THAILAND - poss sus cases in Phitsanulok & Phichit

[yielddude]

Phitsanulok family may have bird flu (Thailand)

bangkokpost.com

Four members of a family in Phitsanulok are suspected to be infected with H5N1 avian flu after they ate a dead duck from their farm.

Dr Thawatchai Kamoltham, the Phitsanulok provincial health chief, said Thursday that health authorities had declared the family's duck farm in Tambon Tortae, Wat Bot district, off-limits for two weeks as a precaution. About 600 ducks on the farm have been slaughtered, he said.

The farm also has about 30 pigs which may have contracted H5N1 bird flu.

He disclosed that there are many flocks of free range ducks within a kilometre of the farm which need to be closely monitored.

Meanwhile, the Ministry of Public Health has instructed all provincial health officials to keep close watch on bird flu outbreak in their respective provinces now and in the next two months. Influenza is a greater risk during the cool months.

Precautions undertaken include

- Monitoring of poultry in farms by volunteers and alerting health authorities in case there are unusual death of the birds.

- Sick birds will first be assumed as infected with bird flu.

- All hospitals must treat patients with bird flu symptoms as suspected bird flu cases.

http://www.bangkokpost.com/breaking_news/breakingnews.php?id=116125

[AlaskaDenise]

Re: Phitsanulok family may have bird flu

........Four members of a family in Phitsanulok are suspected to be infected with H5N1 avian flu after they ate a dead duckfrom their farm.

..........
The farm also has about 30 pigs which may have contracted H5N1 bird flu.

He disclosed that there are many flocks of free range ducks within a kilometre of the farm .........

sick people + sick ducks + sick pigs = very adapted virus

Sure hope the pig maybe turns into a negative.

.

[Thornton]

Re: Phitsanulok family may have bird flu (Thailand)

- All hospitals must treat patients with bird flu symptoms as suspected bird flu cases.

http://www.bangkokpost.com/breaking_....php?id=116125

Recall last summer that Thailand was very good about reporting suspect cases and later with follow up on results. Also remember that that the symptoms of bird flu match the symptoms of seasonal influenza, flu like illnesses and numerous other infections that are all common. Thus the hospitals are going to have to deal with a ratio possibly tens or hundreds of suspected cases for each case in the next few days. This type of non-pandemic surge on demand for health care is one of the concerns we share in the US. We should watch and assist Thailand to learn from the experience.
jt

[Theresa42]

Re: THAILAND - Phitsanulok family may have bird flu

Hat-tip, treyfish!

New bird flu suspect hospitalised in Phichit

PHICHIT, Jan 18 (TNA) - A boy in this northern province suspected of having contracted avian influenza had direct contact with a sick chicken before falling ill.

The chicken died suspiciously and the boy developed a high fever. Doctors are waiting for lab tests to determine whether he is infected with the H5N1 virus or not.

The boy lives in Phothalae district in Phichit, the province that was hit by bird flu.

Meanwhile, animal husbandry officials at Phopratabchang ordered a quarantine for more than 2,000 free-range ducks in the Banthungyai area in the district.

Duck samples were sent to the lab to check the possible spread of the H5N1 virus.

Sithidej Panthongchai, supervising a Phichit animal quarantine checkpoint, said it was set up to prevent the movement of poultry between Phitsanulok and Phichit provinces.

Poultry movements will be allowed only with permission from veterinarians, and the birds must be sprayed with disinfectant.

Meanwhile, the Public Health Ministry spokesperson in Bangkok said provincial chief medical officers (CMOs) nationwide were instructed to strictly implement bird flu prevention measures during the next two months.

Dr. Supan Srithamma said that Dr. Somyot Charoensak, Deputy Permanent Secretary for Public Health, in his capacity as chairman of the centre for bird flu, influenza and new communicable diseases, ordered the alert and close monitoring of bird flu to prevent any outbreak.

CMO responsibilities include reporting unusual deaths of poultry to the authorities. All persons having close contact with poultry, especially farmers, whether the birds are dead or alive, are asked to take special precautions to avoid contracting the deadly viral disease.

Symptoms resembling bird flu in any patient requires immediate medical attention, he said.

The Department of Health Service Support had set aside Bt9 million to train village public health volunteers to upgrade their skills on bird flu prevention practices.

It was expected that the training in all districts nationwide will be complete in February.

