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**Treyfish** · December 4, 2009, 06:04 AM

Re: China reported 200 A/H1N1 Deaths, 92,904 total infections

China's 31 provinces had reported 200 cases of deaths in a stream at 5:50 p.m. on December 4, 2009

BEIJING, December 4, according to the Ministry of Health Web site Xinhua news As of November 30, China's 31 provinces had reported cases of Influenza A H1N1 flu in 92,904 cases, 73,091 cases had been cured, 200 cases of deaths.

As of November 30, China's 31 provinces had reported cases of Influenza A H1N1 confirmed 92,904 cases of influenza, including the territory of 90.72 thousand cases, 2184 cases from abroad; 73,091 cases have been cured, 7253 cases in the hospital for treatment, home treatment of 12.36 thousand cases, 200 deaths cases.

Among them, 1 to 30 November, 31 provinces reported new cases of Influenza A H1N1 flu in 46,213 cases, of which 46,162 cases of infection in the territory, 51 cases from abroad; home treatment of 33,019 cases, 13,018 cases of hospitalization; killed 194 people.

National Influenza sentinel surveillance results show that in November, the hospital reported a total of 697,311 cases of influenza-like cases, in October compared with an increase of 35.1%, higher than the national influenza pandemic intensity average over the same period the previous two years; influenza cases accounted for the proportion of influenza-like cases 52.8%, than 10 rose by 14.5%; Influenza A H1N1 influenza cases in the proportion of influenza cases are accounted for 89.3%, compared with October up 12.4%.

It is reported that in November the epidemic in Mainland China was the following characteristics:

To further expand the scope of the epidemic spread. Reported confirmed cases of the counties (cities, districts) increase in the number 510 to report deaths in the province increased to 21.

Influenza A H1N1 influenza accounted for the proportion of influenza cases continued to rise. Laboratory monitoring results show that the northern region by the end of October from 80% to the end of November for 87% of the southern region from 85% to 93%.

The number of cases of severe and death increased significantly. Data analysis suggested that patients with chronic underlying diseases, obesity and pregnancy is the occurrence of severe and death risk factors. Deaths were the main complications of pneumonia, respiratory failure and respiratory distress syndrome, heart failure and septic shock.

Two medical institutions in the country for more than the total number of outpatient and emergency department, the new increasing trend in the total number of admissions. Nearly three weeks sentinel hospital doors (emergency) patient monitoring data show that the majority of provinces in the southern region was the number of influenza-like illness continued to rise, but the majority of provinces in the north continued to decline from the beginning.

Viral gene sequencing found no significant variation. In November, the network laboratories a total of 41 influenza A H1N1 influenza viruses were isolated and sequenced showed the virus is prevalent and the vaccine strains are still a high degree of homology, antigenicity found no change, also does not appear to enhance virulence.

http://www.chinanews.com.cn/jk/jk-ys.../2001460.shtml

**Treyfish** · December 5, 2009, 02:34 PM

Re: China reported 270 A/H1N1 Deaths, 97,519 total confirmed infections

from a t.v. interview

Zhong Nanshan said he inoculated his family no abnormal response to a flow of vaccine
2009 /12 /05

 CCTV's "Focus Interview" December 5, 2009 broadcast, "A flow of new features of the epidemic," Record the following for the show.

。

Moderator Jing Yidan: Hello, dear viewers, you are welcome to watch "Focus."

Yesterday, the Ministry of Health in November the National Influenza H1N1 influenza prevention and control of work issued a circular, which summarized the Mainland of China, several major features of the epidemic, that is: to further expand the scope of the epidemic spread, a stream account for the proportion of influenza cases continued to rise, severe and death, the number of cases increased significantly.
A flow for these new features of the epidemic, the current prevention and control of the situation do? The next step will evolve, this reporter visited the first line of prevention and control of a stream.

HUANG Jie Reporter:
I am now where this location is in Beijing Ditan Hospital, here is a current ward areas where critically ill patients. At present, the Temple of Earth hospital A total of 21 patients with severe flow, we now go together to see how the current state of their kind.

Chen Zhihai Beijing Ditan Hospital Infection 2 Division Director:
Sense or not to hold your breath, right?
Patients: Do not hold your breath.
Chen Zhihai:

。

Do not hold your breath, and breathing can be.
Patients: Yes.
Chen Zhihai: Cough it?
Patients: There is also a little bit of a serious cough.
Chen Zhihai: With sputum do?
Patients:
Chen Zhihai: Is coughing up blood are all do, or should I say it with a bloodshot?
Patients: With bloodshot.
Doctor: As it possible to breathe with it.
Chen Zhihai: This is a non-invasive ventilator.
Reporter: This is the role it plays?
Chen Zhihai:

。

Assist in his breathing, because he came here that patients with fever, pneumonia lungs are large, and then type Ⅰ respiratory failure, so we picked up were treated with a non-invasive ventilator.
Reporter: Like how you feel?
Patients: I am here to live the ninth day, it should be much better, there is no big problem, because there came a time when pulmonary infection, lung infection is still doing the treatment.
Reporter: You were the beginning of high fever, do you think, also made sure that the original had burned the original, what a difference?
Patients: Come quite in fast, and quite uncomfortable, the temperature rise much faster. Then a long time, how to tell it, in my between the hospital and also spent a lot of medicine is not OK, the hospital until after the body temperature down.
Reporter: In fact we think of severe Jiugen is terrible, can not think so, is this concept?

