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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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  • #76
    Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital)

    That Promed posting has been bugging me for the past few months, even before this outbreak. No other source has indicated a longer incubation period for plague than about 3-4 days, but that moderator says up to 14 days.

    It is of note that he is considering an outbreak of a different pathogen that he believes has an incubation period of 2-4 weeks and is trying to use the incubation period of plague to argue that the other disease is not plague. Maybe he exaggerated to prove a point...

    And again, mention that the dog ate the marmot. If the dog ate the marmot, it likely got pneumonic plague itself. The man didn't need to be bitten by the dog's fleas - he was exposed to the dog's cough.

    Comment


    • #77
      Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital)

      post #1:

      "PLAGUE, PNEUMONIC - CHINA: (QINGHAI), REQUEST FOR INFORMATION

      A ProMED-mail post
      ProMED-mail is a program of the International Society for Infectious Diseases
      Date: Sat 1 Aug 2009
      Source: XinHuaNet [edited]

      One dies of pneumonic plague in NW China
      ...

      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
      ..."
      ___

      Maybe the 2 weeks period from 16 Jul and 1 Aug is due to information delaying from China to ProMED, maybe not.

      Comment


      • #78
        Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital)

        Qinghai Provincial Health Department: the spread of plague in critically ill patients do not get better after an illness

        (2009-08-08 10:03:16) Article Source:

        Qinghai Health Department informed the evening of 7, as at 8:00 p.m. on August 7, Hainan Xinghai county the state no additional confirmed and suspected cases of plague.

        9 patients are to continue in the designated hospital for isolation and treatment, including one cases of patients with severe turn for the better, one cases of severe illness in patients with a marked improvement, and the remaining patients in stable condition. Clinical experts to continue the treatment of patients.

        At present, the province, provincial, state, and county levels in the areas of health professionals continue to carry out disinfection, pest, rodent control, to eliminate fleas and so on. (Source: China News Network)

        http://www3.xinhuanet.com/chinanews/...t_17340416.htm

        Comment


        • #79
          Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital)

          August 7, 2009

          Taxi drivers have been earning a small fortune by sneaking residents around roadblocks and out of a remote Chinese town cordoned off after an outbreak of pneumonic plague.

          Local officials have denied that any residents of Ziketan, a mainly ethnically Tibetan region of the western Qinghai province, have tried to escape the area by evading police checkpoints set up on roads in a 17-mile radius of the mainly nomadic farming community of about 10,000 people.

          Three people have died of the rare pneumonic plague, one of world's deadliest diseases. Another nine are undergoing treatment in isolation wards of a local hospital and one was yesterday reported to be in a critical condition.

          One resident escaped to the neighbouring province of Gansu where the individual was picked up by police and placed in isolation in a hospital.


          The individual escaped with a taxi driver who knew how to navigate his way around the police checkpoints. Hundreds of others are reported to have left by the same means while some walked out and others drove motorcycles across the plateau.

          The going rate for a taxi out of Ziketan was 2,000 yuan (£200) per car. The person who escaped to Gansu was accompanied by six other people, incuding the driver. That rate is effectively a fortune in China where a single ride in most small towns costs 5 yuan (50p) and car hire for a day in rural areas is about 600 yuan (£60).

          The occupants of the car — all Tibetans — were picked up by the police, most in the next town of Heka.

          Tibetans have not been the only people trying to get out of town — even though there have been no reports of new cases and the World Health Organisation has said the outbreak has been contained.

          Han Chinese residents withdrew their children from a local school and demanded a refund of tuition fees because they were all leaving at once.

          Many people remain in the town — mostly local Tibetans and Han Chinese who have long been residents of Qinghai. More recent arrivals from other parts of China in search of work and business opportunities in the less-developed West of the country have left, local residents said.

          In the absence of reports of new cases since the first victim died on July 30, officials are considering allowing the town to reopen on August 8, local sources said.

          Occasional cases have been reported in western China, usually in Tibetan areas, over the past couple of decades, but almost all have been limited to herders in remote areas who were infected with either pneumonic or bubonic plague after eating wild marmots or being infected by fleas carried by rats. Such outbreaks are much easier to control.

          However, more herders have been moved into towns in recent years as part of a policy by the authorities to provide permanent housing for nomads and establish greater control over Tibetans.

