Border surveillance satisfactory

November 20, 2010

Secretary for Food & Health Dr York Chow says there is no need to tighten health surveillance measures at border checkpoints because only one sporadic human case of avian flu case has been reported in Hong Kong.

Speaking to reporters after attending a bone marrow donor award ceremony today, Dr Chow said the Agriculture, Fisheries & Conservation Department has inspected 30 chicken farms in Hong Kong and collected samples for tests.

About half of the testing work has been completed and so far no avian flu virus has been detected. The Government has also conducted random checks on chickens imported from the Mainland and found no problems.

"The tests are still going on, but so far we feel that the risk of avian influenza in Hong Kong is still slim, and also there is no indication of human to human transmission."

Dr Chow said the condition of the 59-year-old woman infected with avian flu has improved. "The patient is in a stable, but still serious, condition. She is still receiving oxygen, although the oxygen concentration has decreased from 100% to 70%, which indicates her lung is improving."

He said the Government will monitor the situation and it has asked Mainland authorities to inspect markets and monitor poultry health

Dr Chow noted that bird flu patients have some improvement in women

[20/11 Saturday 14:00]


Confirmed infected with H5N1 avian influenza fifty-year-old woman, still in the Princess Margaret Hospital for isolation and treatment, Health Secretary York Chow said the patient's condition remains serious, but there have been little improved from the original admission, need to use hundred percent oxygen, reduced to only seventy percent, indicating the effectiveness of certain drugs. Dr Chow noted that the patient is respiratory tract infection and pneumonia, take some time for treatment.

Dr Chow added that AFCD in the past three days, testing thirty farms in Hong Kong and Mainland chickens supplied to Hong Kong samples, of which half the sample had been no abnormal laboratory. Are investigating the origin of the virus, he said, will monitor in close contact with her people. Dr Chow stressed that the current only in one case, the port is temporarily not raise alert.

Mystery disease kills 13 in Uganda

Health officials investigate deadly fever that appears similar to Ebola

Posted Nov 19, 2010, 9:52 am
Gregory Branch Special to GlobalPost
KAMPALA, Uganda — Thirteen people have died in northeastern Uganda from a mysterious disease.
The World Health Organization and the Centers for Disease Control are investigating the outbreak of the disease that appears to be similar to the Ebola and Marburg hemorrhagic viruses.
Twenty cases of the frightening illness have been reported in the remote Abim district. Due to the number of cases reported, the district has been labeled the epicenter of what many are calling it the "Abim disease."
Of the 20 cases in Abim, eight have died, two are quarantined and another 10 have been discharged after their conditions improved, according to Emmanuel Okech, a health official in Abim. Five more died in the neighboring Agago district.
"The victims usually die between three and five days, and are suspected to be highly contagious," Okech told GlobalPost.
Symptoms include high fever, vomiting blood, passing bloody stool, convulsions and bleeding from openings like the nose and ears.
"We do not know what we are dealing with, we do not know what is happening, so we must respect the new measures which have been put in place," said Dr. Emmanuel Otto, a health officer in Agago district, which has also been affected by the disease.
Health officials warn against communal hand washing, eating bush meat (meat from wild animals, especially monkeys and other primates) and discourage people from the local cultural practice of washing dead bodies before burial.
District health officials set up an isolation center for those with the disease in Abim Hospital and another local health center.
"People have been advised against shaking hands, to maintain personal hygiene and basically to stay away from groups of people and avoid burials," said Martin Koriang, a businessman from the Abim area.
Representatives from the World Health Organization joined Dr. Otto and his team in Abim and Agago. They visited the sick and took blood samples to investigate the disease.
The symptoms of the disease are similar to the Ebola and Marburg viruses, diseases that also cause a deadly hemorrhagic fever.
"Blood samples have been taken to the Uganda Virus Research Institute in Entebbe. The people of this area await the results, so we can know how to deal with this," said Dr. Otto.
Blood samples from affected persons have also been flown to the Centers for Disease Control in Atlanta, Georgia.

The new disease bears several similarities to Ebola hemorrhagic fever, which has a reputation for mutating and changing. Ebola is a severe and often deadly illness that can occur in humans and in primates like monkeys and gorillas.
Ebola hemorrhagic fever has made worldwide news because of its destructive potential. Ebola fever is caused by a virus belonging to the family called Filoviridae.
Scientists have identified four types of the Ebola virus. Three have been reported to cause disease in humans: Ebola-Zaire virus, Ebola-Sudan virus, and Ebola-Ivory Coast virus. The human disease has so far been limited to parts of Africa.
A very small number of people in the United States who were infected with the fourth type of the virus, known as Ebola Reston, did not develop any signs of disease.
The disease can be passed to humans from infected animals and animal materials. Ebola can also be spread between humans by close contact with infected bodily fluids or through infected needles in the hospital.
There is no known cure for Ebola. Existing medicines that fight viruses (antivirals) do not work well against the Ebola virus.
The patient is usually hospitalized and will most likely need intensive care. Supportive measures for shock include medications and fluids given through a vein. Bleeding problems may require transfusions of platelets or fresh blood.
As many as 90 percent of patients die from the disease. Patients usually die from shock rather than blood loss. Survivors may have unusual problems, such as hair loss and sensory changes.

Hong Kong - Bird flu a real threat

17 Sep 2010
A World Health Organization official is defending the agency's actions during last year's swine flu outbreak.
There have been accusations that WHO wasted governments' money and enriched pharmaceutical companies with its strong warnings about the virus.
The official says WHO didn't hype the crisis and was acting with limited information at first.
He says WHO adjusted its response when the outbreak wasn't as serious as expected.

WHO received at least $170 million from member states to deal with the outbreak.

Meanwhile, a leading virus expert today warned health authorities around the world against complacency.
Speaking to reporters on the sidelines of an influenza conference in Hong Kong, researcher Robert Webster says it's wrong to think that flu is no longer a problem.

He says bird flu could spark the next global outbreak.

Avian influenza – situation in China, Hong Kong Special Administrative Region (Hong Kong, SAR)

19 November 2010 -- The Centre for Health Protection (CHP) of the Department of Health (DH), Hong Kong, China, has reported a new confirmed human case of H5N1 infection on 17 Nov 2010. The case is a 59-year-old female. She had onset of symptoms on 2 November and was admitted to hospital on 14 November. She was diagnosed to have pneumonia and is now in a critical condition.
The case had a history of travel to Shanghai, Nanjing and Hangzhou. She reported no history of contact with live birds and poultry in the days before showing symptoms. Her close contacts are under surveillance and are isolated. All remain asymptomatic to date. Nasopharyngeal aspirates of all close contacts were negative for H5. Investigations into the source of her infection are ongoing. Evidence so far indicates a sporadic case of human influenza A(H5N1) infection without secondary spread.
So far, a total of 21 human cases of influenza A (H5N1) infection were recorded in Hong Kong SAR China, including 18 cases in 1997, two cases in 2003 and the current case in 2010.

Cholera spreads to packed Haiti prison

19/11/2010 - 13:37:36
Cholera has spread to Haiti’s national prison in the capital Port-au-Prince, the Red Cross said.

The International Committee of the Red Cross said 30 inmates have been infected with the disease and 10 have died in the past four days.

