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Hong Kong Flu-like Illness outbreak

Re: Hong Kong Flu-like Illness outbreak

Hong Kong closes schools amid flu outbreak


HONG KONG: The Hong Kong government on Wednesday ordered all kindergartens and primary schools to close for two weeks amid a growing flu outbreak.
It also asked one of its top scientists to study the deaths of three children over the past week.

Health secretary York Chow said Yuen Kwok-yung, who helped study Hong Kong's outbreak of severe acute respiratory syndrome outbreak, or SARS, about four years ago, would head a panel of scientists studying the recent deaths.

Chow said it was not clear if the three cases were linked but that he became concerned after the most recent death - that of a 7-year-old boy on Tuesday - because five of his classmates had also been hospitalized.

Chow announced at a late-night news conference that all kindergartens, primary schools and special schools would begin the Easter holiday early to prevent the spread of influenza in classrooms. He did not say how many schools and students would be affected. Classes will resume March 28, he said.

Chow said a growing number of people have been suffering from flu and that bringing the Easter break forward would help reduce infections and calm public fears.
"We estimate this peak season of influenza will continue for a few weeks," Chow said.
The cause of the 7-year-old boy's death has not been determined. Officials said some of his classmates were believed to be suffering from flu, and the government closed the school earlier this week.

The five hospitalized classmates were in stable condition, Chow said.
No cause has been determined either in the two other deaths - of girls aged 2 and 3 - officials said.

The deaths came amid a series of flu outbreaks in Hong Kong over the past several days. Health officials have confirmed a total of six outbreaks at schools, a hospital and a nursing home for the elderly since March 6.

The flu outbreaks also have led to crowding at some hospitals, while the number of patients seeking walk-in treatment at emergency rooms has risen 16 percent from the same period last month, Hospital Authority Chief Executive Shane Solomon said.

None of the cases has been linked to bird flu, which was recently detected in birds in Hong Kong.

Bird flu remains difficult for humans to catch, but scientists fear the virus that causes it could mutate into a form that spreads easily among humans and trigger a pandemic that some say could kill millions.
SARS infected 1,755 people in Hong Kong and killed 299.

http://www.iht.com/articles/2008/03/12/asia/12hong.php
 
Re: Hong Kong Flu-like Illness outbreak

Hong Kong has 184 flu hotline launched
2008-3-13 2008-3-13
公network - Hong Kong Department of Health's Centre for Health Protection (on the 12th) received a total of 23 schools outbreak of influenza-like cases, involving a total of 184 people.

。 CHP spokesman said the case may be the flu-like virus or other respiratory viruses cause, the center staff has visited these schools, and to provide appropriate health information.

。 CHP starting today to provide influenza information hotline (Tel: 2125 1133), the hotline will be Mondays to Fridays 9:00 to 18:00 operation.

In addition, the Centre for Health Protection Authority received yesterday, a hospital reported that a three-year-old boy suffering from the flu condition deteriorated required admission to the intensive care unit for treatment. The boy sustained two days ago because of fever, cough and breathing difficulties in Princess Margaret Hospital Initial investigations revealed that samples of their respiratory A (H1N1) influenza virus positive. The boy is now in stable condition. 中。 Further investigations are in progress.

Centre is closely following up the case and has contacted the child attending kindergarten, the students paid health information.he school has been no report of outbreak of influenza.
。 As regards the recent Tuen Mun Hospital with a respiratory and nervous system symptoms of the seven-year-old boy's death, the spokesman said that further tests showed that the boy's respiratory tract samples of the A (H1N1) influenza virus positive. 個案現已交由死因庭跟進調查。 Case has been handed over to the Coroner's Court proceeding.

另受治療。 On the other hand, the Centre for Health Protection yesterday also received one involving a 21-month report of the death of the boy, the boy was on February 22 with fever and cough symptoms, and the following day in the Alice Ho Miu Ling Nethersole Hospital Nethersole Hospital accident and emergency department, patients occurs when the body cramp, was transferred to Prince of Wales Hospital intensive care unit for treatment. 男童於2月24日不治。 Boy died on February 24.

The spokesman said that the test results show that the boy's respiratory tract samples of the influenza virus A and B was negative, there is no evidence that the boy is infected with influenza. Are for further investigation. These cases have been referred to the Coroner's Court to follow up.

http://64.233.179.104/translate_c?hl=en&langpair=zh%7Cen&u=http://www.takungpao.com/news/08/03/13/GW-877040.htm
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Re: Hong Kong Flu-like Illness outbreak

Mixture of Viruses Fan Flu-Like Illness in Hong Kong (Update1)

By Jason Gale

March 13 (Bloomberg) -- A ``mixed bag'' of common respiratory viruses are circulating in Hong Kong, increasing the number of people suffering flu-like symptoms, doctors said.

Hong Kong shut all primary schools and kindergartens, halting lessons for more than half a million students, after the deaths of four children with flu-like symptoms. The fatalities highlight the threat posed by flu, a disease that the World Health Organization estimates causes between 250,000 and 500,000 deaths worldwide each year.

``We are talking about a precautionary measure in schools to reduce transmission among kids,'' Thomas Tsang, controller for Hong Kong's Center for Health Protection, told Bloomberg Television today. ``We are in the peak season, but there is indication that the numbers may still go up a little bit in the next few weeks, so we are keeping our fingers crossed.''

Type B and the H1N1 and H3N2 strains of type A seasonal influenza, respiratory syncytial virus, adenovirus and parainfluenzas have been reported in the city, said Susan Chiu, an associate professor at the University of Hong Kong's department of pediatrics and adolescent medicine.

The variety of illnesses is making it difficult to find beds for patients in isolated hospital wards, Chiu said. Patients with different respiratory infections are treated in separate rooms and health-care workers often change gowns each time they enter and leave those rooms to prevent viruses spreading to patients who don't have them, she said.

`Many Different Viruses'

``It puts pressure on how we isolate the children because we are seeing so many different viruses,'' she said.

Hospitals in the city have ``responded efficiently'' and so far there is ``no big havoc,'' Tsang said. ``The hospitals have put up some contingency measures to increase their resources in terms of manpower and equipment, as well as infection-control measures to cope with the increase in workload.''

Often parents bring their sick children to accident and emergency departments, especially in the middle of the night. ``That also creates some pressure on the hospitals,'' Tsang said.

