Russia, ex China: Undiagnosed fatal respiratory illness, train passenger dies

[Sally Furniss]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

MOSCOW, April 15. Symptoms of avian influenza in passenger trains Blagoveschensk Moscow, where she died Chinawoman not. All passengers of the car number 2, which was traveling Chinawoman, removed from the train and in the regional infectious diseases hospital. The body of passenger directed the district hospital mortuary in the city Zuevka. The composition, which unhook three cars, moving to Moscow.

According to the ?Rosbalt? the press service of Russian Railways, at the Kirov to deal with the representatives of the sanitary-epidemiological service of car number 2 was ottseplen for disinfection. Passengers (51) and two agents of a hospital to clarify the diagnosis. It was organized relay escort train medical teams.

Then at Sharya been cordoned off two more cars. They are aimed at health standstill. OJSC ?RZD? provides passengers (104 people, and 4 wire) ottseplennyh wagons hot meals and water, enhanced hygiene measures.

As reported by the radio station ?Mayak", the representative of the Government of the Kirov region, Elena Sysolyatina, conductors, passengers and the car number 2 in the Kirov infectious hospital. ?The need for isolation due to the fact that the reason for the sudden death of the girl has not yet been established. She may have died from acute heart failure, and other diseases, said a representative government.

She also stressed that, ?taking into account the difficult epidemiological situation in China, have been taken all measures to avoid possible spread of infection?.

According to her, ?all people living in the isolation hospital, samples for analysis.? Preliminary results will be known tomorrow. A few days later, doctors will be able to draw definitive conclusions.

?Four of the hospitalized people observed a slight increase in body temperature. Take all necessary measures to control the situation. The dangers for the residents of the Kirov region no ?, says Elena Sysolyatina. According to her, the typical symptoms of avian influenza among the passengers there.


According to the press service of Russian Railways, now the rest of the train number 349 followed behind. The goal is that the composition will be included in the schedule and will arrive April 16 at 4:11 PM EDT on Yaroslavl station in Moscow.

OJSC ?RZD? to announce that passengers get on the train, you can call the Single telephone line JSC ?RZD? 8-800-200-67-67. Call from anywhere in Russia free of charge.

http://www.rosbalt.ru/2009/04/15/633876.html

[Giuseppe]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

[WARNING: Google Raw Machine Translation from Russian to English. To see original article, follow this link http://www.vokrugsveta.ru/news/6371/ - EDITED.]

Death in the car
10:40 16.04.2009

According to RBC with reference to information provided by JSC ?Russian Railways?, last night in the train N349, coming from Blagoveshchensk to Moscow, and died a citizen of China's 1985 birth.

The incident occurred in the vicinity of the station Zuevka Kirov region. Because of suspicion of atypical pneumonia, which can cause death, the train was withdrawn 53 people - two conductor, and 51 passenger-Chinese. They were all placed in the infectious hospital Kirov for further diagnosis. The car in which a woman died, was ottseplen for disinfection.

Then at Sharya were ottsepleny and sent to the hospital dead end, two more cars, there were 104 passengers and conductor 4.

The rest of the train to Moscow N349 followed behind.

At the moment the cause of death ... Chinese. According to ?Interfax? Gennady Onishchenko, the Chief Sanitary Doctor of Russia, ?among the passengers and the conductors have been identified with the temperature of people and sick?.

Recall that the first cases of atypical pneumonia (SARS) were reported in February 2003 in Hong Kong. In May of that year there were nearly 7.5 thousand cases of SARS, and the number of deaths close to 600. In the future epidemic spread mainly in Southeast Asia, began to decline. Chinese doctors believe that a dangerous virus is spreading genet (palm marten), which is used in foods as a delicious delicacy.
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[RUSSIAN]

Смерть в вагоне
10:40 16.04.2009

Как сообщает РБК со ссылкой на информацию, предоставленнуют ОАО ?Российские железные дороги?, вчера вечером в поезде N349, следовавшем из Благовещенска в Москву, скончалась гражданка Китая 1985 года рождения. Инцидент произошел в районе станции Зуевка Кировской области. Из-за подозрений на атипичную пневмонию, которая могла стать причиной смерти, с поезда было снято 53 человека ? два проводника и 51 пассажир-китаец. Всех их поместили в инфекционную больницу города Киров для уточнения диагноза. Вагон, в котором скончалась женщина, был отцеплен для дезинфекции.

Затем на станции Шарья были отцеплены и направлены в санитарный тупик еще два вагона, в них находилось 104 пассажира и 4 проводника. Остальные вагоны поезда N349 последовали в Москву с отставанием. В настоящий момент медикивыясняют причину смерти китаянки. Как сообщил ?Интерфаксу? Геннадий Онищенко, главный санитарный врач России, ?среди пассажиров и проводников не выявлено людей с температурой и больных?.

