Re: China: Man Dies in Jiangsu Province; father also infected
New bird flu case in China
Posted on Fri, Dec. 07, 2007
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By AUDRA ANG
<!-- begin /production/story/credit_line_format.comp -->Associated Press Writer
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BEIJING --
The father of a Chinese man who died of bird flu has been infected with the virus that causes the disease, the World Health Organization confirmed Friday, saying it could not rule out the possibility of human-to-human infection.
Joanna Brent, a Beijing-based WHO spokeswoman, said the father began showing symptoms Monday and was confirmed as having the H5N1 virus on Wednesday. She said he has been hospitalized.
Brent said there was no evidence the man had been infected by his 24-year-old son, who died on Dec. 2, but could not eliminate that possibility.
"Because the possibility of human-to-human transmission cannot be ruled out, we will be monitoring this case closely," Brent told The Associated Press. "If it is found to be easily passed between humans, we would be concerned."
She said it was also possible that the two men were infected by the same source, or that they were infected separately from different sources.
Chinese news reports gave the man's age as 52. Both he and his son, who lived in the eastern province of Jiangsu, were identified only by their surname, Lu.
Jiangsu's Provincial Disease Control and Prevention Center said the son - China's 17th official fatality from bird flu - had not had any known contact with dead poultry, and there were no reported outbreaks of the disease in the province.
Brent said health authorities were monitoring 68 people who had been in close contact with the son, and none have shown symptoms of H5N1 infection.
Sporadic human-to-human transmission of the H5N1 flu strain has been reported in Hong Kong, Vietnam and Indonesia, but none of the cases have been proven.
Dr. David Nabarro, the U.N. official coordinating the global fight against bird flu, has said the risk of a worldwide pandemic remains as great today as it was when H5N1 first gained attention in 2005.
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Re: China: Man Dies in Jiangsu Province; father also infected
AVIAN INFLUENZA, HUMAN (155): CHINA (JIANGSU)
*********************************************
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 7 Dec 2007
Source: Physorg.com, Agence France-Presse (AFP) report [edited]
<http://www.physorg.com/news116246264.html>
The father of a man in China who died this week of bird flu [see
ProMED-mail Avian influenza, human (154): China (Jiangsu)
20071205.3920] has also tested positive for the H5N1 strain of the
disease, the country's health ministry reported on Friday [7 Dec 2007].
A statement on the ministry website said a 52-year-old man in eastern
Jiangsu province, has been confirmed with the virus, just days after
his 24-year-old son died on Sunday [2 Dec 2007]. The man developed a
fever and pneumonia symptoms on Monday [3 Dec 2007] while under
preventive medical observation following his son's death, the statement said.
It added that 2 days later, Jiangsu bird flu experts conducted tests
to determine whether he had the virus and confirmed the diagnosis on
Thursday [6 Dec 2007]. The ministry added that all people who had
been in contact with the 52-year-old man were under observation but
that no new cases had appeared.
The 52-year-old man's son was hospitalised 10 days ago [27 Nov 2007]
after being diagnosed with pneumonia, the Xinhua news agency reported
at the time, citing the Jiangsu provincial health department. His
condition deteriorated in hospital and he died on Sunday [2 Dec
2007], according to the report. Earlier this week, provincial health
authorities said they had not determined how the deceased man
contracted the virus, saying he was not known to have had contact
with dead poultry.
The ministry gave no further details on the medical condition of the
new patient, nor any information on whether human-to-human
transmission was to blame.
--
Communicated by:
Mike Buman, EMT-PS/RN
Western Arizona Regional Medical Center
<ayrman@frontiernet.net>
[This is the 27th human case of H5N1 avian influenza in China.
