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

[sharon sanders]

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

Further evidence that Peng's mother likely to have died from bird flu. Also, treatment plan that saved Peng mentioned.


2009-03-10

<founder-content> </founder-content>Highly pathogenic avian influenza this person's word is a mouthful, for just in the area of separation birthday Spend three small PENG (a pseudonym) is obviously too high, so even though she almost died.

For the domestic youngest person of highly pathogenic bird flu, Health Minister Chen Zhu told Shanxi specialized aspects "at all costs for medical treatment."

From admission to the critically ill and then recovered, and hundreds of man-made travel PENG busy. 21 days, across both the old and the new Lunar New Year, but also across the life and death and beyond something.

Observation period is still

Since cold temperature, in Shanxi Province by the end of February is still cold.

Shanxi Xiaoyi City Indus Village before the town is home PENG's Grandpa.

Su Fang, director of the village health clinic every day to do door-to-door check for PENG, Xiaoyi City People's Hospital's experts also regularly follow-up to the village.

Discharged February 3, the PENG good body no longer has a fever cold. A few days ago, Grandpa and Grandma go to the city with PENG two chest X-ray film, the situation is normal.

PENG has at least six months observation period, every month, wanted to go to Taiyuan Fourth People's Hospital, a review by local doctors and nurses Xiaoyi special vehicles, the journey around 2 hours.

Observation period was not strict requirements, and hospitalization ago, PENG life has been little change. PENG worried because playing much running will cough, originally strapped teeth Grandpa and grandma one, spent more than 800 yuan bought a electric toy car. PENG but only occasionally to play a while, more often and Sisters is still rough, happy when sisters hold each giggle. Only in the face of a stranger when, PENG will shrink to Grandpa behind, carefully looking at each other.

Master of avian flu infection, PENG also under the age of three, is the person currently known avian flu patients, the youngest one. At the same time, she is also infected early eight patients, one of the earliest rehabilitation. The remaining seven patients, only 2 people eventually recovered.

PENG does not know these, it would not care about. She was concerned that when the mother returned with her, when Hunan PLAYING again.

Years ago, the pro tour in Hunan Province, to her and her family brought about by the disaster, are the three-year-old girl in any case can not be clearly known and understood.

Suspected bird flu

。

End of last year, PENG Yan-Mei He Weifang mother with two daughters went to Changsha, to visit his father at home job. except to accompany his mother went to market, and to do business aunt live rice, PENG how little out of the house, which was not quite satisfied with her.


New Year's Day after his grandma and Grandpa suddenly came to Changsha, PENG put back to Shanxi.

This is because HE Wei Mei (mother of Peng -Fla1) suddenly fell ill was admitted to hospital where he died a week after the announcement, the hospital's diagnosis was "severe pneumonia with acute respiratory distress syndrome."


To make matters worse, PENG also begin fever. Back in Shanxi, the disease more and more serious, Grandpa He Hangen cloud that a child is just beginning on the road with tired, and can be PENG situation does not improve. Several urban areas in the village and hospital treatment is not effective after January 14, HE Han-yun and his wife to hurry with the granddaughter of the provincial capital Taiyuan.


6:00 that evening, PENG was admitted to Children's Hospital of Shanxi Province. The chief physician on duty KANG Yu Zhang recalled that at the time the immediate girls pale gray hair, lips purple, and dull eyes, breathing shallow and promote, and even have no response to an acupuncture treatment.

KANG Yu Zhang hastily asked 25-year executive director of the Medical Hao-ping. From the chest, the lung inflammation PENG extremely serious: white shadows of the lungs accounted for two-thirds of the total area, nearly half of the loss of respiratory function.

Grandpa talk He Hangen cloud at the side of the family misfortune. When it comes to the child's mother a week ago of pneumonia at the time of the death of Hunan, vocational-sensitive so that the two doctors called to the elderly.

“

"The child and her mother come into contact with live birds吗?"

"Come into contact with, PENG's aunt on the sale of chickens and ducks in the live poultry market."

People highly pathogenic avian influenza? KANG Yu Zhang said that when she and to look for a long time, chilling.

Check-SARS wards

Easy to discuss a bit, two doctors immediately reported to the Medical Service hospital immediately PENG quarantine measures taken, to the pediatric emergency center 100,000 to clean up the air pressure isolation wards, on the full range of emergency care equipment.

Ex post facto analysis of the Ministry of Health experts believe that the reason why PENG can receive timely treatment and rehabilitation, first of all, thanks to early detection, from admission to isolation was found to less than two hours.

Children's Hospital, director of leadership and the department have been recruited through the night to discuss the emergency hospital, diagnosed as pneumonia of unknown causes, that is people-specific SARS and bird flu, people are one of a high degree of suspicion of avian influenza. This conclusion promptly report to the Shanxi Provincial Health Department Emergency Response Office.

Early the next morning, all the best medical experts in Taiyuan has been organized for a second consultation PENG. After a comprehensive analysis, the Group believes that children with symptoms of pneumonia of unknown causes in line with the standards, the network agreed to direct the Ministry of Health reported.

January 15 afternoon, Shanxi Province Health Department of Health announced the launch emergency plan to respond to two. That night, PENG blood, it kind of secretion samples and related directly to Beijing.

Ministry of Health dispatched two experts - Beijing Children's Hospital Professor Qian Suyun, First Hospital, Peking University Professor Wang Guangfa emergency "airborne" Taiyuan, meanwhile brought 100 milliliters Kexing Chinese companies and disease control of R & D-specific antibodies in plasma, In addition, the antiviral drug Tamiflu have effects. Later, the results proved that the plasma in the treatment process has played a good role.

January 17, the Ministry of Health Office emergency response communications: Chinese Center for Disease Control and Prevention and the Chinese Academy of Medical Sciences of Shanxi censorship "unexplained pneumonia cases" Detect review samples, the results for the H5N1 avian influenza virus type, the cases of human infection confirmed cases of highly pathogenic avian influenza.

According to the deployment of Health Department of Shanxi Province, Taiyuan PENG was emergency transferred to the Fourth People's Hospital emergency ward. This has more than 70 beds are in the building board room during the SARS emergency built, known as the "Shanxi Xiaotangshan." When the last SARS patient discharged from hospital cured, it no longer stationed in sick, in addition to regular disinfection, perennial locking gate.

6 years after the SARS isolation wards have been re-enabled.

Injection of "Wahaha"

Children's Hospital of Shanxi Province, Liu Ke, deputy director of respiratory led war, and the Ministry of Health, Taiyuan four hospital peer together to form, including first aid, respiratory, radiology, paediatrics, nursing, etc. 15 person team of experts.

However, including the Ministry of Health experts, no one met the exceptional cases of avian flu. Liu Ke-war was described as "feeling the stones across the river", "treading on thin ice", each time to fine-tune treatment program, must go through the Group of Experts argued repeatedly to take effect, then a lot of decisions are made at great risk of .
Think because of being easy to use at the problem, broad-spectrum antibiotic was the first suspension. Soon, in the use of hormones on the Group of Experts had heated discussions. Diagnosis and treatment of atypical pneumonia in the previous on domestic hormone had been caused by improper use of sick "femoral head necrosis" and other sequelae. PENG, taking into account only 3 years old, hormone dosage was gradually have consciously stopped.

Liu Ke-war said that the treatment of another key point, the patients are the implementation of the "moderate" respiratory support, that is, from top to bottom in the control of oxygen for the effort, it is necessary to meet the physical needs, but also to eliminate the use of breathing machine to the patients hazards.

Treatment of early, PENG has refused to eat, the Group will move to the book read literacy PENG him, "What to eat? Ice cream? Milk? Wahaha?" When the reference to "Wahaha" when there is feebly PENG locations of the nod. The next two days, using injection needles collected PENG Wahaha calcium milk became the main diet, appetite stimulation, through a child's desire to survive.

The Group believes that nutrition support can be provided for the treatment of much help to restore digestive function the first time, be able to quickly put nutrition to keep up with the years, in fact, any transfusion are the recovery of gastrointestinal function can not be replaced on the body to help.

