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China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Live poultry exposure:

Incidence when彭某with his parents still live in the outskirts of Changsha, Hunan Shaxian mayor, and one of her relatives in the vicinity of a "gray port Dreams" in the market engaged in live poultry business.
 
Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Source: http://www.shanghaidaily.com/article/?id=388681&type=National

Mother of bird-flu patient dies from pneumonia
By Tom Qian | 2009-1-20 | ONLINE EDITION

THE mother of a 2-year-old girl, who has been confirmed to be infected with the bird flu virus, died early this year from pneumonia in Hunan Province.

People who had been in close contact with the girl haven't show any signs of infection, China Business News reported today.

The girl is currently in critical condition in People's No. 4 Hospital of Taiyuan City, capital of Shanxi Province.

"Her mother had contact with live poultry around December 21 and she had a little fever on December 28," an official with the public health office of Hunan Province. "Then it developed into pneumonia and she died on January 6."

The girl became ill on January 7 in neighboring Hunan Province and was taken to a hospital in Shanxi, her home province, by her grandparents on January 11, an official with the Shanxi provincial health department said.

The Ministry of Health said in a statement on its Website that the girl was transferred to another hospital after her symptoms worsened.

The ministry did not say how the girl had become infected. There have not been any reports of bird flu outbreaks in Hunan since May 2007.

Zhang Jianxing, deputy director of Shanxi Province, visited the baby girl yesterday.

Yesterday, Shu Yuelong, vice director of virus control and prevention at the National Center for Disease Control and Prevention, warned that China was likely to experience "an epidemic" of human bird flu cases this winter and spring.

The baby girl is one of four confirmed human bird flu cases in the country this month. Two of the patients have died.
Chinese Story Link
 
Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

China: No bird flu epidemic detected in N China's Shanxi after girl infected - Xinhua

No bird flu epidemic detected in N China's Shanxi after girl infected

www.chinaview.cn 2009-01-20 23:58:53
TAIYUAN, Jan. 20 (Xinhua) --

No bird flu epidemic has been detected among the 67 people who had been in close contact with a two-year-old patient in north China's Shanxi Province, said an official on Tuesday.


Three of them had been discharged from medical observation and the others had not been detected having bird flu virus, said the official from the provincial health bureau.


The patient surnamed Peng was still in a critical condition.

Doctors had been trying to bring the virus under control. Peng was found ill on Jan. 7 in central Hunan Province. Her grandparents took her to Luliang City of Shanxi on Jan. 11. Peng is one of the four bird flu patients found in China in 2009.

The other three have died of the virus, including a 16-year-old male student in Hunan Province on Tuesday morning, a 27-year-old woman surnamed Zhang in east Shandong Province on Saturday and a 19-year-old woman named Huang Yanqing who died in Beijing on Jan. 5.

Editor: Wang Hongjiang
-
​
<cite cite="http://news.xinhuanet.com/english/2009-01/20/content_10692398.htm">No bird flu epidemic detected in N China's Shanxi after girl infected_English_Xinhua</cite>
 
Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Machine translation

Shanxi see improvement in children with bird flu 67

China news agency, Taiyuan, January 20 (Reporter Liang Bo) - Reporters today from the Shanxi provincial government was informed that as at 24 January 19, the Shanxi Province, human avian influenza彭某in a critical condition in children, but vital signs were stable, There are better trend, the third consecutive day that the body temperature normal.

According to the briefing, by continuous observation, 67 were not in close contact with fever and other symptoms.
一月二十日，已有三名密切接触者被解除医学观察，如不出现异常情况，最晚一月二十五日对此例患儿密切接触者的医学观察将全部解除。​
January 20, has three close contacts was removed from medical observation, such as there are no unusual circumstances, no later than January 25 of this close contact with patients who will be the lifting of medical observation.


山西省卫生厅厅长高国顺说，山西省这一病例如果救治成功，不仅能够降低中国人禽流感病例死亡率，树立良好的国际形象，还能够鼓舞中国人禽流感防控工作，消除民众的恐慌心理，维护社会稳定。​
Shanxi Provincial Health Department director of Shun Gao said that the cases in Shanxi Province for medical treatment if successful, not only to reduce the Chinese bird flu mortality rate, set a good international image, but also encouraged by the Chinese bird flu prevention and control work, the elimination of panic psychological, and safeguarding social stability.

