世界衛生組織今日召開緊急會議,商討豬流感疫情,擬將疫情警戒級別,由第3級,提升至第4級。
消息人士透露,世衛擬將疫情警戒級別,由第3級,提升至第4級,這將是世衛自1999年實行疫情警戒級別以來,首次將警戒級別提升至第4級。
世衛第4級警戒級別,即有證據顯示人傳人風險增加,世衛可藉此發出旅遊
警告。如警戒級別升至第5級,即有強烈證據將有疫情大爆發,世衛將要求政府對出入疫區的旅客,進行健康檢查,並展開生產應付疫情爆發的疫苗。
世界衛生組織今日召開緊急會議,商討豬流感疫情,擬將疫情警戒級別,由第3級,提升至第4級。
消息人士透露,世衛擬將疫情警戒級別,由第3級,提升至第4級,這將是世衛自1999年實行疫情警戒級別以來,首次將警戒級別提升至第4級。
世衛第4級警戒級別,即有證據顯示人傳人風險增加,世衛可藉此發出旅遊
警告。如警戒級別升至第5級,即有強烈證據將有疫情大爆發,世衛將要求政府對出入疫區的旅客,進行健康檢查,並展開生產應付疫情爆發的疫苗。
该中心的舒克特医生在记者会上坦言:“有关的猪流感病毒显然散播很广,因此我们要让大家知道,我们无法制止它的扩散。”
其他专家也同意在现阶段不可能控制这种全新菌株的H1N1流感病毒,因为它能轻易地人传人,而且已经出现在几个不同地区。受感染者之间,据知并无接触。这表示病毒悄悄散播已有一段时日,人群中存在至今未经觉察的感染链(chain of infection)。
由于呼吸性疾病非常普遍,医生通常不会给予病人特别检验,因此,人们即使感染了猪流感,也可能完全不自知。
在美国,感染新病毒的人至今都只是轻微病倒,这是另一个病毒可能神不知,鬼不觉地散播开来的原因。
世界卫生组织总干事陈冯富珍已表示,新病毒有可能引发全球大流行病,因为它传播迅速,也能造成感染者病重。
美国疾病及预防中心专家指出,疫情如果是集中在一个范围有限的地区,就有可能加以控制。但如果已出现在多个地区,而且范围广大,就不可能制止它扩散了。墨西哥的疑似病例已增加到1300多起,范围扩大到16个州属,单单在首都墨西哥市,昨天就发现24起新疑似病例;全国可能死于猪流感的人数增加到81人,其中20起已获证实。
纽约证实八学童
感染猪流感
美国也发现更多病例,除了得克萨斯州和加利福尼亚州,堪萨斯州也证实有人感染猪流感,三州病例共计11起。纽约市较后证实有八个学童感染猪流感。不过,到目前为止,美国患者都病情不重,许多人早已康复,只有两人需要入院。
墨西哥卫生部长科尔多瓦被问及为何墨美两国病患死亡人数悬殊时指出,美国的染病者都是儿童。他说:“儿童有某种免疫因素保护着他们,这是我们唯一的解释。”他指出,墨西哥死者当中也没有儿童,不过,部分墨西哥病患也可能因为拖延太久才求医,这才会丧命。
由于病毒散播范围广,能够轻易人传人,加上病死的出奇都是年轻力壮的成人,而非老弱或年幼者,医疗界因此担心这可能演变成一场大流行病。
世界卫生组织要求所有国家加强监察和汇报工作。根据世卫指导原则,病患应该被隔绝,周遭人士也应当服用抗病毒药物如达菲。不过,人口稠密的墨西哥市已经有太多人患病,这项抗防方案已经行不通,而且部分传染病专家指出,现在已来不及防止病毒扩散。
美国明尼苏达大学的大流感专家奥斯特霍尔姆说:“现在任何说要防控病毒散播的措施,都只是一项政治行动。”
早已饱受毒品战和经济衰退煎熬的墨西哥政府,为这场越滚越大的疫情伤透脑筋。猪流感爆发初期,当局据说掉以轻心,这才耽误了宝贵的疫情防控时间。总统卡尔德龙昨天行使特别权力让政府能够隔绝病人,以及对住家、入境客和入境行李进行检查。
除了墨美两国,纽西兰、法国、西班牙、以色列等国也都出现疑似病例。
在纽西兰,10名刚从墨西哥考察归来的奥克兰中学生,现在出现流感症状;纽西兰当局没有排除,他们可能感染了猪流感。
法国也有四名从墨西哥归来的游客出现流感症状,当局肯定还会有更多疑似病例,因为近期有相当多从墨西哥来的班机和船只。
在西班牙,有三人从墨西哥回来后出现感冒症状而遭隔绝,当局还在等候检验报告。
在以色列,一名26岁男子从墨西哥归来后发高烧,目前还在医院接受检测。这是以色列,也是中东的第一起疑似病例。
较早时,英国航空公司从墨西哥市飞抵伦敦航班的一名机组人员也出现感冒征兆,但检验结果显示,他并非感染猪流感。
经历过沙斯和禽流感肆虐的多个亚洲国家,昨天都加强防备。从香港到韩国、日本和马来西亚,机场启动了流感侦察程序。
《联合早报》
(编辑:杨丽娟)
综合外电报道,在这超过千六宗疑似感染个案中,约有400人现时正在留院。
