Wednesday, December 18, 2013

CIDRAP: China reports first human case of H10N8 avian flu

December 17, 2013
Excerpt:

A 73-year-old woman in Jiangxi province in China has died from an H10N8 avian flu infection, Hong Kong's Centre for Health Protection (CHP) said today, the first report of that strain infecting humans.
The woman, whose immune system was compromised, had an underlying illness and had visited a live-poultry market, CHP reported in a statement. She was admitted to a local hospital on Nov 30, was diagnosed as having severe pneumonia, and died Dec 6.
China's National Health and Family Planning Commission confirmed the case. The woman's close contacts are under medical surveillance but have as yet remained asymptomatic.
"Influenza A(H10) is currently not a local statutorily notifiable infectious disease but the Public Health Laboratory Services Branch of the CHP is capable of detecting this virus by culture or genetic testing. No confirmed human cases have been recorded so far in Hong Kong," a spokesman for the CHP said in the statement.
David Halvorson, DVM, an avian health expert at the University of Minnesota in St. Paul, told CIDRAP News, "I am unaware of any [previous] H10N8 human infections."
The CHP said in the statement that it will follow up with the World Health Organization (WHO) and health officials on the mainland for more information. Meanwhile, Hong Kong authorities have stepped up surveillance efforts.
The CHP spokesman urged travelers not to visit live-poultry markets and avoid direct contact with poultry, birds, and their droppings. Jiangxi is located in southeastern China, with only Guangdong province separating it from Hong Kong.

H10N8 in birds; previous H10 human cases

The H10N8 strain has been detected in Chinese birds. In June 2012 in the Journal of Virology, Chinese researchers reported its first detection in a live-bird market, in Guangdong province.
In January 2011 in Virology Journal, a different group of investigators reported that H10N8 had been isolated from a water sample taken from Dongting Lake in 2007. The lake is in Hunan province, which borders both Jiangxi and Guangdong provinces.
They reported that the isolate was lowly pathogenic for chickens but replicated efficiently in the mouse lung. They also noted rapidly increasing virulence in mice as the virus adapted to the mouse lung.
Although this is the first confirmed case of H10N8 in a person, a May 2012 report in Emerging Infectious Diseases noted that two Australian abattoir workers tested positive for H10 after they processed chickens from a farm that had had an H10N7 outbreak in 2010. They had only minor symptoms.
H10N7 was also detected in two Egyptian infants in 2004.

Taiwan Ministry of Health & Welfare on Yangjiang City Guangdong Province Cases #H7N9

December 18, 2013 Yangjiang City, Guangdong Reproductive health programs in China and the Guangdong Provincial Committee today (12/18) evening once again released new one case of influenza H7N9 confirmed cases in mainland China and Hong Kong since the autumn of the first 11 cases of H7N9 flu cases, showing the risks and threats of epidemic diseases increased.

Tourism currently recommended level outbreaks in Guangdong and Zhejiang provinces to maintain for the second stage: Alert (Alert), the remaining provinces (excluding Hong Kong and Macau) as the first stage: Note (Watch), the command center plan to remind people infected Be sure to maintain good health habits, avoid contact with birds. The 65-year-old woman with new cases of avian influenza H7N9 cases identified on December 16, as residing in Yangjiang City, Guangdong Province JiangCheng, as a 62 year old man, is currently hospitalized in critical condition, other epidemiological data under investigation.

Mainland China and Hong Kong after the autumn (10/1 onwards) Cumulative Bulletin 11 cases, including five cases of Zhejiang Province, Guangdong Province, four cases, two cases in Hong Kong (Guangdong Province shifted). Another so far this year on March 31, the Chinese mainland and Hong Kong were confirmed 145 cases, 47 deaths. Country since April 3 this year will be "H7N9 flu" as the fifth class of infectious diseases, a cumulative total of 457 cases so far reported cases, including one infectious cases, and the rest were excluded from H7N9 infection.

