Cambodia - 5 H5N1 cases, 4 deaths: January 2013

[Giuseppe]

Re: Cambodia - 4 H5N1 cases, 2 deaths: January 2013 - WHO has confirmed 3 cases so far

Source: Phnom Pehn Post, full page: http://www.phnompenhpost.com/2013012...confirmed.html


Fourth bird flu case confirmed

Last Updated on 28 January 2013

By Mom Kunthear and Justine Drennan


In the wake of a Ministry of Health announcement of two fatalities among the three confirmed human cases of avian flu in the new year, authorities this weekend increased efforts to eradicate affected birds, even as some officials reported a fourth case.

An official on the Ministry of Health?s human influenza hotline and a commune chief said yesterday a two-year-old girl from Kampong Speu was diagnosed with H5N1 on Saturday after being admitted to Kantha Bopha hospital in Phnom Penh, where a 15-year-old girl died of the virus last Monday.

Due to less-rigorous monitoring of the disease in other hospitals, the cases seen in Kantha Bopha hospital were likely just the ?tip of the iceberg?, said Dr Philippe Buchy, head of the virology unit at the Institut Pasteur du Cambodge, the medical research centre that tested the recent cases.

In Takeo province?s Prey Kabbas district, officials in Snao village, the home of last week?s 15-year-old victim, killed and burned more than 4,000 chickens and ducks on Saturday and prohibited the import of new poultry into the village for one month, Prey Kabass district governor Ith Sa said.

?The officials from the ministries of Health and Agriculture, Forestry and Fisheries, the provincial governor, the courts and local government decided to collect and burn the poultry in the village in order to prevent the spreading [of the virus] to other places,? Sa said.

Local health officials had buried the burned birds outside the village, sprayed the village and distributed medicine to eradicate the virus, he said.

Officials in Kong Pisei district?s Prey Nhat commune, in Kampong Speu province, the home of the two-year-old confirmed on Saturday to be the fourth case of the year, were pushing similar measures, according to commune chief Chan Sun.

Sun said a lot of poultry in the commune tended to get sick during the dry season, and officials had told villagers not to cook or touch sick or dead birds.

?They have to burn and bury the dead poultry,? he said. ?We have also prohibited poultry buyers who usually come into the commune from buying chickens in the commune for a while until we are sure everything is safe.?

More than 40 chickens at the infected toddler?s house had fallen sick and died, and, as with the other three cases this month, health officials suspect contact with poultry had caused her to become ill.

?Health officials went to the girl?s and her neighbours? houses this morning to spray and distribute medicines, and they tested some poultry,? Sun said.

Testing individual birds for the virus was the most common method of tracking the virus, but it did not necessarily reflect H5N1?s ubiquity in environments such as markets, Institut Pasteur?s Buchy said.

Although Ith Sa said health officials had sampled 10 birds taken from 10 villagers in Snao and found them clean, Buchy said samples taken from such elements as soil, water and feathers better reflected the exposure caused by ?many poultry together? ? the situation seen in markets.

A study co-written by Buchy, to be published in the journal Emerging Infectious Diseases in February, has found that as many as 20 per cent of such samples, from markets in Phnom Penh, Takeo and Kampong Cham, tested positive for H5N1.

Although this finding did not directly demonstrate the disease?s risk to humans, recent cases showed that not only farmers who routinely handled poultry but also people ?swimming in ponds where there are ducks, going to markets and... plenty of things? could be exposed to the virus, Buchy said.

According to Friday?s press release by the WHO and the Ministry of Health, the world has seen 613 confirmed cases of the virus and 362 related deaths, while Cambodia has seen 24 confirmed cases and 21 deaths since the virus emerged a decade ago. The case reported on Saturday would be Cambodia?s 25th.

The last case officially confirmed in Friday?s Ministry of Health statement ? a 35-year-old man also from Kampong Speu?s Kong Pisei district, but from Preah Nipean commune ? died last Wednesday. In the year?s first case, an eight-month-old boy from Phnom Penh recovered after being diagnosed with the virus.

To contact the reporter on this story: Mom Kunthear at kunthear.mom@phnompenhpost.com

Justine Drennan at justine.drennan@phnompenhpost.com



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[Laidback Al]

Re: Cambodia - 4 H5N1 cases, 2 deaths: January 2013 - WHO has confirmed 3 cases so far

Map showing the general location of the 4 reported H5N1 case from Cambodia through Jan 28, 2013.


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[sharon sanders]

Re: Cambodia - 4 or 5? H5N1 cases

According to the article above there are now 5 cases supposedly confirmed by the Ministry of Health/WHO in Cambodia:

Infant, 8 months - recovered.