墨西哥卫生部长科尔多瓦指出,墨西哥及美国感染病患死亡人数悬殊,他说,美国的染病者都是儿童,“儿童有某种免疫因素保护着他们,这是我们唯一的解释。”他指出,墨西哥死者当中也没有儿童,但部分墨西哥病患也可能因为拖延太久才求医,这才会丧命。
不过,墨西哥卫生部官员也指出,美国的病例似乎都未曾直接接触过猪只,因此是“全新的病毒”。
墨西哥和各国政府已进一步加紧戒备,防止病毒蔓延。墨西哥已经采取多种措施高度戒备。墨西哥总统卡尔德龙向民众保证,药物可治癒流感,国家亦储存充足的抗流感药。墨西哥城的市长表示,若感染人数仍不断增加,有可能考虑关闭公共运输系统。
继墨西哥及美国后,加拿大是第三国家出现确诊个案。加拿大的卑诗省及新斯科舍省,亦确诊6宗病例,全部人病情轻微,其中四名中学生曾到墨西哥游学,毋须住院,正在康复。
华府亦宣布国土进入公共卫生紧急状态,当局会发放1200多万剂储存的抗流感药,应付疫情。美国确诊的病例增至20宗,包括纽约8名中学生。
而纽西兰再有3名学生证实染上甲型流感,1名教师有流感徵状,一并列为怀疑猪流感个案,令总数增至14宗。卫生部门昨证实,该中学的25名师生参加完墨西哥游学团回国,其中10名学生对甲型流感测试呈阳性反应,可能患上猪流感。而同团一名教师出现流感徵状。
西班牙有7宗疑似猪流感个案,患者全部都是近期去过墨西哥。当局对所有从墨西哥来的旅客进行严格测检。单在星期日,六班由墨西哥到达马德里机场的航机,总共1,500名乘客要接受特别检查。
中国卫生部发言人毛群安说,中国目前未发现人感染新型猪流感病例。卫生部已加强监察不明原因肺炎和不能确诊的流感病例,要求各级医疗机构要专家会诊,严防疫情漏报误诊。
《联合早报网》
(编辑:黄秀茱)
With swine flu outbreaks creating what U.S. health officials Sunday called a public health emergency, LiveScience presents a 4-part Flu Special Report this week to examines the science of influenza, what you can do to be safe, and the risk of a pandemic. Part 1 today: Flu basics.
The flu virus is most commonly spread in liquid droplets made airborne by coughing or sneezing. Symptoms - such as fever, body ache, extreme fatigue, sore throat, and dry cough - begin showing in adults one to four days after being infected.
The new strain of swine flu is spreading from human to human, but the Centers for Disease Control and Prevention (CDC) doesn't yet know how contagious it is. Bird flu, which has in recent years concerned scientists, has been slow to transmit between humans.
A study in 2006 showed that modern travel could contribute to spreading a flu pandemic across the United States in as little as three months.
An adult can begin spreading the flu virus one day before and three to seven days after symptoms show, and children can remain contagious even longer. Some infected individuals show no symptoms, yet they can still spread the virus to others.
