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  • H7N9 Cases February 12, 2014 (confirmed cases: 9, confirmed deaths: 0 ) (suspected cases: 0, suspected deaths:0)

    Hunan Province 1 new confirmed cases of human infection with H7N9 avian influenza 12 February 2014

    Time :2014 -02-12 Author:

    February 12, Hunan 1 new confirmed cases of human infection with H7N9 avian influenza, as the province ninth confirmed cases.

    Case Shao Moumou, male, 19 years old, who lives in Loudi Lianyuan. Currently the patient is in a hospital for treatment of Loudi.

    (Contributed by: Office of Emergency Management Office)

    http://www.21hospital.com/zwxx/wsyw2...212_23589.html

  • #2
    Zhejiang Province, three new cases of human infection of bird flu H7N9 12 February 2014

    Zhejiang Province, three new cases of human infection of bird flu H7N9

    Release date :2014 -02-12 Source: Ministry of Health and Family Planning Commission

    2014 On February 12, the date
      Zhejiang Provincial Health and Family Planning Commission Feb. 12 date of notification, the province added three cases of human infection with H7N9 avian influenza.

      1 , patients Jin Moumou, male, 84 years old, farmer, Wu Jinhua city people. 2 months 11 days confirmed human infection of H7N9 avian influenza. Is now in critical condition , a hospital for treatment in Jinhua.

      2 , patients Moumou, male, 58 years old, farmer, Xiaoshan District, Hangzhou people. 2 months 11 days confirmed human infection of H7N9 avian influenza. Now the condition is severe , treatment in a hospital in Hangzhou.

      3 , Shen certain patients, male, 46 years old, farmer, Yuhang District of Hangzhou people. 2 months 11 days confirmed human infection of H7N9 avian influenza. Now the condition is severe , treatment in a hospital in Hangzhou.

    http://www.zjwst.gov.cn/art/2014/2/1...62_407959.html

    Comment


    • #3
      Guangdong Province reported three new cases of human infection with H7N9 bird flu virus (DoH, February 12 2014, edited)

      [Source: Guangdong Province Department of Health, full page: (LINK). Automatic translation from Chinese.]


      Guangdong Province reported three new cases of human infection with H7N9 bird flu virus

      2014-02-12 14:26:37 / Ministry of Health and Family Planning Commission


      Health and Family Planning Commission of Guangdong Province on February 12 Bulletin, Guangzhou, Zhaoqing City new confirmed cases of H7N9 avian influenza three cases of human infection.

      The first case is a male, 8 years old, student, now living Huaiji County, Zhaoqing City, confirmed on February 11, currently in stable condition, treated at a local hospital sentinel.

      The second case is a male, 46 years old, farmer, now living in Nansha District, Guangzhou City, confirmed on February 11, currently in critical condition in hospital in a Guangzhou Hospital Wards.

      The third case is a male, 65 years old, farmer, now living Baiyun District, Guangzhou City, confirmed on February 11, currently in critical condition in a hospital in Guangzhou Hospital Wards.

      Also, an earlier case, from Zhaoqing City, confirmed on February 1, and another confirmed on February 5, have been discharged.


      -
      -------

      Comment


      • #4
        Re: First H7N9 case detected in Malaysia involving Chinese tourist

        Google Translation

        PRESS RELEASE
        MINISTER OF HEALTH MALAYSIA
        CASE IMPORT AVIAN INFLUENZA A ( H7N9 ) FROM CHINA

        Ministry of Health Malaysia ( MOH ) to report one ( 1 ) imported cases of Avian Influenza A ( H7N9 ) involving a female tourist Chinese citizen aged 67 who came from Guangdong province, China during a visit with a trip to Sabah , Malaysia .

        Investigations revealed that the case had received initial treatment in China for symptoms of fever , cough , runny nose , joint pain and fatigue begin January 30, 2014 , four ( 4 ) days before he arrived in Kuala Lumpur on February 3, 2014 . He left on February 4, 2014 and was in Sandakan until February 6, 2014 . Next , he went to Kota Kinabalu on February 6, 2014 .

        On February 7, 2014 , the case is getting weaker and sought treatment at a private clinic before being referred to the district hospital . On the same day , the case was transferred to a private hospital at the request of family members. Screening tests were performed for the first sample suspected Avian Influenza A ( H7N9 ) on February 9, 2014 and the second confirmatory test samples tested positive on February 11, 2014 . Until now , the case is still receiving treatment at the Intensive Care Unit (ICU ) of the hospital and is in stable condition .

