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China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

machine translation

Guangzhou, the current avian flu virus experts have warned that not too close to raw poultry
In 2012 - 06 - 05 at 9:21


Guangdong Province and Guangzhou City diseases prevention and control centers according to the notification of the epidemiological investigation, collected on the sick children visited the market in Guangzhou poultry employees and external

environmental samples for testing, the results show: South Park Market sampling live poultry sale market the bird flu virus contamination.

However, the provinces and cities in the risk assessment of the Expert Group believe that this case children and source of infection is still difficult to determine, the event is assessed to be "isolated cases", the bird flu virus in the community outbreaks and epidemic potential is very low.

According to the Guangdong Provincial Health Department informed the lifting of medical observation as of last night, the spike 23 in close contact with young boys. The province not currently found in the case report of human avian influenza and pneumonia of unknown causes.

The virus has not happened genetic variation

Further examination made ​​by the Southern Metropolis Daily reported, the Hong Kong Centre for Health Protection Public Health Laboratory Service to train a boy's nasopharyngeal aspirate specimen of influenza virus gene mutation results show that did not happen. To date, all viral genes have been sequenced from birds, there is no evidence the virus to antiviral drugs Oswald oseltamivir (Tamiflu) to the emergence of resistance.

With the boy's contacts, the CHP so far, more than 80 had contact with persons under medical surveillance. The boys' parents and five had contact with patients and there have been symptoms of respiratory tract infection corpse of their nasopharyngeal secretion samples were negative for influenza A (H 5), not the bird flu.

Province found no case reports of human bird flu

Last night, the Guangdong Provincial Health Department informed the evening of June 1, the Provincial Health Department received notification, the diagnosis of influenza in Hong Kong, the Guangdong Provincial Health Department according to the Hong Kong health department notified on June 2 (H-5) flu cases information immediately organized a provincial, municipal, district disease control departments to carry out epidemiological investigations, in close contact tracing work.

Close contact with the boy that there were 26 people, including the boy's parents and the families of three people and 23 health care workers in Guangzhou. Provincial Health Department said that as of yesterday, 23 in Guangzhou in close contact with the medical staff were not the fever and other flu-like symptoms, all the lifting of medical observation; province found no case report of human avian influenza and pneumonia of unknown causes. Living to Haizhu District of Guangzhou City in the case of Guangzhou launched emergency monitoring, strengthening the monitoring of fever and cases of influenza-like symptoms and found no anomalies. It is understood that three other close contacts, including his parents and grandfather. At present, parents in Hong Kong, my grandfather in Anhui.

South Park Market existence of the bird flu virus contamination[/B]

Guangdong Province and Guangzhou Center for Disease Control According to the notification of the epidemiological investigation, visited sick children in Guangzhou market acquisition poultry practitioners and outside environmental samples for testing, results showed that: poultry practitioners throat swab samples influenza virus RNA were negative, was not found infected with avian influenza virus; children visited the market and neighborhood markets, poultry cages, chopping boards and other markets outside environmental smear swab samples in the detection of influenza A virus (H 5 type) 5 copies of nucleic acid, H-9 type 1 were positive.

Provinces and cities in the risk assessment of the Expert Group believes that the detection of influenza virus in the poultry market, environmental samples (H-5-type) nucleic acid prompted the existence of influenza virus type (H 5) pollution in the sale of live poultry markets. But in this case children and source of infection is still difficult to determine. The experts believe that the event is assessed as "isolated cases" avian influenza virus outbreaks in the community and popular low probability of.

Yesterday, He Jianfeng, director, chief expert of the Guangdong CDC, infectious diseases prevention and control of explanation, the existence of influenza A virus (H-type) the sale of pollution, that is, the sampling of South Park, downtown living poultry in live poultry selling market market cages, chopping boards, bird flu virus contamination. Sampling of the sample was 47 samples, 42 of which were negative. As for poultry cages of chickens and ducks is a sampling from the agricultural sector. So now the most crucial for the market is disinfected. The night before the market has taken measures to do the disinfection and cleaning. For the handling of contaminated live poultry from the agricultural sector. Influenza virus H is a kind of avian influenza and low pathogenic avian influenza virus.