          The first fatality was a herdsman who succumbed to the plague three days after burying his dog, which had died suddenly, apparently after coming into contact with a diseased marmot. Another 11 people became infected after attending the man’s funeral. Pneumonic plague is spread through the air and can be passed from person to person through coughing.

          The latest victim was a 64-year-old man named Danzhi. He was a neighbour of the 32-year-old herdsman and of a 37-year-old man who died at the weekend.

          http://www.timesonline.co.uk/tol/new...-have-your-say

          Comment


          • #80
            Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital)

            http://english.cri.cn/6909/2009/08/08/45s507677.htm

            And the quarantine is lifted. If they managed to save all nine remaining patients, then they likely had some indication this was plague before it was officially announced. You don't save 75% of pneumonic plague patients unless you treat with the proper antibiotics promptly.


            China Lifts Blockade of Plague-hit NW Town
            2009-08-08 23:53:29 Xinhua Web Editor: Sun Yang




            The quarantine blockade was lifted around the pneumonic plague-hit town in the northwestern province of Qinghai as of 8 p.m. Saturday, local authorities said.

            This came after there has been no reports of new infections for more than a week.

            The infectious disease has killed three villagers in the town of Ziketan, in Xinghai county in the Hainan Tibetan Autonomous Prefecture. The outbreak began July 30 and made 12 people in the town ill.

            Nine patients in quarantine are in stable condition and are recovering from the illness, said Dong Fukui, a deputy prefecture governor.

            Earlier one patient was near to death and another was in serious condition.

            Quarantine was also lifted for another 332 people who had close contacts with the patients.

            Dong ordered medical staff to continue disinfecting the region and step up monitoring over plague outbreaks.

            Local authorities have handed out more than 40,000 leaflets and disks on plague prevention along with other efforts to allay residents' fears.

            The World Health Organization (WHO) will soon evaluate the disease prevention and control efforts.

            The town covers 3,000 square kilometers and has a population of 10,000.

            Pneumonic plague is one of the world's deadliest infectious diseases; patients can die 24 hours after infection, says the WHO.

            Comment


            • #81
              Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital)

              And now that this outbreak appears contained, I can post this "joke" that appeared in the New York Daily News about the remoteness of the location of the outbreak.

              http://www.nydailynews.com/opinions/...st_8_2009.html

              The story: There's a little panic as Chinese authorities quarantine a small town called Ziketan when three people die of pneumonic plague. "A lot of people ran off when they heard that another person died," says a food seller named Han. "They headed back home with food, mineral water and their donkeys."

              In other words: They would have headed back home with flat screen TVs and Lexus SUVs, but we do not have such things here in Ziketan. The closest we have to a Lexus dealership is "Xuiu's Used Donkey and Yak Dung Emporium." So, it's a bit different.



              Read more: http://www.nydailynews.com/opinions/...#ixzz0NbnD60TX

              Comment


              • #82
                Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital)

                Alert, I'm not so sure.. been chasin this story for more than an hr, any help? here Is a headline snip but no content http://translate.google.com/translate?hl=en&langpair=zh-TW|en&u=http://big5.xinhuanet.com/gate/big5/sc.xinhuanet.com/content/2009-08/07/content_17331830.htm&prev=/translate_s%3Fhl%3Den%26q%3Dtiet%2B%2B%252B%2Bplag ue%26tq%3D%25E8%25A9%25B3%25E6%2583%2585%252B%25E9 %25BC%25A0%25E7%2596%25AB%26sl%3Den%26tl%3Dzh-TW%26start%3D10




                Plague outbreak in Sichuan Province to increase monitoring efforts to do a good job and materials for anti-rat
                this is the headline on this page but story leads back to the same page.In current news down on the left.http://64.233.169.132/translate_c?hl...JR8Fj10_KmYOjA
                CSI:WORLD http://swineflumagazine.blogspot.com/

                treyfish2004@yahoo.com

                Comment


                • #83
                  Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital)

                  O.K active animal cases in Sichuan.


