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H7N9 Hong Kong ex-Shenzhen 68F
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Author:  niman [ Sat Dec 27, 2014 1:28 pm ]
Post subject:  H7N9 Hong Kong ex-Shenzhen 68F

CHP reporting H7N9 case, 68F, in Hong Kong ex-Shenzhen.

Author:  niman [ Sat Dec 27, 2014 1:29 pm ]
Post subject:  Re: H7N9 Hong Kong ex-Shenzhen 68F

Woman ill with H7N9
December 27, 2014
A 68-year-old woman is in critical condition with H7N9 bird flu in Tuen Mun Hospital’s Intensive Care Unit.

According to the patient’s family members, she had travelled to Longgang district in Shenzhen on December 13 with two friends and had eaten chicken at a friend’s home, but she had not been to any market selling live poultry.

She fell ill on December 19 and was admitted to the hospital on December 25.

Secretary for Food & Health Dr Ko Wing-man said the case has been classified as an imported one, and the Centre for Health Protection will investigate the source of infection and trace the patient’s contacts, including the friends with whom she travelled to Longgang district.

He said the response level under the Preparedness Plan for Influenza Pandemic has been raised from alert to serious, and the Mainland authorities have been informed of the case.

http://www.news.gov.hk/en/categories/he ... er#content

Author:  niman [ Tue Dec 30, 2014 6:26 am ]
Post subject:  Re: H7N9 Hong Kong ex-Shenzhen 68F

Thread on novel H7N9

Author:  niman [ Tue Dec 30, 2014 6:44 am ]
Post subject:  Re: H7N9 Hong Kong ex-Shenzhen 68F

Hong Kong's First Deadly Bird Flu Case This Winter: 68-Year-Old Woman Diagnosed with H7N9
By Jim Algar, Tech Times

| December 29, 9:39 PMSHARE(1 )TWEET(1 ) 0 COMMENTS
Live poultryOfficials say first case of bird flu in Hong Kong this winter was "imported" in woman returning from mainland China. Woman remains in intensive care in Hong Kong hospital.
Hong Kong officials say they have confirmed the city's first case of deadly bird flu for this winter season.

A 68-year-old women remains in critical condition in the hospital where she was admitted after becoming ill Dec. 19, the city's government said in a statement.

Health officials say they have classified her case as "imported," finding she had recently returned from the city of Shenzhen in mainland China's southern Guangdong Province, site of the first reported case of the deadly H7N9 bird flu strain in March 2013.

While in Shenzen the woman, currently in intensive care in the city's Tuen Mun Hospital, dined on "home-cooked" chicken, authorities said, but she experienced no exposure to live poultry.

In 2013 the bird flu strain spread to Hong Kong and resulted in the deaths of three people.

In response to the new confirmation of H7N9 in the woman, Hong Kong's influenza pandemic response level was raised to "serious," up from "alert" and one step below "emergency."

As part of that response, city hospitals were taking measures to detect and contain any possible influenza infection by limiting visiting hours and requiring visitors to wear surgical masks.

Five women who were in a ward with the patient when she was admitted to Tuen Mun Hospital have been isolated and officials were attempting to track down her family members as well as two friends who had dinner with her in Shenzhen, said Secretary for Food and Health Dr. Ko Wing-man.

Ho advised city residents to avoid live poultry, although officials said sales of both imported and local live poultry in the city would not be affected.

On Dec. 7 authorities in Guangdong reported that a 66-year-old man died from the H7N9 virus 4 days earlier, the province's first confirmed fatality from the virus this winter.

"H7N9 cases have been moving south," Ko said. "We expect to see more imported H7N9 cases."

"We will closely monitor the situation... then decide the appropriate measures," he said.

http://www.techtimes.com/articles/23439 ... h-h7n9.htm

Author:  niman [ Tue Dec 30, 2014 6:54 am ]
Post subject:  Re: H7N9 Hong Kong ex-Shenzhen 68F

28 December 2014

Update of human case of avian influenza A(H7N9)

The Department of Health (DH) today (December 28) reported the latest updates of the first confirmed human case of avian influenza A(H7N9) in Hong Kong this winter, and again urged the public to maintain strict personal, food and environmental hygiene both locally and during travel.

Epidemiological investigations and control measures

Epidemiological investigations by the Centre for Health Protection (CHP) of the DH so far located 12 close contacts and 47 other contacts of the patient.

(A) Close contacts

The close contacts have been put under quarantine and prescribed with antiviral presumptive treatment until the completion of the five-day treatment or ten days after last exposure to the patient, whichever is earlier. They include:

* Seven family members (revised from nine after further enquiries) in which one was symptomatic and tested negative for H7 virus while the rest being asymptomatic; and
* Five in-patients admitted to the same cubicle as the patient in Tuen Mun Hospital (TMH) in which one was symptomatic and tested negative for H7 virus while the rest being asymptomatic.

