China Reports 648 Deaths in 2009 due to A/H1N1 - Continues to spread in rural areas, severe and fatal cases "increased"

[sharon sanders]

from a Chinese government source -
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新华社北京１月２日电（记者周婷玉）卫生部２日通报指出，截至2009年12月31日，全国31个省份累计报告甲型H1N1流感确诊病例１２万余例，已治愈１１万例，死亡648例。​

Xinhua News Agency, Beijing, January 2 (Reporter Zhou Tingyu) -



Ministry of Health on the 2nd circular pointed out that as of December 31, 2009, the country's 31 provinces had reported 12 confirmed cases of influenza H1N1 Influenza A thousand cases have been cured 110,000 cases, 648 cases of death.

2009年12月份，全国流感哨点监测结果显示，流感病例占流感样病例的比例为42.4%,比11月份的52.2%明显下降；甲型H1N1流感病例占流感病例的比例为85.9%，比11月份的89.3%有所下降。​

In December 2009, the National Influenza sentinel surveillance results show that influenza cases accounted for the proportion of influenza-like illness was 42.4%, 52.2% more than in November decreased; Influenza A H1N1 influenza cases in the proportion of influenza cases are accounted for 85.9%, compared with 11 89.3% in the month of decline.

通报指出，2009年12月份我国内地疫情有以下特点：​

Circular pointed out that the Mainland of China in December 2009 the epidemic has the following characteristics:

一是疫情波及范围进一步扩大。​

First, the scope of the epidemic spread to further expand.

除海南外，所有省份均报告了死亡病例。​

In addition to Hainan, all provinces have reported deaths.

北京、上海等一些大城市学校暴发疫情明显下降，但疫情继续向农村蔓延、社区扩散。​

Beijing, Shanghai and other major cities outbreaks in schools, decreased significantly, but the epidemic continues to spread to rural areas, community spread.

二是甲型H1N1流感每周报告新增确诊病例数、流感样病例占门急诊病例的比例均呈下降趋势。​

Second, Influenza A H1N1 influenza weekly report the number of new confirmed cases of influenza-like illness outpatient and emergency cases accounted for a declining trend in the proportion.

三是重症和死亡病例数显著增加。​

Third, the number of cases of severe and death increased significantly.

数据分析提示，慢性基础病患者、肥胖人群和妊娠妇女易成为甲型H1N1流感重症、危重症患者。​

Data analysis suggested that patients with chronic basis, fat people and pregnant women vulnerable to severe influenza A H1N1 influenza, in critically ill patients.

四是病毒基因测序未发现明显变异。​

4 is a viral gene sequencing found no significant variation.

12月份，网络实验室共对75株甲型H1N1流感病毒进行分离测序，未发现耐药性毒株；发现从4例轻症患者分离出的4株病毒HA基因的第222位氨基酸出现突变，研究证实，4例病例无流行病学关联，病毒没有出现持续传播，病毒毒力、致病力和免疫原性未发生明显变化。​

In December, the network laboratories a total of 75 influenza A H1N1 influenza viruses were isolated and sequenced was found resistant strain; found in patients with mild isolated from four cases out of four virus HA gene of the first 222 amino acid mutation occurs, research confirmed that 4 cases no epidemiological association, the virus does not appear continuous spread of the virus virulence, pathogenicity and immunogenicity have not change significantly.

五是全人群的整体免疫保护水平仍较低，有效的免疫保护屏障尚未建立。​

Fifth, the whole population as a whole is still relatively low level of immune protection, an effective immune protection barrier has not been established.

综合局部地区人群感染水平调查结果和甲型H1N1流感疫苗接种情况，专家推算，我国内地约15%的人口具有抵抗甲型H1N1流感病毒感染的免疫保护力。​

Comprehensive population levels of infection in some areas of the findings and Influenza A H1N1 influenza vaccine situation, experts estimated that the Mainland of China by about 15% of the population are resistant to influenza A H1N1 influenza virus infection in immuno-protection force.

据统计，截至2009年12月31日，全国累计完成甲流疫苗接种4991万人。​

According to statistics, as of December 31, 2009, the National accumulated A flow of 49.91 million people vaccinated.

