China - Woman, 36, hospitalized in Hong Kong as confirmed H7N9 case - travel history to Shenzhen, Guangdong poultry market

[Giuseppe]

Re: China - Woman, 36, hospitalized in Hong Kong as confirmed H7N9 case - travel history to Shenzhen, Guangdong poultry market

[Source: RTHK, full page: (LINK).]


Hong Kong, Source of H7N9 infection still unknown

05-12-2013


The Controller for the Centre of Health Protection, Leung Ting-****, says it's still trying to trace the source of infection of the Indonesian helper who contracted the H7N9 bird flu virus after eating a chicken bought in Shenzhen.

The woman remains in critical condition in Queen Mary Hospital.

Dr Leung also disclosed that 13 people out of the 220 contacts so far traced by the centre have shown flu-like symptoms. But they've all tested negative for the H7N9 virus.

Meanwhile, the Health Secretary, Ko Wing-man, says it will be up to individual doctors to decide if patients with flu-like symptoms should undergo testing for the H7N9 virus.

Doctors at Tuen Mun hospital - where the helper first sought medical treatment - apparently missed the signs.


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[Giuseppe]

Re: China - Woman, 36, hospitalized in Hong Kong as confirmed H7N9 case - travel history to Shenzhen, Guangdong poultry market

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


Epidemiological investigation and follow-up actions by CHP on confirmed human case of avian influenza A(H7N9)


The Centre for Health Protection (CHP) of the Department of Health (DH) today (December 5) provided an update on the first confirmed human case of avian influenza A(H7N9) in Hong Kong.

"The epidemiological investigation, enhanced disease surveillance, port health measures and health education are proceeding," a spokesman for the DH remarked.

As of 2pm today, no additional close contacts have been identified. The number of close contacts located remains at 17 while there are over 220 other contacts. Details are as follows:

• (A) 17 close contacts remain under quarantine for 10 days since their last contact with the patient. Their specimens tested negative for the avian influenza A(H7N9) virus upon preliminary laboratory testing by the Public Health Laboratory Services Branch of the CHP.
  • During isolation, if their health conditions change, further testing and surveillance will be conducted.
  • They include:
    • 1. Ten home contacts (including four with non-specific symptoms);
    • 2. A female collateral aged 33, who visited Shenzhen with the patient; and
    • 3. Six patients in Tuen Mun Hospital (TMH) who stayed in the same cubicle with the confirmed patient (including one with non-specific symptoms).
  
  
• (B) Over 220 other contacts, including two private doctors whom the patient consulted, their clinic staff, patients and accompanying relatives, healthcare workers (HCWs) of TMH, Queen Mary Hospital (QMH) and the ambulance service, and relevant hospital visitors, are all under medical surveillance. Among them:
  • 1. A patient who consulted Dr Wong Chun-yan and presented with non-specific symptoms tested negative for the avian influenza A(H7N9) virus; and
  • 2. Twelve HCWs of TMH and QMH who presented with non-specific symptoms tested negative for the avian influenza A(H7N9) virus.

Locally, enhanced surveillance over suspected cases in public and private hospitals is underway. The CHP will continue to maintain liaison with the World Health Organization (WHO), the Mainland and overseas health authorities to monitor the latest developments and obtain timely and accurate information. Local surveillance activities will be modified according to the WHO's recommendations.

"All border control points (BCPs) have implemented disease prevention and control measures. Thermal imaging systems are in place at BCPs for body temperature checks of inbound travellers. The DH has liaised with the Auxiliary Medical Service and the Civil Aid Service to deploy additional manpower at BCPs to conduct random temperature checks using handheld devices," the spokesman said.

The Port Health Office of the DH is maintaining liaison with the Shenzhen Entry-Exit Inspection and Quarantine Bureau to stay alert for travellers and also cross-boundary students with fever or other symptoms. Suspected cases will be immediately referred to public hospitals for follow-up investigation.

Regarding health education for travellers at BCPs, the distribution of health education pamphlets, display of posters on avian influenza A(H7N9) in departure and arrival halls, in-flight public announcements, environmental health inspection and the provision of regular updates to the travel industry via meetings and correspondence have all been escalated. The DH will keep a close eye on the latest developments and adopt corresponding port health measures.

"We have enhanced our publicity and health education on the prevention of avian influenza. Meanwhile, consulates, foreign domestic helpers' associations and non-governmental organisations serving ethnic minorities have been notified of the case, the latest developments and the preventive measures. Health educational materials are being distributed through them," the spokesman added.