Напомним, что первые случаи атипичной пневмонии (SARS) были зафиксированы в феврале 2003 года в Гонконге. В мае того же года в мире насчитывалось уже около 7,5 тыс. случаев заболевания SARS, а число летальных исходов приблизилось к 600. В дальнейшем эпидемия, распространившаяся в основном в Юго-Восточной Азии, пошла на убыль. Китайские врачи считают, что опасный вирус распространяла виверра (пальмовая куница), которая употребляется в пищу как изысканный деликатес.
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[Giuseppe]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

[WARNING: Google Raw Machine Translation from Russian to English. To see original article, follow this link http://news.bbc.co.uk/hi/russian/rus...00/8001412.stm - EDITED.]


Doctors find out whether Russia got SARS

From Blagoveshchensks train arrived in Moscow, where she died a citizen of China - one of the versions, death can occur from SARS.

Several cars were ottsepleny before arriving in Moscow: the health of more than 150 passengers check the sanitary-epidemiological service.

According to the preliminary diagnosis, 23-year-old citizen of China and died on Wednesday in a train "Samara-Moscow" as a result of pulmonary edema.

According to eyewitnesses, the girl felt ill while boarding the train in Chita.

Doctors promise to announce the exact cause of her death in a 7-10 days, when the results of tests.

At the moment, do not exclude that the Chinese could be a carrier of SARS, or Severe Acute Respiratory Syndrome (SARS, the international name - SARS).

"The autopsy showed the deceased woman that she was sick of atypical pneumonia," - said the agency RIA Novosti doctor a hospital Kirov, where for the disinfection was ottseplen wagon, which was traveling Chinese and other migrant workers from China.

However, in the opinion of the doctor "ambulance", which traveled in connection with the incident at the station, Kirov cause of death among Chinese may be, for example, enterovirus.

To consider other versions.

The communication with the Prosecutor's Office Investigation Committee of Russia stated that, according to a forensic examination, "passenger death was due to acute respiratory viral infection, pulmonary edema and cerebral edema."

Quarantine

In the Kirov 51 passengers and two agents of the wagon, where the Chinese had died, was sent to the city's isolation hospital. Four of the hospitalized passengers recorded a slight increase in temperature.

Two adjacent cars, which had 104 passengers and conductor, four were later ottsepleny at Sharya in the Kirov region, and sent to the medical gridlock.

As reported at the site "Russian Railways", arrived representatives of sanitary and epidemiological services of the region.

The rest of the trains arrived on Thursday at the Yaroslavl station in Moscow at 5:07 am Moscow time.

The train was met doctors and a group of police officers and OMON. According to official figures, there are no complaints about the health of the passengers were not, and they all left the station without hindrance.

SARS

About SARS first learned in 2002-2003, when a serious disease spread in China and then in neighboring Hong Kong and Vietnam.

It is believed that the disease was first observed in November 2002 in the Chinese province of Guangdong, but that it appears the Chinese authorities but did not report the World Health Organization.

Measures to prevent epidemics in other countries were taken late.

Among the symptoms of SARS - fever, dry cough, difficulty or rapid breathing, general intoxication of organism.

However, it is a risk that the disease is unpredictable (eg, malosimptomno) and it is difficult to diagnose in its early timing, pathogens can mutate, making it difficult to treat.

The virus is transmitted primarily by airborne droplets, possibly through contamination of objects used by the patient.

According to the World Health Organization (WHO), during the epidemic in 30 countries worldwide SARS infected 8,000 people, about 10% of them died. One case of SARS was reported in Russia - in the Amur region.

In 2003, WHO declared the end of SARS, after this was recorded only a few cases.
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[RUSSIAN]

Медики выяснят, попала ли в Россию атипичная пневмония
Эпидимиологи в защитных костюмах
Пассажиры вагона, где умерла китаянка, были госпитализированы в инфекционную больницу

Из Благовещенска в Москву прибыл поезд, где скончалась гражданка Китая - по одной из версий, смерть могла наступить от атипичной пневмонии.

Несколько вагонов были отцеплены до прибытия в Москву: состояние здоровья более 150 пассажиров проверяют санитарно-эпидемиологические службы.

По предварительному диагнозу, 23-летняя гражданка КНР скончалась в среду в поезде "Благовещенск-Москва" вследствие отека легких.

По словам очевидцев, девушка чувствовала недомогание при посадке на поезд в Чите.

Врачи обещают огласить точные причины ее смерти через 7-10 дней, когда будут известны результаты анализов.

На данный момент не исключают, что китаянка могла быть носителем атипичной пневмонии, или тяжелого острого респираторного синдрома (ТОРС, международное название - SARS).

"Вскрытие умершей женщины показало, что она была больна атипичной пневмонией", - сказал агентству РИА "Новости" врач одной из больниц Кирова, где для проведения дезинфекции был отцеплен вагон, в котором ехала китаянка и другие трудовые мигранты из КНР.