        Ministry of Health Malaysia ,
        Level 12 , Block E7 , Parcel E ,
        Federal Government Administrative Centre ,
        62590 Putrajaya
        MINISTRY OF HEALTH MALAYSIA
        MINISTRY OF HEALTH MALAYSIA
        2
        Ministry of Health Malaysia has implemented control measures and reasonable precautions include improving the management of infection control in hospitals. Contact detection of 16 members of the group and 4 employees resorts that have close contact ( close contact) with all cases found to be in good health.

        Avian Influenza A ( H7N9 ) flu is a disease that occurs in birds ( poultry ) . Typically, the infection from birds to humans only happen if there is exposure to sick birds were infected with the bird flu virus .

        The occurrence of Avian Influenza A ( H7N9 ), which occurs at this time in China was first reported occurrence in humans in March 2013. To date , a total of 330 cases of Avian Influenza A ( H7N9 ) , including 65 deaths , confirmed by laboratory tests have been reported in humans .

        So far , WHO has not issued any travel advisory (travel advisory ) or remove any restrictions trip to China, and there is no vaccine to prevent the spread of Avian Influenza A ( H7N9 ) . Monitoring WHO also found no evidence of human-to- human transmission occurs far as reported in Taiwan where it is limited to two ( 2 ) imported cases without contagion . Therefore, the risk of the infection spreading among the local population in Malaysia is very low .

        Ministry of Health Malaysia has constantly improved preparedness measures to deal with possible infection of Avian Influenza A ( H7N9 ) . Thus , further actions including ;

        a) To strengthen the surveillance of influenza activity across the country , especially in the state including the number of sentinel locations in Sandakan and Kota Kinabalu from eight ( 8 ) to twelve ( 12 ) .

        b ) Strengthen the capacity of laboratories performing tests in Sabah in H7 .

        c ) Measures implemented infection prevention and control in all health facilities.

        d ) Cooperation of the Veterinary Department to enhance surveillance activities in birds .

        e ) Securing the cooperation of the travel agency that manages the visit of tourists from countries affected with avian influenza infection to advise their clients that is not healthy to postpone the trip. If there are tourists who show respiratory symptoms are asked to seek immediate treatment at the nearest health facility .

        Malaysian Ministry of Health would like to advise the public that:
        a) Individuals who visit the countries affected by avian influenza infection and respiratory symptoms when returning home are advised to wear masks ( mask ) and immediately seek medical care at health facilities nearby. They need to be informed about their travel history to the doctor ;
        b ) Avoid visiting a market selling live poultry (live poultry market) when visiting countries affected by avian influenza infection ;

        4
        c ) Always adopt a high level of personal hygiene such as frequent hand washing with soap and water or sanitizer , especially after coughing and sneezing ;
        d ) Avoid touching any surfaces contaminated by the stool and / or blood of poultry;
        e) Do not hold birds found dead without personal protective equipment and shall report the unusual bird deaths to the nearest Veterinary Office ;
        f ) Make sure food is fully cooked before eating ;
        g ) Getting treatment at a nearby clinic immediately if they have symptoms of influenza - like illness ( ILI ) , particularly for those involved in the handling of poultry ( poultry ) ;
        h ) Report any incidence of ILI cluster to the nearest District Health Office , and
        i ) For farmers and poultry farm operators should always adhere to the advice and guidance from the Department of Veterinary Services .
        Malaysian Ministry of Health will continue to monitor the occurrence of the disease and any developments will be informed from time to time . Latest information on Avian Influenza A ( H7N9 ) can be obtained from http://www.moh.gov.my website .
        Thank you .
        YB Datuk Dr . S. SUBRAMANIAM
        MINISTER OF HEALTH MALAYSIA
        February 12, 2014

        -----Original
        Kementerian Kesihatan Malaysia,
        Aras 12, Blok E7, Parcel E,
        Pusat Pentadbiran Kerajaan Persekutuan,
        62590 Putrajaya
        KEMENTERIAN KESIHATAN MALAYSIA
        MINISTRY OF HEALTH MALAYSIA

