China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

[HenryN]

Re: China: Girl, 2, Confirmed H5N1 Case in Shanxi Province

AVIAN INFLUENZA, HUMAN (08): CHINA (HUNAN)
******************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

[1]
Date: Sat: 17 Jan 2009
Source: Trend News Agency [edited]
<http://news.trend.az/index.shtml?show=news&newsid=1400525&lang=en>


A 2 year old girl has been confirmed to be infected with bird flu in north
China's Shanxi Province, a provincial government official said Saturday [17
Jan 2009].

The girl was found ill on 7 Jan 2009 in the central Hunan Province. Her
grandparents took her to Luliang City in Shanxi [province] on 11 Jan 2009.
She was taken to the Fenyang Hospital on Wednesday [14 Jan 2009] and then
to the Shanxi Children's Hospital on Wednesday night after she got worse,
said an official with the Shanxi provincial health department. The patient
was in critical condition, the official said.

According to the test result of the Chinese Center for Disease Control and
Prevention, the girl tested positive for the H5N1 strain of avian influenza.

The people who had close contact with the patient are under medical
observation. No one has been found ill so far, Xinhua [News Agency] reported.

--
communicated by:
ProMED-mail <promed@promedmail.org>

******
[2]
Date: Sat 17 Jan 2009
Source: News Maps, Reuters report [edited]
<http://www.reuters.com/article/newsMaps/idUSTRE50H09420090118>


A 2 year old girl has been confirmed to be infected with bird flu in north
China's Shanxi Province, Xinhua News Agency said on Sunday [18 Jan 2009],
citing a provincial government official, in the 2nd case in as many weeks.
The girl was found ill on 7 Jan 2009 in central Hunan Province and was
taken to hospital in Luliang City of Shanxi on 11 Jan 2009, Xinhua said,
citing an unnamed official with the Shanxi provincial health department.
The girl had tested positive for the H5N1 strain of avian influenza and
"was in critical condition," Xinhua cited the official as saying.

"All people who have had close contact with her are under strict medical
observation ... Up to now, no abnormal symptoms have been found," a
statement on China's Health Ministry website <http://www.moh.gov.cn> said.
The Health Ministry had notified the World Health Organization, authorities
in Hong Kong and Macau, and some other countries, the statement said.

China confirmed earlier this month [January 2009] that a woman infected
with bird flu had died in Beijing after buying 9 ducks at a market in Hebei
province, which surrounds the Chinese capital, sparking emergency checks of
local poultry markets. H5N1 influenza remains largely a disease among
birds, but experts fear it could change into a form that is easily
transmitted from person to person and spark a pandemic that could kill
millions of people worldwide.

At least 21 people have died of bird flu out of 32 people infected in China.

[byline: Ian Ransom]

--
communicated by:
ProMED-mail rapporteur Mary Marshall

******
[3]
Date: Sat 17 Jan 2009
Source: Xinhua News Agency [Chinese, trans. Rapp.DS, edited]
<http://news.xinhuanet.com/society/2009-01/17/content_10675638.htm>


Shanxi Province Health Bureau reported on the evening of 17 Jan 2009 that
Shanxi Province has confirmed a human case of highly pathogenic avian
influenza. The report stated that the patient is a 2 year old girl,
currently [in hospital] in Shanxi's Luliang City.

The patient fell ill on 7 Jan 2009 in Hunan [Province]. On 11 Jan 2009, she
returned to Shanxi with her maternal grandparents. After her condition
deteriorated, she was brought to Shanxi Province's Fenyang Hospital on 14
Jan 2009. No improvement was seen after symptomatic treatment, and she was
transferred on the night of 14 Jan 2009 to Shanxi Province Children's
Hospital. She is now in critical condition. Shanxi Province health agencies
are conducting an all-out rescue effort under the guidance of a Ministry of
Health specialist team.

On 17 Jan 2009, the Chinese Center for Disease Control and Prevention and
the China Academy of Medical Sciences ran checks on samples from the
patient. The results were positive for avian influenza H5N1 virus RNA.

[byline: Gao Feng]

--
communicated by;
ProMED-mail rapporteur Dan Silver

[A map of the provinces of China is available at
<http://www.sacu.org/provmap.html>, and the HealthMap/ProMED-mail
interactive map of China is available at
<http://healthmap.org/promed/en?v=36.5,103.9,4>.

