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CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital)

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  • CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital)

    CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)
    PLAGUE, PNEUMONIC - CHINA: (QINGHAI), REQUEST FOR INFORMATION

    A ProMED-mail post
    <http: www.promedmail.org=""> ProMED-mail is a program of the International Society for Infectious Diseases
    <http: www.isid.org=""> Date: Sat 1 Aug 2009
    Source: XinHuaNet [edited]

    <http: news.xinhuanet.com="" english="" 2009-08="" 02="" content_11811126.htm="">One dies of pneumonic plague in NW China

    One person has died of pneumonic plague which infected 11 others in the Hainan Tibetan Autonomous Prefecture, northwest China's Qinghai Province, said the province's health bureau. The 11 infected patients, hospitalized in quarantined wards, are in stable conditions. Most of them are relatives of the dead person, a 32-year-old herdsman, said a press release from Health Bureau of Qinghai Province. The province sent a team of experts to the area and had the plague under control, said the release. The local government quarantined the source of the plague, Ziketan town, and its vicinity. The area has sufficient supplies and the quarantine has not disrupted the basic needs of the locals, according to the release. The health bureau demanded those who have fever and cough and have been to Ziketan town and its vicinity after 16 Jul 2009 to go to hospital. Ziketan town, in Xinghai county of Hainan Tibetan Autonomous Prefecture, covers 3000 square kilometers and has a population of 10 000.

    -- Communicated by:
    HealthMap Alerts via ProMED-mail


    [Primary pneumonic plague (one percent of natural plague presentations) arises as a result of inhalation of plague bacilli in infectious aerosols, such as would be produced when there are secondary pneumonic complications in bubonic/septicemic plague. Primary plague pneumonia has a short incubation period of 1-3 days, after which there is sudden onset of flu-like symptoms including fever, chills, headache, generalized body pains, weakness, and chest discomfort. A cough develops with sputum production, which may be bloody, and increasing chest pain and difficulty in breathing. As the disease progresses, hypoxia (low oxygen concentration in the blood) and hemoptysis (coughing up blood) are prominent. The disease is invariably fatal unless antimicrobial therapy commences within 24 hours of exposure. Patients with primary pneumonic plague generate large quantities of infectious aerosols that pose a significant risk to close contacts. CDC (US Centers for Disease Control and Prevention) guidelines identify contacts within 2 meters (6.5 ft) as being at greatest risk and do not consider the organism likely to be carried through air ducts or vents. Persons who have been in contact with pneumonic plague patients or handling potentially infectious body fluids or tissues without appropriate protection should receive preventive antimicrobial therapy. The preferred antimicrobial agents for prophylaxis are tetracyclines, quinolones, or chloramphenicol. The area involved is an autonomous prefecture of Qinghai province in China. The prefecture's capital is Gonghe county. The placename literally means "south of the Qinghai Lake." It can be found on a map at: <http: en.wikipedia.org="" wiki="" hainan_tibetan_autonomous_prefecture="">http://en.wikipedia.org/wiki/Hainan_...ous_Prefecture . - Mod.LL]
    (...)
    -
    </http:></promed@promedmail.org></http:></http:></http:>
    <cite cite="http://apex.oracle.com/pls/otn/f?p=2400:1001:56486412140370::NO::F2400_P1001_BACK _PAGE,F2400_P1001_PUB_MAIL_ID:1000,78577">http://apex.oracle.com/pls/otn/f?p=2..._ID:1000,78577</cite>

  • #2
    Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)

    China town sealed off after pneumonic plague kills one
    China town sealed off after pneumonic plague kills one

    Posted: 02 August 2009 1614 hrs
    BEIJING:


    A town in a Tibetan area in northwest China has been sealed off after one of its residents died from pneumonic plague, the local government said on Sunday.

    Ziketan town in Qinghai province was put under collective quarantine Saturday when laboratory tests showed it had been struck by the highly virulent disease, the Qinghai health bureau said in a statement.

