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China - Hong Kong CHP announces 84 additional human H7N9 avian flu cases, including 7 deaths, for onset dates December 13 - January 13, 2017 in notification from China NHFPC - some are previously resolution possible at this time....

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  • China - Hong Kong CHP announces 84 additional human H7N9 avian flu cases, including 7 deaths, for onset dates December 13 - January 13, 2017 in notification from China NHFPC - some are previously resolution possible at this time....

    CHP notified of human cases of avian influenza A(H7N9) in Mainland
    ************************************************** *

    The Centre for Health Protection (CHP) of the Department of Health today (January 20) received notification from the National Health and Family Planning Commission that 84 additional human cases of avian influenza A(H7N9), including seven deaths, were recorded from January 1 to 15. The CHP strongly urged the public to maintain strict personal, food and environmental hygiene both locally and during travel, in particular during the upcoming Lunar New Year holidays.

    The 60 male and 24 female patients aged from 3 to 79 had their onset from December 13, 2016 to January 13, 2017. The cases were from Jiangsu (34 cases), Zhejiang (23 cases), Anhui (14 cases), Fujian (five cases) and four cases each in Hunan and Jiangsu. Among them, 28 reported exposure to poultry or poultry markets while the source of infection of 52 cases was still under investigation.

    "Since November 2016, the Mainland health authorities have already recorded 227 human H7N9 cases thus far. We would also like to remind the public that human H7N9 cases continue to occur in neighbouring Guangdong and the positive percentage for H7 virus of environmental samples is substantial. We again urge the public to pay special attention to health risks of the places of visit," a spokesman for the CHP said.

    "While local surveillance, prevention and control measures are in place, we will remain vigilant and work closely with the World Health Organization and relevant health authorities to monitor the latest developments," the spokesman said.

    As the H7N9 virus continues to be detected in animals and environments in the Mainland, additional human cases are expected in affected and possibly neighbouring areas. In view of the heavy trade and travel between the Mainland and Hong Kong, further sporadic imported human cases in Hong Kong every now and then are expected, especially in the coming few months.

    "Therefore, we strongly urge the public to avoid touching birds, poultry or their droppings and visiting poultry markets or farms during travel, particularly in the upcoming Lunar New Year holidays. If feeling unwell, such as having a fever or cough, wear a mask and seek medical advice at once. Travellers returning from affected areas should consult doctors promptly if symptoms develop, and actively inform the doctors of their travel history for prompt diagnosis and treatment," the spokesman added.

    The CHP's Port Health Office conducts health surveillance measures at all boundary control points. 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 display of posters and broadcasting of health messages in departure and arrival halls as health education for travellers is under way. The travel industry and other stakeholders are regularly updated on the latest information.

    The public should maintain strict personal, hand, food and environmental hygiene and take heed of the advice below while handling poultry:
    • Avoid touching poultry, birds, animals or their droppings;
    • When buying live chickens, do not touch them and their droppings. Do not blow at their bottoms. Wash eggs with detergent if soiled with faecal matter and cook and consume them immediately. Always wash hands thoroughly with soap and water after handling chickens and eggs;
    • Eggs should be cooked well until the white and yolk become firm. Do not eat raw eggs or dip cooked food into any sauce with raw eggs. Poultry should be cooked thoroughly. If there is pinkish juice running from the cooked poultry or the middle part of its bone is still red, the poultry should be cooked again until fully done;
    • Wash hands frequently, especially before touching the mouth, nose or eyes, before handling food or eating, and after going to the toilet, touching public installations or equipment such as escalator handrails, elevator control panels or door knobs, or when hands are dirtied by respiratory secretions after coughing or sneezing; and
    • Wear a mask if fever or respiratory symptoms develop, when going to a hospital or clinic, or while taking care of patients with fever or respiratory symptoms.

    The public may visit the CHP's pages for more information: the avian influenza page, the weekly Avian Influenza Report, global statistics and affected areas of avian influenza, the Facebook Page and the YouTube Channel.
    Ends/Friday, January 20, 2017
    Issued at HKT 18:11

  • #2
    This appears to be additional cases reported - BUT this includes, partially, a time period already covered in some health and family planning disease reports for the month of December 2016.

    The word "additional" means additionally reported to the CHP, but I think some of these cases are already known.



    • #3
      Just reviewing the CHP reports for continuity....