An array of key publicity materials of the CHP, including those on avian influenza, influenza, guidelines for proper hand washing and personal and environmental hygiene in various languages including Indonesian, Hindi, Nepali, Urdu, Thai and Tagalog, can be accessed in the CHP's website (www.chp.gov.hk/en/submenu/424.html ).

The CHP hotline (2125 1111) has been set up for public enquiries and operates from 9am to 6pm. As of 4pm today, 57 calls had been received.

"Travellers, especially those returning from avian influenza A(H7N9)-affected areas with fever or respiratory symptoms, are reminded to immediately wear facial masks, seek medical attention and reveal their travel history to a doctor. Healthcare professionals should also pay special attention to patients who might have had contact with birds, poultry or their droppings in affected areas," the spokesman advised.

The spokesman also urged travellers not to visit live poultry markets in the affected areas and 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 ) and its website (www.chp.gov.hk/files/pdf/global_statistics_avian_influenza_e.pdf ) for more information on avian influenza-affected areas.


Ends/Thursday, December 5, 2013
Issued at HKT 18:57
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[tetano]

Re: China - Woman, 36, hospitalized in Hong Kong as confirmed H7N9 case - travel history to Shenzhen, Guangdong poultry market

SFH on confirmed human case of avian influenza A(H7N9)
************************************************** ****

Following is the transcript of remarks made by the Secretary for Food and Health, Dr Ko Wing-man, after attending the 12th Joint Meeting of Senior Health Officials of the Mainland, Hong Kong and Macao today (December 5):

Reporter: (On the source of infection of the first confirmed human case of avian influenza A(H7N9) in Hong Kong, and the accusation that Tuen Mun Hospital has delayed in detecting the virus)

Secretary for Food and Health: Regarding the first patient diagnosed as having avian influenza A(H7N9), investigation relating to the epidemiological aspect, especially the source of infection, is still continuing. The Controller of the Centre for Health Protection, Dr Leung Ting-****, will give an update later. On the clinical testing of the infection, although there are guidelines for the clinical staff, doctors still have to make clinical judgement considering the individual condition of every patient. In this particular incident, a particular factor which might have affected the judgement of the doctor-in-charge would be the fact that the patient has not disclosed earlier that she went to Shenzhen and had a contact history with poultry.

(Please also refer to the Chinese portion of the transcript.)

Ends/Thursday, December 5, 2013
Issued at HKT 20:30

http://www.info.gov.hk/gia/general/201312/05/P201312050671.htm

[Giuseppe]

Re: China - Woman, 36, hospitalized in Hong Kong as confirmed H7N9 case - travel history to Shenzhen, Guangdong poultry market

[Source: RTHK, full page in Chinese: (LINK). Automatic translation.]


Hong Kong, H7N9 infected Indonesian worker slighlty improved, 1 new case confirmed


Hong Kong's first confirmed infection of H7N9 avian influenza were 36-year-old Indonesian worker, still in Queen Mary Hospital, the situation improved, without the use of artificial lung ventilation.

In addition, the news that Hong Kong's second confirmed case of human infection of H7N9 avian influenza, the patient was a 80-year-old Nagai Mainland men who eat chicken in the mainland, is currently in Tuen Mun Hospital in stable condition.


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[Giuseppe]

Re: China - Woman, 36, hospitalized in Hong Kong as confirmed H7N9 case - travel history to Shenzhen, Guangdong poultry market

[Source: RTHK, full text in Chinese: (LINK). Automatic translation.]


Hong Kong, Health conditions of the first H7N9 case improved


Secretary for Food and Health Ko Wing-man, said that the first case of H7N9 avian influenza virus infection (a 36-year-old Indonesian worker) is still in the intensive care unit of Queen Mary Hospital, her situation improved, the oxygenation need decreased, making good progress, she may leaves the intensive care unit as soon as possible.

He said the CHP will arrange for experts to Guangdong days, with the health sector to exchange experiences and strengthen cooperation.

Ko Wing-man also said that the Council have difficulty tracing the source of infection in two patients, will continue contacts with the mainland.


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[Giuseppe]

Re: China - Woman, 36, hospitalized in Hong Kong as confirmed H7N9 case - travel history to Shenzhen, Guangdong poultry market

[Source: Government of Hong Kong PRC SAR, full page: (LINK).]


SFH on confirmed human case of avian influenza A(H7N9)

Following is the transcript of remarks made by the Secretary for Food and Health, Dr Ko Wing-man, after attending a public function this afternoon (December 8):


Reporter:

(on the avian influenza A (H7N9) case)


Secretary for Food and Health:

??The Centre for Health Protection (CHP) is maintaining a very close liaison with the Mainland authorities, particularly Shenzhen, for disease control.

