Eighteen persons with contact of dead birds put under medical surveillance
************************************************** **** Following the finding of dead birds in Sha Lo Wan, Lantau, the Centre for Health Protection (CHP) of the Department of Health is liaising with the Agriculture, Fisheries and Conservation Department in tracing people who had potential contact with the dead birds suspected of being infected with H5 avian influenza.
CHP contacted six members of the public who reported the incident and 12 staff involved in the operation of collecting dead birds.
Seventeen of them are asymptomatic and have been put under medical surveillance, a CHP spokesman said today (January 31).
The 26-year-old driver who had participated in collecting the dead birds on January 29 developed fever and symptoms of upper respiratory infection since January 27. He denied having contacted with the birds during the operation.
Given the fact that the driver developed symptoms two days before the operation, the spokesman noted that the chance of him being infected with avian flu was low.
“However, as a precautionary measure and in order to follow up his condition more closely, the driver has been admitted to the Princess Margaret Hospital for observation and further investigation,” he added.
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; and
* 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: http://www.chp.gov.hk.
Ends/Saturday, January 31, 2009
Issued at HKT 22:59
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Following the finding of dead birds in Sha Lo Wan, Lantau, the Centre for Health Protection (CHP) of the Department of Health is liaising with the Agriculture, Fisheries and Conservation Department in tracing people who had potential contact with the dead birds suspected of being infected with H5 avian influenza.
CHP contacted six members of the public who reported the incident and 12 staff involved in the operation of collecting dead birds.
Seventeen of them are asymptomatic and have been put under medical surveillance, a CHP spokesman said today (January 31).
Quote:
The 26-year-old driver who had participated in collecting the dead birds on January 29 developed fever and symptoms of upper respiratory infection since January 27. He denied having contacted with the birds during the operation.
Given the fact that the driver developed symptoms two days before the operation, the spokesman noted that the chance of him being infected with avian flu was low.
''However, as a precautionary measure and in order to follow up his condition more closely, the driver has been admitted to the Princess Margaret Hospital for observation and further investigation,'' he added.
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; and
* 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: http://www.chp.gov.hk.
-
People come and go, but the creative force of great historical events, as well as important ideas and actions remain. (Aleksandr Romanovic Lurija, 1976)
-- A TIME'S MEMORY (Blog) ATTRAVERSO QUESTI GIORNI (Blog) tracciatore_traccia@libero.it
Symptomatic H5 Collecter Hospitalized in Hong Kong Recombinomics Commentary 21:46
January 31, 2009
The 26-year-old driver who had participated in collecting the dead birds on January 29 developed fever and symptoms of upper respiratory infection since January 27. He denied having contacted with the birds during the operation.
Given the fact that the driver developed symptoms two days before the operation, the spokesman noted that the chance of him being infected with avian flu was low.
''However, as a precautionary measure and in order to follow up his condition more closely, the driver has been admitted to the Princess Margaret Hospital for observation and further investigation,'' he added.
The above comments describe a hospitalized driver of the collection team in Hong Kong. He is said to have developed URI symptoms prior to the collection of H5 positive dead waterfowl, which may signal a seasonal flu infection. At this time, the most prevalent seasonal flu in Hong Kong is Tamiflu resistant H1N1.
A major concern associated with the fixing of H274Y in H1N1 in Asia is a dual infection involving H1N1 and H5N1. Therefore, URI symptoms in a member of the collection team prior to collection of H5 positive birds are a concern. The current symptoms are of greater concern because culling/collection teams usually are treated with Tamiflu prophylactically, which would have no effect on symptoms caused by H1N1 with H274Y.
Moreover, H5N1 in a host with H274Y on H1N1 could become resistant by recombining or reassorting with the N1 with H274Y, leading to H5N1 with H274Y, which would selected by the treatment.
Therefore more information on the etiological agent responsible fro URI prior to collection of birds would be useful and/or URI that remained after the collection of the birds would be useful, which would included sequences from the birds and driver.
Use of symptomatic culling members is hazardous to the world’s health.
.
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Re: Hong Kong - 18 Under Surveillance after Contact with Dead Birds
More short stories on the 3 birds and people under observation..
