Giuseppe
Emeritus
Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)
Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)
[Summary be the Mod.:
-- Hebei patient is hospitalized in critical condition at a Beijing hospital under strict isolation, treated with ECMO, antivirals and other supportive care;
-- The patient had not left her town before the disease onset;
-- The patient lives near a live poultry market and she used to go for shopping there;
-- Two of her close contacts possibly died for advanced stage cancer, before they could be tested for H7N9;
-- All other close contacts were tested and so far all remain healthy;
-- Environmental samples have been taken from live poultry market and at least one sample tested positive for H7N9;
-- Two Lanfang hospitals received the patient before she was finally transferred in Beijing, without testing her for H7N9.
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[Source: Ifeng, full page in Chinese: (LINK). Automatic translation.]
H7N9, Beijing: Hefei bird flu patient under strict isolation
At 02:25 on July 22, 2013 Source: Beijing News
Original title: H7N9 patients had undiagnosed removed Hebei two hospitals
-- Hebei to Beijing in patients diagnosed with H7N9 cases" Track
Beijing News News yesterday, Beijing newly confirmed human cases of avian influenza H7N9 infection in 61-year-old female patient Zhang, multiple organ failure has occurred. Previously, the patient had removed two Langfang hospital, but no diagnosis was later rushed to Beijing Chaoyang Hospital, local 120.
At present, Hebei, Beijing two CDCs have been discovered and monitored 30 close contacts, swabs were negative (including two close contacts due to advanced cancer deaths).
-- Patient was diagnosed as severe cases of H7N9
Yesterday, the Chaoyang Hospital, vice president, respiratory specialists Tong Zhaohui said that further aggravate the patient's condition before yesterday. It is understood that Zhang Beijing-level Expert Group has been diagnosed with severe cases of H7N9. In addition, viral pneumonia, acute respiratory distress syndrome, septic shock, acute renal failure, disseminated intravascular coagulation.
Tong Zhaohui said that after admission, the patient had the first time taking antiviral drugs. According to needs and conditions for tracheal intubation patients were given mechanical ventilation treatment; as the disease progresses, they used ECMO (extra corporeal membrane oxygenation technology), which is "artificial lung."
-- Langfang community hospitals and large hospitals were not detected H7N9
Beijing, Hebei and two health authorities have confirmed that Zhang July 10 already sick. July 13, 14, Zhang has received treatment in a community hospital, Langfang, Langfang, China Petroleum Pipeline Bureau General Hospital, two hospitals. July 18 afternoon by the local 120 referral to Beijing Chaoyang Hospital.
The next day, Chaoyang Hospital detected in patients positive for H7N9 avian influenza virus, after review by the Beijing Municipal Center for Disease Control, July 20 declaring the diagnosis. By this time, Zhang incidence from 10 days have passed from her first doctor also passed one week.
Why Zhang was removed Langfang two hospitals for treatment, from community hospitals to large hospitals were diagnosed with H7N9 bird flu? In this regard, Langfang Municipal Health Bureau official confirmed to reporters yesterday, the local two hospitals did not make H7N9 virus detection on patients sampled.
He said that the health sector has been a hospital patient visits to understand the situation, including asking doctors and retrieval of medical records. "From the medical situation, the patient was suffering from pneumonia in the left lung, the symptoms are not too severe, then the condition is chronic progressive." He said, this is also found in many national polio cases was the same as that in a week or so sudden illness worse.
The official said that after the local health department in accordance with the requirements of superiors will H7N9 bird flu prevention and control into the normal management, that is, "Not all patients are detected H7N9 virus." However, there have been asked local Large hospitals all severely ill patients for H7N9 virus detection, one by one investigation.
-- 28 close contacts asymptomatic so far
Zhang had close contact with the staff have found 30 people, including family members of patients, the same wards as well as in China Petroleum Pipeline Bureau, Langfang General Hospital medical staff in contact.
Currently, there are two close contacts Langfang due to advanced cancer deaths, and the remaining 28 were required to be under medical observation for 7 days. Among them, Zhang's four family members in Beijing isolated for observation, others by the local disease control departments to arrange home quarantine observation. 28 close contacts no readme discomfort, throat swabs were negative and found no abnormal body temperature.
In addition, patients visiting hospital hygiene and disinfection has been carried out treatment.
-- H7N9 virus found in live bird markets in Langfang
Beijing News News yesterday, Langfang City, held a news briefing, said the live bird markets in the patient been found in sewage samples positive for H7N9 virus.
Beijing Municipal Health Bureau to identify patients at the June 30-July 9 daily home jolly 500 m near the vegetable market live poultry stalls.
Reporter yesterday from Langfang health department confirmed that the local epidemic prevention departments have been in the market in the patient samples collected dozens, which found an H7N9 virus-positive samples from poultry trading stalls in the sewage. Currently, Langfang City, has integrated market in the layout of the city's farmers live poultry trading disinfection, prevention and control measures such as closed.
