China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

[AlaskaDenise]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

Comentary

http://www.recombinomics.com/News/01...ijing_H2H.html

Human to Human H5N1 Transmission In Beijing?
Recombinomics Commentary 00:39
January 7, 2009

The Beijing Municipal Health Bureau said 116 people were in close contact with the victim.

One healthcare professional in contact with Huang contracted bird flu, but recovered, the bureau said.

The above comments describe transmission of H5N1 from the fatally infected patient to a health care worker, which is a major red flag signaling an increase in transmission efficiency. Although other media sources acknowledged the fever and recovery in the health care work, none stated that the fever was due to an H5N1 infection.

Transmission to a health care worker is rare. Most H5N1 H2H transmission involves an index case and family members who are not trained in universal precautions, and have minimal protection. Therefore, independent confirmation of this transmission would be useful.

H5N1 cases in Beijing are also rare. The last confirmed case from Beijing was the first confirmed case in mainland China in 2003. That case was due to clade 7 H5N1, which is more common in the Beijing area, which is why it is likely that the latest human case was also caused by clade 7. The most recent confirmed H5N1 in poultry in mainland China were two outbreaks in Jiangsu, and both were clade 7.

Clade 7 is of concern because it is distinct from other H5N1 that is associated with human infections. Clade 1 is in southeast Asia and caused human case in Vietnam, Thailand, and Cambodia between 2004-2005. Although it is still circulating in poultry in southeast Asia, there have been few of any recent clade 1 human cases. Clade 2.1 is circulating in Indonesia and account for all public sequences, although Indonesia has not released a human H5N1 sequence for the past two years. Clade 2.2 is carried by wild birds west of China, and have cause human infections in Turkey, Iraq, Azerbaijan, Egypt, Djibouti, Nigeria, Pakistan, and Bangladesh. Clade 2.3 has cause human cases in China, and more recently in Vietnam and Thailand.

However, prior to the latest case, the only reported clade 7 infection was in Beijing.

If the source of the H5N1 for the latest case was linked to the ducks purchased at the market, then it is possible that they were asymptomatically infected, which would also increase concerns.

Release of sequences from this case, as well as the Jiangsu outbreaks, would be useful as would clarification of the cause of the fever in the health care worker.

[AlaskaDenise]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

The story is now the top Google health story...
----------------------------------------------------

Woman dies of bird flu in China


(CNN) -- A 19-year-old woman who handled ducks in northern China has died in Beijing from bird flu, the World Health Organization said Wednesday.
<!--startclickprintexclude--><!----><!--===========IMAGE============--><!--===========/IMAGE===========--> <!--===========CAPTION==========-->Nantong of Jiangsu province, China, last month, where the H5N1 virus was discovered.<!--===========/CAPTION=========-->





<!--endclickprintexclude-->The woman, Huang Yanqing, died Monday morning after she was admitted to hospital on December 27, according to state-run Xinhua news agency.

Huang had been in close contact with ducks at a market in Hebei Province, which neighbors Beijing, on December 19. She bought nine ducks from the market and cleaned the dead fowl before giving them to some relatives and friends, Xinhua reported.

Only Huang fell ill, though she had close contact with 116 people, according to the Beijing Municipal Health Bureau.

Zhao Qingchao, an official with the local government in Langfang City where the market is located, told Xinhua that they have taken steps to detect the source of the deadly virus.

No other cases of the H5N1 avian influenza have been reported from the same area, Xinhua reported.

Authorities have disinfected and isolated the woman's home, and officials met in Beijing on Monday about the case, but the market is still selling ducks, Xinhua reported.

H5N1 has led to 248 deaths worldwide since 2003, including 21 in China, according to the WHO.

http://www.cnn.com/2009/WORLD/asiapcf/01/06/china.flu/

[AlaskaDenise]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

China disinfects after first bird flu death in a year
07 Jan 2009 03:12:16 GMT
<!-- 07 Jan 2009 03:12:16 GMT ## for search indexer, do not remove -->Source: Reuters


<!-- AN5.0 article title end --><SCRIPT language=JavaScript src="/bin/js/article.js"></SCRIPT></SPAN> <!-- China disinfects after first bird flu death in a year --><!-- Reuters -->BEIJING, Jan 7 (Reuters) - Chinese health authorities closed poultry markets for disinfecting in a province surrounding Beijing on Wednesday after a woman died of bird flu, the first such death in the country in almost a year.