While colds and flu are being experienced across all ages, it's mainly children and the elderly with pre-existing chronic diseases who tend to be hospitalized with respiratory infections, said Hong Kong University's Chiu, who also treats children at the Queen Mary Hospital.

``This is just seasonal flu,'' said Peter Cordingley, the Manila-based spokesman for the WHO's Western Pacific region. ``What is happening is unpleasant, but it's not an epidemic. It's just that Hong Kong is a very jam-packed-tight type city and it's the perfect place for transmission lines to thrive.''

Australia's Flu Deaths

Last year in Australia, the H1N1 and H3N2 flu strains were associated with the deaths of seven children in the country's worst outbreak of the seasonal illness in several years. The same variant of the H3N2 virus is causing disease in Hong Kong, said John Nicholls, associate professor of pathology at the University of Hong Kong.

In Hong Kong, ``there is a large number of kids being infected,'' Nicholls said. Actual numbers of deaths from the disease are still very low, he said in an interview yesterday.

``It does remind us that people treat flu in a lighthearted way, but it can kill,'' the WHO's Cordingley said.

To contact the reporters for this story: Jason Gale in Singapore at j.gale@bloomberg.net
Last Updated: March 13, 2008 01:30 EDT

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Re: Hong Kong Flu-like Illness outbreak

Researcher Seeks to Ease Worries
Over Flu Outbreak in Hong Kong


[FONT=times new roman,times,serif][FONT=times new roman,times,serif]By NICHOLAS ZAMISKA
March 13, 2008 2:17 a.m.
[/FONT]
[/FONT]
HONG KONG -- Despite the government's drastic closure of Hong Kong's primary schools and kindergartens for two weeks, there are no signs that the outbreak of influenza that has killed three children here is anything other than a normal outbreak of seasonal flu, according to the lead Hong Kong scientist investigating the outbreak and other health experts following the situation.
Yuen Kwok-yung, the government's lead researcher on the outbreak and chair of microbiology at the University of Hong Kong, described the infections as "just a bad outbreak" caused by genetic variation in normal influenza viruses.
"There are no signs of SARS or bird flu," he said, referring to the severe respiratory disease that gripped Hong Kong in 2003 and to avian influenza, which could cause a pandemic if it ever became readily transmissible among people. H5N1, the strain of bird flu likeliest to spark a pandemic, was ruled out in the deaths of the three Hong Kong children, who had no underlying disease, Dr. Yuen said.
Ever since the outbreak of SARS, or severe acute respiratory syndrome--which killed nearly 800 people around the world, some 300 of them in Hong Kong -- the city's health officials have been extraordinarily vigilant, fearing that a seemingly innocuous cluster of cases could quickly mushroom into a lethal epidemic.
Hundreds of thousands of people die from influenza around the world each year. Deaths among children are unusual, but the numbers here may not be disproportionate. In the U.S., in the winter of 2003-2004, for example, there were 153 influenza-related deaths of people under the age of 18, according to Dr. Yuen. Given that the U.S. has a population of some 300 million and Hong Kong about seven million, "it is not completely unexpected that you would have two to three deaths in Hong Kong," he said.
Peter Cordingley, a spokesman for the World Health Organization, said, "Everything suggests this is just seasonal flu. In fact, the outbreak is not as serious as this time last year." He added, however, that the WHO understands "the high level of public concern. SARS is still on everybody's mind in Hong Kong, and avian influenza is a constant threat, so anxieties run high, particularly when young children die."
Guan Yi, a top influenza scientist at the University of Hong Kong, called the government decision to close the schools "a little bit [of an] over-reaction." Dr. Guan added that "it is nothing linked with SARS or bird flu" and that there is no evidence to suggest that the influenza samples from the patients showed anything unusual.

http://online.wsj.com/article/SB120538793736233011.html?mod=googlenews_wsj
 
Re: Hong Kong Flu-like Illness outbreak

Health experts are predicting that a flu virus currently affecting Hong Kong is likely to hit New Zealand this winter.
However, it is hoped an influenza vaccine released on Thursday will help protect people against it.
Schools and kindergartens have been closed until Easter by public health authorities in Hong Kong, after three children died from influenza in the past two weeks. Authorities have described the closure as a precautionary measure.
A government-appointed panel of experts is investigating the deaths of the children, aged 2, 3 and 7. Almost 200 cases of suspected flu have been reported so far in Hong Kong.

In New Zealand, clinical virologist Lance Jennings, of Christchurch, says children are being affected by several strains of the virus.
The worst two are the A Solomon Islands virus, and the B Florida-like virus.
However, Dr Jennings says the winter flu vaccine should help immunise New Zealanders against both strains.
The National Influenza Strategy Group says the virus must be taken seriously, with more than 40 people dying from flu each year.
Influenza injections will be free for people with severe illnesses such as diabetes or heart conditions, and for those aged over 65.

Hong Kong schools shut

In Hong Kong, more than half a million schoolchildren stayed at home on Thursday after the government shut all kindergartens and primary schools for two weeks to contain the flu outbreak.
The health scare is not linked to bird flu in the former British colony where 21 birds were detected with the H5N1 virus last year.
Experts are working to identify the virus and assess whether it poses a broader threat.
But health officials played down fears of a return of the Sars (Severe Acute Respiratory Syndrome) virus, which hit Hong Kong in 2003.
World Health Organisation spokesman Peter Cordingley said it appeared to be "regular seasonal flu", while a virologist from the University of Hong Kong believes there is no reason to panic.

"This year, there seem to be slightly more flu cases," Leo Poon says. "But from what I can see, we get a bad flu year every few years. I don't think it is very unusual or different from previous years."

Copyright © 2008 Radio New Zealand



http://www.radionz.co.nz/news/latest/200803132155/6bceb65
 
Re: Hong Kong Flu-like Illness outbreak

has a flu-vaccine ever prevented or mitigated a nationwide outbreak ?
 
Re: Hong Kong Flu-like Illness outbreak

EDB advises schools on arrangements for advanced Easter holiday
March 13 2008, 10.11.04

To prevent the spread of influenza in schools, the Education Bureau (EDB) announced that all kindergartens, kindergarten/child care centres, primary and special schools would begin Easter holidays from today (March 13) up to March 28.

The bureau also issued a letter this morning to all these schools on the holiday arrangements.

A bureau spokesman said that to disseminate the message to parents, announcements had been broadcast on all TV and radio channels since last night and throughout early this morning.

