Hong Kong: Avian Influenza Report, Volume 6, No. 23 (CHP, June 8 2010, edited): Worldwide (2010): 31 H5N1 human cases (13 fatal)

[Giuseppe]

Hong Kong: Avian Influenza Report, Volume 6, No. 23 (CHP, June 8 2010, edited)

[Source: Centre for Health Protection, Hong Kong PRC SAR, Full PDF Document (LINK). Edited.]

Avian Influenza Report

VOLUME 6, NUMBER 23

Reporting period: 30 May to 5 June 2010 (Week 23) - (Published on 8 June 2010)


Summary

1. There was one new report of human avian influenza H5N1 infection in the past week. This case occurred in Hubei, China and was confirmed by the Ministry of Health in China on 4 June 2010.
2. From 2005 to 2007, about 100 laboratory-confirmed cases of human avian influenza H5N1 were reported to the World Health Organization (WHO) annually. In 2008 and 2009, 44 and 73 cases were confirmed respectively.

This week?s update

[(as of 5 Jun 2010) - Confirmed human cases, (deaths) [Source: WHO] / Reports in wild birds/ poultry [Source: World Organisation for Animal Health (OIE)]]

• This week:
  • Hong Kong 0, (0) / 0
  • Outside HK 1, (1) / 0
  • Affected countries: China / -
  • Details:
    • China (Hubei): A 22-year-old pregnant female from Hubei province was confirmed H5N1 positive and had died. She had exposure to sick/dead poultry. (WHO, 8 June 2010) / -
• Cumulative since Nov. 2003:
  • Hong Kong 0 / 68 dead birds confirmed H5N1 positive (Total in 2010: 1 θ)
  • Outside HK 499, (295) ① / ...
  • Affected countries 15 * / 63#

(θ) For further information, please visit the website of the Agriculture, Fisheries and Conservation Department (AFCD)
(①) The latest case in Hubei confirmed by the Ministry of Health in China was included.
(*) The 15 affected countries included Azerbaijan, Bangladesh, Cambodia, 17 provinces in China (Anhui, Beijing, Fujian, Guangdong, Guangxi, Guizhou, Hubei, Hunan, Jiangsu, Jiangxi, Liaoning, Shandong, Shanghai, Shanxi, Sichuan, Xinjiang, Zhejiang), Djibouti, Egypt, Indonesia, Iraq, Laos, Myanmar, Nigeria, Pakistan, Thailand, Turkey and Vietnam.
(#) For details of the OIE reported cases in poultry/wild birds, please visit: (LINK)


Table 1. - Confirmed human cases of avian influenza A (H5N1) reported to WHO since 2003 by onset date of the cases ?

[2003 - 2004 - 2005 - 2006 - 2007 - 2008 - 2009 - 2010 - Overall]

• Cases - 4 - 46 - 98 - 115 - 88 - 44 - 73 - 31 - 499
• Deaths - 4 - 32 - 43 - 79 - 59 - 33 - 32 - 13 - 295
• Case Fatality Rate - 100% - 69.6% - 43.9% - 68.7% - 67.0% - 75.0% - 43.8% - 41.9% - 59.1%

(?) Further breakdown by countries is available at the government website ?Prevention of Avian Influenza?


Table 2. - Countries/areas affected by highly pathogenic avian influenza in the past 6 months

[WHO Region - Date of last report by WHO / OIE - Countries In the past 6 months, H5N1 has affected]

• Western Pacific
  • 2010-06-08 - China (Hubei) - Human
  • 2010-05-14 - Laos - Poultry
  • 2010-05-10 - Mongolia - Wild birds
  • 2010-05-04 - Cambodia - Human, Poultry
  • 2010-04-29 - Vietnam - Human, Poultry
  • 2010-04-07 - China (Hong Kong SAR) - Wild birds
• South-East Asia
  • 2010-05-06 - Indonesia& - Human, Poultry
  • 2010-04-25 - Bangladesh - Poultry
  • 2010-03-25 - Bhutan - Poultry
  • 2010-03-14 - Nepal - Poultry
  • 2010-03-05 - Myanmar - Poultry
  • 2010-02-11 - India - Poultry
• Eastern Mediterranean
  • 2010-04-09 - Egypt& - Human
• Europe
  • 2010-05-06 - Israel - Poultry
  • 2010-04-01 - Bulgaria - Wild birds
  • 2010-03-30 - Romania - Poultry
• Africa
  • 2009-03-03 - Nigeria& - Poultry
• The Americas
  • ... - ... - ...