Two travel collaterals are yet to be reached and follow-up is underway.

(B) Other contacts

The other contacts have been put under medical surveillance and they include:

* A total of 42 healthcare workers who took care of the patient in TMH in which two were symptomatic and tested negative for H7 virus while the rest being asymptomatic;
* Three asymptomatic ambulance officers involved in patient transfer; and
* Two asymptomatic visitors of the cubicle to which the patient was admitted.

The two private doctors whom the patient consulted are yet to be reached and follow-up is underway.

The CHP is communicating with the health authorities of Guangdong Province to follow up the situation during the patient's stay in the Mainland.

As the patient did not visit any wet markets or contact live poultry in Hong Kong during the incubation period, based on information available thus far, it is classified as an imported case. Investigations are ongoing.

The Lady MacLehose Holiday Village in Sai Kung under the Leisure and Cultural Services Department is being converted as a quarantine centre. Asymptomatic close contacts will be quarantined there.

Upon activation of the Serious Response Level (SRL) under the Preparedness Plan for Influenza Pandemic last night (December 27), the DH immediately commenced enhanced surveillance, enhanced port health measures and risk communication accordingly.

Enhanced surveillance

The CHP has enhanced surveillance of suspected cases in public and private hospitals, and will activate electronic reporting system to monitor cases real-time with the Hospital Authority. Clinicians should pay special attention to patients with fever or influenza-like illness who visited wet market with live poultry or had contact with poultry in affected areas within the incubation period, that is 10 days before onset.

Letters to doctors, hospitals, kindergartens, child care centres, primary and secondary schools as well as residential care homes for the elderly and the disabled have been issued to alert them to the latest situation.

The case has been notified to the World Health Organization, the National Health and Family Planning Commission (NHFPC), the health authorities of Guangdong and Macau, and the quarantine authority of Shenzhen.

As winter approached, the number of human cases of H7N9 in the Mainland has been increasing. As of yesterday, 16 cases with onsets since September were notified to the CHP by the NHFPC. Based on the seasonal pattern, it is likely that the activity of avian influenza viruses might further increase in winter and heightened vigilance is warranted.

As of yesterday, 470 cases (including at least 184 deaths) have been reported since March 2013, including 454 cases in the Mainland and 16 cases exported to Hong Kong (eleven cases), Taiwan (four cases) and Malaysia (one case).

Enhanced port health measures

All boundary control points have implemented health surveillance measures. Thermal imaging systems are in place for body temperature checks of inbound travellers. Suspected cases will be immediately referred to public hospitals for follow-up. The DH's Port Health Office has enhanced body temperature checks by handheld devices.

Regarding health education for travellers, the display of posters and broadcasting of health messages in departure and arrival halls, environmental health inspection and provision of regular updates to the travel industry and other stakeholders will be enhanced.

Risk communication

The CHP's hotline (2125 1111) for public enquiries has been set up and will operate from 9am to 6pm today and tomorrow. The CHP's main page (www.chp.gov.hk/en) has been updated with the activation of the SRL.

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

The public should remain vigilant and take heed of the 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 and 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); and 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 pages below for more information:

* The CHP's avian influenza page (www.chp.gov.hk/en/view_content/24244.html); and
* Global statistics and affected areas of avian influenza in the CHP's website (www.chp.gov.hk/files/pdf/global_statist ... enza_e.pdf).

Ends/Sunday, December 28, 2014


Author:  niman [ Tue Dec 30, 2014 6:56 am ]
Post subject:  Re: H7N9 Hong Kong ex-Shenzhen 68F

29 December 2014

Update of human case of avian influenza A(H7N9)

The Department of Health (DH) today (December 29) reported the latest updates on the first confirmed human case of avian influenza A(H7N9) in Hong Kong this winter, and again urged the public to maintain strict personal, food and environmental hygiene both locally and during travel.

Further epidemiological investigations by the Centre for Health Protection (CHP) of the DH have so far located two travel collaterals who travelled with the patient to Shenzhen on December 13. According to them, the trio visited a wet market in Niulanqian, Bao'an, Shenzhen, bought vegetables, and did not purchase or have contact with live chickens sold there. Both travel collaterals have remained asymptomatic for more than 10 days (incubation period) since their last contact with the patient and have been put under medical surveillance.

Investigations also revealed that the patient had consulted two private doctors practising in the same clinic on December 19 and 23 respectively. While the CHP has reached one of the duo thus far, the other private doctor is now out of town and follow-up is under way.

According to the private doctor whom the CHP has reached, the patient did not reveal her travel history to the Mainland during consultation. The clinic staff have remained asymptomatic and have been put under medical surveillance. Tracing of the relevant clients who attended the clinic at the same time with the patient is under way.