The 19-year-old woman died of the H5N1 bird flu virus after coming into contact with poultry in Hebei province, bringing the total death toll in China to date to 21.


In parts of Hebei province, which surrounds Beijing and where the dead woman had bought ducks, poultry markets were closed and the sale of live birds stopped as workers in masks sprayed disinfectant.


"We are concerned by any case of human H5N1 infection, however, this single case, which appears to have occurred during the slaughtering and preparation of poultry, does not change our risk assessment," the World Health Organisation (WHO) said in a statement.


"WHO expects the ministry will continue to keep it updated on this case, and is prepared to offer technical assistance if requested," it added, referring to the Health Ministry. The virus is generally more active during the cooler months between October and March, although the new Chinese case points to holes in surveillance of the virus in poultry.


Chinese Health Ministry spokesman Mao Qunan was quoted in state media as saying the government would step up monitoring.


"This year we must, on the basis of what we have done in the past, increase monitoring for the transmission of the highly pathogenic bird flu virus in humans," Mao said.


The H5N1 strain 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.


The last human H5N1 death in China was in February last year when a 44-year-old woman died in the southern province of Guangdong.


With the world's biggest poultry population and hundreds of millions of farmers raising birds in their backyards, China is seen as crucial in the global fight against bird flu.


Since the H5N1 virus resurfaced in Asia in 2003, it has infected 391 people, killing 247 of them, according to WHO figures released in mid-December.

(Reporting by Ben Blanchard and Phyllis Xu; Editing by Nick Macfie and Dean Yates)

http://www.alertnet.org/thenews/newsdesk/PEK337779.htm

[Giuseppe]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

Reuters AlertNet - China issues bird flu alert after woman dies

China issues bird flu alert after woman dies

07 Jan 2009 06:54:40 GMT
Source: Reuters
(Writes through, previous Beijing)
By Phyllis Xu
YANJIAO, China, Jan 7 (Reuters) -

China issued a bird flu alert on Wednesday after a woman died of the virus, the first such death in the country in almost a year, and closed poultry markets for disinfecting in a province surrounding Beijing.


The 19-year-old woman died of the H5N1 virus after coming into contact with poultry in Hebei province, bringing the total death toll in China to date to 21.

In Hebei's Yanjiao, where the dead woman had bought ducks, poultry markets were closed and the sale of live birds stopped as workers in masks and white coats sprayed disinfectant.

The World Health Organisation said it appeared to be an isolated case.

"We are concerned by any case of human H5N1 infection, however, this single case, which appears to have occurred during the slaughtering and preparation of poultry, does not change our risk assessment," the WHO said in a statement.

"WHO expects the ministry will continue to keep it updated on this case, and is prepared to offer technical assistance if requested," it added, referring to the Health Ministry.

The virus is generally more active during the cooler months between October and March, although the new Chinese case points to holes in surveillance of the virus in poultry.

Chinese Health Ministry spokesman Mao Qunan was quoted in state media as saying the government would step up monitoring.

"This year we must, on the basis of what we have done in the past, increase monitoring for the transmission of the highly pathogenic bird flu virus in humans," Mao said.

In Beijing, workers fanned out to inspect poultry markets and slaughterhouses in the capital city after the government issued a bird flu alert, the official Xinhua news agency said.

NO POULTRY OUTBREAK
Paul Chan, microbiologist at the Chinese University in Hong Kong, said it was worrying that this case was not accompanied by the detection of the virus in poultry nearby.

"The source of this infection seems to be poultry or the market (where the girl bought the ducks). If that is true, we need to know why we missed the outbreak of the virus in poultry or in the market," Chan said.

"If there was an outbreak in the market, there should have been large numbers of poultry deaths. If people in the markets and the government can't recognise this, then we have a serious problem on our hands," he added.

The H5N1 strain 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.

The last human H5N1 death in China was in February last year when a 44-year-old woman died in the southern province of Guangdong.

With the world's biggest poultry population and hundreds of millions of farmers raising birds in their backyards, China is seen as crucial in the global fight against bird flu.

Since the H5N1 virus resurfaced in Asia in 2003, it has infected 391 people, killing 247 of them, according to WHO figures released in mid-December.

Vietnam's agriculture ministry has confirmed an outbreak of bird flu among poultry in the northern province of Thanh Hoa, where a girl was hospitalised with the deadly disease last week.

Thanh Hoa is the second province in two weeks to report an outbreak of the bird-borne illness among poultry, the other being Thai Nguyen, directly north of the capital.