Jianfeng explained, is one not easily infected with avian influenza virus. Human infection with avian influenza virus is rare and disseminated.

Measures: South Park, markets a comprehensive clean-the Panyu market closure disinfection

Southern News reporter, correspondent Dan Jingying Sharon Liu Jun, Wu Guangyu Xu Lin incidence boy had been to stay in Guangzhou Haizhu District, South Park, Market exposure to poultry. Guangzhou City, the farmers market were thoroughly disinfected poultry wholesale market in the city to strengthen monitoring, traceability work in progress, there is no outbreak was detected.

In addition, affected by the avian flu, yesterday began a large poultry wholesale market Xie Village of Panyu District, three-bird market closure disinfection, when re-opening temporarily unknown.

The agricultural sector: the city to strengthen monitoring of prevention and control

It is reported that the event reported, in order to prevent the occurrence of highly pathogenic avian influenza and other major animal diseases, Guangzhou City, the agricultural sector first sent an official veterinarian, the children have been to market and other relevant regional epidemiological investigations. Municipal Bureau of Agriculture issued an emergency notice and the full deployment of the prevention and control requirements within the city to further strengthen the prevention and control measures to ensure that the compulsory vaccination of avian influenza density and quality of immune.

The day before yesterday, the poultry sampling began, the "traceability" (check the farmers market purchase channels), work in progress. Yesterday, according to the Guangzhou City CDC test results, assessed by the disease control experts, to ensure meat safety, lower and the risk of avian influenza infection in poultry, 7-8, Haizhu District Center for Disease Control herds poultry related farmers' markets one hour of clean-up and sound processing, the market will be fully cleaned and disinfected.

As of 20:00 yesterday, the Guangzhou Municipal Bureau of Agriculture has not yet received the abnormal poultry deaths and outbreaks have been reported, the city found no bird flu epidemic.

Panyu Xie village bird markets closed for disinfection

Began yesterday morning, grateful to the village market for two three birds District wholesale market throughout the day closed, the closure of disinfection. Although the market square to hang out notices, disinfection is routinely carried out, but many market stall owners with respect to, disinfection related to the recent avian flu incident.

Xie village market contains three birds District and vegetable area, At 8 pm, reporters saw in the market entrance, the junction leading to the three birds area all closed to prohibit vehicles from entering, there the Maoming license plate of large trucks are the stalls of chicken Ap transport to go. Big truck driver said, I heard that the recent market not to sell poultry, only chickens and ducks dragged back.

Vegetable stall, the usual market every month two disinfection, but it is generally in the middle, this advance, certainly with the bird flu incident. It is said that the disinfection at least will continue on the 3rd, many stall owners are not optimistic about the three birds District when the resumption of trading.

The stall owners worried that the market will be permanently closed, Panyu district government responded by saying, Xie village birds wholesale market is not permanently closed, yesterday was a routine disinfection of the outbreak is subject to the provincial CDC released.

Remind

Experts suggest that people pay attention to daily hygiene, good preventive measures of human avian influenza disease. Go to markets, for example, try not too close to raw poultry; poultry fully cooked edible; to wash their hands after handling poultry food; processing is best to wear the mask, apron and other protective measures.

Zhttp://finance.ifeng.com/stock/roll/20120605/6563461.shtml
 
Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

[Source: World Health Organization, full page: (LINK). Edited.]

Avian influenza - situation in China, Hong Kong Special Administrative Region (Hong Kong, SAR) - update



5 June 2012


The Centre for Health Protection of the Department of Health, Hong Kong, China, has reported a human case of avian influenza A(H5N1) virus infection.‪

The case is a 2 year-old male from Guangzhou City, Guangdong province.

He developed symptoms on 23 May 2012 in Guangdong province and went to a private clinic in Hong Kong, China, on 26 May 2012.

