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  • China - Man, 53, H7N9 case confirmed in Urumqi, Xinjiang

    Source: http://news.ts.cn/content/2014-08/20....htm#content_1

    Urumqi, an H7N9 patient pull through
    Badaowan who lives near the family did not show symptoms of infection
    www.ts.cn Tianshan August 20, 2014 09:23:59


    Asian Heart Network (Reporter Chen Feng were combined photo coverage) at 13:00 on August 19, the Sixth People's Hospital of Xinjiang Uygur Autonomous Region isolation ward, the patient Lao Jin throat "snoring" sound getting louder and louder, his hands unconsciously to pay close attention to the bed rails, two feet Rocker up. With fiber electronic bronchoscope, the doctor from the Lao Jin Song Guoping skillfully drawn a lot of airway sputum. "Snoring" sound disappeared, Lao Jin face a comfortable look, his hands gently flat, eyes slightly narrowed, "and so he can from the ventilator, they basically leave the hospital." Song Guoping said.

    In the sixth full treatment Autonomous Region People's Hospital, the 53-year-old Lao Jin patients with H7N9 bird flu has finally turned the corner.

    Sudden high fever confirmed cases of influenza

    Lao Jin, who lives near Urumqi Badaowan, in a unit as welders. 3 months ago, the family had gone to the market to buy back the 20 chickens to raise, Lao Jin has been responsible for cleaning the coop, chickens there have been no signs of illness.

    August 3, Lao Jin sudden cough, sputum symptoms, in the absence of obvious incentive, the temperature quickly rose to 39.6 ℃. Thought it was a cold, Lao Jin on the nearby community health service centers in accordance with the "upper respiratory tract infection," accepted the anti-inflammatory treatment at home.

    August 7, the temperature dropped to 37.7 ℃, but the old gold and diarrhea, bloating, and no significant improvement after treatment.

    August 8, Lao Jin accompanied by his family to Urumqi, a top three hospital, was diagnosed with left lung infection. Despite been receiving treatment, symptoms may Lao Jin continues to increase, progression to severe pneumonia, also appeared in septic shock and other complications.

    August 16, Lao Jin Sixth People's Hospital was transferred to the autonomous region, "the time of admission, the patient due to lack of oxygen, the body has purple, deep coma." Hospital respiratory center, severe ICU director Song Guoping recalls, "patients there have been heart failure, respiratory failure, septic shock, electrolyte disorders and other illnesses, hospital preliminary judge for suspected bird flu patients, immediately launched the emergency plan. accordance with the prevailing situation, the survival rate of less than one percent of his. "

    Hospital while the organization in accordance with the requirements of bird flu isolation treatment, while the patient sputum submission to Urumqi City CDC. The next day Urumqi CDC Reply diagnosed H7N9, the hospital immediately for medical illness echelon consisting of patients for specialist treatment.


    Health care lianzhouzhuan pull through

    "Twenty-three hours sleep a day." From Saturday to now, 宋国平 and is mainly responsible for the doctors, nurses have not returned home, "the patient's condition was too serious, a little negligence might defeat death." Breathe a Zhang Jianfeng, deputy director in charge of Lao Jin and Song Guoping with illness, once every 2-4 hours suck phlegm, every two hours observing ECG and respiratory machines, each half-hour to make different drip treatment, 24 hours lianzhouzhuan without interruption.

    Under the joint efforts of the medical staff, Lao Jin has finally turned the corner. By chest X-ray showed that when a large area of ​​Lao Jin admission lung consolidation have been improved, a large area of ​​consolidation shrink or even disappear. Now, although because of endotracheal intubation can not speak, but write their own thoughts on the old gold from time to time in the nurse brought in WordPad. This allows the isolation ward has been waiting outside, can only be observed through the camera's family was finally relieved.

    Family members of patients with asymptomatic

    According to Song Guoping introduced, usually considered the source of infection was likely to carry the H7N9 avian influenza virus in poultry. Although patients Lao Jin did not eat poultry at home, but the environment is likely to exist coop H7N9 avian influenza virus, in its sweep through contact with poultry faeces, secretions, or cleaning the house, the dust raised by possible respiratory tract infections.

    According to reports, in accordance with current incidence of H7N9 avian influenza in the country, the majority of sporadic cases, individual families have appeared collective onset of the phenomenon. The Lao Jin's family, in addition to the individual who has appeared throat discomfort, has been taking the cure, other people not infected with H7N9 avian influenza virus symptoms.