Red Cross spokesman Marcal Izard said the outbreak is particularly worrying because the prison is so overcrowded.

It holds 2,000 inmates, or about a quarter of Haiti’s total prison population.

Mr Izard said the Red Cross and national authorities are “working around the clock to make this prison safe”.

According to government figures, more than 1,100 people have died and more than 18,000 have been hospitalised since the outbreak began last month.

Avian flu is not confirmed by family members of patients infected Deng Baren

【20:12】 18 November 2010
【On.cc Oriental interaction an informed one of the 59-year-old woman living in Tuen Mun yesterday confirmed the infection of H5N1 avian influenza. Department of Health said the latest test results show, the families of patients with 3 and 5 the same room patients infected with H5N1 avian influenza were not, they are in the Princess Margaret Hospital for isolation. The Princess Margaret Hospital were still present in serious condition.

In addition, patients with 3 people on Thursday who were dining, they do not have fever. The Administration indicated that it will continue to track those who had contact with the patient. As of 5 pm, the CHP received a total of 18 members of the public inquiry.

Family members of avian flu confirmed the test results within 2 days Jiezhong
【14:02】 18 November 2010
【An informed interaction on.cc East CHP Dr Thomas Tsang said the bird flu in the families of the quarantine and observation in hospital, the hospital has conducted tests of their samples of this, I believe there will be 1 to 2 after the preliminary results, No other suspected cases. In addition, those who had contact with confirmed private doctors and medical staff are also Tuen Mun Hospital for medical observation.

WHO says flu risk assessment unchanged after HK case

Updated as of 11/19/2010 12:53 AM


GENEVA - The World Health Organization said Thursday that it was not changing its risk assessment on avian flu, even though Hong Kong reported its first human case of infection in seven years.
"Our risk assessment has not changed," said Gregory Hartl, spokesman of the WHO.
"This would fit the existing pattern of occasional human infection," he added...

Philippines-NAIA steps up measures for new bird flu threat

By Gretchen Malalad, ABS-CBN News

Posted at 11/19/2010 12:03 AM Updated as of 11/19/2010 12:33 AM

MANILA, Philippines – Ninoy Aquino International Airport (NAIA) authorities stepped up their security measures Thursday after Hong Kong confirmed its first human avian influenza case in 7 years.

The former Crown colony has already raised its bird flu alert to “serious” because of the case. The patient is a 59-year-old woman who returned from a visit to the Chinese mainland.

Manila International Airport Authority (MIAA) chief Jose Honrado said they are aware of the bird flu case in Hong Kong, but the agency has yet to receive a new alert warning from the Department of Health and the World Health Organization.

Honrado assured, however, that their security measures are in place.

Thermal scanners, which monitor body temperature, are in place at the NAIA arrival and departure areas.

If an airline passenger is found to have a body temperature above 37 degrees Celsius, the passenger will be asked to proceed to a clinic to be examined.

“This is only a screening process and further examination of persons may be required and further tests if influenza is suspected,” said Dr. Eric Tayag, head of the Department of Health’s National Epidemiology Center.

He told ANC’s The World Tonight that bird flu patients will be brought to dedicated hospitals such as the Research Institute for Tropical Medicine in Alabang, the San Lazaro Hospital in Manila, or the Lung Center of the Philippines.

According to Dr. Alexander Oba of the Bureau of Quarantine, the public should not worry since the Philippines has been bird flu-free even during the height of the disease’s outbreak in other Asian countries.

The World Health Organization revealed that human cases of bird flu or the H5N1 virus have only been reported in 6 countries - Cambodia, China, Indonesia, Thailand, Turkey, and Vietnam.

The Philippines, Brunei, and Singapore, are among countries in Asia that have not been hit by the disease, according to the DOH’s Dr. Lyndon Lee

WHO considers that there is no increased risk of avian influenza

2010-11-19 HKT 00:17

World Health Organization believes that there is no increased risk of avian influenza.
A spokesman for the view that although there 7 years our first human infection, but overall no big change.

In Hong Kong, the government inter-departmental meeting held to discuss avian influenza, the Food and Health Secretary York Chow said Hong Kong is facing the risk did not increase significantly.

For the 59-year-old patient went to Tuen Mun Hospital for treatment, but had not been infected with H5N1 bird flu detected, Dr Chow said that when a disease long before the emergence of the doctor the first time is difficult to think of the disease, he said usually very difficult to diagnosis and treatment of the first cases, but cases of the disease, the medical staff immediately vigilant and take appropriate action.

Secretary for Food and Health Bureau  on avian flu

**************
Following is the Food and  Health Secretary York Chow,  Centre for Health Protection Consultant Community Medicine (Communicable Disease) SK Chuang and the Hospital Authority (HA) Chief Manager (Infection, Emergency Services), Dr. Liu Shaohuai today (November on the 18th) of avian influenza in the present inter-departmental meeting, the Central Government Offices West Wing lobby of the meeting transcript (Chinese part):

Secretary for Food and Health Bureau : I would like to announce to the public yesterday confirmed avian influenza case follow-up. Today we have food and  Health Board held an inter-departmental Steering Committee (meeting) to understand the circumstances of the case and what follow-up work. The name of the fifty-year-old female patient, yesterday we confirmed H5 virus in patients with high-To, and we also follow up and contact her family situation, Dr SK CHUANG will explain the details later. Patients are staying at the Princess Margaret Hospital's intensive care room isolation of infectious diseases, the situation is serious, then later by Dr. Liu Shaohuai explain her situation.

Today, we have initially tested the virus-based gene sequencing is 2.3.2, 2.3.2 type is a very common virus in Asia, in Hong Kong and the Mainland, including Shanghai, have, which is why it is difficult to use this reason to differentiate between what patients infection in Hong Kong or the Mainland. However, the time of its incubation period and disease, we think her a greater chance of infection in the mainland, so the most important thing now is that we know a patient, we must try to prevent another recurrence of the patient or other patients (poultry influenza infection), so have to work in Hong Kong in Hong Kong, we have informed  Ministry of Health, the State also informed the authorities about the incident in Shanghai, they will make the appropriate preventive work.

In Hong Kong, because of bird flu infection is usually from poultry to person, so we are particularly concerned about the live poultry. Said yesterday, in the market, the markets in Tuen Mun has made cleaning; Today we started in the wholesale market and other places to do work. Fisheries and Conservation Department (AFCD), they will also enhance the cleaning and monitoring of the wholesale market, but also the next two days will inspect all thirty farms, to ensure that they do not have any unusual circumstances; also will step up inspection of chickens.

As for the chickens from the Mainland, we have with the Guangdong Entry-Exit Inspection and Quarantine Bureau contacts, it was agreed that beginning in the next few days, will strengthen the monitoring and testing of this sample increased by about per cent xxv.

Mainland, Hong Kong does not have any chicken farms for the case of any unusual, so special in this regard is not necessary to worry about, but we will spare prevention work.

Other aspects, including in markets or retail level, we will remind the chicken stall must pay attention to their health, and clean, we have to avoid contact with live chickens too many people.

