Singapore in 2005 |
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Events |
Others |
Singapore has taken a series of measures against avian influenza and the potential threat of a pandemic.
As of 17 October 2005, there were no cases of H5N1 avian influenza detected in Singapore, either in humans or poultry.
A major avian influenza pandemic will be very costly in terms of human lives as well as economic losses, especially in the densely populated city-state of Singapore.
Bird flu has infected poultry in large parts of Asia since 2003, killing at least 65 people, mostly in Vietnam and Thailand. Millions of birds have been culled to stop the spread of the disease. In October 2005, strain of the bird flu virus was detected in Turkey and Romania indicating that the avian flu was spreading from Asia to Europe. Most of the human deaths so far have been linked to contact with sick birds. But the World Health Organization has said that the virus could mutate into a form that is more easily transmitted from human to human and possibly triggering a pandemic reminiscent of the 1918 flu epidemic that killed tens of millions worldwide.
In Thailand, a probable case of human-to-human transmission of H5N1 virus was reported in the northern province of Kamphaeng Phet. This is consistent with current knowledge of the behaviour of H5N1 virus that inefficient, limited human-to-human transmission may occur on rare occasions. As of 17 October 2005, evidence indicated that spread among humans has been limited to this cases, nonetheless, surveillance has been intensified in the province.
When planning the response, it is assumed that the first local human case is likely to be imported from affected countries and is difficult to prevent. The virus, which is more infectious than SARS, is likely to spread quickly and has a high morbidity and mortality.
There will not be any vaccine initially, and the vaccine development will take at least 4 to 6 months. Even when developed, initial supply of the vaccine will be limited.
On 24 October 2005, the Ministry of Health issued a public advisory calling for several groups of people to get themselves vaccinated against flu. [1] They include
Those planning to travel to the Northern Hemisphere over the next few months are also encouraged to get a flu vaccine at least a week or two before departure.
The Ministry also advised extra precaution for travellers to areas affected by the avian influenza outbreak including countries in Asia (Indonesia, Thailand, Vietnam and China) and Europe (Turkey, Romania, Greece, Russia). Travellers are advised avoid contact with poultry such as chickens, geese, ducks, pigeons and wild birds and not go to places such as commercial or backyard poultry farms and markets selling live birds. They are advised not to handle or eat raw or undercooked poultry or foods containing uncooked poultry, including eggs.
Those who develop flu-like symptoms should seek medical help promptly, and inform the doctors of their travel history.
Surveillance for influenza involves monitoring for virus strains and disease activity. A nationwide reporting scheme for acute respiratory infections has been established. The National Influenza Centre routinely carried out virological testing of respiratory samples from hospitals and polyclinics.
The Agri-Food and Veterinary Authority of Singapore (AVA) also carries out routine surveillance on poultry.
The Jurong Bird Park has put 19 chickens, bred without any immunity, in all its aviaries to help detect the presence of any infectious disease.
In June 2005, a ban was imposed on keeping live poultry in Pulau Ubin, this is to prevent infection on the livestock by migratory birds.
To tackle a possible outbreak of bird flu, Singapore is increasing its resource such as isolation facilities in hospitals and stockpiling medicine. These medicines include Tamiflu and Relenza. As of November 2005, the country has supplies to treat 430,000 people. By sometime in 2006, there will be enough stockpile anti-viral medication for one quarter of the population. A priority plan has been outlined as to who will get these anti-viral drugs first when a bird flu pandemic breaks out and the first people to receive the drugs would be health workers, and those involved in essential services like power and public order. [2]
In the event of an outbreak, Singapore will resume health screening of all visitors, as during the 2003 SARS crisis and quarantine suspected victims. Travel restrictions or advisories would be issued to restrict travel to and from countries which had outbreaks of bird flu.
All persons presenting with the abrupt onset of signs and symptoms will be treated with anti-virals. Front-line healthcare workers in hospitals and polyclinics will also be given anti-viral prophylaxis for the duration of the pandemic.
In January 2006, Singapore announced that it will contribute S$1 million over three years to the global fund-raising effort to fight bird flu, specifically for ASEAN countries. [3]
Influenza A virus (IAV) is the only species of the genus Alphainfluenzavirus of the virus family Orthomyxoviridae. It is a pathogen with strains that infect birds and some mammals, as well as causing seasonal flu in humans. Mammals in which different strains of IAV circulate with sustained transmission are bats, pigs, horses and dogs; other mammals can occasionally become infected.
Avian influenza, also known as avian flu or bird flu, is a disease caused by the influenza A virus, which primarily affects birds but can sometimes affect mammals including humans. Wild aquatic birds are the primary host of the influenza A virus, which is enzootic in many bird populations.
Influenza A virus subtype H5N1 (A/H5N1) is a subtype of the influenza A virus, which causes influenza (flu), predominantly in birds. It is enzootic in many bird populations, and also panzootic. A/H5N1 virus can also infect mammals that have been exposed to infected birds; in these cases, symptoms are frequently severe or fatal.
