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China - Man, 49, with acute severe pneumonia died from H5N6 - Nanchong City, Nanbu County, Sichuan province

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  • China - Man, 49, with acute severe pneumonia died from H5N6 - Nanchong City, Nanbu County, Sichuan province

    Translation Google

    Nanbu County, Sichuan Province, a farmer suffering from severe pneumonia suspected bird flu cases

    [Nanchong, Sichuan News Network April 23 (Reporter Deng full) south of Nanbu County, Nanchong City Propaganda Department official microblogging @ Five city news release: Nanbu plum home a farmer suffering severe pneumonia, suspected cases of bird flu, is currently in hospital for treatment. South of the county government is taking effective measures to strengthen the prevention and control of communicable diseases in spring.

    Sichuan News Network reporter on the scene saw the local government is organizing the health and epidemic prevention departments of the incident around disinfected.

    How to prevent the daily life of people infected with highly pathogenic avian influenza?

    For the prevention of avian flu, experts recommend to do the following four points:

    1, increasing physical activity, attention to nutrition, to ensure adequate sleep and rest, in order to enhance the resistance.
    2, to minimize unnecessary contact with poultry, especially in contact with the sick, dead birds. Wash your hands, stay away from poultry secretions, such as contact with birds or their droppings, pay attention with disinfectant and water thoroughly clean hands.
    3, you should try to buy through the quarantine of poultry products in the formal sales sites.
    4, to develop good personal hygiene habits and strengthen the indoor air circulation, 1 to 2 times a day for half an hour window ventilation.
    5, eat poultry should be cooked, cooking, eating eggs eggshells when applied to clean water should be heated sufficiently cooked, do not eat raw or undercooked eggs. Note that intake of foods rich in vitamin C foods such as strengthening the immune system.

    Editor: Qin Yi flower

    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

  • #2
    China - Man, 49, with acute severe pneumonia died from H5N6 - Nanchong City, Nanbu County, Sichuan province

    hat tip Helen Branswell

    machine translation

    pneumonia cases were detected in specimens of H5N6 avian influenza virus (05/06)

    Business section - Health Emergency
    Author: AdministratorHzijun
    Sunday, 04 May 2014 22:40
    Nanbu a case of severe pneumonia cases were detected in specimens
    H5N6 avian influenza virus
      In recent years, the province strengthen influenza-like illness and unexplained cases of pneumonia surveillance efforts to monitor and improve sensitivity. Recently, Nanchong City, through monitoring one cases of severe pneumonia cases in throat swab specimens detected H5N6 avian influenza virus nucleic acid positive, the China Disease Prevention and Control Center further testing identified as H5N6 avian influenza virus. Patients, male, 49 years old, history of exposure to dead poultry, who lives in Nanbu County, Nanchong City, the clinical diagnosis of acute severe pneumonia, a joint group of experts by the provincial and municipal rescue died. All close contacts through medical observation does not appear abnormal. Experts believe that the initial consideration of the case as a case of human infection with the virus that causes low-risk and spread.
      Expert tips to prevent respiratory diseases, should pay attention to indoor ventilation, reasonable rest, reducing stay in crowded, poor air spaces; routinely wash their hands, cover your mouth and nose coughing and sneezing and other personal hygiene ; do not touch not dead poultry production and consumption, buy fresh, live, pay attention to see when frozen poultry quarantine certificate. Once the symptoms of influenza should seek immediate medical attention.


    Please see corresponding OIE report:

    Low pathogenic avian influenza (poultry) H5N6, China (People's Rep. of) (OIE, May 5 2014): 1 New Outbreak, Sichuan


    • #3
      China: patient with severe case of pneumonia died from H5N6 avian influenza virus

      The New Web Chengdu 5 6 6, this reporter has learned from 4 Sichuan Provincial Health and Family Planning, the Committee was informed that the provincial Nanchong City by monitoring the 1 case patients with severe cases of pneumonia have been swab samples. Detect H N 5 6 avian influenza virus nucleic acid positive, and the China Center for Disease Control and Prevention for further testing to determine H N 5 6 avian influenza virus. 4 Sichuan provincial health and family-planning commission notice displayed in the patient was male, who lived Nanchong City in southern counties, and 49-year-old, sick or dead poultry history of contact with. clinical diagnosis of acute severe pneumonia, the provincial and municipal Joint Expert Group full rescue died. All people who have close contacts with the medical observation is not an exception. According to expert analysis, preliminary consideration of the case is a case, virus infections and the risk of the spread.