The bureau has also requested schools to send parents a letter, to notify them the arrangements for schools and measures which they should take to prevent their children from being infected.

The letter advised schools to call off the activities scheduled to be held during the holidays.

Schools should keep the school premises open during the advancement period of school holidays, arrange teachers to handle school affairs and answer parents' enquiries, and look after students who need to return to schools.

The bureau reminded schools to clean and disinfect the whole school premises thoroughly and to set up an ad hoc crisis management team to establish measures and co-ordinate and tackle all necessary arrangements.

The letter has further outlined a list of cleansing measures for schools to follow.

Appropriate arrangements for any examinations, tests, activities, school bus services, lunch provision, etc should also be made based on the situation of individual schools.

In addition, the bureau urged schools to provide learning support for students so as not to affect their learning progress; and to maintain close communication with parents.

Parents should report to schools at once if their children are confirmed to have been infected with influenza.

Schools should immediately report the case to the Department of Health and the Education Bureau.

The letter advised principals of primary and special schools to note that except public holidays, the extended holidays should be deducted from the 90 holidays schools originally planned.

To ensure adequate learning time for students, schools should adjust their arrangement of summer holidays or other holidays so as to maintain no less than 190 active schools days for whole-day schools and 209 days for half-day schools.

As for the arrangement details of the holiday adjustment, schools should consult with teachers and parents and obtain the consent of the School Management Committee/Incorporation Management Committee.
-
http://www.info.gov.hk/gia/general/200803/13/P200803130208.htm
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Re: Hong Kong Flu-like Illness outbreak

Hong Kong Shuts Schools to Halt Flu Following Deaths (Update5)
By Le-Min Lim and Chia-Peck Wong
data



March 13 (Bloomberg) -- Hong Kong shut all primary schools and kindergartens, halting classes for more than half a million students, after four children with flu-like symptoms died.


``We have been working closely with the Department of Health and the secondary schools the last few days to know more about this spread,'' said Anna Chan, an officer with the Education Bureau. ``The young get contaminated more easily.''


Hong Kong announced the closures late yesterday, five years after severe acute respiratory syndrome killed 299 people and crippled the city's economy. The government closely monitors influenza outbreaks, with the airport screening all incoming passengers for signs of fever.


``At this time of the year, it's a viral soup everywhere,'' said Peter Cordingley, the Manila-based spokesman for the World Health Organization's Western Pacific region. ``There is nothing exceptional in what is happening in Hong Kong at the moment.''


Two of the children who died tested positive for influenza A, the Health Department said. It declined to cite influenza as the cause of the deaths. Another two children died after suffering flu-like symptoms, the department said, adding that tests haven't yet confirmed the presence of influenza A.


China's government will cooperate with its ``Hong Kong counterparts to control this flu incident so it does not spread,'' Li Changjiang, head of the General Administration of Quality Supervision, Inspection and Quarantine, told reporters at a press conference in Beijing today. He didn't say what action China would take.

`Little Drastic'

Closing schools ``might be a little drastic, but it's a reassurance to the community,'' Hong Kong Secretary for Food and Health York Chow told reporters today.


The influenza viruses circulating in Hong Kong this year are predominantly type B and a variant of the type A (H3N2) strain that caused epidemics in Australia last year, including the deaths of three children, said John Nicholls, associate professor of pathology at the University of Hong Kong.
In Hong Kong, ``there is a large number of kids being infected,'' he said. Actual deaths from the disease are still very low, he said in an interview yesterday.


A 7-year-old boy died at the city's Tuen Mun Hospital and the school closed amid the flu outbreak, state broadcaster Radio Television Hong Kong reported. A 3-year-old and 27-month-old have also died. No common factors between the deaths have been identified at this stage, according to the government.


`High Anxiety'

``If you look back to SARS, you can understand why there is a high level of anxiety in Hong Kong,'' WHO's Cordingley said. ``Hong Kong is a very jam-packed-tight type city and it's the perfect place for transmission lines to thrive.''


The deaths will be investigated to see whether the virus is mutating, Yuen Kwok-yung, a University of Hong Kong professor in microbiology, said at a press conference yesterday.


The Hospital Authority said it has earmarked HK$20 million ($2.6 million) to implement measures up to the end of April
to cope with a surge in demand for public hospital services.


Flu outbreaks were confirmed at three primary schools yesterday, the Centre for Health Protection said on its Web site. The outbreak is suspected to have spread to 20 other schools, it said.


Last week, 13 cases were confirmed, still below the peak of 22 recorded during 2007's flu season, the center, part of the government's health department, said. Hospital admission rates due to flu among children younger than five years old and the elderly, while rising, are still below those recorded during the peak seasons in the past two years, the center said.


Hong Kong had 140,783 kindergarten and 410,516 primary students the school year ended July 2007, according to the Hong Kong Education Bureau's Web site. The closures affect children aged between 3 and 11.
Resistant Viruses


The current northern hemisphere flu season is the strongest in four years, and hasn't been this severe this late in the season in more than 10 years, said Craig Maxwell, a JPMorgan Chase & Co. health-care analyst in London, in a note to clients.


The jump in flu cases is happening because this year's vaccine is effective against fewer than half the strains infecting people, according to the U.S. Centers for Disease Control and Prevention in Atlanta.


Scientists have also found strains of the H1N1 seasonal flu virus capable of evading Roche Holding AG's Tamiflu antiviral drug in 20 countries in Europe, North America and Asia-Pacific during the past three months.
The prevalence of resistant viruses ranges from 3 percent in Australia to 66 percent in Norway. In Hong Kong, 11 out of 116 samples from patients infected with the H1N1 virus harbored resistance to the pill, the World Health Organization said in a statement on March 6.


