Current situation and Current situation and country response to country response to Influenza A/H1N1 in Influenza A/H1N1 in

CambodiaCambodia

Ly Sovann, MD, DTMH, MCTM

Deputy Director of CDC Department

Ministry of Health, Cambodia

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Week

Current Situation Current Situation 19 August 200919 August 2009

Total cases : 26Total cases : 26No deathNo deathMale : 12Male : 12 Female : 14Female : 14Age range : 4-58Age range : 4-58Type of detectionType of detection

– 4 cases at air / land border crossing4 cases at air / land border crossing– 22 cases by Clinic/Hospital and Hotline report22 cases by Clinic/Hospital and Hotline report

Mode of transmissionMode of transmission–20 cases imported20 cases imported–6 cases local transmission6 cases local transmission

Political commitmentPolitical commitmentPrime Minister’s office: Prime Minister’s office:

–Transparency Transparency –Mobilize resource and technical informationMobilize resource and technical information–Cross government pandemic preparedness and Cross government pandemic preparedness and responseresponse

Surveillance & ResponseSurveillance & ResponseBorder screening (Quarantine officers)Border screening (Quarantine officers)

–Air, land and water wayAir, land and water wayFilling declaration form and hand over the health information formFilling declaration form and hand over the health information form

Zero reporting of routine dataZero reporting of routine dataEvent-based surveillance – via hotline, now 24/7Event-based surveillance – via hotline, now 24/7ILI sentinel surveillance – increased sites and number of ILI sentinel surveillance – increased sites and number of

samples testedsamples testedsARI surveillance sARI surveillance Febrile disease study and SISEAFebrile disease study and SISEARapid Response Teams : 1200 staffsRapid Response Teams : 1200 staffs

–TrainedTrained–Medical supplies (Lab kits, PPE, Medicines etc)Medical supplies (Lab kits, PPE, Medicines etc)–Funding and Technical supportFunding and Technical support–24 hours and 7 days a week24 hours and 7 days a week

Mass education to public and Mass education to public and health professionalhealth professional

Press Press releases (CDC/MoH website) and Ministerial releases (CDC/MoH website) and Ministerial interviews interviews

Mass education:Mass education:–TV spots broadcasting since April 2009TV spots broadcasting since April 2009–Poster dissemination to health and schoolsPoster dissemination to health and schools–Dissemination to inter-sectoral National, Provincial and local Dissemination to inter-sectoral National, Provincial and local authorities authorities

Hotline 24 hours, 7 days a week Hotline 24 hours, 7 days a week Participate at social Mobilization events Participate at social Mobilization events Manage rumorsManage rumors

Hospital preparednessHospital preparedness5 isolated wards nationally for case management5 isolated wards nationally for case managementSeparate rooms I other hospitalsSeparate rooms I other hospitals

–CountrywideCountrywide–Equipped and staffedEquipped and staffed

Hospital preparednessHospital preparedness–StaffingStaffing–Medical equipment (AB, Tamiflu, food, staff support, PPE, Medical equipment (AB, Tamiflu, food, staff support, PPE, consumables etc)consumables etc)–Policy for patient admission and case managementPolicy for patient admission and case management–Vaccine policyVaccine policy

Laboratory Laboratory Pasteur Institute CambodiaPasteur Institute Cambodia

–NICNIC–Timely resultTimely result–Culture in BSL3Culture in BSL3–Neuraminidase inhibitors Neuraminidase inhibitors sensitivity testingsensitivity testing–sequencing sequencing –Antigenic characteristicsAntigenic characteristics–Strains sent to WHOCCStrains sent to WHOCC

2 others lab2 others lab–National lab NIPHNational lab NIPH–NAMRU 2 (NIPH)NAMRU 2 (NIPH)

Challenges Challenges Sensitive informationSensitive informationMany rumorsMany rumorsVaccine issueVaccine issueIsolate the patientsIsolate the patientsFuture case management when more cases Future case management when more cases AB, Tamiflu, Medical equipmentAB, Tamiflu, Medical equipmentStaff managementsStaff managementsSocietal managementSocietal managementData collection when more casesData collection when more cases– Evaluate the evolution of the in country pandemic Evaluate the evolution of the in country pandemic

situationsituation

Thank youThank you