China - Henan/Shangdong Province: Unknown disease kills 31 - 33, possibly a new Bunyavirus carried by ticks

[alert]

Re: Henan/Shangdong Province: Ticks kill 21 in hushed-up outbreak

The notable outbreaks below in today's ProMED post are the ones I was referring to in posts #13 and #14.

http://www.promedmail.org/pls/apex/f?p=2400:1001:5647422347162919::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,84770

Archive Number 20100912.3292
Published Date 12-SEP-2010
Subject PRO> Anaplasmosis, human granulocytic - China (02): background


ANAPLASMOSIS, HUMAN GRANULOCYTIC - CHINA (02): BACKGROUND
************************************************** *******
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 11 Sep 2010
Source: Gideon Network [edited]
<http://www.gideononline.com/2010/09/10/anaplasmosis-in-china/>


Anaplasmosis has been documented in both humans and animals in China [1,2].
The following background data are abstracted from Gideon
(<http://www.GideonOnline.com>) (primary reference available on request).

Time and place:
- seropositive ruminants have been documented in Xinjiang Uygur Autonomous
Region area.
- seropositive rodents have been documented in Jilin Province: Japanese
field mouse (_Apodemus peninsulae_), black-striped field mouse (_A.
agrarius_) and Siberian chipmunk (_Tamias sibirica_).
- Ehrlichial DNA (_Anaplasma phagocytophilum_) has been detected in _Ixodes
persulcatus_ ticks from the Northeastern (that is, Lyme disease) region,
Inner Mongolia and Heilongjiang Province.
- infected rodents, sheep and ticks (_I. persulcatus_ and _Dermacentor
silvarum_) have been detected in Jilin Province.

Prevalence surveys:
- 8.82 per cent of forest rodents in Jilin Province, 1.64 per cent in
Helongjiang Province, and 0 per cent in Inner Mongolia autonomous region
(2007 publication)
- 14.1 per cent of rodents captured from a mountainous area in south
eastern China (Zhejiang Province, 2008 publication)
- 5.5 per cent of rodents from Heilongjiang Province, Inner Mongolia
Autonomous Region, Jilin Province, Zhejiang Province, Guizhou Province, and
Xinjiang Autonomous Region (2004 to 2006)
- 1.9 per cent of rabbits captured in southeastern China (2009 publication)
- 4.6 per cent to 6.8 per cent of _I. persulcatus_ in Jilin Province (2003
to 2005 publications)
- 7.34 per cent of small mammals in the forest area of Hengduan Mountains,
south western China (2009 publication)
- 6.7 per cent of livestock and 14.5 per cent of small rodents (2010
publication).

Seroprevalence surveys:
- 8.8 per cent of farm workers near Tianjin (2006)
- 19.8 per cent of persons with animal or tick exposure in central and
south eastern China (2007).

Notable outbreaks:
2006 - an outbreak (9 cases) of transmission through blood or secretions
was reported in Anhui Province among hospital staff who had treated an
index patient.
2008 - an outbreak (5 cases, 3 fatal) was reported in Wanjiakou village in
Shandong Province.

References:
1. Berger SA. Infectious diseases of China, 614 pp. Gideon e-books, 2010.
<http://www.gideononline.com/ebooks/country/infectious-diseases-of-china/>
2. Berger SA. Anaplasmosis: global status, 23 pp. Gideon e-books, 2010.
<http://www.gideononline.com/ebooks/disease/anaplasmosis-global-status/>

--
communicated by:
Prof Steve Berger
Geographic Medicine
Tel Aviv Medical Center
<mberger@post.tau.ac.il>

[ProMED-mail thanks Prof Berger for this background information.

[alert]

Re: Henan/Shangdong Province: Ticks kill 21 in hushed-up outbreak

http://health.asiaone.com/Health/News/Story/A1Story20100910-236616.html

MORE than 245 people have fallen ill after being bitten by ticks in China's Henan province.

At least two villagers are believed to have died since May, reported Oriental Daily News.

Mr Bao Xiangyi died on May 22, nine days after he was bitten by ticks while working in the mountains, The Standard reported.


His wife, who was not identified, said he was bitten on his waist on May 13 and suffered multiple organ failure after he was admitted to hospital.

She said: "He kept bleeding when receiving infusions."

The family spent more than HK$2,286 (S$400) on Mr Bao's treatment.

Another villager, Mr Gong Zhengcheng, died after ticks bit his feet on July 3. His wounds were still bleeding the day before his death.

There was also a suspected tick-related death in Shandong province in mid-July.

Ticks are blood-feeding parasites that are often found in tall grass, where they wait to cling on to a passing host.

The situation in Henan has created cause for concern in Hong Kong where animal groups have urged pet owners to watch out for ticks when they walk their pets.

Dr Jane Gray, chief veterinarian at Hong Kong's Society for the Prevention of Cruelty to Animals, said: "Ticks are commonly found on dogs walking outside, especially in country parks and woodland areas.

"Tick control through collars and sprays is strongly recommended."

Treated with antibiotics
If infected, dogs can be treated with antibiotics and other drugs to kill the parasites.

Dr Gray warned: "The treatment itself is not without risk but, if not treated, the disease can be fatal."

She urged people to wear long trousers, shoes and long-sleeved shirts when walking in forested areas to avoid being bitten by ticks.

Those bitten by ticks can suffer from high fever and can die in two weeks without treatment.

Mr Shen Dayong, an expert from the Disease Control and Prevention Centre in Xinyang, Henan, said the first tick-related death in the city was in 2007.

He said: "Ticks were common in Xinyang in previous years.

"We know their habitat regions and transmission routes after a three-year study, but we have not carried out effective preventive measures."

Mr Shen did not say whether the health scare will spread to other parts of the mainland.

Xinhua quoted a spokesman for Henan's provincial government as saying: "It's not wise to cause public chaos when we have not obtained enough medical evidence."

[alert]

Re: Henan/Shangdong Province: Ticks kill 21 in hushed-up outbreak - NOVEL BUNYAVIRS CONFIRMED!

And so it is a novel Bunyavirus, and likely a new VHF virus has been discovered. The outbreak in 2008 with 5 cases and 3 deaths is likely due to this virus as well.

The antiviral ribavirin is effective against CCHF, so might be effective against this virus as well. Antibiotics would have no effect on this virus.

The CFR of CCHF is about 30-50&#37;, so if all these cases are the result of this virus, this virus is milder than CCHF. Given the 60% CFR in the 2008 cluster, it is likely many HGA and other illness cases have been included in these counts, so the true fatality rate of this virus is unknown.

This article should be sent straight to ProMED, as the discovery of a new deadly virus is an extremely rare event.

http://life.globaltimes.cn/health/2010-09/572756.html

Authorities identify new virus related to tick-borne disease Source: Global Times [18:06 September 13 2010] Comments
Ticks
The Ministry of Health is planning its strategy to tackle the new virus identified Sunday relating to the tick-borne disease that broke out in Henan Province on September 8.
Discovered by the Chinese Center for Disease Control and Prevention, the virus belongs to the group of Bunyavirus, and may be categorized as a new species.
But authorities believe that such a virus could not cause many deaths and the disease can be cured.
In cases of person-to-person infection, antibiotics [antivirals?] can be effective in fighting the viral infection, according to Xu Xiaoyuan, director of the department of infectious diseases at the medical school of Peking University. He also said the public should not panic.
People who suffer from the tick-borne illness show symptoms including fever and reduced number of blood platelets, which can lead to organ failure, The Beijing News reported.
The local disease control and prevention center in Henan denied media allegations that the local governments withheld the exact number of fatalities, saying that they needed time to rule out other diseases.
Out of 557 reported cases in Henan, 18 have died.

[alert]

Re: Henan/Shangdong Province: Ticks kill 21 in hushed-up outbreak - NOVEL BUNYAVIRUS CONFIRMED!

This article is from the Epoch Times, so is thus somewhat dubious.

http://www.theepochtimes.com/n2/content/view/42495/

China Tick Bite Death Toll Unusually HighBy Gu Qing?er
Epoch Times Staff Created: Sep 12, 2010 Last Updated: Sep 13, 2010 .

Disease-harboring deer ticks have killed scores of people this summer in China?s central province of Henan, a massive increase from last year and a phenomenon that has led to absenteeism and panic among farmers.

The Henan Province Public Health Department says by Sept. 8 the disease, human granulocytic anaplasmosis (HGA), had infected 557 and killed 18 people in Henan since it was first discovered in May 2007.

China News Radio reported on Sept. 6 that three people in Penglai, Shandong Province, had died because of the tick-borne disease.

Radio Free Asia gives a higher death toll. A local villager of surname Zen interviewed on Sept. 9 said that since last year there have been over a thousand local residents bitten by the ticks in Shangcheng County of Henan, with over 100 dying. Ms. Zen said the deceased were all at ages of between 40 and 60.

The Shangcheng County Centre for Disease Control refused to disclose the actual figure of deaths.

Shangcheng County is an area heavily infested with ticks, according to Yang Fu, head of Nanchong Village, in an interview with Beijing News.

Because the ticks are spread in fields and tea gardens, farmers dare not go to work, Ms. Zen said.

Ms. Zhao from Nanchong village, Fushan Township, in Henan, told The Epoch Times that one of her sister-in-laws died this year after being bitten by one of the bugs: ?We took her to the township hospital. She died after we transferred her to the county hospital. The quarantine department has not taken any action yet,? Zhao said.

