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Hong Kong - Woman traveler to China, 59, Confirmed H5N1 - November 2010
Hong Kong says no sign bird flu spreading in humans
(AFP) ? 1 hour ago
HONG KONG ? Hong Kong health authorities said Saturday there was no sign of bird flu spreading among humans after the densely-populated city recorded its first case of the virus in seven years...
Re: Hong Kong - Human case of H5N1 Bird Flu Confirmed
Dr Chow noted that bird flu patients have some improvement in women [20/11 Saturday 14:00]
Confirmed infected with H5N1 avian influenza fifty-year-old woman, still in the Princess Margaret Hospital for isolation and treatment, Health Secretary York Chow said the patient's condition remains serious, but there have been little improved from the original admission, need to use hundred percent oxygen, reduced to only seventy percent, indicating the effectiveness of certain drugs. Dr Chow noted that the patient is respiratory tract infection and pneumonia, take some time for treatment.
Dr Chow added that AFCD in the past three days, testing thirty farms in Hong Kong and Mainland chickens supplied to Hong Kong samples, of which half the sample had been no abnormal laboratory. Are investigating the origin of the virus, he said, will monitor in close contact with her people. Dr Chow stressed that the current only in one case, the port is temporarily not raise alert.http://www4.881903.com/apps/newsBoss...4000302300.htm
Re: Hong Kong - Human case of H5N1 Bird Flu Confirmed
Border surveillance satisfactory
November 20, 2010
<HIDDEN_CONTENT1>Secretary for Food & Health Dr York Chow says there is no need to tighten health surveillance measures at border checkpoints because only one sporadic human case of avian flu case has been reported in Hong Kong.
Speaking to reporters after attending a bone marrow donor award ceremony today, Dr Chow said the Agriculture, Fisheries & Conservation Department has inspected 30 chicken farms in Hong Kong and collected samples for tests.
About half of the testing work has been completed and so far no avian flu virus has been detected. The Government has also conducted random checks on chickens imported from the Mainland and found no problems.
"The tests are still going on, but so far we feel that the risk of avian influenza in Hong Kong is still slim, and also there is no indication of human to human transmission."
Dr Chow said the condition of the 59-year-old woman infected with avian flu has improved. "The patient is in a stable, but still serious, condition. She is still receiving oxygen, although the oxygen concentration has decreased from 100% to 70%, which indicates her lung is improving."
Re: Hong Kong - Human case of H5N1 Bird Flu Confirmed
Avian Influenza A (H5N1) Human Infection in Hong Kong (CDC Media Relations - Have You Heard Archive, 11/20/10, edited)
[Source: US Centers for Disease Control and Prevention (CDC), full page: <cite cite="http://www.cdc.gov/media/subtopic/heard.htm#h5n1">CDC Media Relations - Have You Heard Archive</cite>. Extract, edited.]
Archive 2010: Have you heard?
November 19, 2010
Avian Influenza A (H5N1) Human Infection in Hong Kong
On November 17, 2010, the Centre for Health Protection (CHP) of the Department of Health (DH), Hong Kong, China, reported a new confirmed case of human infection with avian influenza A (H5N1) virus to the World Health Organization (WHO).
More information on the case is available in Communicable Diseases Watch, a publication of CHP DH, Hong Kong, China at (LINK) and on the WHO website at (LINK).
This case occurs against a backdrop of endemic infection with highly pathogenic avian influenza A H5N1 viruses (HPAI) among poultry in Asia and other parts of the world and sporadic but fairly regular human infections with HPAI H5N1 viruses dating back to 2003.
These viruses are "highly pathogenic" in birds.
Most cases of human infection with HPAI H5N1 viruses have occurred following close contact with infected birds or being in a live poultry market.
However, some limited human-to-human transmission of HPAI H5N1 has been documented.
The epizootic outbreak in Asia and other regions poses an important public health threat because if these HPAI H5N1 viruses gain the ability for efficient and sustained transmission between humans, an influenza pandemic could result because there is little preexisting natural immunity in the human population.
WHO tracks reports of human infections with H5N1viruses.
To date, 508 such cases have been reported to WHO, with 302 of the patients dying.