At the same time, we will increase these days the commercials Bochu avian influenza, including to advise the public to the field, try not to go to live poultry or some not very clear where their  hygiene, especially if the live poultry may be this risk. Because even if there is only one disease, the risk still exists. Over the past few years, the region still has human bird flu, avian flu and the mortality rate of up to fifty percent, so this is where we should pay particular attention, I hope you pay attention.

Although Hong Kong does not significantly increase the risk, but in this area must be done to prevent. Together with all government departments concerned will try to spare our work, any news will soon as possible. I asked Dr. Liu Shaohuai the following about the patient's condition.

HA Chief Manager (Infection, Emergency Services): The patient was diagnosed a woman, fifty-nine. After she was diagnosed yesterday, transferred from the Intensive Care Unit of Princess Margaret Hospital, Tuen Mun Hospital, Infectious Diseases Center intensive care unit. Currently, she's in serious condition, in need of oxygen, antibiotics, and the Tamiflu treatment; X-ray and medical examination are displayed on both sides of the lungs are affected, it is currently under close monitoring.

Department of Health Hospital Authority also increase with the  response level to "severe." In the "serious" level, we will strengthen the monitoring, all patients presented with fever, and if the symptoms of influenza, together with travel history if he had had to Nanjing, Shanghai, Hangzhou, also went to the market or had contact with poultry birds, to the diagnosis and treatment of emergency room or in the ward, we will take samples to him for bird flu tests.

Starting today, the hospital visiting hours will be changed: two hours per day emergency ward, rehabilitation ward, compared with four hours. All health care workers and staff, and even family members visiting patients, the patients in our region need to wear surgical masks, infection control measures as an upgrade. We also take into account the progress of the disease and announced to the outside world.

Secretary for Food and Health Bureau : I call Dr Cheung question about contact tracing.

 Centre for Health Protection Consultant Community Medicine (Communicable Diseases): We have tracked the eight close contacts of patients, including the families of three patients, and five (with the patient) living in Tuen Mun Hospital the same interval patient wards. Eight contacts were asymptomatic at present, we will draw some of their blood and throat samples for testing to see if they have a chance of infection.

In addition, we have also issued letters to doctors, as well as strengthening the monitoring of the HA, and notified other departments, including the World  ( the World Health Organization) and the  Ministry of Health. We will also send letters to the homes, including homes, schools, etc., so that everyone alert. Meanwhile, we have set up a hotline so far received about a dozen complaints from the public inquiry, there is no new suspected cases.

Reporter: This time the patient had private doctors, but also visited the Tuen Mun hospital emergency room, but have not found she was infected with bird flu, because the time interval is too long and relax? How to ensure that no future recurrence of this situation?

Secretary for Food and Health Bureau : hard to say whether lax because of this, because most of the people who have respiratory symptoms seek medical treatment or to Accident and Emergency Department, must depend on the seriousness of their symptoms and make a decision. Most doctors now look at symptoms, such as flu, is also human influenza, the H3 is more. Of course, if disease progression or other additional symptoms, they would stay alert and do some testing. In this case, I think they should be to raise the awareness of power, especially now there is a case of this, we must be particularly careful. So we hope that we note that the medical records if there is contact with poultry, as well as severe respiratory special cases, other tests have found that if there may be a viral infection, we will strengthen this area of the test. We have just decided that if the body temperature higher than that of (C) three eight degrees, or the symptoms of pneumonia, or X light to, the HA will conduct such tests, HIV tests to do this earlier, we can as soon as possible define whether the patient is infected with the avian influenza virus.

Reporter: The patient in this situation is also quite long bloody sputum occur, why can not identify? Will a long time, so no measures to do something should be done?

Secretary for Food and  Health: This area Hennan sector, because we have not detailed the medical records for analysis, especially if the patient went to private doctors (visit), but also to have public hospitals. The most important is that we must become aware of, if there is doubt, try to do more tests to confirm that is what types of flu viruses.

Reporter: The patient saw a private doctor, and went to public clinics, but have found no (bird flu), why? Is the long incubation period failed to find? Or doctors complacent?

Secretary for Food and Health Bureau : I believe the majority of patients seeking treatment Xianshi, if respiratory symptoms, most are not bird flu, but there are other viral infection or bacterial infection, so doctors usually be the first to think of avian flu, usually consider whether influenza, seasonal influenza is, or other respiratory infections. I believe there are hundreds of people every day in this area will seek treatment, so generally speaking, doctors are from the most common disease to start treatment.

Reporter: China to find the source of the work going?

Secretary for Food and Health Bureau : We informed them only yesterday, so they will have to give them some time to follow up the incident. We will try to provide them with more information, such as patients live, or where she had to and so on. For the time being, we have not made very clear this patient information, particularly in Shanghai, she visited several areas in or near where, because of her present situation is more serious, there are some difficulties speaking terms. We need to be sure where she had to follow up the information to the Mainland. Nevertheless, in Hong Kong, will have to work our work, as the Mainland, particularly Guangdong Province, they also tie us chickens supplied to Hong Kong in terms of their work done enough, so this regard, we generally quite ease.

Reporter: She had private doctors, in fact, the Government has to investigate in this direction? For example, private doctors during the period, there will be other patients in the clinic, you will try to find ways to contact with those patients to see their situation?

Secretary for Food and Health Bureau : Please  Department of Health Dr Cheung explained that they were to follow up those contacts.

 Centre for Health Protection Consultant Community Medicine (Communicable Diseases): We are follow-up who has worked with private doctors and other doctors diagnosed patients who had the opportunity. Because of the time, the opportunity has passed for seven days, we will present the latest call to understand their situation, there have appeared a cold or other symptoms.

Reporter: eight contacts that whether people including her husband, children and patients in the ward at that time?

 Centre for Health Protection Consultant Community Medicine (Communicable Disease): Yes, that eight persons are also in Princess Margaret Hospital for observation, should be in their last contact with the patient, observed seven days if no symptoms to be regarded as no problem.

Reporter: What is the situation that eight people?

 Centre for Health Protection Consultant Community Medicine (Communicable Disease): they have no symptoms now eight, three (family) including the patient's husband and children, the other five had lived in the ward with her the same interval.

Reporter: commencement date, if there is no problem within seven days to be discharged?

 Centre for Health Protection Consultant Community Medicine (Communicable Disease): the last time they start to contact with sick seven days, may each have a little different.

Reporter: At present, the patient's condition serious, the fact that delayed diagnosis of bird flu, if found early, the patient's condition is not so bad as they are now? In addition, Dr. Liu Tuen Mun Hospital will recognize in this case there is negligence?

Secretary for Food and Health Bureau : I begin by saying that according to experts said, no sooner off the viral infection is drug, giving antiviral drugs, the effect should be better. Of course, each patient reacts differently to the virus, and some relatively minor, some are more serious. All in all, "sick to the shallow medicine" is on at any moment, so we think that if detected early, can cure early. Therefore, we present the event of suspected cases have also asked the HA to do more early HIV testing in this area, I hope If there were this to happen, we can reach them early and give appropriate treatment.

As for the question whether the level of Tuen Mun Hospital and so did the time being it is difficult to comment on the medical records to be made clear before they can. The most important thing is they all try to heal the sick, if the patient has enough time or severity of medical records, so they need her income was admitted for further examination, of course they do.

Reporter: be sure that the doctor was aware of the Tuen Mun Hospital, her blood in sputum?

