Cambodia - Girl, 5, died from H5N1 bird flu - Prey Kabass, Takeo province

[tetano]

THE Cambodian Health Ministry and the World Health Organization said Friday that a 5-year-old girl died of Avian Influenza H5N1 yesterday, bringing the death toll to five and the number of cases to six in 2013.
The girl lived in Prey Lvea commune, Prey Kabass district in Takeo province. She developed symptoms of fever, cough, and vomiting on January 25 and was admitted to the Kantha Bopha Hospital on January 31 when her condition had worsened.
"Unfortunately, despite intensive medical care, she died yesterday, said a joint statement.
"There is evidence of recent deaths among poultry in her village and the girl has history of coming into contact with poultry prior to becoming sick," it said.
Cambodia first reported H5N1 in poultry in January 2004. To date, the country has recorded 27 human cases of the virus, killing 24 people.
Minister of Health Mam Bunheng said bird flu is still a threat to the health of Cambodians and children still seem to be most vulnerable.
"I urge parents and guardians to keep their children away from sick or dead poultry," he said. "If their kids have fast or difficulty breathing, they should be brought to medical attention at the nearest health facilities."
The statement said that globally, since 2003, there have been 616 laboratory confirmed cases of the H5N1 virus with 365 related deaths.

http://mobile.shanghaidaily.com/article/?id=523608

[sharon sanders]

Re: Bird flu kills another Cambodian girl, bringing death toll to 5 this year

[Giuseppe]

Re: Cambodia - Girl, 5, died from H5N1 bird flu - Prey Kabass, Takeo province

[Source: World Health Organization, Western Pacific Regional Office, full page: (LINK). Edited.]

Sixth New Human Case of Avian Influenza H5N1 in Cambodia in 2013

Joint news release of the Ministry of Health of the Kingdom of Cambodia and World Health Organization



PHNOM PENH, 8 February 2013 -The Ministry of Health (MoH) of the Kingdom of Cambodia wishes to advise members of the public that one new more case of avian influenza has been confirmed positive for the H5N1 virus.

The sixth case is a a 5-year-old girl from Angk Krasang village, Prey Lvea commune, Prey Kabass district in Takeo province has been diagnosed with H5N1 influenza on 7th February 2013 by Institut Pasteur du Cambodge. She developed symptoms on 25th January 2013 with fever, cough, and vomiting. She was initially treated by local private practitioners. Her condition worsened and she was admitted to Kantha Bopha Hospital on 31st February with fever, cough, and dyspnoea. Unfortunately, despite intensive medical care, she died on 7th February. There is evidence of recent deaths among poultry in the village and the girl had history of coming into contact with poultry prior to becoming sick.

The girl is the twenty-seven person in Cambodia to become infected with H5N1 virus, and the sixth person this year and the twenty-four person to die from complications of the disease. Of all the twenty seven cases, 18 were children under 14, and eighteen of the twenty seven confirmed cases occurred in females.

"Avian influenza H5N1 is still a threat to the health of Cambodians. This is the sixth case of H5N1 infection in human in early this year, and children still seem to be most vulnerable. I urge parents and guardians to keep children away from sick or dead poultry, discourage them from playing in areas where poultry stay and wash their hands often. If they have fast or difficulty breathing, they should be brought to medical attention at the nearest health facilities and attending physicians be made aware of any exposure to sick or dead poultry." said HE Dr. Mam Bunheng, Minister of Health.

The Ministry of Health's Rapid Response Teams (RRT) have gone to the hospital and the field to identify the girl?s close contacts, any epidemiological linkage among the six cases and initiate preventive treatment as required. In addition, public health education campaign is being conducted in the village to inform families on how to protect themselves from contracting avian influenza. The government's message is - wash hands often; keep children away from poultry; keep poultry away from living areas; do not eat sick poultry; and all poultry eaten should be well cooked.

H5N1 influenza is a flu that normally spreads between sick poultry, but it can sometimes spread from poultry to humans. Human H5N1 Avian Influenza is a very serious disease that requires hospitalization. Although the virus currently does not easily spread among humans, if the virus changes it could easily be spread like seasonal influenza. Hence, early recognition of cases is important.

Globally since 2003, there have been 616 laboratory confirmed cases of avian influenza with 365 related deaths.

The Ministry of Health will continue to keep the public informed of developments via the MoH website www.cdcmoh.gov.kh where relevant health education materials can also be downloaded.


For more information on human influenza please call the MoH Influenza Hotline numbers: 115 (free call); 012 488 981 or 089 669 567

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[Treyfish]

Re: Cambodia - Girl, 5, died from H5N1 bird flu - Prey Kabass, Takeo province

Bird flu deaths reach five in Cambodia


February 8, 2013 2:05 pm
Phnom Penh - Five people have died from bird flu in Cambodia this year, authorities said Friday, up from three for the whole of 2012.



The fifth fatality from the H5N1 virus was a 5-year-old from Takeo province, who died in hospital on Thursday, said Sonny Inbaraj Krishnan, a spokesman for the World Health Organization (WHO).

A sixth victim recovered in January, he said, adding that no human cases of bird flu have been reported outside Cambodia this year.