疫苗接种异常反应监测显示，疑似预防接种异常反应报告发生率约为12.4/10万，严重异常反应报告发生率约为0.1/10万；在12月份疫苗接种人群中出现2人死亡，经证实均与疫苗接种无关。​

Vaccination abnormal reaction monitoring shows that abnormal reaction to the report of suspected vaccination rate is about 12.4/10 million, the report of the incidence of serious abnormal reaction around 0.1/10 10000; in December vaccine crowd appeared two people were killed and both proved has nothing to do with the vaccination.

我国疫苗接种不良反应发生率未超过国内外甲型H1N1流感疫苗临床试验结果，与世界卫生组织通报的各国数据基本一致。​

My vaccination did not exceed the incidence of adverse reactions at home and abroad Influenza A H1N1 influenza vaccine clinical trial results, and the World Health Organization country data communications are basically the same.

专家分析指出，近期甲型H1N1流感病毒出现明显变异的可能性仍然较小。​

Experts pointed out that the recent influenza A H1N1 influenza virus mutation apparent there is little possibility.

我 国流感监测网络显示，境内流感样疾病活动水平近期下降，但考虑全人群免疫保护水平有限，有效免疫保护屏障尚未形成，随着疫情向社区和农村扩散，预计在未来 一段时间内，病毒传播将依然活跃，局部地区出现暴发疫情的风险仍然存在，每周新增重症和死亡病例数仍将维持在较高水平。​

China's Influenza Surveillance Network showed that influenza-like illness in the recent decline in the level of activity, but considering the whole population immunity level of protection is limited, an effective immune protection barrier has not yet formed, with the epidemic spread to communities and rural areas is expected in the next period of time, spread of the virus will be are still active in some areas the risk of epidemic outbreaks still exists, per week the number of cases of severe and death will remain at a high level.

农村地区，尤其是农村学校将是下一阶段防控重点；孕妇、基础性疾病患者、农村地区的学生仍是当前重点防控人群。​

In rural areas, especially rural schools will be the next phase of the prevention and control priorities; pregnant women, the basic disease in rural areas, students have a current focus of the prevention and control populations.


http://news.xinhuanet.com/politics/2010-01/02/content_12744444.htm

 

[Ronan Kelly]

Re: China Reports 648 Deaths in 2009 due to A/H1N1 - Continues to spread in rural areas, severe and fatal cases "increased"

China reports 648 deaths from A/H1N1 flu


2010-01-02 23:14:50

BEIJING, Jan. 2 (Xinhua) -- The Chinese mainland reported 648 deaths from the A/H1N1 influenza as of Dec. 31, the Ministry of Health said on Saturday.

More than 120,000 A/H1N1 flu cases were reported up to the last day of 2009, 110,000 cases of which had recovered, the ministry said.

A/H1N1 accounted for 85.9 percent of flu cases, a minor drop from November, it said.

The ministry said there were fewer cases of large outbreak in schools of major cities such as Beijing and Shanghai last month, but the epidemic still spread in the countryside and urban communities.

There was also a drop in the weekly reported number of new cases but the number of serious cases and deaths, especially those of chronic patients, obese people and pregnant women, increased sharply, it said.

As of Dec. 31, more than 49.9 million people nationwide had been inoculated against the A/H1N1 flu, it said, adding about 12 people for every 100,000 were suspected of having adverse reaction related to the vaccine, similar to data from the World Health Organization.

The ministry said last month that China would face increasing pressure of flu control in the next two months due to nationwide flow of large population during the New Year and Spring Festival holidays.

http://news.xinhuanet.com/english/2010-01/02/content_12745123.htm

 

[Ronan Kelly]

Re: China Reports 648 Deaths in 2009 due to A/H1N1 - Continues to spread in rural areas, severe and fatal cases "increased"

December 2009 National Influenza H1N1 influenza prevention and control work

www.moh.gov.cn 2010-01-02 23:18:49 The People's Republic of China Ministry of Health www.moh.gov.cn 2010-01-02 23:18:49

The People's Republic of China Ministry of Health Circular


Satcom 〔2010〕 No. 1

December 2009 National Influenza H1N1 influenza

Prevention and control work

1, the domestic situation and characteristics of the epidemic

The country's 31 provinces had reported cases of Influenza A H1N1 flu in 120,498 cases, including the territory of 118,244 cases, 2254 cases from abroad; has cured 110,064 cases, 7092 cases in the hospital for treatment, home treatment of 2694 cases, 648 cases of death.