Female, 15, died January 21

Male, 35, died about January 21

*Female, 17 months

*Female, 9 years old

* http://www.wjactv.com/news/ap/health...ambodia/nT8Q2/

[Laidback Al]

Re: Cambodia - 4 or 5? H5N1 cases, 2 deaths: January 2013 - WHO has confirmed 3 cases so far

The post by Shiloh above (linked to a TV station) references a widely spread Associated Press report (without an author). It also states

Cambodia since 2005 has reported 26 cases, 23 of them fatal.

In fact, WHO has only officially reported 21 cases with 19 deaths through January 16, 2013. (link)

What we have is an unidentified reporter adding up cases in news reports to get to 26 cases and 23 deaths. I would prefer to get official results from public health officers.

Note - Or at least have the name of the official with a formal quote within the article.

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[sharon sanders]

Re: Cambodia - 4 or 5? H5N1 cases, 2 deaths: January 2013 - WHO has confirmed 3 cases so far

I think the 5th case could be real because the age and location are different from the other cases. I am not sure about the total number of deaths so we are not updating our thread title yet.

Thanks everyone!

[Giuseppe]

Re: Cambodia - 4 or 5? H5N1 cases, 2 deaths: January 2013 - WHO has confirmed 3 cases so far

The post by Shiloh above (linked to a TV station) references a widely spread Associated Press report (without an author). It also states

In fact, WHO has only officially reported 21 cases with 19 deaths through January 16, 2013. (link)

What we have is an unidentified reporter adding up cases in news reports to get to 26 cases and 23 deaths. I would prefer to get official results from public health officers.

Note - Or at least have the name of the official with a formal quote within the article.

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http://www.flutrackers.com/forum/showpost.php?p=482588&postcount=16

To contact the reporter on this story:

Mom Kunthear at kunthear.mom@phnompenhpost.com
Justine Drennan at justine.drennan@phnompenhpost.com

[tetano]

Re: Cambodia - 4 or 5? H5N1 cases, 2 deaths: January 2013 - WHO has confirmed 3 cases so far

Cambodia reports 2 new fatal cases of bird flu in humans, surpassing total for all of 2012


PHNOM PENH, Cambodia - Two more children have died in Cambodia of bird flu, bringing the number of fatal cases to four since the start of this year.

The Cambodian office of the U.N.'s World Health Organization said a 17-month-old girl from central Kampong Speu province and a 9-year-old girl from southern Kampot province died Monday after being hospitalized.

Last week, Cambodia reported three human cases of bird flu, two of them fatal. For of all 2012, the country reported a total of three cases, all fatal.

Cambodia since 2005 has reported 26 cases, 23 of them fatal.

WHO says bird flu, also known as avian influenza, or H5N1, has killed 360 other people worldwide since surfacing in 2003. Most human cases have been linked to contact with infected poultry.

Read more: http://www.vancouversun.com/health/C...#ixzz2JJBe5FMQ

[Shiloh]

Re: Cambodia - 5 H5N1 cases, 4 deaths: January 2013 - WHO has confirmed 3 cases so far

Source: http://www.nzweek.com/healthlifestyl...o-weeks-45978/

Bird flu kills four people in Cambodia in last two weeks
Souce:Xinhua Publish By David K. Barger Updated 29/01/2013 7:52 pm

PHNOM PENH, Jan. 29 ? Avian influenza H5N1 virus killed two more children on Monday, bringing the death toll to four and the number of cases to five in 2013, health officials confirmed Tuesday.

Dr. Denis Laurent, deputy director of Kantha Bopha Children?s Hospital, which is the kingdom?s largest pediatric hospital, told Xinhua on Tuesday that the latest two deaths were a one-year-old girl from Kompong Speu province?s Kong Pisei district and an eight- year-old girl from Kampot province?s Toek Chhou district.

He said the two girls died on Monday while receiving medical treatment at the Kantha Bopha Children?s Hospital in Phnom Penh...

[Laidback Al]

Re: Cambodia - 5 H5N1 cases, 4 deaths: January 2013 - WHO has confirmed 3 cases so far

Xinhua report . . . .

Bird flu kills four people in Cambodia in last two weeks

PHNOM PENH, Jan. 29 (Xinhua) -- Avian influenza H5N1 virus killed two more children on Monday, bringing the death toll to four and the number of cases to five in 2013, health officials confirmed Tuesday.

Dr. Denis Laurent, deputy director of Kantha Bopha Children's Hospital, which is the kingdom's largest pediatric hospital, told Xinhua on Tuesday that the latest two deaths were a one-year-old girl from Kompong Speu province's Kong Pisei district and an eight- year-old girl from Kampot province's Toek Chhou district.

He said the two girls died on Monday while receiving medical treatment at the Kantha Bopha Children's Hospital in Phnom Penh.

Last week, Cambodian Health Ministry and the World Health Organization reported 3 new human cases of avian influenza H5N1 with two fatalities.

