China - Human case of H5N1 Dies in Shenzhen, Guangdong province (December 30 2011)

[Giuseppe Michieli]

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


Notification of a human case of H5N1 in Shenzhen


‎30 December‎2011


The Centre for Health Protection (CHP) of the Department of Health received notification from the Ministry of Health (MoH) tonight (December 30) concerning a suspected human case of influenza A (H5N1) in Shenzhen.


A CHP spokesman said the patient was a 39-year-old man living in Shenzhen.

He developed symptoms on December 21 and was admitted to a hospital on December 25 because of severe pneumonia.

He is now in critical condition.

The man had no travel history or contact with poultry before the onset of symptoms.


Preliminary laboratory tests on the patient's specimen by the Centre for Disease Control and Prevention of Guangdong Province yielded positive result for H5N1.


The CHP is maintaining close liaison with the Guangdong Department of Health to obtain more information on the case.

We will heighten our vigilance and continue to maintain stringent port health measures in connection with this development, the spokesman said.


The spokesman reminded members of the public to remain vigilant against avian influenza infection and to observe the following measures:


* Avoid direct contact with poultry and birds or their droppings; if contacts have been made, they should wash hands thoroughly with soap and water;
* Poultry and eggs should be thoroughly cooked before eating;
* Wash hands frequently;
* Cover nose and mouth while sneezing or coughing, hold the spit with tissue and put it into covered dustbins;
* Avoid crowded places and contact with sick people with fever;
* Wear a mask when you have respiratory symptoms or need to take care of patients with fever;
* When you have fever and influenza-like illnesses during a trip or when coming back to Hong Kong, you should consult doctors promptly and reveal your travel history.


For further information on avian influenza, please visit the CHP website: www.chp.gov.hk.



-

----

[sharon sanders]

Please see this thread for background information:

China - Officials say Poultry Farms that Ship to Hong Kong Test Negative for Bird Flu H5N1 in Shenzhen, Guangdong province - December 29, 2011

http://www.flutrackers.com/forum/sho...d.php?t=178848

[sharon sanders]

Sent to ProMED:

From: FluTrackers
To: ProMed
Subject: China - Suspected Human case of H5N1 in Shenzhen, Guangdong province (December 30 2011), Preliminary test is H5N1 Positive
Date: Dec 30, 2011 1:25 PM

[sharon sanders]

machine translation -

H5N1 hit Guangdong Shenzhen bus drivers suspected bird flu infection
At 00:11 on December 31, 2011 Source: Information Times
　　H5N1 hit Guangdong Shenzhen bus drivers suspected bird flu infection

　　Guangdong Provincial Health Department briefing last night emergency case of human infection of highly pathogenic avian influenza suspected cases

　　Information Times (reporter Linan Nan Yue Wei correspondent letter) last night, the Guangdong Provincial Health Department emergency communications, Shenzhen found a case of human infection of highly pathogenic avian influenza suspected cases currently under active rescue dying. Up to now, the epidemiological investigation, the patient within 1 month before the disease without a clear history of exposure to poultry, and no history of going out.

　　According to reports, infection Moumou, male, 39 years old, public car driver, who lives in Baoan manhole, on December 21 had no incentive to fever, the self-medication and outpatient and emergency treatment do not improve, stay at 25 treatment in a hospital in Shenzhen, 26 with "severe pneumonia" diagnosis transferred to the intensive care unit treatment.

December 30, the provincial CDC laboratory testing, patient samples of avian influenza virus (H5N1) nucleic acid positive. December 30, according to China's Guangdong expert group of people infected with highly pathogenic avian influenza diagnostic criteria and relevant regulations, the diagnosis of suspected human infection of highly pathogenic avian influenza cases have been reported to the Ministry of Health for further diagnosis. The patient in critical condition, is actively rescuing

more...

Zhttp://finance.jrj.com.cn/industry/2011/12/31001111951588.shtml

[sharon sanders]

machine translation -

snip


　Ministry of Health has informed WHO, Hong Kong, Macao, Taiwan regions and part of the country informed the patient of the situation, the provincial Health Department has been informed of the case in Hong Kong and Macao health authorities.

Zhttp://roll.sohu.com/20111230/n330829259.shtml

[Shiloh]

Source: http://rthk.hk/rthk/news/englishnews..._56_808546.htm

Man 'contracts bird flu' in Shenzhen

31-12-2011
A suspected human case of the H5N1 virus, or bird flu, has been reported in Shenzhen.

