Are We Prepared for Avian Flu?: An interview with "Laurie Garrett, the only reporter to win all three of journalism's big "P" awards (the Peabody, the Polk and the Pulitzer) .. resigned from Newsday earlier this year [citing] a deteriorating climate for journalism .. Today, Garrett is Senior Fellow for Global Health at the Council on Foreign Relations. Her story "The Next Pandemic?" was published in the July/August issue of Foreign Affairs ..
"Avian influenza comes from aquatic birds, including migratory ducks, geese and herons. The loss of these birds' migratory routes in China has brought them into direct contact with humans in farms and parks. In this way, influenza is spread from migrating birds to domestic birds, then to pigs and ultimately to humans. This chain of events involves veterinary science, ecology and medicine, the triumvirate studied by the science of conservation medicine." One general issue: we lack "respectful mutual lines of communication between those protecting human health, those protecting animal health and those dealing with ecology."
On avian flu response specifically: "I think the CDC is doing a lot. But what I keep trying to get across to people is that flu starts in Asia. We're a lot better off if we can stop it in Asia than if we wait until it is here and try to figure out some means to minimize the damage. And that means a whole lot more multinational agreements, and this is difficult at a time when our Congress is full of members saying really terrible things about China [and Vietnam]..
In a recent study published in Nature, a team at Oxford University did a computer model just simply asking if it is possible to stop pandemic flu. And the good news is their answer is yes, it is possible, but the bad news is it can be stopped only if you identify it when there are just 30 human cases. Well, we're not going to spot those first 30 human cases before it spreads to hundreds or thousands of people unless we have a much better infrastructure of public health, vigilance and surveillance in poor countries like Vietnam, Cambodia and Laos, and in countries with more money but completely lacking in sophisticated public health infrastructure, like China." " 2:04:44 PM