Saturday, December 21, 2013

Hong Kong: #H7N9 New avian flu test mooted

 Hong Kong's Information Services Department
December 21, 2013
Secretary for Food & Health Dr Ko Wing-man says the Government and Mainland authorities are discussing whether to introduce an avian influenza A(H7N9) serological test for imported poultry.

He said the test would be an improvement in risk management, and give a clearer picture of how widespread the virus is among the poultry population. The test itself cannot directly imply that a batch of concerned poultry is infectious, though.

Dr Ko said there are implications for introducing the test which must be dealt with before any such test was implemented.

“How to dispose of a particular batch of imported poultry which is tested positive in serology investigation is a question, and it is something that we really need to have an agreement on beforehand. I believe the Mainland authorities are now considering this aspect,” he said.

http://www.news.gov.hk/en/categories/health/html/2013/12/20131221_191822.shtml

China #H7N9 - More Important Testing is on lower respiratory tract - Swab not enough.

Translation
December 21, 2013
CNR network in Guangzhou on December 21 news (reporter Feng Huiling), according to Voice of China "CNR News" reported that, as of now, the Guangdong provincial people infected with H7N9 bird flu case in six cases, with two cases occurred in Hong Kong in early December , Shenzhen and neighboring cities only in December found eight cases of human infection with the H7N9 avian influenza. Experts said that the current H7N9 appears regional characteristics, does not exclude the limited capacity of human to human transmission of the virus.
Guangdong Provincial Health Department official said that Guangdong has entered the human infection of H7N9 avian influenza cases are prone period, the Chinese Academy of Engineering academician Zhong Nanshan believe that the current H7N9 also belong sporadic, but obviously with regional characteristics.
Zhong Nanshan: Now is a sporadic performance, but with a characteristic with regional, so-called culture that results in Yangjiang Shenzhen, the Pearl River Delta to such a culture, the region continued to be found a few we want to vigilance.
Zhong Nanshan said that medical personnel are currently sequencing of the virus, is to monitor whether the virus mutates in a timely manner, there still does not rule out the limited capacity of the H7N9 virus from person to person exists.
Zhong Nanshan: Now adds a few cases in a short time, we are now trying to figure out its sequencing has no special changes. Until now we have observed a total of more than 150 cases, two cases may seem like a limited person to person, because it has some special conditions, the two cases are very close contact with the family, and this would not explain full person to person, but very limited.
Guangdong hospitalized medical patients when most serious condition, Zhong Nanshan alert medical staff symptoms for some patients to repeated testing.
Zhong Nanshan: Some start is negative, there are some less qualified its agents, and the second is the location, just swab is not enough, now more important is the lower respiratory tract, so it is very important to improve the detection rate, all flu symptoms to repeated testing.
Shu Yuelong, director of China CDC Influenza Center, said the winter has always been the peak season of influenza virus, the virus is more active in the outside environment, survive longer, H7N9 sporadic cases may have occurred.
Shuyue Long: It should be said that the major was the first try to avoid contact with live poultry and including live bird markets, live bird markets from Spring Festival this year seems indeed a high-risk places.

#H7N9 China urges local health departments to prevent & control bird flu

BEIJING, Dec. 21 (UPI) -- China's national health commission said it has tightened supervision of pneumonia and flu cases after a human case of the new strain of bird flu was reported.The Jiangxi province in east China confirmed the case of H10N8 on Wednesday, the National Health and Family Planning Commission said.
South China's Guangdong province has reported six cases of H7N9 bird flu since October, while the Zhejiang province has had five cases in the past six months, Xinhua said.
The commission is urging local health authorities to make the prevention and the control of the disease a priority.

