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

5 June 2012 -The Centre for Health Protection of the Department of Health, Hong Kong, China, has reported a human case of avian influenza A(H5N1) virus infection.‪ The case is a 2 year-old male from Guangzhou City, Guangdong province. He developed symptoms on 23 May 2012 in Guangdong province and went to a private clinic in Hong Kong, China, on 26 May 2012. He developed febrile convulsion and was transferred to a hospital on 28 May 2012 and was laboratory confirmed as A(H5N1) on 2 June 2012. His condition remains serious and he remains hospitalized.
The mother brought the case to visit a wet market with live poultry in Guangzhou in mid-May 2012 and a live duck was bought and slaughtered in the market. Close contacts of the case have tested negative for the virus.‪ Evidence so far indicates that this is a sporadic case of human infection with A(H5N1) virus, with no secondary spread or clustering.
So far, a total of 22 human cases of influenza A(H5N1) infection were reported in Hong Kong, China, including 18 cases in 1997, two cases in 2003, one case in 2010, and the current case in 2012.

http://www.who.int/csr/don/2012_06_05/en/index.html

THAILAND-Illness not bird flu, army says

Illness not bird flu, army says

• Published: 5/06/2012 at 11:37 AM

It is not bird flu as first feared, but the illness that has stricken 15 soldiers in Uttaradit and put another 125 under observation was thought serious enough to close an army hospital to all outside patients.

Medical staff closely monitor soldiers being treated for an acute lung infection at the Phraya Phichai Dabhak Army Camp Hospital in Uttaradit yesterday. BOONNUM KERDKAEW

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Illness not bird flu, army says

It is not bird flu as first feared, but the illness that has strickened 15 soldiers in Uttaradit and put another 125 under observation was thought serious enough to close an army hospital to all outside patients.
The Phraya Phichai Dabhak Army Camp Hospital where the soldiers were being treated was put under quarantine after the 15 soldiers contracted a lung infection.

Hospital director Col Kuldanai Supim said the hospital is expected to reopen today, however, as the 15 affected soldiers had recovered steadily while test results showed the 125 others had not contracted the disease.

Several of the recovering soldiers are clearly feeling much better. BOONNUM KERDKAEW

Col Ram Rangsin, an epidemiologist attached to the army, said laboratory tests on the ill soldiers showed that the infection was caused by mycoplasma – a bacteria that can be contracted through sneezing or coughing or close contact with infected people.
Thailand already has a medicine – clarithromycin – for treatment of the disease, Col Ram said.

The doctor added the soldiers had not contracted any severe acute respiratory diseases such as bird flu, as had been feared and rumoured, he said.

The first case detected was that of Pvt Kittirat Meeplong, a native of Tron district. He was diagnosed with the illness on May 29.

A day later, three more army privates at the camp came down with the flu-like symptoms.

The soldiers had a high fever, sore throat and cough.
The Royal Thai Army Medical Department ordered 140 troopers and their trainers examined. It found that 15 of them had contracted the disease.

Adapted from a story in today's Bangkok Post.
http://www.bangkokpost.com/learning/easier-stuff/296656/illness-not-bird-flu-army-says

Hong Kong Consulate Message #H5N1 #BIRDFLU

Message for U.S. Citizens: Pandemic Influenza Warning

U. S. Consulate General Hong Kong
June 4, 2012

On June 2, Hong Kong's Center for Health Protection raised the Pandemic Influenza Warning Status from "Alert" to "Serious" in light of the confirmed avian influenza (H5N1) infection of a 2 year old boy who had traveled to Hong Kong with his parents from Guangzhou. Avian influenza is a type of Influenza A virus that mainly affects birds and poultry. Occasionally it can be transmitted to humans if a person has close contact with infected birds/poultry.

The boy appears to have been infected by the virus when he was exposed to live poultry at a Guangzhou wet market in mid-May. Neither the boy's parents nor his treating physicians have contracted the virus indicating that the case appears to be isolated and that human-to-human transmission appears unlikely.

Nevertheless CHP advises increased vigilance to prevent avian influenza, including heightened attention to the following measures:

• Avoid touching poultry, birds or their droppings, because they may carry the avian influenza virus; young children in particular should avoid exposure to live poultry.
• Wash hands thoroughly with liquid soap and water immediately in case of contact with poultry, birds or their droppings;
• Keep hands clean and wash hands properly;
• Cover nose and mouth while sneezing or coughing with tissue; if no tissue is available, cough or sneeze into upper sleeve or elbow. Don't use your hands. Dispose sputum or secretions wrapped in tissue paper into rubbish bins with lids. Wash hands with liquid soap and water afterwards;
• Build up good body resistance and have a healthy lifestyle. This can be achieved through a balanced diet, regular exercise, adequate rest, reducing stress and no smoking;
• Poultry and eggs should be thoroughly cooked before eating;
• Maintain good environmental hygiene;
• Maintain good indoor ventilation;
• Avoid crowded places with poor ventilation if feeling unwell;
• Seek medical advice if fever or respiratory symptoms develop.

More information on Avian Influenza is available at the Centre for Health Protection website. The CHP has also set up a public inquiry line @ 2125 1111.

