Information received on 26/02/2007 from Dr Mohammed Wael Al-Muhanna , Deputy Director General for Animal Resources, Animal Resources, Public Authority for Agriculture Affairs and Fish Resources, Kuwait, Kuwait Summary <TABLE class=rep_table cellPadding=0 width="100%" border=0 cellmargin="0"><TBODY><TR><TD class=rep_item width=200>Report type</TD><TD class=rep_data width=*>Immediate notification</TD></TR><TR><TD class=rep_item width=200>Start date</TD><TD class=rep_data width=*>13/02/2007</TD></TR><TR><TD class=rep_item width=200>Date of confirmation of event</TD><TD class=rep_data width=*>18/02/2007</TD></TR><TR><TD class=rep_item width=200>Report date</TD><TD class=rep_data width=*>26/02/2007</TD></TR><TR><TD class=rep_item width=200>Date submitted to OIE</TD><TD class=rep_data width=*>27/02/2007</TD></TR><TR><TD class=rep_item width=200>Reason for notification</TD><TD class=rep_data width=*>First occurrence of a listed disease</TD></TR><TR><TD class=rep_item width=200>Manifestation of disease</TD><TD class=rep_data width=*>Clinical disease</TD></TR><TR><TD class=rep_item width=200>Causal agent</TD><TD class=rep_data width=*>Highly pathogenic avian influenza virus</TD></TR><TR><TD class=rep_item width=200>Serotype</TD><TD class=rep_data width=*>H5N1</TD></TR><TR><TD class=rep_item width=200>Nature of diagnosis</TD><TD class=rep_data width=*>Suspicion, Laboratory (basic), Laboratory (advanced), Necropsy</TD></TR><TR><TD class=rep_item width=200>Report pertains to</TD><TD class=rep_data width=*>Entire country</TD></TR></TBODY></TABLE> New outbreaks <TABLE class=rep_table width="100%" border=0><TBODY><TR><TD class=rep_item_ob width=200>Outbreak 1 </TD><TD class=rep_data_ob width=*>Kuwait Zoo, Al Omaria, Al Omaria, AL FARWANIYAH</TD></TR><TR><TD class=rep_item width=200>Date of start of outbreak</TD><TD class=rep_data width=*>17/02/2007</TD></TR><TR><TD class=rep_item width=200>Outbreak status</TD><TD class=rep_data width=*>Continuing (or date resolved not submitted)</TD></TR><TR><TD class=rep_item width=200>Epidemiological unit</TD><TD class=rep_data width=*>Not applicable</TD></TR><TR><TD class=rep_item width=200>Affected animals</TD><TD><TABLE class=rep_sub_table width="100%" border=0><TBODY><TR><TD class=rep_sub_item width="20%">Species</TD><TD class=rep_sub_item width="16%">Susceptible</TD><TD class=rep_sub_item width="16%">Cases</TD><TD class=rep_sub_item width="16%">Deaths</TD><TD class=rep_sub_item width="16%">Destroyed</TD><TD class=rep_sub_item width="16%">Slaughtered</TD></TR><TR vAlign=top><TD class=rep_sub_data>Birds</TD><TD class=rep_sub_data>1000</TD><TD class=rep_sub_data>7</TD><TD class=rep_sub_data>5</TD><TD class=rep_sub_data>2</TD><TD class=rep_sub_data>0</TD></TR></TBODY></TABLE></TD></TR><TR><TD class=rep_item width=200>Affected population</TD><TD class=rep_data width=*>Different types of birds are kept in the zoo; however, only falcons were affected by the disease. In response to the outbreak, other susceptible birds in the zoo were vaccinated.</TD></TR><TR><TD class=rep_item_ob width=200>Outbreak 2 </TD><TD class=rep_data_ob width=*>Wafra, Wafra, Al Wafra, AL AHMADI</TD></TR><TR><TD class=rep_item width=200>Date of start of outbreak</TD><TD class=rep_data width=*>13/02/2007</TD></TR><TR><TD class=rep_item width=200>Outbreak status</TD><TD class=rep_data width=*>Continuing (or date resolved not submitted)</TD></TR><TR><TD class=rep_item width=200>Epidemiological unit</TD><TD class=rep_data width=*>Farm</TD></TR><TR><TD class=rep_item width=200>Affected animals</TD><TD><TABLE class=rep_sub_table width="100%" border=0><TBODY><TR><TD class=rep_sub_item width="20%">Species</TD><TD class=rep_sub_item width="16%">Susceptible</TD><TD class=rep_sub_item width="16%">Cases</TD><TD class=rep_sub_item width="16%">Deaths</TD><TD class=rep_sub_item width="16%">Destroyed</TD><TD class=rep_sub_item