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Warden Message
Tbilisi, Georgia
September 21, 2005

Avian Flu Fact Sheet

August 3, 2005

This Fact Sheet alerts Americans to the most recent occurrences of Influenza A H5N1 (avian influenza strain) in Asia. A number of countries are reporting cases of avian influenza, commonly referred to as “bird flu.” The H5N1 strain of influenza causes severe disease in fowl. In addition, several SE Asian countries have reported a number of bird-to-human transmissions of the avian flu. Please visit the WHO website, <http://www.who.int/csr/disease/avian_influenza/country/en/> for the most up to date information on the countries affected.
The vast majority of the known human cases have resulted from direct contact with poultry, and there is only limited evidence to suggest possible human-to-human transmission. The Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO), and the Department are concerned about the potential for human-to-human transmission of this highly dangerous flu strain, and are working closely with other partners in an effort to monitor the outbreak.
At this time, CDC and the WHO have not issued any travel alerts or advisories for avian flu-infected areas. However, CDC advises travelers to countries in Asia with documented H5N1 outbreaks to avoid poultry farms, contact with animals in live food markets, and any surfaces that appear to be contaminated with feces from poultry or other animals. CDC advises travelers to clean their hands often with soap and water or waterless alcohol-based hand-rubs to help prevent disease transmission. In addition, as a precaution, all foods from poultry, including eggs, should be thoroughly cooked. CDC further advises any travelers with a febrile respiratory illness returning from countries affected by H5N1 virus (bird flu) to seek prompt medical attention.
The WHO does not at present conclude that any processed poultry products (whole refrigerated or frozen carcasses and products derived from these) or eggs pose a risk to public health.

A specific vaccine for humans that is effective against avian influenza has not yet been developed. Based upon limited data, the CDC has suggested that the anti-viral medication Oseltamavir (brand name-Tamiflu) may be effective in preventing or treating avian influenza. Using this input, the Department of State has decided to pre-position the drug Tamiflu at its Embassies and Consulates in the Southeast Asian Region for eligible US Government employees and their families serving abroad.

Tamiflu may not be readily available overseas and the State Department encourages American citizens traveling or living abroad that are interested in obtaining this medication to consult with their physician.
Americans who are planning travel to a country that has reported the virus or who are concerned about the Avian flu are advised to monitor the CDC and the WHO web sites, <http://www.cdc.gov/flu/avian/index.htm> and <http://www.who.int/csr/disease/avian_influenza/en/> for the latest information.
Additional country information can be obtained from the Department of State's Consular Information Sheets at <http://travel.state.gov/> and from the Department of State's toll-free number, 1-888-407-4747, or if calling from overseas, 202-501-4444.

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