：

Chen Zhihai: This is the case, in which critical care patients, there has been any type Ⅰ respiratory failure, need to use non-invasive mechanical ventilation, or invasive ventilator support for people inside, most patients were able to successfully recover only the individual patients will eventually be lead to death.
Reporter: This 21 A stream there are 17 critically ill patients is now living in the side of the room inside, there are four living in the door side of the SU?

？

Wards them. The hospital, this is most of the patients condition is improving, it is estimated about ten days time they will be able soon discharged.

Commentary: Although the vast majority of critically ill patients A stream can be cured, but no doubt the most recent past, a flow of the epidemic, and is not optimistic. According to Ministry of Health, the latest data, as of December 3, the country's 31 provinces, municipalities and autonomous regions had reported confirmed cases of Influenza A H1N1 influenza 97,519 cases. 270 cases of death, the number of severe cases in various places has increased significantly.

Zhong Nanshan, China Academy of Engineering Respiratory Specialist:
This increase is the increase in absolute numbers, as the case-fatality rate, or severe accounted for a total flow of A proportion of patients, there is no marked increase. The increase in the number of patients, there is a certain proportion severe increase, as well as an increase in critically ill patients, as well as an increase in death, I think this is in line with the law.

Commentary:
In addition to the number of cases of severe and death, a significant increase in influenza A H1N1 influenza accounted for the percentage of influenza cases continued to rise. Laboratory monitoring results show that the northern region by the end of October from 80% to the end of November to 87%. The southern region rose 93% from 85%. A flow for the epidemic of these new features at this stage of the rescue work also will be a series of adjustments.

Zhong Nanshan:
First and foremost, is to avoid or prevent these patients into the intensive focus on the crowd gathered in the crowd, or pregnant women, as well as underlying diseases, especially heart of these people with lung disease, early detection of influenza-like symptoms, early medication, like Tamiflu , such as Relenza, and we found that in general within 48 hours, especially in the use of 24 hours after he entered the intensive can be greatly reduced.
Second, is really critical such as the need intubation, artificial ventilation, dialysis or even to do so, then this set should be concentrated in the conditional large hospitals, do not delay.

Commentary:
A stream face of the emergence of new epidemic characteristics of a flow of vaccine inoculation is the most direct and most effective means of prevention.

Nurse: Is there a fever too?
Patients:

。

No.
Nurse: Do not do intense activities, observe the half an hour longer rely on low.
LIU Wei-wei, Xicheng District, Beijing Desheng Community Health Center physician:
Inoculation point of our people have been vaccinated Qiba Qian, and up to now, there is no response to exposure to relatively heavy.

Zhe-Ping Chu, Xicheng District, Beijing Desheng Community Health Center Branch, deputy director of preventive health care:
We (off) a contraindication to have relatively more stringent, our current vaccination rate was only 40%.

Commentary:

With some areas of China are gradually entering a period of high flows, the public awareness of vaccination also gradually increased. According to Ministry of Health, the latest data, as of December 3, the National total of 50.7 million people sign copies of the vaccine, accumulated 30 million people vaccinated.
Zhong Nanshan: This is extraordinary figures, China has accepted a stream vaccination close to the (world) and one third is a very large number.

Commentary: But in the interview we also found that many people actually Otherwise Yaoda vaccine is still very hesitant, and many medical personnel were inoculated point that many people will call consult a variety of problems, but ultimately did not come vaccinated.
Members of the public:

。

Should also have some concerns about bar.
Members of the public:
I think there is any disease, kinds of what use is it.

Commentary:
WHO, November 19, said the world more than 65 million persons have been vaccinated. Although there are 41 people were killed, but the survey found that their cause of death had no direct contact with the vaccination. As at November 30, the Ministry of Health data show that the country injected with a flow of people in the vaccine, there are suspected vaccination 2867 cases of abnormal response to an incidence of approximately 11.44 per hundred thousand

Zhong Nanshan: Comparison of heavy side effects, such as the emergence of some serious side effects, dizziness, blood pressure, and so these words, also one hundred thousandth of this with the normal seasonal influenza vaccine is basically the same.

Commentary:
Then a flow of vaccines in medicine, its safety究竟怎么样it? Experts explained that the process for manufacturing influenza vaccine is already used four or five decades, the flu vaccine have been vaccinated hundreds of millions of people, production processes have been very mature, but because the flu virus changes every year, so the use of which strains will be subsequent transformation.
LIANG Wan-nian Ministry of Health, Office of Health Emergency Response:
We Influenza A H1N1 influenza vaccine production, and traditional seasonal influenza vaccine is produced using the same process, our production standards and the international drug registration is the same, the World Health Organization has also declared that influenza A H1N1 influenza vaccine is safe and , and we can say with certainty that China's Influenza H1N1 influenza vaccine is safe.

