Cambodia - MoH confirms 2 new H5N1 avian flu human deaths - October 8, 2023+

[Treyfish]

October 12, 2023
Authorities cull suspect birds after two H5N1 deaths

Prey Veng and Svay Rieng provincial authorities have culled 388 poultry suspected of causing the bird flu outbreaks after two people recently died from the disease, while authorities have instructed residents to avoid consuming chickens suspected of being infected.

​​​​​​“We have burned 252 chickens and ducks suspected of having bird flu, and we are continuing to monitor the situation,” said Head of Prey Veng province’s agriculture department’s animal health Chen Visal.

He confirmed that there were no new reported cases of bird flu in humans or poultry, but as a precaution, the authorities took six chicken samples to the Ministry of Agriculture to test for bird flu.

Authorities also sprayed poultry farms and streets with pesticides to eliminate any traces of the virus, as well as informing the public on the effects of eating infected chickens and avoiding touching or holding sick chickens.

Poultry farm owners were working with authorities to continue monitoring all chickens and ducks and if any infected birds were identified immediate action would be taken.

He added that the outbreak of bird flu on the occasion of Pchum Ben has caused a high level of concern for people’s safety.

He said “During this festive season, people come to meet relatives and enjoy themselves, especially on the occasion of Pchum Ben. That is why the Department of Agriculture has dispatched officers to continue to supply information to the public about bird flu.”

Director of the Production and Veterinary Bureau at the Svay Rieng provincial Department of Agriculture Pen Chanthy said authorities also destroyed another 136 chickens suspected of carrying the H5N1 virus after a 50-year-old man died of the disease in Mrak Teap village, Tras commune, Romeas Haek district in Svay Rieng province.
​
​​​​​​

As of Wednesday, there were no new cases of bird flu in chickens, ducks or humans. Two people who were taken to hospital on Monday after suffering from fever, cough and chest pain were not infected with the virus.

“Authorities are continuing to monitor this issue as instructed by the Ministry and the direction of the provincial governor,” he said.

The Ministry of Health on Sunday and Monday announced the deaths of two people from H5N1 – a 50-year-old man from Mrak Teap village, Tras commune, Romeas Haek district in Svay Rieng province, and a two-year-old girl from Chhma Lot village, Smaong Khang Tboung commune, and Kamchay Mear district in Prey Veng province.

This has been the 59th outbreak of bird flu since 2005 causing a total of 40 deaths, and this year has seen three deaths.

The Ministry of Health stated that national and sub-national emergency response teams are continuing to investigate suspected cases of bird flu and sources of transmission in both animals and humans to prevent the spread of infection in the community.
The Ministry has also provided Tamiflu to people and conducted health education campaigns about bird flu.

The Ministry has advised people to remain vigilant for bird flu as the virus continues to pose a threat to the health of all people, especially children.
​:tiphat: https://www.khmertimeskh.com/501375058/authorities-cull-suspect-birds-after-two-h5n1-deaths/

 

[Treyfish]

Ministry of Health calls for caution after 2-year-old girl dies of H5N1 bird flu


Chea Sokny | Publication date 11 October 2023 | 09:26 ICT

​
....The Ministry of Health's national and sub-national emergency response teams have been investigating the source of the virus, both humans and humans. Continue to look for suspected and affected cases to prevent transmission to others in the community. Ministry officials also distributed Tamiflu to close relatives and launched a health education campaign in The village where the incident took place.

Mr. Seng Panharith, Director of Prey Veng Provincial Health Department, said on October 10 that according to the research, the girl who died from the bird flu was not
Involved with a man in Svay Rieng province, because in the house of the girl who lost her life, there was a dead chicken. Subsequently, health officials came to the base to investigate the cause of bird flu transmission and find out who was directly involved. With 12 girls "birds" who lost their lives and are still searching.
Mr. Seng Panharith stated: "Our immediate measure is to set up a health post to gather all stakeholders to research, and we Educated and broadcast as an audio message in the village where the girl died. In addition, we recommend that all hospitals in Prey Veng to participate in researching new cases to have rules to prevent the spread. "More."

