Saturday, February 23, 2013

#Coronavirus Journalism Transparency Qatar

Translation - Excerpt:

 The World Health Organization recommended searching for the possibility of a new coronavirus in patients with pulmonary infections are not clear reasons or in patients suffering from acute respiratory diseases is clear reasons with complications do not respond to treatment.
The "East" has been directed today, Saturday, queries to the concerned authorities in the Supreme Council of Health in order to elucidate the current situation in Qatar, has condoned the media authorities of the Supreme Council of Health to respond to a query "Middle" as usual, which foretells disorder fatal in the system information of the highest health where opacity used on all health issues of interest to the community, at a time that does not its Awareness protect role of community rumors.
The query "Middle" After recording two cases the disease has taught journalism Qatar logged most recently by a statement to the World Health Organization, prompting the east to the Council's demand at the time to announce the situation and due to the presence announcement by the International Organization bowed Council issued a press statement marked by hesitation and lack of professional approach .

Egypt: #H5N1 Infected Population of Bird Flu In Good Condition New Valley Governorate


Dr. Fadel Muhammad Ali, Director General of Preventive Medicine health sector in the New Valley, on Saturday, he was to go to places well, which appeared by bird flu and corresponding population was observed any manifestations of the disease on them. Fadel said, in a statement to "gate-Ahram" , said he was informed the inhabitants of those outposts who estimated 16 people in emerging go to the nearest hospital in case of any symptoms.and called for rapid establishment of Veterinary Medicine operations immunization for birds conservation to overcome the lack of emergence of the disease in other parts of the cities and villages of the province deployed Proboa Valley new.

Saudi Arabia: 2 Children Admitted with Temp, Sore Chest, SOB, in ICU, Suspect Swine Flu


Mobilized devices Maternity Hospital and Children area Najran capacity after suspecting the emergence of two cases of swine flu to two children. 
revealed media spokesman for the health of the region improved Rubaiaan in a statement to the "home" yesterday: that the first child at the age of four years and was admitted to a hospital birth and children on 21 April first past, suffering from high temperature and cough since six days, and has a history repeating these symptoms before fifteen days from the date of his hospitalization. He added that the signing of the medical examination on the child observed high temperature with sore chest and voice humming and bang chest, in addition to breathing bronchodilator private Right Steering, but suffered shortness of breath was transferred to intensive care, where diagnosed inflammation in the bronchi and suspicion of swine flu. 
added Rubaiaan that the patient second child at the age of four months.She was admitted to hospital on 12 March with a high temperature and cough and rapid breathing, and after a medical examination it turned out to be suffering from congestion and voice humming and bang chest and phase expiratory long, and someone specialist doctors status as suspected case of swine flu.

Najran, Saudi Arabia  Click to Enlarge:

Egypt: #H5N1 in New Valley Governorate Poultry Continues

Emerging - ASHA culled New Valley Governorate, morning Saturday 17 straight from birds infected with bird flu in outflows said Dr. Paul Shawky agent Directorate of Veterinary Medicine maintaining that it had been subject to the conditions of health and environmental in the safe disposal of these infected birds that have emerged Balbartin the injured Baforeigp, explaining that it will immunize all poultry wealth preservation sera to guard against the disease immediately after the arrival of vaccines and the necessary doses of the Veterinary Services.

Egypt: #H5N1 Outbreak in Poultry in Kafr el-Sheikh Governorate


Mohammed Nassar
A state of terror severe انتابت people Kafr el-Sheikh; result of the return of bird flu in various hamlets and villages and cities of the province, which caused the deaths of thousands of birds and poultry and duck farms chickens and ducks, when peasants and farmers to maintain, also spread odors ways a number of villages centers "Qaleen, and Motobas, Riyadh, and Sidi Salem, "as a result of the spread of dead birds on the sides of those roads.
The official source Kafr El-Sheikh for "Sunrise" - who requested anonymity - that the disease has spread strongly into villages to maintain without any movement of officials, and confirmed that the disease during the past week the issue of more than 40 thousand birds losses exceeded one million pounds, and said there was no plan Directorate Veterinary Medicine to face catastrophic illness, which may eliminate a million birds to maintain over the coming months; pointing out that it needs an urgent plan of conservation and state officials; to eradicate the disease quickly before it turns into a plague kills all poultry.