    A 32-year-old herdsman had died from the plague, while 11 others had been diagnosed with it, according to the statement.

    Ziketan, which is located in the Hainan Tibetan Autonomous Prefecture, had enough supplies to get by on its own for the time being, it added, giving no indication of when the quarantine would be lifted.

    The health bureau urged people who had visited Ziketan on or after July 16 to seek immediate help if they developed coughing or fever.

    An official at the Ziketan health bureau contacted by AFP Sunday declined to give further details.

    Pneumonic plague spreads through the air, making it easier to contract than for example bubonic plague, which requires that a person is bitten by an infected flea.

    It is also more lethal, with a fatality rate of up to 100 per cent if left untreated, compared with 60 per cent for bubonic plague.

    - AFP/yb
    -
    <cite cite="http://www.channelnewsasia.com/stories/afp_asiapacific/view/446332/1/.html">channelnewsasia.com - China town sealed off after pneumonic plague kills one</cite>

    Comment


    • #3
      Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)

      China seals town after plague victim death | Radio Netherlands Worldwide
      Authorities in western China have sealed off an entire town and its 10,000 inhabitants after one of them died from pneumonic plague.

      The town of Ziketan town in Qinghai province was quarantined after a 32-year-old shepherd died.

      Eleven other inhabitants of the town are thought to be infected.

      Chinese authorities say the town, which lies in a sparsely populated area, has enough supplies to survive on its own for several days.

      Unlike bubonic plague, which is spread by the bite of an infected flea, pneumonic plague is an airborne disease and is spread by coughs and sneezes. This makes it much easier to contract. If left untreated, the fatality rate is 100 percent.
      -
      <cite cite="http://www.rnw.nl/english/article/china-seals-town-after-plague-victim-death">China seals town after plague victim death | Radio Netherlands Worldwide</cite>

      Comment


      • #4
        Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)

        can't be H5N1, right ?
        I'm interested in expert panflu damage estimates
        my current links: [url]http://bit.ly/hFI7H[/url] ILI-charts: [url]http://bit.ly/CcRgT[/url]

        Comment


        • #5
          Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)

          China plague death prompts alert
          By Michael Bristow
          BBC News, Beijing



          Thousands of people have been placed in quarantine in north-western China after a man died of pneumonic plague.

          Chinese authorities say the man who died was a 32-year-old herdsman from a sparsely populated area mostly inhabited by Tibetans.

          Most of the other 11 people infected with the disease are relatives of the dead man.

          The local government has not yet said when the man died but it has sealed off the town where the outbreak occurred.

          It says there are enough supplies to feed the 10,000 or so people who live in the town of Ziketan, near Xinghai in Qinghai province, during the quarantine period.

          Pneumonic plague is a virulent form of the disease that attacks the lungs. It can spread from person to person, or from animals to people.

          Initial symptoms include fever, headache and shortness of breath.

          To reduce the chances of death, anyone infected needs to receive treatment within 24 hours of the first symptoms.

          This is not the only contagious disease that China is grappling with at the moment.

          It has taken very strict measures to control the spread of swine flu - which has also led to thousands of people being quarantined.




          http://news.bbc.co.uk/1/hi/world/asi...ic/8180300.stm

          Comment


          • #6
            Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)

            Originally posted by gsgs View Post
            can't be H5N1, right ?
            Anything is possible. But not probable in this case.

            The Chinese have a lot of experience with plague, and I have no reason to doubt this report.
            Separate the wheat from the chaff

            Comment


            • #7
              Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)

              Originally posted by Farmer View Post
              The Chinese have a lot of experience with plague, and I have no reason to doubt this report.
              I fully agree. I read a detailed article about the Chinese MOH reaction to the first H5N1 death this year about how fast China determined that it was an H5N1 case and not SARS. I can imagine the same reaction occurred this time, only they found plague and not H5N1 or SARS.