For up to date information about the influenza situation, please consult the Hong Kong Centre for Health Protection's Daily Update of Influenza Situation, available on the Centre for Health Protection website.http://hongkong.usconsulate.gov/acs_wm2012060401.html

No bird flu mutation as tot fights on

No bird flu mutation as tot fights on

Mary Ann Benitez
Tuesday, June 05, 2012
The bird flu virus that left a two-year- old boy fighting for life in hospital has not mutated but health experts warn Hongkongers not to let their guard down.
Experts said the quick detection of the case means Hong Kong has the right system to catch in midtrack the deadly H5N1 avian flu - seen as a potential pandemic strain even before H1N1 swine flu emerged in 2009.
The boy, who caught the virus in Guangdong, remains in serious condition in the pediatric intensive care unit at Princess Margaret Hospital.
Doctors gave him the antiviral drug Tamiflu in a bid to save his life.
He was admitted for five days to a general pediatric ward at Caritas Medical Centre and treated for obstructive hydrocephalus - or water in the brain - before the H5N1 diagnosis.

He was then transferred to Princess Margaret Hospital and put in isolation while his Hong Kong father and mainland mother were quarantined.
Hong Kong health officials have asked the Guangdong authorities to monitor the boy's grandmother who lives with the family.
Children in the Caritas ward were among 80 people put on medical surveillance for 10 to 14 days. Others include doctors and staff at a private clinic in Mong Kok the boy visited and the ambulance workers who transferred him.
The toddler caught bird flu when a duck that his mother bought in a Guangzhou wet market was slaughtered in front of them.
He also has an "atypical" presentation of hydrocephalus, which puzzled doctors, said Malik Peiris, professor of virology at the University of Hong Kong School of Public Health.
Gene sequencing analysis announced last night by the Centre for Health Protection found the H5N1 that infected the boy belongs to the dominant strain - clade 2.3.2.1, the same one as isolates from wild birds detected this year and last, and in an imported human infection case in late 2010.
University of Hong Kong professor of virology and gene sequencing expert Guan Yi said the strain has been detected in Hong Kong, the mainland, Mongolia and Eastern Europe.
The center added that the genes are of avian origin and there is no evidence that the strain is resistant to Tamiflu.
Peiris said: "I don't think we can remain relaxed, we should remain vigilant about H5N1.
"We know this virus remains endemic and established in poultry in many countries all the way to Bangladesh, India, Indonesia, Vietnam Cambodia, Guangdong and other provinces, infecting poultry and humans."
Although the virus can be transmitted to humans, this one case "does not dramatically change the situation one way or the other," Peiris said.
Bird flu measures in Hong Kong are still effective and people do not have to worry about eating poultry within the territory, he added.
"But people should be careful of going to live poultry markets when they travel overseas especially to endemic areas."
Nasopharyngeal aspirates taken from the boy's parents and five contacts who reported respiratory symptoms tested negative for influenza A (H5). Health authorities have received 20 inquiries from the public on hotline 2125-1111.
http://www.thestandard.com.hk/news_detail.asp?we_cat=4&art_id=123110&sid=36614033&con_type=1&d_str=20120605&fc=1

Children with avian influenza situation remains serious, Guangdong 26 contacts no abnormal

 2012-06-04 08:31

 
 Guangzhou Taihe livestock wholesale market, managers said it would conduct daily stop disinfection in the 10th, the 11th, for the time being is not necessary expertise to take disinfection measures. Southern Reporter Liu photo
Southern News boys condition released yesterday, the Hong Kong Department of Health Centre for Health Protection confirmed avian influenza: the boy was still in the Princess Margaret Hospital for isolation and treatment, the situation remains serious. Guangdong Province Center for Disease Control said 26 contacts within Guangdong no fever and other flu-like symptoms, and incidence from the boy has been 11 days, so that the urban area of ​​Guangzhou low possibility of human avian influenza cases. Hong Kong Ji boy still serious 2-year-old boy returning from Guangzhou recently been diagnosed to be infected with influenza H 5N 1 (avian influenza). Yesterday, Hong Kong Department of Health Centre for Health Protection on the boys' condition released. The boy is still Princess Margaret Hospital for isolation and treatment, the situation remains serious.
In order to prevent the spread of the epidemic, the Centre for Health Protection of Hong Kong Department of Health continue to contact who had contact with the boy, including two Caritas Hospital medical staff, they presented with respiratory symptoms but nasopharyngeal aspirate specimen influenza H 5 was negative.
The center epidemiological survey found that the boy had 20-22 May visit to the mainland, Anhui Province, during which there is no direct contact with poultry. He worked in mid-May to the live poultry market in Guangzhou near their homes. Hong Kong Centre for Health Protection has issued a letter to the districts of Hong Kong doctors to remind them to pay special attention to the patients served markets or contact with live poultry in Guangzhou.
Yesterday, the Southern reporter called Anhui Province CDC. Anhui Center for Disease Control Communicable Disease Control Branch official said, Because the boy is healthy, in Anhui Province and the absence of disease, so they do not have this epidemiological survey.
Guangzhou community human to human transmission risk is extremely low Yesterday, the chief expert of the Guangdong CDC, infectious disease prevention and control of the director Jianfeng said, boy fever has passed two weeks, in close contact with young boys as of yesterday 26 people who have not developed symptoms of fever symptoms Experts believe that the community of bird flu transmission risk is very low in the urban area of ​​Guangzhou.
Jianfeng introduced, 26 may be exposed to avian influenza virus of stakeholders, including: clinic for boys over the Guangzhou Children doctors and nurses, doctors and nurses, as well as South Park markets in the Second Hospital of Zhongshan poultry stall owners, the boy's grandmother and other . General avian influenza infection in humans, the incubation period ranging from one day to seventy-eight days, mostly in the infection of two to four days onset. As the boys a fever on May 23, is now 11 days, nearly two weeks, 26 people are fever and other flu-like symptoms, therefore, provinces, municipalities, disease control experts after research, basic very low risk of transmission of bird flu transmission in human cases of avian influenza that is, urban people in the urban area of ​​Guangzhou.
"Guangdong has been in the life bird flu monitoring this year, the current six months, also found no positive samples of human avian influenza, so the boy was infected with the avian influenza cases should be the case." Jianfeng said.
Guangzhou City CDC Renwang Ming said, dozens of close contacts in Guangzhou is not infected. Health professionals on the child's grandmother, contact your child's doctor, Meat Market staff have carried out human avian influenza throat swab paper testing and blood testing, the results were negative, CDC staff will continue to conduct dynamic monitoring. "
Macau flu level temporarily enhance Hong Kong's immigration boy infected with bird flu cases, and cause Macau alert authorities. Macao Health Bureau said yesterday that it found no birds or bird flu, temporary does not enhance the detection of immigration will not enhance influenza-level. Macau for nearly a week has been a collective of 10 influenza or EV 71 enterovirus infection, including prisons, nurseries, nursing homes, primary schools and so on.
 
