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China: Man Dies; Infected Father "Improving"; More Suspects

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  • Re: China: Man Dies; Infected Father "Improving"; More Suspects

    Originally posted by niman View Post
    The number of H5N1 cases is small and the original hypothesis was based on no examples of clusters involving individuals who were not blood relatives. The basis for the original hypothesis was false (and was largely based on the Karo cluster and a MATERNAL linkage).
    How does this relate to the study posted by Ironorehopper to which you were responding (post #102)?
    Last edited by Niko; December 13, 2007, 10:21 PM. Reason: corrected ironorehopper's moniker
    "In the beginning of change, the patriot is a scarce man (or woman https://flutrackers.com/forum/core/i...ilies/wink.png), and brave, and hated and scorned. When his cause succeeds, the timid join him, for it then costs nothing to be a patriot."- Mark TwainReason obeys itself; and ignorance submits to whatever is dictated to it. -Thomas Paine

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    • Re: China: Man Dies; Infected Father "Improving"; More Suspects

      Google-translated from Chinese:

      Jiangsu bird flu patients conditions improve
      2007-12-14

      An Chen Min Nanjing 13 Mar: According to sources, Jiangsu who confirmed the second case of highly pathogenic avian flu patients Lu Wei, the current conditions in stabilizing the situation, the situation has noticeably improved. Lu Wei is no longer as recently as a day bed, with the condition improves, his obvious physical rehabilitation, is now able to get out of bed in the corridor, walking back and forth.

      Mainland medical profession dedicated to the expert group he set up for him every two days a collective consultation, a detailed analysis of conditions and adjust drug treatment and never perfunctory. It is learned that Lu Wei inflammation of the lungs has been significantly improved, the temperature has been normal, cough symptoms have disappeared. His appetite is good, restaurants, had long ago by the liquid, semi-liquid food to normal meals.

      It is understood that doctors still hanging daily Lu Wei lose fluid, continue to use anti-virus treatment and nutritional support, and other measures aimed at consolidating therapeutic effect.

      Special Care Unit where nurses and doctors are still on the group's Lu Wei carry out 24-hour monitoring and close observation of body temperature, pulse, respiration and blood pressure and other vital signs and condition. His personal life is still conducted by the special nurses who care, meticulous care.

      ...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock Holmes

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      • Re: China: Man Dies; Infected Father "Improving"; More Suspects

        A SusanC (partial) translation from Chinese (hat-tip, Sue!) -- note that this article is a couple of days old:
        Originally posted by SusanC @ FW
        Nanjing medical profession avoids talking about avian flu

        Here is the article that I thought was worth reading but didn't have time to translate. This is just half of it, but the important half!



        (Nanjing 9th December) HCWs from many hospitals in Nanjing, in response to this reporter's questions about the condition of the recent bird flu patient, all said that "this is a highly sensitive" question. They are not allowed to talk casually to people, and they don't know anything about what is happening.

        According to a family member, the ?intensive care HCWs who had participated in resuscitating the patient have not returned home, and there's been no communication with their families either.


        According to one doctor at the hospital, except for Lu Wei who is still being "resuscitated" (NB. this article is several days old, plus the Chinese phrase for resuscitation covers a broader range of severity, and not necessarily just for the critically ill), there are 4 other close contact still under medical observation (it seems they use the phrase 'medical observation' to imply a higher degree of observation than the more casual contacts, like the 60+ contacts of the mother) and quarantine at the hospital. They are all in single infectious disease rooms, and even the staff (those talking to the press) know nothing about it.

        Citizens calm

        Whereas several days ago, most people did not know about this avian flu infection, now the difference is most people in Nanjing have learned about it in the past 2 days. When the Ministry of Health announced the confirmation of the second case, they also released the information that the patients were from Nanjing. As a result, local newspapers and TV stations reported on the cases.

        When asked whether they were nervous, people said "not bad. Not as frightened as last time (during SARS 2003)." Many people also said, this should be an isolated case, but they will still pay more attention to personal hygiene. Winter is the season for flu outbreaks anyway (NB. Chinese people especially in colder regions do tend to take even seasonal flu more seriously than westerners), so they will be paying more attention anyway. Some people also said, even though the government said it was ok to eat chicken and ducks, they have decided not to buy them for a while.

        http://www.newfluwiki2.com/showComme...ommentId=76461
        ...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock Holmes

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        • Re: China: Man Dies; Infected Father "Improving"; More Suspects

          Nanjing bird flu cases contained

          <!--enpproperty <date>2007-12-14 11:28:39.0</date><author></author><title>Nanjing bird flu cases contained</title><keyword>bird flu</keyword><subtitle></subtitle><introtitle></introtitle><siteid>1</siteid><nodeid>158961</nodeid><nodename>Regional</nodename><nodesearchname>2@webnews</nodesearchname>/enpproperty--><!--enpcontent--> (Xinhua)
          Updated: 2007-12-14 11:28


          BEIJING - Two cases of bird flu in humans involving family members in Nanjing, Jiangsu Province, have been effectively contained, China's Ministry of Health said, adding all close contacts involved have been released from medical observation.

          "None of those in close contact showed unusual symptoms and they were all released from medical observation on December 12," the ministry said in a statement posted at its website (www.moh.gov.cn) on Thursday.

