Global spread of H5N1 in 2005
Encyclopedia
The global spread of H5N1 in bird
Bird
Birds are feathered, winged, bipedal, endothermic , egg-laying, vertebrate animals. Around 10,000 living species and 188 families makes them the most speciose class of tetrapod vertebrates. They inhabit ecosystems across the globe, from the Arctic to the Antarctic. Extant birds range in size from...

s is considered a significant pandemic
Influenza pandemic
An influenza pandemic is an epidemic of an influenza virus that spreads on a worldwide scale and infects a large proportion of the human population. In contrast to the regular seasonal epidemics of influenza, these pandemics occur irregularly, with the 1918 Spanish flu the most serious pandemic in...

 threat.

While prior H5N1
H5N1
Influenza A virus subtype H5N1, also known as "bird flu", A or simply H5N1, is a subtype of the influenza A virus which can cause illness in humans and many other animal species...

 strains have been known, they were significantly different from the current H5N1 strain on a genetic level, making the global spread of this new strain unprecedented. The current H5N1 strain is a fast-mutating
Mutation
In molecular biology and genetics, mutations are changes in a genomic sequence: the DNA sequence of a cell's genome or the DNA or RNA sequence of a virus. They can be defined as sudden and spontaneous changes in the cell. Mutations are caused by radiation, viruses, transposons and mutagenic...

, highly pathogen
Pathogen
A pathogen gignomai "I give birth to") or infectious agent — colloquially, a germ — is a microbe or microorganism such as a virus, bacterium, prion, or fungus that causes disease in its animal or plant host...

ic avian influenza virus (HPAI) found in multiple bird species. It is both epizootic (an epidemic in non-humans) and panzootic (a disease affecting animals of many species especially over a wide area). Unless otherwise indicated, "H5N1" in this article refers to the recent highly pathogenic strain of H5N1.

In January 2005 an outbreak of avian influenza affected thirty three out of sixty four cities and provinces in Vietnam
Vietnam
Vietnam – sometimes spelled Viet Nam , officially the Socialist Republic of Vietnam – is the easternmost country on the Indochina Peninsula in Southeast Asia. It is bordered by China to the north, Laos to the northwest, Cambodia to the southwest, and the South China Sea –...

, leading to the forced killing of nearly 1.2 million poultry. Up to 140 million birds are believed to have died or been killed because of the outbreak. In April 2005 an unprecedented die-off began of over 6,000 migratory birds at Qinghai Lake
Qinghai Lake
Qinghai Lake , is a saline lake situated in the province of Qinghai, and is the largest lake in China. The names Qinghai and Kokonor both mean "Blue/Teal Sea/Lake" in Chinese and Mongolian. It is located about west of the provincial capital of Xining at 3,205 m above sea level in a depression...

 in central China
People's Republic of China
China , officially the People's Republic of China , is the most populous country in the world, with over 1.3 billion citizens. Located in East Asia, the country covers approximately 9.6 million square kilometres...

 over three months. This strain of H5N1 is the same strain as is spread west by migratory birds over at least the next ten months. In August 2005 H5N1 spread to Kazakhstan
Kazakhstan
Kazakhstan , officially the Republic of Kazakhstan, is a transcontinental country in Central Asia and Eastern Europe. Ranked as the ninth largest country in the world, it is also the world's largest landlocked country; its territory of is greater than Western Europe...

, Mongolia
Mongolia
Mongolia is a landlocked country in East and Central Asia. It is bordered by Russia to the north and China to the south, east and west. Although Mongolia does not share a border with Kazakhstan, its western-most point is only from Kazakhstan's eastern tip. Ulan Bator, the capital and largest...

 and Russia
Russia
Russia or , officially known as both Russia and the Russian Federation , is a country in northern Eurasia. It is a federal semi-presidential republic, comprising 83 federal subjects...

. On September 29, 2005, David Nabarro
David Nabarro
Dr. David Nabarro , works as the Senior UN System Coordinator for Avian and Human Influenza at United Nations Headquarters in New York. He has been seconded to this position from the World Health Organization.-Biography:...

