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H7N9 Familial Cluster In Shenzhen 57F 41M
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Author:  niman [ Tue Jan 13, 2015 9:59 am ]
Post subject:  H7N9 Familial Cluster In Shenzhen 57F 41M

Media cite two more H7N9 cases in Shenzhen, 57F & 41M = family contact

Author:  niman [ Tue Jan 13, 2015 9:59 am ]
Post subject:  Re: Two H7N9 Cases In Shenzhen 57F 41M

Guangdong additional two cases of human infection with avian influenza A H7N9 flu cases
2015-01-13 18:47:00 Source: Health Bureau

Health Bureau said, according to the health department informed the Mainland, Guangdong additional two cases of human infection with influenza A H7N9 avian influenza. Under the notification, the first patient was 57-year-old woman, living in Bao'an District of Shenzhen City in critical condition; the second was 41-year-old male living in Futian District, Shenzhen, Ping Wen disease; two on January 12 confirmed infections, has been hospitalized.

By 20l3 to date, a total of 478 cases of confirmed human cases of avian influenza H7N9 infection, of which at least 183 deaths. Regional local infections since October 1, 2014 appear include: Beijing, Xinjiang Uygur Autonomous Region, Jiangsu, Guangdong, Zhejiang, Shanghai, Fujian.

Health Bureau said that although Macao no case of avian influenza H7N9 influenza infection anyone, but in order to get the maximum protection of public health, the Government has launched an emergency response mechanism, to take a series of preventive measures. Health Bureau will continue and national and neighboring areas in the health sector, the World Health Organization to maintain close contact, monitor the epidemic around and Macao, and through cross-sectoral and public-private cooperation, neighborhood or Macau, once the bird flu epidemic preventive and preparation.

Under the current circumstances, the Health Bureau is expected to continue for some time to the mainland will be more people infected with influenza A H7N9 bird flu, do not rule out cases appear Macao Health Bureau requires all medical institutions and medical personnel closely monitor if suspected cases, should be made to detect or referrals; also made the following appeal to the whole Australian public:

- Avoid going to the recent influenza A H7N9 bird flu in the downtown area, there are farms where the sale or display of birds;

- Avoid contact with birds and their secretions, excretions; if contact should wash their hands immediately;

- Not to buy, carry without quarantine of birds;

- Do not eat undercooked poultry meat, offal, blood products and eggs;

- Attention to personal hygiene, wash hands frequently;

- Symptoms such as fever, cough, dyspnea, etc., should wear a mask, a doctor as soon as possible, to the detailed travel history and contact history animal doctor.

For more information on the Influenza A H7N9 avian flu, can be found in the Health Bureau website (http://www.ssm.gov.mo) or call the Health Department of Infectious Diseases Hotline 28700800 during office hours.

http://www.gcs.gov.mo/showNews.php?Page ... witterfeed

Author:  niman [ Tue Jan 13, 2015 10:08 am ]
Post subject:  Re: Two H7N9 Cases In Shenzhen 57F 41M

Guangdong reports another 2 human H7N9 cases
Updated: 2015-01-13 21:05
GUANGZHOU - South China's Guangdong province reported another two H7N9 human infections, local authorities said Tuesday.

Both cases were found in Shenzhen City. A 57-year-old woman and a 41-year-old man were both confirmed as infected on Monday, the provincial health and family planning commission said in a statement.

The woman is in a critical condition at a local hospital, while the man is stable.

The health authorities warned that the province has entered a high-incidence period for bird flu, which occurs in winter and spring, and that risks for occasional human infections are high.

In addition to Guangdong, Shanghai municipality, Fujian province and Zhejiang province have all reported human cases of H7N9 this winter.

http://www.chinadaily.com.cn/china/2015 ... witterfeed

Author:  niman [ Tue Jan 13, 2015 6:30 pm ]
Post subject:  Re: Two H7N9 Cases In Shenzhen 57F 41M

CNN i-Cable News
[Shenzhen: two consecutive days it was confirmed infected bird flu] Shenzhen two-day someone diagnosed with H7N9 avian influenza infection, three patients, two were in critical condition,

One of whom lived in the Lo Wu. Guangdong Provincial Health DepartmentDoor is expected, it is likely to continue to occur sporadically monthsCase. The latest two cases of infection, namely a 5

7-year-old woman and a 41-year-old man, bothWas hospitalized in critical condition in which the woman. TemporarilyWhen contact is unknown whether they live poultry. Another H7N9 cases were confirmed Monday Shenzhen, critically ill man. He lives in Lo

District Liantang, had passing poultry stalls. Winter, Shenzhen has been five confirmed

