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China - CHP notified of human case of avian influenza A(H5N6) in Fujian

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
January 6, 2018


The Centre for Health Protection (CHP) of the Department of Health (DH) last night (January 5) received notification of an additional human case of avian influenza A(H5N6) in Fujian from the National Health and Family Planning Commission, and again urged the public to maintain strict personal, food and environmental hygiene both locally and during travel.

The case involved a three-year-old girl, who had contact with live poultry before the onset of symptoms. The patient had recovered after medical treatment and her close contacts remain asymptomatic.

"Based on the seasonal pattern of avian influenza viruses, their activity in the Mainland is expected to increase in winter. The public should avoid contact with poultry, birds and their droppings and should not visit live poultry markets and farms to prevent avian influenza," a spokesman for the CHP said.

From 2014 to date, 18 human cases of avian influenza A(H5N6) have been reported by the Mainland health authorities.

"All novel influenza A infections, including H5N6, are notifiable infectious diseases in Hong Kong," the spokesman said.

Travellers to the Mainland or other affected areas must avoid visiting wet markets, live poultry markets or farms. They should be alert to the presence of backyard poultry when visiting relatives and friends. They should also avoid purchasing live or freshly slaughtered poultry, and avoid touching poultry/birds or their droppings. They should strictly observe personal and hand hygiene when visiting any place with live poultry.


Travellers returning from affected areas should consult a doctor promptly if symptoms develop, and inform the doctor of their travel history for prompt diagnosis and treatment of potential diseases. It is essential to tell the doctor if they have seen any live poultry during travel, which may imply possible exposure to contaminated environments. This will enable the doctor to assess the possibility of avian influenza and arrange necessary investigations and appropriate treatment in a timely manner.

While local surveillance, prevention and control measures are in place, the CHP will remain vigilant and work closely with the World Health Organization and relevant health authorities to monitor the latest developments.

The CHP's Port Health Office conducts health surveillance measures at all boundary control points. Thermal imaging systems are in place for body temperature checks on inbound travellers. Suspected cases will be immediately referred to public hospitals for follow-up.

The display of posters and broadcasting of health messages in departure and arrival halls as health education for travellers is under way. The travel industry and other stakeholders are regularly updated on the latest information.
 
provincial statement:

H5N6 influenza was confirmed in our province

Published: 2018-01-05 | Hits: 142 | Font Size: Da Zhong Small

[FONT=&#23435]Into winter and spring flu and other respiratory infectious diseases season, the province to strengthen the flu, pneumonia and other unexplained monitoring. Recently, the provincial CDC in routine influenza surveillance, H5N6 influenza virus nucleic acid was detected from a case of flu-like cases of nucleic acid by the China CDC review, combined with case clinical manifestations and epidemiological findings, diagnosed as our province The first human case of H5N6 flu.   The patient, a 3-year-old girl, currently living in Sanyuan District, Sanming City, developed on December 19, 2017 with mild symptoms and recovered after outpatient treatment without any similar symptoms in close contacts.   Experts believe that this case is an incidental case, there is no evidence that H5N6 influenza virus can continue to spread between people, the risk of interpersonal infection and transmission is low, the public need not panic.   [Link] H5N6 influenza virus is not a new virus, which is a subtype of H5N1 virus and is highly pathogenic to poultry. Infection occurs mainly through respiratory infections, but also through close contact with infected bird secretions or fecal matter (such as poultry feces, feathers, respiratory secretions, blood, etc.) or by direct contact with the virus. H5N6 virus infection in humans, the symptoms are mainly flu-like symptoms, such as fever (above 38 ℃, up to 39 ℃ ~ 40 ℃), cough, sore throat, muscle pain, nasal congestion, runny nose and other systemic symptoms.   The key to public prevention of H5N6 influenza is to avoid contact with live poultry and their secretions and excrements, especially to avoid contact with sick and dead birds. At the same time, pay attention to personal hygiene, strengthen physical exercise, ensure proper nutrition, and enhance resistance. In the event of suspected symptoms, he should promptly seek medical treatment and take the initiative to inform the doctor of possible history of bird contact. (Commission disease control office, emergency office)


http://www.fjhfpc.gov.cn/xxgk/gzdt/w...105_713904.htm
[/FONT]
 
It seems that Fujian's first H5N6 case was diagnosed!

China: Sanming City Diagnosed a Case of H5N6 avian flu; Fujian Province
Global Influenza Information Network www.flu.org.cn 2018-01-06 19:50 Source: Fujian Provincial Health and Family Planning Commission
Fujian Provincial Health and Family Planning Commission www.fjhfpc.gov.cn 2018-01-05

Recently, Fujian Provincial Center for Disease Control and Prevention in the routine influenza surveillance, found a case of H5N6 influenza virus nucleic acid positive from influenza-like cases, through the Chinese CDC?s review, combined with clinical manifestations and epidemiological findings on the suspected case, Sanming City diagnosed the case as the first case of human H5N6 influenza infection in Fujian Province.

