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Avian influenza – situation in China
8 June 2010 -- The Ministry of Health in China has announced a new confirmed human cases of H5N1 infection. The case is a 22-year-old pregnant female from Hubei Province. She had onset of symptoms on 23 May and died on 3 June. Investigations into the source of her infection indicate exposure to sick and dead poultry. Close contacts of the case are being monitored and to date all remain well.

Of the 39 cases confirmed to date in China, 26 have been fatal.

English.news.cn 2010-06-13 00:21:51 FeedbackPrintRSS
BEIJING, June 12 (Xinhua) -- China's Health Ministry on Saturday called for heightened measures against the possible spread of bird flu virus after a woman in central China died from the disease on June 3.

The ministry urged health authorities at all levels to increase prevention and control measures on respiratory diseases as the country's southern areas are entering into the peak flu season.

Health authorities at all levels, especially in Shanghai and Guangzhou, host cities respectively for the 2010 World Expo and the Asian Games, were asked to formulate emergency plans to cope with the possible spread of the disease, according to a notice posted on the ministry website.

Health authorities at all levels should report and respond quickly to unidentifiable pneumonia, it said, adding they should also prepare medical equipment and pharmaceuticals to cope with possible outbreaks of respiratory diseases, such as bird flu.

Health authorities in Shanghai, Guangzhou, quake-hit Yushu in Qinghai Province and southern provinces plagued by floods were also asked to coordinate the assistance of experts to take effective measures on disease prevention and control.

Pandemic (H1N1) 2009 Surveillance
During week 33, 20 confirmed cases of pandemic influenza H1N1 2009 were reported. Of them, 1 was severe case, and no death case was reported. Except 1 severe case was reported in week 33, no severe case was reported during week 26-33. No death was reported for 15 consecutive weeks since week 19. Since the first case of pandemic influenza H1N1 2009 was reported on May 11, 2009, as of August 22, 2010, 128068 confirmed cases and 805 deaths of pandemic influenza H1N1 2009 have been reported nationwide, which cover 31 provinces and the Xinjiang Production and Construction Corps in mainland China.
(Note: After cases are reported to the system, the information would be checked by local CDC at all levels to ensure accuracy. From week 3, 2010, data collected in the weekly report refers to the information after examination.)

Outbreak Surveillance
During week 33, 2 outbreaks[1] of seasonal influenza A (H3N2) were reported with 79 cases in total, which occurred in Guangxi and Guangdong. No death case was reported. No outbreak of pandemic influenza H1N1 2009 or ILI was reported.

.................................continued...............

Repeated colds, asthma attacks , acute pneumonia ... ... reporters yesterday from the young doctors , municipal , Children's Hospital and other hospitals learned that three weeks ago, jumped twice as much than normal in patients with respiratory diseases . Expert analysis into the air after the fall became dry, temperature difference between day and night , many people in the " autumn dryness , " the effect of illness or relapse .

" autumn dryness , " attracted a bunch of sick

" Doctor, I lit corners of the mouth a few days ago , in recent days launched a succession of low-grade fever , do not know why ? "Yesterday , people came to Ms. Li Qing Yi Fuyuan Chinese outpatients . The doctors told her that this is typical "

Autumn dryness " symptoms, recommended treatment of her addition to drugs , but also eat pears and other fruits and vegetables , lung, Sheng Jin . experts said, " dry "is the main gas autumn , early autumn season , the summer heat has not yet subsided , and then Drier with sunny , dry climate , so this time of infection , " dry gas " easy to consume human body fluid , while the dry mouth , dry lips , dry nose , throat and stool dry and hard , dry skin and other symptoms , severe cases occur because of the drying Cause nasal bleeding . And when " autumn dryness , " failed to get the prevention and control , will develop the disease state , including the upper respiratory tract infection , acute bronchitis , pneumonia and other respiratory diseases .

Small get together in patients with out-patient

, " three weeks ago, outpatient services more than doubled in the past . " Director Liu Xuedong Department of Respiratory Medicine City Hospital told reporters that a number of recent admissions to the Section influenza, asthma and chronic bronchitis , pneumonia . She reminded the public that when the seasons turn , should be a balanced diet , adequate rest, at night to keep warm , especially the already suffering from chronic bronchitis, emphysema , cardiovascular and cerebrovascular diseases, the elderly , should pay attention to temperature changes To strengthen its resistance to prevent relapse .