To pay
At the same time, Taiyuan, Luliang city activated the human avian influenza contingency monitoring, reporting and implementation of epidemicd ay. 67 close contacts have also been isolated, beginning a sustained 15-day medical observation. HE Han-yun on one side of the isolation wards, totally do not know the world outside. In order to meet granddaughter, burning several attempts from jumping through the window of the elderly, health care workers were finally persuaded under.

January 20, held at the Ministry of Health Human bird flu prevention and control work on television and telephone conference, Health Minister Chen Zhu, in particular regard to the Shanxi told: at all costs for medical treatment in children, children with treatment successful, will the National Human bird flu prevention and control work has great significance.

Price quickly emerged - PENG admitted at the news, Children's Hospital of Shanxi Province and Taiyuan Fourth People's Hospital Outpatient Visits rapid decline, and even less than one-third of the same period last year.

S

hanxi Province Health Department director of high Guoshun commented that this is the price, are to pay.


Eventually recovered and were discharged

3 days later, after a group of experts carefully rescue, PENG start of the vital signs gradually stabilized.

。

Experts in private joke, saying that it remanded back to betting yes.
PENG state of getting better. A few days, she has been accustomed to watch the wearing think can only see the eyes of the people begin to see father mother exclaimed.

Liu Ke Zhan and his colleagues take turns waiting, and the development of early psychological intervention plan, to accompany PENG play chat, and enhance her sense of identity. Later, PENG direct isolation wards where male doctors called the "father", female doctors and nurses called "Mother."

However, the risk may occur at any time. LUO Hong-rounds in a Doctor inquiry, PENG suddenly cough up, droplets of the LUO Hong-splashed face. First time wards silence, all terrified, hastened to allow Tamiflu dose LUO Hong prevention.

Then a few days, even if the cessation of oxygen PENG can and "mother" are playing, no longer coughing, lungs mutant images show obvious absorption, increasing the normal indicators of the signs.

Ministry of Health experts early withdrawal.

Chinese New Year's Eve evening, the night shifts round the head nurse does not remain in the hospital accompanied Lei PENG Chinese New Year.

PENG three are the first two days the first month birthday, where all those involved in health care workers have to get together for PENG bought a variety of toys and gifts at ward installed colorful lanterns, the hospital also bought specially give PENG birthday cake.

Zhang Lei, a smile recalled that PENG only eyes before looking at the "father", "mother" who playfully asked: "Why do not you mouth? how you?" Comparison of PENG Gang admitted to hospital at the time of appearance, Zhang Lei said that she felt very happy.


February 3, at 21 days after admission, in accordance with the criteria established by the Ministry of Health, PENG was declared recovered and been discharged. Guoshun high up in the farewell ceremony, said the rehabilitation of PENG that people bird flu is preventable and governance.

Has been hiding in the corridor of Zhang Lei is very sad, because after take off small PENG actually did not recognize her, not her mind. Until she gently shouted the name PENG, PENG only excitedly shouted "Zhang mother," quickly came running Zhang Lei's bosom.

Zhang Lei no longer could, tears eyes. Call him a lover of the phone, loudly exclaimed: "I want children." Reporter Dong Tang

更多精彩内容请登录京华网( www.jinghua.cn )

More exciting content, please log in jinghua Net (www.jinghua.cn)

http://epaper.jinghua.cn/html/2009-03/10/content_399595.htm

[sharon sanders]

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

No matter wherever, how life, the three-year-old girl after an adult should always remember: The avian flu hideous brutal death threats, the provincial party secretary Zhang Baoshun, governor Wang Jun's揪心about, health care Healing Hands, Shanxi 34,000,000 fully rescue the people
长沙省亲身染重疾
Changsha, the provincial disease re-infected person

几地辗转省城求命
Several places around the provincial capital for life

1月14日晚6时许，省儿童医院主任医师张康玉正在值班。



January 14 evening 6 pm, Children's Hospital Director Dr. KANG Yu Zhang was on duty.
如常一样，她静坐诊室，接受患者和家属的询问。



As usual, she staged a sit-clinic, patients and their families to accept queries.

一对年近六旬的老夫妇匆匆走了进来，眼神绝望，脸色惊惧，怀中抱了一个3岁小女孩。



A pair of near六旬years old and his wife hurriedly walked in, eyes desperate, terrified face, arms, hold up a 3-year-old little girl.
老者来自孝义市梧桐镇前营村，小女孩是其外孙女，名叫彭杰。



Carers from the town of the former Indus Xiaoyi City Village, the little girl is the granddaughter named PENG Jie.

张康玉赶紧查看，见病情危重，且异于一般肺炎，遂请示执医25年的郝国萍主任。



KANG Yu Zhang hastened to see, see in a critical condition, and different from general pneumonia, was asked 25 years of executive medical director of Hao-ping.
郝主任望闻问切一阵，看见胸片上大块白色阴影，症状与大病灶肺炎极其相似。



Wang Wen郝主任a tangential question, see the chest on the large white shadow symptoms with lesions very similar to pneumonia.

两位大夫边看边想边说，患儿外公贺汉云的一句话如晴空霹雳，炸得她们脑袋嗡嗡直响。



The two doctors think the corner edge and watching, children with grandfather He Hangen word cloud skies such as Thunderbolt, blow their brains buzzing straight ring.

“闺女尸骨未寒，求求你们救救我外孙女。”
"尸骨未寒daughter, beg you to save my granddaughter."

俩人回过神来，一面给老人压惊，一面慢慢问询。



Both recovered the one hand, give the elderly压惊while slowly inquiries.
原来，老人女婿是湖南人，在长沙市谋生，其女贺文梅去年年底携外孙女彭杰南行省亲。



In fact, son-in-law are elderly people in Hunan Province in Changsha City to make a living, the female end of last year, Wen-Mei Pang杰南granddaughter portability省亲line.
元旦那天，贺文梅洗了个澡，不意竟身染重症肺炎，仅一周便撒手人寰。



New Year's Day, Wen-mei wash a bath, body staining was unexpectedly severe pneumonia, then died just one week. (mother - Fla1)
白发人送黑发人已痛不欲生，1月7日，小彭杰又开始发烧。



White people sending black people have pain, January 7, small PENG Jie fever began.
辗转回到孝义，贺汉云带着外孙女村里、市里跑了好几家医院，体温有增无减，病情也无好转，只好 急急赶赴省城 。



Drifted back to Xiaoyi, HE Han-yun granddaughter with the village, the city ran several hospital, the temperature increasing, the disease has no turn for the better, had no choice but to hurriedly rushed to the provincial capital.

“孩子和她妈妈接触过活禽吗？”
"The child and her mother live birds come into contact with it?"

“接触过，彭杰的姑姑就在活禽市场卖鸡鸭。”
"Come into contact with, Peng Jie's aunt on the sale of chickens and ducks in the live poultry market."

H5N1型？
H5N1-type?
！
!
人禽流感？
Human bird flu?
！
!
郝国萍、张康玉不寒而栗。
Hao-Ping, Zhang KANG Yu shudder.

呼吸急迫已近衰竭
Respiratory failure is almost imminent

死神阴影悄然降临
Bleach shadow falls quietly

当晚8时，省儿童医院召开应急专家组成员会议，邱运树、张镁硒、姚建宏、李润森、李亚蕊等放下 手头所有事项 ，急忙赶到医院。



8:00 that evening, the Provincial Children's Hospital, members of the Expert Group to convene emergency meetings, Chiu Shu-Yun, Zhang magnesium selenium,姚建宏,李润森, Li Rui, such as down-on-hand in all matters, rushed to hospital.

院长白继庚亲自主持了会议和会诊。



President of Belarus following the G personally presided over the meeting and consultation.
作为省内知名的儿童医学专家，从接到报告起他就隐隐有种不祥之兆，知道“问题很严重”。



As a province famous children's medical experts, he received a report from the faintly foreboding feel, know "very serious problem."

