Environmental contamination and risk factors for transmission of highly pathogenic avian influenza A(H5N1) to humans, Cambodia, 2006-2010
Identifieur interne : 000081 ( Hal/Curation ); précédent : 000080; suivant : 000082Environmental contamination and risk factors for transmission of highly pathogenic avian influenza A(H5N1) to humans, Cambodia, 2006-2010
Auteurs : Sowath Ly [Cambodge] ; Sirenda Vong [Cambodge] ; Philippe Cavailler [Cambodge] ; Elizabeth Mumford [Suisse] ; Channa Mey [Cambodge] ; Sareth Rith [Cambodge] ; Maria Van Kerkhove [Cambodge] ; San Sorn [Cambodge] ; Touch Sok [Cambodge] ; Arnaud Tarantola [Cambodge] ; Philippe Buchy [Cambodge]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2016-11-04.
English descriptors
Abstract
BACKGROUND:Highly pathogenic avian influenza A (H5N1) virus has been of public health concern since 2003. Probable risk factors for A(H5N1) transmission to human have been demonstrated in several studies or epidemiological reports. However, transmission patterns may differ according to demographic characteristics of the population and local practices. This article aggregates these data from three studies with data collected in the previous surveys in 2006 and 2007 to further examine the risks factors associated with presence of anti-A(H5) antibodies among villagers residing within outbreak areas.METHODS:We aggregated 5-year data (2006-2010) from serology survey and matched case-control studies in Cambodia to further examine the risks factors associated with A(H5N1) infection among villagers in the outbreak areas.RESULTS:Serotesting among villagers detected 35 (1.5 % [0-2.6]) positive cases suggesting recent exposure to A(H5N1) virus. Practices associated with A(H5N1) infection among all ages were: having poultry cage or nesting area under or adjacent to the house (OR: 6.7 [1.6-28.3]; p = 0.010) and transporting poultry to market (OR: 17.6 [1.6-193.7]; p = 0.019). Practices found as risk factors for the infection among age under 20 years were swimming/bathing in ponds also accessed by domestic poultry (OR: 4.6 [1.1-19.1]; p = 0.038). Association with consuming wild birds reached borderline significance (p = 0.066).CONCLUSION:Our results suggest that swimming/bathing in contaminated pond water and close contact with poultry may present a risk of A(H5N1) transmission to human.
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DOI: 10.1186/s12879-016-1950-z
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5 , Boulevard Monivong, Phnom Penh</addrLine> <country key="KH"></country> </address> <ref type="url">http://www.pasteur-kh.org/</ref> </desc> <listRelation> <relation active="#struct-301247" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-301247" type="direct"><org type="regroupinstitution" xml:id="struct-301247" status="VALID"> <orgName>Réseau International des Instituts Pasteur</orgName> <orgName type="acronym">RIIP</orgName> <desc> <address> <addrLine>25, rue du Dr Roux 75724 Paris Cedex 15</addrLine> <country key="FR"></country> </address> <ref type="url">https://research.pasteur.fr/ip-network</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>Cambodge</country></affiliation></author><author><name sortKey="Mumford, Elizabeth" sort="Mumford, Elizabeth" uniqKey="Mumford E" first="Elizabeth" last="Mumford">Elizabeth Mumford</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-216505" status="VALID"> <orgName>Global Influenza Programme</orgName> <desc> <address> <addrLine>Geneva</addrLine> <country key="CH"></country> </address> </desc> <listRelation> <relation active="#struct-548010" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-548010" type="direct"><org type="institution" xml:id="struct-548010" status="VALID"> <orgName>Organisation Mondiale de la Santé / World Health Organization Office</orgName> <orgName type="acronym">OMS / WHO</orgName> <desc> <address> <addrLine>Genève</addrLine> <country