Bird flu case (human) detected in Cambodia - 19, male, Kandal Province, November 28, 2008, 57-year-old male, from Ponhea Kreak District, Kampong Cham

[AlaskaDenise]

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Re: Bird flu case (human) detected in Cambodia

Commentary

http://www.recombinomics.com/News/12150803/H5N1_Cambodia_PPP.html

Commentary

H5N1 Confirmed Near Phnom Penh Cambodia
Recombinomics Commentary 11:50
December 15, 2008

THE government over the weekend called on villagers in Kandal province to take precautions following a new outbreak of bird flu that infected a 19-year-old man in Cheung Koeub commune last week.

The outbreak occurred in Kandal province's Kandal Steung district on the outskirts of Phnom Penh, and is the first confirmed infection of the deadly H5N1 virus in Cambodia this year, the Ministry of Health and the World Health Organisation said in a joint statement.

He said the patient, currently being treated at Calmette Hospital, began to show bird flu symptoms of fever, cough, muscle aches and a sore throat on November 28. Infection was confirmed on Thursday after testing at the National Influenza Center in Phnom Penh.

"The disease has not threatened his life because we treated it in time.

The above comments confirm H5N1 in poultry on the outskirts of Phnom Penh (see updated map), where a human case (19M) was recently confirmed. The ProMED report on the patient indicated he developed symptoms on November 28 and was seen at a local clinic on November 30 and October 2. The symptoms were a fever, sore throat, and muscle aches.

Since there was no reported H5N1 in poultry at the time, and the last H5N1 case in Cambodia was in June, 2007, the likelihood that the patient was promptly treated with oseltamivir is remote. The H5N1 link was discovered on December 11 through a screening program of high fever cases.

Thus, the H5N1 infected patient had an upper respiratory infection (URI) much like the symptoms of patients in Assam, raising concerns of the spread of mild H5N1 in Cambodia and India, in the absence of testing.

Information on the treatment of the recovering patient in Cambodia as well as testing of surveyed patients in Assam, India would be useful.


.

 

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Authorities rush to contain bird flu

Wednesday, 17 December 2008

Nearly one hundred people living in the immediate vicinity of Cambodia's first confirmed human case of the H5N1 virus in over a year have been tested as authorities scramble to determine the extent of the latest outbreak.

Blood samples from people who had contact with the 19-year-old man diagnosed with avian influenza have so far revealed no signs of the disease, a health official said.

The 19-year-old is the Kingdom's eighth known case of bird flu, and all previous cases have been fatal. Though the disease has killed fewer than 30 people worldwide this year, the threat lies in the flu's potential to mutate into a strain transferrable between humans that could set off a lethal global pandemic.

According to Sok Touch, the director of the Communicable Disease Control Department at the Ministry of Health, 99 villagers from Kandal and Kampong Speu provinces have been tested and, so far, no new cases have been found. Not all 99 blood samples, however, have been processed.

Kao Phal, director of the Animal Health and Production Department at the Ministry of Agriculture, Forestry and Fisheries, said Tuesday that they have collected 76 ducks, chicken and geese from the two provinces for testing and expect results to be ready later this week.

"We will take immediate action to destroy the birds if bird flu is found," he said.

According to Kao Phal, authorities have educated villagers throughout the country about how to avoid avian influenza by providing booklets and leaflets to villagers.

"We know that villagers understand how to protect themselves from bird flu, but still people get infected," he said.

 

[Commonground]

Re: Bird flu case (human) detected in Cambodia

Re: Bird flu case (human) detected in Cambodia

Cambodia: Kandal Villagers Screened for Bird Flu

December 16, 2008
At least 50 villagers have tested negative for avian influenza in a suburb of Phnom Penh, following at least one case last week.
Of 90 villagers tested and consulted in Kandal Steung district, Kandal province, 50 have passed a blood test, said Ly Sovann, deputy director of the communicable disease control department of the Ministry of Health.
?We need 10 more days to be sure of the result on 40 people among 90 villagers,? he said.
Ministry of Health officials are investigating the area following the exposure of one case of a 19-year-old Nov. 28. The victim, Teng Sopheak, is still recovering in Calmette hospital.
Avian influenza, carried in wild and domestic birds by the H5N1 virus, has symptoms that include fever, cough, muscle ache and sore throat. It can be deadly to humans, killing seven Cambodians since 2005, and authorities worry it will mutate into a more communicable form.

