China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

[AlaskaDenise]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

[quote=niman;203109]Commentary

http://www.recombinomics.com/News/01...2H.html[/quote]
Commentary

H5N1 Clusters in Beijing and Hunan Raise Pandemic Concerns
Recombinomics Commentary 14:29
January 19, 2009


Ta Kung Pao, a Hong Kong newspaper backed by the mainland's communist authorities, reported that the girl's mother died recently of what doctors "highly suspected" was also bird flu. The paper did not give any other details, and Shanxi health officials refused to comment on the mother's death.

The above comments strongly suggest the 2F from Hunan was infected by her mother (see updated map). Details on the case have been lacking, and transport to Shanxi by her grandparents would be consistent with the death of her mother.

Similarly, details on the health care worker linked to the Beijing case have been lacking. One media report indicated the health care worker tested positive for H5N1, while most media reports simply said the nurse recovered.

Human to human H5N1 in China would not be a surprise. Four cases have been confirmed and these cases were fatal or the patient is in critical condition. The lack of reports on recovered cases suggests additional unconfirmed infections, which suggests a more efficient transmission to humans.

The lack of detail on these reported clusters, and the failure of WHO to comment or cite the health care worker in the situate update on the Beijing case and statement that contacts remain healthy increases concerns.

More detail on these related cases, and release of sequence data would be useful.

.

[Commonground]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Bird flu from Shanxi to rescue the girl is still in

At 21:36 on January 19, 2009

January 19, the Fourth People's Hospital in Taiyuan area of separation, in this corridor is the attending physician consultation at the end of the ward, the other side of the ward is彭某. "Financial," Xu Chao photo journalists

Is not yet度过危险期, WHO said in Shanxi, and Shandong has received new cases reports; Hunan added on the 19th of a Case

【 "Financial network"专稿/ reporter Xu Chao from Taiyuan, Shanxi Taiyuan From Children's Hospital about half an hour by car, it came to the fourth is located in the outskirts of Taiyuan City People's Hospital (Taiyuan tuberculosis hospital). As a city public health hospital emergency reserve, which was born in hospital in 1952, once in 2003, the atypical pneumonia (SARS, hereinafter referred to SARS) epidemic during the period devoted to hospital with fever symptoms. To this end, has been a little shabby at the hospital was also rated as a "national hero collective fight against atypical pneumonia."

January 17, just two-year-old girl彭某, was diagnosed as China's first 32 cases of human infection of highly pathogenic (H5N1) avian influenza, the Children's Hospital from Taiyuan to the hospital. Before, it was "financial" reporter has learned that she had drifted Xiaoyi City People's Hospital, Fenyang Hospital, Taiyuan City Second People's Hospital.

Shanxi girls not yet out of danger period
Today, the girl lying quietly Taiyuan Fourth People's Hospital by two white, composed of a layer of Floor area of separation. Speaking on condition of anonymity, told the staff of "financial" journalists, and the girl with the B in the area of separation zone, there are two suspected patients, both the girl's relatives. In the A zone, currently occupied mostly by AIDS patients.
In the hospital, only the clothes worn by a medical doctor and colors, you will be able to clearly identify contaminated areas and security zones: girls currently in the area where the red logo of the contaminated area; security zone while green marking; yellow logo, on behalf of semi-polluted area.

At present, including those from Beijing Chaoyang Hospital, the Second Artillery General Hospital of the relevant experts have been involved in the diagnosis of the patient.
To participate in consultations of the experts tell张建欣vice governor of Shanxi Province, the current period of patients have not yet out of danger, but also hope for rescued.

It is reported that the outbreak occurred, January 18, Shanxi Province on the establishment of the provincial health department for the head of a high Guoshun of human infection of highly pathogenic avian influenza prevention and control work leading group.

And Taiyuan, and Luliang (where the patient is located in Xiaoyi City, Luliang Prefecture) health administration departments of the two cities are also in accordance with the Ministry of Health "of human infection of highly pathogenic avian influenza contingency plans" of the request and immediately launched a human infection of highly pathogenic avian influenza emergency monitoring, and since January 18, 2009, the implementation of human infection of highly pathogenic avian influenza cases on the report and零报告制度.