Secretary for Food and Health Bureau : We are not sure he was ever considered that the patient may be infected with this disease.

Reporter: You just said that with Liu doctors, will now take steps to check what local patients to travel, or in particular a number of fever patients in isolation. These measures are not taken earlier, so this patient was not special treatment? Is it because has been a very long time, it had deteriorated in alertness?

Secretary for Food and  life and life: If this disease in the community or region has not appeared for some time, doctors thought it would be difficult the first time that the disease, so I just said that whenever we have the first case, all more difficult to diagnosis and treatment. Once such a case arise, I believe that health care workers will pay particular attention in this regard.

Reporter: a doctor, I would like to ask the patient the present situation, is deteriorating, there is no risk of death, how severe pneumonia, antibiotics are not effective, the need for intubation?

HA Chief Manager (Infection, Emergency Services): The patient is currently in serious condition, no need to intubation, but requires one hundred percent oxygen, taking antibiotics and Tamiflu treatment. She is currently in intensive care unit, the condition is of course a bit worse, but are closely observed, the doctor will then carry out other medical examination of her, especially the organ and so on.

Reporter: doctor, after the event, the HA has not the first time to understand, why did not the Tuen Mun Hospital found that patients with avian influenza viruses?

HA Chief Manager (Infection, Emergency Services): before we upgraded to serious levels, still alert, or in general, will be to examine patients with pneumonia and given the right prescription, we now have the name After the patient's condition deteriorated after admission for her we also did some virus testing. Department of Health yesterday by  patient laboratory diagnosis, we have her transferred to Princess Margaret Hospital's infectious disease center.

Reporter: Why did the first time in her attendance did not find the virus?

HA Chief Manager (Infection, Emergency Services): We are general practice and practice at the time, are directed at community-based pneumonia, given some appropriate treatment. So the case for further analysis, we will later find out about.

Reporter: Is there time for her doctor to doctor understand the situation she was seeking medical treatment, or the HA will do this?

HA Chief Manager (Infection, Emergency Services): Tuen Mun Hospital will conduct a detailed analysis in this regard.

Reporter: has been done or going to do?

HA Chief Manager (Infection, Emergency Services): Hospital will do.

Undetermined source of infection of viruses or turn "invisible"

[2010-11-18]

。 Hong Kong's Wen Wei Po (Reporter Yuan Boen) confirmed the latest cases of bird flu is not yet determined the source of infection in Hong Kong or the mainland, because the two have recently found an outbreak, an infectious disease experts believe that bird flu or have been converted to the "invisible virus ", even if the chickens can not develop the disease and the outbreak of disease, can cause hard to detect, and to remind the winter is the peak of bird flu, people should minimize contact with birds. Hong Kong bird flu virus opportunities to low-explosive HKU Centre for Infectious Diseases, Ho Pak-leung, director pointed out that over the years no local cases of avian influenza occurs, the mainland released the recent outbreak of bird flu found no signs of confirmed cases in Hong Kong believe that this is very likely to be sporadic cases. He said that at present whether the first variant of the virus, and close contact with the patient's situation. 。 In his view, the Hong Kong market "clear day" policy need not be changed temporarily, and without destruction of farm chickens. 。 He continued, very low chance of bird flu virus, the patient had no family members and roommates of patients have symptoms of infection, no cause for undue worry. LO: chicken infected asymptomatic 。 Infectious diseases specialist Lo Wing-lok said that avian flu every winter are the peak period is mainly transmitted between birds, over the past few months, China had no cases of human illness, he believes, needs the vaccination of poultry, or bird flu that turned "stealth virus" infected chickens have no symptoms. LO to remind the public should avoid contact with poultry. 。 WHO data, confirmed human cases of avian flu, from 2006 peak of 115 cases, and gradually down to the 39 cases so far this year. 。 Since 2003, the mainland's cumulative cases of bird flu confirmed 39 cases, most cases in countries of Indonesia, accumulated 170 cases.

Shanghai authorities that work closely with the Hong Kong avian patients are not feeling symptoms of

18.11.2010 21:13
The first seven years in Hong Kong were infected with H5N1 bird flu confirmed fifty-year-old woman, continues to infectious disease center in Princess Margaret Hospital, isolation and treatment, her lungs are affected on both sides, the situation is serious, female patients had late last month, three out of Shanghai to visit the son of a local; the Shanghai Health Bureau said that the family had contact with patients and restaurant workers, are currently without symptoms will continue close observation, while patients will stay at the hotel around the markets, the investigation, in addition to , Shanghai difficult to start this month, avian flu, pneumonia and atypical pneumonia of unknown causes such as a key prevention and control.

Department of Health: 8 people in close contact with the H5N1 influenza A negative

2010-11-18 HKT 20:24

Department of Health test results showed eight cases with the H5N1 influenza virus in close contact with people who were negative for influenza.
The eight persons, including three family members of patients with and worked with patients in Tuen Mun Hospital the same ward of the five patients, who are currently in the Princess Margaret Hospital for isolation.

The 59-year-old woman infected with H5N1 patients still in hospital in serious condition.

Bind the CHP hotline began yesterday, as the evening received a total of 18 members of the public inquiries.

Florida woman diagnosed with cholera after return from Haiti
.Related Content
Cholera symptoms and treatment BY FRED TASKER
Ftasker@MiamiHerald.com
A Collier County woman who traveled to visit family in Haiti's disease-stricken Artibonite Valley has become Florida's first local case of cholera transmitted from the beleaguered country, where the disease has killed nearly 1,000 and hospitalized more than 9,000.

``She's doing quite well,'' said Dr. Thomas Torok, a cholera expert in the Florida Department of Health's Bureau of Epidemiology. ``Additional cases are under investigation in several counties.''

Torok declined to identify the woman, except to say she does not work in a job that puts her in close contact with the public, so the chance that she might pass on the disease is very small. He said she returned from Haiti about a week ago showing cholera symptoms, and the Collier County Health Department confirmed the case and sent samples on to the U.S. Centers for Disease Control and Prevention in Atlanta for further testing.
HATTIP ALERT

Haiti - Epidemic : Violence endangers humanitarian aid in North

17/11/2010 13:28:53

The humanitarian community in Haiti calls for an immediate end to violent demonstrations in Cap Haitien, which are seriously hampering the humanitarian response to a rapidly escalating cholera outbreak in the area.

Speaking on behalf of the humanitarian community, Humanitarian Coordinator Nigel Fisher said that while supplies in Cap Haitien run low, medical staff are overwhelmed and cholera mortality climbs, the security situation is preventing vital supplies from reaching those there to help. The Nord Department is currently experiencing a case fatality rate of 7.5% - the highest in Haiti.

"We call upon all involved in these clearly orchestrated demonstrations to stop immediately so national and international partners can continue to save lives with our response to the cholera," said Mr Fisher. "Every day we lose means hospitals go without supplies, patients go untreated and people remain ignorant of the danger they are facing. It is vital that everything possible is done to contain this outbreak in Cap Haitien while we still can - but this is very difficult in the current environment."