      In the CHP Avian Influenza Report published January 17 and ending time period on January 14, 2017: link

      "Since November 2016 (as of January 16, 2017), 131 cases have been recorded in Mainland China.."

      From the above CHP update:

      "Since November 2016, the Mainland health authorities have already recorded 227 human H7N9 cases thus far. (through January 15)

      So doing the math.... 227 - 131 = 96

      96 is off the new additional reported case figure of 84 by 12 cases.

      For the same time period (January 14/15) on two avian flu documents published by the Hong Kong CHP in the last 3 days the cumulative H7N9 count does not add up.

      Still looking at this......


      • #4
        Honestly, I can't do anything with this....I will make some kind of note on the case list because the potential additional cases number is so large. Normally I ignore the CHP mid-month to mid-month press releases because the provinces and the national health departments report on a calendar basis which we reconcile monthly.


        • #5
          And to add to the confusion....

          95 cases of human infection H7N9 new cases of bird flu continue to follow up the importation of confirmed cases
          2017-01-20 21:29:00

          Source: Department of Health

          The Health Bureau said that according to the latest notice of the mainland health sector, the Mainland January 1 to 15, 95 cases of human infection with H7N9 avian influenza cases. According to sources, the patients were distributed in 34 provinces of Jiangsu, 23 in Zhejiang, 14 in Anhui, 11 in Jiangxi, 5 in Fujian, 4 in Hunan, 2 in Guizhou and 2 in Shandong. With a mean age of 55 years, 66 males and 29 females; 11 died and 21 were critically ill, 15 were in general and 48 were still under investigation; at least 37 had been diagnosed before the onset of the disease To the live poultry market or to live birds.

          In addition, on January 12 confirmed a case of imported human infection H7N9 avian influenza cases, the current patient is still in the isolation of the general hospital ward Yan Jie received isolation treatment, the disease in general. While 45 close contacts and 36 general contacts are in good health and have not experienced any discomfort so far; the Health Bureau will continue to follow up on the health status of the contacts.

          The Department of Health will continue to maintain close contact with the health authorities in the country and neighboring regions and the World Health Organization (WHO) to monitor the epidemic and the outbreak of Avian Influenza in neighboring areas or Macau through cross-sectoral and public-private partnerships. Prevention and preparedness. Based on past experience, the Health Bureau expects the H7N9 avian influenza activity to become more active in the near future. The following appeal has been made to the people of Macao:

          ? Avoid visiting markets or farms where bird flu has recently been reported in the H7N9 bird flu epidemic area;

          ? Avoid contact with birds, their secretions and excreta; if contact occurs, wash hands immediately;

          ? Do not buy or carry unqualified birds;

          ? Do not eat poultry meat, offal, blood products and eggs that have not been thoroughly cooked;

          ? Pay attention to personal hygiene and wash hands frequently;

          ? In case of fever, cough, dyspnea and other symptoms, wear a mask and consult a doctor as soon as possible, and explain to the doctor the history of travel and animal contact history.

          For more information on Avian Influenza A H7N9, please call the Health Bureau's website ( or call the Health Bureau's Infectious Diseases Hotline at 28700800 during office hours.


          • #6
            Apparently the Macao health authority has 95 new cases from the mainland NHFPC which corresponds to my analysis in post 3 where I calculated 96.

            A few hours ago I added the following line to our case list: link

            a. This line temporarily suspends the case count. The Hong Kong CHP announced receipt from China NHFPC a list of what they call "new" cases in the amount of 84, including 7 deaths. The onset dates range from December 15, 2016 to January 13, 2017. Hopefully the Hong Kong CHP will provide a detailed list of these "new" cases so that an analysis can be performed and an accurate count can be re-established. It is suspected that some of the "new" cases are previously known.


            I have added this to the above comment:

            Macao issued a press release saying the China NHFPC announced 95 new cases with the same onset dates as the Hong CHP report. More reason to suspend counting until we can get some clarity. link
            Last edited by sharon sanders; January 20, 2017, 12:54 PM. Reason: added 2 last sentences


            • #7
              The link to the article in post 1 now gives an error message:
              Click image for larger version

Name:	chperror.JPG
Views:	26
Size:	75.7 KB
ID:	768518

              This general gov link is still good:

              Last edited by sharon sanders; January 20, 2017, 02:03 PM.