 

[Commonground]

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Re: Bird flu case (human) detected in Cambodia

WHO Update Of Avian Influenza Situation In Cambodia

17 Dec 2008
The Ministry of Health of Cambodia has announced a new confirmed case of human infection with the H5N1 avian influenza virus.

The 19-year-old male, from Kandal Province, developed symptoms on 28 November and initially sought medical attention at a local health centre on 30 November.

The presence of the H5N1 virus was confirmed by the National Influenza Centre, the Institut Pasteur in Cambodia, on 11 December. The patient is currently hospitalised and a team led by the Ministry of Health is conducting field investigations into the source of his infection. Contacts of the case are also being identified and provided with prophylaxis.

Of the 8 cases confirmed to date in Cambodia, 7 have been fatal.

 

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Cambodia confirms bird flu outbreak, starts culling

Wednesday, December 17, 2008


PHNOM PENH (Reuters) - Cambodia began culling poultry near its capital on Wednesday, officials said, five days after a young man from the area was confirmed with H5N1 bird flu by the World Health Organization (WHO) and the government.

Agriculture Minister Chan Sarun told Reuters on Wednesday he had ordered a three-month ban on poultry transportation from the province of Kandal, 50 km (30 miles) south of Phnom Penh, after tests confirmed it was hit by the deadly virus.

The Health Ministry said in a statement last week the 19-year-old man, the eighth person in Cambodia to have contracted bird flu since its first case in 2005, was in stable condition in the capital's Calmette hospital.

The patient fell ill on Nov. 28 but was only confirmed as having bird flu on Dec 11, a Health Ministry-WHO statement said.

All seven of Cambodia's previous human cases have died.

Chan Sarun said ministry officials were also investigating in the province of Kampong Speu, 60 km west of Kandal, after reports of dead chickens and ducks.

Since H5N1 resurfaced in Asia in 2003 it has killed more than 200 people in a dozen countries, according to the WHO.

Experts fear the constantly mutating H5N1 virus could change into a form easily transmitted from person to person and potentially kill millions worldwide.

 

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Re: Bird flu case (human) detected in Cambodia

To find the source of bird flu infection in the Ministry of Health to do a blood test residents in Rafah

Date issued: [2008 on 12 years on Thursday 18]

(Phnom Penh hearing) in the face of newly found cases of bird flu, the Ministry of Health to do a few days ago and is home province of La province, about 100 people living in the patients live in the surrounding area residents a blood test to find out the bird flu virus . Blood test results showed that none of them were infected.
According to the Phnom Penh Post reported, said an official of the Ministry of Health, the Ministry of Health with the 19-year-old bird flu patients contact the owner to carry out blood tests, the results have not found a person infected with avian influenza virus in sight.

Ministry of Health to control infectious diseases, the Director of Song Du said that the stem and pull the province is the home province, about 100 people after carrying out a blood test to identify bird flu, but has not been found to be infected with bird flu.
Agriculture, Forestry and Fisheries Department of Animal Health Department director of the items with high Pan said that the department has been doing for Latin America and is home provinces of chickens, ducks and geese for a total of 75 test will be the outcome of next week. He said "If there are any signs of avian influenza virus, we will take immediate measures to destroy."

He said that in order to do a good job of guarding against avian flu, the department issued to local residents through leaflets and brochures to raise their awareness to prevent bird flu.

Another hearing: Secretary of State for the Ministry of Health and Hospital secret Gan Tai-hing told reporters that in mind, due to the current bird flu hospital for observation while the 19-year-old young men in good condition. He pointed out that patients must be hospitalized for observation a few days, there is no problem to be determined later allowed to go home.
(Li-sheng, Huang set-ray)

 

[Commonground]

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Re: Bird flu case (human) detected in Cambodia

Cambodia: The Ministry of Agriculture to take measures to thoroughly document published in the fight against bird flu

Date issued: [2008 on 12 years on Thursday 18]

(A) Agriculture Minister Shi-Lun had been issued on the 16th to deal with bird flu, the first 591 documents. Contents of the document pointed out that the provincial government to determine dry La La is dry when the rural county south edge of the River Festival Cambodia - Indonesia Friendship Center for the incidence of bird flu source region, the requirements under the Ministry of Agriculture's Bureau of production and treatment must take the following actions in order to The total in the fight against bird flu:

1, in accordance with the provisions of killing all poultry in the region;

2, to the above-mentioned areas as the center for the three-kilometer radius of the circle inside the area to prohibit the sale, purchase and transport various types of birds, 30 days must be followed and research the source of bird flu. And above for the center, 10 km radius of the need to monitor the activities of various types of birds.

