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Science & Technology
Indonesian Avian Flu Mortality Much Higher
2008-07-18
Recent reports from Indonesian health officials tie the high fatality rate in human H5N1 influenza cases there to the difficulty of diagnosing the disease, late treatment with antiviral drugs, and a shortage of well-equipped hospitals.

The case-fatality rate (CFR) in Indonesia, which leads the world in H5N1 cases, climbed from 63% in 2005 to 80% in 2006 and 85.7% in 2007, according to a report in the journal Annals Academy of Medicine Singapore. The CFR remains high so far this year, with 15 of 18 cases fatal, or 83.3%, according to World Health Organization (WHO) figures...
US military and Feds are watching avian flu in Indonesia closely - it's got prime conditions supporting the sorts of mutations that could lead to a serious pandemic. FWIW
Posted by:Anonymoose

#8  Moose, my comment was about whether a pandemic starts or not. Stopping a pandemic in the early stages is fairly easy. Once it gets going with daily cases in the thousands (or even less) it will be impossible to stop.

The stocks of vaccine and antivirals are there to put a blanket on small outbreaks. Once a small outbreak becomes a big outbreak these stocks are irrelevant.
Posted by: phil_b   2008-07-18 19:18  

#7  Gaia is subtle, and mysterious are her ways!
Posted by: g(r)omgoru   2008-07-18 15:26  

#6  This is scary because even the developed world would likely not be much better off.

We will have vaccine for only 10% of the population six months after we know what the H2H strain is, in full production.

Second, while we have antivirals, we don't have any that really completely work, just give some partial protection.

Third, perhaps 20% of those who could have survived won't, because we have a shortage of respirators, just barely enough for a normal flu season.

What it will boil down to, is if you have the disease, you will get a chest X-Ray. The doctor can tell with one glance whether you are might live, with help, or die. And of those that might live, only a fraction are going to get the respirators they need to live.

This means that our first line of defense, sanitation and isolation, are our best means of defense. If you don't want to die, don't get sick.
Posted by: Anonymoose   2008-07-18 14:18  

#5  Mortality much higher.


Duh, you can't cure it with a chicken foot and a magic dance.
Posted by: bigjim-ky   2008-07-18 09:34  

#4  Nah, if Gaia was truly angry she'd pop a couple of those Indonesian volcanoes so we could enjoy another Little Ice Age.
Posted by: Procopius2k   2008-07-18 09:01  

#3  Gaia is angry!
Posted by: g(r)omgoru   2008-07-18 08:29  

#2  Sounds like congress.... Except that they worship the almightly SIG... (Special Interest Group)
Posted by: CrazyFool   2008-07-18 01:25  

#1  The difference between a pandemic and no pandemic is in all likelyhood fairly modest preventative measures, we in the West would take for granted, and many developing countries are capable of implementing, as Vietnam and Thailand showed.

The problem in Indonesia is a mixture of muslim fatalism and rampant corruption, which leads to a culture where all is show, nothing is substance.
Posted by: phil_b   2008-07-18 01:22  

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