Shandong, Hunan has also informed the epidemic
And on January 18 at 9:00 p.m., in Shandong Province also reported together with the newly discovered cases of human infection with avian influenza. Patients with grade 27-year-old woman, living in the provincial capital Jinan, Shandong Province, was dead on the 17th.

January 19, the Hunan Provincial Health Department informed of the latest, the province also confirmed case of human infection of highly pathogenic avian influenza cases. Patients吴某某, M, 16-year-old students, who lives in Qiandongnan Prefecture of Guizhou Province. January 8, 2009 the incidence in Guizhou whose condition had worsened in the January 16 Huaihua City, Hunan Province into hospitalization. Patient is now in a critical condition and are actively in treatment.

So far, China has confirmed 34 human bird flu infection, of which 22 were killed and 10 people survived, there are two cases in Shanxi and Hunan are still in the rescue.

The occurrence and spread of the epidemic risk for the disease continue to occur, January 18 evening 9:59 p.m., the Ministry of Agriculture Information Office said on its official website, the Department has organized a National Avian Influenza Reference Laboratory, the Chinese animal disease Prevention and Control Center, China's monitoring of veterinary medicine, China Animal Health and Epidemiology Center, Yangzhou University, China Agricultural University, South China Agricultural University and other relevant units of experts, consult the current epidemic situation, and further study the deployment of a major animal disease prevention and control work.

The experts on the current epidemic situation and conducted in-depth analysis of the view that the epidemic situation in China's neighboring countries is especially grim, one after another large-scale bird flu outbreak in poultry, human infection with avian influenza ever-increasing number of cases. And Domestically, the past few years, the bird flu virus mutation only popular in some provinces in the north, but the December 15, 2008江苏东台detected virus variation on the regional variation epidemic was further enlarged, in some of the higher antibody levels There are also poultry infected cases. Poultry virus pollution trading market, has become an important source of infection one.

Ministry of Agriculture said that, in addition to the Spring Festival approaching, the frequent movement of livestock and poultry products, trading volume is very large, the occurrence and spread of epidemic risk.

World Health Organization (hereinafter referred to WHO) today (19) released a statement that has been learned over the weekend took place in Shanxi and Shandong two epidemic, the organization hoped that the Chinese Ministry of Health to provide the latest information at any time; At the same time, If need arises, the agency would be willing to provide technical assistance.

However, the WHO said the global bird flu alert level remains as Category III (PHASE 3), namely, "does not exist or exists only very limited interpersonal communication." The organization also warned that, because of China's traditional Spring Festival is approaching, increasing the circulation of poultry products, the public response to the risk of avian influenza to maintain adequate vigilance, including ensuring that food is cooked, as well as bear in mind that washing hands after contact with raw meat and so on. ■

[Commonground]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

How individuals who do a good job in guarding against avian flu expert ideas
10:12 pm 2009-01-19
www.39.net 2009-1-19
News alerts

According to Xinhua News Agency, Taiyuan, January 17 -, Shanxi Province, one cases of confirmed human infection of highly pathogenic avian influenza cases. 彭某patients, female, 2 years old, on January 7 this year in Hunan incidence.

Prior to this, January 5, Beijing took place one cases of human infection of highly pathogenic avian influenza deaths. January 12, Beijing has been fully lifted 200 celebrity bird flu close contacts of patients with medical observation. At present, Beijing, no animal bird flu report.

Changsha City CDC experts, the avian flu virus is mainly found in poultry and poultry infected with the gastrointestinal, respiratory and poultry in body tissues. Respiratory diseases is now in a good season, how to effectively prevent human infection of highly pathogenic avian influenza?

Avian influenza can infect humans

What is avian influenza? Bird flu is referred to as avian influenza is caused by influenza A virus of avian infectious diseases makes it easy for birds (especially chickens) between the prevalence of, in the past, civil society known as the "plague" . The high mortality rate among infected birds.

What is a human infection of highly pathogenic avian influenza? Bird flu virus can be divided into highly pathogenic and low pathogenic and non-pathogenic three categories. Which is highly pathogenic avian influenza H5 and H7 sub-strains (H5N1 and H7N7 as a representative) diseases.