China Confirms H5N2 Poultry Outbreak in Hebei Province

December 21, 2013
 An outbreak of H5N2 bird flu in poultry has been reported in north China's Hebei Province, the Ministry of Agriculture (MOA) announced on Saturday.  The disease has killed 4,000 chickens raised by a farm in Baoding City after they showed symptoms of the suspected avian flu on Dec. 17, according to the MOA.  The National Avian Influenza Reference Laboratory on Saturday confirmed the epidemic was H5N2 bird flu after testing samples collected at the farm.  Local authorities have sealed off and sterilized the infected area, where a total of 125,700 chickens have been culled and safely disposed of to prevent the disease from spreading.  Bird flu, or avian influenza, is a contagious disease of animal origin caused by viruses that normally infect only birds and, less commonly, pigs. It can be fatal to humans.

http://www.individual.com/storyrss.php?story=186227181&hash=b62ab0e840105bb9df12e29f9df54b97

Friday, December 20, 2013

The discovery of the injury as "Corona" in the UAE

Translation
12/20/13

Health Authority announced in the emirate of Dubai for the diagnosis of the Corona virus that causes respiratory syndrome Middle East AED to the patient.
The patient's age, 68, and suffering from respiratory symptoms, enter the hospital on the impact of treatment in the intensive care unit. , and the patient suffers from diabetes and chronic kidney failure also. confirmed DHA they coordinate with the Ministry of Health and health authorities and stakeholders in the country in this regard. She explained that it has taken the necessary measures and precautions in accordance with the recommendations of the scientific and conditions and criteria adopted by the World Health Organization, including epidemiological investigation of Mkhaltin. till December 17, 2013, World Health Organization announced about 165 confirmed cases of HIV Corona worldwide.

#MERS #Coronavirus Saudi Arabia MOH Announces 4 New Cases - December 20, 2013

12/20/13
Translation
In the context of the work of epidemiological investigation and ongoing follow-up carried out by the Ministry of Health for the virus, "Corona" that causes respiratory syndrome, the Middle East, announced the Ministry of Health for the registration of four cases in Riyadh. First and second Mqimitan working in the health sector, Mkhalttan [contact] to a confirmed case, and not have symptoms. The third citizen at the age of 53 years is suffering from several chronic diseases and receiving treatment for intensive care, asking God's healing for all. The fourth case they are a citizen at the age of 73 years had been suffering from several chronic diseases, has passed away, may he rest in peace.

Taiwan Dept. Disease Control MOH reserves more than 200 million antiviral influenza drugs...

December 20, 2013
Translation
Excerpt:


Taiwan Department of Disease Control, Ministry of Health and Welfare said Friday that the current epidemic is probably more than that in Guangdong judged. Influenza antiviral drugs has reserves of more than 200 million copies, and strive to fully hit Taiwan once the virus can be overdone very critical period of 1,2 months.

Under the Trade and Industry Bureau of Guangdong Province issued an emergency notice of avian flu, the next Monday, before the New Year and Spring Festival next year, the province's focus on all kinds of live poultry markets closed for cleaning and disinfection times.

http://translate.google.com/translate?hl=en&sl=zh-CN&u=http://mandarin.rfa.org/mandarin/yataibaodao/huanjing/yf2-12202013100233.html&prev=/search%3Fq%3DH7N9%26newwindow%3D1%26client%3Dfirefox-a%26hs%3DfTl%26sa%3DX%26rls%3Dorg.mozilla:en-US:official%26biw%3D1090%26bih%3D728%26tbs%3Dqdr:h 

Thursday, December 19, 2013

Two more H7N9 bird flu cases linked to Shenzhen's Longgang district

[This post gives more details on the latest case, 38(M) from Longgang Dist, Shenzhen City.  Although I believe the title of this story is misleading.  The second person (39(M) was reported on 12/15/13.]
Hat-tip Crofsblog:  http://crofsblogs.typepad.com/h5n1/2013/12/two-more-h7n9-bird-flu-cases-linked-to-shenzhens-longgang-district.html

Via the South China Morning Post, a December 20 report: Two more H7N9 bird flu cases linked to Shenzhen's Longgang district. Excerpt:
Three patients who have contracted the H7N9 strain of bird flu had visited the Longgang district of Shenzhen, including the latest case announced yesterday, mainland health authorities said. 
A 38-year-old Shenzhen man was in critical condition after being diagnosed with the deadly strain of the flu, Shenzhen's centre for disease control and prevention said. 
The patient is a migrant worker who lives and works in Nanwan Street, in Longgang district, near one of the infected markets where authorities found the H7N9 virus on December 11. 
A second patient, a 39-year-old man from Dongguan, commuted to the district. The pair follow Tri Mawarti, a domestic helper who was the first person in Hong Kong diagnosed with the virus. She is believed to have handled a live chicken at a flat in Nanwan Street before falling ill.
Continued at link above.

