Avian Influenza and Pandemic Preparedness in Thailand

Department of Disease ControlMinistry of Public Health Thailand

Scope

1.Magnitude of problem and trend.2.National Strategic Plan 3. International collaboration.

Source: BOE, MOPH

Spot maps of human cases and poultry outbreaks in Thailand

Confirmed case

Suspect caseArea of outbreak in poultry

First round(Jan-May 2004)

Second round

(Jun-Oct 2004)

Third round

(Oct05-Jan06)

Surveillance activitiesSurveillance activities

notification of pneumonia and ILI with exposure history

- clinical investigation- field investigate- laboratory investigation

Confirm Probable Suspect Exclude

Surveillance network

•Confirm clinical finding•Testing of respiratory specimen•Visit village and identify exposure•Active case finding and Surveillance of all household member for 10 days•Educated villagers to avoid risk

(SRRT)Hospital

Laboratory

จำ��นวนผู้��ป่วยย�นย นไข้�หว ดนก (H5N1) ป่ระเทศไทย พ.ศ. 2547 - 2548

0

1

2

3

4

5

6

7

8

No

v-03

Jan

-04

Mar

-04

May

-04

July

-04

Sep

-04

No

v-04

Jan

-05

Mar

-05

May

-05

July

-05

Sep

-05

No

v-05

Jan

-06

dead

survive

2004 2005

จำ��นวน (ร�ย)

Epidemic curve of confirm H5 human cases in Thailand from 2004 to present. (22 cases with 14 deads in 3 waves)

Remark: 3097 Notification and investigation in 2004 3244 Notification and investigation in 2005

cases

25 July 05

Human

No human cases by 2006

Animal Health

1. No outbreak in Economic sector by 2006

2. No widespread outbreak in domestic poultry by 2007

Pandemic preparedness

• Readiness by 2005

National Strategic Plan for

Avian Influenza Pandemic Preparedness in Thailand

AD 2005-2007

4800 Million Baht (120 US Million $)

(Health volunteers & community leaders)

Missions: Surveillanc & investigation

containment

Care and infection control

Health education

Supplies and equipment

Medication

(15 มิ�ย .2548)

Health servicesSRRTs

Mr Bird Flu

Governor and AI team

Mr Bird Flu

Provincial operation room

Pandemic build-up

;

Ro = 2 initiallyRo = 4 afterwards

A verynarrow window

of opportunity to contain pandemic

at its origin

Policy for International PartnershipsPolicy for International Partnerships

• Support UN/WHO/FAO/OIE initiation and request• transparent of information• sharing of virus isolates • pandemic preparedness

• Seeding fund for ACMECS (2.5 Millions)• Training for rapid response teams • Training for laboratory capacity building• Donate 35,000 capsules for pre-emptive measures• Resource persons in the area of clinical,epidemiology and laboratory on request.

Conclusions

Thai Government will• Takes Avian Influenza as National Agenda• Builds capacity inside country both animal and human health.• Improving pandemic preparedness plan.• Commit for international partnership