2017 Central Luzon H5N6 outbreak

Last updated

2017 Central Luzon H5N6 outbreak
2017 Avian Influenza Outbreak controlled radius map in Pampanga, Philippines.jpg
The ground zero of the outbreak (in red) in the barangays of San Carlos, and Santa Rita in San Luis, Pampanga, Philippines.
DateApril – September 2017
Location Central Luzon, Philippines
Type Bird flu outbreak
Deaths37,000 birds died from H5N6 (August 11)
600,000+ birds culled (September 4)

From April to September 2017 in the Philippines, an outbreak of H5N6 avian influenza or bird flu affected poultry in at least three towns in Central Luzon; San Luis in Pampanga and Jaen and San Isidro in Nueva Ecija.

Contents

The occurrence is the first avian flu outbreak recorded in the Philippines. While the occurrence of the disease was reported as early as April 2017, it was only on August 11, 2017, that the avian flu was confirmed. The outbreak was officially declared over in September 2017.

Outbreak

Occurrence of avian influenza in Pampanga was first reported by farms in the last week of April 2017. The first farm to be affected by the disease was reportedly a quail farm. [1] The Department of Agriculture (DA) confirmed the avian influenza outbreak on August 11, 2017, and a state of calamity was declared by the provincial government of Pampanga on the same day. [2] By that time a total of 116,000 birds in farms has been identified to have the virus with 37,000 birds already dead due to the disease. [1]

On August 18, 2017, Agriculture Secretary Manny Piñol confirmed occurrence of bird flu in the towns of Jaen and San Isidro in Nueva Ecija. [3] [4]

After the strain of the bird flu was confirmed to be H5N6 which can be transmitted to humans, it was reported on August 25, that Department of Health is monitoring 34 farm workers in Nueva Ecija and Pampanga as suspected human cases of the disease. [5]

Agriculture Secretary Piñol declared the outbreak officially over on September 2, 2017, and eased quarantine measures. [6]

Cause

The strain of the avian influenza virus is not of the H5N1 strain according to the Research Institute for Tropical Medicine which conducted testings on samples of the virus from infected birds. [1] The samples were sent to Australia where the Australian Animal Health Laboratory determined the exact strain of the virus. In the latter part of August 2017, the samples tested positive for H5N6 subtype. H5N6 can be transmitted to humans although it is less infectious and less fatal compared to the deadlier H5N1 strain. [7]

Prevention

The quarantine zone was centered in Barangay San Carlos, San Luis. 09446 jfSan Carlos Santa Lucia Rita Santo Tomas Cruz San Luis Pampanga Baliuag Bulacan Roadsfvf 06.JPG
The quarantine zone was centered in Barangay San Carlos, San Luis.

The Philippines government has prepared a manual dating back as early as 2004 which tackles on dealing with an avian influenza (AI) outbreak in the country. Under the manual there are four possible stages of occurrence of bird flu in the country. [8]

  1. an AI-free nation
  2. AI outbreak in poultry
  3. AI transmission from poultry to humans
  4. AI transmission among humans

The Philippines has been under stage 1 until the bird flu situation in the country was raised to stage 2 following the confirmation of the outbreak which started in Pampanga. [8]

Quarantine and culling

Chickens being culled in a Central Luzon farm. 2017 H5N6 Central Luzon outbreak culling.jpg
Chickens being culled in a Central Luzon farm.

A quarantine zone was imposed centering Barangay San Carlos of San Luis which covered an area 1 kilometer (0.62 mi). The quarantine radius covers five barangays in San Luis, Mexico and Santa Ana towns. [2] Within the quarantine zone a total of 200 thousand birds wild or domesticated will be culled during a three-day period. The corpses will be buried in a highly elevated place. Animals within the designated area will be quarantined for 90 days while those in the surrounding area will be quarantined for 21 days. [1] The quarantine zone was extended as far as 7 kilometers (4.3 mi) and was also imposed in Jaen and San Isidro, Nueva Ecija. This zone was reduced back to 1 kilometer on August 31, 2017. [6]

500 soldiers has been mobilized to aid the culling efforts. By August 25, more than 470 thousand chickens, ducks, and quails has been culled. [5] By September 2017, more than 600 thousand birds have been culled. [6]

Trade ban

Through a circular dated on August 11, 2017, the Department of Agriculture imposed a temporary ban against transporting birds and poultry products from Pampanga to other parts of Luzon as well as banned the transfer of live poultry and poultry products from Luzon to Visayas and Mindanao to prevent the spread of the disease. [1]