        KENYATAAN AKHBAR
        MENTERI KESIHATAN MALAYSIA
        KES IMPORT AVIAN INFLUENZA A (H7N9) DARI NEGARA CHINA
        Kementerian Kesihatan Malaysia (KKM) ingin melaporkan satu (1) kes import Avian Influenza A(H7N9) yang melibatkan seorang pelancong wanita warganegara China berusia 67 tahun yang berasal dari wilayah Guangdong, China ketika menyertai rombongan lawatan ke Sabah, Malaysia.
        Hasil siasatan mendapati kes telah menerima rawatan awal di China untuk gejala demam, batuk, selesema, sakit sendi dan lemah badan bermula 30 Januari 2014, iaitu empat (4) hari sebelum beliau tiba di Kuala Lumpur pada 3 Februari 2014. Beliau berlepas pada 4 Februari 2014 dan berada di Sandakan sehingga 6 Februari 2014. Seterusnya, beliau bertolak ke Kota Kinabalu pada 6 Februari 2014.
        Pada 7 Februari 2014, keadaan kes semakin lemah dan telah mendapatkan rawatan di klinik swasta sebelum dirujuk ke hospital daerah. Pada hari yang sama, kes telah dipindahkan ke hospital swasta atas permintaan ahli keluarga. Ujian saringan telah dilakukan bagi sampel pertama yang disyaki sebagai Avian Influenza A(H7N9) pada 9 Februari 2014 dan ujian pengesahan dengan sampel kedua didapati positif pada 11 Februari 2014. Sehingga kini, kes masih menerima rawatan di Unit Rawatan Rapi (ICU) di hospital berkenaan dan berada dalam keadaan stabil. 2

        Kementerian Kesihatan Malaysia telah melaksanakan langkah-langkah kawalan dan pencegahan yang sewajarnya termasuk mempertingkatkan pengurusan kawalan infeksi di hospital. Pengesanan kontak ke atas 16 ahli rombongan dan 4 pekerja rumah peranginan yang mempunyai kontak rapat (close contact) dengan kes mendapati kesemuanya berada dalam keadaan sihat.
        Avian Influenza A(H7N9) adalah penyakit selesema yang berlaku dalam kalangan unggas (poultry). Lazimnya, jangkitan daripada unggas kepada manusia hanya berlaku jika terdapat pendedahan kepada unggas yang telah dijangkiti dengan virus selesema burung tersebut.
        Kejadian Avian Influenza A(H7N9) yang berlaku pada masa ini di China merupakan kejadian kali pertama yang dilaporkan di kalangan manusia pada bulan Mac 2013. Sehingga kini, sebanyak 330 kes Avian Influenza A(H7N9), termasuk 65 kematian, yang disahkan melalui ujian makmal telah dilaporkan dalam kalangan manusia.
        Setakat ini, pihak WHO tidak mengeluarkan sebarang nasihat perjalanan (travel advisory) atau mengeluarkan sebarang larangan lawatan ke negara China dan tiada vaksin untuk mencegah jangkitan Avian Influenza A(H7N9). Pemantauan WHO juga mendapati tiada bukti penularan dari manusia ke manusia berlaku setakat ini sebagaimana yang dilaporkan di Taiwan di mana ianya terhad kepada dua (2) kes import sahaja tanpa penularan. Oleh itu, risiko jangkitan ini menular di kalangan penduduk tempatan di Malaysia adalah amat rendah.
        Kementerian Kesihatan Malaysia sentiasa mempertingkatkan langkah-langkah kesiapsiagaan bagi menghadapi kemungkinan jangkitan Avian Influenza A(H7N9). Justeru, tindakan selanjutnya termasuk; 3


        a) Memperkukuhkan aktiviti survelan influenza di seluruh negara terutamanya di negeri Sabah termasuk menambah bilangan lokasi sentinel di daerah Sandakan dan Kota Kinabalu daripada lapan (8) kepada dua belas (12).
        b) Mengukuhkan keupayaan makmal di Sabah dalam melaksanakan ujian H7.
        c) Langkah-langkah pencegahan dan kawalan jangkitan dilaksanakan di semua fasiliti kesihatan.
        d) Kerjasama pihak Jabatan Veterinar untuk meningkatkan aktiviti survelan di kalangan unggas.
        e) Mendapatkan kerjasama pihak agensi pelancongan yang menguruskan lawatan pelancong dari negara-negara yang terlibat dengan jangkitan Avian Influenza untuk menasihatkan pelanggan mereka yang tidak sihat supaya menangguhkan perjalanan. Jika ada pelancong yang menunjukkan gejala respiratori diminta mereka mendapatkan rawatan segera di fasiliti kesihatan yang berhampiran.

