Announcement

**Giuseppe** · December 19, 2013, 03:14 AM

Re: Shenzhen confirmed the first case of human infection with H7N9 (Ifeng, December 19 2013)

[Source: Guangdong Province Department of Health, full page in Chinese: (LINK). Automatic translation.]

Shenzhen found a case of human infection with H7N9 avian influenza virus

2013-12-19 15:42:00

According to the Ministry of Health and Family Planning Commission report, December 19, 2013, Shenzhen found a confirmed case of human infection with A(H7N9) avian influenza virus.

The patient (male, 38 years old) who lives in Longgang District. Currently, patient is in critical condition.

As of December 19, the province reported a total of six confirmed cases of human infection with H7N9 avian influenza . Among them, one case of Shenzhen, Huizhou City, one case, two cases of Dongguan, Yangjiang two cases.

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**Giuseppe** · December 19, 2013, 04:36 AM

Re: Shenzhen confirmed the first case of human infection with H7N9 (Ifeng, December 19 2013)

[Source: RTHK, full page in Chinese: (LINK). Automatic translation.]

First case of H7N9 confirmed in Shenzhen increased risk for further cases in HK

2013-12-19 HKT 16:36

Shenzhen, the first confirmed human case of avian influenza H7N9 infection. Guangdong Province has six confirmed cases cumulative.

Male patient aged 38, living in Longgang District Nanling, currently in Shenzhen Third People's Hospital in critical condition.

Shenzhen CDC 135 close contacts to implement medical observation, yet unusual.

Center, said a high risk of occurrence of sporadic human infection with the H7N9 Shenzhen bird flu. Said, Shenzhen appear first reported, there are cases in which the surrounding cities, Dongguan and Hong Kong cases may be associated with the presence of Shenzhen. Shenzhen plus population, frequent flow of goods, sales of large poultry transport, increasing the risk of infection.

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**Giuseppe** · December 19, 2013, 04:43 AM

Re: Shenzhen confirmed the first case of human infection with H7N9 (Ifeng, December 19 2013)

[Source: Ifeng, full page in Chinese: (LINK). Automatic translation.]

Shenzhen found one case of human infection with the H7N9 avian influenza virus

At 17:08 on December 19th, 2013 / Source: Xinhua

Xinhua Guangzhou, December 19 (Reporter Xiao Sisi) on the 19th Guangdong Provincial Health and Family Planning Commission informed Shenzhen confirmed one case of human infection with the H7N9 avian influenza.

According to the report, the patient, male, 38 years old, Gaozhou who lives in Longgang District Nanling, the patient is currently in critical condition.

December 9, patients with fever, cough, self Nanling a clinic visit.

December 12, patient went to South Bay Hospital emergency department.

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 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.

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**Giuseppe** · December 19, 2013, 05:03 AM

Re: Shenzhen confirmed the first case of human infection with H7N9 (Ifeng, December 19 2013)

[Source: Centre for Health Protection, Hong Kong PRC SAR, full page: (LINK).]

CHP notified by Guangdong HFPC of human case of avian influenza A(H7N9) in Shenzhen

The Centre for Health Protection (CHP) of the Department of Health (DH) was notified by the Health and Family Planning Commission (HFPC) of Guangdong Province today (December 19) of a human case of avian influenza A(H7N9) affecting a man aged 38 in Shenzhen.

The patient developed fever and cough on December 9 and sought medical attention from local clinic and hospital. His specimen tested positive for the avian influenza A(H7N9) virus upon testing by the Shenzhen Center for Disease Control and Prevention (CDC) on December 17 and was confirmed by the Guangdong CDC on December 18. He is currently admitted to a local hospital for treatment in critical condition.

To date, a total of 144 human cases of avian influenza A(H7N9) have been confirmed in the Mainland, including:

Zhejiang (51 cases),
Shanghai (33 cases),
Jiangsu (28 cases),
Guangdong (six cases),
Jiangxi (six cases),
Fujian (five cases),
Anhui (four cases),
Henan (four cases),
Beijing (two cases),
Hunan (two cases),
Shandong (two cases) and
Hebei (one case).

The CHP will follow-up with the Mainland health authorities for more case details.