, the newly appointed Senior United Nations System Coordinator for Avian and Human Influenza, warned the world that an outbreak of avian influenza could kill 5 to 150 million people. David Nabarro later stated that as the virus had spread to migratory birds, an outbreak could start in Africa
Africa
Africa is the world's second largest and second most populous continent, after Asia. At about 30.2 million km² including adjacent islands, it covers 6% of the Earth's total surface area and 20.4% of the total land area...

 or the Middle East
Middle East
The Middle East is a region that encompasses Western Asia and Northern Africa. It is often used as a synonym for Near East, in opposition to Far East...

. Later in 2005 H5N1 spread to Turkey
Turkey
Turkey , known officially as the Republic of Turkey , is a Eurasian country located in Western Asia and in East Thrace in Southeastern Europe...

, Romania
Romania
Romania is a country located at the crossroads of Central and Southeastern Europe, on the Lower Danube, within and outside the Carpathian arch, bordering on the Black Sea...

, Croatia
Croatia
Croatia , officially the Republic of Croatia , is a unitary democratic parliamentary republic in Europe at the crossroads of the Mitteleuropa, the Balkans, and the Mediterranean. Its capital and largest city is Zagreb. The country is divided into 20 counties and the city of Zagreb. Croatia covers ...

 and Kuwait
Kuwait
The State of Kuwait is a sovereign Arab state situated in the north-east of the Arabian Peninsula in Western Asia. It is bordered by Saudi Arabia to the south at Khafji, and Iraq to the north at Basra. It lies on the north-western shore of the Persian Gulf. The name Kuwait is derived from the...

.

January

  • An outbreak of avian influenza affected thirty three out of sixty four cities and provinces in Vietnam
    Vietnam
    Vietnam – sometimes spelled Viet Nam , officially the Socialist Republic of Vietnam – is the easternmost country on the Indochina Peninsula in Southeast Asia. It is bordered by China to the north, Laos to the northwest, Cambodia to the southwest, and the South China Sea –...

    , leading to the forced killing of nearly 1.2 million poultry. Up to 140 million birds are believed to have died or been killed because of the outbreak.

February

  • "Surveillance stepped up in province where Cambodia's first human avian influenza case was detected".

March

  • Vietnam
    Vietnam
    Vietnam – sometimes spelled Viet Nam , officially the Socialist Republic of Vietnam – is the easternmost country on the Indochina Peninsula in Southeast Asia. It is bordered by China to the north, Laos to the northwest, Cambodia to the southwest, and the South China Sea –...

     and Thailand
    Thailand
    Thailand , officially the Kingdom of Thailand , formerly known as Siam , is a country located at the centre of the Indochina peninsula and Southeast Asia. It is bordered to the north by Burma and Laos, to the east by Laos and Cambodia, to the south by the Gulf of Thailand and Malaysia, and to the...

     have seen several isolated cases where human-to-human transmission of the virus has been suspected in care-givers of H5N1 patients, including a mother of a girl who died from H5N1 and two nurses.

April

  • "The Ministry of Health in Vietnam has provided WHO with official confirmation of an additional eight human cases of H5N1 avian influenza. Two of the cases were recently detected, between 2 and 8 April, in Hung Yen and Ha Tay Provinces, respectively. Both patients are alive. The other six cases are thought to have been detected prior to 2 April. WHO is seeking further details from the authorities on this six cases."
  • There is an unprecedented die-off of over 6,000 migratory birds at Qinghai Lake
    Qinghai Lake
    Qinghai Lake , is a saline lake situated in the province of Qinghai, and is the largest lake in China. The names Qinghai and Kokonor both mean "Blue/Teal Sea/Lake" in Chinese and Mongolian. It is located about west of the provincial capital of Xining at 3,205 m above sea level in a depression...

     in central China
    People's Republic of China
    China , officially the People's Republic of China , is the most populous country in the world, with over 1.3 billion citizens. Located in East Asia, the country covers approximately 9.6 million square kilometres...

     during April, May and June. This strain of H5N1
    H5N1
    Influenza A virus subtype H5N1, also known as "bird flu", A or simply H5N1, is a subtype of the influenza A virus which can cause illness in humans and many other animal species...

     is the same strain as is spread west by migratory birds over at least the next ten months. "The RNA sequence of the Qinghai virus reveals that three of its eight genes are almost identical to those of a virus isolated from a chicken in Shantou in 2003. The other five genes resemble those of viruses found in southern China earlier in 2005, which belong to the "Z genotype" virus circulating across east Asia."


