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Hong Kong: Woman, 68, H7N9 case confirmed - travel history to Shenzhen, Guangdong province

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  • Hong Kong: Woman, 68, H7N9 case confirmed - travel history to Shenzhen, Guangdong province


    Google translation:
    Local woman in critical condition dye H7N9 fever and pneumonia symptoms
    2014-12-27 HKT 20:27
    A 68-year-old local woman confirmed cases of H7N9 bird flu, now in Tuen Mun Hospital intensive care unit in the hospital in critical condition with fever and pneumonia symptoms.

    It is understood that the female patient visited on the 13th of this month to visit friends, Longgang, Shenzhen, and has been eating chicken, poultry have friends near home, but the patient is not in direct contact with poultry, have not been to downtown. The patient returned to Hong Kong today, after a week of fever, had a private doctor, until the day before yesterday to Tuen Mun Hospital accident and emergency treatment, she did not accompany her husband to Shenzhen, the family did not have any symptoms.

  • #2

    Google translation:
    Sixty year-old woman infected H7N9 bird flu in critical condition news News - 2 hours 15 minutes ago

    [News] now a 66-year-old woman confirmed to have contracted H7N9 avian influenza, is currently in critical condition.

    H7N9 avian influenza infection sixty-year-old woman admitted to the intensive care unit at Tuen Mun Hospital, fever and pneumonia symptoms. Sources, the patient was on the 13th of this month, and a friend went to Shenzhen Longgang, day return, once during chicken, but there is no direct contact with poultry, have not been to downtown. Patients and their families, the family has no symptoms, it is tracing the history of exposure to the patient.


    Also, hat tip to Biological who sent a message via email.


    • #3
      hat tip Biological

      Taiwan and Macao CDC confirm
      December 27, 2014

      Disease Control Department and the Hong Kong confirmed today (December 27), the new one cases of H7N9 influenza cases, 68-year-old woman who developed symptoms of fever and pneumonia, a doctor, is in critical condition in hospital isolation. Illness tube Department said, because of the name of the case before the onset of Shenzhen, Hong Kong for the time being to enhance human bird flu outbreak travel recommendations, and continue to closely monitor the development of the outbreak.

      Autumn of this year (October 1), the Chinese mainland cumulative 19 cases of confirmed cases, Xinjiang Uygur Autonomous Region were six cases, four cases of Zhejiang Province, Jiangsu Province three cases, two cases in Guangdong Province, Beijing, Fujian, Shanghai and one case each in Hong Kong. Currently tourism against human bird flu epidemic proposal, China Xinjiang Uygur Autonomous Region, Jiangsu, Zhejiang, Guangdong, Fujian, Shanghai is the second stage: Warning (Alert), other provinces (excluding Hong Kong and Macao) for the first Grade: Note (Watch). To date a total of 469 cases worldwide since 2013 confirmed cases, including 454 cases in mainland China, Hong Kong, 10 cases, 4 cases of Malaysia one case, WHO update 182 cases of deaths in December 18.
      Illness tube reminded, people go to China, should avoid contact with poultry category, especially not to pick up dead birds; eating chickens, ducks, geese and eggs to be cooked; and hand washing and other personal hygiene should implement measures to prevent infection. In case of fever or flu-like symptoms returning, should inform airline personnel and airport and port of quarantine officers; if after returning the above symptoms should seek medical advice as soon as possible to wear a mask and inform the physician contact history and travel history. If related questions, please refer to the illness tube's website (, or call toll-free vaccination Line 1922 (or 0800-001922) contact


      • #4

        Winter's first bird flu case in critical condition
        PUBLISHED : Sunday, 28 December, 2014, 2:54am
        UPDATED : Sunday, 28 December, 2014, 2:54am

        Shirley Zhao

        A 68-year-old woman is in critical condition in Tuen Mun Hospital with the H7N9 strain of bird flu.

        It is the first confirmed case of bird flu in the city this winter.

        The woman was admitted to the hospital on Christmas Day with fever and pneumonia and was isolated in intensive care, Secretary for Food and Health Dr Ko Wing-man said yesterday.