Thailand is among the countries most affected by the H5N1 strain of the bird flu virus, recording 25 human cases, 17 of them fatal, since the most recent outbreak here in 2004.

http://etna.mcot.net/query.php?nid=27357

[MHSC]

Re: THAILAND - poss sus cases in Phitsanulok & Phichit

Highly pathogenic avian influenza, Thailand Information received on 15/01/2007 from Dr. Yukol Limlamthong, Director-General, Department of Livestock Development, Ministry of Agriculture and Cooperatives, BANGKOK, Thailand
Summary
<table class="rep_table" border="0" cellpadding="0" width="100%"> <tbody> <tr> <td class="rep_item" width="200">Report type</td> <td class="rep_data">Immediate notification</td></tr> <tr> <td class="rep_item" width="200">Start date</td> <td class="rep_data">09/01/2007</td></tr> <tr> <td class="rep_item" width="200">Date of confirmation of event</td> <td class="rep_data">15/01/2007</td></tr> <tr> <td class="rep_item" width="200">Report date</td> <td class="rep_data">15/01/2007</td></tr> <tr> <td class="rep_item" width="200">Date submitted to OIE</td> <td class="rep_data">16/01/2007</td></tr> <tr> <td class="rep_item" width="200">Reason for notification</td> <td class="rep_data">Reoccurrence of listed disease</td></tr> <tr> <td class="rep_item" width="200">Date of previous occurrence</td> <td class="rep_data">16/07/2006</td></tr> <tr> <td class="rep_item" width="200">Manifestation of disease</td> <td class="rep_data">Clinical disease</td></tr> <tr> <td class="rep_item" width="200">Causal agent</td> <td class="rep_data">Highly pathogenic avian influenza virus</td></tr> <tr> <td class="rep_item" width="200">Serotype</td> <td class="rep_data">H5N1</td></tr> <tr> <td class="rep_item" width="200">Nature of diagnosis</td> <td class="rep_data">Suspicion, Clinical, Laboratory (basic), Laboratory (advanced), Necropsy</td></tr> <tr> <td class="rep_item" width="200">Report pertains to</td> <td class="rep_data">Defined zone within the country</td></tr></tbody></table> New Outbreaks <table class="rep_table" border="0" width="100%"> <tbody> <tr> <td class="rep_item_ob" width="200">Summary of outbreaks</td> <td class="rep_data_ob">Total outbreaks: 1</td></tr> <tr> <td class="rep_item" width="200">Outbreak Location</td> <td class="rep_data">

• PHITSANULOK (Village No. 5, PlaiChumPol, Muang)

</td></tr><tr> <td class="rep_item" width="200">Total animals affected</td> <td> <table class="rep_sub_table" border="0" width="100%"> <tbody> <tr> <td class="rep_sub_item" width="20%">Species</td> <td class="rep_sub_item" width="16%">Susceptible</td> <td class="rep_sub_item" width="16%">Cases</td> <td class="rep_sub_item" width="16%">Deaths</td> <td class="rep_sub_item" width="16%">Destroyed</td> <td class="rep_sub_item" width="16%">Slaughtered</td></tr> <tr valign="top"> <td class="rep_sub_data">Birds</td> <td class="rep_sub_data">2100</td> <td class="rep_sub_data">130</td> <td class="rep_sub_data">100</td> <td class="rep_sub_data">1970</td> <td class="rep_sub_data">0</td></tr></tbody></table> </td></tr><tr> <td class="rep_item" width="200">Outbreak statistics</td> <td class="rep_data"> <table class="rep_sub_table" border="0" width="100%"> <tbody> <tr> <td class="rep_sub_item" width="20%">Species</td> <td class="rep_sub_item" width="20%">Apparent morbidity rate</td> <td class="rep_sub_item" width="20%">Apparent mortality rate</td> <td class="rep_sub_item" width="20%">Apparent case fatality rate</td> <td class="rep_sub_item" width="20%">Proportion susceptible removed* </td></tr> <tr valign="top"> <td class="rep_sub_data">Birds</td> <td class="rep_sub_data">6.19%</td> <td class="rep_sub_data">4.76%</td> <td class="rep_sub_data">76.92%</td> <td class="rep_sub_data">98.57%</td></tr></tbody></table>* Removed from the susceptible population either through death, destruction or slaughter</td></tr></tbody></table>
Epidemiology <table class="rep_table" border="0" width="100%"> <tbody> <tr> <td class="rep_item" width="200">Source of infection</td> <td class="rep_data">

• Under investigation

</td></tr> <tr> <td class="rep_item" width="200">Epidemiological comments</td> <td class="rep_data">Thailand is conducting from 3 January to 3 February 2007 its first intensive surveillance this year. This outbreak is the first finding in 2007. It corresponds to the current avian influenza case definition upon active clinical surveillance campaign. </td></tr></tbody></table>
Control measures <table class="rep_table" border="0" width="100%"> <tbody> <tr> <td class="rep_item" width="200">Measures already applied</td> <td class="rep_data">

• Movement control inside the country
• Screening
• Disinfection of infected premises/establishment(s)
• Dipping / Spraying
• Quarantine
• Stamping out
• Zoning
• Vaccination prohibited
• No treatment of affected animals

</td></tr> <tr> <td class="rep_item" width="200">Measures to be applied</td> <td class="rep_data">