May

  • "Since January 2004, when human cases of H5N1 avian influenza were first reported in the current outbreak, 97 cases and 53 deaths have been reported in Vietnam, Thailand and Cambodia. Vietnam, with 76 cases and 37 deaths, has been the most severely affected country, followed by Thailand, with 17 cases and 12 deaths, and Cambodia, with 4 cases and 4 deaths."

June

  • "[T]esting of clinical specimens by international experts working in Vietnam provided further suggestive evidence of more widespread infection with the virus, raising the possibility of community-acquired infection" but "the detection of H5N1 in clinical specimens is technically challenging and prone to errors" so team members and supplies from "institutes in Australia, Canada, Hong Kong SAR, Japan, the United Kingdom, and the United States of America having extensive experience in the testing of avian influenza viruses in human clinical specimens" investigated and concluded that "no laboratory evidence suggesting that human infections are occurring with greater frequency or that the virus is spreading readily among humans."

July

  • A death in Jakarta
    Jakarta
    Jakarta is the capital and largest city of Indonesia. Officially known as the Special Capital Territory of Jakarta, it is located on the northwest coast of Java, has an area of , and a population of 9,580,000. Jakarta is the country's economic, cultural and political centre...

     was the first confirmed human fatality in Indonesia
    Indonesia
    Indonesia , officially the Republic of Indonesia , is a country in Southeast Asia and Oceania. Indonesia is an archipelago comprising approximately 13,000 islands. It has 33 provinces with over 238 million people, and is the world's fourth most populous country. Indonesia is a republic, with an...

    .
  • On July 28, avian influenza was reported to have killed two more people in Vietnam
    Vietnam
    Vietnam – sometimes spelled Viet Nam , officially the Socialist Republic of Vietnam – is the easternmost country on the Indochina Peninsula in Southeast Asia. It is bordered by China to the north, Laos to the northwest, Cambodia to the southwest, and the South China Sea –...

    , raising the death toll to sixty.

August

August 3, 2005
  • WHO
    Who
    Who may refer to:* Who , an English-language pronoun* who , a Unix command* Who?, one of the Five Ws in journalism- Art and entertainment :* Who? , a 1958 novel by Algis Budrys...

     said it was following closely reports from China
    People's Republic of China
    China , officially the People's Republic of China , is the most populous country in the world, with over 1.3 billion citizens. Located in East Asia, the country covers approximately 9.6 million square kilometres...

     that at least 38 people have died and more than 200 others have been made ill by a swine-borne virus in Sichuan Province. Sichuan Province, where infections with Streptococcus suis have been detected in pigs in a concurrent outbreak, has one of the largest pig populations in China. The outbreak in humans has some unusual features and is being closely followed by the WHO.


August 11, 2005
  • An avian outbreak of H5N1 flu was confirmed in Kazakhstan
    Kazakhstan
    Kazakhstan , officially the Republic of Kazakhstan, is a transcontinental country in Central Asia and Eastern Europe. Ranked as the ninth largest country in the world, it is also the world's largest landlocked country; its territory of is greater than Western Europe...

     and Mongolia
    Mongolia
    Mongolia is a landlocked country in East and Central Asia. It is bordered by Russia to the north and China to the south, east and west. Although Mongolia does not share a border with Kazakhstan, its western-most point is only from Kazakhstan's eastern tip. Ulan Bator, the capital and largest...

    , suggesting further spread of the virus.


