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Japan - H3N2 - Nosocomial infection at Kita-Akita Hospital - 8 fatalities

Re: Nosocomial infection at Kita-Akita - H3N2, 8 fatalities

Re: Nosocomial infection at Kita-Akita - H3N2, 8 fatalities

Makoto - Your english is very good. Thank you for your great information. Votre anglais est tr?s bon. Je vous remercie pour votre grande information. :tiphat:

Thank you to those of you who hat tip Makoto and others at FT for the data, analysis, and articles that we find and create. :applause:

Everyone notices who does not hat tip. :(
 
Re: Japan - H3N2 - infection at Kita-Akita Hospital - 8 fatalities

Re: Japan - H3N2 - infection at Kita-Akita Hospital - 8 fatalities

follow-up reports arrived

Akita prefecture visited the mental hospital to inspect conditions on 01:25 PM of 11th Nov
it took about 4 hours to inspect conditions
yomiuri online http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.yomiuri.co.jp%2Fe-japan%2Fakita%2Fnews%2F20101111-OYT8T01056.htm&wb_lp=JAEN&wb_dis=2
mainichi jp http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fmainichi.jp%2Farea%2Fakita%2Fnews%2F20101112ddlk05040039000c.html&wb_lp=JAEN&wb_dis=2

the police of Kita-Akita examines how the nosocomical infection happened
news 24 http://translate.google.co.jp/translate?js=n&prev=_t&hl=ja&ie=UTF-8&layout=2&eotf=1&sl=ja&tl=en&u=http%3A%2F%2Fwww.news24.jp%2Fnnn%2Fnews86195.html

uncooperative hospital
the public health center of Kita-Akita requested specimen to the mental hospital on 4th Nov
however, the hospital did not accept it at once

inpatient's family said
on 1 Nov, The hospital explained that the common cold was prevalent

cut off communication in the public institution
the public health center of Kita-Akita informed the public health section of Akita prefecture on 05:00 PM of 2 Nov
and a member of the staff informed the Head of section, Iwama(took a paid holiday), but he not informed his manager
the General Manager, Nakano heard of nosocomical infection from her colleague in the city(she happened to meet) on the evening of 3 Nov
the Associate Manager, Umei heard on 04:00 PM of 5th Nov, he informed the Deputy Chief on the evening of the 5th Nov
the Deputy Chief for Crisis Management, Oishi informed the governor at past noon on 6th Nov

the point: 3 Nov. was holiday in Japan
sakigake on the web http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.sakigake.jp%2Fp%2Fakita%2Fnews.jsp%3Fkc%3D20101110p&wb_lp=JAEN&wb_dis=2 http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.sakigake.jp%2Fp%2Fakita%2Fpolitics.jsp%3Fkc%3D20101112g&wb_lp=JAEN&wb_dis=2
asahi.com http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fmytown.asahi.com%2Fakita%2Fnews.php%3Fk_id%3D05000001011110001&wb_lp=JAEN&wb_dis=2
iza http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.iza.ne.jp%2Fnews%2Fnewsarticle%2Fnatnews%2Fmedical%2F461666%2F&wb_lp=JAEN&wb_dis=2


info
13 children and 3 staff infected the flu in the Nursery school, Odate city, Akita
They are not in serious condition, detected H3N2 from them
press release by Akita prefecture http://translate.google.co.jp/translate?hl=ja&sl=ja&tl=en&u=http%3A%2F%2Fwww.pref.akita.lg.jp%2Fwww%2Fcontents%2F1288660843252%2Ffiles%2Fsilyuudannkaze.pdf PDF
 
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Re: Japan - H3N2 - Nosocomial infection at Kita-Akita Hospital - 8 fatalities

19 Nov., publicly announced

On-the-spot inspection results:

The infected persons were not isolated well
There's an irregularity in prevention's manual

the beginning of the infection spread

27 Oct., the first infected(1 inpatient and 3 staffs)
1 inpatient isolated, 3 staffs cured at home
other 8 persons were in the same room
but the mental hospital did not examine this 8 persons thoroughly
8 persons moved to other rooms, 6 of 8 persons finally infected

the infection control of Takanosu

doctor in hospital: 1 doctor/daytime 1 doctor/nighttime(info: 133 inpatients)
a room used for dining, a room used for group therapy: these use was not limited
complete entry limitation: the 1st of November
explanation of infection to inpatient's family: only when asked by family

Akita prefecture directed the improvement for prevention
The hospital should improve it before 17 December

yomiuri online http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.yomiuri.co.jp%2Fe-japan%2Fakita%2Fnews%2F20101119-OYT8T01310.htm&wb_lp=JAEN&wb_dis=2
47 news http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.47news.jp%2Fnews%2F2010%2F11%2Fpost_20101120115641.html&wb_lp=JAEN&wb_dis=2
asahi com http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fmytown.asahi.com%2Fareanews%2Fakita%2FTKY201011190537.html&wb_lp=JAEN&wb_dis=2
kol net http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.kahoku.co.jp%2Fnews%2F2010%2F11%2F20101120t43026.htm&wb_lp=JAEN&wb_dis=2
sankei news http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fsankei.jp.msn.com%2Fregion%2Ftohoku%2Fakita%2F101120%2Fakt1011200320000-n1.htm&wb_lp=JAEN&wb_dis=2 http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fsankei.jp.msn.com%2Flife%2Fbody%2F101119%2Fbdy1011191728001-n1.htm&wb_lp=JAEN&wb_dis=2
sakigake on the web http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.sakigake.jp%2Fp%2Fakita%2Fnews.jsp%3Fkc%3D20101120b&wb_lp=JAEN&wb_dis=2
 
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Re: Japan - H3N2 - Nosocomial infection at Kita-Akita Hospital - 8 fatalities

17 Dec., publicly announced

16 Dec.,
Takanosu hospital sent an improvement plan

new isolation precautions
complete entry limitation
specimen collection
expert advice
dissemination of improvement plan
explanation to inpatients' family...etc

after improvement plan, Akita prefecture makes a routine inspection

mainichi jp http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fmainichi.jp%2Farea%2Fakita%2Fnews%2F20101218ddlk05040029000c.html&wb_lp=JAEN&wb_dis=2
yomiuri online http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fwww.yomiuri.co.jp%2Fe-japan%2Fakita%2Fnews%2F20101216-OYT8T01091.htm&wb_lp=JAEN&wb_dis=2
news 24 http://translate.google.co.jp/translate?js=n&prev=_t&hl=ja&ie=UTF-8&layout=2&eotf=1&sl=ja&tl=en&u=http%3A%2F%2Fwww.news24.jp%2Fnnn%2Fnews861276.html
sankei news http://www.excite-webtl.jp/world/english/web/?wb_url=http%3A%2F%2Fsankei.jp.msn.com%2Fregion%2Ftohoku%2Fakita%2F101218%2Fakt1012180154000-n1.htm&wb_lp=JAEN&wb_dis=2
 
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