1. AI Experience in Rep.Korea - Status and Response - Lee, Jong-Koo MD.,MPH Director/Deputy Minister Korea Centers for Disease Control and Prevention

2. CONTENTS 1 AI Status in KOREA [2003~2004, 2006] 2 2006 AI Source of infection 3 Early response against AI in 2006 4 Measures against AI infection 5 Sequence of measures in AI

3. AI Status in KOREA Midland 14 cases Southeast 4 cases Southwest 1 case Chickens 10 cases ducks 9 cases 7 provinces 10 cities & counties 19 farms ’03.12.12. 1 st outbreak ’04. 3. 4. last Outbreak 5.3 millions killed Outbreak ’03~’04

4. AI Status in KOREA Outbreak 2006 AI at 4 farms in 3 cities & counties (2 provinces)  Chicken farms at Hamyeol, Iksan, North Jeonla Province (Nov.22. ’ 06) 760 thounsand chickens and other animals killed  Quail farm at Gongdeok, Gimje, North Jeonla Province(Dec.11. ’ 06) 370 thousand quails killed  Duck Farms at Tangjeong, Asan, South Chungcheong Province (Dec.21.’06) 22 duck and other thousands killed, 50 duck eggs destroyed Related ducks killed in 44 farms 8 cities and provinces

5. Iksan 1st Iksan 2nd Kimje Asan 82km 18km North Chungcheog Prov Daejeon South Chungcheong Prov

6. AI Outbreak in Iksan, Jeonbuk Province Iksan 1 st outbreak Iksan 2 nd outbreak 23th National Road City Hall

7. Kimje Mangyeong River

8. Asan Asan Bay

9.  Rapid Response Team located within 5 hours of recognition  Emergency Management System activated  Measures against human AI Infection conducted for “ Cullers ” PPE distributed Antivirals (Tamiflu) taken Flu vaccinated Monitoring afterwards Samples colleted and tested Questionnaires on health status “ Cullers ” educated and given prophylactic measures before culling  Education on AI  How to wear PPE and caution given in culling  How to react in case of infection Early response against AI in 2006

10. Before Culling.. PPE Education Antivirals vaccines Vaccines

11. Measures against AI infection  All cullers  Education necessary for proper use PPE  farmers :5 th day, 10 th day monitoring  Cullers suspicious of infection reported  Blood sample taken and tested for Farmers only monitoring  One dose of 75mg /day for 7 days  Farm workers, cullers Antiviral  Unvaccinated cullers Vaccination

12. Education for cullers culling E n d Collaboration with local authority List of owners, cullers secured Risk classified (High, mid, low)) Collaboration with local authority List of owners, cullers secured Risk classified (High, mid, low)) Farm owners, Cullers found Antiviral vaccination Education on PPE Antiviral vaccination Education on PPE Basic investigation AI recognition Monitoring of cullers 5 th, 10 th day monitoring Passive monitoring daily report 5 th, 10 th day monitoring Passive monitoring daily report Farm owners Farm workers, cullers, questionnaires Blood sample taken for high risk farm workers Farm owners Farm workers, cullers, questionnaires Blood sample taken for high risk farm workers Sequence of measures in AI

13. AI eradication activities cullingdisinfection

14. AI surveillance activities Conduct Epidemiological investigation Mobile command vehicle

15. Strategy Operation Center