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  • H7N9, Guangdong: First human case detected - confirmed positive by China CDC

    Source: Ifeng, full page in Chinese: http://news.ifeng.com/gundong/detail...459335_0.shtml - Automatic translation.


    Guangdong found a case of suspected human infection of H7N9 avian influenza

    At 16:05 on August 9th, 2013


    Guangdong Provincial Health Department today (August 9) afternoon briefing, Guangdong Province found a case of human infection with the H7N9 avian influenza suspected cases.

    August 6, Huizhou City Center for Disease Control found during routine monitoring in Huizhou Central Hospital, a 51-year-old woman ILI samples of H7N9 positive screening, the Guangdong Provincial Center for Disease Control experiments review was positive, with The case of live poultry exposure history to determine the initial human infection of avian influenza H7N9 suspected cases.

    The provincial government attaches great importance to go all out patient treatment, and to identify the source and take measures to prevent the spread.

    Provincial Health Department has sent experts to the scene to guide prevention and control of H7N9 clinical treatment, epidemiological investigation, and prevention and control work.

    Huizhou Municipal Center for Disease Control has implemented 36 close contacts under medical observation, the current is not abnormal.

    In accordance with the provisions of the National Health and Family Planning Commission, Guangdong Provincial Center for Disease Control samples have been sent to the China Disease Prevention and Control Center be retested to confirm.

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  • #2
    Re: H7N9, Guangdong: First suspected human case detected (Ifeng, August 9 2013)

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


    Guangdong found a case of suspected human infection with H7N9 avian influenza virus

    2013-08-09 15:42:50 - Guangdong Provincial Health Department


    Guangdong Provincial Health Department on August 9 Bulletin, Guangdong Province found a case of human infection with the H7N9 avian influenza suspected case.

    August 6, Huizhou City Center for Disease Control found during routine monitoring in Huizhou Central Hospital, a 51-year-old woman ? ILI samples of H7N9 positive screening, the Guangdong Provincial Center for Disease Control experiments review was positive, with The case of live poultry exposure history to determine the initial human infection of avian influenza H7N9 suspected cases.

    The provincial government attaches great importance to go all out patient treatment, and to identify the source and take measures to prevent the spread.

    Provincial Health Department has sent experts to the scene to guide prevention and control of H7N9 clinical treatment, epidemiological investigation, and prevention and control work. Huizhou Municipal Center for Disease Control has implemented 36 close contacts under medical observation, the current is not abnormal.

    In accordance with the provisions of the National Health and Family Planning Commission, Guangdong Provincial Center for Disease Control samples have been sent to the China Disease Prevention and Control Center be retested to confirm.


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    • #3
      Re: H7N9, Guangdong: First suspected human case detected (Ifeng, August 9 2013)

      Source: RTHK, full text in Chinese: http://rthk.hk/rthk/news/expressnews..._55_941251.htm - Automatic translation.


      Hong Kong received from Guangdong Province notification of the first suspected case of H7N9

      2013-08-09 HKT 16:35


      Guangdong Province notified to Hong Kong a suspected case of human infection with avian influenza A (H7N9) virus, the CHP spokerperson Leung Ting-**** reported today.


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      • #4
        Re: H7N9, Guangdong: First suspected human case detected (Ifeng, August 9 2013)

        Guangdong patients with suspected human infection H7N9 avian influenza in live poultry slaughtering


        Xinhuanet, Guangzhou, August 9 (reporter)-9th Guangdong Provincial Health Department informed, human infection H7N9 avian flu suspected patients in Guangdong Province engaged in poultry slaughtering work.  On August 6, the Huizhou city, centers for disease control and prevention found during routine surveillance testing of Huizhou Central Hospital influenza a cases sampling H7N9 screening positive for experimental review-positive by the Guangdong provincial Center for disease control and prevention, in conjunction with the initial judgement of cases live exposure history for suspected cases of human infection H7N9 avian influenza.  It was informed, patient x Chen, female, 51 years old, Town East Road, henghe town, boluo County, Huizhou city of Hui people, engaged in poultry slaughtering in boluo County market towns of market for many years, currently in a more severe condition, Huizhou is organized to medical treatment. Guangdong Provincial Health Department had sent including respiratory disease, Intensive Care Medicine, infectious disease and medical imaging, 5 experts rushed to the people's Hospital of Huizhou City Centre assist in the treatment and has sent disease control experts guide the epidemiological investigation and control work.  Huizhou city, centers for disease control and prevention 36 implementation in close contacts have been placed under medical observation, there are no abnormal findings. Author: xiaosisi