Hong Kong's Centre for Health Protection said the patient, a 39-year-old man, developed symptoms on December 21 and was admitted to hospital on Christmas Day with severe pneumonia. He is now in critical condition...

[Shiloh]

Source: http://today.msnbc.msn.com/id/458265...d-chinese-man/

Deadly bird flu suspected in hospitalized Chinese man
39-year-old has tested positive for H5N1, which kills 60 percent of people it infects

updated 1 hour 3 minutes ago 2011-12-30T17:52:27

HONG KONG — China has reported a suspected human case of the H5N1 virus, or bird flu, in a southern city bordering Hong Kong, officials said on Friday.

The patient, a 39-year-old man living in Shenzhen, developed symptoms on Dec. 21 and was admitted to a hospital on Dec. 25 because of severe pneumonia, the Centre of Health Protection of Hong Kong said in a statement. He is now in critical condition.

China's Ministry of Health said preliminary laboratory tests on the patient's specimen by the Centre for Disease Control and Prevention of Guangdong Province had yielded a positive result for H5N1...

[tetano]

A 39-year-old man is in critical condition after testing positive for the deadly H5N1 bird flu virus in the Chinese city of Shenzhen, state media reported Saturday quoting local health authorities.

The city borders Hong Kong, which has culled thousands of chickens and ordered a suspension of live poultry imports from China after three birds tested positive with the strain in mid-December.

The man, a bus driver surnamed Chen, was hospitalised with a fever on December 21 and tested positive for the H5N1 avian influenza virus in Shenzhen's Bao'an district, the provincial health department said, according to Xinhua news agency.

He remains in a critical condition and is receiving emergency treatment, the report said, adding that the man had apparently had no direct contact with poultry in the month before he was taken ill nor had he left the city.

Chinese and Hong Kong authorities have been working closely together since December 21 after live poultry supplies were suspended to the glitzy financial hub following the discovery of infected birds.

..

http://health.yahoo.net/news/s/afp/c...-with-bird-flu

[Giuseppe Michieli]

It is always worth to note that most of human A(H5N1) avian influenza virus infections in China since 2003 had not recognized contact with poultry (ie live chickens, carcasses, diseased animals).

For an overview of a series of such cases, readers could see this Emerging Infectious Diseases Journal article: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2878233/

[Giuseppe Michieli]

The most recent human case of H5N1 avian influenza virus infection in China that was notified to the WHO dates back to June 2010: http://www.who.int/csr/don/2010_06_08/en/index.html

[Treyfish]

China reports suspected human bird flu case
by Reuters Health, Last updated December 30, 2011
HONG KONG (Reuters) - China has reported a suspected human case of the H5N1 virus, or bird flu, in a southern city bordering Hong Kong, officials said on Friday.
The patient, a 39-year-old man living in Shenzhen, developed symptoms on December 21 and was admitted to a hospital on December 25 because of severe pneumonia, the Centre of Health Protection of Hong Kong said in a statement. He is now in critical condition.
China's Ministry of Health said preliminary laboratory tests on the patient's specimen by the Centre for Disease Control and Prevention of Guangdong Province had yielded a positive result for H5N1.
About 10 days ago Hong Kong culled 17,000 chickens at a wholesale poultry market and suspended all imports of live chickens from mainland China for 21 days after a dead chicken there tested positive for the H5N1 virus...
http://www.healthnews.com/en/news/Ch...19BK4uK8slCnk/

[Treyfish]

..funny last nite the shenzen papers say they had no bf in humans..

[Treyfish]

Shenzhen drivers Mingwei very hot bird flu h5n1



Shenzhen drivers Mingwei very hot bird flu
WASHINGTON H5N1 avian influenza in Hong Kong are both inside and outside attack. While bird flu found in Hong Kong due to the wholesale market is still dead chickens chicken ban period on the occasion, the Guangdong Provincial Health Department announced yesterday late at night, adjacent to Shenzhen and Hong Kong, a 39-year-old bus driver surnamed Chen suspected bird flu, the current situation critical in the Bao'an District People's Hospital, the patient had no travel history, behind in the local cases of suspected cases, confirmed the Ministry of Health is pending for nearly three years, Guangdong Province, the first human cases of avian flu.
Hong Kong Centre for Health Protection announced after half past eleven last night, the Ministry of Health has received the notification of suspected bird flu cases than Guangdong Provincial Health Department announced late hourBao'an District of hospital stay

。

Guangdong Provincial Health Department said the bus driver surnamed patients, who lives in Baoan manhole, on Wednesday (21) sudden onset of fever, since the drugs and to the A & E departments do not improve, to Sunday (25) Check Bao'an District People's Hospital, was diagnosed with severe pneumonia the next day transferred to the intensive care unit.
Until last night, the provincial Center for Disease Control laboratory test results confirmed that the patient samples of the H5N1 highly pathogenic avian influenza were positive, the Ministry of Health has reported further confirmed, behind the suspected cases.