Reporter then informed that Children's Hospital emergency department admissions have significantly increased volume of recent trends. "So one day the volume of admissions between 330-350 , even more than 30-50 people a day now . " emergency department director , said Xu Jing , small patients, both the two -year-old baby at home , but also in kindergarten And school children , signs and symptoms were recurrent fever , cough, high fever and there 's little patients . " Children with a large increase in major changes in the weather . " Xu Jing , suggests that parents take their child to public places as little as possible , pay attention to personal hygiene , regular exercise to strengthen the resistance . ( reporter for small yang )

Pandemic (H1N1) 2009 Surveillance
During week 34, 12 confirmed cases of pandemic influenza H1N1 2009 were reported. No severe case or death case was reported. Except 1 severe case was reported in week 33, no severe case was reported during week 26-34. No death was reported for 16 consecutive weeks since week 19. Since the first case of pandemic influenza H1N1 2009 was reported on May 11, 2009, as of August 29, 2010, 128080 confirmed cases and 805 deaths of pandemic influenza H1N1 2009 have been reported nationwide, which cover 31 provinces and the Xinjiang Production and Construction Corps in mainland China.
(Note: After cases are reported to the system, the information would be checked by local CDC at all levels to ensure accuracy. From week 3, 2010, data collected in the weekly report refers to the information after examination.)

......................................(continues with a more in depth analysis)

Hubei recent pandemic flu outbreak is unlikely that a smooth
Time: 2010-10-24 10:56:47 Source: Wuhan Morning 【Close】
Wuhan Morning News (news correspondent Xu Jingdong Li Qing Zhou Peng) prone to autumn and winter influenza season, the 23rd reporter learned from the Provincial Health Department, the recent flu outbreak in Hubei balance of a pandemic is unlikely, people do not panic; receive influenza vaccination is still effective means of disease prevention and control of influenza.

According to statistics, as of September 30, Hubei Province reported a total of 1391 cases of influenza cases and no deaths. Where AType of H1N1 flu cases in 15 cases, 544 cases of influenza B cases, cases of seasonal influenza A type 1, 56 cases of influenza A cases, 503 cases of type 3, the other 273 cases of influenza. The total number of Hubei Province, the incidence of influenza compared with same period in 2009 (7,352 cases) to reduce 5961 cases. 1 September 2010, the province is only a primary school on April 30 reported an influenza-like cases from the focus of the epidemic, the influenza B epidemic, a total of 33 human cases and no deaths. Focus on the number of outbreaks over the same period (47 cases) a substantial decline.

Provincial CDC experts, the different time periods accounted for influenza-like illness changed slightly the proportion of outpatient and emergency department. 19 Hubei Province, hospital sentinel surveillance of influenza-like illness influenza surveillance data show that from January to September this year, flu-like proportion of outpatient and emergency cases accounted for 2.45% ~ 3.76%, lower than a week the same period in 2008 and 2009 levels.

Expert analysis, currently there is no evidence that the 2010 Winter Spring 2011 influenza pandemic will occur, during the flu epidemic will be a certain range of fluctuation, good influenza vaccine, the incidence of influenza prevention and control is still an effective means.

Chinese Influenza Weekly Report (Week 40: Oct 4- 10, 2010)

(All data are preliminary and may change as more reports are received)

Pandemic (H1N1) 2009 Surveillance

During week 40, 4 confirmed cases of pandemic influenza H1N1 2009 was reported. No severe case or death case was reported. Except 1 severe case was reported in week 33, no severe case was reported during week 26-40. No death was reported for 22 consecutive weeks since week 19. Since the first case of pandemic influenza H1N1 2009 was reported on May 11, 2009, as of October 10, 2010, 128149 confirmed cases and 805 deaths of pandemic influenza H1N1 2009 have been reported nationwide, which cover 31 provinces and the Xinjiang Production and Construction Corps in mainland China.

(Note: After cases are reported to the system, the information would be checked by local CDC at all levels to ensure accuracy. From week 3, 2010, data collected in the weekly report refers to the information after examination.)