        Kementerian Kesihatan Malaysia ingin menasihatkan orang awam agar:
        a) Individu yang melawat ke negara-negara yang terlibat dengan jangkitan Avian Influenza dan menunjukkan gejala pernafasan apabila pulang ke tanah air dinasihatkan untuk memakai penutup mulut dan hidung (mask) serta segera mendapatkan rawatan perubatan di fasiliti kesihatan berhampiran. Mereka perlu memaklumkan mengenai sejarah perjalanan mereka kepada doktor;
        b) Mengelakkan mengunjungi pasar yang menjual unggas hidup (live poultry market) bila mengunjungi negara-negara yang terlibat dengan jangkitan Avian Influenza;
        4


        c) Selalu mengamalkan tahap kebersihan diri yang tinggi seperti kerap membasuh tangan dengan menggunakan air dan sabun atau sanitizer, terutamanya selepas batuk dan bersin;
        d) Mengelakkan daripada menyentuh sebarang permukaan yang dicemari oleh najis dan/atau darah unggas;
        e) Tidak memegang unggas yang ditemui mati tanpa alat perlindungan diri dan hendaklah melaporkan kejadian kematian unggas yang luar biasa ke Pejabat Veterinar yang terdekat;
        f) Pastikan makanan telah dimasak sepenuhnya sebelum dimakan;
        g) Mendapatkan rawatan di klinik yang berhampiran dengan segera apabila mendapat gejala influenza-like illness (ILI), terutamanya bagi mereka yang terlibat dengan pengendalian unggas (poultry);
        h) Melaporkan sebarang kejadian kluster ILI kepada Pejabat Kesihatan Daerah yang terdekat; dan
        i) Bagi penternak dan pengusaha ladang unggas hendaklah sentiasa patuh kepada nasihat dan panduan dari Jabatan Perkhidmatan Veterinar.

        Kementerian Kesihatan Malaysia akan terus memantau situasi kejadian penyakit ini dan sebarang perkembangan akan dimaklumkan dari masa ke semasa. Maklumat terkini berkaitan Avian Influenza A(H7N9) boleh diperolehi dari laman sesawang http://www.moh.gov.my.
        Sekian, terima kasih.
        YB DATUK SERI DR. S. SUBRAMANIAM
        MENTERI KESIHATAN MALAYSIA
        12 Februari 2014

        Portal Rasmi Kementerian Kesihatan Malaysia - View Senarai Kenyataan Akhbar > Kenyataan Akhbar Kementerian Kesihatan Malaysia
        http://www.moh.gov.my/index.php/data...ew_page/21/479

        Comment


        • #5
          H7N9 Cases February 12, 2014 (confirmed cases: 8, confirmed deaths: 0 ) (suspected cases: 0, suspected deaths:0)

          Source: http://7thspace.com/headlines/452624...stigation.html

          Imported human case of avian influenza A(H7N9) in Hong Kong under CHP investigation


          Hong Kong (HKSAR) - The Centre for Health Protection (CHP) of the Department of Health (DH) is today (February 12) investigating an imported human case of avian influenza A(H7N9) in Hong Kong affecting a man aged 65.

          The patient, with underlying medical conditions, lives in Sha Tin. He has developed fever and cough since February 8 and consulted a private medical practitioner on February 9. He was admitted to Kwong Wah Hospital (KWH) yesterday (February 11) for persistent illness and was then transferred to isolation ward for further management.

          He is now in critical condition.

          His nasopharyngeal aspirate was positive for avian influenza A(H7N9) virus upon laboratory testing by the CHP's Public Health Laboratory Services Branch.

          Preliminary epidemiological investigations by the CHP revealed that, the patient had travelled to Kaiping, Guangdong from January 24 to February 9 and had stayed in his local residence. Information so far indicated that his family had bought a slaughtered chicken from a village in Kaiping on January 29.

          The patient's seven family members in Hong Kong have remained asymptomatic and five of them (classified as close contacts) will be admitted to Princess Margaret Hospital for observation and testing.


          Further investigations into his travel and exposure histories are ongoing, in parallel with tracing of other contacts of the patient, including the doctor and patients of the private clinic which the patient attended, patients who stayed in the same room with the patient in KWH, and relevant visitors and healthcare workers of KWH, who will be put under medical surveillance.