To 31 days, 31 provinces reported new cases of Influenza A H1N1 flu in 28,779 cases, of which 28,704 cases of infection in the territory, 75 patients from abroad; home treatment of 19,102 cases, 9363 cases of hospitalization; 447 cases of death.
Specific Annex.

In December 2009, the National Influenza sentinel surveillance showed that the hospital reported a total of 391,435 cases of influenza-like cases, in November compared with a decrease of 43.9%, still higher than the strength of the national influenza pandemic over the same period the previous two years the average level; influenza cases of influenza-like illness accounted for the proportion of 42.4% compared to November (52.2%) was significantly decreased; Influenza A H1N1 influenza cases in the proportion of influenza cases are accounted for 85.9% more than in November (89.3%) declined.

In December 2009 Mainland of China, the epidemic has the following characteristics:

To further expand the scope of the epidemic spread. Reported confirmed cases of the counties (cities, districts) increase in the number 108. In addition to Hainan, all provinces have reported deaths. Beijing, Shanghai and other major cities outbreaks in schools, decreased significantly, but the epidemic continues to spread to rural areas, community spread.

Influenza A H1N1 influenza weekly report the number of new confirmed cases of influenza-like illness accounted for the proportion of outpatient and emergency cases (ILI%) a declining trend.

The number of cases of severe and death increased significantly. Data analysis suggested that patients with chronic basis, fat people and pregnant women vulnerable to severe influenza A H1N1 influenza, in critically ill patients. Pregnant women account for the proportion of cases of severe and death was a gradual upward trend, as at the end of December, pregnant women in the severe cases, the proportion of 9.6% over the end of November (6.6%) increased by 3%; pregnant women in the proportion of deaths was 18.6 %, compared with the end of November (8.8%) increased 9.8%. Deaths were the main complications of pneumonia, respiratory failure and respiratory distress syndrome, heart failure and septic shock.

Medical institutions in the country for more than two emergency doors downward trend in the total number of new increasing trend in the total number of admissions. Expert analysis, patients with other infectious diseases may be related to the winter and increased in patients with acute exacerbation of chronic diseases and other factors.

- Viral gene sequencing found no significant variation. In December, the network laboratories a total of 75 influenza A H1N1 influenza viruses were isolated and sequenced was found resistant strains found in patients with mild isolated from four cases out of four virus HA gene of the first 222 amino acids appeared D222E mutation, study confirmed that 4 cases no epidemiological association, the virus does not appear continuous spread of the virus virulence, pathogenicity and immunogenicity have not change significantly.

The whole population is still low overall level of immune protection, an effective immune protection barrier has not been established. Comprehensive population levels of infection in some areas of the findings and Influenza A H1N1 influenza vaccine situation, experts estimated that the Mainland of China by about 15% of the population are resistant to influenza A H1N1 influenza virus infection in immuno-protection force.

2, the main progress in the prevention and control
In the CPC Central Committee, under the leadership of the State Council, all localities and departments according to law, science, and orderly work principle and continue to adhere to the "intensification of preventive measures, highlighting the key areas to strengthen the severe treatment to reduce disease hazards" strategy, efforts to reduce the epidemic to the public health hazards and the impact of social production and living order.

The first is to follow closely the changes in the global epidemic, and further strengthen domestic surveillance, carefully organize the implementation of the National Survey of Influenza A H1N1 influenza infection in a timely manner experts on the epidemic situation in the near future to study them, deal with the convening of joint prevention and control influenza A H1N1 influenza meeting to study the working mechanism the deployment of 2010 New Year's Day and Spring Festival period of epidemic prevention and control. Adhere to an open and transparent disclosure of information and disease prevention and control work progress.

Second, actively promote the Influenza A H1N1 influenza vaccine production and vaccination. As December 31, 2009 National accumulated 49.91 million people vaccinated. Vaccination abnormal reaction monitoring shows that abnormal reaction to the report of suspected vaccination rate is about 12.4/10 million, the report of the incidence of serious abnormal reaction around 0.1/10 10000; in December vaccine crowd appeared two people were killed and both proved has nothing to do with the vaccination. My vaccination did not exceed the incidence of adverse reactions at home and abroad Influenza A H1N1 influenza vaccine clinical trial results, and the World Health Organization country data communications are basically the same.