Guangdong hit by new #H7N9 case


[English]
December 20, 2013

South China’s Guangdong Province reported a new human H7N9 case yesterday, raising the total number of H7N9 cases in the province to six since August.
The new patient is a 38-year-old resident surnamed Ou of Shenzhen City, according to the provincial health authority. Ou showed symptoms of fever and cough on December 9 and went to a clinic in Nanling Village of Longgang District.

On Tuesday, a sample from the patient tested positive for the H7N9 avian influenza virus at the Shenzhen disease control and prevention center, and the results were confirmed by provincial authorities one day later.

The patient is receiving treatment at the Shenzhen No. 3 People’s Hospital and is in critical condition.

http://www.shanghaidaily.com/national/Guangdong-hit-by-new-H7N9-case/shdaily.shtml 

Zhong Nanshan: high vigilance required for clustering of H7N9 human cases in Guangdong

hat-tip:  Flutrackers.com [http://www.flutrackers.com/forum/showthread.php?p=517254]

At 02:42 on December 20, 2013 / Source: New Express


Zhong Nanshan said earlier that for the H7N9 bird flu, it is best to use Tamiflu treatment within 48 hours. Severe cases currently in Dongguan, Yangjiang, Shenzhen appears, whether it is because medication late and delayed treatment? Zhong Nanshan said that several recent cases diagnosed shortest four days, the longest nine days, in general, fairly and timely. "I do not think there is delay, and soon the disease sometimes occur. Late and not necessarily with Tamiflu has no effect, for now, are still 7 days with help." Zhong Nanshan reminder, for patients with flu-like symptoms, Hospitals need to repeatedly detect infected H7N9, in particular, to improve the detection rate through the respiratory tract to detect the next. Shenzhen such cases, swabs were negative is detected twice, but was detected in the alveolar draw a lot of H7N9 virus.

Chinese Academy of Engineering academician Zhong Nanshan avian flu problem yesterday interviewed by the media.

Zhong Nanshan said earlier that for the H7N9 bird flu, it is best to use Tamiflu treatment within 48 hours. Severe cases currently in Dongguan, Yangjiang, Shenzhen appears, whether it is because medication late and delayed treatment? Zhong Nanshan said that several recent cases diagnosed shortest four days, the longest nine days, in general, fairly and timely. "I do not think there is delay, and soon the disease sometimes occur. Late and not necessarily with Tamiflu has no effect, for now, are still 7 days with help." Zhong Nanshan reminder, for patients with flu-like symptoms, Hospitals need to repeatedly detect infected H7N9, in particular, to improve the detection rate through the respiratory tract to detect the next. Shenzhen such cases, swabs were negative is detected twice, but was detected in the alveolar draw a lot of H7N9 virus.

Zhong Nanshan said the treatment of critically ill patients in a few cases, all parties made great efforts, not to refer the patient to Guangzhou is still considering the study. Zhong Nanshan said, calling the Institute, there are many critically ill patients, if the referral came to consider the safety of other patients and health care workers, "China is now nearly 150 cases of H7N9 bird flu, which has two families have very questionable human transmission performance, it is worth vigilance, and now we gave the medical staff made a Tamiflu oral symptoms right away. "

Zhong Nanshan reminder, there is a history of contact with poultry flu, it is best to have a comprehensive ability to rescue the hospital for treatment.

Because the H7N9 avian flu complications in addition to lungs, heart problems as well as damage to the liver, kidney, gastrointestinal and other organs, so in the general hospital of multiple organ damage is difficult to treat.

In addition, future trends of the epidemic in Guangdong, Zhong Nanshan said that so far, Guangdong few sporadic cases or performance, but found that there are certain regional characteristics (eg Yangjiang, Dongguan and Shenzhen), this trend is to be highly vigilant.