Notwithstanding the father-son relationship of these 2 cases in
Jiangsu province it is premature to consider this to be an instance
of human-to-human transmission in view of the lack of information on
the source of the virus, and the absence of onward transmission. - Mod.CP]
[see also:
Avian influenza, human (154): China (Jiangsu) 20071205.3920
Avian influenza, human (153): China (Jiangsu) 20071202.3886
Avian influenza, human (90): China, WHO 20070604.1809
Avian influenza, human (85): China, WHO 20070530.1743
Avian influenza, human (84): China 20070527.1699
Avian influenza, human (62): China, Egypt, WHO 20070331.1103]
...................................cp/mj/mppLeave a comment:
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Re: China: Man Dies in Jiangsu Province; father also infected
Google-translated from Chinese:
Jiangsu newly confirmed case of human infection with the highly pathogenic avian flu cases
2007-12-08
The Ministry of Health on the 7th communications, Jiangsu Province, newly confirmed case of human infection with the highly pathogenic avian influenza. This is confirmed in the province in a week of the second case of human infection with the highly pathogenic avian influenza.
Patients陆某, male, 52 years old, Nanjing, Jiangsu Province, which is on December 2 confirmed human infection with the highly pathogenic avian flu cases the father. In medical observation during December 3 evening fever symptoms, which was to "double pneumonia under" hospital treatment. December 5, Jiangsu Province, the Center for Disease Control and Prevention in patients with respiratory tract samples detected that the avian flu virus H5N1 nucleic acid positive. December 6, the Chinese Center for Disease Control and Prevention to review samples of patients with respiratory tract, the results of the avian flu virus H5N1 nucleic acid positive.
According to the World Health Organization human infection with the deadly bird flu confirmed case definition and diagnostic criteria in China, Jiangsu Province human avian influenza prevention and control expert group found cases of people infected with the highly pathogenic avian influenza confirmed cases.
After the epidemic occurred, the local government has attached great importance, in accordance with the "people infected with the deadly bird flu contingency plans" to the corresponding prevention and control measures. Close contacts of all implement strict medical observation; Up to the present and found no abnormal clinical manifestations.
The case of the situation, the Ministry of Health has the World Health Organization, Hong Kong, Macao regions and some national communications.
Jiangsu Provincial Health Department on December 2 evening was informed, the Ministry of Health confirmed a case of human infection with the Jiangsu province of highly pathogenic avian influenza. Patients陆某, male, aged 24, on November 24 fever, chills and other symptoms, November 27 "lower left pneumonia" hospital treatment, his condition deteriorated rapidly, as done to save invalid, was on December 2 deaths.
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Re: China: Man Dies in Jiangsu Province; father also infected
Four possible explanations: they could both have been infected by a third person who has not been diagnosed.The WHO in Geneva said there were three possible explanations for the father-son case: either they were infected by the same animal, by transmission between them, or by exposure to two different infected animals.
Not sayin' that's what's happened -- just sayin' it's possible.Leave a comment:
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Re: China: Man Dies in Jiangsu Province; father also infected
New China bird flu case raises human-to-human fear
by Dan Martin
The father of China's latest bird flu victim also has the disease, officials said Friday, prompting World Health Organisation (WHO) fears of possible human-to-human transmission.
A Chinese health ministry statement said a 52-year-old man named Lu in the eastern city of Nanjing had the H5N1 strain, which killed his son on Sunday and has reportedly caused more than 200 deaths worldwide since 2003.
The WHO in Geneva said there were three possible explanations for the father-son case: either they were infected by the same animal, by transmission between them, or by exposure to two different infected animals.
The deadly H5N1 strain has passed from human to human only in very rare cases but scientists fear that such transmission could become more efficient and widespread through mutation, causing a global pandemic.
Jiangsu province health department said this week that it had not determined how the dead man contracted the virus as he was not known to have had contact with dead poultry.
The new case brings to at least 27 the number of infections in China, where 17 people have died from bird flu.
"The patient, a 52-year-old male surnamed Lu from Nanjing in Jiangsu, is the father of the serious case of bird flu diagnosed on December 2," said the statement posted on the health ministry website.
"On December 6, the China Disease Prevention and Control Center confirmed the presence of the H5N1 bird flu strain."
The man developed a fever and pneumonia symptoms on Monday while under medical observation following his son's death, the statement said.