To contact the reporter on this story: Chia-Peck Wong in Hong Kong at cpwong@bloomberg.netLe-Min Lim in Hong Kong at lmlim@bloomberg.net;
Last Updated: March 13, 2008 05:40 EDT

http://www.bloomberg.com/apps/news?pid=20601089&sid=apZOPY6tJwVA&refer=china
 
Re: Hong Kong Flu-like Illness outbreak

March 14, 2008

<NYT_HEADLINE version="1.0" type=" ">Hong Kong Schools Closed After Flu Outbreak </NYT_HEADLINE>

<NYT_BYLINE version="1.0" type=" ">By KEITH BRADSHER
</NYT_BYLINE><NYT_TEXT>HONG KONG ? The Hong Kong government on Thursday closed all elementary schools and preschools in the territory a week early for Easter holidays after three children died amid an influenza outbreak, but insisted there was no sign that SARS or bird flu were involved.
The abrupt closing of the schools, announced late Wednesday night, prompted considerable alarm, with some people donning surgical masks in public as they had in 2003 during the outbreak of SARS, or severe acute respiratory syndrome.
As the closing of the schools reminded investors of the last lengthy school closing during the SARS outbreak, the Hong Kong stock market plunged 4.79 percent on Thursday, performing worse than any other Asian stock market except India?s as stock markets across Asia declined.
Dr. York Chow, Hong Kong?s secretary for health and food, said at a news conference that he was erring on the side of caution in closing the schools for two weeks, and was risking his political career given that many parents were angered by suddenly having to figure out child care arrangements.
?What we are doing might be a little drastic, but is reassuring the community,? Dr. Chow said.
Dr. Kwok Ka-ki, a lawmaker who represents the medical sector, said that the shutdown was arbitrary and possibly unnecessary. He pointed out that Dr. Chow had said only the day before that he did not yet see a need to close the schools.
?The government is telling the people not to panic, but on the other hand is acting in panic,? he said.
Dr. Chow said that he had changed his mind and decided to cancel school for more than 550,000 students in part because he was concerned that investigators needed to figure out exactly why the three children died. At least two had influenza. In all, 184 cases of flu have been reported in recent days.
Dr. Chow said there was no evidence that the outbreak was caused by a new strain of influenza virus.
School systems in the United States sometimes close during seasonal influenza outbreaks, but typically wait until so many children and teachers have fallen ill that absenteeism is chronic and every child has already been exposed to the virus, said Dr. Arnold S. Monto, an epidemiologist at the University of Michigan.
Hong Kong may be acting responsibly in closing schools earlier, he said. Malik Peiris, a Hong Kong University microbiologist, said that three common strains of influenza viruses are now circulating in Hong Kong: A(H1N1), A(H3N2) and influenza B. But he said there was no sign of bird flu, which is A(H5N1).
?Is it H5N1? Definitely not,? Mr. Peiris said.
The closing of the schools coincided with the fifth anniversary of a global alert from the World Health Organization that a new, flu-like ailment had appeared in Hong Kong and Hanoi ? a disease that turned out to be SARS. Within two months, 1,755 were infected in Hong Kong and 299 died.
Laboratories have identified A(H1N1) as the virus in some of the most serious cases of the current outbreak. Dr. Monto, of the University of Michigan, said H1N1 seems to particularly affect children and is readily transmitted in schools.
This winter, some cases have been found in Norway of A(H1N1) viruses that are resistant to Tamiflu, a powerful anti-influenza drug that doctors also use to treat suspected cases of bird flu.
Dr. Chow said that hospitals were using Tamiflu to treat influenza cases in Hong Kong, but said that there was little sign of Tamiflu resistance. To reduce the risk of resistance developing in the virus, Hong Kong makes Tamiflu only available by prescription and in limited quantities.
The incubation time for influenza viruses is typically about a week. So closing the schools for two weeks, through Easter, should be enough time to break transmission of the disease, Dr. Chow said.
Dr. Chow took office in October 2004, after his predecessor as Hong Kong?s top health official, Dr. Yeoh Eng-kiong, resigned following a government report that criticized his slow response to SARS.
Thursday morning, Mabel Hui and her daughter, Ng Seen-yi, 7, both wore surgical masks and Ms. Hui carried a packet of extra surgical masks as they walked hand in hand to a day care center that remained open.
?I only learned of the school closure today on television,? Ms. Hui complained. ?It is a major inconvenience since I have to go to work.?
Seen-yi, voicing a conscientiousness that is remarkably common among Hong Kong pupils, said that she was disappointed not to be in school.
?I don?t like not being able to go to school since I really wanted to take a test today ? I had studied hard for it,? she said. ?It is boring not to see my classmates.?
<NYT_AUTHOR_ID>Hilda Wang contributed reporting from Hong Kong.

http://www.nytimes.com/2008/03/14/world/asia/14flu.html?_r=1&oref=slogin&ref=world&pagewanted=print

</NYT_AUTHOR_ID><NYT_UPDATE_BOTTOM></NYT_UPDATE_BOTTOM>
</NYT_TEXT>
 
Re: Hong Kong Flu-like Illness outbreak

As you may know, last night (March 12, 2008), the Secretary for Food and Health for the Hong Kong SAR government announced that all primary schools, kindergartens, and nursery schools would start their Easter Break from today for two weeks as a precautionary measure against the spread of influenza (also known as "flu") in schools. The Hong Kong SAR government has emphasized to us that this is only a precautionary measure. At present, there is no indication that there is any significant change of the virus that makes it exceptionally more virulent than the usual influenza virus.

We recommend that you follow Hong Kong SAR government advice to take normal precautions against influenza, including maintaining good personal and environmental hygiene, and building up good body immunity by having a proper diet, regular exercise and adequate rest, reducing stress and avoiding smoking.

For up to date information about the influenza situation, please consult the Hong Kong Centre for Health Protection's Daily Update of Influenza Situation, available on its website at http://www.chp.gov.hk/index.asp?lang=en.

-----------------------------------------------------------------------------

This warden message was published by the American Citizens Services Unit, U.S. Consulate General, Hong Kong, tel: 2841-2211, 2841-2323, 2841-2225; fax: 2845-4845; e-mail: questions@hongkongacs.com; website: http://hongkong.usconsulate.gov; All services by online appointment only.
 
Re: Hong Kong Flu-like Illness outbreak

<table align="center" border="0" cellpadding="0" cellspacing="0" height="768" width="600"><tbody><tr><td align="left" valign="top" width="435"> <table border="0" cellpadding="0" cellspacing="0" width="435"><tbody><tr><td class="featurebluetxt" align="left" valign="top" width="435">12 March 2008</td> </tr> <tr> <td class="featurebluetxt" align="left" height="5" valign="top" width="435">
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</td> </tr> <tr> <td class="featuretitletxt" align="left" height="21" valign="top" width="435"> Update on institutional outbreaks of influenza
</td> </tr> <tr> <td class="featurenormaltxt_en" align="left" valign="top" width="435">
The Centre for Health Protection (CHP) of the Department of Health (DH) received reports of influenza-like illness (ILI) outbreaks affecting 23 schools involving a total of 184 people today (March 12).