So far, the UN has been forced to cancel flights carrying soap, medical supplies and personnel to Cap Haitien and Port de Paix. On the ground, Oxfam reports suspension of a project to chlorinate water for 300,000 people in slum areas, the World Health Organisation (WHO) has halted training of medical staff in cholera response and a World Food Programme (WFP) warehouse has been looted of 500 metric tonnes of food and burned. Road blocks set up by demonstrators are also hampering people from getting to hospital.

"We condemn without reservation the attack on the WFP warehouse, and the looting of such life saving supplies," added Mr Fisher. "We call upon all who perpetrate such acts to remember that such supplies and the urgent work to combat cholera are the difference between life and death for everyone affected by this epidemic."

President Rene Preval has sent yesterday Tuesday, a high-level government delegation consisting of Ministers of Interior and Local Authorities, Paul Antoine Bien-Aimé, Public Works, Transport and Communications, Jacques Gabriel, Public Health and Population, Alex Larsen, Agriculture, Natural Resources and Rural Development, Joanas Gué, the Minister Delegate to the Prime Minister, Joseph Jasmin, and the Director General of National Police of Haiti, Mario Andresol to take steps to normalize the situation.

In Haiti, Frustration Boils Over as Riots Disrupt Efforts to Contain Cholera

REPORT AIR DATE: Nov. 17, 2010

SUMMARY

The number of cholera deaths in Haiti climbed to 1,100 as riots broke out in two northern cities. Gwen Ifill speaks with Miami Herald Caribbean correspondent Jacqueline Charles in Port-au-Prince, who says that the unrest is hampering efforts to contain the spread of the epidemic.

Cholera case in Florida is no cause for alarm, officials say

Cholera spreads via unsanitary water. A man in Port-au-Prince, Haiti, collects water from a river strewn with waste. (Emilio Morenatti / Associated Press)

Times

7:40 p.m. CST, November 17, 2010

Cholera poses big risks in places with poor sanitation and little access to clean water. That’s why Florida health officials say there's little cause for alarm over the first cholera case reported in their state since the deadly outbreak in Haiti.

A South Florida Sun Sentinel story says the state confirmed Wednesday that a woman returning from a visit to Haiti had been hospitalized with cholera. "We don't anticipate we will see any transmission as a result of exposure in Haiti in Florida or anywhere else in the U.S. … because our water and sanitation system minimizes the risk," Dr. Thomas Torok, a disease investigator with the state's health department, said in the story.

A second case of cholera outside Haiti also was reported Wednesday. The Dominican Republic, which shares a border with Haiti, took swift action to curb an outbreak in that country, says a Los Angeles Times story.

The disease marked by acute diarrhea and dehydration can kill quickly if untreated. To date, at least 1,100 people have died in Haiti since the outbreak last month spread from the country to the capital Port-au-Prince. Here's what the Centers for Disease Control and Prevention has to say about the cholera spidemic in Haiti.

H5N1 bird flu confirmed 59-year-old woman in serious condition last night, transferred from Tuen Mun Hospital, Princess Margaret Hospital.

7 years, first in Hong Kong H5N1 avian influenza infection in women rose to a serious level

2010/11/18 09:05





7 years in Hong Kong confirmed the first H5N1 bird flu, the patient is a 59-year-old local woman in serious condition last night by the Tuen Mun Hospital intensive care unit, transferred to Princess Margaret Hospital for isolation and treatment of infectious diseases continue to be central. She had visited the Mainland market in Tuen Mun Yan Oi Street, the response level has been rising in Hong Kong "serious" inter-departmental meeting was held today to discuss further action.

"Sing Tao Daily" reported that the Food and Health Secretary York Chow said yesterday that a return to Hong Kong from the Mainland, 59-year-old woman was diagnosed with the infection of H5N1 avian influenza. Patients 23 to 10 between 1 month, and her husband and daughter to the free exercise of way to Shanghai, Hangzhou and Nanjing travel from Shanghai three times, the occupancy family housing in the mainland, and visited local markets and chicken However, there is no contact with live poultry during the period, nor to the farm, returning home after the patients had to Tuen Mun Yan Oi Market Music.

1 month, returning the following day in patients with onset of runny nose symptoms, followed by disease and persistence of fever, cough and phlegm and yellow and with bloodshot eyes, she has consulted private doctors and Accident and Emergency Department of Tuen Mun Hospital for treatment, but her condition did not improve and, ultimately, on the 14th by the Accident and Emergency Department of Tuen Mun Hospital admission was initially diagnosed as pneumonia, the hospital medical ward with patients in hospital, and quarantine and antibiotic treatment. As the situation continued to deteriorate after admission, the patient transferred to the intensive care unit two days later.

Dr Chow said, until yesterday at 5 pm and the University of Hong Kong Department of Health laboratory confirmed the H5N1 influenza infection patients. Now in serious condition and pneumonia in patients with symptoms, the doctor has prescribed Tamiflu and Relenza two kinds of antiviral therapy. 7 pm last night were transferred to Princess Margaret Hospital by ambulance, to 8 pm by the medical staff wearing full protective clothing, brought infectious diseases intensive care center building treated in isolation.

Controller, Centre for Health Protection, said authorities are tracking close contact with patients who had. Department of Health said the 60-year-old husband, the patients had runny nose and cough with phlegm symptoms, but has recovered, her husband and daughter after inspection, no bird flu symptoms. And has worked with patients hospitalized in the same ward of the five patients, has not being unusual, it is believed that the risk of human to human transmission is not high, the Administration will continue to closely monitor and test.

Dr Tsang pointed out that the H5N1 influenza can lie dormant for up to two weeks, because most of the time the week before onset in the Mainland, it is considered more likely to imported cases, but the patient developed symptoms return day later, temporarily unable to rule out a local infection cases.

Patients had to have markets in Tuen Mun Yan Oi live chicken stalls two steps, the department mission yesterday wearing full protective clothing and wearing masks of the cleaners to clean the markets. As for the female patient home Ting Ting Fook House  yesterday with the department staff to clean around the ground floor windows and entrance of the building.

Dr Chow added that the Hong Kong authorities have been alert response level rose by a "serious", and World Health Organization has reported, and informed the Mainland authorities for follow up. Weisheng Bu attaches great importance to the State, and has notified the Agriculture, Inspection and Quarantine and other relevant departments, requiring Shanghai, Jiangsu, Zhejiang and other places such as health departments for the prevention and control of epidemic monitoring. Dr Chow said the event will be held today, inter-departmental meeting discuss further action. He said the response level on behalf of Hong Kong, the Mainland and those who travel travel increased risk of infection, the mainland will strengthen the monitoring of chickens to Hong Kong, to enhance the testing chickens at Man Kam

Hong Kong is now 7 years first human case of bird flu infected inter-departmental meeting today should call

At 08:26 on November 18th, 2010


Patients with confirmed avian influenza infection have been to Chi Lok Yan Oi Market in Tuen Mun, the department that is sent to the market to enhance cleaning. Source: Hong Kong's Wen Wei Po

Xinhua People's Daily November 18 to 7 years in Hong Kong confirmed the first human infection with H5N1 avian influenza. A 59-year-old woman with family travel to Shanghai, Hangzhou and Nanjing, the week after returning fever, bloody sputum and other symptoms, yesterday confirmed avian influenza and pneumonia, the current serious condition. Food and Health Secretary York Chow, in patients with the incubation period between Hong Kong and the Mainland, or the failure to identify an imported case of local infection.7 people have close contact with patients are subject to monitoring, the patient had runny nose and other symptoms of her husband, has recovered. The Government yesterday flu response level immediately raise the alert to serious inter-departmental meeting will be held today to discuss countermeasures.

