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H7N9 - A Description of Symptoms from 1 Patient, Woman, 35 from Chuzhou City, Anhui Province

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  • H7N9 - A Description of Symptoms from 1 Patient, Woman, 35 from Chuzhou City, Anhui Province

    [Source: Ifeng, full text in Chinese: (LINK). Automatic translation.]
    More on H7N9 avian influenza human cases in Nanjing

    Apr. 03, 2013 02:17 Source: Beijing News


    Original title: Nanjing of Chuzhou H7N9 patients had a history of contact with live chickens

    The recent spate of human infection with the H7N9 avian influenza virus, is the world's first discovery of new influenza virus subtype.

    Shanghai has two deaths, Anhui, patients in critical condition, still under treatment in All four cases the latest notification from Jiangsu. As of yesterday, the country has found seven cases of confirmed cases of H7N9 avian influenza this, many start to strengthen prevention and control deployment in response to the virus struck.

    Have been confirmed cases What are the symptoms? Before the illness have come into contact with what the source of infection? In this regard, the reporter went to Nanjing, Anhui, of which two patients diagnosed with residence and work places to visit.

    Beijing News News yesterday, a confirmed H7N9 patients in Chuzhou, Anhui Province Mr. Han still in Nanjing Zhongshan University Hospital ICU ward treatment , her husband said that his wife's condition is still very critical, and sent to experts in Beijing have provided treatment programs. It is understood that the five days prior to the onset of the patients went to the vegetable market to buy live chickens home cooking.

    Chuzhou patients with anti-inflammatory therapy - Patients Mr. Han, female, 35 years old, living in Chuzhou City, Anhui Province, South Qiao Area Apartment 4 layers. Her husband Zhang said his wife suffered from depression, did not work, usually with a ten-year-old daughter to school.

    March 14 this year, Mr. Han fever 39 ? C, the next day at community clinics for treatment, taking azithromycin and other anti-inflammatory, antiviral drugs, the symptoms are not relieved. Then she went to another clinic for treatment, but the symptoms are not relieved, and a high fever of 40 ? C.

    On March 19, Mr. Han accompanied her husband to the Chinese and Western Medicine, Chuzhou, combined with the hospital due to serious condition, and the next day transferred to the First People's Hospital of Chuzhou City, was diagnosed with pneumonia. On the afternoon of the 20th, the patients go to the Nanjing Zhongshan University Hospital.

    Nanjing Zhongda hospital admission diagnosis: severe pneumonia; septic shock; multiple organ dysfunction syndrome, viral myocarditis, liver dysfunction; depression.
    Before the onset of the 5th purchase live chickens - It is understood that two weeks prior to the onset of Mr. Han have not been to the field. Sick two weeks before her daughter suffered from a cold fever for several days that healed, in addition, Mr. Han did not come into contact with other patients with fever.

    Mr. Han lived in the area near a vegetable market, Han Mousheng disease before and after to the farms to buy food. March 9, Mr. Han and her husband went to the farms to buy a live chicken, let the chicken traders to slaughter, and then Mr. Han home the whole chicken chopped into pieces burn into chicken soup, so the whole family consumption.

    Her husband, Zhang said, the family almost every day to the farms to buy food. After the onset of the wife, the family made a blood collection laboratory, were not detected in the virus.

    National Center for Disease Control confirmed H7N9 - Yesterday, the the Chuzhou CDC staff said that they received a week ago, the Nanjing Center for Disease Control's notice before they informed the local emergence of H7N9 confirmed cases.

    It is understood that the Nanjing Zhongshan University Hospital received Mr. Han, respiratory specimens sent to CDC of Jiangsu Province, and then sent to the Chinese Center for Disease Control detected. Eventually detected H7 subtypes of avian influenza virus nucleic acid positive.

    According to staff, followed by the national CDC officially confirmed positive for H7N9 virus.

    Chuzhou H7N9 cases, the city established the mayor as head of the emergency response team. Requested all medical units to focus on monitoring severe pneumonia, and calls for ...

    The patient husband: hope all your savings countries reimbursement - Beijing News yesterday to Mr. Han living cell in Chuzhou, there is no exception, passers-by are basically not wear masks. 3 minutes walking on the west side of the district there is a farmer's market, this is Mr. Han often buy food. At noon, here is still full of people, business as usual.

    Mr. Han's husband said that his wife is diagnosed, Nanjing CDC to him and his family to do the sampling, are not suspected symptoms.

