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Cambodia reports two new human cases of bird flu H5N1 - one died

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
Cambodia reports two new human cases of bird flu

English.news.cn 2013-08-13

PHNOM PENH, Aug. 13 (Xinhua) -- Two more new human cases of avian influenza have been confirmed for the H5N1 virus in Cambodia, bringing the number of the cases to 16 so far this year, a joint statement by the World Health Organization and Cambodian Health Ministry said Tuesday.

The statement said that one case is a nine-year-old boy from northwestern Battambang Province, who was admitted to the Jayavarman VII Hospital in Siem Reap with fever, cough, vomit, abdominal pain and dyspnea on Aug. 4, and was confirmed positive for human H5N1 avian influenza on Friday last week.

"The boy is currently in a stable condition," the statement said.

The other case is a five-year-old girl from Southern Kandal Province, who was admitted to Kantha Bopha Hospital in Phnom Penh on Friday last week with fever, cough, sore throat, abdominal pain, diarrhea and dyspnea, and she was confirmed positive for human H5N1 avian influenza a day later.

"The girl was treated with Tamiflu and is currently in a critical condition," it said.

The two patients have touched dead or sick poultry before they became sick, the statement said.

Avian influenza H5N1 remained a serious threat to the health of all Cambodians, Health Minister Mam Bunheng said.

"Children also seem to be most vulnerable and are at high risk because they like to play where poultry are found," he said in the statement.

"I urge parents and guardians to keep children away from sick or dead poultry and make sure children wash their hands with soap and water after any contact with poultry."

H5N1 influenza is a flu that normally spreads between sick poultry, but it can sometimes spread from poultry to humans, the statement said, adding that it is a very serious disease that requires hospitalization.

Cambodia sees the worst outbreak of the virus this year since the disease was first identified in 2004. To date, the country has recorded 37 human cases of the virus, killing 28 people. This year, only five out of the 16 cases survived.

Globally since 2003, there have been 636 laboratory confirmed human cases of H5N1 virus with 377 related deaths, the statement said.
 
Re: Cambodia reports two new human cases of bird flu

Re: Cambodia reports two new human cases of bird flu

from the Ministry of Health website -


15th and 16th New Human Cases of Avian Influenza H5N1 in Cambodia in 2013

13 August 2013

The Ministry of Health (MoH) of the Kingdom of Cambodia wishes to advise members of the public that two more new human cases of avian influenza have been confirmed for the H5N1 virus. These are the 15th and 16th cases this year and the 36th and 37th persons to become infected with the H5N1 virus in Cambodia. Of the 37 confirmed, 26 were children under 14, and 22 of the 37 were female. In addition, only 7 cases out of the 16 cases this year survived.

The 15th case, a 9-year-old boy from Damnak Dangkor Village, Raing Kesey commune, Sang Ke district in Battambang province was confirmed positive for human H5N1 avian influenza on 9th August 2013 by Institut Pasteur du Cambodge. The boy developed fever and vomiting on 26th July. He was given home-treatment by a health centre staff. On 2nd August, his condition became worse and his parents took him to a private clinic in Battambang. The private clinic referred him to the Battambang Provincial Hospital the same day. On 4th August, he was transferred to the Jayavarman V11 Hospital in Siem Reap with fever, cough, vomit, abdominal pain and dyspnea and treated with Tamiflu on 9th August. The boy is currently in a stable condition. There were recent deaths among chickens and ducks in the village. The boy carried dead and sick ducks and chickens from a cage for food preparation by his sister before he became sick. ......Read more

http://www.cdcmoh.gov.kh/
 
Re: Cambodia reports two new human cases of bird flu H5N1

Re: Cambodia reports two new human cases of bird flu H5N1

FluTrackers Cambodia H5N1 2013 Cumulative Case List:

16 total cases, 9 deaths in 2013

37 cases cumulative


#22 - Male, 8 months, onset date January 8, hospitalized January 9, recovered - Phnom Penh

#23 - Female, 15, onset date January 11, hospitalized January 17, died January 22 - Takeo - Death

#24 - Man, 35, onset date January 13, hospitalized January 21, died January 21 approx. - Kampong Speu - Death

#25 - Female, 17 months, onset date January 13, hospitalized January 17, died January 28 - Kampong Speu - Death

#26 - Female, 9, onset date January 19, hospitalized January 27, died January 28 - Kampot - Death

#27 - Female, 5, onset date January 25, hospitalized January 31, died February 7 - Takeo - Death

#28 - Female, 3, onset date February 3, hospitalized February 6, died February 13 - Kampot - Death

#29 - Male,2, onset date February 5, hospitalized February 18, died February 20 - Kampot - Death

