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Hong Kong 2013: 2 confirmed cases of Japanese Encephalitis

Giuseppe

Emeritus
[Source: Centre for Health Protection, Hong Kong PRC SAR, full page: (LINK).]


Case of Japanese encephalitis under CHP investigation


The Centre for Health Protection (CHP) of the Department of Health (DH) is today (July 16) investigating a confirmed case of Japanese encephalitis (JE) affecting a 59-year-old man and hence urged the public to take precautions against mosquito-transmitted diseases.

The patient was admitted to Tuen Mun Hospital on June 20 because of fever and decreased general condition. His consciousness deteriorated the following day (June 21) and he is currently in critical condition.

Upon laboratory testing, both his serum and cerebrospinal fluid samples tested positive for antibodies against JE. JE is a viral disease transmitted by the bite of infected mosquitoes.

The patient lives in Tin Shui Wai. His home contact remained asymptomatic and has been put under medical surveillance. The CHP's investigation is proceeding.

Officers of the CHP have conducted home visits and surveys among neighbours of the patient's residence for active case finding and arranging blood tests. A hotline on 2125 1122 has been set up for public enquiries and will operate till 9pm today and from 9am to 6pm from July 17 to 19.

A health talk was delivered and another one will be held in Tin Ching Community Hall, Tin Shui Wai, on July 18 to provide the public with health advice. Residents of Yuen Long District with JE symptoms are also advised to promptly seek medical attention.

This is the first JE case reported to the CHP this year. Three cases were reported in 2012 while one was reported in 2011. Locally, no cases were reported from 2008 to 2010.

A CHP spokesman explained that Culex tritaeniorhynchus (Culicine mosquito) is the principal vector of JE and is nocturnal. It mainly breeds in waterlogged fields, marshes, ditches and small stagnant collections of water around cultivated fields. The mosquitoes become infected by feeding on pigs and wild birds infected with the JE virus, and then transmit the virus to humans and animals during the feeding process. JE is endemic in the Mainland and Southeast Asia.

Most JE virus infections are mild without apparent symptoms other than fever with headache. More severe infections are clinically characterised by quick onset of headache, high fever, neck stiffness, impaired mental state, coma, tremors, occasional convulsions (especially in infants) and paralysis.

To prevent contracting JE, members of the public, particularly those living in rural areas, are reminded to take heed of the following preventive measures, especially after dark:
  • Wear long-sleeved clothes and trousers;
  • Use effective insect repellents containing DEET over exposed parts of the body when outdoors; and
  • Use mosquito screens or nets in rooms which are not air-conditioned.
Travellers to endemic areas of JE should take the following precautions:
  • Avoid outdoor exposure to mosquito bites at dusk and dawn, especially in rural areas, when mosquitoes spreading this virus are most active;
  • Apply effective insect repellents containing DEET over exposed parts of the body and clothes; and
  • Consider vaccination that should be completed at least 10 days before departure to endemic areas in Asia or the Western Pacific for staying over one month, particularly in high-risk rural areas.
The public may visit the CHP's website (www.chp.gov.hk/en/content/9/24/28.html) for more information on JE and that of the DH's Travel Health Service (www.travelhealth.gov.hk) for further information on JE vaccination and outbreaks in other areas.


Ends/Tuesday, July 16, 2013
Issued at HKT 16:35
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Re: Hong Kong, Case of Japanese encephalitis under CHP investigation (July 16 2013): 1st case of '13

Re: Hong Kong, Case of Japanese encephalitis under CHP investigation (July 16 2013): 1st case of '13

2nd encephalitis case confirmed
July 18, 2013
Centre for Health Protection Controller Dr Leung Ting-hung has called on the public to take preventive measures against mosquitoes, due to the confirmation of another Japanese encephalitis case, the year's second.

Dr Leung told the media today the case involves a 52-year-old Tin Shui Wai man. The patient in the first case also lived in Tin Shui Wai.

Both cases are believed to be locally-transmitted with the virus source close by.