He developed febrile convulsion and was transferred to a hospital on 28 May 2012 and was laboratory confirmed as A(H5N1) on 2 June 2012. His condition remains serious and he remains hospitalized.

The mother brought the case to visit a wet market with live poultry in Guangzhou in mid-May 2012 and a live duck was bought and slaughtered in the market.

Close contacts of the case have tested negative for the virus.‪
Evidence so far indicates that this is a sporadic case of human infection with A(H5N1) virus, with no secondary spread or clustering.
So far, a total of 22 human cases of influenza A(H5N1) infection were reported in Hong Kong, China, including 18 cases in 1997, two cases in 2003, one case in 2010, and the current case in 2012.

- -------
 
Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

<TABLE style="MARGIN: auto" border=0 cellSpacing=0 cellPadding=0 width=620 align=center><TBODY><TR><TD align=center>Plagued Hong Kong children in serious condition hydrocephalus to reduce

<HR align=center color=#e1e2e3 SIZE=1 width="96%" height="1"></TD></TR><TR><TD><TABLE border=0 cellSpacing=0 cellPadding=0 width="100%"><TBODY><TR><TD width="70%" align=center>
[2012-06-05]
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[WH (Reuters) - integrated media sources, the Hong Kong Food and Health Secretary York Chow said the two-year-old boy infected with the avian flu situation remains serious, but hydrocephalus has been reduced.

Stained avian influenza boy is single cases of contact infection
。​
The genetic test results show that any genetic variation, the virus is generally spread in birds, will not be transmitted to people.Dozens of people had contact with young boys, including his parents, did not experience a virus, that single case will continue to communicate with the mainland.
。​
Dr Chow said the boy disease before the onset of the 2nd, who with his mother to the Guangzhou market to buy live ducks is very likely infected in the market, but he also visited one week before the disease Anhui, do not rule out other infections may.Dr Chow also said that Local 20 dead wild birds this year than the past two years, including waterfowl at higher risk. He added that this year's peak season for influenza is still 4-5 weeks, and urged the public to observe good personal and environmental hygiene.:tiphat: http://translate.googleusercontent.com/translate_c?hl=en&ie=UTF8&prev=_t&rurl=translate.google.com&sl=zh-CN&tl=en&twu=1&u=http://news.wenweipo.com/2012/06/05/IN1206050061.htm&usg=ALkJrhhK5XCUIwa2S8OW9YW40NsrVk0SEg
</TD></TR></TBODY></TABLE>
 
Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

Guangzhou market duck samples were found with the avian influenza virus

06.06.2012 00:36

Guangdong Provincial Department of Agriculture announced late at night, the two-year-old boy diagnosed with the H5N1 avian influenza infection in Hong Kong, he went to Guangzhou, Haizhu District, Jiangnan East market, a duck samples were positive for H5 avian influenza virus may be infected with avian flu virus. Boy continued hospitalized in Princess Margaret Hospital, the situation remains serious, Dr York Chow, Secretary for Food and Health Bureau, said the boy with hydrocephalus have been reduced, that the genetic test results show that the virus is no genetic variation, it is generally spread in birds will not pass. While dozens of people had contact with young boys, including his parents, there is no experience to the virus, that single cases, will continue to communicate with the mainland. He said the boy was sick two days before the incident, who with his mother to the Guangzhou market to buy live ducks is very likely infected in the markets.:tiphat:

http://www.881903.com/Page/ZH-TW/newsdetail.aspx?ItemId=518802&csid=261_341
 
Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

Brain worries ease for tot with bird flu

<!-- The condition of a two-year-old boy who is seriously ill with bird flu and water on the brain has improved slightly.

//-->Wednesday, June 06, 2012

The condition of a two-year-old boy who is seriously ill with bird flu and water on the brain has improved slightly.