??It has been agreed in principle that within a few days, the CHP will send experts to the Mainland to have meetings with their Mainland counterparts to strengthen the collaboration between the two places.??

(Please also refer to the Chinese portion of the transcript.)


Ends/Sunday, December 8, 2013
Issued at HKT 17:27
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[Giuseppe]

Re: China - Woman, 36, hospitalized in Hong Kong as confirmed H7N9 case - travel history to Shenzhen, Guangdong poultry market

Updates on this case continue at this thread: http://www.flutrackers.com/forum/sho...3&postcount=11

[tetano]

China - Woman, 36, hospitalized in Hong Kong as confirmed H7N9 case - travel history to Shenzhen, Guangdong poultry market

10 December 2013 - On 28 November and 6 December 2013, the National Health and Family Planning Commission, China notified WHO of two new laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus.

The first patient is a 57-year-old man from Zhejiang Province. He became ill on 20 November 2013 and was admitted to hospital on 25 November 2013. He is currently in critical condition.

The second patient is a 30-year-old man from Zhejiang Province. He became ill on 29 November 2013 and was admitted to hospital on 5 December 2013. He is currently in critical condition. He is the son-in-law of the 57-year-old male from Zhejiang Province with onset on 20 November 2013, reported above.

On 2 December and 6 December 2013, the Centre for Health Protection (CHP), Hong Kong (China), notified WHO of two laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus.

The first patient is a 36-year-old woman who became ill on 21 November 2013. She was admitted to hospital on 27 November 2013 and transferred to an intensive care unit on 29 November 2013. She is currently in critical condition. She had visited Shenzhen, Guangdong province, China on 17 November 2013 and had slaughtered live chicken for cooking and consuming. The investigation is ongoing; close contacts, including family contacts, have so far tested negative for avian influenza A(H7N9).

The second patient is an 80 year old man with underlying chronic illness who lives with his family in Shenzhen and travelled from Shenzhen to Hong Kong (China) on 3 December 2013 for management of his medical condition. He was admitted to a hospital in Hong Kong (China) on 3 December 2013. He was afebrile on admission and developed fever on 6 December 2013. His condition is currently stable. The investigation is ongoing; close contacts, including family contacts, have so far tested negative for avian influenza A(H7N9). No epidemiological link was identified between the two cases in Hong Kong (China).

So far, there is no evidence of sustained human-to-human transmission.

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

http://www.who.int/csr/don/2013_12_10/en/index.html

[Giuseppe]

Re: China - Woman, 36, hospitalized in Hong Kong as confirmed H7N9 case - travel history to Shenzhen, Guangdong poultry market

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


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

D.O.N. / 10 December 2013


On 28 November and 6 December 2013, the National Health and Family Planning Commission, China notified WHO of two new laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus.

The first patient is a 57-year-old man from Zhejiang Province. He became ill on 20 November 2013 and was admitted to hospital on 25 November 2013. He is currently in critical condition.

The second patient is a 30-year-old man from Zhejiang Province. He became ill on 29 November 2013 and was admitted to hospital on 5 December 2013. He is currently in critical condition. He is the son-in-law of the 57-year-old male from Zhejiang Province with onset on 20 November 2013, reported above.

On 2 December and 6 December 2013, the Centre for Health Protection (CHP), China, Hong Kong SAR, notified WHO of two laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus.

The first patient is a 36-year-old woman who became ill on 21 November 2013. She was admitted to hospital on 27 November 2013 and transferred to an intensive care unit on 29 November 2013. She is currently in critical condition. She had visited Shenzhen, Guangdong province, China on 17 November 2013 and had slaughtered live chicken for cooking and consuming. The investigation is ongoing; close contacts, including family contacts, have so far tested negative for avian influenza A(H7N9).

The second patient is an 80 year old man with underlying chronic illness who lives with his family in Shenzhen and travelled from Shenzhen to China, Hong Kong SAR, on 3 December 2013 for management of his medical condition. He was admitted to a hospital in China, Hong Kong SAR, on 3 December 2013. He was afebrile on admission and developed fever on 6 December 2013. His condition is currently stable. The investigation is ongoing; close contacts, including family contacts, have so far tested negative for avian influenza A(H7N9). No epidemiological link was identified between the two cases in China, Hong Kong SAR.

So far, there is no evidence of sustained human-to-human transmission.

