8 additional H7N9 cases. 2/4

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4 February 2014

CHP notified of four additional human cases of avian influenza A(H7N9) in Mainland  

     The Centre for Health Protection (CHP) of the Department of Health (DH) yesterday (February 3) received notification of four additional human cases of avian influenza A(H7N9) respectively in Zhongshan and Huizhou from the Health and Family Planning Commission of Guangdong Province, and in Fujian and Hunan from the National Health and Family Planning Commission.

     The case in Zhongshan involves a girl aged 2 while that in Huizhou is a woman aged 76.
 Both are hospitalised for treatment.

 The case in Fujian involves a man aged 27 who is now under treatment in hospital.

 The case in Hunan was a man aged 59 who died yesterday.

     As of yesterday, a total of 284 human cases of avian influenza A(H7N9) have been confirmed in the Mainland, including Zhejiang (114 cases), Guangdong (47 cases), Shanghai (41 cases), Jiangsu (36 cases), Fujian (18 cases), Hunan (six cases), Jiangxi (six cases), Anhui (four cases), Henan (four cases), Beijing (three cases), Shandong (two cases), Guangxi (one case), Guizhou (one case, imported from Zhejiang) and Hebei (one case).

     The CHP is closely monitoring the situation.

     "Locally, enhanced disease surveillance, port health measures and health education against avian influenza are ongoing. We will remain vigilant and maintain liaison with the World Health Organization (WHO) and relevant health authorities. Local surveillance activities will be modified upon the WHO's recommendations," a spokesman for the DH remarked.

     "In view of human cases of avian influenza A(H7N9) confirmed in Hong Kong and multiple cases notified by the Mainland, the activity of the virus is expected to be higher in the winter season. Those planning to travel outside Hong Kong should maintain good personal, environmental and food hygiene at all times," the spokesman urged.

     "All boundary control points have implemented disease prevention and control measures. Thermal imaging systems are in place for body temperature checks of inbound travellers. Random temperature checks by handheld devices have also been arranged. Suspected cases will be immediately referred to public hospitals for follow-up investigation," the spokesman added.

     Regarding health education for travellers, distribution of pamphlets, display of posters in departure and arrival halls, in-flight public announcements, environmental health inspection and provision of regular updates to the travel industry via meetings and correspondence are all proceeding.

     The spokesman advised travellers, especially those returning from avian influenza-affected areas and provinces with fever or respiratory symptoms, to immediately wear masks, seek medical attention and reveal their travel history to doctors. Health-care professionals should pay special attention to patients who might have had contact with poultry, birds or their droppings in affected areas and provinces.

     Members of the public should remain vigilant and take heed of the preventive advice against avian influenza below:

* Do not visit live poultry markets and farms. Avoid contact with poultry, birds and their droppings. If contact has been made, thoroughly wash hands with soap;
* Avoid entering areas where poultry may be slaughtered, or contact with surfaces which might be contaminated by droppings of poultry or other animals;
* Poultry and eggs should be thoroughly cooked before eating;
* Wash hands frequently with soap, especially before touching the mouth, nose or eyes, handling food or eating; after going to the toilet or touching public installations or equipment (including escalator handrails, elevator control panels and door knobs); or when hands are dirtied by respiratory secretions after coughing or sneezing;
* Cover the nose and mouth while sneezing or coughing, hold the spit with a tissue and put it into a covered dustbin;
* Avoid crowded places and contact with fever patients; and
* Wear masks when respiratory symptoms develop or when taking care of fever patients.

     The public may visit the CHP's avian influenza page (www.chp.gov.hk/en/view_content/24244.html) and website (www.chp.gov.hk/files/pdf/global_statistics_avian_influenza_e.pdf) for more information on avian influenza-affected areas and provinces.