目前，近期内地发现的四例人禽流感病例中，已有三人死亡，山西省救治的患儿虽然病情危重，但生命体征平稳，且有好转迹象。​
At present, the Mainland recently discovered four cases of human avian influenza cases have been three deaths, Shanxi Province, where the children although in a critical condition, but stable vital signs, and has shown signs of improvement.
目前，卫生部、山西省和太原市三级医疗专家正协同救治，密切观察患儿病情，及时调整救治方案，全力以赴救治患儿。​
At present, the Ministry of Health, and Taiyuan in Shanxi Province is actively working with three medical experts for medical treatment, close observation of children with the disease, timely adjustment of treatment programs, go all out to treat children.
(完)​
(END)

http://72.14.205.101/translate_c?hl...n&sa=G&usg=ALkJrhh6Jwvf_tDyA7dEc4UzSMd5FOHMbQ
 
Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Snip from Takungpao, the girl seems to do better:

It was also news on the 20th, Taiyuan, China: Shanxi provincial government said today, as the early morning on the 20th, Shanxi彭某human avian influenza in children in a critical condition, but stable vital signs, there are better trends, the third consecutive day that the body temperature normal.

http://www.takungpao.com.hk
 
Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

China seeks to ease fears over bird flu threat
<ABBR class=recenttimedate title=2009-01-20T22:54:51-0800>13 mins ago</ABBR>

<!-- end .byline --><!-- end: .hd --> <CITE class=caption>AFP – A child feeds pigeons in Beijing. China sought Wednesday to allay fears over the threat of a bird flu … </CITE>



<!-- end #main-media -->
<!-- end .primary-media -->
<!-- end .related-media -->BEIJING (AFP) – China sought Wednesday to allay fears over the threat of a bird flu pandemic after three people died from the disease this month and a fourth person remained critically ill.
There was no evidence that the potential for an outbreak of the disease was on the rise, China's health ministry said in a statement faxed to AFP.
"The four cases separately came from different provinces, there is no epidemiological connection between them; they are sporadic cases," the ministry said.
A 16-year-old boy died on Tuesday from the H5N1 strain of avian influenza in the central province of Hunan.
A 27-year-old woman also succumbed to the disease on Saturday in the eastern province of Shandong, while the first fatality occurred on January 5 when a 19-year-old woman died in Beijing.
The total number of reported deaths in China since the virus re-emerged in 2003 now stands at 23.
A two-year-old girl, meanwhile, is still critically ill in the northern province of Shanxi, the health ministry said.
The toddler's mother died this month of severe pneumonia, sparking concern that she may actually have had bird flu and passed it on to her daughter.
Scientists have long feared the virus could mutate to a form that could jump easily from human to human, potentially sparking a global pandemic.
The health ministry said it was unable to do tests to confirm whether the mother had died of avian influenza, as no samples were collected when she passed away.
But it added it was unlikely the girl caught bird flu from her mother.
"We cannot be sure that the patient's mother had bird flu, and investigations show the patient had been exposed to live poultry markets," the statement said.
"Therefore, we believe the patient's infection most likely came from a live poultry market or another unknown exposure."
China is considered one of the nations most at risk from bird flu epidemics because it has the world's biggest poultry population and many chickens in rural areas are kept close to humans.
The World Health Organisation says about 250 people have died from bird flu worldwide since 2003.

http://news.yahoo.com/s/afp/20090121/wl_asia_afp/healthchinaflu
 
Last edited by a moderator:
Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

China Health Ministry: Bird flu epidemic unlikely - International Herald Tribune

China Health Ministry: Bird flu epidemic unlikely

The Associated Press
Published: January 21, 2009
BEIJING:

China's Health Ministry said Wednesday there was no evidence of a large-scale outbreak of bird flu even though the country has reported four cases this month, three of which were fatal.


The ministry said the illnesses, which have been scattered across different provinces, were isolated, unrelated and did not show significant mutations of the H5N1 virus.

They also occurred during the cold months, which experts have determined are high season for infections, it said.

"There's no evidence of a possibility of a large-scale outbreak," the ministry said in a faxed statement to The Associated Press.

