China - 21 health care workers in isolation due to unknown respiratory fever disease - Suzhou, Anhui province - unknown etiology

[sharon sanders]

machine translation


Anhui Hospital multiplayer isolation of unknown etiology non-avian flu
2013-06-14

Suzhou, a hospital, since the week with a number of health care workers have high fever and chest tightness and other symptoms, the hospital arranged the person being treated in isolation;

City CDC has ruled out avian flu and other health care workers collective epidemics, is investigating pathogens cause. Suzhou City in Northern Coal Group General Hospital (see figure) by the week together, respiratory medicine, there have been four nurses, two doctors high fever and chest tightness and other symptoms; hospital learned that after the incident, immediately arrange for the person treated in isolation, followed by a number of sections of the medical staff attached to the discomfort, the hospital will also be sent to the isolation ward batch of patients.

Some netizens said earlier on Friday had respiratory medicine healthcare discomfort symptoms, currently in isolation wards the number of health care workers has reached twenty people. The hospital said that most health care workers have been hospitalized fever, yet only three of fever; hospital had earlier invited experts to the scene another hospital consultation, but was unable to confirm the cause; while Suzhou City CDC was Noted also sent to the scene after the incident to understand, has been excluded from health care workers infected with avian flu epidemic collective, is still continuing to investigate the source of the disease and the cause. The reporter

zhttp://news.hkheadline.com/dailynews/content_ch/2013/06/14/241803.asp

[sharon sanders]

Re: China - 21 health care workers in isolation due to unknown respiratory fever disease - Suzhou, Anhui province

machine translation

Anhui Suzhou 21 health care workers has improved symptoms of fever hospital Beijing Sina (2013-06-13 17:57) Share |

　　People Suzhou June 13 (Reporter Zhang Lei Chang Guo water) the evening of June 5, Northern Coal Group General Hospital, a respiratory medicine nurse night shift readme headache, cough, fever and other symptoms, followed by a few days in succession the Section There are medical personnel have similar symptoms. As of June 11, a total of Respiratory Medicine, 21 health care workers were hospitalized.

　　June 11, Northern Coal Group General Hospital, Affiliated Hospital of Bengbu Medical College, invited two experts in respiratory medicine to the hospital consultation, diagnosis of viral respiratory infections. Suzhou City Health Bureau assigned Municipal Disease Control Center related professional personnel in a timely manner to carry out epidemiological investigations , and part of the patient sample testing.

　　June 13, Suzhou Municipal Health Bureau informed of the latest progress, according to patient clinical bed manifestations, signs, test chamber testing and popular epidemiological findings, diagnosis: some staff as viral respiratory infections, some of the officers of the heart due to reaction. After treatment, as at 10:00 on June 13, the patient's temperature is normal, significant improvement in symptoms, no critically ill patients, no new cases.

(Original title: Suzhou response 21 staff febrile episodes: symptoms improved)



詳全文 安徽宿州21名醫護人員發熱入院 癥狀已好轉-兩岸新聞-新浪新聞中心 zhttp://news.sina.com.tw/article/20130613/9896236.html

[Treyfish]

Re: China - 21 health care workers in isolation due to unknown respiratory fever disease - Suzhou, Anhui province

HEFEI, June 14 (Xinhua) -- Twenty-one doctors and nurses in east China's Anhui Province have been hospitalized after being diagnosed with viral pneumonia, local health authorities said Friday...The bureau said tests for viral pneumonia have not yet been completed, although two respiratory experts from another hospital diagnosed them with viral pneumonia.

The Suzhou Disease Prevention and Control Center has taken samples from some the patients.

Feng Lizhong, a publicity official from the provincial health department, said the case represents an ordinary pneumonic infection and is not a public health issue.

http://www.topnews.az/en/news/67962/21-doctors-nurses-infected-with-pneumonia-in-E-China.html

[sharon sanders]

Re: China - 21 health care workers in isolation due to unknown respiratory fever disease - Suzhou, Anhui province

Mike found an English version! lol

China: 21 Doctors, Nurses Infected With `Viral Pneumonia?



Anhui Province ? Credit Wikipedi

# 7398

We don?t have a diagnosis of what type of viral infection has caused this outbreak, but whatever it is, it appears to have spread rapidly through the staff at a hospital in Anhui Province.