Where the disease is still in doubt Past cases of human avian influenza in late autumn, winter and early spring temperatures lower, so why the boy will be the incidence in the summer heat? Guangzhou CDC Renwang Ming said, the all the incidence of human avian influenza situation in China's performance for the dissemination of its seasonal high incidence of properties is not obvious, is not surprising that similar cases in the summer heat season. "Before the child to be in Guangzhou, have been to Anhui, what and where disease is still in doubt."
Suspected the infection source is a duck Because boys had a history of live poultry exposure, ducks, and disease control experts suspect that the source of infection is a duck. Source of infection had more birds, chickens, ducks and other poultry infected with avian influenza virus different?
He Jianfeng, chief expert of the provincial CDC, said this case the source of infection may in Mainland China, Guangzhou is a high index of suspicion. "Ducks are not the same as with the other birds infected with avian influenza virus not develop the disease, it is the avian influenza virus reservoir host, is living with HIV. Part of the ducks infected with avian influenza virus does not die, while chickens infected with avian influenza virus will soon be die. "
Government initiatives
Southern Reporter yesterday learned from the Guangzhou Municipal Bureau of Agriculture At present, Guangzhou has organized veterinary experts to the prevalence of avian influenza in Hong Kong poultry markets boy visited to conduct epidemiological investigations, and epidemiological investigations within the city, and in the city's deployment to further strengthen the major animal disease prevention and control work. As of 18:00 yesterday, has not received the poultry unusual deaths and the outbreak of highly pathogenic avian influenza. June 2, the Guangzhou Municipal Bureau of Agriculture staff first boy been to Guangzhou Haizhu District, South Park Avenue farmers market survey from the monitoring of the situation, the market is still relatively stable. "He also said farms and wholesale markets, liquidity is relatively large, a larger volume, although the relevant departments in monitoring, but slip through the risk is relatively high. As for the boy whether the incidence of contact with poultry in Guangzhou, still under investigation.
Yesterday, the relevant departments of the Municipal Bureau of Agriculture has begun the farmers market traceability survey, Guangzhou City Animal Quarantine within has launched emergency investigation plan, all staff must be available 24 hours a waiting list. Yesterday morning, in three columns of the relevant departments of the Municipal Bureau of Agriculture, visited the the farmers market in the Haizhu District Baiyun District Panyu District, two large poultry wholesale market sampling, although the suspected incidence of boys had contact with ducks. However, due to the chicken to be highly susceptible and a larger volume, and blood sampling has begun to poultry such as chickens and ducks, especially the farmers market, Haizhu District, the sale of all poultry will be sampling. "From the current monitoring efforts, large-scale outbreak of avian flu is basically impossible." Experts say the Guangzhou City, in accordance with the relevant experience of the past sampling survey, and then carry out traceable, if the final diagnosis, will enter Fight link, but the outbreak of the highly unlikely.

http://nf.nfdaily.cn/nfdsb/content/2012-06/04/content_47156627.htm

Toddler Diagnosed With Bird Flu In Hong Kong

video in English

Created: 2012-06-04 10:05 EST

38

 

Hong Kong authorities have confirmed that a two-year-old boy has been hospitalized with the bird flu. Although the bird flu alert level has been raised to “serious”, health authorities are urging people not to panic.

The toddler is from Guangzhou in southern China and had been running a fever for weeks before his family took him to a private clinic in Hong Kong on May 26. After testing positive for the H5N1 Influenza A virus, he was placed in intensive care in the Princess Margaret Hospital. His parents have been quarantined there as well, although they tested negative for the virus.

Now the search is beginning for the source of the infection.

[York Chow, Secretary for Food and Health, Hong Kong]:

"A preliminary investigation showed that the boy went to a poultry market once with his mother. But within a radius of 13 kilometers from their home in Guangzhou, there is no such market. So we have to investigate further."

