College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand.
Zoonoses Public Health. 2012 Aug;59(5):339-46. doi: 10.1111/j.1863-2378.2012.01460.x. Epub 2012 Feb 21.
Thailand has had multiple poultry outbreaks of highly pathogenic avian influenza (HPAI) H5N1 since its first emergence in 2004. Twenty-five human cases of HPAI H5N1 avian influenza have been reported in the country, including 17 fatalities, and contact with infected dead or dying poultry has been identified as a risk factor for human infection. This study assessed the use of protective equipment and hand hygiene measures by Thai poultry-owning households during activities involving poultry contact. Surveys conducted in 2008 included questions regarding poultry-related activities and protective measures used during an HPAI outbreak (2005) and 3 years after the study location's last reported outbreak (2008). For both time periods, poultry owners reported limited use of personal protective equipment (PPE) during all activities and inconsistent hand washing practices after carrying poultry and gathering eggs. This is the first time that PPE use in Thailand has been quantified for a large study group. These data are important for ongoing characterization of HPAI risk and for the crafting of educational messages.
自 2004 年首次出现以来，泰国已多次爆发高致病性禽流感（HPAI）H5N1。该国报告了 25 例人类感染 HPAI H5N1 禽流感病例，其中 17 例死亡，接触感染的死禽或病禽已被确定为人类感染的危险因素。本研究评估了泰国养禽户在接触家禽的活动中使用防护设备和手部卫生措施的情况。2008 年进行的调查包括在 HPAI 爆发期间（2005 年）和研究地点最后一次报告爆发后 3 年（2008 年）期间进行的与家禽相关的活动和使用的防护措施的问题。在这两个时期，家禽饲养者都报告说，在所有活动中都很少使用个人防护设备（PPE），并且在处理家禽和收集鸡蛋后，洗手的做法不一致。这是首次对大量研究组进行泰国 PPE 使用情况的量化。这些数据对于正在进行的 HPAI 风险特征描述和教育信息的制定非常重要。