Highly pathogenic avian influenza in poultry because of its rapid spread and endanger large, high case-fatality rate was World Organization for Animal Health as a Class A animal disease, China to be included in a class of animal disease. Highly pathogenic avian influenza H5N1 is evolving, and its parasitic animals (also known as host) will continue to expand the scope can be infected with tigers, domestic cats and other mammals, the normal domestic ducks carrying the virus and to increase the percentage of emissions, especially in Pigs were detected more often.

Highly pathogenic avian influenza virus can directly infect humans. In 1997, China's Hong Kong region, the highly pathogenic H5N1 type bird flu virus has led to 18 people infected, 6 people were killed and for the first time that highly pathogenic avian influenza can endanger human life.

Combat alert:

What people are infected with avian flu? Avian flu virus can enter the human digestive tract and respiratory tract infection to humans, human avian flu by direct contact with infected poultry and their excreta or direct contact with the avian flu virus can also be infected . Through droplets and contact with respiratory secretions is also the route of transmission. If direct contact with virus, a considerable number of items, such as poultry faeces, feathers and respiratory secretions, blood, etc., can also be broken through the skin and conjunctival infection.

People who will appear after infection symptoms

Experts, real life, of human infection with bird flu high-risk groups is mainly the elderly, children and people in close contact with sick birds.

Mode of transmission of avian flu, there has been direct contact with infected poultry, the virus through indirect contact with the spread of pollutants in two. As the sick organizations, most of them contain high titers of virus, the virus can be as eye, nose and oral secretions and faeces excreted by the virus containing secretions, feces, dead birds of any body of contaminated objects, such as feed, drinking water, sheds, air, cages, feeding and management appliances, transport vehicles, a variety of insects and birds carrying the virus and so on, can the spread. Migratory birds may also be the H5N1 or H5N2 subtype of long-distance spread of the virus.

Of human infection of highly pathogenic avian influenza virus clinical symptoms, early performance is similar to ordinary influenza, such as the performance of fever, runny nose, stuffy nose, cough, pharyngodynia, headache, general malaise and so on, mainly for fever, body temperature mostly in the more than 39 ℃, continuous 1 ~ 7 days, usually 3 to 4 days, some patients may have nausea, abdominal pain, diarrhea, dilute it in water samples and other gastrointestinal symptoms.

In addition to the performance, of human infection of highly pathogenic avian influenza in patients with severe, but also pneumonia, respiratory distress, such as performance, even leading to death. In most cases for the mild, the more after the good, but a small number of patients would cause kidney failure or died of septic shock.

Combat alert:

How to kill the bird flu virus in the environment? Bird flu virus to survive in the external environment are less well off, as long as proper disinfection measures, it is not difficult to kill. Poultry farms commonly used disinfectants, such as aldehydes, chlorine-type agents, oxidizing agents, alkali and so on can kill the virus in the environment.

Influenza vaccine to prevent bird flu, it? To date, has not yet been developed for human use, can effectively prevent bird flu vaccines. Influenza vaccine can not effectively prevent bird flu, but can prevent bird flu and human influenza overlap to form a new influenza virus caused the outbreak, but also help to reduce the risk of influenza caused by the possibility of complications. Therefore, experts recommend long-term elderly and chronic patients flu vaccination.

Everyday people how to guard against avian flu

Day-to-day should be done to prevent bird flu, washing hands frequently, stay away from poultry secretions, contact with birds or bird droppings, it is necessary to pay attention to use of disinfectant and water to clean their hands thoroughly.

To develop good personal hygiene habits, to enhance indoor air circulation, 1 or 2 times a day ventilation window for half an hour. Want to eat cooked poultry meat, Cook, edible egg shell application of water when cleaning, cooking heating should be full, do not eat raw or half-eggs. Adequate sleep and rest, balanced diet, pay attention to more intake of vitamin C-rich foods, such as enhancing immunity. Regular physical exercise to increase the body's resistance to the virus.

Schools and kindergartens should take measures to teach children not to feed pigeons or other birds, such as contact with poultry or bird faeces, it is necessary to thoroughly wash their hands immediately. Go out on the road to avoid contact with poultry, such as not to go to Aviary, farms, markets or to the park activities; not to feed wild birds such as pigeons or.

