China - H5N6 avian influenza case reported in Beijing - August 19, 2019

[tetano]

The China National Health Commission reported a human case of avian influenza A(H5N6) today. The case involved a 59-year-old female from Beijing. She was hospitalised on August 11. She is now in a critical condition.
Avian influenza is caused by those influenza viruses that mainly affect birds and poultry, such as chickens or ducks.
Clinical presentation of avian influenza in humans includes eye infection (conjunctivitis), flu-like symptoms (e.g. fever, cough, sore throat, muscle aches) or severe respiratory illness (e.g. chest infection). The incubation period ranges from 7 to 10 days.
The more virulent forms can result in respiratory failure, multi-organ failure and even death. People mainly become infected with avian influenza virus through contact with infected birds and poultry (live or dead) or their droppings, or contact with contaminated environments (such as wet markets and live poultry markets). Human-to-human transmission is inefficient

http://outbreaknewstoday.com/h5n6-av...beijing-10463/

[sharon sanders]

CHP notified of human case of avian influenza A(H5N6) in Beijing
************************************************** **


The Centre for Health Protection (CHP) of the Department of Health (DH) today (August 19) received notification of an additional human case of avian influenza A(H5N6) in Beijing from the National Health Commission, and again urged the public to maintain strict personal, food and environmental hygiene both locally and during travel.

The case involved a 59-year-old female from Beijing. She was hospitalised on August 11. She is now in a critical condition.

From 2014 to date, 24 human cases of avian influenza A(H5N6) have been reported by the Mainland health authorities.

"All novel influenza A infections, including H5N6, are notifiable infectious diseases in Hong Kong," the spokesman said.

Travellers to the Mainland or other affected areas must avoid visiting wet markets, live poultry markets or farms. They should be alert to the presence of backyard poultry when visiting relatives and friends. They should also avoid purchasing live or freshly slaughtered poultry, and avoid touching poultry/birds or their droppings. They should strictly observe personal and hand hygiene when visiting any place with live poultry.

Travellers returning from affected areas should consult a doctor promptly if symptoms develop, and inform the doctor of their travel history for prompt diagnosis and treatment of potential diseases. It is essential to tell the doctor if they have seen any live poultry during travel, which may imply possible exposure to contaminated environments. This will enable the doctor to assess the possibility of avian influenza and arrange necessary investigations and appropriate treatment in a timely manner.

While local surveillance, prevention and control measures are in place, the CHP will remain vigilant and work closely with the World Health Organization and relevant health authorities to monitor the latest developments.

The CHP's Port Health Office conducts health surveillance measures at all boundary control points. Thermal imaging systems are in place for body temperature checks on inbound travellers. Suspected cases will be immediately referred to public hospitals for follow-up.

The display of posters and broadcasting of health messages in departure and arrival halls as health education for travellers is under way. The travel industry and other stakeholders are regularly updated on the latest information.

The public should maintain strict personal, hand, food and environmental hygiene and take heed of the advice below if handling poultry:

• Avoid touching poultry, birds, animals or their droppings;
• When buying live chickens, do not touch them and their droppings. Do not blow at their bottoms. Wash eggs with detergent if soiled with faecal matter and cook and consume the eggs immediately. Always wash hands thoroughly with soap and water after handling chickens and eggs;
• Eggs should be cooked well until the white and yolk become firm. Do not eat raw eggs or dip cooked food into any sauce with raw eggs. Poultry should be cooked thoroughly. If there is pinkish juice running from the cooked poultry or the middle part of its bone is still red, the poultry should be cooked again until fully done;
• Wash hands frequently, especially before touching the mouth, nose or eyes, before handling food or eating, and after going to the toilet, touching public installations or equipment such as escalator handrails, elevator control panels or door knobs, or when hands are dirtied by respiratory secretions after coughing or sneezing; and
• Wear a mask if fever or respiratory symptoms develop, when going to a hospital or clinic, or while taking care of patients with fever or respiratory symptoms.