This is the 32nd human case of avian A/H5N1 influenza in China. No
information is available as yet with regard to possible exposure of the
child to sick poultry. The distance between the presumed site of exposure
(Hunan province) and the site of ultimate medical treatment of the sick
child (Shanxi province) may have contributed to the severity of her present
condition. Further information is awaited. - Mod.CP]

[see also:
Avian influenza, human (03): China (Beijing), WHO 20090107.0064
Avian influenza, human (01): China (Beijing) 20090106.0047
2008
---
Avian influenza, human (83): H9N2, China (Guangdong) 20081230.4111
Avian influenza, human (43): China, Egypt WHO 20080408.1292
Avian influenza, human (31): China, Egypt, Viet Nam, WHO 20080226.0784
Avian influenza, human (30): China, WHO 20080225.0758
Avian influenza, human (29): China, Indonesia, Viet Nam, WHO 20080221.0710
Avian influenza, human (28): China (Hunan) 20080218.0656
Avian influenza, human (05): China, Pakistan 20080110.0134]

...................mpp/cp/msp/sh

[Farmer]

Re: China: Girl, 2, Confirmed H5N1 Case in Shanxi Province

[article out of Vietnam regarding China]

Home International News International
Sunday, 18/01/2009, 09:46 (GMT + 7)
CHINA:
Patients in the second H5N1 infection in 2009
Tan Hoa commune for a baby girl 2 years in Vietnam's provinces (China) has been confirmed infected with avian influenza. According to test results of the center control and prevent diseases from China, many patients have positive reactions to the vaccine virus H5N1. This is the second vaccine infected H5N1 virus on the first day in 2009 in China.
The local health for patients with this start of the infected from 7-1, but to go to 11-1 on this new baby girl hospitalized. From 11-1 today to present, he has moved the baby to hospital three times but the health situation more seriously, there are many patients in critical condition.

http://www.qdnd.vn/qdnd/baongay.quoc...cte.50657.qdnd

Is the use of plural a translation artifact or new information?

[Commonground]

Re: China: Girl, 2, Confirmed H5N1 Case in Shanxi Province

Hi Farmer,
This particular article, is very mysterious. I can't define what they mean by a few things. I would normally think they were talking about seasonal flu. But this sentence is right after an excerpt on H5N1. I do not know, honestly, anything more than what you are reading. How do I interpret it? With a shrug, , until I can find more stories to collaborate it.

[sharon sanders]

Re: China: Girl, 2, Confirmed H5N1 Case in Shanxi Province

This thread should have Hunan title. There has been no link found at this time in Shanxi (although looking for poultry deaths is NOT how H5N1 in asymptomatic birds will be found).

Ok. Changing.

[Laidback Al]

Re: China: Girl, 2, Confirmed H5N1 Case in Shanxi Province

Is the use of plural a translation artifact or new information?

The article is an English translation of a Vietnamese news article presumably based on translated Chinese media reports from China. I would doubt that Vietnam has special access to additional information about human cases in China. I take it as a multi language translation problem. I would be more concern with similar translations from media reports originating in China.

[Commonground]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Ministry of Agriculture: Shanxi and Hunan found no bird flu poultry

2009 on 18 day 01 years 22:18

Xinhua Beijing January 18 (Xinhua董峻) Chinese Ministry of Agriculture Information Office of the relevant person in charge on the 18th that occurred in Shanxi Province were infected with highly pathogenic bird flu, the Ministry of Agriculture immediately sent expert group rushed to the Shanxi and Hunan, the full do a good job with the health sector and epidemiological investigation of poultry epidemic investigations. According to report of the Expert Group, the current bird flu was found.


Expert Group in the Ministry of Agriculture departments in Taiyuan, Shanxi Province, Xiaoyi City farms and other places (households) to carry out disease investigation, inspection of chicken farms in a large-scale, small and medium-sized poultry farms 36, 69 households backyard broiler hens households, with an accumulated amount of livestock on hand to check nearly 100,000 poultry feathers, were found abnormal.



Group of Experts on the relevant departments in the Ministry of Agriculture in Hunan Province on the patients had visited Changsha County Star gray port town dreams big market for farmers to monitor the outbreak investigation, the market since December 2008 no abnormal poultry deaths. After the city of Changsha, Yang Shan, Shima, West长街three major poultry wholesale markets and farm households in the investigation and more recently in poultry does not appear abnormal deaths. Changsha City for 10 counties (cities, districts) in 45 townships have been investigating the outbreak to check 42 poultry farms, poultry farmers 1882, a total of 428,000 poultry inspection plume population, there have been no reports of poultry diseases.