              I think the Chinese MOH is really on high alert right now.

              Comment


              • #8
                Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)

                Cập nhật lúc 15:44, Chủ Nhật, 02/08/2009 (GMT+7)
                ,

                Thành phố Ziketan với số dân 10.000 người ở tây bắc Trung Quốc đă được cách ly sau khi một nam giới chết v́ dịch hạch thể phổi và 11 người khác được xác nhận nhiễm bệnh, giới chức y tế cho hay.

                <TABLE class="image center" cellSpacing=0 cellPadding=3 width=480 align=center fck_template="imagecontener"><TBODY><TR><TD></TD></TR><TR><TD class=image_desc align=middle>Ảnh AFPAFP Photo
                By notice dated 1 / 8 of the local medical city Ziketan province Thanh Hai, the victim is a stockman 32 years old. Message not specify this person died when. </TD></TR></TBODY></TABLE>Theo thông báo ngày 1/8 của sở y tế địa phương thành phố Ziketan thuộc tỉnh Thanh Hải, nạn nhân là một người chăn gia súc 32 tuổi. Thông báo không nói rơ người này chết khi nào.
                Những người lây bệnh đều là họ hàng của người quá cố. Tất cả đều đang ở bệnh viện trong t́nh trạng ổn định.
                Thành phố Ziketan đă bị cách ly và một nhóm chuyên gia đă được phái tới khu vực này.
                Dịch hạch thể phổi lan truyền qua không khí và lây từ người này sang người khác do ho, Tổ chức Y tế Thế giới (WHO) cho biết. Có 4 thể dịch hạch: Dịch hạch thể hạch, dịch hạch thể phổi, dịch hạch thể nhiễm trùng huyết và dịch hạch thể màng năo. Trong đó, dịch hạch thể phổi là đáng sợ nhất.
                Dịch hạch thể phổi do cùng một loại vi khuẩn gây ra dịch hạch thể hạch, tạo ra. Dịch hạch thể hạch (dạng thông thường nhất của bệnh dịch hạch) c̣n gọi là cái chết đen đă giết chết khoảng 25 triệu người ở châu Âu vào thời Trung Cổ.
                Trong khi dịch hạch thể hạch, thường truyền bệnh do dơi cắn, có thể chữa trị được bằng kháng sinh nếu được phát hiện sớm th́ dịch hạch thể phổi lại là một trong những bệnh lây nhiễm gây chết người nhất. Dịch hạch thể phổi xảy ra khi phổi bị nhiễm khuẩn.
                Theo WHO, một người có thể chết trong ṿng 24h sau khi bị nhiễm dịch hạch thể phổi.
                Thông báo của sở y tế Thanh Hải cảnh báo, bất cứ ai từng tới Ziketan và những vùng lân cận kể từ ngày 16/7 và bị sốt hay ho nên tới bệnh viện chữa trị ngay lập tức.



                Updated at 15:44, Sunday, 02/08/2009 (GMT +7)
                , Ziketan city with 10,000 people in northwest China has been isolation after the men died because of lung plague and 11 others are confirmed infected, the health or.





                Those who spread the disease are all relatives of the dying. All are in hospital in stable condition.

                The city has been Ziketan isolation and a team of specialists has been dispatch this area.

                Pneumonic plague can spread through the air and spread from person to person by coughing, the World Health (WHO) said. 4 can plague: it plague, pneumonic plague, plague infection and blood plague film brain. In particular, lung plague is the most fearful.

                Pneumonic plague by the same type of bacteria plague it, create. Plague it (most common form of plague) is called the black death have killed about 25 million people in Europe in the medieval period.

                While it plague, the disease usually transmitted by the bite move, can be treated with antibiotics if detected early, the plague lungs is one of infectious diseases to cause death. Pneumonic plague occurs when the lung infections.

                According to WHO, a person can die within 24h after infected lung plague.

