Mystery Disease (H5N1?)
Kills At Least 33 In Nepal

From Patricia Doyle, PhD
Hello, Jeff - We need to assume that the disease below is H5...and prepare accordingly until such time as we either affirm or deny the reports. Bush's open border (no border) policies may be about to contribute to our long-discussed pandemic nightmare.
Patricia Doyle
Nepal - Outbreaks Of Deadly Undiagnosed Diseases - 33 Deaths
Xinhua News Agency Online
At least 33 people died of diarrhea, respiratory infection and undiagnosed disease in 2 different districts in western Nepal, officials said on Fri 17 Jun 2005.
"More than 12 people died of diarrhea in the village of Badhu in Bajrua district in the last week," Deepak Shah, acting chief of the district health office, told reporters.
"8 other people died of an undiagnosed disease that spread in Barbise, Naubise, Toli and Kailashmandau villages of the district in the last week," he said. A team of health workers has been dispatched to the epidemic affected area, he added.
Meanwhile, about 13 people have died of respiratory illness in less than a week in the mid-western district of Mugu. "The disease has hit Sewa and Kalai villages most while it is also spreading in surrounding places," said an official at the district health office.
The Department of Health has dispatched medical teams to the affected areas to identify the disease and provide treatment to the infected people, the official said.
Dr. Henry L. Niman, PhD
Recombinomics Commentary
At least 14 people died of diarrhea and eight others died of undiagnosed disease in two different districts of far-western Nepal, the Source reported Wednesday.
"More than 14 people died of diarrhoea in Toleni village of Doti district in the last three weeks," it quoted Hikmat Bahadur Bogati, an official at district health office as telling reporters.
About 80 people in the village are seriously ill and there is no medicine for them, he noted.
"A health worker team has already been dispatched to the epidemic affected area," he added. Xinhua also reported that eight civilians died from an undiagnosed disease in Bajura district in the past one week.
Mysterious Disease Kills 22 in Western Nepal
Mysterious fatal diseases in Nepal at this time are cause for concern. The H5N1 infected bar headed geese found dead in Qinghai Lake Nature Reserve in May winter on the northern plains of India. Thus, these birds would fly over Nepal when migrating from India to China.
In Vietnam, H5N1 bird flu infections can be found in asymptomatic ducks and geese. These birds excrete large amounts of stable H5N1, causing potential pollution problems. The H5N1 in fatal humans infections in Vietnam can produce these asymptomatic conditions in laboratory ducks.
Thus, it is possible that H5N1 infected geese from India could spread human disease linked to their migratory flight path. After H5N1 was discovered in patients with gastro-intestinal or neurological conditions, WHO had indicated that H5N1 testing of cluster of unexplained deaths would begin.
The 22 deaths described above would clearly meet that definition, but there are no hints of H5N1 testing of these cases or meningitis cases in northern India, which is very close to these two outbreaks in western Nepal.
Although WHO has expressed concerns about delayed reporting of H5N1 cases in Vietnam, surveillance of H5N1 outside of Vietnam also appears to be lacking. A much more aggressive surveillance program is required to understand exactly where H5N1 is and isn't in human and animal populations in Asia.
Patricia A. Doyle, PhD
Please visit my "Emerging Diseases" message board.
Zhan le Devlesa tai sastimasa
Go with God and in Good Health



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