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Re: China - Woman, 27, confirmed death H5N1 - Shandong
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Re: China - Woman, 27, confirmed death H5N1 - Shandong
Shandong woman dead bird infected with the Mainland in January the first three
January 19, 2009
Ming Pao】 Shanxi after a girl infected with avian flu, Shandong Jinan City yesterday informed an H5N1 avian influenza infection deaths, this has been a month since the mainland announced in the third human case of bird flu (see right ). The 27-year-old woman on the 5th of this month after onset, the day before yesterday in hospital, while the prevalence of Shanxi girls remains a serious condition, two in close contact with infected persons who were not unusual. Ministry of Agriculture inspection of Shanxi, Hunan Provinces poultry, announced that there is no outbreak of bird flu.
According to the Ministry of Health website, Shandong Provincial Health Office briefing on the 18th confirmed case of human infection with H5N1 avian flu cases, 27-year-old female patient Zhang, origin of Jinan City, on the 5th of this month the disease, the condition worsened evacuation to hospital for treatment, died the day before yesterday evening .
Shandong Province Center for Disease Control and Prevention for testing in patients with respiratory tract samples drawn, the results were positive for H5N1, the Chinese Center for Disease Control and Prevention to review yesterday's tests confirmed to be H5N1.
Hong Kong Department of Health Center for Health Protection said yesterday that the Ministry of Health has received notification, the Ministry of Health will continue to work with countries to maintain close contact to find out details of the case.
Close contact with the deceased were not abnormal
At present, the patient is unknown what kind of contact with poultry diseases, the local government has already taken appropriate prevention and control measures to be taken in close contact with all the strict medical observation, have not yet found nothing unusual. Ministry of Health has WHO, Hong Kong, Macao and Taiwan region and other countries informed of the case.
Shanxi two-year-old boy remains in critical situation
Xinhua News Agency reported that the incidence in Hunan, Shanxi confirmed bird flu 2-year-old girl surnamed Peng have been transferred to the Fourth People's Hospital in Taiyuan City for treatment, although in a critical condition, but stable vital signs, the Ministry of Health and the Expert Group in Shanxi Province is making every effort to treat . 67 girls who were not in close contact with fever and other symptoms.
At present, the Ministry of Agriculture sent a group of experts rushed to check the epidemic in Shanxi and Hunan, Shanxi accumulated check nearly 100,000 kinds of poultry, Hunan 428000, no bird flu cases found in the two provinces of poultry immunization of all qualified. However, for safety reasons in Changsha, Hunan Province blockade a farmer's market, the prohibition of poultry and its products, not related to personnel and vehicle access, and to disinfect.
Ministry of Agriculture has asked the Shanxi, Hunan, strengthen the supervision of poultry wholesale markets and farmers market transactions, 24 hours must have special supervision, and strictly implement the close of regular rest and after a thorough disinfection of the system.
Analysis of the Ministry of Agriculture, said the expert group, as the Spring Festival approaching, the frequent movement of livestock and poultry products, trading volume is very large, the bird flu outbreak and spread of risk, the Ministry of Agriculture said that it would speed up vaccine production, and strictly enforce the immune system.
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Re: China - Woman, 27, confirmed death H5N1 - Shandong
[quote=niman;202855]Commentary
http://www.recombinomics.com/News/01...na.html[/quote]
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Clade 7 Silent Spread Causing Fatal H5N1 Cases in China?
Recombinomics Commentary 17:24
January 18, 2009
Gene sequencing by the National Avian Influenza Reference Laboratory indicated that this virus is very similar to the avian influenza virus variant isolated in Shanxi in 2006.
The above comments are from the OIE report submitted by China for the two H5N1 outbreaks in Jiangsu, China (see updated map). Although 376,998 birds were culled, there were no fatalities listed in the December 26 report because the birds were asymptomatically infected. This raised concerns that similar infections at other farms led to the silent spread of clade 7, which was the clade in Jiangsu as well as Shanxi in 2006 and other poultry outbreaks in areas surrounding Beijing, as well as fecal samples from Hunan in 2006. There were also reports of clade 7 in Vietnam in 2008 prior to the outbreaks in Jiangsu.