The SAR-born boy, who resides in Guangzhou with his Hong Kong father and mainland mother, remains in a serious condition in the pediatric intensive care unit at Princess Margaret Hospital. But the pressure from his brain condition - obstructive hydrocephalus - has eased.
University of Hong Kong School of Public Health virology professor Malik Peiris has told The Standard that hydrocephalus is an "atypical" presentation of H5N1 infection. Patients with bird flu usually exhibit cough and fever.

H5N1 was not suspected when the boy was first admitted for five days at a general pediatric ward at Caritas Medical Centre. When diagnosed with H5N1, he was then transferred to Princess Margaret isolated and put on a regime of the antiviral drug Tamiflu.

Health minister York Chow Yat- ngok said although the boy may have been infected during a trip to a Guangzhou wet market with his mother between May 17 and 19, it cannot be ruled out that the source of infection was in Anhui. But since the parents and other contacts have tested negative, Chow believes it to be an isolated case.:tiphat:

http://tinyurl.com/7pe3plf
 
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Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

it cannot be ruled out that the source of infection was in Anhui.

Please also see:

China - Bird flu vaccine shares recommended as short term investment for "incidence" of bird flu in poultry in Anhui, Jiangsu and Hunan provinces April 9

China - Hefei officials to sample weekly live poultry markets to prevent H5N1 from entering food chain - Anhui province March 7
 
Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

Hong Kong H5N1 avian influenza boy went to the Guangzhou
2012 06 month 05 Day 21:53

Xinhua Hong Kong, June 5 (Reporter Huang Jie) Hong Kong SAR Government Food and Health York Chow said the two-year-old boy infected with the H5N1 avian flu, two days before the onset of the mother to the markets of Guangzhou and standing about one meter distance the ducks believe this is a more important factor in his pathogenic.

Dr Chow also pointed out that the boy was seven days before the onset of the disease, had traveled to Anhui and other places, and therefore can not completely rule out the possibility he may be infected with the virus in other places.

Virus testing, Dr Chow said the boy body of the bird flu virus, the virus detected in the carcasses of dead birds this year completely consistent with the major bird flu virus in southern China, reflecting no genetic variation.

That the children had with their families living in Guangzhou, May 23 at the local onset of a fever and runny nose, and then to Hong Kong for medical treatment and was diagnosed with the H5N1 avian influenza cases.:tiphat:http://news.sina.com.cn/c/2012-06-05/215324540947.shtml
 
Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

Guangzhou bird markets kill a chicken halfway

Two-year-old boy infected with avian influenza last Saturday, less brain edema surgery yesterday in serious condition, but the source of the virus Rengshi Mi!
。​


Guangdong Province Center for Disease Control announced yesterday, 7 40 environmental samples taken in the markets visited by the boy and the neighborhood, six were positive for avian flu virus.
。​


Reporters yesterday to Guangzhou, Interrupted, noted that the local health quarantine departments to the market culling of chickens was chicken traders to protest, but nothing, the Hong Kong Centre for Food Safety reiterated that it will only strengthen the monitoring.
。​

Infectious disease experts have warned that poultry vaccines and viruses do not match, the limited power of the chickens protection, coupled with the crowded market environment, the virus more easily transmitted from chickens, ducks between opportunistic raid human.
<!--//browseHistoryList-->Guangdong CDC boy to market their homes near the market, including the extraction cages, chopping boards, etc. 40 7 environmental samples tested, were positive for avian flu virus detected in six samples, five case of H5, a case of H9 type, but the poultry practitioners throat swab sample was negative for influenza virus, and no person has been infected.
。​

Center director Jianfeng that the poultry market by the bird flu virus contamination but it is difficult to determine the source of the outbreak of the virus in the community and popular possibility is very low.


