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China - Hong Kong: Confirmed H7N9 bird flu case hospitalized in critical condition - travel history to Dongguan, Guangdong province - February 22, 2015- DIED

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  • China - Hong Kong: Confirmed H7N9 bird flu case hospitalized in critical condition - travel history to Dongguan, Guangdong province - February 22, 2015- DIED


    Patient with respiratory symptoms and travel history under CHP investigation
    ************************************************** ********* The Centre for Health Protection (CHP) of the Department of Health (DH) is today (February 22) investigating a suspected human case of avian influenza A(H7N9) infection affecting a 61-year-old man.

    The patient, with underlying illnesses, has presented with cough and shortness of breath since February 16 and consulted a private doctor on the same day. He then attended the Accident and Emergency Department of Queen Mary Hospital (QMH) on February 20 and was admitted for management. His condition deteriorated and was subsequently transferred to the Intensive Care Unit for further management today. He is in critical condition.

    The patient's respiratory specimens tested positive for influenza A(H7) upon preliminary laboratory testing by QMH and the specimens will be sent for further laboratory testing by the Public Health Laboratory Services Branch of the CHP.

    Initial investigations by the CHP revealed that the patient had travelled to Zhangmutou, Dongguan, Guangdong, from February 6 to 8 and February 14 to 15 respectively. He had visited a wet market on February 14 and bought two slaughtered chickens. His home contacts in Dongguan remained asymptomatic.

    The CHP's investigation is continuing.

    "All boundary control points have implemented health surveillance measures. 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 DH's Port Health Office has enhanced body temperature checks with handheld devices," a spokesman for the DH said.

    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.

    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. Health-care 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 or 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 the pages below for more information:

    * The CHP's avian influenza page (www.chp.gov.hk/en/view_content/24244.html); and
    * Global statistics and affected areas of avian influenza in the CHP's website (www.chp.gov.hk/files/pdf/global_statistics_avian_influenza_e.pdf).
    Ends/Sunday, February 22, 2015
    Issued at HKT 22:46

    http://www.info.gov.hk/gia/general/2...1502220878.htm



  • #2
    Dongguan, Guangdong province has been experiencing a continuing H7N9 outbreak since November 2014:


    November 2014

    #462 - Female, 31, [Deng], onset November 22, hospitalized November 25, now in severe condition, Changping Town, Dongguan City, Guangdong province


    January 2015

    #477 - Male, 36, hospitalized in critical condition, Dongguan, Guangdong province

    #489 - Female, 52, hospitalized in critical condition, Dongguan, Guangdong province

    #492 - Female, 52, [Zhang], hospitalized in critical condition, Dongguan Qiaotou, Guangdong province

    #493 - Male, 37, [Xu] hospitalized, Changping town, Dongguan City, Guangdong province

    #524 - Male, 79, hospitalized in Hong Kong after trip to Zhangmutou, Dongguan, Guangdong province

    #528 - Male, 62, [Zhao], hospitalized in critical condition, Changping town Dongguan city, Guangdong province


    February 2015

    #598 - Male, 65, [Ryu], hospitalized in critical condition, Dongguan, Guangdong province


    https://flutrackers.com/forum/forum/...ses-with-links

    Comment


    • #3
      Additional coverage here:
      Experts warn bird flu could mix with deadly influenza strain responsible for current outbreak

      Comment


      • #4
        Case confirmed positive

        see http://www.chp.gov.hk/files/pdf/flu_update_en.pdf

        Comment


        • #5
          Update of confirmed imported human case of avian influenza A(H7N9)

          Hong Kong (HKSAR) - The Centre for Health Protection (CHP) of the Department of Health (DH) today (February 23) reported the latest updates of the third confirmed imported human case of avian influenza A(H7N9) in Hong Kong this winter.

          "We again urge the public to maintain strict personal, food and environmental hygiene both locally and during travel as the Serious Response Level under the Preparedness Plan for Influenza Pandemic remains activated. If symptoms develop after travel, immediately wear masks, seek medical attention and reveal travel history to doctors," a spokesman for the CHP said.

          Laboratory investigation
          ------------------------

          Both the nasopharyngeal and endotracheal aspirates of the male patient aged 61 tested positive for influenza A(H7N9) virus and negative for influenza A(H1) and (H3) viruses this morning upon preliminary testing by the CHP's Public Health Laboratory Services Branch. Genetic characterisation is under way.

          "While the activity of avian influenza viruses in the Mainland and human seasonal influenza viruses in Hong Kong remains high this winter and heightened vigilance and extra attention to hygiene are warranted, we will closely monitor the virus activity and genetic nature.

          Genetic analysis to date has revealed that H7N9 viruses confirmed in Hong Kong have remained to be of avian origin and had no significant differences from those detected in the Mainland, nor has there been evidence of reassortment with genes from human seasonal influenza viruses or resistance to the antiviral oseltamivir (Tamiflu)," the spokesman said.

          Epidemiological investigations and control
          ------------------------------------------

          Epidemiological investigations by the CHP have so far located 10 close contacts and 16 other contacts of the patient.

          (A) Close contacts

          The close contacts will be put under quarantine and prescribed with antiviral presumptive treatment until the completion of the five-day treatment or 10 days since last exposure to the patient, whichever is earlier. They include:

          * A family member who remained asymptomatic. Her nasopharyngeal aspirate has been collected pending laboratory testing;
          * Seven in-patients admitted to the same cubicle as the patient in Queen Mary Hospital (QMH) among which six were asymptomatic while the remaining one is under tracing; and
          * Two asymptomatic patients who attended the same private clinic in Aberdeen with the patient.