Border quarantine date, time travelers from epidemic areas in returning immigrants have 2,499 patients with symptoms since June 1, were excluded from H7N9 infection. Command Center pointed out that Guangdong and Hong Kong autumn after six successive appearance confirmed cases of H7N9 flu, coupled with the Guangdong provincial authorities test found in environmental samples, Longgang District, part of the live poultry markets showed positive H7N9 bird flu, does not exclude Mainland China Southern has a tendency to expand the epidemic alert to the people in China, especially in Guangdong and Zhejiang, should avoid the bird out of the live bird markets and street, city, and contact with poultry and birds dead birds.

Also, remind the physician should be strengthened ask the patient history and history of exposure to tourism, such as the H7N9 flu found in compliance with the definition of informed patient should promptly notify health authorities.

Command Center once again reminds people went to the Chinese mainland, the class should avoid contact with birds, especially not to pick up dead birds; eating chickens, ducks, geese and eggs to be cooked;, and should be implemented hand-washing and other personal hygiene measures to avoid infection.

When you return home if fever or flu-like symptoms, they should inform the airline personnel and airport and port of quarantine officers; such as after returning the above symptoms should wear a mask and seek medical advice and inform the physician contact history and travel history.

Latest epidemic diseases and other related information can be found in the Agency website (http://www.cdc.gov.tw) the "H7N9 flu Corner" and "International Travel Information" area, or call the toll-free hotline and caring people informed epidemic 1922 ( or 0800-001922) contact.

Hong Kong officials: #H10N8 lower chance of bird flu human transmission

 Translation
  China news agency, Hong Kong, December 18 (Reporter Li Chaolong) - The Hong Kong SAR Government on the 17th National Health and Family Planning Commission received a notification, a 73-year-old woman Mainland Jiangxi infected avian influenza (H10N8) died, reportedly also the first cases of human infection with avian influenza H10N8. 18, 2009, the Hong Kong SAR Government Secretary for Food and Health Ko Wing-man said, according to genome analysis, H10N8 avian genes belong to gene temporarily still all birds, so the lower the chance of human to human transmission.
  Ko Wing Man pointed out, H10N8 avian influenza virus had previously birds, especially some waterfowl, waterfowl habitat or environment were found, but on this virus in the case of human infection has so far not much information available.
  KO mentioned above which were diagnosed patients visited markets that prove whether avian influenza H5N1, H7N9 or H10N8, the highest risk of infection are visiting poultry markets, live contact with live poultry or wild birds.
  Therefore, KO also reminded the public, whether in Hong Kong or elsewhere, do not go to places selling live poultry in direct contact with poultry, or exposure to these environments, sick after returning to Hong Kong if the doctor must inform the relevant contact history.
  The same day, Dean of Medicine, The Chinese University of Hong Kong Chen Jialiang also believe that this is a case of rare cases, I believe that the migratory activity, called on Hong Kong people do not need to worry too much about, there should first focus on follow-up of H7 avian influenza progress.  

China reports human case of #H10N8 bird flu

December 18, 2013
NANCHANG, Dec. 18 (Xinhua) -- Health authorities in east China's Jiangxi Province on Wednesday confirmed a human case of H10N8, a new strain of bird flu to infect people.
A 73-year-old woman, who died of respiratory failure on Dec. 6, was later confirmed to have been carrying the H10N8 virus by the Chinese Center for Disease Control and Prevention, according to a statement issued by the emergency response office of the provincial health department.
The statement did not mention whether her death was connected to the bird flu virus.
The woman, who was being treated in a hospital in the provincial capital of Nanchang, was diagnosed with severe pneumonia, along with high blood pressure, a neuromuscular disorder and suffered a heart attack.
She had visited a live bird market. Her relatives who had been in contact with her have so far shown no abnormal symptoms.
Health experts said H10N8 existed among birds, but human infection had never been reported before. The National Health and Family Planning Commission was not available for comment.