After consulting with biosecurity experts, the ban was partially lifted by August 23 but the transport of poultry from within the quarantine areas centered on affected towns in Pampanga and Nueva Ecija remains. [9]

Epidemiology

It is yet to be determined how avian influenza was successfully transmitted to the Philippines. The Department of Agriculture either suspects that the virus was transmitted by migratory birds or through the smuggling of Peking Ducks through Subic Port. The farm where the avian flu originated had a practice of setting up quails above ducks. [1]

Impact

The outbreak caused a drop of the farm gate prices of poultry. The prices dropped to ₱10 to ₱15 per kilogram (₱4.5 to ₱6.8 per pound) from the average price of ₱70 per kilogram (₱31.75 per pound). The poultry industry has estimated that it suffered a ₱179 million loss per day. As of August 23, 2017, the outbreak already costed the country's poultry industry ₱2.3 billion. [9]

Reactions

Poultry industry

Samahang Industriya ng Agrikultura (SINAG), an agriculture group, called for the Department of Agriculture's response to the incident to be more discreet saying that their handling of the outbreak has "over reaction" from the public. With the outbreak still officially limited to a single municipality at the time SINAG issued the statement, the group said that the outbreak is not "in magnitude, value, and volume" and the DA could have just said that the occurrence is an isolated case. [10]

SINAG suspected that the DA may intend to "wantonly" import poultry abroad which the group says is a response to a "common chorus of an impending shortage". It called for a ban import of poultry from other countries which it deems to have worse or longer bird flu occurrences. It alleged that there is leniency to import poultry abroad and laments that the local poultry industry "always" had to suffer. It called for the lifting of the ban of transporting poultry from Luzon to the rest of the country. [10] They welcomed the easing of the quarantine measures on August 31, 2017. [6]

Other commercial establishments

The Jollibee Foods Corporation and McDonald's Philippines had issued statements that their product are safe to eat amidst the outbreak. [10]

Foreign governments

The governments of Japan, Saudi Arabia, South Korea, and Singapore has imposed a ban on importing poultry from the Philippines to their country as countermeasures against the disease. [11]

Aftermath

The Department of Agriculture declared that they were able to "effectively contain" the outbreak. The government body will conduct a post-crisis analysis with poultry stakeholders where the DA will suggest greater bio-security measure in farms in the country. Agriculture Secretary Piñol said that many of the farms he visited in Pampanga lacked "basic bio-security facilities, like a simple footbath and vehicle disinfection facility" and a "disposal area for dead fowls or wastes within the farm area". [12]

The incident is also cited as one of the major reason to loan a pair of Philippine eagles to Singapore as part of a conservation effort for the species. The move was to ensure that the Philippine eagle won't be rendered extinct in case of a similar incident to the 2017 outbreak would wipe out the eagle's population of the Philippines. [13]

Related Research Articles

<span class="mw-page-title-main">Avian influenza</span> Influenza caused by viruses adapted to birds

Avian influenza, also known as avian flu, is a bird flu caused by the influenza A virus, which can infect people. It is similar to other types of animal flu in that it is caused by a virus strain that has adapted to a specific host. The type with the greatest risk is highly pathogenic avian influenza (HPAI).

<span class="mw-page-title-main">Influenza A virus subtype H5N1</span> Subtype of influenza A virus

Influenza A virus subtype H5N1 (A/H5N1) is a subtype of the influenza A virus which can cause illness in humans and many other species. A bird-adapted strain of H5N1, called HPAI A(H5N1) for highly pathogenic avian influenza virus of type A of subtype H5N1, is the highly pathogenic causative agent of H5N1 flu, commonly known as avian influenza. It is enzootic in many bird populations, especially in Southeast Asia. One strain of HPAI A(H5N1) is spreading globally after first appearing in Asia. It is epizootic and panzootic, killing tens of millions of birds and spurring the culling of hundreds of millions of others to stem its spread. Many references to "bird flu" and H5N1 in the popular media refer to this strain.

<span class="mw-page-title-main">Swine influenza</span> Infection caused by influenza viruses endemic to pigs

Swine influenza is an infection caused by any of several types of swine influenza viruses. Swine influenza virus (SIV) or swine-origin influenza virus (S-OIV) refers to any strain of the influenza family of viruses that is endemic in pigs. As of 2009, identified SIV strains include influenza C and the subtypes of influenza A known as H1N1, H1N2, H2N1, H3N1, H3N2, and H2N3.

Singapore has taken a series of measures against avian influenza and the potential threat of a pandemic.