A CHP spokesman said ILI may be caused by influenza or other respiratory viruses. CHP's officials have visited all these institutions and provided health advice to the staff accordingly.

CHP will provide the public with information on seasonal influenza starting tomorrow. The hotline (telephone no. 2125-1133) will operate between 9 am and 6 pm from Monday to Friday.

CHP received a report from Hospital Authority today concerning a three-year-old boy who was admitted to Princess Margaret Hospital yesterday because of persistent fever, cough and shortness of breath. He was transferred to Intensive Care Unit (ICU) today and is now in stable condition. Initial investigation showed his respiratory sample yielded positive results for influenza A (H1N1). Further tests are under progress.

CHP is keeping a close watch on the case and has contacted the kindergarten which the boy attended. Health advice was provided to the school accordingly. So far no ILI outbreak has been reported in the school.

Regarding the death of a seven-year-old boy with respiratory and neurological symptoms in Tuen Mun Hospital, the spokesman said further laboratory tests showed that the boy's respiratory sample yielded positive results for influenza A (H1N1). The case has been referred to the Coroner's Court for follow up investigation.

On the other hand, CHP today received a report concerning a 21-month-old boy who developed fever and cough on February 22. He attended the Accident and Emergency Department (A&ED) of Alice Ho Miu Ling Nethersole Hospital the next day. He developed generalized seizure at A&ED and was transferred to the ICU of Prince of Wales Hospital for treatment subsequently. The boy passed away on February 24.

The spokesman said that examination of the boy's respiratory sample yielded negative results for Influenza A and B. There is no evidence at the present stage suggesting the boy has contracted influenza. Further investigation is ongoing. The case has been submitted to Coroner's Court for investigation.

To prevent influenza, members of the public are urged to maintain good personal and environmental hygiene. They are urged to build up good body immunity by having a proper diet, regular exercise, and adequate rests, reducing stress and avoiding smoking.

More details of the institutional outbreaks, preventive tips and the daily update of influenza situation are now available in CHP's website (http://www.chp.gov.hk).

Ends/Wednesday, March 12, 2008

http://www.chp.gov.hk/view_content.asp?lang=en&info_id=11652

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Re: Hong Kong Flu-like Illness outbreak

FROM EUROPEAN CENTRE OF DISEASES PREVENTION AND CONTROL - WEEKLY INFLUENZA UPDATE (EXCERPTS)
-
(...)
Recent Deaths in children associated with seasonal influenza in Hong Kong SAR, China

In Hong Kong, China the influenza season started in mid-February this year, is currently peaking and is expected to last until March/April.

This is the normal time of year for influenza epidemics in that part of the world.

The authorities maintain particular vigilance for acute respiratory infections, even more intensely since the experience of SARS and human avian influenza and bulletins are issued by the Department of Health of the Hong Kong Government and the HK Health Protection Centre on a daily basis during the week.

Recently the authorities have reported that three previously healthy children under 10 years of age who suffered from influenza like illness died between February and March.

The deaths were typical of fatal influenza in children though virological tests are still underway to determine if all three had were influenza and what was the exact cause of death.

ECDC understands that human avian influenza (A/H5N1) and SARS have already been excluded.

To give this some context in the report of 13 March the Health Protection Centre reported that since the preceding report yesterday a total of 41 suspected and 9 confirmed outbreaks of influenza were reported to the authorities including 27 primary schools and 16 kindergardens.

Consultation rates and rates of children being hospitalised have also increased.

The predominant strains in Hong Kong this season are the typical mix of influenza A types H3N2, H1N1 and influenza B influenza, similar to elsewhere in the northern hemisphere.

It is not policy to immunise children in Hong Kong against influenza.

In the light of this experience and facing considerable parental anxiety the authorities in Hong Kong have brought forward the Easter closure of schools though it?s not at all clear that schools rather than homes are the focus of transmission.

ECDC Comment

The deaths of any child is a tragedy but sadly such deaths occur each year during influenza epidemics.

A similar phenomenon occurred in the last influenza season in Australia with a number of deaths in what was otherwise a normal Southern Hemisphere epidemic.

This was reported by ECDC in Influenza News and Eurosurveillance at the time.

The viruses that are circulating in Hong Kong at present are the normal ones expected and there is nothing being seen here that constitutes any out of ordinary threat to Europe.

Specifically this is not the start of a pandemic and is neither ?bird flu? nor SARS.

Almost certainly its ordinary seasonal influenza but this is a reminder how dangerous even seasonal influenza can be.

There is no reason for those intending to visit Hong Kong need to change their travel plans though given that it?s now the peak of the influenza season there visitors should take the usual precautions to reduce the risk to themselves, follow the guidance issued by the Hong Kong authorities and those in the usual risk groups (the elderly and those with chronic disease) should ensure they have been immunised before travelling.

The current vaccine can be expected to give as good protection against the strains circulating in Hong Kong as it does in Europe.
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http://ecdc.europa.eu/Health_topics/influenza/news/news_Influenza_080313.html
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Re: Hong Kong Flu-like Illness outbreak

Update on influenza situation (with table)
March 13 2008, 16.14.59

The Centre for Health Protection (CHP) of the Department of Health (DH) today (March 13) followed up on 50 new reports of influenza-like illness (ILI) outbreaks affecting 305 people.

Most of these reports were verified after the cut-off time yesterday.

ILI may be caused by influenza or other respiratory viruses.

The reported outbreaks comprise 27 primary schools and 16 kindergartens/childcare centres, five secondary schools and one correctional institution and one special school.

CHP's officials have provided health advice to the staff of all these institutions.

The vast majority of children with influenza recover spontaneously.

Nonetheless, influenza is also a known cause of complications such as pneumonia, myocarditis, encephalitits, sepsis, etc.

Influenza also not uncommonly causes hospitalizations among children in Hong Kong.

During the year 2007, a total of approximately 1,400 children aged 12 years or below were hospitalized in hospitals under the Hospital Authority due to influenza

Under a new arrangement implemented today between CHP and both public and private hospitals to monitor the trend of influenza-related complications in children (including severe pneumonia, myocarditis, shock, sepsis-like or encephalopathy), three reports were received so far with laboratory evidence of influenza.

They are one three-year-old boy (whose case was announced yesterday) and two girls aged seven and eight respectively.
Their current conditions are stable.