"Locally, enhanced disease surveillance, port health measures and health education against avian influenza are ongoing. We will remain vigilant and maintain liaison with the World Health Organization (WHO) and relevant health authorities. Local surveillance activities will be modified upon the WHO's recommendations," a spokesman for the DH remarked.

All border control points (BCPs) have implemented disease prevention and control measures.

Thermal imaging systems are in place for body temperature checks of inbound travellers.

Suspected cases will be immediately referred to public hospitals for follow-up investigation.

Regarding health education for travellers at BCPs, distribution of pamphlets, display of posters in departure and arrival halls, in-flight public announcements, environmental health inspection and provision of regular updates to the travel industry via meetings and correspondence are all proceeding.

"Travellers, especially those returning from avian influenza A(H7N9)-affected areas and provinces with fever or respiratory symptoms, should immediately wear masks, seek medical attention and reveal their travel history to doctors. Health-care professionals should pay special attention to patients who might have contact with poultry, birds or their droppings in affected areas and provinces," the spokesman advised.

Members of the public should remain vigilant and take heed of the preventive advice against avian influenza below:

Do not visit live poultry markets. Avoid contact with poultry, birds and their droppings. If contact has been made, thoroughly wash hands with soap;
Poultry and eggs should be thoroughly cooked before eating;
Wash hands frequently with soap, especially before touching the mouth, nose or eyes, handling food or eating; after going to the toilet or touching public installations or equipment (including escalator handrails, elevator control panels and door knobs); or when hands are dirtied by respiratory secretions after coughing or sneezing;
Cover the nose and mouth while sneezing or coughing, hold the spit with a tissue and put it into a covered dustbin;
Avoid crowded places and contact with fever patients; and
Wear masks when respiratory symptoms develop or when taking care of fever patients.

The public may visit the CHP's avian influenza page (www.chp.gov.hk/en/view_content/24244.html ) and website (www.chp.gov.hk/files/pdf/global_statistics_avian_influenza_e.pdf ) for more information on avian influenza-affected areas and provinces.

Ends/Thursday, December 19, 2013
Issued at HKT 17:58
NNNN

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**Giuseppe** · December 19, 2013, 05:40 AM

Re: Shenzhen confirmed the first case of human infection with H7N9 (Ifeng, December 19 2013)

My interpretation at this point is that Guangdong continues to report additional cases of H7N9 human infections, with onset date of symptoms well before the useful oseltamivir treatment window, because of the discovery from HK authorities of two imported cases.

It is clear that in the province the H7N9 is widely dispersed in animal stock, both in wholesale and retail live poultry markets and that people are currently catching the virus at an alarming pace.

This is an Emergency situation and requires urgent actions, the Paramount of all the immediate closure of wholesale and retail live poultry markets, the destruction of the animal stock and other ancillary activities in order to stop an impending human outbreak.

If the needed actions will not be performed quickly, the authorities of Guangdong will be responsibile of the loss of human lives and profound economic impact of an emerging and little known infectious disease.

The direct agro-business economic loss due to wholesale live poultry markets closures is far better than the catastrophic effect on the 2nd global economy of a human-to-human transmission of H7N9 virus in the region and Beyond.

GM

**Shiloh** · December 19, 2013, 06:38 AM

Re: Shenzhen confirmed the first case of human infection with H7N9 (Ifeng, December 19 2013)

Source: http://www.thestandard.com.hk/breaki...&icid=2&d_str=

Critically ill Shenzhen H7N9 patient becomes sixth avian flu case in province
(58 mins ago)

Guangdong reported a new human H7N9 case today, raising the total number of people infected with the fatal virus in the province to six since August.
The new patient, who is in critical condition in hospital, is a 38-year-old resident surnamed Ou in Shenzhen, 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...

**Shiloh** · December 19, 2013, 02:43 PM

Re: Shenzhen confirmed the first case of human infection with H7N9 (Ifeng, December 19 2013)

Source: http://www.thestandard.com.hk/news_d...=20131220&fc=7

Shenzhen reports first H7N9 case
Friday, December 20, 2013

... He lives at Nanling village in Longgang, not far from where the H7N9 bird flu virus was found in two wet markets on December 11.

A source said he worked at a factory and visited live poultry markets...

**Giuseppe** · December 19, 2013, 02:59 PM

Re: Shenzhen confirmed the first case of human infection with H7N9 (Ifeng, December 19 2013)

[Source: Ifeng, full page: (LINK). Automatic translation from Chinese.]

