Identifier
Created
Classification
Origin
06PHNOMPENH595
2006-03-29 01:03:00
UNCLASSIFIED
Embassy Phnom Penh
Cable title:  

CAMBODIA/AI: THREE SUSPECTED CASES TEST NEGATIVE

Tags:  EAGR KFLU SENV AMED CB 
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VZCZCXRO5004
OO RUEHHM RUEHLN RUEHPB
DE RUEHPF #0595 0880103
ZNR UUUUU ZZH
O 290103Z MAR 06
FM AMEMBASSY PHNOM PENH
TO RUEHC/SECSTATE WASHDC IMMEDIATE 6368
INFO RUEHZN/ENVIRONMENT SCIENCE AND TECHNOLOGY COLLECTIVE IMMEDIATE
RHHMUNA/HQ USPACOM IMMEDIATE
RUEHRC/DEPT OF AGRICULTURE WASHDC IMMEDIATE
RUEAUSA/DEPT OF HHS WASHDC IMMEDIATE
RUEHPH/CDC ATLANTA GA IMMEDIATE
UNCLAS PHNOM PENH 000595 

SIPDIS

SIPDIS

STATE FOR EAP/MLS, OES/IHA DANIEL SINGER AND NATALIA
COMELLA, AND CA/OCS/ACS ELIZABETH RYAN
HHS FOR ASST SEC STEWART SIMONSON
GENEVA FOR RMA

E.O. 12958: N/A
TAGS: EAGR KFLU SENV AMED CB
SUBJECT: CAMBODIA/AI: THREE SUSPECTED CASES TEST NEGATIVE
FOR AVIAN INFLUENZA

REF: A. PHNOM PENH 570


B. PHNOM PENH 583

UNCLAS PHNOM PENH 000595

SIPDIS

SIPDIS

STATE FOR EAP/MLS, OES/IHA DANIEL SINGER AND NATALIA
COMELLA, AND CA/OCS/ACS ELIZABETH RYAN
HHS FOR ASST SEC STEWART SIMONSON
GENEVA FOR RMA

E.O. 12958: N/A
TAGS: EAGR KFLU SENV AMED CB
SUBJECT: CAMBODIA/AI: THREE SUSPECTED CASES TEST NEGATIVE
FOR AVIAN INFLUENZA

REF: A. PHNOM PENH 570


B. PHNOM PENH 583


1. Three persons hospitalized on March 25 with symptoms and
exposure patterns consistent with avian influenza have all
tested negative for the virus (ref B). Asymptomatic
contacts of the hospitalized individuals also tested
negative for avian influenza. Following extensive screening
efforts, there have been no other confirmed cases of humans
infected with avian influenza following the death of a three-
year-old girl on March 21 (ref A). No additional
individuals are being monitored at this time.


2. According to the World Health Organization,
immunofluorescence antibody (IFA) tests conducted at the
National Animal Health and Production Investigation Centre
(NAHPIC) on ducks from the deceased girl's village revealed
that approximately 30% of the specimens were infected with
avian influenza. These findings indicate that the virus was
circulating in the village. There have also been rumors of
poultry deaths in another commune in the same district in
Kampong Speu province as the affected village. Provincial
Health Department and Ministry of Agriculture, Forestry, and
Fisheries personnel intends to investigate.


3. The Ministry of Health continues to maintain an active
presence in the affected district. Village Health
Volunteers are leading training on recognizing the signs and
symptoms of avian influenza and knowing who to contact if a
possible avian influenza case is identified. The Minister
for Health, Dr. Nuth Sokhom, attended the opening of one of
the training sessions in order to demonstrate the
government's commitment. Posters warning about the dangers
of handling sick/dead poultry and emphasizing the importance
of hand washing are being printed and will be distributed in
the affected area.


4. Post's CDC office will remain in close contact with the
investigation team and is prepared to provide technical
assistance, if requested.


5. COMMENT. This incident has highlighted dramatic
improvements in Cambodian avian influenza response
capability in the last year. As opposed to last year when
the RGC had to scramble to respond to reported cases, once
this case was identified, Ministry of Health, World Health
Organization, and Pasteur Institute staff worked together to
quickly identify and test 43 community contacts and 17
healthcare contacts. The Pasteur Institute tested specimens
from all contacts locally using polymerase chain reaction
(PCR) testing and made results available within days. The
Ministry of Health, World Health Organization, and UNICEF
quickly mounted an education campaign. On the other hand,
communication has been difficult as some investigation team
members are overwhelmed with both work and inquiries and
have been difficult to reach by phone or email. At times,
press leaks have gotten ahead of official dissemination of
information. END COMMENT.

Mussomeli