Egypt: #H5N1 Breaks out in Poultry in Luxor Governorate


Dr. Ezzat Saad, Governor of Luxor, Thursday, lifting the state of emergency in the health and veterinary medicine to maintain, after the emergence of the epicenter of birds infected with avian influenza, the status of Esna, South province, and ordered the formation of a committee headed by Maj. Gen. Alaa Heras, general secretary of the province, to follow procedures preventive measures.

The Directorate of Veterinary Medicine, headed by Dr. Mahmoud Nubian, in collaboration with the relevant departments in Esna, and the strength of the security, went to the farm birds in the village of «Osvon Almtaana», after reporting no cases of bird flu farm, and was immediately taken samples from birds and analyzed, and emerged as a result of positive samples, were imposed cordon around the area, and the execution of 7 thousands of birds infected with the disease on the farm.

Hong Kong Press Release: Sec. for Food & Health Remarks on new novel #coronavirus

February 23, 2013
Following is the transcript of remarks by the Secretary for Food and Health, Dr Ko Wing-man, after attending a public function this afternoon (February 23):

Secretary for Food and Health: I would like to mention here that yesterday a patient was admitted into a public hospital with fever and symptoms of upper respiratory infection. The patient also has a history of travel to the Middle East. Therefore, our frontline staff's alertness was heightened. The case was reported to the Centre for Health Protection this morning. At the same time, the hospital staff have obtained specimen from the patient to conduct a rapid test. Up to this stage, the report showed that the specimen tested positive for influenza B, but negative for Novel Coronavirus. We are still observing the patient. If necessary, we will repeat the test. However, up to this moment, the patient's specimen tested negative for Novel Coronavirus. I would like to reassure the public that the Government will be as transparent as possible. Whenever there is a suspected case, particularly patients with travel history to the Middle East that need to perform the rapid test, we will release information to the public as soon as possible.

Reporter: (On rumours of new Severe Respiratory Disease associated with Novel Coronavirus)

Secretary for Food and Health: We noticed that there were at least two incidents where rumours were subsequently proven untrue. These rumours will not affect the health care system. We will remain vigilant. However, spreading of such rumours is unhealthy. The public's attention may be diverted if there are too many untrue reports spreading around. It is important to have trust in the Government that it will be as transparent as possible. Thank you.

(Please also refer to the Chinese portion of the transcript.)
Ends/Saturday, February 23, 2013
Issued at HKT 20:16

Hong Kong Press Release: Fever patient tested negative for novel #coronavirus

The Centre for Health Protection (CHP) of the Department of Health (DH) received a report from Queen Elizabeth Hospital (QEH) today (February 23) of a suspected case of Severe Respiratory Disease associated with Novel Coronavirus.

     The 40-year-old man, with good past health, presented with fever, cough, myalgia and runny nose since February 20. He attended the Accident and Emergency Department of QEH on February 22 and was admitted to the isolation ward of QEH on the same day. His current condition is stable.

     Investigations by the CHP revealed that the patient travelled to Dubai with his family from January 24 to February 1, then to Tehran from February 1 to 20, and returned to Hong Kong on February 21. His family members travelled with him are all asymptomatic.

     Preliminary laboratory test result for the patient's nasopharyngeal swab today showed that it tested negative for Novel Coronavirus associated with Severe Respiratory Disease but positive for influenza B.

      "The CHP will continue its surveillance mechanism with public and private hospitals, practising doctors and the airport for any suspected cases of Severe Respiratory Disease associated with Novel Coronavirus," a DH spokesman remarked.

      "No human infection with this virus has been identified so far in Hong Kong," the spokesman stressed.

     The spokesman advised travellers returning from novel coronavirus-affected countries with respiratory symptoms to wear face masks, seek medical attention and reveal their travel history to doctors.
Ends/Saturday, February 23, 2013
Issued at HKT 15:16

Hong Kong: Pok Oi Hospital Clustering of Human Metapneumovirus

February 23, 2013
Hong Kong (HKSAR) - The following is issued on behalf of the Hospital Authority:

The spokesperson for Pok Oi Hospital (POH) made the following announcement today
(February 23):

Seven patients (aged 32 to 78) and a staff member in a male infirmary ward had presented with fever and respiratory symptoms since February 19. Appropriate viral tests had been arranged for the patients and test results of three patients were positive to Human Metapneumovirus. The concerned patients are being treated under isolation and are in stable condition.

