changes in poultry handling behavior and poultry mortality reporting among rural cambodians in areas affected by hpaih5n1家禽处理行为的变化和家禽死亡报告在农村地区的柬埔寨人hpaih5n1影响.pdfVIP

Changes in Poultry Handling Behavior and Poultry Mortality Reporting among Rural Cambodians in Areas Affected by HPAI/H5N1 1,2,3 1 4 5 5 2 Maria D. Van Kerkhove *, Sowath Ly , Javier Guitian , Davun Holl , Sorn San , Punam Mangtani , Azra Ghani3, Sirenda Vong1 1 Epidemiology Unit, Institut Pasteur in Cambodia, Phnom Penh, Cambodia, 2 Infectious Disease Epidemiology Unit, London School of Hygiene and Tropical Medicine, London, United Kingdom, 3 MRC Centre for Outbreak Analysis Modelling, Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom, 4 Epidemiology Division, The Royal Veterinary College, London, United Kingdom, 5 National Veterinary Research Institute, Department of Animal Health and Production, Ministry of Agriculture, Forestry and Fisheries, Cambodia, Phnom Penh, Cambodia Abstract Background: Since 2004, 21 highly pathogenic avian influenza H5N1 outbreaks in domestic poultry and eight human cases have been confirmed in Cambodia. As a result, a large number of avian influenza education campaigns have been ongoing in provinces in which H5N1outbreaks have occurred in humans and/or domestic poultry. Methodology/Principal Findings: Data were collected from 1,252 adults .15 years old living in two southern provinces in Cambodia where H5N1 has been confirmed in domestic poultry and human populations using two cross-sectional surveys conducted in January 2006 and in November/December 2007. Poultry handling behaviors, poultry mortality occurrence and self-reported notification of suspect H5N1 poultry cases to animal health officials in these two surveys were evaluated. Our results demonstrate that although some at risk practices have declined since the first study, risky contact with poultry is still