key="CH"></country> </address> <ref type="url">https://www.who.int/</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>Suisse</country></affiliation></author><author><name sortKey="Mey, Channa" sort="Mey, Channa" uniqKey="Mey C" first="Channa" last="Mey">Channa Mey</name><affiliation wicri:level="1"><hal:affiliation type="institution" xml:id="struct-54022" status="VALID"> <orgName>Institut Pasteur du Cambodge</orgName> <desc> <address> <addrLine>BP 983 - 5 , Boulevard Monivong, Phnom Penh</addrLine> <country key="KH"></country> </address> <ref type="url">http://www.pasteur-kh.org/</ref> </desc> <listRelation> <relation active="#struct-301247" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-301247" type="direct"><org type="regroupinstitution" xml:id="struct-301247" status="VALID"> <orgName>Réseau International des Instituts Pasteur</orgName> <orgName type="acronym">RIIP</orgName> <desc> <address> <addrLine>25, rue du Dr Roux 75724 Paris Cedex 15</addrLine> <country key="FR"></country> </address> <ref type="url">https://research.pasteur.fr/ip-network</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>Cambodge</country></affiliation></author><author><name sortKey="Rith, Sareth" sort="Rith, Sareth" uniqKey="Rith S" first="Sareth" last="Rith">Sareth Rith</name><affiliation wicri:level="1"><hal:affiliation type="institution" xml:id="struct-54022" status="VALID"> <orgName>Institut Pasteur du Cambodge</orgName> <desc> <address> <addrLine>BP 983 - 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5 , Boulevard Monivong, Phnom Penh</addrLine> <country key="KH"></country> </address> <ref type="url">http://www.pasteur-kh.org/</ref> </desc> <listRelation> <relation active="#struct-301247" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-301247" type="direct"><org type="regroupinstitution" xml:id="struct-301247" status="VALID"> <orgName>Réseau International des Instituts Pasteur</orgName> <orgName type="acronym">RIIP</orgName> <desc> <address> <addrLine>25, rue du Dr Roux 75724 Paris Cedex 15</addrLine> <country key="FR"></country> </address> <ref type="url">https://research.pasteur.fr/ip-network</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>Cambodge</country></affiliation></author><author><name sortKey="Sorn, San" sort="Sorn, San" uniqKey="Sorn S" first="San" last="Sorn">San Sorn</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-215578" status="VALID"> <orgName>National Veterinary Research Institute [Phnom Penh]</orgName> <desc> <address> <addrLine>Phnom Penh</addrLine> <country key="KH"></country> </address> </desc> </hal:affiliation><country>Cambodge</country></affiliation></author><author><name sortKey="Sok, Touch" sort="Sok, Touch" uniqKey="Sok T" first="Touch" last="Sok">Touch Sok</name><affiliation wicri:level="1"><hal:affiliation type="institution" xml:id="struct-143104" status="VALID"> <orgName>Ministry of Health [Phnom Penh]</orgName> <desc> <address> <addrLine>No 151-153 Kampuchea Krom Blvd. Phnom Penh</addrLine> <country key="KH"></country> </address> <ref type="url">http://www.moh.gov.kh/?page_id=337&lang=en</ref> </desc> </hal:affiliation><country>Cambodge</country></affiliation></author><author><name sortKey="Tarantola, Arnaud" sort="Tarantola, Arnaud" uniqKey="Tarantola A" first="Arnaud" last="Tarantola">Arnaud Tarantola</name><affiliation wicri:level="1"><hal:affiliation type="institution" xml:id="struct-54022" status="VALID"> <orgName>Institut Pasteur du Cambodge</orgName> <desc> <address> <addrLine>BP 983 - 5 , Boulevard Monivong, Phnom Penh</addrLine> <country key="KH"></country> </address> <ref type="url">http://www.pasteur-kh.org/</ref> </desc> <listRelation> <relation active="#struct-301247" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-301247" type="direct"><org type="regroupinstitution" xml:id="struct-301247" status="VALID"> <orgName>Réseau International des Instituts Pasteur</orgName> <orgName type="acronym">RIIP</orgName> <desc> <address> <addrLine>25, rue