So far, a total of 21 human cases of HPAI H5N1 infection have been reported in Hong Kong SAR China, including 18 cases in 1997, two cases in 2003 and the current case in 2010.
The investigation into the case in Hong Kong is ongoing, however, according to the WHO report, "Evidence so far indicates a sporadic case of human influenza A (H5N1) infection without secondary spread."
There have been no reports of human infection with influenza A (H5N1) viruses in the United States, nor have there been any reports of highly pathogenic influenza A (H5N1) in U.S. birds or poultry.
CDC is monitoring the situation and remains in close contact with WHO and other international partners. More information about avian influenza is available at (LINK).
Action Steps Being Taken
The U.S. Government CDC has issued a recommendation for enhanced domestic surveillance of avian influenza A (H5N1). This has been in effect since February 2004 and remains in effect to this day.
CDC has participated in trainings both internationally and at home to strengthen surveillance and laboratory testing techniques.
Pandemic preparedness plans and activities were tested in reality during the 2009 H1N1 pandemic.
HHS and CDC along with other partners such as WHO have implemented important initiatives that have improved influenza surveillance in Asia and other regions of the world.
There is a stockpile of 20 million doses of a vaccine against some strains of HPAI H5N1 viruses. Ongoing efforts to produce a broadly protective vaccine that would be effective against multiple influenza A H5N1 virus strains are under way.
There is a stockpile of antiviral medications to treat human infection with novel influenza viruses, including avian influenza A H5N1 in the Strategic National Stockpile.
Re: Hong Kong - Human case of H5N1 Bird Flu Confirmed
Hong Kong: Bird flu patient now in stable condition (Radio TV Hong Kong, 11/21/10.]
[Source: Radio TV Hong Kong, full text: <cite cite="http://www.rthk.org.hk/rthk/news/englishnews/20101121/news_20101121_56_714294.htm">Bird flu patient now in stable condition</cite>. 11/21/10.]
Bird flu patient now in stable condition
21-11-2010
The Secretary for Food and Health, Dr York Chow, says the woman infected with the H5N1 virus is now in a stable condition - although she is still in intensive care.
Dr Chow said laboratory tests have shown that the patient was not infected with a new virus and that her condition can be treated with Tamiflu and Relenza.
He also said specimens collected from farms and wholesale markets show no sign of the H5N1 virus.
-
------
Life by the colleague continued the relationship with hepatic member of Yuan Weixiang, rehabilitation ideal growing conditions, turn slightly appetite is good, but not yet determine when to switch to the ordinary ward. Yuan so that the bird flu that hospitals reduce the hospital, she accompanied her husband reduced the time, but stressed that understanding of hospital prevention measures.
Yuan Xie much concern, it also told reporters that the shadow of the bird, to the hospital to interview defensive measures should be done enough.
Unknown when to switch to a general ward
Five o'clock yesterday afternoon, Yuan too intensive care unit at Queen Mary Hospital, said after visiting her husband, the husband is getting better physical, spiritual good, only occasionally feel tired, and appetite moderately well: "the most hope for an early discharge canal, as well hooking a woman! "However, the recovery time, the doctor has yet to be determined when the Yuan can be transferred to general ward infirmary. For avian flu, canceled the morning of hospital visiting hours in the afternoon visiting hours have been shortened, so that the hospital Yuan preventive and control measures, effectively protecting the safety of patients and the public, do not worry about her husband infected with bird flu, although the time relative to accompany her husband reduced, but still appreciate. For the past few days, reporters pursued the husband to the hospital situation, Yuan told reporters yesterday the concern was too grateful, and told reporters in the bird out of the shadow of the hospital, to work for defensive measures, "Remember to wear face masks ah!"
Re: Hong Kong - Human case of H5N1 Bird Flu Confirmed
No bird flu mutation
November 21, 2010
Food and Health Secretary York Chow said the patient's virus to test bird flu, the Hong Kong University of gene sequencing has been completed to determine is 2.3.2, is a bird virus, there is no genetic change or mutation, is not a new virus , the virus may be [cured with] "Tamiflu" and "Relenza".
Dr Chow today (November 21) at the central organ donation register after the anniversary celebration, said to the media, both in the farms, wholesale markets, Man Kam To, Bird Street and the retail level test, is almost completed, up to now not found any virus, test results were all negative, suggesting that the risk of an avian influenza outbreak in Hong Kong is not high.
