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China, Man, 39, dead from H5N1 Bird Flu - Guizhou province

Re: China, Man, 39, dead from H5N1 Bird Flu - 59 contacts being monitored - Guizhou province

Re: China, Man, 39, dead from H5N1 Bird Flu - 59 contacts being monitored - Guizhou province

Sharon,
I haave read your posts for several years and been impressed by your level headedness.I sense a hint of anxious frustration concerning the lack of information regarding this most recent Chinese death from H5N1.There seems to be a considerable uptick of reported cases in the Far East,and they are all of the most recently mutated strain.This could be due to the fact that fowl have not been vaccinated to this new bug,and as a result more of them are infected and subsequently are infecting more people.Or,it could be that possible H2H transmission is occuring.Without Chinese transparency on the latest cases,speculation of a worst case scenario grows.What is your current level of concern?
 
Re: China, Man, 39, dead from H5N1 Bird Flu - 59 contacts being monitored - Guizhou province

Re: China, Man, 39, dead from H5N1 Bird Flu - 59 contacts being monitored - Guizhou province

Thanks Deacon48 and Welcome.

I think that there is a history of vaccine failures in poultry in China and elsewhere. Once H5N1 is endemic in an environment it appears that it is impossible to eradicate it.

China does not admit to any H5N1 problem in poultry. This is very frustrating for me. I will admit it. We have no idea how widespread this problem is. A continuing H5N1 infection in poultry will result in human infections as we have seen over the years in Indonesia and Egypt.

The last OIE poultry report for mainland China was in May 09:

Disease outbreak summary, China (People's Rep. of)

Highly path. avian influenza, QINGHAI, May 2009


New outbreaks: 2
Total outbreaks: 2
Serotype(s): H5N1
Affected species

Species Susceptible Cases Deaths Destroyed Slaughtered
Birds 23693 0 0 23693 0
Wild species 283 0


http://www.flutrackers.com/forum/showthread.php?t=108374


But, Chinese experts recently warned the populace to clean chicken eggs due to potential H5N1 contamination.

And this month in the city where the bus driver died of H5N1, live poultry was banned from the trains due to that death.

So I have a general frustration about what I see as the Chinese government's lack of disclosure. What I think is here.

Now to this case in Guiyang. Well...I have no idea. The government is investigating the origin of his disease. Apparently he had no known poultry contacts. This leaves 4 options: human, fomite, food, pet. He owned a car rental agency. He had many human contacts and he may also have cleaned out the returned rental cars. Maybe someone transported H5N1 poultry in a rental car? Maybe he ate some H5N1 contaminated chicken at home or a restaurant?

We just don't know. I do not subscribe to the idea that wild birds give humans H5N1 infections - unless the patient has a job that involves the wilderness or game keeping. If simply walking in a park like the Shenzhen case can transmit H5N1, then China must have thousands of cases.

This is the first case that China has totally blocked from the media. I wonder why?
 
Re: China, Man, 39, dead from H5N1 Bird Flu - 59 contacts being monitored - Guizhou province

Re: China, Man, 39, dead from H5N1 Bird Flu - 59 contacts being monitored - Guizhou province

machine translation -

Guizhou bird flu patient died a specialist: birds eat food cooked

At 13:17 on January 29th, 2012 Source: Jinqianzaixian participate in interactive ( NaN )NaN0
  Guiyang 22 bird flu deaths, 71 close contacts observed release
  Disease control experts to respond to rumors: As long as you can rest assured that eating cooked poultry cooking
  Since the Ministry of Health released January 22 in Guiyang City, a man infected with highly pathogenic avian influenza treatment died in the news, one on the "bird flu Guiyang, we notify the family do not eat poultry," the information will be passed to it, text message in the city City folklore.
  Yesterday, Guiyang City, disease control experts said in an interview, the bird flu virus is sensitive to heat, as long as the food thoroughly cooked poultry cooking, eating such food is safe. He also told reporters that with the close contact with bird flu, 71 dead yesterday has lifted all medical observation.
  Guiyang, a bird flu outbreak
  It is understood that patients Liaomou, male, 39, is a car rental company owner Guiyang, January 6, stay after the onset of the Fourth People's Hospital of Guiyang City, Guiyang Medical College 19 transferred to the hospital intensive care unit treatment, after The Guizhou Provincial Center for Disease Control initially judged as suspected human infection of bird flu.