The two persons died last week from the virus were a 15-year- old female from Prey Kabass district of Takeo province and a 35- year-old man from Kong Pisei district of Kampong Speu province, a joint statement said.

Among the five cases, an eight-month-old infant boy in Phnom Penh's Por Senchey district, who developed symptoms on Jan. 8, is the only victim to survive.

Cambodia first reported H5N1 in poultry in Jan. 2004. To date, the country has recorded 26 human cases of the virus, killing 23 people.

Minister of Health Mam Bunheng said avian influenza H5N1 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 in the statement. "If their kids have fast or difficult breathing, they should be brought to medical attention at the nearest health facilities."

http://news.xinhuanet.com/english/health/2013-01/29/c_132135702.htm

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[Giuseppe]

Re: Cambodia - 5 H5N1 cases, 4 deaths: January 2013

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

Fourth and fifth new human cases 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, 29 January 2013 -The Ministry of Health (MoH) of the Kingdom of Cambodia wishes to advise members of the public that two new more cases of avian influenza has been confirmed positive for the H5N1 virus.

The fourth case is a 17-month-old girl from Prey Nheat village, Prey Nheat commune, Kong Pisey district in Kampong Speu province has been diagnosed with H5N1 influenza on 26th January 2013 by Institut Pasteur du Cambodge. She developed symptoms on 13th January 2013 with fever, cough, runny nose, and vomiting. She was initially treated by local private practitioners. Her condition worsened and she was admitted to Kantha Bopha Hospital on 17th January with fever, cough, somnolence, and dyspnoea. Unfortunately, despite intensive medical care, she died on 28th January. 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.

In the fifth case, a 9-year-old girl from Thmei village, Thmei commune, Toeuk Chhou district, Kampot province has been diagnosed with H5N1 influenza on 28th January 2013 by Institut Pasteur du Cambodge. She became sick on 19th January, 2013 suffering with fever and cough. She was initially treated by local private practitioners. Her condition worsened and she was admitted to Kantha Bopha Hospital with fever cough, somnolence and dyspnoea on 27th January. Despite intensive medical care, the patient died on 28th January. There is evidence of recent deaths among poultry in the village.

This girl is the twenty-six person in Cambodia to become infected with H5N1 virus, and the fifth person this year and the twenty-three person to die from complications of the disease. Of all the twenty six cases, 17 were children under 14, and seventeen of the twenty six confirmed cases occurred in females.

"Avian influenza H5N1 is still a threat to the health of Cambodians. This is the fourth and the fifth cases 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 Mam Bunheng, Minister of Health.

The Ministry of Health's Rapid Response Teams (RRT) have gone to the hospitals and the field to identify the patient?s close contacts, any epidemiological linkage among the three cases and initiate preventive treatment as required. In addition, public health education campaigns are being conducted in the villages 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 615 laboratory confirmed cases of avian influenza with 364 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.


(?)

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[Giuseppe]

Re: Cambodia - 5 H5N1 cases, 4 deaths: January 2013

Source: Phnom Penh Post, full page: http://www.phnompenhpost.com/2013012...two-girls.html

Bird flu claims lives of two girls

Last Updated on 29 January 2013

By Justine Drennan and Mom Kunthear .


Two more children died from avian influenza yesterday, bringing the total to four deaths and five confirmed cases in the past month?s outbreak.

A two-year-old girl from Kampong Speu province, first confirmed on Saturday to be infected with the virus, and an eight-year-old girl from Kampot province had both died from H5N1 at Phnom Penh?s Kantha Bopha Hospital yesterday, hospital officials confirmed last night.

In response to the spike in cases, the government had sent out a rapid response team and was ramping up surveillance and investigation of the virus as the World Health Organisation worked with the Ministry of Agriculture, Forestry and Fisheries to control the movement of poultry, Sonny Krishnan, communications officer for the WHO in Cambodia, said.

?The National Committee on Information, Education and Communication is holding an emergency meeting tomorrow to increase radio and TV spots with preventative messages,? Krishnan said yesterday.

?We are insisting all chickens and eggs be well cooked, and that people wash their hands and don?t let children play with chickens and ducks.?

Krishnan noted that ducks, in particular, could be infected with the disease without showing symptoms for a very long time, ?so when ducks die, it?s a serious situation?, as was the case in the Takeo province village of the 15-year-old girl who died from the virus last week.

Seng Thoung, the chief of Thmey commune in Kampot?s Teuk Chhou district, the home of the eight-year-old who died yesterday afternoon, said the girl had fallen ill about 10 days ago and was sent for treatment at the Kantha Bopha after local doctors and Kampot?s provincial hospital staff were unable to identify the disease.

The girl?s parents had kept a lot of chickens, most of which were sick, but they allowed the girl to play with the birds anyway, Thoung said.

