Indonesia needs more help to rein in the bird flu virus, the UN's Food and Agriculture Organisation has said. The human death toll from bird flu in the country rose to 100 earlier this year - almost half of the total worldwide fatalities. The FAO's chief veterinary expressed concerns that failure to tackle the disease could lead the virus to mutate and cause a "human influenza pandemic". Most of those infected are thought to have caught the disease from poultry.
| However, according to a briefing I attended recently, we are tracking 5 cases of possible human-to-human transmission. If in fact the virus has mutated and spreads, things could get very very nasty. This stuff currently has >50% mortality rate among people who get it from birds and it hits those 18-45 years old hardest. |
Mr Domenech also expressed concerns about a possible mutation of the virus which could be easily passed from human to human. "Furthermore, I am deeply concerned that the high level of virus circulation in birds in the country could create conditions for the virus to mutate and to finally cause a human influenza pandemic," he said.
Surveillance and response teams are working in 193 out of 448 districts in Indonesia, yet birds in 31 out of 33 provinces are affected, Mr Domenech said.
The virus is endemic in Java, Sumatra, Bali and southern Sulawesi with sporadic outbreaks reported from other areas, the FAO said.
By June 2008, more than 2,000 surveillance and response teams will be active in more than 300 districts in areas of the country where the disease is endemic, Mr Domenech said.
But that may not be enough.
"Indonesia is facing an uphill battle against a virus that is difficult to contain. Major human and financial resources, stronger political commitment and strengthened co-ordination between the central, provincial and district authorities are required to improve surveillance and control measures," Mr Domenech said.
Since the first outbreaks in 2003, bird flu has spread rapidly across Java into Bali, Kalimantan and Sumatra. In 2006, the virus spread further east infecting Papua and much of Sulawesi. Since the H5N1 virus emerged in South East Asia in late 2003, it has claimed more than 220 lives around the world.