An Expert Group led by Professor Yuen Kwok-yung, Chairman of the Scientific Committee on Emerging Zoonotic Diseases of the CHP, convened the first meeting this afternoon to thoroughly investigate the three recent fatal cases involving children amid the recent seasonal influenza peak.

Meanwhile, the telephone hotline (2125-1133) set up by CHP to answer public enquiries on seasonal influenza has so far received 83 calls. It will continue to operate between 9 am and 6 pm from Monday to Friday. More details of the institutional outbreaks, preventive tips and the daily update of influenza situation are now available in CHP's website (http://www.chp.gov.hk).
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http://www.info.gov.hk/gia/general/200803/13/P200803130292.htm
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Re: Hong Kong Flu-like Illness outbreak

SFH on influenza
March 13 2008, 14.12.44

Following is a transcript of remarks made by the Secretary for Food and Health, Dr York Chow, at a stand-up media session at the Legislative Council Building today (March 13):

Reporter:
Would you ask the schools to extend the holiday for an extra week after the Easter break until you ascertain exactly what is going on? Have you informed the World Health Organisation (WHO) or have they asked you about what is going on?

Secretary for Food and Health:
We have decided that the schools should be closed for two weeks, based on the scientific recommendation that the incubation period for influenza is usually from a few days to about seven days.
With a stretch of two incubation periods, the school environment should be reasonably free from the virus.
If all healthy children go back to school, the chance of cross spreading would be minimised.
At this moment, since we do not have any evidence that there is significant viral change in terms of the virulence and genetic make-up of the virus.
We will not inform the WHO simply because of our decision.
I am sure every country would ask around whether that decision is based on certain scientific facts and of course we need to respond to them.
At the moment, we are working very hard on the few cases of mortality to see whether there are any significant changes or findings.
Professor Yuen (Kwok-yung) and his expert committee would meet today to look at the work needed to be done.
We expect that some findings may be available in the coming two or three weeks. I hope that if anything comes out, we will inform the public as early as possible.

Reporter:
(on school closure)

Secretary for Food and Health:
Our main concern is the infection of young children.
The percentage of young children getting influenza in this coming season obviously seems higher than that of the adult group.
It is not yet well substantiated that the situation is the mortality that we encounter, but we cannot wait until the figures getting bigger before we have any decision.
We have to make certain assumption that if there are now two mortality cases related to influenza, even before the peak comes up, then we need to do something to minimise increase of numbers in the weeks to come.
What we have decided will have certain effect in minimising the mortality and morbidity of influenza.
It is a precautionary measure as I have mentioned. It is not something entirely based on public health data. I think the public will appreciate what we are doing. It may be a little bit drastic, but is reassuring to the community.

Reporter:
Would you encourage people to buy Tamiflu?

Secretary for Food and Health:
We have plenty of Tamiflu, but we do not encourage people to buy Tamiflu. We also do not recommend that Tamiflu be used on any ordinary flu that is without any complications.
This is a very simple instruction given by the medical profession.
Tamiflu should only be given to patients who have complications and any additional chronic illnesses which may increase their morbidity and their risk.

Reporter: (on Tamiflu and vaccination)

Secretary for Food and Health:
In our experience, Hong Kong has always been adopting a cautious approach to the use of Tamiflu.
We do not use Tamiflu in general practice, and that is why we still do not have any significant percentage of resistance to the virus in Hong Kong. Those patients admitted to the hospitals with complications are always treated with Tamiflu.
At the moment, we recommend vaccination for the at-risk groups of the population, including young children below the age of two, but it is important to note that the vaccination is only effective after two or three weeks after vaccination.
For this particular season, I think the vaccination may not have a very strong effect if you have vaccination now.
The Government will consider whether the proposed group for vaccination should be changed in the next season or next winter. We will be looking at that.
(Please also refer to the Chinese portion of the transcript)
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http://www.info.gov.hk/gia/general/200803/13/P200803130278.htm
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Re: Hong Kong Flu-like Illness outbreak

7-year-old boy's condition rather strange has infected H3 and H1 2 strain of influenza virus.

At the same time in the serum of patients inside, we found even in a very short period of time there are H3 antibody reaction on the inside, we find the patient in the H3 Regenerated inside, only H1 virus, this very strange. We have reason to believe that he may in a short period of time inside, the H3 to have the infection, and then there are H1 infection, we believe that the cause of his death is an important reason why.

As for the 3-year-old girl died of cases are found in multiple organs of a fat, he pointed out that the Reye's Syndrome and the general different.

For example, her liver enzymes in the blood ammonia are not Reye syndrome, we have reason to believe she may have congenital defects, perhaps a congenital metabolic enzymes something had gone wrong with it is not yet sure that her blood and urine temporarily can not find aspirin and similar ferment substance inside.
 
Re: Hong Kong Flu-like Illness outbreak

http://news.xinhuanet.com/english/2008-03/14/content_7786275.htm

HK reports 50 new cases of flu-like illness
www.chinaview.cn 2008-03-14 08:54:42

HONG KONG, March 14 (Xinhua) -- The Center for Health Protection of the Department of Health of Hong Kong said Thursday that it had followed up on 50 new reports of influenza-like illness outbreaks affecting 305 people.

Most of these reports were verified after the cut-off time Wednesday, said the Center, noting that influenza-like illness maybe caused by influenza or other respiratory viruses.

The reported outbreaks comprise 27 primary schools and 16 kindergartens and childcare centers, five secondary schools and one correctional institution and one special school.

Under a new arrangement implemented Thursday between the Center and both public and private hospitals to monitor the trend of influenza-related complications in children (including severe pneumonia, myocarditis, shock, sepsis-like or encephalopathy), three reports were received so far with laboratory evidence of influenza.


They are one three-year-old boy (whose case was announced Wednesday) and two girls aged seven and eight respectively. Their current conditions are stable.

An expert group led by Professor Yuen Kwok-yung, chairman of the Scientific Committee on Emerging Zoonotic Diseases of the Center, convened the first meeting Thursday afternoon to thoroughly investigate the three recent fatal cases involving children amid the recent seasonal influenza peak.
 