<span class="mw-page-title-main">Global spread of H5N1</span> Spread of bird flu

The global spread of H5N1 influenza in birds is considered a significant pandemic threat. While other H5N1 influenza strains are known, they are significantly different on a genetic level from a recent, highly pathogenic, emergent strain of H5N1, which was able to achieve hitherto unprecedented global spread in 2008. The H5N1 strain is a fast-mutating, highly pathogenic avian influenza virus (HPAI) found in multiple bird species. It is both epizootic and panzootic. Unless otherwise indicated, "H5N1" in this timeline refers to the recent highly pathogenic strain of H5N1.

<span class="mw-page-title-main">Transmission and infection of H5N1</span> Spread of an influenza virus

Transmission and infection of H5N1 from infected avian sources to humans has been a concern since the first documented case of human infection in 1997, due to the global spread of H5N1 that constitutes a pandemic threat.

<span class="mw-page-title-main">Influenza A virus subtype H5N2</span> Virus subtype

H5 N2 is a subtype of the species Influenzavirus A. The subtype infects a wide variety of birds, including chickens, ducks, turkeys, falcons, and ostriches. Affected birds usually do not appear ill, and the disease is often mild as avian influenza viral subtypes go. Some variants of the subtype are much more pathogenic than others, and outbreaks of "high-path" H5N2 result in the culling of thousands of birds in poultry farms from time to time. It appears that people who work with birds can be infected by the virus, but suffer hardly any noticeable health effects. Even people exposed to the highly pathogenic H5N2 variety that killed ostrich chicks in South Africa only seem to have developed conjunctivitis, or a perhaps a mild respiratory illness. There is no evidence of human-to-human spread of H5N2. On November 12, 2005 it was reported that a falcon was found to have H5N2.

<span class="mw-page-title-main">Influenza A virus subtype H7N7</span> Virus subtype

Influenza A virus subtype H7N7 (A/H7N7) is a subtype of Influenza A virus, a genus of Orthomyxovirus, the viruses responsible for influenza. Highly pathogenic strains (HPAI) and low pathogenic strains (LPAI) exist. H7N7 can infect humans, birds, pigs, seals, and horses in the wild; and has infected mice in laboratory studies. This unusual zoonotic potential represents a pandemic threat.

<span class="mw-page-title-main">Influenza A virus subtype H7N2</span> Virus subtype

Influenza A virus subtype H7N2 (A/H7N2) is a subtype of the species Influenza A virus. This subtype is one of several sometimes called bird flu virus. H7N2 is considered a low pathogenicity avian influenza (LPAI) virus. With this in mind, H5 & H7 influenza viruses can re-assort into the Highly Pathogenic variant if conditions are favorable.

<span class="mw-page-title-main">Influenza A virus subtype H7N3</span> Virus subtype

Influenza A virus subtype H7N3 (A/H7N3) is a subtype of the species Influenza A virus.

<span class="mw-page-title-main">Influenza A virus subtype H5N8</span> Subtype of Influenza A virus, also known as Avian or Bird Flu

H5N8 is a subtype of the influenza A virus and is highly lethal to wild birds and poultry. H5N8 is typically not associated with humans. However, seven people in Russia were found to be infected in 2021, becoming the first documented human cases.

<span class="mw-page-title-main">Global spread of H5N1 in 2006</span>

The global spread of H5N1 in birds is considered a significant pandemic threat.

<span class="mw-page-title-main">Global spread of H5N1 in 2005</span>

The global spread of H5N1 in birds is considered a significant pandemic threat.

<span class="mw-page-title-main">Global spread of H5N1 in 2004</span>

The global spread of H5N1 in birds is considered a significant pandemic threat.

<span class="mw-page-title-main">2007 Bernard Matthews H5N1 outbreak</span> Avian influenza outbreak in United Kingdom in 2007

The 2007 Bernard Matthews H5N1 outbreak was an occurrence of avian influenza in England caused by the H5N1 subtype of Influenza virus A that began on 30 January 2007. The infection affected poultry at one of Bernard Matthews' farms in Holton in Suffolk. It was the third instance of H5N1-subtype detected in the United Kingdom and a range of precautions were instituted to prevent spread of the disease including a large cull of turkeys, the imposition of segregation zones, and a disinfection programme for the plant.

<span class="mw-page-title-main">2008 H5N1 outbreak in West Bengal</span> Bird flu outbreak in India

The 2008 bird flu outbreak in West Bengal is an occurrence of avian influenza in West Bengal, India that began on January 16, 2008. The infection was caused by the H5N1 subtype of the Influenza A virus and occurred in at least thirteen districts, including Birbhum, Nadia, Murshidabad, Burdwan, Hooghly, Cooch Behar, Malda, Bankura, Purulia, Howrah, West Midnapore, South 24 Parganas and South Dinajpur and several new inclusion are reported daily. A range of precautions has been instituted including a large cull of chickens, eggs, and poultry birds, the imposition of segregation zones, and a disinfection programme for the plant. The government had put a blanket ban on the movement of poultry birds from West Bengal.

