Human Disease from Influenza A (H5N1), Thailand, 2004
Tawee Chotpitayasunondh*, Kumnuan Ungchusak†, Wanna Hanshaoworakul†, Supamit Chunsuthiwat†, Pathom Sawanpanyalert†, Rungruen Kijphati†, Sorasak Lochindarat*, Panida Srisan*, Pongsan Suwan†, Yutthasak Osotthanakorn†, Tanakorn Anantasetagoon†, Supornchai Kanjanawasri†, Sureeporn Tanupattarachai†, Jiranun Weerakul†, Ruangsri Chaiwirattana†, Monthira Maneerattanaporn†, Rapol Poolsavatkitikool†, Kulkunya Chokephaibulkit‡, Anucha Apisarnthanarak§, and Scott F. Dowell¶
Author affiliations: *Queen Sirikit National Institute of Child Health, Bangkok, Thailand; †Ministry of Public Health, Nonthaburi, Thailand; ‡Siriraj Hospital, Bangkok, Thailand; §Thammasat University Hospital, Bangkok, Thailand; ¶International Emerging Infections Program, Nonthaburi, Thailand
Brief history of exposure of the 12 confirmed case-patients
||Raised chickens in backyard. Chickens died unexpectedly 5 days before illness onset. Frequently played with chickens and had direct contact with carcasses.
||Raised chickens in backyard, but chickens did not die. Two months before onset, ducks in a nearby area died unexpectedly.
||Raised chickens in backyard. Three days before onset, chickens started to die. The last patient died on the date he became sick. He buried all carcasses.
||Raised 60 chickens in back yard. All chickens died unexpectedly 1 month before onset. She burned and buried carcasses without protection.
||Raised fighting cocks that died 4 days before onset. Reported direct contact with carcasses. Ate chicken with suspected H5N1 influenza.
||No poultry in family. Helped slaughter one ill chicken 2 days before onset.
||Mother slaughtered 2 ill chickens in house 4 days before onset. No direct contact with chickens. Mother got sick on same day and died without laboratory confirmation.
||Chickens in backyard died unexpectedly. Grandfather slaughtered ill chickens. No direct contact with chickens but played near slaughtering area.
||No poultry in family. Frequently played on ground near a chicken farm that reported unexpected poultry deaths.
||Helped raise chickens in backyard. Eight days before onset, chickens died unexpectedly and patient assisted with slaughtering.
||Factory worker living in province A during weekdays but in province B on weekends. Fighting cocks lived at a neighboring house. Province B reported outbreaks 2 months before onset. No contact with live or dead chickens.
||Raised 40–50 chickens in backyard. Chickens started to die 5 days before onset. Buried and slaughtered ill chickens every day until onset date.
Page created: April 28, 2011
Page updated: April 28, 2011
Page reviewed: April 28, 2011
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.