She also said that there have been many death cases in the county. ?The ticks bite when the farmers go working in the woods and farms. The disease not only causes death, but spreads easily: people in close contact with the patients are easily infected.?

A doctor surnamed Zhou from a health clinic in Xiamahe village, Shangcheng County, told the reporter that a tick bite took two lives in the village last year. ?They symptoms are like catching a cold and one gets a muscle ache. The wound becomes swollen and painful.?

According to Zhou, there has not been problem with ticks until recent years. ?This area is hilly and the bugs are very active. People come in contact with the ticks when working in the farms and hills.?

Beijing News quoted an official from Fushan Township saying that the regime avoided publicizing the information to prevent social instability.

This was rebutted by a caller to China News Radio, who argued that if the government had not covered up the tick problem, his mother would not have been misdiagnosed with the common cold.

The Henan Public Health Department describes the clinical symptoms for the disease as fever and reduction of blood platelets. HGA sharply reduces white blood cell and platelet counts in the blood, leading to breakdown of the immune system, multiple organ failure, and in some cases eventual death.

On Sept. 9 cases of HGA have been reported in twelve provinces and cities, according to Ming Pao Daily News. Tick bites are mostly occur in hilly areas or near water reservoirs.

An expert from China?s Ministry of Health said HGA spreads in two ways: the first is mainly by tick bites, though some research indicates that direct contact with the patients? and infected animals? blood and body liquid might also spread the disease.

Details of the mechanism of infection remain unclear.

[Giuseppe]

Re: Henan/Shangdong Province: Ticks kill 21, likely a new Bunyavirus

China, New Tick-borne virus isolated by Ministry of Health laboratories (SINA, 9/13/10, traslated, edited)


[Source: SINA, original text in Chinese language (LINK). Translated automatically with Google Tool. Edited.]

China, New Tick-borne virus isolated by Ministry of Health laboratories

2010-09-13 Beijing News　　


"Tick insect bites HENAN incident," the culprit or to lock into a new type of Bunia virus [Bunyavirus family includes five genera, and one of the most typical species is Hantaan virus, ndm], while the Ministry of Health also is organizing experts to develop "human infection with new virus disease treatment program in Bunia," from clinical diagnosis and treatment methods, the discovery of the infection, definition and treatment effective.

Yesterday, experts said, the present, the virus spread mainly by ticks, is treatable, but mortality is low, the public need not panic.

Yesterday, reporters learned that the Chinese Center for Disease Control authorities have been isolated from a patient a "new type of Bunia virus."

Ministry of Health is organizing experts to develop relevant treatment program. The members of the Group not only from the CDC and the hospital in Beijing, Henan, Shandong and other places of primary doctors to join. Yesterday, the reporter contacted a member of the Expert Group, Peking University Health Science Head of Department of Infectious Diseases, Peking University First Hospital, Professor Xu Xiaoyuan, Xu Yuan confirmed that the virus isolated from the relevant departments have to say.

Some experts said the "Bunia virus" is a category, and "new Bunia virus" may be identified as a new virus, according to public information, Bunia, natural infection of vertebrates and arthropods found in many (mosquitoes, ticks, sandflies, etc.), and may cause illness similar to influenza or dengue haemorrhagic fever (Rift Valley fever and Crimean-Congo haemorrhagic fever ─) and encephalitis (California encephalitis).

The virus is not spread from personAccording to "First Financial Daily" reported in May 2010, the Ministry of Health Organization and the Chinese Centre for Disease Control and Prevention clinical and other relevant experts, the preparation of the issuance of a "fever with thrombocytopenia syndrome monitoring program (Trial)."

According to program requirements, Health Department to further organize monitoring of fever with thrombocytopenia syndrome. Discovered and confirmed the same key may cause the clinical symptoms of fever with thrombocytopenia, a Bunia virus.

The Ministry of Health is organizing experts to compile a "treatment program", has temporary use of a "new type of human infection with the virus in Bunia," the statement. But does the last name of this virus, the reporter has not been clearly established.

Xu Yuan, said the program will include a virus monitoring, diagnosis, treatment, etc, he stressed that the virus still need to follow the "fever with thrombocytopenia syndrome" monitor, and the virus spread by ticks, is not currently found Human cases of human infection.

For this virus, "virulence" of the problem, XU Xiao-yuan that Henan has so many years more than 500 people suspected of infection and 18 deaths, the death rate is very low.

Xu Yuan stressed that this tick-borne disease with regional characteristics, and infections in 3 ─ 11 months of treatment, the only symptomatic treatment, if there is a bacterial infection, use the appropriate antibiotics, can achieve good of effect, the public need not panic.

-
------

[Shiloh]

Re: Henan/Shangdong Province: Ticks kill 21, likely a new Bunyavirus

Source: http://life.globaltimes.cn/health/2010-09/572756.html

Authorities identify new virus related to tick-borne disease

* Source: Global Times
* [18:06 September 13 2010]

The Ministry of Health is planning its strategy to tackle the new virus identified Sunday relating to the tick-borne disease that broke out in Henan Province on September 8.

Discovered by the Chinese Center for Disease Control and Prevention, the virus belongs to the group of Bunyavirus, and may be categorized as a new species.

But authorities believe that such a virus could not cause many deaths and the disease can be cured.

In cases of person-to-person infection, antibiotics can be effective in fighting the viral infection, according to Xu Xiaoyuan, director of the department of infectious diseases at the medical school of Peking University. He also said the public should not panic.

People who suffer from the tick-borne illness show symptoms including fever and reduced number of blood platelets, which can lead to organ failure, The Beijing News reported.

The local disease control and prevention center in Henan denied media allegations that the local governments withheld the exact number of fatalities, saying that they needed time to rule out other diseases.

Out of 557 reported cases in Henan, 18 have died.

[alert]

Re: Henan/Shangdong Province: Ticks kill 21, likely a new Bunyavirus

Babelfish translation.

http://news.sina.com.hk/news/113/1/1/1852009/1.html

The medical department from has suffered on the tick insect bite body to separate the virus
2010-09-13 new capital gazettes

　　On September 11, the expert component member, Beijing University first hospital Professor Wang Guiqiang () carries on training in the Henan Province Shangcheng County People's Hospital to doctor. Xinhua News Agency Reporter Zhao Peng absorbs
Newspaper news (by Wu Peng) ?Henan tick insect bite event? the prime culprit or locking will be one kind of new Bunia virus, but the medical department is also organizing the expert to draw up ?the human to infect the new Bunia viral disease to diagnose and treat the plan?, from the clinical diagnosis and the method of treatment, to the discovery infection case, carries on the effective limits and the treatment.

Yesterday, the expert indicated that currently speaking, this virus mainly by the tick dissemination, is may treat, moreover the case fatality rate is very low, the public does not need to be panic.


Has separated the virus from the patient body


Yesterday, reporter found, the China CDC Department concerned already separated one kind from the patient body ?the new Bunia virus?.

The medical department is organizing the expert to draw up the related diagnosing and treating plan. This expert component member not only controls as well as Beijing's hospital from the illness, places such as Henan, Shandong basic unit doctors also joins in which. Yesterday, reporter related to one of expert component members, Beijing University medicine department infectious disease department head, Beijing University first hospital Professor Xu Xiaoyuan, Xu Xiaoyuan confirmed that the related department already separated the virus the view.

Some experts said that ?the Bunia virus? is a broad heading, but ?the new Bunia virus? will possibly be recognized that will be one kind of new virus, demonstrated according to the public material, the Bunia virus nature infection will see in many vertebrates and the arthropod (mosquito, tick, sandfly and so on), may cause the similar flu or Dengue fever's vigorous hemorrhagic fever to the human (sets up husband especially Gu Re and Crimea - Congo hemorrhagic fever and so on) and the encephalitis (the California encephalitis).


The virus interpersonally has not disseminated presently


According to "First Finance and economics Daily paper" reports said that in May, 2010, medical department organization Chinese Center for Disease Control and Prevention and clinical and so on concerned expert, the compilation has printed and distributed "the Giving off heat Partner Blood platelet Reduction Syndrome Monitor Plan (Implementation)". According to the plan request, the health department hall further organizes to carry out the giving off heat partner blood platelet reduction syndrome monitor. Key discovers and confirmed that possibly causes the clinical giving off heat partner blood platelet reduction symptom one kind of Bunia virus similarly.

This medical department is organizing the expert to compile ?the diagnosing and treating plan?, has used ?the human to infect the new Bunia virus? temporarily this view. But whether this is this virus's final name, reporter has not obtained the explicit confirmation.

Xu Xiaoyuan said that in the plan will include contents and so on viral monitor, diagnosis, distinction, treatment, he stressed that this virus still needed to defer to ?the giving off heat partner blood platelet reduction syndrome? to carry on the monitor, and this virus through the tick dissemination, had not discovered at present the human infects person's case.

Regarding this virus ?pathogenicity? the question, Xu Xiaoyuan believed that Henan these many years have the doubtful more than 500 people to infect, 18 dead, the mortality rate is very low.

Xu Xiaoyuan emphasized that this kind of tick passed on disease to have the regional characteristic, moreover infected many in 3─ in November, in treatment, so long as treated just right for the illness, if had the bacterial infection situation, used the corresponding antibiotic, could achieve the good effect, therefore the public was not unnecessary to be therefore panic.