    He and his family now move freely, not isolation. Their year-old daughter is still in school. Wife during the illness, the family still go to the farms to buy food, "every day is always cooking.

    Mr. Han's husband said, he was working in a factory, although he and his wife are city accounts, but the wife does not work, do not have any savings at home, now a doctor does not take money out, this is sick because of avian flu, he wants the state to reimburse medical expenses.

    The slaughtered work is confirmed for the first patient in Nanjing - Home address information is posted on the microblogging in Jiangning District, East New farmers market in live poultry slaughter

    The Beijing News confirmation hearing Nanjing, the first patient was a 45-year-old female Xu. She lives in Jiangning District, a district in a place not far from her home, a farmers market, the sale of poultry, eight years ago, Xu rent a stall in the market, and began to engage in live poultry slaughtered.

    Ten days before the cold symptoms - Xu husband said, as early as March 19, Xu has been aware of the discomfort, her son the industry sea (a pseudonym) said, feeling sore, uncomfortable.

    March 20, industry sea came home from work and found the mother appeared cold symptoms, some coughing, fever, he and his mother, after discussions, decided the next day to take her home to a nearby hospital for treatment.

    On the 21st, after the diagnosis, the local hospital told Xu, she got pneumonia. At noon the same day, "X-ray examination report card" displayed a shooting permit any markings increased sheet height dense shadow in the lower right lung, including diagnosis and advice column reads: consider the right middle lobe inflammation, if necessary review or further examination.

    Industry, Hai said the hospital was "no beds" to Community Hospital infusion treatment recommendations Xu. He did not expect the mother in the last two days after the infusion, the situation has not improved.

    Critical condition, still in the rescue - March 23, 2011 20:00 more, industry sea again with his mother to the diagnosis and treatment of hospital transfusion process, Xu suddenly said chest tightness, and then the temperature rose to 41 ? C and immediately transferred to the ICU (intensive care unit) treatment .

    22:00 the next day, the industry sea connected to the hospital phone, said the mother in serious condition, is trying to rescue. March 27, Xu sicker, industry sea mother go to Nanjing, a hospital ICU treatment. On April 2, the hospital informed that, Xu critical condition, is rescue.

    This one afternoon, Jiangsu Province, organized by the Office of Health expert, according to Xu clinical manifestations, laboratory testing and epidemiological findings, diagnosis permit any confirmed cases of the H7N9 avian flu infection, she is the first case of human infection of H7N9 avian influenza in Jiangsu Province cases.

    For Sellers cure is published address - The Beijing News XunYe family said that the, although engaged in live poultry slaughter but Xu Mouping days of, good condition, never thought Xu infected with avian influenza.

    A relative of the industry home, Xu and her husband previously are the Jiangning District silk factory workers laid off after the two engaged in live poultry slaughtered in different markets.

    Industrialists said Xu treated in the ICU cost nearly a million a day, they have gradually spent 10 million, part of which borrow or with relatives and friends.

    Second-hand housing was originally intended to sell the home to pay medical expenses, workers and entrepreneurs, suddenly found yesterday, home address was posted on the microblogging. "Who to buy now? Certainly not sell." The industry sea some anger. He said should be investigated for the responsibility of users to publish these information.

    The home industry is still worried about medical expenses, they hope someone help also hope that the hospital will do their best treatment.
    Permit any of the work of the farmers market administrator Characteristic study of brown, relevant departments have been on the market disinfection permit any contact with people who are blood tests, the test results are good. "

    Edition have written / Beijing News reporter coated heavy Airlines Zhu Liu Di Lie
    -
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  • #2
    Re: H7N9 - A Description of Symptoms from 1 Patient

    Also described here:

    Nanjing H7N9 patients family members want to sell medical treatment but was released Location
    2013 04 03, 2011 02:19 Beijing News I have something to say ( 3 people involved)
     
    snip

      Beijing News News yesterday, a confirmed H7N9 patients in Chuzhou, Anhui Province Mr. Han still in Nanjing Zhongshan University Hospital ICU ward treatment, her husband said that his wife's condition is still very critical, and sent to experts in Beijing have provided treatment programs. It is understood that the five days prior to the onset of the patients went to the vegetable market to buy live chickens home cooking.

      Chuzhou patients with anti-inflammatory therapy

      Patients Mr. Han, female, 35 years old, living in Chuzhou City, Anhui Province, South Qiao Area Apartment 4 layers. Her husband Zhang said his wife suffered from depression, did not work, usually with a ten-year-old daughter to school.

