MALAYSIAN STRATEGY TO PREVENT HIGHLY PATHOGENIC AVIAN INFLUENZA HPAI

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MALAYSIAN STRATEGY TO PREVENT HIGHLY PATHOGENIC
AVIAN INFLUENZA (HPAI)

• MINISTRY OF HEALTH
• MINISTRY OF AGRICULTURE
• MALAYSIA

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THE IMPORT CONTROL OF CHICKEN TO MALAYSIA

• Malaysia has so far being spared from HPAI
• Measures to protect public health ( chicken
  human being)
• Prevent import from countries that have been
  confirmed as having HPAI

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What are banned

• Day old chicks
• Fresh poultry meat
• Frozen chicken
• Products of poultry
• Eggs

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Rationale of the ban

• Prevent the chance of the HPAI Virus from coming
  to Malaysian soil as HPAI can be passed to people
  in close proximity to infected chickens
• Eliminate risk of local poultry being infected
  with HPAI

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Strategy

• Concerted effort by Ministry of Agriculture (MOA)
  and Ministry of Health (MOH) in surveillance
• MOA is monitoring the farms and bird sanctuary to
  detect HPAI
• Advice on bird to human transmission (use of PPE
  mask(N95), boots, protective attires, personal
  hygiene)
• Awareness seminars since December to farmers
• Surveillance teams on stand-by
• Operation rooms on standby

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Public Health Preparedness
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PUBLIC HEALTH RESPONSE - SURVEILLANCE

• Influenza like-illness surveillance
• all government outpatient departments
• health clinics
• Started since October 2003
• Till now, no significant increase no. of cases
  

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PUBLIC HEALTH RESPONSE - SURVEILLANCE

• Atypical pneumonia
• post SARS outbreak
• health care workers, hospital acquired illness
  community acquired atypical pneumonia
• must notify District Health Office, then report
  to State Health Department Disease Control
  Division, MOH
• To date , no SARS and HPAI

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PUBLIC HEALTH RESPONSE HEALTH EDUCATION

• To farmer workers
• to practice good animal husbandary including
  to use personal protective equipments mask,
  gloves, apron boots
• practice good personal hygiene
• Notify Dept of Veterinary Services of any
  abnormal mortality in poultry farms
• Those with influenza like symptoms should seek
  treatment as soon as possible

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Laboratory Preparedness
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FLOWCHART FOR LABORATORY INVESTIGATION OF AVIAN
INFLUENZA VIRUS
IMR Jan04
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Flow Chart For Avian Flu Specimen Receipt At IMR
Specimen Reception Counter
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Flow Chart For Avian Flu Specimen Receipt At
Virology Unit Specimen Reception Counter/Guard
House
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Discard All Waste in biohazard Bag
Autoclave Biohazard Bag Before Leaving P3
Laboratory
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Process Specimen in the BSL-3 Cabinet
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DVS AI Surveillance Programme in Malaysia since
2000

• Live bird markets
• Poultry and duck farms birds

• Migratory birds
• Pet shops
• Quarantine stations

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Attempted virus isolations for AI from field
cases (2002)
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Thank you for your attention