          China announced on December 2 that a 24-year-old man surnamed Lu in the provincial capital Nanjing died of H5N1 infection. On December 7, the man's father was also confirmed to be infected with the virus.

          About 80 people who had contact with either man were put under close medical observation.

          "The father, who has been under intensive medical treatment, is in stable condition and showing signs of improvement," the ministry said in the statement.
          So far, the means of transmission remained unknown and experts were still conducting an investigation.

          The son was said to have no known contact with dead poultry. In addition, the Jiangsu Animal Husbandry and Veterinary Bureau said last week that no bird flu epidemic had been discovered in the province.

          The ministry said that local health authorities had tightened monitoring on pneumonia cases and collected a large number of samples. "All samples tested (H5N1) negative and no suspicious or unusual cases were discovered," it said.

          The latest cases bring the number of confirmed bird flu cases in humans in China to 27 since 2003. During that period, there have been 17 deaths.

          Two cases of bird flu in humans involving family members in Nanjing, Jiangsu Province, have been effectively contained.





          "In the beginning of change, the patriot is a scarce man (or woman https://flutrackers.com/forum/core/i...ilies/wink.png), and brave, and hated and scorned. When his cause succeeds, the timid join him, for it then costs nothing to be a patriot."- Mark TwainReason obeys itself; and ignorance submits to whatever is dictated to it. -Thomas Paine

          Comment


          • China's father-son bird flu cases have not spread: official[

            China's father-son bird flu cases have not spread: official

            The dead man, a 24-year-old surnamed Lu, died from avian flu on December 2. His 52-year-old father was confirmed a few days later to have also contracted the H5N1 strain of the virus.

            The father was now in a stable condition and showing signs of improvement, according to a health ministry statement on its website.

            The father-son case, in the eastern province of Jiangsu, raised concerns of possible human-to-human transmission, and the authorities' latest announcement seemed targeted at easing those fears.

            The health ministry said Monday that there was no evidence the father had contracted the disease from his son and there was no reported outbreak of the disease among poultry.

            However, exactly how the virus transmitted in their case remains unknown, because the son is not thought to have had any contact with dead poultry and authorities said there had been no bird flu epidemic locally.

            This followed a familiar pattern in China where humans have contracted the disease in an area where there have been no reported outbreaks among poultry.

            The father-son case has brought reports of human cases of bird flu in China to 27 since 2003. Seventeen of those people have died.

            Comment


            • Re: China's father-son bird flu cases have not spread: official[

              [QUOTE=hawkeye;115561][B][URL="http://www.physorg.com/news116838565.html"]

              This followed a familiar pattern in China where humans have contracted the disease in an area where there have been no reported outbreaks among poultry.

              QUOTE]

              Hmmmm - a policy to deny poultry outrbreaks, in order to support the economy, may be creating a worse problem: conjecture of H2H outbreaks.

              J.

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              • Re: China: Man Dies; Infected Father &quot;Improving&quot;; More Suspects

                Below is an earlier rendition of the article posted by Niko above (post #109) by about 10 minutes. There are some subtle differences between the two news releases particularly in the quotes relating to H2H transmission.

                Nanjing bird flu cases contained

                2007-12-14 11:18:12


                BEIJING, Dec. 14 (Xinhua) -- Two cases of bird flu in humans involving family members in Nanjing, Jiangsu Province, have been effectively contained, China's Ministry of Health announced. It added all close contacts involved had been released from medical observation.
                "None of those in close contact showed unusual symptoms and they were all released from medical observation on Dec. 12," the ministry said in a statement posted at its Website (www.moh.gov.cn) on Thursday.
                China announced on Dec. 2 that a 24-year-old man surnamed Lu in the provincial capital Nanjing died of H5N1 infection. On Dec. 7, the man's father was also confirmed to be infected with the virus.
                Eighty-two people who had contact with either man were put under close medical observation.
                "The father, who has been under intensive medical treatment, is in stable condition and showing signs of improvement," the ministry said in the statement.
                Neither men was said to have known contact with sick or dead poultry and so far the source of the infection remained unknown.
                Mao Qun'an, spokesman of the Health Ministry, said earlier that there were several possibilities for infection in the second case, including close contact between the father and the son. It was also possible that both men were either infected by the same source or separately by different sources.
                Joanna Brent, a Beijing-based the WHO spokeswoman, told Xinhua that "there is no strong indication of human-to-human transmission. But because this possibility cannot be ruled out, the WHO is monitoring this case closely."
                "If this (the second case) was proved to be a case of human-to-human transmission, it seems likely that the transmission is inefficient since, so far, there is just one confirmed case out of 83 close contacts and the two cases were directly related, with no second-generation transmission," she said.
                She also said that at this stage a possible common source has not been identified and based on preliminary laboratory results of these two cases, the possibility of infection from two separate sources is least likely.
                Brent said that like most H5N1 cases in China, these cases were not foreshadowed by a poultry outbreak reported to the Ministry of Agriculture. "This suggests that strategies for monitoring H5N1 in poultry need further strengthening," she said. China's Ministry of Health said that local health authorities had tightened monitoring of pneumonia cases over the past 10 days and collected a large number of samples. "All samples tested (H5N1) negative and no suspected or unusual cases were discovered," it said. The latest cases bring the number of confirmed bird flu cases in humans in China to 27 since 2003. During that period, there have been 17 deaths.

                http://novel-infectious-diseases.blogspot.com/

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