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Wednesday, 8 October 2008

Case Definitions of Avian Influenza

1. Suspect Case

A suspect case is a person suffering from an upper respiratory tract infection with symptoms of fever (temp > 38°C), cough, and/or sore throat and/or runny nose, coupled with one of the following circumstances:
• Having visited a poultry farm where avian influenza occurred in the last one week;
• Having been in contact with confirmed avian influenza case during transmission period
• Working in a laboratory that is handling avian influenza-suspect human or animal specimen

2. Probable Case

A probable case is similar to a suspect case with one of the following conditions:
• Limited laboratory evidence suggesting the presence of Influenza A virus (H5N1), for example: Hemagglutination Inhibitation (HI) test using H5N1 antigen.
• Within a short period the disease turns into pneumonial infection/respiratory failure/death.
• There is no evidence suggesting other causes of death

3. Confirmed Case

A confirmed case is a suspect case or probable case coupled with the presence of one of the following laboratory test results:
• Positive culture for H5N1 influenza virus
• Positive PCR assay for influenza (H5)
• Four-fold increase of H5 antibody titer

Source : Komnas FBPI

Frequently Asked Questions about Avian Flu

1. What is Avian Flu?

Avian influenza (bird flu) is an infectious disease caused by the type A strains of the influenza virus. These are mainly found in birds and poultry.

2. Has bird flu reached Indonesia?

Avian influenza was first detected in August 2003 in Indonesia. As of early December 2006, the virus has been detected in birds in 30 provinces in Indonesia.

3. I have domestic birds. How would I know if my domestic birds have bird flu?

The Food and Agriculture Organization of the United Nations (FAO) website (http://www.fao.org/ag/againfo/subjects/en/health/diseases-cards/special_avian.html) provides information about how to assess whether a bird may be infected with bird flu. You can also visit the Department of Agriculture for general information on Avian Influenza (http://www.deptan.go.id/) or the Directorate General of Animal Health of the Department of Agriculture at (http://keswan.ditjennak.go.id/).

4. Can humans catch bird flu, and are the effects fatal for humans?

Yes, bird flu can infect humans and the disease can be fatal. Keep in mind that at this stage the disease remains a rare event.

5. How long is the incubation period?

The incubation period for bird flu is 2-10 days after exposure to the virus. However, most cases become symptomatic after 3-5 days of exposure to the virus.

6. What are the symptoms of bird flu?

Early signs of bird flu are often similar to seasonal human influenza (cough, sore throat, high fever, headache, muscle ache, etc). The disease can progress into pneumonia where there might be shortness of breath, difficulty breathing and respiratory failure.

7. What should I do if I think I have bird flu?

If you think you have been exposed to bird flu and have influenza-like symptoms, seek medical advice.

8. How is the virus transmitted to humans?

The virus is found in bird and poultry faeces and respiratory secretions. Most cases have contracted the virus directly from infected birds, although environmental contamination with the virus can also be a source of infection.

9. Is there a cure for the bird flu?

Besides intensive medical attention, Oseltamivir (registered as Tamiflu) is the main anti-viral treatment for bird flu. It is most effective when administered early in the disease. Tamiflu in Indonesia is available at all Avian Influenza Referral Hospital. (see AI Hospital Referral list)

10. Are there any vaccines for the virus?

There are currently no human vaccines available for bird flu. Researchers are carefully monitoring the situation to ensure that if the virus changes into a strain that is more infective for humans, they can then start to develop a vaccine specifically for that strain.

11. What can we do to prevent bird flu in our homes?

• Maintain a healthy environment and sanitary surrounding (especially if there are bird/poultry pens and cages).
• Maintain self sanitation (frequently wash hands with soap and antiseptic solution)
• Always place bird/poultry pens and cages as far away from the house as
possible.
• Use protection (masks and gloves) when handling organic poultry fertilizers.
• Don’t throw bird/poultry innards and feathers recklessly, always place them in a plastic bag and dispose properly.
• Always clean excess bird/poultry and animal feed, to prevent attracting wild
birds.

12. How do we protect ourselves from bird flu infection?

• Wash your hands with soap or other antiseptic solutions after handling
poultry/birds.
• Disinfect surfaces with simple detergents, alcohol solutions (70%) or chlorine
(0.5%).
• Wear masks, gloves and boots if entering areas with recent bird flu infection.
• Closely observe your health if you have close contact with birds/poultry. Seek medical advice if you develop fever, eye infections, and/or respiratory problems.