The disease is caused by the Japanese encephalitis virus, transmitted by the bite of infected mosquitoes, mainly the Culex tritaeniorhynchus species. The mosquito usually gets the virus by biting pigs or wild birds.

The Secretary for Food & Health chaired an inter-departmental meeting this afternoon to discuss boosting anti-mosquito measures. The Anti-mosquito Steering Committee will meet soon to review the effectiveness of existing precautions.

Dr Leung said surveys will be conducted in Tin Shui Wai in the coming days to see if there are any more cases of the disease. Health talks will be arranged for residents to learn about the symptoms of the illness and ways to prevent it.

The centre will also notify all doctors in Hong Kong to raise their alertness to the disease.

Pest Control Officer In-charge of the Food & Environmental Hygiene Department Yuen Ming-chi said 20 Culex tritaeniorhynchus mosquitoes have been found in two places near where the patients lived. The insects are being tested for the virus.

They breed in stagnant water or drains, and are most active after dark.

Mr Yuen advised people to apply insect repellent when in rural areas, and to stay indoors at night.

Agriculture, Fisheries & Conservation Department Senior Veterinary Officer Dr Shirley Chuk said four pig farms within a 2km radius of the patients' homes have been inspected and nothing unusual found.

The department will continue to monitor pig farms and urge their operators to take anti-mosquito measures.

The nearby Wetland Park will also enhance anti-mosquito measures and post notices to remind visitors to take precautions.
http://www.news.gov.hk/en/categories/health/html/2013/07/20130718_163427.shtml
 
Re: Hong Kong 2013: 2 confirmed cases of Japanese Encephalitis

Suspected encephalitis case probed
Suspected encephalitis case probed
July 22, 2013

The Centre for Health Protection is investigating a suspected case of Japanese encephalitis affecting a 13-year-old boy.

He fell ill on July 15 and was admitted to Tuen Mun Hospital on July 19.

He was transferred to the Paediatric Intensive Care Unit on July 20 and is in a serious condition.

He tested negative for antibodies against the disease, and further specimens will be taken for laboratory testing.

The boy lives in Tin Shui Wai and has no recent travel history. His home contacts are normal.
http://www.news.gov.hk/en/categories/health/html/2013/07/20130722_193253.lin.shtml
 
Re: Hong Kong 2013: 2 confirmed cases of Japanese Encephalitis

Suspected case of Japanese encephalitis under CHP investigation



Hong Kong (HKSAR) - The Centre for Health Protection (CHP) of the Department of Health (DH) is today (July 22) investigating a suspected case of Japanese encephalitis (JE) affecting a 13-year-old boy, and hence urged the public to take precautions against mosquito-transmitted diseases.

The patient, with good past health, developed fever, headache and dizziness since July 15. He consulted a private doctor but symptoms persisted and was subsequently admitted to Tuen Mun Hospital on July 19 with confused speech. He was transferred to the Paediatric Intensive Care Unit on July 20 and is currently in a serious condition.

Upon preliminary laboratory testing by the Public Health Laboratory Services Branch (PHLSB) of the CHP, his serum specimen tested negative for antibodies against JE.

Further specimens will be taken from the patient later for laboratory testing.

The patient lives in Tin Shui Wai and has no recent travel history. His home contacts remained asymptomatic and have been put under medical surveillance. The CHP's investigation is proceeding.

"During the CHP's active case-finding, 32 blood specimens have been collected so far from home contacts and those attending health talks in the community.

All were tested negative for JE upon laboratory testing," a CHP spokesman remarked.

"As of 4.30pm today, the CHP's hotline (2125 1122) has received 45 enquiries from members of the public since it was set up on July 16. The hotline remains in service daily from 9am to 6pm," the spokesman added.

Residents of Yuen Long District with JE symptoms are advised to promptly seek medical attention.

To date, two JE cases have been reported to the CHP this year. Three cases were reported in 2012 (including two imported cases and one local case) while one (a local case) was reported in 2011.

Locally, no cases were reported from 2008 to 2010.