August 22, 2005
  • The virus was found in western Russia
    Russia
    Russia or , officially known as both Russia and the Russian Federation , is a country in northern Eurasia. It is a federal semi-presidential republic, comprising 83 federal subjects...

    , marking its appearance in Europe
    Europe
    Europe is, by convention, one of the world's seven continents. Comprising the westernmost peninsula of Eurasia, Europe is generally 'divided' from Asia to its east by the watershed divides of the Ural and Caucasus Mountains, the Ural River, the Caspian and Black Seas, and the waterways connecting...

    . As a result, Dutch
    Netherlands
    The Netherlands is a constituent country of the Kingdom of the Netherlands, located mainly in North-West Europe and with several islands in the Caribbean. Mainland Netherlands borders the North Sea to the north and west, Belgium to the south, and Germany to the east, and shares maritime borders...

     authorities ordered that free-range chickens would have to be kept indoors. EU officials chose not to impose a similar policy on member countries.

September

September 29, 2005
  • David Nabarro
    David Nabarro
    Dr. David Nabarro , works as the Senior UN System Coordinator for Avian and Human Influenza at United Nations Headquarters in New York. He has been seconded to this position from the World Health Organization.-Biography:...

    , the newly appointed Senior United Nations System Coordinator for Avian and Human Influenza, warned the world that an outbreak of avian influenza could kill 5 to 150 million people. Also, due to a bipartisan effort of the United States Senate
    United States Senate
    The United States Senate is the upper house of the bicameral legislature of the United States, and together with the United States House of Representatives comprises the United States Congress. The composition and powers of the Senate are established in Article One of the U.S. Constitution. Each...

    , $4 billion dollars was appropriated to develop vaccines and treatments for Avian influenza. David Nabarro
    David Nabarro
    Dr. David Nabarro , works as the Senior UN System Coordinator for Avian and Human Influenza at United Nations Headquarters in New York. He has been seconded to this position from the World Health Organization.-Biography:...

     stated that as the virus had spread to migratory birds, an outbreak could start in Africa
    Africa
    Africa is the world's second largest and second most populous continent, after Asia. At about 30.2 million km² including adjacent islands, it covers 6% of the Earth's total surface area and 20.4% of the total land area...

     or the Middle East
    Middle East
    The Middle East is a region that encompasses Western Asia and Northern Africa. It is often used as a synonym for Near East, in opposition to Far East...

    .
  • Agricultural ministers of Association of South East Asian Nations announced a three-year plan to counter the spread of the disease.

October

October 13, 2005
  • The EU Health Commissioner Markos Kyprianou
    Markos Kyprianou
    ' is a Cypriot politician who served as a Minister of Foreign Affairs until his official resignation in July 19 2011, following the events of the Evangelos Florakis Naval Base explosion. A member of the Democratic Party, he was formerly Cyprus's Finance Minister and the European Commissioner for...

     confirmed that tests on the dead turkeys
    Turkey (bird)
    A turkey is a large bird in the genus Meleagris. One species, Meleagris gallopavo, commonly known as the Wild Turkey, is native to the forests of North America. The domestic turkey is a descendant of this species...

     found on farms in Kiziksa, Turkey
    Turkey
    Turkey , known officially as the Republic of Turkey , is a Eurasian country located in Western Asia and in East Thrace in Southeastern Europe...

    , showed that they had died from the H5N1 strain. Even before the test results were available, some 5,000 birds and poultry have been culled in the area. It is believed that the disease had spread from migratory birds that land at the Manyas
    Manyas
    Manyas is a town and district of Balıkesir Province in the Marmara region of Turkey. The population is 6501 . The mayor is Hasan Kahraman .-Pictures from Manyas Birds' Heaven:...

     bird sanctuary (a few miles from the infected farm) on their way to Africa.


October 15, 2005
  • The British Veterinary Laboratory in Weybridge confirmed that the virus detected in Ciamurlia, Romania
    Romania
    Romania is a country located at the crossroads of Central and Southeastern Europe, on the Lower Danube, within and outside the Carpathian arch, bordering on the Black Sea...

     is H5N1.