According to Hong Kong's Wen Wei Po reported, Director of the Centre for Health Protection, Thomas Tsang, said on 23 patients with her husband and daughter arrived in Shanghai departure, and later went to Hangzhou and Nanjing, Shanghai and staying in the home of friends. 1st of this month were returned the next day that is continuing runny nose, 5 more fever and cough, and sputum with blood, went to Tuen Mun Hospital patients did not improve, admitted to Tuen Mun Hospital on Sunday, yesterday transferred Infectious Disease Centre at Princess Margaret Hospital for isolation treatment. University of Hong Kong Department of Health and the laboratory test results showed that patients infected with H5N1 bird flu confirmed.

Dr Tsang pointed out that the patients visited the Mainland market and eating chicken, but no contact with chickens, returning home after the music has to Tuen Mun Yan Oi Market. The H5N1 avian influenza incubation period of two weeks, usually within a week the disease, most of the time the week before onset living in the Mainland, it is a greater chance of an imported, but also can not rule out a local infection. The Administration is now the virus for further testing, analysis of genetic sequencing is indeed the source of the virus.

60-year-old husband of patients had runny nose and cough with phlegm and other symptoms, has recovered; his daughter had no symptoms. In addition, patients in Tuen Mun Hospital, the same room five patients had no symptoms, yet found that "human to human transmission" of the situation, but will closely monitor the situation and testing.

Last night the authorities had sent for cleaning to the Yan Oi Market, Dr Chow pointed out that the implementation of live chickens in markets "clear day" policy, not further sample testing. Hong Kong has confirmed in response to human avian influenza infection, the response level immediately to raise the alert to severe, and cases reported to WHO, was held today, the event will also implement the monitoring of inter-departmental meeting. Dr Chow said the chicken is the main source of spread of avian influenza, the Government will immediately stepping up enforcement at the border and the wholesale market chickens to Hong Kong, but also appealed to local farms to strengthen the monitoring, testing will also increase the mortality of migratory birds.

Dr Chow said that the Mainland a recent human cases of H5N1 avian influenza, in June of this year occurred in Hubei Province; and Hong Kong on a human case, a 2003 case from Shantou input.

Woman infected with H5 virus

November 17, 2010

The Government has upgraded its response level for influenza pandemic to 'serious' as a 59-year-old woman is confirmed to have been infected with H5 influenza A virus after a trip to the Mainland.

Secretary for Food & Health Dr York Chow today told reporters the patient is in serious condition with pneumonia symptoms and will be transferred to Tuen Mun Hospital's intensive care unit.

She travelled to Nanjing, Shanghai and Hangzhou with her family from October 23 to November 1, and visited local markets and consumed chicken but did not have any contact with live poultry contact nor visit farms during her stay on the Mainland. She came down with flu symptoms the day after returning and her condition has deteriorated. Her 60-year-old husband also had symptoms but has recovered.

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As she went to Yan Oi Market in Tuen Mun after her return, the Government will conduct more tests to confirm whether it is a local or imported case.

The Government has notified the Mainland authorities of the case and will inform the World Health Organisation. It will strengthen disease surveillance, and enhance monitoring of wild birds and chickens in local farms and from the Mainland. So far no problems have been found in local chicken farms and wholesale markets.

"A steering committee meeting involving other concerned bureaus and departments will be held tomorrow to review the situation and plan for further actions, if required."

Centre for Health Protection Controller Dr Thomas Tsang said the centre will monitor the condition of the patient's family members and the five patients who shared her hospital cubical.

7 years in Hong Kong is the first human bird flu cases reported no abnormalities of his family

At 04:50 on November 18th, 2010

Morning News 7 years in Hong Kong yesterday confirmed the first case of human infection with H5N1 highly pathogenic avian influenza, the patient is a 59-year-old local woman in Hong Kong, is currently hospitalized in isolation. Patients had late last month in Shanghai, Nanjing, Hangzhou, travel, went to the local market, returned to Hong Kong on November 1 and 4 after onset, 14 hospitalized patients with no abnormal symptoms of the families in Hong Kong reported.

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Information Office of the Ministry of Health news release yesterday, according to the Hong Kong Department of Health Bulletin, November 2 in patients with runny nose and other symptoms appear; November 14 hospitalized with pneumonia in Hong Kong; November 16 transferred to the intensive care unit.

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November 17, the Hong Kong Centre for Health Protection of the respiratory tract specimens for laboratory testing, the results showed positive for H5N1 virus nucleic acid.

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On the same day, the cases were diagnosed confirmed human cases of highly pathogenic avian influenza infection.

。

October 23-November 1, the patient had with his family to Shanghai, Nanjing and Hangzhou tourism. No recent contact with poultry in patients with history of the readme.

。

Hong Kong has been briefing the World Health Organization, and in close contact tracking and tracing infections and so on. The Ministry of Health has asked the Shanghai, Jiangsu, Zhejiang and other local health departments, in accordance with the relevant plans for monitoring the epidemic prevention and control work to do.

。

Human infection with highly pathogenic avian influenza H5N1 type of influenza virus from the infection. University of Hong Kong Centre for Infectious Diseases, Ho Pak-leung, director pointed out that the bird flu virus is very low risk of human to human transmission, even if not immediately after returning the patient to hospital, was in community activities, I believe with patients who have social contact did not affect large.

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Infection in the world no one has sustained human to human transmission of highly pathogenic avian influenza reported.

February 2003, the Hong Kong H5N1 avian influenza virus infected two people, one person died.

Hong Kong launched the "Serious Response Level" measures to deal with 7 years of the first cases of bird flu person

http://www.sina.com.cn 2010年11月18日06:50

。 Hong Kong on the 17th since the February 2003 recognized since the first case of human bird flu cases of H5N1 virus. Hospital Authority spokesman then announced that the Authority will cope with the Government of an influenza pandemic contingency plan anti-infection control measures in public hospitals activated the "Serious Response Level" implementing a series of strengthening the surveillance and infection control measures.

The spokesman said Hong Kong Hospital Authority will strengthen the monitoring of suspected and confirmed cases and strengthening the existing notification mechanism. In addition, emergency rooms and general out-patient triage will be in accordance with established guidelines for high-risk patients, and according to clinical need to arrange testing.

。 Earlier in the day, Hong Kong SAR Government Secretary for Food and Health York Chow said at the end of last month, a 59-year-old had visited the Mainland in Hong Kong woman confirmed bird flu virus, but not able to determine which are imported or locally infection. 据新华社 According to Xinhua News Agency

Bird flu in Hong Kong to Shanghai and other places no one has to-human transmission cases

at 4:47 on November 18, 2010 I informed one case of Hong Kong bird flu patients who went to Shanghai, Nanjing, Hangzhou Tourism

Reporter learned from the Ministry of Health, Department of Health yesterday informed case of human infection of highly pathogenic avian influenza. Patients had to Shanghai, Nanjing, Hangzhou, tourism, the Ministry of Health attaches great importance to agriculture has been informed of the situation, Inspection and Quarantine and other relevant departments, and has asked the relevant city health department, in accordance with the provisions of relevant plans, good surveillance, etc. prevention and control.