• None specified

</td></tr></tbody></table>
Diagnostic test results <table class="rep_table" border="0" width="100%"> <tbody> <tr> <td class="rep_item" width="200">Laboratory name and type</td> <td class="rep_data">Lower Northern Veterinary Research and Development (Pitsanuloke) Centre, Department of Livestock Development. (Local laboratory)</td></tr> <tr> <td class="rep_item" width="200">Tests and results</td> <td> <table class="rep_sub_table" border="0" width="100%"> <tbody> <tr> <td class="rep_sub_item" width="35%">Species</td> <td class="rep_sub_item" width="40%">Test</td> <td class="rep_sub_item" width="15%">Test date</td> <td class="rep_sub_item" width="10%">Result</td></tr> <tr valign="top"> <td class="rep_sub_data">Birds</td> <td class="rep_sub_data">haemagglutination (HA) test</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positive</td></tr> <tr valign="top"> <td class="rep_sub_data">Birds</td> <td class="rep_sub_data">haemagglutination inhibition test (HIT)</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positive</td></tr> <tr valign="top"> <td class="rep_sub_data">Birds</td> <td class="rep_sub_data">reverse transcription ? polymerase chain reaction (RT-PCR)</td> <td class="rep_sub_data">11/01/2007</td> <td class="rep_sub_data">Positive</td></tr> <tr valign="top"> <td class="rep_sub_data">Birds</td> <td class="rep_sub_data">virus isolation</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positive</td></tr></tbody></table></td></tr></tbody></table>



Influenza aviar altamente pat?gena, Tailandia
Informaci?n recibida el 15/01/2007 desde Dr. Yukol Limlamthong, Director-General, Department of Livestock Development, Ministry of Agriculture and Cooperatives, BANGKOK, Tailandia
Resumen
<table class="rep_table" border="0" cellpadding="0" width="100%"> <tbody> <tr> <td class="rep_item" width="200">Tipo de informe</td> <td class="rep_data">Notificaci?n inmediata</td></tr> <tr> <td class="rep_item" width="200">Fecha de inicio</td> <td class="rep_data">09/01/2007</td></tr> <tr> <td class="rep_item" width="200">Fecha de la confirmaci?n del evento</td> <td class="rep_data">15/01/2007</td></tr> <tr> <td class="rep_item" width="200">Fecha del informe</td> <td class="rep_data">15/01/2007</td></tr> <tr> <td class="rep_item" width="200">Fecha de envio del informe a la OIE</td> <td class="rep_data">16/01/2007</td></tr> <tr> <td class="rep_item" width="200">Motivo de la notificaci?n</td> <td class="rep_data">Reaparici?n de una enfermedad de la Lista de la OIE</td></tr> <tr> <td class="rep_item" width="200">Fecha de la ocurrencia previa</td> <td class="rep_data">16/07/2006</td></tr> <tr> <td class="rep_item" width="200">Manifestaci?n de la enfermedad</td> <td class="rep_data">Enfermedad cl?nica</td></tr> <tr> <td class="rep_item" width="200">Agente causal</td> <td class="rep_data">Virus de la influenza aviar altamente pat?gena</td></tr> <tr> <td class="rep_item" width="200">Serotipo</td> <td class="rep_data">H5N1</td></tr> <tr> <td class="rep_item" width="200">Naturaleza del diagn?stico</td> <td class="rep_data">Sospecha, Cl?nico, Pruebas b?sicas de laboratorio (ej. parasitolog?a, bacteriolog?a, micolog?a, histopatolog?a), Pruebas de diagn?stico de laboratorio avanzadas (ej. virolog?a, microscop?a electr?nica, biolog?a molecular e inmunolog?a), Necropsia</td></tr> <tr> <td class="rep_item" width="200">Informe referido a</td> <td class="rep_data">Zona definida dentro del pa?s</td></tr></tbody></table> Nuevos focos <table class="rep_table" border="0" width="100%"> <tbody> <tr> <td class="rep_item_ob" width="200">Resumen de los focos</td> <td class="rep_data_ob">N?mero total de focos: 1</td></tr> <tr> <td class="rep_item" width="200">Localizaci?n del foco</td> <td class="rep_data">

• PHITSANULOK (Pueblo n?5, PlaiChumPol, Muang)

</td></tr><tr> <td class="rep_item" width="200">N?mero total de animales afectados</td> <td> <table class="rep_sub_table" border="0" width="100%"> <tbody> <tr> <td class="rep_sub_item" width="20%">Especies</td> <td class="rep_sub_item" width="16%">Susceptibles</td> <td class="rep_sub_item" width="16%">Casos</td> <td class="rep_sub_item" width="16%">Muertos</td> <td class="rep_sub_item" width="16%">Destruidos</td> <td class="rep_sub_item" width="16%">Sacrificados</td></tr> <tr valign="top"> <td class="rep_sub_data">Aves</td> <td class="rep_sub_data">2100</td> <td class="rep_sub_data">130</td> <td class="rep_sub_data">100</td> <td class="rep_sub_data">1970</td> <td class="rep_sub_data">0</td></tr></tbody></table> </td></tr><tr> <td class="rep_item" width="200">Estad?stica del foco</td> <td class="rep_data"> <table class="rep_sub_table" border="0" width="100%"> <tbody> <tr> <td class="rep_sub_item" width="20%">Especies</td> <td class="rep_sub_item" width="20%">Tasa de morbilidad aparente</td> <td class="rep_sub_item" width="20%">Tasa de mortalidad aparente</td> <td class="rep_sub_item" width="20%">Tasa de fatalidad aparente</td> <td class="rep_sub_item" width="20%">Proporci?n de animales susceptibles eliminados* </td></tr> <tr valign="top"> <td class="rep_sub_data">Aves</td> <td class="rep_sub_data">6.19%</td> <td class="rep_sub_data">4.76%</td> <td class="rep_sub_data">76.92%</td> <td class="rep_sub_data">98.57%</td></tr></tbody></table>* Eliminada desde la poblaci?n ya sea por muerte, destrucci?n o sacrificio</td></tr></tbody></table>
Epidemiolog?a <table class="rep_table" border="0" width="100%"> <tbody> <tr> <td class="rep_item" width="200">Fuente de infecci?n</td> <td class="rep_data">