In general, the reports say , Guondong has no poultry outbreaks but are requested to notify if they do.
They are trying to decide if the birds ,flew to the beach,floated from the mainland, or were thrown down by locals, who probably are indeed still raising fowl but say they are not, and authorities are worried they may not go to the hospital if they are sick, because they are not supposed to be.
There is still worry from gov't officials that the virus has mutated to asymptomatic infectious birds and causing human cases on the mainland, and of course they are still testing.
The driver has tested negative for avian flu, but they dont say much else,the other 17 are still under observation.
China has been keeping news close to the chest and the fact we are getting these cases reported at all leads me to believe they are hiding many more. When the reports do come out, it is the same story in 200 papers, rarely are we seeing more to the story after only 1 day.
Many provinces are on full alert. Many neighboring countries like Russia, Vietnam, laos, Nepal and others are taking temperatures, strictly monitoring border crossings for poultry smuggling and asking many questions of anybody that shows the slightest sign of any illness.
I am not finding anything really crazy, other than the similar reports found by the other great FT members and trackers on other sites. Lots of reports of NO BF outbreaks, and lots of reports that require immediate notification of any unknown pnuemonias or strange deaths or illness in people or birds. Millions have travelled to eat a chicken and only these 8 have been verified so far. That seems to me to be very miraculous.
The holidays are about over and due to economic reasons, millions are staying in the countryside..where the birds are, and not going back to the cities. Millions are however and as reported, regular flu is gearing up for the season...here are some reports.
Fords examines the dead birds and beasts driver to assume the negative reaction to the virus 2009-02-01 18:34
Lantou Island Sha Luowan obtains 3 to bring the H5 bird flu virus's duck goose corpse. The department of health in the event, traces 6 to report that the dead bird event's resident and 12 examine the dead bird the staff, 1 26 year-old drivers, once appeared have a fever and the upper respiratory tract infection symptom, now the Majialie Hospital is staying in hospital accepts the observation. Demonstrated according to the viral test that the driver assumes the negative reaction to the bird flu virus; Other 17 must accept the medicine the supervision. http://66.196.80.202/babelfish/translate_url_content?.intl=us&lp=zh_en&trurl=http%3a%2f%2fwap.on.cc%2foncc%2fportal%2fbre akingnews%2fDetail.do%3fid%3d8294723
01/02/2009, on Sunday in the afternoon 08:50
Caption: Inland dyed the bird flu case in recent months
The Hunan female card dyes epidemic disease inland eighth
Was close to Guangdong's Hunan Province to diagnose to infect the H5N1 highly infectious bird flu case again yesterday, before 21 year old of female patient was taken bad, once contacted has died of illness the domesticated fowl, now the condition is stable, becomes in January the inland eighth ancestor to infect the bird flu case, five patients died. Hong Kong health protection center received the National Medical department to notify the newest diagnosis case yesterday, the infectious disease expert warned that the virus will put on the state province along with the stream of people, if “crossed Guangdong Province, crossed the o Lebanon Hong Kong”, the Hong Kong government must propagandize bird flu's threat positively to the resident.
The threat presses up to Hong Kong
The National Medical department announced last night, the Hunan Province health department notified this province to diagnose an ancestor to infect the bird flu case newly. Female patient Mr./Ms. Shu, 21 years old, the farmer, the family lives in the Hunan Province Pu County. On January 23 is taken bad in Pu County, presently in Changsha's south central university Xiangya hospital hospital treatment. Hong Kong health protection center received the National Medical department to notify this new case yesterday, the center indicated that could continue with the National Medical department maintains close contacting, understood the case details.