The dead include a 16-year-old boy from Guizhou province in the southwest, a 27-year-old woman from Shandong province in the east and a 19-year-old woman who died in Beijing. The fourth person, a 2-year-old girl, was hospitalized in her hometown in Shanxi province in the north.

The ministry said the toddler and her mother both had a history of being exposed to live poultry at a market in late December. The mother was diagnosed with pneumonia and died in January, but the cause of death could not be determined because no samples had been taken from the woman, the ministry said.

There is a possibility the 2-year-old contracted bird flu from her mother, it said, but it is more likely she was infected in the market.

Many bird flu cases stem from exposure to sick birds, but human-to-human transmission of the disease has happened about a dozen times, in countries including China, Cambodia, Thailand, Vietnam, and Turkey. In nearly every case, transmission has occurred among relatives who have been in close contact, and the virus has not spread into the wider community.

While the disease remains hard for humans to catch, scientists have warned if outbreaks among poultry are not controlled, the virus may mutate into a form more easily passed between people.

The World Health Organization says that bird flu has killed 249 people worldwide since 2003. The tally does not include the death of the 16-year-old boy announced Tuesday in China, where a total of 34 infections have been reported.

The latest Chinese cases come at a worrisome time for the government as an estimated 188 million people travel between cities and rural hometowns for Lunar New Year, the country's biggest holiday, which begins next week.

Celebratory family meals often include dishes made from freshly slaughtered poultry, potentially increasing the risk of exposure to sick birds as people shop in markets or when chickens and ducks are transported to be sold.

The Health Ministry said the public should decrease contact with poultry, not touch or eat poultry that died from disease, properly cook their meat and eggs, observe good personal hygiene and go to the doctor for early detection and treatment if they have flu-like symptoms after being in contact with poultry.
-
​
<cite cite="http://www.iht.com/articles/ap/2009/01/21/asia/AS-China-Bird-Flu.php">China Health Ministry: Bird flu epidemic unlikely - International Herald Tribune</cite>
 
Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

niman said:
Commentary

http://www.recombinomics.com/News/01210902/H5N1_Hunan_H2H.html[/quote]
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Human to Human H5N1 Transmission in Hunan China
Recombinomics Commentary 07:53
January 21, 2009


The health ministry said it was unable to do tests to confirm whether the mother had died of avian influenza, as no samples were collected when she passed away.

But it added it was unlikely the girl caught bird flu from her mother.

"We cannot be sure that the patient's mother had bird flu, and investigations show the patient had been exposed to live poultry markets," the statement said.

"Therefore, we believe the patient's infection most likely came from a live poultry market or another unknown exposure."

The above ?beliefs? offered by the Ministry of Health in China on the human to human (H2H) transmission of H5N1 in Hunan have no scientific basis, yet these ?beliefs? have been repeated constantly since H5N1 in humans spread out of China in late 2003 into northern Vietnam.

H5N1 infections of humans from poultry remain rare, so the likelihood that the mother and daughter were infected by poultry through independent events 5-10 days apart is remote. The likelihood that the mother infected her daughter however, is much higher, which has been supported by the large number of familial clusters linked to H5N1 which have 5-10 day gaps in disease onset dates.

These clusters are not surprising and the transmission in Hunan follows the typical pattern. The index case is initially treated at home, which is a high risk activity. Family members usually have no training in universal precautions, or infectious disease control, and have no protective equipment. Moreover, they have read media reports which cite official comments such as those above which claim that family members are not infected by close contacts, which cite ?beliefs? which have no scientific basis.

As an infection progresses, the H5N1 viral load rises, and the likelihood of infection by a family member also increases. Family members typically develop symptoms within a day or two of the death of the index case.

The Hunan H2H transmission is supported by disease onset dates. The index case developed symptoms in late December, and died on January 6 or 7. Her daughter developed symptoms on January 7, as indicated in the WHO update, which fails to mention the pneumonia death of the mother.

This cluster also includes the common failure to collect a sample from the index case. As a result, the number of ?confirmed? cases is one, there is no confirmed cluster, and the suspect case is ignored in the WHO situation update.

