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PostPosted: Wed Apr 24, 2013 8:11 am 
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Three health care workers linked to H7N9 cases in Taiwan are symptomatic.

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PostPosted: Wed Apr 24, 2013 8:12 am 
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The patient to Suzhou, 3/28 to 4/9 4/9 returned to Taiwan from Shanghai, the case during the Suzhou history of exposure to birds, no consumption of immature birds or egg. 4/12 began to have fever, night sweats, fatigue, respiratory and gastrointestinal symptoms, 4/16 due to high fever clinic, clinic physicians recommended referral then to a hospital emergency room and stay in a single ward, in 4/16 Tamiflu, 4/18 chest X-light right lower lobe interstitial infiltrates, then transferred to a medical center in 4/20 4/19 due to disease progression at night due to respiratory failure catheter into the intensive care unit negative pressure isolation, during which the two mining throat swabs sent for testing H7N9 influenza tests were negative. The present H7N9 positive by RT-PCR sputum inspection the morning of 4/24, 4/24 evening Genome Sequencing confirmed by the National Influenza Center.
The command center also stressed that cases and contacts have been mastered; contact a total of 139 people, including close contacts, 110 General contact 26 people (more than 7 days incubation period) and the hospital staff. Hospital staff has more than 4 latency (asymptomatic), only three people not wearing appropriate protective (track has average daily symptoms, to be followed until 4/27), and the other suitable protective of care work, 3 of upper respiratory tract symptoms in hospital staff.
http://www.doh.gov.tw/CHT2006/DM/DM2_p0 ... c_no=88269

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PostPosted: Wed Apr 24, 2013 9:19 am 
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niman wrote:
The command center also stressed that cases and contacts have been mastered; contact a total of 139 people, including close contacts, 110 General contact 26 people (more than 7 days incubation period) and the hospital staff. Hospital staff has more than 4 latency (asymptomatic), only three people not wearing appropriate protective (track has average daily symptoms, to be followed until 4/27), and the other suitable protective of care work, 3 of upper respiratory tract symptoms in hospital staff.
http://www.doh.gov.tw/CHT2006/DM/DM2_p0 ... c_no=88269



Dr N,

I get very confused with these machine translations. From the previous Taiwan thread, the victim was hospitalised on April 16 and obviously infected before that.

These 3 symptomatic health workers - they worked on him? And we assume that the symptoms are recent, so the link looks pretty obvious?


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PostPosted: Wed Apr 24, 2013 9:32 am 
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Dingo wrote:
niman wrote:
The command center also stressed that cases and contacts have been mastered; contact a total of 139 people, including close contacts, 110 General contact 26 people (more than 7 days incubation period) and the hospital staff. Hospital staff has more than 4 latency (asymptomatic), only three people not wearing appropriate protective (track has average daily symptoms, to be followed until 4/27), and the other suitable protective of care work, 3 of upper respiratory tract symptoms in hospital staff.
http://www.doh.gov.tw/CHT2006/DM/DM2_p0 ... c_no=88269



Dr N,

I get very confused with these machine translations. From the previous Taiwan thread, the victim was hospitalised on April 16 and obviously infected before that.

These 3 symptomatic health workers - they worked on him? And we assume that the symptoms are recent, so the link looks pretty obvious?

Note that case (53M) initially tested as NEGATIVE.

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PostPosted: Wed Apr 24, 2013 9:54 am 
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Negative throat swabs, if correct, is a very important fact. Laurie Garrett is reporting 3 additional cases in Taiwan, don't know the source though.


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PostPosted: Wed Apr 24, 2013 9:58 am 
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meteorjosh wrote:
Negative throat swabs, if correct, is a very important fact. Laurie Garrett is reporting 3 additional cases in Taiwan, don't know the source though.

Taipei, April 24 (CNA) Three hospital personnel have developed respiratory symptoms after coming into contact with Taiwan's first confirmed case of H7N9 avian flu, the Central Epidemic Command Center said Wednesday.

All three had taken proper protective measures when providing medical care for the patient, a 53-year-old man who fell ill three days after retuning from China's Jiangsu Province, one of the H7N9-affected areas, the center said.

A survey of the epidemic situation showed that 139 local people had come into contact with the man, a Taiwanese businessman based in Jiangsu's Suzhou area, the center said.

Three of them had close contact, 26 had contact more than seven days ago (putting them past the infectious period) and 110 are hospital personnel, the center said.

Four of the hospital personnel have also passed the infectious period and have not developed symptoms, the center said.

A further three of the hospital personnel did not take proper protective measures when treating or caring for the patient, but none of them have so far shown any symptoms, the center said, adding that they will be strictly monitored until April 27.

