Announcement

**Giuseppe** · January 10, 2014, 04:15 AM

Re: Zhejiang Province, two new cases of human infection with H7N9 bird flu virus (DoH, January 10 2014)

Source: RTHK, full text in Chinese: http://rthk.hk/rthk/news/expressnews/20140110/news_20140110_55_976555.htm - Automatic translation.

Zhejiang confirmed two new human cases of H7N9 avian influenza

2014-01-10 HKT 16:28

Zhejiang reported two more H7N9 avian influenza infection.

Health and Family Planning Commission issued notification of Zhejiang Province, said local confirmed two new cases of H7N9 avian influenza infection in humans yesterday.

Patients were a 79 years old woman, and the a 30-year-old man, both of whom are in critical condition.

Into this year, Zhejiang has confirmed four cases of human infection with H7N9 avian influenza.

-
-----

**Giuseppe** · January 10, 2014, 06:35 AM

Re: Zhejiang Province, two new cases of human infection with H7N9 bird flu virus (DoH, January 10 2014)

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

Four additional human cases of avian influenza A(H7N9) in Guangdong and Zhejiang

The Centre for Health Protection (CHP) of the Department of Health (DH) is today (January 10) closely monitoring two additional cases of avian influenza A(H7N9) in Guangdong and two other cases in Zhejiang upon notification by the Health and Family Planning Commission of Guangdong Province and verification with the National Health and Family Planning Commission respectively.

The first case in Guangdong involves a 42-year-old female poultry worker living in Foshan. She had onset of symptoms on January 5. She sought medical attention from a local hospital on January 8 and was admitted for treatment on the following day. Her specimen tested positive for avian influenza A(H7N9) virus by the relevant health authority of Guangdong Province today. Twenty close contacts of the patient have been put under medical surveillance by the relevant health authority of Guangdong Province. No abnormalities have been found among her close contacts so far.

The second case in Guangdong involves a 59-year-old woman also living in Foshan. She had developed symptoms on December 29, 2013. She was admitted to a local hospital on January 2, 2014. Her specimen tested positive for avian influenza A(H7N9) virus by the relevant health authority of Guangdong Province today. She had no recent history of contact with poultry. Five close contacts of the patient have been put under medical surveillance by the relevant health authority of Guangdong Province. No abnormalities have been found among her close contacts so far.

The two cases in Zhejiang involve a male patient aged 30 and a female patient aged 79 whose specimens both tested positive for avian influenza A(H7N9) virus by the relevant health authority of Zhejiang Province yesterday (January 9). They are receiving treatment in hospital and are in critical condition.

To date, a total of 156 human cases of avian influenza A(H7N9) have been confirmed on the Mainland. They are in:

Zhejiang (55 cases),
Shanghai (34 cases),
Jiangsu (29 cases),
Guangdong (12 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 said.

"All border control points have implemented disease prevention and control measures. Thermal imaging systems are in place for body temperature checks of inbound travellers. Random temperature checks by handheld devices will also be arranged. Suspected cases will be immediately referred to public hospitals for follow-up investigation," the spokesman added.

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

"Travellers, especially those returning from avian influenza-affected areas and provinces with fever or respiratory symptoms, should immediately wear masks, seek medical attention and reveal their travel history to doctors. Healthcare professionals should pay special attention to patients who might have had 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/Friday, January 10, 2014
Issued at HKT 19:00
NNNN

-
-----

**Giuseppe** · January 13, 2014, 06:49 AM

Zhejiang Province, two new cases of human infection with H7N9 bird flu virus (DoH, January 10 2014)

[Source: World Health Organization, full page: (LINK).]

Human infection with avian influenza A(H7N9) virus ? update

Disease outbreak news / 13 JANUARY 2014

On 10 January 2014, the National Health and Family Planning Commission of China notified WHO of 6 additional laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus, including 1 death.