Shenzhen first case of human infection with H7N9 birdflu virus had not close contact with birds

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

December 10, and the prevention and control of Shenzhen City, Guangdong Province, the joint working group of people infected with H7N9 avian influenza in 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, which , Longgang District, Shenzhen detected two live bird markets three H7N9 avian influenza virus nucleic acid positive, Longgang District 1 from poultry markets cutting boards, two chicken from South Bay Street, Longgang District, three birds Cambridge Meat Market stalls and the stall epilator. Then, yesterday, the Shenzhen confirmed the first case of human infection with H7N9 avian influenza.

Cantonese cases of H7N9 infection

Original title: Shenzhen confirmed the first case of human infection with H7N9

Express reporter Zheng Yanhong Yu Yang Liuzheng Xu Liang Ning correspondent Guangdong Wilson

The patient was a 38-year-old worker, CDC says "there is no history of exposure before the onset of definite people with birds."

Yesterday, the Shenzhen confirmed the first case of human infection with the H7N9 avian influenza. According to the Shenzhen CDC experts said that at present, Shenzhen sporadic human infection with H7N9 occurrence of avian influenza in high risk cases, there may be new cases occur at any time.

Yesterday, Vice Governor Lin Shaochun rate Provincial Health and Family Planning Commission, CDC and Industry Bureau, responsible comrades to Dongguan City, look H7N9 avian flu prevention and control of human infection with the implementation of measures to guide prevention and control work to do next.

135 close contacts does not appear abnormal

Yesterday afternoon, the Shenzhen Municipal Center for Disease Control informed that yesterday, by provinces and expert consultation, diagnosed the first case of human infection with the Shenzhen H7N9 avian influenza. European patients, male, 38 years old, workers, living in Longgang District, South Bay Street.

December 9, patients with cough, fever clinics near their homes to a treatment, no significant improvement; Dec 12, the South Bay to Shenzhen People's Hospital for treatment and hospitalization; Dec 13 to severe pneumonia Forwarding Shenzhen People's Hospital treatment; Dec 17 evening, Shenzhen Center for Disease Control and Prevention lower respiratory tract specimens of human infection of H7N9 avian influenza nucleic acid positive; Dec 18, by the Guangdong Provincial Disease Prevention and Control Center to review consistent results. 18 pm, the patient was transferred to the Third People's Hospital of Shenzhen to continue treatment, is currently in critical condition.

According to the Shenzhen CDC, the person in charge, after receiving the report, the Shenzhen Center for Disease Control and Prevention urban tissue immediately carry out epidemiological investigations of 135 close contacts to implement medical observation, "including the colleagues of the factory, during the onset of had close contact with friends in the South Bay admissions of health care workers, patients and hospital ward with the Municipal People's hospital during the health care clinic, "these close contacts No abnormal situation.

But as of yesterday, there is evidence that the patient has not been confirmed with bird closely, "because he is a worker, living in the electronics factory dormitory, before the onset of a clear no history of contact with poultry man." Shenzhen Center for Disease Control the official said.

Dongguan cases may be associated with Shenzhen

According to the reporter, the evening of December 2, Hong Kong confirmed the first case of human infection of H7N9 cases, the patient was a 36-year-old Indonesian maid, which was November 17 to Shenzhen slaughter chickens cooking. The evening of December 6, Hong Kong again Bulletin, 36-year-old maid after Hong Kong confirmed H7N9 avian influenza infection, and one was diagnosed at the age of 80 long-term elderly in Hong Kong, Shenzhen residence.

December 10, and the prevention and control of Shenzhen City, Guangdong Province, the joint working group of people infected with H7N9 avian influenza in 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, which , Longgang District, Shenzhen detected two live bird markets three H7N9 avian influenza virus nucleic acid positive, Longgang District 1 from poultry markets cutting boards, two chicken from South Bay Street, Longgang District, three birds Cambridge Meat Market stalls and the stall epilator. Then, yesterday, the Shenzhen confirmed the first case of human infection with H7N9 avian influenza.

