H7N9, Guangdong: First human case detected - confirmed positive by China CDC

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Re: H7N9, Guangdong: First human case detected - confirmed positive by China CDC

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August 25, 2013 Week Day

Live bird markets are an important source of H7N9

Guangdong's first lift the quarantine infected patients

Nanfang Daily (Reporter / Cao Si) yesterday, the Guangdong Provincial Center for Disease Control expert in an interview with Nanfang Daily reporter reminded that despite the current H7N9 and H7N7 virus capable successor limited opportunities, but do not rule out the virus will mutate into a highly people human transmission of the virus. Therefore, while facing east China Mainland H7N9 and H7N7 avian flu threat, especially in the autumn, will not rule out sporadic cases, and even large-scale human cases.

Provincial Director of Communicable Disease Control and Prevention, chief expert Jianfeng said staring live animal markets are still the focus of prevention and control. "We always thought that live poultry market is the risk factor, because H7N9 in chickens it may appear to be not the disease, but the propagation speed very quickly," "as long as a chicken is infected, and that the whole live animal markets are likely contaminated. "

He also said that trading of live poultry from the farm to the wholesale market, and then to the retail market, and ultimately into millions of households in this chain point of view, "The key is to manage the live poultry market, strictly implement the one day a cleaning week, a clean-up (including thoroughly disinfected), January closed one day a system to reduce the likelihood of exposure to risk. "

Why do some people not to enter the market stalls are still being infected chicken? Jianfeng said the virus may spread through aerosols. "For example, now live poultry markets to chicken hair removal hair removal through mechanical chicken in hot water burns after mechanical removal machine in a turn, so that it is easy to produce aerosols, if the virus may be through aerosol spread to airborne. "He Jianfeng, suggested that blocking the transmission of the virus, it is best to do chickens live poultry market" clear day "," might purchase large amounts on the day of slaughter as if chilled for sale, more conducive to prevention. "experts also agreed that the isolation of different bird species, to prevent cross-species transmission of the virus is a new virus produced and popular control of important measures.

Reporter yesterday from the Guangdong Province first case of human infection of H7N9 avian influenza virus in patients with Miss Chen family was informed, the patient has successfully passed the critical stage, the lifting of isolation, and in the 22 delivered from the ventilator.

Ms. Chen's son Xiao Xu said that the doctor told him that his mother lung function recovered rapidly, but the current need to stay in ICU care observation, such as the disease continues to change for the better stability, a few days you can go to the general ward for further treatment.Xiao Xu said, the mother conscious mental state is better, talk to your family have normal communication.

http://epaper.nfdaily.cn/html/2013-08/25/content_7219875.htm

 

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Re: H7N9, Guangdong: First human case detected - confirmed positive by China CDC

[Source: RTHK, full page in Chinese: (LINK). Automatic translation.]


Guangdong first H7N9 patient out of danger, no longer in isolation

2013-08-25 HKT 14:50


Xinhua News Agency reported that the first case of H7N9 bird flu, Guangdong Province, the patient has passed the critical stage, no longer be isolated. Guangdong Provincial Center for Disease Control's experts said, still can not rule out the virus variants, becomes highly human transmission of the virus, the authorities still watch live poultry markets, intensify prevention and control.


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Re: H7N9, Guangdong: First human case detected - confirmed positive by China CDC

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Guangdong: the first cases of human infection with the H7N9 discharged intensive care

At 13:55 on September 4, 2013
Source: New Express

Guangdong diagnosed the first case of human infection with H7N9 cases in intensive care after release yesterday afternoon transferred to the general ward.

According to reports, the patient August 9 Check Guangzhou hospital in critical condition, chaired by Academician Zhong Nanshan consultation, medical personnel to rescue more than 20 days, the danger transferred ICU. Reporter then learned from the hospital, Ms. Chen has basically cured, 51-year-old Chen Moumou, market towns in the Boro job market poultry slaughter. Fever one week, on August 3 at noon to Huizhou Central People's Hospital for treatment, the evening of August 9, go to the First Affiliated Hospital of Guangzhou Institute of Respiratory Diseases. Guangdong Provincial Health Department on August 10 briefing, Guangdong Province, which is the first confirmed case of human infection of H7N9 avian influenza.

