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China - CHP announces 1 imported H7N9 human case hospitalized in serious condition - travel history to Dongguan, Guangdong province - December 19, 2016 - Died

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  • China - CHP announces 1 imported H7N9 human case hospitalized in serious condition - travel history to Dongguan, Guangdong province - December 19, 2016 - Died

    CHP investigates imported human case of avian influenza A(H7N9)
    ************************************************** ***


    The Centre for Health Protection (CHP) of the Department of Health is tonight (December 19) investigating the first imported human case of avian influenza A(H7N9) in Hong Kong this winter, and again urged the public to maintain strict personal, food and environmental hygiene both locally and during travel.

    The male patient, aged 75 with underlying illnesses, travelled to Changping, Dongguan alone on November 28 and attended a hospital there for chest discomfort on December 8. He returned to Hong Kong via Lo Wu on December 9 and was directly admitted to North District Hospital by ambulance for cough with sputum, shortness of breath, runny nose and chest discomfort. His nasopharyngeal swab tested positive for enterovirus/rhinovirus and negative for influenza virus upon testing by the CHP's Public Health Laboratory Services Branch (PHLSB).

    The patient subsequently developed fever on December 17 and the clinical diagnosis was pneumonia. His nasopharyngeal aspirate collected today was confirmed to be positive for influenza A(H7N9) virus by the PHLSB tonight. He is now in serious condition and is under isolation and further management.

    The patient denied recent exposure to poultry or wet market.

    His home contacts have remained asymptomatic so far and have been put under medical surveillance. Tracing of his other contacts in Hong Kong, if any, is underway.

    "The case will be notified to the World Health Organization and the national, Guangdong and Macau health authorities. We are communicating with the Mainland authority to follow up the patient's exposure and movements in the Mainland. Based on information available thus far, it is classified as an imported case. Epidemiological investigations are ongoing," a spokesman for the CHP said.

    "Recently, Guangdong reported the first human case of avian influenza A(H7N9) in this winter. Human H7N9 cases have also been detected in Zhejiang, Jiangsu and Fujian while human H5N6 cases in Hunan and Guangxi since November. Locally, four faecal dropping samples of birds collected from Mai Po Nature Reserve in late November were detected with H5N6 virus. Our risk assessment shows that the activity of avian influenza viruses is expected to increase in winter based on their seasonal pattern," the spokesman said.

    "The public should avoid touching birds, poultry or their droppings and visiting poultry markets or farms during travel, particularly in the upcoming Christmas and New Year holidays. If feeling unwell such as 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 let them know your travel history," the spokesman added.

    This is the 17th imported human case of avian influenza A(H7N9) confirmed in Hong Kong. From 2013 to date, 783 human cases of avian influenza A(H7N9) have been reported by the Mainland health authorities.

    Letters to doctors, hospitals, schools and institutions will be issued to alert them to the latest situation.

    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 underway. 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 advice below while handling poultry:
    • When handling live chickens, do not touch them or 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 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, going to a hospital or clinic, or while taking caring 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, December 19, 2016
    Issued at HKT 23:32



  • #3
    Update on imported human case of avian influenza A(H7N9)
    *********************************************


    The Centre for Health Protection of the Department of Health today (December 20) reported an update on the first imported human case of avian influenza A(H7N9) in Hong Kong this winter.

    Upon further enquiries, the male patient aged 75 revealed that he had visited a wet market in Sukeng, Changping, Dongguan, where he had bought dressed chicken.

    Contact tracing has so far identified 51 close contacts and the CHP is counting the number of other contacts.

    Close contacts include the patient's home contacts as well as relevant in-patients and healthcare workers (HCWs) of North District Hospital. Among them, an HCW with mild upper respiratory symptoms in stable condition has been admitted for observation, pending laboratory testing. The others have remained asymptomatic. They will be given antiviral prophylaxis with oseltamivir (Tamiflu) for five days, advised to wear a mask and put under medical surveillance for 10 days since their last exposure to the patient.

    Other contacts are personnel involved upon the patient's arrival in Hong Kong and ambulance personnel in patient transfer. All have remained asymptomatic. They will be advised to wear a mask and will be put under medical surveillance for 10 days since their last exposure to the patient. For those in-patients with underlying illnesses or higher risk of complications, as a precautionary measure, they will also be given Tamiflu for five days, advised to wear a mask and put under medical surveillance for 10 days since their last exposure, even if they have been identified as other contacts.

    Epidemiological investigations and contact tracing are ongoing.

    Ends/Tuesday, December 20, 2016
    Issued at HKT 18:30



    The Centre for Health Protection of the Department of Health today (December 20) reported an update on the first imported human case of avian influenza A(H7N9) in Hong Kong this winter. ...


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    • #4









      Update on imported human case of avian influenza A(H7N9)
      ************************************************** ******


      The Centre for Health Protection of the Department of Health today (December 21) reported an update on the first imported human case of avian influenza A(H7N9) in Hong Kong this winter.

      Contact tracing has so far identified 74 close contacts and 78 other contacts.

      Among the close contacts, a healthcare worker (HCW) of North District Hospital with mild symptoms reported yesterday (December 20) tested negative for influenza virus. An additional HCW with mild respiratory symptoms in stable condition has been admitted for observation, pending laboratory testing.

      Regarding the other contacts, one relevant in-patient and five HCWs with mild symptoms tested negative for influenza virus.
      Ends/Wednesday, December 21, 2016
      Issued at HKT 18:09

      The Centre for Health Protection of the Department of Health today (December 21) reported an update on the first imported human case of avian influenza A(H7N9) in Hong Kong this winter. ...