The Jiangsu outbreak was followed by the confirmed case (19F) in Beijing, who had purchased and gutted ducks in Hebei and developed symptoms on Dec 24. It is unlikely that these birds had symptoms, and a survey of birds near Beijing failed to identify dead or dying poultry. However, a health care worker in Beijing did develop symptoms, raising concerns of increased efficiency of transmission to humans.
The Beijing case(s) were followed by the fatality in Shandong (27F), who developed symptoms on January 5. The possible exposure has not been disclosed.
These two cases were followed by the case (2F) in Hunan, who is in critical condition in Shanxi. Surveys of markets in Hunan and Shanxi failed to identify dead or dying poultry.
Thus, there has been no linkage of any of the three confirmed H5N1 to dead or dying poultry. However, vaccination of poultry with a poorly matched vaccine would yield asymptomatic birds shedding H5N1 virus, which would facilitate spread in immunized birds that could lead to fatal human infections.
More information on the H5N1 isolated from the three cases this month would be useful.
Clade 7 is readily distinguished from clade 1 or clade 2.1, 2.2, or 2.3, and the distinction can be seen in the HA cleavage site (clade 7 has a G at the third position instead of an R or S).
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</TD></TR></TBODY></TABLE>"The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller FoundationComment
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Re: China - Woman, 27, confirmed death H5N1 - Shandong
<TABLE border=0 cellSpacing=0 cellPadding=0 width=430 align=left><TBODY><TR><TD class=theme_news_header>Shandong woman dies of avian flu </TD></TR><TR><TD>
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The Ministry of Health today notified the Centre for Health Protection of a confirmed human case of H5N1 involving a 27-year-old Shandong woman.
She came down with avian flu symptoms on January 5 and died on January 17.
The centre is liaising with the ministry to get more information about the case.
</TD></TR></TBODY></TABLE>Comment
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Re: China - Woman, 27, confirmed death H5N1 - Shandong
Shandong patients died of bird flu had contact with 147 people have been isolated to check
2009年01月20日01:34h Department of Shandong Province January 18 briefing, Shandong Province, confirmed case of human infection of highly pathogenic avian influenza cases, the case was at 18:40 on January 17 deaths.
Healt
This staff reporter yesterday that the deaths of patients with previously sold in the streets "麻辣烫," her husband said, patients suspected of infection with this.
This reporter learned that according to the news of Zhang female patients, aged 27 years old, who lives in the western region of Jinan City in a residential district.
Mr Chu said her husband, January 7, his wife Zhang sudden onset of high fever, when he did not care, but to the community clinic bottle hit a few days until the disease has not yet improved on the 11th to go to big hospitals. 17, Zhang condition deteriorated and died on the same day afternoon.
Subsequently, the Shandong Provincial Center for Disease Control and Prevention to draw on the patients of respiratory tract specimens were tested, the results for the H5N1 avian influenza virus nucleic acid positive; January 18, the Chinese Center for Disease Control and Prevention to conduct a review of patients with respiratory specimens testing, the results of the avian flu virus H5N1 nucleic acid positive.
Mr. Zhu said that he and his wife have been bought in the streets "麻辣烫" make a living, often contacted a number of duck blood, chicken and other livestock products.
Jinan City Hospital for Infectious Diseases, a vice president, said following the incident, the relevant departments to respond quickly with his patients have had contact with 147 people have been isolated inspection, has not yet been found to have symptoms of infection.
Yesterday, Shandong Province, held a highly pathogenic avian influenza prevention and control work of video-conferencing. Jinan City request, immediately organized an epidemiological investigation dragnet, and from the January 19 report on the epidemic situation has been implemented and零报告制度.李攻Lee attack
http://66.102.1.101/translate_c?hl=e...3L5Sm_BW92iTqw
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Re: China - Woman, 27, confirmed death H5N1 - Shandong
Shandong deceased source of infection of avian flu is still under investigation
01 years http://www.sina.com.cn 2009 on 22 day 00:07 Morning News
Experts said: At present, bird flu cases increased and the spring has nothing to do
Morning correspondent reported Jinan Yucai Yang
On the 20th evening around 6:00, Zhu Fang (a pseudonym) TV sitting next to the right and left arms around more than 1-year-old child, the right hand to the bottle to the child's mouth. TV News, the now playing Huaihua City, Hunan Province infected with highly pathogenic bird flu patients died on the morning news. Zhu Fang head, silently watching the children.
