Announcement

**sharon sanders** · December 23, 2014, 10:53 AM

Notification of confirmed human case of avian influenza A(H5N6) in Guangdong
************************************************** ****** The Centre for Health Protection (CHP) of the Department of Health (DH) has been notified by the Health and Family Planning Commission of Guangdong Province of a confirmed human case of avian influenza A(H5N6) today (December 23) affecting a 58-year-old man in Guangzhou, Guangdong Province.

The patient, who is in critical condition, is currently receiving treatment in a hospital in Guangzhou. No abnormality was reported among the close contacts of the patient.

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

"Locally, we will remain vigilant and work closely with the World Health Organization and relevant health authorities to monitor the latest developments," the spokesman said.

"In view of cases confirmed on the Mainland, members of the public should maintain good personal, food and environmental hygiene at all times during travel," the spokesman urged.

"All boundary control points have implemented disease prevention and control measures. Thermal imaging systems are in place for body temperature checks of inbound travellers. Suspected cases will be immediately referred to public hospitals for follow-up investigation," the spokesman added.

Regarding health education for travellers, the display of posters and broadcast of health messages in departure and arrival halls, environmental health inspection and provision of regular updates to the travel industry via meetings and correspondence are proceeding.

Travellers, especially those returning from avian influenza-affected areas with fever or respiratory symptoms, should immediately wear masks, seek medical attention and reveal their travel history to doctors. Healthcare professionals should pay special attention to patients who might have had contact with poultry, birds or their droppings in affected areas.

The public should remain vigilant and take heed of the advice against avian influenza below:

* Do not visit live poultry markets and farms. Avoid contact with poultry, birds and their droppings;
* If contact has been made, thoroughly wash hands with soap;
* Avoid entering areas where poultry may be slaughtered and contact with surfaces which might be contaminated by droppings of poultry or other animals;
* Poultry and eggs should be thoroughly cooked before eating;
* Wash hands frequently with soap, especially before touching the mouth, nose or eyes, handling food or eating; after going to the toilet or touching public installations or equipment (including escalator handrails, elevator control panels and door knobs); and when hands are dirtied by respiratory secretions after coughing or sneezing;
* Cover the nose and mouth while sneezing or coughing, hold the spit with a tissue and put it into a covered dustbin;
* Avoid crowded places and contact with fever patients; and
* Wear masks when respiratory symptoms develop or when taking care of fever patients.

The public may visit the avian influenza page of the CHP of the DH (www.chp.gov.hk/en/view_content/24244.html) for more information on avian influenza. The updated information of affected areas can be found on the following webpage:www.chp.gov.hk/files/pdf/global_statistics_avian_influenza_e.pdf.

Ends/Tuesday, December 23, 2014
Issued at HKT 23:05

hat tip Michael Coston for the link

**Pathfinder** · January 30, 2015, 10:41 PM

Translation google

The first case of H5N6 infection of H7N9 deaths of four patients recovered

Date: [2015-01-31]

■ Yesterday, the first case of H5N6 patient was discharged and held a press conference in the first Affiliated Hospital of Guangzhou Medical University.

Guangdong influenza prevention and control mixed

Yesterday, the Guangdong Provincial Health Planning Commission held a press conference revealed that, after Clifford Hospital, Guangzhou Medical Hospital medical staff to treat more than a month, the first case of Guangdong Province, the world's second case of H5N6 cases recovered soon discharged. According to reports, since the beginning of winter, the province reported a total of 28 cases of H7N9 cases, four cases have died, others are severe. Experts said the various subtypes of avian flu, more and more people the most effective prevention method is to reduce contact with live poultry.

■ Express reporter Li Qiuling correspondent Guangdong Health Letter

For personal and family health, it is recommended not to buy the majority of the public is best live birds, H7N9 is now the treatment is still very difficult, the mortality rate of 40%, second only to H5N1, so I try not to touch the hair still recommend the chicken.

Buy chicken after onset rain

December 2, 2014, to market to buy a mound of chicken to eat, cold rain on the way, two days after the sudden appearance of fever, body temperature fluctuations at 38 ℃ ~ 39 ℃, has home nearby hospitals, Clifford Hospital of Guangzhou Panyu District of Guangzhou treatment Finally, due to critical condition were transferred to a hospital of Guangzhou Medical Institute respiratory isolation ward Intensive Care Medicine.

