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Shandong discovered the first confirmed case infected by H7N9 bird flu

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  • Shandong discovered the first confirmed case infected by H7N9 bird flu

    The reporter learned from Shandong Health department, Shandong Centers for Disease Control and Prevention Laboratory confirmed that on the 22nd a case of person infects the H7N9 bird flu suspected case. This case from Zaozhuang, is a 36-year-old male patient. This is the first case person of Shandong discovery infects the H7N9 bird flu suspected case

    http://tieba.baidu.com/p/2284335715

  • #2
    Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 22nd '13): 0 cases / 1 death (Total 103 / 20 )

    [Shandong] Province found the first case of human infection of H7N9 avian influenza suspected cases
    Article Category: News headlines Date: [2013-04-22]
    2013 May 22, 2011Zaozhuang City Hospital, Zaozhuang City, CDC censorship, a 36- year-old male patient sample of cases, Shandong Province Center for Disease Control and Prevention laboratory testing, patients with confirmed human infection of H7N9 avian influenza suspected cases. Shandong Province found the first case of human infection with the H7N9 avian influenza suspected cases. Currently, Zaozhuang City Hospital is taking steps to actively treat the patients. Provincial Health Department has sent the provincial expert team to a local guide clinical treatment, epidemiological investigation, prevention and control work. Zaozhuang City, CDC has implemented 9 close contacts under medical observation and found no flu-like symptoms. In accordance with the provisions of the National Health and Family Planning Commission, Shandong Province Center for Disease Control has specimens sent to CDC for review, so that the final diagnosis.
    http://www.sdws.gov.cn/html/2013/4/2...746131673.html
    Twitter: @RonanKelly13
    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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    • #3
      Re: Shandong discovered the first suspected case infected by H7N9 bird flu

      [Source: Ifeng, full text: (LINK). Automatic translation from Chinese.]
      H7N9, Shandong: First birdfu case confirmed

      22 May 2013 18:21 sources: Xinhua News Agency


      According to @ China exclusive coverage of the reporter learned from the Shandong Provincial Health Department, Shandong Province CDC laboratory confirmed case of human infection of H7N9 avian influenza suspected cases.

      Cases from Zaozhuang, a 36-year-old male patient. Shandong Province found the first case of human infection with the H7N9 avian influenza suspected cases.

      -
      -------

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      • #4
        Re: Shandong discovered the first confirmed case infected by H7N9 bird flu

        Nearby reporter's in Mazhuang market happy market discovered that a live poultry trades the booth, the shop owner told the reporter, the H7N9 bird flu was very big to the live poultry business influence, He decides to switch off the door today Qilu net Jinan on April 23 news (by Li Miao) on the evening of 22nd, The Qilu net reporter and admits Zaozhuang Municipal Hospital of sickness to find from the Zaozhuang health bureau, Shandong first case person of Zaozhuang discovery infects the H7N9 bird flu suspected case patient to live in Zaozhuang Shizhong District Xinhua Road Mazhuang market Internal Revenue Service dormitory, 36 years old, are engaged in the building materials wholesale work. The reporter finds that this patient residence nearby about 100 meters, is a comprehensive market Mazhuang market, this market has the live poultry to trade the stall. This morning, When the Qilu net reporter arrives at the patient to live nearby Shizhong District Xinhua Road Mazhuang market investigates discovered that the live poultry of Mazhuang market trades the booth to close, The entire Mazhuang market did not have the live poultry to trade the booth. However has an intersection in the Mazhuang market, is away from a distance of street also to have one \"happy market\". The reporter discovered that in the happy market also has the live poultry to trade the stall, but according to shop owner reflection, since the H7N9 bird flu occurred, the sales figure that he sells the chicken suffers a disastrous decline, Yesterday after the Zaozhuang suspected case diagnosed, he decides to close today, no longer did the live poultry business. The reporter is going to the H7N9 bird flu suspected case patient home now, currently obtains the news, the patient family member went out of the isolated plot. The Qilu net reporter later makes detailed report. Related report: Shandong discovered that the first case person infects the H7N9 bird flu suspected case

        http://info.china.alibaba.com/detail/1126467738.html

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        • #5
          Re: Shandong discovered the first confirmed case infected by H7N9 bird flu

          Source: http://env.people.com.cn/n/2013/0423...-21251120.html

          Google translation:

          Shandong first case of human infection of H7N9 patients with suspected respiratory failure has been seriously ill

          2013 04 23, 2011 16:15
          The reporter Ma Ming Yuan Peng, Li Yong Jun, Bai Xueyan

          22 at 9 am, Zaozhuang City Hospital surgical ICU ward closed, occasionally medical staff hastily after. Is the intensive care unit for treatment of Shandong Province, the first case of human infection with the H7N9 avian influenza suspected cases Zhang.