Anhui was among the provinces that first reported H7N9 infections three months ago, but it seems unlikely that they wouldn?t have already tested for that, and would already know if that were the cause.

We?ll obviously await a definitive diagnosis with some interest. This from Xinhua News.

21 doctors, nurses infected with pneumonia in E China

English.news.cn 2013-06-14 16:20:52

HEFEI, June 14 (Xinhua) -- Twenty-one doctors and nurses in east China's Anhui Province have been hospitalized after being diagnosed with viral pneumonia, local health authorities said Friday.

The medical workers have been quarantined for treatment and none of their infections are critical, according to a statement from the municipal health bureau of the city of Suzhou.

All of the infected work in the department of respiratory care at the General Hospital of the Wanbei Coal-Electricity Group.

One nurse began to show symptoms of fever, headache and coughing on the night of June 5, with the rest exhibiting symptoms soon afterward, the bureau said.

Twenty-one of the department's employees had been diagnosed and hospitalized as of Tuesday, the bureau said, adding that no new cases have been reported since then.

The bureau said tests for viral pneumonia have not yet been completed, although two respiratory experts from another hospital diagnosed them with viral pneumonia.

The Suzhou Disease Prevention and Control Center has taken samples from some the patients.

Feng Lizhong, a publicity official from the provincial health department, said the case represents an ordinary pneumonic infection and is not a public health issue.

Posted by Michael Coston at <a class="timestamp-link" href="http://afludiary.blogspot.ca/2013/06/china-21-doctors-nurses-infected-with.html" rel="bookmark" title="permanent link"><abbr class="published" title="2013-06-14T11:06:00-04:00">11:06 AM</abbr>

[alert]

Re: China - 21 health care workers in isolation due to unknown respiratory fever disease - Suzhou, Anhui province

Only a tiny fraction of patients with most "ordinary" respiratory infections develop pneumonia. If all 21 HCW have developed pneumonia, that argues against this being a seasonal respiriatory virus, including influenza.

I also wonder what evidence they have that this illness is viral, rather than bacterial or fungal, if they have not determined the causative agent.

[sharon sanders]

Re: China - 21 health care workers in isolation due to unknown respiratory fever disease - Suzhou, Anhui province

machine translation

Northern General Hospital, said the number of staff identified as viral influenza fever
June 15, 2013 10:54:38
Source: Zhong An Online

[Correction]
　　Yesterday, Suzhou City, Northern General Hospital, said, twice the provincial expert consultation, hospital respiratory medicine more concentrated fever was diagnosed medical cause for the common viral respiratory infections and do not have strong contagious.

　　"After two provincial-level expert consultation, and their cause has been identified, that is, the common cold." Sheng a Northern General Hospital, said, according to the expert consultation result, these medical symptoms are fever, jargon is a virus respiratory infections, is actually cold, no serious contagious.

　　According Shengyuan Zhang said, as the number of health care focused symptoms, it is because a nurse first infection, probably in the 5th or so, the nurse fever, fatigue and other symptoms, followed by hospital respiratory medicine has emerged over health care the same symptoms.

　　For why only focus on the hospital's medical staff respiratory medicine fever , but not in patients with intermediate transmission, Shengyuan Zhang introduction, because respiratory medicine contact with the patient when the

medical staff generally work with a mask, and once back in the office he took it down, resulting in No cross-contamination between the patient, but only in respiratory medicine healthcare transmission. (This is a ridiculous assertion - s. )

According to reports, after isolation and treatment, at present, has been basically no fever medical patients with high fever. (Anhui Daily Oh Sang)

zhttp://news.xinhuanet.com/politics/2013-06/15/c_124859210.htm

[NS1]

Re: China - 21 health care workers in isolation due to unknown respiratory fever disease - Suzhou, Anhui province

machine translation

Northern General Hospital, said the number of staff identified as viral influenza fever
June 15, 2013 10:54:38
Source: Zhong An Online

[Correction]
　　Yesterday, Suzhou City, Northern General Hospital, said, twice the provincial expert consultation, hospital respiratory medicine more concentrated fever was diagnosed medical cause for the common viral respiratory infections and do not have strong contagious.