width="16%">Slaughtered</TD></TR><TR vAlign=top><TD class=rep_sub_data>Birds</TD><TD class=rep_sub_data>15</TD><TD class=rep_sub_data>15</TD><TD class=rep_sub_data>15</TD><TD class=rep_sub_data>0</TD><TD class=rep_sub_data>0</TD></TR></TBODY></TABLE></TD></TR><TR><TD class=rep_item width=200>Affected population</TD><TD class=rep_data width=*>chickens</TD></TR><TR><TD class=rep_item_ob width=200>Outbreak 3 </TD><TD class=rep_data_ob width=*>Nwasib, Al Nwasib, Al Nwasib, AL AHMADI</TD></TR><TR><TD class=rep_item width=200>Date of start of outbreak</TD><TD class=rep_data width=*>22/02/2007</TD></TR><TR><TD class=rep_item width=200>Outbreak status</TD><TD class=rep_data width=*>Continuing (or date resolved not submitted)</TD></TR><TR><TD class=rep_item width=200>Epidemiological unit</TD><TD class=rep_data width=*>Farm</TD></TR><TR><TD class=rep_item width=200>Affected animals</TD><TD><TABLE class=rep_sub_table width="100%" border=0><TBODY><TR><TD class=rep_sub_item width="20%">Species</TD><TD class=rep_sub_item width="16%">Susceptible</TD><TD class=rep_sub_item width="16%">Cases</TD><TD class=rep_sub_item width="16%">Deaths</TD><TD class=rep_sub_item width="16%">Destroyed</TD><TD class=rep_sub_item width="16%">Slaughtered</TD></TR><TR vAlign=top><TD class=rep_sub_data>Birds</TD><TD class=rep_sub_data>114</TD><TD class=rep_sub_data>20</TD><TD class=rep_sub_data>20</TD><TD class=rep_sub_data>94</TD><TD class=rep_sub_data>0</TD></TR></TBODY></TABLE></TD></TR><TR><TD class=rep_item width=200>Affected population</TD><TD class=rep_data width=*>a backyard farm with different types of birds including chickens, turkeys, ducks and pigeons. Chickens and turkeys were affected by the disease.</TD></TR><TR><TD class=rep_item_ob width=200>Outbreak 4 </TD><TD class=rep_data_ob width=*>Wafra, Al Wafra, Al Wafra, AL AHMADI</TD></TR><TR><TD class=rep_item width=200>Date of start of outbreak</TD><TD class=rep_data width=*>20/02/2007</TD></TR><TR><TD class=rep_item width=200>Outbreak status</TD><TD class=rep_data width=*>Continuing (or date resolved not submitted)</TD></TR><TR><TD class=rep_item width=200>Epidemiological unit</TD><TD class=rep_data width=*>Farm</TD></TR><TR><TD class=rep_item width=200>Affected animals</TD><TD><TABLE class=rep_sub_table width="100%" border=0><TBODY><TR><TD class=rep_sub_item width="20%">Species</TD><TD class=rep_sub_item width="16%">Susceptible</TD><TD class=rep_sub_item width="16%">Cases</TD><TD class=rep_sub_item width="16%">Deaths</TD><TD class=rep_sub_item width="16%">Destroyed</TD><TD class=rep_sub_item width="16%">Slaughtered</TD></TR><TR vAlign=top><TD class=rep_sub_data>Birds</TD><TD class=rep_sub_data>670</TD><TD class=rep_sub_data>2</TD><TD class=rep_sub_data>0</TD><TD class=rep_sub_data>668</TD><TD class=rep_sub_data>0</TD></TR></TBODY></TABLE></TD></TR><TR><TD class=rep_item width=200>Affected population</TD><TD class=rep_data width=*>a backyard farm that includes chickens, geese, ducks, guinea fowls and pigeons. Infection was detected in the farm during surveillance following the first confirmed case in the area. Antibody was detected in two guinea fowls. </TD></TR><TR><TD class=rep_item_ob width=200>Outbreak 5 </TD><TD class=rep_data_ob width=*>Um Alhiman, Um Alhiman, Um Alhiman, AL AHMADI</TD></TR><TR><TD class=rep_item width=200>Date of start of outbreak</TD><TD class=rep_data width=*>17/02/2007</TD></TR><TR><TD class=rep_item width=200>Outbreak status</TD><TD class=rep_data width=*>Continuing (or date resolved not submitted)</TD></TR><TR><TD class=rep_item width=200>Epidemiological unit</TD><TD class=rep_data width=*>Farm</TD></TR><TR><TD class=rep_item width=200>Affected animals</TD><TD><TABLE class=rep_sub_table width="100%" border=0><TBODY><TR><TD class=rep_sub_item width="20%">Species</TD><TD class=rep_sub_item width="16%">Susceptible</TD><TD class=rep_sub_item width="16%">Cases</TD><TD