          Has emergency surgery

          "The patient is to go to the intensive care unit on the evening of 21, after experts organized consultation." Revealed that a nurse.

          Zaozhuang people, Miss Yang said, her father have been treated in the ICU ward, but the hospital in the afternoon of 22 will be in addition to all patients outside of a patient surnamed Zhang was transferred out. Miss Yang's father came to something in the ICU, but now has no access.

          In the brain adjacent to the intensive care unit, a nurse told reporters that the patient was taken to the intensive care unit, other critically ill patients in the intensive care unit is transferred to the general ward.

          22 evening, Zaozhuang Municipal Hospital emergency rescue surgery these patients with surnamed Zhang, 21 am, the hospital in this name recognized in patients with suspected transfusion of 400 ml.

          The lung has been unable to spontaneous breathing

          Reporter learned from Zaozhuang City Hospital, 22 of the patients the symptoms of ARDS and respiratory failure.


          According to experts, the so-called ARDS, acute respiratory distress syndrome, refers to the lungs, outside of serious illness lead to diffuse damage to the pulmonary capillary permeability-increasing basis, as the main pulmonary edema, hyaline membrane formation and atelectasis pathological changes, respiratory distress and refractory hypoxemia clinical features. Meanwhile, ARDS acute lung injury development to the latter part of the typical performance. The onset of the disease onset, developing rapidly, the prognosis is poor, more than 50% mortality rate.

          Respiratory failure from all causes severe respiratory dysfunction caused by arterial oxygen pressure (PaO 2) reduce, with or without arterial partial pressure of carbon dioxide (PaCO2) increased the clinical syndrome of a series of pathophysiological disorders. It is a dysfunction of the state rather than a disease, can be caused due to lung disease, may also be a variety of complications of the disease.

          At 11:00 p.m. on the 22nd reporters learned from relevant departments, Zaozhuang, the lungs of the patient has been unable to breathe independently on artificial lung ventilation.

          At first thought it was a cold

          Reporter learned from Zaozhuang Municipal Health Bureau, the patient, who lives in the District, Zaozhuang City, engaged in the wholesale building materials, his place of residence near a market, the market live poultry stalls trafficking.

          About 10 o'clock in the evening of 22, the reporter contacted the patients with Zhang's wife, she had not been isolated, can walk freely in Zaozhuang City Hospital. She told reporters that her husband did not stall over live poultry, there is no direct contact with live poultry, self-employed, at first thought it was a cold, two days of treatment, the medication is not effective, and later a fever, burning to more than 39 degrees, eventually becoming faded into the background, and the emergence of gasping, shortness of breath. 21, 2009, the family took him to the municipal hospital treatment, results found serious condition, experts say may be infected with the H7N9 avian influenza, must be immediately hospitalized.

          (Editor: Jiang Qi, Jiang Ying)

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          • #6
            Re: Shandong discovered the first confirmed case infected by H7N9 bird flu

            This article has photos of the chicken yard near the patient's home:

            http://ido.3mt.com.cn/Article/201304...6117c32p1.html

            Shandong is the first case of suspected H7N9 bird flu residential area is still chicken Figure

            In the district, the reporters found that patients living cell door across the road opened up a chicken yard, this simple to build a chicken farm yard the family of fifty-six chicken.

            Shandong is the first case of suspected H7N9 bird flu residential area is still chicken Figure

            Reporter visited just in time to find that one of the residents being sprayed with disinfectant to residential garbage collection at the chicken yard, near neighbor told reporters reflect, they are also very scared, but no way, private, hard to say. "

            Qilu, Jinan, April 23 (Reporter Li Miao) 11:15, Qilu network reporters rushed to the neighborhood of patients with suspected cases of H7N9 avian influenza infection, the patient who lives in the District, Zaozhuang City Xinhua Road mazhuang, Market National Tax Bureau quarters.

            In the district, the reporters found that patients living cell door across the road opened up a chicken yard, this simple to build a chicken farm yard the family of fifty-six chicken.