This scenario has been repeated dozens of times in high profile clusters, such as the first confirmed cases in Indonesia, China, or Cambodia. The same is true for large clusters in Indonesia (Karo and Garut) or Pakistan. Indonesia also eliminates official clusters by misdiagnosing the index case with lung inflammation, dengue, or typhus. Additional clusters are eliminated through use of an insensitive ?rapid test? or testing of samples collected after Tamiflu treatment has reduced the viral load.

These activities by official agencies have greatly reduced the number of confirmed clusters, which have been large and obvious since 2004.

The scientific analysis of the cluster in Hunan strongly suggests the index case infected her daughter, who was H5N1 confirmed. The status of two additional family members, who were reported to be hospitalized in Shanxi, remains unclear, but the H2H transmission in Hunan is not.

.http://precedings.nature.com/tags/Recombination

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Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

From Shanxi three bird flu cases in close contact with the lifting of the medical follow-up observation

China Network china.com.cn Time: 2009-01-21

Reporters on the 20th from the Shanxi provincial government on the meeting that in cases of avian flu from Shanxi 67 close contacts of those, there are three to lift the medical follow-up observation, and the remaining 64 people currently have no fever.

Shanxi Provincial Health Department was also informed that, as at 17 o'clock on the 20th, the 17th confirmed human infection of highly pathogenic avian influenza cases in children with stable condition, but still not out of danger period.

Shanxi Province, the health sector is being carried out once a day for children with the diagnosis, and the Expert Group under the guidance of the Ministry of Health full of children for emergency treatment.

At the same time to strengthen disease prevention and control, health departments have begun the implementation of pneumonia of unknown causes and零报告制度investigation.

Shanxi governor Wang Jun on the 20th in the afternoon's meeting the requirements of the relevant departments at all levels should attach great importance to strengthen coordination, increase the treatment of children with efforts to increase access to populations of patients with follow-up observation, increase the epidemic The investigation and prevention work, to be not a leak, a (factory), as well as regular "rest" disinfection, while the media should adhere to the correct guidance, based on work to prevent the deployment of large outbreaks, and more to the Ministry of Health and other relevant departments to carry out instructions superiors.

In accordance with the deployment, Shanxi Agriculture, Trade and Industry and other departments concerned have been carried out on all relevant aspects of investigation and prevention and control. Shanxi Province, the Agriculture Department organized six inspection teams have been dispatched across the province carried out supervision, and to launch such as animal husbandry and veterinary staff to start the village level package package households.

Poultry farmers in efforts to strengthen the quarantine at the same time, industrial and commercial sectors of the livestock and poultry without passing inspection will be allowed to market products, and purchase, sale of poultry died of the disease and related persons responsible for acts carried out investigation, welcomed the tip.

Prior to the health sector informed彭某children, female, 2 years old, January 7, 2009 the incidence in Hunan, January 11 with the grandparents back Xiaoyi City, Shanxi Luliang is currently fourth in Taiyuan City People's Hospital for treatment . January 17, by the China Center for Disease Control and Prevention and other agencies to review inspection, confirmed that children infected with highly pathogenic H5N1 avian influenza virus.

http://www.china.com.cn/news/txt/2009-01/21/content_17165845.htm
 
Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

The girl seems to do OK.


Bird flu from Shanxi critically ill children with signs of the lifting of a smooth six-day consecutive

China Network china.com.cn Time: 2009-01-23

23 journalists from the Shanxi Provincial Health Department informed that, at 22, 24, the Shanxi Province of human infection of highly pathogenic avian influenza in children with the first 16 days morbidity彭某by the Ministry of Health, Shanxi Province, Taiyuan City Medical Group of Experts on the full treatment After the lifting of critically ill children, vital signs have been stable for six days.

It is understood that the Masters in 67 children infected with highly pathogenic avian influenza in close contact with persons, by the strict medical observation, of which 51 were within 7 days did not develop fever and other symptoms, according to human infection of highly pathogenic avian influenza in close contact with persons convicted of standards and principles, the lifting of medical observation. The remaining 16 were at present no symptoms such as fever.