As of yesterday afternoon, the province of human infection of avian influenza H7N9 confirmed cases of six cases, including one case in Shenzhen, Huizhou one case, two cases in Dongguan, Yangjiang two cases. Plus two cases of Hong Kong, Shenzhen and surrounding cities were found in eight cases of human infection with the H7N9 avian influenza. Shenzhen Center for Disease Control, the official pointed out that after the winter weather is getting cold, virus outer environment more active, longer survival time, high risk of occurrence of sporadic human infection with the H7N9 Shenzhen bird flu at any time there may be new cases appears, currently found in people infected with H7N9 bird flu in Hong Kong, Dongguan and Shenzhen case may be associated with.

Spring Festival approaching, some families have to be New Year slaughter chickens at home habit, this is more likely to have the risk of infection. Birds suggest that you stay away from the market, not at home chickens.
- Provincial CDC chief expert, He Jianfeng, director of prevention and control of epidemics

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**Giuseppe** · December 19, 2013, 03:06 PM

Re: Shenzhen confirmed the first case of human infection with H7N9 (Ifeng, December 19 2013)

[Source: Ifeng, full page in Chinese: (LINK). Automatic translation.]

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

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.

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**Pathfinder** · December 19, 2013, 10:05 PM

Re: Shenzhen confirmed the first case of human infection with H7N9 (Ifeng, December 19 2013)

Translation Google

December 20, 2013, Friday

Do not panic! H7N9 outbreak in low-risk

Experts cautioned against direct contact with live poultry and processed

Li Kexin Wang Xiaofang

Shenzhen Evening News (reporter Li Kexin Wang Xiaofang) "Shenzhen sporadic human infection with H7N9 high risk." Said CDC Director Cheng Jinquan, after Shenzhen winter weather is getting cold, the virus is more active in the outer environment, survive a long time, so I City sporadic occurrence of human infection of bird flu H7N9 high risk cases, there may be new cases occur at any time.

Shenzhen distribute H7N9 high risk

Cheng Jinquan think the four causes of sporadic human infection with the H7N9 risk is extremely high. First, Shenzhen has been the first case of human infection, the surrounding cities of Shenzhen, Dongguan (two cases), Huizhou (one case) and Hong Kong (2 cases) cases have been reported five cases, and there may be cases in Dongguan and Hong Kong and Shenzhen association; two December 10 is part of the city's detection of nucleic acid samples positive for H7N9 in poultry in markets outside the gathering environmental samples; Third Shenzhen population, frequent movement of goods, the larger the amount of sales and transportation of poultry, to a certain extent, increased risk of infection; The fourth is located in Shenzhen, the major migratory routes, with the potential risk of spread of the epidemic. Therefore, the city improved disease control experts reminded the public awareness, actively carry out prevention.

There is no evidence of interpersonal communication between H7N9

Although sporadic human infection with H7N9 high risk, but 程锦泉 stressed that the public need not panic, "There is no evidence that H7N9 can be spread between humans, H7N9 spread is very limited, the possibility of H7N9 outbreak is unlikely. "

程锦泉 that due to transmission of the virus from the birds to humans is still, yet found to have sustained ability to communicate between people, so people infected with H7N9 bird flu continued to show sporadic, low risk of outbreaks appear communities, people do not need panic.

Hong Kong media had previously reported two cases, one case of human infection with H7N9, Dongguan and Shenzhen have some relevance in patients where the sick maid who came to Hong Kong to Shenzhen, the sick man Nagai Fu Yong, Shenzhen, Dongguan and one case of human infection of H7N9 patients in Shenzhen Guanlan work. In this regard, Cheng Jinquan said there is still no evidence that these cases are in Shenzhen infection.

zhttp://wb.sznews.com/html/2013-12/20/content_2725739.htm

**Pathfinder** · December 19, 2013, 10:09 PM

Re: Shenzhen confirmed the first case of human infection with H7N9 (Ifeng, December 19 2013)

Translation Google

Shenzhen, a man infected with H7N9 bird flu

2013-12-20 09:28 Source: Dayang - Information Times

Yesterday, the Guangdong Health and Family Planning Commission Bulletin, Shenzhen 1 new confirmed cases of human infection with H7N9 avian influenza cases for the fourth month of the report. So far, people in Guangdong were reported confirmed cases of avian influenza H7N9 infection in six cases, including one case in Shenzhen, Huizhou one case, two cases in Dongguan, Yangjiang two cases. Cantonese infected with H7N9 bird flu prevention and control team leader, Chinese Academy of Engineering academician Zhong Nanshan said that the current epidemic is still showing sporadic, but there are regional incidence trend.