The ministry added that all people who had been in contact with the older man were under observation but no new cases had appeared, and that it had promptly notified the World Health Organisation.
WHO spokesman John Rainford said cases of human-to-human transmission are very rare, citing only three previous cases in Vietnam, Cambodia and Indonesia.
Another WHO official, Christiane McNab, said 69 people had been in contact with Lu, and none seemed to have bird flu.
"If this is a case of contact between humans, the virus isn't virulent, otherwise other people would have been infected," she said.
Lu's son, 24, was hospitalised 10 days ago after developing pneumonia, Xinhua news agency reported at the time, citing Jiangsu health department. His condition deteriorated in hospital and he died on Sunday, Xinhua said.
The Chinese health ministry gave no further details on the condition of the new patient, whether he had had contact with poultry, nor any information on possible human-to-human transmission.
While the disease is usually associated with contact with infected birds, only one confirmed human case in China has followed a poultry outbreak.
China conducted a huge campaign last year to contain the disease, slaughtering tens of thousands of fowl.
Vice Agriculture Minister Yin Chengjie, however, warned this September that much of the country remained ill-equipped to prevent its spread.
The H5N1 strain has killed more than 200 people worldwide since 2003, according to the WHO.
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Re: China: Man Dies in Jiangsu Province; father also infected
From SusanC @ FW:from TV news in Hong Kong
The father was initially tested positive on Dec 3, confirmed on Dec 6th.
There was a gap of 10-days between the symptoms onset of the father and son. WHO has not excluded person-to-person transmission. Common environmental exposure is another possibility....
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Re: China: Man Dies in Jiangsu Province; father also infected
Commentary at
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Re: China: Man Dies in Jiangsu Province; father also infected
Avian influenza ? situation in China - update 4
4 December 2007
The Ministry of Health in China has reported a new case of human infection with the H5N1 avian influenza virus. The case was confirmed by the national laboratory on 2 December.
The 24-year old male from Jiangsu Province, developed symptoms on 24 November, was hospitalized on 27 November and died on 2 December. There is no initial indication to suggest he had contact with sick birds prior to becoming unwell. Close contacts have been placed under medical observation and all remain well.
Of the 26 cases confirmed to date in China, 17 have been fatal.
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Re: China: Man Dies in Jiangsu Province; father also infected
Dec 7, 2007
WHO confirms father of Chinese bird flu victim also infected
BEIJING - THE father of a Chinese man who died of bird flu has also been infected with the H5N1 virus that causes the disease, the World Health Organization reported on Friday, saying it could not rule out the possibility of human-to-human infection.
Joanna Brent, a Beijing-based WHO spokeswoman, said the father began presenting symptoms on Monday and was confirmed as having the virus on Wednesday. She said he was being monitored in hospital.
'Because the possibility of human to human transmission cannot be ruled out, we will be monitoring this case closely,' Brent told reporters.
'If it is found to be easily passed between humans, we would be concerned,' Ms Brent said.
Ms Brent said there was no evidence that the man had been infected by his 24-year-old son, who died on Dec 2, but said the possibility could not yet be eliminated.
Chinese news reports gave the man's age as 52. Both he and his son, who lived in the eastern province of Jiangsu, were identified only by their surname, Lu.
Ms Brent said it was also possible that both men were infected by the same bird, or that they were infected separately from different sources.
Ms Brent said health authorities were monitoring another 68 people who were in close contact with the son, none of whom have so far shown symptoms of H5N1 infection. She said that seemed to indicate that it was unlikely that the virus was being easily passed between humans.
China has not confirmed any cases of human-to-human infection, although the sister of a Chinese boy who was diagnosed with H5N1 in 2005 later became sick and died. Authorities were not able to confirm whether the girl had been infected with H5N1.
Sporadic human-to-human transmission of the highly viral and hard-to-treat H5N1 flu strain has been reported in Hong Kong, Vietnam and Indonesia, but none of the cases have been proven, and officials determined there was no epidemiological significance because the spread was not sustained.