  21, the virus sample sent to the Provincial Center for Disease Control Disease Control and Prevention, Chinese Center for review by the Ministry of Health confirmed cases of human infection of highly pathogenic avian influenza. On the same day, the Ministry of Health Provincial Health Office for the Coordination of three experts, to carry the avian virus serum to Guiyang inductance for treatment of patients, at 12:30 on the 22nd, the patient rapidly increased, blood pressure, sudden ventricular fibrillation, after she died.

  All 71 close contacts to lift medical observation

  After the outbreak, the provincial Health Department immediately and the patient had had close contact with 71 people under medical observation.

  Xiong, deputy director of CDC Guiyang mode ping told reporters, referring close contacts, raising, selling, slaughtering, processing staff sick or dead poultry; hunting, handling sick or dead poultry, the failure to take protective measures appropriate standards as well as direct contact with sick or dead poultry and their droppings, secretions, etc. and other relevant personnel.

  According to Bear-mode level, from the January 21 report as a suspected human infection of highly pathogenic avian flu, close contacts are 71 local health departments to take measures to medical observation, mainly to monitor whether daily fever and respiratory symptoms such as abnormal situation, advised its own isolation, try to avoid contact with others. As at 12:00 on January 28, 71 close contacts that had any abnormalities, according to the relevant provisions of the medical observation measures have all been lifted.

  Bear said mold levels, in addition to the reported death on 22 January an example of highly pathogenic avian influenza, the Guiyang City has not found new suspected human bird flu cases and unexplained pneumonia cases, people unnecessary worry.

  Cook poultry as long as the cooked food is safe

  Reporters learned from Guizhou province of human bird flu deaths, the one on the "bird flu Guiyang, we notify the family do not eat poultry," the information through SMS, microblogging in public in circulation.

  In this regard, Bear flat mold, said the bird flu virus is sensitive to heat, 65 to 70 ℃ heat can inactivate a few minutes, so long as the poultry and poultry products thoroughly cooked, the food is safe to eat poultry.

  He explained that people infected with bird flu early symptoms resemble ordinary influenza, mainly fever, body temperature above 39 ℃ in the most sustained, may be associated with runny nose, nasal congestion, cough, sore throat, headache, muscle aches and general malaise. High fever can occur in patients with severe, almost all patients have pneumonia, acute respiratory distress syndrome, pulmonary hemorrhage, pleural effusion, multiple organ failure and other complications.

  Avian Influenza is currently no vaccine through droplets

  It is understood that highly pathogenic avian influenza infection in the body's way, mainly inhalation of infectious droplets or droplet nuclei, direct contact with sick or dead poultry or contaminants (eg, secretions, excretions, etc.) and indirect contact the virus inoculated into the patient's upper respiratory tract or conjunctival mucosa.

  Bear-mode level analysis, the province there were risk factors for avian influenza are: contact with infected dead poultry or poultry health, eating raw or without further processing of poultry food; access in close contact with live poultry markets, and the secretion of human bird flu materials, waste, etc.

  He reminded the public: As bird flu spread through the respiratory tract can also be infected through close contact with poultry secretions and excretions, and items contaminated by the virus infected water, direct contact with the virus strains can also be infected.

To this end, the public should be done to combat avian flu avian flu should be wash their hands; away from poultry and their secretions, excretions; enhance indoor air circulation; to eat poultry meat, eggs should be cooked, cooking, do not eat dead or cause of death unknown birds; fever, headache, muscle pain and other flu-like symptoms in a timely manner to a regular hospital and so on.

  "As the current influenza vaccine can prevent a flow and seasonal flu, but can not prevent bird flu, so even people injected influenza vaccine should not be taken lightly for sustained high fever, white blood cells is not high, and the symptoms of pneumonia with antibiotics standard treatment more than 3 days or more, shall be admitted to hospital, a clear diagnosis. "Xiong said flat mold.