Protocol dictates that a 13-kilometer radius from the source of the infection will be declared an import control zone. Imports of poultry products will be suspended for 21 days.

Because of the high risk of infection, Hong Kong authorities are checking all those who may have had contact with the toddler. He spent five days at the Caritas Medical Centre before he was diagnosed with the bird flu and transferred to the Princess Margaret Hospital. Two healthcare workers there began to show symptoms, but later tested negative.

The bird flu is a potentially deadly virus with a 60 percent mortality rate, according to the World Health Organization.  http://english.ntdtv.com/ntdtv_en/news_china/2012-06-04/Toddler-Diagnosed-With-Bird-Flu-In-Hong-Kong.html

Hong Kong #H5N1 patient has 2.3.2.1. Strain #BIRDFLU

Boy avian influenza virus of avian origin2012-06-05 01:58 Source: Beijing Times
According to the latest information provided by the Xinhua News Agency Hong Kong Health Department's Centre for Health Protection on the 4th-old boy infected with the H5N1 avian flu cases, the boy infected with the virus by the end of 2010, one imported case of human infection with the virus the same as in the case .

CHP virus cultivate the boy's nasopharyngeal aspirate specimen for further testing, results showed that the virus of the H5 gene is 2.3.2.1 system, the same as the 2011 and 2012 viruses isolated from wild birds, but also with the end of 2010 an imported case of human infection with the virus the same as in the case. Centre for Health Protection, said that so far all the viral genes have been sequenced from the birds, and there is no evidence the virus resistance to antiviral drugs oseltamivir (Tamiflu).
The boy is receiving treatment at Princess Margaret Hospital for Children Intensive Care Unit, the current situation is still serious, and he appeared obstructive cerebral edema is still under investigation.


http://news.xinmin.cn/rollnews/2012/06/05/15016602.html

H5N1 death in Cambodia leads to HPAI discovery

 

//04 Jun 2012

Following the death of a 13-year old girl in the village of Pring from H5N1 on 26 May 2012, an investigative team from the Department of Animal Health was sent to village to sample the local chickens and ducks. Tests confirmed some samples were positive for Highly Pathogenic Avian Influenza H5N1.

The World Organisation for Animal Health (OIE) received a report from Dr Sen Sovann of the Ministry of Agriculture, Forestry and Fisheries in Phnom Penh that real-time PCR showed positive for the H5N1 virus, and that standard control measures are being applied.
To date, 740 local chickens and ducks have been destroyed from a susceptible population of 1,304.
The village Pring, is in the southern province (khaet)of Kampong Speu, Cambodia. The epidemic is on-going, and the source of the infection is unknown. The OIE will issue weekly follow-up reports.

http://www.worldpoultry.net/news/h5n1-death-in-cambodia-leads-to-hpai-discovery-10459.html

Further updates on H5N1 case

Source: Centre for Health Protection, Hong Kong PRC SAR, full text: (LINK).]

Further updates on H5N1 case


The Centre for Health Protection (CHP) of the Department of Health today (June 4) provided further updates on the Influenza A (H5N1) case involving a 2-year-old boy.

Further tests conducted by the Public Health Laboratory Services Branch of the CHP on the Influenza A virus isolate from the nasopharyngeal aspirate taken from the boy showed that the H5 gene of the isolate belonged to clade 2.3.2.1, which is the same clade as the isolates from wild birds detected in 2011 and 2012 and in the imported human infection case in late 2010.

So far all the genes characterised belong to avian origin and there is no evidence of resistance to the antiviral agent oseltamivir (Tamiflu).

The boy is currently receiving intensive care in the Paediatric Intensive Care Unit of Princess Margaret Hospital.

Investigation into the cause of his obstructive hydrocephalus is still under way. His current condition remains serious.

The CHP so far has kept some 80 contacts under medical surveillance.

Nasopharyngeal aspirates taken from the parents and the five contacts who reported respiratory symptoms tested negative for Influenza A (H5).

As at 5pm today, a total of 20 public enquiries have been received on the DH hotline (2125 1111).