According to the Ministry of Agriculture carried out by the fall of the national poultry concentrated immune test results show that, Shanxi, Hunan Provinces poultry all qualified immunity. Taiyuan, Shanxi Province, Xiaoyi City, as well as in Changsha, Hunan, all poultry should be free immunization, the passing rate of antibody to reach the required standards.

Currently, Shanxi, Hunan Provinces of the city and county of major animal disease prevention and control of the command to start people have been infected with highly pathogenic avian influenza emergency response, in accordance with the provisions taken corresponding measures. Changsha, Hunan County farmers to realize their dreams gray port blockade largest market, the prohibition of poultry and its products, not related to personnel and vehicle access. In strict accordance with the relevant regulatory requirements and disposal technologies, to carry out culling, safe disposal and disinfection. Strengthen supervision and quarantine circulation, strict check to verify materials, sample testing, on a limited redeployment and money cage disinfection.

Ministry of Agriculture has asked the Shanxi, Hunan, further strengthen the poultry wholesale markets and farm produce trading market supervision, a clear hand-in-residence 24 hours supervision, strict investigations were verified, the implementation of the priority markets of live birds weekly sentinel surveillance system, strictly enforce the regular rest and closed after thorough disinfection system.

In addition, a few days ago the Ministry of Agriculture Organization expert consultation with relevant units in the current bird flu situation in the view that since the Spring Festival approaching, the frequent movement of livestock and poultry products, trading volume is very large, the bird flu outbreak and spread of risk.

[sharon sanders]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Time :2009-01-19 Source: Shanxi Shanxi Evening News Network

January 18 this newspaper (Reporter Yang Fan) today, the Ministry of Health issued "on the further strengthening of unexplained fever and pneumonia cases of unknown causes monitoring, investigation and management of the notification."

医疗机构要严格实行首诊医院和首诊医师负责制，发现符合不明原因肺炎和不明原因发热定义的病例后，要在12 小时内组织专家组进行会诊和排查，不能明确诊断的，要采取防范措施，并立即报告。

Medical institutions to strictly implement the first hospital and the attending doctor in charge of the first system, found in line with unexplained pneumonia and fever of unknown origin after the definition of cases, within 12 hours to the organization of expert group to carry out consultation and investigation, not a clear diagnosis, it is necessary to take precautions measures and reported immediately.

http://news.daynews.com.cn/sxxw/694508.html

[sharon sanders]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

<table align="center" border="0" cellpadding="0" cellspacing="0" width="100%"><tbody><tr><td class="14v" align="center" height="40" valign="bottom" width="533">Taiyuan, Shanxi: Emphasize the importance of monitoring the first time issued pneumonia of unknown causes </td><td class="14v" align="right" height="40" valign="top" width="23">

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2009年01月17日09:09

At 9:09 on January 17, 2009
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中新山西网 1月17日电冬春季节是呼吸道传染病的高发期，较易出现不明原因肺炎病例。

Net new Shanxi Xinhua January 17 in winter and spring is a high incidence of respiratory diseases period, to more cases of pneumonia of unknown causes.

昨日，


太原市卫生局发布2009年第6号文件，要求加强不明原因肺炎病例监测、排查、报告和管理工作，这是太原市 卫生局首次通过文件形式，强调不明原因肺炎监测。

Yesterday, the City Health Bureau released 2009 document No. 6, called for the strengthening of unexplained pneumonia cases of monitoring, investigation, reporting and management of the City Health Department This is the first time the form of a document, stressing the monitoring pneumonia of unknown causes.

据介绍，?不明原因肺炎?是继SARS流行之后，卫生部为了更好地及时发现和处理SARS、人禽流感以及其 他表现类似、具有一定传染性的肺炎而提出的一个名词。

According to the briefing, "pneumonia of unknown causes" is following the SARS epidemic, the Ministry of Health in a timely manner in order to better detect and deal with SARS, bird flu and other similar performance, with certain infectious pneumonia proposed a term.

该病临床表现主要有发热、咳嗽、咳痰、呼吸困难等。

The main clinical manifestations of the disease have fever, cough, sputum, and breathing difficulties.

此次的不明原因肺炎病例的监测范围，主要包括各县(市、区)卫生局，市直医疗卫生单位以及驻并二级以上医疗 机构。

The cases of pneumonia of unknown causes of monitoring, including the counties (cities, districts) Health Bureau, the municipal medical and health units as well as in and more than two medical institutions.

这些医疗机构要主动搜索不明原因肺炎病例，对发现的不明原因肺炎病例要立即隔离治疗，及时进行网络直报，实 行首诊医院和首诊医生负责制。

These medical institutions to take the initiative to search for cases of pneumonia of unknown causes, the discovery of cases of pneumonia of unknown cause must be immediately treated in isolation timely Direct Network Report, the implementation of the first hospital and the attending doctor in charge of the first system.

