Malaysia Experience on Control of HPAI and Lesson Learnt

Kamarudin Md. Isa., DVM, MSc, PhD
Head of Disease Control Unit, Department of Veterinary Services, Malaysia

Index Case of HPAI Outbreak (17th August 2004)

Location Pasir Pekan Village, Tumpat, Kelantan
Only 20 km from Thailand border
Affected Population One flock of village chicken consisting of 60 birds of mixed ages
Mortality As reported by owner: 48.60 (80 %) and reported to OIE
As observed by officer: 2/14 (14.3 %)
Sample Pooled organs from 2 chickens (1 male, 1 female)
Probable source of infection Village chicken (fighting cock) participated in cock fighting competition in Thailand

Confirmation of AIV Sub-type H5N1 From Index Case

Date Test results
17 August 2004
RT-PCR product of HA gene was found corresponded to the correst size of avian influenza sub-type H5
19 August 2004 RT-PCR product of HA gene was found corresponded to the correct size of avian influenza sub-type N1
20 August 2004 Nucleotide sequence of HA gene of the AIV H5N1 isolated from Pasir Pekan was confirmed similar (97 % homology) with H5N1 isolated in Thailand and Vietnam (2004)

Confirmation of HPAIV Sub-type H5N1 From Index Case

Virus avian influenza isolate
Subtype
Highly Pathogenic
Amino acid sequence
HA1
HA2
-4
-3
-2
-1
+1
+2
+3
A/chicken/PA/1370/83
H5N2
Yes
P
Q
-
-
-
-
K
K
K
R
G
L
F
A/chicken/NY/13142-5/94
H7N2
No
P
E
N
P
-
-
-
K
T
R
G
L
F
A/chicken/Thai/Tak-01/204
H5N1
Yes
P
Q
R
E
R
R
R
K
K
R
G
L
F
A/chicken/Mal/KB/04
H5N1
Yes
P
Q
R
E
R
R
R
K
K
R
G
L
F


Policy on Handling HPAI Outbreak

Item
Policy
Eradication
Stamping out - all chickens, ducks and birds within 1 km radius of infection/outbreak location
Intensive surveillance
Active surveillance within 10 km radius (the next 9 km) of infection/outbreak location
Movement control
Prohibition on movement of chickens, ducks and birds, and their products from Kelantan or infected state to other states
Notification and case definition
Any abnormal mortality of chickens, ducks and birds of more than 3 % must be notified and investigated. Such notification will trigger ERM.
Diagnostic and confirmatory test
RRT-PCR and RT-PCR are considered as confirmatory tests. Both tests can be conduxted at Veterinary Research Institute in Ipoh or Veterinary Faculty, UPM. NASBA test is used for screening purpose.
Compensation
All chickens, ducks, birds and eggs culled/destroyed will be compensated by the government.
Vaccination
Vaccination is not allowed.

Subsequent Outbreaks and Detection of HPAI Virus (17 Aug. - 12 Dec. 2004)


HPAI Outbreak and Detection of Virus from Healthy Avian


Variation in Flock Mortality Rate (%)

* In Kuchelong the 5 village chickens involved were sick and still alive at time inspection.

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