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Hong Kong Child Dies of Flu - Which Strain?

M

Malcolm

Well-known member
http://www.bangkokpost.com/breaking_news/breakingnews.php?id=126445


BREAKING NEWS

Hong Kong closes school after pupil dies of bird flu



Hong Kong (dpa) - A Hong Kong primary school was closed Tuesday after a seven-year-old pupil died in hospital and 38 other students fell sick with flu.

Law Ho-ming was admitted to hospital with fever and flu symptoms and discharged, only to return two days later on Saturday. He fell into a coma and died Tuesday morning.

Thirty-eight fellow pupils at the Ho Yat Tung Primary School have fallen ill with flu and the school was Tuesday afternoon told by the government to close a week early for its Easter holiday because of the outbreak.

Law was readmitted to hospital on Saturday just 48 hours after being discharged following two days under observation. He quickly lapsed into a coma and was declared dead Tuesday morning.

On March 1, three-year-old Ho Po-yi died just hours after being sent home from Tuen Mun hospital after being taken in by her parents suffering from a high temperature and flu symptoms.

Doctors believe Law may have died of meningitis or a respiratory illness but the two cases have caused alarm among parents in the Tuen Mun district as the city hits the peak of its annual flu season.

Emergency units at hospitals say they are struggling to cope with the volume of parents bringing in children with flu symptoms as unfounded rumours spread that a deadly virus is in circulation.

Hong Kong saw the world's first modern-day outbreak of bird flu in 1997 when the virus infected 18 people, killing six of them. The former British colony has since been spared any major outbreaks.

In 2003, however, 299 people died and another 1,755 were infected when the SARS virus spread from China to the city of 6.9 million before going on to cause sporadic infections around the world.
 
Re: HONG KONG CHILD DIES of bird flu

Re: HONG KONG CHILD DIES of bird flu

Bird flu????

Sounds like a reporter terminology misunderstanding - again.

.
 
Re: HONG KONG CHILD DIES of bird flu

Re: HONG KONG CHILD DIES of bird flu

None of my usual sources are making a similar report.

Headline grabbing journalism, I say, until there is evidence to the contrary.

I changed the thread title to add "possible".

.
 
Re: HONG KONG CHILD DIES of (possible) bird flu

Re: HONG KONG CHILD DIES of (possible) bird flu

Yes--I agree change the headline to possible.

However, the Bangkok Post is usually reliable.
 
Re: Hong Kong Child Dies of Suspected?? bird flu

Re: Hong Kong Child Dies of Suspected?? bird flu

Thanks AD - I changed the title to add "Suspected".

There have been many similar "mis-reports" from inexperienced media persons - even from reputable news sources.

We will have to watch this to see if it is "real".

In a pandemic the rumours will be rampant.

In addition, due to the huge economic repercussions to any animal or human outbreak, bird flu can be used as an economic weapon. Just the rumours of an outbreak can cause economic havoc.
 
Re: Hong Kong Child Dies of Suspected?? bird flu

Re: Hong Kong Child Dies of Suspected?? bird flu

Florida1 said:
Thanks AD - I changed the title to add "Suspected".

There have been many similar "mis-reports" from inexperienced media persons - even from reputable news sources.

We will have to watch this to see if it is "real".

In a pandemic the rumours will be rampant.

In addition, due to the huge economic repercussions to any animal or human outbreak, bird flu can be used as an economic weapon. Just the rumours of an outbreak can cause economic havoc.
Click to expand...
There is nothing in the report that suggests "suspected" bird flu. All evidence presented points toward a respiratory disease with flu-like symptoms. 38 students with symptoms makes bird flu VERY unlikely.
 
Re: Hong Kong Child Dies of Suspected?? bird flu

Re: Hong Kong Child Dies of Suspected?? bird flu

I have written an email to the editor of the news source to confirm/retract the title of the article.
 
Re: Hong Kong Child Dies of Suspected?? bird flu

Re: Hong Kong Child Dies of Suspected?? bird flu

Florida1 said:
I have written an email to the editor of the news source to confirm/retract the title of the article.
Click to expand...
38 students with symptoms, but no media coverage speaks volumes.
 
