Cambodian bird flu deaths prompt awareness drive

Cambodian bird flu deaths prompt awareness drive

The Ministry of Health of Cambodia has announced a confirmed case of  human infection with avian influenza A (H5N1) virus.

The case was a 10 years old female from Kampong Speu Province. She developed symptoms on 20 May 2012 and after initial treatment at the village was eventually admitted to the hospital on 25 May with symptoms of fever and shortness of breath. Infection with avian influenza A(H5N1) virus was confirmed by Pasteur Institute in Cambodia on 26 May 2012, however, despite intensive medical care, she died on 27 May 2012.

There are reports of recent deaths among poultry in her village and the patient prepared sick chicken for food prior to becoming sick.

The National and local Rapid Response Teams (RRT) are conducting outbreak investigation and response following the national protocol. In addition, a public health education campaign is being conducted in the village to inform families on how to protect themselves from contracting avian influenza.

Health authorities in Cambodia will bolster public awareness campaigns on H5N1 avian influenza after four people became infected in January, resulting in two fatalities.

“Ongoing public awareness campaigns need to be reinforced through TV and radio,” Sok Touch, director of Cambodia’s Communicable Disease Control Department (CDC), told IRIN on 28 January, calling on people to be vigilant. “We’re planning on doing this immediately as there is no room for complacency.”

The four cases of H5N1 avian influenza, commonly known as bird flu, are the first confirmed in Cambodia this year. There were three recorded cases (all fatal) in 2012.

Since 2005, 24 people have been infected resulting in 21 deaths, according to WHO, with over half of the infections in children under 14.

According to a joint statement from the Ministry of Health and World Health Organization (WHO) on 25 January, an eight-month-old boy from the capital Phnom Penh recovered after being infected with bird flu, while a 15-year-old girl from southwestern Takeo Province and a 35-year-old man from southwestern Kampong Speu Province died after contracting the virus.

The CDC said the boy had contact with chickens at a market, but the girl from Takeo and the man from Kampong Speu both fell ill after cooking dead chickens gathered from their villages.

A fourth case, also in Kampong Speu, was confirmed by the Ministry of Health on 27 January, when a 17-month-old girl tested positive for H5N1.

“We are working closely with the Ministry of Health to enhance surveillance of H5N1,” said Sonny Krishnan, communications officer with WHO in Phnom Penh, adding that WHO did not know yet if there was a link between the cases of the girl and 35-year-old man.

“We just did a map of the two communes and they’re not far from each other, so there could be an indication of a movement of poultry," Krishnan said.

Philippe Buchy, head of virology at the Pasteur Institute in Phnom Penh, said the best way to avoid further infections was to contain infected poultry, which is complicated in Cambodia.

“The country is large, there is not the surveillance required; a lot of resources [that are needed]... are not available to monitor clearly the poultry deaths everywhere, especially in a country where most of the production is backyard,” he said.

An earlier report by the UN Food and Agriculture Organization (FAO) indicated that chickens are kept by 90-95 percent of rural households, providing an important source of protein and livelihoods for millions.

According to WHO, since 2003, there have been 613 laboratory confirmed cases of H5N1 with 362 related deaths worldwide.

Whole contents from:
http://afludiary.blogspot.com/2012/05/who-cambodian-h5n1-update.html

Bird Flu found 3 case this January 2013

Three cases reported infected by ​H5N1

Phnom Penh: Ministry of Health and World Health Organization warned others three new cases reported infected by H5N1 in this January 2013 which 2 cases on children and 1 case on a 35 year old man.

Morm Bunheng Health Minister said in a news broadcast on Friday evening that "Bird Flu AH5N1 continued to harm Cambodian people health". He also added this is a three cases reported human infected and children are the most at risk for this disease. He asked parents and children care giver should take away the child from direct contact and play with domestic poultry and recommend them to wash children hand frequently with soap. If children have the symptom of short breathe or hard breathe should hurry bring them to the nearest health care and tell their history of dead poultry exposed.

For these three cases reported one had infected on an 8 month old baby boy in Chreykorng, Sankat Chormchao, Khan Po Senchey, Phnom Penh. The second case reported on a 15 year old child in Snor village, Snor Commune, Prey Kabas district, Takeo province. The last case reported infected on a 35 year old man in Trapeang Sla village, Preah Nipean commune, Kong Pisey district, Kampong Speu. All of them had history of direct exposed to dead poultry before got sick.


The last man is the 24th of the case reported in Cambodia, the 3rd in this 2013, and the 21st died of this disease. There are 15/24 cases were reported infected on children under 14 years old and 15/24 are female.