Hong Kong H5N1 attention group President Lao Yongle said that Guangdong Province located at Hunan Province south, formerly once had the patient to catch an illness in Hunan, in other province diagnosis, worried, if “crosses Guangdong Province, crosses the o Lebanon Hong Kong”. He refers to, the Hong Kong government must propagandize bird flu's threat positively to the resident, reminds the resident not to contact the live domesticated fowl.http://66.196.80.202/babelfish/translate_url_content?.intl=us&lp=zh_en&trurl=http%3a%2f%2fwap.on.cc%2foncc%2fportal%2fnew s%2flocalNews%2fDetail.do%3ftype%3dtsn%26id%3d1284 90
Shihuanshu dispatches an official to Sha Luowan to carry on the disinfection 2009-02-01 15:13
Yuhushu is further analyzing 3 duck goose corpse which obtains in Lantou Island Sha Luowan. Shihuanshu sends for in the afternoon to Sha Luowan the soccer field and the wharf, with floats the clear water and the decontaminating powder carries on the disinfection work. Some residents indicated that once saw the seashore has the duck goose corpse to drift, also some people abandon the domesticated fowl corpse in the sand beach. Also some residents indicated that once from dispelled supports the domesticated fowl, but has already not raised. Sha Luowan village head Li Zhifeng refers to, often has from Zhujiangkou's domesticated fowl corpse, wanders to Sha Luowan nearby the beach, appealed to the villagers, if discovers dies of illness the birds, must report to the authorities to the authority. http://66.196.80.202/babelfish/translate_url_content?.intl=us&lp=zh_en&trurl=http%3a%2f%2fwap.on.cc%2foncc%2fportal%2fbre akingnews%2fDetail.do%3fid%3d8294655
Hong Kong's department of Sha Lo Wan disinfection concerns avian influenza virus variants
At 17:21 on February 1, 2009
By February 1 According to Sing Tao Daily, Hong Kong Web site reports, Sha Lo Wan on Lantau Island in Hong Kong last week seized the body of three ducks, suspected of carrying the H5 bird flu virus.
FEHD staff in Hong Kong this afternoon on the 1st to the Sha Lo Wan Village to carry out cleaning and disinfection. Secretary for Food and Health York Chow said that there is no evidence that the Sha Lo Wan, it was free-range poultry, but concerned about the avian flu virus and the virus is present poultry change.
Pm sent staff to the department seized the body of ducks and geese along the football field and wharfing sprinkling disinfectant bleach to clean again.
Dr Chow pointed out that the ducks and geese there are several possibilities for the body of sources, first, free-range poultry deaths were left there, and the other is near the dead poultry were disposed of in the water, and then are washed ashore. The possibility of these two authorities will follow up, while the Agriculture, Fisheries and Conservation Department in December last year has been all over the inspections in the New Territories to follow up the issue of free-range poultry. He added that the authorities will also notify the relevant Mainland authoritiesto follow up the Pearl Riveralong the coast if there poultry deaths.
Dr Chow stressed that after entering the winter, the risk of avian influenza has been severe, the mainland one after another the past month occurred in 8 of human infection with avian influenza, and these cases have not discussed this with some large number of poultry (bird flu) outbreak associated. Authorities concerned about the virus and at present whether there is a poultry virus changed, because chickens infected with avianflu after a largenumber of deaths before infection to humans. The people were infected with the disease on the poultry, but not a large number of poultry deaths, Does this indicate that some birds will carrythe virusbut no symptoms.
He called on members of the public try to avoid any contact with poultry, if contacted will have to wash their hands immediately or sterilized so as to minimize this risk. If any place in Hong Kong found dead or sick birds, we must try to notify the Agriculture, Fisheries and Conservation Department to enable them to deal with.
Sha Luowan the village head denied that has the villagers to free-rang the domesticated fowl
2009-02-01 12:12
Lantou Island Sha Luowan a sand beach 3 duck goose corpse doubts has the H5 bird flu virus, the authority does not remove the event to free-rang the domesticated fowl with some people to concern. Only Sha Luowan village head Li Zhifeng denied that the villagers have free-rang the domesticated fowl, instead refers to often has from Zhujiangkou's domesticated fowl corpse, wanders to Sha Luowan nearby the beach, referred to already appealed to the villagers, if discovered dies of illness the birds, must report to the authorities to the authority. http://66.196.80.202/babelfish/translate_url_content?.intl=us&lp=zh_en&trurl=http%3a%2f%2fwap.on.cc%2foncc%2fportal%2fbre akingnews%2fDetail.do%3fid%3d8294616
Guangdong refers to the goose duck corpse to float to Sha Luowan the opportunity micro
2009-02-01 18:32
[on.cc special news]Yuhushu is investigating Lantou Island Sha Luowan to obtain doubts dyes the H5 duck goose corpse the origin, Shihuanshu has dispatched in the afternoon also an official to arrive, with floats the clear water and the decontaminating powder carries on the disinfection work. Has refers to the domesticated fowl corpse is from Zhujiangkou wanders to Sha Luowan nearby the beach, Guangdong Province aspect expressed that the opportunity is not big, if has large quantities of birds death, the authority should receive the report, but so far, also has not received the related report, therefore the present also cannot absurd under judge, but the authority will follow up positively. http://66.196.80.202/babelfish/translate_url_content?.intl=us&lp=zh_en&trurl=http%3a%2f%2fwap.on.cc%2foncc%2fportal%2fbre akingnews%2fDetail.do%3fid%3d8294740
01/02/2009, on Sunday in the afternoon 08:47
Caption: Lantou Island Sha Luowan recently discovered that three infect the bird flu virus the duck goose corpse.
