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PostPosted: Wed Feb 12, 2014 6:57 am 
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Media citing H7N9 export (67F) from Guangdong to Kota Kinabalu, Malkaysia,

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PostPosted: Wed Feb 12, 2014 6:57 am 
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The Health Ministry has confirmed the first Influenza A (H7N9) case in the country, involving a female tourist from China.

The import case involves a 67-year-old Chinese woman, who had travelled from Guangdong, China, to Kuala Lumpur on Feb 4.

The woman went to Sandakan, Sabah the next day before going on to Kota Kinabalu on Feb 6.

"The woman was referred to a private hospital in Kota Kinabalu on Feb 7, and (after two screenings) on Feb 11, the sample tested positive for the Influenza A (H7N9) virus.

"She is currently receiving treatment in the ICU, put on ventilator and is in a stable condition," Health Minister Datuk Seri Dr S Subramaniam said in a press conference, here, Wednesday.

Dr Subramaniam stressed that there was no cause for panic over the matter as the risk for human transmission of H7N9 is "very low".

http://www.thestar.com.my/News/Nation/2 ... a-tourist/

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PostPosted: Wed Feb 12, 2014 7:07 am 
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Map update

https://maps.google.com/maps/ms?ie=UTF8 ... 068359&z=4

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PostPosted: Wed Feb 12, 2014 7:19 am 
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Map of Kuala Lumpur International Airport Klia Selangor Malaysia

https://maps.google.com/maps/ms?ie=UTF8 ... 12d6b11711

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PostPosted: Wed Feb 12, 2014 7:25 am 
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Map of Sandakan airport

https://maps.google.com/maps/ms?ie=UTF8 ... 163c1012bc

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PostPosted: Wed Feb 12, 2014 9:11 am 
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MINISTER OF HEALTH MALAYSIA
CASE IMPORT AVIAN INFLUENZA A ( H7N9 ) FROM CHINA
Ministry of Health Malaysia ( MOH ) to report one ( 1 ) imported cases of Avian Influenza A ( H7N9 ) involving a female tourist Chinese citizen aged 67 who came from Guangdong province, China during a visit with a trip to Sabah , Malaysia .
Investigations revealed that the case had received initial treatment in China for symptoms of fever , cough , runny nose , joint pain and fatigue begin January 30, 2014 , four ( 4 ) days before he arrived in Kuala Lumpur on February 3, 2014 . He left on February 4, 2014 and was in Sandakan until February 6, 2014 . Next , he went to Kota Kinabalu on February 6, 2014 .
On February 7, 2014 , the case is getting weaker and sought treatment at a private clinic before being referred to the district hospital . On the same day , the case was transferred to a private hospital at the request of family members. Screening tests were performed for the first sample suspected Avian Influenza A ( H7N9 ) on February 9, 2014 and the second confirmatory test samples tested positive on February 11, 2014 . Until now , the case is still receiving treatment at the Intensive Care Unit (ICU ) of the hospital and is in stable condition .
Ministry of Health Malaysia ,
Level 12 , Block E7 , Parcel E ,
Federal Government Administrative Centre ,
62590 Putrajaya