        Comment


        • #5
          Re: H7N9, Guangdong: First suspected human case detected (Ifeng, August 9 2013)

          [Source: Centre for Health Protection, Hong Kong PRC SAR, full page: (LINK).]


          Notification of suspected human case of avian influenza A(H7N9) in Guangdong


          The Centre for Health Protection (CHP) of the Department of Health (DH) has been notified by the Department of Health of Guangdong Province of a suspected human case of avian influenza A(H7N9) today (August 9) affecting a 51-year-old woman in Huizhou in Guangdong Province.

          The sample of the patient tested positive for the avian influenza A(H7N9) virus by the Centre for Disease Control and Prevention of Guangdong Province and has been sent to the Chinese Center for Disease Control and Prevention for confirmation by a review test.

          According to the preliminary information, the patient is a poultry worker and has a history of exposure to live poultry. No abnormality was found among the 36 close contacts of this case so far.

          To date, a total of 133 human cases of avian influenza A(H7N9) have been laboratory confirmed in the Mainland, including:
          1. Zhejiang (46 cases),
          2. Shanghai (33 cases),
          3. Jiangsu (28 cases),
          4. Jiangxi (six cases),
          5. Fujian (five cases),
          6. Anhui (four cases),
          7. Henan (four cases),
          8. Shandong (two cases),
          9. Hunan (two cases),
          10. Beijing (two cases) and
          11. Hebei (one case).
          A DH spokesman remarked that the CHP is closely monitoring the situation and maintaining close liaison with the Mainland health authorities for case details, as well as keeping a close eye on the latest advice from the World Health Organization (WHO).

          The CHP has sent letters to doctors and private hospitals to update them on the latest situation of human infection of avian influenza A(H7N9).

          "Locally, no confirmed human cases of avian influenza A(H7N9) have been recorded so far," the spokesman stressed.

          Travellers, especially those returning from Shanghai, Jiangsu, Zhejiang, Anhui, Henan, Beijing, Shandong, Jiangxi, Fujian, Hunan, Hebei or Guangdong, with fever or respiratory symptoms are reminded to immediately wear facial masks, seek medical attention, and reveal their travel history to doctors. Health-care professionals should also pay special attention to patients who might have had contact with birds, poultry or their droppings in affected areas.

          In response to the human cases of avian influenza A(H7N9) in the Mainland, port health measures have been implemented at all border control points (BCPs) and health information is being disseminated to travellers through various means including display of posters on avian influenza A(H7N9) in departure and arrival halls, distribution of health education pamphlets, in-flight announcements, enhanced environmental health inspection, provision of regular updates to travel industries via meetings and correspondence, surveillance of sick travellers and referral of suspected cases to public hospitals for further investigation.

          The DH will continue to maintain its port health measures at all BCPs and keep a close eye on the latest advice from the WHO and the measures of the Mainland inspection and quarantine authorities to strengthen its work in disease prevention and control according to the latest situation.

          The spokesman urged travellers not to visit wet markets with live poultry in the affected areas and to avoid direct contact with poultry, birds and their droppings. If contact has been made, they should thoroughly wash their hands with soap and water.

          Members of the public should remain vigilant and are reminded to take heed of the following preventive advice against avian influenza:
          • 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 such as escalator handrails, elevator control panels or door knobs; or when hands are dirtied by respiratory secretions after coughing or sneezing;
          • Cover the nose and mouth while sneezing or coughing, and hold the spit with a tissue and put it into a covered dustbin;
          • Avoid crowded places and contact with fever patients; and
          • Wear a mask 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 ) for further information.
          Ends/Friday, August 9, 2013
          Issued at HKT 19:34
          NNNN


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          • #6
            Re: H7N9, Guangdong: First suspected human case detected (Ifeng, August 9 2013)

            Source: RTHK, full page in Chinese: http://rthk.hk/rthk/news/expressnews..._55_941332.htm - Automatic translation.


