1 February 2013 - The Ministry of Health (MoH) of the Kingdom of Cambodia reported five new human cases of avian influenza that were confirmed positive for the H5N1 virus in January 2013.
Case details include an 8 month old male from Phnom Penh with
onset 9 Jan 2013, a 17 year old female from Takeo Province with onset 11
January, a 35 year old male from Kong Pisey district, Kampong Speu
Province with onset 13 January, a 17 month old female from Kong Pisey
district, Kampong Speu Province with onset 13 January and a 9 year old
female from Toeuk Chhou district, Kampot province with onset on 15
The cases all presented with fever, cough and other ILI
symptoms. Four of the cases died, with 1 case, the 8 month old male,
recovering after only experiencing mild ILI. Laboratory samples were
tested by the National Institute of Public Health's laboratory and by
the Institut Pasteur du Cambodge.
Preliminary evidence does not support human-to-human
transmission and four of the cases are known to have had close contact
with sick/dead poultry.
The Ministry of Health's Rapid Response Teams (RRT) have gone
to the hospitals and the field to identify the patients’ close contacts,
any epidemiological linkage among the five cases and initiate
preventive treatment as required. In addition, public health education
campaigns are being conducted in the villages to inform families on how
to protect themselves from contracting avian influenza. The teams are
checking records for evidence of increased ILI activity in the local
health centres or any increase in number of SARI cases from the affected
areas. Results from testing of those who have ILI symptoms among close
contacts for A/H5N1 influenza to date were negative. There is enhanced
surveillance for ILI and SARI in local health centre and hospital for a
further two weeks. Health education messages have been distributed to
the community. The World Health Organization is actively assisting the
Ministry of Health in their investigations.