Смерть пассажирки наступила в результате острой респираторно-вирусной инфекции, отека легких и отека головного мозга
Следственный комитет при прокуратуре России

Однако, по мнению врача "скорой помощи", который выезжал в связи с происшествием на вокзал Кирова, причиной смерти китаянки мог стать, например, энтеровирус. Рассматриваются и другие версии.

В сообщении Следственного комитета при прокуратуре России говорится, что, согласно результатам судебно-медицинского исследования, "смерть пассажирки наступила в результате острой респираторно-вирусной инфекции, отека легких и отека головного мозга".

Карантин

В Кирове 51 пассажира и двух проводников вагона, где умерла китаянка, направили в городскую инфекционную больницу. У четырех из госпитализированных пассажиров зафиксировано небольшое повышение температуры.

Два соседних вагона, где находились 104 пассажира и четыре проводника, были отцеплены позднее на станции Шарья в Кировской области и направлены в санитарный тупик.

Как сообщается на сайте "Российских железных дорог", туда прибыли представители санитарно-эпидемиологических служб региона.

Оставшийся состав поезда прибыл в четверг на Ярославский вокзал в Москву в 5:07 утра по московскому времени.

Поезд встречали медики и группа сотрудников милиции и ОМОНа. По официальным данным, никаких жалоб на здоровье у пассажиров не было, и все они беспрепятственно покинули вокзал.

Атипичная пневмония

Об атипичной пневмонии впервые узнали в 2002-2003 годах, когда это серьезное заболевание распространилась в Китае, а затем в соседних Гонконге и Вьетнаме.

Считается, что заболевание впервые было отмечено в ноябре 2002 года в китайской провинции Гуандун, однако о его появлении китайские власти тогда не сообщили Всемирной организации здравоохранения.

Меры по предотвращению эпидемии в других странах были приняты с запозданием.

Среди симптомов атипичной пневмонии - высокая температура, сухой кашель, затрудненное или учащенное дыхание, общая интоксикация организма.

Однако опасность ее состоит в том, что болезнь протекает непредсказуемо (например, малосимптомно) и ее сложно диагностировать на ранних сроках, а возбудитель заболевания может мутировать, что затрудняет лечение.

Вирус передается в основном воздушно-капельным путем, возможно заражение через предметы, которыми пользовался больной.

По данным Всемирной организации здравоохранения (ВОЗ), за время эпидемии в 30 странах мира атипичной пневмонией заразились 8000 человек, около 10% из них умерли. Один случай ТОРС был зарегистрирован в России - в Амурской области.

В 2003 году ВОЗ объявила об окончании эпидемии атипичной пневмонии, после этого были зафиксированы лишь единичные случаи заболевания.
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[Giuseppe]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

RIA Novosti - Russia - Russian officials say suspected SARS death may have been pneumonia

Russian officials say suspected SARS death may have been pneumonia

10:30 | 16/ 04/ 2009
NIZHNY NOVGOROD, April 16 (RIA Novosti) -

The death of a Chinese woman on a Moscow-bound train could have been the result of her neglecting to treat pneumonia, a spokesman for the Russian sanitary watchdog said on Thursday.


The Chinese woman died on Wednesday while traveling on a train from the Far East Russian city of Blagoveshchensk. She was accompanied by her husband, mother and father, who all had slight temperatures.

"She had been ill since April 11, underwent no treatment and may have died of double pneumonia. It was a neglected disease, we cannot speak of a sudden death here," he said.

Initial reports said the Chinese migrant, 23, could have died from Severe Acute Respiratory Syndrome (SARS), a deadly respiratory disease that can be spread through the air.

The train was stopped at the Zuyevka station in central Russia's Kirov Region, where 52 Chinese passengers and seven Russians were sent to a local hospital.

"All of the people who were delivered yesterday are in the hospital. Their health state is satisfactory," a hospital source said without giving further details.

The carriage in which the woman was travelling was decoupled from the rest of the train, which then continued on its way to the capital. The train arrived in north Moscow's Yaroslavl train terminal early on Thursday with a one-hour delay.

Sanitary cordons have been established in Russia's Far East to prevent the spread of the disease. Security measures have been tightened to control the entry of Chinese citizens into Russia. All the passengers must pass a medical examination before they are allowed to travel.

The first case of SARS was reported in China in November 2002 and some 800 people died of the disease in the following months. In July 2003, the World Health Organization reported that the disease had been contained. The mortality rate for the virus is approximately 4%.
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<cite cite="http://en.rian.ru/russia/20090416/121152184.html">RIA Novosti - Russia - Russian officials say suspected SARS death may have been pneumonia</cite>

[Sally Furniss]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

At the station conducted Cheats disinfections in connection with the death of the Chinese

In connection with the fatal PRC citizens, coming from Chita train number 349 message Blagoveschensk - Moscow, Chita II station on April 16 carried a preventative treatment facilities disinfectant capable of destroying various viruses, including virus SARS, causing SARS. About This News REGNUM correspondent was informed by the press service of Transbaikalian railway.