class=rep_sub_item width="16%">Deaths</TD><TD class=rep_sub_item width="16%">Destroyed</TD><TD class=rep_sub_item width="16%">Slaughtered</TD></TR><TR vAlign=top><TD class=rep_sub_data>Birds</TD><TD class=rep_sub_data>47</TD><TD class=rep_sub_data>2</TD><TD class=rep_sub_data>2</TD><TD class=rep_sub_data>45</TD><TD class=rep_sub_data>0</TD></TR></TBODY></TABLE></TD></TR><TR><TD class=rep_item width=200>Affected population</TD><TD class=rep_data width=*>backyard chickens</TD></TR><TR><TD class=rep_item_ob width=200>Outbreak 6 </TD><TD class=rep_data_ob width=*>Wafra, Al Wafra, Al Wafra, AL AHMADI</TD></TR><TR><TD class=rep_item width=200>Date of start of outbreak</TD><TD class=rep_data width=*>22/02/2007</TD></TR><TR><TD class=rep_item width=200>Outbreak status</TD><TD class=rep_data width=*>Continuing (or date resolved not submitted)</TD></TR><TR><TD class=rep_item width=200>Epidemiological unit</TD><TD class=rep_data width=*>Farm</TD></TR><TR><TD class=rep_item width=200>Affected animals</TD><TD><TABLE class=rep_sub_table width="100%" border=0><TBODY><TR><TD class=rep_sub_item width="20%">Species</TD><TD class=rep_sub_item width="16%">Susceptible</TD><TD class=rep_sub_item width="16%">Cases</TD><TD class=rep_sub_item width="16%">Deaths</TD><TD class=rep_sub_item width="16%">Destroyed</TD><TD class=rep_sub_item width="16%">Slaughtered</TD></TR><TR vAlign=top><TD class=rep_sub_data>Birds</TD><TD class=rep_sub_data>1805</TD><TD class=rep_sub_data>1</TD><TD class=rep_sub_data>1</TD><TD class=rep_sub_data>1804</TD><TD class=rep_sub_data>0</TD></TR></TBODY></TABLE></TD></TR><TR><TD class=rep_item width=200>Affected population</TD><TD class=rep_data width=*>A backyard farm with a variety of birds including chickens, ducks, turkeys and pigeons. Tissue sample from a dead turkey tested positive for H5N1. </TD></TR></TD></TR><TR><TD class=rep_item_ob width=200>Summary of outbreaks</TD><TD class=rep_data_ob width=*>Total outbreaks: 6</TD></TR><TR><TD class=rep_item width=200>Total animals affected</TD><TD><TABLE class=rep_sub_table width="100%" border=0><TBODY><TR><TD class=rep_sub_item width="20%">Species</TD><TD class=rep_sub_item width="16%">Susceptible</TD><TD class=rep_sub_item width="16%">Cases</TD><TD class=rep_sub_item width="16%">Deaths</TD><TD class=rep_sub_item width="16%">Destroyed</TD><TD class=rep_sub_item width="16%">Slaughtered</TD></TR><TR vAlign=top><TD class=rep_sub_data>Birds</TD><TD class=rep_sub_data>3651</TD><TD class=rep_sub_data>47</TD><TD class=rep_sub_data>43</TD><TD class=rep_sub_data>2613</TD><TD class=rep_sub_data>0</TD></TR></TBODY></TABLE><TR><TD class=rep_item width=200>Outbreak statistics</TD><TD class=rep_data><TABLE class=rep_sub_table width="100%" border=0><TBODY><TR><TD class=rep_sub_item width="20%">Species</TD><TD class=rep_sub_item width="20%">Apparent morbidity rate</TD><TD class=rep_sub_item width="20%">Apparent mortality rate</TD><TD class=rep_sub_item width="20%">Apparent case fatality rate</TD><TD class=rep_sub_item width="20%">Proportion susceptible removed* </TD></TR><TR vAlign=top><TD class=rep_sub_data>Birds</TD><TD class=rep_sub_data>1.29%</TD><TD class=rep_sub_data>1.18%</TD><TD class=rep_sub_data>91.49%</TD><TD class=rep_sub_data>72.75%</TD></TR></TBODY></TABLE>* Removed from the susceptible population either through death, destruction or slaughter</TD></TR></TBODY></TABLE> Epidemiology <TABLE class=rep_table width="100%" border=0><TBODY><TR><TD class=rep_item width=200>Source of infection</TD><TD class=rep_data width=*>