Combat alert:

Prevention and control of human infection of highly pathogenic avian influenza key to achieve "four-early principle", refers to the disease to early discovery, early reporting, early quarantine and early treatment.

Early detection, when they or the people around them developed symptoms of fever, cough, shortness of breath, body pain and other symptoms should immediately seek medical treatment. Early reporting, found that people infected with highly pathogenic avian influenza cases or similar cases, timely reporting of local medical institutions, and disease control agencies. As early as the isolation of human infection with highly pathogenic bird flu cases and suspected cases to the timely isolation of close contacts should be carried out in accordance with medical observation or quarantine to prevent the spread of the epidemic. Early treatment, confirmed human infection of highly pathogenic avian influenza patients, should be actively carried out for medical treatment, especially for other chronic diseases to seek early treatment, after treatment and the use of antiviral drugs to support the therapy, symptomatic therapy, the vast majority of patients can be recovered and been discharged.

The guidance of experts in Changsha City Center for Disease Control and Prevention

Chen Fa-ming, director of the Center

Liu Chun-chief of the Communicable Disease Prevention

Yuan Peng, director of Physicians

http://64.233.187.102/translate_c?hl=en&sl=zh-CN&tl=en&u=http://hi.baidu.com/%25B6%25AB%25B9%25D299yunmengxieliao/blog/item/e6ca452450047434c9955940.html&prev=_t&usg=ALkJrhhKBRK-eegQ7HLLwwi9sz4jX_scyw

[Commonground]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Shanxi mothers of children with avian flu a few days ago, died due to severe pneumonia

http://www.sina.com.cn 2009 on 20 day 01 years 01:36 Business News

January 17, Shanxi Province, Shanxi Province Health Department notified confirmed case of human infection of highly pathogenic avian influenza cases. In this connection, two-year-old female children in Shanxi Province彭某become the first person who was diagnosed with bird flu.

" 彭某had been in the market exposed to the history of live birds." Yesterday, the Hunan Provincial Department of Health Emergency Office彭主任in "First Financial Daily" in an interview told reporters.

Incidence when彭某with his parents still live in the outskirts of Changsha, Hunan Shaxian mayor, and one of her relatives in the vicinity of a "gray port Dreams" in the market engaged in live poultry business.

Mother had "severe pneumonia," the death of

On彭某admitted to hospital a few days before, her mother had just passed away.

"Her mother last December 21 ~ 26 have a history of exposure to live birds, December 28, 29 there was a slight fever, due to severe pneumonia in January 2009 death of 6 ~ 7."彭主任told reporters . Highly pathogenic avian influenza infection in critically ill patients tend to show such as pneumonia.

However, due to the mother after the death of彭某samples did not leave, so can not be confirmed whether the person had been infected with bird flu death.

The mother after the death of彭某also incidence of January 7. January 11, with her grandparents back to Shanxi, after the medical condition worsened in Fenyang Hospital of Shanxi Province, with no significant symptomatic improvement after treatment in the evening of 14 was transferred to Children's Hospital of Shanxi Province. January 17, she was admitted to hospital who specialized in patients with avian flu in Taiyuan Fourth People's Hospital.

Children in a critical condition

According to Shanxi Provincial Health Department Information Office news release published until at 12:00 on January 19,彭某currently in a critical condition, but is still stable vital signs.

Shanxi Provincial Health Department, a news staff of the Office revealed that the vice governor of Shanxi Province yesterday morning to张建欣Taiyuan Fourth People's Hospital to visit children, and called for the health sector to carry out epidemiological investigation, strict monitoring of close contacts with the children .

It is understood that the January 18, 2009, the Provincial Health Department has organized the provincial disease prevention and control experts, continue to have treated children with Children's Hospital of Shanxi Province and Taiyuan City children are admitted to the Fourth People's Hospital, guiding the medical staff to carry out personal protection, the hospital is a sense of control and disinfection. The Ministry of Agriculture immediately sent expert group also rushed to the Shanxi and Hunan, with the health sector poultry outbreak investigation and epidemiological investigations.

"彭某contact with children who have been close observation, there is no symptoms."彭主任said. Ma Xiaohua

[AlaskaDenise]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

.....the girl with the B in the area of separation zone, there are two suspected patients, both the girl's relatives. In the A zone, currently occupied mostly by AIDS patients.