Kuch Sitha, director of the Svay Rieng provincial health department, said that so far, those involved in the men who lost their lives due to bird flu in the village of Mrak Teap commune. Twelve people were killed in Romeas Hek district, and those involved were examined and tested for bird flu by health officials. All negative results. The health department instructed them on hygiene and placed them in separate housing from the community and reduced communication. Communicate with the outside community.
Mr. Sok Sotheavuth, Director of Svay Rieng Provincial Department of Agriculture, Forestry and Fisheries, said that more than 200 chickens and ducks suspected of being positive for H5N1 bird flu Collected, burned and sprayed the sick birds, vaccinated the people's pets and advised the people who have animals Be hygienic, clean hands when touching birds and do not eat sick or dead birds. "We are still researching and monitoring the chickens and ducks in the village to see if there are any signs of change," he said. On October 7, 2023, a 50-year-old man died of bird flu in Mrak Teap village, Tros commune, Romeas Hek district, Svay Rieng province​.

:tiphat: https://www.postkhmer.com/national/2023-10-11-0926-255171.html

yep, Im getting confused?​​​​​​

 

[Pathfinder]

Translation Google

Khmer October 12, 2023

Authorities burn more than 380 suspected chickens after two deaths

Ton Vibol / Khmer Times

Prey Veng and Svay Rieng provincial authorities set fire to 388 suspected chicken pox outbreaks after two people People die from the disease as the relevant authorities take action and call on people to be careful, especially ban on eating chicken Who is suspected of having the disease.

Chen Visal, director of the Prey Veng Provincial Office of Agriculture and Veterinary, said yesterday: “We burned the chickens. "There are 252 suspected cases of bird flu and we are continuing to monitor this issue." .

He confirmed that the situation at the H5N1 bird flu outbreak is now normal for both humans and animals. No new cases of chickens have been found yet, while the relevant authorities have taken 6 samples of chickens to check for the flu virus This bird is at the Ministry of Agriculture, Forestry and Fisheries.

At the same time, all relevant authorities sprayed pesticides on poultry farms on the streets and campaigned. About the side effects of eating sick chickens and do not touch or hold sick chickens.

He added that another measure is the relevant authorities are working with farm owners to continue to monitor and Monitor all chickens and ducks and if any chickens or ducks are found, they will be dealt with immediately. It is said that the outbreak of the virus has caused great impact and concern for the safety of the people on the occasion of Pchum Ben, which There is a high demand from the market.

Mr. Chen Visal said: "During the festive season, people come to meet relatives in The atmosphere is happy, especially on the occasion of Pchum Ben. This is for the people. ”

Mr. Pen Chanthy, Director of the Svay Rieng Provincial Office of Agriculture and Veterinary, said that the authorities also burned chickens. Suspected H5N1 bird flu outbreak in 136 cases since 50-year-old man Died of H5N1 bird flu virus in Mrak Teap village, Tros commune, Romeas Hek district, province Svay Rieng.

As of Wednesday, he said, there were no new suspected cases of chickens, ducks or humans.

Two people were taken to hospital on Monday after catching a fever. And chest pain does not have any significant problems.

"Relevant authorities are continuing to pay close attention to this issue as instructed by the Ministry of Experts," he said. And indications from the provincial governor.

...
https://www.khmertimeskh.com/501375000/អជញធរដតបផលញ/

 

[Michael Coston]

CDC Statement On 2 Fatal H5N1 (clade 2.3.2.1c) Cases In Cambodia

#17,719

On Sunday the Cambodian MOH Reported A Human H5N1 Case - the third to be reported in that country in 2023 (see previous cases) - after a lull in reporting of nearly a decade. This first case (a 50-year old man) was followed a day later by reports on the infection and death of a 2-year-old girl in an adjacent province.

Both cases reported contact with sick or dying chickens, and in one case dead chickens were said to have been distributed to neighbors and friends for consumption.​

As we saw in Preprint: A Timely Survey of Knowledge, Attitudes, and Practices Related to Avian Influenza (H5N1) in Rural, Cambodia - despite a long history of H5N1 outbreaks - sick or dead chickens are often consumed by locals.

