Japan - H3N2 - Nosocomial infection at Kita-Akita Hospital - 8 fatalities

[makoto]

6 Nov. 2010, publish by Akita prefecture

5 men and 2 women died from Influenza A virus subtype H3N2
7 persons from sixties to nineties
more than 30 persons are suffering from influenza at an Hospital of Kita-Akita(unknown hospital)

2 Nov., this hospital informed the public health center of Kita-Akita
"49 persons are suffering from influenza, 4 persons died"

Kita-Akita city http://www.akitajet.com/wiki/index.p...ita_Akita_City
sakigake on the web http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.sakigake.jp%2Fp%2Fakita%2 Fnational.jsp%3Fkc%3D20101106j&wb_lp=JAEN&wb_dis=2
daily sports online http://www.excite-webtl.jp/world/eng...=JAEN&wb_dis=2

[makoto]

Re: Nosocomial infection at Kita-Akita

follow-up reports arrived

an eighties man died today
but his reaction to the flu simple-test was negative

5 men and 2 women died from Influenza A virus subtype H3N2
↓↓↓
4 men and 2 women died from Influenza A virus subtype H3N2

the hospital is a mental hospital of 鷹巣"TAKANOSU"
Takanosu hospital http://www.hakuaikai.info/
<iframe width="300" height="300" frameborder="0" scrolling="no" marginheight="0" marginwidth="0" src="http://maps.google.ch/maps?f=q&amp;source=s_q&amp;hl=fr&amp;geocode=&amp ;q=40.251495,140.377928&amp;sll=46.362093,9.036255 &amp;sspn=5.481358,9.700928&amp;ie=UTF8&amp;t=k&am p;ll=40.251429,140.378065&amp;spn=0.002457,0.00321 9&amp;z=17&amp;output=embed"></iframe><br /><small><a href="http://maps.google.ch/maps?f=q&amp;source=embed&amp;hl=fr&amp;geocode=&a mp;q=40.251495,140.377928&amp;sll=46.362093,9.0362 55&amp;sspn=5.481358,9.700928&amp;ie=UTF8&amp;t=k& amp;ll=40.251429,140.378065&amp;spn=0.002457,0.003 219&amp;z=17" style="color:#0000FF;text-align:left">Takanosu hospital</a></small>

yomiuri online http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.yomiuri.co.jp%2Fnational% 2Fnews%2F20101106-OYT1T00517.htm%3Ffrom%3Dtop&wb_lp=JAEN&wb_dis=2
mainichi jp http://www.excite-webtl.jp/world/eng...=JAEN&wb_dis=2

[makoto]

Re: Nosocomial infection at Kita-Akita

follow-up reports arrived

25 patients and 8 staffs are suffering from influenza now

29 Oct., vaccinated against the flu
31 Oct., a man died(eighties)
2 Nov., 2 men died(sixties, nineties) a woman died(seventies), informed the public health center of Kita-Akita
4 Nov., a woman died(eighties)
5 Nov., a man died(eighties)
6 Nov., Akita prefecture announced nosocomial infection

asahi.com http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.asahi.com%2Fnational%2Fup date%2F1106%2FTKY201011060208.html&wb_lp=JAEN&wb_d is=2

[Ronan Kelly]

Re: Nosocomial infection at Kita-Akita - H3N2, 6 fatalities

Are there any indications that the fatalities are tied to the vaccinations that occurred only a few days earlier?

Would someone recently vaccinated give a positive rapid test?

[Shiloh]

Re: Nosocomial infection at Kita-Akita - H3N2, 6 fatalities

Source: http://wireupdate.com/wires/12059/si...hong-kong-flu/


Six die at Japanese hospital from suspected Hong Kong flu
BNO News twitter
Saturday, November 6th, 2010 at 5:47 pm |

...Kyodo reported that a total of more than forty people are still suffering from flu-like systems, all whom are patients or staff at the hospital, and have been given influenza vaccinations...

[sharon sanders]

Re: Nosocomial infection at Kita-Akita - H3N2, 6 fatalities

Are there any indications that the fatalities are tied to the vaccinations that occurred only a few days earlier?

Would someone recently vaccinated give a positive rapid test?