    Most people can heal after infection

    World Health Organization has said, H7N9 avian flu virus is "one of the most deadly influenza virus." -26 January 1 this year, China's total of confirmed cases of human infection with H7N9 avian influenza 96 cases, deaths.

    "H7N9 virus infection itself is not terrible, as long as good health, a better immune system, like other viruses like colds, most people can heal, so no need to panic." Autonomous Sixth People's Hospital respiratory center, severe ICU director , H7N9 treatment team leader Song Guoping said.

    宋国平 said that the bird flu virus generally sensitive to heat, low temperature resistant to heat 65 ℃ 30 minutes or boiling (100 ℃) can be inactivated two minutes or more. However, the virus can survive for one week at low temperature, at 4 ℃ in water or the presence of glycerol, the activity can be maintained for more than 1 year.

    In the week before the onset of contact with birds or live poultry markets have been to the crowd; children, the elderly, pregnant women and other immunocompromised populations; suffering from hypertension, diabetes, patients with chronic obstructive pulmonary disease, chronic bronchitis and other underlying diseases and old, have is a high risk of H7N9 infection. Song Guoping reminder, usually pay more attention to, try not to go to the point of sale of live poultry, less crowded place to go. In the daily diet, be sure to pay attention to separate raw and cooked.

    Song Guoping said that the current treatment for bird flu, effects of drugs still oseltamivir, peramivir, zanamivir three drugs, Radix, capsules, etc. Lianhuaqingwen only with auxiliary conditioning, do not have therapeutic effect.

    The key is early diagnosis treatment

    According 宋国平 introduction, patients infected with H7N9, the general performance of the flu-like symptoms such as fever, cough, sputum less, or accompanied by headache, muscle aches, diarrhea and other symptoms, incubation period is usually 3-4 days. More in the incidence of severe pneumonia occurred 3-7 days, the temperature continued at above 39 ℃, difficulty in breathing, may be associated with hemoptysis sputum. Often rapidly progress to acute respiratory distress syndrome, sepsis, septic shock, multiple organ dysfunction. "So, once again had a history of contact with live poultry flu symptoms, be sure to go to regular medical diagnosis, do not delay treatment time, resulting in delaying disease because of critically ill patients with H7N9 infection mortality rate of 90%."

    "H7N9 and H1N1 treatments have different emphases, but more critical is for the prospective treatment of complications." Li Autonomous Region Sixth People's Hospital, said the hospital in 2009 to fight when a stream has accumulated rich experience. "it is also valuable experience, so we promptly restore the patient's life. "

  • #2
    Re: H7N9 case reported in Urumqi, Xinjiang

    At this point there is no corresponding announcement by the Urumqi, Xinjiang, or Hong Kong governments. I will wait before I post this case on our case list.
    "May the long time sun
    Shine upon you,
    All love surround you,
    And the pure light within you
    Guide your way on."

    "Where your talents and the needs of the world cross, lies your calling."
    Aristotle

    “In a gentle way, you can shake the world.”
    Mohandas Gandhi

    Be the light that is within.

    Comment


    • #3
      Re: H7N9 case reported in Urumqi, Xinjiang

      h/t @frasermdx

      http://photo.iyaxin.com/content/2014...nt_4652205.htm

      Urumqi an H7N9 infection in patients with no symptoms pull through family
      Source: Asian Heart Network Author: Zong co Manuscripts Time: 2014-08-20 11:02:50

      H7N9 treatment team leader宋国平, using fiber electronic bronchoscope to clear phlegm Lao Jin endotracheal clogging. Asian Heart Network reporter Chen Fengshe
      Asian Heart Network (Reporters were combined) at 13:00 on August 19, in the autonomous region of the Sixth People's Hospital isolation ward, the patient Lao Jin throat "snoring" sound getting louder and louder, his hands unconsciously grasp the bed rails, Rocker two feet up. With fiber electronic bronchoscope, the doctor from the Lao Jin Song Guoping skillfully drawn a lot of airway sputum. "Snoring" sound disappeared, Lao Jin face a comfortable look, his hands gently flat, eyes slightly narrowed, "and so he can from the ventilator, they basically leave the hospital." Song Guoping said.
      In the sixth full treatment Autonomous Region People's Hospital, the 53-year-old Lao Jin patients with H7N9 bird flu has finally turned the corner.
      Sudden high fever confirmed cases of influenza
      Lao Jin, who lives near Urumqi Badaowan, in a unit as welders. 3 months ago, the family had gone to the market to buy back the 20 chickens to raise, Lao Jin has been responsible for cleaning the coop, chickens there have been no signs of illness.
      http://photo.iyaxin.com/content/2014...nt_4652205.htm
      Twitter: @RonanKelly13
      The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