Shenzhen, the first two patients to detect H7N9 virus was not found

According to informed patients in Europe diagnosed in Shenzhen, male, 38 years old, Gaozhou who lives in Longgang District Nanling, the patient is currently in critical condition.

December 9, patients with fever, cough, self Nanling a clinic visit. December 12, patients go to South Bay Hospital emergency department. 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.

Yangjiang buy two chickens have come home to support patients

Previously, Yangjiang consecutive reported two cases of patients with regional, provincial CDC chief expert, Jianfeng, director of infectious disease prevention and control, said that after epidemiological assessment, two cases of H7N9 patients did not have any relevance. "One is in the countryside, one is in the city, the same points are the elderly," he introduced two patients are recent purchase behavior in domestic chickens, "in preparation for the Chinese Lunar New Year, many people will buy from the market alive raising chickens come home, and that is very prone to danger. "

Jianfeng said, from the current situation, the external environment, especially the live bird markets are still an important source of the spread of disease, especially the elderly over 70 years of basic disease is at high risk of infection, usually should be minimized to a live poultry market, "The public in the market to buy food, we must remember to wash their hands."

Suspected cases should be repeated detection

For continuous new multi Guangdong cases, Zhong Nanshan said that any flu-like symptoms suspected to be infected repeatedly detect multiple sites. Currently found only swab is not enough, some viruses exist in the lower respiratory tract, so sometimes we need to do the lower respiratory tract fluid, "We are eight days yesterday for a patient to detect the onset of throat virus detected only 38 copies However, there is a copy of the lower respiratory tract of up to 10 million copies, "he reminded, if people suffering from flu-like symptoms continued to increase, but can not explain why, we must treat the side while repeated testing.

Tamiflu is effective as soon as possible with 7 days

3-year-old boy before and Dongguan, the new report a few cases diagnosed in the case of the emergence of critical, whether poor or Tamiflu rescue application is not timely? Zhong Nanshan be negative, "these patients from the onset to diagnosis time, a minimum of four days, the longest nine days, are still timely to the hospital is also timely medication, but sometimes Occurrence of the disease is difficult to control."

He explained that from the point of view of clinical practice, Duffy really want to use as soon as possible, even after 48 hours does not mean no effect, and seven days before the onset of the use of the effect is still very good. For the current treatment of these patients, mainly Tamiflu treatment is still based, and prevention and treatment of complications, "some patients gastrointestinal conditions are not good, we have used intravenous peramivir for treatment." He said that the majority of patients were treated at the local, whether you want to transfer to Guangzhou, but also according to the various cases of the disease.

But the incidence of sporadic outbreaks of regional trends

Guangdong continuous reporting of new cases, the epidemic in the future if a new reminder? Zhong Nanshan said that, until now scattered in the pathogenesis of disease or in the performance of distributing risk will continue to increase in the future. As of now, there are nearly 150 reported cases, of which only two families found a very suspicious person to person performance, indicating that human to human transmission is still very limited; addition, the epidemic has now found some regional distribution, is now concentrated in Yangjiang and the Pearl River Delta region, the regional distribution of this trend should pay close attention.

For Jiangxi reports of human infection with avian influenza H10N8, Jianfeng said, there are many types of influenza, H10N8 just one, this virus has long existed, "the virus is an attenuated virus, but the infection to humans but also whether it is attenuated is not clear, "he said, Jiangxi patients themselves have underlying diseases, relatively weak resistance, healthy people react if infected is still unknown.