Prior to the health sector, according to informed彭某children, female, 2 years old, January 7, 2009 the incidence in Hunan, January 11 with the grandparents back Xiaoyi City, Shanxi Luliang City, currently under the Fourth People's Hospital in Taiyuan for treatment. January 17, by the China Center for Disease Control and Prevention and other agencies to review inspection, confirmed that the children infected with highly pathogenic H5N1 avian influenza virus.

http://www.china.com.cn/news/txt/2009-01/23/content_17177020.htm
 
Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Bird flu patient out of danger in N China

www.chinaview.cn 2009-01-23 t

TAIYUAN, Jan. 23 (Xinhua) -- Health chiefs in north China said Friday a 2-year-old girl who was critically ill with bird flu was out of danger after her vital signs remained stable for six consecutive days.

The health department of Shanxi Province said the girl surnamed Peng was still receiving treatment at the No. 4 People's Hospital in the provincial capital of Taiyuan.

The 67 people who had close contact with her had shown no signs of being affected, including 51 who had been discharged from medical observation, the department added.

Peng fell ill on Jan. 7 in central Hunan Province. She was taken to Shanxi by her grandparents on Jan. 11 and was confirmed to be infected with avian influenza on Jan. 17.

Three people have died of bird flu and another has been infected in China so far this year. The first death was a 19-year-old woman in Beijing on Jan. 5, followed by a 27-year-old woman in Shandong on Jan. 17 and a 16-year-old boy in Hunan on Jan. 20.

The death rate for bird flu patients is above 60 percent.

http://news.xinhuanet.com/english/2009-01/23/content_10709253.htm
 
Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Machine translation from Russian

Chinese doctors managed to save a child infected with "bird flu"

23. 01. 2009


BEIJING, January 23. Said. ITAR-TASS Andrey Kirillov. The life of two children infected with "bird flu", is already out of danger. The statement was made by the representative of the management of health severokitayskoy province of Shanxi, where was treated a little patient. Another three people infected this year, a dangerous disease in China have died.

A two-year-old girl remains in hospital in the provincial capital of Taiyuan, the agency Xinhua. Is with a child in contact zarazivshimsya 67 people have now been released from quarantine, said the agency.

A little girl symptoms of the disease caused by a virus Eych5-En1, were found on 5 January. Mortality of patients "avian flu" is 60 percent. The disease is transmitted from bird man, but doctors fear that the virus could mutate, after which it will be possible to infect people against people

http://www.ami-tass.ru/article/44604.html
 
Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

The life of two children infected ...???
 
Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

it may be a translation error.
 
Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

i tried some translators by searching google and copying and pasting and got just the one case of a girl.
 
Re: China: Girl, 2, Confirmed H5N1 Case from Hunan Province, hospitalized in Shanxi

Shanxi highly pathogenic avian influenza infection in children with the lifting of critically ill
发表时间:2009-01-24 07:23 Source: China News Network

China news agency, Taiyuan, January 23 (Reporter Liang Bo) - Shanxi Province Health Department news today, as of 24 am on the 22nd, from Shanxi children infected with highly pathogenic avian influenza incidence 16th彭某days, by the Ministry of Health, Shanxi Province, Taiyuan City Medical Group of Experts on the full lifting of critically ill children after treatment, vital signs stable for six days.

It is understood that 67 of highly pathogenic avian influenza infection in children in close contact with persons, by the strict medical observation, a total of 51 people seven days did not develop fever and other symptoms, according to human infection of highly pathogenic avian influenza in close contacts to determine the standards and principles, the lifting of medical observation. The remaining 16 are currently no symptoms such as fever.

彭某children, women, the age of two, is where the Fourth People's Hospital in Taiyuan. It has been previously informed of the health sector, January 7, 2009 in Hunan彭某fever symptoms, January 11 with the grandparents back Xiaoyi City, Shanxi Luliang City, January 15 in Shanxi Province Health Department received report immediately after the Organization of the provincial expert consultation, diagnosed as pneumonia of unknown causes, can not be ruled out SARS and avian flu.

January 17, by the China Center for Disease Control and Prevention and other agencies to review inspection, confirmed that the children infected with highly pathogenic H5N1 avian influenza virus. At present, the incidence of children with the seventeenth day of the tenth day of hospitalization, by the Ministry of Health, Shanxi, Taiyuan expert group composed of three full treatment, the normal body temperature for six days, alleviating cough, his condition improved, has been out of danger period entered the recovery phase.

http://news.cn.yahoo.com/09-01-/1063/2jeyc.html
 
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