The investigation is continuing.Ends/Monday, June 4, 2012
Issued at HKT 17:54

Hattip Giuseppe Michieli

Bangladesh Poultry vaccination plan triggers shock

Mon, Jun 4th, 2012 8:58 pm BdST

Nurul Islam Hasib bdnews24.com senior correspondent Dhaka, June 4 (bdnews24.com) – The government's move to vaccinate poultry against frequently changing avian influenza virus has 'surprised' experts because globally it is recommended not to use it for public health's sake. Experts say the available vaccines in the world have been able to reduce poultry fatalities for some time, but the vaccinated birds' capabilities to transmit the disease 'silently' after being infected caused 'massive' human mortalities. Indonesia, Egypt and Vietnam had been vaccinating poultries but stopped after an influx of human fatalities last year followed when the virus also changed its strain. Fisheries and Livestock Minister Abdul Latif Biswas on Sunday told journalists that considering poultry farmers' 'long-standing demand' the government planned to 'experimentally' introduce the vaccine. He said a committee had been formed to finalise the decision to that end. The Food and Agriculture Organisation (FAO) and the World Health Organisation (WHO) experts say they are 'surprised' by the move. Mat Yamage, Chief Technical Adviser to the FAO Avian Influenza Control Programme, told bdnews24.com that earlier they 'warned' the government against using vaccines. He said the situation where the vaccine once used was 'serious' and that 'there is no record of successfully controlling H5N1 with vaccines'. "We would strongly say it should be discussed with technical experts." Globally, it is recommended that poultry farms maintain bio-security to prevent the virus and government have measures for early reporting, rapid action, culling and surveillance to control avian influenza outbreaks. Yamage said once vaccinated, birds would not show the flu symptoms early. "It means the detection would be very difficult. But we need to detect it as early as possible to contain its spread." According to him, many people died even after Indonesia, Egypt and Vietnam –top three avian influenza-burdened countries – started vaccinating poultry. "It's because of silent infection," he said, "finally they had to stop vaccination." The FAO expert said they had a meeting recently with Indonesia, Egypt and Vietnam and discussed the problems. "They are concerned about how to get rid of their problems." He said bio-security was the most important measures to control avian influenza, but Bangladesh was not practising it. Last year Bangladesh witnessed 171 bird flu outbreaks in poultry. This year so far it recorded 21 outbreaks but Yamage said it did not mean the situation improved. "We found sick birds in the market. Trucks were found at check points carrying sick birds. "It means outbreaks are happening but remain under-reported." Prof Mahmudur Rahman, Director at the Institute of Epidemiology, Disease Control and Research (IEDCR), told bdnews24.com that during last month's conference in Ho Chi Minh City, Vietnam's experts told them 'not to start vaccination.' He said as four flu viruses –H1N1, H5N1, H3N2 and H9N2— was circulating in Bangladesh, silent infections might be 'devastating'. "Once (the four viruses) reasserted themselves, it will be a big threat." WHO influenza expert Dr ASM Alamgir said they never recommended a country to vaccinate its poultry against H5N1. "It's not the way to combat H5N1," he said, 'the virus is changing.' "Even in Bangladesh the present clade 2.3.2.1 is new. It was detected last year. Since 2007 clade 2.2 was circulating in Bangladesh." He said there is no vaccine in the world for the clade that currently circulates in Bangladesh. Coordinator of One Health Bangladesh Nitish Chandra Debnath said the vaccine would not be 'effective' in Bangladesh. "The virus has already changed its strain," he said, and "it will continue to change." "If it (the vaccine) is effective, then why would we oppose it?" He said the vaccine was not working but creating problems instead and added that it should be technically evaluated. The government has confirmed six human infections after the first case of H5N1 influenza was detected on May 22, 2008. http://www.bdnews24.com/details.php?id=225833&cid=13

2-year-old boy continued to stay in hospital isolation of avian influenza in serious condition

2012-06-03 HKT 3:29 p.m.

2-year-old boy continued to stay in hospital isolation of avian influenza in serious condition

。 2-year-old boy infected with the H5N1 influenza continue to be treated in isolation at Princess Margaret Hospital in serious condition. As of noon, the Centre for Health Protection received 10 public inquiries. 。 The center said that the boy had last month, 20-22 days to Anhui Province, during which there is no contact with poultry, but in the middle of last month visited a live poultry market near his home in Guangzhou. Department of Health continue to contact had contact with the boy to a total of 80 people, including Caritas Hospital, two health care workers appear to symptoms of respiratory infection, but negative for influenza testing. 。 Earlier, the boys' parents, two private clinics and patients to clinics, influenza test was also negative. http://translate.googleusercontent.com/translate_c?hl=en&ie=UTF8&prev=_t&rurl=translate.google.com&sl=auto&tl=en&u=http://www.rthk.org.hk/rthk/news/expressnews/20120603/news_20120603_55_845046.htm&usg=ALkJrhjcmabax9lnDG5GoQi1QC39_cTp3g

__________________

Boy triggers bird flu alert

 

2012-06-03 09:54

SOUTH China's Guangdong province is on high alert after a Hong Kong hospital confirmed it has admitted a two-year-old boy infected with the H5 strain of avian influenza.

The boy was taken to hospital on May 28 after arriving from Guangdong's capital city of Guangzhou. He tested positive for the H5 strain.

He was confirmed to have been in contact with a live duck between May 17 and 19 at a farmer's market in Guangzhou. However, tests conducted at the market, those nearby and a hospital in Guangzhou that admitted the boy, found no signs of H5, said He Jianfeng, director of the Epidemic Studies Institute of the Guangdong Disease Control Center.
He said the province has launched an avian influenza response plan.

http://english.eastday.com/e/120603/u1a6598296.html

VARIOUS HK #birdflu reports

Agriculture Department of Guangdong Province: The province is not highly pathogenic avian influenza

http://news.dayoo.com/guangzhou/201206/03/73437_24169462.htm

DOH delaying suspect due out in force to send Dr Lam Ping-yan

http://translate.googleusercontent.com/translate_c?hl=en&ie=UTF8&prev=_t&rurl=translate.google.com&sl=auto&tl=en&twu=1&u=http://orientaldaily.on.cc/cnt/news/20120603/00176_016.html&usg=ALkJrhjVyUlrNvwwP4mA_9b8V48h18tE9A

Epidemic prevention sing the most worrisome empty city unresponsive

http://translate.googleusercontent.com/translate_c?hl=en&ie=UTF8&prev=_t&rurl=translate.google.com&sl=auto&tl=en&twu=1&u=http://orientaldaily.on.cc/cnt/news/20120603/00186_001.html&usg=ALkJrhgVZ3ht0BivMbZd8HArIOquyxaIUw

..Back to his hometown in Anhui Province to Hong Kong immigration procedures. Back to Guangzhou, May 23, the boy developed a fever that day to Children's Hospital of Guangzhou City doctor, Second Hospital of Zhongshan on the 24th to the out-patient services. May 26, the boy returned to Hong Kong, the occurrence of seizures...

http://news.dayoo.com/guangzhou/2012...7_24168700.htm

Dyed bird Tong brain edema disease turn serious #H5N1 #BIRDFLU

Dyed bird Tong brain edema disease turn serioushttp://www.chinareviewnews.com 2012-06-03 09:16:27




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Guangzhou Haizhu District, South Park Avenue, downtown near his home in the infected boy, poor sanitary conditions of last night cleaning the streets of large plumbing.


