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Five Suspect H5N1 Patients In Thailand
Recombinomics Commentary 15:50
December 10, 2008

Deputy Chief of Surin Public Health Office, Peerasak Polprueksa, has revealed that five patients are now under close watch as they are suspected of being infected with bird flu after handling poultry that died 7 to 14 days ago.

Two of the suspected bird flu patients are from Karb Cheong District, another two from Muang and Sanom districts, and one is Cambodian.

The above comments describe five suspect H5N1 patients in Thailand, near the Cambodian border (see satellite map).  These patients are not near the H5N1 outbreaks reported by Thailand last month, which were in northern Thailand.  OIE reports have been filed for those outbreaks, and sequences have already been made public.  The sequences were clade 1, which cause human fatalities in Thailand, Vietnam, and Cambodia on 2004 and 2005.

Cambodia has not reported any recent outbreaks, and the outbreaks reported by Vietnam were also not near the above location.  The same is true for outbreaks in Laos.  (see satellite map). The sequences released from outbreaks in Vietnam and Laos last year were the Fujian strain (clade 2.3), and have also been isolated from fatal cases.

More information on the outbreak in poultry as well as more detail on the suspect patients would be useful.

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