</TD></TR><TR><TD class=rep_item width=200>Epidemiological comments</TD><TD class=rep_data width=*>The first case occurred in falcons and then reports of mortality in poultry followed. The first mortality report of chickens was received from two individuals. The individuals purchased the birds from markets two days before their death. Consequently, surveillance was intensified across the country. Note by the OIE Animal Health Information Department: The first occurrence of the highly pathogenic avian influenza infection was reported in November 2005 (see Disease Information, 18[46], 445, dated 18 November 2005). This is the first occurrence of the disease in this country. </TD></TR></TBODY></TABLE> Control measures <TABLE class=rep_table width="100%" border=0><TBODY><TR><TD class=rep_item width=200>Measures already applied</TD><TD class=rep_data width=*>
- <LI class=rep_list>Movement control inside the country <LI class=rep_list>Vaccination in response to the outbreak (s) <LI class=rep_list>Disinfection of infected premises/establishment(s) <LI class=rep_list>Stamping out <LI class=rep_list>Vaccination permitted
- No treatment of affected animals
</TD></TR><TR><TD class=rep_item width=200>Measures to be applied</TD><TD class=rep_data width=*>
</TD></TR></TBODY></TABLE> Diagnostic test results <TABLE class=rep_table width="100%" border=0><TBODY><TR><TD class=rep_item width=200>Laboratory name and type</TD><TD class=rep_data width=*>Department of Veterinary Laboratory and Research (National laboratory)</TD></TR><TR><TD class=rep_item width=200>Tests and results</TD><TD><TABLE class=rep_sub_table width="100%" border=0><TBODY><TR><TD class=rep_sub_item width="35%">Species</TD><TD class=rep_sub_item width="40%">Test</TD><TD class=rep_sub_item width="15%">Test date</TD><TD class=rep_sub_item width="10%">Result</TD></TR><TR vAlign=top><TD class=rep_sub_data>Birds</TD><TD class=rep_sub_data>rapid tests</TD><TD class=rep_sub_data>18/02/2007</TD><TD class=rep_sub_data>Positive</TD></TR><TR vAlign=top><TD class=rep_sub_data>Birds</TD><TD class=rep_sub_data>real-time PCR</TD><TD class=rep_sub_data>20/02/2007</TD><TD class=rep_sub_data>Positive</TD></TR></TBODY></TABLE></TD></TR><TR><TD class=rep_item width=200>Laboratory name and type</TD><TD class=rep_data width=*>VLA Weybridge, UK (OIE?s Reference Laboratory)</TD></TR><TR><TD class=rep_item width=200>Tests and results</TD><TD><TABLE class=rep_sub_table width="100%" border=0><TBODY><TR><TD class=rep_sub_item width="35%">Species</TD><TD class=rep_sub_item width="40%">Test</TD><TD class=rep_sub_item width="15%">Test date</TD><TD class=rep_sub_item width="10%">Result</TD></TR><TR vAlign=top><TD class=rep_sub_data>Birds</TD><TD class=rep_sub_data>real-time PCR</TD><TD class=rep_sub_data>23/02/2007</TD><TD class=rep_sub_data>Positive</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>Map of outbreak locations <TABLE class=rep_table width="100%" border=0><TBODY><TR><TD class=rep_item width=200>Location of current outbreaks</TD><TD class=rep_data width=*><FORM name=mapform onsubmit="return validate_map_click(this)" action=public.php method=post target=map_window><INPUT class=framed_map type=image height=400 alt="Please wait while the map is generated for your request" width=400 src="http://www.oie.int/wahid-prod/mapserver/temp/117286977322161.png" name=map .> <INPUT type=hidden value=public005a8f84a9bd3e96c5ccd90d2b7673881172869774 name=map_file> <INPUT type=hidden value=country_map_interactive name=page> <INPUT type=hidden value="Location of current outbreaks" name=page_title> <INPUT type=hidden value=weekly_report_item name=page_refer> <INPUT type=hidden name=page_info> <INPUT type=hidden value=KWT name=public_country> <INPUT type=hidden value="46.453416824341, 28.28321647644, 48.516599273682, 30.346398925781" name=extent> <INPUT type=hidden value=0.68772748311361 name=exsize> <INPUT type=hidden value=0 name=pop> <INPUT type=hidden name=button_action> <INPUT type=hidden value="400 400" name=map_size> </FORM>Click on map to zoom in. </TD></TR></TBODY></TABLE><!-- popfoot.inc --><!--$Id: popfoot.inc,v 1.2 2006/05/07 06:46:01 kelly Exp $plain footer for popup windows -->
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