Announcement

**Sally Furniss** · February 7, 2011, 05:04 PM

Re: Cambodia, Avian Influenza A(H5N1), human (source: FAO/Empres, Feb 7 2011)

# 7 - 13 years, female, onset date - 2 April 2007, Ponhea Kreak district, Kampong Cham province Death

# 8 - 19 years, male, onset date - November 28 2008, Kandal Province

# 9 - 57 years, male, onset date - 11 December 2009, Ponhea Kreak District, Kampong Cham Province

# 10 - 27 years, male, onset date - 13 April 2010, Prey Veng province Death

# 11 - 5 years female, onset date - January 29 2011, Prek Leap village Death

**Laidback Al** · February 7, 2011, 11:47 PM

Re: Cambodia, Avian Influenza A(H5N1), human death (source: FAO/Empres, Feb 7 2011)

I believe there is a Prek Leap village on the right bank of the Mekong River about 6 mile upstream above the confluence of the Mekong and Tonl? Sap rivers.

**Sally Furniss** · February 9, 2011, 12:41 AM

Re: Cambodia, Avian Influenza A(H5N1), human death (source: FAO/Empres, Feb 7 2011)

Wed, Feb 09, 2011
APHNOM PENH, CAMBODIA - A five-year-old Cambodian girl has died from bird flu, the World Health Organisation said Wednesday, in the first reported fatality from the virus since early last year.

The girl fell ill in the capital Phnom Penh on January 30 and was taken to hospital with symptoms of coughing and shortness of breath, a joint statement from Cambodia and the UN's public health arm said. She died on February 4.

"Despite intensive medical care, the girl died 12 hours after admission from complications," it said.

http://health.asiaone.com/Health/News/Story/A1Story20110209-262609.html

**Sally Furniss** · February 9, 2011, 01:15 AM

Re: Cambodia, Avian Influenza A(H5N1), human death (source: FAO/Empres, Feb 7 2011)

Prek Leap is across the river from Phnom Peng, along Route No 6A.
There is an Agricultural School in Prek Leap

**Shiloh** · February 9, 2011, 08:01 AM

Re: Cambodia, Avian Influenza A(H5N1), human death (source: FAO/Empres, Feb 7 2011)

Source: http://news.xinhuanet.com/english201...c_13724106.htm

Young girl dies of H5N1 in Cambodia
English.news.cn 2011-02-09 12:30:31

PHNOM PENH, Feb. 9 (Xinhua) -- Cambodia's Ministry of Health and World Health Organization announced Wednesday that a young girl had died of respiratory complication caused by H5N1.

The joint statement sent out to the media on Wednesday said a 5- year-old girl from the capital city died on Feb. 4 as a result of respiratory complications after contracting human avian influenza virus H5N1.

The girl is the eleventh person in Cambodia to become infected with the H5N1 virus and the ninth death case...

**Giuseppe** · February 9, 2011, 11:13 AM

Re: Cambodia, Avian Influenza A(H5N1), human death (source: FAO/Empres, Feb 7 2011)

WHO, Avian influenza ? situation in Cambodia (Feb 9 2011, edited)

[Source: World Health Organization, full page: <cite cite="http://www.who.int/csr/don/2011_02_09/en/index.html">WHO | Avian influenza ? situation in Cambodia</cite>. Edited.]

Avian influenza ? situation in Cambodia

9 February 2011

The Ministry of Health of Cambodia has announced a new confirmed case of human infection with avian influenza A (H5N1) virus.

The 5 year old female, from Prek Leap village, Sangkat Prek Leap, Khan Reussey Keo, Phnom Penh, developed symptoms on 29 January, was admitted to a hospital on 3 February and died 12 hours following admission.

The presence of H5N1 virus in nasopharyngeal specimens was confirmed by Institut Pasteur, the National Influenza Centre in Cambodia.

The case had been in contact with sick poultry during the 7 days before onset of symptoms.

The Ministry of Health has been coordinating the response.

Actions have included contact tracing, collecting specimens from suspected cases, and providing oseltamivir prophylaxis to close contacts; active surveillance and joint investigation with animal health authorities; community education; and public communications coordination with the assistance of WHO.

Of the 11 cases of human H5N1 virus infection confirmed since 2005 in Cambodia, 9 have been fatal.