The health ministry has said an 8-year-old girl from Thanh Hoa was infected with bird flu after eating poultry.

(Additional reporting by Tan Ee Lyn in Hong Kong and Nguyen Nhat Lam in Hanoi; Writing by Ben Blanchard; Editing by Nick Macfie and Sugita Katyal)
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<cite cite="http://www.alertnet.org/thenews/newsdesk/PEK39026.htm">Reuters AlertNet - China issues bird flu alert after woman dies</cite>

[Giuseppe]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

Beijing Woman Dies of Avian Flu - WSJ.com

Beijing Woman Dies of Avian Flu

By GORDON FAIRCLOUGH
SHANGHAI --

A 19-year-old Beijing woman has died of bird flu, the first human case of the virus in China since February last year, the government said Tuesday, putting public-health officials on higher alert for a possible resurgence of the disease this winter.


The woman, who lived on the outskirts of China's capital, succumbed Monday morning to the H5N1 strain of avian influenza, according to a statement by the Beijing health bureau. It didn't say how she became infected.

A World Health Organization statement said the woman appears to have been infected during the slaughter and preparation of poultry.

Mao Qun'an, the spokesman for the Ministry of Health, said public-health officials have forecast a likely increase in avian influenza among birds this year, raising the possibility of more human infections.

"We have been paying great attention" to the possibility of human illnesses, Mr. Mao said.

Bird flu remains primarily a threat to poultry, not humans, but the WHO and national public-health authorities remain on guard because the virus has the potential to mutate into a more contagious form and spark a pandemic.

Also on Tuesday, health officials in Vietnam said an 8-year-old girl had tested positive for the disease, the Associated Press reported. It was the first human case reported in that country in nearly a year.

Human infections with H5N1 peaked in 2006, when 115 cases -- 79 of them fatal -- were reported to the WHO. In 2008, there were 40 cases of human infection with H5N1, leading to 30 deaths -- a tiny number compared with the death toll from ordinary flu.

Since fall, outbreaks of avian influenza in birds have been reported in countries including Vietnam, Thailand, India, Togo and Germany. One person died of bird flu in Indonesia in November, and a teenager in Egypt died of the disease in December.

Chinese health officials said they have stepped up monitoring and infection-control measures since the Beijing woman's diagnosis.

People who had close contact with the woman have been placed under medical observation, but none have shown any sign of infection, officials said.

An official in the village where the woman lived said disinfection teams had visited the area Monday.

The Ministry of Agriculture and local agriculture officials said they have received no reports of avian-flu outbreaks in poultry in or around Beijing. Last month, the authorities ordered the slaughter of more than 350,000 chickens after routine testing of eggs turned up signs of bird flu in an east-coast province, more than 600 miles from Beijing.

?Kersten Zhang in Beijing contributed to this article.
Write to Gordon Fairclough at gordon.fairclough@wsj.com
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<cite cite="http://online.wsj.com/article/SB123127188802458267.html?mod=googlenews_wsj">Beijing Woman Dies of Avian Flu - WSJ.com</cite>

[Giuseppe]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

China moves to prevent bird flu outbreak after teenager dies - Xinhua

China moves to prevent bird flu outbreak after teenager dies

www.chinaview.cn 2009-01-07 11:06:40
BEIJING, Jan. 7 (Xinhua) --

Chinese agriculture officials have issued an alert against bird flu after a 19-year-old woman died of the disease in Beijing.


Workers disinfected the Yanjiaoxinggong market in Langfang, Hebei Province neighboring Beijing, on Wednesday morning.

The woman bought nine ducks at the market on Dec. 19 and died of bird flu on Monday in a Beijing hospital.

The market's five shops selling live poultry have been closed.

The government of Sanhe City, where the market is located and under the jurisdiction of Langfang, has set up an emergency group headed by the city's Communist Party chief Li Gang to deal with bird flu prevention, quarantine and market regulation issues.

Local health authorities have examined 15 people engaged in the live poultry trade in the market, and all of them were free of the disease.

The authorities also surveyed city residents who had been diagnosed with fever and all poultry farms, and found no problems.

Meanwhile, the Beijing Municipal Bureau of Agriculture issued an order to intensify the monitoring of live poultry trade, and experts have begun an inspection campaign at the city's slaughterhouses and poultry farms.

No domestic fowl were kept within 10 km of the Sanjianfangdong Village of the Chaoyang District in Beijing, where the dead woman lived, said municipal officials.