■ hot spot


Yesterday 5:25 pm, the medical department expert group and the Henan Province illness controlled the department in the Shangcheng County convention technology work meeting, many media audited and inquire. Expert group leader, China CDC virus Director Wang Shiwen introduced expert group these two days in the commercial city investigation and study situation, and said that will be related the medical affairs staff who the tick will pass on the quarantine area before the hillock to have prevention knowledge training which from now on will get sick without the physique.

One of expert component members, Beijing University first nosocomial infection disease branch Director Wang Guiqiang said that at present the field work is entering to the system research stage, started officially in yesterday to patient's blood sample carries on the examination.


The medical department expert group trains a doctor


It is reported that after an expert group line arrives at the commercial city originally, rushes to local CSC and the county hospital as well as Shangcheng County many villages and towns many times, passed on disease's prevention and control and the treatment to the Shangcheng County tick has carried on the supervising and the technical guidance. The expert component member in arriving at the same day, has carried on a training in the Henan Province Shangcheng County People's Hospital to a doctor. This training altogether called Shangcheng County 19 township doctors, including Shangcheng County doctor as well as Xinyang treatment tick insect bite case many several doctors in charge.

Wang Shiwen indicated that tour's of this commercial city investigation and study achievement will draw up for the medical department revises the related prevention and control plan to provide the basis, including is related the quarantine area the medical affairs staff to have prevention and control training which from now on before the mount guard will get sick without the physique. But Wang Shiwen simultaneously also said that the tick passes on disease quarantine area to delimit has not been clear.

Passes on the disease lethal event as for this commercial city tick, whether to cause the related department to make the revision and the breakthrough to our country entire guard system's laws and regulations, Wang Shiwen indicated that can only wait for him after the medical department report, waiting research decision.

Illness controls the department to respond makes a false report the question

Yesterday at the meeting, had media reporter to ask, the commercial city locality had the populace to reflect, the human who after some are nipped by the tick insect, dies, the locality official has not reported that ?local illness controlled the department to determine that what the tick did pass on disease lethal case's basis is??

The Henan illness controls the department people in charge to indicate that the epidemiology case's determination tallies not completely with common people's direct-viewing understanding, for example the tick passes on without the physique sickness, illness controls the department to determine that the death case has gives off heat and symptoms and so on blood platelet reduction as well as hemorrhage, moreover must remove other causes of death, can determine finally for this kind of case.

Newspaper reporter inquires said that the newspaper has had two example dead's partial case material, demonstrated that Shangcheng County occupies fish mountain country farmer Gong Zheng to become with Fushan Town farmer Lei Chenghua, diagnoses separately for the giving off heat partner blood platelet reduction syndrome and without the physique sickness, two people finally incurable and dead, actually has not presented in the death case which reports in Shangcheng County, reason what in?

Henan Province CSC Assistant Director Xu Bianli explained that looked like Gong Zheng to become such patient, because died in the home, controlled department's data statistics to illness to cause the difficulty, but reflected regarding other media has not included the statistical data an example, has charged the Shangcheng County Department concerned to carry on the investigation.

Xu Bianli said that in 2007 Xinyang discovered 3 doubtful after physique sickness case, local illness controlled the department to strengthen immediately to medical care personnel's training and case's monitor, and has worked out the diagnosing and treating plan.


A Shangcheng County average each village case


According to Wang Shiwen introduced that in 2009, Shangcheng County discovered without the physique sickness case 87 examples, dies doubtful 5 examples; This year up to present, altogether discovers 120 examples, dies 1 example, a local average village case, the morbidity time concentrates in April to August, 94.2% patients are the farmers, other for student and commercial service personnel and so on. Sickness relative centralism's age is above 50 years old, men's and women's proportion is 1:2.7, the morbidity place concentrates in the nearby mountains rough terrain.

But Wang Shiwen pointed out that because the local 2/3 young adults farmers go out to work, leave behind the villagers are in the majority by old person and the woman, therefore the above data does not have the precise epidemiology value, but also needs to further investigate and to revise.


The pathogen dissemination rate and the mosquito are similar


Wang Shiwen also introduced that passed through the sanitation section group experts to the local villagers and the village medicine investigation, discovered that local the propaganda already had certain result, basically the villagers and the village medicine to had a basic understanding without the physique sickness.

Wang Shiwen also said that before this investigation and study helped it to correct some academic viewpoints, for instance this he discovered on the domesticated fowl body not to have the tick insect, the tick insect to concentrate in is scared on the thin domestic animal body, this will have provided the new basis for its revision related prevention and control plan. Next step, the Department concerned passes on the key research tick the pathogen original host the situation.

Wang Shiwen indicated that Shangcheng County appears basically may definitely pass on disease doubtful without the physique sickness case for the tick, but the populace do not need to be too panic to the tick insect. Tick's pathogen dissemination rate and the mosquito are similar, says according to its dissemination characteristic and the dissemination way, this kind of sickness is may against controllable. Newspaper Reporter Sun Xuyang Zhu Liudi


■ news data Bunia virus


The Bunia virus nature infection sees in many vertebrates and the arthropod (mosquito, tick, sandfly and so on), may infect the mouse, and can in some mammalia, the birds and in the mosquito cell culture grows; May cause the similar flu or Dengue fever's disease, the hemorrhagic fever to the human (sets up husband especially Gu Re and the Crimea - Congo hemorrhagic fever and so on) and the encephalitis (the California encephalitis). Has the mosquito intermediary, the tick intermediary, the sandfly intermediary 3 kind of dissemination types. Some virus in its arthropod medium, may pass through the egg, the copulation or the embryonic period dissemination.

[alert]

Re: Henan/Shangdong Province: Ticks kill 21, likely a new Bunyavirus

This article seems to have the two etiologies confused. HGA is caused by a bacterium, not a virus, and likely is not the cause of most of these deaths. A novel Bunyavirus likely is.

With respect to whether this virus is as deadly as SARS, it is difficult to tell as we don't know how many of the non-fatal cases were actually infected with the novel virus. HGA itself has a very low fatality rate. I don't know whether there is a vaccine for HGA, but there almost certainly is not one for the novel virus.

http://www.rfa.org/english/news/china/tick-09132010165216.html

Spike in Tick Bite Deaths
2010-09-13
Chinese citizens say they weren’t informed about the spread of a virus.


RFA

China's Henan and Shandong provinces have been hardest hit by the human granulocytic anaplasmosis disease.
HONG KONG—As more deaths are reported in connection with a fatal disease being spread by tick bites in China, people are questioning why authorities did not warn the public about the health risk earlier.

In central Henan province’s Shangcheng county, family members of patients who have died from human granulocytic anaplasmosis (HGA) said they don’t know the exact local death toll, as county officials have refused to publicize suspected cases or a list of fatalities.

A Shangcheng resident said he only learned the news about the spread of the disease from the Internet and media, while a recently issued statement by county officials said patients had been getting infected for more than a year.

“I just heard the story recently on the Web and through the media. Our county residents have never been told about this before.”

He said the county government might have taken measures to curb the spread of the disease “but we residents didn’t get the impression that HGA was as lethal as SARS.”

In 2003, an outbreak of severe acute respiratory syndrome, or SARS, sickened thousands in China and left more than 300 dead.

A staff member who answered the phone at the No. 154 Hospital in Shangcheng would not reveal how many people had died, but confirmed that “there are many phone calls these days, and many were made from other provinces, such as Hebei and Anhui, to consult about HGA.”

The No. 154 Hospital has been assigned a special treatment hospital for HGA.

In a Sept. 13 call to a clinic in Shangcheng county’s Yuji town, an employee said the treatment center had “begun to vaccinate local residents against the disease free of charge since [today].”

Spread through ticks

HGA, which infiltrates cells and kills blood platelets and leucocytes, has proven contagious through transmission by infected ticks. Symptoms include fever, bloody cough, vomiting, and diarrhea.

Health authorities in Henan province issued a statement Monday, saying that from May 2007 to Sept. 8 of this year, 557 tick-bite cases had led to 18 deaths.

Meanwhile, in the eastern province of Shandong, 182 infected cases were reported through Sept. 9 with 13 deaths.

The virus has been discovered in a total of 12 provinces and has killed 33 patients across the country, according provincial health authorities.

An employee with the Chinese Center for Disease Control and Prevention (CDC) Monday confirmed the death toll but insisted that HGA has not spread throughout China.

“It has happened in a few areas, but not that many. All areas reporting epidemics have set up monitoring stations, although stations have not been established in places that have not reported infections,” he said.

“The death toll has been published on our website, and that is all [the information] we have,” the employee added.

Media reports in China said that a township official in Shangcheng claimed the government had not released detailed information about the latest infections because they feared a public panic would disturb social stability.

But the employee with the CDC would not confirm the reports.

“A cover-up is impossible. Once an epidemic is discovered we will certainly publicize it,” he said.

“However, there are a lot of viruses that have not been thoroughly studied throughout the world, and we cannot tell the public about these.”

During the SARS outbreak several years ago, China drew sharp criticism for suppressing information about the disease. The government then changed its policy, becoming more open in sharing information.

[alert]

Re: Henan/Shangdong Province: Ticks kill 21, likely a new Bunyavirus

http://english.peopledaily.com.cn/90001/90776/90882/7139067.html

Tick bite poison isolated in ongoing research
08:08, September 14, 2010

A worker shows tick specimens at the center for disease control and prevention in Shangcheng county, Henan province, on Monday. (Xiang Mingchao / China Daily)

A new bunyavirus has already been isolated as a possible pathogen of the tick bite cases in several Chinese provinces including Henan.

