Thursday, November 14, 2013

Cambodia MOH Update - November 14, 2013

[My list has been corrected in a major way, list located here.]
hat-tip Mike Coston, Avian Flu Diary

The Ministry of Health (MoH) of the Kingdom of Cambodia wishes to advise members of the public that
two new human cases of avian influenza have been confirmed for the H5N1 virus. These are the 25" and
26' cases this year
and the 46th and 47" people to become infected with the H5N1 virus in Cambodia. Case
25 is from Kampong Speu province and case 26 was from Pailin province. The Kampong Speu case is
currently in a critical condition whereas the Pailin case has died.
Of the 47 confirmed cases, 35 were
children under 14, and 27 of the 47 were female. In addition, only 13 cases out of the 26 cases this year
The 25"case, a 3-year-old boy from Veal Vong village, Sendey commune, Samrong Tang district, Kampong
Speu province, was confirmed positive for H5N1 human avian influenza on 9"November 2013 by Institut
Pasteur du Cambodge. The boy had onset fever on 5%ovember 2013, his parents sought treatment at a local
private practitioner on 6th~ovember, but his condition worsened.The boy was admitted to KanthaBopha
Hospital, Phnom Penh, on 8"~ovember 2013 with fever, cough, and dyspnoea. Laboratory samples were
taken on 8%ovember and Tamiflu administered the same day.

Investigations in the village by the Ministry of Health's Rapid Response Teams (RRT) and the Ministry of
Agriculture, Forestry and Fishery's (MAFF) Animal Health Task Force revealed chickens and ducks had
been sick andlor dead for approximately three weeks prior to the boy's onset of illness. The boy helped carry
dead chickens for his mother who was preparing a meal from the family. The mother regularly purchased
sick and dead chickens from a local poultry farm.
The 26' case, a 29-year-old male from KaunDemrei village, SteungTrang commune, Salakrao district, Pailin
province, was confirmed positive for H5N1 human avian influenza by Institut Pasteur du Cambodge on
9%ovember 2013.
The man had onset fever, chills and headache on 26' October 2013 where he sought
treatment at the local health centre. Treatment was provided to the case at a private clinic on l* November

until his condition continued to deteriorate. On 3%ovember the case was admitted to Battambang
Provincial hospital with fever, chills, headache, cough, chest pain. Laboratory samples were taken and
Tamiflu was administered on 6"November. He continued to deteriorate with further symptoms of diarrhoea,
vomiting, and seizures; hedied at the hospital on the 6%ovember.

Epidemiological investigations by the RRT and MAFF revealed that the case had direct contact with sick
and dead poultry one week prior to illness onset. During the investigation multiple influenza like illness
cases were detected in the village; laboratory testing of those cases to date indicated human influenza

The Ministry of Health's RRTs and the Ministry of Agriculture, Forestry and Fishery's Animal Health Task
Force are working together closely inboth villages to investigate and implement control measures. The RRTs
are trying to identify the case's close contacts, any epidemiological linkage among the 26 cases and initiate
preventive treatment as required.The Animal Health Task Force is investigating cases of poultry deaths in
the village.


No comments: