Volume 13, Number 10—October 2007
Dispatch
Multifocal Avian Influenza (H5N1) Outbreak
Ran D. Balicer*†
, Shmuel Reznikovich†, Elyakum Berman‡, Michael Pirak‡, Amnon Inbar‡, Shimon Pokamunski‡, and Itamar Grotto*†
, Shmuel Reznikovich†, Elyakum Berman‡, Michael Pirak‡, Amnon Inbar‡, Shimon Pokamunski‡, and Itamar Grotto*†
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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