      The USDA Veterinary Surgeons Board also reported on the case. The briefing, April 23, and 4, Sichuan Province veterinary sector in the avian influenza surveillance, from Nanchong City in southern counties and a farmers chicken in 1 avian flu pathology samples tested positive. On 3 May, the National Avian Influenza Reference Laboratory from samples separated in the H N 5 6 the avian influenza virus.

      As far as I understand it, 4, Sichuan Province check out the positive samples. In accordance with the relevant contingency plans and to combat technical specifications, the 1338 only positive bird and the bird were culled and detoxification, treatment and disinfection strengthening anti-source. On the periphery of the region for the Emergency Monitoring and troubleshooting, no abnormality was found. expert tips to prevent respiratory tract infections, it is necessary to note that ventilation in the room ventilation, reasonable, reduce the crowded, Air flow was not the place of stay for good washing hands frequently, coughing or sneezing, cover mouth and nose, and other personal and environmental hygiene; no contact, no production and consumption, dead poultry, and buy fresh, Live, frozen poultry, pay close attention to see quarantine certificate. Once a flu-like symptoms, it is necessary to timely medical assistance.


      • #4
        Re: China - Man, 49, with acute severe pneumonia died from H5N6 - Nanchong City, Nanbu County, Sichuan province

        Published Date: 2014-05-05 20:13:11
        Subject: PRO/AH/EDR> Avian influenza (59): China (SC) LPAI H5N6, human, 1st case, poultry
        Archive Number: 20140505.2451125

        ************************************************** *************************
        A ProMED-mail post
        ProMED is the largest publicly-available surveillance system conducting global reporting of infectious diseases outbreaks. Subscribe today.

        ProMED-mail is a program of the
        International Society for Infectious Diseases
        The International Society for Infectious Diseases (ISID) brings together a network of individuals from around the world.

        In this posting:
        [1] A fatal human case, H5N6
        [2] Avian influenza virus H5N6 in poultry

        [1] A fatal human case, H5N6
        Date: Sun 4 May 2014
        Source: Sichuan Province Health and Family Planning Commission of Sichuan Province [in Chinese, machine trans., edited]

        Nanbu: a human case of severe pneumonia by avian influenza virus H5N6
        In recent years Sichuan province has intensified and improved the sensitivity of its surveillance addressing influenza-like illness and unexplained cases of pneumonia in human patients. Recently, a throat swab sampled from a case of severe pneumonia in Nanchong city, was found positive for nucleic acid of avian influenza virus H5N6. This was confirmed by the China Disease Prevention and Control Center.

        The patient, a 49-year-old male, clinically diagnosed by a joint group of experts of the provincial and municipal rescue team as suffering acute severe pneumonia, died. He had a history of exposure to sick and dead poultry in Nanbu County, Nanchong City. All his close contacts did not show abnormal health signs. Experts consider this case as a human infection with avian influenza virus, They consider the spread risk as low.

        To prevent respiratory diseases, experts advise the public to provide for satisfactory indoor ventilation, reasonable rest, reducing stays in crowded air spaces, routinely wash hands, cover mouth and nose when coughing and sneezing, cater for general personal hygiene, and refrain from coming in contact with dead poultry or consuming produce from such animals. It is recommended to buy poultry meat from freshly slaughtered healthy animals. If frozen poultry is purchased, one should look for the accompanying veterinary certificates of origin. People having any symptoms of influenza should seek immediate medical attention.