            Leung Ting-**** into Hong Kong does not exclude H7N9 cases

            2013-08-09 HKT 22:31


            Huizhou City, Guangdong Province, a 51-year-old female patient, suspected human infection of H7N9 avian influenza infection.

            Patients in the slaughter of live poultry and currently in critical condition.

            CHP Leung Ting-**** said that the two places with heavy pedestrian traffic, do not dismiss the possibility of cases into Hong Kong.


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            • #7
              Re: H7N9, Guangdong: First suspected human case detected (Ifeng, August 9 2013)

              Source: RTHK, full text in Chinese (automatic translation): http://rthk.hk/rthk/news/englishnews..._56_941357.htm


              Suspected H7N9 case in Guangdong

              10-08-2013

              A poultry worker in Guangdong province is suspected to have contracted the H7N9 bird flu virus. The 51-year-old woman from Huizhou is in a serious condition in hospital.

              Authorities have reportedly begun a cull of chickens on the farm where she works.

              A sample from the woman has been sent to the Chinese Centre for Disease Control and Prevention for confirmation.

              The Controller of the Centre for Health Protection, Dr Leung Ting-****, said it's possible that an imported H7N9 case will be found in Hong Kong in the coming months.


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              • #8
                Re: H7N9, Guangdong: First suspected human case detected (Ifeng, August 9 2013)

                Source: RTHK, full page in Chinese (Automatic translation): http://rthk.hk/rthk/news/expressnews..._55_941435.htm


                Guangdong first H7N9 case's son feverish, put under isolation

                 
                2013-08-10 HKT 12:36

                Huizhou City, a 51-year-old woman suspected of having contracted H7N9 bird flu, authorities held a press conference at noon accountable.

                Guangdong CDC Epidemic Prevention Institute Jianfeng said that one month before the onset did not visited other places, is a local case.

                He Jianfeng said patient discomfort began last month on the 27th, the 31st to the hospital yesterday, laboratory tested, belonging to suspected cases.

                Authorities tracked a total of 96 contacts, screening out of 42 cases for medical observation.

                He Jianfeng said the patient's son last night discomfort, slight fever, body temperature 37.5 degrees, immediately arrange for hospitalization, the sampled test, the first result is negative, no detection of influenza, the son of the current patient has fever, waiting for the second test.


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                • #9
                  Re: H7N9, Guangdong: First suspected human case detected (Ifeng, August 9 2013)

                  Source: RTHK, full text (in English): http://rthk.hk/rthk/news/englishnews..._56_941438.htm


                  H7N9 woman remains in serious condition

                  10-08-2013


                  Guangdong health officials say the woman who is suspected of having been infected with the H7N9 avian flu virus in Huizhou remains in serious condition.

                  But her son, who came down with a fever last night, has tested negative for the flu strain.

                  Meanwhile, the wet market in her village has been closed off for disinfection. All poultry has also been culled as a precaution.


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                  • #10
                    Re: H7N9, Guangdong: First suspected human case detected (Ifeng, August 9 2013)

                    [Source: Guangdong Pronvice Department of Health, full page in Chinese: (<STRIKE>LINK</STRIKE>). Automatic translation.]


                    H7N9, Guangdong: China CDC confirms diagnosis of the first case reported

                    2013-08-10 17:38:43 Guangdong Provincial Health Department


                    Guangdong Provincial Health Department reported on August 10, Guangdong Province confirmed case of human infection of H7N9 avian influenza.

                    Patients Moumou, female, 51 years old, who lives in the town of Huizhou City, Yokogawa Hedong Road market towns, market towns in the Boro job market poultry slaughter. Patients with a high fever a week on August 3 at noon to Huizhou Central People's Hospital for treatment, "the fever investigation because of" admitted to hospital. Evening of August 9 Go First Affiliated Hospital of Guangzhou Institute of Respiratory Diseases.