Official also pointed out that the ban on all types of birds feeding in the region until the new documents issued in order to allow the resumption of feeding birds. Official said that contrary to the provisions of this document must be punished in accordance with the law.
(Scheduled to light yellow)

 

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Re: Bird flu case (human) detected in Cambodia

Cambodia bans poultry in bird flu outbreak area

Date: Wed, 17 Dec 2008 12:20:49 +0100 (MET)


PHNOM PENH, Dec 17, 2008 (AFP) - The Cambodian government has banned all poultry from an area on the outskirts of the capital Phnom Penh in a bid to contain a bird flu outbreak that infected one man, officials said Wednesday. Cambodia's ministry of agriculture has destroyed 326 birds since last week and have now warned that any poultry found within a three kilometer (two-mile) radius of the H5N1 virus outbreak in Kandal province will also be killed. "Our experts have carefully taken control of the area and looked into the issues very closely," Kao Phal, director of the ministry's animal department, told AFP. He said a government ban on selling or transporting poultry in the area would last 30 days. "We are educating the residents to love their lives rather than keep going on with their dangerous businesses."

Officials said that residents were cooperating with the ban as staff from the agriculture and health ministries investigated the outbreak. "We will continue to search for suspected cases for the next 10 days around the area," the ministry of health's Ly Sovann said.

-snip-

Source: AGENCE FRANCE-PRESSE Posted Date: 18 December 2008

 

[HenryN]

Re: Bird flu case (human) detected in Cambodia

Re: Bird flu case (human) detected in Cambodia

<TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR>Man survives H5N1 virus <!--10 min-->
</TR><!-- headline one : end --><!-- show image if available --></TBODY></TABLE>




<!-- START OF : div id="storytext"-->PHNOM PENH - A 19-YEAR-OLD Cambodian man has survived the H5N1 bird flu virus which has killed seven other people in the poor South-east Asian nation since 2005, a health ministry official said on Sunday.
The youth, who became infected after eating dead poultry, was discharged from a Phnom Penh hospital on Saturday after being treated for 10 days, Ly Sovann, deputy director of communicable disease control department, said.
'He left safe and sound,' Mr Ly Sovann told Reuters.
Cambodia began culling poultry near its capital last week, and ordered a three-month ban on poultry being moved from the province of Kandal, 50 km south of Phnom Penh, after tests confirmed it was hit by the deadly virus.
The young man, the eighth person in Cambodia to have contracted bird flu since its first case in 2005, fell ill on Nov 28 but was only confirmed as having bird flu on Dec 11.
All seven of Cambodia's previous human cases have died.
Since H5N1 resurfaced in Asia in 2003 it has killed more than 200 people in a dozen countries, according to the WHO. Experts fear the constantly mutating H5N1 virus could change into a form easily transmitted from person to person and potentially kill millions worldwide. -- REUTERS

http://www.straitstimes.com/Breaking+News/SE+Asia/Story/STIStory_317118.html

 

[Giuseppe]

Re: Bird flu case (human) detected in Cambodia

Re: Bird flu case (human) detected in Cambodia

Highly pathogenic avian influenza, Cambodia (12/26/2008) [WAHID-OIE]

Highly pathogenic avian influenza, Cambodia

[Original PDF Document at LINK]

Information received on 25/12/2008 from Dr Kao Phal, Director, Department of Animal Health and Production, Ministry of Agriculture, Forestry and Fisheries, Phnom Penh 3, Cambodia

? Summary

Report type Immediate notification
Start date 16/12/2008
Date of first confirmation of the event 16/12/2008
Report date 25/12/2008
Date submitted to OIE 25/12/2008
Reason for notification Reoccurrence of a listed disease
Date of previous occurrence 20/05/2007
Causal agent Highly pathogenic avian influenza virus Serotype H5N1
Nature of diagnosis Suspicion, Laboratory (basic)
This event pertains to a defined zone within the country

? New outbreaks
Summary of outbreaks: Total outbreaks: 1

* Outbreak Location and Affected population - KANDAL (Kraing Chek village, Deumrus commune, Kandal Steung) :
The outbreak affected backyard poultry. Among these there are 40 ducks and 80 chickens that died. Total number of culling is 344 heads (75 ducks, 265 chickens, 2 geese and 2 turkey).