        Communicated by:

        [2] Avian influenza virus H5N6 in poultry
        Date: Sun 4 May 2014
        Source: Ministry of Agriculture, Beijing, China [in Chinese, machine trans., edited]

        Avian influenza virus subtype H5N6 detected in poultry in Nanbu County, Nanchong City
        Since 23 Apr 2014, the Sichuan veterinary department has been investigating chickens of a sick farmer who was found positive for avian influenza in Nanbu County, Nanchong City. Samples from the poultry were submitted to the National Avian Influenza Reference Laboratory. On 3 May 2014, the reference laboratory isolated avian influenza virus subtype H5N6 from the samples.

        Following the detection of the positive samples in Sichuan Province, the local emergency response, plan, and control team, has performed the prescribed control measures in accordance with the official specifications. The group of positive birds were culled and disinfection applied. Surveillance and monitoring activities in the area surrounding the farm are being carried out; so far, no abnormalities have been found.

        Communicated by:

        [To the best of our knowledge, this is the 1st human case of H5N6; correction, if available, will be welcomed. Since no information on clinical disease in the chickens has been reported, it may be assumed that the causative agent is a low pathogenic avian influenza (LPAI) strain. LPAI H5N6 strains have been recorded in wild birds in several continents in the past. For example, on 15 Dec 2004 Taiwan reported 2 strains of avian flu in migratory birds in the northern part of the island, the milder H5N2 strain and also the H5N6 strain (see ProMED-mail post 20051010.2949).

        H5N6 virus has been used as a poultry vaccine strain; similarly to H5N2, it was used as a DIVA or "differentiating infected from vaccinated animals." It was also shown that cats can be protected against a lethal high-dose challenge infection with HPAI H5N1 by an inactivated, adjuvanted heterologous H5N6 avian influenza virus vaccine (

        A preliminary report on the human case described in China was published on 23 Apr 2014. The title in the Chinese newspaper was "An official Nanbu microbiologist said a farmer suffering from severe pneumonia is suspected of bird flu"; see [Chinese].

        The detection of LPAI H5N6 in poultry in Nanbu, Nanchong, Sichuan has been officially notified today, 5 May 2014, to the OIE. See at

        Maps of China can be seen at and Nanbu County is under the administration of Nanchong city, a prefecture-level city in the northeast of Sichuan province. - Mod.AS]


        • #5
          Re: China - Man, 49, with acute severe pneumonia died from H5N6 - Nanchong City, Nanbu County, Sichuan province

          Some experts refer, H5N6 is the low pathogenic virus little exists in the aquatic bird, the worry is the H5N1 variety. Some other microbiologist estimated that the dead possibly has been to the H5N6 large-scale eruption the place, as for the lethality of viral to human, must wait gene sorting the result to appraise. Hong Kong infects and infectious disease center director He Bailiang greatly indicated that in the past H5N6 only fragmentary appeared on the aquatic bird, is the low pathogenesis virus, moreover not special symptom. He also said that the present stage cannot evaluate the lethality of H5N6 to human, must regard this patient to have other long-term sickness, simultaneously or receives other virus to infect. Big microbiology department head Chen Jixiang estimated that the dead once had been erupts the H5N6 place. He said that must wait mainland authority to examine gene sorting of virus, Does the local area have H5N6 to erupt, as well as has to present the symptom with the person who the dead contacts, can determine risk that has person of teaching other people.


          • #6
            Re: China - Man, 49, with acute severe pneumonia died from H5N6 - Nanchong City, Nanbu County, Sichuan province

            [Source: Department of Health, Hong Kong PRC SAR, full page: (LINK).]

            Detection of avian influenza A(H5N6) virus from a patient in Sichuan closely monitored by DH

            The Centre for Health Protection (CHP) of the Department of Health (DH) is today (May 6) closely monitoring the detection of avian influenza A(H5N6) virus from a patient in Sichuan according to the latest report of the Mainland health authority.

            The male patient is a 49-year-old man who has passed away. Avian influenza A (H5N6) virus has been detected from the patient's respiratory specimen.