Are they saying there are two BF patients?

I'm really concerned about the vicinity of AIDS patients, and hope they are successful in practicing good isolation procedures. The past articles and FT discussions about the potential for AIDS patients to become "superspreaders" is something I hope we don't learn the hard way.

Previous article:

http://news.bbc.co.uk/2/hi/health/4444940.stm

.

[HenryN]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Commentary

http://www.recombinomics.com/News/01190905/H5N1_Hunan_Shanxi_H2H.html

[HenryN]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Updated map

http://maps.google.com/maps/ms?ie=UTF8&hl=en&msa=0&t=p&msid=106484775090296685271.00045fcd12b84ad3ac0d8&ll=33.504759,118.828125&spn=17.258579,29.663086&z=5

[AlaskaDenise]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Commentary

http://www.recombinomics.com/News/01...hanxi_H2H.html

Commentary

Hunan / Shanxi H5N1 Familial Cluster Grows to Four
Recombinomics Commentary 20:10
January 19, 2009


Speaking on condition of anonymity, told the staff of "financial" journalists, and the girl with the B in the area of separation zone, there are two suspected patients, both the girl's relatives.

The above translation describes the confirmed hospitalized case (2F) in Shanxi, as well as two relatives (see updated map). These confirmed or suspect H5N1 cases are in addition to the girl?s mother, who was said to have died with bird flu symptoms.

Details surrounding the infection, which was said to have originated in Hunan, and the status of relatives and contacts, which WHO describes as ?healthy?, remains cloudy.

The lack of transparency in China and in WHO situation updates remain hazardous to the world?s health.

.

[Commonground]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Shanxi avian flu in children with the mother suddenly died of suspected bird flu

Source: Overseas media [Date: 2009-01-19] [Font: Xinhuanet]



Shanxi recently confirmed a baby infected with highly pathogenic avian influenza cases, the children on January 17 was transferred to the Fourth People's Hospital in Taiyuan isolation and treatment, his mother passed away recently, the hospital highly suspected of being infected with highly pathogenic bird flu death.

Mother suddenly died of illness in children

Hong Kong's "Ta Kung Pao" reported the Chinese Ministry of Agriculture Information Office of the relevant person in charge on the 18th that occurred in Shanxi Province were infected with highly pathogenic bird flu, the Ministry of Agriculture immediately sent expert group rushed to the Shanxi and Hunan, and fully cooperate with the health department to properly carry out the poultry epidemic investigation and epidemiological investigations. According to report of the Expert Group, the current bird flu was found.

[Shiloh]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Source: http://72.14.205.100/translate_c?hl=...J7GGVCxHVllVBQ

Shanxi mothers of children with avian flu a few days ago, died due

January 17, Shanxi Province, Shanxi Province Health Department notified confirmed case of human infection of highly pathogenic avian influenza cases. 就此，两岁的女性患儿彭某成为山西省首个被确诊的人禽流感病例。 In this connection, two-year-old female children in Shanxi Province彭某become the first person who was diagnosed with bird flu.

某had been in the market exposed to the history of live birds." Yesterday, the Hunan Provincial Department of Health Emergency Office彭主任told reporters.


发病时，彭某尚随父母居住于湖南长沙市长沙县郊区，而她的一位亲戚则在附近一名为?圆梦灰埠?的市场从事活 禽生意。 Incidence when彭某with his parents still live in the outskirts of Changsha, Hunan Shaxian mayor, and one of her relatives in the vicinity of a "gray port Dreams" in the market engaged in live poultry business.


母亲已因?重症肺炎?去世 Mother had "severe pneumonia," the death of


就在彭某入院接受治疗之前数日，她的母亲刚刚离开了人世。 On彭某admitted to hospital a few days before, her mother had just passed away.


?她母亲于去年12月21日～26日有活禽接触史，12月28日、29日有轻微发烧，后因重症肺炎，于20 09年1月6～7日去世。? 彭主任告诉记者。 "Her mother last December 21 ~ 26 have a history of exposure to live birds, December 28, 29 there was a slight fever, due to severe pneumonia in January 2009 death of 6 ~ 7."彭主任told reporters . 感染高致病性禽流感的重症患者往往会出现肺炎等表现。 Highly pathogenic avian influenza infection in critically ill patients tend to show such as pneumonia.