The concerned staff member is on sick leave.

Admission to the ward has been suspended and restricted visiting is being imposed. Infection control measures have already been stepped up according to established guideline. All other patients in the ward are under close surveillance.

The cases have been reported to Hospital Authority Head Office and the Centre for Health Protection for necessary follow up.

Hong Kong: Traveler to Dubai & Tehran w/fever, cough, myalgia & runny nose... gets hospitalized & tests neg for novel #coronavirus #NCoV

February 23, 2013

Hong Kong (HKSAR) - The Centre for Health Protection (CHP) of the Department of Health (DH) received a report from Queen Elizabeth Hospital (QEH) today (February 23) of a suspected case of Severe Respiratory Disease associated with Novel Coronavirus.

The 40-year-old man, with good past health, presented with fever, cough, myalgia and runny nose since February 20. He attended the Accident and Emergency Department of QEH on February 22 and was admitted to the isolation ward of QEH on the same day. His current condition is stable.

Investigations by the CHP revealed that the patient travelled to Dubai with his family from January 24 to February 1, then to Tehran from February 1 to 20, and returned to Hong Kong on February 21.

His family members travelled with him are all asymptomatic.

Preliminary laboratory test result for the patient's nasopharyngeal swab today showed that it tested negative for Novel Coronavirus associated with Severe Respiratory Disease but positive for influenza B.

"The CHP will continue its surveillance mechanism with public and private hospitals, practising doctors and the airport for any suspected cases of Severe Respiratory Disease associated with Novel Coronavirus," a DH spokesman remarked.

"No human infection with this virus has been identified so far in Hong Kong," the spokesman stressed.

The spokesman advised travellers returning from novel coronavirus-affected countries with respiratory symptoms to wear face masks, seek medical attention and reveal their travel history to doctors.

Saudi Arabia: More Details on Latest Confirmed Case #NCoV

23 February 2013
A Riyadh resident has died from a rare form of a coronavirus, according to the Saudi Ministry of Health (MoH).
Undersecretary to the Ministry of Health for Public Health, Dr. Ziad Al-Memish, told Arab News yesterday that the victim was a 61-year-old Saudi woman. The cause of death was confirmed by a laboratory test.
It is the third such fatality in the Kingdom and the constitutes the 13th confirmed case of a coronavirus infection. It is the seventh death blamed on the virus worldwide.
The Saudi patient was hospitalized on Jan. 29 in a hospital in Riyadh and died there on Feb. 10.
The woman had recently returned from abroad with symptoms of severe acute respiratory syndrome (SARS), the official said. She did not respond to treatment.


Friday, February 22, 2013

Vietnam: #Streptococcus Caused by Goats, Geese, Ducks & Pig

Not only pig blood pudding, blood pudding and goats, geese, ducks, can be made of streptococcal infections At the Central Hospital for Tropical diseases, patients Le Van debt (home Ha Trung district, Thanh Hoa province) are treated as streptococcal infection after eat goat blood pudding. It then patients have signs such as fever, chills, on skin erythema notes ... Afternoon 1st Year, the patient was transferred to Hanoi treatment. The doctor diagnosed him with purulent meningitis caused by Streptococcus.
The reason is that in the blood of cattle, poultry (including healthy children contain a lot of viruses, bacteria). This is not the cutting process information, the bacteria in the respiratory tract, skin, hair easily penetrate the blood.
Duck pigs, goats, ducks, etc. are dishes with a fresh blood of animals should probably contain pathogens. When eating, ie direct human to bacteria, bacteria to humans.
In tropical diseases hospital, over 70% of patients with streptococcal pigs is caused by eating pudding.

Nepal since 2008, an outbreak of avian flu 38 times


Nepal Agricultural Development under the Ministry of National Veterinary Authority officials recently revealed that from 2008 to the present, Nepal has been an outbreak of 38 outbreaks of avian flu , 70,000 chickens were culled.
  National Veterinary Authority is responsible Narayan Ghimire said, avian flu epidemic-prone seriously affect farming, chicken and eggs are destroyed, also cause large farming panic, there are already hundreds of people to abandon the poultry industry.
  In addition, due to the large number of live chickens are slaughtered chicken shortage, chicken prices reached its highest value in the wholesale and retail markets.