专家提醒，预防不明原因肺炎等呼吸道疾病，要做好呼吸道防护,保持房间通风、戴口罩、勤洗手。

Experts remind that the prevention of respiratory diseases such as pneumonia of unknown causes, it is necessary to do a good job in respiratory protection, keep the room ventilation, wearing masks, washing hands frequently.

现在是候鸟北迁的时期，还要尽量减少与禽类接触。

Now is the time of北迁migratory birds, but also to minimize contact with poultry.

来源：山西青年报；作者：续静

Source: Shanxi Youth Daily
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http://www.sx.chinanews.com.cn/news/2009/0117/678.html

[Sally Furniss]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Shanxi infected with avian flu in children: 67 close contacts are not unusual


Luliang city, Shanxi Province, Taiyuan, the implementation of human avian influenza on the report of zero reporting system

Reporters on the 18th from the Shanxi Province Health Department was informed that in Shanxi Province on the 17th confirmed human infection of highly pathogenic avian influenza cases in children have been transferred to designated hospitals - Taiyuan Fourth People's Hospital for treatment. As at 12 o'clock on the 18th, children in a critical condition, vital signs were stable. Ministry of Health, composed of the Expert Group in Shanxi Province are going all out to organizations for medical treatment. 67 close contacts of those who carried out medical observation, no symptoms such as fever.

The evening of January 14 in Shanxi Province Children's Hospital treated the children, 15 in Shanxi Province on the morning of the provincial Health Organization expert consultation, diagnosed as pneumonia of unknown causes, not rule out the possibility of human infection of highly pathogenic avian influenza, in the active treatment and flow tune at the same time and immediately reported to the Shanxi provincial government and the Ministry of Health. Provincial party committee and government attach great importance to the provincial party secretary Zhang Baoshun and governor Wang Jun given instructions of emergency arrangements for the health sector for treatment and prevention and control work to determine the Fourth People's Hospital in Taiyuan, Shanxi Fenyang hospitals and hospitals for local, provincial and Taiyuan , Luliang disease control agencies to carry out epidemiological investigation to determine the 67 close contacts under medical observation, to carry out emergency monitoring, disinfection work and the epidemic daily.

After the Ministry of Health expert consultation, Shanxi Province Center for Disease Control and Prevention, the National Disease Prevention and Control Center, Chinese Academy of Medical Sciences stringent laboratory tests, on the 17th human avian influenza prevention and control of the Ministry of Health expert group to determine the children being infected with highly pathogenic Avian influenza cases. Shanxi Province by the Ministry of Health commissioned the Health Department released information. Shanxi Province launched a public health emergency Ⅱ-class emergency response. Health administrative departments at all levels and health institutions to strengthen organization and leadership, strengthening the epidemic monitoring, carried out health education, good health emergency all the preparatory work, to guard against sudden acute infectious diseases.

According to experts, the avian flu virus usually infected chickens, ducks and other poultry and migratory birds for avian flu virus were generally not susceptible. Of human infection of highly pathogenic avian influenza primarily through contact with dead birds and their secretions and faeces infection, if there is no history of these contacts, we can avoid the human avian influenza cases occurred. Although it has been infected with highly pathogenic avian influenza cases, but there is no evidence that avian influenza virus can spread from person to person.

http://www.chinanews.com.cn/jk/kong/news/2009/01-19/1532733.shtml

[sharon sanders]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

hat tip SophiaZoe:



"...Also Monday, a 2-year-old girl was in critical condition in the northern province of Shanxi with bird flu. Ta Kung Pao, a Hong Kong newspaper backed by the mainland's communist authorities, reported that the girl's mother died recently of what doctors "highly suspected" was also bird flu. The paper did not give any other details, and Shanxi health officials refused to comment on the mother's death....

http://www.google.com/hostednews/ap/article/ALeqM5ghdkIg5knBtGcVm1UfEwvXSnaAPAD95Q9IKG0