                    August 9, the Guangdong Provincial Center for Disease Control reports of test results in patients infected with human H7N9 avian influenza virus nucleic acid positive.

                    August 10, the Chinese Center for Disease Control laboratory human infection of H7N9 avian influenza review virus nucleic acid positive.

                    Guangdong Provincial Health Department based on expert clinical manifestations, laboratory and epidemiological findings, etc., to diagnose the infection of H7N9 human cases of avian influenza confirmed cases.

                    First Affiliated Hospital of Guangzhou Medical University, Institute of Respiratory Diseases, is to organize the rescue, the patient's current condition is still critical.


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                    • #11
                      Re: H7N9, Guangdong: First human case detected (Ifeng, August 9 2013)

                      [Source: Ifeng, full page in Chinese: (LINK). Portion of text automatically translated.]


                      H7N9, Guangdong: First case?s close contacts under strict surveillance

                      At 19:29 on August 10th, 2013 Source: China News Network

                      (?)


                      BEIJING, August 10 in Guangzhou Power (Tanggui Jiang Guangdong Wilson) on the 10th Guangdong Provincial Health Department briefing, the province confirmed one case of human infection with the H7N9 avian influenza, the current patient's condition is still critical, health department of 96 close contacts under medical observation, the patient?s son had low fever rest in close contact without exception, is the urgent deployment of the province of Guangdong Prevention.

                      August 9, the Guangdong Provincial Center for Disease Control reports of test results in patients infected with human H7N9 avian influenza virus nucleic acid positive. August 10, the Chinese Center for Disease Control laboratory human infection of H7N9 avian influenza review virus nucleic acid positive. Currently the patient's condition is still relatively critical, have been transferred to Guangzhou for treatment.

                      Following the 9th on 36 close contacts under medical observation, the spread of the epidemic for the effective control of the Guangdong Provincial Disease Prevention and Control Center of the experts and local disease control departments an in-depth epidemiological investigation of close contacts to expand the scope of sample collection, Close contacts under medical observation.

                      As at 16:00 on the 10th, a total of 96 close contacts under medical observation, of which 54 have been discharged under medical observation, 42 need to continue medical observation. Patient's son on the evening of August 9, low fever, body temperature 37.8 ℃. 10 morning screening H7N9 was negative, with no fever, chest X-ray and blood examination was normal. Remaining close contacts were abnormal.

                      (?)


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                      • #12
                        Re: H7N9, Guangdong: First human case detected (Ifeng, August 9 2013)

                        [Source: Centre for Health Protection, Hong Kong PRC SAR, full page: (LINK).]


                        Confirmation of suspected human case of avian influenza A(H7N9) in Guangdong


                        The Centre for Health Protection (CHP) of the Department of Health (DH) has been notified by the Department of Health of Guangdong Province today (August 10) that the suspected human case of avian influenza A(H7N9) in Guangdong has been confirmed.

                        The CHP received the notification from the Department of Health of Guangdong Province yesterday (August 9) that a 51-year-old woman living in Henghezhen, Boluo, Huizhou, Guangdong, presented with fever since July 27. She sought medical consultation at Huizhou Municipal Central Hospital on August 3 and was admitted on the same day. She was transferred to the First Affiliated Hospital of Guangzhou Medical University last night. The review test on the patient's sample by the Chinese Center for Disease Control and Prevention today confirmed this case as a human case of avian influenza A(H7N9). The patient is currently in critical condition.

                        According to the information of the Department of Health of Guangdong Province, the patient is a poultry worker of a market in Boluo and has a history of exposure to live poultry. Among the 96 close contacts of this case, the patient's son developed low grade fever last night. The test conducted early today was negative for avian influenza A(H7N9) and his fever has subsided. No abnormality was found among other close contacts so far.