#H7N9 Shenzhen Case Contact w/Live Poultry; 135 contacts under observation

Translation
12/19/13
Shenzhen confirmed the first case of human infection of H7N9. The man was Gaozhou people living in Longgang District Nanling, Shenzhen Third People's Hospital is the intensive care unit in critical condition, which is also in Guangdong Province six confirmed cases.
The 38-year-old man was on the 9th of onset, fever and cough, the Shenzhen Municipal Center for Disease Control is currently under medical observation 135 close contacts, yet there is an exception.
He Jianfeng, director of infectious disease prevention and control center revealed that patients buy live chickens from time to time to go home cooking. He said the cold weather, the virus became active, the city has a high risk of further sporadic cases, there may be new cases at any time, but also refers to Dongguan and Hong Kong, two cases may also be relevant Shenzhen, but not yet found a virus human to human transmission capacity.

http://inews.mingpao.com/htm/INews/20131219/ca42008w.htm

China: #H7N9 Update on 38(M) from Shenzhen

[the location of this case is Longgang District, Shenzhen City, Guangdong Province]

Translation
Shenzhen, the 19th confirmed case of human infection of bird flu H7N9, The 38-year-old man who was Gaozhou current patients in critical condition, which is diagnosed in the first six cases in Guangdong H7N9 cases.
According to reports, the name of the patient, who lives in Europe and surname Longgang District Nanling; December 9, patients with fever, cough, Nanling themselves to a clinic.
December 12, patients go to South Bay Hospital emergency department visits; December 12 and 16, by collecting swab test, two samples showed negative for influenza A virus nucleic acid.
December 17, Shenzhen CDC for testing in patients with alveolar draw fluid samples were positive for H7N9 avian influenza virus nucleic acid. December 18, after reviewing the results of the Guangdong Provincial Center for Disease Control as the same, the same day the patient was income Shenzhen Third People's Hospital.
As of the 19th, the Guangdong provincial people infected with H7N9 bird flu case in six cases, including one case in Shenzhen, Huizhou one case, two cases in Dongguan, Yangjiang two cases; into since mid-December, a significant increase in H7N9 cases in Guangdong, 6 patients There are four cases confirmed since mid-December. (Tanggui Jiang)

#H7N9 Case List & Map Guangdong Province Nov. & Dec.


Guangdong Province
Date of Report:  11/5/13
Name:  3(M)
From:  Changping Town, Dongguan City, Guangdong Province
Onset:  10/29
Confirmed:  11/5/13
Adm:  11/3 People’s Hospital of Dongguan City, Stable
Adm:  10/31 local hospital
Note:  Contact w/live poultry (WHO).  10/27 to Yuanshanbei market to buy dishes, no contact with poultry.
Total Cases:  139;  Deaths:  45
Discharged:  11/14/13


Guangdong Province
Date of Report:  12/15/13
Name:  Hemou 39(M)
From:  Fenggang Town, Dongguan City
Onset:  12/6, fever, headache, fatigue & discomfort.
Adm:  Guangzhou Medical Ctr Critical Condition
Adm:  12/11 Fenggang Hospital, transferred to ICU on 12/13
Confirmed:  12/15/13
Status:  12/17 respiratory failure, multiple organ damage, possibility of death up to 60%.
Notes:  5 Days before onset, went to farmhouse restaurant & ate chicken.  Restaurant has since been closed.53 close contacts under medical observation & given Tamiflu.

Guangdong Province
Date of Report:  12/16/13
Name:  Zhang 65(F), retiree
From:  Yangjiang City, Guangdong
Onset:  12/11
Adm:  12/15
Status:  12/17:  Critical Condition
Confirmed:  12/16/13
Notes:  Exposed to live poultry

Guangdong Province
Date of Report:  12/18/13
Name:   Liang Yijun 62(M)
From:  Yangjiang City
Confirmed:  12/18
Status:  Critical Condition

Guangdong Province
Date of Report:  12/19/13
Name:  Ou 38yo
From:  Shenzhen City
Onset:  12/9
Confirmed:  12/17
Adm:  Shenzhen No. 3 People’s Hospital
Status:  Critical Condition