　　"After two provincial-level expert consultation, and their cause has been identified, that is, the common cold." Sheng a Northern General Hospital, said, according to the expert consultation result, these medical symptoms are fever, jargon is a virus respiratory infections, is actually cold, no serious contagious.

　　According Shengyuan Zhang said, as the number of health care focused symptoms, it is because a nurse first infection, probably in the 5th or so, the nurse fever, fatigue and other symptoms, followed by hospital respiratory medicine has emerged over health care the same symptoms.

　　For why only focus on the hospital's medical staff respiratory medicine fever , but not in patients with intermediate transmission, Shengyuan Zhang introduction, because respiratory medicine contact with the patient when the

medical staff generally work with a mask, and once back in the office he took it down, resulting in No cross-contamination between the patient, but only in respiratory medicine healthcare transmission. (This is a ridiculous assertion - s. )

According to reports, after isolation and treatment, at present, has been basically no fever medical patients with high fever. (Anhui Daily Oh Sang)

zhttp://news.xinhuanet.com/politics/2013-06/15/c_124859210.htm

Agreed. This type of disinformation is typical fare for public health authorities in China and the United States.

Don't be surprised when we find that re-examinations of stored tissue samples from US deaths during this past influenza season (2012-2013) show RNA fragments of emergent H7N9. The question that must be resolved, but is not yet publicly being framed, is HOW the emergent disease contributed to the 600% death rate increase in several US states, including Minnesota, Pennsylvania and Indiana. With what method and to what extent did the emergent disease affect the clinical progression to death?

• Did H7N9 co-infection biochemistry cause the rapid genetic acquisition rate in H3N2 that, in turn, increased fatality?
• Did H7N9 create immune derangement opening the door for unchallenged H3N2 expansion in the elderly American population?
• Did H7N9 dampen immune function, in effect, turning off the border lights and allowing both H3N2 fulminant and H7N9 sub-clinical expansion?

The fact that investigations are not being published on this host age, severity level and onset timing correlation between H7N9 and H3N2 may be corroborating evidence that public health leaders have a ready knowledge of the issue and are preventing discussion. Silence on a topic that prima facie requires investigation merits an examination of motive.

[alert]

Re: China - 21 health care workers in isolation due to unknown respiratory fever disease - Suzhou, Anhui province - supposedly diagnosed as a cold virus

And the identity of this cold virus is...?

Might it be adenovirus 55? That virus caused a SARS scare last year elsewhere in China:

http://www.flutrackers.com/forum/showthread.php?t=182982

Or perhaps a global pathogen such as adenovirus 14 or rhinovirus C?

[alert]

Re: China - 21 health care workers in isolation due to unknown respiratory fever disease - Suzhou, Anhui province - supposedly diagnosed as a cold virus

Published Date: 2013-06-14 17:29:19
Subject: PRO/EDR> Undiagnosed viral pneumonia - China: (AH) medical staff, RFI
Archive Number: 20130614.1773873

UNDIAGNOSED VIRAL PNEUMONIA - CHINA: (ANHUI) MEDICAL STAFF, REQUEST FOR INFORMATION
************************************************** *********************************
A ProMED-mail post

http://www.promedmail.org

ProMED-mail is a program of the
International Society for Infectious Diseases

http://www.isid.org

Date: Fri 14 Jun 2013
Source: Xinhua News Agency [edited]

http://news.xinhuanet.com/english/china/2013-06/14/c_132455785.htm

A total of 21 doctors and nurses in east China's Anhui province have been hospitalized after being diagnosed with viral pneumonia, local health authorities said on Friday [14 Jun 2013]. The medical staff have been quarantined for treatment and none of their infections are critical, according to a statement from the municipal health bureau of the city of Suzhou. All of those infected work in the department of respiratory care at the General Hospital of the Wanbei Coal-Electricity Group.

One nurse began to show symptoms of fever, headache and coughing on the night of 5 Jun 2013, with the rest exhibiting symptoms soon afterwards, the bureau said. A total of 21 of the department's employees had been diagnosed and hospitalized as of Tuesday [11 Jun 2013], the bureau said, adding that no new cases have been reported since then. The bureau said tests for viral pneumonia have not yet been completed, although 2 respiratory experts from another hospital diagnosed them with viral pneumonia.