du Dr Roux 75724 Paris Cedex 15</addrLine> <country key="FR"></country> </address> <ref type="url">https://research.pasteur.fr/ip-network</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>Cambodge</country></affiliation></author><author><name sortKey="Buchy, Philippe" sort="Buchy, Philippe" uniqKey="Buchy P" first="Philippe" last="Buchy">Philippe Buchy</name><affiliation wicri:level="1"><hal:affiliation type="institution" xml:id="struct-54022" status="VALID"> <orgName>Institut Pasteur du Cambodge</orgName> <desc> <address> <addrLine>BP 983 - 5 , Boulevard Monivong, Phnom Penh</addrLine> <country key="KH"></country> </address> <ref type="url">http://www.pasteur-kh.org/</ref> </desc> <listRelation> <relation active="#struct-301247" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-301247" type="direct"><org type="regroupinstitution" xml:id="struct-301247" status="VALID"> <orgName>Réseau International des Instituts Pasteur</orgName> <orgName type="acronym">RIIP</orgName> <desc> <address> <addrLine>25, rue du Dr Roux 75724 Paris Cedex 15</addrLine> <country key="FR"></country> </address> <ref type="url">https://research.pasteur.fr/ip-network</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>Cambodge</country></affiliation></author></analytic><idno type="DOI">10.1186/s12879-016-1950-z</idno><series><title level="j">BMC Infectious Diseases</title><idno type="ISSN">1471-2334</idno><imprint><date type="datePub">2016-11-04</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="mix" xml:lang="en"><term>A (H5N1)</term><term>Environmental contamination</term><term>Human seroprevalence</term><term>Risk factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"> <p>BACKGROUND:Highly pathogenic avian influenza A (H5N1) virus has been of public health concern since 2003. Probable risk factors for A(H5N1) transmission to human have been demonstrated in several studies or epidemiological reports. However, transmission patterns may differ according to demographic characteristics of the population and local practices. This article aggregates these data from three studies with data collected in the previous surveys in 2006 and 2007 to further examine the risks factors associated with presence of anti-A(H5) antibodies among villagers residing within outbreak areas.METHODS:We aggregated 5-year data (2006-2010) from serology survey and matched case-control studies in Cambodia to further examine the risks factors associated with A(H5N1) infection among villagers in the outbreak areas.RESULTS:Serotesting among villagers detected 35 (1.5 % [0-2.6]) positive cases suggesting recent exposure to A(H5N1) virus. Practices associated with A(H5N1) infection among all ages were: having poultry cage or nesting area under or adjacent to the house (OR: 6.7 [1.6-28.3]; p = 0.010) and transporting poultry to market (OR: 17.6 [1.6-193.7]; p = 0.019). Practices found as risk factors for the infection among age under 20 years were swimming/bathing in ponds also accessed by domestic poultry (OR: 4.6 [1.1-19.1]; p = 0.038). Association with consuming wild birds reached borderline significance (p = 0.066).CONCLUSION:Our results suggest that swimming/bathing in contaminated pond water and close contact with poultry may present a risk of A(H5N1) transmission to human.</p> </div></front></TEI><hal api="V3"> <titleStmt> <title xml:lang="en">Environmental contamination and risk factors for transmission of highly pathogenic avian influenza A(H5N1) to humans, Cambodia, 2006-2010</title> <author role="aut"> <persName> <forename type="first">Sowath</forename> <surname>Ly</surname> </persName> <idno type="halauthorid">374430</idno> <affiliation ref="#struct-54022"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Sirenda</forename> <surname>Vong</surname> </persName> <idno type="halauthorid">203190</idno> <affiliation