At 18:40 on January 17, Zhu Fang's wife, Zhang Xia (pseudonym) had been infected with highly pathogenic avian influenza died. January 5 coupled with the death of patients in Beijing, Huang Yan-qing, and 20 in Hunan Province on the morning of the death of patients with Wu, just 20 days, China has three causes of infection of highly pathogenic avian influenza deaths. In addition, Shanxi Province and one of the children infected with avian flu are being treated.
At a time when the peak period of Spring Festival travel season, the rapid increase in traffic would increase the risk of the spread of avian influenza? Yesterday afternoon, epidemiological experts Morning News reporters Cai Fang and Shi Biaoshi currently three cases of death are highly sporadic cases of avian influenza cases increase and there is no relationship between the spring, will not be large-scale outbreak, but did not rule out also there is the possibility of dissemination.
From the onset to death less than two weeks
Zhu Fang and his wife's home district in Jinan槐荫maestra Rong-xiang Garden North Road. Before the death of his wife, husband and wife in the district next to the roadside to sell "麻辣烫" fairly decent day.
Yesterday afternoon, Zhu Fang in an interview with reporters, recalled his wife, Zhang Xia from the onset to death of the whole process. "I still do not know how she is dead in the end?" Zhu side as if to say to himself, and now so well-developed medical, why come to the rescue, however?
According to Zhu Fang memories, Zhang Xia early on January 5 with fever, feeling unwell, his own point of eating cold medicine. January 10, his condition has worsened to a nearby therefore the Fifth People's Hospital of Jinan City doctor, the doctor said to be upper respiratory tract infection, but did not improve after吃了药. January 11, Zhu side with his wife to the Shandong Provincial Hospital emergency department, observation and treatment for two days, his condition worsened on the 13th the beginning of hospitalization.
"This has been the middle did not improve, it has been confirmed not only said that the 'unexplained pneumonia'." Chu told reporters that January 15, the wife in a serious condition, hospital, she was transferred to an isolation ward, but the disease remains not eased. At 2:00 on January 17, because not diagnosed anxious wife Zhu Fang chartered to take the hospitals, intend to the Beijing Union Hospital for treatment. "That just arrived in Langfang, Hebei, Beijing is drawing near, we were back to the Jinan, and was admitted to the infectious disease hospital, but did not rescue them."
January 19, Jinan City Hospital for Infectious Diseases covered Zhongtao business president in an interview with the media, said Zhang Xia from the onset to the illness came to a standstill, advanced at a very fast pace, especially lung infection at a very fast pace, experts doubt that she because of pneumonia of unknown causes. January 17, in the normative samples of patients with laboratory analysis, confirmed the infection of highly pathogenic avian influenza. "She later admitted to hospital, including the provincial expert group, including all the experts do, stationed in the treatment of infectious disease hospital for emergency treatment, this process is still very timely."
Source of infection is still under investigation
According to Mr. Zhu told the reporter that his wife helped in the streets to sell their own "麻辣烫" would inevitably be reflected in regular contact duck blood, chicken wings, chicken and other livestock products. Despite the current health sector has not yet been determined Zhang Xia real source of infection, but Mr Chu believes that his wife contracted bird flu, surely and contacts related to the livestock meat.
His wife passed away, because it is in close contact with Mr. Zhu De, is still in the medical observation period, the daily need for regular measurement of body temperature, but the doctor did not restrict him out. "The doctor says that at least seven days of observation time."
Zhang Xia after the death of Jinan City health and disease control departments to respond quickly, will work with Zhang Xia had had contact with 147 people have been isolated inspection, has not yet been found to have symptoms of infection.