Despite that, Dr. David Nabarro, the U.N. official coordinating the global fight against bird flu, said last month that the risk of a worldwide human-to-human pandemic remains as great today as it was when H5N1 first gained intense media attention in mid-2005.
Bird flu in poultry and wild birds has since spread to 60 nations, but improved responses have limited it mainly to just six nations: Indonesia, parts of Bangladesh, Vietnam, Egypt, Nigeria and China.
Experts say the virus has not been able to commingle its genetic material with that of a human influenza virus and, in so doing, acquire the ability to be transmitted from person to person.
Most people killed by the disease so far have been infected by domestic fowl, and the virus remains very hard for humans to catch; about half the people infected die. But experts fear it could mutate into a form that easily spreads among humans, sparking a pandemic that some have said could kill anywhere from 5 million to 150 million.
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Re: China: Man Dies in Jiangsu Province; father also infected
This from HarpManDoodle on PFP.
Even Sky News just covered this one from the reuters only report. it could be the first ripple!
BEIJING, Dec 7 (Reuters) - The father of a Chinese man who died from the H5N1 strain of bird flu last week has also been diagnosed with the disease, authorities said on Friday.
The National Disease Authority has confirmed that a 52-year-old man surnamed Lu from the Nanjing, capital of the eastern province Jiangsu, was feverish with the H5N1 strain on Thursday, the Ministry of Health reported on its Web site (www.moh.gov.cn).
This latest case raises troublesome questions about how the man was infected.
Humans can contract H5N1 from close contact with infected birds, but scientists fear the disease could mutate into a version that spreads from person-to-person, risking wider outbreaks or even a global pandemic.
Lu's son died on Sunday from the same disease, making the question of how these two infections occurred especially important.
The Xinhua news agency had earlier reported that the son had had no contact with dead poultry and there had been no reported poultry outbreak in the province.
The latest report did not say whether contact with infected poultry had been confirmed in either of the infections.
With the world's biggest poultry population and millions of backyard birds roaming free, China is at the centre of the fight against bird flu.
This latest case brings the number of confirmed human infections of bird flu in China to 27. The Ministry of Health said the World Health Organisation had been notified of this latest case.
WHO representatives in Beijing could not be contacted for comment late on Friday evening. (Reporting by Chris Buckley; Editing by Alex Richardson)
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Re: China: Man Dies in Jiangsu Province; father also infected
China says father of bird flu victim also infected
07 Dec 2007
(Adds details, background)
BEIJING, Dec 7 (Reuters) - The father of a Chinese man who died from the H5N1 strain of bird flu last week has also been diagnosed with the disease, authorities said on Friday.
The National Disease Authority has confirmed that a 52-year-old man surnamed Lu from the Nanjing, capital of the eastern province Jiangsu, was feverish with the H5N1 strain on Thursday, the Ministry of Health reported on its Web site (www.moh.gov.cn).
This latest case raises troublesome questions about how the man was infected.
Humans can contract H5N1 from close contact with infected birds, but scientists fear the disease could mutate into a version that spreads from person-to-person, risking wider outbreaks or even a global pandemic.
Lu's son died on Sunday from the same disease, making the question of how these two infections occurred especially important.
The Xinhua news agency had earlier reported that the son had had no contact with dead poultry and there had been no reported poultry outbreak in the province.
The latest report did not say whether contact with infected poultry had been confirmed in either of the infections.
With the world's biggest poultry population and millions of backyard birds roaming free, China is at the centre of the fight against bird flu.
This latest case brings the number of confirmed human infections of bird flu in China to 27. The Ministry of Health said the World Health Organisation had been notified of this latest case.