但由于彭某母亲去世后没有留下样本，所以目前无法确诊是否因感染人禽流感而去世。 However, due to the mother after the death of彭某samples did not leave, so can not be confirmed whether the person had been infected with bird flu death.


母亲去世后，彭某也于1月7日发病。 The mother after the death of彭某also incidence of January 7. 1月11日，她随外祖父母回到山西，病情加重后就诊于山西省汾阳医院，经对症处理后无明显好转，于14日晚 被转至山西省儿童医院。 January 11, with her grandparents back to Shanxi, after the medical condition worsened in Fenyang Hospital of Shanxi Province, with no significant symptomatic improvement after treatment in the evening of 14 was transferred to Children's Hospital of Shanxi Province. 1月17日，她被送入专门收治人禽流感患者的太原市第四人民医院。 January 17, she was admitted to hospital who specialized in patients with avian flu in Taiyuan Fourth People's Hospital.

Children in a critical condition


据山西省卫生厅新闻办发布的消息，截止到1月19日12时，彭某目前病情危重，但生命体征尚平 稳。 According to Shanxi Provincial Health Department Information Office news release published until at 12:00 on January 19,彭某currently in a critical condition, but is still stable vital signs.


一位山西省卫生厅新闻办公室工作人员透露，山西省副省长张建欣于昨日上午去太原市第四人民医院看望患儿，并 要求卫生部门开展流行病学调查，严密监控与患儿密切接触者。 Shanxi Provincial Health Department, a news staff of the Office revealed that the vice governor of Shanxi Province yesterday morning to张建欣Taiyuan Fourth People's Hospital to visit children, and called for the health sector to carry out epidemiological investigation, strict monitoring of close contacts with the children .


据了解，2009年1月18日，省卫生厅已组织省疾病预防控制专家，继续深入曾收治患儿的山西省儿童医院和 现收治患儿的太原市第四人民医院，指导开展医务人员个人防护、院感控制及消毒工作。 It is understood that the January 18, 2009, the Provincial Health Department has organized the provincial disease prevention and control experts, continue to have treated children with Children's Hospital of Shanxi Province and Taiyuan City children are admitted to the Fourth People's Hospital, guiding the medical staff to carry out personal protection, the hospital is a sense of control and disinfection. 而农业部也迅速派出专家组赶赴山西和湖南，配合卫生部门进行家禽疫情排查和流行病学调查工作。 The Ministry of Agriculture immediately sent expert group also rushed to the Shanxi and Hunan, with the health sector poultry outbreak investigation and epidemiological investigations.


?与患儿彭某接触的人已经严密观察中，目前没有出现症状。?彭主任表示。 "彭某contact with children who have been close observation, there is no symptoms."彭主任said.

[Commonground]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Hunan, 16-year-old student in critical condition suffering from human avian influenza

2009-1-20 3:10:50

Core Tip: within half a month, the Chinese informed diagnosed four cases of human avian influenza cases, in addition to Beijing for the January 6 briefing outside, Shanxi, Shandong and Hunan in the January 17, 18 and 19 reported for three consecutive days three cases. Four cases, 2 deaths, 2 were in critical condition.

Within half a month, the Chinese informed diagnosed four cases of human avian influenza cases, in addition to Beijing for the January 6 briefing outside, Shanxi, Shandong and Hunan in the January 17, 18 and 19 for three consecutive days three cases reported . Four cases, 2 deaths, 2 were in critical condition.

8 will go to the incidence of Guizhou, Hunan

Hunan Provincial Department of Health informed yesterday, the province confirmed case of human infection of highly pathogenic avian influenza cases. Patients吴某某, M, 16-year-old students, who lives in the southeast of Guizhou, Guizhou Province. Patients January 8, 2009 the incidence in Guizhou whose condition had worsened in the January 16 Huaihua City, Hunan Province into hospitalization. Patient is now in a critical condition and are actively in treatment.

January 17, the Hunan Provincial Center for Disease Control and Prevention laboratory specimens of patient testing, the results for the H5N1 avian influenza virus nucleic acid positive; January 19, the Chinese Center for Disease Control and Prevention review of patient specimens for testing, the results for the bird flu virus nucleic acid H5N1 positive. Epidemiological survey found that patients had come into contact with dead poultry.