-
------

**Treyfish** · February 12, 2011, 07:49 AM

Re: Cambodia, Avian Influenza A(H5N1), human death (source: FAO/Empres, Feb 7 2011)

Girl dies from bird flu

Wednesday, 09 February 2011 21:22 Mom Kunthear and Mary Kozlovski

A five-year-old girl from Phnom Penh?s Russei Keo district has died of respiratory complications after contracting the avian influenza A(H5N1) virus, commonly known as bird flu, according to a joint statement from the Ministry of Health and the World Health Organisation. According to her family, Moun Kimhouy of Prek Liep village fell sick on January 29 and died last Thursday, in what is the first recorded case of bird flu in Cambodia this year.
The joint statement, dated February 7 and obtained by The Post today, said that Moun Kimhouy was the 11th recorded case of bird flu in Cambodia since 2003 and the ninth death resulting from the virus.
Philippe Buchy, head of the virology unit at Phnom Penh?s Pasteur Institute, today confirmed the case of bird flu, adding that the institute was conducting further tests.
?We are always concerned if the viruses have a higher capacity to mutate or to become [drug] resistant, so we are testing this virus,? he said.
Prek Liep commune councillor Chhneang Phanary said today that Moun Kimhouy fell sick and died after eating meat from a chicken that had died and been cooked.
?There were more than 200 dead chickens and more than 700 sick chickens in group 8 in Prek Liep village, and at the girl?s house there were about 20 dead chickens,? she said.
?Her family took several to cook for food.?
Moun Kimhouy?s father, Mol Moun, said today that he did not think his daughter died of bird flu.
?I will be careful with this case with my family members,? he said.
Nima Asgari, a public health specialist at the WHO, said the organisation had been trying to increase public awareness about bird flu.
?It is very difficult to change behaviour,? he said.
?The population as a whole knows about the virus, they just don?t act on it. Translating that awareness into action is where we need to do more work.?
Prek Liep commune chief Chhey Sameth said Ministry of Health officials and the local health centre had educated villagers about bird flu.
?The Health Ministry came to our village to distribute the medicines, spray medicine to kill the virus in the village and stick posters on trees and houses in the village about what is H5N1.?
Minister of Health Mam Bun Heng could not be reached for comment, but said in the joint statement that avian influenza was still a threat to peoples? health

http://www.phnompenhpost.com/index.p...-bird-flu.html

**Giuseppe** · February 12, 2011, 10:53 AM

Re: Cambodia, Avian Influenza A(H5N1), human death (source: FAO/Empres, Feb 7 2011)

In fact:

Highly pathogenic avian influenza, Cambodia (OIE, Feb 7 2011, edited)

[Source: OIE, full PDF document (LINK). Edited.]

Highly pathogenic avian influenza, Cambodia

Information received on 07/02/2011 from Dr Sen Sovann, Deputy Secretary General , Ministry of Agriculture, Forestry and Fisheries , Ministry of Agriculture, Forestry and Fisheries , Phnom Penh, Cambodia

Summary
- Report type Immediate notification
- Start date 27/01/2011
- Date of first confirmation of the event 29/01/2011
- Report date 07/02/2011
- Date submitted to OIE 07/02/2011
- Reason for notification Reoccurrence of a listed disease
- Date of previous occurrence 01/10/2010
- Manifestation of disease Clinical disease
- Causal agent Highly pathogenic avian influenza virus
- Serotype H5N1
- Nature of diagnosis Suspicion, Laboratory (basic), Laboratory (advanced), Necropsy
- This event pertains to a defined zone within the country

New outbreaks
- Summary of outbreaks
  - Total outbreaks: 1
  - Location(s) - KANDAL (Prek Doung, Kampong Svay, Kien Svay)
    - Total animals affected: Species - Susceptible - Cases - Deaths - Destroyed - Slaughtered
      - Birds - 232 - 48 - 48 - 174 - 0
  - Outbreak statistics: Species - Apparent morbidity rate - Apparent mortality rate - Apparent case fatality rate - Proportion susceptible animals lost*
    - Birds - 20.69% - 20.69% - 100.00% - 95.69%
    - * Removed from the susceptible population through death, destruction and/or slaughter

Epidemiology
- Source of the outbreak(s) or origin of infection
  - Unknown or inconclusive

Epidemiological comments
- The investigation team from the National Veterinary Research Institute (NaVRI) of the Department of Animal Health and Production conducted an investigation in the village and carried out surveillance in neighbouring villages from 31 January to 4 February 2011.
- Culling of poultry started on 30 January 2011 (174 chickens culled).

Control measures
- Measures applied
  - Movement control inside the country
  - Disinfection of infected premises/establishment(s)
  - Modified stamping out
  - No vaccination
  - No treatment of affected animals
- Measures to be applied
  - No other measures

Diagnostic test results
- Laboratory name and type National Veterinary Research Institute (NaVRI) of Department of Animal Health and Production (National laboratory)
  - Tests and results: Species - Test - Test date - Result
    - Birds - inoculation test - 29/01/2011 - Positive
- Laboratory name and type Pasteur Institute in Cambodia (Regional Reference Laboratory)
  - Tests and results: Species - Test - Test date - Result
    - Birds - real-time PCR - 31/01/2011 - Positive

Future Reporting
- The event is continuing. Weekly follow-up reports will be submitted.

-
------

Announcement

Cambodia, Avian Influenza A(H5N1), human death (source: FAO/Empres, Feb 7 2011)

Cambodia, Avian Influenza A(H5N1), human death (source: FAO/Empres, Feb 7 2011)

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment