Monday, November 21, 2005

Possible under reporting of bird flu infections in China and other Southeast Asian countries may be promoting an illusory sense that human infections are very limited. Common press reports only describe fewer than 130 people as infected with H5N1 avian flu and that fewer than 70 have died worldwide. Yet, there are enormous problems getting accurate data, especially in a country like China with a population of more than a billion.

“Reporting a suspected bird flu infection in bird or humans is a very unlikely event,” said Dr. Shoshana Zimmerman of the eHealth Institute. She is also a founder of www.birdflubeacon.com, a site dedicated to bird flu issues. “There are very few incentives to report, and lots of reasons to refrain from reporting. From the viewpoint of local rural small farmers, there is little to be gained and much to be lost by reporting an infection. The worse threat is that their flocks could be killed, leaving them destitute.”

There are many factors which mitigate against reporting bird or human infections of bird flu.

• The deaths of chickens, ducks, and birds are common events for farmer. Even when a large number die at one time they may see no purpose in reporting the deaths.

• When a human dies in locations with little or no medical services, the rural farmer’s priority for discerning the cause of death may be low.

• In rural areas most people are not taken to hospitals when they are sick.

• Bird flu symptoms are not widely known. If the symptoms are not known, they will not be recognized and reports of possible bird or human infections can not be made.

• The expenses required for detection are those of proper collection and shipment of samples to one of approximately 200 laboratories worldwide, as well as the testing procedure that requires a two week period of waiting before results are obtained.

• The lack of incentive for countries to report large scale outbreaks as it may lead to widespread panic and economic loss, as occurred with SARS. These factors can be seen at work in the way that the first bird flu death was reported in China,” Dr. Zimmerman stated.

A young woman, Zhou Maoya, died after returning home to the village of Yantan in Annui province to prepare for her wedding. Her family has stated that they did not take her to the hospital because they thought it would not do any good. Officials also note rural Chinese also often cite relatively expensive medical costs as a reason for not seeking treatment when sick.

Although initially authorities attributed her death to pneumonia the resulting political pressure prompted China to invite the World Health Organization to send experts to investigate. The authorities then rescinded the previous position and attributed her death to bird flu based on the similarity of the symptoms that she was reported to exhibit with those of bird flu. The village was quarantined and journalists were denied access. It is not known how many others might be infected in the village. Official announcements were made of plans to vaccinate and cull birds.

A local government official, Fan Qian, told AFP that it was believed Zhou was infected while she was outside of the province.

Fan Tan, a local official, told AFP news that 1,000 birds in Yantan had been culled (killed). Plans were announced to vaccinate 2 million poultry in the area, a huge and difficult task.

Zhang, another official, said authorities had met with all villagers to give them flu vaccinations and to tell them how to protect themselves against the bird flu virus, including not consuming poultry products. It is known that flu vaccinations do not protect against bird flu.

Villagers and local officials minimized the threat. In outlying areas of Yantan, residents said that they did not know of any new outbreaks. Other possible infections have been attributed to similar common causes but there have not been any tests performed validating those attributions.

Fan Litan, a peasant woman from Fantu village, about 2 miles from Yantan, lost many of her ducks, and chickens and also a dog; she has attributed these deaths to the acts of hooligans. She said her family had been extremely frightened when her animals suddenly died. “We were scared to death,” said Fan, standing next to a red sign posted on the outside wall of her home that said: “Prevention and control by the masses is basic for people.” Fan said ducks and chickens are all healthy but she admitted that she had stopped eating poultry. No testing of these birds has been reported yet.

According to a recent AFP report from Liuchang, 59 miles south of Yantan, the obstacles to identifying infections are enormous.

Like many, one Liuchang villager named Wang Hemin said he was concerned and would keep a closer eye on his ducks and chickens, but felt no immediacy since the infection was not in his province. He learned about bird flu on TV, and is aware that officials have come to his village of 2,700 people to warn residents about the virus. They offered guidelines: they told people that poultry which die suddenly could have contracted bird flu and should not be eaten or sold and that such an incident should also immediately be reported. However, the symptoms of H5N1 bird flu were not directly described.

Residents have not yet been fully informed of what symptoms to look for in ill poultry–they are fever, diarrhea, teary eyes and swelling in the legs of the birds. Though a pledge was made earlier in the week to vaccinate 2 million birds immediately, no bird vaccinations in this area have been reported yet.

In another nearby village, Nazahuang, chickens scuttle in and out of houses. One resident, Fan Jiexu, 73, said no officials had yet warned her village to take precautions. Throughout rural areas, it is customary for chickens to scuttle in and out of homes. Ducks and bird often die and are eaten by villagers when it is believed safe to do so.

