
Swine influenza detected in the East African Community / EAC Partner States institute appropriate measures to eliminate spread of the disease
ARUSHA, Tanzania, July 3, 2009/African Press Organization (APO)/ — Cases of Swine Influenza (AH1N1) have been detected in the East African Community in the Republics of Kenya and Uganda. The Kenyan and Ugandan authorities have instituted appropriate measures to minimize and eliminate the spread of the disease. The EAC Secretariat is in constant communication with both the Kenyan and Ugandan authorities on the matter. The EAC Secretariat has urged all EAC Partner States to fully activate their surveillance networks in line with EAC Diseases Control Strategy of Early Detection-Early Response. The EAC Partner States have been further urged to step up public health education on swine flu to avoid public panic. Further, EAC Partner States have been urged to set up hotlines. The EAC Secretariat is ensuring coordinated efforts in the control of AH1N1 within the region.
The Kenyan case is of a 20 year old student from United Kingdom, Nottingham University Medical School. The student arrived in the Republic of Kenya on Virgin Atlantic flight through Jomo Kenyatta International Airport, in Nairobi on 21st June, 2009 and took a chartered bus directly to Kisumu with stopovers at Naivasha for lunch.
The British student was in a group of thirty five students from the UK on a field trip to KEMRI-CDC laboratory in Kisumu. The student realized that he had flu like symptoms on Saturday 27th June, 2009 and immediately sought medical assistance. Samples submitted to the laboratories in Kenya tested positive of AH1N1. Doctors in Kisumu, say that the patient’s illness is mild and does not need hospitalization, but close monitoring.
In the Ugandan case, authorities affirm that a 40-year-old male who arrived in country on June 26 from London via Nairobi to Entebbe without any symptoms was confirmed to have Influenza AH1N1 on July 1. Ugandan authorities further confirm that the man is under isolation in Entebbe and in good condition.
According to World Health Organization (WHO), as of 1st July 2009, the Flu epidemic which started in Mexico two-months ago has already infected 77,201 people and killed 332. WHO has since declared it a pandemic at level six.
At level six pandemic alerts, there is human to human spread, characterized by community level outbreaks in at least one other country in different WHO regions. Designation of this phase indicates that a global pandemic is underway.
The symptoms of AH1N1 include in man fever, lethargy, lack of appetite, aching body, coughing, runny nose, sore throat, nausea, vomiting and or diarrhoea. The symptoms are very much like those of the common cold.
AHIN1 (Swine Influenza) in pigs causes coughing, sneezing, nasal discharge, fever, breathing difficulty. The mortality rates in an affected herd are generally low.
AH1NI (Swine Influenza) is caused by influenza A viruses. These viruses are known to have the ability to change their antigenic structure and create new strains. Gene reassortments (gene segment exchange) between strains of swine, poultry and human are said to be frequent.
Influenza viruses have eight genes, two of which code for virus surface proteins – hemagglutinin (H) and neuraminidase (N) – that allow the virus to enter a host cell and spread from cell to cell. There are 16 H subtypes and 9 N subtypes, and, therefore, 144 possible HN combinations. However, only three (H1N1, H2N2 and H3N2) have ever been found in influenza viruses that are fully adapted to infect humans. Other combinations, such as avian influenza H5N1, occasionally infect people, but they are bird viruses, not human viruses.
According to recent updates received from the CDC the H1N1 influenza virus is a genetic re-assortment of four different influenza strains including swine influenza from North America and Eurasia, Avian gene segments from North America and human influenza gene segments. This genetic combination of swine influenza virus has not been recognized previously among swine or human isolates anywhere in the world.
According to the EAC Senior Livestock and Fisheries Officer, Mr. Timothy Wesonga, the disease can be avoided through good personal hygiene. “It is recommended that hands should be washed thoroughly with soap and water after touching contaminated surfaces. While sneezing or coughing, a hankie or tissue should be used. Crowded places should be avoided. People who show influenza-like symptoms should be seek medical assistance” advised Mr. Wesonga. The EAC Senior Livestock and Fisheries Officer has also strongly advised the general public to be vigilant and report to the nearest Health Authorities any suspected cases
SOURCE
East African Community (EAC)


