• Patients still Bao'an District, Shenzhen People's Hospital for treatment.

Patients currently in treatment, its household contacts are also subject to medical surveillance, no exceptions, and because epidemiological survey showed that patients with no history of travel within one month, and no history of contact with poultry, the authorities therefore highly concerned about the incident, the Ministry of Health World Health Organization has reported the incident, the Guangdong Provincial Health Department is to inform the Hong Kong and Macao health authorities of cases.
Department of Microbiology, University of Hong Kong Assistant Professor Panlie Wen pointed out that the avian-human transmission is extremely moving, estimate the patient is in contact with chicken feces after the move, yet know whether there are variations, the need for gene sequencing tests. 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/20111231/00176_058.html&usg=ALkJrhhSirAZsRfjxA9zU6NNw4qHugv8rA

[Treyfish]

Shenzhen found a case of human infection of highly pathogenic avian influenza suspected cases

http://www.sznews.com 2011-12-30 23:03 来源： 广东省卫生厅 【字号： 大 中 小 】

http://www.sznews.com 2011-12-30 23:03
Source: Guangdong Provincial Health Department

(Guangdong Health letter) Guangdong Provincial Health Department briefing today, the province Shenzhen found in 1 case of human infection of highly pathogenic avian influenza suspected cases.
Moumou patients, male, 39 years old, bus drivers, live Baoan manhole, at December 21, had no incentive to fever, the self-medication and outpatient and emergency treatment, no improvement in occupancy on April 25, Baoan, Shenzhen a hospital for treatment, 26 with "severe pneumonia" diagnosis transferred to the intensive care unit treatment.

。

December 30, the provincial CDC laboratory testing, patient samples of avian influenza virus (H5N1) nucleic acid positive.
Guangdong Expert Group on the 30th of China's human infection of highly pathogenic avian influenza diagnostic criteria and relevant regulations, the diagnosis of suspected human infection of highly pathogenic avian influenza cases have been reported to the Ministry of Health for further diagnosis. The patient in critical condition, is actively rescuing. Up to now, the epidemiological investigation, the patient one month before the disease is no clear history of exposure to poultry, and no history of going out.
After the outbreak, the provincial government attaches great importance to the provincial and municipal health departments in a timely manner to the appropriate control measures, make every effort to treat the patient work, and close contacts of patients under close medical observation, not abnormal.

。

Provincial Health Department has sent a clinical, prevention and control experts to assist in diagnosis, treatment and prevention and control in Shenzhen work.
Ministry of Health has informed WHO, Hong Kong, Macao, Taiwan regions and part of the country informed the patient of the situation, the provincial Health Department has been informed of the case in Hong Kong and Macao health authoritieshttp://translate.googleusercontent.c...03BAVmn8uA-umw

[Treyfish]

Hong Kong Department of Health: vigilant [2011-12-31]

Hong Kong Wen Wei Po (Reporter Vincent) Hong Kong Centre for Health Protection, Ministry of Health last night received a notification of human avian influenza H5N1 suspected cases. 。 Centre will continue with the Guangdong Provincial Health Department to maintain close contact in order to understand the case. 。 A DH spokesman said the department will be vigilant and continue to maintain strict accordance with the developments of the port health measures. 。 Center spokesman said last night the Ministry of Health received notification, noted before the onset of suspected bird flu patients had no recent travel or contact with birds, the center will continue with the Guangdong Provincial Health Department to maintain close contact in order to understand the case. The spokesman reminded the public to take precautions against avian influenza, such as after returning from a trip or have fever and influenza-like symptoms should immediately seek treatment and the doctor had to place, we have to avoid direct contact with birds or their manure, poultry and eggs should be cooked thoroughly before eating and wash hands frequently. http://translate.googleusercontent.c...gr5YHQhmxuV9sQ

[Treyfish]

...The suspected migratory

Yesterday, Guangdong Province, He Jianfeng, director of Communicable Disease Prevention, said after the WHO's research, people infected with avian influenza viruses from birds.