The subsequent establishment of the rescue effort for treatment treatment team, academician Zhong Nanshan presided consultation. Zhong Nanshan, had said in an interview, the patient stay in Guangzhou hospital, severe pneumonia leading to acute respiratory distress syndrome, pulmonary fibrosis is very serious. In addition, the patient's cardiac function is not good, when in Huizhou, two pulmonary heart failure, cough pink frothy sputum, enzymes and ECG examination have shown there is damage phenomenon. Other muscles, liver and kidney function in a mild injury, is typical of severe H7N9.

Through rescue, Ms. Chen was released on August 24 ventilator transferred to the general ward from the ICU yesterday.

Dialogue

"Will not consider re-selling chickens and ducks."
Patients Ms. Chen's husband Xu, yesterday accepted the Express reporters.

Express: wife currently in good condition, very happy, right?

Xu: Yes, I feel saved a life!

Express: how much was spent for medical expenses?

Xu: So far, even the food and other expenses spent over 10,000 yuan, the hospital with a nutritious meal to my wife, and now she ate six meals a day (laughs). I heard that medical expenses can be reimbursed, the hospital did not reminders.

Express: how to treat his wife needed?

Xu: Follow your doctor told, attention to nutrition, conditioning, wait discharged.

Express: You are still in Guangzhou accompany her?

Xu: renters have been near the hospital, with his son with her. The doctor told me the basic cure, heart stone off the ground, has (September 3) Back to Huizhou, used to live in stalls, not lived in a house more than a decade to clean up, ready to take his wife home. Express: you will engage in trafficking poultry trading? Xu: stalls have been recovered landlord, let us re-sold. Temporarily we will not consider further selling chickens and ducks.

Express: Why?

Xu: wall wall, door to door, in this small place, everyone knows my family out of Guangdong in the first case of human infection with H7N9 cases.

Express: They elude you do?

Xu: I would say hello to see, asked his wife recent developments. But I'm not stopping to chat with other people. Worried that their hearts have ideas.

Express: my heart feel good, right?

Xu: Yes, there is pressure, there is burden. Should be a period of time, they can accept us.

Express: What do you plan the next step?

Xu: certainly not long-term stay at home, what to do, no clear plan. But we are all over 50 years of age, and no longer do coolie.
...
http://sd.ifeng.com/healthy/zixun/detail_2013_09/04/1185789_0.shtml

 

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Re: H7N9, Guangdong: First human case detected - confirmed positive by China CDC

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Guangdong's first H7N9 patient can be discharged next week, nearly 220,000 yuan treatment fee may be reimbursed eighty percent

2013-09-05 07:44 Source: Guangzhou Daily

News Summary: Guangdong provinces after the first case of H7N9 patient Chan and Guangzhou Medical experts call a hospital in Guangzhou Institute ICU medical staff more than 20 days of full treatment and intensive care, her condition improved markedly, from ICU to normal ward.

Guangdong's first H7N9 patient can be discharged next week

Has been transferred to the general ward nearly 220,000 yuan treatment fee may be reimbursed eighty percent

Text / reporter Huang Rongfang, Li Heng correspondent Ruzhi Na, Han Wenqing

Concern about a week, Guangdong's first H7N9 patient can be discharged! Yesterday, the reporter from the Guangdong's first H7N9 patient briefing was informed that the first case of H7N9 in Guangdong provinces and experts as well as patients with Chan after a hospital of Guangzhou Medical Institute, Guangzhou respiratory ICU medical staff more than 20 days of full treatment and intensive care, condition improved markedly, from the intensive care unit to a general ward.

Patient:

Fully recovered after one month

At yesterday's briefing, Academician Zhong Nanshan, call the Institute had transferred the patient, the lung function has been poor, and the index is very low oxygen, and accompanied by heart failure and blood problems, after 20 days of treatment, has now been significantly improved cardiac function but also have some time to recover.

According to the director of the Institute Chen Rongchang call, from the current situation to determine whether the patient should be discharged in about a week. The body after a month of basic indicators can be restored to its previous state sick, basically no sequelae.

Yesterday, the reporter saw in the ward has been transferred to general wards Chan, I saw her color is very good, smile on his face. She told reporters that he had a good recovery, eating and sleeping are normal, basically no discomfort, but still can not move around too much too soon.