"Regarding the two confirmed cases reported last week, latest investigations by the CHP revealed that both male patients aged 59 and 52 were in Hong Kong during most of the incubation period, so both were hence classified as locally acquired," the spokesman said.

The spokesman explained that JE is a viral disease transmitted by the bite of infected mosquitoes. Culex tritaeniorhynchus (Culicine mosquito) is the principal vector of JE and is nocturnal. It mainly breeds in waterlogged fields, marshes, ditches and small stagnant collections of water around cultivated fields.

The mosquitoes become infected by feeding on pigs and wild birds infected with the JE virus, and then transmit the virus to humans and animals during the feeding process. JE is endemic in the Mainland and Southeast Asia.

Most JE virus infections are mild without apparent symptoms other than fever with headache. More severe infections are clinically characterised by quick onset of headache, high fever, neck stiffness, impaired mental state, coma, tremors, occasional convulsions (especially in infants) and paralysis.

To prevent contracting JE, members of the public, particularly those living in rural areas, are reminded to take heed of the following preventive measures, especially after dark:

* Wear long-sleeved clothes and trousers;
* Use effective insect repellents containing DEET over exposed parts of the body when outdoors; and
* Use mosquito screens or nets in rooms which are not air-conditioned.

Travellers to endemic areas of JE should take the following precautions:

* Avoid outdoor exposure to mosquito bites at dusk and dawn, especially in rural areas, when mosquitoes spreading this virus are most active;
* Apply effective insect repellents containing DEET over exposed parts of the body and clothes; and
* Consider vaccination that should be completed at least 10 days before departure to endemic areas in Asia or the Western Pacific for staying over one month, particularly in high-risk rural areas.

The public may visit the CHP's website (www.chp.gov.hk/en/content/9/24/28.html) for more information on JE and that of the DH's Travel Health Service (www.travelhealth.gov.hk) for further information on JE vaccination and outbreaks in other areas.


Source: HKSAR Government
http://7thspace.com/headlines/44154...ese_encephalitis_under_chp_investigation.html
 
Re: Hong Kong 2013: 2 confirmed cases of Japanese Encephalitis

Tin Shui Wai hit by third case of Japanese encephalitis
Tuesday, 23 July, 2013 [UPDATED: 3:44AM]
Danny Mok
danny.mok@scmp.com

A 13-year-old boy from Tin Shui Wai has been confirmed to have contracted the deadly Japanese encephalitis in the district's third reported case in two weeks.

The case in the high-density residential district came as a reminder for Yuen Long residents with symptoms of the disease to seek medical attention promptly.

The boy lives in Ching Yuet House, Tin Ching Estate, 600 metres from Tin Yan Estate and 700 metres from Tin Heng Estate, where the other two patients suffering from locally acquired cases of the disease reside.
...
http://www.scmp.com/news/hong-kong/article/1288627/tin-shui-wai-hit-third-case-japanese-encephalitis
 
Re: Hong Kong 2013: 3 confirmed cases of Japanese Encephalitis

Re: Hong Kong 2013: 3 confirmed cases of Japanese Encephalitis

Update on CHP's investigation into suspected case of Japanese encephalitis



Hong Kong (HKSAR) - The Centre for Health Protection (CHP) of the Department of Health today (July 25) provided an update on its investigation into a suspected case of Japanese encephalitis (JE) involving a 13-year-old boy.

Upon laboratory testing by the Public Health Laboratory Services Branch of the CHP, the patient's second serum specimen taken this morning tested negative for antibodies against JE.

"The latest laboratory finding suggests that the patient is not suffering from JE," a CHP spokesman remarked.

The patient, with good past health, has developed fever, headache and dizziness since July 15. He was admitted to Tuen Mun Hospital on July 19 with confused speech and transferred to the Paediatric Intensive Care Unit on July 20. The clinical diagnosis is encephalitis.

He is now receiving further management in the general ward in stable condition.


Source: HKSAR Government
http://7thspace.com/headlines/44175..._suspected_case_of_japanese_encephalitis.html
 
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