Ends/Tuesday, February 4, 2014

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Kyle Members Profile Send Private Message Find Members Posts Add to Buddy List Adviser Group Joined: May 29 2013 Location: Colorado, USA Status: Offline Points: 5800	Post Options Post Reply Quote Kyle Report Post Thanks(0) Quote Reply Topic: 8 additional H7N9 cases. 2/4 Posted: February 04 2014 at 8:09am
	4 February 2014 CHP notified of four additional human cases of avian influenza A(H7N9) in Mainland The Centre for Health Protection (CHP) of the Department of Health (DH) yesterday (February 3) received notification of four additional human cases of avian influenza A(H7N9) respectively in Zhongshan and Huizhou from the Health and Family Planning Commission of Guangdong Province, and in Fujian and Hunan from the National Health and Family Planning Commission. The case in Zhongshan involves a girl aged 2 while that in Huizhou is a woman aged 76. Both are hospitalised for treatment. The case in Fujian involves a man aged 27 who is now under treatment in hospital. The case in Hunan was a man aged 59 who died yesterday. As of yesterday, a total of 284 human cases of avian influenza A(H7N9) have been confirmed in the Mainland, including Zhejiang (114 cases), Guangdong (47 cases), Shanghai (41 cases), Jiangsu (36 cases), Fujian (18 cases), Hunan (six cases), Jiangxi (six cases), Anhui (four cases), Henan (four cases), Beijing (three cases), Shandong (two cases), Guangxi (one case), Guizhou (one case, imported from Zhejiang) and Hebei (one case). The CHP is closely monitoring the situation. "Locally, enhanced disease surveillance, port health measures and health education against avian influenza are ongoing. We will remain vigilant and maintain liaison with the World Health Organization (WHO) and relevant health authorities. Local surveillance activities will be modified upon the WHO's recommendations," a spokesman for the DH remarked. "In view of human cases of avian influenza A(H7N9) confirmed in Hong Kong and multiple cases notified by the Mainland, the activity of the virus is expected to be higher in the winter season. Those planning to travel outside Hong Kong should maintain good personal, environmental and food hygiene at all times," the spokesman urged. "All boundary control points have implemented disease prevention and control measures. Thermal imaging systems are in place for body temperature checks of inbound travellers. Random temperature checks by handheld devices have also been arranged. Suspected cases will be immediately referred to public hospitals for follow-up investigation," the spokesman added. Regarding health education for travellers, distribution of pamphlets, display of posters in departure and arrival halls, in-flight public announcements, environmental health inspection and provision of regular updates to the travel industry via meetings and correspondence are all proceeding. The spokesman advised travellers, especially those returning from avian influenza-affected areas and provinces with fever or respiratory symptoms, to immediately wear masks, seek medical attention and reveal their travel history to doctors. Health-care professionals should pay special attention to patients who might have had contact with poultry, birds or their droppings in affected areas and provinces. Members of the public should remain vigilant and take heed of the preventive advice against avian influenza below: * Do not visit live poultry markets and farms. Avoid contact with poultry, birds and their droppings. If contact has been made, thoroughly wash hands with soap; * Avoid entering areas where poultry may be slaughtered, or contact with surfaces which might be contaminated by droppings of poultry or other animals; * Poultry and eggs should be thoroughly cooked before eating; * Wash hands frequently with soap, especially before touching the mouth, nose or eyes, handling food or eating; after going to the toilet or touching public installations or equipment (including escalator handrails, elevator control panels and door knobs); or when hands are dirtied by respiratory secretions after coughing or sneezing; * Cover the nose and mouth while sneezing or coughing, hold the spit with a tissue and put it into a covered dustbin; * Avoid crowded places and contact with fever patients; and * Wear masks when respiratory symptoms develop or when taking care of fever patients. The public may visit the CHP's avian influenza page (www.chp.gov.hk/en/view_content/24244.html) and website (www.chp.gov.hk/files/pdf/global_statistics_avian_influenza_e.pdf) for more information on avian influenza-affected areas and provinces. Ends/Tuesday, February 4, 2014 Source

