Announcement

**Ronan Kelly** · January 25, 2013, 06:41 AM

Re: Two Cambodians die from bird flu: WHO -- Baby survives

Two Cambodians die of avian flu
Last Updated on 25 January 2013 By John Yeager
Two Cambodians have died from avian influenza (H5N1) in the past eight days.

The victims were a 15-year-old girl from Smao village, in the Prey Kabass district of Takeo province, and a 35-year-old man from Trapeang Sla village, in Kampong Speu province?s Kong Pisey district, the Ministry of Health and the World Health Organisation said today.

The man was the 24th person in Cambodia to become infected with the H5N1 virus. All but three of the victims have died.

Fifteen of the 24 reported cases were children under the age of 14.
...

http://www.phnompenhpost.com/2013012560997/National/two-cambodians-die-of-avian-flu.html

**sharon sanders** · January 25, 2013, 07:39 AM

Re: Two Cambodians die from bird flu: WHO -- Baby survives

I do not see this anywhere on the WHO website.

Their latest human case chart dated January 16 has zero cases for 2013.

404

http://www.who.int/influenza/human_animal_interface/EN_GIP_20130116CumulativeNumberH5N1cases.pdf

Erreur 404

**Treyfish** · January 25, 2013, 07:41 AM

Re: Two Cambodians die from bird flu: WHO -- Baby survives

not on WHO Cambodia either, yet.

**sharon sanders** · January 25, 2013, 07:46 AM

Re: Two Cambodians die from bird flu: WHO -- Baby survives

From: FluTrackers
To: gregory hartl
Subject: Please confirm supposed WHO statement about 3 H5N1 cases in Cambodia
Date: Jan 25, 2013 7:44 AM
Hi Gregory!

Can you confirmed this statement by WHO? I do not see the original WHO statement anywhere:

Two Cambodians die from bird flu: WHO
Posted: 25 January 2013 1857 hrs

(article snipped out because we have it above)

http://www.channelnewsasia.com/stories/afp_asiapacific/view/1250204/1/.html

Thanks!

Sharon

**Ronan Kelly** · January 25, 2013, 07:49 AM

Re: Two Cambodians die from bird flu: WHO -- Baby survives

http://www.cdcmoh.gov.kh/PressRelease/Press%20Release%20H5N1-22-24th.%20Eng.pdf

Press Release H5N1-22-24th. Eng[1].pdf

**sharon sanders** · January 25, 2013, 09:08 AM

Re: Cambodia - WHO confirms 3 H5N1 cases - 2 deaths

Mr. Hartl of WHO wrote a note back an hour ago referring to the government of Cambodia announcement.

**sharon sanders** · January 25, 2013, 01:16 PM

Re: Cambodia - WHO confirms 3 H5N1 cases - 2 deaths

hat tip Crof

January 25, 2013

A note on H5N1 from Cambodia

An email from Sonny Krishnan, a communications officer for WHO in Cambodia, in response to my questions about any possible links between the three H5N1 cases:

Our epidemiologists are with the Ministry of Health's Rapid Response Teams carrying out investigations in Phnom Penh, Takeo and Kampong Speu. We're also helping the RRTs do contact-tracing.

There seems to be heightened movement of poultry across the areas where the cases were because of Chinese New Year which is next week.

Also all there had contact with poultry.

January 25, 2013 at 08:03 AM

**Biological** · January 26, 2013, 03:15 AM

WPRO | Three new human cases of avian influenza H5N1 in Cambodia in 2013

WPRO | Three new human cases of avian influenza H5N1 in Cambodia in 2013

WHO Western Pacific | World Health Organization

http://www.wpro.who.int/mediacentre/releases/2013/20130125/en/index.html

Promote health. Save lives. Serve the vulnerable.

Three 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, 25 January 2013 - The Ministry of Health (MoH) of the Kingdom of Cambodia wishes to advise members of the public that three new human cases of avian influenza have been confirmed positive for the H5N1 virus.

The first case, an 8-month old infant boy from Chrey Korng Village, Sangkat Chorm Chao, Khan Por Sen Chey, Phnom Penh has been diagnosed with H5N1 influenza. He developed symptoms on 08th January 2013 then was brought to the National Paediatric Hospital for consultation on 9th January with fever, cough, runny nose, and vomiting. The boy was registered in the Influenza-Like Illness Sentinel Surveillance and the samples were sent to the National Institute of Public Health's laboratory on 11th January. The result was confirmed by Institut Pasteur du Cambodge on 22nd January 2013. The infant has recovered and had history of coming into contact with poultry prior to becoming sick.