But so far experts cannot yet confirm that virus is the culprit causing the infections, said Wang Shiwen, a researcher with the virology institute of the Chinese Center for Disease Control and Prevention.

Despite that the pathogen remains unclear, "there is no need to panic as the disease can be cured with timely detection and treatment," he said at a workshop on the epidemic in Shangcheng county, Henan on Sunday.

Bunyaviruses are largely transmitted in nature by [in?]vertebrates and arthropods like mosquitoes, ticks, and sandflies, experts said.

Symptoms of infections in humans include hemorrhagic fever and meningitis.

Transmitted in a similar way as pathogens carried by mosquitoes, the illness is also preventable, he added.

Chinese health authorities have been trying hard to lessen public fear about the tick-borne disease, which as of Sept 10 has reportedly spread to 12 provinces including Henan and Shandong, and claimed at least 31 lives.

Experts sent by the Ministry of Health to the site in Henan outlined preventative measures on Sunday, including that medical staff in infected areas should receive training on the prevention and treatment of the disease recognized as human granulocytic anaplasmosis (HGA).

The affected areas, however, have yet to be recognized, Wang said.

A preliminary study showed that women and the elderly are most at risk of contracting the disease.

"They usually work the farmland and are thus more likely to be exposed to tick bites," Wang said.

The Ministry of Health has designated experts to develop new clinical guidelines for the diagnosis and treatment of the tick-borne disease.

The last set of guidelines was issued in 2008.

Trainings on diagnosis and treatment have been organized by experts including Wang, who arrived in Shangcheng county on Friday to teach local medics.

After the first such case was detected in 2007, the Henan provincial health authority announced 557 reported cases, including 18 deaths, on Wednesday.

After the media inquired whether officials failed to publicize the epidemic in a timely manner, authorities from the Henan provincial center for disease control and prevention (CDC) said the procedure to confirm that a fatality was caused by a certain infection is complicated and takes time.

Xu Bianli, deputy director of the Henan CDC, said the statistical departments have a difficult time collecting data as some victims suffering from the disease died at home, largely off the government's radar.

Investigations have already been launched regarding neglected cases disclosed by media reports, he noted.

Li Yao contributed to this story.

By Xiang Mingchao, China Daily

[Treyfish]

Re: China - Henan/Shangdong Province: Ticks kill 33, possibly a new Bunyavirus

Henan mall refused to publish the list of tick bites people to death <!-- 来源 时间 st -->
At 06:21 on September 12, 2010

<!-- 来源 时间 end -->
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<TABLE border=0 cellSpacing=0 cellPadding=0 align=center><TBODY><TR><TD align=middle><TABLE border=0 cellSpacing=0 cellPadding=0><TBODY><TR><TD></TD></TR></TBODY></TABLE></TD></TR><TR><TD style="FONT-SIZE: 12px" align=middle scw_ig="yes"> County People's Hospital is the local mall tick-borne disease were treated only designated hospitals </TD></TR></TBODY></TABLE>
<TABLE border=0 cellSpacing=0 cellPadding=0 align=center><TBODY><TR><TD align=middle><TABLE border=0 cellSpacing=0 cellPadding=0><TBODY><TR><TD></TD></TR></TBODY></TABLE></TD></TR><TR><TD style="FONT-SIZE: 12px" align=middle scw_ig="yes"> Huang had a narrow escape the endless scared </TD></TR></TBODY></TABLE>
"Kill bug" still bite
Caught them by fear
County, Xinyang, Henan Mall, Dabie Mountains where the next unknown small, recently because of the "continuous insect killed people tick," known throughout the country.

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Henan, the official said the latest news from May 2007 to September 8 this year, Henan Province, were detected in the cases of 557 cases of tick-transmitted worms, death in 18 cases, focusing in Xinyang City, County Mall, Shihe River area, Guangshan County Peace Bridge area.

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September 10, the Ministry of Health expert group to arrive mall investigation.

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Members of the Group Wang Shiwen, said County the place mall tick-borne pathogens, and has not been determined.

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At the same time, Shandong Provincial Health Department also reported tick insect pathogenic situation: As of September 9, 2010, in Shandong Province found that the cumulative thrombocytopenia syndrome, fever and 182 cases of death in 13 cases.
Outside Shandong, Beijing, Hubei, Jiangsu and other places, all have been cases of tick-borne diseases ... ... tick insect a little time to talk and frightening people.

。

September 9, Express reporter rushed to the center of the storm mall County, ticks found in insects has been thoroughly captured the fear of the local people - many working in the field of adult men returned to the local, to take care of the elderly and children; more numerous women chose to seek jobs in cities, away from the more rural ticks insects; continue to stay in the rural elderly women and children, on the foot of the mountain land, they are "heavily armed" panic like viruses, in the village spread.

。

Tick more than worms from fear, but the lag from the information publicly with the local government's inaction. Shan County Mall catfish, Yuji Zhen, Shan Fu many "dead insects ticks" on the Express reporter, said the family has not been an official, and their contact information is not smooth, leading to speculation in the local epidemic.

。

Enveloped the village under the shadow of death, said the number of counties in the mall because of tick bites caused by the death of insects who, Xinyang City, and death should be announced the list of list of patients, but the mall continues the health sector has consistently Menguan practice - refused published list of the dead and the list of suspected cases.
Previously, the county and Xinyang City mall had "maintenance of stability" on the grounds refused to release details of cases and deaths related to the list, nor on the people to make timely prevention publicity.
List and the list of suspected cases of death, just as it is not clear as the pathogen is still doubt the. Xinyang City and County Mall, and in this play continues in front of the public health security events, public opinion is experiencing torture.

曾泽平的最后23天

Ze-ping was the last 23 days

。

September 10, County Mall catfish Shan dismount Kawamura, 42, a former Bay Village Yue Changyu group walking in the countryside on a motorcycle trail, and looked solemn, his wife, insect bites last year because the ticks lost their lives.

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Yue Changyu behind, an old man holding two cows, slowly walk forward.

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Field looked, in addition to the golden rice fields, the montane cloud which, tea Misty forest, trees wrapped. The villagers built a house according to the mountain, from the foot of depression sequence into the sky, the little house looming.

一来都很

Everything looks very calm, but when it comes to ticks insects, all of the peace are to nothing.

。

"My wife is from symptoms to death, 23 days before and after the experience!" Yuechang Yu said he hoped that his wife had insect bites tick Ze-ping of death experience, can lead to other parts of the local and national attention to the health sector.
On this day, Yue Changyu know by watching TV, this thing called ticks worms, he does not unfamiliar.

。

"Turtle grass in the countryside we call children, many people have seen, only the size of sesame seeds." It is this day, Yue Changyu know, this case also occurred in other cities.
Statistics show that since 2006 human granulocyte Anhui Anaplasma disease cases. In recent years, Hubei, Henan, Shandong, Heilongjiang, Inner Mongolia, Xinjiang, Tianjin, Hainan and other provinces, cases have occurred, and the case reports of death.

。

Yuechang Yu said that three days last May, his wife had Ze-ping headache, fever symptoms.

?

At the time thought it was cold, looking for village doctors to see, hanging the water. This is very scary disease, the patient will twitch."
Ze-ping village doctor had treated a few days later at, the condition aggravated, convulsion was more severe, severe cases As crazy as. "Is it mental illness?" In the village doctor's suggestion, the family had been sent to Ze-ping local psychiatric hospital.

。

"According to psychiatric treatment for 6 days, there is no relief!" Yue Changyu wife to the mall again County People's Hospital. Hospital in accordance with the routine examination, CT and blood test done.

?。

"Really worry too much, then to the mall County People's Hospital, I also through relationships, looking for an acquaintance." This time, the hospital concluded that the viruses that cause meningitis. But treatment for 6 days, still no effect, had been her husband Yuechang Yu Ze-ping back to the home....


4:00 o'clock the next day, a clot of phlegm stuck in the mouth, Ze-ping had severe seizures from happening again.

。

Phlegm, the time has come to more than 7:00.

。

"Is bankrupt, and I want the hospital to save her." 8:00 and more, the hospital looked after the work of experts who Ze-ping to the patient, that there was no way to rule out...

From symptoms to death, 23 days before and after the experience.

。

Ze-ping his wife had the last 23 days for Yue Changyu remember. "Now I think that her body had been bitten by a red dot bug. As a family, I always believed the hospital, but now, I really do not know what to say!"


Losing lives of the villagers

。

In fact, the dismount before the Bay Village group also died due to tick bites insect examples. 49-year-old Luo Linying, Ze-ping his lifetime experiences and have similar.

。

A site in the mall County, 7th floor, leaned against the unfinished high-rise window, looking out the window Luolin Ying's husband, Zhou Wende rainy sky, his eyes moist.

周文德说，妻子去年9月份的时候，突然出现了高烧的症状。

Zhou Wende said that last September, when his wife suddenly appeared in the symptoms of high fever.

先是被赤脚医生误诊为感冒，随后在商城县人民医院，也没有查出什么毛病。

First was barefoot doctors misdiagnosed as the flu, then the mall County People's Hospital, also not identified what was wrong...l

?

"Go on a weekend when the hospital's attending physician is not, then Dr. Zhou Yi to go to work, the suspect is no physical disease. Sicker after the return home the next day you lose."

。

"I have a cousin in the provincial capital of Zhengzhou as a cook, when he phoned the CDC in Henan Province." A few days later, the provincial cities and counties and other departments of the people to their house for information.

