Thursday, December 12, 2013

Shenzhen detected in three H7N9 avian influenza virus vaccine stocks rose biological

December 12, 2013

December 12 hearing, according to the Guangzhou Daily reported on December 10, the Joint Working Group and Shenzhen, Guangdong Province, the prevention and control of human infection of H7N9 avian influenza in live bird markets in Shenzhen bird flu virus contaminated environment monitoring, collecting 13 total 70 parts of environmental samples of live poultry markets, where the two live bird markets in Longgang District detected three positive for H7N9 avian influenza virus nucleic acid (1 part from Longgang District, Shenzhen market poultry cutting board; 2 parts meat from Cambridge Street, Longgang District, South Bay three birds chicken vegetable market stalls and the stall epilator).

Original of highlighted blue above:  2份来自龙岗区南湾街道康桥肉菜市场三鸟档的鸡粪和该档口的脱毛器

WHO Human infection with avian influenza A(H7N9) virus – update December 10, 2013

On 28 November and 6 December 2013, the National Health and Family Planning Commission, China notified WHO of two new laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus.
The first patient is a 57-year-old man from Zhejiang Province. He became ill on 20 November 2013 and was admitted to hospital on 25 November 2013. He is currently in critical condition.
The second patient is a 30-year-old man from Zhejiang Province. He became ill on 29 November 2013 and was admitted to hospital on 5 December 2013. He is currently in critical condition. He is the son-in-law of the 57-year-old male from Zhejiang Province with onset on 20 November 2013, reported above.
On 2 December and 6 December 2013, the Centre for Health Protection (CHP), China, Hong Kong SAR, notified WHO of two laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus.
The first patient is a 36-year-old woman who became ill on 21 November 2013. She was admitted to hospital on 27 November 2013 and transferred to an intensive care unit on 29 November 2013. She is currently in critical condition. She had visited Shenzhen, Guangdong province, China on 17 November 2013 and had slaughtered live chicken for cooking and consuming. The investigation is ongoing; close contacts, including family contacts, have so far tested negative for avian influenza A(H7N9).
The second patient is an 80 year old man with underlying chronic illness who lives with his family in Shenzhen and travelled from Shenzhen to China, Hong Kong SAR, on 3 December 2013 for management of his medical condition. He was admitted to a hospital in China, Hong Kong SAR, on 3 December 2013. He was afebrile on admission and developed fever on 6 December 2013. His condition is currently stable. The investigation is ongoing; close contacts, including family contacts, have so far tested negative for avian influenza A(H7N9). No epidemiological link was identified between the two cases in China, Hong Kong SAR.
So far, there is no evidence of sustained human-to-human transmission.
WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend any travel or trade restrictions. 

Wednesday, December 11, 2013

CIDRAP: Hong Kong, China offer more details on #H7N9 cases

December 9, 2013

From today's reports, the steering committee concluded that the two cases are sporadic imported cases.
Health officials today traveled to Shenzhen, where the two patients had traveled from before they were diagnosed with H7N9 in Hong Kong, to meet with local and national health officials from the mainland.
Investigators found that the woman may have visited a residential unit in Shenzhen's Longgang district and handled live poultry. However, Hong Kong officials said the woman is unable to clearly identify the source of the poultry. The second patient's family bought and cooked a slaughtered chicken from a market in Fuyong Town in Shenzhen, the statement said, adding that the man did not visit the live poultry market or have direct contact with live poultry.
Mainland authorities have tested poultry samples, but so far none have been positive for the virus. Hong Kong officials said they and Guangdong officials view the source of the infection as inconclusive so far. On Dec 3 as part of its response Hong Kong suspended imports of live poultry from farms in Shenzhen.

Cases in father and son

In other developments, the family connection between Zhejiang province's two latest H7N9 patients was revealed on Dec 7 in a report in Chinese from Xinhua, China's state news agency. Infectious disease news blogs flagged the report over the weekend.
According to the machine translation, the 30-year-old man whose case was first announced on Dec 5 is the son of the 57-year-old man whose illness was first announced at the end of November.
Both patients are hospitalized and in isolation. The father is in critical condition, and his son is in stable condition. The family kept six chickens, and the father's medical team believes the birds are probably the source of the virus, according to the Xinhua report.
Global health officials have said H7N9 virus doesn't appear to spread easily from person-to-person, but family clusters of cases aren't surprising in view of common exposures or close contact.