                  Plague outbreak in Sichuan Province to monitor efforts to increase
                  www.sc.xinhuanet.com 2009年08月07日09:47 來源:四川在線-華西都市報
                  www.sc.xinhuanet.com 2009 on 07 day 08 years 09:47 Source: Sichuan Online - Huaxi Dushi Bao

                  昨日,記者從衛生廳應急辦獲悉,對動物鼠疫疫情監測發現,甘孜州等地動物鼠疫情況活躍。
                  Yesterday, reporter learned from the Health Department Emergency Response Office was informed that the monitoring of animal outbreaks of plague found in Ganzi Autonomous Prefecture and other places active animal plague cases.
                  衛生廳要求甘孜州、阿壩州、攀枝花市做好鼠疫防控工作。
                  Health Department requirements Ganzi, Aba, Panzhihua City to do a good job of plague prevention and control work.
                  據悉,各鼠疫監測點縣要嚴格按照相關規定,加快完成鼠疫監測點建設工作。
                  It is learned that the plague monitoring county in strict accordance with the relevant provisions to speed up the completion of building work monitoring the plague.
                  甘孜州、阿壩州和攀枝花市衛生局要在規定時間內完成屬地鼠疫監測點建設任務。
                  Ganzi, Aba and Panzhihua City Health Department to be completed within the stipulated time dependencies plague monitoring tasks.
                  各鼠疫監
                  Supervisor of the plague <!--ADV_CONTENT-->
                  測地區要加大監測力
                  Test areas should increase the monitoring of power
                  度,擴大監測面積,及時掌握動物與媒介昆蟲種群數量與分布,掌控疫情動態。
                  Degrees, the expansion of the monitoring area, animals and the media timely information on population size and distribution of insects, control of the epidemic dynamic.
                  一旦發現疫情,及時有效處置,並按照規定程序和時限報告。
                  Once the epidemic, timely and effective disposal, and in accordance with the provisions of the report of the procedures and time limits.
                  各地衛生行政部門要按規定組建24小時待命的鼠疫疫情應急處置隊伍,加強醫療衛生人員鼠防知識的培訓,開展 多部門參加的鼠疫防控應急演練,切實提高醫療衛生人員特別是鄉、村醫療衛生人員的鼠疫防控意識和能力,同時 做好鼠防物資的準備。
                  Throughout the executive branch in accordance with the provisions of Health and the formation of a 24-hour standby to deal with emergencies in the ranks of the plague epidemic, to strengthen anti-rat of knowledge of medical health personnel training, to carry out multi-sectoral participation in emergency drills of plague prevention and control, and effectively improve health care in particular, township and village health care The plague prevention and control of health awareness and ability, at the same time do a good job in anti-rat preparation materials. http://translate.google.com/translat...ate.google.com
                  CSI:WORLD http://swineflumagazine.blogspot.com/

                  treyfish2004@yahoo.com

                  Comment


                  • #84
                    Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital)

                    I would expect a lot of plague cases in animals and even possible some sporadic human bubonic plague cases to be reported out of China in the next few weeks. The alarm has been raised, and it really is one of those "Seek and ye shall find".

                    Comment


                    • #85
                      Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital)

                      Primorsky tourists are advised not to travel to China because of the plague <INDEX>
                      Однако приморцы от поездок в Поднебесную пока не отказываются
                      However primortsy of travel to the Middle Kingdom has not yet refusing to

                      ВЛАДИВОСТОК, 9 августа, PrimaMedia .
                      VLADIVOSTOK, August 9, PrimaMedia.
                      Приморский Роспотребнадзор получил новые указания от главы ведомства по России Геннадия Онищенко.
                      Primorski Rospotrebnadzor received new instructions from the heads of departments of Russia Gennady Onishchenko.
                      Поездки в Китай официально признаны опасными, пишет газета "Комсомольская правда" .