H7N9 cases. Late last month, a 68-year-old woman in Hong KongChild Shenzhen also confirmed infected after, she went to the treasureAn area of downtown and eaten cooked chicken. In addition to a number of cities, Shenzhen, Guangdong Province in the past two

Months, a series of people diagnosed with bird flu.Among the first few days in Guangzhou and Zhaoqing will appear firstOf these cases. Guangdong Provincial Health Department said that the current bird flu

Virus active, continuing a sporadic infectionCase of very high chance. The Department of Health in Hong Kong, said, Has strengthened monitoring of body temperature in the passenger port, With the Mainland authorities will closely monitor the epidemic hairExhibition. In addition, Xiamen, Fujian Province found five human flu

Stained avian flu, a 12-year-old student diedDeath, there are three people in critical condition, a person after treatmentRehabilitation. # H7N9 # Shenzhen # Luohu # Guangdong


Author:  rymich13 [ Wed Jan 14, 2015 8:25 pm ]
Post subject:  Re: Two H7N9 Cases In Shenzhen 57F 41M

Shenzhen H7N9 patients is relative is a person to person need to be checked out
2015-01-15 06:08:21
Source: Southern Metropolis daily

Cell phone news
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South reporter Wen Ting winter, Shenzhen 7N 5 h 9 influenza cases have been reported in succession. Inform the third people's Hospital of Shenzhen yesterday, except 1 patients in Guangzhou for treatment, but the remaining 4 patients, longhua 6 year old girl has been recovered and the remaining 2 patients in three patients in critical condition, 1 patient stable.

13th report of IV h 7N 9 influenza patients in kinship. Fifth cases patients 40 age male patients Zhuang a, now live road, Futian District,, engaged in fruit wholesale career, no live poultry contact history, due to fever, and cough, and chest pain Yu 12th at 9 o'clock in the evening around transferred to city third people hospital; fourth cases patients 57 age women patients party a, now live, Baoan district,, engaged in sold chicken career, due to fever, and diarrhea, and cough, and cough phlegm, and breathing difficult Yu 12th at 5 o'clock in the afternoon around transferred to city third people hospital. Zhuang is a son-in-law of patients with, when the disease appears, Zhuang, a in the case of not wearing masks to accompany it, but some other close contacts had not come on.

Due to the male patients upon request, no history of exposure to live poultry, that the possibility of being descendants? "Based on previous studies of h 7N 9 now thought from person to person the probability is there, only a very, very small." Shenzhen third people's hospital infections branch officer, Yuan Jing said, after all, is from birds to humans, spread from person to person before and possibly some variants now 7N 9 h mutation has not been found. Contact based on their daughter and the accompanying samples testing negative. "The two cases whether there is a person to person needs further testing and troubleshooting". Yuan Jing said, would also like to refer to two people's DNA test results to see if homology.

It is understood that due to a previous blood sugar, elevated blood lipids, etc, and had severe pneumonia and multiple organ dysfunction, now danger, and Zhuang had a fever, and condition stable.


Author:  rymich13 [ Wed Jan 14, 2015 8:26 pm ]
Post subject:  Re: Two H7N9 Cases In Shenzhen 57F 41M

Nanfang daily dispatch (reporter/Xiang Yuhang's deep/paraffin ganze) 13th, and added another two H7N9 cases in Shenzhen, a case of living in Baoan xixiang, Futian, a case of living in Merlin. 14th, Xinhua learned from the third people's Hospital of Shenzhen, the two cases are related, H7N9 possibility of the presence of the virus from person to person, still needs to be further investigation of the expert group.

As of now, from 2014 Winter, sz 5 H7N9 cases were reported, in addition to the 1th patients were still under treatment in Guangzhou, another four cases were sent to the third people's Hospital for treatment. It is learned that the 3rd case is found at Lo Wu control point in Shenzhen Lian Tang 42 years old male patient, the current condition was still critical, still not out of danger, and the 2nd example is longhua 6 year old girl has been recovered.

Female patient is still in danger

New cases of these two cases, one is a 57 year old female patient, living in Baoan xixiang, in chicken sales occupations currently in critical condition may not be life-threatening. And another is a 40 year old male patient, living under Yasuo Fukuda, meilinpianqu, fruit wholesale professional, stable condition, hospitals are full treatment of two patients.

Yuan Jing, Director of the Shenzhen third people's hospital infections section introduction, women with more serious illness. Worth noting is that the two patients belongs to kinship, son-in-law of the male patients or female patients. According to reports, while female patients in the event of illness, her son-in-law, once without wearing a mask under her care. Female patients became ill, and son-in-law have taken a little more care, but other close contact – she had two daughters also took care of, no illness. Yuan Jing said, did not rule out the possibility of person-to-person, but this possibility is very small, had to wait for two virus nucleic acid testing for the virus is not the same origin can be determined.