Patients, female, 59 years old. November 2, patients with symptoms such as runny nose; November 14, hospitalized with pneumonia in Hong Kong; November 16, transferred to the intensive care unit treatment. November 17, the Hong Kong Centre for Health Protection of the respiratory tract in patients tested showed positive for H5 virus nucleic acid. The same day, the cases were diagnosed in Hong Kong Health Department confirmed human cases of highly pathogenic avian influenza infection. Currently, patients are treated in isolation in Hong Kong the local hospital.

October 23-November 1, the patient had with his family to Shanghai, Nanjing and Hangzhou and other tourism. No recent contact with poultry in patients with history of the readme. Family members of patients in Hong Kong has been under medical observation, no abnormal symptoms reported. Hong Kong Health Department has informed WHO of the situation and is in close contact tracking and tracing infections and so on. Xinhua News Agency

Everyone there is no spread of bird flu cases

The public need not panic, do not travel to affected areas, do not touch with the live poultry

Last night, the reporter to contact the Health Department of Jiangsu Province, the Municipal Health Bureau, the city of CDC's experts, were followed up.

At 22:53, the reporter learned of this and immediately call the Nanjing Health Bureau spokesman Landing Marine, you can phone display off. 23:20, the phone is still off.

"Do not know about this matter," 22:54 last night, the city health bureau head Lu Xiaojun Disease Control Department, told reporters on the epidemic reporting, must Jiangsu Province Health Department, "is not the right city." But Lu Xiaojun told reporters, "This disease does not infect humans are."

When a reporter tried to say that the more messages Lu Xiaojun, he said, "or through the provincial health department right."

At 23:19, the reporter contacted the Office of Disease Control Department, Jiangsu Province, Wu Honghui Director of Health, he said, "Even if the message to the Health Department of Jiangsu Province, that the first to know only the emergency office. I am afraid I have not heard of. "

Then, 23:23, the reporter called the Health Department of Jiangsu Province, deputy director of Chen, he said that the message has not been relevant, "even if it was true, we are the contingency plans, Jiangsu Province, very mature, do not worry." Deputy Hall Chen Long also said that once the Provincial Health Department has information, will be the first time to the public the latest situation.

"People infected with highly pathogenic avian influenza, avian influenza viruses from some subtypes of some strains such as H5N1, H7N7 and other acute respiratory infectious disease caused by the human." Infectious Disease doctors in a hospital in Nanjing, told reporters, infectious The major source of infestation or bird flu virus in chickens carrying the avian flu and other poultry, the world's people infected with highly pathogenic avian influenza is not sustained human to human transmission reported.

The doctor said, of any age are infected with a possibility, but children under the age of 12 higher incidence of serious condition.

"People infected with highly pathogenic avian influenza occurred in the winter and spring," the expert also said that in recent years, especially the H5N1 subtype of avian influenza avian influenza situation in humans have repeatedly occurred in the number of infections tended to increase, concern.

In prevention, the experts suggested, the public need not panic, but recent changes to the weather, keep warm and enhance their immune system, do not travel to affected areas, not with live

1 case of H5N1 in Hong Kong found that bird flu had been to Shanghai and Nanjing

At 07:04 on November 18, 2010
Xinhua BEIJING, Nov. 18 message, according to the Information Office of the Ministry of Health, the Hong Kong Department of Health informed that, in November 17, Hong Kong SAR found a case of human infection with highly pathogenic avian influenza.

It is reported that patients were female, 59 years old. November 2, patients with symptoms such as runny nose; November 14, hospitalized with pneumonia in Hong Kong; November 16, transferred to the intensive care unit treatment. November 17, the Hong Kong Centre for Health Protection of the respiratory tract specimens for laboratory testing, the results showed positive for H5 virus nucleic acid. On the same day, the cases were diagnosed in Hong Kong Health Department confirmed human cases of highly pathogenic avian influenza infection. Currently, the patient is in Hong Kong the local hospital for isolation and treatment.

October 23-November 1, the patient had with his family to Shanghai, Nanjing and Hangzhou and other tourism. No recent contact with poultry in patients with history of the readme. Family members of patients in Hong Kong has been under medical observation, no abnormal symptoms reported. Hong Kong Health Department has informed WHO of the situation and is in close contact tracking and tracing infections and so on.

The Ministry of Health attaches great importance to agriculture has been informed of the situation, Inspection and Quarantine and other relevant departments, and has asked Shanghai, Jiangsu, Zhejiang and other local health departments, in accordance with the provisions of the relevant plans, disease monitoring, prevention and control work to do

SFH on human case of influenza A (H5N1)

***************************************
Following is the transcript of remarks (English portion) made by the Secretary for Food and Health, Dr York Chow, at a stand-up media session regarding a human case of influenza A (H5N1) at the West Wing lobby of Central Government Offices today (November 17):

Reporter: Is there a risk for a community outbreak right now? Will the passengers on the same plane be traced?

Secretary for Food and Health: According to our existing analysis, there is no sign of human to human transmission. Most of the H5N1 infections are now transmitted from poultry to human. So I think we have to first concentrate on the source of infection from the poultry as origin. Of course, we need to trace all the contacts that this patient has with particularly close contact. The risk of travelling together when she came back to Hong Kong without any symptoms is extremely slim. But we will be concentrating on people who were in contact with her when she showed symptoms and also when she was in Hong Kong.

Reporter: When can we say for sure that this case is an imported or local case?

Secretary for Food and Health: I don't think we can say for certain this is an imported case or local case. According to the authorities and also the World Health Organisation, the incubation period of influenza can be as long as about two weeks. And this patient has developed her first symptom one day after she arrived back in Hong Kong. So of course when you look at that, the chances of she catching it is most likely in Mainland, but you cannot really rule out whether that is in Hong Kong as well, because even within a day, sometimes the incubation can be as short as that. We try to rule out everything according to the other circumstantial evidence in terms of contacts and also the viral studies. The viral studies might be the best indicator whether this is a virus from more Northern part of China or in the Southern part of China.
(Please also refer to the Chinese portion of the transcript.)
Ends/Wednesday, November 17, 2010
Issued at HKT 20:17
Hattip Dutchy

..this is the translated part
FHB speaks influenza cases
******************
Following Secretary FHB CHP Dr Chow Dr Tsang today (November 17th) West Wing in CGO lobby cases to an met press Influenza transcript (Chinese part):

FHB Secretary: I announce today five p.m. DH has confirmed a female patient 59 infection H5N1. This patient in November 1st the incoming, November 5 fever pick enter Tuen Hospital. Tuen Hospital think she present seriousness pneumonia she situation may need shortly enter ICU.

We her, H5N1, today laboratory DH and HKU Laboratory also confirmed. Present we immediately alert level to "serious" Response Level This guidance based existing practice.

We provisional view case as "input" greater chance cases because day after patients return has symptoms; But nor exclude she may locally infection. According Tourist record she to Shanghai, Hangzhou Nanjing three round Shanghai in Local also wet markets her.