The city government had received no reports of abnormal conditions or events regarding poultry.

The Beijing Municipal Health Bureau said Tuesday 116 people, including the patient's 14 family members and neighbors and 102 medical workers, had been in close contact with the patient. One nurse who had been in contact with the patient suffered from fever.

The nurse has recovered.

China reported the case to the World Health Organization and informed the health authorities of the Hong Kong and Macao special administrative regions.

Editor: Han Jingjing
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<cite cite="http://news.xinhuanet.com/english/2009-01/07/content_10617409.htm">China moves to prevent bird flu outbreak after teenager dies_English_Xinhua</cite>

[HenryN]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

Bird flu claims first victim in almost a year

Bird flu claimed its first victim in China in almost a year when a woman infected with the H5N1 strain died in Beijing on Monday, the local health bureau said yesterday.

Huang Yanqing, 19, a native of Fujian province, died around 7:20, the Beijing municipal health bureau said in a press release. She fell ill on Dec 24 and was hospitalized three days later.
Experts from the Beijing Center for Disease Control and Prevention and the Academy of Military Medical Sciences tested Huang's virus samples. The Chinese Center for Disease Control and Prevention, which reviewed the results, confirmed that the sample tested positive for the H5N1 strain, the bureau said.
The Ministry of Health, too, said Huang had been infected with the highly pathogenic avian influenza.
Central health authorities have informed the World Health Organization (WHO), and the health departments of Hong Kong and Macao about the case.
The authorities held an emergency meeting in Beijing on Monday evening to deal with a possible outbreak of the disease. The capital has put all medical institutions on high alert and intensified bird flu prevention and control measures, including disinfecting and isolating the patient's house and the hospital wards she was taken to.
Huang came to Beijing in February 2008 and used to live at Dongcun village in Sanjianfang town of Chaoyang district.
She and two of her provincial natives bought nine ducks from a market in Langfang in neighboring Hebei province on December 19. They got the ducks slaughtered at the market after which Huang reportedly cleaned the ducks' internal organs, the health bureau said.
She gave a duck each to her father, uncle and a friend, and kept the others for herself.
"According to initial investigation, 13 people ate the ducks but Huang was the only one to fall ill," said Zhao Qingchao, an official with the Langfang local government.
The ducks came from Jixian county in Tianjin municipality.
Internal organs are the most contagious parts in a bird infected by the avian flu, and health experts have constantly warned people not to touch them or at least put on kitchen gloves before cleaning them.
The Beijing health bureau said 116 people had come in contact with the patient. Fourteen of them are her family members and neighbors, and the rest medical staff of the three hospitals in Beijing's Tongzhou district she was taken to.
A nurse with Guanzhuang Hospital developed fever but has recovered since, and the rest of the 116 people have not showed any symptoms of the disease.
Beijing is capable of dealing with an outbreak of any major disease, said Jin Dapeng, former head of the capital's health bureau. "Huang's case was detected timely and handled well and every effort should be made to prevent an outbreak," he said.
The WHO said it expects the Ministry of Health to continue to keep it updated on the case, and is prepared to offer technical assistance if requested.
It said a resurgence of human cases of H5N1 is "likely over the next few months" as cooler weather in the northern hemisphere appears to favor the spread of the virus.
The H5N1 virus has killed more than 247 people in a dozen countries since it resurfaced in Asia in 2003, according to WHO.
Experts fear the H5N1 virus could mutate to reach a state where it can be transmitted from person to person and threaten the lives of millions of people across the world.
The last reported victim of bird flu on the Chinese mainland was a 44-year-old woman, who died in Guangdong in February 2008. In all, 20 people have fallen victim to the disease in the country.
China has the world's largest concentration of poultry, with hundreds of millions of farmers raising them in their backyards.
Last month, a baby girl was diagnosed with the H9N2 bird flu strain and was admitted to a hospital in Hong Kong, where authorities culled thousands of birds.
In mid-December, agricultural authorities in Jiangsu province culled 377,000 birds after bird flu was detected in a couple of farms.
Vietnam patient
An eight-year-old girl in northern Vietnam has tested positive for H5N1 - the first human case in that country in nearly a year, Vietnamese health officials said yesterday.
The girl from Thanh Hoa province, 160 km south of Hanoi, was admitted to hospital on Dec 27 with high fever and other symptoms after eating a goose raised by the family, said Nguyen Ngoc Thanh, acting director of the provincial health department. She is reported to be recovering.
The disease has killed 52 of the 106 people who have contracted it in Vietnam since 2003, according to official figures.
Agencies contributed to the story

http://www.chinadaily.com.cn/china/2009-01/07/content_7373091.htm

[Giuseppe]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

WHO | Avian influenza ? situation in China

Avian influenza ? situation in China

The Ministry of Health in China has reported a new case of human infection with the H5N1 avian influenza virus.