            Reporter visited just in time to find that one of the residents being sprayed with disinfectant to residential garbage collection at the chicken yard, near neighbor told reporters reflect, they are also very scared, but no way, private, hard to say. "

            Reporter went to the patient's home, family members of patients emotional, refused to be interviewed...

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            • #7
              Re: Shandong discovered the first confirmed case infected by H7N9 bird flu

              Shandong H7N9 avian flu close contacts of patients with the number rose to 12 people

              22nd, Shandong provincial health department according to the information released, and one of its patients to close contacts has 9. 23rd, staff of the Centers for disease control and prevention in zaozhuang city, Shandong province Lu Kaishun told reporters, according to the patient further epidemiological investigation, determine who is in close contact with the patient up to 12 people. Currently the sector is focused on the cases of human infection H7N9 avian flu infection, transmitted through investigations and retroactive.
              Lu Kaishun said, 'Although there is no evidence that avian influenza spread between people, but these people have been under medical observation, if you have symptoms such as fever, cough, it will take further measures such as quarantine. '



              http://www.sd.xinhuanet.com/news/201..._115520450.htm

              Comment


              • #8
                Re: Shandong discovered the first confirmed case infected by H7N9 bird flu

                Shandong first H7N9 avian flu patients in critical condition

                Xinhuanet, Jinan, April 24 (reporter Wang Haiying)-confirmed the first case in Shandong province H7N9 avian flu patients in a critical condition, need artificial heart-lung machine and ventilator-assisted breathing support.
                health and animal husbandry Bureau of zaozhuang 24th press conference, informed on H7N9 avian flu confirmed cases and the prevention and control work.
                according to reports, at present, zaozhuang H7N9 avian flu patients in a critical condition, was in full swing to rescue. Expert team organized by the Shandong provincial health department, hospital clinics, treatment. On investigation, the close contacts of the case, 12 people have been implemented under medical observation and throat swab specimen test results were negative.
                after the outbreak, zaozhuang City Bureau of health improve the prevention and control measures, to schools and other key places the epidemic control situation for steering checks without interruption, light cleaning and disinfection of farmer's market the implementation of measures to strengthen health management.
                epidemic situation of animal husbandry and veterinary Bureau has carried out investigation work in zaozhuang city, as at 24th, municipal Bureau of animal husbandry and veterinary and the district (municipal) animal sampled a total of 1174, all test results were negative, and troubleshoot all clinical performance of livestock and poultry health.

                http://news.xinhuanet.com/2013-04/24/c_115528392.htm

                Comment


                • #9
                  Re: Shandong discovered the first confirmed case infected by H7N9 bird flu

                  Google translation:
                  http://m.bandao.cn/wap/?module=news&id=2140829 article quotes vegetarian Granny with no exposure, discusses triage situation in hospitals and the fact that masks are only being used after evaluation and also that they are using 0.5%chlorine disinfectant for used thermometers.