Epidemic:

Winter and spring vigilance

Ms. Chen is the only one case of H7N9 cases in Guangdong do? Zhong Nanshan said that discovery and occurrence of the two concepts. I can only say that, so far, found only in this case in Guangdong. Because there is no census, and maybe some of them might just mild infection and had not been found. So, now unable to make an accurate morbidity and mortality statistics.

Whether there will be this winter and spring Guangdong H7N9 cases of the disease? Zhong Nanshan said that at present can only say that there is a possibility, but no one dared to conclude that will happen. Now there's evidence, first, there are already limited human-to-human transmission; Second, in animal experiments, the two snow on two adjacent cages, found a snow sculpture after H7N9 infection, in addition to a too infection, indicating that there is a certain possibility of droplet infection. "Of course, this is just animal experiments, human experiments have not been confirmed, so this winter and spring is still worthy of attention."

About the H7N9 vaccine, Zhong Nanshan, that there is not a large number of vaccine production. Because the production of the vaccine on the premise that there is a person to person. At present, H7N9 appeared only two or three signs of limited human to human transmission, if the large-scale production of vaccines, premature. If this winter and spring rediscovery cases, it is necessary to begin developing. "Now we've done a very good development of vaccines to prepare."

Prevention:

Should focus on keeping live poultry slaughtering

Zhong Nanshan reminder, comprehensive national situation, this incident cases of H7N9 are closely associated with the live bird markets. "You could say, live bird markets are most susceptible, and domesticated populations live poultry and chicken at home, are not the problem." He said, and now has some scholars strongly recommends keeping live poultry should be focused, concentrated slaughter. "This is indeed a source control approach, Guangdong, Shanghai sooner or later, to go this far, this is a general direction, because now the biggest contradiction is not the incidence of poultry, human cases."

The epidemic can not be lax

WASHINGTON (Reporter He Xuehua correspondent Guangdong Wilson) yesterday morning, Vice Governor Chen Yuan-sheng Lin Shaochun rate Provincial Health Department Minister and his entourage to the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Respiratory Diseases visiting academician Zhong Nanshan, visit the front line medical staff treat disease and people infected with H7N9 bird flu. In-depth exchanges with academician Zhong Nanshan after his party visited Lin Shaochun just ICU patients transferred to a general ward, wish her a speedy recovery.

Lin Shaochun stressed that the current epidemic of human infection with H7N9 avian influenza has not fully control, and therefore can not have been lax. He asked, in a timely manner before concluding stages of prevention and control experience and continue to do follow-up prevention and control work.

The outbreak, the provincial government will be H7N9 avian influenza patients were included in the scope of Medicare payments, and the establishment of 30 million yuan of special relief fund.

Patients have to pay more than 40,000 yuan

WASHINGTON (Reporter He Xuehua correspondent Guangdong Wilson) reporter learned from the Provincial Health Department of Guangdong Province first case of human infection of H7N9 patients Chan, as of September 2, in Huizhou Central Hospital and Kwong doctors attached to a total cost of hospitalization 218,977.44 yuan, may be reimbursed for about $ 176,047.93 yuan (basic medical insurance may apply 140,200.97 yuan, serious illness secondary compensation can be reported 35846.96 yuan), the total individual pay 42,930.51 yuan, the actual Medicare reimbursement ratio is about 80.4%.

Recalling the condition

August 3, due to fever one week to Huizhou Central People's Hospital for treatment;

August 6, screening positive for H7N9;

August 9, expert consultation to Huizhou Central People's Hospital;

August 10, transferred to the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Respiratory Diseases artificial ventilatory support, anti-infection (viral infections, secondary bacterial infection) and symptomatic and supportive treatment;

August 19, released from quarantine, disease tend to be stable;

August 21, unplug the artificial airway, to non-invasive ventilatory assistance;

August 27th, bedside noninvasive ventilatory support pilot activities;

August 28, oxygen, can bedside activities;

August 29, breathing air, bedside activities;

September 2, transfer out of ICU to a general ward to continue rehabilitation.

http://news.dayoo.com/guangzhou/201309/05/73437_32360185.htm

 

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Re: H7N9, Guangdong: First human case detected - confirmed positive by China CDC

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Guangdong, the first case of human infection with the H7N9 avian flu: continue to sell live poultry after rehabilitation

At 07:02 on February 24, 2014

Source: Information Times Author: Lin Honghai Zhang Xiuli, etc.