并告知家里的其他人，下地干活的时候戴手套，不要把皮肤暴露在外面。

And inform the rest of the family, worked in the fields when wearing gloves, not to the skin left exposed.

关于有关部门的此次上门了解情况，不少村民称，罗林英生前是下马河村的妇联主任，在村里有一定的名气，所以 才被有关部门关注的。

The door on the departments concerned to understand the situation, many villagers said Luo Linying Kawamura dismount before his death is Director of Women in the village have a certain reputation, it was only relevant concern.

下马河村火庙组67岁的季德芳，去年8月16日，身体无力，高烧不退，儿媳妇黄菊将其送到了商城县人民医院 。

Dismount Kawamura, 67-year-old fire temple Defang quarter last year, August 16, body weakness, high fever, daughter to the mall Huang Ju to the county People's Hospital.

?四肢抖动得厉害，医院说治不了，转至信阳154医院，打吊针的时候，针头进去，血走不了，针头拔出来，血 直往外冒。?

"Limbs shake so badly that the hospital can not cure, go to 154 hospitals in Xinyang, fluids and when the needle in, blood could not walk, to pull out the needle, blood Zhiwang Wai risk."

6天后，季德芳死亡。

6 days, quarter Defang death.

季德芳临死前叮嘱儿媳妇黄菊：?莫随便上山！?黄菊说，医院怀疑是白血病，先是在商城花费了7000多元治 疗费，在信阳154医院花费了1万多元。

Quarter Defang dying daughter told Huang: "Do casually up the hill!" Huang said, the hospital suspected leukemia, first in the mall spent 7,000 yuan treatment, 154 hospitals in Xinyang spent over 10,000 yuan.

始终在医院照顾婆婆的黄菊说，婆婆被蜱虫叮咬的位置是左耳。

Always take care of her mother in the hospital, said Huang, insect bites, tick-law position is left ear.

今年6月3日，余集乡从医50多

June 3 this year, Yuji Xiang became a doctor 50

年的老医生吴德正发高烧，先在儿子吴玉涛的诊所挂水。

Wu-year old doctor is a high fever, the first clinic in the son pegged Wu Yutao water.

6月3日，73岁的吴德正无法站立。

June 3, 73-year-old Wu was unable to stand.

次日，在商城县人民医院抽血检查时发现，其血小板检测值已由正常的100到300个下降至25个，白细胞值 由正常的4000到1万个下降至1400个。

The next day, in the mall County People's Hospital blood tests found that the platelets from a normal value of 100-300 down to 25, white blood cell value from the normal 4000-10000 dropped to 1,400.

6月7日，吴德正被转至信阳154医院。

June 7, Xinyang Wu is being transferred to 154 hospitals.

6月11日，不治而亡。

June 11, where he died.

9月10日中午，吴德正的儿子吴玉涛对登门造访的记者称：?医生说是蜱虫咬的，是无形体病！高烧不退，还出 现了上吐下泻的情况。?

September 10 at noon, Wu is the son of Wu Yutao door visits of journalists, said: "The doctor said that tick bites, and is no physical disease! High fever, there was even the case of diarrhea."

据记者调查，今年5月22日，商城县鲇鱼山乡平塘村村民鲍祥义被蜱虫叮咬后死亡；今年7月3日，鲇鱼山乡庙 岗村农民龚正成告别人世。

According to press the investigation, on May 22 this year, Ping Shan Village Mall County catfish Baoxiang Yi villagers died after being tick insect bites; July 3 this year, catfish farmers Gongzheng Cheng Shan Village, leave behind the temple.

临死前，症状和鲍相似。

Before his death, similar symptoms and abalone.

龚正成的堂兄龚正现说，龚在被误诊为感冒，挂了数天的吊针后，于7月2日晚被拉到商城县人民医院，至半夜， 家属被告知龚已不治。

Gongzheng Cheng's cousin is now, said Gong, Gong being mistaken for a cold, hang for a few days of fluids after the evening of July 2 at the mall pulled the county People's Hospital, to the middle of the night, the family was told that Gong had died.

第二天凌晨，家属将龚拉回家中。

Early next morning, the family will pull home Gong.

中午，龚死亡。

At noon, Gong death.

商城县伏山乡枫树村55岁妇女雷呈华今年7月12日发病。

Fu Shan County, Maple Village Mall 55 year-old woman Lei Chenghua disease this year July 12.

经村医治疗，不见退烧，在卫生院按照肠炎治疗后，又被转至县医院。

The village doctor treatment, but no fever, enteritis in hospitals after treatment in accordance with, and was transferred to the county hospital.

但县医院又建议家人把雷呈华送至信阳治疗。

But the county hospital also suggested that the family sent to Lei Chenghua Xinyang treatment.

在信阳154医院，雷呈华被确诊为?人粒细胞无形体病?，但医生称送院太晚，耽误了最佳抢救时机，后雷呈华 死在了信阳。

154 hospitals in Xinyang, Lei Chenghua was diagnosed as a "human granulocytic Anaplasma disease", but the doctor said the hospital too late to save the best time delay, after Leicheng Hua died in Xinyang.

他们在鬼门关前转了一圈

They had been around before the gate of hell

?昨天还好好的，身体很健康，转眼就阴阳相隔。?在商城县开出租车的司机岳洁是下马河村人。

"Yesterday was fine, very healthy, but then quickly separated Yin and Yang." In the mall taxi driver county Yue Jie is the dismount Kawamura people.

最近几天，很多记者都喜欢包她的车下乡，因为她熟悉村里的情况。

In recent days, many journalists like to pack her car to the countryside, because of her familiar with the situation in the village.

面对一再发生的死亡病例，岳洁很是感慨。

Deaths occurred in the face of repeated, Yue Jie very mixed feelings.

陆续发生的蜱虫叮咬致死事件，迅速传开了。

Insect bites, ticks have been incidents of death events, the rapid spread.

随后，恐慌的情绪亦如至今尚不明确的病原体一样，在商城县一些乡镇传递。

Subsequently, the same applies panic pathogens is not clear so far as to pass some townships in the county mall.

挎着篮子的下马河村火庙组罗良玉面对记者，一个劲地说幸运。

Dismount basket leaving for the temple group of Luo Liangyu Village fire to reporters, he kept saying lucky.

2008年7月，罗良玉突然觉得腿没劲，浑身难受，人抖动，高烧到39~40℃。

July 2008, Luo Liangyu legs suddenly felt boring, the whole body sick, people jitter, high fever to 39 ~ 40 ℃.

赤脚医生打了点滴，但不见好转，赶紧到了商城县人民医院。

Barefoot doctor and bit by bit, but not improve, and quickly to the mall County People's Hospital.

?和其他已经死亡的病例一样，水米难进。后来医生告知，是被一种叫蜱虫的虫子咬的。?这位61岁的老人说， ?差点就没命了！?

"And other cases have died as Shuimi difficult to enter. Then her doctor, is the insect pest called tick bite." The 61-year-old said, "almost would have been dead!"

黄菊说，婆婆去世后没几天，8月28日，自己也出现了症状。

Huang said that her mother died a few days, August 28, she also appeared in symptoms.

?一开始就发烧，赶紧住院，手也发抖，上吐下泻的。刚开始县医院是按照白血病治的，3天后，去了信阳154 医院。?黄菊说，医生称是被蜱虫咬的。

"The beginning of fever, hospital quickly, hands trembling, diarrhea of. At first the county hospital governance in accordance with leukemia, 3 days later, went to 154 hospitals in Xinyang." Huang said, the doctor said it was tick insect bite .

?刚开始吃不进东西，后来临床诊断后，恢复比较快！?黄菊说，事发前，她一直在医院照顾婆婆。

"At first, not into eating something, and later, after diagnosis, recovery is faster!" Huang said, before the incident, she has been in the hospital to take care of her mother.

。

It is understood that since May 2007 in Henan Province Xinyang City reported its first suspected case of no body has been through monitoring, as of September 8 this year, Henan Province, were detected in the cases of 557 cases of these syndromes, death in 18 cases, the focus concentrated in Xinyang City, County Mall, Shihe River area, Guangshan County Peace Bridge area.

September 10, County Mall Center for Disease Control Ren Yufang, said: "This year in January -9 8 January, a total of 120 direct reporting to the higher cases, of which 1 died." But the CDC for this mall data, access to the local press generally does not believe, "only one person died, how can that be? is obviously nonsense, for we know more than one." People in the shadow of death

Dismount at the mall County Catfish Creek Township, village entrance, the village committee members, said Chou, dismount a total of 3 deaths Kawamura: Ze-ping who were, Luo Linying and quarter Defang.
"First her mother died of tick insect bites, and then they have their own illness and her son!" Huang said that he became not wait to see in the village people.

??

"I did not and they said, children saw their run, stay away, worried about being infected."

\

County Mall Center for Disease Control Ren Yufang told reporters: "At present, almost certainly, is not transmitted between people." Mall County People's Hospital Medical Services Section Chief Wang Wei to reporters provided a report on "human granulocytic Anaplasma disease Control Questions and Answers "of the material, said: human granulocytic Anaplasma close contact with critically ill patients re-direct contact with patients blood, body fluids or escort medical personnel, such as not pay attention to protection, but also the possibility of infection.
But in fact, due to the lack of publicity and information is not smooth, the villagers are still terrified about ticks.

Fearing the situation at home, working the Zengxian Wei in Shanghai in June this year from Shanghai back to the village, "worried about his family in the move, I always come back a little better."