                        To date, a total of 134 human cases of avian influenza A(H7N9) have been laboratory confirmed in the Mainland, including:
                        1. Zhejiang (46 cases),
                        2. Shanghai (33 cases),
                        3. Jiangsu (28 cases),
                        4. Jiangxi (six cases),
                        5. Fujian (five cases),
                        6. Anhui (four cases),
                        7. Henan (four cases),
                        8. Shandong (two cases),
                        9. Hunan (two cases),
                        10. Beijing (two cases),
                        11. Hebei (one case) and
                        12. Guangdong (one case).
                        A DH spokesman remarked that the CHP is closely monitoring the situation and maintaining close liaison with the Mainland health authorities for case details, as well as keeping a close eye on the latest advice from the World Health Organization (WHO).

                        "Locally, no confirmed human cases of avian influenza A(H7N9) have been recorded so far," the spokesman stressed.

                        Travellers, especially those returning from Shanghai, Jiangsu, Zhejiang, Anhui, Henan, Beijing, Shandong, Jiangxi, Fujian, Hunan, Hebei or Guangdong, with fever or respiratory symptoms are reminded to immediately wear facial masks, seek medical attention, and reveal their travel history to doctors. Health-care professionals should also pay special attention to patients who might have had contact with birds, poultry or their droppings in affected areas.

                        In response to the human cases of avian influenza A(H7N9) in the Mainland, port health measures have been implemented at all border control points (BCPs) and health information is being disseminated to travellers through various means including display of posters on avian influenza A(H7N9) in departure and arrival halls, distribution of health education pamphlets, in-flight announcements, enhanced environmental health inspection, provision of regular updates to travel industries via meetings and correspondence, surveillance of sick travellers and referral of suspected cases to public hospitals for further investigation.

                        The DH will continue to maintain its port health measures at all BCPs and keep a close eye on the latest advice from the WHO and the measures of the Mainland inspection and quarantine authorities to strengthen its work in disease prevention and control according to the latest situation.

                        The spokesman urged travellers not to visit wet markets with live poultry in the affected areas and to avoid direct contact with poultry, birds and their droppings. If contact has been made, they should thoroughly wash their hands with soap and water.

                        Members of the public should remain vigilant and are reminded to take heed of the following preventive advice against avian influenza:
                        • 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 such as escalator handrails, elevator control panels or door knobs; or when hands are dirtied by respiratory secretions after coughing or sneezing;
                        • Cover the nose and mouth while sneezing or coughing, and hold the spit with a tissue and put it into a covered dustbin;
                        • Avoid crowded places and contact with fever patients; and
                        • Wear a mask 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 ) for further information.


                        Ends/Saturday, August 10, 2013
                        Issued at HKT 21:53
                        NNNN


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                        • #13
                          Re: H7N9, Guangdong: First human case detected (Ifeng, August 9 2013)

                          Source: RTHK, full text in Chinese (automatically translated): http://rthk.hk/rthk/news/englishnews..._56_941520.htm


                          H7N9 woman remains in serious condition

                          11-08-2013


                          Guangdong health officials say the woman who is suspected of having been infected with the H7N9 avian flu virus in Huizhou remains in serious condition.

                          But her son, who came down with a fever last night, has tested negative for the flu strain.

                          Meanwhile, the wet market in her village has been closed off for disinfection. All poultry has also been culled as a precaution.


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                          • #14
                            Re: H7N9, Guangdong: First human case detected (Ifeng, August 9 2013)

                            Source: http://www.chinadaily.com.cn/china/2...t_16885372.htm


                            Guangdong confirms human H7N9 infection case
                            Updated: 2013-08-10 21:21
                            ( Xinhua)

                            GUANGZHOU - A human infection with the H7N9 strain of avian influenza was confirmed in south China's Guangdong Province, Guangdong's health department said Saturday.

                            Sample of a 51-year-old woman tested positive for the H7N9 virus at the Chinese Center for Disease Control and Prevention on Saturday, confirming the results of tests conducted by the Guangdong provincial center for disease control and prevention on Friday, the department said in a statement.

                            The infected patient, surnamed Chen, was admitted to Huizhou City Central People's Hospital on August 3 after having a fever for one week. She has been a poultry slaughtering worker at a local marketplace for many years in Boluo County.

                            She was transferred to the First Affiliated Hospital of Guangzhou Medical University for treatment on Friday night.