#H7N9 6th Confirmed Case - 38yo Shenzhen City

GUANGZHOU, Dec. 19 (Xinhua) -- South China's Guangdong Province reported a new human H7N9 case on Thursday, raising the total number of H7N9 cases in the province to six since August.
The new patient is a 38-year-old resident surnamed Ou in Shenzhen city, according to the provincial health authority.
Ou showed symptons of fever and cough on Dec.9 and went to a clinic in Nanling village of Longgang District.
On Dec. 17, a sample from the patient tested positive for the H7N9 avian influenza virus at the Shenzhen disease control and prevention center, and the results were confimed by provincial authorities one day later.
The patient is receiving treatment at the Shenzhen No. 3 People's Hospital and is in critical condition.
So far, Guangdong has confirmed six human H7N9 cases since Aug. 10, with two in Dongguan, two in Yangjiang, one in Huizhou and one in Shenzhen. The province's first case, a 51-year-old woman in Huizhou, recovered in September after being treated in a hospital for more than one month.

http://news.xinhuanet.com/english/health/2013-12/19/c_132981542.htm

Wednesday, December 18, 2013

Yangjiang, Guangdong soared to one case of human infection with #H7N9 has increased to five people

Translation
December 19, 2013
Southern News yesterday informed the Ministry of Health and Family Planning Commission, Yangjiang City, New Yesterday H 7N 9 confirmed cases of avian influenza case of human infection, which is the second confirmed case of Yangjiang since December, the current H 7N 9 cases in Guangdong province has increased to 5 people.
Yangjiang 62-year-old man in critical condition
According to reports, the names of confirmed cases was a 62-year-old man surnamed Liang, who lives in Yangjiang City, the patient is currently in critical condition. Guangdong Province, epidemiologists and clinical experts have assisted in Yangjiang conduct epidemiological investigations and guide the patient for treatment.