Re: Hong Kong Child Dies of Suspected?? bird flu

Re: Hong Kong Child Dies of Suspected?? bird flu

This is yesterday's news with a sensationalistic headline.


Law Ho-ming was admitted to hospital with fever and flu symptoms and discharged, only to return two days later on Saturday. He fell into a coma and died Tuesday morning.
Thirty-eight fellow pupils at the Ho Yat Tung Primary School have fallen ill with flu and the school was Tuesday afternoon told by the government to close a week early for its Easter holiday because of the outbreak.
Law was readmitted to hospital on Saturday just 48 hours after being discharged following two days under observation. He quickly lapsed into a coma and was declared dead Tuesday morning.
On March 1, three-year-old Ho Po-yi died just hours after being sent home from Tuen Mun hospital after being taken in by her parents suffering from a high temperature and flu symptoms.
Doctors believe Law may have died of meningitis or a respiratory illness but the two cases have caused alarm among parents in the Tuen Mun district as the city hits the peak of its annual flu season.
Click to expand...

From the Hong Kong thread yesterday http://www.flutrackers.com/forum/showthread.php?t=55763

Sudden boy in critical condition with virus

It is understood that the present state of a terminally ill 7-year-old boy last week has been the incidence was as fever and headache symptoms, parents will be boys rushed to Tuen Mun Hospital, the boy was discharged home after treatment. But on March 8, the boy again the disease, and disease development is very rapid. According to the boy's father said, when children have been insanity. To Sunday (March 9), the child's condition and the evolution of body convulsions, dilated pupils. This boy of yesterday has been in a state of serious condition, the hospital also has been one stage it was rumored boy, the news of the death, after Hong Kong Department of Health confirmed that the boy is still in the intensive care unit of Tuen Mun Hospital in the rescue, but critical condition.
Click to expand...
http://www.flutrackers.com/forum/showpost.php?p=140704&postcount=18
and
Boy critical with encephalitis
A seven-year-old boy admitted to Tuen Mun Hospital on March 8 is fighting for his life in intensive care.
Preliminary tests for influenza A and B are negative and more tests are being conducted, Centre for Health Protection Controller Dr Thomas Tsang said today.
The Tuen Mun boy visited the hospital's emergency ward on March 6 after suffering two days of fever and coughing for a week.
Paediatrician at the hospital Dr Lam Shu-yan said chest X-rays were clear at the time with no symptoms of encephalitis or meningitis, so the boy was discharged.
Dr Lam said the boy was in a confused state when admitted to the hospital two days later and tests found he had serious encephalitis and brain swelling.
School surveillance
The boy's school reported an upper respiratory infection outbreak on March. About 20 to 30 students came down with a cough, runny nose and fever.
Dr Tsang said the centre has put the school under daily surveillance.
The centre will follow up each case and an update will be available tomorrow. Dr Tsang also said the centre and the Education Bureau visited the school and provided health advice to its staff today.
When asked if school closures will be imposed, Dr Tsang said more justification is needed as this flu season is similar to the previous two years. While not ruling out the possibility of closing a particular school, Dr Tsang said it would depend on the outbreak situation, the severity of the illness, its infectiousness and social concern.
Girl's death probed
Regarding the three-year-old girl who died recently at the hospital, Dr Tsang said interim autopsy results found abnormal fat deposits in her internal organs unrelated to flu.
He said the possibility of an underlying cause of her death is now being studied, such as hidden illnesses the girl may have been harbouring which may have been triggered by a viral infection.
The centre today received nine new reports of institutional outbreaks of flu-like illness involving 52 people at three kindergartens and six schools.
The hospital also reported three men and a woman patient in a mixed medical ward have come down with fever and flu-like illness since March 3. Three have tested positive for influenza-B and have been isolated. They are in stable condition.
-
http://www.news.gov.hk/en/category/h...310en05006.htm
Click to expand...
Click to expand...
 
Re: Hong Kong Child Dies of Suspected?? bird flu

Re: Hong Kong Child Dies of Suspected?? bird flu

Malcolm said:
http://www.bangkokpost.com/breaking_news/breakingnews.php?id=126445


BREAKING NEWS

Hong Kong closes school after pupil dies of bird flu



Hong Kong (dpa) - A Hong Kong primary school was closed Tuesday after a seven-year-old pupil died in hospital and 38 other students fell sick with flu.