?This is a new disease in our commune, so that?s why they did not worry much when they saw the sick chickens,? he said. He added that health and agriculture officials had killed and burned the chickens at the girl?s house, sprayed the village to kill the virus and told the villagers not to eat or touch sick or dead poultry, but instead to burn and bury them.

Officials also took samples of the neighbours? birds to test them for the virus, he said.

Meanwhile, he said, the girl?s body was returned from Phnom Penh to the village for her funeral yesterday evening, which was attended by many villagers. ?All the villagers who attended the girl?s funeral were distributed face masks to protect them,? he said.

A security guard at Phnom Penh?s Kantha Bopha Hospital said the body of the two-year-old who succumbed to the virus there yesterday also had been sent home.

On Sunday, Kantha Bopha?s Dr Denis Laurent told the Post that the hospital?s staff was ?looking every day? for suspected cases of the virus and frequently sent samples to Institut Pasteur to be tested for H5N1, although most samples came back negative.

Specific reasons for the increase in cases, compared with the three seen in all of 2012, are so far unclear, Krishnan said, though he noted that flu cases tend to rise during the colder parts of the year and that Cambodia was experiencing a ?relatively cool spell?.

Health officials were working with the Institut Pasteur du Cambodge to understand the causes of the new outbreaks, he said.

He added that the spread of the virus would be of particular concern with the increased movement of people into Phnom Penh for the coming week?s funeral procession and cremation of the late King Father Norodom Sihanouk.

?Poor people coming from the provinces normally bring their own food,? he said, noting that live poultry would be among the food they would bring.

A study to be published in the US medical journal Emerging Infectious Diseases in February links increased movement of poultry to a rise in contamination by avian flu and has found contamination in markets reached particularly high levels in the weeks before Khmer New Year, when movement of poultry across the country rose.

Of the 26 cases of H5N1 seen in Cambodia since the virus emerged in 2003, 17 have been children under 14, and Minister of Health Mam Bunheng has said that ?children still seem to be most vulnerable?.


To contact the reporters on this story:

Justine Drennan at justine.drennan@phnompenhpost.com
Mom Kunthear at kunthear.mom@phnompenhpost.com


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[Emily]

Re: Cambodia - 5 H5N1 cases, 4 deaths: January 2013

http://indonesian.cri.cn/201/2013/01/30/1s135144.htmGoogle translation:

Two Young Children Killed in Cambodia Bird Flu
2013-01-30 11:25:44 Xinhua News Agency

XINHUA: Cambodian Health Ministry and the World Health Organization (WHO) in a joint communique yesterday (29/1), said two small children with the H5N1 virus have died in Cambodia.

Cambodian Health Ministry reported that two children were female, aged respectively 17 months and 9 years. Evidence suggests that the two children had been in contact with sick or dead chickens before they fell ill. Chemical tests showed that two children were infected with the H5N1 virus.

Since the beginning of this year, in Cambodia there were 5 cases of H5N1, four of whom have died.

[Giuseppe]

Re: Cambodia - 5 H5N1 cases, 4 deaths: January 2013

[Source: World Health Organization, full page: (LINK). Edited.]

Avian influenza ? situation in Cambodia ? update

1 February 2013



The Ministry of Health (MoH) of the Kingdom of Cambodia reported five new human cases of avian influenza that were confirmed positive for the H5N1 virus in January 2013.

Case details include an 8 month old male from Phnom Penh with onset 9 Jan 2013, a 17 year old female from Takeo Province with onset 11 January, a 35 year old male from Kong Pisey district, Kampong Speu Province with onset 13 January, a 17 month old female from Kong Pisey district, Kampong Speu Province with onset 13 January and a 9 year old female from Toeuk Chhou district, Kampot province with onset on 15 January 2013.

The cases all presented with fever, cough and other ILI symptoms. Four of the cases died, with 1 case, the 8 month old male, recovering after only experiencing mild ILI.

Laboratory samples were tested by the National Institute of Public Health's laboratory and by the Institut Pasteur du Cambodge.

Preliminary evidence does not support human-to-human transmission and four of the cases are known to have had close contact with sick/dead poultry.

The Ministry of Health's Rapid Response Teams (RRT) have gone to the hospitals and the field to identify the patients? close contacts, any epidemiological linkage among the five cases and initiate preventive treatment as required. In addition, public health education campaigns are being conducted in the villages to inform families on how to protect themselves from contracting avian influenza. The teams are checking records for evidence of increased ILI activity in the local health centres or any increase in number of SARI cases from the affected areas.

Results from testing of those who have ILI symptoms among close contacts for A/H5N1 influenza to date were negative.

There is enhanced surveillance for ILI and SARI in local health centre and hospital for a further two weeks. Health education messages have been distributed to the community.

The World Health Organization is actively assisting the Ministry of Health in their investigations.

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