Deputy director of CDC 杨智聪 that Guangzhou has perfect influenza surveillance system, a sentinel surveillance hospitals, every week the unexplained pneumonia, bird flu samples to CDC inspection mound to pray in a hospital after sampling sent to CDC testing, did not detectable common H3N2, H7N9, H9N2, H1N1 and other subtypes, but inspectors still very cautious, after various subtypes of the investigation, it is determined that H5N6, the samples sent to the province after CDC and national disease control department, confirmed this result.

Following a thorough examination, diagnosis, patients were infected with H5N6 confirmed human cases, the situation is critical. Since this is the second example of a global H5N6 case (first case occurred in Sichuan, patients were male, had died), no experience can learn the successful salvage therapy, the Chinese Academy of Engineering, Professor Zhong Nanshan attention, Canton Medical School also organized a multidisciplinary expert consultation to develop a detailed and rigorous treatment.

Eventually, after more than a month of fighting, the patient's condition gradually improved. "Thus, antiviral drugs are effective against H5N6 infection, we do not need to panic." Zhong Nanshan said.

H7N9 cases have been four deaths

Zhong Nanshan said, H5N6, like H5N1, H7N9, as a part of avian influenza infection in poultry is mainly related with the contact.

Provincial CDC chief expert Jianfeng also revealed that since last winter, Guangdong has reported 28 cases of H7N9 cases. "Compared to last year, no significant decline in the number of cases." Four of the patients with mild cases of small, they were found in the clinic, the other 24 cases were severe, 4 cases died of his death. Jianfeng that the live bird market management is often not in place, the number of cases of bird flu, the more hair.

Experts also said that at present, Guangdong also appeared aggregated H7N9 cases, after an elderly sick, which is taking care of her son, hand pick their sputum, subsequently the onset. "But we still judge the H7N9, which no evidence can be transmitted person to person, the public need not worry." Zhong Nanshan said.

Canton Medical School Dr. Xiaoqing Liu said around consultation H7N9, patients with a history of severe understand when found, they are still a step late medication, "fever, leukopenia when doctors ignored, when seriously ill in hospital until the medication (Tamiflu) . "She warned that early enough with antiviral drugs, able to gain time to save the patient.

"Treatment process is very difficult, but also life-support equipment, basic hospital can hope early detection and early treatment of these patients." Xiaoqing Liu said.

"In fact, the provincial levels of government, municipalities have made arrangements, adequate Tamiflu and other antiviral drugs." Said Zhong Nanshan, went live bird markets, contact with live chickens, have a fever, you can timely medication. Tamiflu is effective against all influenza viruses, but relatively expensive, in order to avoid drug resistance, it can not be abused, not as a routine use.

Focus Q

Difficult to treat H7N9 mortality rate of 40%

Q: What is difficult to treat H5N6?

Zhong Nanshan: H5N6, like H5N1, H7N9, as a part of avian influenza infection in poultry is mainly related with the contact, H5N6 diagnosis of the first case would not have died, (Panyu patients) treatment process really is not easy, but no more than other birds Flu patients had more special, more difficult places, in fact, in the initial routine testing found no virus, the hospital will still be able to pray as soon as possible for a mound with Tamiflu, which provides the possibility for further treatment. Grassroots awareness of the medical staff has been very strong, stick with antiviral drugs, for rescue significant, it should certainly.

Q: Chinese New Year public to reflect no chickens, no taste delicious country?

Zhong Nanshan: for personal and family health, we recommend that the general public is best not to buy live poultry, H7N9 is now the treatment is still very difficult, the mortality rate of 40%, second only to H5N1, so I suggest try not to touch the hair or chicken. If the taste is really not so fresh, it not so fresh, and most importantly, people want peace.

Q: The Chinese New Year is often high incidence of H7N9, prone to deaths How to prevent?

Jianfeng: The best way is to reduce contact with live poultry. Guangdong risk of human infection with the H7N9 avian flu, there are still sporadic cases, do not rule out active trading of live poultry in individual cities several points, the emergence of sporadic cases. January 15, Guangdong formally implemented "Guangdong poultry management approach", pushing fresh chicken, but it will take time to implement, before the market is not the transformation is complete, each market must implement the "1110" system (ie: day A cleaning and disinfection, cleaning a week, closed in January and live birds in the market, but the night). However, we found that "111" can be done well, but the "0" night of live poultry, but the implementation of the system is less than 10%, which may be the reason the country are quite a number of H7N9 cases.