The second case, a 15-year-old female from Snao village, Snao commune, Prey Kabass district, Takeo Province, has been diagnosed with H5N1 influenza on 22nd January 2013. She became sick on 11th January suffering with fever and cough. She was initially treated by local private practitioners. Her condition worsened and she was admitted to Kantha Bopha Hospital on 17th January with fever and shortness of breath. Unfortunately, despite intensive medical care, she died on 21st January. There is evidence of recent deaths among poultry in the village and the patient prepared sick chicken for food prior to becoming sick.

In the third case, a 35-year-old man from Trapeang Sla village, Preah Nipean commune, Kong Pisey district, Kampong Speu province has been diagnosed with H5N1 influenza on 23rd January 2013 by Institut Pasteur du Cambodge. He became sick on 13th January, 2013 suffering with fever and cough. He was initially treated by local private practitioners. His condition worsened and he was admitted to the Khmer-Soviet Friendship Hospital in Phnom Penh with fever and dyspnea on 21st January. Samples were taken the same day and sent to the National Institute of Public Health's laboratory. Despite intensive medical care, the patient died soon after the samples were taken. There is evidence of recent deaths among poultry in the village and the patient prepared sick chicken for food prior to becoming sick. The man is the twenty-fourth person in Cambodia to become infected with H5N1 virus, and the third person this year and the twenty-first person to die from complications of the disease. Of all the twenty four cases, 15 were children under 14, and fifteen of the twenty four confirmed cases occurred in females.

"Avian influenza H5N1 is still a threat to the health of Cambodians. This is the three cases of H5N1 infection in human 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 613 laboratory confirmed cases of avian influenza with 362 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

or contact:
Ministry of Health
Dr Sok Touch: Tel +855 12 856 848
Dr Ly Sovann: Tel +855 12 825 424

World Health Organization
Dr Pieter JM van Maaren: Tel +855 23 216 610
Dr Reiko Tsuyuoka: Tel +855 23 216 610

http://www.cdcmoh.gov.kh/PressRelease/Press%20Release%20H5N1-22-24th.%20Eng.pdf

Avian influenza

CDC MOH

http://www.cdcmoh.gov.kh/PressRelease.htm

Joint Press Release ( 25/01/2013) English / Khmer
Joint Press Release ( 28/05/2012) English / Khmer
Joint Press Release ( 01/04/2012) English / Khmer
Joint Press Release ( 13/01/2012) English / Khmer
Joint Press Release ( 23/08/2011) English / Khmer
Joint Press Release ( 28/07/2011) English / Khmer
Joint Press Release ( 08/06/2011) English / Khmer
Joint Press Release ( 20/04/2011) English
Joint Press Release ( 05/04/2011) English / Khmer
Joint Press Release ( 23/02/2011) English
Joint Press Release ( 07/02/2011) English / Khmer
Joint Press Release ( 21/04/2010) English / Khmer
Joint Press Release ( 18/12/2009) English
Joint Press Release ( 11/12/2008) English / Khmer
Joint Press Release ( 06/04/2006) English
Joint Press Release ( 24/03/2006) English / Khmer
Joint Press Release ( 25/11/2005) English / Khmer
Joint Press Release ( 04/05/2005) English
Joint Press Release ( 11/04/2005) English
Joint Press Release ( 29/03/2005) English
Joint Press Release ( 05/02/2005) English

**Laidback Al** · January 26, 2013, 12:14 PM

Re: Cambodia - WHO confirms 3 H5N1 cases - 2 deaths: January 2013

Map showing the general location of the three reported H5N1 case in 2013 from Cambodia.

8 month-old infant boy, Chaom Chau Commune - onset Jan 9, 2013, recovered

The infant appears to be from Phumĭ Chrey Ka?ng, Sangkat Chaom Chau, Khan Por Senchey, Phenom Penh. Chrey Ka?ng seems to be less than a mile or two from the Phnom Penh International Airport.

15 year-old female, Snao Commune - onset Jan 11, 2013, died Jan 21, 2013

35 year-old male, Preah Nipean Commune - onset Jan 13, 2013, died Jan 21, 2013

These cases occurred in three separate areas.

<!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w

oNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>KHM</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w

ontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:EnableOpenTypeKerning/> <w

ontFlipMirrorIndents/> <w:OverrideTableStyleHps/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><object style="position:absolute;z-index:1000" type="application/x-dgnria" id="plugin0" height="0" width="0">

</object>

**Gert van der Hoek** · January 28, 2013, 08:03 AM

Re: Cambodia - WHO confirms 4 H5N1 cases - 2 deaths: January 2013

No WHO confirmation yet.

Cambodian bird flu deaths prompt awareness drive

PHNOM PENH, 28 January 2013 (IRIN) - Health authorities in Cambodia will bolster public awareness campaigns on H5N1 avian influenza after four people became infected in January, resulting in two fatalities.

