Taiwan - confirmed first human H7N9 infection - patient returned from Shuzou

[Catbird]

Re: Taiwan - confirmed first human H7N9 infection - patient returned from Shuzou

This article contradicts the other reports about the HCWs and their PPE use. It may just be an error but the article was written more recently than the ones posted above. So - mistake or new info?

xhttp://www.taipeitimes.com/News/front/archives/2013/04/25/2003560640

"Nation confirms its first case of H7N9 avian flu

Thu, Apr 25, 2013

...According to the center, 139 people are known to have come into contact with him. Three of them had close contact, 26 had contact more than seven days ago (putting them past the infectious period) and 110 are hospital personnel, it said.

Three of the hospital personnel did not take proper protective measures when treating or caring for the patient and have developed respiratory symptoms, the center said, adding that they would be strictly monitored until Saturday...".

[Catbird]

Re: Taiwan - confirmed first human H7N9 infection - patient returned from Shuzou

Another small bit of info.

"Observed the first case of H7N9 latent for a long time, the virus is low, Tamiflu

2013-04-24
The Canton News

xhttp://news.chinatimes.com/focus/130501/132013042401551.html

Taiwan since the first cases of H7N9, observe the patient's course of evolution quickly and make sure the process is very tortuous, deep sputum until the third test "before deciding, analyzing the incubation period is longer than expected, due to the low amount of virus, at the beginning to experience not out. Tzou-Yien Lin, Deputy Director also said that after the gene sequence verified, but fortunately given Tamiflu after treatment to determine the effective.

...Observed since the first cases of H7N9, of Biomedical Sciences, Academia Sinica researcher Ho Mei-incubation period of the H7N9 may also for a long time than previously imagined onset to diagnosis of at least six days, the amount of virus may start as low experience does not come out."

[Catbird]

Re: Taiwan - confirmed first human H7N9 infection - patient returned from Shuzou

More details.

Machine translation:

"Patients sent to the National Taiwan University with ECMO first aid

2013-04-25 01:22
China Times

Place in the first confirmed cases of H7N9 avian influenza, caused quite a high degree of concern. A well-informed legislators revealed that patients who are accepted in the National Taiwan University Hospital negative pressure isolation and treatment, but the situation is poor, intubation and the use of ECMO (extracorporeal cardiopulmonary life-support systems). Close contact with patients who are not the onset of the case.

Informed legislators said that the patients are National Taiwan University Hospital negative pressure isolation ward treatment, but the situation is still serious, low concentrations of oxygen, intubation, use of ECMO treatment, the condition is only a little progress.

Suspected contact with live poultry in the Suzhou High Stadium

First infected with H7N9 Suzhou Taiwan, a Taiwan listed company executives, immigrants from Shanghai on March 28, most of the time to stay in the Suzhou Industrial Park area. Ching Ming holidays, he had traveled to Suzhou Sanyang Golf Course play is suspected to be the only contact with live poultry place.

In Suzhou contact surnamed Li, Taiwan Taiwan lot. A Taiwanese revealed that his business trip in Suzhou, rest everything is normal, and no signs of a cold. Weekdays heavy workload after his arrival from Shanghai, went straight to the accommodation of a small hotel in the Suzhou Industrial Park.

In twelve days, Suzhou, went in early April trip to Kunshan to Canxu with friends, most of the other time in the Suzhou Industrial Park,, or around Jinji Lake and the factory where LUZHI town, three meals a day and most of them in company canteen solution.

The relevant colleagues Taiwanese incubation period has passed

Familiar with his Suzhou friends think the rest of his normal, infected the H7N9 people are surprised. However, when he was found to disease in Suzhou contact with co-workers and Taiwanese have peace over the incubation period.

Several memories with his frequent visits Taiwan businessmen in Suzhou, the honest people that everyone talks about, leaving very little time in the hotel and outside the company, including in the the local Sanyang stadium played golf, to Jinji Lake Restaurant eating and walking to dinner with friends drinking in Kunshan.

