Cambodia - 5 H5N1 cases, 4 deaths: January 2013

Gert van der Hoek · Jan 25, 2013

Two Cambodians die from bird flu: WHO

Posted: 25 January 2013

PHNOM PENH: Two Cambodians have died from bird flu contracted while preparing infected chicken, the World Health Organization said Friday.

Tests on the victims, a 15-year-old girl and a 35-year-old man who died earlier this week, confirmed they had contracted the H5N1 strain of avian influenza, the WHO said in a joint statement with the Cambodian health ministry.

An eight-month-old boy admitted to hospital in Phnom Penh on January 9 was also infected with H5N1 but later recovered, the statement said.

There was evidence of infections among poultry in the villages of the two who died and the pair "prepared sick chicken for food prior to becoming sick", the statement said.

Cambodia has recorded 24 cases of H5N1 since 2003 with all but three of the victims dying.

The virus has killed 362 people worldwide since a major outbreak in 2003, according to WHO statistics.

It typically spreads from birds to humans through direct contact, but experts fear it could mutate into a form easily transmissible between humans, with the potential to trigger a pandemic.

Channel News Asia

Ronan Kelly · Jan 25, 2013

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

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 · Jan 25, 2013

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

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.

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

Treyfish · Jan 25, 2013

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

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

:tiphat:not on WHO Cambodia either, yet.

sharon sanders · Jan 25, 2013

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

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 · Jan 25, 2013

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

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

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

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

sharon sanders · Jan 25, 2013

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

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 · Jan 25, 2013

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

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 · Jan 26, 2013

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

WPRO | Three new human cases of avian influenza H5N1 in Cambodia in 2013
http://www.wpro.who.int/mediacentre/releases/2013/20130125/en/index.html

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 Release H5N1-22-24th. Eng.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
:tiphat:

Laidback Al · Jan 26, 2013

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

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.

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Gert van der Hoek · Jan 28, 2013

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

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 · Jan 28, 2013

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

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

:tiphat: 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.”

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

Giuseppe · Jan 28, 2013

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

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/reports/en_imm_0000012931_20130128_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.:tiphat:

Shiloh · Jan 28, 2013

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

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

Source: http://www.wjactv.com/news/ap/health/bird-flu-kills-2-more-children-in-cambodia/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 · Jan 28, 2013

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

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.

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.

Giuseppe · Jan 28, 2013

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

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

Source: Phnom Pehn Post, full page: http://www.phnompenhpost.com/2013012861030/National/fourth-bird-flu-case-confirmed.html

Fourth bird flu case confirmed

Last Updated on 28 January 2013

By Mom Kunthear and Justine Drennan

In the wake of a Ministry of Health announcement of two fatalities among the three confirmed human cases of avian flu in the new year, authorities this weekend increased efforts to eradicate affected birds, even as some officials reported a fourth case.

An official on the Ministry of Health?s human influenza hotline and a commune chief said yesterday a two-year-old girl from Kampong Speu was diagnosed with H5N1 on Saturday after being admitted to Kantha Bopha hospital in Phnom Penh, where a 15-year-old girl died of the virus last Monday.

Due to less-rigorous monitoring of the disease in other hospitals, the cases seen in Kantha Bopha hospital were likely just the ?tip of the iceberg?, said Dr Philippe Buchy, head of the virology unit at the Institut Pasteur du Cambodge, the medical research centre that tested the recent cases.

In Takeo province?s Prey Kabbas district, officials in Snao village, the home of last week?s 15-year-old victim, killed and burned more than 4,000 chickens and ducks on Saturday and prohibited the import of new poultry into the village for one month, Prey Kabass district governor Ith Sa said.

?The officials from the ministries of Health and Agriculture, Forestry and Fisheries, the provincial governor, the courts and local government decided to collect and burn the poultry in the village in order to prevent the spreading [of the virus] to other places,? Sa said.

Local health officials had buried the burned birds outside the village, sprayed the village and distributed medicine to eradicate the virus, he said.

Officials in Kong Pisei district?s Prey Nhat commune, in Kampong Speu province, the home of the two-year-old confirmed on Saturday to be the fourth case of the year, were pushing similar measures, according to commune chief Chan Sun.

