An overview of highly pathogenic avian influenza (H5N1) outbreak cases in Kelantan, west Malaysia in year 2017
2018
Wan Norulhuda W. A. W. | Tariq J.
Malaysia has experienced four waves of H5N1 outbreak but no humandeaths were recorded which is in 2004, 2006, 2007 and latest outbreak in 2017 at Kelantan. The objective of this paper is tocollect, analyse and summarise the data of HPAI cases from the outbreak from 1 March to 22 June 2017. A total of 1,634 cases, 8,544 samples were received at the Registration Unit and Virology Section, Regional Veterinary Laboratory in Kota Bharu (RVLKB) for diagnosis and surveillance of H5N1 during this period. The samples received were pooled organs and intestines from post-mortem (41 cases) and cloaca swabs in tryptose phosphate buffer from surveillance (1,593 cases), which were sent to RVL, Kota Bharu and Veterinary Research Institute, Ipoh, Perak (VRI). They were processed and diagnosed using quantitative real-time reverse transcriptase PCR (RT qPCR) technique to detect and subtyping of the virus. Total positive cases for H5N1 were 53 out of 1,634 with 18 diagnostic cases and 35 surveillance cases. All positive cases during outbreak were detected from 43 locations from six districts of Kota Bharu, Bachok, Pasir Puteh, Pasir Mas, Tumpat and Tanah Merah, with 19 locations in Kota Bharu which is thehighest affected by H5N1, seven locations in Bachok, four in Pasir Putih, six in PasirMas, six in Tumpat and one in Tanah Merah. Many factors could have led to the acute spread of the virus between the districts like chicken smuggling, legal and illegal poultry trade, migration of infected wild birds and others. Understanding the source of outbreak and how it spread is important to control, eradicate and prevent the spread of the disease as it is zoonotic and infects human.
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