ref="#struct-54022"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Philippe</forename> <surname>Cavailler</surname> </persName> <idno type="halauthorid">644011</idno> <affiliation ref="#struct-54022"></affiliation> <affiliation ref="#struct-351663"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Elizabeth</forename> <surname>Mumford</surname> </persName> <idno type="halauthorid">824777</idno> <affiliation ref="#struct-216505"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Channa</forename> <surname>Mey</surname> </persName> <idno type="halauthorid">764749</idno> <affiliation ref="#struct-54022"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Sareth</forename> <surname>Rith</surname> </persName> <idno type="halauthorid">794412</idno> <affiliation ref="#struct-54022"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Maria</forename> <surname>Van Kerkhove</surname> </persName> <email type="md5">4013387925cb448f709208f46f33cdf9</email> <email type="domain">imperial.ac.uk</email> <idno type="halauthorid">1015650</idno> <affiliation ref="#struct-54022"></affiliation> <affiliation ref="#struct-300027"></affiliation> </author> <author role="aut"> <persName> <forename type="first">San</forename> <surname>Sorn</surname> </persName> <idno type="halauthorid">400951</idno> <affiliation ref="#struct-215578"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Touch</forename> <surname>Sok</surname> </persName> <idno type="halauthorid">574372</idno> <affiliation ref="#struct-143104"></affiliation> </author> <author role="crp"> <persName> <forename type="first">Arnaud</forename> <surname>Tarantola</surname> </persName> <email type="md5">63debd3efe9ff175de4ab46cbbe8788d</email> <email type="domain">pasteur-kh.org</email> <idno type="idhal" notation="string">arnaud-tarantola</idno> <idno type="idhal" notation="numeric">18393</idno> <idno type="halauthorid">814037</idno> <idno type="ORCID">https://orcid.org/0000-0002-6946-7958</idno> <affiliation ref="#struct-54022"></affiliation> </author> <author role="crp"> <persName> <forename type="first">Philippe</forename> <surname>Buchy</surname> </persName> <email type="md5">95bc538dc2d105add3df3e60fffd09b6</email> <email type="domain">hotmail.com</email> <idno type="halauthorid">1257811</idno> <affiliation ref="#struct-54022"></affiliation> <affiliation ref="#struct-63246"></affiliation> </author> <editor role="depositor"> <persName> <forename>Arnaud</forename> <surname>Tarantola</surname> </persName> <email type="md5">eb9ca43427e44828dfd553206b9893a4</email> <email type="domain">pasteur.fr</email> </editor> <funder>The study received financial support from the United States Department of Health and Human Services (DHHS) and from the French Ministry of Higher Education and Research.</funder> </titleStmt> <editionStmt> <edition n="v1" type="current"> <date type="whenSubmitted">2018-03-21 00:01:58</date> <date type="whenModified">2020-01-13 17:08:17</date> <date type="whenReleased">2018-04-12 17:38:05</date> <date type="whenProduced">2016-11-04</date> <date type="whenEndEmbargoed">2018-04-12</date> <ref type="file" target="https://hal-pasteur.archives-ouvertes.fr/pasteur-01739356/document"> <date notBefore="2018-04-12"></date> </ref> <ref type="file" subtype="publisherPaid" n="1" target="https://hal-pasteur.archives-ouvertes.fr/pasteur-01739356/file/document.pdf"> <date notBefore="2018-04-12"></date> </ref> <ref type="externalLink" target="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5095992/pdf"></ref> </edition> <respStmt> <resp>contributor</resp> <name key="162553"> <persName> <forename>Arnaud</forename> <surname>Tarantola</surname> </persName> <email type="md5">eb9ca43427e44828dfd553206b9893a4</email> <email type="domain">pasteur.fr</email> </name> </respStmt> </editionStmt> <publicationStmt> <distributor>CCSD</distributor> <idno type="halId">pasteur-01739356</idno> <idno type="halUri">https://hal-pasteur.archives-ouvertes.fr/pasteur-01739356</idno> <idno type="halBibtex">ly:pasteur-01739356</idno> <idno