April 15 to address public health doctors from the train on the route were ottsepleny the first three cars, which followed the People's Republic of China nationals, in connection fatal passenger wagon number 2. Group of Chinese citizens landed on the train number 349 in Chita the night of 12 April. In the capital of Transbaikalia residents of China arrived, presumably on the bus.

http://www.regnum.ru/news/1151739.html

[Giuseppe]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

Hong Kong: CHP seeking details on death of traveller (4/16/2009) [CHP]

In response to media enquiries about a news report on the death of a Chinese woman on board a Moscow-bound train, a spokesman for the Centre for Health Protection (CHP) of the Department of Health today (April 16) said the CHP had contacted the Mainland's Ministry of Health for more information on the case.


The CHP had also approached the Consulate General of the Russian Federation in Hong Kong for case details, the spokesman said.

The public is reminded to remain vigilant and observe good personal hygiene.
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View Original Article

[Gert van der Hoek]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

Google translated:

Chinese on the train &#171;Samara-Moscow&#187; died not from SARS


Published: 16 April 09

A woman was running a case of bilateral pneumonia

According to Rospotrebnadzor of the Kirov region, died yesterday in a train &#171;Samara-Moscow&#187; Chinawoman allegedly died of neglected bilateral pneumonia. Recall yesterday Kirov because of suspicions that she was sick of atypical pneumonia, or enterovirus were cordoned off the wagon in which she died. Later ottsepleny two adjacent cars and sent to the hospital dead end.

More than 50 people, ehavshih in the car in which the CP, hospitalized in a separate department of infectious diseases hospital in Kirov. It is expected that preliminary results will be known on Thursday evening, reports RIA Novosti.

The doctors say that the deceased was sick with the April 11, but not treated. &#171;It was a running event, but of any sudden death in this case, we can not talk&#187;, - told the doctors. Into the death of a citizen of China to train Blagoveschensk-Moscow investigators conducting checks.

http://aif.ru/health/news/33482

[Gert van der Hoek]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

Suspected SARS death on Russian train confirmed as pneumonia

13:29 | 16/ 04/ 2009



NIZHNY NOVGOROD, April 16 (RIA Novosti) - A Chinese woman, who became ill on a Moscow-bound train, died of acute respiratory viral infection (ARVI), not SARS, investigators said on Thursday.

Earlier reports said the 23-year-old Chinese woman could have died of double pneumonia or Severe Acute Respiratory Syndrome (SARS), a respiratory disease that can be spread through the air.

"The autopsy has shown that the death of the Chinese national occurred as a result of acute respiratory viral infection, pulmonary and cerebral edema. Blood samples have been sent to Moscow for analysis," a statement said.

The train travelling from the Far East Russian city of Blagoveshchensk was stopped at Zuyevka station central Russia's Kirov Region, where 52 Chinese passengers and seven Russians were sent to a local hospital.

"All of the people who were taken to hospital yesterday were admitted. Their health is described as satisfactory," a hospital source said without giving further details.

The carriage in which the woman was travelling was decoupled from the rest of the train, which then continued on its way to the capital. The train arrived in north Moscow's Yaroslavl train terminal early on Thursday following a one-hour delay.

The Chinese woman was accompanied by her husband, mother and father, who all had slight temperatures. The relatives said the woman had been ill since April 11 and they thought she had been poisoned.

Sanitary cordons were set up in Russia's Far East to prevent the spread of the suspected disease. Security measures were tightened to control the entry of Chinese citizens entering Russia. All passengers had to pass a medical examination before they were allowed to travel.

http://en.rian.ru/russia/20090416/121157796.html

[HenryN]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

The bilateral pneumonia was caused by an infectious agent, which could have been SARS-CoV (SARS coronavirus) or H5N1.

[HenryN]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

<table border="0" cellpadding="0" cellspacing="0" width="100&#37;"><tbody><tr><td>Chinese woman dies of respiratory infection in train to Moscow

16.04.2009, 11.18


</td><td></td></tr><tr class="news"><td></td><td style="text-align: justify;"> MOSCOW, April 16 (Itar-Tass) - Russia's chief sanitary officer Gennady Onishchenko said the condition of the passengers from the Blagoveshchensk-Moscow train does not cause concern.
"The condition of all those currently staying at an in-patients hospital of the town of Kirov, does not cause any concerns," Onishchenko told the Vesti news channel on Thursday.
The Investigations Committee of the Prosecutor General's Office said a Chinese woman on the train had died of respiratory viral infection.
"A forensic examination ascertained that the death had been caused as a result of acute respiratory viral infection, pulmonary edema and cephaledema," an SKP official said.
On April 15, the body of Chinese citizen Cui Cinian was taken off the train at the Zuyevka railway station, Kirov region.
The regional SKP transport department launched a pre-investigation check.
Russian Railways officials said the passengers who had arrived in Moscow by the Blagoveshchensk-Moscow train have no complaints about health.
"The passengers have been under medical supervision during the entire travel time: doctors took their temperatures and carried out examinations," a company official said, adding that "medics have not found any symptoms of diseases in passengers."
Russian sanitary authorities however ordered to uncouple the first three cars before allowing the train to travel further to Moscow.

