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China - Hong Kong CHP notified of human cases of avian influenza A(H7N9) in Mainland - 83 cases, 25 deaths (Nov 22-Dec 29, 2016) in only 4 provinces - 11 cases & 2 deaths previously known

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  • China - Hong Kong CHP notified of human cases of avian influenza A(H7N9) in Mainland - 83 cases, 25 deaths (Nov 22-Dec 29, 2016) in only 4 provinces - 11 cases & 2 deaths previously known


    CHP notified of human cases of avian influenza A(H7N9) in Mainland
    ************************************************** *****


    The Centre for Health Protection (CHP) of the Department of Health today (January 9) received notification from the National Health and Family Planning Commission that 83 additional human cases of avian influenza A(H7N9), including 25 deaths, were recorded last month. The CHP again urged the public to maintain strict personal, food and environmental hygiene both locally and during travel.

    The 54 male and 29 female patients aged from 23 to 91 from Jiangsu (52 cases), Zhejiang (21 cases), Anhui (nine cases) and Fujian (one case) had their onset from November 22 to December 29, 2016. Among them, 58 reported exposure to poultry or poultry market while the source of infection of 17 cases was under investigation.

    In addition, the CHP is closely monitoring an additional human H7N9 case in Jiangxi yesterday (January 8). According to the Health and Family Planning Commission of Jiangxi Province, the female patient aged 55 from Yichun was hospitalised in Nanchang in critical condition.

    The Guizhou Center for Disease Control and Prevention reported an additional case affecting a female patient aged 49 from Sandu involved in poultry selling who was hospitalised in critical condition.

    "Most human cases occurred in winter and spring while disease activity was low in summer and autumn. From 2013 to date, 900 human cases have been reported by the Mainland health authorities, 125 of which have been recorded from November 2016 thus far," a spokesman for the CHP said.

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

    As the H7N9 virus continues to be detected in animals and environments in the Mainland, additional human cases are expected in affected and possibly neighbouring areas. In view of the heavy trade and travel between the Mainland and Hong Kong, further sporadic imported human cases in Hong Kong every now and then are expected, especially in the coming few months.

    "Therefore, we strongly urge the public to avoid touching birds, poultry or their droppings and visiting poultry markets or farms during travel, particularly in the upcoming Lunar New Year holidays. If feeling unwell, such as having a fever or cough, wear a mask and seek medical advice at once. Travellers returning from affected areas should consult doctors promptly if symptoms develop, and actively inform the doctors of their travel history for prompt diagnosis and treatment," the spokesman added.

    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 while 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 them 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, January 9, 2017



    http://www.info.gov.hk

    Last edited by Gert van der Hoek; January 9th, 2017, 05:09 AM.
    “Addressing chronic disease is an issue of human rights – that must be our call to arms"
    Richard Horton, Editor-in-Chief The Lancet

    ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

  • #2
    We already have the 2 additional cases mentioned in the above report that are not part of the November 22- December 29 grouping:


    #829 - Female, 49, onset December 25, hospitalized December 27, poultry trader, Qiannan, Guizhou province

    #852 - Female, 55, [Liu], hospitalized in critical condition, Yichun, Fengxin, Jiangxi province
    Last edited by sharon sanders; January 9th, 2017, 07:12 AM.
    "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


    • #3
      The China NHFP site has not posted the national December notifiable disease report yet. It usually is published mid-month in the following month. Apparently the Hong Kong CHP has an early partial submittal. The above CHP notice covers a time period from November 22 - December 29 so these cases are spanning 2 partial months. I expect more cases confirmed by the China NHFP for the last 2 days of December when their report is released in about a week.

      Please note: Not included in this report is the earlier cases announced for December 2016 from Guangdong province by the Hong Kong CHP. link


      Of the 83 cases and 25 deaths with the above onset dates (November 22 - December 29) we have 11 cases and 2 deaths listed already:


      #818 - Female, 49, reported poultry worker, died December 17, Xuancheng City, Guangde, Anhui province Death

      #819 - One person confirmed by local government December 21, Siming district, Xiamen, Fujian province

      #820 - One person reported by Anhui province, Hefei (off-site), Anhui province

      #821 - One person reported by Anhui province, Hefei, Anhui province Death

      #822 - One person reported by Anhui province, Hefei, Anhui province

      #823 - One person reported by Anhui province, Lu'an, Anhui province

      #824 - Male, 45, [Zhang], under treatment in Shanghai lives in Nantong, Jiangsu province

      #825 - Male, 32, [Liu], under treatment in Shanghai lives in Sichuan province

      #826 - Female, 53, [Yang]. poultry contact, under treatment, Shaoyang Longhui, Hunan province

      #828 - Male, 53, [Wang], hospitalized in critical condition, Jingdezhen, Jiangxi province

      #829 - Female, 49, onset December 25, hospitalized December 27, poultry trader, Qiannan, Guizhou province




      There were indicators of a large problem in China in December previous to this release. Some of the threads we have:


      China - Gov media: Human cases of H7N9 is an upward trend - December 30, 2016

      China - Changzhou city gov suspends trading of live birds starting December 30 due to seasonal bird flu threat, Jiangsu province



      China - H7N9 avian flu found in environmental samples at farmers market & a recent surge in pediatric seasonal flu A patients - Wenzhou, Zhejiang province - December 28, 2016

      China - Major hospital(s) reports increase of approximately 20% in respiratory clinics and 65% increase in pediatric emergency Hangzhou, Zhejiang province - December 27, 2016

      China - Surge in pediatric flu and respiratory patients, beds scarce at major hospital in Ningbo, Zhejiang province - December 14, 2016