In addition, the patient underwent a chest X-ray examination in a medical laboratory centre on December 23, and the CHP's follow-up is under way.

Investigations are ongoing.

Ends/Monday, December 29, 2014


Author:  niman [ Tue Dec 30, 2014 10:26 am ]
Post subject:  Re: H7N9 Hong Kong ex-Shenzhen 68F

Human infection with avian influenza A(H7N9) virus – China

Disease outbreak news
30 December 2014

On 27 December 2014, the Department of Health, Hong Kong Special Administrative Region confirmed a human infection with avian influenza A(H7N9) virus.

Details of the case are as follows

The patient is a 68-year-old female who developed symptoms on 19 December. The patient consulted two private doctors on 19 and 23 December and was admitted to hospital on 25 December. Currently, she is in critical condition.

The preliminary epidemiological investigation revealed that the patient travelled to Shenzhen on 13 December and returned to Hong Kong on the same day. The patient did not visit any wet market or have contact with live poultry in Hong Kong during the incubation period.

It is considered that the case was infected outside Hong Kong. The Centre for Health Protection (CHP) is communicating with the health authorities of Guangdong to investigate the source of infection. The CHP is also tracing the exposed close contacts of the case.

WHO continues to closely monitor the H7N9 situation and conduct risk assessment. So far, the overall risk associated with the H7N9 virus has not changed.

WHO advice

WHO advises that travellers to countries with known outbreaks of avian influenza should avoid poultry farms, or contact with animals in live bird markets, or entering areas where poultry may be slaughtered, or contact with any surfaces that appear to be contaminated with faeces from poultry or other animals. Travellers should also wash their hands often with soap and water. Travellers should follow good food safety and good food hygiene practices.

WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend any travel or trade restrictions. As always, a diagnosis of infection with an avian influenza virus should be considered in individuals who develop severe acute respiratory symptoms while travelling or soon after returning from an area where avian influenza is a concern.

WHO encourages countries to continue strengthening influenza surveillance, including surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns, in order to ensure reporting of human infections under the IHR (2005), and continue national health preparedness actions.

http://www.who.int/csr/don/30-december- ... luenza/en/

Author:  niman [ Tue Jan 06, 2015 9:03 am ]
Post subject:  Re: H7N9 Hong Kong ex-Shenzhen 68F

Published Date: 2015-01-05 19:40:44
Subject: PRO/AH/EDR> Avian influenza, human (04): Egypt (MF, GZ) fatal, China (HK)
Archive Number: 20150105.3072586

A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases

In this update:
[1] Egypt (Menoufiya): fatality
[2] Egypt (Giza): fatality, H5N1
[3] China (Hong Kong): infection control, LPAI H7N9

[1] Egypt (Menoufiya): fatality
Date: Sat 3 Jan 2015
Source: Ahram Online [edited]
http://english.ahram.org.eg/NewsContent ... ufiya.aspx

Man dies from bird flu in Egypt's Menoufiya
30 total deaths from the disease in Egypt since January 2014

A 45-year-old man died of avian flu in Menoufiya in the Nile Delta on Sat [3 Jan 2015], bringing the national death toll from the disease since January last year [2014] to 30.

The death was announced by a health ministry official in Menoufiya, Hanaa Sorour, reported Al-Ahram Arabic website. She said that the man was suffering from pneumonia and was referred to intensive care and placed on a ventilator until he succumbed to the disease.

This is the 2nd fatality caused by bird flu in the governorate over the past year [2014], Sorour said.

The health ministry reiterated its calls for those who handle poultry to seek immediate treatment once flu symptoms start to appear, while advising them to cover their noses and mouths when they deal with any kind of domesticated birds.

In Egypt, most cases of bird flu have been in rural areas, where villagers tend to raise poultry in their homes, increasing exposure to live or dead infected birds.

Communicated by:

[2] Egypt (Giza): fatality, H5N1
Date: Mon 5 Jan 2015
Source: Reuters [edited]
http://www.reuters.com/article/2015/01/ ... YT20150105

Egyptian child dies of H5N1 bird flu, 2nd death this year
A 3-year-old Egyptian child died from bird flu on Monday [5 Jan 2015], the 2nd death from the virus in the country this year and the 12th in recent months, the health ministry said.

The child was from the Giza governorate, outside Cairo, the ministry said in a statement carried by state news agency MENA [Middle East and North Africa].

Egypt's H5N1 cases have largely been in poor rural areas in the south, where villagers tend to keep and slaughter poultry in the home.

Three other cases are currently being treated, the ministry said.

A total of 668 laboratory-confirmed human cases of H5N1 infection were reported by 16 countries from 2003 to 2 Oct 2014, according to the World Health Organization [WHO]. Of these cases, 393 have died.

The WHO has warned that whenever bird flu viruses are circulating in poultry, there is a risk of sporadic infections or small clusters of human cases, especially in people exposed to infected birds or contaminated environments.

