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  • ‘Next pandemic could kill 4-7M people’
     
    By Cher Jimenez
    Reporter

    THE World Health Organization (WHO) calculates the next pandemic may strike between 20 percent and 30 percent of the global population and kill an estimated 4 million to over 7 million people.

    Dr. Ma. Nerissa Dominguez of the WHO’s Western Pacific Regional Office said the projection is based on a cycle of influenza pandemics since 1847 that spring up every 30 to 40 years.

    In 1918 the world experienced the worst influenza pandemic when a strain called Spanish flu, or H1N1, killed an estimated 25 million people across the globe.

    “We have to be prepared because all the requirements for the next pandemic are already here,” said Dominguez in a media workshop in Baguio City recently.

    By November 2007, the relatively new H5N1 virus that causes avian influenza had killed birds in 63 countries since 2003 and led to the destruction of millions of poultry in these countries. The Philippines has been free of the virus up to the present.

    In January 2006, avian flu was detected to have arrived in 30 countries that previously had been free of the virus; and the bug was shown to have crossed the species barrier on multiple occasions so that more than a hundred poultry workers had been killed, according to the WHO. As of April this year, the WHO recorded a total of 382 cases of avian influenza in humans, including 241 deaths.

    The fear is that there may soon be a human-to-human infection of H5N1, which, health experts said, could be the precursor of a pandemic, especially since only a few of the vaccine effective against the first generation of the virus is available and mutations could be expected.

    “As no virus of the H5 subtype has ever circulated widely in humans, vulnerability to infection with a pandemic H5 strain will be universal,” warned Rodriguez.

    She added the next influenza pandemic is expected to spread faster because of ease of travel and economic globalization involving worldwide daily merchandise trading, so that it is expected to cause severe economic disruption in the world.

    The majority of avian-influenza cases in people were found to be in those aged 20 to 29 years, the prime human productivity time.

    Rodriguez said many of the world’s infectious diseases have originated from animals and affected humans “because of close contact.” She mentioned ebola hemorrhagic fever, monkey pox, the Japanese encephalitis, acquired immune deficiency syndrome (AIDS), and severe acute respiratory syndrome (SARS).

    Rodriguez said the WHO encourages member states to reduce the opportunities of human infection by implementing an early warning system, rapid virus containment response, and spread delaying measures in synch with global strategies aimed at controlling avian influenza.

    She said the WHO has a stockpile of 3 million anti-bird flu medicines, which may prove to be not enough should a pandemic strike. “The risk of a pandemic is great. The risk will persist.” 

    Dr. Lyndon Lee Suy, program manager of the Health department’s emerging infectious diseases division, said the Philippines runs the risk of avian influenza even from local poultry, but he did not say why this is so.

    Despite the presence of H5N1 in many of its neighboring countries, the Philippines has yet to have a single case of the disease drawing great curiosity from many health experts in the world.

    The health department has allocated P60 million for staving off avian influenza this year and has at least 17 government hospitals on stand-by for emergency response.

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