Environmental Contamination during Influenza A Virus (H5N1) Outbreaks, Cambodia, 2006
2008

Environmental Contamination during H5N1 Outbreaks in Cambodia

Sample size: 167 publication Evidence: moderate

Author Information

Author(s): Vong Sirenda, Ly Sowath, Mardy Sek, Holl Davun, Buchy Philippe

Primary Institution: Institut Pasteur in Cambodia

Hypothesis

To determine potential risk for bird-to-human transmission during influenza A virus (H5N1) outbreaks among backyard poultry in rural Cambodia.

Conclusion

Viral RNA was frequently present on various environmental surfaces in influenza (H5N1)–associated households, indicating a potential risk for transmission.

Supporting Evidence

  • Viral RNA was detected in 27 (35%) of 77 environmental specimens.
  • The median positivity rate per household was 50%.
  • Viral RNA was found to be detectable in the environment up to 12 days after the end of the flock outbreak.
  • No viruses were isolated from positive environmental specimens after 5 passages on MDCK cells.

Takeaway

The study found that the H5N1 virus can be found in the environment around sick birds, which could make it easier for people to get sick.

Methodology

Environmental specimens were collected from households near outbreak sites and tested for H5N1 using rRT-PCR.

Potential Biases

Potential bias due to the lack of vaccination among poultry owners and the limited number of households surveyed.

Limitations

The study was limited by the modest number of flocks studied and the inability to prove that infectious viruses were recovered after the sampling interval.

Participant Demographics

Households surveyed owned chickens and ducks, with most flocks being small.

Statistical Information

P-Value

0.005

Statistical Significance

p = 0.005

Digital Object Identifier (DOI)

10.3201/eid1408.070912

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