Thailand: Avian Influenza surveillance in human as at January 22, 2007
submited by kickingbird at Jan, 24, 2007 10:12 AM from DDC, MPH, Thailand
Since January 1, to January 22, 2007, the Bureau of Epidemiology has received reports of influenza or pneumonia cases in Avian Influenza Surveillance Network from the Provincial Health Offices and Disease Prevention and Control Regional Offices. The investigation and analysis were summarized as follows:
- Cumulative number of patients under surveillance are 126 cases 33 provinces; Today reports are 11 cases. Three cases from Loei and Phitsanulok, 2 from Suphanburi, and 1 each from Lopburi, Suratthani and Uttaradit.
· The second death case, reported from Uthai Thani province, Sawang Arom district is 27 years old male. He had onset on July 24, 2006 and died on August 3, 2006.
· The third death case, reported from Nong Bua Lampoo province, Non Sung district is 59 years old male. He had onset on July 14, 2006 and died on August 10, 2006.
· In 2005, there are 5 confirmed human cases of avian influenza, with 2 death cases.
· In 2006, there are 3 confirmed human dead cases of avian influenza.
II. Avian Influenza International Situation, www.who.int
Avian influenza situation update in Indonesia : 22 January 2007
http://www.who.int/csr/don/2007_01_22/en/index.htmlThe Ministry of Health of Indonesia has announced a new case of human infection of H5N1 avian influenza. A 26-year-old woman from West Java Province developed symptoms on 11 January and died in hospital on 19 January. Initial investigations of the source of her infection indicate that the woman had been involved in the slaughter of sick chickens in the days prior to symptom onset.
Avian influenza situation update in Egypt : 22 January 2007
http://www.who.int/csr/don/2007_01_22a/en/index.htmlThe Egyptian Ministry of Health and Population has announced a new human case of avian influenza A(H5N1) virus infection. The case was confirmed by the Egyptian Central Public Health Laboratory and by the US Naval Medical Research Unit No.3 (NAMRU-3). The 27-year-old woman from Beni Sweif Governate developed symptoms on 9 January 2007 and died in hospital on 19 January. Initial investigations indicate the presence of sick and dead poultry at her residence in the days prior to the onset of illness.
WHO report in brief : Since 2004, to 22 January 2007, there had been 269 H5N1 confirmed reported cases, with 163 deaths in 10 countries; Vietnam 93 cases with 42 deaths; 25 cases with 17 deaths in Thailand; 80 cases with 62 deaths in Indonesia; Six confirmed dead cases in Cambodia; 22 cases with 14 deaths in China; 14 cases with 6 deaths in Turkey; 3 cases with 2 deaths in Iraq; 8 cases with 5 deaths in Azerbaijan; 19 cases with 11 deaths in Egypt; and one confirmed case in Djibouti. (Table 1)
Table 1 : Details of confirmed H5N1 cases from WHO reports.
|
Year/ |
2003 |
2004 |
2005 |
2006 |
2007 |
TOTAL | ||||||
|
Country |
Cases |
Deaths |
Cases |
Deaths |
Cases |
Deaths |
Cases |
Deaths |
Cases |
Deaths |
Cases |
Deaths |
| Azerbaijan |
0 |
0 |
0 |
0 |
0 |
0 |
8 |
5 |
0 |
0 |
8 |
5 |
|
Cambodia |
0 |
0 |
0 |
0 |
4 |
4 |
2 |
2 |
0 |
0 |
6 |
6 |
|
China |
1 |
1 |
0 |
0 |
8 |
5 |
13 |
8 |
0 |
0 |
22 |
14 |
|
Djibouti |
0 |
0 |
0 |
0 |
0 |
0 |
1 |
0 |
0 |
0 |
1 |
0 |
|
Egypt |
0 |
0 |
0 |
0 |
0 |
0 |
18 |
10 |
1 |
1 |
19 |
11 |
|
Indonesia |
0 |
0 |
0 |
0 |
19 |
12 |
56 |
46 |
5 |
4 |
80 |
62 |
|
Iraq |
0 |
0 |
0 |
0 |
0 |
0 |
3 |
2 |
0 |
0 |
3 |
2 |
|
Thailand |
0 |
0 |
17 |
12 |
5 |
2 |
3 |
3 |
0 |
0 |
25 |
17 |
|
Turkey |
0 |
0 |
0 |
0 |
0 |
0 |
12 |
4 |
0 |
0 |
12 |
4 |
|
Viet Nam |
3 |
3 |
29 |
20 |
61 |
19 |
0 |
0 |
0 |
0 |
93 |
42 |
|
TOTAL |
4 |
4 |
46 |
32 |
97 |
42 |
116 |
80 |
6 |
5 |
269 |
163 |
III. Domestic Avian Influenza in poultry situation
The poultry situation reported from Avian Influenza control center, Department of Livestock Development since January 1, 2006, till January 21, 2007, revealed 116 tambons in 37 provinces, are the areas where sick and dead poultry had been reported and waiting laboratory confirmation. Detail could be found from www.dld.go.th website.
IV. International Avian Influenza in Animals (Type H5)
Avian influenza in animals on the Office International des Epizooties (OIE), World Organisation for Animal Health web site (http://www.oie.int/eng/en_index.htm or www.dld.go.th); since January 1 to December 29, 2006; confirmed infected poultry of avian influenza in 57 countries.
1. Suspect: An individual
· whose body temperature is more than 38°C and who has at least one of the following symptoms: muscle pain, cough, breathing difficulty, or shortness of breath, or physician suspects pneumonia or influenza, and
· who has a history of direct contact with sick or dead poultry in the last 7 days or there were reports of unusual poultry deaths in the village in the last 14 days or had been looking after another pneumonia patient in the last 10 days before illness onset, but
· who does not have a specimen which complies with the recommendation for laboratory testing for Influenza A/H5.
2. Probable case: a suspect
· who developed signs and symptoms of, or died from, acute respiratory failure. 3. Confirmed case: a suspect · who has a final standard laboratory confirmation of Influenza A/H5 through at least one of the following methods: A. Single RT-PCR method using two primer/probe sets, or using specimens collected from at least two different locations (such as throat swab and nasopharyngeal aspirate, etc.), or using at least two specimens collected from a patient at different period of illness), B. Viral culture C. Neutralization test (four-fold antibody increase between acute and convalescent serum) 4. Case under investigate: a patient · whose additional clinical information, and/or history of exposure to risk factors, and/or laboratory results are needed before any conclusion can be made. 5.
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