Among the best preventative measures you can take, according to the CDC:
For the elderly and the young, flu vaccines can be crucial, but they only work when designed for a specific flu strain.
Year-round problem
Many people think of the flu as a winter disease since incidence typically peaks from December to March. It's actually a year-round problem.
But people tend to stay indoors more in the winter, making person-to-person transmission of influenza, which is caused by a virus, easier, said Jennifer Morcone, a spokeswoman for the CDC. Further, a study in 2007 revealed that the influenza virus thrives on cold temperatures and low relative humidity, allowing them to remain virulent longer in the air or on surfaces after being sneezed out of an infected person.
Each year anywhere from 5 to 20 percent of the U.S. population gets the flu. Anyone can contract it, but children, the elderly and people with chronic medical conditions are more likely to experience complications, such as pneumonia, bronchitis, and sinus and ear infections. However, the swine flu currently sweeping through Mexico and the United States has proven more problematic among healthy young adults.
The flu can also worsen chronic health problems: asthmatics are more likely to have asthma attacks and people with chronic congestive heart failure may have their condition worsen.
On average, 36,000 people in the United States die from influenza and related complications each year, according to the CDC. More than 200,000 are admitted to hospitals for treatment.
A pandemic in 1918 killed more than 20 million people worldwide.
The flu is sometimes confused with the common cold, and for good reason. Both are respiratory illnesses brought on by viruses. They share many of the same symptoms, and it is nearly impossible to make the distinction based on the variety of symptoms alone.
Flu symptoms, however, are generally more intense, especially fever and fatigue, and can lead to dangerous complications.
Viral roots
Influenza is a virus - a pack of protein and DNA that lacks the capacity to self-reproduce. So it infects a cell, hijacks the inner machinery and uses it to reproduce. The virus reproduces until there are so many copies that the cell bursts and the virus spills out, spreading to other healthy cells.
There are three types of influenza viruses: A, B, and C. Swine flu (H1N1) and the much hyped avian flu (H5N1) are both Type A.
Type A: Infects people, pigs, birds, horses, seals, whales, and other animals. Wild birds are natural hosts. Divided into subtypes based on two surface proteins - hemagglutinin (HA) and neuraminidase (NA). There are 15 HA and 9 NA subtypes, and these can be combined in various ways. Currently, the three most common subtypes in general human circulation are H1N1, H1N2, and H3N2. These can cause epidemics - defined as a high incidence of disease in an area or population - and also a widespread geographic or global disease called a pandemic.
Type B: Normally occurs only in humans. No subtypes. Known to cause human epidemics, but not pandemics.
Type C: Only causes mild respiratory illness in humans, and is not included in flu vaccines. Not capable of epidemic or pandemic spread.
Types A and B are further characterized into genetic variants called "strains." New strains are constantly evolving and take the place of older ones. While your body may have built up resistance against one strain, it may not be able to fend off its replacement.
Part 2 of this 4-part series will be published Monday. Portions of this report were first published on LiveScience in 2005 as fears of avian flu spread. The information was updated this week.
MEXICO CITY – Churches stood empty Sunday in heavily Roman Catholic Mexico City after services were canceled, and health workers screened airports and bus stations for people sickened by a new strain of swine flu that experts fear could become a global epidemic.
President Felipe Calderon has assumed new powers to isolate people infected with the deadly swine flu strain that Mexico's health minister says has killed up to 81 people and likely sickened 1,324 in the country since April 13.
The flu has spread beyond Mexico's borders with confirmed cases in the United States and suspected cases as far away as New Zealand.
New York Mayor Michael Bloomberg said Sunday that the Centers for Disease Control and Prevention confirmed that students at a city high school were infected with swine flu.
New York officials previously had said they were eight "probable" cases, but tests later confirmed it was swine flu. Bloomberg stressed that the cases were mild and many are recovering.
About 100 students complained of flu-like symptoms at the school. Some students went to Cancun, Mexico, on a spring break trip two weeks ago. Mexican authorities have not said whether swine flu has been found in the Caribbean beach resort.
In Mexico, soldiers and health workers patrolled the capital's subway system on Sunday handing out surgical masks and looking for possible flu cases. People were advised to seek medical attention if they suffered from multiple symptoms — which include a fever of more than 100 degrees, body aches, coughing, a sore throat, respiratory congestion and, in some cases, vomiting and diarrhea.
