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China - HUMAN Cases 2008

Re: China - HUMAN Cases 2008

hat-tip Treyfish

Chinese medicine in the prevention of influenza in Hong Kong
Chinese holiday clinics provide limited services


March 21 - According to Hong Kong's Ta Kung Pao, Hong Kong's Hospital Authority announced that part of Chinese medicine clinics will be limited during the festival to provide services. Chinese medicine practitioners have to remind members of the public, some Chinese soup effective prevention and early treatment of influenza, but stressed that the soup is not specific drug.

To cope with the holiday increase in the number of influenza patients, the HA eight Chinese medicine clinics will be limited to maintain during the Easter service, but no pharmacological services. HA has issued guidelines to the clinic, and the training of practitioners to take preventive measures, according to general out-patient practice triage patients, the severity is required emergency room treatment referrals.

Integrated Traditional Chinese and Western Medicine Hospital Authority Consultant Mr Tan Zhi Yuan, said: "The patient came to these (TCM) clinics, if patients are in serious condition, they (practitioners) will be directly refer patients to hospital emergency rooms. Major practitioners role is in light of the diagnosis and treatment of influenza. "if patients were in critical condition, including a high fever, cough, insanity, low blood pressure and even collapse symptoms, and so on, will also be real-time referral hospital emergency room treatment. She believed that the arrangement to reduce accident and emergency departments and outpatient pressure on Western medicine.
-snip-
Hong Kong Baptist University School of Chinese Medicine Clinical Director, Department of Teaching Associate Professor Dr Zhao-Xiang Bian appealed to the public, beginning in the early symptoms of patients should not delay 12 days, or a high fever when he was unclear to practitioners seeking consultation. He said that the treatment of children and adults the same, but to regulate weight, but some decoction not suitable for chronic or chronically ill and pregnant women drinking, taking each dose and the amount varies, according to Chinese medicine practitioners by the Constitution and the individual set.

Zhao-Xiang Bian added that the current data did not show at the same time taking in Western medicine will have problems, even if the public use of western medicine treatment of the disease, can also enhance the use of Chinese medicine decoction physique, but Chinese medicine ingredients, dosage and duration of use, it would seek views of practitioners .

Chinanews: http://tinyurl.com/3xh9g2
 
Re: China - HUMAN Cases 2008

hat-tip Treyfish

Macao reported influenza monitoring the latest situation on the continued high level of respiratory patients
China News Network
March 21 - According to the Macao Daily News reported that according to Macao Health Bureau Disease Control and Prevention Influenza Surveillance Centre, the first 11 weeks of emergency two hospitals for upper respiratory tract infection proportion of attendances are still in the peak, slightly higher than last year's level, each 1,000 people in the diagnosis of respiratory tract infection on 400 hits and pediatric emergency clinic every 1,000 passengers, upper respiratory tract infection of 700 to 730 times.

Two hospitals were not recorded in severe cases. For the first 11 weeks of Health were detected 40 virus samples H1 and H3 A samples of 20 and 17 B 3.

According to the Health Bureau Disease Prevention and Control Center schools sentinel surveillance of infectious diseases, 11 weeks with fever and upper respiratory tract symptoms of discomfort than usual absenteeism students, in kindergarten to more notable, similar situation last year.

Earlier increase in cases of respiratory tract infection at Sha Lei Tau public day-care centres, all patients had been cured or improved, sample test results for children from the common cold respiratory syncytial virus, influenza virus was not found. The child care center sanitation and good ventilation, in line with the Health Bureau of Health guidelines, has resumed normal operation.

In addition, the Hong Kong newspaper report, Macao, a 10-year-old boy because of severe pneumonia in Hong Kong Queen Mary Hospital intensive care unit, the check that the boy died of cancer, from Count-integrated hospital referral to the Hong Kong Queen Mary Hospital, and this year 2 beginning to Hong Kong for treatment, the Hong Kong side testing negative for the flu.

In addition to infants, the elderly and the peak period of influenza chronic cases also can contribute pneumonia, myocarditis, encephalitis and other complications, and may cause death. To that end, Health Bureau to make early warning, drew the elderly, patients with chronic diseases and their families, homes or other care to pay attention to, should pay close attention to the elderly and those with health conditions, if fever or respiratory symptoms such as cough, runny nose , sore throat, and so on, should be promptly seek medical treatment. If a severe symptoms such as high fever, shortness of breath, difficulty in breathing, changes in consciousness, shock, and so on, should be promptly to the hospital for medical treatment.