type="halRefHtml">BMC Infectious Diseases, BioMed Central, 2016, 16 (1), pp.631. ⟨10.1186/s12879-016-1950-z⟩</idno> <idno type="halRef">BMC Infectious Diseases, BioMed Central, 2016, 16 (1), pp.631. ⟨10.1186/s12879-016-1950-z⟩</idno> <availability status="restricted"> <licence target="http://creativecommons.org/licenses/by/">Attribution</licence> </availability> </publicationStmt> <seriesStmt> <idno type="stamp" n="PASTEUR">Institut Pasteur</idno> <idno type="stamp" n="RIIP">Institut Pasteur RIIP (Réseau International)</idno> <idno type="stamp" n="RIIP_CAMBODGE" corresp="RIIP">Institut Pasteur du Cambodge</idno> </seriesStmt> <notesStmt> <note type="audience" n="2">International</note> <note type="popular" n="0">No</note> <note type="peer" n="1">Yes</note> </notesStmt> <sourceDesc> <biblStruct> <analytic> <title xml:lang="en">Environmental contamination and risk factors for transmission of highly pathogenic avian influenza A(H5N1) to humans, Cambodia, 2006-2010</title> <author role="aut"> <persName> <forename type="first">Sowath</forename> <surname>Ly</surname> </persName> <idno type="halauthorid">374430</idno> <affiliation ref="#struct-54022"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Sirenda</forename> <surname>Vong</surname> </persName> <idno type="halauthorid">203190</idno> <affiliation ref="#struct-54022"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Philippe</forename> <surname>Cavailler</surname> </persName> <idno type="halauthorid">644011</idno> <affiliation ref="#struct-54022"></affiliation> <affiliation ref="#struct-351663"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Elizabeth</forename> <surname>Mumford</surname> </persName> <idno type="halauthorid">824777</idno> <affiliation ref="#struct-216505"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Channa</forename> <surname>Mey</surname> </persName> <idno type="halauthorid">764749</idno> <affiliation ref="#struct-54022"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Sareth</forename> <surname>Rith</surname> </persName> <idno type="halauthorid">794412</idno> <affiliation ref="#struct-54022"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Maria</forename> <surname>Van Kerkhove</surname> </persName> <email type="md5">4013387925cb448f709208f46f33cdf9</email> <email type="domain">imperial.ac.uk</email> <idno type="halauthorid">1015650</idno> <affiliation ref="#struct-54022"></affiliation> <affiliation ref="#struct-300027"></affiliation> </author> <author role="aut"> <persName> <forename type="first">San</forename> <surname>Sorn</surname> </persName> <idno type="halauthorid">400951</idno> <affiliation ref="#struct-215578"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Touch</forename> <surname>Sok</surname> </persName> <idno type="halauthorid">574372</idno> <affiliation ref="#struct-143104"></affiliation> </author> <author role="crp"> <persName> <forename type="first">Arnaud</forename> <surname>Tarantola</surname> </persName> <email type="md5">63debd3efe9ff175de4ab46cbbe8788d</email> <email type="domain">pasteur-kh.org</email> <idno type="idhal" notation="string">arnaud-tarantola</idno> <idno type="idhal" notation="numeric">18393</idno> <idno type="halauthorid">814037</idno> <idno type="ORCID">https://orcid.org/0000-0002-6946-7958</idno> <affiliation ref="#struct-54022"></affiliation> </author> <author role="crp"> <persName> <forename type="first">Philippe</forename> <surname>Buchy</surname> </persName> <email type="md5">95bc538dc2d105add3df3e60fffd09b6</email> <email type="domain">hotmail.com</email> <idno type="halauthorid">1257811</idno> <affiliation ref="#struct-54022"></affiliation> <affiliation ref="#struct-63246"></affiliation> </author> </analytic> <monogr> <idno type="halJournalId" status="VALID">337</idno> <idno type="issn">1471-2334</idno> <idno type="eissn">1471-2334</idno> <title level="j">BMC Infectious Diseases</title> <imprint> <publisher>BioMed