1. Initials : 23rd January - 21st April 04

2. Single emerging case : 24th May 04
   Total 190 cases in 89 districts of 42 provinces
   Destroyed about 30 million birds, 100% compensation
   Human : 8 deaths from 12 confirmed cases

3. Re-occurrence : 3rd July - 30th September 04
   Total 288 Suspected cases, 187 Positive in 38 provinces (101Neg)
   Destroyed about 852,374 birds, 75 % compensation
   Human : 2 deaths 1 recovery from 3 confirmed cases and 1 death of probable case

4. Current Situation: 1st October 04 - 9 December 04
   Total 1272 suspected cases 759 positive in 51provinces
   71 subdistricts in 19 provinces are under 21-day surveillance
   Destroyed about 1.2 million birds
   Human : 2 deaths from 2 confirmed cases

HPAI is a National Agenda : 1
   Establishment of National HPAI Committee by the Command of the Prime Minister
   comprising 29 members from 13 Ministries as well as Academicians, all Associations and
   Private sectors involved
      - To be a decision making body
      - Chaired by the Vice Premier, Ministers of the MOPH & MOAC are both vice -chairmen
      - Representatives are Permanent Secretaries, Director or Secretary-Generals and Senior          Officials
   Establishment of 4 National Sub-Committees on
      - HPAI Resolution (15 members)
      - Technical Assistance
      - Poultry Raising Strategy
      - Public Relations

HPAI is a National Agenda : 2
   Establishment of National HPAI Operating Centre including 4 Working Groups
   Establishment of National Working Group on AI Resolution Strategic Development
   Establishment of 76 Provincial HPAI Centres, chaired by the Provincial Governor,
       includingDistrict HPAI Centres in each province.

HPAI is a National Agenda : 3
   MOPH Establishment of Human HPAI Disease Control (more than 2000 patients under       surveillance)
      - Department of Disease Control
      - Bureau of Epidemiology
      - Department of Medical Science
      - Medical Faculties of Universities
      - All hospitals in every province
   DLD Establishment of:
      - HPAI Disease Control Operating Centre
      - Commissions & Sub - Commissions
      - Working Groups

HPAI Strategic Controls: 2 "These are the MUST to do, once there were HPAI outbreaks in the country"
   - Rehabilitation programmes for affected parties
   - Public awareness/education and farmer training
   - Co-operation from all concerned including media
   - HPAI Research (mutation & epidemiology) and Development

HPAI Strategic Controls: 3
   Short-term strategy: Active surveillance
   Objective: 1. Early HPAI detection, 2. Reduce reservoirs & virus load in the environment
   Methodology:
    - Clinical observation to the "HPAI case definition"
    - Nationwide sampling to the epidemiology principles including aquatic & migratory bids
    - Routine testing in breeders & before movement
   Thailand conducted during 1st - 31st October 2004

Disinfection & Dispos
- Disinfection
    Buildings pens, Equipment in farm & egg trays, Vehicle, Human (footbath & clothing),
    Waste
- Disposal
    Carcass, Products, Eggs, Feed, Bedding & Manures

Quarantine & Movement Control
- Quarantine = No movement allowed for a period
- Movement control = restriction or with conditions
- Provincial taskforce = Governor’s Supervision
- Imposed for :- all poultry & their products in
    Farms (infected/suspected), Area (administrative, epidemiologically risks),
    Transportation (avian spp, eggs & products, INCLUDING feeds -beddings-manures),
    Live birds prohibited for Exhibition-Fighting Arena-Markets during active outbreak
               in such areas

Animal Movement Management (1)
- Declaration of infected boundary by Provincial Governor
- Initially, 65 checkpoints established to control poultry movement within the country, in extra from the 44 Animal Quarantine Stations and their mobile units in 42 responsible provinces
- Now that 32 checkpoints have been set-up around the Central Thailand for more effective movement control
- There has been a co-operation among the DLD veterinary inspectors, police/military task force and/or other relevant parties under a supervision of the Provincial Governor to set-up a few mobile units or checkpoints in a province, deemed necessary

Poultry Movement Management
- Any farmed broilers destined for slaughter, the birds shall be sampled at 35 days of age (8 days sparing for labiratory result i.e 43 days at slaughter)
- Clinical observation prior to an immediate movement & the permit issuance, which will be valid for 4 days
- Movement document inspection by the checkpoints, AQS or mobile units offifials en route
- Identification document (or Passport) needed for other poultry movement, at first stage for fighting cocks, later for other (pet) birds etc.

Biosecurity Enhancement
- Farm management
     All in & all out system
     Strict hygiene & sanitation measures
     Reduce in- coming/out-going persons & vehicles
     Bird-proof netting or Evaporated housing
     Routine testing for breeder flocks (every 60 days)
     Registration & Licensing farms for traceability
- Cleaned Wet-Markets (MOPH Cooperation)
     Strict hygiene & sanitation measures
     Sale only birds from licensing farms