http://www.itar-tass.com/eng/level2.html?NewsID=13843848

</td></tr></tbody></table>

[sharon sanders]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

<table id="nav" style="margin-left: 13px; margin-top: 15px;" cellpadding="0" cellspacing="0"><tbody><tr><td align="left" width="520">
</td> <td>2009年4月16日‧星期四</td></tr></tbody></table>

Chinese Embassy in Russia:

the death of the woman has not been diagnosed with SARS 【18:35】

〔〕 Central Information Services, the Chinese embassy in Russia said today China has with the Russian side to establish close ties with relevant departments to understand the Chinese women in a long-distance trains bound for Moscow in the case of death, at present available shows that this cause of her death is not confirmed SARS.

A 24-year-old Chinese woman in the 15 bus from the Russian Blagoveshchensk long-distance trains bound for Moscow, died on the way, accompanied by 51 Chinese workers and two Russian train service personnel, the train stops in Kirov state of the station, were sent to the local infectious disease hospital isolated for observation.

Reported that Kirov state consumer protection and public supervision格鲁辛娜Secretary pointed out that the study remains preliminary autopsy results showed that the woman's cause of death is pneumonia or lung inflammation, did not arrive at the hospital with atypical pneumonia (SARS) diagnostic conclusions.

Russian General Prosecutor's Office said the news of the investigation committee, said forensic results showed that the woman was due to acute respiratory infection caused pulmonary edema and cerebral edema leading to death.

A spokesman for the Commission to detect Malkin said that the deceased was traveling by train on the 2nd and the other two carriages from the train formation has been carried out inspection and quarantine.

格鲁辛娜said that those who are isolated to the body temperature test showed that the normal body temperature of all passengers, feel good. These visitors will continue to be hospitalized for observation for several days until the results of a formal identification.

The Russian Federation, consumer protection and public supervision of the Secretary General of the Russian Federation Onishchenko prevention division said yesterday that the state forensic experts Kirov and epidemiology experts to carry out the forensic identification of dead, blood samples sent to Moscow at the same time test. Results will be the final diagnosis of medical research laboratory in a few days to draw. He also stressed that there is no medical evidence to show the woman's cause of death was SARS.

Onishchenko said, and work colleagues of the deceased husband's parents and was also in the car, they also have a slightly higher temperature phenomena, and temperature rise are many reasons, there may be a long time climate change and the reasons in the compartment .


http://iservice.libertytimes.com.tw/liveNews/news.php?no=202950&type=%E5%8D%B3%E6%99%82%E6%96%B 0%E8%81%9E

[HenryN]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

Since the diagnosis has moved away from SARS, but includes an acute respiratory viral infection (with a temperature in train/family contacts), H5N1 remains a concern (especially since the victim was symptomatic and traveling for 4 days prior to death).

[sharon sanders]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

Since the diagnosis has moved away from SARS, but includes an acute respiratory viral infection (with a temperature in train/family contacts), H5N1 remains a concern (especially since the victim was symptomatic and traveling for 4 days prior to death).

I agree.

[sharon sanders]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

In a report on March 30, 2009, in a magazine called Chinese Hospital, the current system to differentiate between pneumonia, atypical pneumonia, and H5N1 remains problematic.

" Human bird flu outbreak: lack of exposure to primary medical problem, such as old
At 15:56 on March 30, 2000
Source: "Chinese Hospital" magazine Author: Liu Wei Xiu Jinlai "


A new protocol has been initiated where the diagnosis is atypical pneumonia -


"As with many infectious diseases, there is the fear of bird flu virus is still unknown from it. "Atypical pneumonia" after the country set up a public health emergency response system, the frequency of bird flu virus attack, and finally there is the opportunity to let the system from paper directly to accept the reality test. "


However, there is still confusion between public health entities -


"Health Bureau and the CDC, two of infectious disease reporting system at the requirements and have a dislocation between reality, so that the people溆浦县hospital dilemma."

http://www.flutrackers.com/forum/showthread.php?p=216453#post216453

[Giuseppe]

Re: Russia, ex China: Undiagnosed fatal respiratory illness, train passenger (patient in Acute Respiratory Distress Syndrome) (4/15/2009) [RSOE EDIS]

[WARNING: Google Raw Machine Translation from Russian to English. To see original article, follow this link: http://www.rian.ru/incidents/20090416/168321220.html - EDITED.]