The public may visit the CHP's pages for more information: the avian influenza page, the weekly Avian Influenza Report, global statistics and affected areas of avian influenza, the Facebook Page and the YouTube Channel.
Ends/Monday, August 19, 2019
Issued at HKT 17:00

https://www.info.gov.hk/gia/general/201908/19/P2019081900547.htm

[sharon sanders]

Please also see:

China - Major hospitals seeing small outpatient peak in several disease areas? - Jiangcheng - July 10, 2019 (note: Hebei province surrounds Beijing.)

[sharon sanders]

2014

1) Male, 49, in hospital April 23, 2014 with severe pnuemonia, diagnosed May 3, died May 6, Nanchong City, Nanbu County, Sichuan province Death

2) Male, 58, onset December 4, hospitalized December 9 in critical condition, Guangzhou city, Guangdong province Recovered note WHO rpt Dec 28


2015

3) Male, 44, onset January 27, 2015 hospitalized on February 3, died February 6, Tibet Diqing Tibetan Autonomous Prefecture Yunnan province Death WHO rpt Feb 12,

4) Female, 37, onset July 6, hospitalized July 9, died July 10, Shangri-La City, Yunnan province Death WHO report July 14

5) Female, 26, onset December 24, critical condition. Bao'an, Shenzhen, Guangdong province Death WHO report January 20

6) Female, 40, onset December 22, critical condition, Zhaoqing, Guangdong province WHO report January 20 Death note


2016

7) Male, 25, onset January 1, 2016, hospitalized January 4, 2016 in critical condition, Longgang, Shenzhen, Guangdong province Death WHO rpt Jan. 11 note

8) Male, 42, onset December 12, hospitalized December 12, died December 21, 2015, lived in Jieyang City, Guangdong province Death WHO rpt Jan 11

9) Female, 31, onset January 8, hospitalized in critical condition, Futian, Shenzhen, Guangdong province WHO rpt Jan 28

10) Child, 5, 1st documented H5N6 case from 2014 - case referred retroactively to in WHO rpt Jan 20

11) Female, 40, onset February 20, hospitalized February 22, critical condition, Guizhou, Guangdong province WHO rpt March 23 WHO rpt April 4 Death note

12) Male, 35, onset April 9, hospitalized April 12, critical condition, Hubei WHO rpt May 6

13) Female, 11, onset April 11, hospitalized April 13, ICU April 18, discharged, Zhuzhou City, Hunan note WHO rpt May 6

14) Female, 65, onset April 24, hospitalized April 27, Xuancheng, Anhui WHO rpt May 10

15) Male, 50, [Tian], onset May 23, hospitalized in critical condition May 28, Xiangxi, Hunan WHO rpt June 8 Death note

16) Female, 47, [Luo], onset and hospitalized on November 18, died on November 20, Shaoyang, Whugang, Hunan Death WHO rpt Dec 7

17) Female, 30, onset November 8, hospitalized Noverember 18 in critical condition, Luizhou, Guangxi WHO rpt Dec 7


2017

18) Male, 33, onset November 7, hospitalized November 12, critical condition, Guigang, Guangxi

19) Female, 3, onset December 19, recovered, Sanming City, Fujian province


2018

20) Male, 42, onset August 10, hospitalized August 15, serious condition, Laibin , Guangxi

21) Male, 22, onset September 25, hospitalized September 26, serious condition, poultry contact, Guangzhou, Guandong

22) Male, 44, onset October 18, hospitalized October 21, denied contact with poultry, died October 27, Hechi, Guangxi

23) Female, 10, onset October 29, hospitalized November 3, serious condition, Suzhou, Jiangsu


2019

24) Female, 59, hospitalized August 11, critical condition, Beijing

[Miyamoto Masakazu]

More details....

It seems that Beijing diagnosed a case of H5N6 Avian Flu.
I checked the China News net and Beijing CDC all reporting same news.