Also:
1. Do not touch sick or dying birds; if you do, immediately wash your hands and report to local authorities.
2. Wash your hands and utensils with soap and water before you eat or cook.
Cook all poultry and eggs well.
3. Separate your birds and separate all new flocks for two weeks.
4. Go immediately to a health clinic if you have a fever with flu-like symptoms and have had contact with birds.

13. What occupations are high risk for bird flu infection?

1. poultry farmers and farm workers
2. poultry slaughterers and slaughterhouse workers
3. sellers of poultry products (meat, eggs, etc.)
4. bird / poultry owners
5. lab staff and workers processing samples
6. people who live in areas where recent poultry deaths have been attributed to bird flu infection
7. people who had direct, close and unprotected contact with confirmed bird flu
cases.

14. Is it safe to each chicken meat and other poultry products?

Yes, it is safe to eat chicken and other poultry products that have been fully-cooked (fried, boiled or grilled). Do not eat poultry meat that is still pink or half-cooked/half-boiled eggs.


Source: World Health Organization

Wednesday, 17 September 2008

DG Pascal Lamy Ready to Call Ministers Back to Geneva

WTO Director-General Pascal Lamy, in a statement at UNCTAD on 16 September 2008, said that “depending on progress made by the negotiators, I am ready to call Ministers to Geneva to try and close the issues which remain open”. “The reasons why we must conclude the Round are becoming more critical by the day as the economic and financial outlook continues to deteriorate”. This is what he said:

55th Session of UNCTAD's Trade and Development Board
Evolution of the International Trading System and of International Trade from a Development Perspective

Mr Chairman,
Ladies and Gentlemen

I would have preferred to speak at today's Session on the “Evolution of the International Trading System” about the agreement reached to establish agriculture and industrial modalities towards a final deal of the Doha negotiations, but I cannot.

Instead I will tell you just how much we stand to lose if we do not carry on with the very hard and arduous work of concluding the Doha Round. I am convinced that a deal is still possible. I still believe that with yet another push we could still reach our target. This belief is not obstinacy. It is based on a hard look at what is on the table and what remains to be done.

While we have not yet been able to come up with modalities, I must say that during the period in which Ministers were present in Geneva in July, they managed to fill many of the gaps existing on thorny issues which had remained intractable for years.

Although we are not quite there in terms of an agreement, we have moved a long way. I believe it is in all members' interests, big and small, to reach an agreement, and to do so sooner rather than later. As many of you know, I have always been and continue to be a strong believer in the multilateral trading system.

I consider a freer and fairer trading system an important contribution for least-developed and developing countries to pursue their development objectives, and especially the attainment of the Millennium Development Goals.

Recognition by developing countries themselves of the importance that trade can play in their economic development has been demonstrated by a rise in the number of developing countries that are now members of the WTO, with the most recent addition being Cape Verde, but also by the far reaching reforms that these countries have taken to reach out to new markets and diversify their economies.

Many have been able to realize huge benefits from increased commodity exports. But, as this year's Trade and Development Board report points out, it is exactly now that many of those same countries could use their trade surpluses to start focusing their investments on efforts to diversify their economies and to “create the incentives for a sustained industrialization based on new investment in new productive capacities”. Such efforts would do much to reduce their dependency on only a few commodities.

As the UNCTAD XII conference in Ghana noted, the current upswing in commodity prices has changed trade patterns. But this is not the only factor which is evolving. Trade patterns have changed, with many developing countries becoming important players on the international stage. Added to this is that the world has seen an expansion in South-South trade, particularly in Asian developing countries which are estimated to account for more than two-thirds of all intra-developing country trade. Thus making it increasingly evident that one developing country's trade policies can create opportunities for more trade with other partners.

We have come a long way from arguing whether trade has a role to play in development. We now know that it does have a role to play. Our concern now is to ensure that trade works for development. This includes ensuring that we level the playing field through the results of the Doha Round.

But levelling the playing field will not be enough. As UNCTAD's report for this meeting clearly shows, trade opening needs to be accompanied by measures which facilitate trade. This is where the Aid for Trade agenda kicks in. In addition to freer and fairer trade rules, we also need an integrated agenda for boosting the productive capacities of developing countries so that they can translate these new trade opportunities into increased trade flows.

Aid for Trade as one of the types of development aid is nothing new. What is new, and I dare say essential, is that both trade and Aid for Trade be considered as two sides of the same coin. We have come a long way since we put it squarely on the WTO map at the Hong Kong Ministerial in December 2005. And there is more to come, focusing now on country and regional delivery as well as on the development of evaluation indicators to assess the effectiveness and impact of the aid. The recent meeting in Accra on Aid Effectiveness and the Symposium on Evaluation aimed at identifying indicators for monitoring Aid for Trade, which the WTO is hosting this week, are clear examples of where the current focus is.

