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泰國禽流感個案監測數據彙總
發表人:kickingbird  發表時間:2004年9月26日8点44分  來源:泰國衛生部

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:

    1. Seven new cases are reported today; Six cases are on investigate (Table 2) and one is defined as suspect case.
    2. One more suspect case reported today, The case is a male, 6 years old, His onset was on September 22, with fever and pneumonitis and has admitted for in treatment Kampangphet hospital. He is a son of suspect case who has admitted for in treatment in same hospital; hence, cumulative total of suspected cases are 5.
    3. Confirmed case is still one from Prachin Buri.

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.

 

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