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      • #5
        Patient suffering from avian influenza Weng condition worse
        December 20, 2016 20:17 Source: Hong Kong Island network



          HONG KONG, Dec. 21 (Xinhuanet) - Hong Kong's first case of human infection with H7N9 Avian Influenza in winter was reported yesterday. The 75-year-old patient was still hospitalized in the North District Hospital, and his condition continued to deteriorate and the situation was in critical condition.

        In addition, CHP has identified 74 close contacts and 78 other contacts.


          A spokesman for the center said that close contacts, yesterday announced the emergence of a minor symptoms of the North District Hospital medical staff confirmed the negative reaction to influenza virus.

        Another medical staff with mild respiratory symptoms, stable condition, has been admitted to hospital for observation, waiting for laboratory tests.


          As for other contacts, a related inpatient and five medical staff showed mild symptoms, confirmed negative for influenza virus.
        ?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 ~~~

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        • #6
          Update on human cases of avian influenza A(H7N9)
          ************************************************

          The Centre for Health Protection (CHP) of the Department of Health today (December 22) reported an update on the first imported human case of avian influenza A(H7N9) in Hong Kong this winter.

          Among the 74 close contacts, a healthcare worker (HCW) of North District Hospital with mild symptoms reported yesterday (December 21) tested negative for influenza virus. Another HCW with mild symptoms is pending testing. Regarding the 151 other contacts, one relevant in-patient with mild symptoms tested negative for influenza virus.

          The CHP is also closely monitoring a total of seven additional human cases of avian influenza A(H7N9) in Anhui (five), Shanghai (one) and Fujian (one), and again urged the public to maintain strict personal, food and environmental hygiene both locally and during travel.

          According to the Health and Family Planning Commission of Anhui Province, among the five patients, three were from Hefei (including one death), one was from Lu'an and one who died was from Xuancheng.

          In addition, the Shanghai Municipal Commission of Health and Family Planning reported that the male patient aged 45 was from Nantong, Jiangsu. The case was classified as an imported case from Jiangsu. In Fujian, it was reported that the male patient aged 44 was from Xiamen.

          "Locally, the first imported human case of avian influenza A(H7N9) in this winter was recently detected while four faecal dropping samples of birds collected from Mai Po Nature Reserve in late November were positive for H5N6 virus. The neighbouring Guangdong and Macau also reported their first human H7N9 cases in this winter. Human H7N9 and H5N6 cases have already been reported in the Mainland in this winter. Our risk assessment shows that the avian influenza activity is expected to increase in winter based on its seasonal pattern," a spokesman for the CHP said.

          The Centre for Health Protection (CHP) of the Department of Health today (December 22) reported an update on the first imported human case of avian influenza A(H7N9) in Hong Kong this...

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          • #7
            He died.



            Progress in the Investigation of Foreign Influenza A (H7N9) Infection in Human
            * * * * * * * * * * * * * * * * * * * * * * * *



              In response to media inquiries, the Center for Health Protection (CHP) of the Department of Health (DH) today (December 27) released the first case of human infection with avian influenza A (H7N9) in Hong Kong since the beginning of winter this year.
              
              The Center for Health Protection (CHP) was informed that the 75-year-old man, who was admitted to North District Hospital on December 9 for treatment of confirmed human infection with avian influenza A (H7N9), died on December 25.


            Finish
            2016 Nian 12 Yue 27 Ri (Xingqi Er)
            HKT 14:25

            http://www.info.gov.hk/gia/general/2...6122700494.htm

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            • #8
              Market visitor dies of bird flu

              Carain Yeung Dec 28, 2016
              A 75-year-old man who caught H7N9 bird flu after visiting a wet market in Guangdong died on Christmas Day, the Centre for Health Protection said yesterday. The man, who had a chronic illness, visited Changping, Dongguan, late last month where he bought dressed chicken. Then he began coughing, with shortness of breath, runny nose and chest discomfort. He was admitted to North District Hospital when he returned to Hong Kong on December 9.
              On December 17, he developed fever and was confirmed positive for the flu strain two days later, becoming the first such patient this winter.
              His condition deteriorated last Wednesday and he died on Christmas Day.
              Earlier, 74 close contacts and 151 other contacts were identified. Two health-care workers and an inpatient at the hospital tested negative for the bird flu virus.
              Separately, a six-year-old boy developed serious flu complications and is in a critical condition in the pediatric intensive care unit of Tuen Mun Hospital.
              His mother accused doctors of delaying the prescription of Tamiflu as he was given the pill five hours after he was admitted to the hospital.
              She told Chinese media her boy has been diagnosed with encephalitis.
              "Why didn't the hospital prescribe Tamiflu five hours earlier? Why didn't they call in experts right at the beginning? They underestimated his condition when he was admitted to the hospital," the mother said.
              A spokesman for the hospital said the boy visited the casualty ward at about 4.30am last Thursday with symptoms of high fever, coughing and vomiting.
              The boy received a brain scan at about 5am and his condition was analyzed by specialists in pediatric and emergency medicine.
              He was prescribed antibiotics and fever medication and transferred to the isolation ward.
              Three hours later, his condition deteriorated. He was then given Tamiflu and test results came out positive for influenza A virus.
              The spokesman stressed that the team of pediatricians, including neurologists, have been keeping close watch on the boy, providing appropriate treatment.
              Latest data showed that the flu activity between December 11 and 17 was similar to the previous week.
              But demand for public emergency medical services remained high.
              There were 5,824 accident and emergency unit first attendances and an average inpatient-occupancy rate of 101 percent on Boxing Day.
              Ten hospitals had a 100 percent rate, with the Prince of Wales Hospital at 118 percent, followed by United Christian Hospital at 111 percent and Queen Elizabeth Hospital at 106 percent.http://www.thestandard.com.hk/sectio....php?id=177938
              CSI:WORLD http://swineflumagazine.blogspot.com/

              treyfish2004@yahoo.com

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