And here I would like to commend UNCTAD and in particular Dr Supachai for the support they have lent to Aid for Trade, which could not work if it was not a collective effort whether within developing countries, or between donors and recipients, as well as within the family of international organizations.

The same is true for the Enhanced Integrated Framework for Least Developed Countries, in which we are partners with UNCTAD and the ITC alongside the World Bank, the IMF and UNDP and which I hope to be fully operational soon.

But allow me to get back to the issue of the Doha Round and the attempt in July to reach agreement in modalities on agriculture and industry.

In the WTO we work under the principle of the “single undertaking”, meaning that nothing is agreed until everything is agreed. The Doha Round will not close until agreement has been found not just on agriculture and industry but on all topics on the agenda, including services, trade facilitation, environmental goods and services or special and differential treatment to name but a few.

It would also be fair to say that even after agriculture and industry modalities are established, there would remain important work to translate these into detailed country-specific schedules of commitments.

WTO members entered the July Mini-Ministerial looking at agricultural subsidies, agricultural tariffs, industrial tariffs and ready to provide signals on the opening of a number of their services.

In a short space of time, they accomplished what some never thought they would. They found convergence on the issue of agriculture subsidies, even if the specific extra reduction for cotton subsidies remained to be addressed. They went a long way on the issue of agricultural tariffs. The same can be said about industrial tariffs, even if a few issues remained for further clarification. And they had a promise before them of attractive services offers, based on the Services Signalling Conference that was held.

In agriculture, various elements of the Doha Package have been designed to address both the developed and the developing world's many sensitivities. In July, much progress was achieved on sensitive products for developed and developing countries, and on special products reserved exclusively for the developing world — these are all products that would take either a lower tariff reduction than the norm or no reduction at all, to make trade opening more gradual. Progress was also made in reducing the scope of the existing special safeguard mechanism leading to its disappearance for developed countries. The same can be said of in-quota tariffs and tariff quota administration. Enormous progress was made on the export competition pillar. Good progress was also made on the issue of preference erosion and tropical products. Convergence was also on the table on the thorny issue of bananas, settlement of which is long overdue.

In industry, in addition to the core formula and flexibilities and sectorals, good progress was also made on treatment of Least Developed Countries as well as on the issue of preference erosion. In both agriculture and industry, special and differential treatment for small and vulnerable economies was also recognised and translated into specific parameters for the first time.

But where the negotiations collapsed was on the details of the Special Safeguard Mechanism for agriculture for the developing world. Some members could not agree on the circumstances in which this Safeguard could be used - the extent of volume surge, or price decline of imported products that would have to occur for it to be triggered. And nor could they agree on the extent of the remedy that it would provide when set in motion - the magnitude of the extra duty that would be imposed on imported goods to protect the domestic market. Efforts were made until the very last minute of the meeting to find a compromise over the Special Safeguard Mechanism, but it eventually became clear that we would require more work to build convergence.

As a result of the failure to progress beyond the SSM issue, negotiators never made it to other critical issues, including cotton. The Cotton-4, Benin, Burkina Faso, Chad and Mali — not to mention the rest of Africa — walked away, and understandably so, in extreme disappointment.

So where do we go from here? Since the July meeting, I have been consulting widely among members to get a sense of how they see the way forward and I have to say that a vast majority of developing countries have insisted that all efforts be made to safeguard what is already on the table and for those members that could not reach consensus in July to redouble their efforts in the coming weeks to resolve their differences. I have also been encouraged by the expressions of political commitment to a successful conclusion of the DDA made by leaders across the globe.

There is now far too much on the table, particularly for developing countries, to give up on these negotiations. And while I believe there is scope for renewed engagement over the coming weeks, it is clear that we are coping with a fragile situation. The good news is that a number of negotiators are back into the machine room. But we know that if this is necessary to reignite the process, building consensus and involving all members takes time and we do not have much of that.

In the weeks to come, and depending on progress made by the negotiators, I am ready to call Ministers to Geneva to try and close the issues which remain open so that the scheduling process in both areas can commence.

Quoting Michael Korda, the British novelist, I would like to offer a piece of advice to negotiators: “Never walk away from failure. On the contrary, study it carefully — and imaginatively — for its hidden assets”.

A failure of the Doha Agenda would have serious implications on the ongoing efforts by all developing countries to address their challenges and in particular to meet the UN Millennium Development Goals. The reasons why we must conclude the Round are visible to all of us and are becoming more critical by the day as the economic and financial outlook continues to deteriorate.

