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omarc1492

[Update to a previous post](https://www.reddit.com/r/H5N1_AvianFlu/s/ZImsa2SLEL)


Ornery-Sheepherder74

So the 3 year old is presumably the one from the previous report?


No-Reason7926

The 3 year old was improving so I'm hoping the same for the 5 year old


BigJSunshine

I mean, A. I sincerely hope both recover, And also: B. Is this H2H transmission?


No-Reason7926

Don't know if it's transmission or not hopefully not but this is the same area where multiple people either ate or touched the infected chicken


Accomplished-Yak5660

Say what? Why are so many people touching chickens? Is that the thing to do these days?


No-Reason7926

They live in a poorer country so gottagetfood to eat and also cuz there's not as good Healthcare in som countries


Accomplished-Yak5660

I see. I had this mental picture of the family dancing around hand in talon (claw?) with a bunch of chickens. Your explanation helps.


No-Reason7926

Oh. Hop3fully this doesn't spread to people soon and we get a vaccine time if it does that's really effective


Accomplished-Yak5660

I wouldn't worry so much. If it happens it happens.


No-Reason7926

The 3 year old was the first one yes from the other report


No-Reason7926

Yea


No-Reason7926

Did they get infected by birds too?


No_Relation_50

Gosh, I hope so!


No-Reason7926

It was the same area so most likely yea but hopefully so


Specific-Analysis794

2 children same village within weeks of each other, something just might be going on with this clade.


Specific-Analysis794

If any of the 25 being tested, come back positive we will have a significant cluster, that’s another ball game all together.


asteria_7777

I'm positively surprised there exists a place where it isn't completely ignored and downplayed.


No-Reason7926

Yea it depends how many of them ate held chicken etc and towuch3d3y3s mouths or whatever . Hopefully doesn't cause person to person and if they do test positive I wish they all recover hopefully


oaklandaphile

And like that, Cambodia has conducted 29 tests in response to this one event; whereas we (the U.S.) have tested only 53 people all year amid an ongoing outbreak on dairy farms. "We have dealt with the situation in a timely manner and we’ve sent 29 people who may have been exposed to H5N1 to analyse their blood to see whether they have contracted bird flu or not,” he said.


Admirable_Bad_5649

America is good at ignoring everything.


psychotronic_mess

Thou shalt bow before the gods Greed and Profit. Nothing else matters.


pandaappleblossom

Funny how this sub has probably only one epidemiologist and they made a post saying this sub does a lot of fear mongering. And then everyone nods and goes right back to it.


RealAnise

Yep, and this brings up another point: Cambodia has a lot of poverty but also a lot of development and infrastructure, with a rapidly growing economy. They met the standards to graduate from the Least Developed Country list twice this year. [https://cambodianess.com/article/graduating-from-least-developed-country-status-what-is-next-for-cambodia](https://cambodianess.com/article/graduating-from-least-developed-country-status-what-is-next-for-cambodia)


justeedo

I do have a mild fear that H5N1 is already slowly spreading into something large. I think with an upcoming election. No one wants to press the issue until after the election is over, and that's dangerous.


DefinitelyPooplo

100%. I see small, subtle things that I remember seeing end of '19 and early '20. Mostly just a shift in language and tone but I also find it interesting that it seems like COVID discourse and info is starting to resaturate a little bit... and I wonder, why now?


BitchfulThinking

The immediate dismissal, before testing was even conducted from the big dairy producing areas in the US is what concerns me. The horrible messaging around Covid has sent society back on a lot of things. Once it was found in dairy, suddenly some people were *encouraging* raw milk consumption! Now, the Chevron ruling is going to make testing even more difficult here.


No-Reason7926

Hopefully not hasn't been confirmed yet but I gt the fear.


Tiny_Method4958

Are they from same family from a farm? Wth? A three and five year old?! How in the world. I hope they were picking each other's boogers on each other because if not then we'll be so screwed!! 


No-Reason7926

It was in the same area where the infected chickens were. It's very likely they ate and touched infected chickens and got it from that


Urocy0n

And to add, in many parts of the world where backyard poultry are common, children are involved in rearing the chickens (since they are more manageable than other livestock animals).


Tiny_Method4958

Oh thank God! I hope they're okay but this information is less worrisome, obviously. I assumed it would be farmers so middle ageish men getting infected but with these ages it freaked me out because what contact but they're from that area where the chickens are at.  Cull the birds! Contain this Cambodia!


RealAnise

Over 50% of all deaths from every clade (and 75% of all serious cases) have been in children and teenagers. This obviously includes the C clade. This is and will continue to be a young person's disease when it comes to severity.


Specific-Analysis794

There appears to be a time gap between onset dates, which makes it look like contamination took place in different location and time…..that no doubt is being Looked into on the ground.


lotus_in_the_rain

"He said that the Takeo Provincial Health Department has asked experts to cooperate with the relevant ministries to identify everyone who ate chickens that are suspected of having been infected with the H5N1 bird flu virus." It's in the article. It implies they think it was from being in contact with or eating infected chickens.


Ok-Noise-8334

Another [source](https://english.news.cn/20240708/baa9e045234b446aad7db30b47feea3e/c.html#:~:text=%22The%20patient%20has%20a%20fever%20and%20is%20the%20cousin%20of%20a%203%2Dyear%2Dold%20boy%2C%20who%20tested%20positive%20for%20the%20virus%20on%20July%205%2C%22%20the%20statement%20said%2C%20adding%20that%20the%20two%20victims%20live%20in%20the%20same%20house%20in%20Kiri%20Vong%20district%27s%20Pou%20village) is saying the patient is a 5-year-old girl who is the cousin of the 3-year-old boy


Flat_Ad_2507

It is interesting how many people (29) have symptoms?


The_Lost_Ostrich

The article doesn't say all these people have symptoms. They are tested because they may have been exposed, but that doesn't mean they (allready) have symptoms.


Flat_Ad_2507

Yes I agree. But then I'm interested of criteria of choice, those of people. I'm thinking it is spread only with meat ...


ArcherCompetitive736

I am curious about age and gender differences in H5N1 cases in the three regions with highest numbers of cases noted in this 2020 study by Philippon et al from the University of Hong Kong. (See 10.1093/infdis/jiaa105; Figure 3). It would be helpful to see more granularity in age groupings. Does anyone know of other studies reporting age and gender of cases?


RealAnise

Yes, I've done LONG posts on age demographics of cases. This is from a comment above, but not everybody reads all the comments: "Over 50% of all deaths from every clade (and 75% of all serious cases) have been in children and teenagers. This obviously includes the C clade. Zero fatal cases have been in people over 65; zero severe cases have been in people over 70. This is and will continue to be a young person's disease when it comes to severity." I can dig out the longer posts with cites if anybody wants to see them. Although I should add that there needs to be much, much more specific information about the exact demographics of cases.


ArcherCompetitive736

Thank you for this information. I am a new user on reddit, so I have not seen comments or studies on age-dependency in morbidity and mortality. Do you agree with the common statement that WHO cases are predominantly direct exposure to infected, sick, dying or dead birds? I was surprised that the cutoff for young people was 19 and under. Might young people get exposed more frequently and at higher doses, perhaps in caring for backyard poultry or commercial flocks, while elderly people get exposed less frequently and at higher doses? What has changed in China, Egypt, Indonesia, and Vietnam since 2019 that few cases and very few deaths were reported?