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PostPosted: Mon Feb 09, 2015 12:19 pm 
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Media reports cite death of H5N6 case in Yunnan.

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PostPosted: Mon Feb 09, 2015 12:28 pm 
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Notification of confirmed human case of avian influenza A(H5N6) in Yunnan
********************************************************
The Centre for Health Protection (CHP) of the Department of Health (DH) has been notified by the National Health and Family Planning Commission of a confirmed human case of avian influenza A(H5N6) today (February 9) affecting a 44-year-old man in Yunnan province.

The patient, with poultry exposure history, has developed fever, cough and chills since January 27. He was admitted to a local hospital on the same day and died on February 6.

"All novel influenza A infections (including H5N6) are notifiable diseases in Hong Kong," a spokesman for the DH said.

"Locally, we will remain vigilant and work closely with the World Health Organization and relevant health authorities to monitor the latest developments," the spokesman said.

"In view of cases confirmed on the Mainland, members of the public should maintain good personal, food and environmental hygiene at all times during travel," the spokesman urged.

"All boundary control points have implemented disease prevention and control 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 investigation," the spokesman added.

Regarding health education for travellers, the display of posters and broadcast of health messages in departure and arrival halls, environmental health inspection and provision of regular updates to the travel industry via meetings and correspondence are proceeding.

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 the avian influenza page of the CHP of the DH (www.chp.gov.hk/en/view_content/24244.html) for more information on avian influenza. The updated information of affected areas can be found on the following webpage:
www.chp.gov.hk/files/pdf/global_statist ... enza_e.pdf.
Ends/Monday, February 9, 2015
Issued at HKT 22:06

NNNN

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PostPosted: Tue Feb 10, 2015 7:49 pm 
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China reports fatal H5N6 infection
Chinese health officials have reported a third human infection with H5N6 avian influenza, in a 44-year-old man that proved fatal, according to a Hong Kong CHP statement yesterday.

The man was from Yunnan province, located in the far southwestern part of China. He got sick on Jan 27 and was hospitalized the same day. He died on Feb 6. An investigation found that he had been exposed to poultry before he became ill.

Of the three known H5N6 cases in humans, two have proved fatal. The first was detected last May in Sichuan province, and the second in late December in Guangdong province.

A handful of H5N6 outbreaks have also been reported recently in poultry, including one earlier this month in China's Hunan province. Vietnam and Laos have also reported outbreaks over the past year. In November the United Nations Food and Agriculture Organization (FAO) said the H5N6 virus emerged in China in late May, and it identified more than 3,400 outbreaks in poultry in China, Laos, and Vietnam.
Feb 9 CHP statement
Nov 14, 2014, CIDRAP News scan "FAO: H5N6 poses emerging threat to poultry in eastern Asia"

http://www.cidrap.umn.edu/news-perspect ... eb-10-2015

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PostPosted: Thu Feb 12, 2015 5:06 pm 
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Human infection with avian influenza A(H5N6) virus – China

Disease outbreak news
12 February 2015

On 9 February 2015, the National Health and Family Planning Commission (NHFPC) of China notified WHO of 1 laboratory-confirmed case of human infection with avian influenza A(H5N6) virus.

Details of the case are as follows

A 44-year-old male from Diqing Tibetan Autonomous Prefecture, Yunnan Province developed symptoms on 27 January. He was admitted to hospital on 3 February and died on 6 February. The patient had history of exposure to dead wild fowl. On 8 February, the specimen of the patient tested positive for avian influenza A(H5N6) by the China CDC.

The Chinese Government has taken the following surveillance and control measures

Collecting and testing the specimens of the patient, and carrying out virus isolation;
Conducting epidemiological investigation; tracing, managing and observing the close contacts of the patient;
Strengthening surveillance of unknown etiology pneumonia and routine sentinel surveillance of influenza; strengthening the etiological surveillance of influenza/avian influenza virus.
WHO continues to closely monitor the H5N6 situation and conduct risk assessment. So far, the overall risk associated with the H5N6 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/12-february- ... luenza/en/

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