                  ▲ Jiaozhou Road Municipal Hospital Center injection room, more flu patients. Reporter Wang Xiaoqiang, Shandong Province, confirmed its first case of H7N9 bird flu, the island city more stringent prevention and control. 25, the reporter went to the hospital fever clinic visits, some patients with flu-like symptoms after more concerned about immediately to the hospital, but some has been dragging until sicker. Day, the reporter followed by a 70-year-old elderly fever treatment, she had a fever for four days, always worried to go to the hospital the hospital will be left on their own medication at home, but it finally dragged into pneumonia. The doctors advise whether avian flu or the common cold, should be timely medical treatment, early detection and early diagnosis and treatment.
                  Body temperature over 38 ℃ send fever clinics "these days fever patients, and some go directly to the fever clinic." Reporter went to the 401 hospital outpatient hall, triage at the staff member said. Although Castle does not monitor cases of bird flu, but the reporter saw, outpatient nurses are wearing masks. "Shandong Province is now diagnosed the first patient, we want to strengthen prevention and control." The medical staff.
                  "I have some fever, which department to go see." Triage Department said a man walked his two days have been uncomfortable, some dizziness, get up in the morning, I feel some fever. A man said he fever, medical staff rushed from a close "sterile" taken out with the thermometer and handed him the box of the words. "First take your temperature." After five minutes, the man took out a thermometer and to the medical staff. 37 degrees, to the pulmonary clinic staff, outpatient patients with a temperature over 38 ° C, they will give the patient wear a mask, and then sent them to fever clinics. The reporter saw the man run out the thermometer, medical staff thermometer placed in 0.5% chlorine disinfectant. Used up have to disinfection to prevent cross-infection. "
                  Subsequently, the reporter came to the pulmonary clinic. Reporter saw respiratory outpatient medical clinic inside, this place also has a triage. Experience fever patient, we will give him to wear a mask, if the temperature exceeds 38 ° C, and let them go fever clinic. "At the triage nurse said. The "fever clinics opened, few patient admissions here, today morning admissions of more than twenty." Staff said generally appear directly after the fever to fever clinics, they rarely have temperature over 38 ° C.
                  Granny fever for five days before a doctor <br /> interview with reporters, a lady came in. "These two days have been a fever." The old man said, her surname to any 70-year-old. Hear the fever for the elderly, health care workers first put on her mask. "There is no history of exposure to poultry?" No, I'm older, usually do not how to eat meat, eat vegetables, has been a long time do not eat chicken. "Any Granny known. "Fever for a few days?" From the last Sunday I began to fever, burn 38 &#176; C at the time I eat paracetamol, Monday fever, but Tuesday fever, sudden temperature was 40 &#176; C yesterday, I finished morning after the drug to a 37 &#176; C. But at noon the temperature to the 38 &#176; C "any old woman said she is fever, headache, cough but no runny nose is not.
                  Subsequently, the medical staff to the old lady measuring body temperature, the old man's body temperature was in the 38.2 &#176; C, measured temperature, the medical staff gave her listened to heart and lung. "Listen lacks the problem, but the fever for so long, or to be a check." Fever clinics doctors Zhao Xing opened to the elderly blood routine examination and chest X-ray examination.
                  "What are pneumonia, from the film case, the left lung inflammation." Elderly done after inspection, Zhao Xing looked at the film said. Dragged too long, and now the situation is more serious, first hit the bottle it. "
                  Heard of their condition, any Granny look of surprise that she went out with friends before travel back did not rest well on Saturday went to Zhongshan Park to see the cherry blossoms, it is a very cold day, she wore less, frozen with. "These days, they have been advised me to go to the hospital, I am afraid to hospital after the doctor left, they had not to go to the hospital on their own medication at home."
                  The suspected illness as soon as possible treatment <br /> According to reports, the province first case of H7N9 bird flu since that is catching a cold, can carry the past, taking drugs such as Banlangen missed the best treatment until six days after the onset of admission time.
                  "The public has a cold is best to timely treatment, especially in patients with fever." Interview with reporters, the doctor said, according to the Ministry of Health issued the people infected with H7N9 avian flu, bird flu is generally manifested as flu-like symptoms such as fever, cough, sputum less, may be associated with headache, muscle aches and general malaise. Patients with severe progression of the disease, more severe pneumonia in 5 to 7 days, mostly sustained in body temperature above 39 ℃, difficulty breathing, may be associated with hemoptysis sputum; quickly progressed to acute respiratory distress syndrome, sepsis, septic shock , even with multiple organ dysfunction, some patients may appear mediastinal emphysema, pleural effusion.
                  Currently diagnosed patients, mostly elderly, this is also related to the awareness of the elderly. "Doctors said the elderly ill often easy to drag, drag then visit so often miss the timing of treatment to delay treatment.
                  "Early detection, early diagnosis, early treatment is the key." As the designated hospital for the province of human infection of H7N9 avian influenza at the provincial level, the Provincial Chest Hospital Dean tall Sichuan, the suspected symptoms within 2 days, treatment drugs is still very , after two days, the effect of drug treatment greatly reduced. If the suspected disease, the patient should be approaching the hospital.
                  Text / reporter Wei Lili (Source: Peninsula Network - Peninsula Metropolis Daily) [Editor: Li Minna]
                  “The only security we have is our ability to adapt."

                  Comment


                  • #10
                    Re: Shandong discovered the first confirmed case infected by H7N9 bird flu

                    Some details about the 36 yr. old patient Zhang.

                    Machine translation:

                    "Shandong incidence of H7N9 patients when the cold treatment four days after January did not go out
                    2013 04 25

                    Restore the province (Shandong) 6 days before the first case of H7N9 patients admitted to hospital

                    Until the cough hemorrhage, also when the cold treatment

                    Always thought it was a cold, Zhang hospital six days after the onset of treatment, delay the best time for treatment. Zhang's wife on the 24th to the reporter Details husband admitted to hospital six days before the evolution of the disease, while blessing her husband a speedy recovery, she hopes to remind the more people pay attention to the physical changes to avoid a repeat of the unfortunate.