(...).
Click to expand...


Three-year-old girl tests negative for avian influenza


The Centre for Health Protection (CHP) of the Department of Health today (March 4) confirmed that respiratory samples taken from a three-year-old girl, admitted to Tuen Mun Hospital on March 1 with influenza-like illness (ILI) symptoms and passed away on the same day, showed a positive result for influenza A/H3, and negative for influenza A/H5.

Further tests will be done to ascertain her cause of death. The findings will be reported to the coroner.

Her six-year-old sister, who also suffered from ILI symptoms and confirmed to have suffered from influenza A/H3, is under treatment in Tuen Mun Hospital .

CHP has contacted three family members of the girls and monitored their health conditions.

Ends/Tuesday, March 4, 2008
Issued at HKT 19:10

-
http://www.chp.gov.hk/content.asp?lang=en&info_id=11534&id=116
------
 
Re: Hong Kong Child Dies of Suspected?? bird flu

Re: Hong Kong Child Dies of Suspected?? bird flu

On the other hand, at this point HLT seem to consider all hypotheses:
-
Expert group to probe child deaths

Secretary for Food & Health Dr York Chow has appointed Hong Kong University Professor Yuen Kwok-yung to lead an expert group in probing the recent deaths of three children with flu-like symptoms.

They will see if the cases are related and whether any other viruses are involved.

The decision was made after Dr Chow's meeting with Department of Health, Hospital Authority and Education Bureau officials today.

They also discussed Hong Kong's flu situation and prevention and control measures.

Centre for Health Protection Controller Dr Thomas Tsang told reporters the seven-year-old boy admitted to Tuen Mun Hospital on March 8 with serious encephalitis and brain swelling has died.

So far 35 children from his school - STFA Ho Yat Tung Primary School - have been affected in an upper respiratory tract infection outbreak since late February with five hospitalised. Their conditions are stable.

Dr Tsang said influenza-A is likely behind the outbreak as three samples taken from the children tested positive for the virus.


(...)
-
http://www.news.gov.hk/en/category/healthandcommunity/080311/html/080311en05002.htm
------
 
Re: Hong Kong Child Dies of Suspected?? bird flu

Re: Hong Kong Child Dies of Suspected?? bird flu

<TABLE cellSpacing=0 cellPadding=0 width=533 border=0><TBODY><TR><TD class=mainnewstitle id=withoutphoto vAlign=center colSpan=3>Third child dies of 'flu' in Hong Kong


</TD></TR><TR><TD colSpan=2></TD><TD vAlign=bottom height=10><TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD><TABLE cellSpacing=0 cellPadding=0 border=0><TBODY><TR><TD class=maintime>21:35</TD><TD class=maindatedelim width=1>|</TD><TD class=maindate>11/ 03/ 2008</TD></TR></TBODY></TABLE></TD><TD align=right>
</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>

SIANGAN (Hong Kong), March 11 (RIA Novosti) - A seven-year-old boy died in Hong Kong on Tuesday after being hospitalized late last week with a suspected strain of bird flu, national media said. Law Ho-ming had had a fever and a persistent cough for about two weeks before being hospitalized on March 6. He was later discharged, but rushed to the emergency department at Tuen Mun Hospital on March 8. The boy lapsed into a coma and was subsequently diagnosed as suffering from swelling of the brain.
The first postmortem tests have so far proved negative for influenza, however.
Another two children had earlier died several hours after being admitted to hospital in Hong Kong after displaying similar symptoms.
The Hong Kong authorities have instructed a team of microbiologists to attempt to determine the reasons behind the deaths.
Another 38 children from Law's school have also been diagnosed with similar flu-like symptoms. The school has now been closed a week ahead of the spring holidays.
The local Center for Health Protection said the amount of flu cases had not so far exceeded the usual seasonal figures. However, medics have recommended that school authorities cancel classes so as not to endanger children.
National media has quoted some doctors as saying the disease responsible for the deaths of the three children could be a strain of bird flu, which has so far killed 235 people out of 371 confirmed cases worldwide, according to the World Health Organization.
Six people out of a total of 18 residents infected with bird flu died in Hong Kong in 1997 when the first outbreak was reported in the former British colony.
Although no cases of human-to-human transmission of the deadly H5N1 strain of bird flu have been reported, scientists fear the virus could mutate into a strain that could pass easily between people, causing a global pandemic.
Between 50 and 100 million people died from so-called Spanish flu from 1918 to 1920. This is higher than the total amount of deaths in World War I. Recent evidence suggests the disease may have jumped from birds to humans.