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


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[Biological]

Re: China - Woman, 36, hospitalized in Hong Kong as confirmed H7N9 case - travel history to Shenzhen, Guangdong poultry market

Epidemiological investigation and follow-up actions by CHP on two confirmed human cases of avian influenza A(H7N9) 12 December 2013

The Centre for Health Protection (CHP) of the Department of Health (DH) today (December 12) provided an update on the two confirmed human cases of avian influenza A(H7N9) in Hong Kong.

"The epidemiological investigations, enhanced disease surveillance, port health measures and health education are proceeding," a spokesman for the DH said.

Regarding the second confirmed case affecting a male patient aged 80, as of 4pm today no additional close contacts had been identified. The number of close contacts remains at 19 while there are over 140 other contacts. Details are as follows:

(A) Nineteen close contacts remain under quarantine for 10 days since their last contact with the patient. Their specimens all tested negative for the avian influenza A(H7N9) virus and they were prescribed with the antiviral Tamiflu for prophylaxis. During isolation, if their health conditions change, further testing and surveillance will be conducted. They include:

1. Among the 13 patients who stayed in the same cubicle with the patient in Tuen Mun Hospital (TMH), two newly developed non-specific symptoms today and have been tested negative for the avian influenza A(H7N9) virus;
2. His five family members; and
3. A taxi driver who had taken the patient and his family from Shenzhen Bay Port Border Control Point (SBP BCP) to TMH on December 3.

(B) Over 140 other contacts, including other relatives of the patient, healthcare workers (HCWs) of TMH and the ambulance service, relevant hospital visitors and an immigration control officer at SBP BCP, remain under medical surveillance and have been offered Tamiflu prophylaxis.

Regarding the first confirmed case affecting a female patient aged 36, as of 4pm there were no additional close contacts. The number of close contacts remains at 17 while there are 230 other contacts under medical surveillance. All close contacts who completed quarantine will stay under medical surveillance for 10 more days.

Six asymptomatic close contacts of the second case are currently under quarantine in Lady MacLehose Holiday Village in Sai Kung.

The epidemiological investigations into the two cases by the CHP, including contact tracing, are ongoing........

http://www.info.gov.hk/gia/general/201312/12/P201312120541.htm

[Biological]

Re: China - Woman, 36, hospitalized in Hong Kong as confirmed H7N9 case - travel history to Shenzhen, Guangdong poultry market

Old report but no further updates fron Indonesia!
Citizens H7N9 Bird Flu in Hong Kong

December 4, 2013 | 6:44 pm .


A citizen TM (P, 36 years) who were in Hong Kong Bird Flu H7N9 type. The case is still in the process of reporting from Hong Kong health authorities to the WHO (World Health Organization). Explained Director General of Disease Control and Environmental Health (P2PL) Ministry of Health, Prof.. Tjandra Yoga Aditama via electronic mail received Pubnlik Communication Center (4/12).

I have direct contact with the Consulate General (Consul) of Indonesia in Hong Kong, Akbar Chalif Tjandra Patrician. The patient is now being treated at the Queen Mary Hospital ICU and is currently Consul General in Hong Kong is seeking contact with his family, said Prof.. Tjandra Yoga.

In this connection, Prof.. Tjandra, said it was delivered to the Consul General to do three things, namely helping the management of patients who are currently ill in hospital in Hong Kong and keep the citizens existing in Hong Kong to avoid contagion. Prevention of transmission is done by means of health education, supervision contacts, if there is pain to immediately seek treatment

According to Prof. Tjandra Yoga, efforts to prevent the possibility of transmission to Indonesia also conducted. The trick, is the implementation of the International Health Regulations (IHR) 2005, the possibility of exit screening at the Hong Kong airport at the discretion of local government, and information to the Port Health Office (KKP) in Indonesia if there is suspicion that the case will go.

Added, the Ministry of Health also check laboratory preparation and indeed in the Ministry of Health to do an examination of the H7N9 virus I also made a circular to the Department of Health and Port Health Office in Indonesia for readiness / anticipation of possible cases of H7N9 infection, he said.

This information is released by Center for Public Communication, Secretariat General of the Ministry of Health. For further information, please contact Hello MOH hotline 500-567; SMS 081 281 562 620, fax: (021) 52921669, website and email address kontak@depkes.go.id www.depkes.go.id

WNI Terjangkit Flu Burung H7N9 di Hongkong | Sehat Negeriku

http://sehatnegeriku.com/wni-terjangkit-flu-burung-h7n9-di-hongkong-2/

Kementerian Kesehatan Republik Indonesia

http://www.depkes.go.id/index.php?vw=2&id=SNR.13120003