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Communicable Disease Surveillance Additional reports Table 12. Top 25 Salmonella types identified in Australia, 1 October to 31 December 2005, by state or territory National rank Salmonella type State or territory Total 4th quarter ACT NSW NT Qld SA Tas Vic WA 2005 Last 10 years mean 4th quarter Year to date 2005 1 S. Typhimurium PT 135 2 71 0 46 5 149 125 27 425 137 802 564 2 S. Typhimurium PT 44 6 62 0 48 28 6 50 8 208 17 220 34 3 S. Saintpaul 0 21 7 66 3 0 9 5 111 73 433 397 4 S. Typhimurium PT 9 3 20 0 16 8 7 31 2 87 122 430 364 5 S. Typhimurium PT 170 0 35 0 8 0 2 20 0 65 56 469 579 6 S. Birkenhead 0 28 0 32 0 0 3 1 64 60 218 264 7 S. Typhimurium PT 197 0 23 0 28 1 0 3 2 57 18 547 268 Year to date 2004 8 S. Virchow PT 8 0 9 2 30 0 0 2 11 54 43 243 334 9 S. Oranienburg 0 3 0 0 5 1 2 43 54 11 87 43 10 S. Chester 0 9 3 20 0 1 4 2 39 36 185 190 11 S. Infantis 0 15 1 1 9 0 8 2 36 30 170 158 12 S. Muenchen 0 7 3 15 4 0 0 2 31 26 142 116 13 S. Aberdeen 0 4 0 24 0 0 0 0 28 21 152 134 14 S. Hvittingfoss 0 5 0 20 0 0 1 1 27 18 184 149 15 S. Potsdam 0 3 0 17 1 0 2 0 23 18 49 62 16 S. Waycross 0 4 0 19 0 0 0 0 23 17 113 121 17 S. Typhimurium RDNC 0 9 0 5 1 0 6 1 22 18 108 104 18 S. Typhimurium PT 12 1 5 0 0 2 0 5 8 21 14 118 233 19 S. Anatum 0 1 1 11 3 0 2 2 20 19 75 89 20 S. Mississippi 0 0 0 0 0 20 0 0 20 14 75 75 21 S. Stanley 1 6 0 4 1 0 4 0 16 13 67 77 22 S. Enteritidis PT 6a 1 6 0 1 0 0 2 6 16 6 90 72 23 S. Havana 0 8 0 0 1 0 1 5 15 11 38 49 24 S. Weltevreden 0 3 5 4 2 0 0 1 15 9 58 69 25 S. Agona 0 7 0 3 2 0 1 1 14 16 66 80 184 CDI Vol 30 No 1 2006
Overseas briefs Overseas briefs World Health Organization Disease Outbreak News This material has been summarised from information provided by the World Health Organization (http://www.who.int). Avian infl uenza China 30 December 2005 The Ministry of Health in China has confi rmed an additional case of human infection on the mainland with the H5N1 avian infl uenza virus. The case is a 41-year-old woman from the south-eastern province of Fujian. She developed symptoms of fever followed by pneumonia on 6 December, and was admitted to hospital two days later. The patient died on 21 December. On 13 December, initial laboratory tests on samples from the patient tested negative for H5N1. But further tests on 23 December—including polymerase chain reaction tests carried out at the Chinese Center for Disease Control in Beijing—showed positive results. The virus was also isolated from the patient. Close contacts who have been placed under medical observation have not displayed any symptoms, health authorities report. Agricultural authorities so far have not been able to confi rm the presence of the H5 virus subtype in poultry in the vicinity of the patient’s residence or place of work. Investigators have not been able to confi rm any direct contact between the patient and poultry prior to the onset of illness. The investigation, however, is continuing and answers to these and other questions are still being sought. This is China’s seventh laboratory-confi rmed human case. Of these cases, three have been fatal (including this latest case). To date, China has reported human cases in six provinces and regions: Hunan, Anhui, Guangxi, Liaoning, Jiangxi and Fujian. Indonesia 23 December 2005 The Ministry of Health in Indonesia has confi rmed two additional cases of human infection with the H5N1 avian infl uenza virus. The fi rst case occurred in an 8-year-old boy from Central Jakarta. He developed symptoms of fever and cough on 8 December, was hospitalised on 13 December, and died on 15 December. Family members and close contacts were placed under observation and tested for possible infection; however, none have developed symptoms. Investigations have been undertaken to determine the source of the boy’s exposure and samples from pigeons around his household are being tested. The second case occurred in a 39-year-old man from East Jakarta. He fi rst reported symptoms of fever, headache, cough and shortness of breath on 9 December. He was hospitalised on 11 December and died on 12 December. Family members and close contacts were placed under observation. Investigations are being undertaken to determine the source of the man’s exposure. While he did not keep poultry in his household, chickens and other birds were found in his neighbourhood. Samples from these birds have been taken and are undergoing tests to determine whether they may have been the source of infection. These newly confi rmed cases bring the total number in Indonesia to 16. Of these cases, 11 were fatal. Thailand 9 December 2005 The Ministry of Public Health in Thailand has confi rmed a further case of human infection with the H5N1 avian infl uenza virus. The case occurred in a 5-year-old boy, who developed symptoms on 25 November, was hospitalised on 5 December, and died on 7 December. The child resided in the central province of Nakhonnayok. A thorough investigation of this case is currently under way. Early results suggest that the child may have acquired his infection from dead chickens in the neighbourhood. His family members and neighbours have been placed under medical observation. All remain healthy to date. The child is the fi fth laboratory-confi rmed case in Thailand this year and the second death. Since January 2004, Thailand has reported 22 cases, of which 14 were fatal. CDI Vol 30 No 1 2006 185
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