A 28-year-old man from Kampong Cham province in Cambodia has died from an H5N1 avian flu infection after being exposed to and possibly consuming sick chickens, according to a statement translated and posted today by Avian Flu Diary, an infectious disease news blog.
This is the 19th human H5N1 case identified in Cambodia since early 2023. Most recently, in September 2024, the country reported a fatal H5N1 case in a teen girl, caused by a novel reassortant that included internal genes from the newer 2.3.4.4b clade. The 15-year-old girl had handled sick birds in her village in the week prior to her death.
Tale of 2 clades
The older 2.3.2.1c clade has been has been implicated in poultry outbreaks in Asia for years. Clade 2.3.4.4b is currently being transmitted globally and causing outbreaks among cattle and dairy workers in the United States, as well as infecting birds.
In the new Cambodian case, the patient died on January 10 after suffering fever, difficulty breathing, cough, and fatigue. According to the statement, the patient's family raises chickens, and the man is the caretaker and cooked sick chickens for food.
Cambodian officials have not yet released details on what clade is implicated in this case.