Avian Influenza Report - Vol. 6, No. 25 - Reporting period: 13 to 19 June 2010 (Week 25) (Published on 22 June 2010, CHP HK, edited)

[Giuseppe]

Avian Influenza Report - Vol. 6, No. 25 - Reporting period: 13 to 19 June 2010 (Week 25) (Published on 22 June 2010, CHP HK, edited)

[Source: Centre for Health Protection, Hong Kong PRC SAR, Full PDF Document (LINK). Edited.]

Avian Influenza Report - VOLUME 6, NUMBER 25 - Reporting period: 13 to 19 June 2010 (Week 25) (Published on 22 June 2010)


Summary

1. There were no new reports of human avian influenza H5N1 infection in the past week.
2. The latest case of human avian influenza H5N1 was reported by the World Health Organization (WHO) on 8 June 2010 and had occurred in Hubei province in China.
3. From 2005 to 2007, about 100 laboratory-confirmed cases of human avian influenza H5N1 were reported to the WHO annually. In 2008 and 2009, 44 and 73 cases were confirmed respectively.

This week?s update

(as of 19 Jun 2010)
Confirmed human cases (deaths) [Source: WHO] / Reports in wild birds - poultry [Source: World Organisation for Animal Health (OIE)]

• This week:
  • Hong Kong 0 (0) / 0
  • Outside HK 0 (0) / 1
  • Affected countries: ... / Bangladesh
  • Details: ... / Bangladesh: Poultry were affected by H5N1 outbreaks in Rajshahi province. (OIE, June 17)
• Cumulative since Nov. 2003:
  • Hong Kong 0 / 68 dead birds confirmed H5N1 positive (Total in 2010: 1 θ)
  • Outside HK: 499 (295) / NA
  • Affected countries: 15 * / 63#

(θ) For further information, please visit the website of the Agriculture, Fisheries and Conservation Department (AFCD)
(*) The 15 affected countries included Azerbaijan, Bangladesh, Cambodia, 17 provinces in China (Anhui, Beijing, Fujian, Guangdong, Guangxi, Guizhou, Hubei, Hunan, Jiangsu, Jiangxi, Liaoning, Shandong, Shanghai, Shanxi, Sichuan, Xinjiang, Zhejiang), Djibouti, Egypt, Indonesia, Iraq, Laos, Myanmar, Nigeria, Pakistan, Thailand, Turkey and Vietnam.
(#) For details of the OIE reported cases in poultry/wild birds, please visit: (LINK)


Table 1. - Confirmed human cases of avian influenza A (H5N1) reported to WHO since 2003 by onset date of the cases ?

[2003 - 2004 - 2005 - 2006 - 2007 - 2008 - 2009 - 2010 - Overall]

• Cases - 4 - 46 - 98 - 115 - 88 - 44 - 73 - 31 - 499
• Deaths - 4 - 32 - 43 - 79 - 59 - 33 - 32 - 13 - 295
• Case Fatality Rate - 100% - 69.6% - 43.9% - 68.7% - 67.0% - 75.0% - 43.8% - 41.9% - 59.1%

(?) Further breakdown by countries is available at the government website ?Prevention of Avian Influenza?


Table 2. - Countries/areas affected by highly pathogenic avian influenza in the past 6 months

[WHO Region - Date of last report by WHO / OIE - Countries - In the past 6 months, H5N1 has affected]

• Western Pacific
  • 2010-06-08 - China (Hubei) - Human
  • 2010-05-14 - Laos - Poultry
  • 2010-05-10 - Mongolia - Wild birds
  • 2010-05-04 - Cambodia - Human, Poultry
  • 2010-04-29 - Vietnam - Human, Poultry
  • 2010-04-07 - China (Hong Kong SAR) - Wild birds
• South-East Asia
  • 2010-06-17 - Bangladesh - Poultry
  • 2010-05-06 - Indonesia& - Human, Poultry
  • 2010-03-25 - Bhutan - Poultry
  • 2010-03-14 - Nepal - Poultry
  • 2010-03-05 - Myanmar - Poultry
  • 2010-02-11 - India - Poultry
• Eastern Mediterranean
  • 2010-04-09 - Egypt& - Human
• Europe
  • 2010-05-06 - Israel - Poultry
  • 2010-04-01 - Bulgaria - Wild birds
  • 2010-03-30 - Romania - Poultry
• Africa
  • 2009-03-03 - Nigeria& - Poultry
• The Americas
  • NA - NA - NA