Cantonese infected with H7N9 avian flu prevention and control team leader Zhong Nanshan:

Once patients with suspected bird flu infected with H7N9 virus, must be sent as soon as possible sentinel hospital, because patients in addition to pulmonary complications, but often also combined heart, liver problems, kidney, gastrointestinal and other aspects of this multi-dirty Damage is very limited in the primary hospital or infectious disease hospital capacity, so many ways to intervene before diagnosis treatment as soon as possible.

zhttp://life.dayoo.com/health/201312/20/128598_34101387.htm

**tetano** · December 20, 2013, 03:26 AM

Re: Shenzhen confirmed the first case of human infection with H7N9 (Ifeng, December 19 2013)

H7n9 cases disease suspected in Shenzhen of Guangdong

H7n9 cases disease suspected in Shenzhen of Guangdong H7N9 patients had close contact with 135 people as of December 19, H7N9 avian flu confirmed cases of infection in Guangdong Province people in 6 cases, sz 1, 1 cases in Huizhou, Dongguan in 2 cases, 2 cases of Yangjiang. H7N9 Shenzhen H7N9 confirmed case of human infection with a 38-year old worker, city CDC said 'prior to the onset of man without a clear history of contact with poultry.' Yesterday, confirmed their first cases of human infection in Shenzhen H7N9 avian influenza. According to the Shenzhen Center for disease control experts said dissemination of human infection H7N9 avian influenza cases in Shenzhen was a high risk, new cases may arise at any time. Yesterday, Deputy Governor Lin shaochun rates provincial family planning Commission of health, CDC and CIB comrades went to Dongguan, sees human infection H7N9 avian influenza prevention and control measures implemented to guide prevention and control next.

http://www.s1979.com/shenzhen/201312/20109979720.shtml

**Pathfinder** · December 21, 2013, 12:53 AM

Re: Shenzhen confirmed the first case of human infection with H7N9 (Ifeng, December 19 2013)

Translation Google

Shenzhen H7N9 patients who eat cooked chicken virus-induced organ failure

at 10:45 on December 21, 2013 Source: Securities Times Online

December 19, confirmed the first case of human infection with the H7N9 deep avian influenza. It is understood that the man had eaten at home before the onset of cooked chicken. From the onset to the interval of five days with antiviral drugs, leading to organ failure.

WASHINGTON According to reports, the 20th, the Third People's Hospital of Shenzhen (Finance Court) Zhoubo Ping said that the patient is still intubated to breathe, unable to speak, and therefore the source of infection can not be asserted. Man on the 9th of this month the disease, but in the 14th before using Tamiflu and other antiviral drugs for treatment, an interval of five days, resulting viruses organs.

20, the dean Zhoubo Ping introduced, according to a family in Europe revealed a few days ago at the onset of a European had eaten cooked chicken at home, because the patient is still intubated to breathe, unable to speak, and therefore infection What is the source, still can not say.

He said that for the majority of cases are found in the current national history of exposure to live poultry, especially chicken slaughter and transactions carried the crowd, because the virus contains a lot of chicken feathers, easily through the respiratory tract infection. Although there is no second case of H7N9 in Shenzhen bird flu patients, but still can not rule out the possibility of sporadic, calling the official close of live poultry market as soon as possible, to minimize the risk.

Europe was a patient aged 38, shortly after the onset that is why in critical condition? Zhoubo Ping said, mainly because of the patient's condition to intervene too late. It is reported that the incidence of patients is on the 9th of this month, but only the use of Tamiflu and other antiviral drugs for treatment in the 14th, with an interval of five days, resulting in various organs viruses, destroy the patient's immune system. The present case, although Europe began to recover a sense, but is still in critical condition.

He said that the early symptoms of H7N9 avian influenza and the common clinical manifestations in almost the same situation misdiagnosis or delayed treatment is prone to remind the major hospitals note that dubious patients must conduct a detailed investigation pop history, and as soon as possible Submit samples to detect the disease control department, but for now observe, H7N9 bird flu mutation did not occur, the risk of transmission of no one, to remind the public not to panic, do not blindly go to the pharmacy to buy drugs such as Radix.

(Securities Times Online News Centre)

zhttp://industry.jrj.com.cn/2013/12/21104516371806.shtml

**Pathfinder** · December 21, 2013, 10:33 PM

Re: Shenzhen confirmed the first case of human infection with H7N9 (Ifeng, December 19 2013)

Translation Google

Experts: H7N9, but the cure rate is higher than the H5N1 susceptible

At 8:28 on December 22, 2013
Source: Shenzhen Special Zone Daily

■ Shenzhen Special Zone Daily reporter Yu Hairong

How H7N9 bird flu prevention? Got can cure it? Infectious strong? For these hot issues of public concern, the reporter interviewed yesterday, City H7N9 bird flu prevention and control team leader Zhoubo Ping.