#30 - Male, 35, onset date February 8, hospitalized February 13, died February 25 - Kampong Cham - Death

#31 - Male, 6, hospitalized March 31 - Southwestern Kampot province - in critical condition

#32 - Female, 5, recovered, discovered through surveillance on May 2, from January 2013 - Thpong district Kampong Speu

#33 - Male, 58, case from January - found through routine retrospective testing of samples on June 21 - Khan Roeusey Keo, Phnom Penh

#34 - Female, 6, onset date June 24, hospitalized & died June 28 - Bantheay Meas district Kampot province Death

#35 - Male, 3, hospitalized July 8, exposure to sick poultry mentioned - Prey Veng province

#36 - Male, 9, onset July 26, hospitalized August 2 in stable condition, exposure to sick ducks and chickens - Battambang province

#37 - Female, 5, onset August 1, hospitalized August 9 in critical condition, recent poultry deaths in village - Kandal province
 
Re: Cambodia reports two new human cases of bird flu H5N1

Re: Cambodia reports two new human cases of bird flu H5N1

[Source: World Health Organization, Regional Office for the Western Pacific, full page: (LINK). Edited.]


15th and 16th New Human Cases of Avian Influenza H5N1 in Cambodia in 2013

Joint Press Release Between the Ministry of Health of the Kingdom of Cambodia and the World Health Organization

13 August 2013


PHNOM PENH, 13 August 2013 - The Ministry of Health (MoH) of the Kingdom of Cambodia wishes to advise members of the public that two more new human cases of avian influenza have been confirmed for the H5N1 virus. These are the 15th and 16th cases this year and the 36th and 37th persons to become infected with the H5N1 virus in Cambodia. Of the 37 confirmed, 26 were children under 14, and 22 of the 37 were female. In addition, only 7 cases out of the 16 cases this year survived.

The 15th case, a 9-year-old boy from Damnak Dangkor Village, Raing Kesey commune, Sang Ke district in Battambang province was confirmed positive for human H5N1 avian influenza on 9th August 2013 by Institut Pasteur du Cambodge. The boy developed fever and vomiting on 26th July. He was given home-treatment by a health centre staff. On 2nd August, his condition became worse and his parents took him to a private clinic in Battambang. The private clinic referred him to the Battambang Provincial Hospital the same day. On 4th August, he was transferred to the Jayavarman V11 Hospital in Siem Reap with fever, cough, vomit, abdominal pain and dyspnea and treated with Tamiflu on 9th August. The boy is currently in a stable condition. There were recent deaths among chickens and ducks in the village. The boy carried dead and sick ducks and chickens from a cage for food preparation by his sister before he became sick.

The 16th case, a 5-year-old girl from Knong Prek Village, Prek Koy commune, Saang district in Kandal province was confirmed positive for human H5N1 avian influenza on 10th August 2013 by Institut Pasteur du Cambodge. The girl developed fever on 1st August and her parents first sought treatment for her at the Health Center. On 2nd August she was taken to a private clinic. Her condition worsened and she was admitted to Kantha Bopha Hospital on 9th August with fever, cough, sore throat, abdominal pain, diarrhea and dyspnea. The girl was treated with Tamiflu on 10th August and is currently in a critical condition. There were recent deaths among poultry in the village.

"Avian influenza H5N1 remains a serious threat to the health of all Cambodians and more so for children. These are the 15th and 16thcases of H5N1 infection in humans this year. Children often care for domestic poultry by feeding them, cleaning pens and gathering eggs. Children may also have closer contact with poultry as they often treat them as pets and also seem to be most vulnerable and are at high risk because they like to play where poultry are found. I urge parents and guardians to keep children away from sick or dead poultry and prevent them from playing with chickens and ducks. Parents and guardians must also make sure children wash their hands with soap and water after any contact with poultry. If they have fast or difficult breathing, they should seek medical attention at the nearest health facility and attending physicians must be made aware of any exposure to sick or dead poultry,? said H.E. Dr. Mam Bunheng, Minister of Health.

The Ministry of Health's Rapid Response Teams (RRT) are currently in Dam Nak Dangkor Village in Battambang and Knong Prek Village in Kandal to identify the patients? close contacts, any epidemiological linkage among the 16 cases this year and initiate preventive treatment as required. In addition, a public health education campaign is being conducted in the village using information, education and communication materials 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 dead or 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 636 laboratory confirmed human cases of H5N1 avian influenza with 377 related deaths.

The Ministry of Health will continue to keep the public informed of developments via the MoH website where relevant health education materials can also be downloaded.