Langfang public health emergencies has started four emergency response, requiring the implementation of zero reported outbreaks daily system. Hebei Province Health Department also issued an emergency "on further strengthening of human infection with H7N9 avian influenza epidemic prevention and control work notice", requiring the implementation of the first diagnosis responsibility system, pay attention to ask patients birds or live poultry market exposure history, to strengthen pre-triage and screening of cases, people infected with H7N9 bird flu found in suspected cases, confirmed cases reported in strict accordance with the prescribed time limit.
-- Patients with a single room without contact with other patients
Zhang lived in Building B is located in Chaoyang hospital ward building 13 floors respiratory critical care treatment ward. Yesterday, a security guard outside the ward. In the quarantine area, medical personnel wearing gowns, wearing masks.
"Suctioning for patients also need to wear goggles." According to Chaoyang Hospital infection and disease control experts Kun, currently Chaoyang Hospital, Health and Family Planning Commission in accordance with the prevention and control of the entire guide, take strict precautions. She says, is responsible for treatment, care Dr. Zhang Moude, nurses are "specialized health care professionals," that is specifically for her treatment, no contact with other patients.
Zhang Chaoyang Hospital for delivery when undiagnosed, will exist in contact with other patients, Kun explained, patients with severe illness, "come to the hospital after the first time was rushed single room negative pressure isolation ward treatment." Therefore, patients and Chaoyang hospital there is no contact with other patients.
-- Seasonality of H7N9 is not clear
Previously, a number of domestic and foreign experts and scholars put forward, with the arrival of summer, the temperature rises, H7N9 spread of the epidemic will be slowed down.
U.S. CDC had sent communique said, bird flu has seasonal characteristics. 10 years of the H5N1 avian influenza virus observations indicate that the virus in poultry in winter the level of activity increased, while weakening after the summer season. Correspondingly, the number of cases of human infection with avian influenza is increased in winter, summer, reduce, H7N9 virus may be true.
Why summer will appear H7N9 outbreak? Respiratory expert Tong Zhaohui said that this spring, experts on the causes and incidence of H7N9 infection have carried out a series of studies on the law, "that the disease may be more likely to occur in the spring season," but now, there have been cases in the summer.
Tong Zhaohui said that the lack of a sufficient amount of virus present epidemiological study sample size and therefore temporarily unable to clarify its peak incidence of the specific relationship with the seasons. As to whether the virus in about half the time variations appear, needs further study compared.
Edition have written / Beijing News reporter Wen Ru
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Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)
[Summary be the Mod.:
-- Hebei patient is hospitalized in critical condition at a Beijing hospital under strict isolation, treated with ECMO, antivirals and other supportive care;
-- The patient had not left her town before the disease onset;
-- The patient lives near a live poultry market and she used to go for shopping there;
-- Two of her close contacts possibly died for advanced stage cancer, before they could be tested for H7N9;
-- All other close contacts were tested and so far all remain healthy;
-- Environmental samples have been taken from live poultry market and at least one sample tested positive for H7N9;
-- Two Lanfang hospitals received the patient before she was finally transferred in Beijing, without testing her for H7N9.
-
-----
[Source: Ifeng, full page in Chinese: (LINK). Automatic translation.]
H7N9, Beijing: Hefei bird flu patient under strict isolation
At 02:25 on July 22, 2013 Source: Beijing News
Original title: H7N9 patients had undiagnosed removed Hebei two hospitals
-- Hebei to Beijing in patients diagnosed with H7N9 cases" Track
Beijing News News yesterday, Beijing newly confirmed human cases of avian influenza H7N9 infection in 61-year-old female patient Zhang, multiple organ failure has occurred. Previously, the patient had removed two Langfang hospital, but no diagnosis was later rushed to Beijing Chaoyang Hospital, local 120.
At present, Hebei, Beijing two CDCs have been discovered and monitored 30 close contacts, swabs were negative (including two close contacts due to advanced cancer deaths).
-- Patient was diagnosed as severe cases of H7N9
Yesterday, the Chaoyang Hospital, vice president, respiratory specialists Tong Zhaohui said that further aggravate the patient's condition before yesterday. It is understood that Zhang Beijing-level Expert Group has been diagnosed with severe cases of H7N9. In addition, viral pneumonia, acute respiratory distress syndrome, septic shock, acute renal failure, disseminated intravascular coagulation.
Tong Zhaohui said that after admission, the patient had the first time taking antiviral drugs. According to needs and conditions for tracheal intubation patients were given mechanical ventilation treatment; as the disease progresses, they used ECMO (extra corporeal membrane oxygenation technology), which is "artificial lung."
-- Langfang community hospitals and large hospitals were not detected H7N9
Beijing, Hebei and two health authorities have confirmed that Zhang July 10 already sick. July 13, 14, Zhang has received treatment in a community hospital, Langfang, Langfang, China Petroleum Pipeline Bureau General Hospital, two hospitals. July 18 afternoon by the local 120 referral to Beijing Chaoyang Hospital.