China: 2nd #H5N1 Human Case Dies

GUIYANG, Feb. 22 (Xinhua) -- The second of two people confirmed by the Ministry of Health to have contracted avian influenza H5N1 died in a hospital in southwest China's Guizhou province on Friday, according to health authorities.
The patient, a 31-year-old man, died of multiple organ failure at Jinyang Hospital in Guizhou, the provincial capital, at 4:40 p.m., sources with the provincial health department said.
The man developed symptoms on Feb. 3 and was hospitalized on Feb. 8.
Another patient, a 21-year-old woman, died of multiple organ failure on Feb. 13. They both tested positive for the H5N1 virus on Feb. 17.
The two patients both had close contact with birds, sources said.
A total of 110 people who had close contact with the patients have been released from quarantine, as no abnormal symptoms were discovered.
No new avian influenza H5N1 cases have been reported, sources said.
The human-transmissible form of avian influenza, also known as bird flu, is an acute respiratory infectious disease mainly caused by the deadly H5N1 virus subtype. Main symptoms include high fever and pneumonia.
Human cases of bird flu are usually caused by transmission from poultry to humans.

Nature News: New guidelines announced for risky research

Nature News Blog
Posted by Brendan Maher
21 Feb 2013

US government officials have passed two more checkpoints on the long, winding road towards a policy for dealing with risky research. That journey was forced into overdrive at the end of 2011, when a government body recommended against publishing two studies showing how a deadly form of avian influenza H5N1 could be made to pass between mammals.
Today, the US National Institutes of Health (NIH) announced a final framework for vetting specific types of experiments before funding them. The US Office of Science and Technology Policy (OSTP) also published a long-awaited draft policy for how scientists and institutions should monitor and report on a wide range of research that malevolent forces could manipulate to do harm. This type of research, called dual-use research of concern (DURC), is fundable if the potential benefits are deemed significant and the risks deemed manageable.


Egypt: #H5N1 Confirmed in Poultry; Citizens Being Tested in New Valley


Since 3 hours 8 minutes
Dr Paul Shawky agent Directorate of Veterinary Medicine New Valley that the analysis of samples of birds suspected of being infected with labs central Ministry of Agriculture confirmed that it already infected with bird flu were therefore safe disposal of Taioralmassabh. 
added that it was coordinating with the health sector in the governorate to medical examination immediately and withdraw samples of citizens contact with these birds to ascertain the extent affected by the disease or not, explaining that he was forming operations room around the clock at the headquarters of the Directorate of Veterinary Medicine and departments to monitor the evolution and spread of avian flu in the New Valley.


Indonesia: 62 Patients in 1 Day for Hives & URI in Seberang Ulu

Esophageal Itchy and IspaPDFPrintE-mail
Written by Editor Sumeks   
Friday, February 22, 2013 19:45

Residents of RT 23, RW 05, Village of Tuan Kentang, Kecamatan Seberang Ulu (SU) I, began itching disease. Dozens of people, both elderly and children swarmed flood shelters opened a new day. "Since it opened in the morning until noon, we already serve 62 patients affected hives and the affected upper respiratory tract infection (ARI).These floods have inundated the site over the past two weeks, "said one head of health center Ulu, Dr. Hurriah Dewi S Panjaitan, in newspapers, yesterday (22/2). 
According to him, it immediately provide treatment and conduct blood pressure monitor for the elderly disease. If the situation worsens, it will directly refer to the nearest health center. 

Scientists develop new drug to combat flu pandemic

[Editing is mine] February 22, 2013 CANBERRA: A new drug has been proven to be effective in preventing the spread of various strains of influenza including resistant strains of the virus, Australian top science institute CSIRO said.
The breakthrough, published in Science, is the result of a global collaboration between scientists from CSIRO, University of British Columbia and University of Bath, Xinhua news agency reported.
CSIRO scientist Dr Jenny McKimm-Breschkin, a researcher that developed the first flu drug Relenza, said that understanding exactly how flu viruses become resistant to drugs has helped them to design a better flu drug.
"The new drug is effective against these resistant strains. As the site where the drug binds is found in all flu strains, the new drug is expected to be effective even against future flu strains.
"With millions of poultry currently infected with bird flu globally, there are still concerns about its adaptation and potential to spread among humans, causing the next pandemic," she said.