■ Know more about D

Sporadic cases of human infection with the H5N6 genus

Influenza virus hemagglutinin is based on the virus surface (H) and neuraminidase (N) to name, where H 16 subtypes, N nine subtypes. H5N6 avian influenza is a subtype of avian influenza virus. September 2014, Harbin occurred in poultry infected with H5N6 bird flu. In addition to the end of April 2014, Sichuan Nanchong report a case of severe pneumonia deaths respiratory specimens detected H5N6 bird flu virus, but there is no similar cases reported worldwide. Experts believe that the case of sporadic cases of human infection, the virus is not currently found evidence of the existence of human transmission.

A stream three dominant influenza

Guangzhou increased pediatric patients

Provincial CDC chief expert Jianfeng said that this year the seasonal flu influenza A H3N2 subtype Guangzhou influenza virus (A streaming III) accounted for the main position, January statistics showed that outpatient rise, expected to last until June of this year.

Jianfeng said the hospital pediatric into the hardest hit, is currently in clinical common multi-kindergarten or elementary collective disease, through professional Virology measured primarily infected with a stream III.

"Guangzhou near Hong Kong warned, a stream three myasthenia, death and more, but this trend Guangdong yet found." Jianfeng said in a stream III students in the outbreak, but no severe, unusual increase in deaths trend.

Jiangmen detection of H7N9 virus from chickens, ducks in

Li Hongyun Express News correspondent reported reporter yesterday from Jiangmen City Health Bureau counted, Jiangmen poultry market has been monitoring the results of H7N9 positive.

Jiangmen City CDC said, the current sampling Pengjiang, Xinhui, Enping and Taishan four places where H7N9 has been detected positive results, which involved birds including chickens, ducks and geese. Wherein the ratio of the largest chicken appears.

zhttp://epaper.xkb.com.cn/view/977868

**Pathfinder** · January 31, 2015, 10:40 PM

Translation Google

Zhong Nanshan: Fresh chicken is delicious, though not yet on human health

Zhong Nanshan believes that successful treatment of the first case of H5N6 cases in Guangdong have great significance. Antivirals such as Tamiflu, is effective against H5N6.

2015-01-31 16:59 Source: Yangcheng Evening News

Reporter Huang Hui-chou map / reporter correspondent Guangdong Ming Ming Tang Wei letter

Reporters yesterday from Guangdong's first successful treatment of H5N6 influenza cases briefing that, after more than a month to treat, the first case of Guangdong Province, the world's second case of human infection with H5N6 avian influenza has been lifted isolation, the patient's condition is stable, gradually recovered and will soon be discharged home with their families.

Multidisciplinary experts treatment

December 2 last year, 59-year-old went to the market to buy chicken 丘某某 cheerfully eating, fever and other symptoms after two days, and more serious, transferred to a hospital of Guangzhou Medical Institute respiratory isolation ward Intensive Care Medicine. Following a thorough diagnosis is: H5N6 virus; severe pneumonia; ARDS; septic shock; disseminated intravascular coagulation (DIC) and multiple bullae lung disease and other infrastructure.

Since this is the first case in Guangdong, is the world's second case of H5N6 cases, there can learn from the successful experience of salvage therapy. Chinese Academy of Engineering, Zhong Nanshan, attaches great importance to the organization of multidisciplinary experts to study treatment programs. After a month of rescue and intensive care, the patient's condition gradually improved, on January 15 this year, transferred to a general ward, the patient's condition is currently stable, to be discharged in the near future.

The city has designated influenza surveillance hospitals

Zhong Nanshan believes that successful treatment of the first case of H5N6 cases in Guangdong have great significance. ? "Sichuan is the first case of H5N6 cases diagnosed after death, people have a lot of questions, the virus will not be very powerful," Zhong Nanshan said: "Two weeks ago the patient's Guangdong situation is quite serious, but after actively rescue and treatment, or save over, do not feel more special and more difficult than the other cases. "The hospital also did a resistance analysis, antiviral drugs such as Tamiflu, is effective against H5N6.

Guangzhou CDC deputy director Yang Zhicong description: "Guangzhou city has designated influenza surveillance hospitals, weekly samples to CDC influenza virus detection city has made unknown pneumonia and avian influenza surveillance system, all hospitals receive unexplained. cases of pneumonia is suspected bird flu cases are sampled. "

Zhong Nanshan said that Southerners like to eat fresh chicken and a little hair up (again rise up). So he took the delicious taste of fresh chicken, but the most important thing is to human health!

Jianfeng added that we advocate chicken, but we do not advocate buying chicken hair. From fresh chicken slaughter line down there quarantine, health is a protection.

zhttp://news.dayoo.com/guangzhou/201501/31/139995_39904710.htm

Announcement

China - Reports 2nd H5N6 human case - Guangdong province

China - Reports 2nd H5N6 human case - Guangdong province

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