A team from the Ministry of Health had travelled to the girl?s village to test residents and advise them on how to avoid infection,he said.

"They will take swabs and draw blood and test it for the virus soas to rule out human-to-human transmission." All human cases of H5N1 have been infected by contact with poultry, but health professionals fear the virus could combine with another or mutate and gain the ability to pass between people.

The authorities in Takeo province in south-eastern Cambodia were also checking that infected birds are not moved. Last month agriculture teams culled 4,700 chickens and ducks in Takeo after another death from the disease.

In 2011 the WHO recorded eight Cambodian deaths from bird flu, the country?s highest toll since the virus was first detected in thecountry in 2005.

The disease has killed 365 people out of 616 infected worldwide in the past decade, the WHO said.//DPAhttp://www.nationmultimedia.com/brea...-30199623.html

[Treyfish]

Re: Cambodia - Girl, 5, died from H5N1 bird flu - Prey Kabass, Takeo province

Girl becomes Cambodia?s fifth avian flu victim in 2013
Last Updated on 08 February 2013 By Paola Barisani

A 5-year-old girl from Angk Krasang village, in the Prey Kabass district of Takeo province has died this morning after being confirmed positive for the H5N1 virus, the World Health Organization (WHO) says.

The girl is the 5th avian flu victim in Cambodia since the beginning of the year.

According to the WHO, she developed symptoms on January 25, with fever, cough, and vomiting.

She was initially treated by local private practitioners, but her condition worsened and she was admitted to Kantha Bopha Hospital on January 31 where she died despite intense medical care.

There is evidence of recent deaths among poultry in the girl's village, and the girl had a history of coming into contact with poultry prior to becoming sick.

"This is the sixth case of H5N1 infection in human in early this year, and children still seem to be most vulnerable," Minister of Health Mam Bunheng said.

The Ministry of Health's Rapid Response Teams have gone to the hospital and the field to identify the girl?s close contacts, any epidemiological linkage among the six cases and initiate preventive treatment as required.

In addition, a public health education campaign is being conducted in the village to inform families on how to protect themselves from contracting avian flu.
http://www.phnompenhpost.com/2013020...m-in-2013.html

[Treyfish]

Re: Cambodia - Girl, 5, died from H5N1 bird flu - Prey Kabass, Takeo province

Cambodia, US military conclude medical exercises
PUBLISHED: 08-FEB-13 05:05PM
PHNOM PENH (The Cambodia Herald) -- Medical personnel from the Royal Cambodian Armed Forces and the US Marine Corps have concluded their latest medical exercises, according to a Marine Corps statement.

The statement issued Thursday said the exercises involved a medical battalion from the Third Marine Expeditionary Force based in Okinawa in Japan.

Subjects covered included emergency and operation room observations and medical record-keeping seminars.

"During the exercise, RCAF and US personnel worked side-by-side to develop a better understanding of how the other?s service works," the statement said.

Cambodian Brig. Gen. Keo Dayuth said the training "provides knowledge and experience to our armed forces ... The training is short, but we gain a lot and it is very important.?

He said the exercise was effective, valuable and informative. "We would like to spread our (gratitude) to all instructors for providing and sharing their medical knowledge and experience," he said. "We look forward to the next time we can work together."

The medical exercises have been held since 2007.http://www.thecambodiaherald.com/cam...lkMTI3MjIyMDU2

[Biological]

Re: Cambodia - Girl, 5, died from H5N1 bird flu - Prey Kabass, Takeo province

EMPRES-i - Global Animal Disease Information System, Disease Event Details,
Cambodia - Highly pathogenic avian influenza 11 February 2013

http://empres-i.fao.org/empres-i/2/obd?idOutbreak=174612&rss=t

GENERAL INFO
Disease Event ID: 174612
Reporting date: 8/02/2013
Observation date: 25/01/2013
LOCATION
Region: Asia
Admin 1 (Country): Takeo (Cambodia)
Locality: Prey Lvea commune (Angk Krasang village)
Lat/Long: 11.1440816114/104.933407951
Quality of Coordinates: Centroid Admin2
DISEASE
Status: Confirmed
DISEASE: Highly Pathogenic Avian Influenza
Serotype: H5N1
Source: National Authorities
LABORATORIES
Disease Tested: Highly Pathogenic Avian Influenza
Species: ?
Test: ...
Result: Positive
Result Date: 07/02/2012
Reference Laboratory: ?

EMPRES-i - Global Animal Disease Information System#h=1

http://empres-i.fao.org/eipws3g/#h=1

[Treyfish]

Re: Cambodia - Girl, 5, died from H5N1 bird flu - Prey Kabass, Takeo province

Spread of bird flu hard to contain, say officials
Last Updated on 11 February 2013 By Justine Drennan and Mom Kunthear


Following the death of a five-year-old girl from Takeo province last Thursday ? Cambodia?s fifth death from bird flu in the new year ? health representatives have noted the limits of the government?s ability to control the outbreak.