      March 14 this year, Mr. Han fever 39 ? C, the next day at community clinics for treatment, taking azithromycin and other anti-inflammatory, antiviral drugs, the symptoms are not relieved.

    Then she went to another clinic for treatment, but the symptoms are not relieved, and a high fever of 40 ? C.

      On March 19, Mr. Han accompanied her husband to the Chinese and Western Medicine, Chuzhou, combined with the hospital due to serious condition, and the next day transferred to the First People's Hospital of Chuzhou City, was diagnosed with pneumonia.

    On the afternoon of the 20th, the patients go to the Nanjing Zhongshan University Hospital.

      Nanjing Zhongda hospital admission diagnosis: severe pneumonia; septic shock; multiple organ dysfunction syndrome, viral myocarditis, liver dysfunction; depression.

      5 days before the onset of purchase live chickens

      It is understood that two weeks prior to the onset of Mr. Han have not been to the field. Sick two weeks before her daughter suffered from a cold fever for several days that healed, in addition, Mr. Han did not come into contact with other patients with fever.

      Mr. Han lived in the area near a vegetable market, Han Mousheng disease before and after to the farms to buy food. March 9, Mr. Han and her husband went to the farms to buy a live chicken, let the chicken traders to slaughter, and then Mr. Han home the whole chicken chopped into pieces burn into chicken soup, so the whole family consumption.

      Her husband, Zhang said, the family almost every day to the farms to buy food. After the onset of the wife, the family made a blood collection laboratory, were not detected in the virus.

    more...

    zhttp://news.sina.com.cn/c/2013-04-03/021926718170.shtml

    Comment


    • #3
      Re: H7N9 - A Description of Symptoms from 1 Patient, Woman, 35 from Chuzhou City, Anhui Province

      [Source: Yahoo China, full text: (LINK). Automatic translation.]
      Beijing has not yet found that people infected with H7N9 the full deployment avian influenza prevention and control work


      Hong Beijing, April 3 Recently, the National Health and Family Planning Commission communications:

      As of April 3, Shanghai, Anhui and Jiangsu provinces found seven cases of human infection of H7N9 avian influenza confirmed cases, and cases of infection of H7N9 avian.

      The influenza virus is a new influenza virus subtype.

      From the information currently available, the characteristics of animal hosts and sources of human infection, interpersonal communication skills, virus infection disease spectrum is not clear.

      Beijing Municipal Health Bureau organized experts to study and formulate prevention and control programs, the deployment of the city's prevention and control work on the afternoon of April 2.

      From the clinical features currently found seven confirmed cases:
      • cases with acute onset,
      • early fever,
      • body temperature 38.6-40,
      • coughing,
      • 5-7 days after the onset of breathing difficulties and
      • severe pneumonia,
      • aggravated acute rapid progress respiratory distress syndrome.
      • Normal or decreased white blood cell count, and
      • lymphocyte differential count reduction,
      • imaging studies showing lung consolidation and ground glass-like changes.
      (?)

      -
      -------

      Comment


      • #4
        Re: H7N9 - A Description of Symptoms from 1 Patient, Woman, 35 from Chuzhou City, Anhui Province

        More details, description of symptoms etc, of several H7N9 patients in long article (in Chinese), dated april 3 2013:

        http://news.xinhuanet.com/health/201..._124536839.htm


        The symptoms seem to resemble seasonal flu, not H5N1 bird flu.
        ?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 ~~~

        Comment


        • #5
          Re: H7N9 - A Description of Symptoms from 1 Patient, Woman, 35 from Chuzhou City, Anhui Province

          Translation Google

          Chuzhou, Anhui H7N9 patients 18 days still seriously ill hospital has been advanced by 300,000

          Liu Jun 2013-04-08 04:28

          Yesterday, the Modern Express (microblogging) reporter learned from the Health Department of Jiangsu Province, Jiangsu confirmed six cases of human infection with the H7N9 avian flu patients, and another one cases of Anhui in patients in Nanjing rescue. 7 the patient's condition is still very critical, the hospital is actively rescue.

          Provincial Health Department yesterday for the first time disclosed in detail during the rescue of one of the patients. March 20, Chuzhou go to Nanjing where Mr. Han, 35-year-old, still in Southeast University Zhongda Hospital for treatment, at any time of danger. Early contact with 13 of the patients, medical staff, medical observation, were not unusual.

