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  ENN 4 May 06
Poultry Shipments Also Likely Spread Bird Flu, Expert Says
By Tan Ee Lyn, Reuters

SINGAPORE: A leading flu expert warned the scientific community on Wednesday against blaming the spread of the H5N1 virus on migratory birds, saying the movement of poultry around the world could play a major role.

"We forget that there is an enormous commercial industry with the movement of animals all the time. That, to me, is the most obvious thing to look for," said Kennedy Shortridge, who spent three decades studying influenza viruses.

"Don't rush to blame migratory birds straightaway," he said in Singapore at a bird flu conference organised by the Lancet medical journal.

Shortridge's assertions would probably not sit well with many experts in this field, who have credited the spread of the H5N1 virus in parts of Europe, Africa and the Middle East in the past few months to wild migratory birds from China's Qinghai Lake.

An outbreak of virus in Qinghai Lake last May killed thousands of birds and that particular strain of the virus has since been found in affected places in Europe, Africa and the Middle East. That gave rise to the popular theory the virus was probably brought to these places by surviving wild birds from Qinghai, in remote western China.

But Shortridge questioned this, saying: "Birds go north-south, they don't usually go east-west."

RAILWAY LINES OR MIGRATORY ROUTES?

"There's a railway line that runs from there to one side of Qinghai Lake and there's a road that goes to the other side. If you look at the movements with H5N1, they don't seem to tie in with migratory bird routes for the simple reason they seem to follow the Trans-Siberian railway," he added.

"Lots of people don't realize that there's movement of poultry from one country to another, even to Nigeria, where we've got bird flu. People are transporting all sorts of poultry meat."

Several nations are already clamping down on poultry smuggling. Vietnam is redoubling efforts to limit smuggling from China after uncovering bird flu cases in poultry in northern border areas. Bangladesh, too, is stepping up surveillance to prevent illegal shipments from bird flu-hit India. Hong Kong is also beefing up border patrols to stop live chickens and poultry meat being carried into the territory illegally from mainland China.

Since re-emerging in Asia in late 2003, the H5N1 virus has killed 113 people out of 205 reported infections, most notably from Asia, Turkey and Egypt. Although it is predominantly a bird disease and most of the victims contracted the virus directly from birds, experts fear it can mutate into a form that will transmit easily among people and trigger a pandemic of catastrophic proportions.

However, not everyone was quick to debunk the migratory bird demon.

Hiroshi Kida of the department of diseases control at Japan's Hokkaido University said migratory birds and water as agents of viral transmission cannot be underestimated.

H5N1 can be preserved in frozen lakes and ponds, and be carried from place to place by wild birds -- not necessarily in one, spectacular sojourn, but many short-haul flights.

"Not one bird can do this, but many, many birds are involved in many, many short flights, helped by water," Kida, who gave a lecture at the conference, told Reuters later. "Through water-borne transmission, the virus is carried to Europe, Africa."

The Straits Times 5 May 06
Migratory birds may not be culprits

DO NOT rush to blame migratory birds for the spread of the deadly H5N1 virus, said microbiology emeritus professor Kennedy Shortridge of the University of Hong Kong.

Prof Shortridge pointed a finger at poultry, saying more studies are needed to understand the role it may play in spreading the flu. 'We forget that there is an enormous commercial industry with the movement of animals all the time. To me, that is the most obvious thing to look for,' he said.

Several experts have blamed wild migratory birds from China for the recent spread of the H5N1 virus in parts of Europe, Africa and the Middle East. An H5N1 outbreak in China last May killed thousands of birds and that particular strain has since been found in Europe, Africa and the Middle East. This gave rise to the popular theory that the virus was probably spread by surviving wild birds.

WORRIES ABOUT TAMIFLU EFFECTIVENESS

THE use of Tamiflu to treat regular seasonal influenza has sparked fears that the drug may not be as effective should a flu pandemic erupt. During last year's flu season, about 1.7 million prescriptions were written for Tamiflu in the United States alone. And about 0.4 per cent of adults and 5 per cent of children who have used the drug show resistance to the anti-flu treatment.

Virus expert Frederick Hayden said yesterday that more research and monitoring is needed to see how resistance to Tamiflu might develop, but this should not stop governments from stockpiling the drug.

Dr Hayden, who recently joined the World Health Organisation (WHO), said a network of several partners is being established in South-east Asia to conduct clinical studies of antiviral treatments like Tamiflu, the H5N1 bird flu virus and severe human influenza. 'The two-year study, expected to begin this year, will involve 400 participants from Vietnam, Thailand and Indonesia,' he said. 'The clinical trial will look at how patients respond to standard doses of Tamiflu currently recommended for annual seasonal flu, as well as higher doses. But it is not just restricted to H5N1. We are also looking at other flu viruses.'
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