                Notice of Thanh Hai health warning, any one individual to Ziketan and surrounding area from 16 / 7 and fever or cough to the hospital treatment immediately. http://www.vietnamnet.vn/thegioi/tintuc/2009/08/861369/
                CSI:WORLD http://swineflumagazine.blogspot.com/

                treyfish2004@yahoo.com

                Comment


                • #9
                  Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)

                  Chinese Town Quarantined as Man Dies From Plague (Update1)





                  By Bloomberg News
                  Aug. 2 (Bloomberg) -- A Chinese town and its surrounding areas were quarantined after a man died of pneumonic plague and 11 others were infected, the local health authority said.
                  A 32-year-old herdsman died in Ziketan in Qinghai province, the provincial health department said in a statement dated yesterday. The other 11 infected people are mostly relatives of the deceased and are in “stable condition” in a designated hospital, according to the statement.
                  The quarantined area is adequately supplied with the necessities and people’s lives are “normal,” the department said. Ziketan, in the eastern part of Qinghai, has a population of about 10,000, most of whom are Tibetans, according to the information provider Baidu.com.
                  The local health department warned that anyone who has visited Ziketan and the surrounding areas since July 16 and has developed a fever or a cough should seek treatment at a hospital.
                  Pneumonic plague is spread through the air and can be passed from person to person through coughing and other contaminated articles, according to the World Health Organization. It is caused by the same bacteria that occurs in bubonic plague -- the Black Death that killed an estimated 25 million people in Europe during the Middle Ages, the group said.
                  If diagnosed early, bubonic plague can be treated with antibiotics. Pneumonic plague, on the other hand, is one of the most deadly infectious diseases and patients can die 24 hours after infection, according to the WHO.
                  A married couple in western Tibet died in September last year after contracting pneumonic plague, China’s Ministry of Health said in October. http://www.bloomberg.com/apps/news?p...d=aFXZfA.oMH9g
                  CSI:WORLD http://swineflumagazine.blogspot.com/

                  treyfish2004@yahoo.com

                  Comment


                  • #10
                    Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)

                    Second plague death in west China (BBC, edited)
                    Second plague death in west China


                    A second man has died of pneumonic plague in a remote part of north-west China where a town of more than 10,000 people has been sealed off.

                    The 37-year-old victim was a neighbour of the first person to die from the plague, a herdsman aged 32 in Ziketan, near Xinghai in Qinghai Province.

                    The sparsely populated area is mostly inhabited by Tibetans.

                    Pneumonic plague, which attacks the lungs, can spread from person to person or from animals to people.

                    A spokeswoman for the World Health Organization, Vivian Tan, said an outbreak such as this was always a concern, but praised the Chinese for reacting quickly and for getting the situation under control.

                    A BBC correspondent in Beijing, Michael Bristow, says that unlike in the past the authorities are being very open about this outbreak.

                    Local officials in north-western China have told the BBC that the situation is under control, and that schools and offices are open as usual.

                    But to prevent the plague spreading, the authorities have sealed off Ziketan, which has some 10,000 residents.

                    About 10 other people inside the town have so far contracted the disease, according to state media.

                    No-one is being allowed leave the area, and the authorities are trying to track down people who had contact with the men who died.

                    Initial symptoms of pneumonic plague include fever, headache and shortness of breath.

                    The local health bureau has warned anyone with a cough or fever who has visited the town since mid-July to seek medical treatment.

                    Health officials in Qinghai have been concerned about pneumonic plague for some time.

                    In February, they said they had sent out 55 teams across the province to help monitor and control the disease.

                    One Chinese media report said this was the third outbreak of the disease in Qinghai within the last 10 years.

                    According to the WHO, pneumonic plague is the most virulent and least common form of plague.

                    It is caused by the same bacteria that occur in bubonic plague - the Black Death that killed an estimated 25 million people in Europe during the Middle Ages.

