More human H5N1 cases reported in Turkey, Indonesia

first_imgJan 17, 2006 (CIDRAP News) – More cases of human illness and death were laid at the door of the H5N1 virus in Turkey and Indonesia today.The World Health Organization (WHO) on Monday confirmed the death from H5N1 of a 5-year-old boy from Dogubayazit district in Turkey’s eastern Agri province. His 14-year-old sister had died on Jan 15, and results on Monday confirmed her death was from H5N1.The WHO’s situation update says the newly confirmed human cases bring the total in Turkey to 20, of which 4 have been fatal. The agency has not adjusted its case-count chart to reflect those numbers, pending confirmation by a WHO partner laboratory in the United Kingdom.The agency’s update emphasized that to date all human H5N1 infections followed “direct exposure to diseased poultry.” WHO noted that in the most recent case described above, the children fell ill after slaughtering a duck from their home flock. Ducks in that flock had begun dying Jan 1, WHO said.Late this afternoon, an Associated Press (AP) report from Ankara said initial tests on another child showed H5N1 infection, which if confirmed would bring the number of human cases in Turkey to 21. The child is from Dogubayazit and is hospitalized in the eastern city of Erzurum, a health ministry official told the AP.Also in Ankara today, a WHO official said Turkey’s outbreak has a lower case-fatality rate than outbreaks in Southeast Asia, according to a story by the United Nations Integrated Regional Information Networks (IRIN) news.”Turkey is seeing a fatality rate of 20 percent, which is lower than the fatality rate observed in Asia, which was around 58 percent,” Cristiana Salvi, a WHO spokeswoman in Turkey, told IRIN. But she added a caveat: “There could be other factors which we are investigating as a lot of cases are still in hospital.”Cases reported in Indonesian siblingsInIndonesia, local tests confirmed that a 13-year-old girl’s death Jan 14 in Indramayu, West Java, was due to H5N1 infection, according to a Reuters story from the online edition of The Jakarta Post. Her 3-year-old brother, who died today, was also being tested, as was a surviving sister, Reuters reported. The boy’s initial test was positive, but a subsequent local test was inconclusive, an Indonesian health ministry official told Reuters.A Hong Kong laboratory has also confirmed local test results showing that a 29-year-old woman who died Jan 11 at Sulianti Saroso Hospital in Jakarta had avian flu, The Jakarta Post reported today. Her death raised the number of human H5N1 deaths in Indonesia to 13, with 20 total cases, the newspaper said. A WHO update on Jan 14 confirmed the 29-year-old’s cause of death and said her case brought the total in Indonesia to 17, with 12 fatalities.The WHO described the woman as a midwife at a maternity ward in a Jakarta hospital, but said it was unlikely that she became infected on the job. Instead, WHO is investigating her neighborhood and a live-bird market she visited days before she fell sick. Contact tracing has not shown any evidence that the woman infected other people, WHO noted.Turkey’s poultry surveillance criticizedA nine-page report from Turkish authorities to the World Organization for Animal Health (OIE), dated today, indicates that two of Turkey’s poultry outbreaks began Nov 25 and 29, 2005. However, reports from Turkey to the OIE on Dec 8, 2005, do not reflect those outbreaks.A report by Bloomberg News today describes a “second wave” of poultry outbreaks that weren’t reported to OIE for more than 3 weeks.”We think that the condition of veterinary infrastructure in eastern Turkey led to this delay on the information,” Bernard Vallat, director-general of the OIE, told Bloomberg from Beijing today. “To manage avian flu in animals, time is a crucial point because if a country is in a position to have a rapid response within two days, the cost of the management is very low, compared with a delay of three or four days. The spread of the disease is exponential, which is why time is crucial.”See also:Jan 16 WHO updatehttp://www.who.int/csr/don/2006_01_16/en/index.htmlJan 14 WHO updatehttp://www.who.int/csr/don/2006_01_14/en/index.htmlTurkey’s outbreak report to OIEhttp://www.oie.int/downld/AVIAN%20INFLUENZA/Turkey%20Follow-up%20report%2020060117.pdflast_img read more