                            The patient is in critical condition but remains conscious with stable life sign parameters, the department said...

                            Comment


                            • #15
                              Re: H7N9, Guangdong: First human case detected - confirmed positive by China CDC

                              Translation Google

                              Son had fever patients are negative for H7N9 screening temporary

                              Ocean News Time: 2013-08-11 Source: Guangzhou Daily Author: Xuehua Qin Zhongyang Wu Yan
                                
                              Guangdong confirmed one case of human infection with H7N9 avian influenza 96 close contacts of 95 people without exception
                                
                              According to the Provincial Health Department on August 10 briefing, Huizhou found one case of suspected human infection of H7N9 avian influenza has been confirmed. From the evening of 9 patients had Huizhou Central People's Hospital transferred to the First Affiliated Hospital of Guangzhou Institute of Respiratory Diseases treated, the patient's condition was still critical. 96 close contacts, there are 54 medical observation lift, 42 need to continue medical observation. The son of nine patients with low fever evening, body temperature 37.8 ℃, 10 am screening H7N9 was negative, with no fever, chest X-ray and blood examination was normal. The remaining 95 close contacts caught no exception.
                               
                                
                              Boluo suspected cases confirmed yesterday
                                
                              Guangdong Provincial Health Department reported on August 10, Guangdong Province confirmed case of human infection of H7N9 avian influenza.
                                
                              Patients Moumou, female, 51 years old, who lives in the town of Huizhou City, Yokogawa Hedong Road market towns, market towns in the Boro job market poultry slaughter. Patients with a high fever a week on August 3 at noon to Huizhou Central People's Hospital for treatment, "the fever investigation because of" admitted to hospital. Evening of August 9 Go First Affiliated Hospital of Guangzhou Institute of Respiratory Diseases.
                                
                              August 9, the Guangdong Provincial Center for Disease Control reports of test results in patients infected with human H7N9 avian influenza virus nucleic acid positive. August 10, the Chinese Center for Disease Control laboratory human infection of H7N9 avian influenza review virus nucleic acid positive. Guangdong Provincial Health Department based on expert clinical manifestations, laboratory and epidemiological findings, etc., to diagnose the infection of H7N9 human cases of avian influenza confirmed cases. First Affiliated Hospital of Guangzhou Medical University, Institute of Respiratory Diseases, is to organize the rescue, the patient's current condition is still critical.
                                
                              Zhong Nanshan, patients go to the Institute hosted consultation call
                                
                              Sent by the provincial health department of the province Huizhou human infection of avian influenza H7N9 clinical expert consultation and assessment, in order to further improve the patient's treatment work, decided to transfer the patient to the First Affiliated Hospital of Guangzhou Institute of Respiratory Diseases treated. 9 at 10 pm, First Affiliated Hospital of Guangzhou Medical University, with a car sent by ambulance carrying patient ventilator leave Huizhou Central People's Hospital, on the 10th morning arrived safely call the Institute. Patient to the hospital immediately after the chest CT, and stay at Critical Care Medicine. 10 morning, academician Zhong Nanshan personally presided over the largest hospital-wide consultation to develop a treatment plan. Call the Institute established a critical care medicine to the Lord, including hospital infection Branch, Department of Radiology, Department of Infectious Diseases, Department of Pharmacy, and other multi-sectoral experts composed of specialized rescue treatment team, working hard to save the patient. Patients are still in critical condition, vital signs were still stable, conscious.
                                
                              Patients condition:
                                
                              Cardiopulmonary resuscitation has been severely damaged by four days
                                
                              Academician Zhong Nanshan, 0:05 yesterday morning, the patient is connected to the Institute by the call of Guangzhou, directly into the ICU, examination revealed sub-type or heavier, had severe pneumonia, also called ARDS (Acute Respiratory Distress Syndrome). Outstanding performance is very low oxygenation index, normal is 300, which is two days of her index two were 80,77, not to 100; Zhong Nanshan team recently concluded 111 cases of human infection of H7N9 avian influenza in patients with oxygenation index, oxygenation index average is 114. "The patient's condition is worse."
                                
