Re: China: Woman, 19, Confirmed H5N1 Death - Contacts Monitored
Reporter talks to family of the deceased girl.
Beijing, the first case of bird flu entering the SARS hospital to investigate the state of reception
At 17:58 on January 9, 2009
Source: People's Net - Health Times Author: Liuqiao-bin
● 13 people to eat only one incidence of ducks
● 116 close contacts are normal
● reception state hospitals into the SARS
● a nurse had fever situation
January 6, 2009, the Ministry of Health published on the website of the Beijing Municipal Health Bureau briefing in Beijing confirmed case of bird flu.
The news instantly become a cell phone text message after the New Year, QQ, MSN fastest spread the news ... ...
The 19-year-old woman infected with how the avian flu? Her what kind of living environment? Their close contact with the crowd what is the situation now? Times reporter went to the health of Chaoyang District, Beijing, three rooms, walked into the first case of bird flu patients died at home.
The first time in Beijing to buy a duck to eat
According to Ching-Jang (a pseudonym) introduced Miss Fan aunt, they are rural people in Putian, Fujian, has been working in Beijing for many years, Jang Huang's father to sell the timber to a boss to work after the Spring Festival in February last year, Jang Huang to come to Beijing, the main task her father is cooking, he did not work, mother and younger brother in the home.
Miss Fan Ching-Jang and a rental in the Chaoyang District 3 landlord Xiaoping Village room, in this area belong to villages in the city, mainly for foreigners to rent, many of whom are their fellow Putian.
Hebei Yanjiao palace because farmers market vegetables cheaper, the number of fellow statistics often sent after the "buy" a number of chickens, ducks and other back distribution. Because of family conditions, Jang Huang has always been reluctant to buy a duck to eat.
December 19 last year, fellow statistics also buy the number of ducks, the father to see the end of the year, in order to improve life and her daughter, but also the way to bring a Trustee, has spent 40 yuan.
It smells bad so afraid of her daughter, Huang came the same day the father of do-it-yourself cooking, Ching-Jang finished only after his father to see the skin on the duck feather and some not entirely clear, to take over hand pull-off a few feather.
In order for my father to eat more points, Qing Huang did not willing to eat too much duck. After eating, and, as usual, did not have any irregularity.
Bought the duck's 13 fellow eat, and which also includes a 3-year-old child.
Initially, when the cold governance
The next day, Jang Huang wake up feeling boring body, head and a little fever, thought it was cold, and went to a pharmacy to buy cold medicine boxes, eaten after the burn on the back.
December 24 to get up the morning after the Qing Huang sudden high fever 39 ℃, Zhuang pipe to a nearby hospital, doctors had blood and chest X-ray inspection, saying it was a cold, fought to have a little bottle of medicine on the home a.
Could be three days later, despite the medication on time every day, Ching-Jang of high fever or no decline.
On the 27th night, Jang Huang was sent to Tongzhou潞河the hospital for treatment. After doctors diagnosed as pneumonia, playing a number of antibiotic drip.
28 the evening of high-Jang Huang more serious spread of 40.5 ℃, and the emergence of breath, difficulty breathing symptoms. That night, Ching-Jang潞河again was taken to hospital treatment, on the 29th, watching the treatment did not improve, the family doctor to do the diagnosis, the results or pneumonia.
Ching-Jang's father immediately took her daughter's chest to find Beijing Chest Hospital doctors, the doctor's advice to be a chest CT. Back to潞河Hospital said that after a week in order to do the chest CT examination, if want to go to other hospitals for check-ups, must first apply for潞河Hospital and discharged. His father had no choice but to his daughter for the discharge, transfer to Beijing Chest Hospital.
Hospital back to the SARS status
Beijing Chest Hospital has done inspection, the same diagnosis of the seriousness of pneumonia. Because patients with breathing, walking difficulties, signs are also weak, the hospital arranged for her stay in the intensive care unit (ICU), the implementation of antibiotic treatment.
January 4, postganglionic a work, the hospital will be carried out of her system checks again and found the last few days of antibiotic treatment did not play any role in the shadow of the parts of the lungs instead of the last inspection expanded.
"Seeing this dramatic changes, the first thought is SARS (SARS), was particularly tense at the time, rushed to the hospital patients would have done a report on the leadership." Hospital memories of a responsible person.