          The Lady MacLehose Holiday Village in Sai Kung under the Leisure and Cultural Services Department will be converted to a quarantine centre for the quarantine of asymptomatic close contacts.

          (B) Other contacts

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

          * Another family member who visited the confirmed patient in QMH and remained asymptomatic;
          * Ten clinic contacts including the private doctor, staff and patients of the private clinic who remained asymptomatic; and
          * Five colleagues of the patient among which one had mild upper respiratory tract infection symptoms before exposure to the patient while the rest are asymptomatic.

          Tracing of the health-care workers involved in QMH is under way.

          The CHP is communicating with the health authorities of Guangdong and Shenzhen to follow up on the patient's movements and contacts during his stay in the Mainland.

          Based on information available thus far, it is classified as an imported case. Investigations are ongoing.

          Enhanced surveillance
          ---------------------

          The CHP has enhanced surveillance of suspected cases in public and private hospitals, and activated an electronic reporting system to monitor cases in real time with the Hospital Authority. Clinicians should pay special attention to patients with fever or influenza-like illness who visited wet markets with live poultry or had contact with poultry in affected areas within the incubation period, i.e.

          10 days before onset.

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

          The case will be notified to the World Health Organization, the National Health and Family Planning Commission, the health authorities of Guangdong and Macau, and the quarantine authorities of Guangdong and Shenzhen.

          "This is the 13th imported human case of avian influenza A(H7N9) confirmed in Hong Kong. To date, 582 cases have been reported by the Mainland health authorities since March 2013 while seven were reported in Taiwan (four cases), Canada (two cases) and Malaysia (one case). Cases in the Mainland are on the rise this winter and 142 cases with onsets since November 2014 were reported with 62 of them (42 per cent) from Guangdong.

          The remaining cases are from Fujian (36 cases), Zhejiang (17 cases), Jiangsu (14 cases), Xinjiang (seven cases), Shanghai (four cases), Jiangxi (one case) and Shandong (one case)," the spokesman remarked.

          Port health measures
          --------------------

          Health surveillance measures have been implemented at all boundary control points. Thermal imaging systems are in place for body temperature checks of inbound travellers and the DH also conducts temperature checks by handheld devices. Suspected cases will be immediately referred to public hospitals for follow-up.

          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 are ongoing.

          Risk communication
          ------------------

          The CHP's avian influenza hotline (2125 1111) operates from 9am to 6pm from Monday to Friday.

          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.

          Health-care 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 the CHP's pages below for more information:

          * The avian influenza page (www.chp.gov.hk/en/view_content/24244.html);
          * The weekly Avian Influenza Report (www.chp.gov.hk/en/view_content/3879.html);
          * Global statistics and affected areas of avian influenza (http://www.chp.gov.hk/files/pdf/glob...luenza_e.pdf);
          * The Facebook Page (fb.com/CentreforHealthProtection); and
          * The YouTube Channel (youtube.com/c/ChpGovHkChannel).


          Source: HKSAR Government

          http://7thspace.com/headlines/504236...nza_ah7n9.html

          Comment


          • #6
            Update on imported human case of avian influenza A(H7N9)


            Hong Kong (HKSAR) - The Centre for Health Protection (CHP) of the Department of Health (DH) today (February 24) reported the latest updates on the third 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.

            Epidemiological investigations by the CHP have so far located 17 close contacts and 99 other contacts of the patient.

            (A) Close contacts
            ------------------

            The close contacts will be put under quarantine and prescribed with antiviral presumptive treatment until the completion of the five-day treatment, or 10 days since last exposure to the patient, whichever is earlier. They include:

            * An asymptomatic family member of the patient who tested negative for influenza A virus;
            * Five asymptomatic healthcare workers (HCWs) involved in Queen Mary Hospital (QMH);
            * Seven in-patients admitted to the same cubicle as the confirmed patient in QMH among which six were asymptomatic while the remaining one is under tracing; and
            * Three patients and one who accompanied one of them attending the same private clinic in Aberdeen with the confirmed patient. They are all asymptomatic.

            The Lady MacLehose Holiday Village in Sai Kung under the Leisure and Cultural Services Department has been converted to a quarantine centre for asymptomatic close contacts, including the HCWs involved in QMH.


            http://7thspace.com/headlines/504278...nza_ah7n9.html

            Comment


            • #7
              Source: http://www.scmp.com/news/hong-kong/a...mainland-china



              Man, 61, dies of bird flu in Hong Kong after contracting virus in mainland China
              PUBLISHED : Sunday, 01 March, 2015, 3:38pm
              UPDATED : Sunday, 01 March, 2015, 3:41pm
              Emily Tsang

              A 61-year-old man has become the first person in Hong Kong to die of H7N9 bird flu this season, after contracting the virus during a visit to mainland China.

              The victim was the third person to be diagnosed in the city in recent weeks. A 69-year-old woman remains in a critical condition in hospital, while another patient has been discharged. All three had travelled to the mainland.

              The man, who died at around 6am this morning, had visited wet market in Dongguan and brought fresh chicken before he developed symptoms. He had other underlying illnesses...

              Comment

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