China confirms new human #H7N9 case

From xinhuanet.com
December 18, 2013

GUANGZHOU, Dec. 18 (Xinhua) -- South China's Guangdong Province reported its third human H7N9 case in four days on Wednesday, raising the total H7N9 cases in the province to five since August.
The new patient is a 62-year-old resident surnamed Liang in Yangjiang City, said the provincial health authority. He is in critical condition.
A 39-year-old man in Dongguan City and a 65-year-old woman in Yangjiang were confirmed to have been infected by the H7N9 strain on Sunday and Monday, respectively.
So far, Guangdong has confirmed five human H7N9 cases since Aug. 10, with two in Dongguan, two in Yangjiang and one in Huizhou City. Its first case, a 51-year-old woman in Huizhou, recovered in September after being treated in a hospital for more than one month.
The province dispatched five inspection teams to 21 cities and a district on Wednesday to strengthen H7N9 prevention and control efforts.
The Chinese mainland has reported 143 human infections of the deadly bird flu virus since it emerged in March. Earlier this month, Hong Kong also confirmed its first two H7N9 cases, including an Indonesian national and a mainland resident.
Also on Wednesday, health authorities in east China's Jiangxi Province confirmed a human case of H10N8, a new strain of bird flu known to affect humans.
A 73-year-old woman who died of respiratory failure on Dec. 6 was later confirmed to have been carrying the H10N8 virus by the Chinese Center for Disease Control and Prevention, according to the provincial health department. The statement did not mention whether her death was connected to the bird flu virus.

WHO: Human infection with avian influenza A(H7N9) virus – update December 17, 2013


On 15 and 16 December 2013, the National Health and Family Planning Commission, China notified WHO of two new laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus.
The first patient is a 39-year-old man from Guangdong Province. He became ill on 6 December 2013 and was admitted to hospital on 11 December 2013. He is currently in critical condition.
The second patient is a 65-year-old woman from Guangdong Province. She was exposed to live poultry and became ill on 11 December 2013 and was admitted to hospital on 15 December 2013. She is currently in critical condition.
So far, there is no evidence of sustained human-to-human transmission.
The Chinese government continues to take the following surveillance and control measures:
  • strengthen surveillance and situation analysis;
  • reinforce case management and treatment;
  • conduct risk communication with the public and release information;
  • strengthen international collaboration and communication; and
  • conduct scientific studies.
WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend any travel or trade restrictions. 

http://www.who.int/csr/don/2013_12_17influenza/en/index.html 

#H7N9 - 2nd Case (New) in Yangjiang City, China

Translation
December 18, 2013

Xinhua Guangzhou, December 18 (Reporter Xiao Sisi) According to the Guangdong Provincial Health and Family Planning Commission on the 18th Bulletin, Yangjiang City, Guangdong then add 1 confirmed case of human infection with H7N9 avian influenza. At present, Guangdong Province, people infected with H7N9 bird flu confirmed cases reach five cases, including one case in Huizhou, Dongguan, two cases, Yangjiang two cases.
According to the briefing, the patient Yijun, male, 62 years old, who lives in Yangjiang City, is currently in critical condition. Guangdong Province, epidemiologists and clinical experts have assisted in Yangjiang conduct epidemiological investigations and guide patient treatment.
It is learned from the 18th Guangdong Provincial prevention of human infection of bird flu H7N9 leading group sent five inspection teams will go to the province to carry out inspection work. Inspection team will be listening to the reports and on-site inspections by the way, for poultry farming and management, the medical institutions of human infection with H7N9 avian influenza situation supervision.

