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PostPosted: Fri Jan 23, 2015 10:22 am 
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Media cites Hong Kong ex-Dongguan case, 79M.

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PostPosted: Fri Jan 23, 2015 10:22 am 
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The first two winter Monday have imported H7N9 symptoms

2015-01-23 20:29 HKT
Since the beginning of winter in Hong Kong confirmed the first two imported cases of human infection with H7N9 avian influenza, the patient was a 79-year-old man, the symptoms appear Monday, the 5th of this month, he was alone in Dongguan market, but there is no direct contact with chickens only, nor eat chicken locally.
Nethersole Hospital patients who go there for treatment, he has been transferred to Princess Margaret Hospital in stable condition.

http://rthk.hk/rthk/news/expressnews/20 ... 071602.htm

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PostPosted: Fri Jan 23, 2015 10:29 am 
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[Update: Content] since the beginning of winter in Hong Kong confirmed the first two imported cases of human infection with avian influenza A (H7N9) cases, CHP Officer Leung Ting-hung, said a patient is in good health in the past, the 79-year-old man living alone in Tai Po He went on the 5th of this month Zhangmutou period to lead a wet market where live poultry but no contact with poultry, and no eating chicken. He since January 18 to Hong Kong via Lo Wu, no fever upon arrival, followed by his runny nose, sore throat and cough with phlegm and other symptoms, early this morning to Alice Ho Miu Ling Nethersole Hospital for treatment, laboratory tests show for H7N9 virus positive reaction, have been transferred to Princess Margaret Hospital for isolation and treatment in stable condition. As to accompany the patient to the accident and emergency department of one male and one female will be no symptoms, quarantine has been arranged and agreed to prescription Tamiflu for preventive treatment. Leung Ting-hung, said yesterday in Guangzhou to attend the three places bird flu conference, citing the mainland represent a commitment, they will start on the 15th of this month, another in the province's 21 prefecture-level cities to implement chickens clear day arrangements. Measures before last year in Guangzhou, Shenzhen, Foshan and implementation, due to the gradual implementation of the estimated sporadic H7N9 cases still occur, appealing for the Lunar New Year travel to the mainland to visit relatives, the birds and to avoid contact with live poultry market.

http://hk.apple.nextmedia.com/realtime/ ... 3/53365469

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PostPosted: Fri Jan 23, 2015 10:36 am 
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Traditional Chinese Simplified Chinese Email this article news.gov.hk
CHP investigates imported human case of avian influenza A(H7N9)
********************************************************
The Centre for Health Protection (CHP) of the Department of Health (DH) is today (January 23) investigating the second imported human case of avian influenza A(H7N9) in Hong Kong this winter.

"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 the Serious Response Level under the Preparedness Plan for Influenza Pandemic remains activated, we again urge the public to maintain strict personal, food and environmental hygiene both locally and during travel," a spokesman for the CHP said.

Epidemiological investigations and control measures
---------------------------------------------------

The male patient, aged 79 with good past health, has presented with runny nose, sore throat and cough with sputum since January 19 and consulted a private doctor on the same day. He then attended the Accident and Emergency Department (AED) of Alice Ho Miu Ling Nethersole Hospital yesterday (January 22) and was found febrile. He has been transferred to the Hospital Authority Infectious Disease Centre in Princess Margaret Hospital for further management and isolation and has been in stable condition all along.

His nasopharyngeal aspirate tested positive for avian influenza A(H7N9) upon preliminary laboratory testing by the CHP's Public Health Laboratory Services Branch.

Initial epidemiological investigations revealed that the patient had travelled to Zhangmutou, Dongguan, Guangdong, on January 5 on his own during which he had visited a wet market with live poultry stalls but with no direct contact with poultry. He returned to Hong Kong on January 19 via Lo Wu Control Point. Based on information available thus far, it is classified as an imported case. Investigations are ongoing.

Contact tracing conducted so far located two close contacts who accompanied the patient to the AED.

(A) Close contacts

Close contacts will be 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 the patient's son and a female family member who are asymptomatic.

(B) Other contacts

Tracing of other contacts, including relevant healthcare workers, ambulance officers, immigration officer and the doctor whom the patient consulted as well as relevant staff and clients, is underway. Other contacts will be put under medical surveillance.

The CHP is communicating with the relevant Mainland health authority to follow up the situation during the patient's stay in the Mainland.

Enhanced surveillance
---------------------

The CHP has enhanced surveillance of suspected cases in public and private hospitals, and activated 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 ten 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 will be issued to alert them to the latest situation.

The case will be 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.

To date, 506 cases have been reported by the Mainland health authorities since March 2013, including 489 cases in the Mainland and 17 cases exported to Hong Kong (12 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 operated till 9pm today and will operate from 9am to 6pm tomorrow (January 24).

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/Friday, January 23, 2015
Issued at HKT 21:29

NNNN

http://www.info.gov.hk/gia/general/2015 ... 230950.htm

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PostPosted: Sat Jan 24, 2015 1:06 pm 
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Update of imported human case of avian influenza A(H7N9)
********************************************************
The Centre for Health Protection (CHP) of the Department of Health (DH) today (January 24) reported the latest updates of the second imported 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.

So far, seven close contacts and 62 other contacts have been identified.

(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 10 days after last exposure to the patient, whichever is earlier. They include:

* Two family members who remained asymptomatic;
* An in-patient admitted to the same cubicle as the patient in the Accident and Emergency Department of Alice Ho Miu Ling Nethersole Hospital (AHNH), who was symptomatic and tested positive for Influenza A (H3) virus; and
* Four asymptomatic patients who had attended the private clinic in Tai Po with the patient.

(B) Other contacts

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

* 34 asymptomatic healthcare workers who took care of the patient in AHNH;
* 24 clinic contacts (including patients and staff of the clinic in Tai Po) in which one was symptomatic and tested positive for Influenza A (H3) virus while the rest being asymptomatic;
* An immigration officer involved upon patient's arrival in Hong Kong, who was symptomatic and tested negative for Influenza A; and
* Three asymptomatic ambulance officers involved in patient transfer.

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.

Investigations are ongoing.

The CHP's hotline (2125 1111) for public enquiries will operate from 9am to 6pm today and tomorrow (January 25).
Ends/Saturday, January 24, 2015
Issued at HKT 19:48
http://www.info.gov.hk/gia/general/2015 ... 240920.htm

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