Ministry of Health Malaysia has implemented control measures and reasonable precautions include improving the management of infection control in hospitals. Contact detection of 16 members of the group and 4 employees resorts that have close contact ( close contact) with all cases found to be in good health.
Avian Influenza A ( H7N9 ) flu is a disease that occurs in birds ( poultry ) . Typically, the infection from birds to humans only happen if there is exposure to sick birds were infected with the bird flu virus .
The occurrence of Avian Influenza A ( H7N9 ), which occurs at this time in China was first reported occurrence in humans in March 2013. To date , a total of 330 cases of Avian Influenza A ( H7N9 ) , including 65 deaths , confirmed by laboratory tests have been reported in humans .
So far , WHO has not issued any travel advisory (travel advisory ) or remove any restrictions trip to China, and there is no vaccine to prevent the spread of Avian Influenza A ( H7N9 ) . Monitoring WHO also found no evidence of human-to- human transmission occurs far as reported in Taiwan where it is limited to two ( 2 ) imported cases without contagion . Therefore, the risk of the infection spreading among the local population in Malaysia is very low .
Ministry of Health Malaysia has constantly improved preparedness measures to deal with possible infection of Avian Influenza A ( H7N9 ) . Thus , further actions including ;
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a) To strengthen the surveillance of influenza activity across the country , especially in the state including the number of sentinel locations in Sandakan and Kota Kinabalu from eight ( 8 ) to twelve ( 12 ) .
b ) Strengthen the capacity of laboratories performing tests in Sabah in H7 .
c ) Measures implemented infection prevention and control in all health facilities.
d ) Cooperation of the Veterinary Department to enhance surveillance activities in birds .
e ) Securing the cooperation of the travel agency that manages the visit of tourists from countries affected with avian influenza infection to advise their clients that is not healthy to postpone the trip. If there are tourists who show respiratory symptoms are asked to seek immediate treatment at the nearest health facility .
Malaysian Ministry of Health would like to advise the public that:
a) Individuals who visit the countries affected by avian influenza infection and respiratory symptoms when returning home are advised to wear masks ( mask ) and immediately seek medical care at health facilities nearby. They need to be informed about their travel history to the doctor ;
b ) Avoid visiting a market selling live poultry (live poultry market) when visiting countries affected by avian influenza infection ;
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c ) Always adopt a high level of personal hygiene such as frequent hand washing with soap and water or sanitizer , especially after coughing and sneezing ;
d ) Avoid touching any surfaces contaminated by the stool and / or blood of poultry;
e) Do not hold birds found dead without personal protective equipment and shall report the unusual bird deaths to the nearest Veterinary Office ;
f ) Make sure food is fully cooked before eating ;
g ) Getting treatment at a nearby clinic immediately if they have symptoms of influenza - like illness ( ILI ) , particularly for those involved in the handling of poultry ( poultry ) ;
h ) Report any incidence of ILI cluster to the nearest District Health Office , and
i ) For farmers and poultry farm operators should always adhere to the advice and guidance from the Department of Veterinary Services .
Malaysian Ministry of Health will continue to monitor the occurrence of the disease and any developments will be informed from time to time . Latest information on Avian Influenza A ( H7N9 ) can be obtained from http://www.moh.gov.my website .
Thank you .
YB Datuk Dr . S. SUBRAMANIAM
MINISTER OF HEALTH MALAYSIA
February 12, 2014

http://www.moh.gov.my/index.php/databas ... ad/337/479

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PostPosted: Wed Feb 12, 2014 11:40 am 
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(Macau radio news) Malaysia confirmed the first case of human infection with H7N9 avian influenza cases imported, the patient was a 67-year-old from Guangdong province female tourists. This patient is currently receiving treatment in the intensive care ward, to be put on a breathing machine, is currently in stable condition. She began to appear from the end of the fever and other symptoms, and leave on the 3rd of this month to Kuala Lumpur, Guangdong, went to Shah Bavaria Sandakan and Kota Kinabalu, on Friday was taken to a local hospital for treatment, and patients There are no close contact with 20 per anomalies. (Zhangjia Yan Huang Caichan)

http://news.qoos.com/%E5%A4%A7%E9%A6%AC ... 26271.html

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PostPosted: Wed Feb 12, 2014 3:33 pm 
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Coincidentally, the H7N9 case appears to have been detected around the same time an H1N1 cluster was reported at a hospital in Kota Kinabalu, Sabah, Malaysia:
viewtopic.php?f=6&t=67&start=120
viewtopic.php?f=6&t=67&start=130


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PostPosted: Wed Feb 12, 2014 6:19 pm 
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Human infections with a new avian influenza A (H7N9) virus were first reported in China in March 2013. Most of these infections are believed to result from exposure to infected poultry or contaminated environments, as H7N9 viruses have also been found in poultry in China. While some mild illnesses in human H7N9 cases have been seen, most patients have had severe respiratory illness, with about one-third resulting in death. No evidence of sustained person-to-person spread of H7N9 has been found, though some evidence points to limited person-to-person spread in rare circumstances. The first case outside of China was in Malaysia and was reported on February 12, 2014. The case was detected in a traveler from an H7N9-affected area of China. The new H7N9 virus has not been detected in people or birds in the United States.