(&) The World Organisation for Animal Health (OIE) has reported that avian influenza H5N1 is endemic in poultry in these countries.


Table 3. - Confirmed human cases of H5N1 reported to WHO since 2003

[Country - Cumulative no. of cases (December 2003 to June 2010) - No. of recent cases (March to June 2010)]

• Azerbaijan - 8 - 0
• Bangladesh - 1 - 0
• Cambodia - 10 - 1
• China - 39 - 1
• Djibouti - 1 - 0
• Egypt - 109 - 10
• Indonesia - 165 - 3
• Iraq - 3 - 0
• Laos - 2 - 0
• Myanmar - 1 - 0
• Nigeria - 1 - 0
• Pakistan - 3 - 0
• Thailand - 25 - 0
• Turkey - 12 - 0
• Vietnam - 119 - 6
• Overall - 499 - 21

Table 4. - Details of the recent confirmed human cases of H5N1 reported to WHO (March to June 2010)

[Date of report by WHO - Country - District - Province - Sex - Age - Outcome]

• 08/06/2010 - China - ... - Hubei - F - 22 - Fatal
• 06/05/2010 - Indonesia - Pekanbaru - Riau - F - 4 - Fatal
• 06/05/2010 - Indonesia - Malang - East Java - F - 45 - Alive
• 04/05/2010 - Cambodia - ... - Prey Veng - M - 27 - Fatal
• 21/04/2010 - Vietnam - Nhu Co - Bac Kan - M - 22 - Alive
• 21/04/2010 - Vietnam - Cho Moi - Bac Kan - F - 2 - Alive
• 09/04/2010 - Egypt - Etsa - Fayoum - F - 18 - Fatal
• 30/03/2010 - Egypt - ... - Damietta - F - 30 - Alive
• 30/03/2010 - Egypt - Beba - Beni Suaif - M - 4 - Fatal
• 29/03/2010 - Vietnam - Thuan An - Binh Duong - F - 3 - Fatal
• 16/03/2010 - Vietnam - Soc Son - Hanoi - F - 25 - Alive
• 12/03/2010 - Egypt - El Khanka - Qaliobia - F - 20 - Fatal
• 12/03/2010 - Egypt - Elhamool - Kfr Elsheikh - M - 1 - Alive
• 04/03/2010 - Egypt - Shobra Elkhima - Qaliobia - M - 53 - Fatal
• 04/03/2010 - Egypt - Banha - Qaliobia - M - 1 - Alive
• 04/03/2010 - Egypt - Meet Ghamr - Dakalia - M - 10 - Alive
• 04/03/2010 - Egypt - Kellin - Kafr El-Sheik - F - 30 - Alive
• 04/03/2010 - Egypt - ... - Kafr El-Sheik - M - 13 - Alive
• 04/03/2010 - Vietnam - Ninh Hoa - Khanh Hoa - F - 3 - Alive
• 04/03/2010 - Vietnam - Cai Be - Tien Giang - F - 38 - Fatal
• 04/03/2010 - Vietnam - Son Duong - Tuyen Quang - F - 17 - Alive

Avian Influenza Report is a weekly report produced by the Respiratory Disease Office of the Centre for Health Protection when the alert response level under the Government?s Preparedness Plan for Influenza Pandemic in Hong Kong has been activated. This report aims to highlight important international developments on avian influenza preparedness and control and to monitor global avian influenza activity in humans and birds.

Sources: World Health Organization (WHO); World Organisation for Animal Health (OIE)

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