WHO representatives in Beijing could not be contacted for comment late on Friday evening. (Reporting by Chris Buckley; Editing by Alex Richardson)
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Re: China: Man Dies in Jiangsu Province
The medical department on December 7 notifies, Jiangsu Province newly diagnoses an example person to infect the high pathogenic birds and beasts flu case of illness. Patient Lu, male, the father which 52 years old, the Jiangsu Province Nanjing people, are which on December 2 diagnoses the person infect the high pathogenic birds and beasts flu case of illness. In medical inspection period evening appears on December 3 gives off heat the symptom, namely by "a pair of under pneumonia" is hospitalized to treat. On December 5, Jiangsu Province prophylaxis control center to patient respiratory tract sample examination demonstration, birds and beasts flu virus H5N1 nucleic acid masculine gender. On December 6, the China prophylaxis control center reexamines the examination to the patient respiratory tract specimen, the result for the birds and beasts flu virus H5N1 nucleic acid masculine gender. Infects the high pathogenic birds and beasts flu according to the World Health Organization people to diagnose case of illness definition and our country diagnoses the standard, the Jiangsu Province person birds and beasts flu guards against controls the expert group to determine this case of illness manner to infect the high pathogenic birds and beasts flu to diagnose case of illness. After the epidemic situation occurs, the local government highly takes, "Infected High Pathogenic Birds and beasts Flu Emergency Predetermined plan according to Person" to adopt correspondingly has guarded against controls the measure. To completely close contact implementation strict medical inspection; Up to at present, discovery exceptionally clinical manifestation. This case of illness related situation, medical department already to World Health Organization, Hong-Kong, Macao and Taiwan area and partial national notification.Originally posted by Dutchy View PostLeave a comment:
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Re: China: Man Dies in Jiangsu Province
China says father of man killed by bird flu also infected
07 Dec 2007 14:04:31 GMT
BEIJING, Dec 7 (Reuters) - The father of a Chinese man who died from the H5N1 strain of bird flu last week has also been diagnosed with the disease, authorities said on Friday.
The national disease control authority has confirmed that a 52 year-old man surnamed Lu from the Nanjing, capital of the eastern province of Jiangsu, was feverish with the H5N1 strain on Thursday, the Ministry of Health reported on its Web site (www.moh.gov.cn).
The reported noted that Lu's son had also contracted the disease, and an earlier report by Xinhua news agency said the son had died from it on Sunday.
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Re: China: Man Dies in Jiangsu Province
Hat-tip, Carol@SC!
Mainland avian flu death poses infection riddle
Timothy Chui
Tuesday, December 04, 2007
Ministry of Health officials in the mainland are trying to determine how a 24-year-old man, who had no known contact with infected or dead poultry, died from avian flu on Sunday.
The Centre for Health Protection of Hong Kong's Department of Health was told yesterday morning none of the man's close contacts had shown signs of avian influenza. Reports say that 69 people who had been in contact with the man are under medical observation.
The center said samples taken from the man confirmed he had been infected with H5N1. His death brings the number of avian flu fatalities in the mainland to 17.
But virologist Julian Tang Wei-tze was skeptical about the assessment that the victim has had no contact with birds or poultry. "Its about the accuracy of their contact history. With an incompatible history it's hard to exclude any contact with infected birds, their droppings or people."
A Hong Kong-based microbiologist said it was too early to assume any sort of mutation and that the explanation lay in the definition of contact with sick or dead poultry. "If you look back to Hong Kong in 1997 and take the definition of sick or dead poultry, hardly any of the 18 human cases had evidence of contact with sick or dead poultry. Hong Kong has very few poultry farmers and in all likelihood, the cases were exposed at markets."
Contact with infected birds is the most common form of transmission of the virus to humans.
A similar case occurred in July when a six-year-old Indonesian boy was infected, with no apparent contact with poultry. The Indonesian medical community was puzzled, unable to find infected poultry within 300 meters.
The death was reported just as a second exercise began yesterday to test emergency response cooperation and coordination between the mainland, Hong Kong and Macau.
More than 60 public health officials and medical personnel joined, including representatives of the Food and Health Bureau, the Department of Health and Hospital Authority in Hong Kong, the Ministry of Health in Beijing and the Jiangsu province Health Department and Health Bureau of Macau.
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