      Comment


      • #4
        Xinjiang Uygur Autonomous Region (XUAR) search

        Urumqi Gov Search

        Xinjiang Uygur Autonomous Region People's Government - Home
        http://wsj.urumqi.gov.cn/lmlb.jsp?ur...&wbtreeid=4457

        Cant find
        Xinjiang Uygur Autonomous Region Health Department
        Safety and security

        News - Urumqi Municipal Health Bureau
        http://wsj.urumqi.gov.cn/lmlb.jsp?ur...&wbtreeid=4457

        Urumqi Municipal Center for Disease Control and Prevention - Home
        http://www.wlmqcdpc.com/Class.asp?id=7&sid=18

        Still pending confirmation!
        Last edited by Biological; August 21st, 2014, 11:04 PM. Reason: Changed CDC hyperlink!

        Comment


        • #5
          Re: H7N9 case reported in Urumqi, Xinjiang

          Treatment group fighting three days and nights Urumqi an H7N9 patient lift crisis situation, Source: Xinjiang Network Original Author: Mu Min August 21, 2014 00:14:07

          Treatment group fighting three days and nights Urumqi an H7N9 patient Dangerous Love lift - Xinjiang Network - Xinjiang portal
          http://www.xinjiangnet.com.cn/Urumqi..._4010339.shtml

          On the 20th, in the autonomous region Sixth People's Hospital ICU ward, has been able to speak Lao Jin said the medical staff wanted to go home. (Reporter intern reporter Huang Jiemin Jiang Xiaoshe photo)

            Xinjiang Network (Reporter Mu Min) 宋国平 Lao Jin mouth of the tube to pull out, I heard the old gold exhaled breath, and breath, and then call again suck. 宋国平 again next moment staring at the display device, there is no exception, relieved - Lao Jin able to breathe independently.
            On the 20th, H7N9 patients Lao Jin able to breathe independently. Sixth People's Hospital for autonomous H7N9 treatment team leader Song Guoping, is another small victory in the battle.

            53-year-old Lao Jin infected with H7N9 avian influenza was diagnosed in August 16. Prior to this, he was diagnosed with upper respiratory tract infections, lower left lung infections, severe pneumonia.

            Lao Jin, who lives in Urumqi eight Bay, welders. Three months ago, the family bought 20 chickens reared from the market, and since then, he often cleaned the house. So far there have been no chicken disease signs.

            August 3, Lao Jin began to cough, sputum, body temperature quickly rose to 39.6 ℃. The "cold", near the old gold home community health service centers have been diagnosed as "upper respiratory tract infection," accepted the anti-inflammatory treatment.

            On the 7th, the temperature dropped to 37.7 ℃, but the old gold and diarrhea, bloating, no significant improvement after treatment.

            On the 8th, Lao Jin to the capital a top three hospital, was diagnosed with left lung infection. Despite been receiving treatment, the progression of the disease can be old gold for severe pneumonia, also appeared in septic shock and other complications.

            On the 14th, giving Lao Jin intubation mechanical ventilation.

            On the 16th, Lao Jin was transferred to the autonomous region Sixth People's Hospital for treatment.

            Lao Jin is due before suspected cases of H7N9, to autonomous Sixth People's Hospital, the hospital started the emergency plan. To the respiratory department based H7N9 treatment group were suspected patients waiting for this.
            Hospital respiratory center, severe ICU director 宋国平 that admission, Lao Jin deep coma, severe pneumonia, respiratory distress, convulsions, impaired lung function, and so darling, the situation is not optimistic. Treatment group headed by 宋国平, while tissue isolation treatment, while the patient sputum sent to CDC testing.