Ministry of Health website

For more information on human influenza please call the MoH Influenza Hotline numbers: 115 (free call); 012 488 981 or 089 669 567

You may also 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 ReikoTsuyuoka: Tel +855 23 216 610


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Re: Cambodia reports two new human cases of bird flu H5N1

Re: Cambodia reports two new human cases of bird flu H5N1

For those - in the world - that are much more comfortable about H5N1, in addition to the additional human cases here reported, a disturbing study from Bangladesh should open eyes after this long sleep.:tiphat:

[Source: Emerging Infectious Diseases Journal, full page: (LINK). Abstract, edited.]


Volume 19, Number 10?October 2013

Dispatch

Reassortant Avian Influenza A(H5N1) Viruses with H9N2-PB1 Gene in Poultry, Bangladesh


Isabella Monne, Mat Yamage, Gwena?lle Dauphin, Filip Claes, Garba Ahmed, Mohammed Giasuddin, Annalisa Salviato, Silvia Ormelli, Francesco Bonfante, Alessia Schivo, and Giovanni Cattoli

Author affiliations: Istituto Zooprofilattico Sperimentale delle Venezie, Padova, Italy (I. Monne, A. Salviato, S. Ormelli, F. Bonfante, A. Schivo, G. Cattoli); Food and Agriculture Organization of the United Nations Emergency Center for Transboundary Animal Diseases, Dhaka, Bangladesh (M. Yamage, G. Ahmed); Food and Agriculture Organization of the United Nations Animal Health Service, Rome, Italy (G. Dauphin, F. Claes); Bangladesh Livestock Research Institute National Reference Laboratory for Avian Influenza, Dhaka (M. Giasuddin)


Abstract

Bangladesh has reported a high number of outbreaks of highly pathogenic avian influenza (HPAI) (H5N1) in poultry. We identified a natural reassortant HPAI (H5N1) virus containing a H9N2-PB1 gene in poultry in Bangladesh. Our findings highlight the risks for prolonged co-circulation of avian influenza viruses and the need to monitor their evolution.


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Re: Cambodia reports two new human cases of bird flu H5N1

Re: Cambodia reports two new human cases of bird flu H5N1

12/08/2013: Cambodia - Influenza - Avian
‎14 ‎August ‎2013, ‏‎00:49:47
Confirmed Influenza - Avian in Battambang, for human

GENERAL INFO
Disease Event ID: 177500
Reporting date: 12/08/2013
Observation date: 28/07/2013

LOCATION
Region: Asia
Admin 1 (Country): Battambang (Cambodia)
Locality: Dam Nak Dangkor village in Raing Kesen commune
Lat/Long: 13.0566351963/103.4130380863
Quality of Coordinates: Centroid Admin2

DISEASE
Status: Confirmed
DISEASE: Influenza - Avian
Serotype: H5N1 HPAI
Source: FAO Field Officer

LABORATORIES
Disease Tested
Species: …
Test: ...
Result:..
Result Date:...
Reference Laboratory: …

http://empres-i.fao.org/empres-i/2/obd?idOutbreak=177500&rss=t

----

13/08/2013: Cambodia - Influenza - Avian
‎14 ‎August ‎2013
Confirmed Influenza - Avian in Kandal, for domestic birds (unspecified bird) and human

GENERAL INFO
Disease Event ID: 177509
Reporting date: 13/08/2013
Observation date: 01/08/2013

LOCATION
Region: Asia
Admin 1 (Country): Kandal (Cambodia)
Locality: Prek Koy commune (Knong Prek Village)
Lat/Long: 11.3192494365/105.040199104
Quality of Coordinates: Centroid Admin2

DISEASE
Status: Confirmed
DISEASE: Influenza - Avian
Serotype: H5N1 HPAI
Source: National authorities

SPECIES AFFECTED
Species: Species
An.Type: Domestic
An.Class: Birds
At Risk...
Case...
Deaths..
Destroyed...
Slaughtered...

LABORATORIES
Disease Tested: Influenza - Avian
Species...
Test: ...
Result: Positive
Result Date: 10/08/2013
Reference Laboratory: …

http://empres-i.fao.org/empres-i/2/obd?idOutbreak=177509&rss=t

Note: Disease Event ID: 177509 most likely reporting variance!
 
