China - Woman, 27, confirmed death H5N1 - Shandong
2009年01月18日21:43 来源：中国新闻网 At 21:43 on January 18, 2009 Source: China News Network 发表评论 【字体： ↑大 ↓小 】 Comment 【font: ↑ big ↓ small】 中新社北京一月十八日电(记者曾利明)国家卫生部十八日晚九时发布信息称：据山东省卫生厅十八日通报，山东 省确诊一例人感染高致病性禽流感病例。 China news agency, Beijing, January 18 (Reporter Zeng Liming) - National Ministry of Health on the 18th night 9:00 release information, said: According to Health Department of Shandong Province on the 18th briefing, Shandong Province, confirmed case of human infection of highly pathogenic avian influenza cases. 该患者的有关情况，卫生部已向世界卫生组织、港澳台地区和部分国家通报。 The patients with the situation, the Ministry of Health has the World Health Organization, Hong Kong, Macao and Taiwan regions and part of national communications.
患者张某，二十七岁，女，现住山东省济南市。 Zhang patients, 27 years old, female, currently residing in Jinan City, Shandong Province. 今年一月五日发病，病情加重后入院治疗。 January 5 this year the disease, the condition worsened after the hospital treatment. 由于患者病情危重，经全力抢救无效，于一月十七日十八时四十分死亡。 Because patients in a critical condition, after all rescue measures proved ineffectual, at 18:40 on January 17 in the death.
一月十七日，山东省疾病预防控制中心对患者呼吸道吸取物标本进行检测，结果为禽流感病毒H5N1核酸阳性； 中国疾病预防控制中心对患者呼吸道标本进行复核检测，结果为禽流感病毒H5N1核酸阳性。 January 17, Shandong Province 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; China Center for Disease Control and Prevention to conduct a review of patients with respiratory specimens testing, the results for the H5N1 avian influenza virus nucleic acid positive.
根据世界卫生组织人感染高致病性禽流感确诊病例定义和中国诊断标准，卫生部人禽流感防控专家组判定该病例为 人感染高致病性禽流感确诊病例。 According to World Health Organization of human infection of highly pathogenic avian influenza confirmed case definition and diagnostic criteria of China, the Ministry of Health human avian influenza prevention and control expert group to determine the cases of human infection of highly pathogenic avian influenza confirmed cases.
疫情发生后，当地政府按照《人感染高致病性禽流感应急预案》采取了相应的防控措施。 After the outbreak, the local government in accordance with the "human infection of highly pathogenic avian influenza contingency plans" to take the corresponding control measures. 对全部密切接触者实行严格的医学观察，截至目前未发现异常临床表现。 All close contacts of strict medical observation, as of now no abnormal clinical manifestations. (完) (END)http://66.102.1.113/translate_c?hl=e...bZ2uKsEJ4IK1Kg
Like many other canids, it is omnivorous. However, its diet is atypically diverse, consisting of invertebrates, frogs, lizards, rodents and birds along with seeds and berries. Those living near the ocean will also eat crabs and scavenged marine life.
JINAN, Jan. 18 (Xinhua) -- A woman had died of bird flu in east China's Shandong Province, provincial health authorities reported on Sunday.
The 27-year-old woman surnamed Zhang, who lived in Jinan, the provincial capital, fell ill on Jan. 5 and went to hospital when got worse, said an official of the provincial health department. She died at 6:40 p.m. on Saturday. The national disease prevention and control center on Sunday confirmed that she was infected with the H5N1 strain of avian influenza.
Re: China - Woman, 27, confirmed death H5N1 - Shandong
Second bird flu fatality in China
Sun, Jan 18, 2009
Reuters
>BEIJING (Reuters) - A woman in eastern China has died after being infected with bird flu, Xinhua news agency said on Sunday, citing provincial health authorities, in the second human infection reported in two days.
The 27-year-old woman surnamed Zhang, from Jinan, capital of China's eastern Shandong province, died on Saturday after falling ill on Jan. 5, Xinhua said, citing an unnamed official with the provincial health department.
"The national disease prevention and control centre on Sunday confirmed that she was infected with the H5N1 strain of avian influenza," it said.