China: Beijing Diagnosed a case of H5N6 Avian flu: had bird contact



Chinanews.com August 21, 2019
According to the official Weibo of the Beijing Center for Diseases Control and Prevention, Beijing City diagnosed a case of human infection with H5N6 avian influenza on August 17, 2019.
The Patient is:
Name: Not published
Age: 59 years old,
Gender: Female
Registered address: Foreign resident registration
Migration to Beijing: 3 months have passed since she entered Beijing City,
Exposure to the birds: Yes, she had a contact with the slaughered poultry before the onset
Date of Diagnosis: August 17, 2019
Date of Death:
Date of Onset: August 6, 2019
Date of Hospitalization: No Information
Current situation: No Information
Source of the Poultry: Through the survey, the bird(s) she contacted was from outside Beijing.

The Beijing Center for Diseases Control and Prevention released the Beijing Epidemic Weekly on August 20, 2019. On “the 33rd week of August 2019 (August 12 to August 18)”, the city reported a total of 2,862 cases of legal communicable disease including 4 deaths. The worst five kinds of reported cases were: Infectious diarrhea, hand, foot and mouth disease, dysentery, tuberculosis and viral hepatitis, accounting which occupies 85.85% of the reported cases of legal communicable diseases.

On August 17, 2019, a case of human infection with H5N6 avian influenza was diagnosed in Beijing. The patient is female of 59 years old, having foreign resident registration. She came to Beijing 3 months ago. The patient developed symptoms on August 6, 2019. Before the onset of the disease, the patient had been exposed to the poultry which was(were) after slaughtered. The bird(s) contacted by the surveyed patients came from other provinces.

At present, Beijing has implemented various prevention and control measures in accordance with relevant prevention and control requirements. The current data indicate that though the said subtype of avian influenza has reported multiple cases in other parts of China, it is generally caused by exposure to infected birds and does not have the capability of human-human infection. Here, we remind the public to avoid contact with live birds. If there is any contact with poultry, you must do personal protection.

Sources:


China Daily:
http://cnews.chinadaily.com.cn/a/201908/21/WS5d5ca449a31099ab995dab24.html
Beijing CDC:
http://www.bjcdc.org/article/58616/2019/8/1566287560793.html

Mechanical T.:
Beijing confirmed a case of human infection with H5N6 avian influenza.

Chinanews.com August 21st
According to the official microblog of the Beijing Center for Disease Control and Prevention, on the 17th, a case of human infection with H5N6 avian influenza was confirmed in Beijing. Patient, female, 59 years old, foreign resident registration. I came to Beijing 3 months ago. The patient developed symptoms on August 6 and had contacted the slaughtered poultry before the onset of the disease. The birds contacted by the surveyed patients came from other provinces.

The Beijing Center for Disease Control and Prevention released the Beijing Epidemic Weekly on the 20th. On the 33rd week of August 2019 (August 12 to August 18), the city reported a total of 2,862 cases of legal infectious diseases and 4 deaths. The top five reported cases were: Infectious diarrhea, hand, foot and mouth disease, dysentery, tuberculosis and viral hepatitis, accounting for 85.85% of the reported cases of legal infectious diseases.

On August 17, 2019, a case of human infection with H5N6 avian influenza was confirmed in Beijing. Patient, female, 59 years old, foreign resident registration. I came to Beijing 3 months ago. The patient developed symptoms on August 6, 2019. The patient had been exposed to the poultry after slaughter before the onset of the disease. The birds contacted by the surveyed patients came from other provinces.

At present, Beijing has implemented various prevention and control measures in accordance with relevant prevention and control requirements. The current data indicate that the subtype of avian influenza has reported multiple cases in other parts of China. It is generally caused by exposure to infected birds and does not have the ability to pass humans. Here, we remind the public to avoid contact with live birds. If you need to contact with poultry, you must do personal protection.

[sharon sanders]

Also - Biological emailed me the link to the Beijing CDC information.