At present, Guangdong province people infected with H 7N 9 confirmed cases of five cases of bird flu, including one case in Huizhou, Dongguan, two cases, Yangjiang two cases; since December of three cases diagnosed.
According to the provincial government to deploy, since yesterday, the provincial prevention and control of human infection of bird flu H 7N 9 leading group sent five inspection teams to the province's 21 cities and Shunde people infected with H 7N 9 carry bird flu prevention and control of the Governor investigation.
Inspection team will be listening to the reports and on-site inspections by the way, poultry farming and management of cases of human infection with medical institutions 7N 9 H avian influenza situation to carry out supervision. Implementation, medical institutions and other key neuraminidase inhibitors inspection of live poultry business market, "a cleaning day, a week a cleaning" and "turns Rest day, comprehensive cleaning and disinfection" and other measures, the procurement and use of antiviral drugs, case screening investigation and investigation and so on.
Provincial Department of Agriculture informed the day before yesterday, Dongguan City, the agricultural sector in farming, business, wholesale segment is detected in poultry and environmental samples 22,000 copies, were negative. Yangjiang City, the agricultural sector was also detected 772 copies were negative.
Family difficulties may apply for relief funds Patients
It is understood that two patients in Dongguan have given free treatment, Huizhou first patient to spend more than 20 million, reaching eighty percent reimbursement. But if more and more people infected, the government pay for medical expenses still do?
Yesterday, the relevant staff Province Wei Planning Commission said it has purchased Medicare patients infected with H 7N 9, the treatment costs are included in the scope of Medicare reimbursement, reimbursement for a large proportion. Meanwhile, in April this year, when the people infected have been discovered in east China H 7N 9 cases of avian influenza, the Guangdong provincial government has set up a person infected with avian influenza H 7N 9 and medical aid funds, the first phase of funding for 30 million yuan. " If the family really hard, you can still apply for this relief funds. "
Experts say
Zhong Nanshan: H 7N 9 have not been found continued evidence of human to human transmission
Within four days, Guangdong has confirmed three cases of human infection with avian influenza H 7N 9. Provincial Center for Disease Control has said, into the winter, Guangdong sporadic human infection with H 7N 9 of high risk, there may be cases occur at any time.
This newly discovered cases of patients and the one patient lived in Yangjiang City, does that mean that there is an association between the new and previous cases of this example?Yesterday, the Chinese Academy of Engineering academician Zhong Nanshan said in an interview on a certain activity, the two are related, he is not yet clear, but there is no valid H 7N 9 found evidence of sustained human-to-human transmission. He said that relevant departments will today virus nucleic acid detection and gene sequencing, "Look virus has no special changes occur."
Yangjiang first patient in critical condition due to the use of Tamiflu too late
Zhong Nanshan said, there are already a case go to Guangzhou, Southern reporter yesterday from a hospital of Guangzhou Medical insiders confirmed the news. Zhong Nanshan said that the first case of H 7N 9 Yangjiang Zhang reason critically ill patients, an important reason is that from the onset to treatment after nearly two weeks, the use of Tamiflu too late.
Why H 7N 9 consecutive appearance in Guangdong? "In the future may also appear in other places." Zhong Nanshan proposal, the poultry market to strengthen the management of the public should avoid contact with live birds. On the other hand there are those who have flu-like symptoms and poultry should contact early with Tamiflu, "Duffy itself is not harmful. Guangdong ability to fulfill 100% of Tamiflu."
Nanchang 73-year-old woman suffering from H10 N 8 avian flu death
Zhong Nanshan said it was first discovered H10N8 infect humans, experts said the outbreak is not a large area
Jiangxi Provincial Health Department confirmed yesterday, Nanchang, a 73-year-old woman infected by avian influenza H 10N 8 deaths. Media reports said it was H 10N 8 deaths worldwide first case of human infection.
Yesterday, the Ministry of Health and Family Planning Commission official has not been informed of further information on H 10N 8's. However, Feng Zijian, director of Chinese Center for Disease Control Emergency Center said in an interview that the current all close contacts Nanchang this name 10N 8 H infections have been under medical observation, found no abnormalities. The possibility of H 10N 8 large-scale outbreak of small, low risk of causing human infection.
Feng Zijian introduction, the case is a 70-year-old, who suffers from several chronic diseases, and just had surgery shortly thymoma there immunocompromised status.
Feng Zijian, said this is the first detection of the virus in H 10N 8 cases of severe pneumonia. But the patient has died, unable to obtain serum, and therefore further confirm the onset of infection and the relationship between H 10N 8, the chain of evidence is not particularly complete. There is no way to completely sure of his death and the relationship of this virus.
Feng Zijian said that China has been isolated from animals that H 10N 8 this subtype of the virus, but there have been no previous cases of human infection with this virus.
Yesterday, Zhong Nanshan said that this is the first time H 10N 8 were found to be infected person, has appeared in poultry in which the virus is not clear him, "H 10N 8 to further study it and H 7N 9 are two viruses, are two different things . "
Distribution of cases
Yangjiang two cases
Liang Yijun, 62-year-old male
Who lives in Yangjiang City, December 18 diagnosed, currently in critical condition
Zhang, 65 years old female
Retired, who lives in Yangjiang City, December 16 diagnosed, currently in critical condition
Dongguan two cases
Hemou Male 39 years old
Now living in Fenggang Town, Dongguan, December 15 diagnosed in critical condition. 5 days before the onset of the farmhouse had to eat chicken.
A 3-year-old boy and a half
Now living in Changping Town, Dongguan City, Yuan Shan Pui Village, November 5th diagnosed, November 11 afternoon has been discharged.
Huizhou one case
Moumou female 51 years old
Boluo Yokogawa town villagers in Greensboro market towns poultry slaughter market work.August 10 confirmed. The condition improved.

http://translate.google.com/translate?sl=zh-CN&tl=en&js=n&prev=_t&hl=en&ie=UTF-8&u=http%3A%2F%2Fnews.sohu.com%2F20131219%2Fn392022966.shtml

CIDRAP: China reports first human case of H10N8 avian flu

December 17, 2013
Excerpt:

A 73-year-old woman in Jiangxi province in China has died from an H10N8 avian flu infection, Hong Kong's Centre for Health Protection (CHP) said today, the first report of that strain infecting humans.
The woman, whose immune system was compromised, had an underlying illness and had visited a live-poultry market, CHP reported in a statement. She was admitted to a local hospital on Nov 30, was diagnosed as having severe pneumonia, and died Dec 6.
China's National Health and Family Planning Commission confirmed the case. The woman's close contacts are under medical surveillance but have as yet remained asymptomatic.
"Influenza A(H10) is currently not a local statutorily notifiable infectious disease but the Public Health Laboratory Services Branch of the CHP is capable of detecting this virus by culture or genetic testing. No confirmed human cases have been recorded so far in Hong Kong," a spokesman for the CHP said in the statement.
David Halvorson, DVM, an avian health expert at the University of Minnesota in St. Paul, told CIDRAP News, "I am unaware of any [previous] H10N8 human infections."
The CHP said in the statement that it will follow up with the World Health Organization (WHO) and health officials on the mainland for more information. Meanwhile, Hong Kong authorities have stepped up surveillance efforts.
The CHP spokesman urged travelers not to visit live-poultry markets and avoid direct contact with poultry, birds, and their droppings. Jiangxi is located in southeastern China, with only Guangdong province separating it from Hong Kong.