One of the most pressing crises facing us today, and which is extremely relevant to growth and poverty reduction, is that of the current food crisis. Whilst the WTO cannot provide an immediate solution, it can through the Doha Round provide medium to long term solutions to better connect demand and offer. A comprehensive WTO deal can help soften the impact of high prices by tackling the current systemic distortions in international agricultural trade that have stifled food production and investment in agriculture for years in many developing countries

And although Aid for Trade is not part of the negotiating agenda, a failure to conclude the Round successfully risks having an impact on the scale of resources that donors have undertaken to provide as part of their support to facilitate developing countries' capacity to fully exploit the potential benefits of further trade opening under a successful DDA.

The next weeks will be difficult but I remain convinced that all members, developed and developing alike, share the desire for a deal. But for us to have a deal, members need to work together towards striking a balance that will be favourable not only for each of them individually but for all members, particularly the most vulnerable. In addition, individual governments need to be clear on how these new trade opportunities will be used to address their own development challenges. While we all agree that trade will not be the panacea for all the challenges of development, trade can, when coupled with supportive economic and social policies, go a long way in helping countries to better address their development challenges.

I believe this is the platform that UNCTAD and the WTO now share. I am thankful to you all, starting with Dr Supachai, for your efforts in translating this vision into the reality of your people.

I thank you for your attention.

Source : WTO NEWS: SPEECHES — DG PASCAL LAMY, 16 September 2008

Saturday, 13 September 2008

For the Agriculture with Security, Safety, Low Price and Stability

By Iwakuni Tetsundo
Member of the House of Representatives (Democratic Party of Japan)

In Japan, farmers have distrust of agricultural policies of the government and are faced with a serious shortage of successors. Foreign countries are dissatisfied with the Japanese attitude towards market liberalization. Consumers are concerned about various problems including the quality of foreign foods. Therefore serious debate for the revitalization of agriculture has been taking place in the Diet as well as local assemblies. Now it is time for everyone to frankly discuss the future direction of Japanese agriculture with a new idea, regardless of their positions.

First of all, the separation of ownership and management of farmlands should be promoted boldly. It is expected to contribute to bridging the gap between "the late elderly" who have farmlands but cannot cultivate them and "middle-aged and young farmers" who do not own farmlands despite their high motivations. For such a purpose, the Japanese government should purchase farmlands by issuing zero-coupon "farmland bond" or "paper money" and delegate management functions to prefectures and cities. Those public farmlands should be divided into two types, that is, "production farmlands" in flatlands and "farmlands for environmental conservation" in intermediate and mountainous areas. Farmers should be requested to improve their productivity so that they could win competition by themselves while compensation should be provided for farmers in intermediate and mountainous areas who are at a disadvantage in income. Such compensation can be financed by the rent income of farmlands. The selection of "production farmers" and "ecological farmers" needs to be made immediately. It would become possible to secure successors during that process.

In both France and Britain, lands are cultivated in every corner of the country and green farmlands have spread out. It is because they have succeeded in keeping triple set of church, post office, and elementary school. In Germany, there is a contest in which each village competes with each other to make their own village beautiful. Development for preserving a beautiful farm village as cultural heritage has produced a fascinating environment in a rural area, thereby attracting people in urban area who have emotional attachments to a natural environment.

I would like to request the Japanese agricultural policy to be changed so that farmers could retain successors and engage in agriculture without anxiety. One of the common desires of farmers and consumers is the establishment of self-sufficient system from an international standpoint, not focusing on domestic self-sufficiency. It should include consumer-conscious policies and indirect self-sufficient system as an option. For the overseas agricultural production, Japan should promote cooperation with foreign countries by providing its agricultural skills and funds, if the narrowness of lands is really a problem for Japan. Recently I heard the story that New Zealand and Iwate Prefecture of Japan have started the joint production of the same food brand by seasonally switching the production between the southern hemisphere and the northern hemisphere.

Highly-motivated young Japanese farmers should cooperate with Southeast Asia and some regions of China and manage agricultural production there by the Japanese skills. Such a cooperative framework will generate a sense of security among people because they can eat foods produced by the Japanese. I believe that it is a mutually beneficial idea. Now is a starting point of the new history of Japanese agriculture. We should consider the re-establishment of agriculture which aims at "security," "safety," "low price," and "stability."

Source: The Global Forum of Japan (GFJ) E-Letter, 15 September 2008, Vol. 1, No. 6