1. Current situation and country response to Influenza A/H1N1 in Cambodia Ly Sovann, MD, DTMH, MCTM Deputy Director of CDC Department Ministry of Health, Cambodia # Week

2. Current Situation 19 August 2009 Total cases : 26 No death Male : 12Female : 14 Age range : 4-58 Type of detection – 4 cases at air / land border crossing – 22 cases by Clinic/Hospital and Hotline report Mode of transmission –20 cases imported –6 cases local transmission

3. Political commitment Prime Minister’s office: –Transparency –Mobilize resource and technical information –Cross government pandemic preparedness and response

4. Surveillance & Response Border screening (Quarantine officers) –Air, land and water way Filling declaration form and hand over the health information form Zero reporting of routine data Event-based surveillance – via hotline, now 24/7 ILI sentinel surveillance – increased sites and number of samples tested sARI surveillance Febrile disease study and SISEA Rapid Response Teams : 1200 staffs –Trained –Medical supplies (Lab kits, PPE, Medicines etc) –Funding and Technical support –24 hours and 7 days a week

5. Mass education to public and health professional Press releases (CDC/MoH website) and Ministerial interviews Mass education: –TV spots broadcasting since April 2009 –Poster dissemination to health and schools –Dissemination to inter-sectoral National, Provincial and local authorities Hotline 24 hours, 7 days a week Participate at social Mobilization events Manage rumors

6. Hospital preparedness 5 isolated wards nationally for case management Separate rooms I other hospitals –Countrywide –Equipped and staffed Hospital preparedness –Staffing –Medical equipment (AB, Tamiflu, food, staff support, PPE, consumables etc) –Policy for patient admission and case management –Vaccine policy

7. Laboratory Pasteur Institute Cambodia –NIC –Timely result –Culture in BSL3 –Neuraminidase inhibitors sensitivity testing sensitivity testing –sequencing –Antigenic characteristics –Strains sent to WHOCC 2 others lab –National lab NIPH –NAMRU 2 (NIPH)

8. Challenges Sensitive information Many rumors Vaccine issue Isolate the patients Future case management when more cases AB, Tamiflu, Medical equipment Staff managements Societal management Data collection when more cases –Evaluate the evolution of the in country pandemic situation

9. Thank you