[HenryN]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

China reports 2nd bird flu death this year

By AUDRA ANG ? 54 minutes ago
BEIJING (AP) ? A 16-year-old boy has been infected with the H5N1 virus, the Health Ministry said Monday, the fourth reported case this month. Bird flu has killed two people in China this year and authorities warn the risk of infection may go up during the Lunar New Year as families gather for traditional meals that often include poultry.
The teenager, a student surnamed Wu, fell ill in his hometown in Guizhou province in the country's southwest on Jan. 8 and was currently in critical condition, the ministry said on its Web site.
It said the boy had been in contact with domestic poultry that had died from illness but did not elaborate. Those in close contact with Wu have not shown signs of infection, the ministry said.
The announcement followed the death of a woman, whose surname was Zhang, living in Jinan, the capital of Shandong province. She died Saturday, the ministry said. The notice did not say how Zhang, 27, who fell sick on Jan. 5, contracted the virus.
Less than two weeks ago, a 19-year-old woman died from the H5N1 virus in a Beijing hospital after buying and cleaning ducks in a market in a neighboring province. It was the first death from bird flu since last February.
Also Monday, a 2-year-old girl was in critical condition in the northern province of Shanxi with bird flu. Ta Kung Pao, a Hong Kong newspaper backed by the mainland's communist authorities, reported that the girl's mother died recently of what doctors "highly suspected" was also bird flu. The paper did not give any other details, and Shanxi health officials refused to comment on the mother's death.
The girl tested positive for H5N1 after falling ill on Jan. 7, the Health Ministry said.
The cases come at a worrisome time for Chinese authorities as tens of millions of people are on the move between cities and rural hometowns for Lunar New Year, the country's biggest holiday, which begins on Jan. 26.
Dishes prepared from freshly slaughtered chicken and duck feature prominently in celebration feasts. That means a potentially greater risk of exposure to sick birds as people shop in markets and handle poultry or when the birds are transported to be sold, said the World Health Organization's Beijing office.
The WHO said it was prepared to provide technical assistance to China if asked and urged people to take precautions against bird flu infections by washing their hands after handling raw meat and ensuring all poultry is well cooked.
While bird flu remains hard for humans to catch ? with most cases linked to contact with infected birds ? scientists have warned that if outbreaks among poultry are not controlled, the virus may mutate into a form more easily passed between people.
Chinese Health Ministry spokesman Mao Qun'an said last week that the public should minimize contact with poultry, especially sick or dead ones, and that medical institutions should step up surveillance of flu cases, especially during the New Year holiday.
Health officials say that the winter months can bring an increase in bird flu cases because the H5N1 virus can survive longer in cold weather and have a bigger chance of infecting poultry ? and possibly humans. Winter is also when many people in rural areas bring live poultry into their homes to protect them from the cold.
The virus, which has ravaged poultry stocks across Asia since 2003, has continued a path of infection.
Last week, Nepal reported that chickens tested positive for H5N1 there ? the first time known instance of the virus in the Himalayan nation.
In Vietnam, animal health officials said they detected the bird flu virus in chickens smuggled from neighboring China. An 8-year-old girl was also reported sick with H5N1 earlier this month, the first human case reported in the country in nearly a year.
According to the latest World Health Organization figures, bird flu has killed 248 people worldwide since 2003.

http://www.google.com/hostednews/ap/article/ALeqM5ghdkIg5knBtGcVm1UfEwvXSnaAPAD95Q9IKG0

[HenryN]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Commentary

http://www.recombinomics.com/News/01190904/H5N1_Beijing_Hunan_H2H.html

[HenryN]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Updated map

http://maps.google.com/maps/ms?ie=UTF8&hl=en&msa=0&t=p&msid=106484775090296685271.00045fcd12b84ad3ac0d8&ll=33.870416,118.828125&spn=17.186409,29.663086&z=5

[HenryN]

Re: Map - General Location of Human H5N1 Cases in China - Jan. 19, 2008

Updated map

http://maps.google.com/maps/ms?ie=UTF8&hl=en&msa=0&t=p&msid=106484775090296685271.00045fcd12b84ad3ac0d8&ll=33.870416,118.828125&spn=17.186409,29.663086&z=5

[HenryN]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

China reports second bird flu death this year


<!-- -->Associated Press - January 19, 2009 8:43 AM ET
BEIJING (AP) - With the Chinese new year coming soon, the World Health Organization is worrying about the spread of bird flu.
Two people have died from bird flu this year, and state media says a 2-year-old girl is in critical condition with bird flu. It's "highly suspected" her mother's recent death is also linked to bird flu.
The cases come at a worrisome time for Chinese authorities. Tens of millions of people will be on the move between cities and rural hometowns for next week's Lunar New Year, the country's biggest holiday.
Dishes prepared from freshly slaughtered chicken and duck figure prominently in celebration feasts. The WHO says the risk of being exposed to sick birds will go up as people shop in markets and handle poultry, or when the birds are transported to be sold.

http://www.nbc29.com/Global/story.asp?S=9694623&nav=menu496_2_6