Re: Hong Kong Flu-like Illness outbreak

Flu special edition: Today the flu increases 50 305 people to ford sickness
2008-03-13 23:11

[ The on.cc special news ] the health bureau health protection center indicated that, today followed up the report which 50 flu types case of illness erupts, altogether involved 305 people, a major part document is verifies after yesterday truncation number time, flu type case of illness possibly brought about by the flu virus or other respiratory tract virus. The related report involves 27 elementary schools, 16 weak courtyards/child care centers, 5 middle schools, 1 punishes teaches the buildings and 1 special school, the health protection center personnel has provided the suitable healthy information to the above school building staff. Moreover, the health protection center, public and operates privately the hospital today to carry out the new arrangement, supervises the child which is hospitalized because of the flu related illness complication (including to refer to serious pneumonia, myocarditis, shock, septicaemia and brain illness), until now altogether receives has 3 to have the laboratory evidence for the flu report. The patient is now (its document yesterday announced) and two ages in Majialie Hospital's 3 year old boy respectively is 7 and 8 year-old girl. Their situation is stable.:tiphat:

http://babelfish.altavista.com/babe...oncc/portal/breakingnews/Detail.do?id=8146627
 
Re: Hong Kong Flu-like Illness outbreak

Flu special edition: East area hospital networking internal medicine department and department of pediatrics hospital ward very full
2008-03-14 14:13


[ The on.cc special news ] east Hong Kong Island the hospital networking community serves the vice- inspector general Jiang Ming bright to indicate, since the lunar calendar year third day, has been hospitalized the population continuously to rise, east the area hospital networking internal medicine ward hospital bed demand reaches 125%, already above level, patient mainly because has a fever is hospitalized. But in department of pediatrics hospital ward aspect, hospital bed already very full, reaches 100% to 110%. The Jiang Ming bright pointed out, east area hospital internal medicine department hospital bed, originally some 350, but because insufficiently applies, therefore the past has put on additional more than 20 % altogether more than 50 hospital beds to deal with the need. The Jiang Ming bright refers, the patient is hospitalized the principal factor is has a fever, but not necessarily certainly with flu related, but passes period of time weather to continue coldly, also the command is hospitalized the population to have the increase. The Jiang Ming bright refers, the hospital had the measure to prevent the flu, including reduces visits the sick the time to two hours, and the limit each time two people visit the sick, prevent the overlapping infection.:tiphat:

http://babelfish.altavista.com/babe...oncc/portal/breakingnews/Detail.do?id=8146984
 
Re: Hong Kong Flu-like Illness outbreak

Ear of flu epidemic situation 90% in campus
2008-03-14 05:07

[ on.cc special news ] Guangdong Province 衞 The fresh hall Thursday notifies, up to March 12, this year Guangdong Province altogether reported 5 flu types case of illness explodes the epidemic situation, compared last year slightly to increase, Guangzhou 2, Shenzhen, Zhuhai, Shaoguan each 1, Guangzhou exploded flu epidemic situation 90% in campus. Guangdong Province 衞 The fresh hall will send the expert to go to the port understanding situation, will strengthen the joint defense association to control. At the same time, 衞 The fresh hall in the entire province deployed strengthens the flu type case of illness to monitor the work, strengthens with emphasis to the school, the day care organization and so on the monitor with guards against controls. An entire province 53 sentry posts hospital, school flu type case of illness monitors the result to demonstrate that, at present the Guangdong flu activity intensity slightly is lower than the history same time the average level. Saves 衞 The fresh hall appeal general residents need to be panic.:tiphat:
http://babelfish.altavista.com/babe...oncc/portal/breakingnews/Detail.do?id=8146676
 
Re: Hong Kong Flu-like Illness outbreak

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Five Guangdong outbreak of influenza epidemic outbreak notification issued (1)
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中国网​
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记者在省人民医院看到,有几个感冒的学生在打吊针。​
Reporter saw at the provincial People's Hospital, a few students in the fight colds getting.
时报记者朱元斌实习生叶伟报摄​
Times reporter intern Wei Ye reported perturbation Shuyuanbin </TD></TR></TBODY></TABLE>
流感疫情:我省五起暴发
Influenza epidemic: Five outbreak province
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香港宣布停课,广东密切监控,将派专家赴港加强联防联控
Announce the closure of the Hong Kong, Guangdong closely monitored and will be sending experts to Hong Kong to strengthen control of the joint defense
□​
□ Benban Liangjianmin wrote Times reporter Zhang Ling Xue Bing Samin intern correspondent Guangdong Simin Liu Wei Liu Yuan Yi-Heng letter
Provincial Health Department briefing yesterday, the deadline for March 12, this year, Guangdong Province reported a total of five outbreaks of influenza-like cases (incidence of 15 cases within one week above), a slight increase over last year, including Guangzhou, Shenzhen, Zhuhai, the Shaoguan 1 onwards.
校园:
Campus:
多所学校学生感冒发烧
Many schools flu fever
广州市卫生局12日通报,1~3月份共报告8起流感疫情,其中3月发生7起,而且全部在校园,其中1起是暴发疫情(一周内发病15例以上)。​
Guangzhou City Health Bureau on the 12th briefing, 1 to March were reported eight influenza epidemic, which occurred in March from 7, and all of the campus, including one from the outbreak (15 cases within one week incidence above).
昨日,记者走访市内多所小学,学校纷纷加强措施,熏醋喷药派传单防止传染。​
Yesterday, the reporter interviewed a number of city primary schools, schools have to step up measures to send leaflets smoked spraying vinegar to prevent infection.
Hong Kong 4 children with suspected flu deaths, and 90% of the influenza outbreak in Guangzhou in the entire campus. News has led to a lot of parents worry about.
?中招?。​
Reporters learn that there are eight so far Guangzhou influenza outbreak, including one for a primary school in Haizhu District, a total of 30 students' infected '.

