ProMED-mail |

Published Date: 2012-01-19 17:43:37
Subject: PRO/AH/EDR> Avian influenza, human (09): Cambodia, Egypt, Indonesia, Viet Nam
Archive Number: 20120119.1015836

AVIAN INFLUENZA, HUMAN (09): CAMBODIA, EGYPT, INDONESIA, VIET NAM
*****************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

In this update:
[1] Cambodia, WHO
[2] Egypt, WHO
[3] Indonesia, WHO
[4] Cambodia & Viet Nam

******
[1] Cambodia, WHO
Date: Wed 18 Jan 2012
Source: World Health Organization (WHO), Global Alert and Response (GAR), Disease Outbreak News [edited]
http://www.who.int/csr/don/2012_01_18/en/index.html

The Ministry of Health (MoH) of the Kingdom of Cambodia has announced that the case of human infection with avian influenza A (H5N1) virus reported in the Disease Outbreak News posting of 16 Jan 2012 [see: Avian influenza, human (08): Cambodia (BM) WHO 20120117.1012307] died on 18 Jan 2012.

The boy is the 19th person in Cambodia to become infected with the H5N1 virus; to date, 17 of these cases have died from complications of the disease.

--
communicated by:
ProMED-mail <promed@promedmail.org>

******
[2] Egypt, WHO
Date: Thu 19 Jan 2012
Source: WHO, Global Alert and Response (GAR), Disease Outbreak News [edited]
http://www.who.int/csr/don/2012_01_19b/en/index.html

The Ministry of Health and Population of Egypt has notified WHO of 2 cases of human infection with avian influenza A (H5N1) virus.

The 1st case is a 2 year old girl from Cairo governorate. She visited the Helwan Fever Hospital as an outpatient on 30 Oct 2011 with symptoms of influenza-like illness (ILI). The case was confirmed by RT-PCR at the Central Public Health Laboratory through periodic testing of samples collected from ILI outpatients from sentinel ILI surveillance sites. The epidemiological team investigated the case after confirmation of the laboratory test. Retrospective investigation through data collected from her family identified a positive history of exposure to backyard poultry. Samples from the case have been sent to the US Naval Medical Research Unit No. 3 (NAMRU-3) for further sequencing.

The 2nd case is a 31 year old man from Fayium governorate. He developed symptoms on 1 Jan 2012, received oseltamivir on 14 Jann 2012 and is still hospitalised in the critical care unit. The case was confirmed by the Central Public Health Laboratory, a National Influenza Center of the WHO Global Influenza Surveillance Network.

Epidemiological investigations into both the cases indicated that they had exposure to backyard poultry.

Of the 159 cases confirmed to date in Egypt, 55 have been fatal.

--
communicated by:
ProMED-mail <promed@promedmail.org>

******
[3] Indonesia, WHO
Date: Thu 19 Jan 2012
Source: WHO, Global Alert and Response (GAR), Disease Outbreak News [edited]
http://www.who.int/csr/don/2012_01_19/en/index.html

The Ministry of Health of Indonesia has announced one new confirmed case of human infection with avian influenza A(H5N1) virus.

The case is a 5 year old girl from Jakarta province. She was identified by a surveillance team during an investigation in the area on 7 Jan 2012 and was referred to a hospital. On 13 Jan 2012, she had breathing difficulties. Her condition deteriorated, and she died on 16 Jan 2012.

Epidemiological investigation indicated that she was a family contact of case 183 [see: Avian influenza, human (06): Indonesia (JA) WHO 20120111.1007376] and frequently had direct contact with the same pigeons as that case and the same household environment.

Surveillance of other contacts has not identified further cases.

Of the 184 cases confirmed to date in Indonesia, 152 have been fatal.

--
communicated by:
ProMED-mail rapporteur Marianne Hopp

******
[4] Cambodia & Viet Nam
Date: Thu 19 Jan 2012
Source: Asia Pacific news, channelnewsasia.com, Agence France-Presse report [edited]
http://www.channelnewsasia.com/stories/afp_asiapacific/view/1177735/1/.html

Viet Nam on Thursday [19 Jan 2012] reported its 1st human death from bird flu in nearly 2 years, as the virus also claimed the life of a toddler in Cambodia.

Concerns about avian influenza have risen in the region after China in late December [2011] reported its 1st fatality from the H5N1 virus in 18 months, but Vietnamese authorities said there was no need to be alarmed. "The bird flu situation is still within our control," said Le Minh Hung, a doctor from the Health Department of Ho Chi Minh City. "Some healthcare teams have been sent to check on the situation in southern provinces."

The Vietnamese victim, who died on 11 Jan 2012, was a duck farmer from the southern Mekong delta province of Hau Giang, and experts were investigating whether the infection came from his flock. It was Viet Nam's 1st human death from the disease since April 2010.

In neighbouring Cambodia, a 2 year old boy from north western Banteay Meanchey province, who is thought to have been exposed to sick poultry, died on 18 Jan 2012 from the virus, WHO said. The H5N1 strain of avian influenza has killed more than 340 [now 342] people worldwide since 2003, according to WHO statistics.

Viet Nam has recorded one of the highest numbers of fatalities from bird flu in South East Asia, with 59 deaths since 2003, according to WHO. In Cambodia, 17 people have died of H5N1, according to the UN agency. All of Cambodia's 8 bird flu cases last year [2011] were fatal, the last of them in August 2011. Seven of the victims were children.

Winter is the season when the virus tends to boom. Since early January 2012, more than 3000 birds have been culled in Viet Nam's Mekong delta area in an effort to contain bird flu outbreaks.

--
communicated by:
ProMED-mail from HealthMap alerts
<promed@promedmail.org>

[As of 19 Jan 2012, the global total of human cases of avian A/(H5N1) virus infection is now 581 cases, 342 of which have been fatal (see: "Cumulative number of confirmed human cases for avian influenza A(H5N1) reported to WHO, 2003-2012" at: http://www.who.int/entity/influenza/human_animal_interface/H5N1_cumulative_table_archives/en/).

Indonesia with 184 cases, Egypt with 159 cases, and Viet Nam with 119 cases [120 when the above case is confirmed by WHO] head the list of the 15 countries affected by avian A/(H5N1) influenza virus infection. - Mod.CP

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1iGB, http://healthmap.org/r/1zkM, http://healthmap.org/r/1Aiz, http://healthmap.org/r/1jtz.]

See Also