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AVIAN INFLUENZA, HUMAN (03): CAMBODIA, WORLD HEALTH ORGANISATION UPDATE Update: 2/5/2013 3:13:58 PM (GMT+7)

Date: Fri 1 Feb 2013 Source: World Health Organisation (WHO), CSR Disease Outbreak News

Avian influenza -- situation in Cambodia update
------------------------------
-----------
The Ministry of Health (MoH) of the Kingdom of Cambodia reported 5 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 Jan 2013, a 35-year-old male from Kong Pisey
district, Kampong Speu Province, with onset 13 Jan 2013, a
17-month-old female from Kong Pisey district, Kampong Speu Province,
with onset 13 Jan 2014, and a 9-year-old female from Toeuk Chhou
district, Kampot Province, with onset on 15 Jan 2013.

The cases all presented with fever, cough and other ILI
[influenza-like illness] symptoms. 4 of the cases died, with one 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
4 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 5 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 [Severe Acute
Respiratory Infection] 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 2 weeks. Health education messages have been distributed to
the community. The World Health Organization is actively assisting the
Ministry of Health in their investigations.
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