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The H5N1 Avian Influenza

Dead swan is Britain's first case of H5N1 flu
By Sarah Lyall The New York Times FRIDAY, APRIL 7, 2006

LONDON - A swan found dead in eastern Scotland has tested positive for the deadly strain of bird flu, government officials said Thursday, making it the first recorded case of the disease in a wild bird in Britain.

The bird, believed to be a native mute swan, was discovered eight days ago in the harbor at Cellardyke, a small coastal town in Fife, northeast of Edinburgh. Officials have established a 3 kilometer, or 1.8-mile, protection zone around the spot where it was found to prevent the poultry moving in and out of the area.

Officials emphasized that while the swan was suffering from the H5N1 strain of flu, there was no immediate danger to humans and no danger yet to the poultry supply. Although more than 100 people have died in other countries from bird flu, which is deadly when passed on to humans, the victims had worked in close contact with or handled birds that died of bird flu.

Bird flu has been gradually making its way across Europe, striking countries like Germany, France, Denmark, Italy, Poland, Switzerland and Greece.

But Britain has been bracing itself. Cobra, the government's emergency planning group, named for Cabinet Office Briefing Rooms, where it usually convenes, met Thursday morning in London with officials from the environment and health departments, the Scottish Executive and the prime minister's office to map out contingency plans.

In a statement, the National Farmers' Union said that the news was "an unwelcome and important development from the point of view of poultry health," but that its members were well prepared to deal with it.

With tests now being conducted on an additional two swans found dead in Glasgow, "further cases of avian influenza in wild swans in Scotland cannot be ruled out," the union said. The biggest fear now is that the disease will move from the wild bird population to domestic fowl, affecting the poultry market and setting off a panic among consumers.

The chief veterinary officer of Scotland, Charles Milne, said the government had set up a 2,500- square-kilometer, or 965-square-mile, surveillance zone to monitor bird movements. The zone contains 175 registered poultry farms, with a total of 3.1 birds. Forty-eight of those are free-range operations, with some 260,000 birds. Milne said farmers were being ordered to separate their domestic fowl from wild birds, and to move their birds indoors if possible.

Scientists point finger at pets

Five leading European scientists criticized officials involved in human and animal health in an article Thursday, saying the officials are not doing enough to monitor cats, dogs and other carnivores for their possible role in transmitting avian influenza, Lawrence K. Altman of The New York Times reported from New York.

Writing in the journal Nature, the scientists also urge people living in areas where the H5N1 virus has infected poultry and other birds to keep their cats indoors.

The scientists are from the Erasmus Medical Center in Rotterdam and the Food and Agricultural Organization of the United Nations. They directed much of their criticism at the World Health Organization and the World Organization for Animal Health for emphasizing the lack of evidence that domestic cats play a role in transmitting the virus.

Cats, tigers and leopards are known to have been infected with the virus in Asia and Europe. An author of the article, Albert Osterhaus, a virologist and veterinarian at Erasmus Medical Center, has performed experiments showing that cats can give the virus to other cats. But whether they do so in real life, and if so how often, is unknown. Dick Thompson, spokesman for the World Health Organization, said Wednesday that it agreed that more work was needed to determine the role of cats and other carnivores in the epidemiology of avian influenza. Epidemiologists have found no change in the way the virus is spreading or causing illness, Thompson said. But he added, "Obviously, there still are major gaps in our knowledge and risk assessment."

He cited a resolution to be put before representatives of the organization's member states at a meeting in May saying that "given the close association between domestic cats and people, vigilance for signs that cats are becoming more widely infected is essential."

Osterhaus said that his team was issuing a precaution and not trying to sound too loud an alarm. The team has found that cats can be infected through the respiratory tract. Cats can also be infected when they ingest the virus, which is a novel route for influenza transmission in mammals. But cats excrete only one- thousandth the amount of virus that chickens do, or less, he said.

The concern is that if large numbers of carnivores become infected the virus might mutate in a series of events that could lead to an epidemic among humans. But among the many unknowns is how long cats can excrete the virus, the minimal amount of virus it takes to cause infection and whether cats can excrete the virus without developing signs of illness.

Dogs, foxes, seals and other carnivores may be vulnerable to the H5N1 virus, Osterhaus said. Tests in Thailand have shown the virus has infected dogs without causing apparent symptoms.

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