Volume 11, Number 2—February 2005
Research
Human Disease from Influenza A (H5N1), Thailand, 2004
Tawee Chotpitayasunondh*, Kumnuan Ungchusak†, Wanna Hanshaoworakul†, Supamit Chunsuthiwat†, Pathom Sawanpanyalert†, Rungruen Kijphati†, Sorasak Lochindarat*, Panida Srisan*, Pongsan Suwan†, Yutthasak Osotthanakorn†, Tanakorn Anantasetagoon†, Supornchai Kanjanawasri†, Sureeporn Tanupattarachai†, Jiranun Weerakul†, Ruangsri Chaiwirattana†, Monthira Maneerattanaporn†, Rapol Poolsavatkitikool†, Kulkunya Chokephaibulkit‡, Anucha Apisarnthanarak§, and Scott F. Dowell¶
Table 3
Brief history of exposure of the 12 confirmed case-patients
| Patient no. | Province/sex/age (y) | Exposure history |
|---|---|---|
| 1 | Supanburi/M/2 | Raised chickens in backyard. Chickens died unexpectedly 5 days before illness onset. Frequently played with chickens and had direct contact with carcasses. |
| 2 | Uttradit/F/27 | Raised chickens in backyard, but chickens did not die. Two months before onset, ducks in a nearby area died unexpectedly. |
| 3 | Nakornratchasima/M/31 | Raised chickens in backyard. Three days before onset, chickens started to die. The last patient died on the date he became sick. He buried all carcasses. |
| 4 | Lopburi/F/46 | Raised 60 chickens in back yard. All chickens died unexpectedly 1 month before onset. She burned and buried carcasses without protection. |
| 5 | Khonkaen/M/5 | Raised fighting cocks that died 4 days before onset. Reported direct contact with carcasses. Ate chicken with suspected H5N1 influenza. |
| 6 | Kanchanaburi/M/6 | No poultry in family. Helped slaughter one ill chicken 2 days before onset. |
| 7 | Sukhothai/M/6 | Mother slaughtered 2 ill chickens in house 4 days before onset. No direct contact with chickens. Mother got sick on same day and died without laboratory confirmation. |
| 8 | Kanchanaburi/M/6 | Chickens in backyard died unexpectedly. Grandfather slaughtered ill chickens. No direct contact with chickens but played near slaughtering area. |
| 9 | Supanburi/M/7 | No poultry in family. Frequently played on ground near a chicken farm that reported unexpected poultry deaths. |
| 10 | Chaiyapoum/M/13 | Helped raise chickens in backyard. Eight days before onset, chickens died unexpectedly and patient assisted with slaughtering. |
| 11 | Patumthani/F/39 | Factory worker living in province A during weekdays but in province B on weekends. Fighting cocks lived at a neighboring house. Province B reported outbreaks 2 months before onset. No contact with live or dead chickens. |
| 12 | Supanburi/F/58 | Raised 40–50 chickens in backyard. Chickens started to die 5 days before onset. Buried and slaughtered ill chickens every day until onset date. |
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