        The woman had visited the Longgang district of Shenzhen on December 13 with two female friends and they had eaten chicken there, Ko said, adding that the woman had not touched any live poultry or visited a wet market either in Longgang or Hong Kong before she developed symptoms.

        Ko said health authorities were still trying to determine the source of the virus...

        The five women who shared a ward with the patient when she was first admitted to hospital had also been isolated and authorities were trying to track down the woman's friends who dined with her in Longgang, as well as her nine family members, Ko said.


        • #5
          Still nothing about this on the Hong Kong government site. Very bizarre. Hong Kong public health was late in reporting other H7N9 cases this Fall, which is very unusual. I wonder if there is any pressure from the Central China government.


          • #6
            Hong Kong government press release

            28 December 2014
            Update of human case of avian influenza A(H7N9)
            The Department of Health (DH) today (December 28) reported the latest updates of the first confirmed 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.

            Epidemiological investigations and control measures

            Epidemiological investigations by the Centre for Health Protection (CHP) of the DH so far located 12 close contacts and 47 other contacts of the patient.

            (A) Close contacts

            The close contacts have been put under quarantine and prescribed with antiviral presumptive treatment until the completion of the five-day treatment or ten days after last exposure to the patient, whichever is earlier. They include:

            * Seven family members (revised from nine after further enquiries) in which one was symptomatic and tested negative for H7 virus while the rest being asymptomatic; and
            * Five in-patients admitted to the same cubicle as the patient in Tuen Mun Hospital (TMH) in which one was symptomatic and tested negative for H7 virus while the rest being asymptomatic.

            Two travel collaterals are yet to be reached and follow-up is underway.

            (B) Other contacts

            The other contacts have been put under medical surveillance and they include:

            * A total of 42 healthcare workers who took care of the patient in TMH in which two were symptomatic and tested negative for H7 virus while the rest being asymptomatic;
            * Three asymptomatic ambulance officers involved in patient transfer; and
            * Two asymptomatic visitors of the cubicle to which the patient was admitted.

            The two private doctors whom the patient consulted are yet to be reached and follow-up is underway.

            The CHP is communicating with the health authorities of Guangdong Province to follow up the situation during the patient's stay in the Mainland.

            As the patient did not visit any wet markets or contact live poultry in Hong Kong during the incubation period, based on information available thus far, it is classified as an imported case. Investigations are ongoing.

            The Lady MacLehose Holiday Village in Sai Kung under the Leisure and Cultural Services Department is being converted as a quarantine centre. Asymptomatic close contacts will be quarantined there.

            Upon activation of the Serious Response Level (SRL) under the Preparedness Plan for Influenza Pandemic last night (December 27), the DH immediately commenced enhanced surveillance, enhanced port health measures and risk communication accordingly.

            Enhanced surveillance

            The CHP has enhanced surveillance of suspected cases in public and private hospitals, and will activate electronic reporting system to monitor cases real-time with the Hospital Authority. Clinicians should pay special attention to patients with fever or influenza-like illness who visited wet market with live poultry or had contact with poultry in affected areas within the incubation period, that is 10 days before onset.

            Letters to doctors, hospitals, kindergartens, child care centres, primary and secondary schools as well as residential care homes for the elderly and the disabled have been issued to alert them to the latest situation.

            The case has been notified to the World Health Organization, the National Health and Family Planning Commission (NHFPC), the health authorities of Guangdong and Macau, and the quarantine authority of Shenzhen.

            As winter approached, the number of human cases of H7N9 in the Mainland has been increasing. As of yesterday, 16 cases with onsets since September were notified to the CHP by the NHFPC. Based on the seasonal pattern, it is likely that the activity of avian influenza viruses might further increase in winter and heightened vigilance is warranted.

            As of yesterday, 470 cases (including at least 184 deaths) have been reported since March 2013, including 454 cases in the Mainland and 16 cases exported to Hong Kong (eleven cases), Taiwan (four cases) and Malaysia (one case).