Outbreak Surveillance

During week 40, no outbreak[1] of ILI was reported.

Influenza-like Illness (ILI) Surveillance

During week 40, the percentage of visits with ILI (ILI%) of sentinel hospitals in South China was 3.7%, which was higher than that of week 39 (3.6%). It was lower than the level seen during the same period of 2007-2008 (4.2%) and 2008-2009 (5.9%) season. Except for week 41 and 42, 2009, the ILI% showed an increasing trend in general since the week 34, 2009 and reached peak in week 48, 2009 (7.7%), but it decreased rapidly after that. Since week 53, 2009, it showed a fluctuated trend. Since week 24, 2010, the ILI% showed an increasing trend in general and declined temporarily in week 39. In this week, it raised slightly. (Figure 1)

CNS reported this winter and next spring, H1N1 influenza A H3N2 virus with the seasonal influenza virus and influenza B viruses co-epidemic, and as the incoming cold air, China will enter a period of high seasonal influenza.

Chinese Center for Disease Control and Prevention epidemiologists have light 31 to warn the public, harm to human seasonal influenza as much as a stream, the children, the elderly, diabetes, cardiovascular and other chronic diseases to be alert, influenza vaccination, comprehensive prevention and control .

By Reuters November 1 (Associated Press FANG Xiao reported) before the mainland disease control departments, experts say this winter influenza A H3N2 influenza will be more than H1N1, pandemic influenza is currently the North and South H3N2 virus. Shenyang surge in flu patients in hospitals lately, among them influenza A H3N2 virus.
October 30, Xinhua reported, "2010 National Influenza Prevention and Control Council", China CDC experts said influenza A H3N2 flu this winter will be more than H1N1, invasion of healthy people. Currently popular north and south are basically influenza H3N2 virus. Influenza A H3N2 influenza this winter and next spring will Influenza H1N1 pandemic flu and other common.

November 2, Shenyang public Zhang told reporters on the Epoch Times: "A few days ago to see CCTV reported, the super-virus (Influenza A H3N2) was on the no good, no rule of law. Not long ago in Hong Kong, one patient died. "Mr. Chen told reporters that the people of Harbin, a few days ago he CCTV" News Network "program also see this message, feel terrible.

Mr Zhang said: "This epidemic is very powerful, I heard the now popular to Shenyang, the people have less to public places. Transmitted through body fluids can be." Last year, he also remembered the pandemic influenza H1N1, "was banned all large-scale social activities, I am afraid of cross-infection. "

Recently the hospital in Shenyang City, the number of cold surge, which does not exclude infected with influenza A H1N1 influenza patients. Department of Infectious Diseases, First Affiliated Hospital of China Medical University, doctors told reporters on the Epoch Times, recently went to the hospital clinic patients had influenza A H3N2 virus, they do need to identify Infectious Diseases. And Infectious Diseases, told reporters the doctor, the hospital has not received the relevant notification how to deal with, should be identified to the CDC to do the virus.

Island Hospital of Shenyang Medical Journal clinic doctor told reporters that last year when the influenza H1N1 outbreak, the higher unit issued a document, but this year has not yet received notification of disease control departments. Admissions by the experts to present influenza H3N2 flu, City CDC identified the virus responsible for the general hospital did not have the appropriate equipment. Asked whether the hospital reserves flu vaccine, the other said, no such vaccine, the CDC also have to ask.

JERUSALEM reported that disease control experts in Shenyang City, recently, to the disease control department of increase in the number of influenza vaccination.

Yangzhou Evening News, recently, the city of CDC disease forecast released in November, influenza H3N2 Influenza H1N1 influenza and the incidence has more than influenza B viruses, influenza this winter and spring to become "mainstream."

1968 Hong Kong outbreak of influenza, known as the "Hong Kong flu", and cause a global pandemic, deaths of nearly 100 million people, have been confirmed to be H3N2-type virus.

Recently, the Peninsula Metropolis Daily reported, "now has flu cases in Qingdao." City Jiang, director of Communicable Disease Prevention Law of the spring to participate in the "2010 National Influenza Prevention and Control Council." He said the earlier increase in temperature causes the common cold sick, sick inside by detecting these there are also a common cold virus. Compared with previous years, this year has increased the intensity of influenza.