The agency June 3 / silence two years of bird flu re-emerged in Hong Kong, confirmed the two-year-old boy infected with the H5N1 avian influenza continue to accept the isolation and treatment of infectious disease center at Princess Margaret Hospital yesterday, the situation from last night stable to serious, magnetic resonance imaging revealed that the boy obstructive cerebral edema.

 Centre for Health Protection has expanded the boys of the tracking range of contacts, in addition to the boys' parents, two clinic nurses and one went to the clinic seeking treatment need to go to Princess Margaret Hospital for examination, the center also track the boy had been admitted to Caritas Medical Centre to understand that hospital care and ambulancemen more than 80 people infected.Ming Pao reported that the Food and Health York Chow yesterday morning presided over a cross-sectoral avian influenza Steering Committee meeting, said after the government has started a serious response level of influenza pandemic contingency plan, a series of measures to prevent the spread of the virus. Zhou said that the infected boy is a local resident, have a residential address in Hong Kong. On 23 January in the Haizhu District, Guangzhou home fever, runny nose, after returning from medical treatment at private clinics, followed by cramps on the 28th to the Accident and Emergency Department of Caritas Medical Centre for treatment and admitted to hospital on the same day, a quick test and the kinds of bacteria confirmed the diagnosis avian influenza, and transferred to Princess Margaret Hospital Intensive Care Unit.Children with mother's Guangzhou market to buy duckXinhua quoted He Jianfeng, director of the Guangdong Provincial Center for Disease Epidemiology Institute, said the center received the Hong Kong Department of Health informed the day before yesterday, refers to the boy who lives in Haizhu District, Guangzhou, after receiving the information has been in contact with the boys family, his parents in Hong Kong The father is a Hong Kong people, the mother is from Anhui. Boy the week before onset (May 17 to 19), his mother had to take him to the Haizhu District, South Park Street Market, bought over a Tang ducks, so the boys have a history of poultry exposure.Ho said that the boy's mother back to Anhui to do the immigration card in 20 to 22, 23 Guangdong see boys fever, took him to Children's Hospital of Guangzhou City for treatment the boy of 26, returned to Hong Kong after the cramps suspected suffering from encephalitis, confirmed the H5 avian influenza.Had treatment "Tianyi" nurses are symptoms of a false alarmHong Kong Centre for Health Protection, said the boys' parents were asymptomatic nasopharyngeal aspirate samples were negative, showing the bird flu virus risk is minimal.The boy had attendances located near Prince Edward MTR Station, 748 Nathan Road, Ground Floor of the Sky clinics, two health care clinics and one patient had symptoms of respiratory infection, but samples of the three people were influenza A H5 negative. The clinic yesterday as usual, the nurses on a reporter's question to answer is not clear.Dr Chow said, whether it is in Shenzhen earlier cases of human infection or the AFCD dead bird testing about 20 samples, DNA arrangement there is no major gene changes, I believe that this number of cases is also transmitted from poultry. The Government hope that the study find boys routes of infection, with the Guangdong health authorities to a higher understanding of when and where the possibility of infection to determine the source before deciding on the scope of virus control.Dr Chow: gene variation should be avian-human transmissionDr Chow said the boy sick immigrants but served antipyretics, so border crossings may not be detected in the body temperature test. He said that the daily temperature checks will detect 10-20 high body temperature of passengers returning from overseas, Hong Kong people, border officers will check whether they are particularly medical records, including whether contact with poultry, or from special infectious diseases places. The majority of patients if no special symptoms, will be treated as normal influenza, requiring them to seek medical treatment immediately and seek care.The microbiologist cases of avian flu occurred in May and June, relatively rare, but Dr Chow said in recent years, a maximum of avian flu cases is hot in Indonesia and Egypt, Vietnam recently also the case, I believe that no direct relationship with the season. He said cases of human infection cases not directly related to temporary and poultry, it is temporary there is no need to the mainland for Hong Kong chicken farms to take measures.

http://www.chinareviewnews.com/doc/1021/2/8/9/102128914.html?coluid=2&kindid=0&docid=102128914&mdate=0603091628

26 close contacts of the boy had no flu-like symptoms

..26 close contacts no exception Jianfeng introduced, in accordance with the plan of the avian flu disease control departments of Guangdong Province, Guangzhou City, the CDC and the Haizhu District Center for Disease Control yesterday grouping, the boys' family, living quarters, been markets and surrounding markets, have been to hospitals and other places epidemiological investigation, no abnormal. Disease control departments have also analyzed the recent Avian Influenza Surveillance in Guangdong, and found no cases of avian influenza, pneumonia of unknown causes monitoring did not received the report. The boy's close contact with 26 people, including their families, admissions, such as doctors, are not found to have fever and other flu-like symptoms. For those in close contact with the disease control department will continue the monitoring of health status.
Do not rule out a separate case "Although the boys before the onset of live poultry exposure history, it can not determine in the markets of South Park Avenue to buy duck infected, the source of the boy's virus also further investigation." Jianfeng said that, in addition, contact with the boy with suspicious symptoms, do not rule out that he was only a single case has not yet been found.