Tuesday, December 17, 2013

#H7N9 Update on China Dongguan 36(M)

Translation
December 17, 2013

Dongguan newspaper (Reporter Wang Wanli, Dong-chul) "Patients present with respiratory failure, multiple organ damage, the possibility of death up to 60%."Yesterday, at a press briefing in Dongguan City Health Bureau, Dongguan clinical team leader of human infection of avian influenza H7N9 Zhang Ping said.
December 15, Dongguan City, confirmed the second case of human infection with the H7N9 avian flu, the patient Mou, male, 39 years old, Nanchong, is currently in Fenggang hospital, in critical condition. It is learned that five days before the onset of patient Hemou went farmhouse dining eaten chicken, which is before the onset Hemou only contact with birds place within 10 days, but the virus traceability work still going on.
Dongguan CDC deputy director ZHANG Qiao-li said that after the outbreak, someone's farmhouse restaurant has been closed, Fenggang town other farmhouse restaurant is also a full disinfection.
ICU patients are being treated in isolation
Deputy director of the Dongguan Municipal Health Bureau spokesman Ye Xiangyang at the briefing, said that at present, Hemou critically ill patients being treated in isolation Fenggang Hospital ICU.
After preliminary investigation, the patient started on December 6 with fever, headache and fatigue and discomfort, did not improve after the self-medication, he worked in a local clinic, Fenggang town, the 11th to Fenggang hospital treatment, 13 patients with dyspnea was progressively increased transferred to ICU treatment.
Dongguan has launched a human infection with H7N9 avian influenza emergency response mechanism, sending medical treatment expert group stationed in Fenggang municipal hospitals, medical treatment under the guidance of the expert group of the province, to treat patients. Initially identified in close contact with the relevant medical staff and other patients and their families a total of 53 people, the need for a week-long medical observation.
Ye Xiangyang said that from January 1, 2013, people infected with H7N9 avian influenza has been incorporated into the statutory B infectious diseases, therefore, appealed to the general public health departments do not have to panic, people infected with H7N9 avian influenza preventable, controllable and curable, is not terrible.

Monday, December 16, 2013

Map of 2 Recent Confirmed #H7N9 Avian Influenza Cases in China

The blue postmark is the 39(M) reported & confirmed on 12/15.  The red is the 65(M) reported on today, 12/16.  

China Guangdong Province, Yangjiang City #H7N9 Confirmed New Case 65yo

Translation
December 16, 2013

BEIJING, Dec. 16 Guangzhou Electric (Tanggui Jiang Guangdong Wilson) on December 16, the Guangdong Provincial Health and Family Planning Commission informed Yangjiang confirmed one case of human infection with the H7N9 avian influenza.  

Patients Zhang, female, 65 years old, who lives in Yangjiang City, as retirees, current patients in critical condition.

After receiving the report, the Guangdong Provincial Health and Family Planning Commission sent the day of epidemiologists and clinical experts to assist in the epidemiological investigation of Yangjiang and guide patient treatment.  

http://finance.ifeng.com/a/20131216/11284845_0.shtml

Sunday, December 15, 2013

China reports new #H7N9 case

[English]
December 16, 2013
Authorities in south China's Guangdong province confirmed a new H7N9 bird flu case on Sunday.
A 39-year-old man, surnamed He, has been hospitalized and is in serious condition, the provincial health authorities said in a statement.
The statement said the resident in Dongguan City tested positive for the virus on Saturday in a local hospital, and the result was confirmed on Sunday by the provincial disease control center.
No abnormity has been reported from the 53 people who had close contact with the patient, it said.
The Chinese mainland has reported 141 human infections of H7N9 so far.
Earlier this month, Hong Kong also confirmed its first two H7N9 cases, including an Indonesian national and a mainland resident.

http://www.ecns.cn/2013/12-16/92728.shtml

#H7N9 bird flu chickens from Mainland, Guangdong province no abnormal test measurements

Translation
December 14, 2013

BEIJING, Dec. 14, according to Hong Kong Ta Kung Pao reported that the Shenzhen farmers market recently detected H7N9 avian influenza virus nucleic acid positive, Guangdong for Hong Kong chickens caused concern. Officials on the 13th Guangdong Inspection and Quarantine said that since March this year, appeared in East China bird flu H7N9 human infection since, sampling a total of more than 90,000 samples, H7 all negative so far not found bird flu. H7 test several times recently measured serum antibodies did not appear abnormal.