• Under investigation

</td></tr> <tr> <td class="rep_item" width="200">Otros detalles epidemiol?gicos / comentarios</td> <td class="rep_data">Tailandia est? efectuando desde el 3 de enero al 3 de febrero de 2007 la primera vigilancia intensiva del a?o. Este foco es el primer foco detectado en 2007. Corresponde a la definici?n actual de caso de influenza aviar bajo la campa?a de vigilancia cl?nica activa.</td></tr></tbody></table>
Medidas de Control <table class="rep_table" border="0" width="100%"> <tbody> <tr> <td class="rep_item" width="200">Medidas ya aplicadas</td> <td class="rep_data">

• Restricci?n de los movimientos en el interior del pa?s
• Tamizaje
• Desinfecci?n de ?reas infectadas
• Aplicaci?n de ba?o / pulverizaci?n
• Cuarentena
• Sacrificio sanitario
• Zonificaci?n
• Vacunaci?n prohibida
• Ning?n tratamiento de los animales afectados

</td></tr> <tr> <td class="rep_item" width="200">Medidas a ser aplicadas</td> <td class="rep_data">

• Ninguno ha sido espec?ficado

</td></tr></tbody></table>
Resultados de las pruebas diagn?sticas <table class="rep_table" border="0" width="100%"> <tbody> <tr> <td class="rep_item" width="200">Nombre y tipo de laboratorio</td> <td class="rep_data">Centro de investigaci?n y desarrollo veterinario de la regi?n inferior del norte de Tailandia (Departamento de Desarrollo Pecuario, provincia de Pitsanuloke) (Laboratorio local)</td></tr> <tr> <td class="rep_item" width="200">Pruebas y resultados</td> <td> <table class="rep_sub_table" border="0" width="100%"> <tbody> <tr> <td class="rep_sub_item" width="35%">Especies</td> <td class="rep_sub_item" width="40%">Prueba</td> <td class="rep_sub_item" width="15%">Fecha de la prueba</td> <td class="rep_sub_item" width="10%">Resultados</td></tr> <tr valign="top"> <td class="rep_sub_data">Aves</td> <td class="rep_sub_data">haemagglutination (HA) test</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positivo</td></tr> <tr valign="top"> <td class="rep_sub_data">Aves</td> <td class="rep_sub_data">haemagglutination inhibition test (HIT)</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positivo</td></tr> <tr valign="top"> <td class="rep_sub_data">Aves</td> <td class="rep_sub_data">reverse transcription ? polymerase chain reaction (RT-PCR)</td> <td class="rep_sub_data">11/01/2007</td> <td class="rep_sub_data">Positivo</td></tr> <tr valign="top"> <td class="rep_sub_data">Aves</td> <td class="rep_sub_data">virus isolation</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positivo</td></tr></tbody></table></td></tr> <tr> <td class="rep_item" width="200">Nombre y tipo de laboratorio</td> <td class="rep_data">Centro de investigaci?n y desarrollo veterinario de la regi?n inferior del norte de Tailandia, Departamento de Desarrollo Pecuario, provincia de Pitsanuloke (Laboratorio local)</td></tr> <tr> <td class="rep_item" width="200">Pruebas y resultados</td> <td> <table class="rep_sub_table" border="0" width="100%"> <tbody> <tr> <td class="rep_sub_item" width="35%">Especies</td> <td class="rep_sub_item" width="40%">Prueba</td> <td class="rep_sub_item" width="15%">Fecha de la prueba</td> <td class="rep_sub_item" width="10%">Resultados</td></tr> <tr valign="top"> <td class="rep_sub_data">Aves</td> <td class="rep_sub_data">haemagglutination (HA) test</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positivo</td></tr> <tr valign="top"> <td class="rep_sub_data">Aves</td> <td class="rep_sub_data">haemagglutination inhibition test (HIT)</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positivo</td></tr> <tr valign="top"> <td class="rep_sub_data">Aves</td> <td class="rep_sub_data">reverse transcription ? polymerase chain reaction (RT-PCR)</td> <td class="rep_sub_data">11/01/2007</td> <td class="rep_sub_data">Positivo</td></tr> <tr valign="top"> <td class="rep_sub_data">Aves</td> <td class="rep_sub_data">virus isolation</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positivo</td></tr></tbody></table></td></tr></tbody></table>



