Guest guest Posted November 29, 2005 Report Share Posted November 29, 2005 Why the Chicken Virus Crossed the Border By ZAHIN HASAN Published: November 22, 2005 Dhaka, Bangladesh POOR countries are failing in their efforts to stop avian flu from spreading to humans. Yesterday, Indonesian doctors reported an eighth human death from the disease in that country; if confirmed, it would be the 68th avian flu death worldwide. In Bangladesh, we have yet to see the virus on our poultry farms. When we do, we will have to confront the same public health crisis that Indonesia and other countries face now. The government of Bangladesh has prudently banned the import of poultry from all countries that have declared bird flu outbreaks, as well as from a few countries that are suspected of covering up outbreaks. But because the virus can also be spread by migratory birds, it seems inevitable that it will eventually reach Bangladesh. And we in the industry know that vaccinating chickens, as Indonesia has done and China now proposes to do, will not prevent human deaths. First, flu viruses mutate frequently; a particular vaccine may match the field virus for just a few months, after which it will be less effective. And even when the vaccine does match, it is possible for an inoculated flock to include a few unprotected birds that replicate enough virus to spread the disease to farm workers and surrounding farms. This can happen because workers injecting vaccines do not always use the correct technique when they grow tired or bored; or because even correctly vaccinated chickens may not have an immune response if they are malnourished or stressed by crowding. Because the disease will kill only the few unprotected chickens, its presence on farms that have used the vaccine may go unnoticed until farm workers or neighboring households are infected. That is probably why humans are still periodically dying of bird flu in Indonesia despite the vaccinations there. Many Indonesians raise chickens in their backyards or keep pet birds in cages. If the virus spreads among these birds, their human owners could be exposed, thus increasing the probability that a person could become simultaneously infected with bird flu and human flu. Such an infection might result in an exchange of genes between viruses, which could create the dreaded (and as yet unseen) pandemic flu virus. To prevent a pandemic, the trickle of human infections must be stopped before it becomes a flood. The best strategy for stopping bird flu is to cull all poultry and pet birds, even healthy ones, within a wide radius of each detected outbreak. But in a country like Indonesia, where annual per capita income is only about $1,140, farmers will not kill healthy chickens without compensation. And the Indonesian government cannot afford to pay for healthy chickens to be culled. So human infections - and the threat of a pandemic - will continue. What will happen when the bird flu virus spreads to Bangladesh, where the annual per capita income is only $440? There are more than 100,000 small poultry farms in Bangladesh, producing $400 million worth of chickens and $300 million worth of eggs every year. The government is watching carefully for bird flu, but it will not have the funds to cull poultry when an outbreak is detected. Its only realistic option will be to import vaccines so that farmers can protect their investments. As in Indonesia, vaccinated chickens will be largely protected, but humans will periodically become infected. Periodically, that is, until a pandemic begins. To avert this, North America and Western Europe need to help Asian governments pay for an effective bird flu eradication program. This will be very expensive, because farmers have to be compensated for destroying millions of healthy chickens in affected areas. However, it would stop periodic bird flu infections in humans. Aid donors should require Asian governments to commit to surveillance for, and honest reporting of, avian influenza outbreaks. Thailand did not admit to having a bird flu problem until the first human case was confirmed in January 2004. If the Thai authorities had announced outbreaks among poultry months earlier, it might have been possible to stop the spread of the disease before there were any human deaths in Thailand. My family started a business breeding day-old chicks in the late 1990's. We reinvested all our profits and expanded rapidly until human cases of bird flu were confirmed in Thailand in 2004. The news panicked Bangladeshi consumers. Chicken consumption plummeted. Our company was forced to cull 860,000 healthy chicks because they simply could not be sold. The consumer panic eventually ended, and demand recovered. But the experience has convinced me that the poultry industry in Asia will remain viable only in countries that can protect humans from bird flu. Unfortunately, denial has been the knee-jerk reaction in many Asian countries. We in the industry have credible reports of bird flu outbreaks on farms in countries that have not reported the disease. A well-financed and organized effort in cooperation with farmers is the only way to keep the number of human cases from mounting. http://www.nytimes.com/2005/11/22/opinion/22hasan.html Zahin Hasan directs the production operations of the largest poultry breeder in Bangladesh. Quote Link to comment Share on other sites More sharing options...
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