Thailand Has Probable Human Bird Flu Transmission

Thailand says it had found its first known probable case of a human being infecting another with bird flu, but insisted it was an isolated incident that posed little risk to the greater population.

BANGKOK — Thailand says it had found its first known probable case of a human being infecting another with bird flu, but insisted it was an isolated incident that posed little risk to the greater population.

The World Health Organisation (WHO) said there was no evidence yet the bug had mutated into a feared strain easily transmitted by humans.

The Thai government said a 26-year-old woman who died on Sept. 20 could have caught the H5N1 virus in the village where her daughter lived but probably was infected by the 11-year-old girl while looking after her in hospital.

"It would have been due to close and prolonged face-to-face exposure," the government statement said, adding that no health workers at the hospital had fallen ill.

The WHO and the U.S. Centers for Disease Control and Prevention had been part of the investigation of the case from the start and agreed it "would not pose a significant public health risk," the statement said.

International health officials have been on alert for signs that H5N1, the avian flu hitting parts of Asia and which is normally transmitted by birds, can jump the species barrier and evolve into a potentially devastating human virus and spark a pandemic like one in 1918 which killed 20 million people.

The head of the WHO's global influenza programme, Dr Klaus Stohr, said in Geneva there were no signs yet the Thai case was the feared signal a human epidemic could be on the way.

"We believe from the epidemiological data ... in the field that we are dealing with a limited, unsustained, dead-end street transmission in this cluster in Thailand," he told a news conference.

The mother's death took to 10 the number of Thais killed by the H5N1 virus. In Vietnam, 20 people have died of the disease.

Experts say the H5N1 virus would have to go through an animal —most likely a pig, although cats can also get it — capable of harbouring the human influenza virus with which it could merge,

Thai Prime Minister Thaksin Shinawatra called an emergency meeting of provincial governors to beef up measures against the disease, a government spokesman said.

"Fluke" Discovery

CDC expert Scott F. Dowell said the Thai case was a "fluke" in that the mother and daughter lived apart, whereas in families living under the same roof it was impossible to tell if infected people caught bird flu from chickens or from each other.

Suspicions of people-to-people transmission in Hong Kong in 1997, when the H5N1 virus first appeared, and in Vietnam this year could not be substantiated for that reason, he said.

"What appears to have happened so far is a well-documented episode of transmission in a family cluster after prolonged, close contacts. It doesn't necessarily tell us that anything has changed about the virus and about the way it transmitted."

The daughter died on Sept. 8 in the north-central province of Khampaeng Phet to which the mother had travelled from her job on learning the girl was ill.

The mother died soon after returning to work. An aunt, with whom the girl lived, was confirmed on Monday to have the H5N1 virus, but was reported to be recovering.

The girl and the aunt both had contact with infected chickens in the village. Fowl were still dying in the village when he visited it at the weekend, said Charal Trinvuthipong, head of the Department of Disease Control.

International organisations are deeply worried about the disease, probably carried across Asia by migrating water fowl that infected domesticated birds and forcing the slaughter of tens of millions of fowl in an effort to prevent its spread.

Thailand and Vietnam, the worst affected, have said several times they had control of the epidemic. However, it broke out again in July, proving how hard it is to stamp out the virus.

Source: Reuters