In Hong she living Tuen Mun also Tuen Mun District a markets so we homework this work Tuen markets some today immediately cleaning. Because this market stalls live chickens is "day clearance" Therefore has unable obtained any samples.

Here we also inform Mainland authorities hope they follow this incident temporarily her family no symptoms fever or pneumonia Therefore present, we think not any interpersonal transmitted crisis.

As virus itself situation is what virus there genetically changes or similar South or north virus, requiring further examinations will clear.

Also we strengthen particularly input local and wholesale markets chickens monitor testing while hope enhance this clean here we will spare work. Addition We will continue follow up how family patients and persons have contacted their health. Following I Please Dr Tsang (CHP Dr Tsang) re elaborate.

CHP: to patients contacts some intimate Our tracking situation consists two. Part is her family the patient fact her daughter husband to China mainland Secretary also said they visited Shanghai, Nanjing Hangzhou we have reach these contacts family then arrangements some tests them on admission inspection.

Intimate contacts Another is worked with this patient same room same hospital five patients initial contact them we found they did pneumonia symptoms close supervision we and do more them tests ascertain their whether infected.

Sum currently situation contacts nothing special abnormal we see initially signs human transmission.

Reporter: She visited Tuen Which Market?

CHP: Tuen Chi Lok benevolence Market.

Reporter: (relevant present outbreak avian risk)

FHB Secretary: We present put alert level to "serious" is think this region this risk course region including Kong and her Visited places including Mainland we will aspects improving vigilant well monitoring work doing present. For general public We always all advised Calls everyone when in contact poultry careful especially staff handling poultry including wholesale transportation and retail constituency; while persons to markets buy chicken also to compare careful. The patients Mainland infected or Hong infected we hope more tests this area see virus is similar Yangtze coast avian flu Or calendar Hong Kong particular our wild Laboratory birds or phoenix regard to virus similar. This regard need further tests can affirmed.

Reporter: She Mainland not contacted chickens itinerary ever been farms place? Mainland recently no outbreaks situation?

FHB Secretary: this Please Dr Tsang answer.

CHP: Our information preliminary patient husband mention her Some markets Mainland ever been also eating too chickens but details we need more understanding. As avian mainland situation We always have monitoring seems recent months no new cases we retrospective supremacy a H5N1 cases human infections in June in Hubei a cases. After no human infections.

Reporter: has received local farms irregularity?

FHB Secretary: We asked all farms No any abnormal situation. But course we hope they closer care their chickens. Wholesale will increase we inspections chickens inspection and sampling stool more samples.

Reporter: patient health How?

Secretary FHB: patient present serious she pneumonia and may shortly need enter ICU treatment. I understand doctors have given appropriate antiviral patients include two drugs antiviral One is "Tamiflu" other is "Relenza" Both used together.

Reporter: situation patient how anxious ... ... whether before pending treatment deteriorated?

CHP: or me more information. The return patient November 1, November 2 that day began some runny nose; with these symptoms sustained and comparative worsening; until November 5 fever while cough and bloody sputum. Tuen Hospital in November 14th receiver her hospitalization while her some treatment and isolation. She therefore first symptoms appear in November 2nd but progress because symptoms not fast not nosedive Which So to November 14th she only hospitalized.

Reporter: November 5-14 whether patients doctor during?

CHP: in November 12 She also once been Tuen Hospital was Hospital given her some drugs she home observation. But condition not improved Therefore she November 14 again Tuen Mun Hospital.

Reporter: to NDH?

CHP: this depth check need again but when she have done some checks. Addition preliminary information our She once seen a private doctor We are now Learn private doctors situation. Example patients go doctor that day or then illness how etc.

Reporter: She When Mainland? Whether participate tours?

CHP: her Mainland time is October 23rd then November 1 back Hong free exercise she no with regiment.

Reporter: November 2 to November 14th, she contact anyone there contact follow persons she?

CHP: this also our investigating main are concentrated intimate contacts because avian we know years spread very weak human transmission so unlike general influenza with like infectious. Present We mainly tracking some close contact persons she once such is living or conjunction utensils etc. Some intimate contacts.

Reporter: explain How long once more latency? Why This case not exclude incoming or belong by Mainland Local cases?

CHP: As spoken Secretary avian flu latency can up weeks. General, more within is disease week if we recall patient history her premorbid week some time or spent most Mainland but also fraction time in HK until example between in November 1st. So we trustworthy sake obtain more follow temporarily hope information especially virus analysis before Try defined is Local or imported cases.

Reporter: Market aspects what follow? Will special attention work there persons situation?

FHB Secretary: FEHD has instant cleaning the markets especially markets chicken stalls part. Because already Market chickens "day Nissin" measures So basically night no chickens exist. Therefore we not can follow chickens this situation especially her Go this Market has almost dozen recently Therefore unable virus through this follow up.

Reporter: She when to Tuen Market?

CHP: Our initial understanding She once early November been, probably November 2 or three day but aspects need revalidation.

FHB Secretary: ie before disease visited her.

Reporter: enhance level aspects measures? Will strengthen the port regard monitored?

FHB Secretary: Port regard still have fever tests we think that already quite sufficient important we hope follow this patient contacts problem. I believe important respect in chickens control feel nowadays avian until biggest risk are chickens body. Input we chickens Mainland and local farms including from Mainland Hong Man Kam also regular tests addition, wholesale also random checks additional we this checks number. Hong Kong entered winter began birds etc. increase we monitor situation phoenix will this aspects checks.

Reporter: increase checks much sample?

FHB Secretary: tomorrow will a interdepartmental I chaired meeting here we will further implement exactly how. Whilst look experts departments What advice.

Reporter: temporarily avian Will upgrading flu risk threat?

FHB Secretary: We improved level certainly think risk avian flu district not only Hong high because someone infected that anyone both people Mainland, or tourists have same risk we consider announced this respect need. We will to WHO (WHO) report.

Reporter: last there bird flu when?

FHB Secretary: should is two ○ ○ three years spring a input case a family from Shantou back infection.

Reporter: patient whether Shanghai visit Expo?

CHP: this need ask again more information know. Because first diagnosed Soon, some information need supplemented.

FHB Secretary: Our information she Shanghai living relatives home not dwelling hotel. She once been three places namely Shanghai, Hangzhou Nanjing every a place her visited will Back Shanghai time went she basically three Shanghai.

Reporter: Will further review central slaughtering policy?

FHB Secretary: present seems risk locally avian estimates chickens particularly No special increase. Course we continue monitoring long on one o'clock Research before see whether decision this respect. In monitoring chickens, we depends situation H9 how. Past we have announced since implement Market chickens "day Nissin" policy with H9 virus ratio reduced lot low so if carrying rate maintain We believe need revisit central slaughtering programs.

edited to add the five people in the same rooms did NOT have pnemonia but are under observation, and prolly tamiflu ,as the confirmed is taking tamiflu and relenza simutaneously

Babelfish translator by Alert gives the second statement as:

Another kind of intimate contact, was once with this patient in the identical hospital identical room five patients, we contacted them initially, detected that they did not have pneumonia's symptom, but we closely will also supervise, and made some tests for them, by determined that they whether or not received the infection.

which suggests that the Google translation might have missed a "not".

Thanks Alert!