Two live bird markets in Shenzhen detected positive for #H7N9 avian influenza virus nucleic acid

December 11, 2013 Xinhua Guangzhou, December 11 (Reporter Xiao Sisi) on the 11th Guangdong Provincial Health and Family Planning Commission announced that the live bird markets, Longgang District Environmental samples detected H7N9 avian influenza virus nucleic acid positive. Experts assessed that occurred in Guangdong Province sporadic human infection with H7N9 avian influenza cases extremely high risk.   

Guangdong Province , Shenzhen Joint Working Group and the prevention and control of human infection of H7N9 avian influenza on the 10th at live bird markets in Shenzhen environment pollution monitoring avian influenza virus in live bird markets were collected 13 specimens of 70 parts of the environment, of which two Longgang District a live bird markets avian influenza detected in three H7N9 virus nucleic acid positive.   

Health and Family Planning Commission of Guangdong Province organized the 11th province of infection prevention and control of human H7N9 avian flu epidemic will work. Expert Group assessed that the high risk of occurrence of sporadic human infection in Guangdong Province H7N9 bird flu cases, there may be cases occur at any time. Experts advise the public to enhance awareness, prevention and control work well together.

Tuesday, December 10, 2013

Corona On Suspicion Of Infecting The Expatriate Indian Citizenship Of Jawf

hat-tip Niman

December 11, 2013
 Hollow now - special 
- about Hospital Abuajerm patient Indian citizenship 40 years after the examination and suffering from shortness of breath to the hospital Jandal. 
According to a medical source Hospital Jandal was suspected of wounds infected crowns where around him to hospital Sudairi as directed by the Ministry of Health processed hospitals Bookmark and took a sample to be sent Central Laboratory of the Riad and confirm the situation within 24 hours or denied.  

Monday, December 9, 2013

Hong Kong Centre For Health Protection (CHP) Update December 9, 2013 #H7N9

December 9, 2013

CHP on the second case of human infection with avian influenza A (H7N9) confirmed cases of epidemiological investigation and follow-up work

Centre for Health Protection , Department of Health spokesman said today ( December 7 ) Hong Kong confirmed the second case of avian influenza infection in humans (H7N9) cases , to provide the latest information . The case involved an 83- year-old man .

A spokesman said: "The Government " Serious Response Level influenza pandemic contingency plan " has been launched under the epidemiological investigation and follow-up work of the CHP are full speed ."

He said, " The patient was transferred to Princess Margaret Hospital for treatment under isolation and are in stable condition ."

As of 4pm today, the CHP has tracked the nineteenth close contacts and more than one hundred and thirty other contacts. Details are as follows :

( A ) of nineteen patients who had been in close contact with quarantine and was prescribed Tamiflu drugs for prevention and treatment , they include :

One . Thirteen patients admitted to Tuen Mun Hospital patient intercourse period ( including both general symptoms appear ) ;

Two . Five of his family members did not appear asymptomatic , being at the Princess Margaret Hospital for isolation ; , and

Three . December 3 pick was the patient and his family to Tuen Mun Hospital for the taxi driver has been found in the Shenzhen Bay Port , he no symptoms , and had been sent to Princess Margaret Hospital for isolation.

Eighteen in close contact with the sample after the CHP Public Health Laboratory Services Branch preliminary tests are confirmed for avian influenza (H7N9) virus were negative , and the remaining one was asymptomatic close contacts of the samples, to be laboratory results . They will accept quarantine , isolation period since the last contact with patients from the date ten days. If circumstances change during the health , need further testing and observation.

( B ) more than one hundred and thirty other contacts ( including other relatives of patients , health care workers and related visitors who came to Tuen Mun Hospital and ambulance services , as well as one of the Shenzhen Bay border crossing immigration control officers ) are under medical surveillance . Among them, four Tuen Mun Hospital medical staff appeared generally asymptomatic , all on avian influenza A (H7N9) virus was negative.

As year-old female patient with the first confirmed case , still in Queen Mary Hospital for treatment under isolation , the current critical condition. As of 4pm today, the CHP found no new cases for this close contact . Contact has been maintained close contacts in seventeen other contacts were two hundred and thirty people will continue to receive medical surveillance . These 17 close contacts also continue to receive quarantine , isolation period since the last contact with the patient from the date ten days. During the isolation period , if the health situation has changed , need to be tested again and observation.