Prior to Beijing because of bird flu have not experienced any cases, the hospital does not previous thought, the most feared or other infectious respiratory diseases, hospital organization consultations immediately in accordance with this approach to prevention and treatment of infectious diseases cases reported to the Beijing Health Bureau and the disease control department.
The afternoon of January 4, the Beijing Municipal Health Bureau immediately organized a national prevention and treatment of infectious diseases expert group came to Beijing several chief expert on the Qing Huang Chest Hospital for consultation, when the Qing Huang has been very critical situation. "The night we finally see her, she has been in a coma." Jang Huang's aunt recalled.
After hours of discussion, the Group diagnosis was "pneumonia of unknown causes, the avian flu to be scheduled."
"I heard that it is bird flu,全院上下all nervous and start immediately to isolate the patient and the transfer of other patients. At the same time, the beginning of the Census and Statistics Department had to rescue patients with medical personnel, and they have also been isolated in situ. "
Consultation is required to report back very soon the Ministry of Health, the Chinese Center for Disease Control and Prevention and other relevant departments at the same time, the patient's serum samples were sent to the China Disease Prevention and Control Center, the Beijing Municipal Center for Disease Control and Prevention and the Academy of Military Medical Sciences three designated testing center.
That night, the hospital during the SARS has returned to the state of emergency upstairs administrative offices and meeting rooms brightly lit, emergency phone ringtones come and go, and out of hospital doors of vehicles when more than morning, consultation experts and House leaders have not left while the program is to discuss the rescue, while the implementation of the rescue.
22:30 or so, the Beijing Municipal Health Bureau rushed to Beijing specialized organizations Chest Hospital held a meeting and discuss the prevention and control program. At the same time, his family was informed that Qing Huang may be suffering from avian flu.
On the 5th morning, 7:20, the three testing agencies serum test results have not come out, stopped breathing on the Qing Huang. 9:00 or so, the Beijing Municipal Center for Disease Control and Prevention, Academy of Military Medical Sciences parallel detection and China Center for Disease Control and Prevention review testing, samples of the deceased showed that the avian flu virus (H5N1) nucleic acid-positive, identified as suspected cases of bird flu.
In the morning of January 6, according to information provided by Beijing, the Ministry of Health expert group to determine the verification of human infection cases of confirmed cases of highly pathogenic avian influenza. In the afternoon, the Ministry of Health authorized by the Beijing Municipal Health Bureau, announced the matter.
A fever nurse has returned to normal
Serum test results came out, the relevant departments in Beijing and Hebei Sanhe City relevant departments immediately launched an investigation, and Ching-Jang around his home were disinfected. Jang Huang close contact with a total of 116 people, including family members and neighbors, 14, possession Zhuang hospital medical staff, 11 were潞河hospital medical staff 78 people, Beijing Chest Hospital and 13 medical personnel. In addition to possession of Zhuang hospital nurses had a fever, and has returned to normal, the other officers are not unusual.
In another development, Sanhe City has closed on the 6th Yanjiao all live poultry trading market, and external environment to conduct a thorough disinfection. Sanhe City Yanjiao palace also marketing and distribution of live birds of 15 employees were tested, we fail to find any anomaly; of the city's medical institutions fever patients conducted a comprehensive investigation, and no abnormal.
Beijing has issued a prohibition order against any poultry into Beijing market.
Ministry of Agriculture officials said the January 6, Hebei Langfang area found no cases of bird flu.
■ expert advice
Do not live on their own processing
Sino-Japanese Friendship Hospital, Professor Lin Jiangtao, director Jang Huang also participated in the consultation cases, he said: "Consumers should give up their own processing of live chickens, ducks eating habits. Own processing live chickens, ducks for human consumption, which is very unsafe eating habits. "
LIN Jiang-tao introduced, as long as the cooking of poultry meat and eggs cooked at high temperatures were re-fit for human consumption, will not be spread of avian flu. Avian flu virus by 70 ℃ heat 2 minutes, 100 ℃ heat 1 minute can be inactivated.
■ Related Links
Avian influenza is caused by the bird flu virus in an acute infectious disease can also infect humans. Early bird flu similar to ordinary influenza performance, mainly fever, runny nose, stuffy nose, cough, pharyngodynia, headache. Some can be seen in patients with conjunctivitis. Most of the body temperature continues to more than 39 ℃, some patients may have nausea, abdominal pain, diarrhea, dilute it in water samples, such as gastrointestinal symptoms, a high fatality rate.
http://health.sohu.com/20090109/n261668581.shtml