<span class="mw-page-title-main">Global spread of H5N1 in 2007</span>

The global spread of H5N1 in birds is considered a significant pandemic threat.

In reaction to the 2009 flu pandemic, governments around the world have responded with sometimes extreme reactions against pigs, which has included the official extermination of all domestic pigs in Egypt and the culling of three wild boars at the Baghdad Zoo in Iraq. Many of these slaughters occurred in Muslim countries, and religious restrictions on the consumption of pork have been cited as influencing the decision to take such action. Many other countries have banned international trade in pigs and pork products.

<span class="mw-page-title-main">Influenza A virus subtype H5N6</span> Virus subtype

H5N6 is a subtype of the species Influenza A virus. Infected birds shed the virus in their saliva, mucous, and feces. The virus was first detected in poultry in 2013, since then spreading among wild bird populations and poultry around the world. Humans can be infected through unprotected contact with infected birds or contaminated surfaces. The virus transmits by getting into a person's eyes, nose, mouth, and through inhalation. Human infections are rare. Since 2014, at least 65 cases have occurred in humans. 29 people have died. A spike in human cases was reported in 2021. There have been no confirmed cases of human-to-human transmission. Some infections have been identified where no direct contact with infected birds or contaminated surfaces has been known to had occurred. Only one infected woman has said that she never came into any contact with poultry.

<span class="mw-page-title-main">2020–2023 H5N8 outbreak</span> Outbreak of Avian influenza in poultry farms and wild birds

In the early 2020s, an ongoing outbreak of avian influenza subtype H5N8 has been occurring at poultry farms and among wild bird populations in several countries and continents, leading to the subsequent cullings of millions of birds to prevent a pandemic similar to that of the H5N1 outbreak in 2008. The first case of human transmission of avian flu, also known as bird flu, was reported by Russian authorities in February 2021, as several poultry farm workers tested positive for the virus.

References

  1. 1 2 3 4 5 6 Takumi, Rie (August 11, 2017). "Gov't monitoring possible human infections amid Pampanga bird flu". GMA News. Retrieved August 11, 2017.
  2. 1 2 Malabanan, Jess (August 11, 2017). "Pampanga under state of calamity amid bird flu outbreak; losses seen to hit P2B". InterAksyon. Retrieved August 11, 2017.
  3. "Bird flu confirmed in 2 Nueva Ecija towns – Piñol". Rappler. August 18, 2017. Retrieved August 18, 2017.
  4. "Bird flu virus slips into 2 Nueva Ecija towns". Philippine Daily Inquirer.
  5. 1 2 "Philippines watching suspected bird flu cases in humans". New Straits Times. Reuters. August 25, 2017. Retrieved August 25, 2017.
  6. 1 2 3 4 Lim, Janina (September 4, 2017). "Farm chief says bout with bird flu 'over'". Business World. Archived from the original on September 13, 2017. Retrieved September 4, 2017.
  7. Simeon, Louise Maureen (August 24, 2017). "Bird flu strain in Philippines transmissible to humans, DA says". The Philippine Star. Retrieved August 25, 2017.
  8. 1 2 Arcalas, Jasper (August 22, 2017). "Can 13-year-old manual save PHL from bird flu?". BusinessMirror. Retrieved August 25, 2017.
  9. 1 2 Simeon, Louise Maureen (August 23, 2017). "Avian flu poultry ban partially lifted". The Philippine Star. Retrieved August 25, 2017.
  10. 1 2 3 Vilaflor, Madelaine (August 19, 2017). "Handling of bird flu outbreak overblown". Manila Bulletin. overblown. Retrieved August 25, 2017.
  11. Mu, Xuequan (August 23, 2017). "Saudi imposes temporary ban on poultry imports from Philippines, Laos over bird flu fears". Xinhua. Archived from the original on August 23, 2017. Retrieved August 25, 2017.
  12. De Vera-Ruiz, Ellalyn (September 4, 2017). "DA, poultry stakeholders plan preventive measures on bird flu". Manila Bulletin. Retrieved September 4, 2017.
  13. Colina, Antonio IV (May 27, 2019). "Singapore's Jurong Bird Park: home of Philippine Eagle pair for 10 years". MindaNews. Retrieved September 9, 2019.