H7N9 H5N1 mortality rate is lower than

Zhoubo Ping told reporters, compared with H5N1, H7N9 illness lighter, the cure rate is much higher. Up to now a total of more than 140 cases of H7N9 found in the case, only 30 deaths, that eighty percent of patients can be cured, but more dangerous H5N1 disease on mortality as high as 60%.

H7N9 after healing effect three factors: First, the inhalation of viral load size. Second, the use of Tamiflu sooner or later. Clinical show that early treatment of Tamiflu H7N9 avian influenza is very effective. Especially after the early onset of infection within 48 hours of taking the best effect, can effectively prevent the development of disease to severe. Patients with mild generally easy to cure. This is the reason why patients with the disease in Shenzhen so heavy, and its failure to make timely medical treatment related. Three is usually the quality of the body. Generally, diabetes, emphysema, hypertension, cardiovascular disease and other chronic diseases, immunocompromised some severe illness, the prognosis worse.

H7N9 H5N1 susceptible than

Zhoubo Ping said that from the clinical point of view, H7N9 H5N1 infection than the chance to be bigger. Zhoubo Ping reminded that winter and spring are prone to human bird flu season. Shenzhen poultry trade more frequently, there is a regional poultry trade; Shenzhen migratory birds still online, the risk of sporadic cases have occurred in large, at least until April or May, can not relax vigilance against H7N9.

It is reported that, as the designated hospital, City Hospital is ready for treatment, and 16 negative pressure rooms all vacant, adequate medicines, masks and other material reserves, isolation measures are well in advance.

Currently no variation of the virus from person to person does not

Zhoubo Ping told reporters: Although Guangdong found six cases within a week, but they are highly distributed among the patients, the incidence of places that are not relevant. This shows that, in terms of infectivity, the virus less susceptible population, but currently there is no variation of the virus, not person to person, does not appear outbreaks, the public need not worry.

Zhoubo Ping said that the influenza virus is very special, there are eight gene segments, there are birds, three people, mammals, a flow is a combination of three gene fragments, so the crowd contagious, but H7N9 currently only gene fragment birds, so do not have the ability to interpersonal communication. "Animal virus receptors in animals, avian influenza in poultry major epidemic, spread to humans is accidental phenomenon. Unless there is a major virus mutates, the possibility of human to human transmission is not proved that the virus is not genetic recombination occurs easily from the 1997 Hong Kong H5N1 avian influenza epidemic occurs after all over the world every year thereafter H5N1 avian influenza sporadic, but 16 years later, the phenomenon does not appear human to human transmission. "

Without prior medication but must stay away from birds

For H7N9 prevention, Zhoubo Ping believes that prevention antiviral drugs or smoked vinegar and other measures are not absolutely necessary, the key to prevention is to stay away from birds.

周伯平 said that currently the majority of cases are found in the country live poultry contact history. Shenzhen this case because the patient unable to speak, no way to clear history of exposure, but the patient has said eaten chicken, and the nearby market where the plant was also detected in patients with an avian influenza virus, there is the possibility of contact with live poultry great history.

Zhoubo Ping reminded feathers on birds is easy with a lot of viruses, susceptible populations at risk of infection through the respiratory tract. Therefore, the public is best not to poultry recent pollution to the environment, such as away from the live bird markets, do not buy live chickens, birds and more parks do to avoid the chance of exposure to the virus. For some occupational exposure to poultry populations, including those engaged in poultry breeding, selling, processing, and other high-risk groups, we must strengthen the awareness of prevention work is recommended to wear protective clothing, wearing masks and gloves.

周伯平 also warned that the early onset of symptoms associated with the common cold, H7N9 is similar to the public once the fever over 38.5 ℃, respiratory symptoms, especially in contact with live poultry within a week, preferably as soon as possible to a clinic or hospital fever Respiratory medical appointment when certain To take the initiative to tell the doctor's own history of contact with poultry.

zhttp://news.ifeng.com/mainland/detail_2013_12/22/32363896_0.shtml

Announcement

China - Man, 38, hospitalized in Shenzhen in critical condition with H7N9 - Guangdong province (December 19 2013)

China - Man, 38, hospitalized in Shenzhen in critical condition with H7N9 - Guangdong province (December 19 2013)

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