Is it because Zhang Xia blood contact with dead chickens and ducks infected with bird flu virus? Yesterday afternoon, reporters call the Health Department of Shandong Province, the emergency office, answer the phone staff, told reporters words carefully, in the authoritative department before a final conclusion, they speculate Zhang inconvenience to the source of infection.
If Zhang is really the source of infection of chickens and ducks died of blood, then eat "麻辣烫" whether customers will be infected? Jinan City CDC staff, told reporters yesterday afternoon, "麻辣烫" itself strong enough to kill the high temperature of avian influenza virus, in the absence of symptoms such as fever, even in her booth eaten "麻辣烫" do not have to panic.
Shanghai to start the prevention and control of human avian influenza emergency response
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Re: China - Woman, 27, confirmed death H5N1 - Shandong
Shandong: the termination of human avian influenza major emergencies II-class emergency response
At 14:57 on January 24, 2009
Source: Xinhuanet Author: Wang Haiying
Xinhua Jinan January 24 (Xinhua Wang Haiying) According to "Shandong Province contingency plans for public health emergencies" and the Ministry of Health "of human infection of highly pathogenic avian influenza contingency plans" as well as the relevant provisions of the expert group to assess the views of argumentation by Shandong Provincial public health emergencies leading group confirmed that the newspaper agreed to by the Shandong Provincial Government, Shandong Province, a major human avian influenza public health emergencies II-class emergency response in at 7:30 on the 24th termination.
At 18:40 on January 17, Jinan, Shandong槐荫occurred case of human infection of highly pathogenic avian influenza deaths. Subsequently, Shandong Province, launched a human avian influenza major public health emergencies II-class emergency response.
Provincial, city and district disease prevention and control institutions three daily engaged in poultry breeding, slaughtering, marketing and other occupational exposure to poultry takes the initiative to monitor the crowd, as of January 23, a total of 11,217 people monitoring;-depth monitoring of community-based family-home survey 402,798 views; Jinan City, all kinds of medical institutions at all levels to monitor the cumulative 31,856 cases of respiratory medical cases, the cumulative report 槐荫 District 586 cases of influenza-like people, no suspected human avian influenza cases have been reported.
Health Department of Shandong Province, according to the relevant person in charge, at 7:30 on January 24, Shandong Province, have all lifted the famous 157 in patients with avian flu in close contact with persons under medical observation. At present, the province's no animal bird flu report, issued no new human bird flu cases and suspected cases reported. The body of the patient and medical waste and pollution places hygienic processing has ended, related to the epidemiological investigation, specimen collection and virus isolates the work has been completed. The human infection of highly pathogenic avian influenza epidemic and related problems has been to control risk factors. This case does not have the basic conditions for human to human.
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Re: China - Woman, 27, confirmed death H5N1 - Shandong
Source: http://news.xinhuanet.com/english/20...t_10714859.htm
Shandong bird flu victim has no contact with live poultry
Special report: Global fight against bird flu
BEIJING, Jan. 24 -- A bird flu victim in China's eastern Shandong Province was not exposed to live poultry and was only known to have eaten chicken, said the Shandong Provincial Health Bureau on Thursday. The 27-year-old woman, whose name was not revealed, died of the bird flu virus last Saturday in Jinan, Shandong.
Of the four deadly bird flu cases in China since December, three were exposed either to live fowl or market poultry.
According to World Health Organization statistics, one fourth to one third of bird flu cases have no identified source of infection.
Infectious disease experts at the Infectious Isolation Hosipital in Ji'nan warn the public to avoid contact with farm birds, wild fowl and bird excrement. There is no risk for consumers who eat properly cooked poultry.
Xinhua News Agency correspondents reporting from Ji'nan.