。

Tao Ze school after working in Xi'an. "I heard that the village was too strange disease died one after another, Jiaoxin, ah, it could not stay on the outside, ten days ago come back."
At the same time, many women also chose to seek jobs in cities.

。

"On the one hand is the livelihood needs, one is really worried about the tick bites into longer be!" Huang is a county in mall construction site on the tie bar.
Ze-ping Yue Changyu's wife was in treatment, has been the hospital in accordance with the common cold, mental illness and meningitis diagnosis, before and spent over 40,000 yuan. "Well before his death his wife more than 20 pigs, 3 children 2 in reading, a drop out of school at home farmer. To see a doctor to spend the whole real situation. Fortunately, the participation of a part of rural cooperative medical claims." In fact, the ferocious ticks insects has actually changed the status of the family's life.
Yuechang Yu said that pigs are sold. 78-year-old home to his aging mother in cooking, have suffered their own money for the children to school and to maintain the livelihood of the family. "Now open a car engaged in transportation!"

。

This reporter noted that in order to alleviate the burden on peasants in Henan Province Health Department has approved the treatment drug of choice for disease-free form of doxycycline into the new rural cooperative reimbursement Xinyang City compensation range to ensure that doxycycline treatment of choice early enough to use, ensure a therapeutic effect.

。

Survey, more than the aforementioned family of the deceased, said the county has yet to Xinyang, or other relevant departments who mall come to understand the situation.
The deceased's family, said their participation in the new rural cooperative medical expenses reimbursement, when all the hospital medical records were handed over to the agricultural co.

。

Tao Ze dismount Kawamura scientists in the door, next to a pile of chestnuts and peanuts, and a pair of water shoes.

?上山下地的时候要穿的，得全副武装。?陶泽学说，上山的时候，会穿长袖和长裤。

"When on the mountain to wear, too heavily armed." Tao Ze theory, when the mountains will wear long sleeves and trousers.

。

The location of cuffs and pants, will tie up with something to prevent insect bites by ticks to.

。

Yuji Xiang Wu is after the death of his son Wu Yutao suffering from stress and suffering: because Wu is the son of Wu Yutao just started the clinic, and it was in accordance with the common cold to diagnosis and treatment.

。

As we continue to face criticism from neighbors, reporters rushed to the former, Wu Yutao couple has rejected a number of media in a telephone interview.

。

Wuyu Tao's wife said, we do not know that it is tick bites, and Father went to, we also very sad.
Fear, sadness, regret, stress, mixed emotions under the Mall of various villages in the county, the presentation of the tragedy is a complex scene.
Bite incident is still ongoing

。

County Mall for patients with similar symptoms is the only designated hospital mall County People's Hospital.
September 10 afternoon, in the county People's Hospital isolation ward Mall 121 room, the reporter saw 53-year-old villager hole Fen Yang, Fu Shan who she is.

。

Peng Ren Guang her husband said, September 5, when there Fen Yang hole fever.

。

The village barefoot doctors began to be misdiagnosed as a cold, has been linked to water, but do not go back burning has been, Sept. 9 to the county hospital.
Mall a county deputy director of the hospital physician told reporters that Martin should be made, this case is the new cases. According to patient statements, aching muscles before admission, a fever.

。

Prior to being bitten by ticks history of insects.

。

After consultation the Ministry of Health experts, is now confirmed that no physical disease.

。

Mall County People's Hospital Medical Services Section Chief Wang Wei told reporters on September 8th hole Fen Yang to patients when they doubt it.

。

Ministry of Health after the expert consultation, the final diagnosis.

始

"According to the Ministry of Health issued the" human granulocytic Anaplasma Disease Control and Prevention, Technical Guide ", taking drugs, mental patients are now beginning to improve, and now go back burning has been."
Peng Ren Guang stroke from his wife on the right sleeve, pointing to the arm of a red dot, said: "tick bite is the location of worms."

。

Reporter observed that the hole Fen Yang, lying sideways, face pain, but people are more quiet, silent.

。

"The same insect bites, tick, and why some will die, while others save over?" Martin made should be said that there are differences between individuals, some sensitive, some are not sensitive.

。

Some patients had multiple looks not the case, but will move towards the heavy aspects of development, it is important to diagnose the timing of the rescue.

。

Powell made should say, ticks have been found in insects hilly area of China, and only with the pathogen of tick bites a human insect only after onset.

。

It is reported that as early as February 2008, the Ministry of Health issued against non-physical disease "human granulocytic Anaplasma Disease Control and Prevention, Technical Guide", to improve the medical staff of human granulocytic Anaplasma awareness of the disease and control.

。

Powell told reporters that hair should be, issued by the Ministry of Health practices, patients admitted to hospital, those who meet the "clear history of tick bites insect; clinically headache, fever, diarrhea, nausea, vomiting and other symptoms; reduce the number of white blood cells and platelets," and other features, will be considered non-physical disease, which is a basic judgments.

。

In the survey, catfish Township dismount before the Bay Village group of villagers had Ze-ping, the fire temple group of villagers quarter of the families of two deceased Defang said the two deceased were the aforementioned symptoms.

?

"That's why there are more cases after the introduction of guidelines for judging compliance of patients in the county hospital, in accordance with leukemia, influenza and other diseases to see it?" To reporters questions, Powell made should not respond.

。

Now, although no body on the suspected disease in the village doctors in training to start, but many villagers are still unfamiliar with the disease and fear.
List of the dead were not openly questioned

。

At 15:00 on September 10th or so, had just arrived at the Ministry of Health experts County Mall, County Mall, 4th Floor, in Conference Room investigate and understand the "fever with thrombocytopenia syndrome" on the situation and listen to local reports on the situation.

十。

Dozens of journalists from around the country after hearing the news arrived, hoping to interview local officials and experts from the Ministry of Health.

。

But after a few minutes, see journalists do not want to leave, to report terminated.

。

Panel then go to the hospital and the disease control departments for information.

在此间隙，。

In this space, the reporter saw the mall's main Ren Yufang County CDC.

。

Yu Fang had an interview with Xinhua in, said "This year in January -9 8 January, a total of 120 direct reporting to the higher cases, of which 1 died. Shangcheng County, 1 death cases this year, the deceased named Wu is, is a country doctor. "in an inquiry, Fang Yu confirmed the case again to reporters report.

。

But the survey found that, in addition to Wu is, a mall at least Leicheng Hua County (female, Maple Village, Fu Shan farmers) and Gong Zhengcheng (Shan Temple Village catfish farmers) Two dead, no business County CDC reported.

。

Yesterday, two families have provided written evidence to the press.

。

Meanwhile, Lei Gong are all the families of the two official questioned the data that there is obviously deceptive situation.

?。

"My mother was diagnosed with obviously no physical disease, insect bite is, why now is not it?" Lei Chenghua daughter Dingbao Yu said.

）。

Mall County People's Hospital on July 18 to apply a single electrocardiogram showed Leicheng Hua was initially diagnosed as "fever with thrombocytopenia syndrome" (no physical disease of the new call.)

同一

The same day, Xinyang 154 hospitals signed a "New Rural Cooperative Medical check certification table" shows Lei Chenghua do (to be) medical consultation species "human granulocytic Anaplasma disease."

。

Family members, said Lei Chenghua transferred from the mall after the deaths of Xinyang.

，。

County Mall in the confirmation of the deaths are not reported cases, families want to be informed whether the Xinyang City CDC reported.

。

The other family members of deceased Gongzheng Cheng, Gong provided to reporters at the mall part of the county People's Hospital medical records. Among them, "hospital medical record" shows that Gongzheng Cheng discharge diagnosis of "fever and thrombocytopenia syndrome", the situation was discharged as "cured."

。

Gong Gong Zhengcheng cousin is now speaking, Gong being mistaken for a cold, hang for a few days of fluids after the evening of July 2 at the mall pulled the county People's Hospital, to the middle of the night, the family was told that Gong had died.

未。

Later, the case has not been reported to CDC County Mall.

。

County Mall, a vice president of the People's Hospital, explained that they confirmed "fever with thrombocytopenia syndrome" in patients, it will first be reported, such as the inability to treatment, family members will be proposed transfers.

?。

If a patient died after discharge home is not owned by the hospital reported, "the responsibility of other departments."

。

Number of cases and deaths for the challenge, Lord Ren Yufang mall County CDC explained that part of the cause of death is not without physical disease, is a misunderstanding of the causes of family members.

直报范围。

Moreover, some patients die at home, cause of death is unknown; Although some suspected cases, but died in hospital in Xinyang, do not belong to the county mall network report range.

。

But "Beijing News" reported on September 8 has pointed out: Xinyang City Health Bureau, according to an insider said, Xinyang City has studied how to publicize the disease.

?

"This year in April, the mayor listened to report on the health system, and finally led to conclude that transmission of the pathogen and not understand the circumstances, likely to cause mass panic massive publicity, resulting in instability." Fu Shan charge Political leadership of a village said the government did not disclose the reason why ticks insect outbreaks, is holding stability needs, "fear of causing further panic, not to mention the virus is also unknown at this time."

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Many reporters have been in contact, said the villagers, the local hospital only published list of cases and deaths, to eliminate doubts in their hearts.

。

Member of China Law Society, Law Firm Director of Jiangsu Mao Tong Liu Mao said that the face of health administrative departments of public health emergency event, the obligation to take effective and timely publication of prevention, treatment, rehabilitation and other measures.