(&) The World Organisation for Animal Health (OIE) has reported that avian influenza H5N1 is endemic in poultry in these countries.


Table 3. - Confirmed human cases of H5N1 reported to WHO since 2003

[Country - Cumulative no. of cases (December 2003 to June 2010) - No. of recent cases (March to June 2010)]

• Azerbaijan - 8 - 0
• Bangladesh - 1 - 0
• Cambodia - 10 - 1
• China 39 - 1
• Djibouti 1 - 0
• Egypt - 109 - 10
• Indonesia - 165 - 3
• Iraq - 3 - 0
• Laos - 2 - 0
• Myanmar - 1 - 0
• Nigeria - 1 - 0
• Pakistan - 3 - 0
• Thailand - 25 - 0
• Turkey - 12 - 0
• Vietnam - 119 - 6
• Overall 499 - 21

Table 4. - Details of the recent confirmed human cases of H5N1 reported to WHO (March to June 2010)

[Date of report by WHO - Country - District - Province - Sex - Age - Outcome]

1. 08/06/2010 - China - ... - Hubei - F - 22 - Fatal
2. 06/05/2010 - Indonesia - Pekanbaru - Riau - F - 4 - Fatal
3. 06/05/2010 - Indonesia - Malang - East Java - F - 45 - Alive
4. 04/05/2010 - Cambodia - ... - Prey Veng - M - 27 - Fatal
5. 21/04/2010 - Vietnam - Nhu Co - Bac Kan - M - 22 - Alive
6. 21/04/2010 - Vietnam - Cho Moi - Bac Kan - F - 2 - Alive
7. 09/04/2010 - Egypt - Etsa - Fayoum - F - 18 - Fatal
8. 30/03/2010 - Egypt - ... - Damietta - F - 30 - Alive
9. 30/03/2010 - Egypt - Beba - Beni Suaif - M - 4 - Fatal
10. 29/03/2010 - Vietnam - Thuan An - Binh Duong - F - 3 - Fatal
11. 16/03/2010 - Vietnam - Soc Son - Hanoi - F - 25 - Alive
12. 12/03/2010 - Egypt - El Khanka - Qaliobia - F - 20 - Fatal
13. 12/03/2010 - Egypt - Elhamool - Kfr Elsheikh - M - 1 - Alive
14. 04/03/2010 - Egypt - Shobra Elkhima - Qaliobia - M - 53 - Fatal
15. 04/03/2010 - Egypt - Banha - Qaliobia - M - 1 - Alive
16. 04/03/2010 - Egypt - Meet Ghamr - Dakalia - M - 10 - Alive
17. 04/03/2010 - Egypt - Kellin - Kafr El-Sheik - F - 30 - Alive
18. 04/03/2010 - Egypt - ... - Kafr El-Sheik - M - 13 - Alive
19. 04/03/2010 - Vietnam - Ninh Hoa - Khanh Hoa - F - 3 - Alive
20. 04/03/2010 - Vietnam - Cai Be - Tien Giang - F - 38 - Fatal
21. 04/03/2010 - Vietnam - Son Duong - Tuyen Quang - F - 17 - Alive

Avian Influenza Report is a weekly report produced by the Respiratory Disease Office of the Centre for Health Protection when the alert response level under the Government?s Preparedness Plan for Influenza Pandemic in Hong Kong has been activated. This report aims to highlight important international developments on avian influenza preparedness and control and to monitor global avian influenza activity in humans and birds.

Sources: World Health Organization (WHO); World Organisation for Animal Health (OIE)

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[Giuseppe]

Re: Hong Kong: Avian Influenza Report, Volume 6, No. 23 (CHP, June 8 2010, edited): Worldwide (2010): 31 H5N1 human cases (13 fatal)

Please note that the apparent inconsistency between Table 1 case count (33 human cases / 13 deaths) and Table 3&4 (21 cases / 9 deaths) is due to different calculation: the latest is referred to March-June time-frame.