Influenza aviaire hautement pathog?ne, Tha?lande
Information re?ue le 15/01/2007 de Dr. Yukol Limlamthong, Director-General, Department of Livestock Development, Ministry of Agriculture and Cooperatives, BANGKOK, Tha?lande
R?sum?
<table class="rep_table" border="0" cellpadding="0" width="100%"> <tbody> <tr> <td class="rep_item" width="200">Type de rapport</td> <td class="rep_data">Notification imm?diate</td></tr> <tr> <td class="rep_item" width="200">Date de d?but</td> <td class="rep_data">09/01/2007</td></tr> <tr> <td class="rep_item" width="200">Date de confirmation de l'?v?nement</td> <td class="rep_data">15/01/2007</td></tr> <tr> <td class="rep_item" width="200">Date du rapport</td> <td class="rep_data">15/01/2007</td></tr> <tr> <td class="rep_item" width="200">Date d'envoi ? l'OIE</td> <td class="rep_data">16/01/2007</td></tr> <tr> <td class="rep_item" width="200">Raison de notification</td> <td class="rep_data">R?apparition d?une maladie appartenant ? la liste de l'OIE</td></tr> <tr> <td class="rep_item" width="200">Date de la fr?quence pr?c?dente</td> <td class="rep_data">16/07/2006</td></tr> <tr> <td class="rep_item" width="200">Manifestation de la maladie</td> <td class="rep_data">Maladie clinique</td></tr> <tr> <td class="rep_item" width="200">Agent causal</td> <td class="rep_data">Virus de l'influenza aviaire hautement pathog?ne</td></tr> <tr> <td class="rep_item" width="200">S?rotypes</td> <td class="rep_data">H5N1</td></tr> <tr> <td class="rep_item" width="200">Nature du diagnostic</td> <td class="rep_data">Suspicion, Clinique, Tests ?l?mentaires en laboratoire (i.e. parasitologie, bact?riologie, mycologie, histopathologie), Tests approfondis en laboratoire (i.e. virologie, microscopie ?lectronique, biologie mol?culaire, immunologie), Necropsie</td></tr> <tr> <td class="rep_item" width="200">Ce rapport concerne</td> <td class="rep_data">Zone d?finie ? l'int?rieur du pays</td></tr></tbody></table> Nouveaux foyers <table class="rep_table" border="0" width="100%"> <tbody> <tr> <td class="rep_item_ob" width="200">R?capitulatif des foyers</td> <td class="rep_data_ob">Nombre total de foyers : 1</td></tr> <tr> <td class="rep_item" width="200">Localisation du foyer</td> <td class="rep_data">

• PHITSANULOK (Village n?5, PlaiChumPol, Muang)

</td></tr><tr> <td class="rep_item" width="200">Nombre total d'animaux atteints</td> <td> <table class="rep_sub_table" border="0" width="100%"> <tbody> <tr> <td class="rep_sub_item" width="20%">Esp?ce(s)</td> <td class="rep_sub_item" width="16%">Sensibles</td> <td class="rep_sub_item" width="16%">Cas</td> <td class="rep_sub_item" width="16%">Morts</td> <td class="rep_sub_item" width="16%">D?truits</td> <td class="rep_sub_item" width="16%">Abattus</td></tr> <tr valign="top"> <td class="rep_sub_data">Oiseaux</td> <td class="rep_sub_data">2100</td> <td class="rep_sub_data">130</td> <td class="rep_sub_data">100</td> <td class="rep_sub_data">1970</td> <td class="rep_sub_data">0</td></tr></tbody></table> </td></tr><tr> <td class="rep_item" width="200">Statistiques sur le foyer</td> <td class="rep_data"> <table class="rep_sub_table" border="0" width="100%"> <tbody> <tr> <td class="rep_sub_item" width="20%">Esp?ce(s)</td> <td class="rep_sub_item" width="20%">Taux de morbidit? apparent</td> <td class="rep_sub_item" width="20%">Taux de mortalit? apparent</td> <td class="rep_sub_item" width="20%">Taux de fatalit? apparent</td> <td class="rep_sub_item" width="20%">Animaux sensibles perdus* </td></tr> <tr valign="top"> <td class="rep_sub_data">Oiseaux</td> <td class="rep_sub_data">6.19%</td> <td class="rep_sub_data">4.76%</td> <td class="rep_sub_data">76.92%</td> <td class="rep_sub_data">98.57%</td></tr></tbody></table>* D?duit de la population sensible, soit pour cause de mort, de destruction ou d'abattage</td></tr></tbody></table>
Epid?miologie <table class="rep_table" border="0" width="100%"> <tbody> <tr> <td class="rep_item" width="200">Source de l?infection</td> <td class="rep_data">