"This unheard of 'heavy flu' Let me take a trip to the gates of hell", after a lapse of more than four months, the first case of human infection with H7N9, Guangdong bird flu Dong Chen Zhu, Yokogawa Boluo in Huizhou, in the market town of recovery selling live birds of ordinary life. Prior to August 2013, a lot of Cantonese, including their family, including the H7N9 bird flu do not understand what kind of disease? But now the avian flu from getting closer to people's lives. As of February 21 this year, the province reported a total of 74 cases have been cured 38 cases, 16 deaths, 20 patients are still in hospital.

Reporters recently visited have been cured and discharged two patients Huizhou and Guangzhou found, H7N9 bird flu has brought to them and their families is a "heavy rebirth" from the people around them and experience, you can also see people on H7N9 understanding of the process of avian influenza: from ignorant to fear from escape to become more rational and calm in the face.

Their stories

Ignorance into a small but severe cold

Chen Dong bamboo, originally a side dish Boluo Yokogawa town retail live poultry market to do business. August 3, 2013 in the evening after closing the file, she felt unwell, general fatigue, weakness, that is suffering from a cold or too tired during the day, eating a meal of cold medicine went to sleep. However, over the four days, the condition did not improve, but also aggravated She just went to a local big hospital. Unexpectedly, a common "cold" soon became seriously ill, August 9, Chen Dong bamboo case appears multiple organ failure.

August 9 in the evening, Chen Dong Zhu was diagnosed the first case of human infection with H7N9, Guangdong bird flu, and transferred to the treatment of Guangzhou Institute of Respiratory Diseases, First Affiliated Hospital of Guangzhou Medical University.

Chen Dong similar to bamboo and disease development, H7N9 bird flu first case of human infection in Guangzhou, 30-year-old Pan Qiang, in this year's January 3 but also because of "sore throat, fever, weakness" and "cold" start, after six days After treatment of the common cold, the 9th night, he appeared with severe pneumonia due to severe stay Nanfang Hospital ICU, after being confirmed as infected with the H7N9 avian influenza.

How are infected with the H7N9 bird flu? The same problem plagued the two families. Contact history of patients showed Chen Dong Zhu is with his family in the chicken slaughter live poultry market to do business, to live every day with live birds in one place. The Pan Qiang, a tofu business in Tianhe District, Guangzhou Sha East market is the market of live poultry stalls next to the unloading point. Pan Qiang said he remembers New Year's Day, when he files to see some cold, "next door at the unloading chickens, a gust of wind will be an odor and feathers blowing in my face."

Pan Qiang hospitalized five days later, his 5-year-old daughter Pan ocean (a pseudonym) also started a fever, after the provincial CDC test also confirmed infected with the H7N9 avian influenza virus.
Fear of death is so close to the feeling

"(Chen Dong bamboo) to the hospital the next day turned into the ICU ward, because after filming, the doctor said she was very serious lung infection, an unknown virus has developed rapidly, but had yet to determine whether H7N9 . "said Mr. Xu Dong Chen Zhu's husband, a local doctor trying to rescue, but any drug can not be used to block Chen Dong bamboo body becomes more weak trend, this time she can only rely on ventilator to maintain breathing. Even under the hospital issued a notice in critical condition, the doctor told Mr. Xu, Chen Dong various physical indicators of bamboo are very low, if the "do not carry over tonight, probably will not wake up tomorrow morning."

"At the time of the H7N9 avian influenza is unclear what, I have heard before that SARS, I feel like very terrible, is terrible (disease)." Last year when recalled healing process, Mr. Xu said.

Also think there are close to death from Pan Qiang and his wife Luoyan Ting (pseudonym). Pan Qiang hospital the same day, the doctor told Luo Yanting, lungs on her husband's half of the inflammation worse. "By the next day the doctor took the new test results, said his lungs have all been infected with the virus, there is a bubble, whitening, and any time of danger." Luo Yanting be intimidated, "said the doctor saved the only 30% chance of winning. "

Pan Qiang four days after admission, the 罗燕婷 guard and small aunt 24 hours in the ICU, but see every day, patients suffering from other diseases died was being carried out, they feel terrible, but only cried together and prayed .