Doctors and investigators called the different causes of death in Chinese train

19:21 16/04/2009

MOSCOW, April 16 - RIA Novosti.

Investigatory Committee at the Russian prosecutor's office called ARI death migrant labor from China, ehavshey train Blagoveschensk - Moscow, meanwhile, Rospotrebnadzor not rule out that the girl might die from running bilateral pneumonia.

In connection with the PE reinforced sanitary control at the Russian-Chinese border in the Primorye and Khabarovsk Territory, the same security measures taken and the borders with Kazakhstan People's Republic of China.

Citizen of China, 23-year-old Cui Tsynyan died on April 15, Blagoveshchensk on the train - Moscow.

The car, which, together with the Chinese were going fifty guest from China, was ottseplen in Kirov and sent to quarantine.

Currently, the department of infectious Kirov hospitals are 52 citizens of China, and seven Russians: a guide, translator, and the doctors who examined patients.

Another two cars with 104 migrants left at Sharya the Kostroma region. Now they are in the health impasse with the passengers, who have given antiviral drugs.

They identified two additional cars in order to improve the conditions of their stay.

The basic composition of a nine-passenger wagon morning arrived in Moscow.

An autopsy revealed that the cause of death - ARI

On the diagnosis of ARI said Investigations Committee of the Public Ministry of the Russian Federation, referring to the results of forensic examinations.

"After the forensic examination found that the passenger death was due to acute respiratory viral infection, pulmonary edema and cerebral edema. Selected blood samples and sent for analysis to Moscow", - said at the UPC.

However, until now referred to as the different causes of death of the girl. On Wednesday of the possible versions of it sounded the death of such deadly diseases as SARS and enterovirusnaya infection. On Thursday, new options - purchasing and bilateral pneumonia.

SARS a few years ago has become a real epidemic in 30 countries, the virus infected more than 8,4 thousand people, 900 of whom died. The largest number of victims were recorded in China and Hong Kong.

Enterovirus victims only since the beginning of this year were 42 thousand people of China, 19 people were killed.

In turn, Rospotrebnadzor of the Kirov region does not exclude that the girl might die from running bilateral pneumonia.

"She was sick with the April 11, not treated and died of bilateral pneumonia. It was a running event, but of any sudden death in this case, we can not say," - told the RIA Novosti Rospotrebnadzor representative for the region.

The circumstances of the death of a girl studying and the Embassy of the PRC.

"At the moment, our consular department deals with the case. We are in contact with Russian authorities and together with them to address this issue," - told RIA Novosti on Thursday, the representative of China Embassy in Moscow.

Close the Chinese thought that it was poisoned

Migrant workers boarded a train in Chita.

According to eyewitnesses, is already landing Chinawoman ail. Her parents and husband, who also went to work in Russia, believed that she was poisoned.

Chita station has been disinfected, the station operates normally.

According to information management Zabaikalsky Rospotrebnadzor, a group of citizens of the PRC, comprising 153 people crossed the Sino-Russian border at the check point "Manchuria-Zabaikalsk" April 10.

In Chita they came by bus, on the night of 11 on April 12, sat in three trailed the wagon train Blagoveschensk - Moscow to Chita station station-II.

Federal Migration Service told the press that the migrants were in Russia legally and have on hand all necessary documents.

"They (migrants from China) have passports, visas, immigration cards," - said the representative of the press service of the FMS.

He added that if a decision is made on the undesirability of their stay in Russia, to address this issue will be connected to the migration service.

Health passengers "quarantine" the train in normal

Physicians evaluate the status of all the passengers off the train at Kirov, as satisfactory, no signs of the disease are not available.

Kirovsky Governor Nikita Belykh in his internet blog wrote that asked the local health department, management Rospotrebnadzor, as well as other provincial and federal structure does not renounce the comments in the media that "there was no sense of skryvaemosti information, rumors, speculation, speculation, panic and action. "

"Prisoners" quarantine, detainees in the Kostroma region, to feel normal.

The situation was kept in control specialists Rospotrebnadzor and its leader - the Chief State Sanitary Doctor of Russia Gennady Onishchenko.

Moscow met passengers as usual

Ill-fated train arrived in Moscow to the time delay, after which all the passengers left the station without hindrance.

At the time of arrival of the train on the platform a few police officers on duty in the territory of the station was a group of a half dozen members of OMON, the building of the railway station - bus Hospital Number 2 RZhD.

However, no special measures in relation to the passengers of the train was not accepted.

As reported by RIA Novosti is one of provodnits, after a woman died in a train, was given the command to tighten the regime.

"We were given the command to close all doors between cars, so after it became aware of the death of women, people from the car in the car did not go. But before this, they certainly have that opportunity, we could not deny them this," - provodnitsa said, replying to a question said, to the people of ottseplennyh cars go past on other cars.