-snip-
Guangdong Inspection and Quarantine Bureau officials said that Guangdong is the province of live chickens from the Mainland, and that the authorities of the area currently has 39 registered live poultry farm in Hong Kong, of which 28 are registered farm chickens, live chickens daily for about 5000, as well as chilled chickens to Hong Kong every day over 140,000.
He added that the variation for the bird flu strain appeared, from April of this year, Guangdong, Hong Kong live poultry vaccines for upgrading of live poultry to Hong Kong for the introduction of new vaccines (RE-6), to ensure the safety of poultry supplied to Hong Kong.
-snip-
http://finance.ifeng.com/a/20131214/11275354_0.shtml 

China Guangdong Province #H7N9 Case, Dongguan City

[There was a confirmation of a 3yo in Dongguan City on November 5.  He has since recovered and has been discharged.   http://www.who.int/csr/don/2013_11_06/en/index.html ]


Translation
December 15, 2013

Nanfang Daily (Reporter / Correspondent Luo Xiao Hua / Guangdong Wilson) afternoon, the Guangdong Provincial Health and Family Planning Commission informed, Guangdong new case of human infection of H7N9 avian influenza.
It is understood why some patients, male, 39 years old, Nanchong City, Sichuan Province, who now live in Fenggang Town, Dongguan City. December 14, Dongguan Municipal Center for Disease Control and Prevention throat swab specimens of patients infected with human H7N9 avian influenza nucleic acid as positive. December 15 provinces by the CDC to review the results for the same. Currently patients in critical condition.
After receiving the report, the Provincial Planning Commission that night sent the provincial CDC Guardian First Affiliated Hospital of Guangzhou Medical College, Institute of Respiratory Diseases, Dongguan experts to assist in the investigation and treatment of patients. Provinces expert group to rescue the patient, carry out epidemiological investigations immediately on 53 close contacts were under medical observation, and given the anti-flu drug Tamiflu to prevent, not currently found exception. 

Thursday, December 12, 2013

Shenzhen detected in three H7N9 avian influenza virus vaccine stocks rose biological

Translation
December 12, 2013
Excerpt:




December 12 hearing, according to the Guangzhou Daily reported on December 10, the Joint Working Group and Shenzhen, Guangdong Province, the prevention and control of human infection of H7N9 avian influenza in live bird markets in Shenzhen bird flu virus contaminated environment monitoring, collecting 13 total 70 parts of environmental samples of live poultry markets, where the two live bird markets in Longgang District detected three positive for H7N9 avian influenza virus nucleic acid (1 part from Longgang District, Shenzhen market poultry cutting board; 2 parts meat from Cambridge Street, Longgang District, South Bay three birds chicken vegetable market stalls and the stall epilator).

Original of highlighted blue above:  2份来自龙岗区南湾街道康桥肉菜市场三鸟档的鸡粪和该档口的脱毛器

http://finance.ifeng.com/a/20131212/11262846_0.shtml

WHO Human infection with avian influenza A(H7N9) virus – update December 10, 2013