(Source: XHTV)Comment
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Re: China - Woman, 27, confirmed death H5N1 - Shandong
For the latest death, 31 year old woman - please see this thread:
For the 2 year old (possible cluster case) from Human, please see this thread:
For the 19 year old woman from Bejing, please see this thread:
For general China news and animal/poultry/wild birds outbreaks, please see this thread:
http://www.flutrackers.com/forum/showthread.php?t=91832Comment
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Re: China - Woman, 27, confirmed death H5N1 - Shandong
[I am just not seeing ANYWHERE in this report, that the poultry were found infected with H5N1....I may have missed it]
Hunan, Shanxi and Shandong his death in patients with no abnormal contacts
Southern Health Network: www.fm120.com time :2009-1-28
Xinhuanet reported January 20 Jinan appear in patients with a diagnosis of avian influenza and died after emergency operation in Shandong Province, the disposal of the avian flu incident.
Patients Zhang, F, 27-year-old Han, who lives in Jinan City槐荫area, to help her husband operate the business of spicy string. Patients in January 5, 2009 incidence, self-treatment at home; January 10 to the Fifth People's Hospital of Jinan City in accordance with the treatment of upper respiratory tract infection, the effect was not obvious; on the 11th to the Shandong Provincial Hospital emergency department observation for two days exacerbations, on the 13th hospital revenue due to sustained high fever, body temperature as high as 40 ℃, the general treatment of the poor in a serious condition, transferred to an isolation ward on the 15th, on the 17th by people suspected cases of avian influenza into the hospitals of infectious diseases in Jinan City isolation hospital for emergency treatment, the same day by 18:40 died.
After the incident, Shandong Province, launched an urgent public health emergency response plans for two, set up in Shandong Province Public Health Emergency Leading Group, launched the Health Department, Animal Husbandry Bureau, Jinan City on reporting and epidemic零报告制度. On the 19th, the leading group released "in Shandong Province of human infection with highly pathogenic avian influenza prevention and control program of work", for human avian influenza prevention and control of the province made a full deployment.
Shandong province, city, and county levels to carry out disease control agencies to monitor the epidemic tight, close contacts of the temperature 2 times a day, there body temperature higher than 38 ℃ and with influenza-like symptoms or pneumonia symptoms timely isolation. Medical observation has been the cumulative total number of 141 persons. Close contacts with higher temperature had no symptoms such as cough pharyngodynia.
Shandong Province, the livestock sector to carry out comprehensive monitoring of the poultry, and expand the sampling surface to increase the sampling density; strengthened the work of emergency supplies reserves inspection, emergency response teams ready to do a good job. Group of Experts on the death of the Ministry of Agriculture of the location of some of the sick patients live poultry trading market, the habitat of migratory birds, the size of backyard farms and households to carry out epidemiological survey households. Assessment by experts, at present so far revealed the existence of bird flu in poultry, the monitoring results were normal.
At present, Shandong Province, the province's livestock sector is being carried out within the framework of highly pathogenic avian influenza outbreak largest survey, further examination immunization, to enhance the antibody levels of immune failure, the new premium-free poultry补栏work. Strengthen the quarantine law enforcement, strengthening the poultry farms, slaughterhouses, market supervision and quarantine, strict inspection object verification, emergency preparedness, to ensure the safety of animal products.
It is understood that the next step in Shandong Province will focus on doing a good job of poultry livestock and poultry cases of influenza monitoring, investigation, human highly pathogenic avian influenza contingency reserves药械drugs, as well as the avian flu prevention publicity. (This article Source: Xinhuanet)
Hunan, Shanxi Province, people in close contact with avian flu patients who did not find abnormal
January 20 Xinhua reporter on the 20th from the Hunan Provincial Department of Health learned that Taiyuan, Shanxi and Hunan Huaihua recently diagnosed two cases of human infection with highly pathogenic avian influenza cases, the delay in Changsha County, Hunan Province and the two start Huaihua City public health emergencies Ⅱ level emergency response, with two close contacts of patients with medical observation. As at 12:00 on the 20th, all close contacts no abnormal clinical manifestations.
According to Shanxi Provincial Health Department of Hunan Provincial Department of Health communications and communications, in Shanxi Province on the 17th confirmed the 2-year-old sick girl in Changsha, Hunan County after the incidence, Huaihua City, Hunan Province, Guizhou diagnosed 16-year-old male patient on the 20th morning, where he died.