Guards against the bright red candle people of Hong Kong momentarily move
The Lantou Island duck goose corpse dyes the bird flu
Diagnoses eight human exposure bird flu when inland one month, Hong Kong fishing agriculture nature nursing bureau yesterday confirmed that three duck goose corpse which the sand beach obtains in Lantou Island Sha Luowan contains the H5 bird flu virus, for Hong Kong this year initial contact birds belt bird flu virus.
Yuhushu the unknown duck goose corpse appears temporarily in the sand beach reason, does not remove suffers the human to abandon, although without the sign demonstrated that nearby the sand beach some people free-rang the domesticated fowl, but the domesticated fowl field is anxious, the chicken price will rise will have more people to free-rang the domesticated fowl or to smuggle Tooley, the infectious disease expert refers to guards against the red candle to shine: “Hong Kong momentarily some people infect the bird flu!”
Yuhushu announced last night, the preliminary test demonstrated that three separately on last Thursday and yesterday the duck goose corpse which the soccer field the sand beach obtained in Lantou Island Sha Luowan nearby, suspected that had the H5 bird flu virus, the authority is further determining tests.
Traces 18 related public figures
This spokesperson pointed out that obtains in the duck goose corpse place three kilometers scopes not to have the poultry farms, is tracing presents the duck goose corpse in the sand beach reason. The Islands trivial Congressman concurrently Sha Luowan village head Li Zhifeng said that this village faces Zhujiangkou, in the winter blows the north wind often to have trash from inland sea area to flush to, estimated that the duck goose corpse comes from inland, and affirmed that this village approximately hundred resident nobody frees-rang the domesticated fowl.
Sha Luowan the village beach discovered after dead duck goose corpse, the health protection center and Yuhushu trace have possibly contacted the dead bird's public figure. This center altogether traces the staff who six report event's resident and 12 examine the duck goose corpse, 17 people are not related symptom, is carrying on the medicine supervision again. 26 year-old drivers have a fever in January 27 and present the upper respiratory tract symptom, he once participated on January 29 examining the dead bird motion, he denied that once contacted the dead bird.
The Hong Kong University infection and infectious disease center inspector general He Bailiang pointed out that regardless of these three duck goose is smuggling, the people of Hong Kong frees-rang or abandons the sand beach secretly, surely once some people had contacted, possibly even already caught an illness, but because fears violates the law, ill not necessarily on own initiative will also contact the history to inform doctor, therefore the hospital must pay attention last month 29th in tenth, if discovered that the serious pneumonia case namely carried on the bird flu fast test and isolates early.
Hong Kong Live Domesticated fowl Wholesaler chairman of the chamber of commerce Xu Mingtuan said that the event reflected possibly some people free-rang or the smuggling domesticated fowl, worried that live chicken price Gao Hui has more people to free-rang earns the profit, urges the authority to face up.