• Under investigation

</td></tr> <tr> <td class="rep_item" width="200">Autres renseignements ?pid?miologiques / Commentaires</td> <td class="rep_data">La Tha?lande effectue du 3 janvier jusqu'au 3 f?vrier 2007 la premi?re campagne de surveillance intensive de l'ann?e . Ce foyer a ?t? le premier d?tect? en 2007. Il correspond ? la d?finition actuelle de cas d?influenza aviaire identifi? suite ? la surveillance clinique active. </td></tr></tbody></table>
Mesures de lutte <table class="rep_table" border="0" width="100%"> <tbody> <tr> <td class="rep_item" width="200">Mesure de lutte appliqu?es</td> <td class="rep_data">

• Restriction des d?placements ? l'int?rieur du pays
• D?pistage
• D?sinfection des ?tablissements infect?s
• Baln?ation / pulv?risation
• Quarantaine
• Abattage sanitaire
• Zonage
• Vaccination interdite
• Aucun traitement des animaux atteints

</td></tr> <tr> <td class="rep_item" width="200">Mesures de lutte devant ?tre appliqu?es</td> <td class="rep_data">

• Aucune mesure n'est sp?cifi?e

</td></tr></tbody></table>
R?sultats des tests de diagnostics <table class="rep_table" border="0" width="100%"> <tbody> <tr> <td class="rep_item" width="200">Nom du laboratoire et type</td> <td class="rep_data">Centre de recherche et de d?veloppement v?t?rinaire de la r?gion basse du nord de la Tha?lande, d?partement du d?veloppement de l'?levage, province de Pitsanuloke (Laboratoire local)</td></tr> <tr> <td class="rep_item" width="200">Tests et r?sultats</td> <td> <table class="rep_sub_table" border="0" width="100%"> <tbody> <tr> <td class="rep_sub_item" width="35%">Esp?ce(s)</td> <td class="rep_sub_item" width="40%">Test</td> <td class="rep_sub_item" width="15%">Date du test</td> <td class="rep_sub_item" width="10%">R?sultat</td></tr> <tr valign="top"> <td class="rep_sub_data">Oiseaux</td> <td class="rep_sub_data">haemagglutination (HA) test</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positif</td></tr> <tr valign="top"> <td class="rep_sub_data">Oiseaux</td> <td class="rep_sub_data">haemagglutination inhibition test (HIT)</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positif</td></tr> <tr valign="top"> <td class="rep_sub_data">Oiseaux</td> <td class="rep_sub_data">reverse transcription ? polymerase chain reaction (RT-PCR)</td> <td class="rep_sub_data">11/01/2007</td> <td class="rep_sub_data">Positif</td></tr> <tr valign="top"> <td class="rep_sub_data">Oiseaux</td> <td class="rep_sub_data">virus isolation</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positif</td></tr></tbody></table></td></tr> <tr> <td class="rep_item" width="200">Nom du laboratoire et type</td> <td class="rep_data">Centre de recherche et d?veloppement v?t?rinaire de la r?gion basse du nord de la Tha?lande (D?partement du d?veloppement de l'?levage, province de Pitsanuloke) (Laboratoire local)</td></tr> <tr> <td class="rep_item" width="200">Tests et r?sultats</td> <td> <table class="rep_sub_table" border="0" width="100%"> <tbody> <tr> <td class="rep_sub_item" width="35%">Esp?ce(s)</td> <td class="rep_sub_item" width="40%">Test</td> <td class="rep_sub_item" width="15%">Date du test</td> <td class="rep_sub_item" width="10%">R?sultat</td></tr> <tr valign="top"> <td class="rep_sub_data">Oiseaux</td> <td class="rep_sub_data">haemagglutination (HA) test</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positif</td></tr> <tr valign="top"> <td class="rep_sub_data">Oiseaux</td> <td class="rep_sub_data">haemagglutination inhibition test (HIT)</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positif</td></tr> <tr valign="top"> <td class="rep_sub_data">Oiseaux</td> <td class="rep_sub_data">reverse transcription ? polymerase chain reaction (RT-PCR)</td> <td class="rep_sub_data">11/01/2007</td> <td class="rep_sub_data">Positif</td></tr> <tr valign="top"> <td class="rep_sub_data">Oiseaux</td> <td class="rep_sub_data">virus isolation</td> <td class="rep_sub_data">15/01/2007</td> <td class="rep_sub_data">Positif</td></tr></tbody></table></td></tr></tbody></table>

OIE Animal Health Information Department
Departamento de Informaci?n Sanitaria de la OIE
Service de l?information sanitaire de l'OIE
information.dept@oie.int

[Niko]

Thailand Tests 11 People for Possible H5N1 Bird-Flu

Thailand Tests 11 People for Possible H5N1 Bird-Flu Infection
By Suttinee Yuvejwattana
Jan. 19 (Bloomberg) -- Thailand is monitoring 11 people for possible bird flu, less than a week after the lethal H5N1 avian- flu virus killed poultry in the country's first outbreak in more than five months.


The people, who are from nine Thai provinces, are being treated in the hospital for flu-like symptoms and had recent contact with dead poultry, Suphan Srithamma, a spokesman for the Public Heath Ministry, said in a telephone interview today.


``We have brought these patients in to closely watch them and to carry out a series of tests,'' Suphan said. ``So far, none of the results has been positive and no one has shown to be infected with the virus, but we will keep monitoring them for 10 days.''