China has reported 17 avian flu outbreaks as of this week. Despite the Chinese government issued high alerts, critical information is not being adequately communicated to some rural villages. The size of the poultry population, the common and normal occurrence of poultry death on farms, and status of roughly 70% of the poultry population as being kept in backyards are factors complicating infection control.

The head of World Health Organization’s China office, Henk Bekedam, is aware that slow reaction to bird flu threats and difficulty monitoring poultry in the world’s most populous country makes control of its spread challenging.

Testing is required to confirm H5N1 virus, and positive test results lead to the killing of nearby flocks. The incentive for many villagers, officials, and governments to minimize reports of H5N1 virus infections and severe medical and economic complications for making confirmations of infection are obstacles opposing complete and full reporting of the spread and infection rates of the virus.

Monday, July 26, 2010

Snooker player Alex Higgins, nicknamed “Hurricane”, was found dead in his apartment in Donegall Road, Belfast, Northern Ireland on Saturday. He was aged 61 and had been suffering from throat cancer since 1997.

Born in Belfast on March 18, 1949, Higgins became the champion of the World Snooker Championship at the age of 23 in 1972. He reached the same achievement again in 1982. Higgins’ final title victory was in the Irish Professional Championship in 1989.

During 1986, he received a fine and was banned from five tournaments after headbutting a director of a tournament. He was also banned from playing for one year in 1990 after threatening to have Dennis Taylor, another snooker player, shot.

Recently, Higgins lost all his teeth as the result of having treatment for his cancer. In May 2010, a charity dinner took place in Manchester, England that raised approximately £20,000 (US$30,997, €23,859, A$34,363, C$31,961) so as to allow surgery for new teeth for him to occur. However, Higgins was considered to be too unhealthy to have the surgery in Marbella, Spain.

Dennis Taylor, now a snooker commentator at the BBC, stated that “[t]here was just something about the way he played the game — there was a little bit of [John] McEnroe in there. I don’t think you’ll ever see a player in the game of snooker like the great Alex Higgins.”

Philip Studd, another commentator of snooker for the BBC, has described the late snooker player as being “snooker’s original troubled genius” and that Higgins was “[c]harismatic, flash, fast, unpredictable, combustible — you just couldn’t take your eyes off the ‘Hurricane’.” Studd continued to explain that “[w]hile he could never match the consistency of Steve Davis or Stephen Hendry, Higgins on his day was the greatest of them all. He touched the heights in 1982 when he won his second world title. He pipped Jimmy White to the final thanks to a break still widely regarded as the finest ever made. His tears of triumph after beating Ray Reardon — wife and baby in arms — remains one of snooker’s most iconic moments. Without Alex ‘Hurricane’ Higgins snooker would never have become one of the most popular television sports in the 1980s and beyond.”

Thursday, January 21, 2010

After a long night of negotiations, United States television personality and seven-month host of The Tonight Show Conan O’Brien and his network, NBC, have reached a deal that would buy out the contracts of O’Brien and his staff for US$45 million and reinstate Jay Leno as the show’s host starting March 1, O’Brien’s manager told media on Thursday. In this agreement, O’Brien will walk away with more than $33 million. The rest will be distributed to his staff of over 200 people as severance payments.

His manager went on to say that Friday will be O’Brien’s last night serving as host. O’Brien reportedly plans to have an official farewell show with American actors Tom Hanks and Will Ferrell as guests, and with Canadian rock singer Neil Young as the closing musical performance.

As pertains to O’Brien’s next move, ABC has said that it is not interested in hiring him. Fox, on the other hand, which lacks a late-night talk show, expressed “appreciation” for O’Brien’s abilities—but for now nothing more. Comedy Central has also been mentioned as a possible new network home for O’Brien.

When asked about the issue by the Associated Press, a spokesman for O’Brien said he was currently “unavailable” to comment.

Friday, August 25, 2006

Israel has purchased two more Dolphin class submarines which have the capacity to carry nuclear warheads. Israel already has three older nuclear weapons-capable Dolphin submarines but the new Dolphins have propulsion systems that allow them to remain submerged for longer periods of time, according to the Jerusalem Post, making it harder for them to be tracked by satellite. Experts view the purchase as a clear signal to Iran that Israel can retaliate if subjected to a nuclear attack.

“The Iranians would be very foolish if they attacked Israel,” said Paul Beaver, a British based defence analyst, speaking to the Washington Post. According to Beaver, the submarines would provide Israel with both first strike and second strike capability.

Israel already has land-based nuclear-capable ballistic missiles in the form of the Jericho I and II missiles.

German officials confirm that the contracts for the new submarines was signed July 6. The Jerusalem Post reports that they will be operational shortly.