We learned on Wednesday that these two latest cases stemmed from clade 2.3.2.1c - an older lineage of avian flu which predates our current clade 2.3.4.4b epizootic - but one that has been linked to fatal human infections in the past.​

This is the same H5 clade isolated from a Nurse who returned to Alberta, Canada from a trip to China (see Alberta Canada Reports Fatal (Imported) H5N1 Infection) in late 2013, and similar to one that killed a captive tiger in Jiangsu Province - also in 2013 - with both cases exhibiting unusual neurological symptomology.

So far, Cambodia has not reported any additional cases, although media reports indicate that surveillance is ongoing. Late yesterday the U.S. CDC published the following statement.

Cambodia: Two Fatal Human Influenza A/H5N1 (Bird Flu) Virus Infections

October 12, 2023 – Two fatal human infections with highly pathogenic avian influenza (HPAI) A H5N1 (bird flu) virus have been reported by Cambodia. These are the third and fourth human infections with HPAI H5N1 bird flu reported by Cambodia this year. The infected patients lived in two different provinces, and both infections likely resulted from exposure to infected poultry. Recent die-offs in poultry caused by H5N1 bird flu have been reported in parts of Cambodia, so sporadic H5N1 bird flu human infections are not surprising. An investigation to try to confirm the source of the infections and detect any additional cases is ongoing.

These two fatal infections in Cambodia were in a child and an adult, both of whom had exposure to poultry prior to their illness. The infections were identified through influenza surveillance and alert systems. One patient presented with severe symptoms at an influenza sentinel surveillance hospital, and the other patient’s death at a hospital triggered an alert to the local rapid response team. Close contacts of both patients, including potentially exposed health care workers, are being monitored closely. At this time, there is no indication that these two human infections with H5N1 pose a threat to the U.S. public.

Genetic sequencing of patient specimens by the Institut Pasteur du Cambodge (IPC) and the Cambodian National Institute of Public Health (NIPH) has identified these viruses as being H5 clade 2.3.2.1c, which has circulated in Cambodia among birds/poultry for many years. These viruses have resulted in rare sporadic human infections in the past, including two cases in Cambodia in February 2023. This H5 clade 2.3.2.1c virus in Cambodia is different from the H5 virus that has caused wild bird and poultry outbreaks in the United States.

The U.S. CDC is working closely with the Ministry of Health’s Cambodia Communicable Disease Control (C-CDC) Department, the National Institute of Public Health in Cambodia, the Ministry of Agriculture, Forestry and Fisheries, IPC, the World Health Organization, FAO, and the Wildlife Conservation Society of Cambodia to respond to these cases. We will provide updates as new information becomes available.​

This resurgence of clade 2.3.2.1c is obviously a concern, but it is too soon to know if this is a temporary blip, or a worrisome trend. Given its presence in local poultry, detection of additional human infections would not be unexpected.

As we've seen the past few years with clade 2.3.4.4b, the `right' reassortment or antigenic changes can breathe new life into an existing lineage.​

Whether that has happened with clade 2.3.2.1c remains to be seen. But this is a reminder that while we are watching one threat (H5N1 clade 2.3.4.4b), we could always get blindsided by something unexpected (e.g. H5N6, H10N3, H3N8, etc.) coming from out of left field.

Much in the way we were hit by an unexpected pandemic H1N1 swine-origin virus in 2009, and a novel coronavirus in 2020.

​
https://afludiary.blogspot.com/2023/10/cdc-statement-on-2-fatal-h5n1-clade.htmlhttps://afludiary.blogspot.com/2023/10/cdc-statement-on-2-fatal-h5n1-clade.html

 

[sharon sanders]

Ministry of Health of the Kingdom of Cambodia​

Educational video on preventing the spread of bird flu​

Avian flu can be transmitted to humans and can be deadly. Please be careful and join together to prevent bird flu by:​

Wash your hands often with soap and clean water before eating and after contact with birds.​

• Keep children away from birds and birds away from living areas.​

• Do not eat sick or dead birds and all birds made for eating must be well cooked.​

For more information: Please call 115 toll free.​

video at link: https://www.facebook.com/MinistryofHealthofCambodia/

​