Kyle Members Profile Send Private Message Find Members Posts Add to Buddy List Adviser Group Joined: May 29 2013 Location: Colorado, USA Status: Offline Points: 5800	Post Options Post Reply Quote Kyle Report Post Thanks(0) Quote Reply Posted: February 04 2014 at 8:11am
	Zhejiang Province, four new cases of human infection of bird flu H7N9 February 4, 2014 Zhejiang Provincial Health and Family Planning Commission February 4 notification, the province added four cases of human infection with H7N9 avian influenza. Patients Mo XX, male, 42 years old, Binjiang District, Hangzhou people. February 3 confirmed human cases of avian influenza H7N9 infection. Now the condition is severe, treatment in a hospital in Hangzhou. Patients Han Moumou, male, 84 years old, Yuhang District of Hangzhou people. February 3 confirmed human cases of avian influenza H7N9 infection. Is now in critical condition at a hospital in Hangzhou treatment. Patients Wu Moumou, male, 56 years old, Wu Jinhua city people. February 3 confirmed human cases of avian influenza H7N9 infection. Now the condition is severe, treatment in a hospital in Hangzhou. QIAN Xing Chun patient, male, 51 years old, Shaoxing Bridge District people. February 3 confirmed human cases of avian influenza H7N9 infection. Is now in critical condition at a hospital in Hangzhou treatment. Source

jacksdad Members Profile Send Private Message Find Members Posts Add to Buddy List Executive Admin Joined: September 08 2007 Location: San Diego Status: Offline Points: 47251	Post Options Post Reply Quote jacksdad Report Post Thanks(0) Quote Reply Posted: February 04 2014 at 8:43am
	I know that we may not be seeing milder infections (if there are any in significant numbers) but it's disturbing that the overwhelming number of cases reported are classed as severe, serious or critical. This virus only seems to have one setting
	"Buy it cheap. Stack it deep" "Any community that fails to prepare, with the expectation that the federal government will come to the rescue, will be tragically wrong." Michael Leavitt, HHS Secretary.