http://en.rian.ru/world/20080311/101113024.html
 
Re: Hong Kong Child Dies of Suspected?? bird flu

Re: Hong Kong Child Dies of Suspected?? bird flu

This situation reminds me of the influenza-associated child deaths reported in Australia last July. I hope that they can contain these bird flu rumors.

http://www.news.com.au/story/0,23599,22030064-2,00.html

Child deaths blamed on flu
July 06, 2007 08:07pm

THREE children under five years of age have died in Perth in the past few days from what is believed to be a severe form of the flu, the Western Australian Health Department says.

The department is urging parents to quickly see a doctor if their children show signs of respiratory illness.

Director of communicable disease control, Dr Paul Van Buynder, said the speed at which the three children fell ill was a concern.

"While we do not want to create unnecessary panic, it is important for parents to be aware that the disease can cause serious illness within 24 hours," Dr Van Buynder said.

"Parents whose children have cold or flu like symptoms, including a cough and a fever, should see their general practitioner."

The health department is advising all parents of young children to see a doctor for the flu vaccination if they have not already done so.

Dr Van Buynder said one of the children had been identified with having the influenza A virus, which is covered by this year's flu vaccine, and it was likely all three children had that strain of the virus.

They had been well and became very sick within a day, he said.

"It's not about large numbers, it's about that we had three children who got sick very quickly," he said.

Two of the children fell ill in Perth's Princess Margaret Hospital for Children and tests revealed they had developed a form of pneumonia.

"Samples taken from the two children who died in hospital suggested they had secondary bacterial pneumonia. We'll be able to confirm that over the next few days."

Dr Van Buynder said the department was advising parents to see a doctor quickly if their children developed flu symptoms because secondary chest infections could usually be stopped with antibiotics.

The third child did not receive hospital treatment.
 
Re: Hong Kong Child Dies of Suspected?? bird flu

Re: Hong Kong Child Dies of Suspected?? bird flu

12./03/2008, billion Wednesday morning 05:17



Clock 南山 presses the Guangdong port to guard against
The flu mixes the birds and beasts epidemic disease to be more fearful

[ The Daily Sun special news ] the Guangdong port two places in the near future will erupt the flu, Guangzhou breathe disease research institute manager clock 南山 to point out that, two places simultaneously appeared the birds and beasts flu and the flu, the risk obvious increase, two places governments will have to enhance vigilantly, the strict supervision, will guard against the birds and beasts flu and the flu mixes the variety, will evolve Cheng Hsin the infectious disease. Inland this year reports the birds and beasts flow the epidemic situation to have 12, has compared last year whole year to rise two times.

A inland birds and beasts epidemic disease document rises two times
Body concurrently National People's Congress representative's clock 南山 yesterday accepted when the visit indicated that, Guangdong early some people infected the birds and beasts flu death, Hong Kong also have the small birds to infect the birds and beasts flu, now appears the flu, demonstrated two places simultaneously had the birds and beasts flu and the flu, the birds and beasts flu variety risk obvious increase. Just passed winter weather cold, made the flu virus to be more active, suffers from the flu population to increase, recently Guangzhou infected the flu the person compared usually rises three tenths to five tenths, the Guangzhou authority is preparing to the flu patient to carry on the supervision.
Clock 南山 criticizes the inland to draw up the infectious disease in Sha Shihhou to prevent and control the law, the very many local authority actually is not only willing to allocate funds, early treats for the suspicion infection contagious patient, many impoverished patients only have tow only then arrive the hospital to last the moment. If the patient contracts the infectious disease, radically has no way promptly to prevent the viral proliferation, therefore he has submitted the bill to National People's Congress, after suggested the hospital first creates disaster the pneumonia to have a fever the patient first to treat collects fees.
Ministry of Agriculture veterinarian bureau Bureau Chief Li Chinhsiang pointed out that, now the new year three months, a inland birds and beasts flu document has 12, compared last year whole year four to rise two times. South he refers the severely cold winter to interfere with the guard work, the increase migratory bird dissemination birds and beasts flu possibility, the country has allocated funds 50 hundred million Yuan purchases vaccines, but has the snow disaster province also to be able to complete the quarantine work.:tiphat: http://babelfish.altavista.com/babe...al/news/localNews/Detail.do?type=tsn&id=90021​
 