Circulation of poultry through unofficial means and owners? unwillingness to risk losing their poultry by reporting sick birds were two impediments to stopping the spread of the disease, said Sonny Krishnan, communications officer for WHO Cambodia, and Dr Philippe Buchy, head of the virology unit at the Institut Pasteur du Cambodge.

Although both Cambodia and Vietnam have tightened the monitoring of poultry due to Cambodia?s recent H5N1 cases, authorities have little power to prevent the movement of free-range ducks from village to village, or even between the two countries, the health representatives said.

?The border is so long,? said Buchy. ?Especially if the border is in the middle of rice fields, birds can easily cross.?

Compounding authorities? inability to inspect all poultry in transit ? including those carried casually on motorcycles ? was the fact that ?there?s no incentive to report poultry deaths?, Krishnan said.

Reports of sick poultry ought to prompt people to take precautions, he said, but instead, poultry owners often begin taking sick and dead birds seriously only after humans start dying from the virus.

Unlike their counterparts in Takeo?s neighbouring Snao commune, the home of one of January?s victims, officials in Prey Lvea, where the latest victim died, would not require the killing and burning of poultry until they had received further orders from Phnom Penh, commune chief Yon Korn said.

But Krishnan said that due to lack of compensation policy, ordering the slaughter of poultry was a local-level decision.http://www.phnompenhpost.com/2013021...officials.html

[Treyfish]

Re: Cambodia - Girl, 5, died from H5N1 bird flu - Prey Kabass, Takeo province

hattip croftsblog
Takeo Girl Fifth to Die From H5N1
By Mech Dara and Lauren Crothers - February 11, 2013

A 5-year-old girl died of avian influenza on Thursday, the fifth person to die from the highly contagious virus in Cambodia since Jan*uary 21, the World Health Or*gan*ization and the Min*istry of Health said in a joint statement on Friday.

The girl, from Takeo province?s Prey Kabbas district, had been in regular contact with poultry and developed a fever and cough, then started vomiting on January 25. She is the second child to die from bird flu in the district, a doctor at Phnom Penh?s Kantha Bo*pha Hospital said.

?She was initially treated by local practitioners,? the joint statement said. ?Her condition worsened and she was admitted to Ka*n*tha Bo*pha Hospital on January 31 with fev*er, cough and dyspnoea,? or shortness of breath, it added.

Despite receiving ?intensive? treatment, she died seven days lat*er, the same day that Phnom Penh?s Pasteur Institute confirmed from tissue samples that she had been suffering from H5N1.

The case was the sixth this year. Of those affected, only an 8-month-old boy from Phnom Penh?s Pur Senchey district?whose case was the first confirmed?survived.

?Avian influenza H5N1 is still a threat to Cambodians,? Health Minister Mam Bunheng was quoted in the statement as saying. ?This is the sixth case of H5N1 infection in a human early this year, and children still seem to be most vulnerable.?

The minister added that parents needed to be vigilant in keeping their children away from sick or dead poultry and make sure that they wash their hands often.

Chan Ros, the latest victim?s mother, said on Friday that her daughter had touched a dead chicken and had also eaten its meat before falling ill.

?She got a fever and diarrhea, so I went and bought medicine from a private doctor. But it did not work, so I took her to a referral hospital,? she said. ?I am so sad to lose my daughter, because she was my youngest child.?

The girl was cremated on Fri*day morning in a dress she had been planning to wear to an up*coming wedding, her mother said.

?When I touch her belongings, I start to cry because I have lost her forever.?

Reached by telephone, Dr. Denis Laurent, deputy director of Kantha Bopha Hospital, said the girl was the second person to die from the same district. A 15-year-old girl from Prey Kabbas died at the hospital on January 21.

?This is the first time in Kantha Bopha that we have had four cases [of H5N1] in less than two weeks,? Dr. Laurent added.

According to the joint statement, a number of poultry in the girl?s village had died recently. When the virus is transmitted from bird to human, it can be fatal.

In response, officials began cul*ling live poultry on Friday morning in Prey Lvea commune?s Angk Kra*sang village, where the girl lived.

?Police have been patrolling the area in order to prevent the spread of disease to other areas by not al*lowing people to bring poultry in or take it out,? said deputy district police chief Euo Vanarith.

?We don?t allow poultry salesmen to cross through,? he added. ?We have informed people to bury their chickens if they die of disease, and wash their hands af*ter touching the chicken.?

According to commune chief Yon Kon, 40 chickens have been incinerated so far in a bid to stem the spread of the influenza.

?The police have also put up a sign that people are not allowed to go within 1 kilometer [of where the poultry died] to stop the disease from spreading to other villages,? Mr. Kon said, adding that villagers had been urged to stop their children from playing with chickens.

Since the outbreak began last month, Hong Kong has banned the import of eggs from Cambo*dia and municipal officials in Phnom Penh have been forced to undertake a rigorous screening program for poultry coming into the city from rural areas.

Officials have said that the mass movement of poultry ahead of Chinese New Year on Sunday, when demand generally picks up, could have contributed to the spread of the virus.

A total of 27 people have died of avian influenza in Cambodia since the first case was recorded in the country. Of those, 18 were under the age of 14. http://www.cambodiadaily.com/news/ta...rom-h5n1-9708/