Total animals affected: Species - Susceptible - Cases - Deaths - Destroyed - Slaughtered
* Birds - 464 - 120 - 120 - 344 - 0

Outbreak statistics: Species - Apparent morbidity rate - Apparent mortality rate - Apparent case fatality rate - Proportion susceptible animals lost*
* Birds - 25.86% - 25.86% - 100.00% - 100.00%

* Removed from the susceptible population through death, destruction and/or slaughter

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

? Control measures
Measures applied Stamping out
Quarantine
Movement control inside the country
Zoning
Disinfection of infected premises/establishment(s)
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) (National laboratory)
Tests and results: Species - Test - Test date - Result
* Birds - inoculation test - 16/12/2008 - Positive
* Birds - real-time reverse transcriptase/polymerase chain reaction (RRT-PCR) - 16/12/2008 - Positive

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

 

[Gert van der Hoek]

Re: Bird flu case (human) detected in Cambodia

Re: Bird flu case (human) detected in Cambodia

Bird flu outbreak fears cool as residents test negative

Written by Cheang Sokha

Friday, 23 January 2009

But health officials remain on alert for a possible outbreak of H5N1 virus following a series of scares in Kandal province.

NEARLY 100 Kandal residents tested for the H5N1 avian influenza following outbreak fears last month have been declared free of the disease, according to officials at the Ministry of Health.

Sok Touch, director of the Communicable Disease Control Department at the ministry, said that roughly 95 suspected cases of avian influenza
had been investigated throughout the province, but none confirmed the local presence of the virus.

"We are continuing our examinations of the virus across the country," Sok Touch told the Post Thursday.

"In the cool season, outbreaks can occur more easily, so we are on alert to follow up any leads."

In November last year, 19-year-old Teng Sopheak from Kandal province's Kandal Stung district was hospitalised after consuming a chicken - a case officials later confirmed as avian influenza, also known as H5N1.

Leng Khan, director of the Deum Reus Health Centre in Kandal Stung's Cheung Koeub commune, said that soon after officials confirmed the presence of H5N1, about 18 people in the community were immediately called in for blood tests, all returning negative results.

Leng Khan said that residents in neighbouring villages were also tested by health officials with support from the Pasteur Institute in Phnom Penh.

"They are doing fine here right now," Leng Khan said. "Even Teng Sopheak is fine and is now harvesting his crops in Kampong Speu province."

Teng Sopheak was the eighth person confirmed to have contracted avian influenza in Cambodia, and was the only case recorded in the Kingdom in 2008. None of the seven previous cases survived.

http://www.phnompenhpost.com/index....ak-fears-cool-as-residents-test-negative.html

 

[Gert van der Hoek]

Re: Bird flu case (human) detected in Cambodia

Re: Bird flu case (human) detected in Cambodia

Avian influenza – situation in Cambodia


18 December 2009 -- The Ministry of Health of Cambodia has announced a new confirmed case of human infection with the H5N1 avian influenza virus.

The 57-year-old male, from Ponhea Kreak District, Kampong Cham Province, developed symptoms on 11 December. The case was admitted to Kampong Cham Provincial Hospital on 16 December, where he received treatment. He is in a stable condition. The presence of the H5N1 virus was confirmed by the National Influenza Centre, the Institut Pasteur du Cambodge. A team led by the Ministry of Health is conducting field investigations into the source of his infection.

Of the 9 cases confirmed to date in Cambodia, 7 have been fatal. This is the first diagnosed case in Cambodia during 2009.

http://www.who.int/csr/don/2009_12_18/en/index.html

thanks to http://twitter.com/Crof

 

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Re: Bird flu case (human) detected in Cambodia

January 02, 2010
Outbreak of bird flu outbreak near the border Vietnam

Cambodia has announced a new outbreak of bird flu in villages in Kampong Cham province, southeast of this country, near the border with Vietnam.

Cambodia veterinary agencies reported on the situation in the notice directly, dated December 28, the World Organization for Animal Health (OIE).

Notification service for flu outbreaks from December 16 in La-ak area of Kampong Cham. 143 birds died and the rest were destroyed. The review shows that the health of H5N1 influenza viruses cause mass death poultry.

Today 14 quarters, Cambodia has confirmed an outbreak of avian influenza outbreaks in Ponhea Kreak district, Kampong Cham province, bordering Vietnam. Outbreak was discovered a week after a 13-year-old girls in the province died of bird flu.

According to the press in Cambodia, the authorities had the power to cull poultry within a 3km radius around where the victim lived, and check within 10km radius to prevent disease spreading.

Tra Giang
According Meattradenewsdaily, Xinhua

http://translate.googleusercontent....le.com&usg=ALkJrhiDjwgJHMHQKgqg5VE_96X1nuTCpA

 

[Commonground]

Re: Bird flu case (human) detected in Cambodia

Re: Bird flu case (human) detected in Cambodia

HPAI outbreaks border Vietnam
General Department of Animal Health under the Ministry of Health of Cambodia for bird flu may have been slightly re HPAI outbreak last month in the December 2009 La-ak, Kompong Cham province, the border regions of Vietnam.



In the La-ak, there were 143 birds of more than 1,200 chickens, ducks died of disease.

Local epidemic prevention agencies have destroyed all of the infected birds remaining at the same time measures to control spread not to translate the local neighborhood.

General Department for Animal Health in Cambodia, on December 28, they officially announced the phenomenon of avian influenza outbreaks this re to the World Organization for Animal Health and ask them to help stamp out service.

Vietnam: Notice re avian

In Vietnam, from early this year, under supervision of the Department of Animal Health, avian influenza has been "visiting" in 68 communes, wards and towns in 34 districts and towns in 17 provinces and cities with a total birds infected, killed and destroyed over 127,000 children. Since the beginning of this year, avian influenza has three times "re-" in the provinces of Thai Nguyen, Cao Bang, Ca Mau and risk continues to spread to many provinces and cities other.

For the health sector, 112 cases of influenza A/H5N1 infection from infected poultry caused 57 people died from 2003 to now since the service appeared in Vietnam, but from early 2009 to present, in five cases of influenza A/H5N1 and five were fatal! The cause has been identified by monitoring to detect bird flu recurrence of Veterinary too bad, people were still spread the disease from poultry Left subjective when looking to the medical facility was too late, can not rescue treatment ...

(The case from the VNA, CAND)
http://translate.googleusercontent....le.com&usg=ALkJrhjTegOPzYHQuAtN44Idaua41zlNuw

 

[Celvin11]

Re: Bird flu case (human) detected in Cambodia

Re: Bird flu case (human) detected in Cambodia

Cambodia: outbreak of H5N1 bird flu

B?ng ph?t ổ dịch c?m gia cầm gần bi?n giới Việt Nam
Outbreak of bird flu outbreak near the border Vietnam

Sunday, March 1, 2010 - 7:18 AM Google translator http://dantri.com.vn/c36/s36-370881/bung-phat-o-dich-cum-gia-cam-gan-bien-gioi-viet-nam.htm

(D?n tr?) - Campuchia vừa th?ng b?o ph?t hiện một ổ dịch c?m gia cầm mới tại ng?i l?ng ở tỉnh Kampong Cham, thuộc đ?ng nam nước n?y, gần bi?n giới với Việt Nam.
(AFP) - Cambodia has announced a new outbreak of bird flu in villages in Kampong Cham province, southeast of this country, near the border with Vietnam.

Cambodia is to cull poultry within a radius of 3km

Cơ quan th? y Campuchia đ? b?o c?o t?nh h?nh tr?n trong th?ng b?o trực tiếp, đề ng?y 28/12, cho Tổ chức Th? y Thế giới (OIE).
Cambodia veterinary agencies reported on the situation in the notice directly, dated December 28, the World Organization for Animal Health (OIE).

Th?ng b?o cho biết dịch c?m b?ng ph?t từ ng?y 16/12 tại khu vực La-ak thuộc Kampong Cham.
Notification service for flu outbreaks from December 16 in La-ak area of Kampong Cham.

143 con gia cầm đ? chết v? số c?n lại đ? được ti?u hủy.
143 birds died and the rest were destroyed.

C?c x?t nhiệm y tế cho thấy virut c?m H5N1 ch?nh l? nguy?n nh?n khiến gia cầm chết h?ng loạt.
The review shows that the health of H5N1 influenza viruses cause mass death poultry.