H10N8 in birds; previous H10 human cases

The H10N8 strain has been detected in Chinese birds. In June 2012 in the Journal of Virology, Chinese researchers reported its first detection in a live-bird market, in Guangdong province.
In January 2011 in Virology Journal, a different group of investigators reported that H10N8 had been isolated from a water sample taken from Dongting Lake in 2007. The lake is in Hunan province, which borders both Jiangxi and Guangdong provinces.
They reported that the isolate was lowly pathogenic for chickens but replicated efficiently in the mouse lung. They also noted rapidly increasing virulence in mice as the virus adapted to the mouse lung.
Although this is the first confirmed case of H10N8 in a person, a May 2012 report in Emerging Infectious Diseases noted that two Australian abattoir workers tested positive for H10 after they processed chickens from a farm that had had an H10N7 outbreak in 2010. They had only minor symptoms.
H10N7 was also detected in two Egyptian infants in 2004.

Taiwan Ministry of Health & Welfare on Yangjiang City Guangdong Province Cases #H7N9

December 18, 2013 Yangjiang City, Guangdong Reproductive health programs in China and the Guangdong Provincial Committee today (12/18) evening once again released new one case of influenza H7N9 confirmed cases in mainland China and Hong Kong since the autumn of the first 11 cases of H7N9 flu cases, showing the risks and threats of epidemic diseases increased.

Tourism currently recommended level outbreaks in Guangdong and Zhejiang provinces to maintain for the second stage: Alert (Alert), the remaining provinces (excluding Hong Kong and Macau) as the first stage: Note (Watch), the command center plan to remind people infected Be sure to maintain good health habits, avoid contact with birds. The 65-year-old woman with new cases of avian influenza H7N9 cases identified on December 16, as residing in Yangjiang City, Guangdong Province JiangCheng, as a 62 year old man, is currently hospitalized in critical condition, other epidemiological data under investigation.

Mainland China and Hong Kong after the autumn (10/1 onwards) Cumulative Bulletin 11 cases, including five cases of Zhejiang Province, Guangdong Province, four cases, two cases in Hong Kong (Guangdong Province shifted). Another so far this year on March 31, the Chinese mainland and Hong Kong were confirmed 145 cases, 47 deaths. Country since April 3 this year will be "H7N9 flu" as the fifth class of infectious diseases, a cumulative total of 457 cases so far reported cases, including one infectious cases, and the rest were excluded from H7N9 infection.

Border quarantine date, time travelers from epidemic areas in returning immigrants have 2,499 patients with symptoms since June 1, were excluded from H7N9 infection. Command Center pointed out that Guangdong and Hong Kong autumn after six successive appearance confirmed cases of H7N9 flu, coupled with the Guangdong provincial authorities test found in environmental samples, Longgang District, part of the live poultry markets showed positive H7N9 bird flu, does not exclude Mainland China Southern has a tendency to expand the epidemic alert to the people in China, especially in Guangdong and Zhejiang, should avoid the bird out of the live bird markets and street, city, and contact with poultry and birds dead birds.

Also, remind the physician should be strengthened ask the patient history and history of exposure to tourism, such as the H7N9 flu found in compliance with the definition of informed patient should promptly notify health authorities.

Command Center once again reminds people went to the Chinese mainland, the class should avoid contact with birds, especially not to pick up dead birds; eating chickens, ducks, geese and eggs to be cooked;, and should be implemented hand-washing and other personal hygiene measures to avoid infection.

When you return home if fever or flu-like symptoms, they should inform the airline personnel and airport and port of quarantine officers; such as after returning the above symptoms should wear a mask and seek medical advice and inform the physician contact history and travel history.