Sun said a lot of poultry in the commune tended to get sick during the dry season, and officials had told villagers not to cook or touch sick or dead birds.

?They have to burn and bury the dead poultry,? he said. ?We have also prohibited poultry buyers who usually come into the commune from buying chickens in the commune for a while until we are sure everything is safe.?

More than 40 chickens at the infected toddler?s house had fallen sick and died, and, as with the other three cases this month, health officials suspect contact with poultry had caused her to become ill.

?Health officials went to the girl?s and her neighbours? houses this morning to spray and distribute medicines, and they tested some poultry,? Sun said.

Testing individual birds for the virus was the most common method of tracking the virus, but it did not necessarily reflect H5N1?s ubiquity in environments such as markets, Institut Pasteur?s Buchy said.

Although Ith Sa said health officials had sampled 10 birds taken from 10 villagers in Snao and found them clean, Buchy said samples taken from such elements as soil, water and feathers better reflected the exposure caused by ?many poultry together? ? the situation seen in markets.

A study co-written by Buchy, to be published in the journal Emerging Infectious Diseases in February, has found that as many as 20 per cent of such samples, from markets in Phnom Penh, Takeo and Kampong Cham, tested positive for H5N1.

Although this finding did not directly demonstrate the disease?s risk to humans, recent cases showed that not only farmers who routinely handled poultry but also people ?swimming in ponds where there are ducks, going to markets and... plenty of things? could be exposed to the virus, Buchy said.

According to Friday?s press release by the WHO and the Ministry of Health, the world has seen 613 confirmed cases of the virus and 362 related deaths, while Cambodia has seen 24 confirmed cases and 21 deaths since the virus emerged a decade ago. The case reported on Saturday would be Cambodia?s 25th.

The last case officially confirmed in Friday?s Ministry of Health statement ? a 35-year-old man also from Kampong Speu?s Kong Pisei district, but from Preah Nipean commune ? died last Wednesday. In the year?s first case, an eight-month-old boy from Phnom Penh recovered after being diagnosed with the virus.

To contact the reporter on this story: Mom Kunthear at kunthear.mom@phnompenhpost.com

Justine Drennan at justine.drennan@phnompenhpost.com

-
------

Laidback Al · Jan 28, 2013

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

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

Map showing the general location of the 4 reported H5N1 case from Cambodia through Jan 28, 2013.

sharon sanders · Jan 28, 2013

Re: Cambodia - 4 or 5? H5N1 cases

Re: Cambodia - 4 or 5? H5N1 cases

According to the article above there are now 5 cases supposedly confirmed by the Ministry of Health/WHO in Cambodia:

Infant, 8 months - recovered.

Female, 15, died January 21

Male, 35, died about January 21

*Female, 17 months

*Female, 9 years old

* http://www.wjactv.com/news/ap/health/bird-flu-kills-2-more-children-in-cambodia/nT8Q2/

Laidback Al · Jan 28, 2013

Re: Cambodia - 4 or 5? H5N1 cases, 2 deaths: January 2013 - WHO has confirmed 3 cases so far

Re: Cambodia - 4 or 5? H5N1 cases, 2 deaths: January 2013 - WHO has confirmed 3 cases so far

The post by Shiloh above (linked to a TV station) references a widely spread Associated Press report (without an author). It also states

Cambodia since 2005 has reported 26 cases, 23 of them fatal.

In fact, WHO has only officially reported 21 cases with 19 deaths through January 16, 2013. (link)

What we have is an unidentified reporter adding up cases in news reports to get to 26 cases and 23 deaths. I would prefer to get official results from public health officers.

Note - Or at least have the name of the official with a formal quote within the article.

sharon sanders · Jan 28, 2013

Re: Cambodia - 4 or 5? H5N1 cases, 2 deaths: January 2013 - WHO has confirmed 3 cases so far

Re: Cambodia - 4 or 5? H5N1 cases, 2 deaths: January 2013 - WHO has confirmed 3 cases so far

I think the 5th case could be real because the age and location are different from the other cases. I am not sure about the total number of deaths so we are not updating our thread title yet.

Thanks everyone!

Cambodia - 5 H5N1 cases, 4 deaths: January 2013

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