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Volume 13, Number 10—October 2007

Dispatch

Multifocal Avian Influenza (H5N1) Outbreak

Ran D. Balicer*†Comments to Author , Shmuel Reznikovich†, Elyakum Berman‡, Michael Pirak‡, Amnon Inbar‡, Shimon Pokamunski‡, and Itamar Grotto*†
Author affiliations: *Ben-Gurion University of the Negev, Beer-Sheva, Israel; †Israeli Ministry of Health, Jerusalem, Israel; ‡Veterinary Services of the Israeli Ministry of Agriculture and Rural Development, Beit Dagan, Israel;

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Table 2

Veterinary and public health measures taken during the highly pathogenic avian influenza (H5N1) outbreak in Israel, by proximity to infected poultry

Measure taken Location by proximity to outbreak focus
Infected flock Protection zone 
(<3 km) Surveillance zone 
(3–10 km) Outside outbreak area (>10 km)
Management of poultry Stamping out Stamping out Active surveillance: transportation of poultry and hatching eggs allowed only following PCR testing of samples within the previous 72 h Passive and active surveillance
Poultry products management Destroyed Destroyed Released for consumption after 
clinical examination of the laying 
flocks proved negative No restrictions
Poultry contacts monitoring Self-monitoring Self-monitoring None None
Case definition of human suspected avian influenza Close contact with poultry and any ILI* Close contact with poultry and severe ILI† None None
Oseltamivir prophylaxis to poultry contacts All poultry contacts (including all culling and burial teams) All poultry contacts (including all culling and burial teams) None None

*ILI, influenza-like illness: respiratory symptoms and fever (>37.5oC).
†ILI as defined above, in severity that requires hospitalization.

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