Re: Cambodia reports two new human cases of bird flu H5N1

Re: Cambodia reports two new human cases of bird flu H5N1

13/08/2013: Cambodia - Influenza - Avian
‎15 ‎August ‎2013, ‏‎02:48:
Confirmed Influenza - Avian in Kandal, for human

GENERAL INFO
Disease Event ID: 177574
Reporting date: 13/08/2013
Observation date: 01/08/2013

LOCATION
Region: Asia
Admin 1 (Country): Kandal (Cambodia)
Locality: Prek Koy commune (Knong Prek Village)
Lat/Long: 11.3192494365/105.040199104
Quality of Coordinates: Centroid Admin2

DISEASE
Status: Confirmed
DISEASE: Influenza - Avian
Serotype: H5N1 HPAI
Source: National authorities

SPECIES AFFECTED
Species:....
An.Type: ....
An.Class:...
At Risk...
Case...
Deaths..
Destroyed...
Slaughtered...

LABORATORIES
Disease Tested: Influenza - Avian
Species...
Test: ...
Result: Positive
Result Date: ...
Reference Laboratory: ?

http://empres-i.fao.org/empres-i/2/obd?idOutbreak=177574&rss=t
 
Re: Cambodia reports two new human cases of bird flu H5N1

Re: Cambodia reports two new human cases of bird flu H5N1

First case of Human H5N1 in North-western Battambang Province!

Provinces of Cambodia - Wikipedia, the free encyclopedia
http://en.wikipedia.org/wiki/Provinces_of_Cambodia

Battambang Province - Wikipedia, the free encyclopedia (Northwestern)
http://en.wikipedia.org/wiki/Battambang_Province

Sangkae District - Wikipedia, the free encyclopedia
http://en.wikipedia.org/wiki/Sangkae

Reang Kesei - Wikipedia, the free encyclopedia
http://en.wikipedia.org/wiki/Reang_Kesei

REANG KESEI (CB01) CAMBODIA Geography Population Map cities coordinates location - Tageo.com
http://www.tageo.com/index-e-cb-v-01-d-m1526674.htm


• Damnak Dangkao
http://en.wikipedia.org/wiki/Reang_Kesei
 
Re: Cambodia reports two new human cases of bird flu H5N1

Re: Cambodia reports two new human cases of bird flu H5N1

Cambodian boy dies of bird flu

A 9-year-old boy from northwestern Battambang province died of Avian Influenza H5N1 at Sunday night, bringing the death toll to ten and the number of the cases to 16 so far this year, a World Health Organization official confirmed Monday.

"The boy, contracted with H5N1 human avian influenza, passed away late last night in the Jayavarman VII Hospital in Siem Reap province," Sonny Inbaraj Krishnan, media relations officer at the World Health Organization-Cambodia, said Monday.

The boy was admitted to the hospital with fever, cough, vomit, abdominal pain and dyspnea and was confirmed positive for human H5N1 avian influenza on Aug. 9.

"On hospital admission, he was initially in a stable condition. However, his condition deteriorated on Sunday and he passed away last night," he said.

"There were recent deaths among chickens and ducks in the village. The boy carried dead and sick ducks and chickens from a cage for food preparation by his sister before he became sick," he added.

Cambodia sees the worst outbreak of the virus this year since the disease was first identified in 2004. To date, the country has recorded 37 human cases of the virus, killing 29 people.

H5N1 influenza is a flu that normally spreads between sick poultry, but it can sometimes spread from poultry to humans, the World Health Organization said, adding that it is a very serious disease that requires hospitalization.


http://www.globaltimes.cn/content/804807.shtml#.UhGzfX_-RrY
 
Re: Cambodia reports two new human cases of bird flu H5N1 - one died

Note: Disease Event ID: 177509 reported above in Kendal was updated to reflect OIE report in Battambang province!

http://empres-i.fao.org/empres-i/2/o...k=177509&rss=t

13/08/2013: Cambodia - Influenza - Avian
‎14 ‎August ‎2013

GENERAL INFO
Disease Event ID: 177509
Reporting date: 13/08/2013
Observation date: 01/08/2013

LOCATION
Region: Asia
Admin 1 (Country): Battambang (Cambodia)
Locality: Damnak Dangkor
Lat/Long: 13.11/103.44
Quality of Coordinates: Unknown

DISEASE
Status: Confirmed
DISEASE: Influenza - Avian
Serotype: H5N1 HPAI
Source: OIE

SPECIES AFFECTED
Species: Species
An.Type: Domestic
An.Class: Birds
At Risk...
Case...
Deaths..
Destroyed...
Slaughtered...

LABORATORIES
Disease Tested: Influenza - Avian
Species; unspecified bird
Test: real-time PCR
Result: Positive
Result Date: 14/08/2013
Reference Laboratory: ...

Disease Tested: Influenza - Avian
Species; unspecified bird
Test: real-time PCR
Result: Positive
Result Date: 15/08/2013
Reference Laboratory: ...


http://empres-i.fao.org/empres-i/2/obd?idOutbreak=177509&rss=t
 
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