Re: China - Woman, 27, confirmed death H5N1 - Shandong
CCTV Network News (Evening News): Health Department of Shandong Province January 18 briefing, Shandong Province, confirmed case of human infection of highly pathogenic avian influenza cases.
患者张某，女，27岁，现住山东省济南市。
Zhang patients, female, 27 years old, now living in Jinan City, Shandong Province.
2009年1月5日发病，经全力抢救无效，于1月17日18时40分死亡。
January 5, 2009 incidence, after all rescue measures proved ineffectual efforts in at 18:40 on January 17 deaths.
Re: China - Woman, 27, confirmed death H5N1 - Shandong
Chinese woman dies of H5N1 strain of bird flu
Published: Sunday 18 January 2009 16:00 UTC
Last updated: Sunday 18 January 2009 16:00 UTC
A woman in the Chinese province of Shandong has died of the H5N1 variant of the bird flu virus. This is the second death as a result of bird flu in a month. The 27-year-old woman fell ill two weeks ago. The health authorities in the eastern province have confirmed that she was infected with the potentially fatal variant of the virus.
Nearly 250 people have died as a result of the H5N1 strain of bird flu since 2003. The disease is transmitted by direct contact with infected birds or their excrement.
Re: China - Woman, 27, confirmed death H5N1 - Shandong
China reports second bird flu death this month
Agence France-Presse | 01/19/2009 12:07 AM Printer-friendly version | Send to friend
BEIJING - A woman has died of bird flu in east China's Shandong province, state media said Sunday, reporting the nation's second death from the disease this month.
The 27-year-old, surnamed Zhang, fell ill on January 5 and died Saturday evening, the Xinhua news agency said, citing the Shandong provincial health department.
The national disease prevention and control centre on Sunday confirmed that she was infected with the H5N1 strain of avian influenza, according to Xinhua.
It brings to 22 the number of people in China who have died from the virus since 2003.
Earlier this month, a 19-year-old woman died of bird flu in Beijing -- the country's first fatal case in nearly a year -- after handling ducks she had bought in a market.
The report of Zhang's death came a day after Chinese state media said that a two-year-old girl had fallen ill from bird flu. The toddler was reported to be in a critical condition in Sunday evening primetime TV news.
People who were in close contact with Zhang are now under close observation, but so far no one has fallen ill, the China News Service said.
China has reported the case to the World Health Organization (WHO), as well as health authorities in Hong Kong, Macau and Taiwan, according to the China News Service.
Bird flu outbreaks tend to happen in the winter months, when low temperatures create more favorable conditions for the virus to spread.
Prior to this month's cases, and in addition to the fatalities, 10 Chinese were known to have contracted bird flu but survived.
According to the WHO, about 250 people have died from bird flu worldwide since 2003.
Scientists fear the virus could mutate to jump easily from human to human, potentially sparking a global pandemic.
Re: China - Woman, 27, confirmed death H5N1 - Shandong
Commentary Fatal H5N1 Case in Shandong China Increases Concerns Recombinomics Commentary 15:46
January 18, 2009
The 27-year-old woman surnamed Zhang, from Jinan, capital of China's eastern Shandong province, died on Saturday after falling ill on Jan. 5
The above comments describe the third confirmed H5N1 case in China this month (see updated map). This case is in addition to the fatality in Beijing (19F) and the critical case originating in Hunan (2F) and all three follow confirmation of two bird outbreaks in Jiangsu last month. The outbreaks in Jiangsu involved asymptomatic poultry infected with clade 7, a clade that is significantly different than the clade 1 and clade 2 targets of avian and human vaccines, raising concerns that clade 7 is silently spreading in China and cause fatal infections this month.
Re: China - Woman, 27, confirmed death H5N1 - Shandong
China reports two new cases of bird flu, one dead
18 Jan 2009 16:30:34 GMT
Source: Reuters
(Recasts with state media saying a woman had died)
By Ian Ransom
BEIJING, Jan 18 (Reuters) - A woman in eastern China has died and a two year-old girl is critically ill in northern China after becoming infected with bird flu, state media said on Sunday.