“Ongoing public awareness campaigns need to be reinforced through TV and radio,” Sok Touch, director of Cambodia’s Communicable Disease Control Department (CDC), told IRIN on 28 January, calling on people to be vigilant. “We’re planning on doing this immediately as there is no room for complacency.”

The four cases of H5N1 avian influenza, commonly known as bird flu, are the first confirmed in Cambodia this year. There were three recorded cases (all fatal) in 2012.

Since 2005, 24 people have been infected resulting in 21 deaths, according to WHO, with over half of the infections in children under 14.

According to a joint statement from the Ministry of Health and World Health Organization (WHO) on 25 January, an eight-month-old boy from the capital Phnom Penh recovered after being infected with bird flu, while a 15-year-old girl from southwestern Takeo Province and a 35-year-old man from southwestern Kampong Speu Province died after contracting the virus.

The CDC said the boy had contact with chickens at a market, but the girl from Takeo and the man from Kampong Speu both fell ill after cooking dead chickens gathered from their villages.

A fourth case, also in Kampong Speu, was confirmed by the Ministry of Health on 27 January, when a 17-month-old girl tested positive for H5N1.

“We are working closely with the Ministry of Health to enhance surveillance of H5N1,” said Sonny Krishnan, communications officer with WHO in Phnom Penh, adding that WHO did not know yet if there was a link between the cases of the girl and 35-year-old man.

“We just did a map of the two communes and they’re not far from each other, so there could be an indication of a movement of poultry," Krishnan said.

Philippe Buchy, head of virology at the Pasteur Institute in Phnom Penh, said the best way to avoid further infections was to contain infected poultry, which is complicated in Cambodia.

IRIN

thanks to Mike Coston

**tetano** · January 28, 2013, 10:45 AM

Re: Cambodia - WHO confirms 3 H5N1 cases - 2 deaths: January 2013

PIN

New Bird Flu Case Raises Fears in Cambodia

PHNOM PENH — Two Cambodians have already died from bird flu in 2013, making a worrying start to the year.

Now a two-year-old Cambodian girl is in a serious condition in Phnom Penh after being hospitalized with the H5N1 virus, also known as avian, or bird, flu.

Sonny Inbaraj Krishnan, the communications officer for the World Health Organization in Phnom Penh, says the development has health professionals concerned.

“This is the fourth case this month of human influenza H5N1," Krishnan said. "Last year we had three cases, so within one month in the new year we've got four cases, and we're quite concerned about that.”

New Bird Flu Case Raises Fears in Cambodia

http://www.voanews.com/content/new-bird-flu-case-raises-fears-in-cambodia/1592100.html

Two-year-old Cambodian girl, who is in serious condition, becomes fourth person to be infected with H5N1 virus

**Giuseppe** · January 28, 2013, 10:49 AM

Re: Cambodia - WHO confirms 3 H5N1 cases - 2 deaths: January 2013

Concerned?

Winter is the high season for H5N1 in SE Asia - notwithstanding temperature and climate conditions.

Furthermore, humans continue to be sentinel for birds outbreaks such as those notified just today to the OIE: http://www.oie.int/wahis_2/temp/repo...128_135904.pdf

Before to be concerned, it is better to make operational animal health surveillance.

Otherwise, human cases will appear as usual during first months of the year.

**Shiloh** · January 28, 2013, 11:51 AM

Re: Cambodia - WHO confirms 3 H5N1 cases - 2 deaths: January 2013

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

dated: 11:32 a.m. Monday, Jan. 28, 2013 | Posted: 11:31 a.m. Monday, Jan. 28, 2013
Bird flu kills 2 more children in Cambodia
The Associated Press

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...

**sharon sanders** · January 28, 2013, 12:25 PM

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

From: FluTrackers
To: who.cam
Subject: 4th H5N1 case reported in media - Can you confirm?
Date: Jan 28, 2013 12:22 PM

Hi Dr. Van Maaren,

We have seen a report of a 4th H5N1 case in the media:
snip

A fourth case, also in Kampong Speu, was confirmed by the Ministry of Health on 27 January, when a 17-month-old girl tested positive for H5N1.

Just a moment...

http://www.irinnews.org/Report/97346/Cambodian-bird-flu-deaths-prompt-awareness-drive

---------------------

Also, what can you tell us about:

1) Spread or potential spread,
2) Testing of contacts - how many now being screened,
3) Relationships between any of these cases,
4) Which H5N1 clade,
5) Quarantines in place - where,
6) Remedial actions being taken.

Announcement

Cambodia - 5 H5N1 cases, 4 deaths: January 2013

Cambodia - 5 H5N1 cases, 4 deaths: January 2013

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment