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Cambodia - 2 confirmed H5N1 deaths infected in Prey Veng province - contacts monitored in Banteay Meanchey Province

Re: Cambodia - 2 confirmed H5N1 deaths infected in Prey Veng province - contacts monitored in Banteay Meanchey Province

Cambodian mother and baby die from bird flu



Cambodian bird flu
deaths show ongoing threat

Friday, 25 February 2011



Radio Australia
Updated February 24, 2011


An expert in global diseases says the death of a Cambodian mother and her baby from bird flu are a timely reminder that the world must not forget about animal influenza. Earlier this month a 5 year old Cambodian girl also died from bird flu - it was the first such death worldwide since early 2010. But it's not just Cambodia that is at risk. Many Asian countries remain vulnerable to animal diseases crossing over to humans.

Reporter: Liam Cochrane
Speakers: Dr Nima Asgari, public health specialist, World Health Organisation, Cambodia; Dr Subhash Morzaria, regional manager, Emergency Centre for Transboundary Animal Diseases, UN Food and Agriculture Organisation


COCHRANE: Twenty one year old Prak Sophorn and her 11 month old son were visiting relatives in Cambodia's southeast when it is believed they came into contact with sick poultry. They travelled back to their homes on the other side of the country and became sick, but at first bird flu was not suspected.

ASGARI: Our understanding is that the initial symptoms were basically fever, cough, breathlessness, so your classical respiratory infection.

COCHRANE: That's Dr Nima Asgari, a public health specialist with the World Health Organisation in Cambodia. He says only after the Prak Sophorn died on February 12 did doctors check her baby son for bird flu and found both mother and child had contracted H5N1, a strain of bird flu.

Dr Subhash Morzaria
, UN Food and Agriculture Organisation's regional manager of the Emergency Centre for Transboundary Animal Diseases, based in Bangkok.

MORZARIA: This is not unusual. When we get outbreaks of disease there are still very poor people who eat sick birds, sometimes not very well cooked and would likely be infected. And this is what's happened in this case.

COCHRANE: Dr Morzaria says any human infection is a concern as it suggests a lack of awareness about handling sick birds. In fact, while the urgent threat of bird flu may have fallen off the global media agenda, several countries remain endemic, meaning the disease is entrenched and sporadic outbreaks are expected to continue.

In Asia, the hotspots are Indonesia, Vietnam, Bangladesh and West Bengal.
:magnify:
Dr Subhash Morzaria says Japan has emerged as a new risk.

MORZARIA: The virus is being actually spread by wild birds. So we now know that wild birds are infected with highly pathogenic avian influenza, H5N1 virus. And [the wild birds] then shed the virus when they're migrating to Japan. Somehow the virus is then jumping to the poultry and causes these huge outbreaks.

COCHRANE: Bird flu was initially controlled in Japan and this reemergence in a developed nation is a major concern to health workers. But, Dr Subhash Morzaria from the FAO, says most transmissions of bird flu still occur through raising or trading in poultry and he says that is where the resources should stay.

MORZARIA: Moving from that into wild birds is a red herring, I think. We have to be aware that wild birds carry. We have to be aware of the need for biosecurity. But most of the infection and focus of control has to be in endemic countries where there's the transmission from poultry to poultry.

COCHRANE: Dr Morzaria says it is important to maintain a watch for emerging diseases and to make sure existing ones do not reemerge. Developing countries in Asia, with their dependence on agriculture are particularly at risk, says Dr Morzaria, citing the nipah virus transmitted by bats in South Asia, rabid dogs in Bali and anthrax in bangladesh. In fact, Dr Morzaria says bird flu is part of wider trend of globalised human behaviour opening the doors for animal diseases.

MORZARIA: About 70 per cent of the animal diseases that emerge are infective to human beings. This particular trend is going to continue because of the human activity. We are intensifying our farming systems, so there is a high population of domestic animals for food consumption. There is high population of human beings. There is increased deforestation. There is greater contact between different animal species and human beings, and this is really going to enhance opportunities for pathogens to jump from one species to another.

COCHRANE: Dr Subhash Morzaria says the most effective prevention will occur if governments work together.


:tiphat:http://khmerization.blogspot.com/2011/02/cambodian-mother-and-baby-die-from-bird.html
 
Cambodia - 2 confirmed H5N1 deaths infected in Prey Veng province - contacts monitored in Banteay Meanchey Province

who-logo-en.jpg


Global Alert and Response (GAR)


WHO: Avian influenza – situation in Cambodia - update

25 FEBRUARY 2011 - The Ministry of Health of Cambodia has announced 2 new confirmed cases of human infection with avian influenza A (H5N1) virus.


A 19-year-old female, from Takong village, Ta Kong commune, Malay district, Banteay Meanchey Province, developed symptoms on early hours of 5 February, was admitted to a private clinic on 9 February, referred to a hospital on 12 February, and died on 12 February without avian influenza being considered as a diagnosis. She had travelled from her home with her husband, her 11-month old son, her mother in law and her sister in law to Rokar Chor village, Bantey Chakrey commune, Prash Sdach district, Prey Veng Province on 3 January. She had multiple exposures to sick and dead poultry between the second half of January and early February. A blood specimen collected at hospital on 12 February was transferred to Institut Pasteur du Cambodge on 22 February and tested positive by (polymerase chain reaction) PCR.


The 11-month-old son developed symptoms on 5 February, was admitted to hospital 15 February and died on 17 February. He also had multiple exposures to sick and dead poultry in the same time frame. The presence of H5N1 virus in nasopharyngeal specimens was confirmed by Institut Pasteur du Cambodge, the National Influenza Centre on 20 February.


The Ministry of Health has been coordinating the response with assistance from WHO. To date no other symptomatic contacts have been found.


Of the 13 cases of human H5N1 virus infection confirmed since 2005 in Cambodia, 11 have been fatal.

http://www.who.int/csr/don/2011_02_25/en/index.html
 
Re: Cambodia - 2 confirmed H5N1 deaths infected in Prey Veng province - contacts monitored in Banteay Meanchey Province

http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,87267

Archive Number 20110225.0628
Published Date 25-FEB-2011
Subject PRO/AH/EDR> Avian influenza, human (14): Cambodia (BM), MOH/WHO conf.


AVIAN INFLUENZA, HUMAN (14): CAMBODIA (BANTEAY MEANCHEY), MINISTRY OF
HEALTH/WORLD HEALTH ORGANISATION CONFIRMED
***********************************************************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: 23 Feb 2011
From: Dr. Sok Touch; MOH/WHO press release [edited]
<http://www.who.int/csr/don/2011_02_25/en/index.html>


12th and 13th Human Cases of Avian Influenza H5N1 in Cambodia
-------------------------------------------------------------
The Ministry of Health (MoH) of the Kingdom of Cambodia wishes to
advise members of the public that an 11-month-old male residing in
Takong village, Ta Kong Commune, Malay district, Banteay Meanchey
Province died on [17 Feb 2011] as a result of respiratory
complications after contracting avian influenza virus H5N1.
Additionally further tests done on blood sample from his mother
indicate that she too was infected with the H5N1 influenza virus. The
19-year-old mother from the same village died of respiratory
complications on [12 Feb 2011].

Although both patients became sick in Banteay Meanchey province, they
were exposed to eating and preparing sick poultry while visiting
relatives in Prey Veng province. They developed high fever and cough
on [5 Feb 2011] a few days after preparing and eating sick poultry in
Rokar Chor village, Bantey Chakrey commune, Prash Sdach district,
Prey Veng Province.

The mother was admitted to a private clinic in Banteay Meanchey
province but died as result of complications of infection on [12 Feb
2011]. The baby was admitted to the Intensive Care Unit of
Jayavaraman VII Hospital in Siem Reap. Despite intensive medical
care, the baby died on [17 Feb 2011], 2 days after admission from
complications. Samples that were sent to Institut Pasteur du Cambodge
tested positive for influenza H5N1.

"Compared to last year, we have seen more cases of H5N1 Avian
influenza this year. There seems to be a strong link between
preparing and eating sick birds and becoming infected in all the 3
cases. I urge people to only cook and eat healthy birds which don't
cause infection. I also urge all our medical and nursing
professionals to ask their patients with respiratory disease if they
have had any contact with sick poultry. If a suspicion is there,
please report to MoH," said HE Mam Bun Heng, Minister of Health.

H5N1 influenza is a flu that normally spreads between sick poultry
but that it can sometimes spread from poultry to humans. The H5N1
influenza virus does not spread easily between humans. Human H5N1
avian influenza is a very serious disease that almost always requires
hospitalization. The H5N1 influenza is also very different to the
H1N1 virus. The H1N1 virus is a mild disease similar to the seasonal
flu. The H1N1 virus spreads easily between people so it is easy to
catch but the majority of those affected recover completely without treatment.

As part of the Ministry of Health's routine outbreak response
measures, government Rapid Response Teams (RRT) are now in the area
conducting field investigations to identify close contacts and to
initiate preventive treatment as required. A public health education
campaign is being conducted to inform families on how to protect
themselves from contracting avian influenza. The government's message is:
- wash hands often;
- prepare food safely meaning well cooked, even healthy poultry;
- keep children away from poultry; keep poultry away from living areas; and
- do not eat sick or dead poultry.

From 2003 to [23 Feb 2011], there have been 13 laboratory confirmed
cases of H5N1 avian influenza virus in humans in Cambodia, 11 of whom
died. Globally since 2003, there have been 522 laboratory confirmed
cases of avian influenza with 309 related deaths.

The Ministry of Health will continue to keep the public informed of
developments via the MoH website <http://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 Michel Thieren: Tel +855 23 216 610
Dr Nima Asgari: Tel +855 23 216 610

--
Dr. Sok Touch
Director of Communicable Disease Control
Department Ministry of Health, Cambodia
<touch358@moh.gov.kh>

[ProMED-mail would like to thank Dr. Sok Touch for sharing this joint
press release on 23 Feb 2011 and sincerely apologizes for the delay
in posting due to technical difficulties. - Mod.MPP]

[This is the official MOH/WHO confirmation of the two fatal cases of
avian H5N1 influenza virus infection described in ProMED-mail
previously, with some additional details. These are the 2nd and 3rd
cases in Cambodia this year. There appears to have been no secondary
spread of infection and the two fatal cases were likely infected from
the same source (diseased poultry).
 
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