。

"As no physical disease, the guidelines issued by the Ministry of Health, the health treatment agencies if there is no symptomatic treatment, resulting in delayed treatment, eventually leading to patient death, then the behavior of the relevant health agencies to suspected to constitute medical malpractice, should therefore bear the consequences legal responsibility, "Liu Mao Tong family of the deceased lawyer who advises the collection of relevant cases and other evidence, directly to the court file a civil suit liability shall assume civil liability.

面对律师的建议，刚刚失去了妻子的岳昌宇称，自己正有打官司的考虑。

The face of lawyer's advice, just lost his wife Yuechang Yu said that he was a litigation consideration.

他的打算是，最近跑一遍此前妻子治疗过的几家医疗机构，调取病历资料，为打官司做好准备。

His intention is to run again after his wife recently treated several medical institutions, collect medical information to prepare for the court.

?如果早知道是蜱虫咬的，医生也治得对的话，说不定我老婆就不会死，我得为她讨个说法。?

"If I had known it tick bites, and doctors are governed right, maybe my wife will not die, I have to for her to have a say."
News
The Ministry of Health of tick insect samples

最

The fastest week of the result

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Yesterday, experts in the field of pathogenic microorganisms Qijun Jilin Province arrived in Beijing National Laboratory for the Ministry of Health, the collected insect samples for DNA testing ticks.

。

Qijun introduction, after the confirmation of pathogens carried by ticks, can be symptomatic treatment of patients.

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Qijun said that the tick test, there are two, one is the Ministry of Health investigation team from Henan collected more than 140 live ticks, one is living in the ticks collected in Liaoning Province.

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Qijun said yesterday the two ticks have been sent to Beijing National Laboratory for the Ministry of Health.

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He arrives at night, and national laboratories will be the top experts to study the detection scheme, then the two ticks immediately detected.

?。

"The detection of ticks, mainly for detection of microbial nucleic acid." Qijun introduced microbiological experts on live ticks nucleic acid testing, is to carry out DNA and RNA of the tick test.

。

Sort results detected with the gene pool of the pathogen were compared, after the confirmation of pathogens carried by ticks, can be symptomatic treatment of patients.
Qijun said that if things go smoothly, it is estimated that within a week to test results, "test results can be used to treat the wounded tick bites, is not to say." http://translate.googleusercontent.c...UCWdwLwRKXl0oA

[sharon sanders]

Re: China - Henan/Shangdong Province: Ticks kill 31 - 33, possibly a new Bunyavirus

For a total picture of the disease situation in China please see:

China - Pneumonia and Influenza Like Illnesses (ILI)


H1N1 China Tracking


H5N1 China Tracking


China - Other Diseases Tracking

[Gert van der Hoek]

Re: China - Henan/Shangdong Province: Ticks kill 31 - 33, possibly a new Bunyavirus

machinetranslated

Ministry of Health Group: New pathogenic virus or worm culprit for the tick

http://www.qianlong.com/ 2010-09-14

Recently, Henan Province, Xinyang City Mall counties, insect bites, ticks cause human disease or even death, Health Ministry sent experts to the local survey.

Group concerned parties, tick-borne disease patients are mostly farmers, are relatively older, pathogenic culprit or to lock into a new type of Bunia virus.
September 13 afternoon, three days after the investigation, the Ministry of Health Expert Group and the Henan Province, the county Health Department expert group to return from the mall. Group concerned parties, ticks echinococcosis patients mostly farmers, are relatively older, pathogenic culprit or to lock into a new type of Bunia virus.

Patients isolated "New Bunia virus" or pathogenic culprit

Members of the Group, Peking University Health Science Head of Department of Infectious Diseases, Peking University First Hospital, Professor Xu Xiaoyuan confirmed: China Center for Disease Control authorities have been isolated from a patient a "new type of Bunia virus", the Ministry of Health is organizing experts to develop relevant treatment program.

According to reports, "Bunia virus" is a category, while the "new Bunia virus" may be identified as a new virus. The last name of this virus has not been clearly established.

Information, Bunia natural infection found in many vertebrates and arthropods (mosquitoes, ticks, sandflies, etc.), can cause human dengue fever or flu-like hemorrhagic fever and encephalitis.

Hard ticks can cause human granulocytic anaplasmosis people. It is reported that in 2006 China's Anhui Province, found that first human granulocytic anaplasmosis, and then again in Tianjin, Shandong, Henan, Shaanxi, Hubei and other places that some people have specific antibodies in serum, suggesting that infection had no body.

In view of these patients the cause is unknown, May 2010, China CDC tentatively named it "fever with thrombocytopenia syndrome."

Expert Group, at present, or to lock the pathogenic culprit for this new type of Bunia virus, while the Ministry of Health also is organizing experts to develop "human infection with new virus disease treatment program in Bunia." Treatment program will include virus monitoring, diagnosis, treatment and so on.

Professor Xu Xiaoyuan, said the discovery of the "fever with thrombocytopenia syndrome", clinical manifestations were malaise, fatigue, headache, muscle aches and nausea, vomiting, anorexia, diarrhea, etc., may be associated with multiple organs such as heart, liver damage. Experts point out that this virus is mainly spread by ticks, is not currently found in human cases of infection.

According to experts, a mall County appears basically suspected cases of anaplasmosis can be sure to tick-borne diseases. This disease is preventable and controllable, and the mortality rate is very low, the public need not panic.

94.2&#37; of the patients were farmers, the relative concentration of patients aged over 50 years old

The members of the Group not only from the major hospitals in China and the Beijing Center for Disease Control experts, some from Henan, Shandong and other places of primary care doctors.

Investigation team learned that in 2009, a mall County, suspected cases of anaplasmosis in 87 cases, 5 cases died; so far this year 120 cases have been found, the local average, a case of a village. Time of onset and more concentrated in the April to August, 94.2% of the patients were farmers, others are students and business services staff.

The relative concentration of patients over the age of 50, in which the ratio of 1:2.7 of men and women, the incidence sites are concentrated in shallow mountain foothills. Because of the local 2 / 3 of young farmers work outside the home and left the villagers mostly women, the elderly and so these data do not have accurate epidemiological value, but also requires further investigation and correction.

Expert Group, the Chinese director Wang Shiwen virus CDC said that the current epidemic of tick-borne diseases, yet clearly delineated. The research results will be developed to amend the relevant health authorities provide the basis for prevention and control programs.

Since the May 2007 report of first case of Xinyang City, fever with thrombocytopenia as the main symptoms of suspected cases of non-physical since, at present, Henan Province, a total of 557 cases of monitoring and reporting suspected cases of non-physical, death in 18 cases, focused on the Xinyang City County Mall, Shihe River District, Guangshan County Peace Bridge area.

Doctors in training, the preferred therapy into the "new rural cooperative"

County People's Hospital in the mall, the experts on-site training of frontline doctors. Target audience includes mall County and its affiliated physicians in 19 townships, and the treatment of Xinyang City, insect bites, tick a few more cases of physician.

Henan health department officials said, by three years of control efforts, Henan Province has trained clinicians at all levels and types of disease control staff Jinqian Ren. Through the promotion of local people on the prevention and treatment of such diseases, improve the knowledge rate to a certain extent, some people in the labor and life to take basic personal protective measures, cases of timely treatment rate has greatly improved.

More than an interview family suspected cases found, because the new rural cooperative reimbursement of the emergency restrictions, and no physical disease specific drug therapy is not reimbursable drug list, some patients must face the financial burden of the family.

In this regard, Henan has approved the treatment of choice for suspected anaplasmosis doxycycline drugs into the Xinyang City, the scope of the new rural cooperative compensation claims to ensure the treatment of choice to use drugs early enough.

Tick bites, how the disease prevention and control

Ticks found attached to insects, not to crush with your fingers

Beijing, Sept. 13 (Xinhua Bai Jianfeng Cao Shulin) Health Ministry spokesman Deng Haihua recently pointed out, tick-borne disease occurs mainly in rural areas, the Ministry of Health has developed technical guidance on prevention programs and strengthened primary health staff training. Tick-borne diseases can be effective in the prevention and control of the public not to panic.

According to reports, the symptoms of fever and thrombocytopenia, the main disease, in the end what tick-borne pathogens, insects, the Chinese Centre for Disease Control and Prevention is monitoring and research.

CDC Deputy Director of Henan Province Henan Province in description, prevention can be made in the following ways. First, Prevention and Control: remove shrub weeds, cleaning livestock pens. Second, chemical control: to spray medicine, livestock medicine bath can kill ticks on a regular basis. Third, biological control: use of biological pesticides to kill algae cover (0.12% propylene glycol alginate). Fourth, personal protection: to enter a tick area, pay attention to protection, the exposed parts to coating repellent.

He cautioned that if the tick was found attached to insects, do not be removed by tweezers and other tools, or can use your fingers to crush. Should ether, kerosene, turpentine, pipe down oil on the head in the tick insect or tick beside the point mosquito insect, the tick-bug "anesthesia", it let go on their own; or liquid paraffin, glycerol thick coating ticks worms head to stifle let go.

If symptoms occur when the body can be given antihistamines and corticosteroids. Found tick paralysis tick-bite fever, and when the addition to supporting treatment, the symptomatic treatment should be appropriate and timely rescue and so on.

[sharon sanders]

Re: China - Henan/Shangdong Province: Ticks kill 31 - 33, possibly a new Bunyavirus

Health department tells people not to panic -

Actively prevent insect bites, tick Hengshui health department said the alarm can be prevented, controlled and Mo
Source: Hebei, China News Press, 2010 -09-14 17:43:00
Key words: Hengshui; ticks worms

Hengshui City, Hebei Province Health Bureau said today, for some provinces in China one after another insect bites by ticks, individual critically ill patients died after medical treatment after the incident, the council for the good of disease prevention and control work, to take measures to cope with. Currently, Hengshui City, no such case report.