。

People infected with avian flu is rare, and it is distributed. The public need not panic. "The current study shows that people are not so susceptible to this virus, now consider the hypothesis of a relationship of some human genes."

The man with the bird flu is an outbreak of avian flu in Hong Kong has to do with it? Jianfeng said that at present can not confirm whether the relationship between the two.

。

However, note that there are two migratory routes in Guangdong.

一。

One is the East coast, including Shenzhen, Shantou, Shanwei. The other one is from Jiangxi to Nanxiong to Guangzhou, Guangdong, the central movement of this line. Hong Kong and Shenzhen in Guangdong, the central migratory online.

New Year's Day is around the peak of wild bird migration. "We are investigating the man found him five days before the onset of the rest, because the sprained foot, and not to drive. But there is a characteristic that he lived more in the environment of migratory birds, exercise every morning to the field, that also many places of migratory birds. "Jianfeng said he was now highly suspicious of migratory birds infected with the virus may be a relationship. http://translate.googleusercontent.c...U-USh5394eP7OA

[Treyfish]

Shenzhen, Guangdong, experts suspect case of avian influenza and migratory birds on
[31/12 Saturday 07:18]
Shenzhen, a 33-year-old man suspected highly pathogenic H5N1 avian influenza now in critical condition. Mainland media quoted Guangdong He Jianfeng, director of Communicable Disease Prevention, said the survey found, the patient's residential neighborhood, and his morning walk the line, there are more migratory birds are migratory birds with the recent peak, and migratory birds suspected cases about.

Guangdong Provincial Health Department said the patient is a bus driver living in Baoan manhole, a fever last Wednesday, 25 admitted to a hospital in Bao'an, after the emergence of severe pneumonia, he detected the H5N1 virus, were positive. Centre for Health Protection of Hong Kong, the mainland received notification this evening were cases will continue to closely contact with the Guangdong Province to learn details of the cases, and will, developments continue to maintain stringent port?

生措施。

Health measures. http://translate.googleusercontent.c...rpxrvmQdLMIWog

[sharon sanders]

Please see recent threads:

China - Officials say Poultry Farms that Ship to Hong Kong Test Negative for Bird Flu H5N1 in Shenzhen, Guangdong province - December 29, 2011

China - Villagers force govt to yield ground in Guangdong province - December 22, 2011

China - Protests Spread in Guangdong province - 6 dead, 200 injured in "special" police crackdown - December 20, 2011

China - Village in Open Protest After Man, 42, Dies in Police Custody - Guangdong Province - Video - December 14, 2011

China - Major H5N1 Poultry Farm Drill Held in Jangmen, Guangdong province - November 24, 2011

Two major export in southern Guangdong Province, Shenzhen and Dongguan city ─ more than 10,000 workers in a strike last week - November 24, 2011

China - Hundreds Protest Against Dictatorship Demanding Human Rights in Guangdong province - November 24, 2011

China - 40 students at Beijing Normal University Confirmed Norovirus in Guangdong province - November 20, 2011

China - Respiratory tract infections, pneumonia, asthma, and heart disease up 2-3% in Guangdong due to cold weather - November 16, 2011

China - Bird Flu H5N1 Poultry Drill Held in Guangdong province - October 2, 2011

China - 100+ dead chickens thrown in river feeding into Yellow river in Guangdong province - September 1, 2011

China - SARS type diseases prevalent in pigs in Guangdong province - August 17, 2011

[sharon sanders]

While there have been 2 recent native Hong Kong wild birds that have tested positive for H5N1 here and here, I not think this is conclusive proof that the bus driver in Shenzhen was exposed to H5N1 through wild birds.

In November an FAO adviser was quoted in the China Daily newspaper, (H5N1) "seems to exist widely in the poultry markets, particularly in South China, posing a tough challenge for the nation's epidemic intervention work." Also mentioned the article was the spread of the H5N1 clade 2.3.2.1 in live poultry. It is not clear whether the current poultry vaccine used in China fully protects against this clade.

In addition, as a bus driver, he was exposed to the public at close range in a contained vehicle. Limited human to human transmission can not be ruled out in this case.

[Laidback Al]

Confusing situation again. Treyfish's post above (#16) suggests that the bus driver was not working and home on sick leave for a sprained foot for 5 days before onset. He would have had limited exposure from other bus riders if this is the case. Importantly though, if he had a sprained foot he probably would not have been exercising outdoors where he might have been exposed to H5N1 from infected migratory birds.