The next day, Chaoyang Hospital detected in patients positive for H7N9 avian influenza virus, after review by the Beijing Municipal Center for Disease Control, July 20 declaring the diagnosis. By this time, Zhang incidence from 10 days have passed from her first doctor also passed one week.
Why Zhang was removed Langfang two hospitals for treatment, from community hospitals to large hospitals were diagnosed with H7N9 bird flu? In this regard, Langfang Municipal Health Bureau official confirmed to reporters yesterday, the local two hospitals did not make H7N9 virus detection on patients sampled.
He said that the health sector has been a hospital patient visits to understand the situation, including asking doctors and retrieval of medical records. "From the medical situation, the patient was suffering from pneumonia in the left lung, the symptoms are not too severe, then the condition is chronic progressive." He said, this is also found in many national polio cases was the same as that in a week or so sudden illness worse.
The official said that after the local health department in accordance with the requirements of superiors will H7N9 bird flu prevention and control into the normal management, that is, "Not all patients are detected H7N9 virus." However, there have been asked local Large hospitals all severely ill patients for H7N9 virus detection, one by one investigation.
-- 28 close contacts asymptomatic so far
Zhang had close contact with the staff have found 30 people, including family members of patients, the same wards as well as in China Petroleum Pipeline Bureau, Langfang General Hospital medical staff in contact.
Currently, there are two close contacts Langfang due to advanced cancer deaths, and the remaining 28 were required to be under medical observation for 7 days. Among them, Zhang's four family members in Beijing isolated for observation, others by the local disease control departments to arrange home quarantine observation. 28 close contacts no readme discomfort, throat swabs were negative and found no abnormal body temperature.
In addition, patients visiting hospital hygiene and disinfection has been carried out treatment.
-- H7N9 virus found in live bird markets in Langfang
Beijing News News yesterday, Langfang City, held a news briefing, said the live bird markets in the patient been found in sewage samples positive for H7N9 virus.
Beijing Municipal Health Bureau to identify patients at the June 30-July 9 daily home jolly 500 m near the vegetable market live poultry stalls.
Reporter yesterday from Langfang health department confirmed that the local epidemic prevention departments have been in the market in the patient samples collected dozens, which found an H7N9 virus-positive samples from poultry trading stalls in the sewage. Currently, Langfang City, has integrated market in the layout of the city's farmers live poultry trading disinfection, prevention and control measures such as closed.
Langfang public health emergencies has started four emergency response, requiring the implementation of zero reported outbreaks daily system. Hebei Province Health Department also issued an emergency "on further strengthening of human infection with H7N9 avian influenza epidemic prevention and control work notice", requiring the implementation of the first diagnosis responsibility system, pay attention to ask patients birds or live poultry market exposure history, to strengthen pre-triage and screening of cases, people infected with H7N9 bird flu found in suspected cases, confirmed cases reported in strict accordance with the prescribed time limit.
-- Patients with a single room without contact with other patients
Zhang lived in Building B is located in Chaoyang hospital ward building 13 floors respiratory critical care treatment ward. Yesterday, a security guard outside the ward. In the quarantine area, medical personnel wearing gowns, wearing masks.
"Suctioning for patients also need to wear goggles." According to Chaoyang Hospital infection and disease control experts Kun, currently Chaoyang Hospital, Health and Family Planning Commission in accordance with the prevention and control of the entire guide, take strict precautions. She says, is responsible for treatment, care Dr. Zhang Moude, nurses are "specialized health care professionals," that is specifically for her treatment, no contact with other patients.
Zhang Chaoyang Hospital for delivery when undiagnosed, will exist in contact with other patients, Kun explained, patients with severe illness, "come to the hospital after the first time was rushed single room negative pressure isolation ward treatment." Therefore, patients and Chaoyang hospital there is no contact with other patients.
-- Seasonality of H7N9 is not clear
Previously, a number of domestic and foreign experts and scholars put forward, with the arrival of summer, the temperature rises, H7N9 spread of the epidemic will be slowed down.
U.S. CDC had sent communique said, bird flu has seasonal characteristics. 10 years of the H5N1 avian influenza virus observations indicate that the virus in poultry in winter the level of activity increased, while weakening after the summer season. Correspondingly, the number of cases of human infection with avian influenza is increased in winter, summer, reduce, H7N9 virus may be true.
Why summer will appear H7N9 outbreak? Respiratory expert Tong Zhaohui said that this spring, experts on the causes and incidence of H7N9 infection have carried out a series of studies on the law, "that the disease may be more likely to occur in the spring season," but now, there have been cases in the summer.
Tong Zhaohui said that the lack of a sufficient amount of virus present epidemiological study sample size and therefore temporarily unable to clarify its peak incidence of the specific relationship with the seasons. As to whether the virus in about half the time variations appear, needs further study compared.
Edition have written / Beijing News reporter Wen Ru
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