            "All novel influenza A infections (including H5N6) are notifiable diseases in Hong Kong," a spokesman for the DH said.

            "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," the spokesman said.

            "All boundary 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 have also been arranged. Suspected cases will be immediately referred to public hospitals for follow-up investigation," the spokesman added.

            Regarding health education for travellers, 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 proceeding.

            The spokesman advised travellers, especially those returning from avian influenza-affected areas and provinces with fever or respiratory symptoms, to 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 had contact with poultry, birds or their droppings in affected areas and provinces.

            Members of the public should remain vigilant and take heed of the preventive advice against avian influenza below:
            • Do not visit live poultry markets and farms. Avoid contact with poultry, birds and their droppings;
            • If contact has been made, thoroughly wash hands with soap;
            • Avoid entering areas where poultry may be slaughtered and contact with surfaces which might be contaminated by droppings of poultry or other animals;
            • 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.

            public may visit the CHP's avian influenza page ( ) and website ( ) for more information on avian influenza-affected areas and provinces.



            • #7
              Re: China - Man, 49, with acute severe pneumonia died from H5N6 - Nanchong City, Nanbu County, Sichuan province

              Translation Google

              The world's first fatal case in Sichuan burst H5N6


              [Reporter Qiu Yijun / Taipei - Chinese Center for Disease Control and Prevention confirmed yesterday with the Department of Disease Control, Sichuan Province, China's first human infection of H5N6 emergence of a global bird flu death cases, travel recommendations disease outbreak in Sichuan Province has been the Agency's level increases to The second level (warning). Experts worry, the world usually do not attach importance to the animal epidemic prevention, letting chickens pigs polyculture, bird flu will be easier to adapt to the people, sooner or later will pop a height infectious pandemic virus.

              Contacts who are currently asymptomatic

              The 49 year-old man living in Chifeng, before the onset of contact with dead poultry, because of acute exacerbation of severe pneumonia, after she died, he is currently in contact by key symptoms did not appear. One of the city's farmers was May 3 and found a chicken sample was positive for H5N6, the official in Sichuan has more than thirteen hundred birds have all culled.

              Director of the Agency epidemic disease center Liuding Ping said that in the past the international H5N6 virus was found only in Germany, Sweden, California and other places of birds or the environment; country is only in December 2004, in Taipei, Guandu wetlands and migratory birds The excrement was found too low pathogenic H5N6 strain of the virus, as a specimen of human influenza or pneumonia of unknown causes, and never checked out.

              Director of Children's Infectious Diseases Hospital, National Taiwan University, said Li-Min Huang, now we can not determine the pathogenicity and mortality H5N6 should be continuous monitoring, alert. However, he worried, various bird flu virus after another, showing the countries of the world did not implement the Animal Epidemic Prevention; plus polyculture conditions generally make contact with poultry and pigs increased opportunities for the virus to adapt to mammals gradually, resulting in cross-species epidemic. Five years ago, the resurgence of H1N1 bird flu, causing a global pandemic, the formation of heavy casualties, because the virus in pigs in Mexico successfully adapt.

              Experts worry about the future emergence of a pandemic virus

              Deputy Director of the Agency Zhuangren Xiang disease analysis, the number of Chinese people and animals and density are high, easy contact with each other, but also on the migratory path, it is easy to have a variety of subtypes of avian influenza viruses, including H5N1, H7N9, H9N2, H10N8 recent have appeared in China before. China's Jiangxi Province has only appeared last year had the world's first human bird flu death cases H10N8.

              The Agency epidemic disease physician Luo Yijun said, H1, H3, H5, H7 influenza viruses are a family illness tube within the Department of conventional detection range of human influenza viruses, but never found H5N6. H5N1 and H7N9 are currently limited human to human transmission, H5N1 mortality rate of five to Liu Cheng, H7N9 also has three Daosi Cheng.



              WHO mention of this case:

              Last edited by sharon sanders; February 9, 2015, 10:41 AM. Reason: added WHO pdf link
              "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
              -Nelson Mandela