他脑袋里装着一些恐怖数据，尖嘴利齿，张牙舞爪：2003年，国内首次报告人感染高致病性禽流 感病例，至2 009年1月中旬，全国累计报告31例确诊病例，20例死亡，死亡率高达64.5&#37;。



His head containing a number of terrorist data, pipefish利齿, rear its ugly head: In 2003, the first report of human infection with highly pathogenic avian influenza cases, to mid-January 2009, a total of 31 confirmed cases, 20 deaths , the mortality rate as high as 64.5%.
现在患者又是一名幼儿，抗病能力弱，千里奔波，染病已整整一周。



Patients are now also a very young, weak resistance, thousands of miles around, the disease has been a whole week.

会诊室灯光如昼，专家组神情专注地研究着，心却一点点黯淡下来。



Council surgeries such as day lighting, the Group looked forward to focus on research, heart has a little bit bleak down.
人的常态血氧分压值为98mmHg，最低60mmHg，已隔离处置的小彭杰只有54mmHg， 迫近呼吸衰竭 指标；而既往数据显示，人禽流感确诊患者，死亡时间在发病后的第8至13天，这个可怜的3岁女 孩现在已高烧 、咳嗽7天。



Human normal blood pressure value of 98mmHg, the minimum 60mmHg, has been isolated only dispose of small PENG Jie 54mmHg, indicators of impending respiratory failure; and previous data show that people diagnosed in patients with avian influenza, the incubation time of death after the first 8-13 days, the poor 3-year-old girl is now a high fever, cough for 7 days.

两小时后，专家组根据患儿的病情、各种检查数据及生活史，初步诊断为不明原因肺炎。



Two hours later, the expert group in accordance with children's illness, a variety of inspection data and life history, a preliminary diagnosis of pneumonia of unknown causes.
白继庚命令迅速报告省卫生厅应急办公室。



Bai Ji-G command prompt report of the Office of Provincial Health Office of Emergency Response.

卫生厅长彻夜部署
Director of the deployment of hygiene through the night

山西北京通联不断
Shanxi and Beijing Communications constant

是夜，省卫生厅厅长高国顺几乎通宵未眠，天快亮时才打了个盹。



Are night, the provincial health department high Guoshun almost did not sleep all night, only caught天快亮doze.

他知道，小彭杰已危在旦夕，生还机会无多，必须争分夺秒；他也知道，人禽流感的发病机理、传播 方式、治疗手 段等，全球尚无定论，只能参照不多的经验救治；他还知道，春节脚步渐响，气息渐浓，人禽流感的 阴霾须尽早驱 散。



He knows that small PENG Jie has been at stake, the opportunity to free many survivors must race against time; him also know that people of avian influenza pathogenesis, modes of transmission, treatment means, the world can not be determined only by reference to the experience of small treatment; him also know that the gradual pace of Chinese New Year ring, air is getting stronger, people have to bird flu as soon as possible to disperse the haze.

一道道指令在夜色中和寒风里传送出去：严密监控、全力救治患儿；组织省城最好的专家进行二次会 诊；召开厅长 办公会研究部署防控工作；将患者病情通过网络直报卫生部；成立卫生厅人禽流感防控工作领导组… …



Road instruction together in the darkness and cold where sent: close monitoring, the full treatment in children; organization the best experts in the provincial capital of secondary diagnosis; held office director will examine the deployment of prevention and control work; to patients directly through the network reported that the Ministry of Health ; the establishment of Health Department Human bird flu prevention and control work of the leadership of Group ... ...

一切都很匆忙，但并不紊乱。



Everything is rushed, but it does not disorder.
高国顺说，这主要是遭遇了2003年“非典”劫难后，省委、省政府坚持“以人为本”的执政理念 ，高度重视我 省的医疗卫生工作，投入巨额资金，建立健全了卫生应急机制和队伍，突发公共卫生事件一旦发生， 机制即刻运转 ，机构马上启动，人员来则能战，战则能胜。



Gao Shun said, This is mainly encountered in 2003 are "atypical pneumonia" after the catastrophe, the provincial government insist on "people-oriented" governance philosophy attaches great importance to our province's medical and health work, invest huge amounts of money, establish and improve the health emergency response mechanism and team, the event of public health emergencies, mechanisms operate immediately, institutions to start immediately, staff are able to warfare, warfare can win.

次日上午，山西医科大学第一、第二医院和省儿童医院多名专家再次会诊，诊断结果为：双侧大病灶 肺炎（不明原 因肺炎），不能排除人禽流感。



The next day morning, Shanxi Medical University First, Second Hospital and Children's Hospital once again more than the experts consultation, diagnosis was as follows: large lesion with bilateral pneumonia (pneumonia of unknown causes), people can not be ruled out bird flu.
情况再次网报卫生部。
Again reported that the Ministry of Health network.


疾控中心三箭齐发
CDC three-pronged arrow hair

车队队长单骑赴京
Riding Alone Beijing team captain

15日中午12时多，省疾控中心主任栗文元刚回到家中，“彭杰可能是人禽流感患者”的电话就追了过 来。



At 12:00 on the 15th many provincial CDC director Li Wenyuan, just go home, "Peng Jie possible bird flu patients who are" chasing the phone over.
作为一名多年从事应急工作的领导，他马上意识到事态的严重，立即放下手中碗筷，急速赶往单位， 部署各项工作 。



As an emergency job for many years engaged in the leadership, he immediately aware of the serious situation, go immediately to lay down their hands, rushed to the rapid units, the deployment of the job.
从那时起，他和参与的同志直到17日确诊都没合过眼。



From then on, he and the participation of comrades on the 17th until the diagnosis had not Hop eyes.

他将“兵马”分作三路，一路火速赶往省儿童医院采集患者呼吸道标本，一路快速展开流行病学调查 ，一路始终与 国家疾控中心保持联络沟通。



He will "bing" was categorized into three road all the way at top speed went to the Children's Hospital patients with respiratory tract specimens collected, all the way to start the rapid epidemiological investigation, all the way and always keep in touch with the CDC National communication.

左素俊和高雪芬是奉命在第一时间到达省儿童医院进行流行病学调查的。



Zuo Xue-fen Su-jun and are instructed to arrive at the first Children's Hospital to conduct epidemiological investigation.
当天的省儿童医院像平常一样人满为患，十分忙碌；患者疼痛哭闹，家属心情糟糕。



Children's day hospital overcrowding as usual, very busy; crying pain patients, family members feel bad.
两人克服各种困难，耐心细致地了解病后情形，比如什么时间呆在什么地方，和哪些人有过接触等等 ，拿着本子仔 细记下来，并一遍遍核实。



Both overcome various difficulties, be patient and meticulous understanding of disease situations, such as what time to stay where you are, and what people have been in contact and so on, holding down the book carefully and repeatedly verified.

一直到晚上，包括首次疫情报告在内，省疾控中心连续向上级部门发出了四份疫情报告。



Until the evening, including the first report into the outbreak, the provincial CDC straight to the higher authorities issued four reports epidemic.

忙碌了七八个小时，竟然谁都没想起吃饭。



A busy 78 hours, no one even think of eating.
好不容易松了口气，国家疾控中心的电话又打过来，要求将标本送北京进行复核检测。



Finally breathed a sigh of relief, the State CDC fight over the phone and requested review samples sent to Beijing Detect.


为最大可能检测到病原，他们再一次披挂起来，驾车一路打着双闪杀奔省儿童医院，采集了对诊断具 有重要意义的 深部呼吸道标本。



To the greatest extent possible to detect pathogens, they once again go up, driving all the way under the banner of dual flash杀奔Provincial Children's Hospital, collecting a great significance in the diagnosis of deep respiratory specimens.
由于运输传染性疾病标本必须取得卫生部许可证，省疾控中心紧急向卫生部提出申请，双方电话、传 真不断。



Specimens because of the transport of infectious diseases must obtain a permit the Ministry of Health, provincial CDC emergency application to the Ministry of Health, the two sides telephone, fax continuously.

等一切准备妥当，已是翌日凌晨4时20分。



All ready for the next day is already 4:20.
车队队长刘锐吃了点零食，把一盒方便面扔到车上，旋即启动，冲进茫茫夜色。



Team captain Liu Rui eat snacks point, put a box of instant noodles into the car, soon to start, rushed into the vast darkness.

书记省长多次批示
Secretary of the governor repeated instructions

不惜代价全力救治
The full treatment at all costs

16日上午11时，刘锐星夜兼程赶到国家疾控中心的同时，卫生部紧急抽调的两名专家——北京儿童医 院钱素云 教授、北京大学第一医院王广发教授也“空降”太原参与到救治中。



At 11:00 on the 16th, Liu Rui CDC starry night and hardships of the country arrived at the same time, the Ministry of Health emergency deployment of two experts - Beijing Children's Hospital Professor Qian Suyun, First Hospital, Peking University Professor Wang Guangfa also "airborne" to participate in Taiyuan to the treatment of.

而就在同一时间，省委、省政府值班室的电话铃声骤然响起，报告小彭杰病情进程的传真也接踵而至 。



And at the same time, the provincial government office the phone rings suddenly sounded, the report of small PENG Jie disease process is also followed by fax.
刚刚参加完省十一届人大二次会议闭幕会的省委书记张宝顺、省长王君，第一时间获悉了病情和救治 情况。



Take part in the province has just finished the Second Session of the Eleventh National People's Congress closing session of the provincial party secretary Zhang Baoshun, governor Wang Jun, the first time informed that the condition and treatment of the situation.

在抢救小彭杰的20天中，张宝顺、王君一直关注着进展情况，心始终与这个孱弱的女孩连在一起， 即使因公外出 ，也再三叮嘱卫生部门不惜一切代价，全力进行抢救。



PENG Jie in the rescue of a small 20 days, Zhang Baoshun, Wang has been watching the progress of the heart is always with the weak link of the girls, even going out not for duty, but also urged the health sector at all costs, all-out rescue.
18日上午，远在天津市的张宝顺书记批示：“卫生厅高度重视，启动应急预案，加强流行病学调查分析 ，严密监 控患者密切接触者，查清原因，防止扩散，在专家指导下全力救治患者，同时要做好医护人员自身防 护工作。”



Morning on the 18th, well in Tianjin Zhang Baoshun, secretary of the instructions: "Health Department attaches great importance to start the emergency plan to strengthen the epidemiological survey analysis, closely monitor close contacts of patients, further investigation to prevent the proliferation of experts under the guidance of the full treatment patients, while health care workers to do the work of self-protection. "

王君省长则要求“相关部门、相关人员落实好紧急会议议定的各项措施，每天召开一次碰头会议，及 时了解疫情和 病人救治情况，分析新情况，解决新问题。”并于20日召开禽流感防治工作专题会议，研究部署人 禽流感防治工 作。



Wang governor called "the relevant departments, relevant staff and implement an emergency meeting of the measures agreed upon to convene a meet daily meetings to keep abreast of the disease and patient treatment and to analyze new situations and solve new problems." And on the 20th Avian influenza prevention and control work to convene a special meeting to study the deployment of human avian influenza prevention and control work.

16日新当选的两位副省长分别主持召开了全省人禽流感防治工作紧急会议和指挥部紧急会议，并启动重 大突发公 共卫生事件Ⅱ级应急响应和应对人感染禽流感应急预案。
16



The two newly elected vice governor of the province respectively hosted the Human bird flu prevention and treatment of an emergency meeting and command an emergency meeting and launched a major public health emergencies Ⅱ-class emergency response and respond to people infected with bird flu contingency plan.
刘维佳到晋中市平遥县检查防控工作，并深入到县疾控中心、国青同盈禽业有限公司等，落实防控情 况；其间，张 建欣两次到医院看望患儿，慰问医护人员，指导救治工作。



Jinzhong刘维佳to inspect the prevention and control of the city of Pingyao County, and depth to the county CDC, Guoqing with the surplus in the poultry industry Co., Ltd. and so on, the implementation of prevention and control of the situation; the meantime,张建欣twice to the hospital to visit children, condolences to health care workers, guide treatment.

小彭杰转院“小汤山”
PENG Jie transfer small "Xiaotangshan"

大专家摆开大战场
Experts from major battleground swing

担心在17日凌晨不幸成为现实。
Worried in the early morning on the 17th, unfortunately, become a reality.

卫生部应急办紧急通报：中国疾病预防控制中心和中国医学科学院对山西省1月16日送检的“不明 原因肺炎病例 彭杰”的标本进行复核检测，结果为禽流感病毒H5N1型，该病例为人感染高致病性禽流感确诊病 例。



Emergency operators informed the Ministry of Health emergency: Chinese Center for Disease Control and Prevention and the Chinese Academy of Medical Sciences of Shanxi Province, January 16 censorship "unexplained pneumonia cases Peng Jie" review of the specimen testing, the results for the H5N1 avian influenza virus type, the case human infection of highly pathogenic avian influenza confirmed cases.

传真轻轻飘然来，所有人心里都重重一颤，知道真正的考验来了。



Fax gently floating in the air, the hearts are heavy一颤all know the real test came.
省防控领导组随即决定将彭杰转移至太原市第四人民医院救治。



Prevention and control of the leadership group of the province decided to PENG Jie was transferred to Taiyuan Fourth People's Hospital for treatment.

太原四院是2003年“非典”肆虐最盛之际，省城抢建的收治“非典”患者的专门医院，当时有“ 山西小汤山” 的称号，后成为特殊传染病的定点和后备医院。



Taiyuan four homes in 2003 are "SARS" outbreak height, the provincial capital built admitted robbing "atypical pneumonia" in patients with a specialized hospital, then have "Shanxi Xiaotangshan" title, the latter as a unique fixed-point and reserve infectious diseases hospital .
自最后一名“非典”患者康复出院后，5年多时间医院大门紧闭，一直处于备战状态。
Since the last one "atypical" patients recovered and were discharged after 5 years hospital gate closed, has been in a state of readiness.
这天，院长范梦柏接到通知后，马上宣布进入“战备”状态，相关医护人员和后勤服务人员各就其位 ，各司其职， 紧张忙碌起来。



That day, President of the Fan Dream Parkinson, after receiving the notice, immediately declared a "combat readiness" status, relevant medical and nursing staff and logistical service personnel their positions, each in their busy nervous.

转运准备工作细致入微。
Transshipment nuanced job preparation.
全省仅有的两辆负压救护车，其中一辆从忻州市紧急调来，车上配备了无创呼吸机、输液泵、耗材和 生活用品等， 以刘克战为组长的7人医护小组同车进行医疗保障。



The province only two negative pressure ambulances, one of an emergency transfer from Xinzhou city, the car is equipped with a non-invasive ventilator, infusion pumps, supplies and daily necessities to Liu Ke-head battle for the health care of 7 people group medical insurance with the vehicle.

中午时分，患儿转运至太原市第四人民医院，来自卫生部、省儿童医院、太原四院，包括急救、呼吸 、放射、儿科 、护理等方面的15人庞大团队同时到位，全天候监护，会诊会治。



Noon, the children transfer to Taiyuan Fourth People's Hospital, from the Ministry of Health, Children's Hospital, Taiyuan four homes, including first aid, respiratory, radiology, paediatrics, nursing, etc. 15 people at the same time a large team in place, all-weather monitoring, consultation will rule.

特效药救治特殊人
Medicine for treatment of special people

新方法解决新难题
A new method to solve new problems

小彭杰前脚“入住”隔离病房，北京专家后脚便携带着100毫升特异抗体血浆和特效抗病毒药物达 菲风尘仆仆抵 达太原。



PENG Jie foreleg small "Check" isolation ward, Beijing experts portable rear foot with 100 ml of specific antibodies in plasma and effects of antiviral drugs Tamiflu arrived arrived in Taiyuan.
联合专家组进行了4个多小时的检查和会诊后，决定给患儿输入特异抗体血浆。



Joint Group of Experts had more than four hours of examination and consultation, we have decided to give children with the importation of specific antibodies in plasma.
事后证明，这种药物治疗禽流感颇为有效。
Later proved that the drug treatment of avian flu to be effective.