This is the fourth this year, confirmed cases of human bird flu cases. Beijing public health hotline that, in the event of unexplained fever, the patient must be timely medical treatment. If in serious condition after medical treatment, would make it relatively difficult for medical treatment, the incidence is relatively easy to initial treatment.

Shanxi mother killed children

Shanxi briefing on the 17th confirmed human bird flu patients for the 2-year-old girl, living for the city of Xiaoyi City, Luliang Prefecture, Shanxi Province. Taiyuan Fourth People's Hospital院办responsible person on the phone yesterday told China Morning Post reporter, the patient was transferred to the hospital on the 17th, is still severe wards, not convenient to disclose the specific circumstances.

According to the treatment of patients a nurse Shanxi Children's Hospital, said patients with the disease during the child's mother, developed a fever, in just four days after the death in Xiaoyi, the cause is not yet clear, but highly suspect that the Department of Hospital infection caused by highly pathogenic avian influenza.

On the suspected cause of death in patients infected mothers highly pathogenic bird flu, yesterday afternoon, the Information Office of the Ministry of Health of China Morning Post reporter, said: "We have taken note of the news. Now we are going to verify the business department, a new message, We will be announced immediately. "Health Ministry spokesman Mao Qunan told reporters yesterday confirmed that the verification of the relevant situation is.

At present, the treatment of patients with 2-year-old Taiyuan Fourth People's Hospital, also known as tuberculosis hospital in Taiyuan City in 2003, "SARS" period, was "atypical pneumonia" sentinel patient reception hospital.

Earlier, Beijing, a 19-year-old woman in the January 5 died of infection of highly pathogenic avian influenza; January 17, Jinan City, Shandong Province, a 27-year-old woman died of highly pathogenic avian influenza infection.

Authoritative interpretations

Recent cases of highly distributed no signs of large-scale outbreaks

According to Xinhua News Agency, Beijing, January 19 - Director of the Center for National Influenza舒跃龙an interview with reporters on the 19th that were sporadic cases of avian flu in our country there may occur, but there were no signs of large-scale outbreak.

China's recent few cases of human bird flu is highly distributed, and cases there was no link between this and previous incidence of basically the same. Through the people of China and the global bird flu analysis shows that in winter and spring is the season of high disease. This influenza virus on the heat-sensitive and insensitive to cold-related.

Statistics show that China's human bird flu cases more than 70% of the time focused on the incidence of winter and spring (November to March), in the region to the southern provinces of mainly rural than urban. In most cases prior to the onset of all, directly or indirectly, a history of exposure to dead birds, or go over the incidence of live birds markets, so far only one case of infection of unknown origin. [?]

舒 跃龙that the current virus isolation showed that the avian virus remains a source of speculation of people infected in China still comes from birds and pollution of the environment in the cycle of avian influenza virus.

"Now, the bird flu virus H5N1 in the route of transmission is still mainly a bird-human transmission, direct contact with dead poultry is the most common risk factors, consumption without further processing of poultry products are also potentially dangerous, for many cases, the visit the live poultry market is the only identified risk factors. "舒跃龙said.

To this end, he reminded the public, so as not to touch dead birds, not to eat dead poultry, reducing the chance of contact with live birds; at the same time to develop good personal hygiene habits, attention to be dealt with separately, such as Health and cooked food.

ETA: Original Link: http://www.dfdaily.com/node2/node21/...ai147930.shtml

[HenryN]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Updated map

http://maps.google.com/maps/ms?ie=UTF8&hl=en&msa=0&t=p&msid=106484775090296685271.00045fcd12b84ad3ac0d8&ll=34.597042,115.268555&spn=17.040909,29.663086&z=5

[HenryN]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Commentary

http://www.recombinomics.com/News/01200901/H5N1_Shanxi_H2H2H.html

[Rwilmer]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

According to this article from reuters both the mother and the child came into contact with poultry at a relatives farm. So maybe that is where they and the relatives got it from.

China vows harsh punishment amid bird flu scare
Mon Jan 19, 2009 11:16pm EST

Bird flu kills 1 in fresh outbreak

BEIJING (Reuters) - China has promised harsh punishment for illegal poultry sales after four recent bird flu cases, as a health official said the mother of a toddler infected with the avian virus had died of pneumonia weeks before.