H?m 14/4, Campuchia đ? x?c nhận một ổ dịch c?m gia cầm b?ng ph?t tại huyện Ponhea Kreak, tỉnh Kampong Cham, gi?p bi?n giới Việt Nam.
Today 14 quarters, Cambodia has confirmed an outbreak of avian influenza outbreaks in Ponhea Kreak district, Kampong Cham province, bordering Vietnam.

Ổ dịch được ph?t hiện một tuần sau khi một b? g?i 13 tuổi ở tỉnh n?y chết v? c?m gia cầm.
Outbreak was discovered a week after a 13-year-old girls in the province died of bird flu.

Theo b?o ch? Campuchia, c?c cơ quan chức năng nước n?y đ? cho ti?u hủy gia cầm trong phạm vi b?n k?nh 3km quanh nơi nạn nh?n từng sống, đồng thời kiểm tra trong phạm vi b?n k?nh 10km để ngăn ngừa dịch bệnh l?y lan. According to the press in Cambodia, the authorities had the power to cull poultry within a 3km radius around where the victim lived, and check within 10km radius to prevent disease spreading.

Tr? Giang Tra Giang
Theo Meattradenewsdaily, Xinhua According Meattradenewsdaily, Xinhua

 

[Biological]

Re: Bird flu case (human) detected in Cambodia - 19, male, Kandal Province, November 28, 2008, 57-year-old male, from Ponhea Kreak District, Kampong Cham Province

Retrospective search H5N1 in Cambodia 2009 and 2010 (accessed NCDM June 2013)
Avian and Human Influenza Control and Preparedness Emergency Project (AHICPEP)
National Committee for Disaster Management (NCDM) Public Disclosure
http://www.ncdm.gov.kh/public-disclosure.html


Cambodia AHICPEP Technical Mission, March 15-24, 2010, Findings and report
(H5N1 Pandemic Preparedness, and Control Highlights- discusses the Largest Takeo outbreak!)
http://www.ncdm.gov.kh/content/uploads/2010/06/Cambodia- Technical Mission Report (Eng).pdf


Cambodia (NCDM- AHICPEP ) See follow up report (clip updated) of an interview with 19(M) H5N1 survivor from Tunsay Keuch Village , Kandal Stung District, Kendal from March 2009: 1st Aide Memoire
Cambodia
Avian and Human Influenza Control and Preparedness Emergency Project (P100084) - AHICPEP
Aide Memoire, First Supervision and Project Launch Mission, March 10-20, 2009
Clip:

COMPONENT 2: HUMAN HEALTH COMPONENT (MOH)
20. Recent Avian Influenza Human Case. Cambodia most recent case was in Tunsay Keuch Village, Kandal Stung District, Kandal Province. The mission visited Kandal Province and Tunsay Keuch Village and met with the young man who has now fully recovered from the illness. The 19 year old boy was reported to have received a dead chicken from a military camp in the district on November 16, 2008. He then returned to Kampong Speu Province, where he started feeling symptoms (diarrhea and fever) on November 28, 2008. Subsequently he returned to Tunsay Keuch Village, where his blood sample was taken by a US Naval Medical research Unit No. 2 (NAMRU-2) febrile disease surveillance sentinel site. having not recovered, he sought further treatment in a private clinic in Phnom Penh. On December 3, 2008, the boy experienced coughing and shortness of breath and was admitted to the National TB centre where he received treatment for about one week. The NAMRU-2 febrile surveillance system reported to the CDC department of MOH that this was an H5N1 case, and the young man was referred to Calmette Hospital on December 11, 2008. The case was reconfirmed by the Cambodian Pasteur Institute on the same day.. The mission was advised that NAMRU-2 febrile surveillance system, as seen from this case was considered to be a highly suspected case. This in due to the fact that the febrile surveillance system does not use the case definition of "suspected case of AHI" that needs to be urgently reported through the MOH hotlines. This delay in reporting is believed to increase the risk of the transmission of H5N1. MOH's CDC department is planning to improve reporting from the surveillance system to have immediate (daily) reporting of pneumonia cases beginning in May 2009. The mission fully supports the initiative to improve reporting of suspected human H5N1 cases!
see more:
http://www.ncdm.gov.kh/content/uplo...ide Memoire 1st Supervision Mission (Eng).pdf