人禽流感治疗属世界性难题，目前尚无科学、有效的方法。



Human bird flu treatment is a worldwide problem, there is no science, and effective method.
专家组只能摸索前行，每走一步都提心吊胆，如履薄冰。



Group of Experts can only find out before, each step are on tenterhooks, on thin ice.
他们每两小时通报一次病情变化，上下午各查一次病房，每一次救治方案的调整均须经过反复论证、 联合签字才能 生效。



They informed the first two hours of each condition changes, on the afternoon of the first ward of the investigation, every treatment program are subject to adjust repeatedly argues that the United signature to take effect.

专家组面对着许多道旋转的门扉，何去何从，间不容发又不允许有毫厘差错。



Group of Experts on the face of much Road rotating doors, where,间不容发also not allowed to have the least bit error.
所幸天不负人，无数次讨论、争辩的结果是，他们每一次都做出了正确选择，以致这场类似美国大片 《拯救大兵瑞 恩》一样惊心动魄、耗时20天的战役结束后，所有人都连呼“幸运”。



Fortunately, people trust days, numerous discussions, to argue the result is that every time they made the right choice, so that large areas of the United States similar to the "Saving Private Ryan" the same soul-stirring, time-consuming 20 days after the end of the campaign, all连呼"lucky."

他们使用的抗击人禽流感恶魔的方法包括——
They use people to fight bird flu, including Ways devil --

停用广谱抗生素：该药在预防和治疗感染方面能发挥很大作用，使用不当又很容易出问题；



Disable the broad-spectrum antibiotic: the drug in the prevention and treatment of infection can play a significant role, are also easily the problem of inappropriate use;

减少使用激素：诊治“非典”患者时，曾出现过使用不当导致病人“股骨头坏死”等后遗症，这次患 者只有3岁， 需慎之又慎；



To reduce the use of hormone: diagnosis and treatment of "atypical" patients, there had been improper use of sick lead "femoral head necrosis" and other sequelae of the patients with only 3 years old, to be cautious;

“适度”呼吸支持：氧气供给既要满足身体需要，又必须杜绝使用呼吸机对患者造成的伤害；



"Moderate" respiratory support: oxygen supply it is necessary to meet the body's needs, and it must put an end to the use of patients with ventilator-caused injury;

用进食刺激肠胃功能恢复：任何输液都替代不了肠胃功能恢复对身体的帮助，它不仅有理论依据，更 能刺激患者的 求生欲望。



Used to stimulate the consumption of gastrointestinal functional recovery: Any infusion are gastrointestinal functional recovery can not be replaced on the body to help, not only has the theoretical basis, can stimulate the patient's desire to survive.

第二战场拉网排查
Second Battlefield dragnet investigation

第一时间清除隐患
The first time to remove hidden dangers

医护人员争分夺秒抢救小彭杰的同时，三晋大地由南而北、由西向东开辟出另外一个更大的战场，防 控人禽流感的 外围战役全面打响。



PENG Jie race against time to rescue a small medical staff at the same time, Shanxi earth from south to north, from west to east to open another of a larger battlefield, Human bird flu prevention and control of the periphery of a comprehensive campaign started.

有人不以为然，觉得小题大作。

Someone did not think that fuss.
但省防控领导组知道，医学界对人禽流感正式传播渠道目前尚无准确界定，人与人间是否互相传播还 有争议，因此 本着对人民群众生命安全高度负责的精神，宁信有，不信无，决定动用所有力量，消除一切隐患，让 全省人民过一 个欢乐、祥和的春节。



However, the prevention and control of the leadership group of the province know that the medical profession on the person a formal channels of transmission of avian flu there is no precise definition of inter-human spread of whether there are disputes with each other, so the spirit of the people's life and security of the spirit of being highly responsible宁信have, do not believe in nothing, decided to spend all of our strength, the elimination of all dangers, so that the people across the province enjoy a happy and auspicious Spring Festival.

省疾控中心接到指令那一刻起就展开了流行病学调查，省、市、县三级共200多人沿着患者的行踪 ，依据医院的 记录，走村入户，寻访了所有接触过的人员，三番五次核实，很快确定67名密切接触者，并对他们 进行了持续1 5天的医学观察。



Provincial CDC received instructions on the moment carried out epidemiological investigations, provincial, municipal, and county levels in patients with a total of 200 people along the tracks, according to hospital records, follow the village households, find all the contact with personnel, repeatedly verified, quickly identified 67 close contacts, and they had a continuous 15 days of medical observation.

省经委积极与我省医药承储企业和兄弟省市协调，紧急储备人禽流感防治药品达菲胶囊200盒；省 工商局严格市 场准入，661人次深入活禽市场，严厉查处了违章违法经营禽类及其产品的行为。



Actively with the Zhejiang Provincial Economic and Trade Committee of Chinese medicine承储企业and fraternal provinces and municipalities to coordinate emergency reserves Human bird flu prevention and treatment drug Tamiflu capsules 200 boxes; Provincial Trade and Industry Bureau Strict market access, 661 million live poultry market in depth and severely dealt with illegal illegal behavior of birds and their products.

针对春节前后活禽交易旺盛的特殊时节，省农业厅展开了拉网式排查，共排查1267个乡、264 8个村、2. 5万个场，排查家禽8671万只；省动物疫病预防控制中心的雷宇平、史夏云等，以最快速度化验了 采集的20 0多份血清样本。



Chinese New Year before and after the live poultry trade against a strong special season, the provincial Agriculture Department launched a dragnet investigation, a total of 1267 rural investigation, 2648 Village, 25000 field investigation 86,710,000 poultry; provincial animal disease prevention and control center of the mine Yu-ping, Shi Xia, to the fastest speed testing of collected more than 200 serum samples.

太原、吕梁两市启动了人禽流感应急监测，实行疫情日报告和零报告制度；监测相关医疗机构225所，筛查流感 样病例54817例；对病例的密切接触者和对照人群开展血清流行病学调查，完成调查问卷105份、知情同意 书105份，采集血清107份，为进一步掌握轻型感染和隐性感染情况、研究人禽流感发病机制积 累 了珍贵资料。





Taiyuan, Luliang city activated the human avian influenza contingency monitoring, day reporting and the implementation of the epidemic零报告制度; monitoring 225 medical institutions, screening 54,817 cases of influenza-like cases; of close contacts of cases and control groups to carry out epidemic serum Study survey, 105 completed the questionnaire, informed consent of book 105 copies, 107 copies of serum
collected in order to further grasp the light infection and inapparent infection to study the pathogenesis of human avian influenza has accumulated valuable information.

彭杰生出隐形翅膀
PENG Jie produce invisible wings

护士目睹梦想开花
Nurses witnessed the flowering dream

1月20日，卫生部召开人禽流感防控工作电视电话会议。
January 20, the Ministry of Health Human Avian and Human Pandemic Influenza held job video and telephone conference.


部长陈竺除对我省的工作给予充分肯定外，满怀深情地嘱托：“要不惜一切代价救治患儿。患儿救治 成功，对全国 人禽流感防治工作有着重大意义。”



Minister Chen Zhu, in addition to the province fully affirmed the work, the full trust of deep feeling: "To treat children at all costs. Children with treatment success, the national bird flu prevention and treatment of people has a great significance."

就在当天，小彭杰在联合专家组的全力救治下，多项生命体征逐渐趋于平稳。



On the same day, small PENG Jie in the Joint Group of Experts on the full treatment, the number of vital signs gradually stabilized.

护士长张磊、梁新和另外6名护士一眼不眨地见证了这一切。



Matron Lei, Liang and another six new nurses a不眨to witness everything.


目睹小彭杰一分一寸、一分一秒从死亡边缘挣脱出来，她们仿佛看到孩子长出一双隐形的小翅膀，仿 佛看到所有梦 想在噼啦声中绽放开花。



PENG Jie witnessed a small one inch, one minute from the brink of death and get rid of them, they seemed to see the kids grow a small pair of invisible wings, as if in a dream to see all you噼amid blooming flowers.
那一刻，她们觉得自己兑现了希波克拉底“我之唯一目的，为病家谋幸福”的誓言。



At that moment, they feel that they honor the Hippocratic "my sole purpose for the patient and his family's well-being" of the oath.