Third, strengthening the severe cases of the treatment. The central government to the central and western 17 provinces and the Xinjiang Production and Construction Corps gradually allocated 397.56 million yuan in support of medical institutions in central and western regions to configure care beds, breathing machines, monitors and other severe medical treatment facilities, to strengthen its comprehensive treatment of severe cases of capacity. At all levels throughout the health sector to continue to work to guide treatment in severe cases, in particular, to strengthen women's pregnancy prevention and control of Influenza A H1N1 influenza guidance, give full play to the role of Chinese medicine in the prevention and treatment of influenza A H1N1 influenza has achieved good results; while continuing to strengthening of hospital infection control. The Ministry of Industry and Information Technology to speed up, oseltamivir phosphate, etc. antiviral stockpiles and allocation of work, total allocation to the various and relevant departments, oseltamivir phosphate 422 thousand people were.

Fourth, further strengthen the organs of enterprises, institutions, towns and streets of Influenza A H1N1 influenza prevention and control guidance, required all localities and departments do a good job of the current epidemic prevention and control. Earnestly carry out research supervision and supervise the implementation of prevention and control measures.

Third, the epidemic trend analysis

Expert analysis, the recent influenza A H1N1 influenza virus mutation apparent there is little possibility. China's Influenza Surveillance Network showed that influenza-like illness in the recent decline in the level of activity, but considering the whole population immunity level of protection is limited, an effective immune protection barrier has not yet formed, with the epidemic spread to communities and rural areas is expected in the next period of time, spread of the virus will be are still active in some areas the risk of epidemic outbreaks still exists, per week the number of cases of severe and death will remain at a high level. In rural areas, especially rural schools will be the next phase of the prevention and control priorities; pregnant women, the basic disease in rural areas, students have a current focus of the prevention and control populations. 2010 New Year's Day, Spring Festival period, there will be the spring, travel, shopping peaks, and the crowd gathering additional factors such as people infected with influenza will lead to increased risk of H1N1 influenza, the epidemic prevention and control of the situation is still grim.

Fourth, prevention and control of Influenza A H1N1 influenza to the public the recommendations of

2010 New Year's Day and Spring Festival period, the public to raise awareness of self-protection, science and prevention and control of influenza A H1N1 influenza.

(A) Influenza A H1N1 influenza vaccine to prevent influenza A H1N1 influenza vaccine is the most effective means. Influenza A H1N1 influenza vaccine in China has a good safety and protective effect of the implementation of mass vaccination informed, voluntary, free of charge principle. Currently, pregnant women have been classified as influenza A H1N1 influenza vaccination in China the focus of the crowd.

(B) wash their hands, not spitting. With tissue paper when coughing or sneezing, sleeves, handkerchief and so cover your nose and mouth with water after coughing or sneezing and wash their hands with soap or hand sanitizer, paper towels used to be thrown into the trash.

(C) of the chronically ill, pregnant women, obese persons, infants and young children and the elderly are vulnerable to severe influenza H1N1 flu, high-risk critically ill patients, we recommend the above-mentioned persons in the local festivals as far as possible to avoid the New Year, Lunar New Year traveling in public transport travel, reduced to crowded places would avoid contact with flu patients, need to travel or contact with flu patients should wear masks and do personal protection.
(D) of acute respiratory infection symptoms should be timely medical treatment, particularly in high-risk groups mentioned above, as well as persistent high fever or heat back again, high fever, shortness of breath, shortness of breath, chest tightness and other symptoms in patients with timely medical treatment.

(5) home treatment of patients with influenza A H1N1 flu and fever and other respiratory symptoms, should be minimized to go out, non-riding public transport to travel less than crowded places, avoid close contact with others, you must go out or contact with others should be wearing a mask.

(6) New Year's Day and Spring Festival period, the public transport, travel, large gathering places have been found such as fever and other respiratory symptoms, we must correctly deal with science, there must be compassionate, do not panic, do not have to drive off and get off (appearance ) such acts. Influenza A H1N1 Influenza is mainly spread by respiratory droplets directly, the patient to wear a mask to be effective in blocking the spread of influenza.

Notice is hereby.


.doc Annex: December 2009 summary of the Mainland of China epidemic. Doc


January 2, 2010
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