Risks While Traveling – Avian Flu, Dengue Fever And Related Illnesses

Bird flu viruses, which are natural to birds, cause Avian Flu. Their intestines are the breeding ground for the virus although the birds themselves rarely get ill from them. Avian flu, however, is highly contagious among birds and can be lethal for birds that are domesticated, including turkeys, chickens and ducks.

Avian flu also has subtypes within its heading. Some of these subtypes are easily spread to humans. One example is the H5N1 virus. This influenza A virus subtype predominantly presents in birds and is not lethal to them, or contagious among them. They have occurred in humans, however, though they are very rare. The norm of contamination is with people who had direct or immediate contact with the H5N1-contaminated surface or with H5N1-infected poultry.

Since 2004, 467 cases of H5N1 have occurred throughout the world, as per the World Health Organization. Of those cases, 282 were fatal. In 2009, China was the location for 7 confirmed cases and 4 fatalities. Egypt reported 39 confirmed cases and no deaths. Cambodia had 1 confirmed case and no death. Vietnam reported 5 confirmed cases all resulting in death.

Thus far, an effective vaccine has not been made available to fight the H5N1 virus. There are yearly vaccines to effectively manage seasonal influenza but these vaccines do not protect recipients from pandemic influenza.

Immunity Barrier Against Avian Flu

At this time there is no immunity barrier against avian flu in the human form. There also, however, is no evidential data to support bird-to-human or environment-to-human contamination. There also is no proof of human-to-human contamination and transmission.

A high-risk populace is evident for people who are closely tied to infected domestic poultry. This puts them at direct risk for contamination. Travelers are at a positive risk when visiting wild bird markets or visiting bird markets. In addition there also are risks when eating undercooked or uncooked poultry, including derivative products such as eggs.

Symptoms for Avian Flu

Normally symptoms for avian flu occur between 2 – 8 days of contamination and exposure. Usually a high fever is the first sign (upwards of 38°C), along with headaches, nausea, chills and other flu-like symptoms. Patients also suffer from fluid in the lungs, which can cause shortness of breath and coughing.

Helpful Management Tool for Avian Flu

Prevention is an important management tool for Avian Flu. Travelers should always avoid eating undercooked or uncooked poultry, again including eggs. It also is recommended that surfaces that may possibly be contaminated are avoided. This can be any surface with fluids from tainted poultry, feces or other animal contaminants. Travelers should wash their hands thoroughly prior to eating, after changing diapers, after using the bathroom and after any direct contact with animals, babies or feces.

There are no vaccines developed to effectively protect against H5N1 virus in humans. Vaccines are available to manage seasonal influenza, but not against pandemic influenza. Tamiflu, known also as oseltamivir, is a neuraminidase inhibitor that can reduce the duration and severity of seasonal influenza symptoms. Its potency is predicated however on its early onset administration. It may improve a patient’s survival if given early enough, however clinical data is limited.