            Enhanced port health measures

            All boundary control points have implemented health surveillance measures. Thermal imaging systems are in place for body temperature checks of inbound travellers. Suspected cases will be immediately referred to public hospitals for follow-up. The DH's Port Health Office has enhanced body temperature checks by handheld devices.

            Regarding health education for travellers, the display of posters and broadcasting of health messages in departure and arrival halls, environmental health inspection and provision of regular updates to the travel industry and other stakeholders will be enhanced.

            Risk communication

            The CHP's hotline (2125 1111) for public enquiries has been set up and will operate from 9am to 6pm today and tomorrow. The CHP's main page ( has been updated with the activation of the SRL.

            Travellers, especially those returning from avian influenza-affected areas with fever or respiratory symptoms, should immediately wear masks, seek medical attention and reveal their travel history to doctors. Healthcare professionals should pay special attention to patients who might have had contact with poultry, birds or their droppings in affected areas.

            The public should remain vigilant and take heed of the advice against avian influenza below:

            * Do not visit live poultry markets and farms. Avoid contact with poultry, birds and their droppings;
            * If contact has been made, thoroughly wash hands with soap;
            * Avoid entering areas where poultry may be slaughtered and contact with surfaces which might be contaminated by droppings of poultry or other animals;
            * 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 (including escalator handrails, elevator control panels and door knobs); and when hands are dirtied by respiratory secretions after coughing or sneezing;
            * Cover the nose and mouth while sneezing or coughing, hold the spit with a tissue and put it into a covered dustbin;
            * Avoid crowded places and contact with fever patients; and
            * Wear masks when respiratory symptoms develop or when taking care of fever patients.

            The public may visit pages below for more information:

            * The CHP's avian influenza page (; and
            * Global statistics and affected areas of avian influenza in the CHP's website (

            Ends/Sunday, December 28, 2014



            • #7
              Update of human case of avian influenza A(H7N9)
              The Department of Health (DH) today (December 29) reported the latest updates on the first confirmed 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.
              Further epidemiological investigations by the Centre for Health Protection (CHP) of the DH have so far located two travel collaterals who travelled with the patient to Shenzhen on December 13. According to them, the trio visited a wet market in Niulanqian, Bao'an, Shenzhen, bought vegetables, and did not purchase or have contact with live chickens sold there. Both travel collaterals have remained asymptomatic for more than 10 days (incubation period) since their last contact with the patient and have been put under medical surveillance.
              Investigations also revealed that the patient had consulted two private doctors practising in the same clinic on December 19 and 23 respectively. While the CHP has reached one of the duo thus far, the other private doctor is now out of town and follow-up is under way.
              According to the private doctor whom the CHP has reached, the patient did not reveal her travel history to the Mainland during consultation. The clinic staff have remained asymptomatic and have been put under medical surveillance. Tracing of the relevant clients who attended the clinic at the same time with the patient is under way.
              In addition, the patient underwent a chest X-ray examination in a medical laboratory centre on December 23, and the CHP's follow-up is under way.
              Investigations are ongoing.
              Ends/Monday, December 29, 2014


              • #8
                Human infection with avian influenza A(H7N9) virus ? China

                Disease outbreak news
                30 December 2014

                On 27 December 2014, the Department of Health, Hong Kong Special Administrative Region confirmed a human infection with avian influenza A(H7N9) virus.
                Details of the case are as follows

                The patient is a 68-year-old female who developed symptoms on 19 December. The patient consulted two private doctors on 19 and 23 December and was admitted to hospital on 25 December. Currently, she is in critical condition.
                The preliminary epidemiological investigation revealed that the patient travelled to Shenzhen on 13 December and returned to Hong Kong on the same day. The patient did not visit any wet market or have contact with live poultry in Hong Kong during the incubation period.
                It is considered that the case was infected outside Hong Kong. The Centre for Health Protection (CHP) is communicating with the health authorities of Guangdong to investigate the source of infection. The CHP is also tracing the exposed close contacts of the case.
                WHO continues to closely monitor the H7N9 situation and conduct risk assessment. So far, the overall risk associated with the H7N9 virus has not changed.