Latest epidemic diseases and other related information can be found in the Agency website (http://www.cdc.gov.tw) the "H7N9 flu Corner" and "International Travel Information" area, or call the toll-free hotline and caring people informed epidemic 1922 ( or 0800-001922) contact.

Hong Kong officials: #H10N8 lower chance of bird flu human transmission

 Translation
  China news agency, Hong Kong, December 18 (Reporter Li Chaolong) - The Hong Kong SAR Government on the 17th National Health and Family Planning Commission received a notification, a 73-year-old woman Mainland Jiangxi infected avian influenza (H10N8) died, reportedly also the first cases of human infection with avian influenza H10N8. 18, 2009, the Hong Kong SAR Government Secretary for Food and Health Ko Wing-man said, according to genome analysis, H10N8 avian genes belong to gene temporarily still all birds, so the lower the chance of human to human transmission.
  Ko Wing Man pointed out, H10N8 avian influenza virus had previously birds, especially some waterfowl, waterfowl habitat or environment were found, but on this virus in the case of human infection has so far not much information available.
  KO mentioned above which were diagnosed patients visited markets that prove whether avian influenza H5N1, H7N9 or H10N8, the highest risk of infection are visiting poultry markets, live contact with live poultry or wild birds.
  Therefore, KO also reminded the public, whether in Hong Kong or elsewhere, do not go to places selling live poultry in direct contact with poultry, or exposure to these environments, sick after returning to Hong Kong if the doctor must inform the relevant contact history.
  The same day, Dean of Medicine, The Chinese University of Hong Kong Chen Jialiang also believe that this is a case of rare cases, I believe that the migratory activity, called on Hong Kong people do not need to worry too much about, there should first focus on follow-up of H7 avian influenza progress.  

China reports human case of #H10N8 bird flu

December 18, 2013
NANCHANG, Dec. 18 (Xinhua) -- Health authorities in east China's Jiangxi Province on Wednesday confirmed a human case of H10N8, a new strain of bird flu to infect people.
A 73-year-old woman, who died of respiratory failure on Dec. 6, was later confirmed to have been carrying the H10N8 virus by the Chinese Center for Disease Control and Prevention, according to a statement issued by the emergency response office of the provincial health department.
The statement did not mention whether her death was connected to the bird flu virus.
The woman, who was being treated in a hospital in the provincial capital of Nanchang, was diagnosed with severe pneumonia, along with high blood pressure, a neuromuscular disorder and suffered a heart attack.
She had visited a live bird market. Her relatives who had been in contact with her have so far shown no abnormal symptoms.
Health experts said H10N8 existed among birds, but human infection had never been reported before. The National Health and Family Planning Commission was not available for comment.

China confirms new human #H7N9 case

From xinhuanet.com
December 18, 2013

GUANGZHOU, Dec. 18 (Xinhua) -- South China's Guangdong Province reported its third human H7N9 case in four days on Wednesday, raising the total H7N9 cases in the province to five since August.
The new patient is a 62-year-old resident surnamed Liang in Yangjiang City, said the provincial health authority. He is in critical condition.
A 39-year-old man in Dongguan City and a 65-year-old woman in Yangjiang were confirmed to have been infected by the H7N9 strain on Sunday and Monday, respectively.
So far, Guangdong has confirmed five human H7N9 cases since Aug. 10, with two in Dongguan, two in Yangjiang and one in Huizhou City. Its first case, a 51-year-old woman in Huizhou, recovered in September after being treated in a hospital for more than one month.
The province dispatched five inspection teams to 21 cities and a district on Wednesday to strengthen H7N9 prevention and control efforts.
The Chinese mainland has reported 143 human infections of the deadly bird flu virus since it emerged in March. Earlier this month, Hong Kong also confirmed its first two H7N9 cases, including an Indonesian national and a mainland resident.
Also on Wednesday, health authorities in east China's Jiangxi Province confirmed a human case of H10N8, a new strain of bird flu known to affect humans.
A 73-year-old woman who died of respiratory failure on Dec. 6 was later confirmed to have been carrying the H10N8 virus by the Chinese Center for Disease Control and Prevention, according to the provincial health department. The statement did not mention whether her death was connected to the bird flu virus.