Spurs failed to refresh in the summer.. result was 7-2 thrashing by Bayern

first_imgTHERE was little anger at the Lane. More shock.Deep, profound shock.66 Tottenham were humiliated on Tuesday night as Bayern Munich thrashed Spurs 7-2Credit: ReutersShock at seeing Bayern score seven.Shock at watching Tottenham’s late capitulation.Shock at the recognition of where the club are, from where they were a few months ago.The finger-pointing started later, on the journeys home.At Serge Aurier, a constant liability, whose decision to go walkabout and stand around in the No 10 position at one point in that devastating last quarter of an hour pinpointed exactly why he must have no future at the club.At Hugo Lloris, too. After all, even if it was hard to blame him for any of the goals, they all flew in.But not just them. Most of the players copped it.6 Mauricio Pochettino is under pressure with the North London side losing three out of their last four gamesCredit: AFP or licensorsACCA WITH LADBROKES Pick up a whole load of acca features to help you land the big oneThe entire back line which looked as secure as a cardboard strongbox from the outset.A midfield which became invisible, as Harry Winks’ least effective display of the campaign coincided with others going missing.And, of course, at the manager. The man who must always take the ultimate responsibility.To be fair to Mauricio Pochettino, he did not try to dodge it, either.He said: “When you play the final of the Champions League, it was nice to put your face up after the wins we had at Manchester City and Ajax. Now I have to put my same face up.”Not that too many Spurs fans had their face up this morning, although plenty of them will now recognise what Pochettino was getting at in the summer.He knew that Madrid, win or lose, needed to be the end of the first chapter, that a new one was required.After his initial campaign of pruning and defining the squad, the Argentine has essentially fielded pretty much the same team, with a few tweaks.6 Harry Kane has been urged by Rio Ferdinand to leave Spurs if he wants to win trophiesCredit: ReutersHe wanted to get rid of the ones who he believed he had drained of energy and mentality.But the only significant departure was Kieran Trippier. Four others wanted to go but didn’t. Three of them started against Bayern, the fourth came on.Danny Rose was nerve-ridden from the outset, Toby Alderweireld and Jan Vertonghen had nights to forget, too, while substitute Christian Eriksen flattered to deceive amid the chaos.Go back to the first Champions League game played under Pochettino, a defeat by Monaco at Wembley in September 2016.Of the 14 players used that night, Kyle Walker is the only starter no longer at the club, while subs Mousa Dembele and Vincent Janssen have gone as well.Six of that team – Lloris, Vertonghen, Alderweireld, Harry Kane, Son Heung-Min and Dele Alli – all started on Tuesday night, while Eriksen and Erik Lamela both came off the bench.Sometimes, a team that stays together too long gets stale. It needs to be refreshed and revitalised. And Spurs have not done that.Even so, despite the defensive uncertainties that were apparent from the very beginning, the first 35 minutes were the best Tottenham have played all season.6 Son Heung-Min gave Spurs the lead before they went on to suffer the worst home thrashing suffered by any English club in the European CupCredit: PA:Empics SportThey had enough chances to have put the game to bed, Son squandering two, Kane denied by a goal line clearance from David Alaba after rounding Manuel Neuer, Tanguy Ndombele foiled by the Bayern keeper.It was the old Poch press. High octane. Forcing errors. And also clicking on the counter.But, perhaps a consequence of playing 60 minutes with 10 men against Southampton on Saturday, once the legs started to tire, Bayern pounced.They were unfeasibly clinical, too. Turning chances that were barely half-chances into goals, Serge Gnabry the assassin in chief.None of that matters. It is the scoreline that does.Pochettino decided there was little point in a dressing room inquest when the wounds were still so raw and fresh. That will start today.As the Argentine said: “You need to show your quality like a man first; to face the defeat like a professional, like a man.“What comes after is the professional side. Now we need to be men and be strong all together; try to bounce back and change the feeling.”LATEST TOTTENHAM NEWSHARRY ALL FOUR ITKane admits Spurs must win EIGHT games to rise into Champions League spotGossipALL GONE PETE TONGVertonghen wanted by host of Italian clubs as long Spurs spell nears endBELOW PARRSpurs suffer blow with Parrott to miss Prem restart after appendix operationPicturedSHIRT STORMNew Spurs 2020/21 home top leaked but angry fans slam silver design as ‘awful”STEP BY STEP’Jose fears for players’ welfare during restart as stars begin ‘pre-season’KAN’T HAVE THATVictor Osimhen keen on Spurs move but only if they sell Kane this summer6It will take a long time to change that feeling and dispel the shock.Defeat at Brighton on Saturday will make the international break that follows more of an ordeal – and increase the speculation over whether this is not the end of the initial Pochettino chapter, but the entire Spurs Pochettino book.Now it is down to the players, too. They have to show they want to play for the club. The supporters will not be misled. They can always see what is there.last_img read more