China News: http://tinyurl.com/2vprqw
 
Re: China - HUMAN Cases 2008

Influenza raging paediatric wards were full for the Government to resume discussions (AP)

At 9:07 on March 24, 2008 Source: China News Network
Caption:
Peng chee said that the WHO is monitoring the mutation of influenza, and to facilitate the event of an influenza pandemic, how to reduce lethality. (Source: Wen Wei Po)

March 24 - According to Hong Kong's Wen Wei Po reported that the Easter period, Hong Kong public hospitals ran out of room again, attendance increased, the paediatric wards were full. Acting Director of Health Dr Gloria Tam said that the peak period of influenza has not yet been suffering from influenza figures nor fall. She said that the fresh-Bureau, Department of Education, Department of Health and other departments will have to discuss when to resume the decision and arrangements.

Hong Kong flu of the peak, the number of infection remains high. Now, there are nine children in hospital in which a 2-month-old boy in serious complications of pneumonia, a serious condition, but the influenza virus were negative. Sustained in the influenza virus variants, variant of the World Health Organization is monitoring the situation on how to mitigate the event of a major outbreak of lethal influenza.

Centre for Health Protection in Hong Kong on the 13th of this month launched a new surveillance mechanism, the Centre spokesman said, 23 have not received any report of the new admission of influenza so far accumulated a total of 24 children admitted to hospital allegedly as a result of influenza complications of the report, in which 6 is confirmed influenza cases, they have all been discharged from hospital. Another 18 flu is not confirmed, but we still have 900 people admitted to hospital. Centre has received a total of 230 influenza-related enquiries.

3 departments days to discuss arrangements for resumption of classes

As new cases announced on the 22nd of the 2-month-old boy, he was serious complications of pneumonia, on the 21st of this month admitted to the Queen Elizabeth Hospital paediatric ward, the current situation remains serious, failed to discharge, but he has been confirmed influenza virus were negative.

Since the 13th of this month from kindergarten and primary schools closed, the Hong Kong Food and Health Council will be on the 25th or the 26th to resume arrangements with the Department of Education decision. Acting Director of Health Dr Gloria Tam said that the peak period of influenza in February-April, and still has not, with the number of influenza nor fall. She said that the fresh-Bureau, Department of Education, Department of Health and other departments will have to discuss when to resume the decision and arrangements.

WHO in favour of a vaccine for children

In addition, the SAR Government in Tuen Mun on the 23rd of influenza prevention activities, the activities of the HA Chairman Anthony Wu Ting-yuk said that as long Easter holiday, many private clinics rest, recently went to the accident and emergency department has increased the number of paediatric wards are full. The unit has taken appropriate measures to deal with, yet is expected to resume after the accident and emergency department attendance will increase.

At the same occasion, WHO Collaborating Centre on Community Health Service in charge of Peng chee said that the SAR Government in favour of free vaccination for children influenza vaccine, "because the vaccination can have some protective effect." She said that the recent flu situation is not deteriorating, but further warmer weather, it can be sure when the peak period ended.

Research by the influenza surveillance variant of mass destruction

For this year, a new variant of influenza H1N1 and H3N2-Brisbane-Brisbane, Peng chee said the vaccine still 50% of the protection force, the WHO has been on the alert and surveillance of influenza variety of situations, study the event of an influenza pandemic how to reduce lethality.

As a boy died after flu symptoms appear in Tuen Mun Ho Shun Tak Fraternal Association East primary schools, some parents said there are still concerns, but worried that remain closed, it will affect their children academic progress, it will remind their children back to school after the attention of health. Parents also said that the recent influenza figures stabilized, and strengthening disinfection of the school premises, I believe health situation acceptable.

http://www.chinanews.cn/ga/kjww/news/2008/03-24/1199964.shtml
 
Re: China - HUMAN Cases 2008

I thought the Brisbane is only as old as Australia's last winter season?

ETA: How do you know its Brisbane/59 & Brisbane/10?

For this year, a new variant of influenza H1N1 and H3N2-Brisbane-Brisbane,
 
Re: China - HUMAN Cases 2008

Answered my own question.

• The 2008–2009 trivalent vaccine virus strains are A/Brisbane/59/2007 (H1N1)-like, A/Brisbane/10/2007 (H3N2)-like, and B/Florida/4/2006-like antigens. All three strains are different from the 2007-2008 Northern Hemisphere influenza vaccine.

http://www.cdc.gov/vaccines/recs/provisional/downloads/flu-3-21-08.pdf

I post a series of images (phylogenetic tree of A/H3N2 - A/H1N1 and B influenza viruses) from Italian surveillance system (CIRI - http://www.influciri.it/frsetcn.html).
I hope It will help anyway to understand current seasonal human epidemic activity in northern emisphere (close to its end).


^^ Type B

^^ Type A subtype A/H1N1

^^ Type A subtype A/H3N2

^^ Distribution of isolates

Data refer to week 11/2008.
It may help further to add the fact that between Italy and China mainland exist a flow of migrant workers (legal and not legal). The Chinese community in Italy is one of the bigger, second only to those from Mediterranean basin (Algerie, Tunisie, Morocco, Kurdistan and Somali) and Balcans (Romania, Moldova, Ukraine, Kosovo etc.)
 
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