endelu reporter visited primary schools, according to principals revealed that the school has six classes have several children flu fever, most of them in a class five children fever, the parents of these students all been taken to the hospital.
ao Hua Pei is in the primary, the same individual students leave school because of fever treatment. It is said that all the students are receiving treatment required to produce medical certificate of rehabilitation before they can return to their schools to reconsider.
Chigang in the vicinity of several primary schools and sand surface is relatively stable, and not in a suspected influenza students of the school leavers.
煲醋喷药土方洋法齐上
Earthwork spraying boiling vinegar on foreign law -
City Health Bureau urged all schools to examine morning newly implemented system, and issued the registration of infectious diseases to schools. Reporters yesterday that primary and secondary schools in the District leap, the school doorstep was on duty several teachers, students from the moment of entering the door to his observation.
This more than two days in the classroom are displayed at the provincial disease prevention and control center on the prevention of influenza in the spring of publicity posters.
、呕吐等情况。​
Morning Reading to the middle class teacher to teacher health of the students entering class to inspect, monitor whether students are rash, diarrhea, vomiting, and so on.
一旦发现发热超过37.5度立刻登记,并载入信息报告卡。​
Once a fever over 37.5 degrees registered immediately, and included in the report card information. If a student is absent teacher would immediately call the parents asked situation.
。​
According to the school Tujiaochang said that if confirmed influenza cases, the need for the first time to the community centre epidemic report.
Guangzhou around noon Wendelu enter primary school, face a while Zuowei rushing toward us. s several students fever等症, schools take additional measures, noon and afternoon after school, both in the classroom nobody smoked vinegar disinfectant, and burning herbal tea supply students to resist the flu. Has been invited over the weekend at quarantine stations and associated personnel to the classrooms spraying.
?土办法和洋办法一起用。?该校郑校长说。​
"Indigenous methods and approaches used in conjunction with foreigners." School Professor Cheng said.
午睡分离以防交叉感染
Nap separation to prevent cross-infection
同时,学校限制学生进入公共场所,防止交叉传染。​
At the same time, schools restrict student access to public places to prevent cross-infection.
上课。​
For students of classes fever cases, in the art classes, music lessons when it can not enter the professional classrooms, stay in Benban classroom.
此外,原来2~3个班的学生在同一地方午睡,现在也要分离以防交叉感染。​
In addition, the original 2 to 3 classes of students in the same place nap, and now also separated to prevent cross-infection.
Bao Huapi in the school, the school is distributing leaflets to students, and to support the Oral School for the prevention of influenza. This week will be adopted as methods such as ultraviolet light disinfection.
Interviewed more than the per capita charge of the school said that since the atypical pneumonia after school to examine morning newly, disinfection, and other areas take measures to prevent the outbreak. rom last week to this week, school teachers, as well as classes in the ceremony will be classes to the students stressed the importance of personal hygiene, diligence Jianzhijia ground clearance prevent influenza, a not uncomfortable or flu symptoms immediately inform teachers or parents.
医院:
Hospital:
?中招?老人比去年多
"Measure" the elderly more than last year
esterday, reporters from major hospitals in Guangzhou that Recently, the high flu patients, but most of them are common flu patients.
A medical-related hospital told reporters that at present, his medical clinic reception influenza patients every day about 40 people, and pediatrics and emergency together, but also 50 to 60 people a day over a hundred patients with influenza, an increase of more than ever 2 ~ 3%.
Medical College of the sources, influenza has been hospitalized cases high, or even increase must beds, and most respiratory infections and pathogenic bacteria.
Dr. Yang Rongyuan in Chinese medicine hospitals, hospital outpatient, emergency patients with the flu increase the already continued for a month. Symptoms are sore throat, fever, gastrointestinal diseases or merger. Influenza in the elderly population this year than last year.
-各方应对
-- The parties should
rovincial Health Department: monitoring focus schools, nurseries
Hong Kong for a number of recent outbreaks of influenza outbreaks in schools, the Hong Kong SAR Government announced March 13 primary schools, kindergartens, will be closed for two weeks. In this regard, the Guangdong Provincial Health Department has sent experts to Hong Kong will be further detailed understanding of the situation, strengthen joint defense of control. At the same time, the province plans to strengthen surveillance of influenza-like cases, to focus on strengthening the schools, nurseries and other monitoring and control.
省卫生厅呼吁广大市民不必恐慌。​
Provincial Health Department appealed to the general public not panic.
City Department of Education: one day to have three cases reported symptoms
Yesterday, the Guangzhou Municipal Bureau of Education issued a circular calling for all types of schools at all levels (kindergarten) do a really good job of influenza prevention, the schools found influenza, it is necessary to strictly follow the "school of influenza prevention and control guidelines" for processing.
The notice pointed out that the schools should examine morning newly implemented system.
和回家​
Achieve the "early detection" in the same dormitory or in the same class, one day there are three cases for three days or a number of students (more than 5 cases) experience flu-like symptoms, should the local disease control and prevention reports, to " Early reports "; fever found students should be timely isolation and" early isolation "and found the case should be returned home to rest and timely treatment to achieve" early treatment. "
病愈学生,退热48小时方可回校上课。​
Recovered and students, 48 hours before cooling back-to-school.
In addition, schools should be set up within the campus of adequate hand washing faucets, wash hands with soap liquid or for the use of teachers and students. Collective outdoor activities as far as possible, avoid all of the indoor assembly; attention to reduce the academic burden on students, so that students fatigue; advice to the students so as not to crowded, public places with poor ventilation activities.
There is, the school on the weekend to various school indoor places, objects to a surface and the air disinfection; nurseries in the whole park every day (by) all indoor places, objects to a surface and the air disinfection, or smoked regularly in the classroom vinegar disinfectant. Schools under the climate and the prevalence of influenza, decocted taking Chinese herbal medicine prescriptions, but also taking Banlangen granule or use anti-flu nasal Gaodeng Tu, economic conditions permit students to voluntarily immunization clinic influenza vaccine injection.
Hospital: monitoring during the entire process to avoid cross-infection
It is understood that at present, all major hospitals in Guangzhou disease control and monitoring system launched, all sections of the Reflecting fever over 38 degrees patients, all arrangements for out-patient treatment to fever, influenza investigation.
For patients with the common cold or upper respiratory tract infection patients, all of a family or a unit over three or more cases, the clinic will be communicated to the hospital by the preventive health care, and then reported to the CDC levels, patients with full control to avoid cause cross-infection.
至3月12日)
Guangdong flu outbreak communications (as at March 12)
Province: report of five cases of influenza-like outbreak (15 cases incidence week or more)
Gangzhou: two (Guangzhou were reported eight influenza epidemic, in which seven campuses, one from an outbreak occurred in a primary school in Haizhu District.)
深圳: 1起​
Shenzhen: 1 onwards
珠海: 1起​
Zhuhai: 1 onwards
韶关: 1起​
Shaoguan: 1 onwards
3~7月防流感​
3 ~ July flu prevention
1、勤洗手。​
1, washing hands frequently.
2、防传染。​
2, anti-infection.
3、注意饮食和休息。​
3, attention to diet and rest.
4、注意空气清洁。​
4, the attention of the air clean.
信息时报​
Information Times
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