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      Avian Influenza Virus A (H5N1), Detected through Routine Surveillance, in Child, Bangladesh

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          Abstract

          We identified avian influenza virus A (H5N1) infection in a child in Bangladesh in 2008 by routine influenza surveillance. The virus was of the same clade and phylogenetic subgroup as that circulating among poultry during the period. This case illustrates the value of routine surveillance for detection of novel influenza virus.

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          Update on avian influenza A (H5N1) virus infection in humans.

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            Three Indonesian clusters of H5N1 virus infection in 2005.

            Since 2003, the widespread ongoing epizootic of avian influenza A (H5N1) among poultry and birds has resulted in human H5N1 cases in 10 countries. The first case of H5N1 virus infection in Indonesia was identified in July 2005. We investigated three clusters of Indonesian cases with at least two ill persons hospitalized with laboratory evidence of H5N1 virus infection from June through October 2005. Epidemiologic, clinical, and virologic data on these patients were collected and analyzed. Severe disease occurred among all three clusters, including deaths in two clusters. Mild illness in children was documented in two clusters. The median age of the eight patients was 8.5 years (range, 1 to 38). Four patients required mechanical ventilation, and four of the eight patients (50%) died. In each cluster, patients with H5N1 virus infection were members of the same family, and most lived in the same home. In two clusters, the source of H5N1 virus infection in the index patient was not determined. Virus isolates were available for one patient in each of two clusters, and molecular sequence analyses determined that the isolates were clade 2 H5N1 viruses of avian origin. In 2005 in Indonesia, clusters of human infection with clade 2 H5N1 viruses included mild, severe, and fatal cases among family members. Copyright 2006 Massachusetts Medical Society.
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              Avian influenza A (H5N1) infection in eastern Turkey in 2006.

              An outbreak of highly pathogenic avian influenza A (H5N1) that had previously been detected throughout Asia, with major economic and health repercussions, extended to eastern Turkey in late December 2005 and early January 2006. We documented the epidemiologic, clinical, and radiologic features of all cases of confirmed H5N1 virus infection in patients who were admitted to Yuzuncu Yil University Hospital in Van, Turkey, between December 31, 2005, and January 10, 2006. H5N1 virus infection was diagnosed in eight patients. The patients were 5 to 15 years of age, and all eight had a history of close contact with diseased or dead chickens. The mean (+/-SD) time between exposure and the onset of illness was 5.0+/-1.3 days. All the patients had fever, and seven had clinical and radiologic evidence of pneumonia at presentation; four patients died. Results of enzyme-linked immunosorbent assay and rapid influenza tests were negative in all patients, and the diagnosis was made by means of a polymerase-chain-reaction assay. H5N1, which causes a spectrum of illnesses in humans, including severe and fatal respiratory disease, can be difficult to diagnose. Copyright 2006 Massachusetts Medical Society.
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                Author and article information

                Journal
                Emerg Infect Dis
                EID
                Emerging Infectious Diseases
                Centers for Disease Control and Prevention
                1080-6040
                1080-6059
                August 2009
                : 15
                : 8
                : 1311-1313
                Affiliations
                [1]International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh (W.A. Brooks, R. Sultana, M.S. Islan, Mustafizur Rahman, K. Nahar, D. Goswami, S. Nahar, R.U. Zaman, S.P. Luby)
                [2]Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA (W.A. Brooks)
                [3]Institute of Epidemiology, Disease Control and Research, Dhaka (A.S.M. Alamgir, S. Haider, Mahmudur Rahman)
                [4]Centers for Disease Control and Prevention, Atlanta, Georgia, USA (A.M. Fry, B. Shu, S. Lindstrom, E. Butler, K. Hancock, R.O. Donis, C.T. Davis, S.P. Luby, T.M. Uyeki)
                Author notes
                Address for correspondence: W. Abdullah Brooks, Health Systems Infectious Diseases Division, ICDDR,B, GPO Box 128, Mohakhali, Dhaka 1000, Bangladesh; email: abrooks@ 123456icddrb.org
                Article
                09-0283
                10.3201/eid1508.090283
                2815980
                19751601
                0055123a-9d9b-41dd-9b00-66aa2fa5df2f
                History
                Categories
                Dispatch

                Infectious disease & Microbiology
                influenza,avian influenza,surveillance,bangladesh,human,dispatch,viruses,h5n1

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