October 19, 2005
  • China
    People's Republic of China
    China , officially the People's Republic of China , is the most populous country in the world, with over 1.3 billion citizens. Located in East Asia, the country covers approximately 9.6 million square kilometres...

     announced a fresh outbreak of bird flu, saying 2,600 birds have died from the disease in Inner Mongolia
    Inner Mongolia
    Inner Mongolia is an autonomous region of the People's Republic of China, located in the northern region of the country. Inner Mongolia shares an international border with the countries of Mongolia and the Russian Federation...

    . The deaths, at a farm near the region's capital of Hohhot, were due to the H5N1 strain, the Xinhua news agency said.

October 26, 2005
  • Croatia
    Croatia
    Croatia , officially the Republic of Croatia , is a unitary democratic parliamentary republic in Europe at the crossroads of the Mitteleuropa, the Balkans, and the Mediterranean. Its capital and largest city is Zagreb. The country is divided into 20 counties and the city of Zagreb. Croatia covers ...

     announced H5N1 strain was found in dead swan
    Swan
    Swans, genus Cygnus, are birds of the family Anatidae, which also includes geese and ducks. Swans are grouped with the closely related geese in the subfamily Anserinae where they form the tribe Cygnini. Sometimes, they are considered a distinct subfamily, Cygninae...

    s.


October 31, 2005
  • Russia
    Russia
    Russia or , officially known as both Russia and the Russian Federation , is a country in northern Eurasia. It is a federal semi-presidential republic, comprising 83 federal subjects...

     confirmed previously suspected H5N1 bird flu in ten rural communities across Russia. The confirmed outbreak sites are in the central areas of Tula and Tambov, as well as in the Urals province of Chelyabinsk and in Omsk and Altai, in Siberia.

November

November 12, 2005
  • Kuwait
    Kuwait
    The State of Kuwait is a sovereign Arab state situated in the north-east of the Arabian Peninsula in Western Asia. It is bordered by Saudi Arabia to the south at Khafji, and Iraq to the north at Basra. It lies on the north-western shore of the Persian Gulf. The name Kuwait is derived from the...

     has reported positive testing of two birds, one infected with H5N1, and the other with the H5N2
    H5N2
    H5N2 is a subtype of the species Influenzavirus A .-H5N2 and birds:Low pathogenic avian inluenza H5N2 virus in poultry later gained accentuated virulence in the United States and Mexico...

     virus, making them the first cases of infection in the Middle East
    Middle East
    The Middle East is a region that encompasses Western Asia and Northern Africa. It is often used as a synonym for Near East, in opposition to Far East...

    . A flamingo
    Flamingo
    Flamingos or flamingoes are gregarious wading birds in the genus Phoenicopterus , the only genus in the family Phoenicopteridae...

     holding the H5N1 virus was found dead by the sea, as Gulf News reports, it was killed by authorities and did not die from the virus.

December

December 30, 2005
"China confirms its third human death from bird flu. That brings the death toll [...] to 74, comprising 14 victims in Thailand, four in Cambodia, 11 in Indonesia, 42 in Vietnam and three in China."

See also

  • Global spread of H5N1 in 2004
    Global spread of H5N1 in 2004
    The global spread of H5N1 in birds is considered a significant pandemic threat.While prior H5N1 strains have been known, they were significantly different from the current H5N1 strain on a genetic level, making the global spread of this new strain unprecedented...

  • Global spread of H5N1 in 2006
    Global spread of H5N1 in 2006
    The global spread of H5N1 in birds is considered a significant pandemic threat.While prior H5N1 strains have been known, they were significantly different from the current H5N1 strain on a genetic level, making the global spread of this new strain unprecedented...

  • Global spread of H5N1 in 2007
    Global spread of H5N1 in 2007
    The global spread of H5N1 in birds is considered a significant pandemic threat.While prior H5N1 strains have been known, they were significantly different from the current H5N1 strain on a genetic level, making the global spread of this new strain unprecedented...

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