[Byline: Omar Fahmy]

Communicated by:

[3] China (Hong Kong): infection control, LPAI H7N9
Date: Mon 5 Jan 2015
Source: Medical Xpress [edited]
http://medicalxpress.com/news/2015-01-i ... -hong.html

A proactive infection prevention plan implemented widely in a Hong Kong healthcare system was a significant factor preventing the spread of influenza strain A H7N9, otherwise known as avian flu. The study was published in the January [2015] issue of Infection Control and Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America (SHEA).

"The emergence of A H7N9 influenza in March 2013 posed a public health threat both locally and internationally because of the risk for airborne transmission," said K.Y. Yuen, MD, FRCPath, a lead author of the study. "Despite the delay in airborne precaution implementation, we suspect that high hand hygiene compliance, as a result of continuous implementation of proactive control measures against various viruses and multidrug-resistant organisms, protected frontline healthcare workers against many challenges of emerging infectious diseases."

Risk for person-to-person transmission in A H7N9 is lower compared to other viruses, including certain influenza strains, but some cases were identified as being spread between relatives. The strain is associated with high mortality and morbidity.

Researchers examined the effectiveness of preparedness measures in controlling the spread of the virus at Queen Mary Hospital in Hong Kong for 13 months (April 2013-May 2014). Infection control staff implemented an integrated approach, utilizing active and enhanced surveillance, early airborne infection isolation, rapid molecular diagnostic testing, and extensive tracing for healthcare workers with unprotected exposure. Additionally, open forum sessions were conducted to brief frontline staff on proper protocols.

During the study period, 126 of 163 456 admitted patients were tested for the strain, and 2 cases tested positive for A H7N9 influenza. 70 healthcare workers had unprotected exposure during patient care activities by not wearing an N95 respirator during aerosol-generating procedures. However, most of the healthcare workers exposed complied with standard precautions, including wearing a surgical mask and performing hand hygiene. No staff tested positive for the strain.

"As we look at lessons learned from this outbreak, the high false-positive screening rate and other delays in diagnosis may have resulted in unprotected exposure of frontline staff. However, enhanced surveillance methods appeared to be an important safety net for the detection of A H7N9," said Yuen.

More information: Vincent C. C. Cheng, Josepha W. M. Tai, W. M. Lee, W. M. Chan, Sally C. Y. Wong, Jonathan H. K. Chen, Rosana W. S. Poon, Kelvin K. W. To, Jasper F. W. Chan, P. L. Ho, K. H. Chan, K. Y. Yuen. "Infection Control Preparedness for Human Infection With Influenza A H7N9 in Hong Kong." Infection Control and Hospital Epidemiology [0:1] (January 2015). [Can be accessed at http://www.shea-online.org/View/Article ... pital.aspx. - Mod.LK]

Communicated by:

[A HealthMap/ProMED-mail map of Egypt is available at http://healthmap.org/promed/p/55.

A map of Hong Kong can be accessed at https://www.google.com.hk/maps/@22.38131,114.168639,11z. - Mod.LK]

See Also

Avian influenza, human (03): Egypt (AN, Cairo, MF) fatal, H5N1 20150103.3069160
Avian influenza, human (02): China (HK,GD) LPAI H7N9, poultry, control, OIE 20150102.3067796
Avian influenza, human (01): Libya, fatal, H5N1 susp, RFI 20150101.3061029
Avian influenza, human (133): Libya, fatal, H5N1 susp 20141228.3058834
Avian influenza, human (132): Egypt (AN) H5N1, fatal 20141225.3055022
Avian influenza, human (129): Egypt (SJ) fatal case 20141224.3051603
Avian influenza, human (127): Egypt (AT) H5N1, fatal 20141219.3042397
Avian influenza, human (126): Egypt (SJ) H5N1, 8th death 20141212.3030546
Avian influenza, human (123): Egypt (SJ) H5N1, child 20141207.3017616
Avian influenza, human (122): Egypt (MN,BN) H5N1, fatalities 20141202.3006388
Avian influenza, human (117): Egypt (MN) H5N1, 8th case in 2014 20141119.2969552
Avian influenza, human (116): Egypt (AT) H5N1, new fatality 20141118.2965663
Avian influenza, human (115): Egypt (AT,MN) H5N1, new cases 20141116.2960328
Avian influenza, human (112): Egypt, H5N1 seroprevalence 20141101.2921788
Avian influenza, human (107): Egypt (JZ) H5N1, infant 20141001.2822498
Avian influenza, human (103): Egypt, H5N1 20140628.2571119
Avian influenza, human (91): Egypt, H5N1 20140406.2385849
Avian influenza, human (88): Egypt, H5N1, RFI 20140324.2353435
Avian influenza, human (25): Egypt (DK) H5N1, RFI 20140120.2184238


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