陪护工作开始规定每4小时换一次班，但护理人员一穿上隔离服就舍不得脱下来，其中原因，不仅是 一套隔离服2 00多块钱，一走出病房就必须报废；还因为穿戴起来不方便，要花较长时间。



Chaperone job began to require that every 4 hours for a ban, but the nursing staff on隔离服want to put on one off, one of the reasons for, not only is a set of more than 200 yuan隔离服, one out of the wards to be scrapped; also wear because it does not convenient, to spend a longer period of time.
她们为此主动限制自己的饮水，缩减饭量，以减少排泄次数，既避免了浪费，又提高了工作效率。



To this end they take the initiative to limit their drinking water, reducing the appetite in order to reduce the discharge frequency, which avoids the waste and improve work efficiency.

隔离病房面积不足10平方米，除病床和救护设备之外，所剩空间非常有限。



Isolation ward area of less than 10 square meters, with the exception of hospital beds and ambulance equipment, the remaining space is very limited.
每一个晚上，她们都穿着厚厚的隔离服，坐在小凳子上，紧紧盯着救治仪器和小彭杰直到天亮。



Every evening, they all wear thick隔离服, sitting on small stools, tightly focused on PENG Jie treatment apparatus and small until dawn.

危险也随时都可能发生。
The risk may occur at any time.
一次，罗宏查房，抱起孩子询问时，小彭杰突然咳嗽起来，飞沫溅了罗宏一脸。



Once, LUO Hong-rounds, pick up the child when asked suddenly cough up small PENG Jie, LUO Hong-face of the splash droplets.
这一下把病房里所有人都吓坏了，她赶紧服下达菲预防。



This is what put wards all terrified, she hastened to dose of Tamiflu to prevent.

慢慢地，小彭杰可以翻身了，可以独自坐了，可以摇摇晃晃站起来，可以哭闹撒娇，可以背唐诗、唱 儿歌了；当停 了吸氧也能正常玩耍、交流，不再咳嗽，影像显示双肺突变明显吸收，各项体征指标日渐正常时，8 名护理人员流 着眼泪笑了。



Slowly, small PENG Jie can stand up, you can sit alone, and can be staggered to stand up, you can cry撒娇, you can背唐诗, sing the songs; when stopped normal oxygen can play, communicate, do not and then cough, clear video display mutant lungs absorb, all indicators of the growing signs of normal, eight nurses tearfully smiled.

笑靥如花挥别病魔
Flowery笑靥bid an emotional farewell to the disease

人禽流感可防可治
Human bird flu can be preventable and curable

听着震耳欲聋的鞭炮声，望着色彩斑斓的焰火，小彭杰在隔离病房度过了大年三十和正月初一。



Listening to the deafening sound of firecrackers, watching colorful fireworks, small PENG Jie in the isolation ward had the first Chinese New Year's Eve and New Year.
她原本是要和父母在长沙过年的，现在却只能一个人静静地呆在医院。



She originally was to their parents in Changsha Chinese New Year, but now they are only one person to stay in hospital quietly.

初二是孩子的生日，所有医护人员都来到隔离病房为她“庆生”——不只为3周岁，还为一个新的小 生命。



Two days are the child's birthday, all health care workers have come to an isolation ward for her "birthday" - not only for the 3 years of age, but also for a new little life.

大家拿来许多玩具、零食和衣服、鞋袜，特意在病房装上五颜六色的彩灯，买来一个大大的生日蛋糕 。



U.S. used much toys, snacks and clothing, footwear, specially fitted in the ward colorful lanterns, bought a big birthday cake.
打扮得簇然一新的小彭杰怀抱礼物，和医护人员一起吹蜡烛，许心愿，切蛋糕，生日歌唱了一遍又一 遍。



Ran up a cluster of small one PENG Jie embrace new gifts, and together吹蜡烛health care workers, Xu wish cake, a birthday song over and over again.
有人摘下眼罩，轻拭泪水；眼罩背后的，也润湿一片。
Someone off his goggles,轻拭tears; behind the goggles, and a wetting.

淘气的小彭杰吃着蛋糕，看着身穿厚厚隔离服的医护人员，天真地问：“你们为啥都没有嘴？怎么吃 蛋糕呀？！” 医护人员笑了。



PENG Jie naughty eating small cake, wearing a thick隔离服looked at health care workers, so naive as to ask: "Why do not you mouth?吃蛋糕how you?!" Health care workers laughed.

小彭杰身体一天天好起来。
PENG Jie one small body to get better every day.
按照卫生部确定的标准，她将于2月3日被宣布康复出院。



In accordance with the criteria established by the Ministry of Health, she will be February 3 was declared recovered and been discharged.
但医护人员都恋恋不舍，20天中，他们给孩子洗头、擦身、按摩、吸痰、治疗，休戚与共，同生共 死，已经难分 你我，小彭杰也把他们称作“爷爷”“爸爸”“妈妈”“姐姐”。



But medical staff are reluctantly, 20 days, they give their children wash your hair,擦身, Massage, suction, treatment, and share weal and woe, with a total die of Health has been hard to distinguish you and me, put their small PENG Jie also referred to as the "Grandfather "" Father "" Mother, "" Sisters. "

出院那天，脱下隔离服的医护人员让小彭杰十分陌生，但她靠说话的声音一个个辨别了出来。



Discharged from hospital the day of the medical staff to take off隔离服small PENG Jie very strange, but she relied on the voices speak out one by one to identify.
大家簇拥着来到大门口，目送她上车远去。
Surrounded by the U.S. came to the gate, watched her disappearing Board.
那一刻，护士长张磊的眼泪夺眶而出，她拿起手机，拨通爱人的电话，大声叫道：“我想要个孩子！ ”
At that moment, tears matron Lei eyes, she picked up a cell phone, dial the phone lovers, loudly exclaimed: "I want children!"

前来送行的省卫生厅厅长高国顺欣慰地说，彭杰是近期我国报告的8例人禽流感病例中第一例康复出 院的，也是我 国目前成功救治患者中年龄最小的一例。



Come to see off the Provincial Health Office, the high Guoshun pleased to say that the PENG Jie is the recent report of eight cases of China's Human bird flu cases in the first case of recovery and was discharged, but also the success of China's current treatment of patients with a case of the youngest.
她的救治成功充分说明，人禽流感并不可怕，只要我们依法科学防治，做到早发现、早报告、早诊断 、早处置、早 治疗，人禽流感是可防、可控、可治的。



Her treatment success has fully demonstrated that people not be afraid of bird flu, as long as we control in accordance with the law of science, so early detection, early reporting, early diagnosis, early disposition, early treatment, people can be anti-bird flu is controllable, can be ruled .

本报记者侯红武秦洋张隽波李林霞
Reporter Hou Hong-Wu Qin Yang Jun Zhang Bo Lee Linxia

http://www.daynews.com.cn/sxrb/aban/A1/714054.html

__________________

[AlaskaDenise]

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

Commentary

http://www.recombinomics.com/News/02..._Clusters.html

Commentary

H5N1 Clade 7 Clusters Cause Concerns
Recombinomics Commentary 15:15
February 6, 2009


January 7 children in Hunan fever symptoms January 11 Back Shanxi Xiaoyi, January 14 to Fenyang hospital because of exacerbations that night immediately transferred to hospital for treatment of children in Shanxi Province. Children's Hospital in accordance with children have a history of exposure to live poultry markets, his mother died and because of severe pneumonia in children with the disease characteristics, a high degree of alertness suspected pneumonia of unknown causes, the rapid organization of nosocomial expert consultation, and in the morning on the 15th report of the Ministry of Health. Provincial Health Office received a report immediately after the organization of provincial expert consultation, diagnosed as pneumonia of unknown causes, do not rule out SARS and avian flu.

The above translation from China?s Ministry of Health website, which originated with the Shanxi Ministry of Health, indirectly acknowledges that the familial cluster involving mother and daughter (3F), was a case of human to human transmission. The pneumonia death of the mother increased the level of suspicion, and the increased level was validated by the lab confirmation of H5N1 in the daughter.

The husband and father of the two victims also indicated that the symptoms in both were identical, and the disease onset date of the daughter match the date of death for the mother, leaving little doubt that the mother infected her daughter, WHO comments on poultry exposure notwithstanding.