He was referring to, in conclusion, the risk of avian influenza in Hong Kong was not due to increased risk of bird flu, while the patient is now in a more stable, though still in the intensive care unit in hospital, but no longer a fever, the Administration will continue to monitor patients and other environmental conditions.
Customs officers on the liver Yuan Weixiang situation, Dr Chow said he admitted to the intensive care unit in Queen Mary Hospital in stable condition a lot; renal function had considerable damage, but now almost close to normal, no fever or any concurrent disease; according to the present view, Yuan Weixiang will slowly recover.
Female patient with bird flu has been to Hangzhou, Nanjing and markets in Tuen Mun
17/11/2010 7:01 PM
Found in Hong Kong from the mainland passed a suspected case of avian influenza H5N1, the patient was a fifty-year-old woman, she is now in serious condition. Tomorrow the Government will hold an inter-departmental meeting to discuss the incident.
Food and Health Secretary York Chow said the female patient last month with her husband and daughter to Shanghai, Hangzhou and Nanjing tourism in the Mainland market and the food had visited during the chicken. First of the month return to Hong Kong from the Mainland, fever four days later , cough and sputum with blood, was twice admitted to Tuen Mun Hospital, there are signs of pneumonia, may have to go to intensive care unit.
Dr Chow said that this case is very likely that imported cases, but the female patients had the disease before and Chi Lok Yan Oi Market in Tuen Mun, not out of the local infection. Our alert level has been upgraded to serious, will enhance the entrance testing live chickens, strengthen the monitoring and cleaning the wholesale market. The patient visited the market will also enhance cleaning.
Dr Chow said the families of female patients and female patients had the same ward with five patients being asymptomatic, does not appear human to human transmission of the crisis.
Dr Chow: I believe the woman was infected with H5N1 is an imported case, but does not exclude local infection
2010-11-17 HKT 18:17
A 59-year-old woman last month after returning to the Mainland, confirmed case of H5N1 bird flu, the Food and Health Secretary York Chow said the temporary failure to determine that she is overseas or local infection.
Dr Chow said the woman with her husband and daughter, had earlier in Shanghai, Hangzhou and Nanjing, returned this month from 1 to September 5 with fever admitted to Tuen Mun Hospital and is now in serious condition with pneumonia in the short term may be into the intensive care unit.
He added that the authorities had immediately-level rise Serious Response Level, the patients in the Mainland or Hong Kong, have been to the market, we can not determine whether imported cases or cases of local infection.
59-YEAR-OLD WOMAN INTO HONG KONG H5N1 AVIAN INFLUENZA INFECTED
NEWS - HONG KONG AND MACAO NEWS
2010/11/17, WEDNESDAY
HONG KONG TODAY (17) CONFIRMED A CASE OF H5N1 BIRD FLU IMPORTED, IT IS LEARNED, THE PATIENT IS A 59 YEAR-OLD WOMAN, BY THE END OF OCTOBER TO THE MAINLAND TO HONG KONG AFTER FEELING UNWELL, THE INITIAL CONFIRMED CASE OF H5N1 BIRD FLU, IN THE TUEN MUN HOSPITAL IN SERIOUS CONDITION .
FOOD AND HEALTH SECRETARY YORK CHOW MEANS THAT PATIENTS HAVE TO SHANGHAI, HANGZHOU AND NANJING, IN CHINA WENT TO THE LOCAL MARKET, HAS ALSO RETURNED TO HONG KONG TO THE MARKET. HE SAID FAMILY MEMBERS OF PATIENTS WITH NO SYMPTOMS, WILL CLOSE ATTENTION
Re: Hong Kong - Human case of H5N1 Bird Flu Confirmed
There are two important characteristics of the avian influenza virus A(H5N1) human cases detected in China since 2003:
-- the vast majority of the human cases were not traced back to a precise source;
-- the vast majority of cases were not traced back to poultry or animals;
Human-to-human transmission happened in some familiar clusters with no sustained transmission outside family members.
Shanghai is an international trade and touristic hub so an influenza virus readily transmissible between humans would be already planed in other places, such as Europe, America, Africa etc.