Hundreds of public events from concerts to sports matches to were called off to keep people from congregating and spreading the virus in crowds. Zoos were closed and visits to juvenile correction centers were suspended.
About a dozen federal police in blue surgical masks stood in front of Mexico City's Metropolitan Cathedral, which was nearly empty after a measure canceling services to avoid large concentrations of people.
Johana Chavez, 22, said she showed up for her confirmation only to find a sign advising that all Masses, baptisms and confirmations were canceled until further notice.
"We are all Catholic so this is a big step, closing the cathedral," she said, cradling a squirming infant in her arms. "The flu must be bad. I guess I'll have to come back later."
Markets and restaurants were nearly empty. And throngs of Mexicans — some with just a fever — rushed to hospitals.
Mexico appears to have lost valuable days or weeks in detecting the new flu strain, a combination of pig, bird and human viruses that humans may have no natural immunity to. Health officials have found cases in 16 Mexican states. Two dozen new suspected cases were reported in the capital on Saturday alone.
At least 11 cases of swine flu have been confirmed in California, Texas and Kansas, in addition to the New York students.
The first death was in southern Oaxaca state on April 13, but Mexico didn't send the first of 14 mucus samples to the Centers for Disease Control and Prevention until April 18, around the same time it dispatched health teams to hospitals looking for patients with severe flu or pnuemonia-like symptoms.
Those teams noticed something strange: The flu was killing people aged 20 to 40. Flu victims are usually either infants or the elderly. The Spanish flu pandemic, which killed at least 40 million people worldwide in 1918-19, also first struck otherwise healthy young adults.
The World Health Organization on Saturday asked all countries to step up reporting and surveillance of the disease, as airports around the world were screening travelers from Mexico for flu symptoms.
On Sunday, New Zealand reported that 10 students "likely" have swine flu after a school trip to Mexico, though Health Minister Tony Ryall said none of the students was seriously ill and there was no guarantee they had swine flu. Israel's Health Ministry said there is one suspected case in that country and France is investigating four possible cases.
WHO Director-General Margaret Chan said the outbreak of the never-before-seen virus has "pandemic potential." But she said it is still too early to tell if it would become a pandemic — an epidemic that spreads in humans around the world.
WHO guidance calls for isolating the sick and blanketing everyone around them with anti-viral drugs such as Tamiflu. Too many patients have been identified in Mexico's teeming capital for such a solution now. But some pandemic flu experts say it's also too late to contain the disease to Mexico and the United States.
"Anything that would be about containing it right now would purely be a political move," said Michael Osterholm at the University of Minnesota.
Mexican authorities ordered schools closed in the capital and the states of Mexico and San Luis Potosi until May 6.
A team from the CDC was in Mexico to help set up detection testing for the swine flu strain, something Mexico previously lacked.
Health authorities noticed a threefold spike in flu cases in late March and early April, but thought it was a late rebound in the December-February flu season.
Testing at domestic labs did not alert doctors to the new strain. Health Secretary Jose Cordova acknowledged Mexican labs lacked the profiling data needed to detect the previously unknown strain.
Even though U.S. labs detected the swine flu in California and Texas before last weekend, Mexican authorities as recently as Wednesday were referring to it as a late-season flu.
But mid-afternoon Thursday, Mexico City Health Secretary Dr. Armando Ahued said, officials got a call "from the United States and Canada, the most important laboratories in the field, telling us this was a new virus."
Asked why there were so many deaths in Mexico, and none so far among the U.S. cases, Cordova noted that the U.S. cases involved children — who haven't been among the fatal cases in Mexico, either.
"There are immune factors that are giving children some sort of defense, that is the only explanation we have," he said.
Another factor may be that some Mexican patients may have delayed seeking medical help too long, Cordova said.
Others are forced to work and leave their homes despite health concerns.
Wearing two dirty, blue surgical masks she says she found and a heavy coat, Daniela Briseno swept garbage early Sunday morning from the streets in Mexico City.
"This chill air must be doing me harm. I should be at home but I have a family to support," the 31-year-old said.
Scientists have warned for years about the potential for a pandemic from viruses that mix genetic material from humans and animals.