guest Members Profile Send Private Message Find Members Posts Add to Buddy List Guest Group	Post Options Post Reply Quote guest Thanks(0) Quote Reply Posted: February 04 2014 at 2:08pm
	Published Date: 2014-02-04 14:33:47 Subject: PRO/AH/EDR> Avian influenza, human (55): China, H7N9, 2nd wave Archive Number: 20140204.2254369 AVIAN INFLUENZA, HUMAN (55): CHINA, H7N9, SECOND WAVE *************************************************** A ProMED-mail post http://www.promedmail.org/ - http://www.promedmail.org ProMED-mail is a program of the International Society for Infectious Diseases http://www.isid.org/ - http://www.isid.org Date: Mon 3 Feb 2014 Source: CIDRAP (Center for Infectious Disease Research & Policy) News [edited] http://www.cidrap.umn.eduews-perspective/2014/02/china-res-14-more-h7n9-cases-3-fatal - http://www.cidrap.umn.edu/news-perspective/2014/02/china-reports-14-more-h7n9-cases-3-fatal Over the past 3 days, China reported 14 new H7N9 influenza infections, including 4 in children and 3 fatal cases. Lunar New Year [31 Jan 2014] celebrations are winding down in China, and health officials are watching to see what impact that may have on the pace of human cases. Global health groups have warned that the surge of human cases could continue, fueled by increases in poultry trade and transport, as well as heavy volume of travel as families gather to observe the holiday season. Six of the latest cases are from Guangdong province, continuing a strong 2nd-wave tilt toward the mainland's southernmost areas. In the 1st wave, locations north of that area were driving most of the outbreak activity: Shanghai, Jiangsu province, and Zhejiang province. China's steady stream of H7N9 cases has averaged about 5 to 7 a day over the past few weeks, and the latest reports puts the total close to the 300 case mark since the disease was first detected in people last spring [2013]. For comparison, it took H5N1 avian flu -- another closely watched virus that can pass from poultry to people -- 4 years for the global total to reach 263 cases. China passed that mark for H7N9 last week [week of 27 Jan 2014] after less than a year of outbreak activity. Latest case announcements: news of the latest 14 cases appeared in provincial health ministry announcements translated and posted by Avian Flu * (AFD), an infectious disease blog, and 5 of the cases were also covered in the latest disease update today [3 Feb 2014] from the World Health Organization (WHO). 3 more deaths were included in the reports: those of a 63 year old man and a 48 year old man from Guangdong province, and of a 59 year old man from Hunan province. The 48 year old's infection was first confirmed on [15 Jan 2014], according to the *** infectious disease news message board. 6 of the latest case-patients are from Guangdong province, and 3 of them are children, a 2 year old girl, a 5 year old boy, and a 6 year old boy. Aside from the 63 year old man who died from his infections, the other cases involve a 37 year old man and a 76 year old woman. The 6 year old boy's illness was detected on [28 Jan 2014] as he was traveling through a border point between Shenzhen and Hong Kong, according to the WHO report. He lives in Shenzhen [Guangdong province] and started having symptoms on [27 Jan 2014]. His symptoms are described as mild, and he is in stable condition and is being treated and isolated at home. The investigation shows that he had been exposed to live poultry. Meanwhile, the 5 year old boy, from the city of Zhaoqing [Guangdong province], got sick on [29 Jan 2014] and was hospitalized the same day. He is in a stable condition. WHO said he had been exposed to a live poultry market. The 2 year old girl, whose illness was confirmed yesterday [2 Feb 2014], is from Zhongshan City [Guangdong province], where she is hospitalized in stable condition, according to AFD's translation of today's health ministry report. The 4th child -- an 8 year old girl -- is from Hunan province, which also reported 2 adult case-patients, a 38 year old man and a 59 year old man who died from his infection. Zhejiang province reported 3 new cases, all involving adult men, ages 80, 54, and 44. Fujian province also reported 2 more lab-confirmed cases, also in men, ages 27 and 35. The 14 new cases boost the H7N9 outbreak's total to 291, according to a running total compiled by ***.com [ http://www.***.com/forum/forumdisplay.php?f=2959 - http://www.*****.com/forum/forumdisplay.php?f=2959]. Of those, 155 have come in the 2nd outbreak wave since October [2013], compared with 136 in the 1st wave last spring [2013]. The 3 latest deaths lift the unofficial fatality total to 64. WHO's statement today [3 Feb 2014] also includes details on 5 case notifications it received from China on [31 Jan 2014]. In addition, a separate statement from the agency on [1 Feb 2014] fleshes out new details on 7 cases reported from China on [30 Jan 2014]. Of the 16 patients reported in the 2 WHO statements, 11 had been exposed to live-poultry markets, 3 had been exposed to live poultry, and the source wasn't known for 2. Ages range from 5 years to 82 years. 12 of the patients are male, and 4 are female. 11 of the patients are in critical condition, one is serious, one is stable, and one has a mild infection. 2 of the patients died from their illnesses. Illness-onset dates range from [13 Jan 2014] through [29 Jan 2014]. The patients in the 2 WHO reports are from 5 different Chinese provinces, all in the south eastern part of the country. They include 7 from Guangdong, 6 from Zhejiang, and 1 each from Guangxi, Hunan, and Jiangsu. [byline: Lisa Schnirring] -- communicated by: ProMED-mail rapporteur Mary Marshall [Second wave human cases of avian H7N9 influenza virus infection now exceed the number of cases in the 1st wave. The latest estimate of human case has reaches 291 with 155 occurring in the 2nd wave. The unofficial number of deaths has now reached 64. The Chinese New Year celebrations are now coming to an end and it will be interesting to observe if the predicted increased number of cases during these celebrations will now begin to decline. - Mod.CP