Good questions. I do not know.

[Treyfish]

Re: Nosocomial infection at Kita-Akita - H3N2, 6 fatalities

Death Flu outbreaks, "I do not care to apologize" <!--// headline_end //--><!--// article_start //--><!-- google_ad_region_start=region1 -->
Megumi Hiroshi Society Institute Medical Corporation, Akita City, Akita Kita six patients died in the influenza outbreak, "Takanosu hospital" on June 7 press conference, Chairman of the Board said Akira Motoe Kan (47) is a nosocomial infection acknowledged factors "be considered closed psychiatric ward. latency period patient cafeteria gathering, could spread," he said.Also, "I should apologize for not medical," the opinion of this.
Takanosu hospital ward has four types of H, there is a restaurant in the center. According to the president of Korea, because the symptoms such as fever on October 27 in one hospital patients and three staff to stop work to the three officials, inpatient wards as patients who develop three different transferred to a ward. However, the expanding epidemics in the destination. The disease has reached 50 people, including 31 staff. At that point, "but not seriously ill, less able to think" he said. http://translate.googleusercontent.c...cm8D1nKsdRt9wg

[makoto]

Re: Nosocomial infection at Kita-Akita - H3N2, 6 fatalities

follow-up reports arrived
the mental hospital held a press conference

24 patients are suffering from influenza now
the total number of patients amounted to 86
86 patients from 18 years old to 101 years old
(number of staffs is not clear)

Boldface type is follow-up reports
27 Oct., 4 persons(patients and staffs) infected, isolated
29 Oct., vaccinated against the flu
31 Oct., a man died(eighties), 50 persons infected
2 Nov., 2 men died(sixties, nineties) a woman died(seventies), gave tamiflu to patients fifties and over, informed the public health center of Kita-Akita
4 Nov., a woman died(eighties)
5 Nov., a man died(eighties)
6 Nov., Akita prefecture announced nosocomial infection

Akita prefecture decided to visit the mental hospital to inspect conditions there

asahi.com http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fmytown.asahi.com%2Fareanews%2 Fakita%2FTKY201011060335.html&wb_lp=JAEN&wb_dis=2
kyoto newspaper http://www.excite-webtl.jp/world/eng...=JAEN&wb_dis=2

[makoto]

Re: Nosocomial infection at Kita-Akita - H3N2, 6 fatalities

follow-up reports arrived

the mental hospital hold 4 closure divisions, total 144 beds
133 inpatients now
1 doctor full-time, 7 or 8 doctors part-time and 50 nurses there

Boldface type is follow-up reports
23 inpatients and 1 staff are suffering from influenza now
the total number amounted to 86, 66 inpatients and 20 staffs
86 from 18 years old to 101 years old

The vaccination for all person from 22 to 29 October
27 Oct., 1 inpatient and 3 staffs infected, isolated
28 Oct., 8 persons(inpatients and staffs) infected
29 Oct., 10 persons(inpatients and staffs) infected
31 Oct., a man died(eighties, 29 Oct., vaccinated), 40 inpatients and 10 staffs infected
2 Nov., 2 men died(sixties, nineties) a woman died(seventies), gave tamiflu to inpatients fifties and over, informed the public health center of Kita-Akita
4 Nov., a woman died(eighties)
5 Nov., a man died(eighties)
6 Nov., Akita prefecture announced nosocomial infection

asahi.com http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fmytown.asahi.com%2Fareanews%2 Fakita%2FTKY201011070232.html&wb_lp=JAEN&wb_dis=2
sakigake on the web http://www.excite-webtl.jp/world/eng...=JAEN&wb_dis=2
yomiuri online http://www.excite-webtl.jp/world/eng...=JAEN&wb_dis=2

[makoto]

Re: Nosocomial infection at Kita-Akita - H3N2, 6 fatalities

follow-up reports arrived

Yesterday, the mental hospital held a press conference
however, it prohibited all camera in the conference

"Our treatment was appropriate"
"The infection of flu was a speed to exceed our prospects"
"We put treatment before the inform
though maybe we should have informed Akita Prefecture at that time(29 Oct., 10 persons infected)"