Hunan Provincial Department of Health inspector Liu told reporters that the two cases of human infection with highly pathogenic bird flu diagnosis, Hunan local health departments to carry out an immediate investigation of prevalence of sexually transmitted diseases, and in Changsha City, the two counties and Huaihua of about 140 spaces in close contact with patients to carry out medical observation, including relatives of patients to participate in treatment, transfer of health care workers, drivers and others to observe a period of seven days, from disengagement from time with patients.
This reporter has learned that the city of Changsha City and Huaihua major hospitals have emergency monitoring, to have fever, respiratory tract infection in patients with severe registration monitoring.
Liu stressed that as long as early detection, early diagnosis, early treatment of human infection with highly pathogenic avian influenza patients to receive treatment promptly. (This article Source: Xinhuanet Author: Xinhua Qingmei)
Source: Xinhuanet
Author:
Editor: Jear
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Re: China - Woman, 27, confirmed death H5N1 - Shandong
AVIAN INFLUENZA, HUMAN (24): CHINA (GUIZHOU, SHANDONG, XINJIANG), WHO
************************************************** *******************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>
******
[1] Xinjiang & Guizhou provinces
Date: Tue 27 Jan 2009
Source: World Health Organisation (WHO), EPR, Disease Outbreak News [edited]
<http://www.who.int/csr/don/2009_01_27/en/index.html>
Avian influenza situation in China -- WHO Update 3
--------------------------------------------------
The Ministry of Health in China has announced 3 new confirmed human
cases of H5N1 infection. The 1st, a 31-year-old female from Urumqi,
Xinjiang Autonomous Region, had onset of symptoms on 10 Jan 2009. She
received treatment in hospital but died on 23 Jan 2009.
Investigations into the possible source of her infection indicate
recent visits to a live poultry market. The local authorities are
currently conducting epidemiological investigations and close
contacts are being monitored. To date, no clinical symptoms have been
reported among the contacts.
The 2nd case is a 29-year-old male from Guiyang city, Guizhou. He had
onset of symptoms on 15 Jan 2009 and remains in a critical condition.
Investigations into the source of his infection indicate possible
exposure at poultry market.
The 3rd case is an 18-year-old male from Beiliu City, Guangxi
Province. He had onset of symptoms on 19 Jan 2009 and died on 26 Jan
2009. Investigations into the source of his infection indicate a
recent history of exposure to sick and dead poultry. Close contacts
of the case are being monitored and to date all remain well.
Of the 37 cases confirmed to date in China, 25 have been fatal.
--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp
******
[2} Shandong province
Date Thu 22 Jan 2009
Source: Sohu.com [translated from Chinese by D.S., edited]
<http://health.sohu.com/20090122/n261906096.shtml>
[In his commentary on the Shandong avian influenza case in posting
20090124.0321, The moderator stated that: "It remains possible that
the woman involved contracted infection during the preparation of an
infected bird prior to cooking." Reports in China's media state that
the patient did indeed have frequent contact with poultry parts in
her work as a food vendor. Here is a translated excerpt from one
article. - Rapp.DS]
"Mr. Zhu [pseudonym] said that his wife helped him sell 'Ma La Tang'
on the street and frequent contact with duck blood, chicken wings,
chicken legs and other meat and poultry products was unavoidable.
[graphic Images of the content of Ma La Tang can be viewed at:
<http://www.02789.cn/qwmlt.asp >]. Even though health agencies have
not yet determined the exact source of Zhang Lixia's [pseudonym]
infection, Mr. Zhu believes that his wife's avian influenza is
definitely related to contact with these meat and poultry parts."
[Byline: Yang Yucai]
--
Communicated by:
ProMED-mail Rapporteur Dan Silver
[ProMED-mail thanks Dan Silver for providing this additional
information which reinforces the Moderator's conclusion concerning
the possible exposure of the patient and indicates the likely route
of infection. In virtually all recent human cases of avian A/H5N1
influenza virus infection in China there has been some form of
contact with poultry (although the disease status of the poultry is
rarely known. The pattern of disease continues to be that of sporadic
infection of a few (possibly genetically) susceptible individuals
with no onward transmission of virus to their contacts.