South Park Market is not avian influenza, chicken stalls open for business.

http://nf.nfdaily.cn/nfdsb/content/2012-06/03/content_47097811.htm

W.H.O. Informed of HK boy

... The Government has been to the World Health Organization, the health sector in the Mainland inspection and quarantine departments informed of the case.Hong Kong University infection and infectious disease center, director of Ho Pak-leung said the past few years, from bird-human transmission of avian influenza in the Mainland and Hong Kong are generally in the winter, it is rare in May and June. But difficult to human to human transmission of avian flu at this stage, we should not speculate on whether the virus variants.
Boys' whereaboutsHis mother took him to been to AnhuiMay 17 to 19: the boys' mother with a live ducks bought in Guangzhou, a market, on-site slaughter, had a history of exposure of birds
May 20 to 22: the boys' mother back to Anhui to do immigration card
May 23 to 25: Back to Guangzhou, the boy developed a fever and runny nose, to the Guangzhou Children's Hospital doctor
May 26: to Hong Kong in Mong Kok Tian private clinics for treatment
May 28: convulsion symptoms, went to the Caritas hospital emergency department for treatment
June 2: Princess Margaret Hospital for intensive care treatment and diagnosis of infection with H5N1 influenza....
http://roll.sohu.com/20120603/n344668377.shtml

HK child possibly infected in Anhui #H5N1 #BIRDFLU

According to this story...The boy went with his mother to Anhui, Which is where he is now suspected of being infected He also attended a party for grandma's birthday.

  Quarantine officers of chicken stalls sampling

 。 [Cross-strait group of reporters] owned the two-year-old boy of the right of abode in Hong Kong infected with H5N1 avian influenza in the mainland came to Hong Kong, the authorities are still tracing the source of infection.  The reporter to Guangzhou pursued noted that the boy's mother late last month, bring the boys return to the Anhui home to apply to Hong Kong documents, suspect that the boy was infected with the virus in Anhui Province, but the news is yet to be confirmed.  Guangzhou Health and Quarantine Bureau yesterday sent to the investigation of boys' home near downtown seized chicken samples, and to strengthen the decontamination work, but the two ports in Hong Kong, Shenzhen yesterday there is no step up inspection measures.

Guangdong Provincial Health Department said, believe that the individual cases, not an outbreak.
  Haizhu District, Guangzhou informed sources, two years old infected boy last month, twenty to 22, and Wang mother had returned home Anhui, due to the king must apply for the certificates of arrivals during the boy suspected of having contact with poultry in the local after the mother and son returned to Guangzhou, the boy began to appear infected with influenza symptoms, but his mother and live-in grandmother, not as intended.  Boys after their mother's to celebrate grandmother birthday finally confirmed to have contracted the H5N1 avian influenza in Hong Kong was removed, seek medical attention.

    The public via the Lo Wu returned to Hong Kong, Shenzhen, Hong Kong is no enhance detection of temperature measures. （。 Guangzhou Haizhu District, the boy and his mother and grandmother living unit yesterday, the health personnel to the scene to conduct a thorough disinfection, the boys' grandmother also need to accept the blood tests...  more at link on stall testing and dirty conditions..

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Hong Kong H5N1 report

Avian invasion of another child deterioration

The deadly bird flu kill bury the body!
Nagai confirmed as infected with avian flu two years old Hong Kong boy was confirmed to have contracted the H5N1 virus, the condition is worsened by the Communicable Disease Centre of Princess Margaret Hospital isolation ward, transferred to the intensive care unit in serious condition, magnetic resonance obstructive cerebral edema.

。 Boys before onset of symptoms to contact ducks live poultry market in Guangzhou, the authorities still looking for the boy to the source of infection. 。 Experts of microbial-human transmission of avian influenza cases in May and June, were rare, and the virus will invade children and adults infected mortality more than half, and urged the public to be vigilant.

The boy and his parents and grandmother live in the Haizhu District, Guangzhou, Food and Health Secretary York Chow said the boy was sometimes followed his mother to buy food to the markets of Guangzhou, had gone to the local live poultry markets, the need to further investigate whether contact with live poultry or other source of infection.

The boy's parents are now available at the Princess Margaret Hospital for isolation, Mong Kok, private clinics, two health care workers and patients with one to the clinic seeking treatment of influenza A H5 virus tests were negative.
Incidence due to the boy came to Hong Kong, the cases classified as imported cases of viral gene sequencing will be completed within the CHP few days to a week, whether variants in the investigation virus. The boys in Guangzhou residence within 13 km radius supplied to Hong Kong live poultry farms, they will not affect the movement of live poultry supplied to Hong Kong, authorities known to the Mainland inspection and quarantine departments of this case.