The Suzhou Disease Prevention and Control Center has taken samples from some the patients. Feng Lizhong, a publicity official from the provincial health department, said the case represents an ordinary pneumonic infection and is not a public health issue.

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

[Suzhou is a prefecture-level city in northern Anhui province. A map of Anhui province, showing the location of Suzhou city, can be accessed at http://www.mapsofworld.com/china/provinces/anhui/. The HealthMap/ProMED-mail interactive map of the area is available at http://healthmap.org/r/6dFX.

Further information would be welcomed to identify the agent responsible for this nosocomial outbreak of pneumonia in order to allay fears of a resurgence of H7N9 influenza in Anhui. - Mod.CP]

[Giuseppe]

Re: China - 21 health care workers in isolation due to unknown respiratory fever disease - Suzhou, Anhui province - supposedly diagnosed as a cold virus

Southern China is entering in the summer peak flu season, and thus all other respiratory viruses will be at increasing level, such as RSV, adenovirus, metapneumovirus, rhinovirus (at HK a nosocomial outbreak has been reported, see CHP: http://www.info.gov.hk/gia/general/2...1306140603.htm

Update on cluster of Rhinovirus cases in Tai Po Hospital

************************************************** ******
The following is issued on behalf of the Hospital Authority:

Regarding a male infirmary ward in Tai Po Hospital in which some patients and staff members had been infected with Rhinovirus, the spokesperson for Tai Po Hospital gave the following update today (June 14):

One more 73-year-old patient presented with symptoms of upper respiratory infection today. Appropriate tests were arranged for the patient and the test results were positive for Rhinovirus. The patient concerned is being treated under isolation and is in stable condition.

Admission to and transfer from the ward concerned have been suspended and restricted visiting has been imposed. Infection control measures have been stepped up according to the established guidelines. All other patients in the ward concerned are under close surveillance.

The case has been reported to the Hospital Authority Head Office and the Centre for Health Protection for necessary follow-up.

Ends/Friday, June 14, 2013
Issued at HKT 19:30

NNNN

Enterovirus (EV-71, Coxsackievirus) are circulating as well.

[sharon sanders]

Re: China - 21 health care workers in isolation due to unknown respiratory fever disease - Suzhou, Anhui province

machine translation

Suzhou medical febrile episodes continued: 12 patients were discharged
2013-06-19 17:46:00 Source: People's Daily (Beijing)

People Hefei, June 19 (Reporter Jin Leixin) the evening of June 5, Northern Coal Group General Hospital, a night shift nurse Respiratory Medicine readme headache, cough, fever and other symptoms, followed by a few days in succession the Section There are medical personnel have similar symptoms. People Anhui Channel reporters today learned from the Anhui Provincial Health Department, as of June 19, 20 hospitalized persons, 12 people have been discharged, and the remaining eight people no fever, stable condition, without critically ill patients, no new cases.

According to reports, Anhui Provincial Health Department was informed that the General Hospital in Northern Coal aggregation respiratory infection occurred immediately after the hospital twice sent experts to guide treatment, to find the cause.

After investigation, ruled out the toxic chemical pneumonia may; Having another novel coronavirus and other 18 kinds of pathogens, and the results were negative.

Investigation team of experts initially diagnosed as viral respiratory infection, but lead to infection of unknown etiology, but can not rule out the possibility of nosocomial infection.

zhttp://news.163.com/13/0619/17/91OHUCNB00014JB6.html

[alert]

Re: China - 21 health care workers in isolation due to unknown respiratory fever disease - Suzhou, Anhui province - unknown etiology

So it appears the reference to "common cold" was a translation artifact, and not a correct diagnosis.

It appears NCoV is ruled out. It would be helpful to know what the other 17-18 excluded diagnoses are. Have they ruled out influenza completely? A large number of ill HCW without an obvious index patient might also be suggestive of Legionella in the hospital, as was reported earlier this year from Argentina:

http://www.flutrackers.com/forum/showthread.php?t=199452

Unlikely as it seems, did they test for SARS? There were actually SARS cases in Anhui in 2004, as a result of tranmission after a laboratory accident:

http://www.chinadaily.com.cn/english/doc/2004-05/11/content_329470.htm

I still think the severity of this outbreak makes seasonal respiratory viruses unlikely.