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China - Hong Kong CHP reports another imported H7N9 avian flu case - possible exposure in Guangdong province - December 30, 2016

sharon sanders

Editor-in-Chief & President
CHP investigates confirmed human case of avian influenza A(H7N9)
************************************************** *



The Centre for Health Protection (CHP) of the Department of Health is today (December 30) investigating a confirmed human case of of avian influenza A(H7N9) in Hong Kong, and again urged the public to maintain strict personal, food and environmental hygiene both locally and during travel.

The male patient, aged 70 with underlying illnesses, claimed to have developed fever, cough with sputum, shortness of breath, vomiting and diarrhoea since December 26. He attended the Accident and Emergency Department of United Christian Hospital (UCH) on December 27 and was admitted to isolation ward on December 28.

His sputum specimen collected on December 28 was received and confirmed yesterday (December 29) to be positive for influenza A(H7N9) virus by the CHP's Public Health Laboratory Services Branch (PHLSB). The patient is now in stable condition and has been transferred to Princess Margaret Hospital for further management.

The patient travelled to Shenzhen and Zhongshan since December 13 and returned to Hong Kong via Lo Wu on December 16. He claimed that he came across mobile stalls selling live poultry in Zhongshan.

In Hong Kong, the patient recalled having purchased a chilled chicken from a shop near a wet market in Kwun Tong on December 22 but no live poultry was sold in the shop. According to the patient, he did not enter the wet market.

The source of infection is still under investigation.

His close contacts have remained asymptomatic so far and have been put under medical surveillance. Tracing of his other contacts in Hong Kong is underway.

"The case will be notified to the World Health Organization and the national, Guangdong and Macau health authorities. We are communicating with the Mainland authority to follow up the patient's exposure and movements in the Mainland," a spokesman for the CHP said.

"Our epidemiological investigations are ongoing. Since the patient had purchased a chilled chicken near a wet market in Kwun Tong, as a precautionary measure, we are working closely with the Food and Environmental Hygiene Department to assess and investigate the case," the spokesman said.

Letters to doctors, hospitals, schools and institutions will be issued to alert them to the latest situation.

"Locally, the first imported human case of avian influenza A(H7N9) in this winter was recently detected. The neighbouring Guangdong and Macau also reported their first human H7N9 cases in this winter. The activity of avian influenza is expected to increase in winter based on its seasonal pattern.

"The public should avoid touching birds, poultry or their droppings and visiting poultry markets or farms during travel, particularly in the upcoming New Year holidays. If feeling unwell such as having fever or cough, wear a mask and seek medical advice at once. Travellers returning from affected areas should consult doctors promptly if symptoms develop and let them know their travel history," the spokesman added.

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 underway. The travel industry and other stakeholders are regularly updated on the latest information.

The public should maintain strict personal, hand, food and environmental hygiene and take heed of advice below while handling poultry:

  • When handling live chickens, do not touch them or their droppings. Do not blow at their bottoms. Wash eggs with detergent if soiled with faecal matter and cook and consume them immediately. Always wash hands thoroughly with soap and water after handling chickens and eggs;
  • Eggs should be cooked well until the white and yolk become firm. Do not eat raw eggs or dip cooked food into any sauce with raw eggs. Poultry should be cooked thoroughly. If there is pinkish juice running from the cooked poultry or the middle part of its bone is still red, the poultry should be cooked again until fully done;
  • Wash hands frequently, especially before touching the mouth, nose or eyes, before handling food or eating, and after going to toilet, touching public installations or equipment such as escalator handrails, elevator control panels or door knobs, or when hands are dirtied by respiratory secretions after coughing or sneezing; and
  • Wear a mask if fever or respiratory symptoms develop, going to a hospital or clinic, or while taking caring of patients with fever or respiratory symptoms.
The public may visit the CHP's pages for more information: the avian influenza page, the weekly Avian Influenza Report, global statistics and affected areas of avian influenza, the Facebook Page and the YouTube Channel.
Ends/Friday, December 30, 2016
Issued at HKT 0:47

hat tip to Michael Coston
 
Recent human H7N9 cases tied to Guangdong province:

#810 - Male, 81, reported by Hong Kong CHP, Meizhou, Guangdong province

#816 - Male, 58, stall owner exposed to infected chickens tested positive December 13 in Macao, stable condition, from Guangdong province WHO rpt 19/12/16

#817 - Male, 75, onset December 8, hospitalized December 9 in Hong Kong, test positive December 19, travel history to Dongguan, Guangdong province Death