Israel has never confirmed nor denied that it has nuclear weapons but is believed to have the world’s sixth largest stockpile of the devices, with most outside estimates putting their stockpile in the low hundreds. Israel’s possession of nuclear arms has often been a locus of bitter controversy in the Middle East, especially among countries who believe that the world community, and especially the United States, is hypocritical in its tolerance of Israeli nuclear arms while decrying the efforts of other Middle Eastern nations to develop their own nuclear capabilities.

Meanwhile, the Jerusalem Post reports there is a growing mood among Israel’s defence establishment that the country will have to act independently to stop Iran from obtaining nuclear weapons as the United States is unlikely to do so.

“America is stuck in Iraq and cannot go after Iran militarily right now,” according to an unnamed official quoted by the paper.

A report by the US House of Representatives’ Intelligence Committee released on Wednesday asserts that if Iran arms itself with nuclear weapons, Israel would be pressed to respond militarily. “A nuclear armed Iran would likely exacerbate regional tensions. Israel would find it hard to live with a nuclear armed Iran and could take military action against Iranian nuclear facilities,” the report states. Iran has continually maintained that it seeks only to develop nuclear technology for the production of electrical power, though this has been disputed by many nations.

Thursday, March 13, 2008

Members of Australia’s Health Services Union (HSU) will go on strike in Victoria next week in a dispute over stalled wage and career structure negotiations. Over 5000 physiotherapists, speech pathologists and radiation therapists will walk off the job next week, effectively closing the state’s 68 largest health services.

The strike will force the closure of intensive care units and emergency departments across the state.

It is feared the strike could continue into Easter.

National secretary of the HSU, Kathy Jackson said admissions would be crippled, while intensive care patients would have to be evacuated to New South Wales, Tasmania and South Australia as hospitals will not be able to perform tests or administer treatment.

“When an ambulance shows up you can’t admit a patient without an X-ray being available, you can’t intubate them and you can’t operate on them,” she said.

“If something goes wrong in an ICU you need to be able to X-ray, use nuclear medicine or any diagnostic procedure,” said Ms Jackson.

Ms Jackson said the HSU offered arbitration last year, but the state government refused. “They’re not interested in settling disputes, they hope that we are just going to go away.”

“We’re not going away, we’ve gone back and balloted the whole public health workforce in Victoria, those ballots were successful, 97 percent approval rating,” she said.

The HSU is urging the government to commence serious negotiations to resolve the dispute before industrial action commenced.

The government has offered the union a 3.25 per cent pay increase, in line with other public sector workers but the union has demanded more, but stopped short of specifying a figure.

Victorian Premier John Brumby said the claim would be settled according to the government’s wages policy. “The Government is always willing and wanting to sit down and negotiate with the relevant organisations . . . we have a wages policy based around an increase of 3.25 per cent and, above that, productivity offset,” he told parliament.

The union claims it is also arguing against a lack of career structure, which has caused many professionals to leave the health service. Ms Jackson said wages and career structures in Victoria were behind other states.

Victorian Opposition Leader Ted Baillieu said he was not in support of the proposed strike and called on the government to meet with unions. “There could not be a more serious threat to our health system than has been announced today.”

“We now have to do whatever is possible to stop this strike from proceeding,” he said.

The opposition leader will meet with the union at 11:30 AM today.

Victorian Hospitals Industry Association industrial relations services manager Simon Chant said hospitals were looking at the possible impact and warned that patients may have to be evacuated interstate if the strike goes ahead.

Thursday, November 29, 2007

President Pervez Musharraf of Pakistan gave up his uniform in a ceremony yesterday in Rawalpindi. He handed power over to General Ashfaq Parvez Kayani at the headquarters of the Pakistani Army, after being the leader of the army for nine years.

In his final address as leader of the army, he said that the army was the saviour of Pakistan and that the army was his life. He also expressed his pride in being the leader of what he called a “great force.”

Musharraf had been under a lot of pressure to quit as army chief, since the country was put into the spotlight as a result of a state of emergency being declared. He is expected to be sworn in as the civilian president of Pakistan on Thursday.

Both the opposition leader, Benazir Bhutto, and the US secretary of state, Condoleezza Rice, welcomed the change of duties. However, Bhutto indicated her party may not be prepared to accept Musharraf in his new non-military leadership role. Condoleezza Rice requested the state of emergency be lifted before the planned elections, which are due to take place in January.

Musharraf said General Kayani was “an excellent soldier” and that “the armed forces under his command will achieve great heights.”

General Kayani was named as the successor to Musharraf in October, before the state of emergency was declared in early November.