                      Travel in China are officially recognized as dangerous, writes the newspaper "Komsomolskaya Pravda".
                      - Жителям края не рекомендованы поездки в эту страну из-за вспышки легочной чумы в городе Цзыкэтань, - сообщил Владимир Киряков, заместитель начальника отдела надзора на транспорте и санитарной охраны территорий Управления Роспотребнадзора по Приморскому краю.
                      -
                      Inhabitants of the province does not recommend travel to this country because of the outbreak of pneumonic plague in the city Tszyketan, - said Vladimir Kiryakov, deputy head of the department of transport and supervision of sanitary protection areas of Rospotrebnadzor of Primorsky Krai.
                      По последним данным, город Цзыкэтань провиниции Цинхай остается закрытым на карантин.
                      According to recent data, the city of Qinghai Tszyketan provinitsii remains closed for quarantine.
                      Однако эту отдаленную провинцию приморские туристы посещают крайне редко.
                      However, this distant province seaside tourists rarely visit.
                      Расстояние от нашей границы до Цинхай примерно как до Новосибирска, так что особой популярностью у отдыхающих китайский город не пользуется.
                      The distance from our borders to some of Qinghai to Novosibirsk, so it particularly popular with holidaymakers Chinese city enjoys.
                      А любимые жителями Приморья города и курорты – Харбин, Пекин, Далянь, Шанхай и Циндао - находятся в стороне от зараженной провинции.
                      A beautiful city and the inhabitants of Primorye resorts - Harbin, Beijing, Dalian, Qingdao and Shanghai - are on the sidelines of an infected province.
                      - Люди, конечно, интересуются - не опасно ли сейчас отдыхать в Китае?
                      - People, of course, interested in - not dangerous there now rest in China?
                      Но от путевок пока никто не отказывался, - рассказали менеджеры одной из турфирм Владивостока.
                      But no one stays still refused - told the managers of one of the Travel Agents Vladivostok.
                      Справка:
                      Information:
                      Симптомы легочной чумы (ее еще называют "испанкой") - озноб, лихорадка, головная боль, слабость, дурнота.
                      Symptoms of pneumonic plague (it is also called "Spanish") - chills, fever, headache, weakness, faintness.
                      На вторые сутки появляются боль в груди, сильный кашель, одышка.
                      On the second day there are chest pain, a strong cough, shortness of breath.
                      Болезнь передается воздушно-капельным путем.
                      The disease is transmitted by airborne droplets.
                      Кстати, в последние годы в мире случаи заболевания легочной чумой крайне редки.
                      Incidentally, in recent years, the world's cases of pneumonic plague are rare. http://64.233.169.132/translate_c?hl...Pv9-93bWF-CDAA
                      CSI:WORLD http://swineflumagazine.blogspot.com/

                      treyfish2004@yahoo.com

                      Comment


                      • #86
                        Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital)

                        Quarantine lifted from China plague town: report


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                        <CITE class=caption>AFP/File An image grab of footage broadcast on China's CCTV on August 6 shows medical personnel in protective … </CITE>

                        <!-- end #main-media -->
                        <!-- end .primary-media -->
                        <!-- end .related-media --><ABBR class=timedate title=2009-08-08T23:46:56-0700>Sun Aug 9, 2:46 am ET</ABBR>
                        <!-- end .byline -->BEIJING (AFP) – Chinese authorities have lifted a quarantine order that was imposed on a remote town of 10,000 people to contain a deadly outbreak of pneumonic plague, according to a report on Sunday.
                        Local authorities removed the order on Saturday evening after no new cases of the plague were detected in a week, the Beijing News daily said.
                        The outbreak of the highly virulent disease killed three people in Ziketan, a town in a Tibetan area of Qinghai province in China's mountainous northwest.
                        Residents of Ziketan contacted by AFP Wednesday said some people had tried to flee the quarantine zone, which covered an area of 3,500 square kilometres (1,400 square miles), centred on the town.
                        But officials Thursday told Xinhua news agency that no one had escaped from the zone and that no new cases had been reported.
                        The World Health Organization says pneumonic plague is the most virulent but least common form of plague. The mortality rate can be high, but prompt antibiotic treatment is effective.
                        http://news.yahoo.com/s/afp/20090809...20090809064706
                        CSI:WORLD http://swineflumagazine.blogspot.com/

                        treyfish2004@yahoo.com

                        Comment


                        • #87
                          Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital)

                          More details, including timing, about this outbreak from the WHO summary.

                          http://www.who.int/csr/don/2006_08_11/en/index.html

                          Plague in China
                          11 August 2009 -- On 1 August, the Ministry of Health (MoH), China reported a cluster outbreak of pulmonary plague cases in the remote town of Ziketan, Qinghai province. The first case was a 32 year old male herdsman, who developed fever and hemoptysis on 26 July. He was referred to a hospital but died en route, and was buried the following day. On 30 July, 11 people who had close contact with the case (mainly relatives who attended the funeral) developed fever and cough, and were all hospitalized. On 1 August, specimens taken from all these 12 people, including the 1st case, tested positive for plague.