                              First, two ventilation lung function is ventilation, Zhong Nanshan said the patient's ventilatory function is poor, high concentrations of oxygen into the body can not use, indicating that her lung inflammation, fibrosis and other diseases badly, serious virus damage to lungs. Huizhou Central Hospital on the 6th had their endotracheal intubation, and yesterday, the patient has reached four days by artificial respiration.
                                
                              August 5th, the 7th, the patient appeared twice in Huizhou, heart failure, pulmonary edema and cough up pink frothy sputum. Now look, enzymes liquid ratio is slightly higher, ECG findings of myocardial damage. The patient is conscious, other organs such as brain, muscle, kidney, liver (with elevated transaminases), are very mild damage.
                                
                              "Parties after treatment, the patient quieter." Zhongyuan Shi concluded.
                                
                              Close contact situations:
                                
                              54 has lifted observed 42 remains to be seen
                                
                              Following the 9th on 36 close contacts under medical observation, the spread of the epidemic for the effective control of the provincial CDC experts and a local disease control departments, in-depth epidemiological investigations, sample collection close contacts to expand the scope of close contacts under medical observation. As at 16:00 on the 10th, a total of 96 close contacts under medical observation, of which 54 have been discharged under medical observation, 42 need to continue medical observation. Patient's son on the evening of August 9, low fever, body temperature 37.8 ℃. 10 morning screening H7N9 was negative, with no fever, chest X-ray and blood examination was normal. Remaining close contacts were abnormal.
                                
                              Fellow appeal:
                                
                              Start from the grassroots to use Tamiflu as soon as possible
                                
                              Zhong Nanshan said that for the first case of the patient's treatment, the current practice is to increase the amount of Tamiflu, the double use of Tamiflu; hand is to continue to timely detect viruses, throat swab or positive, then it will still continue to use Tamiflu if has been positive, the treatment team is ready to use intravenous peramivir, spare but not spend.
                                
                              Canton Medical a vice president Li Yimin added that in Huizhou Central Hospital, has been used twice the dose of Tamiflu, that neuraminidase inhibitors oseltamivir.
                                
                              Zhong Nanshan said that the patient is now quite typical of severe H7N9, white blood cell count is low, really heavy condition, future situation, the current can not say, only to go all out. It is contemplated, if patients with Tamiflu few days ago, of course, is better.
                                
                              Zhong Nanshan, that, first at the grassroots level hospital, July 27 for 3 consecutive days and not for detecting suspicious; followed Huizhou Central Hospital on August 3 a patient received, watching professional background, pneumonia and flu-like symptoms immediately very alert, but can not be detected. This process lasted precisely seven days, very sad. Therefore, Zhong Nanshan, an urgent appeal to have higher primary hospital executive power, watching professional background, pneumonia and influenza-like symptoms should be careful, do not let the timing of early detection and treatment.
                                
                              Zhong Nanshan Jianfeng answering reporters' questions
                                
                              Son can not be excluded in patients with H7N9 infection
                                
                              Reporter: The patient is now able to exclude sick son?
                                
                              Zhong Nanshan: That will not do, but also repeatedly detect viral nucleic acid job. Another way is 2 to 4 weeks after onset, check H7N9 antibodies.
                                
                              Jianfeng: Beijing is also found in patients with 2 consecutive check is negative, the 3rd is positive, the 4th and check out is negative.
                                
                              Reporter: Jiangsu limited human to human cases have occurred, and now his son have a fever, it will increase the risk of human transmission?
                                
                              Jianfeng: Now there are only limited human to human transmission case, even if the child finally infected patients, it is difficult to determine from person to person, as is common occupational exposure. Now no direct evidence in this regard, but proposed a hypothetical.
                                
                              One case can not be said virus southward
                                
                              Reporter: H7N9 avian influenza will occur southward trend in Guangdong will lead to popular?
                                
                              Zhong Nanshan: Only one case I do not say that, but we are now more cautious. Unless there is a clear genetic mutation, it may lead to (a pandemic), this name is still patient's viral gene sequencing, whether variation is unknown.
                                