The epidemic control center said that all those who have had contact with the patient have been served notice urging them to engage in self-health management.

They will also be subject to close monitoring until their respective infectious periods expire, the center said, adding that public health officials will help people on the watch list to get medical treatment should they develop flu-like symptoms such as fever or coughing.

The quasi-official Straits Exchange Foundation said Wednesday it has posted information about the imported H7N9 case in Taiwan on its website and urged the Taiwanese trade association in Suzhou to help push Taiwanese residents in the region to step up epidemic prevention measures and provide them with news updates.

China reported the world's first confirmed H7N9 human infections March 31, and as of April 23, 108 cases had been confirmed there, with 22 deaths.

Two of China's largest cities -- Shanghai and Beijing -- as well as five Chinese provinces -- Jiangsu, Zhejiang, Anhui, Henan and Shandong -- have reported confirmed infections.

As of 8 a.m. Wednesday, Taiwan had reported 129 suspected H7N9 cases, 128 of which have been ruled out as H7N9 infections, said Chou Jih-haw, deputy director-general of the Centers for Disease Control under the Department of Health.

The center said it had informed the World Health Organization and China of Taiwan's first H7N9 case earlier in the day, Chou said.

It was also the first H7N9 case outside China.

(By Lung Rui-yun and Sofia Wu)
ENDITEM/J

http://focustaiwan.tw/news/aall/201304240039.aspx

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PostPosted: Wed Apr 24, 2013 10:08 am 
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niman wrote:
Taipei, April 24 (CNA) Three hospital personnel have developed respiratory symptoms after coming into contact with Taiwan's first confirmed case of H7N9 avian flu, the Central Epidemic Command Center said Wednesday.

All three had taken proper protective measures when providing medical care for the patient, a 53-year-old man who fell ill three days after retuning from China's Jiangsu Province, one of the H7N9-affected areas, the center said.



Is this the smoking gun for efficient H2H transmission?


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PostPosted: Wed Apr 24, 2013 10:13 am 
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Dingo wrote:
niman wrote:
Taipei, April 24 (CNA) Three hospital personnel have developed respiratory symptoms after coming into contact with Taiwan's first confirmed case of H7N9 avian flu, the Central Epidemic Command Center said Wednesday.

All three had taken proper protective measures when providing medical care for the patient, a 53-year-old man who fell ill three days after retuning from China's Jiangsu Province, one of the H7N9-affected areas, the center said.



Is this the smoking gun for efficient H2H transmission?

If H7N9 positive, gun has already FIRED.

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PostPosted: Wed Apr 24, 2013 10:30 am 
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The Taiwan H7N9 three contacts of confirmed cases of upper respiratory tract symptoms
2013-04-24 21:54:22 |
Source: China News Network | Edit: Yang Yuguo |

BEIJING, Taipei, April 24 (Reporter Dong Huifeng) Epidemic Command Center today (24) confirmed the first case of H7N9 confirmed cases, three hospital staff contact patients for medical treatment of upper respiratory tract symptoms, in the track of the tube.

According to Taiwan's "Central News Agency" reports, rumors that the 53-year-old patient is a medical center in Taipei negative pressure isolation ill treatment of H7N9, previously treated in private clinics, hospitals. Station command center of the outbreak is not the name of the public hospitals and medical personnel.

The epidemic survey shows that patients who have a total of 139 people, including close contacts, general contact, 26 people have been more than 7 days incubation period, as well as hospital staff of 110 people.

, Hospital staff has more than 4 incubation period and asymptomatic, only three people not wearing appropriate protective traced to a 24-day asymptomatic, be traced to the 27th, and the other in the implementation of the care work, with appropriate safeguards hospital 3 staff of upper respiratory tract symptoms.

The leader of the Taiwan authorities Ma Ying-jeou, through its spokesman, said on the evening of the 24th for H7N9 first case of imported cases, the first time informed of the message, to discuss the follow-up response as with the "Health Director", inviting the public to unnecessary panic.

Ma Ying-jeou and requested the Taiwan health authorities must strengthen epidemic prevention, but also make information transparent.

http://gb.cri.cn/42071/2013/04/24/3245s4095476.htm

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PostPosted: Wed Apr 24, 2013 10:31 am 
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niman wrote:
If H7N9 positive, gun has already FIRED.


I have a friend in Sydney who has followed H5N1 since 2005. One of his red flags from memory for a nasty pandemic is when you see protected health workers getting bird flu.

If they test positive, then hasn't this then happened?

Do you agree with his red flag?


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