Avian Influenza surveillance in human
As at September 24, 2004.
Bureau of Epidemiology, Department of Diseases Control, Ministry of Public Health
Bureau of Epidemiology on September 24, 2004 at 6:00 P.M. had received the reports of 140 influenza or pneumonia patients from 31 provinces in the avian influenza surveillance network since 1 July 2004. The preliminary investigation results summary are as follow:
Table 1 : Number of reported cases by province and category.
|
|
Reported cases |
Cummulative since July 1, 2004 by category* (case) | |||||
|
Provinces |
On 24 Sep. 04 |
On investigate* |
suspected |
probable |
confirmed |
excluded |
Total |
|
Northern part |
|||||||
|
Chiang Rai |
0 |
0 |
0 |
0 |
0 |
8 |
8 |
|
Phisanulok |
0 |
0 |
0 |
0 |
0 |
2 |
2 |
| Lam Pang |
0 |
0 |
0 |
0 |
0 |
1 |
1 |
|
Nakhon Sawan |
1 |
1 |
0 |
0 |
0 |
4 |
5 |
|
Uthai Thani |
0 |
0 |
0 |
0 |
0 |
3 |
3 |
| Sukothai |
0 |
0 |
0 |
0 |
0 |
6 |
6 |
| Uttaradit |
0 |
0 |
0 |
0 |
0 |
1 |
1 |
| Kampaeng Phet |
2 |
1 |
4 |
0 |
0 |
1 |
6 |
|
Central part |
|||||||
|
Bangkok Metropolis |
1 |
1 |
0 |
0 |
0 |
8 |
9 |
| Nontha Buri |
0 |
0 |
1 |
0 |
0 |
1 |
2 |
| Phra Nakhon Si Ayutthaya |
1 |
1 |
0 |
0 |
0 |
8 |
8 |
| Samut Prakhan |
0 |
0 |
0 |
0 |
0 |
1 |
1 |
| Pathum Thani |
0 |
0 |
0 |
0 |
0 |
3 |
3 |
| Ang Tong |
0 |
0 |
0 |
0 |
0 |
1 |
1 |
|
Saraburi |
0 |
0 |
0 |
0 |
0 |
5 |
5 |
|
Lop Buri |
3 |
3 |
0 |
0 |
0 |
6 |
9 |
| Nakhon Nayok |
0 |
0 |
0 |
0 |
0 |
2 |
2 |
|
Prachin Buri |
0 |
0 |
0 |
0 |
1 |
46 |
47 |
| Chon Buri |
0 |
0 |
0 |
0 |
0 |
1 |
1 |
|
Rayong |
0 |
0 |
0 |
0 |
0 |
2 |
2 |
| Ratchaburi |
1 |
1 |
0 |
0 |
0 |
2 |
2 |
| Nakhon Pathom |
0 |
0 |
0 |
0 |
0 |
1 |
1 |
| Suphan Buri |
0 |
0 |
0 |
0 |
0 |
4 |
4 |
| Prachuap Khiri Khan |
0 |
0 |
0 |
0 |
0 |
1 |
1 |
|
North-Eastern part |
|||||||
|
Nong Khai |
0 |
0 |
0 |
0 |
0 |
2 |
2 |
| Nong Bua Lam Phu |
0 |
0 |
0 |
0 |
0 |
1 |
1 |
| Ubon Ratchathani |
0 |
0 |
0 |
0 |
0 |
2 |
2 |
| Kalasin |
0 |
0 |
0 |
0 |
0 |
1 |
1 |
| Loei |
0 |
0 |
0 |
0 |
0 |
1 |
1 |
| Chaiya Phoum |
0 |
0 |
0 |
0 |
0 |
2 |
2 |
|
Southern part |
|||||||
| Songkhla |
0 |
0 |
0 |
0 |
0 |
1 |
1 |
|
Total |
7 |
6 |
5 |
0 |
1 |
128 |
140 |
Note: Five cases are excluded today: Four cases: one each from Ratchaburi, Rayong, Prachin Buri and Pra Nakhon Si Ayutthaya, showed influenza A not H5; and one from Lopburi, showed no Avian influenza virus genetic material; hence, cumulative total of excluded cases are 128.
Table 2 : Six cases on investigate as at September 24, 2004 (10:01:27 P.M.)
|
No. |
Sex |
Age |
Address |
Onset date |
Place of Treatment |
Diagnosis |
|
1 |
Female |
79 |
Yannawa, Bangkok Metropolis | Sep 20, 2004 | Samithivej Hosp. | Pneumonia |
|
2 |
Male |
31 |
Baan Mee, Lopburi | Baan Mee | Fever | |
|
3 |
Male |
15 |
Baan Mee, Lopburi | Sep 16, 2004 | Baan Mee | URI |
|
4 |
Female |
14 |
Baan Mee, Lopburi | Sep 19, 2004 | Baan Mee | Fever |
|
5 |
Female |
56 |
Muang Nakhon Sawan, Nakhon Sawan | Sep 10, 2004 | Sawanprachaluk | Pneumonia |
|
6 |
Female |
10 |
Kosumpee Nakhon, Kampang Phet | Sep 23, 2004 | Kampang Phet | Influenza |
Reports of Avian Influenza in poultry from Department of Livestock Development web site. (www.dld.go.th)
Since 3 July - 21 September, 2004 at 3:00 P.M.
1. Suspected areas of outbreak foci : 22 foci in 15 provinces.
2. Laboratory confirmed avian influenza outbreak area: 149 foci in 30 provinces;
2.1 Northern part: Chiang Rai, Sukothai, Uttaradit, Nakon Sawan, Kampangphet, Uthaithani, Pitsanulok, Pichit and Phetchaboon.
2.2 Central part: Pathum Thani, Phranakhon Si Ayutthaya, Lop Buri, Sara Buri, Ang Tong, Suphan Buri, Bangkok Metropolis, Nonthaburi, Chainat, Chon Buri, Chachengsao, Nakon Nayok, Prachin Buri, Samut Prakhan and Rayong.
2.3 North-Eastern part: Nong Khai, Khon Kaen and Loei.
2.4 Southern part: Narathivas, Songkhla and Nakhon Si Thammarat.
3. At present, there were 55 foci of surveillance areas, and 116 foci in 27 provinces had complete 21 days of surveillance.
*Patient definition :
1. Suspect : Individual who has body temperature >38°C and one of these symptoms; muscle pain, cough, breathing difficulty, or shortness of breath, or the physician suspicious of pneumonia or influenza plus history of direct contacting sick or dead poultry within the last 7 days or unusual dead of poultry in the village within the last 14 days,
2. Probable : suspect case with preliminary laboratory result of influenza A infection but strain not known either human or avian influenza yet or respiratory failure or dead,
3. Confirmed : suspect case with final laboratory result indicated influenza A (H5) of which is avian strain by PCR or by virus culture,
4. Excluded : any patient who is not compatible with the aforementioned definition or laboratory result prove to be other causes.
5. On investigate* : any patient, whose additional data or information either clinical or contact history in risk area are needed before any conclusion could be made.