      China - Patient "blow out" at Zhejiang University outpatient clinic, majority is cough, asthma, fever - December 9, 2016

      China - Pediatric visits to hospital emergency up 10% over same period last year, mostly bronchiolitis, fever, influenza, diarrhea - Jinhua, Zhejiang province - November 25, 2016


      China - Bengbu City held H7N9 avian flu prevention and control training on December 30, Anhui province



      China - Beef and pork prices up as consumers shift demand to them due to avian flu, Hefei province - January 1, 2017

      China - Government media: Recently major hospitals pediatric disease "overflowing": mostly respiratory, Henan province - December 26, 2016

      China - Hospital expert denies internet rumors of a smog virus causing a contagious respiratory illnesses in Beijing - December 21, 2016

      China - For more than a month many hospitals have a pediatric surge in pneumonia, fever, asthma - Harbin, Heilongjiang province - December 17, 2016

      China - A "sharp surge" of influenza pediatric patients at Hohhot hospitals - Inner Mongolia - December 16, 2016

      China - Despite government efforts to stop avian influenza, illegal market bird sales "thrive" - Jinan, Shandong province - December 15, 2016

      China - Live "H5N9" pandemic flu drill with hospital, emergency center, and other municipal departments participating in Changsha, Hunan province - December 7, 2016

      China - Dead migratory birds found at Huangyangtan wetland in Hebei province - tests pending - December 1, 2016

      China - Samples from 13 dead birds at Poyang Lake sent for testing, Jiangxi Province - November 30. 2016
      Last edited by sharon sanders; January 9th, 2017, 08:04 AM.
      "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


      • #4
        December is looking like a huge month when all of the cases are totaled:


        #817 - Male, 75, onset December 8, hospitalized December 9 in Hong Kong, test positive December 19, travel history to Dongguan, Guangdong province Death WHO rpt 23/12/16

        #818 - Female, 49, reported poultry worker, died December 17, Xuancheng City, Guangde, Anhui province Death

        #819 - One person confirmed by local government December 21, Siming district, Xiamen, Fujian province

        #820 - One person reported by Anhui province, Hefei (off-site), Anhui province

        #821 - One person reported by Anhui province, Hefei, Anhui province Death

        #822 - One person reported by Anhui province, Hefei, Anhui province

        #823 - One person reported by Anhui province, Lu'an, Anhui province

        #824 - Male, 45, [Zhang], under treatment in Shanghai lives in Nantong, Jiangsu province

        #825 - Male, 32, [Liu], under treatment in Shanghai lives in Sichuan province

        #826 - Female, 53, [Yang]. poultry contact, under treatment, Shaoyang Longhui, Hunan province

        #827 - Male, 70, onset December 26, hospitalized December 27, serious condition, in Hong Kong, possible exposure in Zhongshan, Guangdong province WHO rpt 3/1/17

        #828 - Male, 53, [Wang], hospitalized in critical condition, Jingdezhen, Jiangxi province

        #829 - Female, 49, onset December 25, hospitalized December 27, poultry trader, Qiannan, Guizhou province

        #831-843 - 13 new cases. Guangdong province announced 14 cases for December 2016 - one case previously known (#817). Guangdong province 7 Death

        #853-924 - Hong Kong CHP announced 83 cases/25 deaths for Nov 22-Dec 29 (not including Guangdong province). Of these cases/deaths we have 11/2 listed above. This line adds the difference of 72 cases and 23 deaths. 23 Death




        It appears so far that there are 98 announced cases and 33 deaths for Mainland China, Hong Kong, Macao for H7N9 avian flu infections for the month of December 2016.
        "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


        • #5
          As a personal comment - I find it shocking that so many cases were not disclosed in a timely fashion by the government of China (mainland). Apparently the case fatality rate of the batch announced today by the Hong Kong CHP is about 30%.

          This type of non-disclosure is a threat to world health.

          "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


          • #6
            from post 1...

            "From 2013 to date, 900 human cases have been reported by the Mainland health authorities, 125 of which have been recorded from November 2016 thus far," a spokesman for the CHP said."

            The CHP numbers do not add up on their own reports. I went back to every one of their Mainland announced cases reports for November, December, and January. The total cases that they have posted as announced to them by authorities on the mainland is 99.


            January 9 ---- 83 cases, 25 deaths link
            January 8-----6 cases, 0 deaths link
            January 5 ----1 case, 0 deaths link
            January 3 ----1 case, 0 deaths link
            Dec 13--------5 cases, 0 deaths link
            Dec 9----------1 case, 0 deaths link
            Nov 11--------2 cases, 0 deaths link


            Honestly, this is ridiculous.
            "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
              Wei Commission: last month infected with H7N9 bird flu 106 cases and 20 deaths

              Today, the State Planning Commission announced the December 2016 the national epidemic situation of legal infectious diseases. Data show that in December the national human infection H7N9 avian flu 106 cases, 20 people died. The reporters found that in November 2016 the national human infection H7N9 bird flu in 6 cases, no deaths, the number of infections in December than in November increased by 100 cases. Recently, the State Planning Commission issued a message saying that China has entered the H7N9 epidemic season, the overall characteristics of the epidemic has not changed. Recently, the H7N9 epidemic in China is still showing a trend of distribution, does not rule out the southern part of the region, cases continue to occur and so on.

              http://news.ycwb.com/2017-01/11/content_23993311.htm

              Comment


              • #8
                Regarding the patient number "#825 - Male, 32, [Liu], under treatment in Shanghai lives in Sichuan province",
                the patient should be "34" years old.

                Comment

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