            The 16th in the afternoon, Lao Jin was diagnosed with H7N9 avian influenza infection began targeted specialist treatment.
          Symptomatic treatment

            Lao Jin admitted autonomous from the Sixth People's Hospital, in the ICU ward, and reported in critical condition.
            Four doctors, 20 nurses, 24 hours old gold has become the exclusive care.
            Mechanical ventilation, correct heart function and prevent kidney failure, liver treatment, protect the gastric mucosa, nutritional support ...... condition slight change, symptomatic treatment must stand immediately, not sloppy delay.
            With 宋国平 words, and death race against time, is the key to this battle.
            Each half-hour will be carried out in different drip treatment, every two hours observing ECG and respiratory machines, every 2 to 4 hours suck a sputum ...... including Lao Jin's eating and sleeping, all in that room ICU can even say, goes all in on the bed.
            Wear protective clothing, wear a mask, gloves, work less than one hour in the ward, doctors and nurses have been drenched with sweat T-shirt. In this way, the medical staff every two hours one rotation, staring at the old gold in the ward, guarding a variety of display device.
            17 afternoon, the good news, the indicators Lao Jin began to improve.
            But the medical staff did not let up.
            Estradiol hospital respiratory department participated in a major rescue nurse SARS, pandemic diseases. Estradiol families that want to participate rescue H7N9 patients, told her "good protection", before battle, Estradiol-year-old son into the mother's home.
            Li Hong in the hospital for two years in a major for the first time to participate in the rescue of infectious diseases. Process, Li Hong did not look like novices. Li Hong said she organized a variety of infectious diseases in the hospital rescue drill, has rescued over numerous "infectious diseases in critically ill patients."
            Song Guoping day and night staring at the old gold, respiratory number of more than 100 general inpatient, Song Guoping had to take time out to take care of.
            Song Guoping said that field compared to 2009 up to four and a half months, "a flow campaign", this is fairly good, after all, is one of the services, the result is also looking forward for treatment.
            19, Lao Jin regaining consciousness, can have quiz responses. This allows 24 medical personnel relieved again.

          Turning the Tide
            20 am, Estradiol porridge with a special syringe feeding tube old gold, old gold hum the sake of talking.

            Remove the old gold Estradiol oxygen mask, leans in front of the ear, Lao Jin said: "I think discharged tomorrow." Song Guoping said that tomorrow Lao Jin's family can come to visit Lao Jin. Old gold one, but shook his head and said: "Do not come." 宋国平 said, also dressed the same with your family doctor to come. Lao Jin looked Song Guoping, did not speak.

            Song Guoping said that Lao Jin family may be afraid of being infected.
            It is understood that Lao Jin's family was not infected with H7N9 avian influenza virus symptoms appear. Song Guoping told Lao Jin, later still the same, normal life and work, all right.

            Lao Jin's breathing on his own, to speak, to the medical staff who are worthy of excitement.
            Today, the old gold into ill from dying.
            Lao Jin's sister standing outside the ICU of a few, relieved, lying on the cot, squint your eyes do not speak.

            Li said the dean, the daily work of the hospital is also a "peacetime" multiple major diseases every year rescue exercises, which also confirmed H7N9 patients the hospital for the first time to rescue accumulated experience. Currently Ebola epidemic as an international public health emergency, the hospital also deployed done in accordance with relevant learning and training, and in personnel, materials made preparations.

          ......

          (Reporter Mu Min)

          PS AKA frasermdx

          Comment


          • #6
            Re: H7N9 case reported in Urumqi, Xinjiang

            Urumqi, three live bird markets closed for two days a week to start strict control procedures
            2014-08-21 04:40:00
            "Urumqi an H7N9 patient pull through" Track
            Urumqi three live bird markets closed for two days a week
            Monday - Thursday after cleaning a large area disinfection, but also to provide a quarantine certificate

            ......

            Culling chickens scattered near Badaowan

            August 20, reporters from the XII Corps division Health Bureau, has been Badaowan 70 chickens were culled nearby, burned, buried.

            According to reports, Urumqi example of H7N9 have been confirmed in patients who lives near Badaowan, the culling of chickens for farmers and neighbors farmed chickens. "H7N9 has been confirmed in patients belonging to the Western Hills area occupied by farms, there are more than 200 local families of workers, some workers home with scattered chicken habit, the culling is scattered chicken." Deputy director of the Health Bureau Liuzhen Hong twelfth division said that, in addition to the source of farmed chickens were culled, the twelfth division Health Bureau also requested fever clinics if suspected patients should arrange the green channel, regular and timely transfer to hospital for treatment of infectious diseases, has been under the current notification to each group field.

            Meanwhile, the Twelfth Division Animal Health Authority also conducted sampling tests closely monitored, "including taking blood, saliva, feces detection of live birds so far, has not been found to have live birds carrying the H7N9 virus situation. Detection has been going on, and today continues to expand the detection range, including the eight Bay Area a scale farmers breeding chickens for sampling. "Twelfth Division Animal Health Authority officials said.