[sharon sanders]

Originally Posted by Laidback Al

Confusing situation again. Treyfish's post above (#16) suggests that the bus driver was not working and home on sick leave for a sprained foot for 5 days before onset. He would have had limited exposure from other bus riders if this is the case. Importantly though, if he had a sprained foot he probably would not have been exercising outdoors where he might have been exposed to H5N1 from infected migratory birds.

I agree. It is an inconsistent story.

[Shannon]

Problem is he may have stepped out onto stoop, balcony or whatever to smoke a cigarette, put his hand on the railing then wiped his mouth, nose or eyes. If an infected bird left a dropping on the railing he inadvirtantly infects himself. Of course, he may have also visited the wet market while being off work due to the sprain. We just don't know at this point. I can't rule either scenario out until we see the clade or if others are infected.

[Sally Furniss]

Shenzhen Center for Disease Control refers to the driver of the suspect bird flu had contact with bird droppings
31.12.2011 12:28
Shenzhen, a bus driver, suspected cases of avian flu, CDC deputy director of Shenzhen Mahan Wu refers to the investigation does not exclude patients who may have contact with bird droppings, but at no risk of transmission, the opportunity is not a large community outbreak. Center also refers to a temporary no drivers found with suspected contact with an infected person, there are exceptions.


http://www.881903.com/Page/ZH-TW/new...7&csid=261_341

[Sally Furniss]

Shenzhen man suspected bird flu infection are life-threatening organ failure
31.12.2011 13:06
Shenzhen Third People's Hospital, said Zhou Ping Bai, sick man to use instruments to assist breathing, heart and kidney failure, a life-threatening. He also said that patients living in the wetland near, do not rule out the waste may have contact with birds or contaminated water, but at no risk of transmission. Authorities to track down one hundred and twenty of his close contact with people, no symptoms.

http://www.881903.com/Page/ZH-TW/new...2&csid=261_341

[Sally Furniss]

summary
Male : Chen
39 years
Bus driver
Location : Bao'an district, Shenzhen, Guangdong province
No direct contact with poultry in a month
Has not left the city in a month
He was resting five days before the onset (of symptoms?) because of sprained foot, and did not drive.
Symptoms 21 December
Self medication and outpatient care
Treatment in a hospital in Shenzhen with severe pneumonia on 25 December
Transferred to intensive care, 26 December
CDC testing 30 December

[Sally Furniss]

How did he get to A and E/outpatints for flu treatment with a sprained ankle?

[Treyfish]

Shenzhen bus driver died of bird flu infection
2011-12-31 14:53:25
December 31, was diagnosed with human infection of highly pathogenic avian influenza in Shenzhen Baoan manhole patients Moumou 13:33 declaration of death, cause of death was multiple organ failure caused by the virus. It is understood, have been in close contact with 120 people present were not abnormal performance. After investigation, the patient was the bus driver, one month before the disease is no clear history of exposure to poultry, and no history of going out.

http://news.163.com/11/1231/14/7MK2MA6I0001124J.html

[Treyfish]

Shenzhen confirmed human bird flu patients died #h5n1



Shenzhen confirmed human bird flu patients died
at 14:47 on December 31, 2011 Shenzhen confirmed human infections highly pathogenic bird flu at 13:33 on the 31st declared dead, cause of death was multiple organ failure caused by the virus. The patient who lives in Shenzhen, near the sea garden, morning exercises in the film area, the initial suspicion caused by migrating birds, so far undetermined source of infection. Have had close contact with 120 people present were not abnormal performance. http://news.ifeng.com/mainland/detail_2011_12/31/11703513_0.shtml

[Treyfish]

Shenzhen, a bus driver has been infected with bird flu death
The Free Library www.cnfol.com 2011 年 12 月 31 日 14:53 Nanfang Daily, Nanfang Daily (Reporter / Air to rain) correspondent has just learned, was diagnosed with human infection of highly pathogenic avian influenza in Shenzhen Baoan manhole Chen patients a 13:33 today declared dead, cause of death was multiple organ failure caused by the virus. It is understood, have been in close contact with 120 people present were not abnormal performance.http://news.cnfol.com/111231/101,1281,11478859,00.shtml

[penguinsix]

Here is an English story out of Hong Kong on his death.

http://rthk.hk/rthk/news/englishnews...1231&56&808610