The case is a 19-year old female from Chaoyang District, Beijing.

She developed symptoms on 24 Dec 2008, was hospitalized, and died on 5 January 2009.

The case was confirmed by the national laboratory.

The case had contact with poultry prior to her illness.

All contacts have been placed under medical observation.

All remain healthy to date.

Of the 31 cases confirmed to date in China, 21 have been fatal.
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<cite cite="http://www.who.int/csr/don/2009_01_07a/en/index.html">WHO | Avian influenza ? situation in China</cite>

[HenryN]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

WHO | Avian influenza ? situation in China

Avian influenza ? situation in China

The Ministry of Health in China has reported a new case of human infection with the H5N1 avian influenza virus.


The case is a 19-year old female from Chaoyang District, Beijing.

She developed symptoms on 24 Dec 2008, was hospitalized, and died on 5 January 2009.

The case was confirmed by the national laboratory.

The case had contact with poultry prior to her illness.

All contacts have been placed under medical observation.

All remain healthy to date.

Of the 31 cases confirmed to date in China, 21 have been fatal.
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<CITE cite=http://www.who.int/csr/don/2009_01_07a/en/index.html>WHO | Avian influenza ? situation in China</CITE>

But did the nurse, who is now healthy, have H5N1 earlier?

[HenryN]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

We do not know with certainty that this is a Clade 7.

Actually, by now China should have a good idea because the cleavage site for clade 7 begins with REGG or REGR instead of RERR for most clade 1 or clade 2.

[Commonground]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

China raises bird flu alert after woman's death

By MarketWatch
Last update: 12:14 a.m. EST Jan. 7, 2009

Beijing officials ordered stepped-up checks in markets, slaughterhouses and farms that handle and raise poultry in an area near the nation's capital Wednesday after confirmation that a 19-year-old woman died of the H5N1 strain of avian influenza earlier this week.Workers began disinfecting a market in Langfang, Hebei Province, where the woman purchased nine ducks and had them butchered on Dec. 19, according to the Xinhua News Agency.

The woman, who lived in a densely-populated area of Beijing known as Chaoyang District, fell ill on Dec. 24, was sent to the hospital three days later and died on Jan 5. The death was the first in China attributed to bird flu since February last year.

Municipal officials have also informed civilian agencies of the mater and raised the alert level at local hospitals. The five stalls selling live poultry in the market, located in the province bordering Beijing to the south, have been closed.

Commercial air travelers landing in Hong Kong from Beijing will hear a special announcement on bird flu. Passengers traveling to Beijing will be warned to avoid attending festivals marking the Lunar New Year where live birds are slaughtered, the South China Morning Post reported.

Hong Kong reported an outbreak of H5N1 at a poultry farm in a rural area last month, which triggered a mass culling and 21-day shutdown of poultry trade in the area.
hat-tip Treyfish

[Commonground]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

Sanhe City, Hebei bird flu have been found
At 13:11 on January 7, 2009

-snip-
Three Rivers, according to the relevant person in charge of the municipal government, the early morning of January 7, Sanhe City departments received a higher level on the strengthening of bird flu prevention and control work notice. Sanhe city attached great importance to be seriously studied, and to take a series of measures.

Sanhe City set up a municipal party committee secretary Li Gang as the commander-in-chief of the command, set up under the bird flu prevention and control, health and epidemic prevention, market management, social stability control, information co-ordination Working Group 5. At present, the Working Group have all in place, all the work is proceeding in an orderly manner.

Sanhe City overnight closure of the relevant departments Yanjiao all live poultry trading market, the immediate external environment for the conduct of sampling, and carry out thorough disinfection.