The human to human transmission was also supported by a similar cluster in northern Vietnam, where one family member (8F) was lab confirmed and her sister (13F) died with bird flu symptoms. The cluster in Beijing also supported H2H, where the patient (19F) died, but a health care worker at the hospital recovered after exhibiting bird flu symptoms.

Recent reports from Hong Kong suggested that the human cases in China were due to the ?northern China? strain of H5N1 that was not the two common Fujian sub-clades, 2.3.2 and 2.3.4, which were recently identified in Hong Kong. The comments strongly suggest that the human cases were due to clade 7, which is the clade responsible for the most recent confirmed H5N1 in poultry in China, two asymptomatic outbreaks in Jiangsu in December.

Moreover, clade 7 has also been recently reported in northern Vietnam, suggesting that all recent human cases in China and Vietnam were due to clade 7, which increases concern over the spate of recent human cases in China and Vietnam (see updated map). Prior to the recent cases, the only confirmed human clade 7 case was in Beijing in 2003.

The current clade 7 cases have likely evolved from the human case in 2003 as well as more recent poultry isolates from Shanxi or Hunan in 2006. The Hunan and Shanxi sequences are quite distinct from clade 1 and 2, which are the targets of most human and poultry vaccines. Thus clade 7 infections are likely to be vaccine resistant, which was noted for the poultry outbreaks in northern China in the 2005/2006 season as well as the recent outbreaks in Jiangsu.

The recent human clusters suggests that the 9 confirmed cases include three clusters that involve 3 additional infections, raising the percentage of H5N1 infections linked to clusters to 50% (6/12 cases). In each cluster the index case died, but the subsequent case survived, in part to more rapid treatment as well as a likely lower dose because the efficiency of human to human transmission is low, but higher than most previous cases as evidenced by the high percentage of cases linked to clusters, as well as the number of cases that died or were infected in January, 2009.

Thus, the number of cases, as well as the number of cases linked to clusters is cause form concern, ProMED and WHO statements notwithstanding.

.

[HenryN]

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

Commentary

http://www.recombinomics.com/News/02060901/H5N1_China_7_Clusters.html

[HenryN]

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

Shanxi Province, the first case of human avian influenza cases recovered and were discharged (release 7)
Published time :2009-2-3 15:14:00 Issued by: Health Department of Shanxi Province


-------------------------------------------------- ------------------------------
January 17, 2009, our province confirmed case of human bird flu cases,彭某, F, 3-year-old. By the Ministry of Health, Shanxi, Taiyuan three medical staff composed of a total of 15 group of experts, all in close custody, consultation will be governance, timely adjustments to treatment programs, in equipment, technology and medicine on the go all out, after 21 days careful treatment, children in the February 3 recovered and been discharged.

January 7 children in Hunan fever symptoms January 11 Back Shanxi Xiaoyi, January 14 to Fenyang hospital because of exacerbations that night immediately transferred to hospital for treatment of children in Shanxi Province. Children's Hospital in accordance with children have a history of exposure to live poultry markets, his mother died and because of severe pneumonia in children with the disease characteristics, a high degree of alertness suspected pneumonia of unknown causes, the rapid organization of nosocomial expert consultation, and in the morning on the 15th report of the Ministry of Health. Provincial Health Office received a report immediately after the organization of provincial expert consultation, diagnosed as pneumonia of unknown causes, do not rule out SARS and avian flu. Immediately report the Ministry of Health, the provincial government. The afternoon, the Ministry of Health held a director of the office to study the deployment of children with medical treatment and human avian influenza prevention and control work and set up prevention and control work of the leadership group, to strengthen the work of organizational leadership. Provincial Center for Disease Control and Prevention called for the immediate acquisition in accordance with the relevant specimens in children with laboratory testing, and specimens sent overnight to the China Disease Prevention and Control Center for review. January 16, the Ministry of Health expert consultation and agreed with the diagnosis of the views of experts in our province. China Disease Prevention and Control Center and the Chinese Academy of Medical Sciences of the children with samples of parallel testing, results for the H5N1 avian influenza virus nucleic acid positive. January 17, by the Ministry of Health expert group consultation, confirmed human cases of avian flu. With the children transferred to hospitals - Taiyuan Fourth People's Hospital for medical treatment. 22:00 the same day, commissioned by the Ministry of Health, Shanxi Province Health Department issued a timely manner to the community in our province confirmed case of human bird flu cases.

After the outbreak, the Ministry of Health, provincial party committee and government attach great importance. Zhang Baoshun, secretary, governor Wang Jun, respectively, made important instructions. Secretary Zhang Baoshun requirements: Health Department attaches great importance to start the emergency plan to strengthen the epidemiological survey analysis, closely monitor close contacts of patients, further investigation to prevent the proliferation of experts under the guidance of fully treated patients, and at the same time do a good job in self-protection, health care workers工作. Governor Wang Jun instructions: Please indicate the relevant departments, relevant staff and implement an emergency meeting of the measures agreed upon to convene a meet daily meetings to keep abreast of the disease and patient treatment and to analyze new situations and solve new problems. Governor Wang Jun, vice-governor respectively张建欣hosted by the provincial government human avian influenza prevention and treatment of thematic sessions and emergency meetings to study the deployment of human avian influenza prevention and control work that the Provincial Health Office in the human bird flu prevention and control work, quick response, fast action deployed early, plan to start a timely manner, the prevention and control measures and treatment measures are effective, and called for the health sector at all costs, the full treatment of children, children with close contact to do a good job of medical observation.张建欣deputy governor in January 16 and 19 twice to the hospital to visit children and guide treatment. Ministry of Health sent a timely clinical, disease control, laboratory testing eight experts to participate in prevention and treatment guidance, emergency allocation of the relevant products. People held in the Ministry of Health bird flu prevention and control work in the televised conference, Chen Zhu, Minister of the province to combat the avian flu were fully affirmed the work, the requirements at all costs for medical treatment in children, children with treatment success, the national bird flu prevention and treatment of people the work of great significance.

Provincial Health Office in the epidemic occurred, the two held an emergency meeting to study the deployment of prevention and control work. Emergency issued a "Circular on further strengthening of fever of unknown origin and unexplained cases of pneumonia monitoring, investigation and management of notification" and "on the further strengthening of human avian influenza prevention and treatment of emergency notification," and in accordance with the "public health emergencies in Shanxi Province plans "and" human infection with highly pathogenic avian influenza contingency plans, "public health emergencies and timely start-class emergency response Ⅱ.在省政府人禽流感重大突发公共卫生事件应急指挥部的统一组织领导下，各级卫生行政部门和医疗卫生机构进 一步加强不明原因发热和不明原因肺炎病例的监测报告工作；太原、吕梁两市activated human avian influenza emergency monitoring the implementation of human avian flu epidemic on the report and零报告制度; provinces, cities and counties (districts) disease prevention and control institutions, conduct in-depth and detailed epidemiological investigation, the finalization of 67 close contacts, for strict medical observation, as of January 24, 24, the 67 close contacts, no abnormal symptoms such as fever, all of the lifting of medical observation. At 8:00 on January 25, people in our province's potential bird flu epidemic and related risk factors have been timely control, according to Provincial Health Office of human avian influenza prevention and treatment recommendations of the Expert Group, and report to the provincial government approved the lifting of human avian influenza in our province a major emergency public health emergency response grade Ⅱ.

彭某human avian influenza cases is the recent report of eight cases of China's human avian influenza cases in the first case of recovery and was discharged, but also the success of China's current treatment of patients with a case of the youngest. The successful treatment of patients with fully demonstrated that the human avian influenza is not terrible, as long as we control in accordance with the law of science, so early detection, early reporting, early diagnosis, early disposition, early treatment, human bird flu is preventable, controllable, can be governance.

http://www.sxws.cn/SaniContent.asp?SaSpID=1903

[Sally Furniss]

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

Video of Peng going home

http://health.sohu.com/20090204/n262045414.shtml

[Rwilmer]

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

It is good to see not every bird flu case turns out bad, makes you really think how valuable life really is. I also thought the girl was two? They must have confused to discharge date with the actual age. Either that or the girl had a birthday between the 17th and now.
3-year old Shanxi bird flu patient recovers


Shanxi provincial health officials (first and second from right) greet a 3-year-old baby girl who was fully recovered on Tuesday from bird flu that was diagnosed early on January 17. The baby left hospital on February 3, 2009 after being kept under close watch and treatment by a medical expert team for three weeks. [Photo: daynews.com.cn]


The 3-year-old girl who was infected with bird flu in January was discharged from hospital yesterday, the Shanxi provincial health authorities said.