Details are as follows:

54-year-old man from Nanjing City in Jiangsu Province who became ill on 28 December 2013 and was admitted to the hospital on 5 January. He is currently in serious condition.
79-year-old woman farmer from Jiaxing City of Zhejiang Province who became ill on 2 January and was admitted to the hospital on 5 January. She is currently in critical condition. The patient had exposure to poultry.
30-year-old male from Ningbo City of Zhejiang Province who became ill on 2 January and was admitted to the hospital on 7 January. He is currently in critical condition. The patient had exposure to poultry.
59-year-old woman from Foshan City of Guangdong Province who became ill on 29 December 2013 and was admitted to the hospital on 2 January. She is currently in mild condition.
42-year-old woman from Foshan City of Guangdong Province who became ill on 5 January and was admitted to the hospital on 9 January. She is currently in mild condition. The patient works in the poultry wholesale industry
38-year-old man from Quanzhou City of Fujian Province who became ill on 3 January and was admitted to the hospital on 8 January. The patient had an underlying illnesses (including tuberculosis and pneumoconiosis) and died on 10 January.

The source of infection is still under investigation. So far, there is no evidence of sustained human-to-human transmission.

The Chinese government continues to take the following measures:

strengthen surveillance and situation analysis;
reinforce case management and treatment;
conduct risk communication with the public and release information;
strengthen international collaboration and communication; and
conduct scientific studies.

WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend any travel or trade restrictions.

-
-------

**Pathfinder** · March 6, 2014, 08:24 PM

Re: Zhejiang Province, two new cases of human infection with H7N9 bird flu virus (DoH, January 10 2014)

Originally posted by Giuseppe Michieli View Post

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

Zhejiang Province, two new cases of human infection with H7N9 bird flu virus

Release date :2014-01-10 / Source: Ministry of Health and Family Planning Commission

January 10, 2014

...
2, Liu XX patients, male 30 years old, currently residing in Ningbo area. January 9 was diagnosed human cases of avian influenza H7N9 infection, is now critically ill in a hospital for treatment of Ningbo.

-
-------

It seems that this patient was discharged -

Translation google

Ningbo, the first case of human infection with the H7N9 avian flu patient's life diary

China Ningbo Net　　 at 06:51 on March 7, 2014 　　

Yesterday, the city's first case of human infection with the H7N9 avian influenza patients --- Anhui membership Liu has experienced 54 days of life and death struggle, discharged.