Our reporter yesterday to the suspected source of infection is near the Guangzhou Haizhu District, Jiangnan East markets, chicken vendors in the health and quarantine departments in Guangdong Province on Monday morning to the market to the culling of chickens and epidemic prevention, but killing thirty chickens, poultry traders protest without compensation, without notice after the halfway cut.
。​
Chicken stalls in the market yesterday to continue the business, but business is deserted, fell five percent higher than usual. The stall owners, Market Health is the ideal, the virus passed in from the periphery of unlicensed chicken stalls.
<TABLE class=photoLayout><TBODY><TR><TD></TD><TD></TD></TR></TBODY></TABLE>Ho Pak-leung: A vaccine with the virus


。​
For boys the source of infection in Guangzhou Market for Food and Health Secretary York Chow yesterday refers to the great cause of the boy disease before the onset of the 2nd, had told the mother to the markets of Guangzhou near their homes to buy ducks from the ducks about one meter, and stay for a long period of time. He believes that no other contacts of the infected, which is a single case, no successor risk.
<TABLE class=photoLayout><TBODY><TR><TD></TD><TD></TD></TR></TBODY></TABLE>The University of Hong Kong infection by the Director of the Centre for Infectious Diseases, Ho Pak-leung, refers the detection of avian influenza virus in the market environment, to further laboratory virus is a new species 2.3.2.1, in order to determine whether the markets are affected by the invasion of new varieties.


He believes that avian influenza viruses do not fit with the existing chickens in the vaccine, even if the vaccination is to protect the force is also limited, sporadic chickens infected, the Mainland market is overcrowded, health is not ideal to make the virus more chickens, ducks between the spread of virus penetration, waiting for an opportunity to raid human. If the vaccine has not replaced, the new virus may continue to spread in chickens from the Mainland, do not rule out local farms and markets also were caught.

:tiphat: pics at the link http://tinyurl.com/cbyxl3u
 
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Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

Experts worry about the restructuring of influenza and avian influenza

Express News reporter Chen Yang Cao Hongmei reported that the recent Hong Kong influenza raging Express Reporter learned yesterday from the Guangdong Provincial CDC influenza in Guangdong at the peak epidemic period, and influenza accounted for Jiucheng.:magnify:

The experts fear that the seasonal flu with avian influenza restructuring so that it can spread from person to person, this will focus on monitoring. Mystery for the Hong Kong children infected with avian influenza event, the Express reporter interviewed yesterday, Guangdong Province Center for Disease Control chief expert, infectious disease prevention and control, He Jianfeng, director, and he said the boy why is still a mystery infection in June.

Express reporter was informed, Guangzhou City set three hospitals in Haizhu District --- Second Affiliated Hospital of Guangzhou Medical College, Haizhu District People's Hospital, Gangnam Community Health Service Center for monitoring hospitals to strengthen the fever and flu-like symptoms cases the monitoring and search suspicious cases that take the initiative to the Haizhu District, Guangzhou Center for Disease Control report.

Jianfeng introduced, Guangzhou City CDC test results prompted the sick boy was most likely infected with avian influenza virus from the external environment of the Jiangnan East market. It is reported that Guangdong had confirmed cases of bird flu, the only one outside environment has detected cases of avian influenza virus.

Jianfeng also said that avian influenza is mainly spread between birds and spread in humans there is no biological basis for the infection cases, scholars believe may be differences in gene receptor. As long as the market rigorous disinfection of public eating undercooked poultry do not have to worry about, because the avian influenza virus will be killed in more than 70 degrees Celsius.:tiphat:

http://www.ycwb.com/ePaper/xkb/html/2012-06/06/content_1408043.htm
 
Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

The Haizhu a duck samples detected suspected bird flu positive
: 2012-06-06

<FOUNDER-CONTENT>WASHINGTON It is understood that the June 3, the agricultural sector in Guangzhou City, Haizhu District, Jiangnan East market found infected with avian influenza viruses in Hong Kong children have been to conduct a comprehensive epidemiological investigation.
。​
Guangdong Provincial Department of Agriculture yesterday informed that the test results of individual birds healthy carriers of the virus, the Provincial Animal prevention and control centers has sent personnel to send relevant samples to the National Avian Influenza Reference Laboratory to do further testing.:tiphat:


http://translate.google.com/translate?sl=zh-CN&tl=en&js=n&prev=_t&hl=en&ie=UTF-8&layout=2&eotf=1&u=http%3A%2F%2Fycdtb.dayoo.com%2Fhtml%2F2012-06%2F06%2Fnode_982.htm</FOUNDER-CONTENT>
 
Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

Child has been awake avian flu
As for the two-year-old boy infected with the H5N1 avian influenza in Guangzhou earlier return to Hong Kong seeking treatment yesterday, has been sober and without the use of the respirator to assist breathing. He is still the Princess Margaret Hospital in serious condition, the parents still in the hospital for observation.
:tiphat:http://www.hkdailynews.com.hk/news.php?id=229024


..Guangzhou two-year-old boy infected with bird flu after treatment, better, without the use of a respirator, is still the Princess Margaret Hospital in serious condition, the boys' parents also admitted for observation in the hospital.:tiphat:


http://tinyurl.com/82asjff


Parents still in the hospital.. wonder why:rolleyes:
 
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Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

Guangzhou infected with avian influenza boy sober and not using respirators
<!--img src="images/news_hkToolbar.gif" /-->

08.06.2012 11:36
Two-year-old boy infected with the H5N1 avian influenza in Guangzhou, have been sober and not a hand respirator to assist breathing. He is still the Princess Margaret Hospital in serious condition, the parents still in the hospital for observation.
The boy and his family live in Guangzhou, before the onset of the disease, with the mother duck to a nearby market to buy, the boy had contact with live poultry. Accident boy earlier to the markets in Guangzhou, and markets a duck samples were positive for H5 avian influenza virus, the poultry markets practitioners, has not been found to be infected. :tiphat:http://translate.googleusercontent.com/translate_c?hl=en&ie=UTF8&prev=_t&rurl=translate.google.com&sl=auto&tl=en&twu=1&u=http://www.881903.com/Page/ZH-TW/newsdetail.aspx%3FItemId%3D519703%26csid%3D261_341&usg=ALkJrhi59EzOj2wek8tDYGMIBDIsKVZ3NA
 
Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

Hong Kong-2 Year old boy still in hospital

Dr Tsang: Undetermined down when the avian flu a serious alert level
18/06/2012 1:07 PM

To Hong Kong from Guangzhou in early two-year-old boy diagnosed with the H5N1 avian influenza infection, currently still in hospital. Centre for Health Protection Thomas Tsang said that Hong Kong is only one human cases of infection, the center view of Hong Kong and the Mainland, including virus new development, will also work with the Guangdong Provincial Health Department to contact and then decide when to cut the avian flu a serious alert level.

In addition, Thomas Tsang refers to the 24 imported cases of dengue fever so far this year, called on members of the public traveling abroad to anti-mosquito measures.:tiphat:
http://www.metroradio.com.hk/997/News/Default.aspx?NewsID=2b891477-65c4-493c-adfa-0d5549ad0a09
 
Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

Boy body suffering from avian influenza virus has been cleared

..According to the advisory board member of one of Hong Kong Centre for Health Protection Thomas Tsang, Director of, from ear to Hong Kong last month diagnosed transfection of avian influenza the boy had been transferred to ICU, the virus has been cleared in a stable condition, but hydrocephalus is still needed to treat, his family were not infected. Monitoring shows that some changes of recent years, strains of influenza in Hong Kong and Guangdong closer and closer, so the two will have more cooperation in the prevention and control of infectious diseases and research.

2012-07-17 00:00::tiphat: http://lady.southcn.com/6/2012-07/17/content_51106696.htm
 
Re: China - Boy, 2, positive for H5N1 hospitalized in Hong Kong, lives in Guangdong province - possible exposure from live ducks at wet market

It is not clear how long this child was hospitalized. He was initially admitted on May 28th and according to treyfish's post above he was still being hospitalized on June 18th, some 21 days later. If the child has only been release recently (in July) he could have been treated for up to 6 weeks.

This is another example of an H5N1 case that had to receive extensive hospitalization and care to recover. It should serve as a reminder that long term hospitalization will not be available in the throes of a virulent pandemic.
 
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