BEIJING, Aug. 10 (Xinhua) -- Chinese government
officials have blamed a lack of communication between researchers and health
officials for the delay in confirming the mainland's first human case of bird
flu.
"This incident exposes problems
in our scientific research
institutes," Vice Health Minister Jiang Zuojun said on Thursday.
Research institutes were omitted from legal
requirements to report infectious diseases until December 2004, when the law on
prevention and control of infectious diseases was revised to include bird flu as
a disease that must by law be reported, he said.
Jiang also pointed out that it took time for
researchers to identify the disease in 2003 during the SARS outbreak when
diagnosis methods for emerging diseases were poor.
They had to be cautious in the DNA sequencing and
epidemiological and genetic studies of the virus, he said.
As Jiang admitted, a spokesman of the World Health
Organization believed the revelation of the 2003 case showed a lack of internal
communication in the government structure.
The Ministry of Health was not informed about the
positive test results when military researchers found out the man was in fact
anH5N1 case, according Roy Wadia in WHO's Beijing office.
"The Ministry has acknowledged that communication and
reporting mechanisms need to be strengthened to ensure that an incident like
this does not occur in the future," Wadia said.
Jiang also said, "In future, scientific research
institutes must improve communication and contact with our disease prevention
organizations."
Meanwhile, Jiang gave assurances that it was the only
case that failed to fit the symptoms of SARS, adding they had no evidence of
other cases before 2003.
The Ministry of Health confirmed Tuesday that the
country's first human case of H5N1 bird flu occurred in November 2003, two years
earlier than previously thought.
A letter published by eight Chinese scientists on
June 22 in the New England Journal of Medicine said the virus had been isolated
in a 24-year-old man who died in Beijing in 2003.
The man, surnamed Shi, became ill with pneumonia and
a respiratory illness and died four days after being hospitalized. China was
then in the aftermath of the SARS, and the case was initially thought to be a
SARS case. However, laboratory tests for SARS proved negative.
Parallel laboratory tests, carried out in
collaboration with the World Health Organization (WHO), later confirmed it was a
human case of bird flu.
This is the first human infection confirmed in the
world in the current H5N1 virus cycle, according to Wadia.
The newly-confirmed case brought China's human
infections of bird flu to 20 and the death toll to 13.
The first human cases of H5N1 bird flu occurred in
Hong Kong in1997. Eighteen cases including six deaths were reported at that
time. The current cycle of the virus began in late 2003 and felledits first
victim in Vietnam in January 2004.
Globally, there have so far been 236 confirmed human
cases of bird flu. By Aug. 9, 138 of the people had died, according to WHO
figures. Enditem