                              Jianfeng: H7N9 epidemic in Guangdong diffusion-human transmission is extremely small or extremely low. The first is currently found or avian origin, there is no human influenza genes, there is no biological basis. Second from epidemiology, 96 Tightlock who 95 are good, only son yesterday appeared in patients with low-grade fever 37.8 ℃, the temperature has been normal now, last night, sampling and testing carried out twice now, have not detected any influenza positive refers to the disease. Currently this is a separate case, there is no diffusion in the crowd.
                                
                              Reporter: Now the weather is so hot, why there will be cases in Guangdong?
                                
                              Zhong Nanshan: H7N9 virus at least sixty to seventy degrees Celsius in the environment will (be killed), now how can there be such a high temperature?
                                
                              Greensboro and the surrounding poultry virus was not detected
                                
                              County live chicken trade ban for 3 consecutive days
                                
                              Huizhou newspaper (Reporter correspondent Yan Qin Zhongyang early Xiesi Xiong) yesterday, the reporter saw at Yokogawa market, the market is a row of two layers inside a small building under the chicken stalls have been closed. Yokogawa town grocery market, according to a BOLUO owner, 9 pm, health, quarantine and towns cadres and specialized antivirus fire truck came to the scene to carry out cleaning and disinfection. Market remaining 68 chickens and eight ducks a goose all been concentrated transported destroyed. Someone told reporters: Moumou home chicken stalls poor health, poultry slaughtered in the stalls complete, even the usually one person to eat are also in the stalls.
                                
                              BOLUO deputy governor Zhu Xiaowen, at present, the incident of suspected problems were all chickens sampled detection, the current bird flu virus is not detected, but these have all been sterilized duck and goose landfill.

                              Yokogawa markets close for one day for disinfection work, the county will be banned for 3 consecutive days trading of live chickens, especially not marketing field. According to investigation, Chen Moumou chicken stalls mostly from the surrounding towns and villages acquisitions, and some of her own pet.
                                
                              Currently, relevant departments ongoing investigation chicken sources in the surrounding towns to take a sample of more than 700 cases were detected, yet found the bird flu virus. ILI also conducted local etiological screening to establish timely detection of outbreaks of emergency monitoring system.
                                
                              Health Department of the urgent deployment of H7N9 prevention and control
                                
                              Provincial Health Department on August 10 afternoon, held a provincial health system of human infection with H7N9 avian influenza prevention and control of television and telephone conference, to convey and implement the provincial government led by important instructions, deployment prevention and control work.
                                
                              Chen Yuansheng Minister put forward four requirements: First, we must attach great importance to the epidemic prevention and control work, strengthen organization and leadership. Second, we must continue to strengthen disease surveillance and prevention, focus on key areas, focusing on the prevention and control populations. Third, we should earnestly carry out medical treatment and clinical monitoring. The fourth is to increase health knowledge propaganda, maintain social stability. At the meeting, the provincial CDC director Zhang Yonghui comrades about the epidemic situation, academician Zhong Nanshan explain about the treatment requirements.
                                
                              Guangzhou to strengthen surveillance of influenza-like illness
                                
                              WASHINGTON (Reporter Wu Ren) Guangdong first case of human infection of H7N9 found in suspected cases of bird flu. Yesterday, the reporter from the Guangzhou Municipal Center for Disease Control has learned that the health sector will strengthen monitoring efforts to the crowd, in Guangzhou and found no suspected cases of human infection with H7N9.
                                
                              City CDC deputy director Yang Zhicong introduction, Guangzhou each department has been working on human, avian H7N9 virus and the outer environment daily monitoring suspected cases of human infection occurs in Huizhou, the population of Guangzhou will be a corresponding increase monitoring efforts, such as increased influenza like illness surveillance volume of severe pneumonia, unexplained pneumonia for H7N9 virus detection.
                                
                              Yang Zhicong reminder, not because of hot weather, relax on H7N9 prevention, and poultry contact protection to do to do, "there is the main argument is that the virus in the winter and spring, fall spread, but I think that this is a new virus, which we did not find out the propagation rule, it can not be taken lightly. "

                              "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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