Re: Hong Kong Child Dies of Suspected?? bird flu

Re: Hong Kong Child Dies of Suspected?? bird flu

<TABLE cellSpacing=0 cellPadding=0 width=629 border=0><TBODY><TR><TD colSpan=3>Flu fears over Hong Kong deaths

</TD></TR><TR><TD vAlign=top width=416><!-- S BO --><!-- S IBYL --><TABLE cellSpacing=0 cellPadding=0 width=416 border=0><TBODY><TR><TD vAlign=bottom>By Vaudine England
BBC News, Hong Kong
</TD></TR></TBODY></TABLE>
999999.gif


<!-- E IBYL -->
<!-- S IIMA --><TABLE cellSpacing=0 cellPadding=0 width=203 align=right border=0><TBODY><TR><TD>
_40074185_hong_kong_area_map203.gif

</TD></TR></TBODY></TABLE><!-- E IIMA --><!-- S SF -->A school has been closed in Hong Kong amid fears of a return of a mysterious flu epidemic.
More than 30 students have flu-like symptoms and one of them died on Tuesday.
Two other young children have died in separate cases from flu-like illnesses in recent weeks.
An expert team is to assess whether the cases are linked to either bird flu or to Sars, the severe acute respiratory syndrome that hit Hong Kong in 2003. <!-- E SF -->
'Very concerned'
Seven-year-old Law Ho-ming was admitted to hospital semi-conscious with fever and flu at the weekend.
He died on Tuesday from serious encephalitis and swelling of the brain.
Five of his fellow students from the Ho Yat Tung Primary School remain in hospital and more than 30 others are displaying flu-like symptoms.
Government medical officers said they were "very concerned" about the outbreak and had brought forward the Easter holiday at the school by 10 days.
The school closure is the first since 2003, when almost 300 people died from Sars.
Concerns have also been raised about two other recent child deaths from flu.
A two-year-old boy died in February and a three-year-old girl died on 1 March from what appeared to be a variant of bird flu.
Government records show that people in 25 other schools, a hospital ward and a disabled residential home are suffering from outbreaks of flu. The government has set up an expert team led by a University of Hong Kong microbiologist to identify the illnesses in question and assess the risk posed to the territory. Experts say there is no reason yet to fear a major flu outbreak, but admit they do not yet know what caused the deaths of three young children.<!-- E BO -->

http://news.bbc.co.uk/2/hi/asia-pacific/7291169.stm

</TD></TR></TBODY></TABLE>
 
Re: Hong Kong Child Dies of Suspected?? bird flu

Re: Hong Kong Child Dies of Suspected?? bird flu

niman said:
<TABLE cellSpacing=0 cellPadding=0 width=629 border=0><TBODY><TR><TD colSpan=3>Flu fears over Hong Kong deaths


</TD></TR><TR><TD vAlign=top width=416><!-- S BO --><!-- S IBYL --><TABLE cellSpacing=0 cellPadding=0 width=416 border=0><TBODY><TR><TD vAlign=bottom>By Vaudine England
BBC News, Hong Kong

</TD></TR></TBODY></TABLE>
999999.gif


<!-- E IBYL -->
<!-- S IIMA --><TABLE cellSpacing=0 cellPadding=0 width=203 align=right border=0><TBODY><TR><TD>

</TD></TR></TBODY></TABLE><!-- E IIMA --><!-- S SF -->
A two-year-old boy died in February and a three-year-old girl died on 1 March from what appeared to be a variant of bird flu.
http://news.bbc.co.uk/2/hi/asia-pacific/7291169.stm


</TD></TR></TBODY></TABLE>
Click to expand...
Reporting remains abysmal. It either was or wasn't bird flu. "appeared to be a variant of bird flu" makes little sense.
 