                    Prior to the onset not to go out in January, when the cold treatment four days after the onset of

                    Zhang's wife, although the neighborhood is less than 100 meters far from live poultry stalls, but Zhang usually do not like to take to the streets to buy food, it does not even contact with live poultry.

                    In fact, before the onset of more than a month, because business is not very good, her husband on the basic rest at home. In addition to the children and his wife every day, rarely go out. Zhang also used to pick up the child to stay in the car waiting for specific transfer by his wife. At the same time, this month, Zhang also did not go out drinking, socializing. Zhang this time voice a little bit dumb, "drink less, relatively dry, smoke also declined. Why Zhang infected with H7N9, Zhang's wife is really confusing.

                    24, his wife Zhang told reporters, Zhang found that "cold" the exact time is April 16 evening 7. Zhang's wife recalled, her husband said at the time, ankle Diansuan, such as "cold", the body temperature of 37.7 ℃.

                    The family has three children, and therefore offers some basic drugs. Zhang's wife then took the package Banlangen, the package 39 Ganmaoling, and another common antiviral drug to her husband for taking. To the rest of the evening, burning back. "Said Zhang's wife.

                    17, eat a little medicine, evening, Zhang fever again. "It was not a sore throat, etc., feel nothing at all."

                    In the morning of the 18th, Zhang not faded into the background, to the nearest convenience outpatient infusion, Zhang's wife remember that lost 1 bottle of 250ml and 2 bottles of 100 ml liquid. Cold medicine is still eating her husband's physical and mental state is very good. After returning home is no exception, normal diet.

                    19 afternoon, the infusion time, Zhang began to cough, body temperature rose to 38 ° C. Zhang's wife said, "Tomorrow fever, let's go to the hospital."

                    Fifth day condition rapidly worsened, began to worry about the avian flu

                    20 afternoon, Zhang sputum. A light cough, sputum is white; powerful, sputum with bloodshot folder. "Two suspected inflammation of the tonsils, they go to the hospital the next day to discuss the elimination of anti-inflammatory, and then surgery to cut out the tonsils.

                    In this way, their first in 21 to a township hospitals, stay awhile and immediately transferred to a general hospital, General Hospital, Zhang took a chest X-ray the first time, doctors initially diagnosed lung injury is very powerful, it may be "lobar pneumonia." Then arrange for a CT examination, the doctor that "very serious" pneumonia, and therefore requested the blood test. Taking into account day dining, worried about the impact test results, they proposed to check tomorrow, I thought first point of a good anti-inflammatory drugs to relieve symptoms. Wondering where hospitalization is more convenient, they left the hospital.

                    "Because before know that the avian flu, the beginning did not want this talent, but this time getting a little worried." Said Zhang's wife.

                    Tamiflu, the next morning was dying of disease six days after the service

                    "I is not feel very well." Sitting in the car for about an hour, Zhang's wife said, "Come on, we go to the City Hospital."

                    City Hospital is the the Zaozhuang best hospital. After, they go directly to the respiratory ward, medical staff to remind them to fever clinics of the Department of Infectious Diseases.

                    "This is just cough, fever, no cough." Zhang's wife remember the admissions doctors soon to the experts and leaders to report every doctor nonstop starts to get busy.

                    Do it again CT. Arrangements exsanguinate. Zhang first taking Tamiflu "an infusion. Some experts had said the best use of time of Tamiflu within 48 hours of onset, but this time from the onset of Zhang has passed six days.

                    "My husband is fat, but timid, afraid of needles." Said Zhang's wife, husband placed in the second floor of the ward room after infusion start blood. "At this time a little fainting, began to cough."

                    Fast forward to at 11 p.m. on the 21st, doctors advise Zhang's wife "psychologically prepared", "may be on the intensive care unit", the first rule of "severe pneumonia and respiratory failure.

                    At 0:00 on the 22nd or so, the hospital issued a notice in critical condition, Zhang's wife was on the Mongolia. Soon, Zhang arrange admission to the intensive care unit, rescue state and continues to this day.

                    Back this experience, Zhang's wife admitted that the "big blow", but only to face. Therefore, on the one hand want to say thank-you, on the other hand, can not think, unfortunately, why come, but I hope this point, unfortunately, no longer spread to others through this newspaper to all people concerned about her husband...".



                    xhttp://health.sohu.com/20130425/n374031873.shtml



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