Re: China - Man, 39, hospitalized for H7N9 bird flu in Dongguan, Guangdong - December 15
Re: China - Man, 39, hospitalized for H7N9 bird flu in Dongguan, Guangdong - December 15
Translation Google
Dongguan bird flu chicken farmhouse had multiple organ damage in patients with
2013-12-17 09:54 Source: Yangcheng Evening NewsI
Core Abstract: Currently, Dongguan Fenggang slaughtered poultry farmers market still, sales, but the stall owners who have to wear masks gloves Cong captured the provincial Agriculture Department yesterday informed that, as of now, the province has 112,407 copies of H7N9 avian influenza surveillance samples which pathogen monitoring 69,383 copies, serological monitoring 43,024 copies, were negative.
Dongguan bird flu had farmhouse chicken
Currently patients with multiple organ dysfunction, mortality rate of 60%
Dongguan Fenggang Hospital ICU ward lying inside Hemou now in critical condition, multiple organ dysfunction have emerged, the mortality rate as high as 60%. Risk Dongguan City Health Bureau held a press conference on the 16th, the responsible person, because Hemou infection with H7N9 avian influenza may farmhouse restaurant in chicken, whereas now this season is conducive to virus transmission, dissemination of human infection with H7N9 avian influenza persists .
Pathogens in the investigation of patients ate chicken farmhouse
According to deputy director of the Dongguan Municipal Health Bureau spokesman Ye Xiangyang introduction, the cases of human infection of H7N9 avian influenza cases of severe pneumonia cases in Dongguan found in monitoring. 39-year-old patient Hemou is Yilong, who now live in Fenggang Town, Dongguan City. 6th of this month, he began to develop fever, headache and fatigue and discomfort, did not improve after the self-medication, he worked in a local clinic, Fenggang town, the 11th to Fenggang hospital treatment, the 13th sicker transferred to ICU treatment. 14, 2009, the Centers for Disease Control and Prevention, Dongguan City, throat swab specimens of patients infected with H7N9 avian influenza nucleic person is positive, the next day by the CDC to review the results of the province of the same.
Hemou after being diagnosed, the disease control department Dongguan immediate family members of patients epidemiological investigation conducted to understand the history of exposure before the onset HeMou.
Deputy director of the Center for Disease Control and Prevention, ZHANG Qiao-li said, because patients in critical condition, unable to do prior to the survey readme, but family members said, have not been to the farmers market before Hemou disease, but this month the 1st Fenggang town had a farmhouse restaurant Inside eaten chicken. Followed by the relevant departments of the restaurant were examined and found to have live chickens and ducks live poultry raising. Restaurant has been ordered to stop, kitchen, cutlery and so were disinfected, and all live birds were hunted, some frozen poultry in the refrigerator also been destroyed. Disease control departments will be done once the external environment of the restaurant's inspection, found no problem and then allow it opened. In addition, the disease control department also Fenggang, all three birds wholesale farmers market and external environment sampled 100 specimens, and did not detect H7N9 avian influenza nucleic acid positive.
ZHANG Qiao-li that although the present sample test results cages of the restaurant, chicken endures environment has not come out, but this type of farmhouse restaurants tend to have chickens slaughtered in the air, or there is a risk of spread of avian influenza virus, so recommended that such a restaurant, when the slaughter of live birds to stay away from the guests dining spots.
Progression in patients with multiple organ damage
Hemou currently in critical condition, being treated in isolation Fenggang Hospital ICU. According to Dongguan human infection of avian influenza H7N9 clinical team leader Zhang Ping, the patient had very healthy, there is no underlying disease, but soon, and now liver function, kidney function, heart function after infection process indicators have abnormal condition , appeared in multiple organ damage. Once a person infected with H7N9 avian influenza multiple organ dysfunction appear, that the mortality rate as high as 60%. Guangzhou has invited experts to consultation, to assess the level of risk considered great condition, so the spot in Fenggang, rescue, and did not implement referral for treatment.
In the health sector, the full treatment of infected persons, but also for the 53 close contacts were under medical observation for a period of one week. Zhang Ping said that currently no fever, upper respiratory symptoms, everyone performed in throat swab specimens, the results are displayed as negative.
Questions 1
Two cases are related?
As early as November 5, Dongguan City Health Bureau reported the first case of human infection with H7N9 this year, bird flu, the patient was 3 years old and 5-month-old boy, Suining, Sichuan, living Changping Yuanshanbei village. After more than a month, Fenggang town appeared in the second case of human infection of H7N9 avian influenza cases between the two cases whether there is some correlation it?
ZHANG Qiao-li denied the claim, she said, often flat case is October 29 incidence, epidemiological point of view, than the longest incubation period of the virus, and Chang Ping, Fong distance between the two places.
"Avian flu is now found in sporadic incidence related with individual-specific, not every person will contact with poultry disease. Currently this season in favor of the spread of avian influenza virus, although there is no evidence that the H7N9 avian Influenza viruses can infect people, but there is always the risk of dissemination. "
The first case of human infection of H7N9 avian influenza in Dongguan cases, Children with live poultry trade had been there the farmers market stalls, ZHANG Qiao-li remind the public that many now live poultry slaughter will be used when hair removal machine, academics have reached consensus that hair removal machine is a risk factor, after the chicken in hot water burns, turn easily produce aerosol hair removal machine, if the virus could spread through airborne aerosols.
Questions 2
Cases diagnosed too late?
Fenggang Town of cases occur after the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Respiratory Diseases, and the first time to send experts to evaluate Dongguan consultation, feedback, information display, the patient's condition is serious, is not optimistic. Guangzhou Institute of Respiratory Diseases 陈荣昌 has said, is mainly found in the time interval from the onset to long, serious impact on the post-treatment.
Does this mean that H7N9 avian influenza surveillance and diagnosis of Dongguan, there is a certain "time vacuum" mean? Zhang Ping said in response, the patient started on the 6th of this month showed only fever, headache, and other flu-like symptoms, patients with dyspnea, hypoxia and other changes, the hospital would be highly suspected human infection with H7N9 avian influenza confirmed in nucleic acid detection before the 13th of this month the patient had to use Tamiflu.
ZHANG Qiao-li said, Dongguan, and now people infected with H7N9 bird flu monitoring
two systems,
one for influenza-like illness surveillance system, the city's total of 13 sentinel hospitals, before the first case of human infection with the H7N9 avian flu is in sentinel Changping Hospital discovered;
Another is unexplained severe pneumonia monitoring system should be to detect people infected with H7N9 avian influenza occurs after severe.
...
Source: Yangcheng Evening News Online Author: Editor: Cai Xiaodan
http://news.sznews.com/content/2013-12/17/content_8890629.htm