According to the briefing, Prior to this, the health sector's marketing and distribution of live birds Yanjiao palace of the 15 employees were tested, we fail to find any abnormality. At the same time, the health sector is also the city's medical institutions fever patients conducted a comprehensive search, found no abnormalities. At present, the epidemic Sanhe City Search is still in progress. At the same time, all the poultry farms of the city to carry out epidemiological investigations, and the outbreak investigation, flocks in good health. At present, the prevention and control work in progress.
(Responsible editor: ZHANG Chun-lei)

http://66.102.1.113/translate_c?hl=en&sl=zh-CN&tl=en&u=http://news.sohu.com/20090107/n261621188.shtml&usg=ALkJrhgR47YKyiCHTQX73BwsK9pyQtdfvA

[Commonground]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

Tianjin to start human avian influenza prevention and control measures to deal with emergencies

Time: 2009-01-07 15:40:33

Summary: In Beijing, confirmed case of human infection of highly pathogenic avian influenza cases, the people in Tianjin to start bird flu prevention and control measures to deal with emergencies. According to Tianjin Public Health Bureau, at present, Tianjin found no suspected human avian influenza cases.
In Beijing confirmed case of human infection of highly pathogenic avian influenza cases, the people in Tianjin to start bird flu prevention and control measures to deal with emergencies. According to Tianjin Public Health Bureau, at present, Tianjin found no suspected human avian influenza cases.

Tianjin Public Health Bureau said that Tianjin has set up by the medical and health institutions composed of professionals in Tianjin disposal of human avian influenza contingency teams, if the epidemic will be timely and effective manner to deal with emergencies. At the same time the requirements of various medical and health institutions to monitor cases of pneumonia of unknown causes, once found in the relevant cases to the Disease Control and Prevention report, timely investigation and deal with emergencies, so early detection of suspected avian flu and severe acute respiratory syndrome cases.

At the same time, in accordance with the "live operation in Tianjin market practitioners to monitor the implementation of health programs," the request of the District of Tianjin, county disease prevention and control institutions have carried out live poultry trading, slaughtering, processing and other acts of live poultry market operators to monitor the work of health practitioners .

This reporter has learned that the health sector and animal husbandry, Tianjin has established a cooperation mechanism, the establishment of a zoonotic diseases prevention and treatment of co-ordination group, implementing the department regular system, the establishment of communications related to the contents of the epidemic and monitoring the work of the cooperative mechanism, set up in Tianjin zoonotic diseases prevention and control work group of experts to ensure that once the epidemic information, the two departments also arrived at the scene to conduct investigations at the same time, the disposal of the epidemic at the same time.

It is reported that Tianjin has five national influenza monitoring the implementation of the hospital throughout the year to monitor and report on the implementation of the system.

Neighboring Tianjin and Beijing, is China's northern coastal populations have been tens of millions of mega cities.

[Commonground]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

Beijing restrictions on live birds outside Beijing on the

http://www.sina.com.cn 2009 on 07 day 01 years 15:15

Xinhua Beijing January 7 Xinhua (Liu Puquan杨晓亮) Beijing Health Bureau confirmed release on the 6th case of human infection of highly pathogenic bird flu death notification, Beijing major animal disease prevention and control headquarters that day to strengthen the prevention and control measures to prohibit non - approved live outside Beijing.

7 reporter was informed that major animal disease prevention and control, Beijing has released Command "on further strengthening the highly pathogenic avian influenza prevention and control work" emergency notice, Beijing launched a Public Health Emergency Response grade Ⅱ. Banned from Beijing without a major animal disease prevention and control headquarters office outside the approved live in Beijing.

It is reported that in Beijing to the highway, railway, aviation site supervision of animal quarantine, the Beijing Municipal departments in Beijing stepped up its animals and their products outside the supervision and checks, and do a good job means of delivery disinfection.

At the same time, the various districts and counties in Beijing to strengthen the area of poultry farms, farmers immunization management, take measures to ensure that the winter disinfection epidemic prevention, and strengthen management and closed rearing animals died harmless measures.

The circular stressed Beijing with immediate effect from the implementation of highly pathogenic avian influenza prevention and control on the reporting system, the district will inspect the prevention and control of the situation in the daily 4:30 p.m. before the report major animal disease prevention and control of Beijing headquarters office.

[HenryN]

Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored

Avian influenza ? situation in China

The Ministry of Health in China has reported a new case of human infection with the H5N1 avian influenza virus. The case is a 19-year old female from Chaoyang District, Beijing. She developed symptoms on 24 Dec 2008, was hospitalized, and died on 5 January 2009.
The case was confirmed by the national laboratory. The case had contact with poultry prior to her illness. All contacts have been placed under medical observation. All remain healthy to date.
Of the 31 cases confirmed to date in China, 21 have been fatal.

http://www.who.int/csr/don/2009_01_07a/en/index.html