Chinese health authorities on Monday said a 16-year-old boy from southern Hunan province was badly ill after contracting the H5N1 virus, the third case in as many days, and as millions of Chinese flock to poultry markets to buy food ahead of the lunar New Year holiday.

After not recording a case in almost a year, four human infections have been reported in the last two weeks. Two have died, and two remain in hospital.

The H5N1 flu remains largely a virus among birds, but experts fear it could change into a form that is easily transmitted among humans and spark a pandemic that could kill millions of people worldwide.

The mother of a two-year-old girl from southern Hunan, who was confirmed infected on Saturday and remains in critical condition, had died of pneumonia at the same time as her daughter developed a fever, the China Business News said in a report carried on major websites.

"Her mother had come into contact with live poultry on December 21-25. She developed a light fever on December 28-29, and then died of severe pneumonia on January 6 or January 7," the paper said, quoting an official within Hunan's Health Bureau.

The official said it was not possible to determine whether the mother had died after contracting bird flu, as there were no samples left behind after her death.

But both she and her daughter had come into contact with poultry through a relative's business at a local market outside of Changsha, the provincial capital, the paper said.

Peng Zaizhi, director of the emergency office within the Hunan Health Bureau, confirmed the report in a phone call to Reuters, but would not provide further details.

COLD WEATHER

Experts have said the new bird flu cases are not unexpected as the virus is more active during cooler months between October and March, but have also pointed to holes in surveillance.

The cases have prompted authorities to launch emergency checks on local poultry markets in several provinces of China where the cases have been recorded.

China's State Administration of Industry and Commerce instructed officials to "severely punish" illegal sellers of live poultry and bird flu vaccines, the Farmers' Daily, a state-run newspaper, said in a report posted on its website (www.farmer.com.cn).

"Severely crack down on the illegal sale of avian vaccines, unvaccinated poultry and poultry products that have died from illness," the paper quoted the industry regulator as saying.

In northern Shanxi province, where the two-year-old girl remains in hospital, authorities have ordered officials to man provincial border control stations around the clock to "prevent the infiltration of disease," the official Shanxi Daily said.

With the world's biggest poultry population and hundreds of millions of backyard birds, China is seen as critical in the fight to contain bird flu.

Since the H5N1 virus resurfaced in Asia in 2003, it has infected 391 people, killing 247 of them, according to World Health Organization figures released in mid-December.

At least 34 people have been infected in China, and 22 have died.

(Reporting by Ian Ransom; Editing by Nick Macfie and Sanjeev Miglani)
http://www.reuters.com/article/healt...090120?sp=true

[Laidback Al]

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

<o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PlaceType"></o:smarttagtype><o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PlaceName"></o:smarttagtype><o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="State"></o:smarttagtype><o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="City"></o:smarttagtype><o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place"></o:smarttagtype><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <wontGrowAutofit/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" LatentStyleCount="156"> </w:LatentStyles> </xml><![endif]--><!--[if !mso]><object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id=ieooui></object> <style> st1\:*{behavior:url(#ieooui) } </style> <![endif]--><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} </style> <![endif]-->Hunan/Shanxi Cluster 2009

Location of initial infection: Changsha, Hunan (see post 69)

1. (Not confirmed) Index Case. Adult female. Onset: December 28-29, 2008. Died: January 6-7, 2009

2. (Confirmed) Daughter of Index Case. Peng 彭某 (2F). Probably infected in Changsha, Hunan. Onset: January 7, 2009 in Xiaoyi City, Luliang Prefecture, Shanxi Province. The girl was taken here by grandparents from Changsha probably on or about January 6-7 or on January 11, 2009

3. Relative #1 of Peng 彭某 currently hospitalized in Taiyuan Fourth People's Hospital (see post 61) http://www.flutrackers.com/forum/sho...1&postcount=61

4. Relative #2 of Peng 彭某 currently hospitalized in Taiyuan Fourth People's Hospital (see post 61) http://www.flutrackers.com/forum/sho...1&postcount=61

Note: Cases 3 and 4 would have been infected in Shanxi Province.