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.
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[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]
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<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>
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]
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