Commentary:
According to experts, is the coldest month is coming soon, the epidemic spread of a stream will follow to reach a new peak, in addition to personal hygiene, vaccination is the establishment of effective immune barrier to protect healthy people the most effective measure
.
Zhong Nanshan:
Vaccinated so much, basically to be proven, I will accept a flow of vaccines produced by Zhejiang, hit after hit and my family do not have any problems, I think there should be positive to accept a stream of vaccination for us to prevent future peak of paramount importance.

：

Moderator Jing Yidan: A current outbreak of future trends will be developed?
The circular said the Ministry of Health, expert analysis, influenza A H1N1 influenza virus emerged during the year of independent mutations are less likely to enhance China's recent epidemic will remain at relatively high levels of morbidity in some areas will gradually enter the high-fat period, some areas may be outbreak occurs, the epidemic will further spread from urban to rural areas, schools, especially primary schools, is the current focus of prevention and control work place, students, pregnant women, the foundation is still the current focus of disease prevention and control of the crowd.

As the epidemic continues to develop, severe, and deaths would be significantly increased, while preventing a flow of the epidemic is still the most effective means of a flow of vaccine inoculation.

In addition, flow easily become a severe and critical high-risk patients such as those with chronic diseases, obesity, pregnant women, infants and young children and the elderly, etc., should be reduced to the activities of crowded places and avoid contact with flu patients.

。

Well, thank you for watching today's "Focus Interview" Good-bye.

http://translate.googleusercontent.c...fKPUK-7NSv6jdQ

**Treyfish** · December 6, 2009, 06:21 AM

Re: China reported 270 A/H1N1 Deaths, 97,519 total confirmed infections

As of December 3, China has reported a total territory of 9.7 thousand cases of confirmed cases have been cured of 7.8 thousand cases, 270 cases of deaths.

专家分析指出，应对甲型Ｈ１Ｎ１流感的战斗，还需持续一段时间。

http://translate.googleusercontent.c...d3SsO_VSUO2xFQ

**Roehl_JC** · December 6, 2009, 07:45 PM

Re: China reported 270 A/H1N1 Deaths, 97,519 total confirmed infections

A 50-year-old woman died of H1N1 swine flu yesterday, Shanghai's second death from the virus after a man, 60, died early Friday morning.

The woman was diagnosed as a serious case of swine flu on November 27 and transferred to Shanghai Public Health Clinical Center, a designated hospital for treatment.

She died of swine flu complicated by serious pneumonia yesterday morning after hours of emergency treatment.

The Shanghai Health Bureau reported yesterday the city has detected 2,202 cases of swine flu since the first case was found in May.

There have been 45 serious cases, including the two deaths. At least six people made seriously ill by swine flu virus have recovered.

The bureau said the incidence of swine flu is generally stable in the city without outbreak in schools or communities.

http://english.eastday.com/e/091207/u1a4860827.html

**Gert van der Hoek** · December 9, 2009, 06:37 AM

Re: China reported 326 A/H1N1 Deaths

13.7% of China's A/H1N1 flu deaths were pregnant women: ministry

www.chinaview.cn 2009-12-09

BEIJING, Dec. 9 (Xinhua) -- About 13.7 percent of the deaths from the A/H1N1 influenza in the Chinese mainland were pregnant women, the Ministry of Health announced Wednesday, correcting an earlier figure of eight percent given by a medical expert.

Zhong Nanshan, a medical expert in south China's Guangdong Province, was quoted as saying Wednesday that eight percent of the deaths in mainland were pregnant women. Zhong first gave an overwhelming figure of 80 percent, but later corrected himself.

A notice on the ministry's website said that among the dead patients, 47 percent suffered from chronic diseases and 18 percent were obese.

Of the 326 death reported so far, the male gender accounted for 58 percent, the notice said.

Deaths from the flu had been rising faster as a large part of China experienced wintry weather.

The mainland reported 125 deaths in the week from Nov. 30 to Dec. 6, nearly 65 percent of the 194 deaths in whole November.

Almost 10,000 new cases had been confirmed in the week, making the total to more than 100,000, according to the ministry. As of Wednesday, 31.61 million people had been vaccinated.

感谢您的浏览！ - 新华网

http://news.xinhuanet.com/english/2009-12/09/content_12618854.htm

thanks to Corn

**Treyfish** · December 9, 2009, 06:51 AM

Re: China reported 326 A/H1N1 Deaths

H1N1 death toll now 325 on Chinese mainland

By Zhao Chunzhe (chinadaily.com.cn)
Updated: 2009-12-09 16:54

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The number of people who have died from A/H1N1 influenza on the Chinese mainland has risen to 325 with 125 in the last week alone, China's Ministry of Health announced Wednesday, chinanews.com.cn reported.

The number of confirmed A/H1N1 cases in one week is now 9,737 with 3,225 requiring treatment in hospital, figures released for the week November 30 to December 6 reveal.
A/H1N1 influenza cases made up 90.3 percent of total flu cases, a 0.7 percent drop compared to the previous week.
So far the total number of reported cases is 102,641

http://www.chinadaily.com.cn/china/2...nt_9150242.htm