It is understood, Hengshui City, county and city health bureaus Carrying out all levels of medical institutions and disease prevention and control training of professional and technical personnel at all levels found in various medical institutions fever (body temperature> 38 ℃) with thrombocytopenia or bleeding symptoms ( melena, bleeding gums, skin petechiae or ecchymoses, conjunctival hyperemia bleeding at least one) of the suspected clinical diagnosis or confirmed cases, the reference to B and C class infectious disease reporting requirements, adopted within 24 hours Report of national disease surveillance information management system network report.

Epidemic disease prevention and control institutions receiving the report, should immediately organize professionals to carry out epidemiological investigations, the patient's blood, secretions, excretions and contaminated the environment and by its articles, disinfection; clusters of cases occur when to take kill ticks, mice, and environmental clean-up and other measures to reduce tick and rodent density environment; cases should be promptly collected acute and convalescent sera progressively sent to the provincial CDC for laboratory testing.

Health department, said tick-borne diseases, insects relatively common in China, there are more mature means of prevention and control, is preventable and controllable on the public not to panic. (Cuizhi Ping Meng Hong Pan Jing Hong)

http://heb.hebei.com.cn/xwzx/hbpd/hs/201009/t20100914_2155312.shtml

[sharon sanders]

Re: China - Henan/Shangdong Province: Ticks kill 31 - 33, possibly a new Bunyavirus

Jiangsu Provincial CDC - Health Dept. says disease caused by tick bites is a new type of Bunia virus - ... do not panic...and also some very strange flying ticks are involved....

Nanjing was not found infected ticks bug "bites" disease will not be popular temporary
2010-09-14 10:33:28 Source: Xinhua (Guangzhou) keep abreast of 0 mobile phone to read news

13, the reporter learned from the Jiangsu Provincial Center for Disease Control, "Henan, insect bites, tick incident," the culprit may be locked for a new type of Bunia virus. Experts told reporters, according to the monitoring, "insect bite disease" is not popular in Jiangsu.

Patients in spring and autumn

Jiangsu Provincial Center for Disease Control experts, insect bites tick fever and more clinical cases with thrombocytopenia, the current number of cases were diagnosed disease human granulocytic Anaplasma, while some cases were not infected with human granulocytic Anaplasma evidence, the new cases found from Bunia virus, the disease has been tentatively scheduled for the Ministry of Health thrombocytopenia syndrome associated with fever. Bunia, the performance of the new virus with symptoms similar to hemorrhagic fever, experts said, Jiangsu in hemorrhagic fever prevention and control measures have been more mature, and the current transmission of the virus who have not yet found one case, the mortality rate is very low, So the virus can be prevented, controlled and rule, do not panic.

It is learned that Jiangsu Province in 2005 to develop a monitoring program, carried out the relevant monitoring and research, the Chinese Center for Disease Control in May of this year to regulate their name is "fever with thrombocytopenia syndrome." The province to report suspected "fever with thrombocytopenia syndrome" in 13 cases, of which 4 were from other provinces, a total of 4 patients died (provinces 1). Experts say the current Jiangsu Mount veins and Dabie Mountains Mountains region prone areas, mainly in Yixing, Liyang, Xuyi, Luk and other hilly areas, the patient was seen in September to 11 months in late, and the spring in April, 5 month two months, and this is the time we need to pay attention to prevention and control.

Temporarily not popular in Jiangsu

Experts say the disease is not currently popular in Jiangsu, but less to the wild rodent families are the most critical. Experts said that the Nanjing widespread tick worms, but different types and Henan, Henan insects called ticks ticks all the hook, worm called Nanjing Ixodes ticks in the Sun Yat-sen, the Purple Mountain, on the outskirts of grass, bush are . Many people fear bugs bite will become infected with the virus. CDC experts in Nanjing said: "Li and Gaochun ticks have been discovered on insects, but mainly Ixodes. The question is, ticks do not carry the virus, has not found a tick in Nanjing with a virus or disease . "

Many people may think that, to prevent this new type of disease, mainly to control insects ticks, however, experts say, in fact, only a tick vector insects, the real source of the virus may be a mouse, dung-beetle mites. Statistics show that many of Bunia, the virus found in natural infection of vertebrates and arthropods such as mosquitoes, ticks, sandflies, etc., can be infected mice, and can in some mammals, birds and mosquito cell culture growth; of the person may or dengue fever causes flu-like illness, hemorrhagic fever and encephalitis.

Insect bites also very strange ticks

Nanjing Traditional Chinese Medicine Hospital dermatologist told reporters that they seldom received tick bites in the case of insects. However, there is a patient so that they impressed. At that time, the 65-year-old woman, riding inside of friction was found slightly hurt his right leg, a hand-to-find things such as a coin size, look I realized that was a big as a dime tight hard beetles V bite the skin tight, beetles kept six pairs of legs are still active, the head have all got into the skin. Doctors have tried to use pliers to clip out the beetle may be due to insect head tightly drilled in the body, the final operation to remove the beetle only. Allow doctors to surprise, out of the beetle is not only alive, but also tried to fly away. Remove the hard beetle is a human and animal parasites - ticks, tick bites and more human suffering no pain.

CDC experts, the tick parasite in wild rodents, cattle, sheep and other animals, rarely seen before in the city tick, but with more people pet dog, tick parasites in dogs, so now in the city, There are also ticks, particularly buses in Beijing and white dog ticks most provoke insects.

Experts advise that if people want to go to the countryside, the best point of the wind wiping Oil, ticks, worms afraid of the smell, the other can wear light-colored trousers to protect themselves. If you inadvertently bite, do not force them to pull ticks because ticks are barbed, the more pull the hook more closely. One common way to approach it with cigarettes, so that insects release off....

http://news.163.com/10/0914/10/6GHM34JG00014JB5.html

[sharon sanders]

Re: China - Henan/Shangdong Province: Ticks kill 31 - 33, possibly a new Bunyavirus

Investors are watching the developments of this disease to speculate in the market -

The concept of depth of the subject anti-tick speculation work too hard
At 11:16 on September 14, 2010

[Dow Jones] from ticks since the events of insects, insect resistance to ticks speculation stocks began to in-depth development. Although the number of ticks from 13 companies have clarified the concept of insects, insects that the recent outbreak of tick event does not have a major impact on the performance of the company. But as the leader of the Huayang Technology sector continued to limit revenue. And the concept of anti-speculation monument gradually extended to other areas of medicine. Concept used to seeing the market rise and fall of speculation after speculation had pointed out that the concept also needs to work too hard.

Tick insect pesticides around the concept of the speculation seems to approach an end. September 13, the Shanghai Composite Index rose 0.94%, while the present stock price fell most pesticides, including Lear Chemical (002258:21.61, -0.32, ↓ -1.46), Sanonda A (000553:9.83, -0.18, ↓ -1.8), three love the rich (600636:11.92, +0.49, ↑ 4.29) and so on, but the Huayang Technology (600532:12.55, +1.14, ↑ 9.99) gains are still strong. The pharmaceutical stocks tick higher insect stocks are still repeated, such as the Ring of biological (000518:7.87, +0.5, ↑ 6.78), Tong Ren Tang (600085:31.03, +1.29, ↑ 4.34), Lukang Pharmaceutical (600789:10.86, +0.01, ↑ 0.09), China Medical (600056:0,0, ↓ 0).

Analysts believe that, subject to the tick insects bring good stocks of pesticides is limited, such speculation is only short-term market behavior, and less pesticide industry fundamentals, continued speculation of time will be shorter. But with the emergence of new virus, a new hot spot, or will occur.

On the other hand the concept of ticks could be transformed into insect viruses concept of Bunia. According to relevant departments of China CDC News has been isolated from patients of a "new type of Bunia virus." Tick-worm itself does not carry disease and spread of the virus it is the disease, the culprit to death. Bu Yani information can cause the virus to human H1N1 influenza or dengue fever, influenza like illness, hemorrhagic fever Li Swift Valley fever and Crimean-Congo hemorrhagic fever, etc. ─ and encephalitis, California encephalitis.

Theoretically, as long as pesticides, can be used to kill insects ticks, but efficacy is different. CSC researchers said Liang Bin, dichlorvos is best used to kill ticks insect species, and not by the state restrictions on the use of highly toxic pesticides. It ticks worm disease in the region, the amount should be increased, the country shares, Dacheng shares of listed companies and other related formation of good, but because the disease does not spread, good limited.

Another industry source said, if you tick the spread of worms makes the case of disease, the overall demand for pesticides will increase, because the pesticides are at least able to effectively kill the ticks insects, including permethrin, chlorpyrifos, imidacloprid, and so on. Three varieties of pesticides, insecticides, fungicides, herbicides, pesticides which "dependent on the weather," the most obvious response to tick a result of insects to changes in demand for pesticides remains to be seen.

The latest reports indicate that "insect bites HENAN tick incident," the culprit or to lock into a new type of Bunia virus. The virus to infect humans media, including mosquitoes, ticks, sandflies, etc., can be infected mice. Investors also believe that, because insects not only the infected ticks, which speculation may be transferred to veterinary medicine.Listen
Read phonetically

http://content.caixun.com/NE/02/7i/NE027i22.shtm