Central</publisher> <biblScope unit="volume">16</biblScope> <biblScope unit="issue">1</biblScope> <biblScope unit="pp">631</biblScope> <date type="datePub">2016-11-04</date> </imprint> </monogr> <idno type="doi">10.1186/s12879-016-1950-z</idno> <idno type="pubmed">27809855</idno> <idno type="pubmedcentral">PMC5095992</idno> </biblStruct> </sourceDesc> <profileDesc> <langUsage> <language ident="en">English</language> </langUsage> <textClass> <keywords scheme="author"> <term xml:lang="en">A (H5N1)</term> <term xml:lang="en">Environmental contamination</term> <term xml:lang="en">Human seroprevalence</term> <term xml:lang="en">Risk factors</term> </keywords> <classCode scheme="mesh">Adolescent</classCode> <classCode scheme="mesh">Adult</classCode> <classCode scheme="mesh">Environmental Pollution</classCode> <classCode scheme="mesh">Female</classCode> <classCode scheme="mesh">Humans</classCode> <classCode scheme="mesh">Infant</classCode> <classCode scheme="mesh">Influenza A Virus, H5N1 Subtype</classCode> <classCode scheme="mesh">Influenza in Birds</classCode> <classCode scheme="mesh">Influenza, Human</classCode> <classCode scheme="mesh">Male</classCode> <classCode scheme="mesh">Middle Aged</classCode> <classCode scheme="mesh">Ponds</classCode> <classCode scheme="mesh">Aged</classCode> <classCode scheme="mesh">Poultry</classCode> <classCode scheme="mesh">Public Health</classCode> <classCode scheme="mesh">Risk Factors</classCode> <classCode scheme="mesh">Water Pollutants</classCode> <classCode scheme="mesh">Waterborne Diseases</classCode> <classCode scheme="mesh">Young Adult</classCode> <classCode scheme="mesh">Aged, 80 and over</classCode> <classCode scheme="mesh">Animals</classCode> <classCode scheme="mesh">Animals, Wild</classCode> <classCode scheme="mesh">Cambodia</classCode> <classCode scheme="mesh">Child</classCode> <classCode scheme="mesh">Child, Preschool</classCode> <classCode scheme="mesh">Disease Outbreaks</classCode> <classCode scheme="halDomain" n="sdv.mhep.mi">Life Sciences [q-bio]/Human health and pathology/Infectious diseases</classCode> <classCode scheme="halTypology" n="ART">Journal articles</classCode> </textClass> <abstract xml:lang="en"> <p>BACKGROUND:Highly pathogenic avian influenza A (H5N1) virus has been of public health concern since 2003. Probable risk factors for A(H5N1) transmission to human have been demonstrated in several studies or epidemiological reports. However, transmission patterns may differ according to demographic characteristics of the population and local practices. This article aggregates these data from three studies with data collected in the previous surveys in 2006 and 2007 to further examine the risks factors associated with presence of anti-A(H5) antibodies among villagers residing within outbreak areas.METHODS:We aggregated 5-year data (2006-2010) from serology survey and matched case-control studies in Cambodia to further examine the risks factors associated with A(H5N1) infection among villagers in the outbreak areas.RESULTS:Serotesting among villagers detected 35 (1.5 % [0-2.6]) positive cases suggesting recent exposure to A(H5N1) virus. Practices associated with A(H5N1) infection among all ages were: having poultry cage or nesting area under or adjacent to the house (OR: 6.7 [1.6-28.3]; p = 0.010) and transporting poultry to market (OR: 17.6 [1.6-193.7]; p = 0.019). Practices found as risk factors for the infection among age under 20 years were swimming/bathing in ponds also accessed by domestic poultry (OR: 4.6 [1.1-19.1]; p = 0.038). Association with consuming wild birds reached borderline significance (p = 0.066).CONCLUSION:Our results suggest that swimming/bathing in contaminated pond water and close contact with poultry may present a risk of A(H5N1) transmission to human.</p> </abstract> </profileDesc> </hal></record>Pour manipuler ce document sous Unix (Dilib)
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