Many play with Suzhou Taiwanese memories, because his skills are pretty good, while playing side joked, to see the birds to hide a little further, do not step on the birds wing, so as not to get sick. I did not expect to play a joke actually a prophecy. Familiar with the Taiwanese, surnamed Li Suzhou Taiwanese and mainland colleagues are praying for him a speedy recovery and return to work."




xhttp://news.chinatimes.com/focus/501013306/112013042500493.html

[tetano]

Re: Taiwan - confirmed first human H7N9 infection - patient returned from Shuzou

3 hospital staff show symptoms after H7N9 contact


Taipei, April 24 (CNA) Three hospital personnel have developed respiratory symptoms after coming into contact with Taiwan's first confirmed case of H7N9 avian flu, the Central Epidemic Command Center said Wednesday.

All three had taken proper protective measures when providing medical care for the patient, a 53-year-old man who fell ill three days after retuning from China's Jiangsu Province, one of the H7N9-affected areas, the center said.

A survey of the epidemic situation showed that 139 local people had come into contact with the man, a Taiwanese businessman based in Jiangsu's Suzhou area, the center said.

Three of them had close contact, 26 had contact more than seven days ago (putting them past the infectious period) and 110 are hospital personnel, the center said.

Four of the hospital personnel have also passed the infectious period and have not developed symptoms, the center said.

A further three of the hospital personnel did not take proper protective measures when treating or caring for the patient, but none of them have so far shown any symptoms, the center said, adding that they will be strictly monitored until April 27.

The epidemic control center said that all those who have had contact with the patient have been served notice urging them to engage in self-health management.

They will also be subject to close monitoring until their respective infectious periods expire, the center said, adding that public health officials will help people on the watch list to get medical treatment should they develop flu-like symptoms such as fever or coughing.

http://focustaiwan.tw/news/asoc/201304240039.aspx

[Pathfinder]

Re: Taiwan - confirmed first human H7N9 infection - patient returned from Shuzou

Fri, Apr 26, 2013

H7N9 patient ?serious, but stable?
...

Staff writer, with CNA
...
?The man remains in serious, but stable condition and is still receiving treatment in a negative pressure quarantine ward at a northern Taiwan medical center,? Centers for Disease Control (CDC) Deputy Director-General Chou Jih-haw (周志浩) said.

Initial tests showed that three hospital personnel who had developed respiratory symptoms after coming into contact with the patient were not infected with the virus, Chou said.
...
An investigation showed that 139 people had come into contact with the man in Taiwan, the Central Epidemic Command Center said.

Three of them had close contact, 26 had contact more than seven days ago (putting them past the infectious period) and 110 are hospital personnel, the center said.

CDC Director-General Chang Feng-yee (張峰義) said six laboratories in Taiwan have been recruited by the agency this week to examine specimens of suspected H7N9 avian flu cases.
...
The CDC uses a PCR (polymerase chain reaction) testing tool to detect the virus, which takes up to 10 hours. Moreover, as a precautionary measure, an additional 10 hours are required for gene sequence detection, Chang said.

http://www.taipeitimes.com/News/taiwan/archives/2013/04/26/2003560758

[Nika]

Re: Taiwan - confirmed first human H7N9 infection - patient returned from Shuzou

So might we assume that the qualifier "initial" for testing implies that it was a noninvasive nasal swab for rtPCR sample (and proven noninformative false negative) versus the more informative tracheal or lower lung aspirate?

A few minutes ago @HaertlG , the WHO twitter person, stated that he didnt lnow the nature of these samples. He also stated he didnt know the latest status of these HCW ppl.

[Catbird]

Re: Taiwan - confirmed first human H7N9 infection - patient returned from Shuzou

Good news!

Machine translation:

"H7N9 seriously ill Taiwanese rescue two weeks removable ECMO

2013.05.03

National Taiwan University Hospital, vice president C. Chang today (3), said, surnamed Li, Taiwan, Taiwan's first case of imported cases of H7N9 have been dropped by the instrument of ECMO extracorporeal membrane oxygenation (ECMO), which is in remission, the next goal is to disconnect the respirator the patient, though still in negative pressure isolation intensive care unit treatment, but various indicators are given progress is being closely observed.