6 inpatients had dementia, they were each at their ward
"The inpatient have many complications, we can't determine the cause of death"
about the seventh man, "he was not concerned with the flu" The chief director, 47 years old, **** Myong-gi said

Boldface type is follow-up reports
The vaccination for all person from 22 to 29 October
27 Oct., 1 inpatient and 3 staffs infected, isolated
28 Oct., 8 persons(inpatients and staffs) infected
29 Oct., 10 persons(inpatients and staffs) infected
30 Oct., not allowed visitors, suspended to accept new inpatient
31 Oct., a man died(eighties, 29 Oct., vaccinated), 40 inpatients and 10 staffs infected
2 Nov., 2 men died(sixties, nineties) a woman died(seventies), gave tamiflu to inpatients fifties and over,
informed the public health center of Kita-Akita
4 Nov., a woman died(eighties), the public health center of Kita-Akita visited
5 Nov., a man died(eighties), the public health center of Kita-Akita visited
6 Nov., Akita prefecture announced nosocomial infection
8 Nov., suspended to accept new patient

and 80 staffs work there
Akita prefecture not visit the mental hospital to inspect conditions

kol net http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.kahoku.co.jp%2Fnews%2F201 0%2F11%2F20101108t43017.htm&wb_lp=JAEN&wb_dis=2
mainichi.jp http://www.excite-webtl.jp/world/eng...=JAEN&wb_dis=2
sankei news http://www.excite-webtl.jp/world/eng...=JAEN&wb_dis=2 http://www.excite-webtl.jp/world/eng...=JAEN&wb_dis=2

6 inpatients had positive by simple-test, and examined one specimen by PCR

press release by Akita prefecture
http://www.pref.akita.lg.jp/www/cont...les/221106.pdf PDF at Japanese
http://translate.google.co.jp/transl...s%2F221106.pdf PDF by google translated...not good

about the seventh man,
"we can't deny infection from the flu though his simple-test was negative"
The public health section of Akita commented

chunichi web http://www.excite-webtl.jp/world/eng...=JAEN&wb_dis=2

[sharon sanders]

Re: Nosocomial infection at Kita-Akita - H3N2, 6 fatalities

CIDRAP has referenced this thread as a source:

H3N2 outbreak kills six at Japanese hospital

An outbreak of influenza A (H3N2) has killed six older people and sickened about 80 others at a hospital in Japan's Akita prefecture, Kyodo News reported today. According to the prefecture government, the patients tested positive in "simple" flu tests before they died between Oct 31 and Nov 5, Kyodo reported. A local health center confirmed that one of the patients from Takanosu Hospital in Kitaakita had the H3N2 strain. Others infected at the hospital include patients and healthcare staff. Ages of the fatal cases ranged from 60 to 90. FluTrackers, a Web message board that focuses on flu and other infectious diseases, has been monitoring and translating Japanese-language media reports on the outbreak since Nov 6. Translations, which are sometimes unclear, suggest the facility is a psychiatric hospital and that the outbreak reportedly occurred in a vaccinated population.

Nov 8 Kyodo News story

FluTrackers thread on nosocomial H3N2 outbreak

[makoto]

Re: Nosocomial infection at Kita-Akita - H3N2, 6 fatalities

follow-up reports arrived

2 Nov., the public health center of Kita-Akita city visited there

and the public health center informed about nosocomial infection to the public health section of Akita prefecture
but they did not take specimens from inpatients

4 Nov., the public health center requested specimen to the mental hospital
5 Nov., the public health center received one specimen
6 Nov., the public health center requested PCR to Akita prefecture center for public health
and this center examined one specimen by PCR at AM, detected A/H3N2

"there were short of hands in the hospital"
"first of all, we directed to treatments with prevention to the hospital"
the public health section of Akita prefecture commented

"henceforth, we would consider about our conduct by after inquiry in the hospital"
the public health center of Kita-Akita city commented

kol net http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.kahoku.co.jp%2Fnews%2F201 0%2F11%2F20101109t43031.htm&wb_lp=JAEN&wb_dis=2

[makoto]

