ETIDIOH - NEW

{Automatic translation} The Ministry of Health of Cambodia notified a case of avian influenza A(H5N1) : the patient is a 65-years-old woman from Kraing Ampil, Takeo Province . The patient is now hospitalized in Intensive Care Unit . She developed fever, cough, shortness of breath, did not report contact with diseased birds. A Response Team is investigating actively, adopting prevention and control measures. The case has been confirmed by Pasteur Institute of Cambodia . (...) Despite investigations so far excluded direct contact with diseases or dead poultry, the patient's relatives own birds and more analysis are being conducted. The Rapid Response Team continues to investigate the outbreak with the cooperation of local health authorities to find possible source of infection among poultry and humans. Close contacts of the patient are being searched and will be offered the antiviral oseltamivir for post-exposure prophylaxis. (...) Source: Cambodia Ministry of Health,  https://moh.go...

Early this morning, the International Atomic Energy Agency (IAEA) was informed of the military operation launched by Israel which includes attacks on nuclear facilities in the Islamic Republic of Iran . As I reported this morning to the IAEA Board of Governors , we have been in permanent contact with the Iran Nuclear Regulatory Authority , to ascertain the status of relevant nuclear facilities and to assess any wider impacts on nuclear safety and security. Iran has confirmed that at present, only the Natanz Fuel Enrichment Plant site has been attacked in today’s strikes . This facility contains the Fuel Enrichment Plant and the Pilot Fuel Enrichment Plant. At Natanz, the above-ground part of the Pilot Fuel Enrichment Plant , where Iran was producing uranium enriched up to 60% U-235, has been destroyed. Electricity infrastructure at the facility (electrical sub-station, main electric power supply building, emergency power supply and back-up generators) has been destroyed . There is no i...

  {Excerpt} Time Period: June 01, 2025 - June 07, 2025 - H5 Detection :  4 sites ( 1.1% ) - No Detection :  370 sites ( 98.9% ) - No samples in last week :  73 sites (...) Source: US Centers for Disease Control and Prevention,  https://www.cdc.gov/bird-flu/h5-monitoring/index.html ____

 Sea Otters in Hokkaido Region. Source: WOAH,  https://wahis.woah.org/#/in-review/6551 ____

A small commercial flock of 69 chickens, 23 ducks and 5 geese. Increased mortality reported in chickens as well as a drop in egg production in the ducks. Samples were taken and tested positive for HPAI H5N1. Location:  Kirklees, West Yorkshire, England. Source: WOAH,  https://wahis.woah.org/#/in-review/6552 ____

 A wild Peregrine falcon in Kagoshima Region. Source: WOAH,  https://wahis.woah.org/#/in-review/6545 ____

Fourth meeting of the International Health Regulations (2005) Emergency Committee regarding the upsurge of mpox 2024 – Temporary recommendations The Director-General of the World Health Organization (WHO), following the fourth meeting of the International Health Regulations (2005) (IHR)   Emergency Committee regarding the upsurge of mpox 2024 , held on 5 June 2025, from 12:00 to 17:00 CEST, concurs with its advice that the event continues to meet the criteria of a public health emergency of international concern and, considering the advice of the Committee, he is hereby issuing a revised set of temporary recommendations. The WHO Director-General expresses his most sincere gratitude to the Chair, Members, and Advisors of the Committee. The proceeding of the fourth meeting of the Committee will be shared with States Parties to the IHR and published in the coming days. Temporary recommendations These temporary recommendations   are issued to  States Parties   experienci...

  {Excerpt} Time Period: May 25, 2025 - May 31, 2025 - H5 Detection :  10 sites ( 2.5% ) - No Detection :  389 sites ( 97.5% ) - No samples in last week :  52 sites (...) Source: US Centers for Disease Control and Prevention,  https://www.cdc.gov/nwss/rv/wwd-h5.html ____

  New human cases {2}:  -- From 23 April to 27 May 2025, based on reporting date, the detection of influenza A( H5N1 ) in three humans, the detection of influenza A( H9N2 ) virus in eight humans and the detection of influenza A( H10N3 ) in one human were reported officially.  -- Circulation of influenza viruses with zoonotic potential in animals:  - High pathogenicity avian influenza (HPAI) outbreaks in poultry and non-poultry animals continue to be reported to the World Organisation for Animal Health (WOAH).{3}  - The Food and Agriculture Organization of the United Nations (FAO) also provides a global update on avian influenza viruses with pandemic potential.{4}  -- Risk assessment {5}:  - Sustained human to human transmission has not been reported in these events. Based on information available at the time of the risk assessment , the overall public health risk from currently known influenza viruses circulating at the human-animal interface has not c...

The samples collected in two (2) wild bird species : Red Shank (Tringa totanus) and Arctic Warbler (Phylloscopus borealis), that tested positive for Notifiable Avian Influenza Subtype H5N1 were part of the regular wildlife disease surveillance activity being conducted by the wetland park. In response, additional samples were collected from wild birds, and all tested negative for Avian Influenza. Comprehensive surveillance and sample collection efforts in the surrounding domestic poultry population also confirmed no presence of Avian Influenza. Source: WOAH,  https://wahis.woah.org/#/in-review/6523 ____

HPAI H5N1 confirmed in backyard poultry farm with approx. 190 birds (laying hens). Susupicion date 27/05/2025 - some birds with neurological signs, one dead. Laboratory diagnosis confirmed at the Latvian National Reference Laboratory for avian influenza. Source: WOAH,  https://wahis.woah.org/#/in-review/6528 ____

  {Excerpt} Time Period: May 18, 2025 - May 24, 2025 -- H5 Detection :  17 sites ( 5.0% ) - No Detection :  322 sites ( 95.0% ) - No samples in last week :  116 sites (...) Source: US Centers for Disease Control and Prevention,  https://www.cdc.gov/bird-flu/h5-monitoring/index.html ____

  {Summary} Situation at a glance In early May 2025, the International Health Regulations National Focal Point (IHR NFP) for Thailand notified WHO of four cases of cutaneous anthrax .  One of the affected individuals died as a result of disease complications, while the remaining three cases were hospitalized and received appropriate medical care .  All reported cases had direct contact with cattle suspected to be infected with anthrax.  A rapid field investigation and response was conducted by the national health authorities.  All potentially exposed individuals were identified, and all high-risk contacts received post-exposure prophylaxis .  On 28 May, an additional case was announced who was associated with the slaughtering of cattle .  Disease control measures , including animal quarantine, and vaccination campaign targeting cattle withing five km radius, public awareness campaigns, and enhanced surveillance, were implemented in the affected area....

  Situation at a glance Since mid-February 2025, according to data available from sentinel sites, global SARS-CoV-2 activity has been increasing, with the test positivity rate reaching 11%, levels that have not been observed since July 2024.  This rise is primarily observed in countries in the Eastern Mediterranean, South-East Asia, and Western Pacific regions .  Since early 2025 , global SARS-CoV-2 variant trends have slightly shifted. Circulation of LP.8.1 has been declining, and reporting of NB.1.8.1, a Variant Under Monitoring (VUM), is increasing , reaching 10.7% of global sequences reported as of mid-May.  Recent increases in SARS-CoV-2 activity are broadly consistent with levels observed during the same period last year, however, there still lacks a clear seasonality in SARS-CoV-2 circulation, and surveillance is limited.  Continued monitoring is essential . WHO advises all Member States to continue applying a risk-based, integrated approach to managing C...