  Further Reading

  Humans are not susceptible to avian influenza

  According to experts in disease control in Guiyang City, Ping Xiong model, the main mode of transmission of avian influenza, or to sick or birds carrying the virus through droplets or droplet nuclei spread through the respiratory tract.
  "But humans are very likely to be infected by avian flu." Flat model bears emphasis, where bird flu virus containing genes mainly dominated by birds, is not easy to recognize and bind to human cells, which spread of influenza in humans, A stream different.
  He told reporters that in 2009 a single case of bird flu occurred in Guiyang patients, patients with disease control experts has spent time in the farms to collect the virus found in the gutter, poultry droppings were found in the bird flu virus, but the farms where so many chicken vendors duck stall, but no one was infected. Therefore, people are not susceptible to avian influenza. Now the reason why so much emphasis on the virus, avian influenza virus is strong, difficult to treat infection.
  Bear-mode level, as at present, the world has not a single case of bird flu spreading the virus to others, that is, highly pathogenic avian influenza virus, the receptor for the avian receptor is still not found in the spread between people . (Guizhou Chinese Commercial News reporter Liu Dan)

Zhttp://www.chinanews.com/gn/2012/01-29/3626217.shtml
 
Re: China, Man, 39, dead from H5N1 Bird Flu - Guizhou province

This article also confirms that all persons under observation have been released.

Bird flu found in Guiyang
12-01-29 08:30 Jinqianzaixian - Guizhou City News  

Patient died from 71 close contacts of all without exception

  Jinqianzaixian, Jan. 22, Guiyang City, a man treat bird flu died, at the same time, 71 close contacts were sent to Guiyang Medical College Hospital medical intensive care unit for medical observation. Day, 12 close contacts because no abnormalities were observed subsequently lifted, and the remaining 59 were still in the hospital continue to receive medical observation. January 27, reporter learned from your Fuyuan, who has not found this abnormal 59, was all of 26 January from the hospital.

more...

Zhttp://gzdsb.gog.com.cn/system/2012/01/29/011323303.shtml
 
Re: China, Man, 39, dead from H5N1 Bird Flu - Guizhou province

Apparently no humans or poultry in Guiyang have H5N1.

machine translation -

Guiyang human case of bird flu occurred in Guizhou Province are searching investigation is not unusual poultry
  12-01-30 08:48 Jinqianzaixian - Guizhou Daily  

Guiyang human bird flu cases occurred, the provincial government launched the emergency response

Search the market investigation and hospitals are no suspected cases are not unusual poultry

  Since the case of human infection occurred in the city of Guiyang highly lethal avian flu, the government launched a public health emergency contingency plan two emergency response, and medical institutions above the county level, Guiyang, December 1, 2011 to January 2012 22 out of the admission logs and patient search, search a total of 729 cases of ILI, without suspected human infection of highly pathogenic avian influenza.

  ● the hospital market is not unusual

  Yesterday, reporter learned from the Guizhou Provincial Health Department, the provincial health department for contact with bird flu infected hospital wards, farmers market, residential area to carry out a comprehensive sterilization, disinfection area of ​​3650 square meters, testing of environmental samples, were not abnormal.

  Meanwhile, medical institutions above the county level in Guiyang City, December 1, 2011 to January 22, 2012 out-patient log and a admission search, search cases were a total of 290,733 cases, of which 729 cases of influenza-like illness without pneumonia of unknown causes and suspected cases of human infection of highly pathogenic avian influenza.

  In addition, the agricultural sector to organize special teams to monitor the investigation of animal disease, medical personnel were deployed more than 200 people, market investigation, farms (households) 176, 2 large poultry trading platform, collecting 25 samples sent to provincial animal disease prevention control center for testing and found no abnormal poultry.

  
snip

  Human infection of highly pathogenic avian influenza what performance?

  Humans suffering from highly pathogenic avian influenza, the onset of very rapid, similar to the early performance of the common influenza. Mainly fever, body temperature mostly in the 39 degrees, for 1 to 7 days, usually 3-4 days, may be associated with runny nose, nasal congestion, cough, sore throat, headache, general malaise, some patients have nausea, abdominal pain , diarrhea, thin watery stools and other gastrointestinal symptoms.


  When their own or the people around the above symptoms should seek medical care immediately.


more..

Zhttp://health.gog.com.cn/system/2012/01/30/011324390.shtml
 
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