U.S. Flu Vaccine Effective in only 9% of those 65 & Over

February 21, 2013
By Julie Steenhuysen

Dr. Joseph Bresee, a flu expert at the CDC, said overall the vaccine worked "OK," but it is not fully clear why people over 65 responded poorly.
"Part of it is they are elderly and they respond less vigorously to vaccines. But it appears that some of the people, at least, developed a less robust response to this particular antigen," he said, referring to the H3N2 component of the flu vaccine.
"Why that is, I don't think we know yet. We're looking at it closely," he said.

(Additional reporting by Bill Berkrot in New York; Editing by Mohammad Zargham)

Full article:

Cambodia: Angkor Chey Commune Finds No #H5N1 Infected Poultry, No Cull Done

February 22, 2013
“We’re all working in emergen­cy phase,” said Lotfi Allal, team leader of the U.N. Food and Agriculture Organization’s Emergency Center for Transboundary Animal Disease in Phnom Penh.
Dr. Allal said the main task is to prevent the spread of the disease in poultry—an uphill battle given the underreporting of the disease by Cambodian farmers.

Rural people are hesitant to no­tify the authorities about their sick ducks and chickens because when their poultry are culled, they receive no compensation for their loss.

“We acknowledged long ago there are big weaknesses in this field,” Dr. Allal said, referring to the reliance by authorities on local farmers to voluntarily report possible H5N1 outbreaks.

So far, no poultry cull has been or­dered in Angkor Chey commune where the latest victim lived, an official said.

“We did not find bird flu in the location where the children died so we did not incinerate any poultry,” said Khoy Khun Huor, Kampot provincial governor, speculating that diseased chickens may have been brought into the commune from other locations, which may have infected the child.

Pa Mon, Angkor Chey commune chief, said commune authorities were disseminating information about bird flu and preventing residents from transporting poultry in and out of the commune.
“Dealing with backyard poultry is much more difficult than commercial farms—which is easier to contain,” Dr. Allal explained. “The farmers are not reporting and un­fortunately children play with chick­ens, which is why they’re the ones mainly infected.”

Sok Touch, head of the communicable disease department at the Ministry of Health, declined to comment.

Thursday, February 21, 2013

Comparison Between new #Coronavirus & SARS in not helpful: WHO Spokesman


WHO spokesman Gregory Hartl told Xinhua Thursday that the speed of replication of the virus is not related with its actual ability to spread.

He also reiterated that a comparison between the new virus and SARS virus is "not helpful".

He said that the novel coronavirus which we are seeing now is different genetically from SARS, it does not transmit as easily as SARS did, there are many fewer cases for the time-being of this novel coronavirus, and it causes a different spectrum of disease in some patients.

"So the two viruses are not the same," he said.

"We prefer to say that the two viruses are from the same family of coronaviruses, but that is where comparisons stop,"
he said.

HK University eyes Middle East help in fight against new bug #NCoV #Coronavirus

Mary Ann Benitez and Beatrice Siu Friday, February 22, 2013

Researchers at the University of Hong Kong are looking for collaboration in the Middle East to study the new SARS-like virus, which they believe may have originated from a Japanese bat species.
This comes as the Centre for Health Protection has stepped up monitoring for the new respiratory illness that is similar to the deadly SARS virus.
Yuen Kwok-yung, chair of infectious diseases at the university's department of microbiology said: "We are trying to find collaborators in the Middle East but cannot disclose any details at this stage."

The Hospital Authority's chief infection control officer Dominic Tsang Ngai- chon said suspected cases who have travelled to the Middle East and the UK, or where cases have occurred, and who came into contact with patients, will be isolated and tested.
The test results will be available in 24 hours.


Reuters: New Saudi case takes SARS-like virus death toll to seven #NCoV #Coronavirus


* 13 confirmed cases, 7 deaths from new virus worldwide

* WHO says not recommending screening or travel restrictions
Feb 21 (Reuters) - A patient admitted to hospital in Saudi Arabia with a new virus from the same family as SARS has died, taking the global death toll from the previously unknown disease to seven.
The World Health Organisation (WHO) said on Thursday the patient died on Feb. 10, two weeks after entering hospital. The cause of death was confirmed by a laboratory test three days ago.