The 53-year-old male Taiwanese surnamed Li, was a work in Suzhou, Jiangsu Province, China from March 28 to April 9, returned to Taiwan via Shanghai on April 9, the onset of the 12th, the 24th diagnosis, respiratory failure, serious condition, after the 20th turn into the National Taiwan University, physicians additional 2 times the dose of Tamiflu, but also rely on ECMO maintain heart and lung function.

C. Chang, surnamed Li, Taiwan does have some improvement, unplug ECMO has improved the health indicators, the medical team is also keeping a close watch. However, based on the protection of patient privacy, and has not been authorized by the family, only to reveal."

xhttp://newtalk.tw/news/2013/05/03/36093.html

[Biological]

Re: Taiwan - confirmed first human H7N9 infection - patient returned from Shuzou

Published Date: 2013-05-09 20:36:45
Subject: PRO/AH/EDR> Avian influenza, human (74): China H7N9 update
Archive Number: 20130509.1702261

AVIAN INFLUENZA, HUMAN (74): CHINA H7N9 UPDATE
Taipei patient recovering
Date: Thu 9 May 2013
Source: Taipei Times [edited]

http://www.taipeitimes.com/News/taiwan/archives/2013/05/09/2003561840

The condition of a Taiwanese businessman who contracted the H7N9 avian influenza virus in China has improved to the point where he has been taken off his ventilator and may soon be moved to a normal ward, National Taiwan University Hospital (NTUH) said on Tuesday [7 May 2013]. "The patient has been taken off a ventilator, is no longer testing positive for the virus, and has been taken off the anti-flu drug Tamiflu," NTUH deputy superintendent Chang Shan-chwen said. "If all goes well, the patient can be transferred to a normal ward in the next couple of days for continued treatment and recuperation," Chang added.

The 53-year-old man has been receiving intensive treatment in a negative pressure quarantine ward since 20 Apr 2013 after testing positive for the H7N9 virus following his return to Taiwan on 9 Apr 2013. At the most serious stage of his illness, he was put on a ventilator and given extracorporeal membrane oxygenation (ECMO) therapy. He was taken off the ECMO, a machine that functions as an artificial lung, on Thursday last week. "While the patient is clearly conscious and his health is improving steadily, he nevertheless remains weak and still suffers shortness of breath," Chang said at a media briefing, with the consent of the patient's family. "It is still not clear when he can be discharged," Chang added.Taiwanese H7N9 patient recovering - Taipei Times

[Pathfinder]

Re: Taiwan - confirmed first human H7N9 infection - patient returned from Shuzou

Translation Google

Taiwan's first H7N9 patient has no virus discharged next month

May 14, 2013 08:44:20
Source: Xinhua Taiwan

Was diagnosed with Taiwan's first case of H7N9 avian flu patient surnamed Li, Taiwan, under the National Taiwan University Hospital, after repeated testing body no longer H7N9 virus, released from quarantine conditions, and can get out of bed, June is expected to be discharged .
　　
Hong Kong China News Agency reported that 53-year-old Lee is in March 28 this year to work in Suzhou City, Jiangsu Province, mainland to return to Taiwan via Shanghai on April 9, the onset of the 12th, the 24th confirmed as infected with H7N9 avian influenza, respiratory failure , a serious condition. Lee on the 20th into the National Taiwan University Hospital negative pressure isolation ward, once need to use to the ECMO maintain heart and lung function, removal of about 10 days.
　　
After 23 days of the rescue of the National Taiwan University Hospital, after treatment, May 12, Lee condition continued to improve, can get out of bed, still in the ward to spend Mother's Day with their families. C. Chang, National Taiwan University Hospital, vice president, said hospital policy to Lee several tests, measuring less than H7N9 virus, other words part of the infection has been eradicated.
　　
Taiwan's Department of Health, Centers for Disease Control, Deputy Secretary ZHOU Zhi-hao 13 further instructions, been tested and does not in Lee specimen which detect the H7N9 virus, so we lift the quarantine conditions.
　　
Lee has been transferred to a general ward rest cure, waiting for all the functions of the body to return to normal is expected to be discharged after 1 month.

http://news.xinhuanet.com/tw/2013-05/14/c_124705710.htm