope, and he who has
cooked to a temperature of at least 70C.
Eggs should also be thoroughly cooked.         hope has everything...


How can I protect myself from getting the bird
flu from food?


•   Wash your hands with soap and water after handling raw poultry and eggs to re-
    move the virus.
•   Wash countertops, knives, cutting boards, and other utensils with hot soapy water
    to prevent cross-contamination from contaminated poultry and eggs to other
    foods.




Avian Flu Update                                                                                 PUBLIC HEALTH @ GUC-SPSA©
The Most Important Precaution to Protect
                  Yourself Against Any Disease



               ALWAYS WASH YOUR HANDS

          References and further information:
          www.usda.gov/birdflu
                          www.fda.gov
                                 www.pandemicflu.gov
                                        www.who.int/en
                                                www.cdc.gov
                                                         www.nature.com
                                                                www.bbc.co.uk/health
                                                                          www.cnn.com/health




Healthy People In Healthy Communities…


     The Public Health Department @ GUC-SPSA
      wishes all the best of health for GUCians,
      Egyptians & all people all over the world…
            For any comments or feedback send in at
                          GUCSPSA@Gmail.com

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Avian Flu Update Provides Information on Symptoms, Spread and Prevention

  • 1. Avian Flu Update Avian Flu Update February 2006 GUC-SPSA© Symptoms of Avian Flu What is Avian Flu? • Fever • Sore throat Avian influenza is an infection caused by avian influenza viruses. These flu viruses occur naturally among birds. Wild birds world- • Muscle aches wide carry the viruses in their intestines, but usually do not get • Headache sick from them. However, avian influenza is very contagious • Lethargy among birds and can make some domesticated birds, including chickens, ducks, and turkeys, very sick and kill them. • Eye infections • Breathing problems Infection with avian influenza viruses in domestic poultry causes two main forms of disease that are distinguished by low and high • Chest pains extremes of virulence. The low pathogenic form may go unde- tected and usually causes only mild symptoms (such as ruffled feathers and a drop in egg production). However, the highly If you develop symptoms pathogenic form spreads more rapidly through flocks of poultry. of flu talk to your doctor This form may cause disease that affects multiple internal organs and has a mortality rate that can reach 90-100%, often within 48 hours. There are some remedies worse than the disease... Only those who work or live in close proximity to birds are at risk. Those working with ducks and poultry should wash their hands after contact with the birds. Children are at particular risk How does avian influenza spread among birds? from bird flu, and should be kept away from poultry and Infected birds shed influenza birds may become infected have been contaminated with ducks virus in their saliva, nasal se- with avian influenza virus the virus. Those who are particularly at cretions, and feces. Suscepti- through direct contact with ble birds become infected infected waterfowl or other risk from flu and its complica- when they have contact with infected poultry or through tions, such as the elderly and contaminated excretions or contact with surfaces (such as those with respiratory or heart with surfaces that are con- dirt or cages) or materials disease, should consider taminated with excretions or (such as water or feed) that vaccination each year Go To the next page.. secretions. Domesticated
  • 2. Can people get bird flu directly from infected birds? Yes, although it is a rare occurrence, peo- flu cases. Since 2003, there have been ple have become infected with the Asian more than 100 cases of human infections bird flu and other bird flu viruses directly in Asia due to infection with the Asian bird from birds. Most human infections have flu virus. There has been very limited occurred after people had extensive ex- spread of infection from person to person, posure to infected chickens, ducks, tur- but a few cases have occurred among keys or their environment. Generally in- healthcare providers and family mem- fections with bird flu have resulted only in bers. a mild eye inflammation (conjunctivitis). However, many people in Asia who were infected with the current Asian bird flu strain developed typical influenza symp- toms of fever, cough, muscle aches, and headache, and the illnesses were fatal in a high proportion of reported Asian bird How do people become infected with avian influenza viruses? Most cases of avian influenza infection in have direct or close contact with infected humans have resulted from direct or birds or with surfaces that have been close contact with infected poultry (e.g., contaminated with secretions and excre- domesticated chicken, ducks, and tur- tions from infected birds. keys) or surfaces contaminated with se- cretions and excretions from infected birds. The spread of avian influenza vi- ruses from an ill person to another person has been reported very rarely, and trans- Happiness lies, first of all, in health... mission has not been observed to con- tinue beyond one person. During an out- break of avian influenza among poultry, there is a possible risk to people who What are the implications of avian influenza to human health? Two main risks for human health from spreads easily from per- avian influenza are: son to person. 1) The risk of direct infection when the virus passes from the infected bird to humans, sometimes resulting in severe disease. 2) The risk that the virus - if given enough opportunities - will change into a form that is highly infectious for humans and Avian Flu Update PUBLIC HEALTH @ GUC-SPSA©
  • 3. How is avian influenza in humans treated? Studies done in laboratories suggest that But antiviral drugs, such as Tamiflu which the prescription medicines approved for are already available and being stock- N.B human influenza viruses should work in piled by countries such as the UK, may treating avian influenza infection in hu- help limit symptoms and reduce the Influenza vaccine for the 2005-06 season mans. However, influenza viruses can chances the disease will spread. does not provide protection against avian become resistant to these drugs, so these Concerns have been prompted by news influenza. medications may not always work. Addi- that patients in Vietnam have become tional studies are needed to determine partially resistant to the Tamiflu, the drug the effectiveness of these medicines. that doctors plan to use to tackle a hu- There is not yet a definitive vaccine, but man bird flu outbreak. prototypes which offer protection against the H5N1 strain are being produced. Scientists say it may be helpful to have stocks of other drugs from the same fam- ily such as Relenza (Zanamivir). Is there a risk for becoming infected with avian influenza by eating poultry & eggs? There is no evidence that properly FDA discourages the consumption of Egg mixtures made with an egg-milk base cooked poultry or eggs can be a source eggs that have not been adequately cooked to an internal temperature of 160 of infection for avian influenza viruses. cooked. FDA advises consumers to avoid degrees Fahrenheit (71 degrees Celsius) Experts say avian flu is not a food-borne eating or tasting foods that may contain also are safe. virus, so eating chicken is safe. raw or lightly-cooked eggs. Commercial The only people thought to be at risk are mayonnaise, dressings, and sauces that those involved in the slaughter and contain pasteurized eggs are safe to eat. preparation of meat that may be infected. However, the WHO recommends, to be absolutely safe all meat should be He who has health has hope, and he who has cooked to a temperature of at least 70C. Eggs should also be thoroughly cooked. hope has everything... How can I protect myself from getting the bird flu from food? • Wash your hands with soap and water after handling raw poultry and eggs to re- move the virus. • Wash countertops, knives, cutting boards, and other utensils with hot soapy water to prevent cross-contamination from contaminated poultry and eggs to other foods. Avian Flu Update PUBLIC HEALTH @ GUC-SPSA©
  • 4. The Most Important Precaution to Protect Yourself Against Any Disease ALWAYS WASH YOUR HANDS References and further information: www.usda.gov/birdflu www.fda.gov www.pandemicflu.gov www.who.int/en www.cdc.gov www.nature.com www.bbc.co.uk/health www.cnn.com/health Healthy People In Healthy Communities… The Public Health Department @ GUC-SPSA wishes all the best of health for GUCians, Egyptians & all people all over the world… For any comments or feedback send in at GUCSPSA@Gmail.com