Saudi Arabia reports new coronavirus case #NCoV


Saudi Arabia has now reported six cases. Qatar has had the two confirmed cases. And Jordan has reported two cases, but the confirmations came months after the two individuals died, after falling ill last April.
Mounts said the WHO is trying to get countries to look harder for the virus. "We're concerned and really watching it very closely and trying to push people to do more investigation."
He also said the organization is putting together networks of experts to help it with the coronavirus situation -- an approach the WHO used with much success during the SARS outbreak.
A laboratory network and a network of expert epidemiologists -- sometimes called disease detectives -- are being set up. As well, a group of clinical experts who have advised the WHO over the past decade on possible treatments for H5N1 -- bird flu -- and during the 2009 H1N1 pandemic is being reactivated to help with this situation, Mounts said.

Read more:

Egypt: Confirmed #H5N1 in Poultry in New Valley Gov.

February 21, 2013

Bartan appeared to bird flu in emerging New Valley Governorate, after the death of more than 135 chickens two houses. The analysis confirmed the central positive samples.
The house was the first king of late Ahmed Marzouk Ahmed, where died 35 chickens, were sent samples two days ago to labs central Ministry of Agriculture in Cairo, and reportedly has just report confirms positive samples, although the cause of death birds infected with bird flu. 
also appeared epicenter another house Sayed Hassan Abdul God maritime area tribe Kharga, where died more than a hundred chickens, and has since few campaign from the Department of Veterinary Medicine in New Valley Governorate; for the cleansing process and eliminate the disease; to prevent its spread, and officials refused to maintain to make any comment.

#Coronavirus Update on Case #11

[An update of information on Case #11)

Novel coronavirus – a disease similar to severe acute respiratory syndrome (SARS) – has infected four people in the UK, killing one of them.

The disease was thought to have been brought to the UK by a man that is being treated in Manchester, following a recent visit to Saudi Arabia and Pakistan. His 39-year-old relative died in Birmingham on February 17.

A second relative has been treated for a mild form of the illness, with a further 100 people that had been in close contact with the family having been tested and given the all-clear. 

WHO: Novel coronavirus infection - update MOH in Saudi Arabia Another Case

The Ministry of Health in Saudi Arabia has informed WHO of another confirmed case of infection with the novel coronavirus (NCoV). 

The patient was hospitalized on 29 January 2013 and died on 10 February 2013. The case was laboratory-confirmed on 18 February 2013. Further investigation into this case is ongoing.
In the United Kingdom, the Health Protection Agency continues to investigate the family cluster where three members of the family tested positive for NCoV infection. One member of this family, who had an underlying health condition, has died.
To date, WHO has been informed of a total of 13 confirmed cases of human infection with NCoV, including seven deaths.
Based on the current situation and available information, WHO encourages all Member States (MS) to continue their surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns. Testing for the NCoV should be considered in patients with unexplained pneumonias, or in patients with unexplained, severe, progressive or complicated respiratory illness not responding to treatment, particularly in persons traveling from or resident in areas of the world known to be affected.
Any clusters of SARI or SARI in healthcare workers should be thoroughly investigated, regardless of where in the world they occur.
All MS are reminded to promptly assess and notify WHO of any new case or clusters of cases with NCoV infection.
WHO does not advise special screening at points of entry with regard to this event nor does it recommend that any travel or trade restrictions be applied.
WHO continues to closely monitor the situation. 

Fourth case in UK coronavirus family cluster?

By Helen Branswell
...officials investigating how the virus moved from one member of the family to the next suspect another relative may have contracted the virus and may even have spread it to the third confirmed case in the cluster. This fourth family member had a respiratory illness but was not tested until after she recovered, at which point the test came back negative.
The third confirmed case in this cluster had only mild symptoms and has since recovered. "The fact that she had such a mild illness really does raise our concerns about what we might be missing," Mounts admits.
Others share the WHO's concern. In fact, several of the researchers who were key players in the response to the 2002-2003 SARS epidemic admit the patterns they are seeing bring back memories.
"It is certainly beginning to look concerning, given the obvious fact that there can be onward transmission," says Malik Peiris, chair of the department of microbiology at the University of Hong Kong.
"It is somewhat reminiscent of the emergence of SARS in 2002."
Ron Fouchier, a virologist at Erasmus Medical Centre in Rotterdam, the Netherlands, also sees those similarities.