#827 - Male, 70, onset December 26, hospitalized December 27, in Hong Kong & reported by CHP, possible exposure in Zhongshan, Guangdong province
 
Hong Kong confirms 2nd human bird flu infection this winter

Thu Dec 29, 2016 | 8:51pm EST [h=1]Hong Kong confirms 2nd human bird flu infection this winter[/h] Dec 30 Hong Kong authorities on Friday confirmed the city's second case of human bird flu infection this winter, five days after the death of a first patient who contracted the same H7N9 strain of the disease.
The Centre for Health Protection of the Department of Health said a 70-year-old man with underlying illnesses, who was admitted to hospital on Dec. 27, was diagnosed with the H7N9 strain on Dec. 29 and was in stable condition.
The case comes as fears grow over the spread of bird flu - in varying strains - in neighbouring South Korea and Japan, as well as mainland China. At least two people have died from bird flu on the mainland and five have been infected so far this winter, the season when bird flu most frequently occurs.
Hong Kong officials said the source of infection was still under investigation. "Avian influenza is expected to increase in winter based on its seasonal pattern," a spokesman for the health protection centre said.
The unnamed patient, who was in contact with mobile stalls selling live poultry in the southern Chinese area of Zhongshan this month, returned to Hong Kong on Dec. 16, according to city officials. The man also bought a chilled chicken in Hong Kong's Kwun Tong district on Dec. 22.:tiphat:http://www.reuters.com/article/health-birdflu-hongkong-idUSL4N1EP05P
 
[h=1]Hongkonger in hospital tests positive for H7N9 in possible second imported case of bird flu this winter[/h]


70-year-old man who came across live poultry on mainland two weeks ago now in stable condition






PUBLISHED : Friday, 30 December, 2016, 10:27am
UPDATED : Friday, 30 December, 2016, 10:45am


Hong Kong health officials are looking into the source of a newly confirmed human case of bird flu, according to a statement released after midnight on Friday.
The Centre for Health Protection said it was unsure whether the source of the infection was local or imported, prompting a call for Hongkongers to maintain ?strict? personal, food and environmental hygiene at home and abroad...:tiphat:http://www.scmp.com/news/hong-kong/...gkonger-hospital-tests-positive-h7n9-possible
 
[h=1]Confirmed 70-year-old H7N9 avian influenza patients turned to serious condition[/h]


30.12.2016 13:52
Patients with H7N9 infection remain at Princess Margaret Hospital (data sheet)

The latest confirmed case of H7N9 avian influenza, a 70-year-old male patient with a long-term condition, has been converted from a stable condition to a severe condition and is still being treated at Princess Margaret Hospital. His close contacts are not symptomatic, the source of infection is still under investigation. The patient traveled to Shenzhen and Zhongshan on the 13th of this month and passed a live poultry stall during Zhongshan. The patient purchased chilled chickens at a shop near the market at the Kwun Tong Shui Wo Street on the 22nd of this month. There is no live poultry for sale.
The frozen meat shops in Shui Wo Street said that they believed that the cases had nothing to do with them. There was no special case to enhance cleansing. The FEHD also sent inquiries. Hong Kong University School of Public Health Professor Pan Liewen that patients in the Mainland a higher chance of infection. He also pointed out that the outbreak of bird flu in winter is the peak period, the future may be a human infection cases, called on the people of the Mainland, to avoid contact with poultry.

zhttp://www.881903.com/Page/ZH-TW/newsdetail.aspx?csid=261_341&itemid=914957

 
from CHP January 6, 2017:


Regarding the second human H7N9 case this winter reported on December 30, 2016, further epidemiological investigations revealed that the patient's residence in Zhongshan from December 14 to 16 last year was opposite a wet market with live poultry stalls and there were also mobile stalls selling live poultry outside the market. Based on information available thus far, it has been classified as an imported case. The patient was hospitalised in Princess Margaret Hospital in serious condition.

http://www.info.gov.hk/gia/general/201701/06/P2017010600272.htm
 
Shenzhen two Aberdeen infection H7N9 influenza has been in the designated hospital isolation treatment -

According to reports, the first case of male, 50 years old, before the onset of live poultry slaughter history, the current stable condition, has been transferred to the general ward treatment. The second case of male, 53 years old, before the onset of farmers market exposure history, the current critical condition, is still active in the treatment of designated hospitals in Shenzhen. After investigation, two cases of a total of 27 close contacts, as of yesterday, all close contacts were no abnormalities...:tiphat:http://news.163.com/17/0107/09/CA5TSC1L00014AEE.html
 
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