An influenza pandemic is an epidemic of an influenza virus that spreads across a large region and infects a large proportion of the population. There have been five major influenza pandemics in the last 140 years, with the 1918 flu pandemic being the most severe; this is estimated to have been responsible for the deaths of 50–100 million people. The 2009 swine flu pandemic resulted in under 300,000 deaths and is considered relatively mild. These pandemics occur irregularly.
Influenza A virus subtype H3N2 (A/H3N2) is a subtype of influenza A virus (IAV). Some human-adapted strains of A/H3N2 are endemic in humans and are one cause of seasonal influenza (flu). Other strains of H1N1 are endemic in pigs and in birds. Subtypes of IAV are defined by the combination of the antigenic H and N proteins in the viral envelope; for example, "H1N1" designates an IAV subtype that has a type-1 hemagglutinin (H) protein and a type-1 neuraminidase (N) protein.
The global spread of H5N1 influenza in birds is considered a significant pandemic threat. While other H5N1 influenza strains are known, they are significantly different on a genetic level from a highly pathogenic, emergent strain of H5N1, which was able to achieve hitherto unprecedented global spread in 2008. The H5N1 strain is a fast-mutating, highly pathogenic avian influenza virus (HPAI) found in multiple bird species. It is both epizootic and panzootic. Unless otherwise indicated, "H5N1" in this timeline refers to the 2008 highly pathogenic strain of H5N1.
Transmission and infection of H5N1 from infected avian sources to humans has been a concern since the first documented case of human infection in 1997, due to the global spread of H5N1 that constitutes a pandemic threat.
H5 N2 is a subtype of the species Influenzavirus A. The subtype infects a wide variety of birds, including chickens, ducks, turkeys, falcons, and ostriches. Affected birds usually do not appear ill, and the disease is often mild as avian influenza viral subtypes go. Some variants of the subtype are much more pathogenic than others, and outbreaks of "high-path" H5N2 result in the culling of thousands of birds in poultry farms from time to time. It appears that people who work with birds can be infected by the virus, but suffer hardly any noticeable health effects. Even people exposed to the highly pathogenic H5N2 variety that killed ostrich chicks in South Africa only seem to have developed conjunctivitis, or a perhaps a mild respiratory illness. There is no evidence of human-to-human spread of H5N2. On November 12, 2005 it was reported that a falcon was found to have H5N2. On June 5, 2024, the first confirmed human case of H5N2 was reported in Mexico.
The social impact of H5N1 is the effect or influence of H5N1 in human society.
The genetic structure of H5N1, a highly pathogenic avian influenza virus, is characterized by a segmented RNA genome consisting of eight gene segments that encode for various viral proteins essential for replication, host adaptation, and immune evasion.
Disease surveillance is an epidemiological practice by which the spread of disease is monitored in order to establish patterns of progression. The main role of disease surveillance is to predict, observe, and minimize the harm caused by outbreak, epidemic, and pandemic situations, as well as increase knowledge about which factors contribute to such circumstances. A key part of modern disease surveillance is the practice of disease case reporting.
The global spread of H5N1 in birds is considered a significant pandemic threat.
The global spread of H5N1 in birds is considered a significant pandemic threat.
The global spread of H5N1 in birds is considered a significant pandemic threat.
Fujian flu refers to flu caused by either a Fujian human flu strain of the H3N2 subtype of the Influenza A virus or a Fujian bird flu strain of the H5N1 subtype of the Influenza A virus. These strains are named after Fujian, a coastal province in Southeast China.
H5N1 influenza virus is a type of influenza A virus which mostly infects birds. H5N1 flu is a concern due to the fact that its global spread that may constitute a pandemic threat. The yardstick for human mortality from H5N1 is the case-fatality rate (CFR); the ratio of the number of confirmed human deaths resulting from infection of H5N1 to the number of those confirmed cases of infection with the virus. For example, if there are 100 confirmed cases of a disease and 50 die as a consequence, then the CFR is 50%. The case fatality rate does not take into account cases of a disease which are unconfirmed or undiagnosed, perhaps because symptoms were mild and unremarkable or because of a lack of diagnostic facilities. The Infection Fatality Rate (IFR) is adjusted to allow for undiagnosed cases.
The global spread of H5N1 in birds is considered a significant pandemic threat.
Influenza, commonly known as the flu, is an infectious disease caused by influenza viruses. Symptoms range from mild to severe and often include fever, runny nose, sore throat, muscle pain, headache, coughing, and fatigue. These symptoms begin one to four days after exposure to the virus and last for about two to eight days. Diarrhea and vomiting can occur, particularly in children. Influenza may progress to pneumonia from the virus or a subsequent bacterial infection. Other complications include acute respiratory distress syndrome, meningitis, encephalitis, and worsening of pre-existing health problems such as asthma and cardiovascular disease.
A H5N1 vaccine is an influenza vaccine intended to provide immunization to influenza A virus subtype H5N1.
Influenza A virus subtype H7N9 (A/H7N9) is a subtype of the influenza A virus, which causes influenza (flu), predominantly in birds. It is enzootic in many bird populations. The virus can spread rapidly through poultry flocks and among wild birds; it can also infect humans that have been exposed to infected birds.