                          On 2 August both the 64 year old father-in-law of the first case and a 37 year old male neighbour of the first case (who helped to bury the corpse) also died. Of the remaining 9 cases, 1 is in critical condition, 1 had acute symptoms of fever and cough, and 7 are in stable condition.

                          As of August 6, the local health authority has isolated 332 close contacts for further medical observation, and implemented traffic control around affected area. Experts on both disease prevention & control and clinical management have been dispatched to Qinghai province. Protective clothes, X-ray machines and other medical equipment have been sent to the affected area. Prevention guidance pamphlets have also been disseminated.

                          According to the epidemiological investigation, the source of this outbreak was a wild marmot, which had contact with the dog of the index case. Ziketan is in an area of natural plague bacteria circulation amongst animals and at the present time it is the active season for plague transmission amongst animals. No drug resistance of the bacterium has been found so far and the 3 death cases have been attributed largely to delayed treatment.

                          China has established a national surveillance network for plague, and has prepared necessary supplies in high-risk areas. After this outbreak, special funds, supplies and experts were quickly dispatched to the affected area.

                          Comment


                          • #88
                            Re: CHINA: QINGHAI, PNEUMONIC PLAGUE (from ProMedMail.org, edited): 12 cases (with three deaths, one in critical condition, 218 in hospital) - 2009

                            http://www.promedmail.org/pls/apex/f..._ID:1000,86572

                            Archive Number 20110109.0100
                            Published Date 09-JAN-2011
                            Subject PRO/AH> Plague, pneumonic, 2009 - China: (QH) follow up

                            PLAGUE, PNEUMONIC, 2009 - CHINA: (QINGHAI), FOLLOW UP
                            ***********************************************
                            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: Thu 6 Jan 2011
                            From: Jack Woodall <woodall@promedmail.org>


                            The report from China of this unusual outbreak has just been
                            published: Hu Wang et al: A Dog-Associated Primary Pneumonic Plague
                            in Qinghai Province, China. Clin Infect Dis. 2011;52: 185-190.

                            This was reported by ProMED in 2009 in a thread (see ProMED archives
                            below) that ended with the report from WHO and a comment by ProMED
                            that no further information regarding the patient, who was in
                            critical condition, was available. This paper reports that the
                            patient survived and that the index patient contracted pneumonic
                            plague after carrying his dead dog on his shoulders around his neck
                            for 400 meters to bury it.

                            It also clarifies statements in the WHO report that could have been
                            misunderstood to mean that plague had been transmitted from the index
                            case's corpse. To quote WHO:

                            "The 1st case was a 32-year-old male herdsman who developed fever and
                            hemoptysis on 26 Jul 2009. He was referred to a hospital but died en
                            route and was buried the following day. On 30 Jul 2009, 11 people who
                            had close contact with the case (mainly relatives who attended the
                            funeral) developed fever and cough and were all hospitalized. On 1
                            Aug 2009, specimens taken from all these 12 people, including the 1st
                            case, tested positive for plague. On 2 Aug 2009, both the 64-year-old
                            father-in-law of the index case and a 37-year-old male neighbor of
                            the 1st case (who helped to bury the corpse) also died."

                            The Chinese authors defined a close contact as "a person who lived
                            with or had face-to-face contact (within one meter) with the patient,
                            and a direct contact as a person who once was together with a patient
                            in the same room or in the same car with closed windows."

                            Only the 11 close contacts became infected; none of 61 direct
                            contacts became infected, and nobody who attended the funeral but had
                            not previously been a close contact became infected. They also
                            reported that most of the patients (6 of 11, excluding the index
                            case) in this outbreak developed septicemic plague complicated with
                            shock; 2 of 11 developed multiple organ failure, and one of 11
                            developed meningitis in addition to the plague pneumonia.

                            [ProMED thanks David Morens <DMORENS@niaid.nih.gov> for drawing
                            attention to this paper, and the One Health Initiative
                            <http://www.onehealthinitiative.org> for providing a link to the
                            abstract at <http://www.onehealthinitiative.com/publications.php>,
                            from which the full paper can be accessed. - Mod.JW]

                            [What is also noteworthy regarding this cluster of pneumonic plague
                            is the source, a dog, that was likely infected from a marmot, the
                            most common reservoir in China. - Mod.LL]

                            Comment

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