Cambodia: It appears the 2 year old that died on 2/19, lived just 2 kilometres (1 1/2 miles) away from the 3 year old that died on 2/13

hat-tip  [It appears the 2 year old that died on 2/19, lived just 2 kilometres (1 1/2 miles)  away from the 3 year old that died on 2/13]

A two-year-old boy from Kampot province on Tuesday became the seventh person to die from bird flu in the Kingdom this year, and the second victim to hail from the province’s Angkor Chey district. 
It is believed that the boy, from Angkor Arum Buol village in Angkor Chey commune, had been sick for at least five days before he was brought to the Kantha Bopha hospital in Phnom Penh on Monday. 

A three-year-old girl from a village just two kilometres away in neighbouring Angkor Phnom Touch commune died last Wednesday. 
The World Health Organisation and district health officials confirmed that a rapid response team was already investigating in Kampot. 
“After last week’s death, we started a communications campaign in the village,” World Health Organisation spokesman Sonny Krishnan said. 
“This campaign will be intensified across the district.”    
There have been eight confirmed cases of human H5N1 in Cambodia this year, with seven deaths. The Ministry of Health is expected to release more details today.

Vietnam: Influenza A/H5N1 overflow from Cambodia, Ho Chi Minh City emergency prevention


Currently, the A/H5N1 flu in Cambodia has spilled over the border, threatening outbreak in the southern provinces.  
Bird flu in CPC has overflowed into Vietnam. risk spread, outbreaks in the southern provinces are at a high level, especially in the CPC adjacent provinces of Tay Ninh, Binh Phuoc, Long An.
According to the veterinary VI, in Tay Ninh area bordering with you, have discovered two outbreaks in Tien Thuan and Binh Minh (Ben Cau district).
Illegal trade in poultry operations still rampant
Bird flu spreads, combined with the sale of illegal slaughter occurs widespread throughout the coastal districts increases the risk of disease and food safety in the city.
This seriously affected the epidemiological situation of cattle and public health in the area of ​​Ho Chi Minh City.

Before this situation, the City People's Committee has asked the departments the situation closely livestock management, trade, slaughter cattle and poultry in order to detect early outbreaks, timely treatment, not to spread on a wide.
Thorough handling of the situation of trafficking movement of poultry disease, of unknown origin, not regulations.
Besides, the city asked the health sector to strengthen propaganda against influenza A in humans, prepare facilities, equipment and medicine for the prevention of bird flu in the province south.

Cambodia Case List 2013

Report Date/Province/District/ Con. Date /Name/DOD
Jan 27/Kampong Speu/Kong Pisei/1-23/35(M)/DOD 1-21
Jan 27/Takeo/Prey Kabass/1-22/15(F)/DOD 1/21
Jan 27/Phnom Penh/Porsenchey/1-22/8(mos)/Recovered
Jan 28/Kampong Speu/Kong Pisei/1-26/17(mos)/DOD 1-28
Jan 29/Kampot/Teouk Chhou/1-28/9(F)/DOD 1-28
Feb 8/Takeo/Prey Kabass/1-22/5(F)/DOD 2-7
Feb 13/Kampot/Angkor Chey/2-11/3 (F)/DOD 2-13
Feb 21/Kampot/Angkor Chey/2-19/2 (M)/DOD 2-19
Feb 26/Kampong Cham/Trung Trang/2-23/35(M)/DOD 2-25

Apr 3/Kampot/4-2/6(M)/

Kampong Speu
Date 1/27/13
Name:  35(M)
Trapeang Sla village, Preah Nipean commune,  Kong Pisey district, Kampong Speu
Onset:  1/13
Adm:  Treated by private practioner
Adm:  1/21
Hospital:  Khmer-Soviet Friendship Hosp. Phnom Penh, sym's fever, dyspnea
Notes:  Prepared sick chicken for food prior to being sick.
Confirmation:  1/23/13 - Positive
Date:  1/27/13
Name:  15(F)
Snao village, Prey Kabass district, Takeo Province
Onset:  1/11/13
Adm:  Treated by private practioner.
Hospital:  Kantha Bopha
Adm:  1/17/13 sym's fever & shortness of breath.
DOD:  1/21/13
Notes:  Previous dead poultry in village.  Prepared sick chicken for food prior to being sick.
Confirmed:  1/22/13 - Positive