Meanwhile, in Yaroslavl all descended from the train passengers visited doctors.

"All 30 passengers off the train at Yaroslavl Blagoveschensk - Moscow, examined and placed under surveillance, they are all healthy at the moment", - told the head of the Rospotrebnadzor of the Yaroslavl region Sergey Melyuk.

He also said that after the death of a citizen of China, the train was organized relay medical assistance, doctors routinely examined the passengers and employees of CFR.

Security measures at the border

After the emergency on the Russian-Chinese border in the Primorye and Khabarovsk Krai tightened sanitary controls on tourists as well as lots of food and industrial goods.

"At points in the seaside area of Russian-Chinese border have established control of the health of citizens of China, including - thermometry and visual inspection of skin in children arriving from the provinces of China. Strengthened veterinary and phyto-sanitary control of meat products, vegetables and fruit, - RIA Novosti reported to the regional management office worker.

In addition, local experts Rospotrebnadzor receive rapid information on the arrival in Russia of citizens from the provinces of China, on disadvantaged enterovirusnoy infection and severe acute respiratory syndrome. It was expected that the peak of the epidemic there will be in May-July.

Sanitary border control with China increases and Kazakhstan.

However, the checkpoint "Zabaikalsk - Manchuria, who drove through the Chinese working in normal mode, no additional tests are not crossing the border, told the RIA Novosti press officers pogranupravleniya Zabaikalsky FSB Russia on the edge and Buryatia.

In addition, tightened sanitary controls at the airport in Novosibirsk. Particular attention will be given to citizens who come from China. However, at the railway station "Novosibirsk-chief" through which the train passed from the deceased Chinese precautions are taken.
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[RUSSIAN]

Врачи и следователи называют разные причины смерти китаянки в поезде

Поезд
Коллаж РИА Новости. Сергей Сергеев
19:21 16/04/2009

МОСКВА, 16 апр - РИА Новости. Следственный комитет при прокуратуре РФ назвал ОРВИ причиной смерти трудовой мигрантки из Китая, ехавшей в поезде Благовещенск - Москва; между тем, Роспотребнадзор не исключает, что девушка могла умереть от запущенной двусторонней пневмонии. В связи с ЧП усилен санитарный контроль на российско-китайской границе в Приморье и Хабаровском крае, такие же меры безопасности предпринял и граничащий с КНР Казахстан.

Гражданка КНР, 23-летняя Цуй Цынянь скончалась 15 апреля в поезде Благовещенск - Москва. Вагон, в котором вместе с китаянкой ехали полсотни гастарбайтеров из КНР, был отцеплен в Кирове и направлен на карантин.

В настоящее время в инфекционном отделении Кировской больницы находятся 52 гражданина Китая, а также семь россиян: проводник, переводчик и врачи, которые осматривали больных.

Еще два вагона с 104 мигрантами остались на станции Шарья Костромской области. Сейчас они находятся в санитарном тупике вместе с пассажирами, которым выдали противовирусные препараты. Людям выделили два дополнительных вагона, чтобы улучшить условиях их пребывания.

Основной состав из девяти пассажирских вагонов утром прибыл в Москву.

Вскрытие показало, что причина смерти - ОРВИ

О диагнозе ОРВИ заявил Следственный комитет при прокуратуре РФ, ссылаясь на результаты судебно-медицинской экспертизы.

"После проведения судебно-медицинского исследования установлено, что смерть пассажирки наступила в результате острой респираторной вирусной инфекции, отека легких и отека головного мозга. Отобраны образцы крови и направлены для анализа в Москву", - говорится в сообщении на сайте СКП.

Однако до сих пор называются разные причины смерти девушки. В среду среди возможных версий ее гибели озвучивались такие смертельно опасные заболевания как атипичная пневмония и энтеровирусная инфекция. В четверг появились новые варианты - ОРВИ и двусторонняя пневмония.

Атипичная пневмония несколько лет назад стала настоящей эпидемией в 30 странах мира, этим вирусом заразились свыше 8,4 тысячи человек, 900 из которых умерли. Наибольшее число жертв было зафиксировано в Китае и Гонконге.

Жертвами энтеровируса только с начала этого года стали 42 тысячи жителей КНР, 19 человек погибли.

В свою очередь, Роспотребнадзор по Кировской области не исключает, что девушка могла умереть от запущенной двусторонней пневмонии.

"Она болела с 11 апреля, не лечилась и умерла от двусторонней пневмонии. Это был очень запущенный случай, но ни о какой скоропостижной смерти мы в данном случае говорить не можем", - сообщил РИА Новости представитель Роспотребнадзора по региону.

Обстоятельства смерти девушки изучает и посольство КНР.

"В настоящий момент наш консульский отдел занимается этим делом. Мы связались с российскими органами и вместе с ними решаем этот вопрос", - сообщил РИА Новости в четверг представитель посольства КНР в Москве.