                    But while bubonic plague is usually transmitted by flea bites and can be treated with antibiotics, pneumonic plague is easier to contract and if untreated, has a very high case-fatality ratio.

                    The WHO was informed on Saturday of the outbreak but has not been asked for help.

                    "When it comes to outbreaks of the plague it's always quite worrying, but it looks like the authorities have got the situation under control," said WHO spokeswoman Vivian Tan.

                    "This area is quite remote and the population is very small so this should make it easier to contain."
                    -
                    <cite cite="http://news.bbc.co.uk/2/hi/asia-pacific/8180816.stm">BBC NEWS | Asia-Pacific | Second plague death in west China</cite>

                    Comment


                    • #11
                      Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)

                      CHINA: PNEUMONIC PLAGUE, QINGHAI (RSOE EDIS, August 3rd 2009, edited)
                      Situation Update No. 2

                      On 03.08.2009 at 03:02 GMT+2


                      A second man died of pneumonic plague in northwestern China as authorities quarantined a town to stop the disease spreading.

                      The 37-year-old man died yesterday in Ziketan in Qinghai province, the official Xinhua News Agency reported. He was a neighbor of a 32-year-old herdsman who was the first person in the town to die from the disease, according to the report. Ten other people, mostly relatives of the herdsman, are being kept in isolation and haven’t shown any symptoms of fever or coughs. Local health authorities are disinfecting the area and tracking those who came into contact with the patients, it said.

                      The quarantined area is adequately supplied with necessities and people’s lives are “normal,” the local health authority said in a statement two days ago.

                      Ziketan, in the eastern part of Qinghai, has a population of about 10,000 people.

                      The local health department warned that anyone who has visited Ziketan and the surrounding areas since July 16 and has developed a fever or a cough should seek treatment at a hospital.

                      Pneumonic plague is spread through the air and can be passed from person to person through coughing and contaminated articles, according to the World Health Organization. It is caused by the same bacteria that occur in bubonic plague -- the Black Death that killed an estimated 25 million people in Europe during the Middle Ages.

                      If diagnosed early, bubonic plague can be treated with antibiotics. Pneumonic plague is one of the most deadly infectious diseases and patients can die 24 hours after infection, according to the WHO.
                      -
                      <cite cite="http://hisz.rsoe.hu/alertmap/woalert_read.php?lang=eng&glide=EH-20090802-22620-CHN">RSOE EDIS</cite>

                      Comment


                      • #12
                        Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)

                        China seals off town after plague kills two (AlertNet, edited)
                        China seals off town after plague kills two

                        03 Aug 2009 02:50:15 GMT
                        Source: Reuters
                        BEIJING, Aug 3 (Reuters)


                        China has sealed off a remote far-western town of 10,000 people after two people died of pneumonic plague, state media said on Monday, but the World Health Organisation said such outbreaks were nothing new.

                        Another 10 people had contracted the disease in the ethnically Tibetan region of the sparsely populated province of Qinghai, Xinhua news agency said.

                        The town of Ziketan and the surrounding region had been closed off, the Health Ministry said.

                        China experiences periodic outbreaks of plague, which is typically spread by rodents and fleas, is airborne and can spread easily between people.

                        But the WHO said it was not unduly concerned.

                        "This is not new," said Beijing-based WHO spokeswoman Vivian Tan. "There have been sporadic cases reported over the years. We're not surprised that it's come up. We're in constant contact with the authorities to make sure things are under control."

                        She also said the fact that the outbreak had occurred in a remote part of the country "should help to mitigate" the impact.

                        An official at the Qinghai government's health department said authorities were confident of keeping the outbreak under control.

                        "There's no possibility of it spreading," said the official, who only provided his family name, Li. "We have already closed off the infected area. We are currently treating those who are sick."

