Highly Pathogenic Avian Influenza H5N1, Thailand, 2004

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Highly Pathogenic Avian Influenza H5N1, Thailand, 2004
In January 2004, highly pathogenic avian influenza (HPAI) virus of the H5N1 subtype was first confirmed in poultry and humans in Thailand. Control measures, e.g., culling poultry flocks, restricting poultry movement, and improving hygiene, were implemented. Poultry populations in 1,417 villages in 60 of 76 provinces were affected in 2004. A total of 83% of infected flocks confirmed by laboratories were backyard chickens (56%) or ducks (27%). Outbreaks were concentrated in the Central, the southern part of the Northern, and Eastern Regions of Thailand, which are wetlands, water reservoirs, and dense poultry areas. More than 62 million birds were either killed by HPAI viruses or culled. H5N1 virus from poultry caused 17 human cases and 12 deaths in Thailand; a number of domestic cats, captive tigers, and leopards also died of the H5N1 virus. In 2005, the epidemic is ongoing in Thailand.

Highly pathogenic avian influenza (HPAI) is a devastating disease in poultry; it is associated with a high death rate and disrupts poultry production and trade. HPAI viruses may be transmitted from birds to humans, and they are a potential source of future human influenza pandemics. HPAI outbreaks were relatively rare until 1990 but occurred in many countries in the last decade. In Asia, since the HPAI H5N1 epidemic in Hong Kong in 1997, HPAI viruses have been isolated continuously through routine surveillance in Hong Kong, South Korea, and China. In Thailand, no evidence of HPAI infection was recorded before 2004. In 2003 and 2004, HPAI H5N1 outbreaks were reported in several Asian countries (South Korea, Vietnam, Japan, Thailand, Cambodia, Hong Kong, Laos, Indonesia, China, and Malaysia), and these outbreaks were not easily halted. Furthermore, H5N1 viruses crossed from birds to humans and caused 116 laboratory-confirmed cases in Vietnam, Thailand, Cambodia, and Indonesia with 60 deaths (as of September 29, 2005). We describe epidemiologic features of the HPAI H5N1 epidemic in Thailand in 2004, with focus on introduction of the virus, distribution of disease in Thai poultry, control measures, and consequences.

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