Близкие китаянки думали, что она отравилась

Трудовые мигранты сели в поезд в Чите.

По свидетельству очевидцев, уже при посадке китаянка чувствовала недомогание. Ее родители и муж, которые также отправились на заработки в Россию, полагали, что она отравилась.

Читинский вокзал был продезинфицирован, станция работает в обычном режиме.

По информации забайкальского управления Роспотребнадзора, группа граждан КНР в составе 153 человек пересекла китайско-российскую границу на пункте пропуска "Маньчжурия-Забайкальск" 10 апреля.

В Читу они добрались на автобусе, в ночь с 11 на 12 апреля сели в три прицепных вагона поезда Благовещенск - Москва на вокзале станции Чита-II.

Федеральная миграционная служба заявила прессе, что трудовые мигранты находились в РФ на законных основаниях и имели на руках все необходимые документы.

"У них (мигрантов из Китая) есть паспорта, визы, миграционные карты", - сказал представитель пресс-службы ФМС.

Он добавил, что в случае, если будет принято решение о нежелательности их пребывания в России, к решению этого вопроса будет подключена миграционная служба.

Здоровье пассажиров "карантинного" поезда в норме

Медики оценивают состояние всех пассажиров, снятых с поезда в Кирове, как удовлетворительное, какие-либо признаки заболевания отсутствуют.

Кировский губернатор Никита Белых в своем интернет-блоге написал, что попросил местный департамент здравоохранения, управление Роспотребнадзора, а также прочие областные и федеральные структуры не отказываться от комментариев в СМИ, чтобы "не было ощущения скрываемости информации, слухов, домыслов, спекуляций, панических настроений и действий".

"Узники" карантина, задержавшиеся в Костромской области, также чувствуют себя нормально.

Ситуацию держат на контроле специалисты Роспотребнадзора и лично его руководитель - главный государственный санитарный врач РФ Геннадий Онищенко.

Москва встретила пассажиров как обычно

Злополучный поезд прибыл в Москву с часовым опозданием, после чего все пассажиры беспрепятственно покинули вокзал.

Во время прибытия поезда на перроне дежурили несколько сотрудников милиции, на территории вокзала находилась группа из полутора десятков сотрудников ОМОНа, у здания вокзала - автобус клинической больницы номер 2 РЖД.

Однако никаких особых мер по отношению к пассажирам поезда принято не было.

Как сообщила РИА Новости одна из проводниц, после того, как в поезде скончалась женщина, была дана команда ужесточить режим.

"Нам была дана команда закрыть все двери между вагонами, поэтому, после того, как стало известно о смерти женщины, люди из вагона в вагон не ходили. Но до этого они, конечно, имели такую возможность, мы не могли им это запретить", - сообщила проводница, отвечая на вопрос РИА Новости, могли ли люди из отцепленных ранее вагонов ходить по другим вагонам.

Между тем, в Ярославле всех сошедших с поезда пассажиров осмотрели врачи.

"Все 30 пассажиров, сошедшие в Ярославле с поезда Благовещенск - Москва, осмотрены и взяты под наблюдение, все они в данный момент здоровы", - рассказал руководитель управления Роспотребнадзора по Ярославской области Сергей Мелюк.

Он также сообщил, что после смерти гражданки Китая в поезде было организовано эстафетное медицинское сопровождение, врачи регулярно осматривали пассажиров и сотрудников РЖД.

Меры безопасности на границе

После ЧП на российско-китайской границе в Приморье и Хабаровском крае усилен санитарный контроль над туристами, а также партиями продуктов питания и промышленных товаров.

"В пунктах пропуска на приморском участке российско-китайской границы налажен контроль по состоянию здоровья граждан КНР, в том числе - термометрия и визуальный осмотр кожных покровов у детей, прибывающих из провинций КНР. Усилен ветеринарный и фитосанитарный контроль мясных продуктов, овощей и фруктов", - сообщил РИА Новости сотрудник краевого управления ведомства.

Кроме того, местные специалисты Роспотребнадзора получают оперативную информацию о прибытии в Россию граждан КНР из провинций, неблагополучных по энтеровирусной инфекции и тяжелого острого респираторного синдрома. Ожидается, что пик эпидемии там придется на май-июль.

Санитарный контроль на границе с Китаем усиливает и Казахстан.

Между тем, пункт пропуска "Забайкальск - Маньчжурия", через который заехала китаянка, работает в обычном режиме, никаких дополнительных проверок пересекающие границу не проходят, сообщил РИА Новости сотрудник пресс-службы погрануправления ФСБ РФ по Забайкальскому краю и Бурятии.

Кроме того, санитарный контроль ужесточен в аэропорту Новосибирска. Особое внимание будет уделяться гражданам, прибывающим из КНР. Однако на вокзале "Новосибирск-главный", через который проходил поезд с погибшей китаянкой, меры предосторожности не принимались.
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