          The CHP will liaise with relevant Mainland health authority to follow-up the patient's contacts during his stay in the Mainland...


          Source: HKSAR Government
          Published on: 2014-02-12

          Comment


          • #6
            Re: Imported human case of avian influenza A(H7N9) in Hong Kong under CHP investigation- Feb. 12, 2014

            hat tip to Michael Coston for the link


            Press Releases
            Traditional Chinese Simplified Chinese Email this article news.gov.hk
            Imported human case of avian influenza A(H7N9) in Hong Kong under CHP investigation
            ************************************************** **********
            The Centre for Health Protection (CHP) of the Department of Health (DH) is today (February 12) investigating an imported human case of avian influenza A(H7N9) in Hong Kong affecting a man aged 65.

            The patient, with underlying medical conditions, lives in Sha Tin. He has developed fever and cough since February 8 and consulted a private medical practitioner on February 9. He was admitted to Kwong Wah Hospital (KWH) yesterday (February 11) for persistent illness and was then transferred to isolation ward for further management. He is now in critical condition.

            His nasopharyngeal aspirate was positive for avian influenza A(H7N9) virus upon laboratory testing by the CHP's Public Health Laboratory Services Branch.

            Preliminary epidemiological investigations by the CHP revealed that, the patient had travelled to Kaiping, Guangdong from January 24 to February 9 and had stayed in his local residence. Information so far indicated that his family had bought a slaughtered chicken from a village in Kaiping on January 29.

            The patient's seven family members in Hong Kong have remained asymptomatic and five of them (classified as close contacts) will be admitted to Princess Margaret Hospital for observation and testing.

            Further investigations into his travel and exposure histories are ongoing, in parallel with tracing of other contacts of the patient, including the doctor and patients of the private clinic which the patient attended, patients who stayed in the same room with the patient in KWH, and relevant visitors and healthcare workers of KWH, who will be put under medical surveillance.

            The CHP will liaise with relevant Mainland health authority to follow-up the patient's contacts during his stay in the Mainland.

            "The Serious Response Level under the Government's Preparedness Plan for Influenza Pandemic remains activated and the CHP's follow-up actions are in full swing," a spokesman for the DH remarked.

            This is the fifth confirmed human case of avian influenza A(H7N9) in Hong Kong. The CHP will notify the World Health Organization (WHO), the National Health and Family Planning Commission as well as health and quarantine authorities of Guangdong and Macao.

            Locally, enhanced surveillance of suspected cases in public and private hospitals is underway. The CHP will continue to maintain liaison with the WHO, the Mainland and overseas health authorities to monitor the latest developments. Local surveillance activities will be modified upon the WHO's recommendations.

            "In view of human cases of avian influenza A(H7N9) confirmed in Hong Kong and multiple cases notified by the Mainland, the activity of the virus is expected to be higher in the winter season. Those planning to travel outside Hong Kong should maintain good personal, environmental and food hygiene at all times," 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. Random temperature checks by handheld devices have also been arranged. Suspected cases will be immediately referred to public hospitals for follow-up investigation," the spokesman added.

            Regarding health education for travellers, distribution of pamphlets, display of posters in departure and arrival halls, in-flight public announcements, environmental health inspection and provision of regular updates to the travel industry via meetings and correspondence are all proceeding.

            The spokesman advised travellers, especially those returning from avian influenza-affected areas and provinces with fever or respiratory symptoms, to 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 and provinces.

            "We have enhanced publicity and health education to reinforce health advice on the prevention of avian influenza," the spokesman said.

            As of 4pm today, the CHP's hotline (2125 1111) for public enquiries have received 172 calls since the first confirmed human case of avian influenza A(H7N9) in Hong Kong.

            Members of the public should remain vigilant and take heed of the preventive 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, or 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); or 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 CHP's avian influenza page (www.chp.gov.hk/en/view_content/24244.html) and website (http://www.chp.gov.hk/files/pdf/glob...nfluenza_e.pdf) for more information on avian influenza-affected areas and provinces.
            Ends/Wednesday, February 12, 2014
            Issued at HKT 21:38

            http://www.info.gov.hk/gia/general/2...1402120640.htm
            "May the long time sun
            Shine upon you,
            All love surround you,
            And the pure light within you
            Guide your way on."