A "seed stock" genetically matched to the new swine flu virus has been created by the CDC, said Dr. Richard Besser, the agency's acting director. If the government decides vaccine production is necessary, manufacturers would need that stock to get started.
___
Associated Press writers Mark Stevenson and Olga R. Rodriguez in Mexico City; Frank Jordans in Geneva; Mike Stobbe in Atlanta; Malcolm Ritter in New York; and Maria Cheng in London contributed to this report.
MEXICO CITY – Churches stood empty Sunday in heavily Roman Catholic Mexico City after services were canceled, and health workers screened airports and bus stations for people sickened by a new strain of swine flu that experts fear could become a global epidemic.
President Felipe Calderon has assumed new powers to isolate people infected with the deadly swine flu strain that Mexico's health minister says has killed up to 81 people and likely sickened 1,324 in the country since April 13.
The flu has spread beyond Mexico's borders with confirmed cases in the United States and suspected cases as far away as New Zealand.
New York Mayor Michael Bloomberg said Sunday that the Centers for Disease Control and Prevention confirmed that students at a city high school were infected with swine flu.
New York officials previously had said they were eight "probable" cases, but tests later confirmed it was swine flu. Bloomberg stressed that the cases were mild and many are recovering.
About 100 students complained of flu-like symptoms at the school. Some students went to Cancun, Mexico, on a spring break trip two weeks ago. Mexican authorities have not said whether swine flu has been found in the Caribbean beach resort.
In Mexico, soldiers and health workers patrolled the capital's subway system on Sunday handing out surgical masks and looking for possible flu cases. People were advised to seek medical attention if they suffered from multiple symptoms — which include a fever of more than 100 degrees, body aches, coughing, a sore throat, respiratory congestion and, in some cases, vomiting and diarrhea.
Hundreds of public events from concerts to sports matches to were called off to keep people from congregating and spreading the virus in crowds. Zoos were closed and visits to juvenile correction centers were suspended.
About a dozen federal police in blue surgical masks stood in front of Mexico City's Metropolitan Cathedral, which was nearly empty after a measure canceling services to avoid large concentrations of people.
Johana Chavez, 22, said she showed up for her confirmation only to find a sign advising that all Masses, baptisms and confirmations were canceled until further notice.
"We are all Catholic so this is a big step, closing the cathedral," she said, cradling a squirming infant in her arms. "The flu must be bad. I guess I'll have to come back later."
Markets and restaurants were nearly empty. And throngs of Mexicans — some with just a fever — rushed to hospitals.
Mexico appears to have lost valuable days or weeks in detecting the new flu strain, a combination of pig, bird and human viruses that humans may have no natural immunity to. Health officials have found cases in 16 Mexican states. Two dozen new suspected cases were reported in the capital on Saturday alone.
At least 11 cases of swine flu have been confirmed in California, Texas and Kansas, in addition to the New York students.
The first death was in southern Oaxaca state on April 13, but Mexico didn't send the first of 14 mucus samples to the Centers for Disease Control and Prevention until April 18, around the same time it dispatched health teams to hospitals looking for patients with severe flu or pnuemonia-like symptoms.
Those teams noticed something strange: The flu was killing people aged 20 to 40. Flu victims are usually either infants or the elderly. The Spanish flu pandemic, which killed at least 40 million people worldwide in 1918-19, also first struck otherwise healthy young adults.
The World Health Organization on Saturday asked all countries to step up reporting and surveillance of the disease, as airports around the world were screening travelers from Mexico for flu symptoms.
On Sunday, New Zealand reported that 10 students "likely" have swine flu after a school trip to Mexico, though Health Minister Tony Ryall said none of the students was seriously ill and there was no guarantee they had swine flu. Israel's Health Ministry said there is one suspected case in that country and France is investigating four possible cases.
WHO Director-General Margaret Chan said the outbreak of the never-before-seen virus has "pandemic potential." But she said it is still too early to tell if it would become a pandemic — an epidemic that spreads in humans around the world.
WHO guidance calls for isolating the sick and blanketing everyone around them with anti-viral drugs such as Tamiflu. Too many patients have been identified in Mexico's teeming capital for such a solution now. But some pandemic flu experts say it's also too late to contain the disease to Mexico and the United States.
"Anything that would be about containing it right now would purely be a political move," said Michael Osterholm at the University of Minnesota.