A map of the provinces of China is available at
<http://www.sacu.org/provmap.html>, and the HealthMap/ProMED-mail
interactive map of China is available at
<http://healthmap.org/promed/en?v=36.5,103.9,4>. - Mod.CP]
[see also:
Avian influenza, human (22): China (GX) 20090126.0347
Avian influenza, human (19): China (GZ) 20090125.0328
Avian influenza, human (18): China, WHO 20090125.0324
Avian influenza, human (17): China (XC, SD) 20090124.0321
Avian influenza, human (15): China, transmission questions 20090122.0281
Avian influenza, human (12): China (GZ) 20090121.0263
Avian influenza, human (11): China, WHO Update 20090119.0240
Avian influenza, human (10): China (GZ), SD) 20090119.0230
Avian influenza, human (08): China (HN) 20090118.0217
Avian influenza, human (03): China (Beijing), WHO 20090107.0064
Avian influenza, human (01): China (Beijing) 20090106.0047
2008
----
Avian influenza, human (83): H9N2, China (Guangdong) 20081230.4111
Avian influenza, human (43): China, Egypt WHO 20080408.1292
Avian influenza, human (31): China, Egypt, Viet Nam, WHO 20080226.0784
Avian influenza, human (30): China, WHO 20080225.0758
Avian influenza, human (29): China, Indonesia, Viet Nam, WHO 20080221.0710
Avian influenza, human (28): China (Hunan) 20080218.0656
Avian influenza, human (05): China, Pakistan 20080110.0134]
......................cp/ejp/jwComment
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Re: China - Woman, 27, confirmed death H5N1 - Shandong
In the above ProMed piece, the Shandong is dated: [2} Shandong province
Date Thu 22 Jan 2009
So....a lot has happened since the 22nd. Maybe they need to update their post?
But the main date on the article is the 27th.....yet the Shandong comment is from the 21st.....right?
ETA: What is the date for this specific comment?:[ProMED-mail thanks Dan Silver for providing this additional
information which reinforces the Moderator's conclusion concerning
the possible exposure of the patient and indicates the likely route
of infection. In virtually all recent human cases of avian A/H5N1
influenza virus infection in China there has been some form of
contact with poultry (although the disease status of the poultry is
rarely known. The pattern of disease continues to be that of sporadic
infection of a few (possibly genetically) susceptible individuals
with no onward transmission of virus to their contacts.
A map of the provinces of China is available at
<http://www.sacu.org/provmap.html>, and the HealthMap/ProMED-mail
interactive map of China is available at
<http://healthmap.org/promed/en?v=36.5,103.9,4>. - Mod.CP]Comment
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Re: China - Woman, 27, confirmed death H5N1 - Shandong
I do not see a date on the source article of the interview of the husbamd.Comment
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Re: China - Woman, 27, confirmed death H5N1 - Shandong
The comments are made when the report was posted yesterday. The above is the most recent from ProMED and the CP comments have been similar since 2004. He doesn't think H5N1 is much of a problem for the general population. He maintains that only a small number of genetically susceptable individuals get infected by H5N1 positive poultry.Originally posted by Commonground View Post
Last season the H2H case in Jiangsu (that was written up in NEJM), was said to be due to poultry consumed at a restaurant, and the son who died ate dark meat, while his father had white meat, which accounted for the gap in disease onset dates! (and the son also had a diminished immune response becase he was receiving rabies shots for a dog bite). I really am not making this up. CP also invented a sibling in a cluster in central Vietnam in 2005 to prove that the H2H cluster wasn't H2H because the imaginary sibling wasn't infected.
Although entertaining, the comments are not reality based, regardless of posting date.Comment
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Re: China - Woman, 27, confirmed death H5N1 - Shandong
Here is a commentary with links to the white meat / dark meat yarn posted on ProMED last seasonOriginally posted by Commonground View Post
Here is a commentary with links to real data (disease onset dates) for the H2H last season in Jiangsu
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