          The latest

          Condition is still critical hospital has advanced 300,000

          Chuzhou 35-year-old Mr. Han, incidence March 15, in critical condition, Nanjing, Jiangsu active treatment. Modern Express reporter learned that, Zhongshan University Hospital intensive care unit staff took on the task of the treatment of this patient. On the evening of March 20, the patient reaches the large hospitals to yesterday, the entire rescue process has been going on for 18 days.

          The large hospital Critical Care Medicine, deputy chief physician Guofeng Mei said, now live in the isolation ward of the Hospital of Zhongshan University, Mr. Han covered inserted seventy-eight of tube, to sustain life.

          "H7N9 virus detection became negative, but the the virus lung damage has actually exists, the condition is not as negative results and improved." Guofeng Mei revealed that more than 10 days, the patient has in fact been a bit conscious, but view from a chest X-ray, the cells of patients with lung tissue damage, under normal circumstances, so the lungs the cell reversal rehabilitation more difficult. The cost of treatment is very huge. Reporter has learned that the big hospitals for patients total advance of about 30 million.

          Where details

          Danger at any time to adjust the treatment program

          24 hours of intensive care of the health care team of more than 10 people

          Guofeng Mei is the first Mr. Han admissions physicians, is also in close contact with one. She recalled that the treatment of patients in Anhui, and the family began to contact with large hospitals require referral from Anhui to large hospitals.

          "We take into account the patient's condition is serious, so go with a ventilator and drugs." Guofeng Mei said. Patients to Nanjing, immediately under the leadership of our famous severe medical experts, Zhongshan University Hospital Professor Qiu Haibo, director of Critical Care Medicine, to carry out rescue work.

          The experts say that, due to the patient in critical condition, the treatment process and danger, doctors always monitor changes in condition, continuously adjust the treatment measures.

          According to reports, more than a dozen of the health care team, 24-hour intensive care. Monitoring, respectively, such as heart rate, blood pressure, pulse rate and oxygen saturation should always be concerned about the patient's issues such as nutrition, infection, and even if there were sputum in the respiratory tract, must also be the first time to know and deal with. "

          Medical staff stood by at the patient's bedside, ready to respond to a variety of rescue and care, out of the isolation ward, often drenched in sweat.

          Quest ward

          Negative pressure rooms, air not only into

          In the new ward building of large hospitals, a new highest level of negative pressure isolation ward. In late March, when the country confirm Mr. Han infected with avian influenza, she was transferred to the ward treatment.

          General condition good hospital, has a positive pressure wards and negative pressure rooms. The barotropic ward leukemia transplant patients using air wards through the layers of filter has no bacteria. Negative pressure rooms, the air is "not only enter".

          It is reported that the negative pressure rooms is an important condition for the treatment of patients with severe respiratory infectious diseases can only set the negative pressure wards of hospitals, particularly emphasized that the World Health Organization, the provisions of the rescue SARS patients. Although H7N9 is still no evidence that infect humans, but there is no doubt that in a negative pressure wards treatment is the safest. Lower than the air pressure outside the ward, the air pressure in the negative pressure wards outside fresh air can flow into the ward, the ward patients contaminated air does not leak out, but emissions to a fixed place in a timely manner through a dedicated channel. If you want to enter the isolation ward, the medical staff must be "all armed.

          Dialogue

          Modern Express: As health care workers, in the face of the mood of the avian flu nervous?

          Guofeng Mei: This virus is also no evidence that human-to-human transmission, and hospitals strictly do all kinds of protective isolation and infection management prevention and control work, therefore, not nervous. And early contact with the staff of the patient after medical observation, and no abnormality was found.

          Modern Express: the beginning that patients will not infect you?

          Guofeng Mei: In fact, as medical staff, this is the career risk, which is no way to do. When I pick up patients only know one patients with pneumonia do not know the infection is not contagious, just wearing a mask and do a little simple protection.

          Modern Express: The patient and the doctor said then?

          Guofeng Mei: In fact, the patient has been a bit conscious, but because of endotracheal intubation and treatment when we must use a sedative drug, and the patient has no way to communicate with the medical staff.

          http://news.qq.com/a/20130408/000075.htm
          Last edited by Pathfinder; April 8, 2013, 10:53 AM. Reason: bold text
          "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
          -Nelson Mandela

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