Boy fever still bypass the detection at ports, Dr Chow explained that the boys are taking antipyretics, therefore may not be monitored, and the current daily ten to twenty passengers or the people of Hong Kong measured high temperature, such as they have no special symptoms, when influenza deal with infectious diseases is not just the temperature detection.

Dr York Chow, underestimate the seriousness of

He stressed that the No successor signs of individual cases is difficult to say whether avian influenza outbreak in Guangdong Province,. He added that although in the past occurred more frequently in the winter avian influenza virus, but human cases may not have a direct relationship with the seasons.
Successor cases of avian influenza in the Mainland in recent years, multi-occurred in December to February of this case in May and June appear rare circumstances, director of the Hong Kong infection and the Center for Infectious Diseases, Ho Pak-leung said. He pointed out that infection with avian influenza, whether children or adults, also have the opportunity to serious complications, the mortality rate of more than half.

As to whether there will be a large outbreak, the key is that the virus is completely poultry virus, or variant, resulting from person to person. He also pointed out that in December last year, a Mainland men infected with avian influenza virus in Shenzhen, unfortunately died, but the route of infection is unknown, coupled with frequent contacts between Hong Kong and frequently to the Mainland of the public to maintain personal hygiene, the children return to the Mainland should not take them from contact with birds or to the wet market.

Human cases of avian influenza, the general invasion of the lungs, causing pneumonia, this disease the boy was the virus from entering the brain, infectious disease specialist Lo Wing-lok, avian flu may invade the different organs, which is more common to invasion of the respiratory tract, there the opportunity to enter the spinal cord, thereby affecting the brain, patients may need surgery to reduce brain pressure.
Hotline set up by the CHP should this avian flu cases as of 4 pm yesterday, received six public inquiries.

PICS AT THE LINK
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Avian influenza Tong cerebral edema is a serious condition #H5N1 #BIRDFLU

2012-06-03CDC staff yesterday to Jiangnan East integrated market, the inspection of live chickens and poultry traders whether infected.
(Roundup) (Sing Tao Daily reports) are living in Guangzhou, diagnosed two years old infected with the H5N1 avian influenza in Hong Kong Tong yesterday condition worsened obstructive cerebral edema in serious condition. It is understood that one week before the boy disease had traveled to Guangzhou South Park Avenue, Jiangnan East market contact ducks, they had their mother to Anhui, authorities are tracking the source of infection. Children with parents, three related clinics, nurses and patients were not stained avian flu, authorities believe that human-to-human transmission to an insignificant risk. The supply of live chickens in Hong Kong temporarily unaffected.
Found in Hong Kong confirmed cases of H5N1 avian influenza, the Food and Health Bureau yesterday in conjunction with the Department of Health, Hospital Authority, FEHD and AFCD, convened the meeting of the influenza pandemic contingency plan for high alert, including stepped up inspection and imported live poultry inspection of local farms and collect samples for testing; hospital has implemented a series of strengthening the monitoring and infection control measures.
The two-year-old boy living with his parents in the Haizhu District, Guangzhou, Hong Kong residents, a fever and runny nose on the 23rd last month on the 26th of the same month in Hong Kong, to Mongkok Tianyi clinics for treatment, 28 again admitted to Caritas Medical Centre last night transferred to the Communicable Disease Centre of Princess Margaret Hospital for isolation and diagnosed with H5N1 influenza. Children with yesterday deterioration, magnetic resonance obstructive cerebral edema, now in intensive care in hospital in serious condition.
FHB Secretary York Chow said yesterday that, the child with his mother to live poultry markets in the Mainland. Know that last month he went to South Park Avenue, Jiangnan East market, during the boy's mother bought a ducks there, that is, the field of slaughter, I believe that the boy was in contact with bird duck.

The message refers to Children with also 20 to 22 last month, following the Anhui Ji mother returned to Anhui to handle one-way permit, and then back to Guangzhou, and then on the 26th to celebrate grandmother birthday. Authorities to the newspaper confirmed notice to Anhui Children with the source of infection what CHP is conducting epidemiological investigation to identify Children with the source of infection, mode of transmission.
Dr Chow also pointed out that Children with to Hong Kong before symptoms believed to be imported cases, but the source remains to be tracing to be determined to Children with by the source of infection, the 13 km radius of the source as import control district, to suspend imports the area of ​​live poultry and poultry products 21. "(The authorities) to understand clearly higher in the day or where the possibility of infection, we need to determine the source, in order to make a decision on the virus control range.
The authorities had arranged to be isolated for observation with the Children with their parents do not have any symptoms, the duo's nasopharyngeal aspirate specimen test was negative for the H5N1 virus.

Children with have sought medical treatment, Mong Kok, the Tianyi clinics two 29-year-old, and 31-year-old female nurse, and a 25-year-old female patient waiting in the clinic on the same day, had a runny nose and cough upper respiratory tract infection symptoms, the day before was admitted to Princess Margaret Hospital for examination also confirmed that the H5N1 negative reaction has been discharged.
Dr Chow stressed that human cases yet to see signs of human-to-human transmission, Children with near his home in Guangzhou within 13 km radius, there is no supply to Hong Kong's live poultry farms, and not directly related to temporary poultry supplied to Hong Kong, necessary at this stage Mainland live poultry imports is prohibited. Questioned the port of entry unable to detect Children with fever, Zhou explained that the boy entry of illness, but are taking antipyretics.http://news.sina.com.hk/news/5/1/1/2680601/1.html