The girl contracted the disease in Hunan Province on Jan 17 after she had contact with chickens at a marketplace and her mother died of serious lung problems. She is the first one among the eight bird flu patients this year to recover.

The 3-year-old girl who was infected with bird flu in January was discharged from hospital yesterday. [Sina.com.cn]

(China Daily February 4, 2009)

http://www.china.org.cn/china/news/2009-02/04/content_17220572.htm

[Shiloh]

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

Source: http://72.14.205.113/translate_c?hl=...9PCrFI4Wg-hfpQ

Shanxi Province, the bird flu infected girl recovered and been discharged
2009-02-03 18:54:00

山西省確診的人禽流感個案，患者於今日康復出院。

Shanxi confirmed human avian influenza cases, patients recovered and were discharged today.

上月17日，山西省確診的一宗人禽流感病例，患者是一位姓彭的3歲女童。

Last month on the 17th, in Shanxi Province were confirmed a bird flu patient surnamed Peng is the 3-year-old girl.

據介紹，患者1月7日在湖南省出現發熱症狀，1月14日到山西省汾陽醫院就診，因病情加重，當晚轉至山西省 兒童醫院治療。

According to the briefing, January 7 patients in Hunan Province fever symptoms, January 14 to Shanxi Fenyang hospital because of exacerbations that night to the hospital for treatment of children in Shanxi Province.

根據患者有活禽市場暴露史、其母親因重症肺炎死亡及患兒病情特點，衛生部門緊急組織了專家會診，並確診為人 禽流感病例。

According to patients exposed to live poultry market history, his mother died and because of severe pneumonia in children with the disease characteristics, the health sector emergency organization of the expert consultation, and confirmed human cases of avian flu.

遂將患者轉至定點的太原市第四人民醫院救治。

Then transferred to fixed-point in patients with the Taiyuan Fourth People's Hospital for medical treatment.

患者在醫院救治期間，由衛生部、山西省、太原市三級共15名醫護人員組成的專家組全天候密切監護，會診會治 ，及時調整救治方案，在設備、技術和用藥上全力以赴，經過21天的精心治療，患者於本月3日康 復出院。

Patients in the hospital during treatment, by the Ministry of Health, Shanxi Province, Taiyuan City a total of three 15 round-the-clock expert group composed of health care workers in close custody, consultation will be governance,

timely adjustments to treatment programs, in equipment, technology and medicine on the best After 21 days of careful treatment, the patient was discharged on the 3rd of this month.

[Sally Furniss]

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

CHANGSHA, Jan. 27 (Xinhua) -- Health authorities in central China's Hunan Province have ended a week-long quarantine for 157 people who had close contacts with two confirmed bird flu cases --one of whom died.
Some 126 people in Changsha County were quarantined after a two-year-old girl was diagnosed of avian flu on Jan. 17; and another 31 in Huaihua County were quarantined after a 16-year-old boy died of the same disease on Jan. 20.
"None of them had any flu-like symptoms during the period, so the health department decided to end quarantine as of 0 a.m. Tuesday," said Liu Ke, a spokesman with the Hunan Provincial Health Department.
Those under quarantine included family members and relatives of the patients, medical workers who treated them and drivers who assisted their travels, he said.
A two-year-old girl, surnamed Peng, fell ill in Changsha County on Jan. 7. Undiagnosed, she was taken to the northern Shanxi Province by her grandparents on Jan. 11. Peng was confirmed to be infected with avian flu on Jan. 17 at a hospital in Taiyuan.
Health authorities in Shanxi said last week Peng was "out of danger" and her vital signs were stable.
China has reported five human deaths from the H5N1 virus this year. In the latest case, an 18-year-old man surnamed Liang died Monday in the southern Guangxi Zhuang Autonomous Region. He was ill since Jan. 19.
The other four deaths included a 19-year-old woman in Beijing on Jan. 5, a 27-year-old woman in Shandong on Jan. 17, a 16-year-old boy in Hunan on Jan. 20, and a 31-year-old woman in Xinjiang on Jan. 23.

http://news.xinhuanet.com/english/2009-01/27/content_10724698.htm

[Sally Furniss]

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

Shanxi lifting of human avian influenza public health emergency response level II


Xinhua Taiyuan January 25 (Xinhua Liu Xiangxiao) reporter on the 25th from the Shanxi Province Health Department that, in accordance with relevant provisions, in accordance with recommendations of the Expert Group and approved by the Shanxi provincial government, at 8 o'clock on the 25th, lifting the people of Shanxi Province major bird flu public health emergencies Ⅱ-class emergency response.

Shanxi Provincial Health Department said that the lifting of human bird flu a major public health emergencies Ⅱ-class emergency response, the Shanxi Province, the prevention and control of human avian influenza prevention and control work to normal, the Ministry of Health Shanxi goalkeeper at home and abroad who pay close attention to the avian flu and the animal bird flu developments, the information with the relevant departments to strengthen communication and joint prevention and control; continue to closely observe the children with the disease, active treatment to a speedy recovery.

January 17, Shanxi confirmed case of human infection of highly pathogenic avian influenza cases. In accordance with the "public health emergencies in Shanxi Province emergency plan" and "human infection of highly pathogenic avian influenza contingency plans", and after approval of the Government of Shanxi Province, Shanxi activated human avian influenza major public health emergencies Ⅱ-class emergency response.

As of January 24, 24, the Shanxi Province identified 67 celebrities in close contact with bird flu, and by strict medical observation, no abnormal symptoms such as fever. According to people in close contact with bird flu to determine the standards and principles, all of the lifting of medical observation.彭某human avian influenza in children, by the Ministry of Health, Shanxi, Taiyuan expert group composed of three full treatment is now out of danger, into the recovery phase.

According to Shanxi provincial government informed Shanxi currently no animal bird flu cases, issued no new human avian influenza cases and suspected cases. The people of the dangers of bird flu and related risk factors have been controlled.

http://news.qianlong.com/28874/2009/01/25/1520%404845401.htm

[sharon sanders]

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

Thank you for posting Commonground.

Very sobering descriptive account that really puts a face on the names, numbers and dates we are seeing every day recently....

I agree.

Thank you to everyone.

[Farmer]

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

Thank you for posting Commonground.

Very sobering descriptive account that really puts a face on the names, numbers and dates we are seeing every day recently....

[Commonground]

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

Thanks Laidback Al, I was very fortunate to come upon it. That does not happen often. I found it very sad. For both families. We do not usually get a inside view like this, and it has been a reminder to me, of the humane side to this terrible terrible virus. I did not know that Pengs mother was pregnant. And I'm saddened by the details of Zhangs husband, as he feverishly tried...to save his wife.

[Laidback Al]

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

Thanks for posting this Commonground. There is substantial case details that have not been reported elsewhere. Also note this section:

<style type="text/css"> <!-- @page { margin: 0.79in } P { margin-bottom: 0.08in } --> </style> a deputy governor of Hunan Province also specially reminded, "It is the year, stability overrides everything else, we must pay attention to the impact." After all, once the epidemic open, often caused not a small place reality shock. To China's largest poultry farms and exporter in Shandong Province as an example, because of sudden epidemic, from January 17 onwards, Jinan, the largest local farmers market - above shop farmer's market, more than a dozen shops engaged in fresh chickens and ducks have been forced to close. . . .


For this reason, "financial" press notes, both in Shanxi, Shandong and Hunan, the local government for the people the news of bird flu have handled quite a low profile. Only a short period of communications, the public has no way of knowing the reasons for patients with specific diseases, but also do not know how to draw in a targeted manner and draw lessons from them.

[Commonground]

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

wow. The whole article could have been bolded.