It’s likely that sporadic cases of H7N9 associated with poultry exposure will continue to occur in China. It's also possible that H7N9 may spread to poultry in neighboring countries and that human cases associated with poultry exposure may be detected in those neighboring countries. It’s also possible that H7N9 cases may continue to be detected among travelers returning from H7N9-affected countries, even possibly in the United States at some point. However, as long as there is no evidence of ongoing, sustained person-to-person spread of H7N9, the public health risk assessment would not change substantially. Most concerning about this situation is the pandemic potential of this virus. Influenza viruses constantly change and it’s possible that this virus could gain the ability to spread easily and sustainably among people, triggering a global outbreak of disease (pandemic). The U.S. Government supports international surveillance for H7N9 and other influenza viruses with pandemic potential. CDC is following the H7N9 situation closely and coordinating with domestic and international partners. Most important, is CDC takes routine preparedness actions whenever a new virus with pandemic potential is identified, including developing a candidate vaccine virus to make a vaccine in case vaccine is needed. Those preparedness measures continue. CDC also has issued guidance to clinicians and public health authorities in the United States, as well as provided information for people traveling to China. CDC will provide updated information as it becomes available.

Background

During the spring of 2013, the World Health Organization (WHO) reported 132 human H7N9 infections, with 44 deaths. Most cases had illness onset during the month of April. Beginning in May, new reports of human H7N9 infection in China became less frequent. From June to the end of September 2013, WHO reported three new H7N9 infections in China; one had illness onset in April, and one resulted in death. The decrease in H7N9 cases over the summer likely resulted from a combination of control measures taken by Chinese authorities - like closing live bird markets - and the change in weather. Studies indicate that avian influenza viruses, like seasonal influenza viruses, have a seasonal pattern: they circulate at higher levels in cold weather and at lower levels in warm weather.

In the beginning of October, the frequency of reports of human infection with H7N9 began to increase. WHO and China reported more new H7N9 cases in China per month relative to the summer months, including three cases reported by Hong Kong Special Administrative Region of People’s Republic of China in early December. These cases coincided with the arrival of cooler weather in China and were not unexpected. Most of the cases that were reported had poultry exposure and lived in areas where H7N9 had been found previously. As of mid-January, cases continue to be reported and the frequency of these reports has increased. Although epidemiological investigations are ongoing for some of the more recent cases, currently no evidence has been found that indicates sustained human-to-human transmission is occurring.

http://www.cdc.gov/flu/avianflu/h7n9-virus.htm

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PostPosted: Wed Feb 12, 2014 6:39 pm 
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KUALA LUMPUR, Feb. 12 (Xinhua) -- Malaysian Health Ministry confirmed Wednesday that the first imported Influenza A (H7N9) case was detected in the country and the victim was a female tourist from China.

The 67-year-old Chinese woman has begun to have a fever since Feb. 30 in China, where she received some early treatments. Then she came to Kuala Lumpur on Feb. 3 from China's Guangdong Province. The woman then went to Sandakan, Sabah on Feb. 4 and moved on to Kota Kinabalu, Sabah on Feb. 6 where she was sent to hospital on Feb. 7.

In the first screening, the woman was tested positive for the H7N9. And after the second screening on Feb. 11, she was confirmed to be tested positive for the H7N9.

Twenty people who used to have close contact with the patient have got screening and tested negative for the disease.

"She is currently receiving treatment in the ICU, put on ventilator and is in a stable condition," Malaysian Health Minister Dr S. Subramaniam told a press conference.

He said there was no need to panic as the risk for human transmission of H7N9 is very low.

http://news.xinhuanet.com/english/healt ... 110111.htm

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