            Urumqi, three live bird markets closed for two days a week to start strict control procedures - Asian Heart Network
            http://news.iyaxin.com/content/2014-...nt_4652809.htm

            -----

            Xinjiang Uygur Autonomous Region Health Department
            http://www.xjwst.gov.cn/copy_5_secon...l&wbtreeid=470

            Xinjiang Uygur Autonomous Region Center for Disease Control and Prevention
            http://www.xjcdc.com/main/?action-news

            News - Urumqi Municipal Health Bureau
            http://wsj.urumqi.gov.cn/lmlb.jsp?ur...&wbtreeid=4457

            Urumqi Municipal Center for Disease Control and Prevention - Home
            http://www.wlmqcdpc.com/Class.asp?id=7&sid=18

            Comment


            • #7
              Re: H7N9 case reported in Urumqi, Xinjiang

              If this case is officially confirmed, it would greatly expand the area of human infections in China. Urumqi is at least 3000 km further west than any other reported H7N9 case from China.
              http://novel-infectious-diseases.blogspot.com/

              Comment


              • #8
                Re: H7N9 case reported in Urumqi, Xinjiang

                Depth: reporter visited Urumqi H7N9 infection (Photos), 2014-08-25 10:30:42 Source: Tianshan (Urumqi), Netease News
                http://news.163.com/14/0825/17/A4GRCQ4100014AED.html


                August 4, 2014 in Shandong Province CDC briefing, by year of follow-up and monitoring of the health assessment, the first case of H7N9 in Shandong Zhang Shiyu cure patients to assess: the patient is not contagious, and the constitution has been restored to the state before he got sick . Just at this time, residents in Urumqi Urumqi Badaowan Lao Jin, but met with H7N9 infection.