Phnom Penh
Date:  1/27/13
Name:  8 month male
Chrey Korng Village, Sangkat Chorm Chao, Khan Porsenchey district, Phnom Penh
Onset:  1/8/13
Hospital:  National Pediatric Hosp.
Adm:  1/9 sym's fever, cough, runny nose, vomiting.
Notes:  Samples sent on 1/11.  History of contact with poultry.
DOD:  survived and recovered
Confirmed:  1/22/13 - positive
Kampong Speu
Date 1/28/13
Name:  17 month girl
From:  Kong Pisei district,
Prey Nhat commune, Kampong Speu
Onset:  1/13, fever, runny nose, vomiting
Adm:  private practitioner
1/17 fever, cough, somnolence & dyspnoea 
Hospital: Kantha Bopha Phnom Penh
Notes:  Recent poultry death in village.  Contact with poultry.
DOD:  1/28
Confirmed:  Positive 1/26
Kampot Province
Date 1/29/13
Name:  9 yo girl
From:  Thmei village, Thmei commune, Toeuk Chhou district, Kampot Province
Onset:  1/19, fever, cough
Adm:  Initially treated by a private practitioner
Adm:  1/27
Hospital:  Kantha Bopha with fever, cough, somnolence and dyspnoea
DOD:  1/28
Notes:   Poultry dead around village.
Confirmed:  Positive - 1/28

Takeo Province
Date  2/8/13
Name:  5 yo female
From:  Angk Krasang Village, Prey Lvea commune, Prey Kabass district, Takeo Province.
Onset:  1/25
Adm:  local private practitioner
Adm:  1/31 with fever, cough & dyspnoea
Hospital:  Kantha Bopha Hospital
Confirmed:  Positive, diagnosed on 2/7
DOD:  2/7
Notes:  recent deaths of poultry in village.  Touched & ate dead chicken. 

Kampot Province
Date:  2/13/13
Name:  3 yo female
From:  Trapeang Kamphleanh village, Ang Phnom Toch commune, Angkor Chey District, Kampot Province
Adm:  2/6
Hospital:  Kantha Bopha Hospital, fever, abdominal pain, drowsiness
Onset:  2/3 red rash, initially treated by private practioner
Notes:  Recent death of poultry in village, history of contact.  Critical Condition w/severe breathing problems.
Confirmation:  2/11/13
DOD:  2/13/13

Kampot Province
Date:  2/21/13
Name:  2 yo male
From:  Ang Romduol Village, Angkor Chey commune, Angkor Chey district, Kampot Province
Onset:  2/6, runny nose & fever.  Treated by local private practioner.
Adm:  2/18 Kantha Bopha Hospital, Phnom Penh with fever, cough, dyspnea
Confirmation:  2/19/13
DOD:  2/19/13 (18 hours after admission)
Note:  Poultry death in Village.  Eighth death this year.  29th person to become infected.  26th to die.  Of the 29 confirmed Cases, 20 were children under 14.  19 of the 29 were Female.

Kampong Cham Province
Date:  February 26, 2013
Name:  35 (Male)
From:  Kbl Ou Village, Me Sar Chrey commune, Stueng Trang, Kampong Cham Province
Onset:  2/8  fever; worsened on 2/10 w/frequent cough, dypsnea
Adm:  Local practitioner
Adm:  2/13 Kampong Cham Hosp.  Treated with Tamiflu
Adm:  2/19, Hospital Benh Calmete, Phnom Penh (MOH Statement says 2/21), developed pneumonia
Notes:  Contact with dead Ducks and eating. 
Confirmation:  Positive on2/23/19
DOD:  2/25

Kampot Province
Date:  4/3/13
Name:  6 (M)
From:  Southwest Kampot Province
Adm:  3/31 Kantha Bopha Hospital, Phnom Penh
Note:  Critical condition.