Re: Hong Kong Child Dies of Suspected?? bird flu

Re: Hong Kong Child Dies of Suspected?? bird flu

maybe positive for influenza - A but not H3 nor H1 ,
so some avian flu ?
Would be unusual, though.
 
Re: Hong Kong Child Dies of Suspected?? bird flu

Re: Hong Kong Child Dies of Suspected?? bird flu

"They had been well and became very sick within a day, he said.
"It's not about large numbers, it's about that we had three children who got sick very quickly," he said.
Two of the children fell ill in Perth's Princess Margaret Hospital for Children and tests revealed they had developed a form of pneumonia.
"Samples taken from the two children who died in hospital suggested they had secondary bacterial pneumonia. We'll be able to confirm that over the next few days.""
...
"Paediatrician at the hospital Dr Lam Shu-yan said chest X-rays were clear at the time with no symptoms of encephalitis or meningitis, so the boy was discharged.
...
"Law was readmitted to hospital on Saturday just 48 hours after being discharged following two days under observation. He quickly lapsed into a coma and was declared dead Tuesday morning.""

"Preliminary tests for influenza A and B are negative and more tests are being conducted, Centre for Health Protection Controller Dr Thomas Tsang said today.
Centre for Health Protection Controller Dr Thomas Tsang told reporters the seven-year-old boy admitted to Tuen Mun Hospital on March 8 with serious encephalitis and brain swelling has died."

"So far 35 children from his school - STFA Ho Yat Tung Primary School - have been affected in an upper respiratory tract infection outbreak since late February with five hospitalised. Their conditions are stable.

Dr Tsang said influenza-A is likely behind the outbreak as three samples taken from the children tested positive for the virus.
A two-year-old boy died in February and a three-year-old girl died on 1 March from what appeared to be a variant of bird flu."

"Centre for Health Protection Controller Dr Thomas Tsang told reporters the seven-year-old boy admitted to Tuen Mun Hospital on March 8 with serious encephalitis and brain swelling has died."

"So far 35 children from his school - STFA Ho Yat Tung Primary School - have been affected in an upper respiratory tract infection outbreak since late February with five hospitalised. Their conditions are stable.

Dr Tsang said influenza-A is likely behind the outbreak as three samples taken from the children tested positive for the virus."

"Dr. Niman:
There is nothing in the report that suggests "suspected" bird flu. All evidence presented points toward a respiratory disease with flu-like symptoms. 38 students with symptoms makes bird flu VERY unlikely."

Characteristics:

1 - upper respiratory infection
2 - flu-like symptoms
3 - encephalitis
4 - mixed: a) flu-A;
b) suspected bird flu variant
results from samples
5 - secondary bacterial pneumonia suggested
6 - chest X-rays clear in the first 48 hours
7 - fulminant form within 24 hours

If it is 1., 2., and 4a), it can be 6), but it can't be 7) because of 5), only because of 3) maybe.

If it is 1., 2., and 4b), and if it is 7), than it can't be 6), and 5), only in a case 7) was from 3)

Maybe to start an automated diagnostic program ...

Plain words supposition:

A. If it was SARS, than it must have other kind of pneumonia (not bacterial 5)), chest X-rays would not be clear 48 hours after the fever onset, and the result from samples will not necessary found flu type viruses.

B. If it was an fulminant meningitis form, the flu viruses from the samples were an coincidence of dual infection in the organism. The other numbers seems that can fit into, but then the tests must confirm it.
But the respiratory simptoms 19, 29? The 5) as secondary maybe.

C. If it was an seasonal flu virus mutation, it must be a form which cause encephalitis, and it's a fulminant 24 hour form 7) or otherwise induced a secondary bacterial infection 5), and because of the latter, the 6) X-rays was clean at the begining (48 hours).

D. If it was an bird flu variant, it can produce 1), 2), and encephalitis 3), it can be 7), but it is dificult that it have bacterial pneumonia 5), and clean X-rays 6), because was wroted that bird flu produce viral pneumonia visible on X-rays, later cytokine reaction, and maybe encephalitis 3).

Seems from the above, that the C. - an seasonal flu virus mutation - was the nearer supposition.

We'll see the next data.
 
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