The 27-year-old woman from Jinan, capital of China's Shandong province, died on Saturday after falling ill on Jan. 5, Xinhua said, citing an unnamed official with the provincial health department. It gave her surname as Zhang.
The two-year-old girl, surnamed Peng, was found ill on Jan. 7 in central Hunan Province and taken to a hospital in her home province of Shanxi on Jan. 11, Xinhua news agency said, citing an unnamed official with the provincial health department.
After not reporting a single human infection in almost a year, China has now confirmed three cases in two weeks.
Health authorities said earlier this month a woman infected with bird flu had died in Beijing after buying ducks at a market in Hebei province, which surrounds the Chinese capital, sparking emergency checks of local poultry markets.
Experts said the case was not unexpected as the virus is more active during the cooler months between October and March, but pointed to holes in surveillance of the virus in poultry.
China's Agriculture Ministry said last week it had found no bird flu cases among poultry in Beijing or other areas surrounding the city during checks after the woman's death.
The H5N1 virus remains largely a disease among birds but experts fear it could change into a form that is easily transmitted among humans, and spark a pandemic that could kill millions of people worldwide.
With the world's biggest poultry population and hundreds of millions of backyard birds, China is seen as critical in the fight to contain bird flu.
GIRL CRITICAL
The national disease prevention and control center on Sunday confirmed Zhang, the 27-year-old woman, had been infected with bird flu, Xinhua said, but provided no other details.
China's Health Ministry said in a statement on its website (www.moh.gov.cn) that authorities had confirmed on Saturday that the two-year-old girl had been infected with the virus.
The statement did not say how the girl had become infected. There have not been any reports of outbreaks of the virus among birds in Hunan since May 2007.
"Currently, the girl's condition is critical. Shanxi health departments are currently fighting to save her with the guidance of a team of health experts," the Health Ministry said.
"All people who have had close contact with her are under strict medical observation," it said. It added that the World Health Organisation (WHO), and health authorities in Hong Kong, Macau and some other countries had been notified.
Calls placed to health departments in Shanxi province went unanswered.
WHO said China's Health Ministry had notified them of the toddler's infection, but could not provide more details. "We are staying in close contact with the Health Ministry," a spokeswoman from WHO's China office told Reuters.
Since the H5N1 virus resurfaced in Asia in 2003, it has infected 391 people, killing 247 of them, according to WHO figures released in mid-December.
The toddler's infection brings China's total to 33 human bird flu cases, of which at least 22 people have died. (Additional reporting by Lu Jiansheng; editing by Myra MacDonald)
Re: China - Woman, 27, confirmed death H5N1 - Shandong
MOH translation
Shandong Province, confirmed case of human infection of highly pathogenic avian influenza cases
Health Department of Shandong Province January 18 briefing, Shandong Province, confirmed case of human infection of highly pathogenic avian influenza cases.
Zhang patients, female, 27 years old, now living in Jinan City, Shandong Province. January 5, 2009 the disease exacerbations after hospital treatment. Because patients in a critical condition, after all rescue measures proved ineffectual, was at 18:40 on January 17 deaths. January 17, Shandong Province 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 for poultry positive for H5N1 influenza virus nucleic acid.
According to World Health Organization of human infection of highly pathogenic avian influenza confirmed case definition and China's diagnostic standards for human avian influenza prevention and control of the Ministry of Health expert group to determine the cases of human infection of highly pathogenic avian influenza confirmed cases.
After the outbreak, the local government attaches great importance to have been in accordance with the "human infection of highly pathogenic avian influenza contingency plans" to take the corresponding control measures. All close contacts of strict medical observation, as of now no abnormal clinical manifestations.
The patients with the situation, the Ministry of Health has the World Health Organization, Hong Kong, Macao and Taiwan regions and part of national communications.
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.
Commentary 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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"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 Foundation
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01:34
Healt
h 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.
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.
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
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.
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.
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)
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>
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.
[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.
[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/jw
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?:
Quote:
[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.
Re: China - Woman, 27, confirmed death H5N1 - Shandong
Quote:
Originally Posted by Commonground
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?:
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.
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.
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China - Woman, 27, confirmed death H5N1 - Shandong
2009-01-18 22:57:21
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