            "Where your talents and the needs of the world cross, lies your calling."
            Aristotle

            “In a gentle way, you can shake the world.”
            Mohandas Gandhi

            Be the light that is within.

            Comment


            • #7
              Re: H7N9 Cases February 12, 2014 (confirmed cases: 9, confirmed deaths: 0 ) (suspected cases: 0, suspected deaths:0)

              H7N9 bird flu confirmed cases each notification Malaysia and Hong Kong one case of human infection associated with the province

              2014-02-13 17:13:29 Ministry of Health and Family Planning Commission

              It is the evening of February 12 briefing, Malaysia confirmed one case of human infection with H7N9 avian influenza. Patients Sumou, female, aged 67, Xinhui District, Jiangmen people. February 3 from Guangzhou Baiyun International Airport to Kuala Lumpur, Malaysia Tourism, February 7 patients in critical condition, February 11 confirmed human infections detected H7N9 bird flu laboratory in Malaysia.

              February 13, the Hong Kong Department of Health informed confirmed case of human infection H7N9 avian influenza. Off to a patient, male, aged 65, Jiangmen, Kaiping, chronic illness, daily life in Hong Kong, the Chinese New Year Jiangmen, Kaiping back to visit relatives. 8 February disease, returned to Hong Kong on February 9, hospitalized in Hong Kong on February 11, the patient is currently in critical condition.

              Also, Huizhou City, February 2 cases diagnosed Lee, Shenzhen City, January 23 confirmed cases of Zhang, January 24 confirmed cases Zhongmou, January 27 confirmed cases were cured Lin.

              http://www.gdwst.gov.cn/a/zwxw/2014021311322.html


              Malaysia ex Xinhui District, Jiangmen City, Guangdong Province

              Comment


              • #8
                H7N9 Cases February 12, 2014 (confirmed cases: 9, confirmed deaths: 0 ) (suspected cases: 0, suspected deaths:0)

                [Source: World Health Organization, full page: (LINK).]


                Human infection with avian influenza A(H7N9) virus – update

                Disease outbreak news / 17 February 2014


                On 13 February 2014, the National Health and Family Planning Commission (NHFPC) of China notified WHO of seven additional laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus.

                All the cases are male, the age range is 8 to 84 years old. Cases were reported from Zhejiang (3), Guangdong (3) and Hunan (1). Currently, three cases are in a critical condition, three cases are in a severe condition and one case is in a mild condition. All cases are reported to have had a history of exposure to live poultry.

                Details of the cases notified are as follows:
                • An 84 year-old farmer from in Jinhua City, Zhejiang Province, who became ill on 6 February and was admitted to hospital on 10 February. He is currently in a critical condition. The patient has a history of exposure to live poultry.
                • A 58 year-old farmer from Hangzhou City, Zhejiang Province, who became ill on 29 January and was admitted to hospital on the same day and transferred to another hospital on 8 February. He is currently in a severe condition. The patient has a history of exposure to live poultry.
                • A 46 year-old farmer from Hangzhou City, Zhejiang Province, who became ill on 4 February and was admitted to hospital on 9 February. He is currently in a severe condition. The patient has a history of exposure to live poultry.
                • An 8-year old boy from Zhaoqing City, Guangdong Province, who became ill on 6 February and was admitted to hospital on 7 February. He is currently in a mild condition. The patient has a history of exposure to live poultry.
                • A 46-year old farmer from Guangzhou City, Guangdong Province, who became ill on 4 February and was admitted to hospital on 7 February and transferred to another hospital on 10 February. He is currently in a critical condition. The patient has a history of exposure to live poultry.
                • A 65-year old farmer from Guangzhou City, Guangdong Province, who became ill on 3 February and was admitted to hospital on 9 February. He is currently in a critical condition. The patient has a history of exposure to live poultry
                • A 19 year-old man from Loudi City, Hunan Province, who became ill on 28 January and was admitted to hospital on 9 February. He is currently in severe condition. The patient has a history of exposure to live poultry.
                The Chinese Government has taken the following surveillance and control measures:
                • strengthen surveillance and situation analysis;
                • reinforce case management and treatment; and
                • conduct risk communication with the public and release information;

                Sporadic human cases

                While the recent report of avian influenza A(H7N9) virus detection in live poultry exported from mainland China to Hong Kong SAR shows the potential for the virus to spread through movement of live poultry, at this time there is no indication that international spread of avian influenza A(H7N9) has occurred. However as the virus infection does not cause signs of disease in poultry, continued surveillance is needed.