                        (Reporting by Ben Blanchard and Yu Le; Editing by Ken Wills)
                        -
                        <cite cite="http://www.alertnet.org/thenews/newsdesk/SP478926.htm">Reuters AlertNet - China seals off town after plague kills two</cite>

                        Comment


                        • #13
                          Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)

                          2 questions if anyone can answer them,thanks.


                          If this is airborn is there any point sealing off the village,after all people were possibly moving around before then.


                          Is there anyway H1N1 could mix with this virus...?

                          Comment


                          • #14
                            Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)

                            US CDC:
                            " Facts about Pneumonic Plague

                            Plague is an infectious disease that affects animals and humans. It is caused by the bacterium Yersinia pestis. This bacterium is found in rodents and their fleas and occurs in many areas of the world, including the United States.

                            Y. pestis is easily destroyed by sunlight and drying. Even so, when released into air, the bacterium will survive for up to one hour, although this could vary depending on conditions.

                            Pneumonic plague is one of several forms of plague. Depending on circumstances, these forms may occur separately or in combination:

                            * Pneumonic plague occurs when Y. pestis infects the lungs. This type of plague can spread from person to person through the air. Transmission can take place if someone breathes in aerosolized bacteria, which could happen in a bioterrorist attack. Pneumonic plague is also spread by breathing in Y. pestis suspended in respiratory droplets from a person (or animal) with pneumonic plague. Becoming infected in this way usually requires direct and close contact with the ill person or animal. Pneumonic plague may also occur if a person with bubonic or septicemic plague is untreated and the bacteria spread to the lungs."

                            http://www.bt.cdc.gov/agent/plague/factsheet.asp

                            Comment


                            • #15
                              Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited)

                              Wikipedia:

                              "Pneumonic plague
                              From Wikipedia, the free encyclopedia
                              Jump to: navigation, search

                              Pneumonic plague is the second most virulent and second least common form of plague (after septicemic plague), caused by the bacterium Yersinia pestis. Typically, pneumonic form is due to a secondary spread from advanced infection of an initial bubonic form. Primary pneumonic plague results from inhalation of aerosolized infective droplets and can be transmitted from human to human without involvement of fleas or animals. Untreated pneumonic plague has a very high fatality rate.
                              Contents
                              [hide]

                              * 1 Pathology and transmission
                              * 2 Symptoms
                              * 3 Prognosis and treatment
                              * 4 In popular culture
                              * 5 References
                              * 6 External links

                              [edit] Pathology and transmission

                              Pneumonic plague can be caused in two ways: primary, which results from the inhalation of aerosolised plague bacteria, or secondary, when septicemic plague spreads into lung tissue from the bloodstream. Pneumonic plague is not vector-borne like bubonic plague; instead it can be spread from person to person. There have been cases of pneumonic plague resulting from the dissection or handling of contaminated animal tissue. This is one type of the formerly known Black Plague. It could kill 90%-100% of a population if the victims coughed and passed on the bacteria.

                              [edit] Symptoms

                              The most apparent symptom of pneumonic plague is coughing, often with hemoptysis. With pneumonic plague, the first signs of illness are fever, headache, weakness, and rapidly developing pneumonia with shortness of breath, chest pain, cough, and sometimes bloody or watery sputum.[1] The pneumonia progresses for 2 to 4 days and may cause respiratory failure and shock. Without early treatment, patients will die.

                              [edit] Prognosis and treatment

                              Pneumonic plague is a very aggressive infection requiring rapid antibiotic treatment within around 24 hours of infection.

                              Early treatment of pneumonic plague is essential. To reduce the risk of death, antibiotics must be given within 24 hours of first symptoms.[1] Streptomycin, gentamicin, tetracyclines, and chloramphenicol are all effective against pneumonic plague.

                              Antibiotic treatment for 7 days will protect people who have had direct, close contact with infected patients. Wearing a close-fitting surgical mask also protects against infection.[1]

                              Without treatment, the mortality rate from pneumonic plague approaches 100%."

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