On 28 November and 6 December 2013, the National Health and Family Planning Commission, China notified WHO of two new laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus.
The first patient is a 57-year-old man from Zhejiang Province. He became ill on 20 November 2013 and was admitted to hospital on 25 November 2013. He is currently in critical condition.
The second patient is a 30-year-old man from Zhejiang Province. He became ill on 29 November 2013 and was admitted to hospital on 5 December 2013. He is currently in critical condition. He is the son-in-law of the 57-year-old male from Zhejiang Province with onset on 20 November 2013, reported above.
On 2 December and 6 December 2013, the Centre for Health Protection (CHP), China, Hong Kong SAR, notified WHO of two laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus.
The first patient is a 36-year-old woman who became ill on 21 November 2013. She was admitted to hospital on 27 November 2013 and transferred to an intensive care unit on 29 November 2013. She is currently in critical condition. She had visited Shenzhen, Guangdong province, China on 17 November 2013 and had slaughtered live chicken for cooking and consuming. The investigation is ongoing; close contacts, including family contacts, have so far tested negative for avian influenza A(H7N9).
The second patient is an 80 year old man with underlying chronic illness who lives with his family in Shenzhen and travelled from Shenzhen to China, Hong Kong SAR, on 3 December 2013 for management of his medical condition. He was admitted to a hospital in China, Hong Kong SAR, on 3 December 2013. He was afebrile on admission and developed fever on 6 December 2013. His condition is currently stable. The investigation is ongoing; close contacts, including family contacts, have so far tested negative for avian influenza A(H7N9). No epidemiological link was identified between the two cases in China, Hong Kong SAR.
So far, there is no evidence of sustained human-to-human transmission.
WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend any travel or trade restrictions. 

http://www.who.int/csr/don/2013_12_10/en/index.html 

Wednesday, December 11, 2013

CIDRAP: Hong Kong, China offer more details on #H7N9 cases

December 9, 2013
Excerpt:

From today's reports, the steering committee concluded that the two cases are sporadic imported cases.
Health officials today traveled to Shenzhen, where the two patients had traveled from before they were diagnosed with H7N9 in Hong Kong, to meet with local and national health officials from the mainland.
Investigators found that the woman may have visited a residential unit in Shenzhen's Longgang district and handled live poultry. However, Hong Kong officials said the woman is unable to clearly identify the source of the poultry. The second patient's family bought and cooked a slaughtered chicken from a market in Fuyong Town in Shenzhen, the statement said, adding that the man did not visit the live poultry market or have direct contact with live poultry.
Mainland authorities have tested poultry samples, but so far none have been positive for the virus. Hong Kong officials said they and Guangdong officials view the source of the infection as inconclusive so far. On Dec 3 as part of its response Hong Kong suspended imports of live poultry from farms in Shenzhen.

Cases in father and son

In other developments, the family connection between Zhejiang province's two latest H7N9 patients was revealed on Dec 7 in a report in Chinese from Xinhua, China's state news agency. Infectious disease news blogs flagged the report over the weekend.
According to the machine translation, the 30-year-old man whose case was first announced on Dec 5 is the son of the 57-year-old man whose illness was first announced at the end of November.
Both patients are hospitalized and in isolation. The father is in critical condition, and his son is in stable condition. The family kept six chickens, and the father's medical team believes the birds are probably the source of the virus, according to the Xinhua report.
Global health officials have said H7N9 virus doesn't appear to spread easily from person-to-person, but family clusters of cases aren't surprising in view of common exposures or close contact.

Two live bird markets in Shenzhen detected positive for #H7N9 avian influenza virus nucleic acid

December 11, 2013 Xinhua Guangzhou, December 11 (Reporter Xiao Sisi) on the 11th Guangdong Provincial Health and Family Planning Commission announced that the live bird markets, Longgang District Environmental samples detected H7N9 avian influenza virus nucleic acid positive. Experts assessed that occurred in Guangdong Province sporadic human infection with H7N9 avian influenza cases extremely high risk.   

Guangdong Province , Shenzhen Joint Working Group and the prevention and control of human infection of H7N9 avian influenza on the 10th at live bird markets in Shenzhen environment pollution monitoring avian influenza virus in live bird markets were collected 13 specimens of 70 parts of the environment, of which two Longgang District a live bird markets avian influenza detected in three H7N9 virus nucleic acid positive.   