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3rd Case H5N1 Found

Another 10 years old girl died of H5N1

 Wednesday 30, 2012

World Health Organization (WHO) declared that a 10 years old Cambodian girl was infected by avian influenza virus, H5N1 and died on May 28, 2012. This is the 3rd case in this year,

Ministry of Health cooperated with WHO have announced on May 20, 2012. The infected girl, Im Sokhorn, had got high fever seriously cough since May 20, 2012 but had sent to Kantha Bopha hospital 5days later on May 25, 2012. The girl was tested positive of H5N1 by Institute Pasteur du Cambodge (IPC) on May 26, 2012.

Recently, there are reports about infected poultries and died in many villages and also have patients that are infected from this poultries by eating their flesh as meal.

The girl is from Baseth district, Kampong Speu province who is ths 21st of the infected patientsof this virus since 2003. She is the 3rd that infected by H5N1 in 2012 and 9th who died of this disease

A record from WHO said there are 357 patient who infected by this virus died since 2003. They noticed that this virus first found infected people in China, Vietnam and Indonesia. It also noticed that all are died after.

Link to first case, second case

H5N1 2nd case found in Kampong Chhnang, Cambodia

18th case reported died in Cambodia of H5N1

Kampong Chhnang: New case reported positive on a girl in Kbal Koh village, Ampil Teuk commune, Kampong Tralach district, Kampong Chhnang province. The girl died on 30 March 2012 in a public hospital in Phnom Penh after sent for treating for two days.

Chief villager Kbal Koh said "The girl name Noy Makara 6 years old. He doesn't know when she was ill. The girl was treat in the vilage but wasn't better then sent to Phnom Penh hospital on 28 March and died on 30 March. She was burn at the hospital after died. He isn't sure whether the girl is died of avian influenza disease but Kampong Chhnang health ministry had educated the villagers about health issues and warn not to attach and eat the dead poultries and also introduced them to burn those . He added that "Her family feed 20 poultries and they became sick and died following others only one hen left but also getting sick.

Mr. Morm Malai, vice head of Kampong Chhnang health ministry and is the president of Fast Response said the girl is really died of H5N1 and declared she might infected via poultries. He added that she started ill on 22 March and cured at home till 28 March and sent to cure in Kantha Bopha in Phnom Penh and died on 30March.

After this case occur Ministry of Agriculture and office of veterinary treatment had come to educate and introduce the villagers get kill the disease in the village and the health ministry has collected the blood sample from the ill and the suspect to diagnose. This process last for two days from 31 March-1 April. Beside blood sample diagnose the ministry is still following up the case.

Link to Fisrt case
Referrence:http://kohsantepheapdaily.com.kh/article/38885.html

First case of AH5N1 in 2012 died, 17th case in Cambodia

Cambodian Child found infected by Avian Influenza A H5N1 Reported Died

January 18 2012

Banteay Mean Chey: A boy of 2 year old has tested present with AH5N1 after found many poultry have died according to the report from Ministry of Health on Monday.

The boy's name Hin Heang live in Phum Ropark, Khum Snuol Mean Chey, Srok Preah Net Preah. Heang is curing in Angkor Hospital for Children(AHC) in Siem Reap.

This is the first case reported infected on human in 2012 . Avian Influenza has first found infected on human in Cambodia since 2005 and killed 16 people till now.

His grandmother, Tek Reoung, age 60 years old told her grandson start feel ill since January 3 with the symptom of fever  and vomiting after which poultry in the village sick. The child was sent to AHC since January 9. 

Dr. Nov Lakena specialized pediatric in AHC said "Heang is in serious condition that cause he was sent here too late. His immunity get weaker and his got severe lung damage. Yesterday he got more in trouble cause his kidney get weaker too that lead to high risk to his life.

Mr. Keo Sopharktra chief of Banteay Mean Chey's Ministry of Health said "Recently, in that area reported there are more than 5.000 poultries died including in the child's house. He added that the child might be infected by direct contact with pultries when playing near household.

He declared the villagers in the area were tested for the present of AH5N1 and dilivered Tamilflu to be protected and some poultries were destroyed to prevent the spreading.

The boy is reported die a day later which is on Wednesday 18 January 2012 at 3:00 early morning.

This case lead Cambodia have the the total victim of Avian Influenza 17 since 2005.

The health center reported there is no other villagers tested positive with AH5N1 then.

Referrences: 

Cambodia-child-reportedly-infected-by-bird-flu

Cambodia-bird-flu-killed-two-year-old-boy-siem-reap