Mexican authorities ordered schools closed in the capital and the states of Mexico and San Luis Potosi until May 6.
A team from the CDC was in Mexico to help set up detection testing for the swine flu strain, something Mexico previously lacked.
Health authorities noticed a threefold spike in flu cases in late March and early April, but thought it was a late rebound in the December-February flu season.
Testing at domestic labs did not alert doctors to the new strain. Health Secretary Jose Cordova acknowledged Mexican labs lacked the profiling data needed to detect the previously unknown strain.
Even though U.S. labs detected the swine flu in California and Texas before last weekend, Mexican authorities as recently as Wednesday were referring to it as a late-season flu.
But mid-afternoon Thursday, Mexico City Health Secretary Dr. Armando Ahued said, officials got a call "from the United States and Canada, the most important laboratories in the field, telling us this was a new virus."
Asked why there were so many deaths in Mexico, and none so far among the U.S. cases, Cordova noted that the U.S. cases involved children — who haven't been among the fatal cases in Mexico, either.
"There are immune factors that are giving children some sort of defense, that is the only explanation we have," he said.
Another factor may be that some Mexican patients may have delayed seeking medical help too long, Cordova said.
Others are forced to work and leave their homes despite health concerns.
Wearing two dirty, blue surgical masks she says she found and a heavy coat, Daniela Briseno swept garbage early Sunday morning from the streets in Mexico City.
"This chill air must be doing me harm. I should be at home but I have a family to support," the 31-year-old said.
Scientists have warned for years about the potential for a pandemic from viruses that mix genetic material from humans and animals.
A "seed stock" genetically matched to the new swine flu virus has been created by the CDC, said Dr. Richard Besser, the agency's acting director. If the government decides vaccine production is necessary, manufacturers would need that stock to get started.
___
Associated Press writers Mark Stevenson and Olga R. Rodriguez in Mexico City; Frank Jordans in Geneva; Mike Stobbe in Atlanta; Malcolm Ritter in New York; and Maria Cheng in London contributed to this report.