Although important, respiratory illness among Shanghai population does not demonstrate the circulation of a novel influenza A virus into this community, at least at this stage and with the information in our hands.
Re: Hong Kong - Human case of H5N1 Bird Flu Confirmed
I think it would be useful to remind what are the phases of Hong Kong’s
preparedness for influenza pandemic.
----
The three-tiered response levels for Influenza Pandemic in Hong Kong
Alert
Public health objectives
Obtain timely and accurate information
from other places with a view to
preventing introduction of the disease
into Hong Kong and to detect local
cases as early as possible.
Command & control structure
The Food and Health Bureau (FHB),
Department of Health (DH), Hospital
Authority (HA), Agriculture, Fisheries and
Conservation Department (AFCD) and
the Food and Environmental Hygiene
Department (FEHD) are the main parties
assessing the nature and level of risks.
Serious*(Current)
Public health objectives
Contain the disease as soon as
possible, identify foci of infection,
prevent local transmission and
exportation of disease to other places.
Command & control structure
• Steering Committee chaired by
Secretary for Food and Health (SFH)
will be set up to steer Government
response.
• The Steering Committee will be chaired
by the Chief Executive.
• The Steering Committee will have as
its core members the Permanent
Secretary for Food and Health (Health)
(PS(Health)), Permanent Secretary for
Food and Health (Food) (PS(Food)),
Permanent Secretary for Education,
Permanent Secretary for Commerce
and Economic Development (Commerce,
Industry and Tourism), Director of
Agriculture, Fisheries and Conservation,
Director of Food and Environmental
Hygiene, Director of Health (DoH),
Controller, Centre for Health Protection
(Controller, CHP), Director of Information
Services (DIS), Director of Social Welfare,
Commissioner for Tourism and Chief
Executive of the Hospital Authority. The
committee will co-opt other senior
officials and non-Government experts
as circumstances warrant.
Emergency
Public health objectives
• Early phase: contain the disease
as soon as possible, identify foci of
infection, prevent large outbreak from
occurring, interrupt and stop chain
of local transmission and prevent
exportation of disease to other places.
• Late phase: slow down progression
of the epidemic and minimise loss of
human lives in order to buy time for
the production of an effective vaccine
against the novel pandemic influenza
strain. Command & control structure
• The Steering Committee will be chaired
by the Chief Executive.
• The Steering Committee will have the
Chief Secretary for Administration,
the Financial Secretary, the Secretary
for Justice, SFH, the Secretary for
Commerce and Economic Development,
the Secretary for Education, the Secretary
for Development, the Secretary for Home
Affairs, the Secretary for Transport and
Housing, the Secretary for Environment,
the Secretary for Labour and Welfare,
the Secretary for Security, Director of
Chief Executive’s Office, DoH and DIS
as its members; and will co-opt other
senior officials and non-Government
experts as circumstances warrant.
HONG KONG - HONG Kong health authorities said a woman who contracted bird flu was moved from intensive care on Monday after her condition improved, as fears of an outbreak linked to the case eased...
Re: Hong Kong - Human case of H5N1 Bird Flu Confirmed
Bird flu woman may be asked to give blood to help other patients
Hong Kong's first bird flu patient in seven years may be invited to give blood after her recovery so her antibodies against the virus can be used to treat other patients. ...
Re: Hong Kong - Human case of H5N1 Bird Flu Confirmed - November 2010
Health department says: the patient has improved, her case was "imported" to Hong Kong, all her known contacts have tested negative.
Bird flu patients is imported materials (12-01 01:31)
卫生防护中心总监曾浩辉表示，早前证诊感染H5N1禽流感的女子，病情好转，已转到普通病房接 受治疗。
Controller, Centre for Health Protection said the permit earlier diagnosis of avian influenza H5N1 infection in women, the condition improved, has been transferred to general ward for treatment.
曾浩辉相信，最快一星期后完成调查，初步相信今次是属于外地传入个案。
Dr Tsang believe, the fastest completion of the investigation a week later, I believe this belongs to the initial imported cases.
曾浩辉表示，曾与患者接触的人，包括其家人，亦已全部出院，对病毒的反应也全呈阴性。
Dr Tsang said that people who had contact with the patient, including their families, have all discharged, all responses to the virus were negative.
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