Re: Nosocomial infection at Kita-Akita - H3N2, 7 fatalities

follow-up reports arrived

publish by Akita prefecture

9 Nov., a man in his eighties died from A/H3N2
he not vaccinated because of a pneumonia and a fever

mainichi jp http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fmainichi.jp%2Fselect%2Fscienc e%2Fnews%2F20101110k0000m040088000c.html&wb_lp=JAE N&wb_dis=2

r&#233;sum&#233;

the deceased

31 Oct., a man died(eighties, 29 Oct., vaccinated)
2 Nov., 2 men died(sixties, nineties) a woman died(seventies)
4 Nov., a woman died(eighties)
5 Nov., a man died(eighties)
6 Nov., a man died(eighties, not included in the number of fatality because his simple-test was negative)
9 Nov., a man died(eighties, not vaccinated)

mental hospital

the vaccination for all person from 22 to 29 October

27 Oct., 1 inpatient and 3 staffs infected, isolated
28 Oct., 8 persons(inpatients and staffs) infected
29 Oct., 10 persons(inpatients and staffs) infected
30 Oct., not allowed visitors, suspended to accept new inpatient
31 Oct., 40 inpatients and 10 staffs infected
2 Nov., gave tamiflu to inpatients in their fifties and over, informed the public health center of Kita-Akita at 11:45 AM　
7 Nov., held a press conference at 05:00 PM
8 Nov., suspended to accept new patient

public institution

Kita-Akita = the public health center of Kita-Akita city
Akita = the public health section of Akita prefecture
Center = Akita prefecture center for public health(Akita institutes of health)

2 Nov., Kita-Akita visited in the mental hospital by the contact from mental hospital at 02:00 PM
and Kita-Akita informed about nosocomial infection to Akita at 05:00 PM, but they did not take specimens from inpatients
4 Nov., Kita-Akita requested specimen to the mental hospital
5 Nov., Kita-Akita received one specimen on the evening
6 Nov., Kita-Akita requested PCR to Center, and this Center examined one specimen by PCR at AM, detected A/H3N2
Akita prefecture announced about nosocomial infection at 02:00 PM
7 Nov., Akita prefecture decided to visit the mental hospital

asahi.com http://www.excite-webtl.jp/world/eng...=JAEN&wb_dis=2
sakigake on the web http://www.excite-webtl.jp/world/eng...=JAEN&wb_dis=2

[makoto]

Re: Nosocomial infection at Kita-Akita - H3N2, 8 fatalities

follow-up reports arrived

publish by Akita prefecture

9 Nov., a man in his nineties died from A/H3N2 at 09:40 PM

about the new seventh man,
28 Oct., he had fever, took tamiflu
7 Nov., his simple-test was negative
and but his condition became critical
9 Nov., he died at past 03:00 AM

examined specimens from both inpatients by PCR

10 inpatients are suffering from influenza now
(number of staffs is not clear)
2 inpatients are in serious condition

47 news http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.47news.jp%2FCN%2F201011%2 FCN2010110901000770.html&wb_lp=JAEN&wb_dis=2

the deceased

31 Oct., a man died(eighties, 29 Oct., vaccinated)
2 Nov., 2 men died(sixties, nineties) a woman died(seventies)
4 Nov., a woman died(eighties)
5 Nov., a man died(eighties)
6 Nov., a man died(eighties, not included in the number of fatality because his simple-test was negative)
9 Nov., a man died(eighties, not vaccinated), a man died(nineties)

[makoto]

Re: Nosocomial infection at Kita-Akita - H3N2, 8 fatalities

follow-up reports arrived

publish by Akita prefecture

The mental hospital did not keep specimens of the first 6 fatalities
10 inpatients and 1 staff are suffering from influenza now

Boldface type is follow-up reports
about the new seventh man,
28 Oct., he had fever, took tamiflu because his simple-test was positive, and fever goes down
7 Nov., he had fever again, his simple-test was negative
9 Nov., his condition became critical at past 02:00 AM
he died at past 03:00 AM

sankei news http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fsankei.jp.msn.com%2Fregion%2F tohoku%2Fakita%2F101110%2Fakt1011100310000-n1.htm&wb_lp=JAEN&wb_dis=2
yomiuri online http://www.excite-webtl.jp/world/eng...=JAEN&wb_dis=2