                  Xinjiang Network (Reporter Ma Shaobin Jiang Xiao Huang Jiemin photo coverage) Lao Jin wife was originally identified by name, but these days many people, especially the old gold concern, "Lao Jin wife" became her name.   Chaperone Lao Jin's son called to tell her a little gold Good News August 23 Sixth People's Hospital of Xinjiang, "the doctor said, if nothing else, the dad in the afternoon you can go to the general ward from the intensive care unit."   Doctors told the family to Lao Jin stewed spareribs soup. Take calls, Lao Jin morning with his wife from a distant relative was borrowed money to buy a lamb chops, he also spent 150 yuan to buy a new pair of shoes Lao Jin.   Lao Jin lived in eight new communities of Bay Street office in a shanty town, walking in the roadway dirt road, head-over-week fourth of his wife Lao Jin asked with concern, "Good point yet?"   "much better." She lifted his head replied.   "Week ranks the fourth," is one of the few surrounding neighbors so that Lao Jin wife did not feel one "strange" people, since the epidemic prevention station in the community, "culled" chickens, ducks and other poultry, Lao Jin infected H7N9 news as long wings near Badaowan spread.   "Is your husband got H7N9? Not be transmitted to us?" Someone asked bluntly, this time she retorted, "I want to be able to infect, not long been isolated." confirmed  until today, Lao Jin wife did not Lao Jin is figure out how the H7N9 infection is.   Family raised 20 three yellow chicken, teenagers from 13 yuan a day-old chicks, to three months later grow to two kilograms and a half or so, all she fed the chickens.   Lao Jin wife is a hard working man, burn coal as coal sheds room, she cleaned every day again, promptly clean up the chicken. Especially in the two chicks were killed mice, chickens debris among the remaining 18 are connected to the kitchen, she pay more attention to health, "the otherwise very smelly, can not stand."   "To infection H7N9, it should be me, my husband Zehui is it?" Lao Jin wife clearly remember, in the June 9 death of her father, and over seventy-seven memorial day, Lao Jin were "take care" of these two chickens three days.   Competent but also suffer Lao Jin, by doing odd jobs maintain a livelihood, and a year ago for his son Oscar finished university.   Before hospitalization, Lao Jin are worn every day riding a bike to work in the vicinity of seven Bay, 25-year-old son in 2014, the Lao Jin wanted to give his son the year after the marriage to do, so raring to earn money.   Lao Jin wife in February was diagnosed with glomerulonephritis, can not do heavy work, but to raise chickens at home.   August 2, Lao Jin Urumqi Hualing wife dictating Lao Jin to the market to buy 150 kilograms of meat mixed chicken feed, buy chicken feed in the afternoon, Lao Jin played two loud sneeze. Dinner, Lao Jin wife oil cabbage, tomatoes, parsley soup made pulling the film, Lao Jin ate a bowl full.   The next day, the old gold shovel to help his wife clean the inside of the chicken coop, "there is a spade", put the trash down.   Before going to sleep at night, Lao Jin feel a little uncomfortable, touched his forehead, a little hot.   August 4, Lao Jin couple to the new community health centers took cold medicine, took the pills, but no fever, the afternoon went to a nearby clinic to buy medicine.   August 6, Lao Jin in the capital, accompanied by his wife, a top three hospital outpatient, find out pneumonia, but the infection is not severe. Lao Jin returned home in a nearby clinic opened injections and medicine, successive treatment of the two days, the temperature dropped to 37.7 ℃, there may be diarrhea, bloating and other symptoms.   August 8, Lao Jin again to the top three hospitals in this examination, film shows pulmonary infection than before the previous increase. The next day, because of cough, sputum, body temperature rose to 38.2 ℃, occasionally accompanied by chest tightness, shortness of breath, difficulty breathing and other symptoms begin hospitalization.   Lao Jin's condition has never been better.   August 13, Lao Jin began to respiratory failure symptoms. Lao Jin wife to the doctor revealed an important clue, "family raised chickens and chicken this disease will not be relevant?" eight   months on the 14th, Lao Jin transferred to the intensive care unit, plug in the trachea breathing machine, a diagnosis of "severe pneumonia, ARDS, septic shock," was reported in critical condition. Lao Jin wife far away in Liuzhou, Guangxi son Oscar a call.   August 16, Lao Jin was transferred to the Sixth People's Hospital of Xinjiang, "the time of admission, the patient due to lack of oxygen, the body has purple, deep coma." Hospital respiratory center, severe ICU director Song Guoping recalls, "preliminary judgment for suspected bird flu patients, according to the prevailing circumstances, the survival rate less than one percent. "   Song Guoping said the afternoon of August 16, the CDC confirmed by the Urumqi City, Lao Jin is H7Nx cases, the next day, and further diagnosed with H7N9 . Flu  In fact, before the old gold old gold fever has been refunded to see my wife, and my heart also had "will not be infected with the bird flu it," such doubts, but she only heard in television news.   High mortality, which is H7N9 to Lao Jin wife left the deepest impression. Why can H7N9 matter? She is also poorly understood.   In Baidu, on the H7N9 virus is interpreted as: a subtype of avian influenza virus. Influenza virus is a surface structure according to the naming, H represents the hemagglutinin, its role is to allow the virus to the host cell capable of binding; N represents the neuraminidase enzyme and its role is to have self-replicating virus from the cells release out. H is divided into 15 subtypes, N sub-nine subtypes.   China CDC deputy director Shu Yuelong believe the virus, H7N9 bird flu virus is a reassortant virus between viral coat as H7N9, internal 6 gene fragment from another avian influenza virus -H9N2.   "Restructuring or reassortment in influenza virus circles are common. Between internal and viruses, like constantly reassembled piece building blocks of each virus, H7N9 may be two or three hybrid mutation of avian flu from." Said Shu Yuelong, This is the virus in order to continue to adapt to the new situation of nature, to make this change, "through mutation, it can combine and mammalian cells, thereby causing illness."   earliest Chinese influenza virus researchers - Professor Guo Yuanji worked in international the H9N2 avian influenza virus was first discovered directly infect humans and cause human disease. He found, H9N2 is easy with human receptor binding in the human, chicken, pig's body, have isolated H9N2; many veterinary blood can also be detected H9N2 antibodies.   宋国平said, and others, like avian flu, H7N9 is sensitive to heat, low temperature resistant to heat 65 ℃ 30 minutes or boiling (100 ℃) two minutes or more can be inactivated.   Chinese Academy of Engineering, Zhong Nanshan, director of the Guangzhou Institute of Respiratory Diseases that "early detection" is one of the key treatment of H7N9 patients.   March 2014, infectious disease experts, Chinese Academy of Engineering, told Xinhua News Agency reporters Li Lanjuan interview said, "From the current situation, people infected with H7N9 bird flu characteristics did not change significantly, with sporadic cases are still the main man and the situation has not significantly spread between humans. " heal  old gold house 18 chickens in the afternoon of August 17 people were taken away and epidemic prevention departments, Lao Jin distressed wife lost more than 1000 yuan this end, "I do not know There is no government subsidy. "   However, she soon learned that in order to prevent the spread of the epidemic, with a radius of her home, within a few kilometers radius of poultry have been culled processed.   Lao Jin transferred after she went to the hospital and nothing, she only knew Lao Jin is treated in isolation, son Oscar was treated by his father to see the case of a monitor screen, not when you call her to report the situation.   Oscar arrived after August 15, Urumqi, every day in the hospital escort, has no home, he said, afraid to go back due to the neighbors misunderstanding. Oscar still do not understand why his father once with a fever, and H7N9 on how to link the relationship?   "This is lower than the probability of winning the lottery thing, how would come to our house? Not to mention my family's chickens did not infected." In Oscar seems midst of sadness is the result of a timely rescue, his father saved a life .   However, according to宋国平revealed that the latest scientific research confirms, H7N9 avian influenza virus has been identified can be spread from person to person. The virus and the common influenza virus is not much difference, is not terrible, but once miss the best medication period, the mortality rate as high as 90%.   Song Guoping stressed that any virus infection, requires three elements, the source of infection, transmission and susceptible populations, many people carry the virus usually heal after this, but there are patients with diabetes, hypertension and other basic diseases, infected with the virus, the disease will increase, or even life-threatening.   

                From suspected to confirmed, Lao Jin Song Guoping medical team launched a targeted therapy, taking oseltamivir, peramivir, zanamivir three drugs, Lao Jin's condition improved gradually emerged, August 20 Day shift occurs iconic - removed the ventilator, which means from dying into ill.   

                August 23, Lao Jin from intensive care to a general ward room, in isolation for eight days, Lao Jin father and son meet again.   That day, Lao Jin wife around the house inside and clean again. She Lao Jin's old clothes are burned, the Lao Jin to buy new clothes, new shoes out, said to meet the newborn is old gold.   

                August 4, 2014 in Shandong Province CDC briefing, by year of follow-up and monitoring of the health assessment, the first case of H7N9 in Shandong Zhang Shiyu cure patients to assess: the patient is not contagious, and the constitution has been restored to the state before he got sick . Just at this time, residents in Urumqi Urumqi Badaowan Lao Jin, but met with H7N9 infection.

                Comment


                • #9
                  Re: H7N9 case reported in Urumqi, Xinjiang

                  "Urumqi an H7N9 patient turned the corner," reported tracking

                  Asian Heart Network (Jiang Yan, chief reporter at)

                  Urumqi was found H7N9 bird flu patient Lao Jin, living in Badaowan materials factory, located in the suburbs here Shuimogou district, belonging to the Western Hills Farm Division XII Corps jurisdiction.

                  August 22 afternoon, the reporter came to this area to see, here are basically old cottage, cottage exterior not painting, old exposed brick, some home users or wooden doors and windows.

                  Every morning and evening, more than 200 workers to disinfect household
                  From the living environment, where such small farm house. Badaowan material into the plant, you can see the small door of the court house reclamation of some households have small vegetable plot, planted with tomatoes, chili, green onions and other vegetables, and some home users to set up a small vegetable garden in front of the shed, poultry farming geese for their own food. Since the Lao Jin was found H7N9 bird flu, and now here's chickens, ducks, including pigeons have all been culled.

                  "My family would keep a dozen chicks Aberdeen, the staff a few days ago and epidemic prevention departments have culled over the chicken."
                  Household Jiang Zhong, pointing to record their own empty chicken circle said that after chickens were culled, epidemic prevention department staff has Chicken circle to eliminate poison several times, they are now often come home to disinfect chicken rings and then, one day to several times.

                  Jiang Zhong recorded it seems, H7N9 nothing terrible, epidemic prevention department staff before culling of chickens his family, Jiang also recorded slaughter some chickens to eat, "one fry 3, eat their own, but also to relatives send a few. "

                  Jiang Zhong recorded with the same household Ma Liya a very quiet life, "What a terrible, chicken farming here since we did not identify the problem, say Lao Jin Lao Jin had their home on the avian flu, his wife, his son, his aging mother are good Yeah. "

                  Ma Liya with Lao Jin family lived next to the wall is the wall of a neighbor, "the windows of their home but also towards our yard to open it, Lao Jin was found H7N9 day 23:00, suddenly a lot of people in white clothes, body Armed like astronauts, like Lao Jin arrived home caught the chicken cull, a little scared on that night, but the next day I heard his house chicken, chicken all tests completed all right, my heart is calm. " Ma Liya life these days do not feel disturbed, "life, doing the doing, we are not here to affected areas."

                  Reporters learned that, since the Lao Jin after H7N9 was found, where a total of more than 300 birds culled, sooner or later, more than 200 workers returned home disinfected daily. "Currently living here orderly, peaceful and quiet, no one has been isolated." Nishiyama farm materials factory branch secretary Haijun said.