Avian influenza virus was negative after 12 days

"The evening of 10 January, he transferred to our hospital from Zhenhai, with professional jargon is very critically ill patients, the lung is almost completely white." Second Hospital intensive care unit director Xu Zhaojun clearly remember the scene that day. That day, angels are armed, wear N95 masks, wearing gowns, wearing surgical cap and protective glasses, wear shoe covers. Since then, Liu accompany one of life and death reached the checkpoint.
　　
Make artificial liver to filter and clean inflammatory cytokines. The first three days of continuous 72 hours replacement plasma.
　　
One after another, the patient suddenly bilirubin rises to 129 (normal is 20 or less), abnormal liver function. Xu Zhaojun carefully review the associated drugs, decisive withdrawal Fortunately, three days after the return to normal.
　　
The first four days the patient to urinate stop row. An entry examination commenced phase found in the blood of the hemolytic bacteria, the bacteria were also detected inside the catheter, Liu's body at the moment there is the bird flu virus.
　　
Battle kidneys started. Every two hours for a cycle, according to UF out of the waste, drainage out of the liquid, as well as excrement, blood pressure and dryness of the skin combined with rehydration, fine-tuning the total liquid to ensure that fluids homeostasis.
　　
After 12 days, the bird flu virus negative index patients, and lung infection under control.
　　
Diarrhea, fever, intestinal bacteria imbalance
　　
Good physical fitness is also a major struggle with the disease capital. Nutritional preparations by jejunal tube, intravenous inflows, but Liu still lost more than ten kilograms.
　　
From a medical perspective, one more pipe is inserted, there will be more chance of a re-infection, especially in frail patients can not withstand the infection is more frustrating. After human H7N9 avian influenza virus infection index was negative, anti-infection has become a priority.
　　
January 22 rounds doctors discovered a bulging belly Liu. Subsequently, he was in January 24, February 3 severe diarrhea, up to a day to pull out eight times. Doctors believe a while back for their lives with a lot of antibacterial drugs, resulting in intestinal bacteria imbalance.
　　
A few days later, diarrhea stopped.
　　
"Every day is doing what Paul's first-choice questions. Lung infection under control, but also protect the kidneys, the next step is to recover his fitness as soon as possible." 许兆军 said Liu has been in a state of calm, which is a light coma. This has the advantage of at least two points, when one is conscious sedation compared with lower respiratory frequency, can effectively protect his lungs; second is to reduce the impact of mood swings in the treatment process.
　　
But there are disadvantages sedation --- gastrointestinal motility, functional recovery slow.
　　
February 7 am, Liu Xu Zhaojun again waited at the bed, turn off the sedation pump, always keep from 9:00 to 17:00.
　
"Thanks to social concern for me."
　　
Spontaneous breathing, eating, a little bit of a return to normal life.
　　
That survived from that moment, Liu eager to return to normal life a little bit stronger up the idea.
　　
"I want to drink, I'm thirsty!" He gestures to express this common, but wishes.
　　
Then, as long as doctors go rounds, Liu pointed to a variety of pipe on him, asking over and over again when it can unplug.
　　
February 8, unplug the ventilator.
　　
February 9, hemodialysis catheters, catheters, deep vein indwelling tubes, arterial piezometer have been unplugged.
　　
February 11, tube also pulled out. Earlier, in the case of the stomach intubation, a teaspoon for two consecutive days by a nurse slowly fed a teaspoon of rice Liu. Good to see him eat, digest well, the doctor made this decision.
　　
Young and lively nature were revealed, a little bit of life regression.
　　
Liu was a little recall the entire process: he had bird flu, referral, and several critically ill, the family has been on the bench outside the intensive care unit, clothes and sleep to keep for a long time, half an hour every afternoon Hours to visit him regularly.
　　
One day in mid-February, on the radio, he learned that the first case of human infection with the H7N9 avian Zhejiang flu patients cured. In pen and paper with the doctors, he admitted that after two homes trio, one negative and soon discharged, one person could not survive. And he himself is Ningbo's first infection, luckily alive. He is also known for treatment, the hospital medical expenses spent fifty or sixty million.
　　
One day he recovered, on at 14:00 on February 19 transferred from the Intensive Care Unit of Respiratory Medicine.
　　
After two weeks of follow-up care, tracheal incision closed, recovery of limb function.
　　
Yesterday, the reporter on the 17th floor of the Second Hospital ward to see him wearing a pair of black-rimmed glasses, facial handsome, vibrant young face.
　　
"Thanks to social concern for my special thanks Xuzhu Ren and his team." He typed these words on a smart phone. "Chicken, chicken on the bloodshot." This is the cause of his eyes.
　　
H7N9 bird flu, changed his fate, but also changed his family's life, and changed a lot of households, and the pace of life in Ningbo city.
　　
Up to now, a total of Ningbo people infected with H7N9 avian influenza reported in 15 patients, of which 9 cases discharged, two cases of critically ill patients are still hospitalized. Reporter Jiang Qing Luo Yang Wei Ning Correspondent

zhttp://news.cnnb.com.cn/system/2014/03/07/008004864.shtml

Announcement

Zhejiang Province, two new cases of human infection with H7N9 bird flu virus (DoH, January 10 2014)

Zhejiang Province, two new cases of human infection with H7N9 bird flu virus (DoH, January 10 2014)

Comment

Comment

Comment

Comment