                Should human cases from affected areas travel internationally, their infection may be detected in another country during or after arrival. If this were to occur, community level spread is unlikely as the virus does not have the ability to transmit easily among human. Until the virus adapts itself for efficient human-to-human transmission, the risk of ongoing international spread of H7N9 virus by travellers is low. The overall risk assessment has not changed.

                Further sporadic human cases of avian influenza A(H7N9) infection are expected in affected and possibly neighbouring areas, especially given expected increases in the trade and transport of poultry associated with the Lunar New Year.


                WHO advice

                WHO advises that travellers to countries with known outbreaks of avian influenza should avoid poultry farms, or contact with animals in live bird markets, or entering areas where poultry may be slaughtered, or contact with any surfaces that appear to be contaminated with faeces from poultry or other animals. Travellers should also wash their hands often with soap and water. Travellers should follow good food safety and good food hygiene practices.

                WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend any travel or trade restrictions.

                As always, a diagnosis of infection with an avian influenza virus should be considered in individuals who develop severe acute respiratory symptoms while travelling or soon after returning from an area where avian influenza is a concern.

                WHO encourages countries to continue strengthening influenza surveillance, including surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns, in order to ensure reporting of human infections under the IHR (2005), and continue national health preparedness actions.


                -
                ------

                Comment


                • #9
                  H7N9 Cases February 12, 2014 (confirmed cases: 9, confirmed deaths: 0 ) (suspected cases: 0, suspected deaths:0)

                  [Source: World Health Organization, full page: (LINK).]


                  Human infection with avian influenza A(H7N9) virus – update, 2nd

                  Disease outbreak news / 17 February 2014


                  On 12 February 2014, The Ministry of Health (MOH) Malaysia reported a human case of avian influenza A(H7N9) virus.

                  Details of the case are as follows:
                  • A 67 year old woman tourist from Guangdong Province, China, arrived in Malaysia on 3 February in a tour group of 17 persons, including relatives, and stayed overnight in Kuala Lumpur, Malaysia. The tour group then went on a visit to Sabah, Malaysia from 4 to 6 February. On 7 February, she was admitted to hospital and later transferred to another hospital in Sabah. The patient is currently in a stable condition.
                  • Four days prior to travelling to Malaysia, on 30 January 2014, she was treated in China for symptoms of fever, cough, flu, fatigue and joint pain. Given the onset of symptoms, and travel dates, the most likely exposure occurred before arrival in Malaysia.
                  • The Malaysia Ministry of Health is conducting an investigation including contact tracing and is also coordinating information sharing with the Chinese Government.

                  Sporadic human cases

                  While the recent report of avian influenza A(H7N9) virus detection in live poultry exported from mainland China to Hong Kong SAR shows the potential for the virus to spread through movement of live poultry, at this time there is no indication that international spread of avian influenza A(H7N9) has occurred. However as the virus infection does not cause signs of disease in poultry, continued surveillance is needed.

                  Should human cases from affected areas travel internationally, their infection may be detected in another country during or after arrival. If this were to occur, community level spread is unlikely as the virus does not have the ability to transmit easily among human. Until the virus adapts itself for efficient human-to-human transmission, the risk of ongoing international spread of H7N9 virus by travellers is low. The overall risk assessment has not changed.

                  Further sporadic human cases of avian influenza A(H7N9) infection are expected in affected and possibly neighbouring areas, especially given expected increases in the trade and transport of poultry associated with the Lunar New Year.


                  WHO advice

                  WHO advises that travellers to countries with known outbreaks of avian influenza should avoid poultry farms, or contact with animals in live bird markets, or entering areas where poultry may be slaughtered, or contact with any surfaces that appear to be contaminated with faeces from poultry or other animals. Travellers should also wash their hands often with soap and water. Travellers should follow good food safety and good food hygiene practices.

                  Travellers should follow good food safety and good food hygiene practices.
                  WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend any travel or trade restrictions.

                  As always, a diagnosis of infection with an avian influenza virus should be considered in individuals who develop severe acute respiratory symptoms while travelling or soon after returning from an area where avian influenza is a concern.

                  WHO encourages countries to continue strengthening influenza surveillance, including surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns, in order to ensure reporting of human infections under the IHR (2005), and continue national health preparedness actions.


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