                  Family living by doing odd jobs
                  Since the Lao Jin has been hospitalized, as his wife Georgina Chan has been in the hospital to take care of her husband, the last few days has been locked the door of his house.

                  Lao Jin's book called Jin Zhenzhong, plant material in eight Bay Area, still living with his brother Jin Zhenxi one, and his 83-year-old mother Gu Lingzhen one. Because seriously ill in hospital after Lao Jin, Jin Zhenxi also ran a front running, the house, leaving only the old mother Gu Lingzhen.

                  Gu Lingzhen Although there are retirement pay, but sons and daughters of the family conditions are not good, she was troubled. The Jin Zhenzhong sick, Gu Lingzhen took out a million to the son of a doctor with.

                  August 24 morning, the reporter once again came to the eight Bay plant material, Georgina Chan met just go home soon, she just gave her husband a good stew soup, but also brought some toiletries, ready to give her husband to deliver meals to go. "August 23, Lao Jin to a general ward, is now able to drink porridge, a row did not eat for several days, the doctor said I need nutritious soup stew point Bubu."

                  Since suffering from glomerulonephritis, Georgina Chan must take medicine every day, to more than 1400 yuan monthly fixed drugs, but also to the hospital every week to review, Lao Jin after recent illness, Georgina Chan consecutive half did not go to the hospital reviewed.

                  Georgina Chan, 47, Jin Zhenzhong 53 years. Before Badaowan plant material there is a brick, the couple has been working in brick, day by sliding car pull bricks. 2004 brick bankruptcy, Jin Zhenzhong one can only maintain their livelihood by doing odd jobs, Georgina Chan sick can not work, they can lead more than 600 yuan per month guaranteeing payment.

                  http://news.iyaxin.com/content/2014-...nt_4654723.htm

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                  • #10
                    Re: H7N9 case reported in Urumqi, Xinjiang

                    Urumqi.gov.cn posting early media

                    Treatment group fighting three days and nights Urumqi an H7N9 patient lift crisis situation, Source: Xinjiang net Posted: 2014-08-21 10:39:30
                    http://www.urumqi.gov.cn/znsx/jdxw/bmdt/201966.htm

                    Urumqi rectification illegally parked near a traffic accident in January minus four percent in fiscal loss , Source: Asian Heart Network Posted: 2014-08-21 10:33:12
                    http://www.urumqi.gov.cn/znsx/jdxw/jrsf/201954.htm

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                    • #11
                      Re: H7N9 case reported in Urumqi, Xinjiang

                      Animal Production and Health Commission for Asia and the Pacific (APHCA) HPAI Situation Update 28/08/2014 - Issue no. 624
                      20-21/08/2014 – Confirmed influenza A(H7N9) infection in a human, Xinjiang (National Authorities)

                      A 53 year old male, a welder, tested positive for H7N9 on 16 August 2014. The onset of illness was on 3 August 2014. The patient lives in Badaowan Village area, Shuimogou District, Urumqi City, Xingiang Uyghur Autonomous Region, with household chickens. About 3 months ago, a family member went to a market and bought 20 chickens to raise.

                      http://www.xjdaily.com.cn/xinjiang/002/1113657.shtml
                      http://www.urumqi.gov.cn/znsx/jdxw/bmdt/201966.htm

                      http://cdn.aphca.org/dmdocuments/Avi...ate_140828.pdf

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                      • #12
                        Re: China - Man, 53, H7N9 case confirmed in Urumqi, Xinjiang

                        Second Urumqi H7N9 bird flu patient was discharged "I stroll in a circle in front of the gates of hell." Source: Asian Heart Network Author: Yu Jiang Yan Manuscripts Time:2014-09-16 05:00:54

                        H7N9 bird flu patient was discharged, the nightmare experience of fear
                        "I stroll in a circle in front of the gates of hell."

                        Asian Heart Network (chief reporter Yu Jiang Yan) was in the "gates of hell" before stroll around the Jin Zhenzhong, and finally discharged home.

                        August of this year, 金振忠 been found infected with H7N9 bird flu, has in two hospitals hospitalized more than 20 days, on September 5 discharged home. Has been discharged home recuperating 10 days.

                        see full media report
                        ..........


                        http://news.iyaxin.com/content/2014-...nt_4671397.htm

                        http://news.sina.com.cn/c/2014-09-16/045930861959.shtml

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