Health and Family Planning Commission of Guangdong Province organized the 11th province of infection prevention and control of human H7N9 avian flu epidemic will work. Expert Group assessed that the high risk of occurrence of sporadic human infection in Guangdong Province H7N9 bird flu cases, there may be cases occur at any time. Experts advise the public to enhance awareness, prevention and control work well together.

http://news.xinhuanet.com/local/2013-12/11/c_118519529.htm

Tuesday, December 10, 2013

Corona On Suspicion Of Infecting The Expatriate Indian Citizenship Of Jawf

hat-tip Niman

December 11, 2013
 Hollow now - special 
- about Hospital Abuajerm patient Indian citizenship 40 years after the examination and suffering from shortness of breath to the hospital Jandal. 
According to a medical source Hospital Jandal was suspected of wounds infected crowns where around him to hospital Sudairi as directed by the Ministry of Health processed hospitals Bookmark and took a sample to be sent Central Laboratory of the Riad and confirm the situation within 24 hours or denied.

http://www.aljoufnow.com/inf/news.php?action=show&id=11419  

Monday, December 9, 2013

Hong Kong Centre For Health Protection (CHP) Update December 9, 2013 #H7N9

Translation
December 9, 2013

CHP on the second case of human infection with avian influenza A (H7N9) confirmed cases of epidemiological investigation and follow-up work

Centre for Health Protection , Department of Health spokesman said today ( December 7 ) Hong Kong confirmed the second case of avian influenza infection in humans (H7N9) cases , to provide the latest information . The case involved an 83- year-old man .

A spokesman said: "The Government " Serious Response Level influenza pandemic contingency plan " has been launched under the epidemiological investigation and follow-up work of the CHP are full speed ."

He said, " The patient was transferred to Princess Margaret Hospital for treatment under isolation and are in stable condition ."

As of 4pm today, the CHP has tracked the nineteenth close contacts and more than one hundred and thirty other contacts. Details are as follows :

( A ) of nineteen patients who had been in close contact with quarantine and was prescribed Tamiflu drugs for prevention and treatment , they include :

One . Thirteen patients admitted to Tuen Mun Hospital patient intercourse period ( including both general symptoms appear ) ;

Two . Five of his family members did not appear asymptomatic , being at the Princess Margaret Hospital for isolation ; , and

Three . December 3 pick was the patient and his family to Tuen Mun Hospital for the taxi driver has been found in the Shenzhen Bay Port , he no symptoms , and had been sent to Princess Margaret Hospital for isolation.

Eighteen in close contact with the sample after the CHP Public Health Laboratory Services Branch preliminary tests are confirmed for avian influenza (H7N9) virus were negative , and the remaining one was asymptomatic close contacts of the samples, to be laboratory results . They will accept quarantine , isolation period since the last contact with patients from the date ten days. If circumstances change during the health , need further testing and observation.

( B ) more than one hundred and thirty other contacts ( including other relatives of patients , health care workers and related visitors who came to Tuen Mun Hospital and ambulance services , as well as one of the Shenzhen Bay border crossing immigration control officers ) are under medical surveillance . Among them, four Tuen Mun Hospital medical staff appeared generally asymptomatic , all on avian influenza A (H7N9) virus was negative.

As year-old female patient with the first confirmed case , still in Queen Mary Hospital for treatment under isolation , the current critical condition. As of 4pm today, the CHP found no new cases for this close contact . Contact has been maintained close contacts in seventeen other contacts were two hundred and thirty people will continue to receive medical surveillance . These 17 close contacts also continue to receive quarantine , isolation period since the last contact with the patient from the date ten days. During the isolation period , if the health situation has changed , need to be tested again and observation.

CHP epidemiological investigation ( including contact tracing , and follow up on the source of infection ) two cases continues.

CHP has stepped up surveillance of suspected cases of local public and private hospitals , and will continue to work with the World Health Organization ( WHO ) , the Mainland and overseas health authorities to contact , monitor the latest development , the exchange of accurate and timely information, and according to WHO recommendations , the adjustment local monitoring strategy.

