Investigation of avian influenza (H5N1) outbreak in humans--Thailand, 2004

Darin Areechokchai1, C Jiraphongsa, Y Laosiritaworn

  • 1Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand. doggyrin@health3.moph.go.th

MMWR Supplements
|April 29, 2006
PubMed
Abstract

Insights

The 2004 H5N1 avian influenza outbreak in Thailand was severe, especially in children. Direct contact with dead poultry was a major risk factor, leading to high mortality rates.

Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Public Health

Background:

  • A significant outbreak of influenza A (H5N1) virus occurred in poultry in Thailand starting in late 2003.
  • The first human case of H5N1 infection was confirmed on January 23, 2004.

Purpose of the Study:

  • To describe the clinical manifestations and epidemiological characteristics of human H5N1 cases.
  • To identify risk factors associated with H5N1 infection.

Main Methods:

  • A descriptive study and a matched case-control study were conducted.
  • Data were collected from February to November 2004.

Main Results:

  • Fever and respiratory symptoms were predominant in the 16 confirmed H5N1 cases.
  • Direct contact with dead poultry was a significant risk factor (OR=29.0).
  • Overall mortality was 75%, with 90% mortality in children under 15.

Conclusions:

  • Avian influenza (H5N1) was more severe in children.
  • Children should avoid handling dead poultry during outbreaks.
  • Early H5N1 in children can mimic dengue fever but is distinguished by cough and rapid progression to acute respiratory distress syndrome.

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