Thailand is one of four Asian countries to report fresh H5N1 outbreaks in poultry in the past two months, signaling a resurgence of the disease that threatens to infect people and possibly spark a flu pandemic. About 2,100 poultry were culled in the northern Thai province of Phitsanulok to control the spread of the H5N1, the Agricultural Ministry's Avian Influenza Control Center said on Jan. 15.


The H5N1 strain is known to have infected 267 people in 10 countries since 2003, killing 161 of them, the World Health Organization said on Jan. 15. Millions could die if H5N1 mutates to become as contagious as seasonal flu, touching off a global outbreak.


Thailand has recorded 25 human H5N1 cases, 17 of which were fatal. The last reported human infection occurred in July 2006 in a 59-year-old man from Nong Bua Lam Phu Province in the northeastern part of the country. He died of severe pneumonia on Aug. 10, according to the WHO.


Of the 11 patients being monitored in the hospital, three are from the central province of Suphan Buri, 100 kilometers (62 miles) from Bangkok, where dead pigeons and other wild birds were found to have died last month of H5N1
.
To contact the reporter on this story: Suttinee Yuvejwattana in Bangkok at Suttinee1@bloomberg.net .
Last Updated: January 19, 2007 00:02 EST

http://www.bloomberg.com/apps/news?pid=20601202&sid=aOJ15xBBWmbQ&refer=healthcare

[Niko]

Re: THAILAND - poss sus cases in Phitsanulok &amp; Phichit

Most of this posted previously. I missed the part about pigs in the earlier posts

Quarantine set as 4 new bird flu suspects surface in Phitsanulok
PHITSANULOK, Jan 19 (TNA) - Four members of a duck-farming family in the northern province of Phitsanulok are suspected to be infected with the virulent strain of bird flu after consuming two dead poultry thought to be carrying the disease, a senior public health official said Friday.

Phitsanulok provincial health chief Dr. Thawatchai Kamoltham said Thursday that health authorities had declared the family's duck farm in Tortae subdistrict of Wat Bot district here, quarantined for two weeks as a precaution.
About 600 ducks on the farm have been slaughtered and buried, he said.

The authorities were also concerned that some 30 pigs on the farm may have contracted H5N1 virus.

Dr. Thawatchai disclosed that there are many flocks of free range ducks within a one-kilometre radius of quarantined farm which must be closely monitored.

On Monday, the Public Health Ministry in Bangkok announced that a new outbreak of virulent bird flu was found in ducks in northern Thailand, the first such case in six months.

The outbreak of the H5N1 virus was confirmed by laboratory tests after the deaths of more than 100 ducks were reported in Plaichumpol subdistrict of the Phitsanulok provincial seat, according to Manet Runluang, an official at the Public Health Ministry's Department of Communicable Disease Control.

Thailand's Public Health Ministry ordered its staff and community health volunteers to increase measures to curb the outbreak and prevent its spread to humans. (TNA)-E110

http://etna.mcot.net/query.php?nid=27370

[Gert van der Hoek]

Re: THAILAND - poss sus cases in Phitsanulok &amp; Phichit

26 suspected bird-flu cases detected in Phitsanulok


Phitsanulok - A total of 26 suspected bird-flu cases are being closely watched in this northern province, a the chief public health officer of the province said Friday.

Doctor Thawatchai Kamoltham, chief Phitsanulok public health officer, said 15 of the 26 people under close watch for possible bird-flu contacting were officials taking part in culling infected fowls.

The rest were villagers from three districts of Muang, Wat Bote and Bang Rakam, Thawatchai said.

Only three of the 26 have been admitted to hospitals while the rest were being closely monitored at their home.

http://nationmultimedia.com/breakingnews/read.php?newsid=30024564

[Gert van der Hoek]

Re: THAILAND - poss sus cases in Phitsanulok &amp; Phichit

Confirmation of previous report:

26 suspected human bird-flu cases detected in N Thailand

www.chinaview.cn 2007-01-19 16:52:15


BANGKOK, Jan. 19 (Xinhua) -- A total of 26 suspected human bird-flu cases were being closely watched in Thailand's northern province of Phitsanulok since they fell sick after contacting with dead birds, the chief public health officer of the province said Friday.

Thawatchai Kamoltham, chief Phitsanulok public health officer, said 15 of the 26 people whose symptoms are similar to those of the deadly H5N1 bird flu virus were officials taking part in culling infected fowls.

The rest were villagers from three districts of Muang, Wat Boteand Bang Rakam, Thawatchai was quoted by Thai news group The Nation as saying.

However, only three of the 26 have been admitted to hospitals while the rest were being closely monitored at their home, the report said.