...
When Chen Dong bamboo dying, Mr. Xu to receive information Times reporter interview, he said, "Well, after my wife, do not do live poultry business, as long as people of peace, homecoming planting something, too poor days are good points."

This is a life and death experienced after the gates of hell, Chen Dong Zhu also be greatly felt physically and mentally destroyed. "Now there is no previous physical feeling so good, I used to feel very strong now colds, back pain occasionally." Although discharged Zhong Nanshan academician told her to go back to what the future can be, because the body has had the H7N9 antibody But she was scared for live poultry category, not close poultry.

However, forced livelihoods, governance over the Dong Chen Zhu and her husband decided to discuss or do back live poultry business. "Because doing this for years, do not know what else to do a career change." Mr. Xu said.

February 22, this reporter went to Huizhou City, Wang Dong-Dong Chen Zhu's home, because her long-term work outside the home, clean and spacious floor not only lived in the small house the couple and son three people. For the convenience of doing business before, the couple lived in the attic of chicken stalls, room and board, and live birds together. And now, they choose to do business during the day in stalls at night back to this ancestral home to live.

After the bird flu crisis, the local government also made a live bird markets unified planning, all the stalls are concentrated together, regularly disinfected every day. Dong Chen Zhu said the stall closed for six months, many of the old regulars have been taken away, plus a large environmental impact, it is difficult to do business. Probably about 10 live birds killed every day, and earn 20 to 30 yuan a manual fee, but also not worth the $ 800 a month rent stalls. "Can only hope that the avian flu epidemic early in the past, the business will slowly get better." Mr. Xu said.

Guangzhou Tianhe District Sha East Pacific markets, past the famous market tofu husband and wife team, now being only one person in the operation Luoyan Ting. Husband Pan Qiang February 12 Sunrise hospital, recovering from illness to stay at home recuperating. This unfortunately does not erode the confidence of 罗燕婷 continue to live in Guangzhou. She said she saved operating tofu stalls around 3,000 yuan per month, after paying off medical bills owed, allowing two children studying in Guangzhou, "(let them) to receive education in big cities, we do not repeat the walk the road. "

People's attitudes
From shunned to active greetings

Guangdong, the first case of human infection of H7N9 patients after the news came out, the town where residents CHEN Dong bamboo into a talk about "bird" the mere mention of fear among the neighbors did not even dare go near her home, stay away as much as possible. Mr. Xu said that last August, when his wife had just sick in this town population of less than twenty years, rumors quickly spread to every corner. "There are neighbors feel fear, are unwilling to pass the road in front of our house."

After Chen Dong bamboo cure home, neighbors and relatives have slowly come to house. "You see the chicken yard, relatives and care support here." Mr. Xu said that now people less afraid of bird flu here, but people still buy chicken chicken less.

Reporters followed his son Chen Dong Xiao Xu came to their bamboo in the market, the same day only four live poultry stalls in the opening. At this time, Xiao Xu few friends come over and say hello, chat, they also admitted that just started really talk about "bird" pale, and later gradually rational, and now bird flu is no longer a staple of talk of them.

The 罗燕婷 people around the performance of the H7N9 avian flu makes her feel warm heart. After her husband admitted to hospital, forced to livelihoods, 罗燕婷 tofu stall by old father operations. In addition to individual customers may "escape", the greeting is more to come and care for people. "Until now, to buy things they would greet, concerned about the situation my husband and daughter. Many guests to buy a little something, throw money away, we do not give change, say a little something to help us tide over the crisis one." Luoyan Ting said.

These days, Luo Yanting Meat Market operated by the implementation of live bird markets are closed. Other market stalls Lord said, after the Pan Qiang happens, everyone's reaction was not fear, but more attention to health than before. Management of live poultry market stalls will also be changed to the unloading point less people walking the corner, some of the stall before the rest began to wear gloves, masks in business. "After the centralized slaughter live poultry health situation will be better!" Tofu file a pork stall beside said.

zhttp://news.ifeng.com/mainland/special/h7n9/content-3/detail_2014_02/24/34106742_0.shtml