Wednesday, February 22, 2006

Almost 600 desperate family members and others remained camped outside the Pasta de Conchos coal mine near San Juan de Sabinas, in the northern Mexico state of Coahuila where 65 Mexican miners were trapped by a gas explosion around 2:30 a.m. (0830 GMT) Sunday. Some are threatening to storm the mine while soldiers are trying to keep them calm and rescuers continue to pick through the rock and debris with hand tools, fearing that any power equipment might set off another explosion.

The local newspaper’s headline caused panic by quoting one of over a dozen surviving miners who were close enough to the exits to escape: “They are surely dead,” (La Prensa de Monclova). However, Arturo Vilchis, Civil Protection Director, refused to speculate on the condition of the miners, while Javier de la Fuente, an engineering contractor with mine owner Grupo México S.A. de C.V. also tried to hold out some hope.

The men were each supposed to be carrying oxygen tanks, each with a six hour supply, and there’s some hope that they could reach other oxygen supply tanks, or that some air might be reaching them through the ventilation shafts into which rescuers have been pumping more oxygen since shortly after the explosion.

Juan Rebolledo, vice president of international affairs for Grupo México, assured onlookers that U.S. mining experts were on the way, and officials at the U.S. Mine Safety and Health Administration have confirmed that they’ve sent a specialized equipment truck and several mining experts which should arrive at the mine site on Wednesday afternoon.

Meanwhile Consuelo Aguilar, a spokeswoman for the National Miners’ Union, called for an investigation into Grupo México’s responsibility for the disaster. Pedro Camarillo, a federal labor official, said nothing unusual was found during a routine evaluation in early February.

Monday, January 7, 2008

The U.S. Supreme Court is hearing arguments on the constitutionality of the use of lethal injection as a method for the imposition of the death penalty in the United States. Two men, Ralph Baze and Thomas Clyde Bowling Jr., who were convicted of murder in the Commonwealth of Kentucky and sentenced to death, sued the state in 2004 arguing that the use of lethal injection as a method of imposition of capital punishment violates the Eighth Amendment’s prohibition on cruel and unusual punishment.

Thirty-seven states and the Federal Government have capital punishment for some crimes, all except Nebraska (which uses electrocution) use lethal injection. The process uses three chemicals in a “cocktail”, which, by the procedures that are used to apply them to the condemned, (three injections given consecutively) allegedly “create a significant and unnecessary risk of inflicting severe pain that could be prevented by the adoption of reasonable safeguards”, their lawyers said in court papers. “Kentucky seeks to execute in a relatively humane manner and has worked hard to adopt such a procedure,” Kentucky Attorney General Gregory Stumbo has said. The state has also argued in its brief against supporting the plaintiffs’ appeal that it will lead to “an endless road of litigation. … Condemned inmates will never run out of ideas for changes to the procedures, drugs or equipment used during lethal injection.”

Baze was scheduled to be executed on January 8 after Governor of Kentucky Ernie Fletcher signed his death warrant, but the Kentucky Supreme Court suspended his execution on September 12, 2007, arguing it needed more time to examine arguments he had made in a separate appeal. He was convicted of killing Powell County Sheriff Steve Bennett and Deputy Arthur Briscoe in 1992 while the lawmen were trying to serve him with arrest warrants. Bowling was convicted of killing Edward and Tina Earley in Louisville in 1990.

According to the article on lethal injection in Wikipedia, the three chemicals used are Sodium thiopental to render the offender unconscious; Pancuronium/Tubocurarine: to stop all muscle movement except the heart, causing muscle paralysis, collapse of the diaphragm, and would eventually cause death by asphyxiation; and Potassium chloride to stop the heart. The chemicals apparently cannot be combined together as they could precipitate into a solid and be ineffective. It is argued that thiopental is a very short-term anesthetic and may wear off during the procedure, causing anesthesia awareness and excruciating pain from the effects of the other drugs.

In oral hearings today, the justices seemed skeptical that the chemical concoction causes extreme pain or that a better method was available. A lawyer for one of the plaintiffs argued that if insufficient anesthetic is given, when the inmate is given the paralyzing drug, they will experience agonizing pain, but be unable to react, and that it is even illegal in Kentucky to euthanize animals in this fashion. Some of the justices have considered sending the case back for further hearings to determine if a single barbiturate would be superior to the current method.

While the Supreme Court has examined the application of the death penalty many times over the past 40 years, this is the first time the court has reviewed the issue of the method of execution in 100 years, according to lawyers for the plaintiffs. A ruling is not expected until June. There are about 3,000 people on death row in the United States, and about 60 are executed each year. Since the case was accepted by the Supreme Court, all executions in the United States have been temporarily suspended pending the decision.

The case name is Baze v. Rees.