The spokesman said: "The Department of Health has for disease prevention and control measures at all ports of entry , existing ports already have sufficient infrared thermal imager for temperature monitoring of all incoming persons have contacted the Department Auxiliary Medical Service and Civil Aid Service . team , to increase manpower at entry and exit points to portable instrument sampling temperature of travelers if suspected cases of infectious diseases , will immediately be referred to a public hospital for follow-up investigation . "

Health education crossings travelers , the Department has stepped distributing health education leaflets , putting up posters in the lobby about immigration avian influenza A (H7N9) in arriving aircraft broadcast , strengthen port environmental health inspections and through meetings and communication of information to the travel industry updates regularly diseases . DH will closely monitor developments and take appropriate port health measures .

The spokesman added : "We have stepped up propaganda against avian influenza and Health Education Centre for Health Protection has issued letters to various government departments and related organizations , reminding them to take measures to prevent avian influenza ."

CHP has set up a hotline ( 21251111 ) for public inquiries. As of 4pm today, the hotline received seventy-two query.

The spokesman reminded the arriving passengers , especially travelers from areas affected by avian influenza A (H7N9) affected arrivals , if fever or respiratory symptoms should wear a mask and seek medical attention immediately , and to travel outside the medical report record . Health care professionals should pay special attention may have been in contact in the affected areas , birds or poultry manure by patients .

He also urged travelers visiting affected areas should live bird markets , avoid direct contact with poultry , birds or their droppings . Once exposed , should thoroughly clean your hands with soap and water .

They should continue to be vigilant and to take the following measures to prevent avian influenza :

* Poultry and eggs should be thoroughly cooked before eating ;
* Wash your hands frequently with soap , especially before touching the mouth , nose or eyes, before handling or eating food , after using the toilet , after touching escalator handrails, elevator buttons or door handles and other public facilities or objects, and coughing or sneezing make hand stained with respiratory secretions ;
* Cover nose and mouth while sneezing or coughing , hold the spit with tissue packets properly , covered and placed in the trash ;
* Avoid visiting crowded places, avoid contact with fever patients ; and
* Where respiratory symptoms , or those who take care of patients with fever , should wear a mask .

http://www.chp.gov.hk/tc/view_content/32491.html

#H7N9 Update on Recent Confirmed Cases

[For those of you who have a hard time with translations, it says the 30yo has improved and has gone from critical to serious condition and no longer requires the use of vent; the 80yo is also referred below as "octogenarian man" and they are still trying to trace his movements to see where he contracted the virus.  19 of his close contacts & 104 other contacts all tested negative.  The 36(F)'s 17 close contacts have all tested negative, 11 people have completed their quarantine and 6 more remain isolated]

Translation
December 9, 2013
Excerpt:

Secretary for Food and Health  Ko Wing-man, said yesterday that Hong Kong's first confirmed H7N9 were thirty-year-old Indian commission, Queen Mary Hospital intensive care unit still requires inhalation of high concentrations of oxygen, but her condition improved slightly, from critical to serious without the use of artificial lung ventilation, expect her to leave the intensive care unit as soon as possible; rather confirmed H7N9 infection Eighty-year-old man is being treated in isolation at Princess Margaret Hospital in stable condition. Indian commission has improved dye H7N9 KO refers Centre for Health Protection  disease control departments after contact with the mainland, days will arrange the exchange of experts to the epidemic in Guangdong experience and track down the source of the virus. It is understood that the move octogenarian man with hearing impairment, so to trace the source of infection difficulties. Centre for Health Protection said  patients living in Shenzhen Fuyong new district and nineteen close contacts and other contacts over one hundred and forty, all tested negative for the virus. The seventeen printed close contact with infected domestic helpers who earlier, 11 people completed quarantine, and the remaining six people must still isolated.

http://news.stheadline.com/dailynews/content_hk/2013/12/09/265878.asp