The patient is:
Age: 3 years old
Gender: Female
Current Domicile: Sanyuan District of Sanming City in Fujian Province
Date of Onset: December 19, 2017
Symptoms: Rather Mild and already being cured after medical treatment
Close Contacts: No abnormality has been found.

Followings are what provincial HFPC released:
"A case of H5N6 influenza was confirmed in our province?

Now we are getting into winter and spring when flu and other respiratory infectious diseases' high season, the province is strengthening the flu, pneumonia and other unexplained monitoring.

Recently, Fujian Provincial Center for Disease Control and Prevention in the routine influenza surveillance, found a case of H5N6 influenza virus nucleic acid positive from influenza-like cases, through the Chinese CDC?s review, combined with clinical manifestations and epidemiological findings on the suspected case, Sanming City diagnosed the case as the first case of human H5N6 influenza infection in Fujian Province.

The patient is:
Age: 3 years old
Gender: Female
Current Domicile: Sanyuan District of Sanming City in Fujian Province
Date of Onset: December 19, 2017
Symptoms: Rather Mild and already being cured after medical treatment
Close Contacts: No abnormality has been found.

Experts believe that this case is an incidental case, there is no evidence that H5N6 influenza virus can continuously spread between human beings, the risk of human-to-human infection and transmission is low, the public does not need not get panic.

【LINK】
The H5N6 influenza virus is not a new virus, which belongs to a subtype of the bird flu virus like the H5N1 virus and is highly pathogenic to poultry. Infection occurs mainly through respiratory infections, but also through close contact with infected bird secretions or fecal matter (such as poultry feces, feathers, respiratory secretions, blood, etc.) or by direct contact with the virus. After humans infected with H5N6 virus, the symptoms are mainly flu-like symptoms, such as fever (above 38 ℃, up to 39 ℃ ~ 40 ℃), cough, sore throat, muscle pain, nasal congestion, runny nose and other systemic symptoms.
The key to public prevention of H5N6 influenza is to avoid contact with live poultry and their secretions and excrements, especially to avoid contact with sick and dead birds. At the same time, pay attention to personal hygiene, strengthen physical exercise, ensure proper nutrition, and enhance resistance. In the event of suspected symptoms, he should promptly seek medical treatment and take the initiative to inform the doctor of possible history of bird contact.
(CDC office, Office of Emergency)
Source(FIC):

http://www.flu.org.cn/scn/news-19684.html

Source (Fujian provincial HFPC):
http://www.fjhfpc.gov.cn/xxgk/gzdt/wsjsyw/201801/t20180105_713904.htm

<<Mech. T.>>

China: One confirmed case of H5N6 bird flu in Sanming City, Fujian Province
Recently, Fujian Provincial Center for Disease Control and Prevention in routine influenza surveillance, influenza-like cases from a case of H5N6 influenza virus nucleic acid was detected by the China CDC review, combined with clinical manifestations and epidemiological findings of cases, diagnosed as Fujian The first case of human infection of H5N6 flu in the province.
The patient, a 3-year-old girl, currently living in Sanyuan District, Sanming City, developed on December 19, 2017 with mild symptoms and recovered after outpatient treatment without any similar symptoms in close contacts.
Related Links:


Here is the Fujian Provincial Planning Commission released content:
"One case of H5N6 influenza was confirmed in our province
Into winter and spring flu and other respiratory infectious diseases season, the province to strengthen the flu, pneumonia and other unexplained monitoring. Recently, the provincial CDC in routine influenza surveillance, H5N6 influenza virus nucleic acid positive from a case of flu-like cases detected by the China CDC review, combined with clinical manifestations and epidemiological findings of the case, diagnosed as our province The first human case of H5N6 flu.
The patient, a 3-year-old girl, currently living in Sanyuan District, Sanming City, developed on December 19, 2017 with mild symptoms and recovered after outpatient treatment without any similar symptoms in close contacts.
Experts believe that this case is an incidental case, there is no evidence that H5N6 influenza virus can continue to spread between people, the risk of interpersonal infection and transmission is low, the public need not panic.

[Link] H5N6 influenza virus is not a new virus, which is a subtype of H5N1 virus and is highly pathogenic to poultry. Infection occurs mainly through respiratory infections, but also through close contact with infected bird secretions or fecal matter (such as poultry feces, feathers, respiratory secretions, blood, etc.) or by direct contact with the virus. H5N6 virus infection in humans, the symptoms are mainly flu-like symptoms, such as fever (above 38 ℃, up to 39 ℃ ~ 40 ℃), cough, sore throat, muscle pain, nasal congestion, runny nose and other systemic symptoms.
The key to public prevention of H5N6 influenza is to avoid contact with live poultry and their secretions and excrements, especially to avoid contact with sick and dead birds. At the same time, pay attention to personal hygiene, strengthen physical exercise, ensure proper nutrition, and enhance resistance. In the event of suspected symptoms, he should promptly seek medical treatment and take the initiative to inform the doctor of possible history of bird contact. (Commission disease control office, emergency office)
 
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