"Judging from previous cases, is thought from person to person the probability is there, only a very, very small, which is no mutation was found, be sure to check the virus nucleic acid homology, using data. "Yuan Jing said, cannot be said to contact can spread, or interpersonal communication despite the risk of a pandemic, but the risk factor is very low.

Longhua 6 year old girl recovered

Reports from Shenzhen, on December 29, 2014 Winter first H7N9 case, as of now, Shenzhen reported a total of 5 H7N9 cases, except the first patients still in treatment in Guangzhou, another four cases were sent to hospitals for treatment. It is reported that 4 patients, 1 patient had recovered, 2 patients were in critical condition, 1 patient stable.

"The newly discovered 57 year old female patient and, xixiang third instance Liantang 42 year old male patient condition was still critical, still not out of danger. "Said Yuan Jing, longhua as a 2nd 6 year old girl has been recovered," is she found out earlier, more time to cure, January 10 have recovered smoothly discharged. ”

For may occurred of H7N9 flu distributed risk, Shenzhen related sector has concentrated human, and financial, and equipment, ensure people infection H7N9 flu treatment work timely in place, while established levels expert group, city level expert group is responsible for do city H7N9 cases medical treatment of guide, and consultation and training, task, and bear support people infection H7N9 flu heavy syndrome and critical syndrome cases concentrated admitted Hospital of treatment work. In addition, the medical institutions will strengthen the fever clinics, emergency medicine, respiratory medicine, paediatrics and infectious diseases, such as human infection of medical staff in key departments H7N9 flu diagnosis and treatment knowledge and professional skills training to improve H7N9 influenza human infection of medical staff's ability and level of diagnosis and treatment.


In winter and spring, Shenzhen has entered H7N9 peak period. Experts warned that if contact with live poultry markets must wear a mask, usually wash, exercise to strengthen the immune system. There are basic problems to not to go to crowded places, such as diarrhea, colds, coughs and other symptoms, when visiting a doctor should take the initiative to inform their doctor if contact with live poultry stalls. In addition, doctors in the diagnosis and treatment of flu patients to be more vigilant when, as suspected H7N9 virus infection, should take the initiative to inform relevant units.


Author:  rymich13 [ Wed Jan 14, 2015 8:31 pm ]
Post subject:  Re: Two H7N9 Cases In Shenzhen 57F 41M

2 added H7N9 cases whether relatives of person to person requires further investigation
07:05 January 15, 2015, Shenzhen news net

Shenzhen news net, January 15 (Xinhua Liu Mengting) Shenzhen, Shenzhen news net reported on 14th H7N9 added two cases confirmed cases, residing in the Futian District, Baoan xixiang and Merlin, respectively. Recently from the Shenzhen H7N9 cases hospitals city hospital was informed that the two cases are related, whether there is a possibility of person-to-person, still needs to be further investigation of the expert group. In addition, the reporter learned that the hospital received this year H7N9 4 human infection of influenza patients. 1 people have recovered and been discharged, 1 were in a stable condition, 2 were in critical condition.

Third people's Hospital of infectious diseases Director Yuan Jing said in an interview with reporters, from 4th to 12th H7N9 cases designated hospitals in Shenzhen third people's Hospital received 4 H7N9 infected flu patients.

Among them, the first who lives in longhua, 6 year old girl has been recovered and is good, all of the contacts without any problem.

According to Yuan Jing described, the second patient to 42 years old man Yang, address for the Liantang, Luohu district, has been in critical condition when he arrived at the hospital. Then after H7N9 cases consultation of the expert group, and night is night rescue, but did not get very good control, there is no improvement in the situation of the lungs. It is learned that the City Health Planning Commission has mobilized all resources, bringing together hospitals H7N9 experienced specialists in influenza, SARS every morning to hospitals and H7N9 cases consultation of the expert group, at all costs, make every effort to rescue.

Third patient was a 57-year old woman, who lives in Baoan, H7N9 condition when admitted in serious condition. At present, although the temperature has been normal, but review of the CT of the lung only improved slightly on the left side, there's no other significant improvement. However, the patient's heart, liver, kidney and other relatively stable. Expert groups are watching, hoping patients were able to get through this critical period of two days.

A fourth patient, a 41 year old male, living in Futian, admission has pneumonia, fever maximum temperature of 38.7 degrees Celsius, cough up phlegm. But has now returned to normal body temperature, coughing up phlegm and sore situation also improved. Expert groups will be reviewed after 5 days.

