在越南和中国H5N1病例报告增加（来源于APIC）

2008年2月21日（CIDRAP新闻）世界卫生组织（WHO）报告了越南发生新的H5N1禽流感死亡病例1例。并对印尼和中国前期报道的三例禽流感死亡病例予以证实。今天，中国又报告一个死亡病例。

2008年迄今为止，WHO汇总确认的H5N1型禽流感病例总数为365例，有231人死亡。其中包括2008年的新发病例16例和死亡病例14例。2008年新发病例中，印度尼西亚占12例，包括10例死亡。

WHO收集的最新信息有，越南北部省的北部边境省区太平的一名27岁男子，2月3日发病，2月14日死亡。该病人证实有触病禽/死禽接触史。包括该暴利，越南共有H5N1禽流感104例，50人死亡。今年今年的三例全部死亡。越南2月16日向WHO报告的海阳省7岁男童一例，目前尚未证实。

据路透社引用中国卫生部的报道，今天中国最新H5N1病例是一个来自于广西自治区41岁成年男子。该男子在2月12日患病，住院治疗2天之后，于昨日去世。据卫生部称，该病例是本年度的第二个病例。路透社报道说，流调官员的目前调查结果是，该名男子没有检查出任何其他疾病，有病禽接触史。但WHO至今仍未收到中国的该例报告。

不过，昨天WHO世卫组织也证实，本年度中国的H5N1感染首例报告是一个22岁的湖南省江华县男子。1月16日发病，住1月23日院治疗，1月24日死亡。中国于2月18日，已经将该病例报告到WHO，感染源调查仍在继续进行中。

今天，WHO证实了印尼上报的两宗死亡病例。一例是中爪哇省的16岁男童，另一例是南雅加达的3岁男童。16岁男童今年2月3日发病，住院四天后2月10日死亡。发病前在家屠宰了病鸡。3岁男童经过12天的病程，于2月15日死亡，其中住院5天。流调人员发现，在2周前，该3岁男童就已经发病，其驻地附近有已经死亡的鸡和宠物鸟。

目前印度尼西亚共有129个H5N1病例，其中105死亡。

More H5N1 cases reported in Vietnam, China

Feb 21, 2008 (CIDRAP News) – The World Health Organization (WHO) has reported a new fatal H5N1 avian influenza case in Vietnam and confirmed three cases reported earlier in Indonesia and China, while Chinese authorities today reported still another fatal case.

The latest case confirmations by the WHO raise the agency's overall H5N1 count to 365 cases and 231 deaths, including 16 cases and 14 deaths so far this year. Twelve of those cases, including 10 fatal ones, were in Indonesia.

The new case in Vietnam involved a 27-year-old man in the northern province of Ninh Binh who fell ill Feb 3 and died Feb 14, the WHO said. He had had contact with sick and dead poultry before his illness.

Including his case, Vietnam has had 104 cases, 50 of them fatal, the WHO reported. This year the country has had three cases, all fatal.

The WHO has not yet confirmed the case in a 7-year-old child from Hai Duong province that was reported by Vietnamese authorities Feb 16.

China's newest H5N1 case is that of a 41-year-old man from southern China's Guangxi autonomous region, according to a Reuters report quoting the health ministry today. The man became ill Feb 12, was hospitalized 2 days later, and died yesterday, the story said. His is the country's second case this year.

The man had had contact with sick poultry. Officials have checked his contacts and found no illness so far, Reuters reported. The WHO has not yet registered the case.

Yesterday, however, the WHO did confirm China's first reported H5N1 case of this year, that of a 22-year-old man from Jianghua County in Hunan province. He fell ill Jan 16, was hospitalized Jan 23, and died Jan 24, the WHO said. His case was reported by Chinese authorities Feb 18.

An investigation into the source of his infection is continuing, the WHO said.

Today the WHO confirmed two fatal Indonesian cases that were reported earlier, one in a 16-year-old boy from Central Java province and the other in a 3-year-old boy from South Jakarta.

The 16-year-old got sick Feb 3, was hospitalized 4 days later, and died Feb 10, the WHO said. He had slaughtered a sick chicken at his home before his illness.

The 3-year-old boy died Feb 15 after a 12-day illness, including 5 days in a hospital, the WHO reported. Investigators found that chickens and a pet bird in the neighborhood had died in the 2 weeks before he got sick.

Indonesia has had a total of 129 H5N1 cases, including 105 deaths.