China - Avian
Influenza Situation

WHO Update
As of 25 Jan 2006, the Ministry of Health in China has confirmed the country's 10th case of human infection with the H5N1 avian influenza virus. The case occurred in a 29-year-old woman from Chengdu City in the south-central province of Sichuan. She developed fever on 12 Jan 2006 and was hospitalized with symptoms of pneumonia. Authorities say her condition deteriorated rapidly, and she died on 23 Jan 2006. Information provided to WHO indicates that she was self-employed in a shop selling dry goods. No information on possible exposure to diseased birds as the source of her infection is presently available, but an investigation is underway. Close contacts have been placed under medical observation.
This is the 2nd human case reported this year [2006] in China, both from Sichuan Province. The 2 Sichuan cases occurred in different prefectures located around 150 km apart. A confirmed outbreak of H5N1 in poultry began in late December 2005 in another part of the province. No outbreaks have been confirmed in the areas where the 2 human cases resided.
During 2005, Chinese agricultural authorities reported 32 outbreaks in poultry in 12 provinces, resulting in the culling of more than 24 million birds. The appearance of human cases in areas without reported poultry outbreaks is a cause for concern. WHO recommends that, in China, testing for possible H5N1 infection should be undertaken in all cases of severe respiratory disease having no alternative diagnosis, even when no poultry outbreak has been reported in the patient's area of residence.
Of the 10 cases confirmed in China, 7 have been fatal. The cases have occurred in 7 provinces and regions: Anhui, Guangxi, Liaoning, Jiangxi, Fujian, Hunan, and Sichuan. No poultry outbreaks have been officially reported in 2 of these provinces.
Japanese Group Says North Korean Infected With Avian Influenza
World Health Organization
CSR -Disease Outbreak News
(Reuters) -- A Japanese group helping defectors from North Korea said on Wed [25 Jan 2006] that a woman in Pyongyang was infected with bird flu last month, after chickens carrying the disease were found in the capital. Lee Young-wha, head of Rescue the North Korean People's Urgent Action Network, did not elaborate on how members of his group had found the woman to be affected but said she was reported to have been admitted to a Red Cross hospital in December [2005].
He had the group, strongly critical of North Korean leader Kim Jong-il, make checks, after scientists from a group representing pro-Pyongyang Koreans living in Japan went to North Korea carrying 10 packs of the anti-flu drug Tamiflu. Lee, however, said members of the group could not verify whether the woman had been infected with the virulent H5N1 strain of avian influenza or a less virulent strain.
North Korea's state media said in November 2005 that it was stepping up its efforts to counter an outbreak of bird flu, but no cases of human infection had been reported.
A ProMED-mail correspondent in Japan has provided the following additional information from Sankei Shimbun, Japan's 5th largest daily newspaper. A government source has stated that there have been outbreaks of bird flu in rural areas of North Korea since September 2005 and outbreaks in 3 areas of Pyongyang in December 2005. At least one woman was infected and admitted to the Red Cross Hospital in Pyongyang. A Japanese public security service source confirmed that the Association of Chosun People in Japan delivered a quantity of Tamiflu to Pyongyang last September [2005].
Further information about the current disease situation in North Korea and confirmation or not of the suspected human case would be welcomed. - Mod.CP
Indonesia: Chicken Vendor Hospitalized with Avian Influenza
(Reuters) -- An Indonesian chicken seller in Jakarta is in hospital after being infected with H5N1 avian influenza virus, according to local test results, a senior Health Ministry official said on Wed 25 Jan 2006. Hariadi Wibisono, director of control of animal-borne diseases at the ministry, said the 22-year-old man was being treated in a Jakarta hospital designated for bird flu patients.
"Local tests show he was positive for avian influenza virus. He is a chicken vendor in a traditional market," Wibisono said, adding blood samples had been sent to a Hong Kong laboratory recognized by the World Health Organization for confirmation.
Indonesia has had 14 confirmed deaths from bird flu and 5 cases in which patients have survived.
Patricia A. Doyle, DVM, PhD- Bus Admin, Tropical Agricultural Economics
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