According to Yuan Jing described, a fourth patient was the third patient's son-in-law, in the absence of any protective case and a close contact.

According to Zhuang, a doctor's statement, said he did not pass by live poultry stalls, has not had contact with poultry. However, Yuan Jing said, this case does not determine its H7N9 is spread by human.

"Person to person the probability is there, but chances are very small. After all to be achieved from poultry to humans, to interpersonal communication, need to have a mutation of the virus. But now H7N9 virus mutation has not been found. "Yuan Jing stressed that" whether from person to person, be sure to check H7N9 viral nucleic acids and watch it (that is, between the fourth patient, to a third patient) homology, this data is needed, not to say that contact is, pending etiology for further testing. Therefore, interpersonal communication, or despite the risk of a pandemic, but the risk factor is very low. ”

Reportedly, the municipal public health disease control departments and institutes are doing H7N9 virus nucleic acid analysis, where results will be announced to the public in a timely manner.

Crystal reports

Son-in-law third H7N9 patients also infected

Son-in-law, claiming to have no history of contact with live birds, had been taking care of sick mother-in-law, H7N9 whether human infections will also be analysed

Yuan Jing, Director describes the patient's condition.

Doctors put on their protective gear prepared to enter the wards.

Yesterday, reporters learned from the third people's Hospital of Shenzhen City, Shenzhen City Health Planning Committee and, within half a month in Shenzhen H7N9 5 cases of human infections have been confirmed. Outside except the first patients in Guangzhou for treatment, the remaining four cases are in the third people's Hospital of Shenzhen. At present, Shenzhen H7N9 confirmed cases of people admitted to hospital infections, 1 patient had recovered, 2 patients were in critical condition, 1 patient stable.

2 patients in critical condition

Yesterday, the Shenzhen hospital infections, infections, Yuan Jing, Director of the third section of the second section introduces, in which patients were treated in hospital in 2015, the first patient, was confirmed on January 4 this year as H7N9 in humans of a 6-year-old girl tube on January 10, recovered and discharged.

However, the second confirmed patient Yang Sue critically ill. Introduce Yuan Jing, Yang on January 11 to third people's Hospital of Shenzhen. After a 13th night of rescue, Yang's condition is still not well controlled, the lungs have failed to improve, life was in danger at any time, the current group is trying to save.

In addition, the third patient is currently in critical condition. Patient, female, 57, lived in Baoan xixiang, trafficking before the infected chickens. On January 12 4:40 P.M. by Shenzhen Hospital of Peking University transferred to Shenzhen third people's Hospital in an ambulance. The current critical condition.

Interpersonal communication or whether further analysis is needed

Worth noting is that fourth H7N9 confirmed patients of the hospital, is someone's son, according to his own statements, there is no history of exposure to live poultry.

Zhuang patients with XX, male, 40 years old, live in meilin, Futian District,. He engaged in the wholesale fruit and professional, he cared for his mother-in-law--without the protection that the third patient. At 9:20 on January 12, he was sent to the Shenzhen third people's hospital infection in three sections. Now patients are stable.

So, for certain infections that do? Yuan Jing, Director, Shenzhen 25 H7N9 cases last year, there were more than 1000 contacts, no 1 found to be spreading from person. Zhuang is the son-in-law of party, in the absence of protective case care to so and so, but someone's two daughters and the attendant looking after so and so, but nasopharyngeal swabs H7N9 nucleic acid test results were negative. "There's Zhuang xxx xxx infection could not be determined, to do further analysis of the nucleic acid homology, such as logging. This analysis, the Shenzhen Center for disease control, hospitals, and research institutes are doing. "Yuan Jing said.

She said current H7N9 in terms of thought from person to person the probability is there, only a very small, after all, is birds to humans, to realize the communication between man and man, and may require some variation, but now there is no H7N9 mutation of the virus, so the probability of transmission between people is very low. Yuan Jing also said that Shenzhen doctors repeatedly asked, Zhuang said he did not go through live poultry stalls, live poultry stalls but maybe he passed the roadside didn't notice what kind of contact is also waiting for the Shenzhen Center for disease control departments to do the investigation.



"Must be early detection, early diagnosis and early treatment. ”

Places with live chickens to try to wear a face mask and went home to wash your hands.

Weak, of people with underlying diseases, do not go to places where live chickens.

Flu-fever, diarrhea, go to the hospital in a timely manner, be sure to tell your doctor without a live chicken stalls. (Jing newspaper reporter Zhou Yimei's deepest paraffin ganze/Wen Liugang/photo)


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