Local health authorities had declared a duck farm in Tortae sub-district of Phitsanulok off-limits for two weeks as a precaution. About 600 ducks in the farm have been slaughtered. It is also reported that there are also about 30 pigs in the province which may have contracted bird flu.

http://news.xinhuanet.com/english/2007-01/19/content_5627210.htm

[Theresa42]

Re: THAILAND - poss sus cases in Phitsanulok &amp; Phichit

Just a reminder - some links to the regional Departments of Disease Prevention and Control (DPCs) in Thailand can be found here:

http://www.flutrackers.com/forum/showthread.php?t=8398

[Theresa42]

Re: THAILAND - poss sus cases in Phitsanulok &amp; Phichit

Avian Influenza surveillance in human
As at January 18, 2007.
Bureau of Epidemiology, Department of Diseases Control, Ministry of Public Health (Thailand)

Since January 1, to January 18, 2007, the Bureau of Epidemiology has received reports of influenza or pneumonia cases in Avian Influenza Surveillance Network from the Provincial Health Offices and Disease Prevention and Control Regional Offices. The investigation and analysis were summarized as follows:

Cumulative number of patients under surveillance are 72 cases 22 provinces; Today reports are 11 cases. Three cases from Suphanburi, 2 each from Nongbualamphu and Kanchanaburi, and 1 each from Nakhonnayok, Phitsanulok, Kampaengphet, and Loei.

(...)

There are 10 cases under investigate reported, of which waiting for laboratory result.

http://thaigcd.ddc.moph.go.th/AI_case_report_070118.html

[Thornton]

Re: THAILAND - poss sus cases in Phitsanulok &amp; Phichit

See post 3.
Thailand is very thorough again. This week will be difficult. Operationally they may have to suspect and test over a thousand patients (just think of all the people who normally get fever and cough on any day in a city of millions).
But this blanket of testing is the best way to detect and case trace any true cases.
jt

[MHSC]

Re: THAILAND - poss sus cases in Phitsanulok &amp; Phichit

excerpt from here http://www.flutrackers.com/forum/sho...9957#post59957

In Phitsanulok, where H5N1 infections were recently confirmed in free-range ducks, health officers continued to monitor the situation closely and no case of suspected bird flu had been detected so far, said Somyos.

The lab results of two patients, a 29-year-old man and 13-year-old boy from the same sub-district where the bird-flu infected ducks were found, confirmed they had human influenza - not bird flu, he said.

http://www.nationmultimedia.com/2007...s_30024585.php

[yielddude]

Re: THAILAND - poss sus cases in Phitsanulok &amp; Phichit

BIRD FLU FREE-RANGE DUCKS DIE EN MASSE

Ayutthaya put under close watch
SUNTHON PONGPAO MALEENA DOLOH

Ayutthaya has been put under bird flu surveillance following the mass deaths of free-range ducks in Bang Pahan district. More than 1,500 ducks were culled by local livestock officials yesterday after 93 of the birds in the same flock died on Thursday from a still-undetermined cause.


The owner, Samroeng Kaewchalermthong, said the ducks were raised in a paddy field which was also a feeding ground of waterbirds.


Dead duck samples were collected and sent for lab testing.


Seven duck raisers in the district have fallen ill with flu-like symptoms. They are now on the watchlist of the provincial public health office.


Also, a villager who helped bury the dead ducks was admitted to Bang Pahan hospital after he developed a high fever and sore throat.


The Livestock Development Department has listed Ayutthaya as one of the areas prone to bird flu. Poultry raised in the province were found to be in poor health following severe flooding late last year. The floods also increased the risk of an outbreak of animal disease, officials said.


Nopporn Kaewkarn, chief of the provincial livestock office, said movements of free-range ducks from the neighbouring province of Suphan Buri to Ayutthaya had increased the possibility of a fresh bird flu outbreak in the province.


According to him, Suphan Buri farmers always bring their ducks to roam paddy fields in Ayutthaya after the harvest season so they could feed on fallen seed and grain.


Ayutthaya governor Cherdphan na Songkhla yesterday imposed a ban on fowl movements from Suphan Buri.


Checkpoints have been set up along roads linking the two provinces to prevent such movements.


Meanwhile, the Public Health Ministry yesterday reported that six villagers from tambon Plai Chumpol, in Phitsanulok province, where a fresh bird flu outbreak was confirmed on Monday, have been put on the bird flu watchlist.


They were in good condition, except a 29-year-old man and a 13-year-old boy who were admitted to hospital with high fever, said Somyos Charoensak, deputy permanent secretary for public health.


Initial lab tests showed they tested positive for influenza. However, more tests were needed to find out if they were infected with the H5N1 strain.


Doctors have already given the anti-flu drug Tamiflu to the 29-year-old man, said Dr Somyos.


The ministry also said that bird flu was not likely to have caused the death of a Vietnamese crewman in Samut Prakan province on Jan 14. However, test results have yet to come out.

http://www.bangkokpost.com/News/20Jan2007_news06.php

[Daisy]

Re: THAILAND - poss sus cases in Phitsanulok &amp; Phichit

I am wondering if the virus can be absorbed by the edible plants in the paddy. If the water if full of virus, would that not be possible? I guess I am asking if plants can be an intermediary. Can the virus suvive on the plant surface. Obviouly the virus will be killed when rice is cooked, but what about "water chestnuts" that are eaten raw? Can the Vietnamese and Thai people get h5n1 from eating food grown in the paddies where the virus is located?