CHP epidemiological investigation ( including contact tracing , and follow up on the source of infection ) two cases continues.

CHP has stepped up surveillance of suspected cases of local public and private hospitals , and will continue to work with the World Health Organization ( WHO ) , the Mainland and overseas health authorities to contact , monitor the latest development , the exchange of accurate and timely information, and according to WHO recommendations , the adjustment local monitoring strategy.

The spokesman said: "The Department of Health has for disease prevention and control measures at all ports of entry , existing ports already have sufficient infrared thermal imager for temperature monitoring of all incoming persons have contacted the Department Auxiliary Medical Service and Civil Aid Service . team , to increase manpower at entry and exit points to portable instrument sampling temperature of travelers if suspected cases of infectious diseases , will immediately be referred to a public hospital for follow-up investigation . "

Health education crossings travelers , the Department has stepped distributing health education leaflets , putting up posters in the lobby about immigration avian influenza A (H7N9) in arriving aircraft broadcast , strengthen port environmental health inspections and through meetings and communication of information to the travel industry updates regularly diseases . DH will closely monitor developments and take appropriate port health measures .

The spokesman added : "We have stepped up propaganda against avian influenza and Health Education Centre for Health Protection has issued letters to various government departments and related organizations , reminding them to take measures to prevent avian influenza ."

CHP has set up a hotline ( 21251111 ) for public inquiries. As of 4pm today, the hotline received seventy-two query.

The spokesman reminded the arriving passengers , especially travelers from areas affected by avian influenza A (H7N9) affected arrivals , if fever or respiratory symptoms should wear a mask and seek medical attention immediately , and to travel outside the medical report record . Health care professionals should pay special attention may have been in contact in the affected areas , birds or poultry manure by patients .

He also urged travelers visiting affected areas should live bird markets , avoid direct contact with poultry , birds or their droppings . Once exposed , should thoroughly clean your hands with soap and water .

They should continue to be vigilant and to take the following measures to prevent avian influenza :

* Poultry and eggs should be thoroughly cooked before eating ;
* Wash your hands frequently with soap , especially before touching the mouth , nose or eyes, before handling or eating food , after using the toilet , after touching escalator handrails, elevator buttons or door handles and other public facilities or objects, and coughing or sneezing make hand stained with respiratory secretions ;
* Cover nose and mouth while sneezing or coughing , hold the spit with tissue packets properly , covered and placed in the trash ;
* Avoid visiting crowded places, avoid contact with fever patients ; and
* Where respiratory symptoms , or those who take care of patients with fever , should wear a mask .

#H7N9 Update on Recent Confirmed Cases

[For those of you who have a hard time with translations, it says the 30yo has improved and has gone from critical to serious condition and no longer requires the use of vent; the 80yo is also referred below as "octogenarian man" and they are still trying to trace his movements to see where he contracted the virus.  19 of his close contacts & 104 other contacts all tested negative.  The 36(F)'s 17 close contacts have all tested negative, 11 people have completed their quarantine and 6 more remain isolated]

December 9, 2013

Secretary for Food and Health  Ko Wing-man, said yesterday that Hong Kong's first confirmed H7N9 were thirty-year-old Indian commission, Queen Mary Hospital intensive care unit still requires inhalation of high concentrations of oxygen, but her condition improved slightly, from critical to serious without the use of artificial lung ventilation, expect her to leave the intensive care unit as soon as possible; rather confirmed H7N9 infection Eighty-year-old man is being treated in isolation at Princess Margaret Hospital in stable condition. Indian commission has improved dye H7N9 KO refers Centre for Health Protection  disease control departments after contact with the mainland, days will arrange the exchange of experts to the epidemic in Guangdong experience and track down the source of the virus. It is understood that the move octogenarian man with hearing impairment, so to trace the source of infection difficulties. Centre for Health Protection said  patients living in Shenzhen Fuyong new district and nineteen close contacts and other contacts over one hundred and forty, all tested negative for the virus. The seventeen printed close contact with infected domestic helpers who earlier, 11 people completed quarantine, and the remaining six people must still isolated.