(吉隆坡)墨西哥和美國爆發豬流感疫病,世界衛生組織擔心疫情將散播全球;大馬衛生部和移民局正密商有關防範措施,包括啟動防疫警報系統。
大馬曾經爆發由豬隻傳染給人類的立百病毒疫情,這次墨西哥和美國爆發的豬流感疫病,特引大馬民眾關注。
衛生部長拿督斯里廖中萊指出,衛生部將採取透明化措施,應對豬流感疫情,即定期向國人匯報疫情進展。
衛部定期匯報疫情
部長也勸請國人無驚惶,並表示政府將採取必要步驟防止疫情傳到大馬。
目前,世界衛生組織已處於高度戒備狀態。其它國家,如中國、朝國等已啟動防疫警報,嚴防傳入豬流感疫病。
大馬移民局總監拿督馬末阿旦表明,當局已與衛生部緊密合作,防止在墨西哥爆發的豬流感疫情擴散至大馬。
他今日(週日,4月26日)對《馬新社》說,移民局正等待衛生部的指示,準備全力配合衛生部的行動。而移民局有經驗,曾在亞洲爆發禽流感時,提供有效的服務。
最新的豬流感在墨西哥已奪去62條人命,世界衛生組織指出,部份死者被鑒定感染H1N1種類豬流感,之前未在豬隻或人類身上發現。
沒有疫苗勤於洗手豬流感的症狀和一般感冒無異,會出現發燒、咳嗽、流鼻涕及身體疼痛病征。
豬流感比之前的病毒頑強,它集合了飛禽、人類及豬隻的病毒。
專家說,豬流感至今沒有疫苗,最好的防範措施是保持手部清潔,勤於洗手,避免受感染。
衛部啟動防範機制
衛生部副部長拿督羅斯娜說,政府目前正在監督墨西哥爆發的豬流感病毒問題,並作好準備應付這個可能會散播入境的病毒。
羅斯娜週日在亞庇中央醫院進行工作訪問後說,衛生部將會與關稅局、移民局配合,在必要時啟動機制和防範步驟,嚴防豬流感病毒入境。
“我們曾經應付過之前在全球爆發的禽流感,因此,我們有信心應對。衛生部也正決定要採取何種步驟,應對在拉丁美洲發生的豬流感病毒。”
她說,衛生部的技術部門現時已在國內各個的入境處,對來自拉丁美洲的旅客採取監督行動。
墨促國人勿接吻搭地鐵
避免豬流感疫情散播,墨西哥當局告訴首都墨西哥市的民眾說,要避免乘坐地鐵,不要相互接吻,相互問好時也不要握手。
豬流感疫情最為嚴重,當局已經就豬流感疫情發起了大規模栽種疫苗的運動。
當局亦向每日載客量達500萬人次的巴士和地鐵乘客大派免費口罩,政府人員被指示戴口罩,當局亦促請市民身體若有不適不要上班。
另外,計有2000萬人口的墨西哥市啟動25年來最大規模的關閉公共建築行動,所有公立的小學、中學和大學都已經關門停課,610萬學生和數以千計大學生受影響。
此外,所有官方文化活動皆暫停活動,包括圖書館、國營劇院和至少14間博物館。私人運動員俱樂部也休息,足球聯盟正在考慮取消週末的賽事。
墨西哥城的機場目前還在繼續運營,但是,當局向機場派去了醫療團隊,每一位飛機乘客都接受查問,任何有流感症狀的乘客都被禁止上機,以避免他們擴散疫情。
立百病毒或再侵襲
隨著豬流感在全球迅速蔓延,而曾在大馬奪走百多條人命的立百病毒,與豬流感是否有相似之處,引起高度的關注。
去年11月,因發現立百病毒而獲得國際表揚獎的馬大醫學系神經科顧問陳忠登教授,在一項座談會上指出,他不排除另一種立白病毒,會在大馬或世界任何地方再次爆發的可能性。
他說,越來越多國家,包括孟加拉、印尼、泰國、柬埔寨和印度,都發現蝙蝠感染到立白病毒;因此,立白病毒的潛在爆發性是存在的。
此外,他認為從其它國家來馬工作的外勞,也可能引發病毒侵馬的危機。
他說,過去7年,幾乎每年遭受立白病毒襲擊的孟加拉,發現立白病毒可造成更嚴重的呼吸困難,而且可以輕易在人類群中傳開,甚至蔓延到整個世界。
立百病毒的症狀
發燒、頭疼、腦膜炎、睏倦、神志不清以至昏迷、呼吸困難。死亡率可達40%。有些人則不表現症狀。病毒潛伏期是7至21天。
豬流感的症狀
由3種病毒基因混合而成的H1N1豬流感病毒,是一種急性呼吸道傳染病,產生發高燒、精神不振、厭食、咳嗽等症狀。
新聞背景
1997年立百首現
立百病毒首次造成的疾病出現在1997年。當時在馬來西亞霹靂州的豬場工人有人罹患腦炎,其中一人死亡。由於當地為日本腦炎的流行地區,因而被認為是日本腦炎病毒感染所造成的。
然而,由於患者多為成人而非孩童,患者多接種過日本腦炎疫苗,病例相當集中而非散發,患者大多數曾與豬隻接觸,患者畜養的豬隻發病的時間與畜主有關聯性,蚊蟲防治與日本腦炎預防接種皆無法遏止疫情,這些跡象都與典型的日本腦炎疫情相佐。
1998年9月,同一地區的成人發高燒與罹患腦炎的病例數急劇上升,並發現所有患者皆與養豬業有關。接下來,全國最大的養豬區森美蘭州武吉不蘭律也傳出爆發嚴重立百病毒疫情。
到了1999年農曆新年前後瀕臨失控,越來越多豬農發病,群醫束手無策。截至1999年4月,已有265人患病,其中106人喪生。
1999年5月為止,馬來西亞衛生部在位於美國亞特蘭大的疾病管制中心協助下,鑑定出這是一種新的病毒所引起的感染症。
最後,政府迅速採取隔離政策,撲殺了100萬頭豬隻。當豬隻大量撲殺後,疫情立即得到控制,也顯示此病毒確實與豬隻有密切的關係。
2008年8月底,馬來亞大學醫藥中心腦神經專科醫生陳忠登與研究團隊,因10年前發現立百病毒(Nipah Encephalitis Virus),獲得健康、科學與工藝領域的“獨立獎”。
光明日報‧2009.04.26