This Hong Kong and Kowloon eight years implement duck goose central slaughtering, forbid the live goose duck until 4 the beginning of the year from inland entrance Hong Kong, the market condition no longer to sell the live duck goose. The Hong Kong government and speeds up the legislative procedure in 6 year in February, forbids the resident to raise 20 or the following chicken duck goose pigeon turkey and the quail comprehensively. http://66.196.80.202/babelfish/translate_url_content?.intl=us&lp=zh_en&trurl=http%3a%2f%2fwap.on.cc%2foncc%2fportal%2fnew s%2flocalNews%2fDetail.do%3ftype%3dtsn%26id%3d1284 24
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Re: Hong Kong - 18 Under Surveillance after Contact with Dead Birds
Silent killers
Adele Wong
Monday, February 02, 2009
"Silent" bird flu carriers could be spreading the disease among the local fowl population, Hong Kong's health chief York Chow Yat-ngok warned yesterday.
"Are there poultry out there that are carriers of the disease but do not show symptoms? This point is cause for concern since, if this is correct, it will be the most difficult issue for us to handle," Chow said.
"We are now seeing people suffering from bird flu being linked to contact with birds who are sick even though there has been no outbreak.
"We are concerned about whether there have been some small changes in the way poultry reacts to the flu virus."
Chow aired his fears at a Heung Yee Kuk function after the mainland confirmed another case of human bird flu infection.
There have been eight human cases of H5N1 infection in the mainland since December, five of whom have died.
The most recent case involves a 21-year-old woman in Hunan who was taken sick on January 23. The woman, who has a history of exposure to sick poultry, is in stable condition, according to the mainland's health ministry.
Hong Kong University microbiologist Ho Pak-leung warned: "The virus is at our front door - very likely in Guangdong [at this moment]. Something unusual is happening."
But he said there is no evidence to suggest birds can carry the H5N1 virus without showing symptoms of the disease, and that the chances of "silent" carriers are minimal.
"If we look at the eight human cases of bird flu in the mainland, the majority were the result of exposure to sick or dying birds," he said. "There was contact, and it wasn't simply exposure to live animals that displayed no symptoms.
"We have not found evidence as yet that animals can survive [bird flu] without showing symptoms."
Nevertheless, he said the eight cases are of concern "as this has been the highest occurrence within a narrow timeframe since the first mainland case was documented in 2003."
Regarding the lack of an outbreak among poultry before human infection, Ho said a likely explanation is that most animals have already been immunized, but that vaccines are not always 100 percent effective.
He believes measures should be stepped up to prevent cross-border
infection and poultry smuggling by boat, especially with many travelers returning from the mainland after the Lunar New Year holiday.
"Prevention is more important than surveillance," he said.
He also encouraged the government to speed up vaccination research with the mainland.
Health chief Chow also made reference to the discovery last Thursday of two geese and one duck found dead on Sha Lo Wan beach on Lantau.
All were confirmed to have been infected with H5N1.
He said investigations are centered on whether the birds had been dumped there by individuals who owned poultry or whether they had died in the mainland and been washed ashore.
Chow also requested mainland officials to investigate whether there have been any bird flu outbreaks along the Pearl River Delta.
There are no poultry farms or live poultry within a three-kilometer radius of Sha Lo Wan.
Islands district councillor Chau Chuen-heung said that, within the vicinity of Sha Lo Wan, it is unlikely that villagers are keeping backyard poultry - a once common practice that has since been banned.
Re: Hong Kong - 18 Under Surveillance after Contact with Dead Birds
Quote:
But he said there is no evidence to suggest birds can carry the H5N1 virus without showing symptoms of the disease, and that the chances of "silent" carriers are minimal. ....."We have not found evidence as yet that animals can survive [bird flu] without showing symptoms."
No asymptomatic carriers???????
Really?
.
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Re: Hong Kong - 18 Under Surveillance after Contact with Dead Birds
Quote:
Originally Posted by AlaskaDenise
No asymptomatic carriers???????
Really?
.
The story on asymptomatic H5N1 (which is VERY common in waterfowl and was true for the only recent reported H5N1 outbreak China) is among the dumbest I have seen in awhile.
Re: Hong Kong - 18 Under Surveillance after Contact with Dead Birds
Quote:
Originally Posted by niman
The story on asymptomatic H5N1 (which is VERY common in waterfowl and was true for the only recent reported H5N1 outbreak China) is among the dumbest I have seen in awhile.
Especially given the research by Hong Kong scientists.
.
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Re: Hong Kong - 18 Under Surveillance after Contact with Dead Birds
Guangdong urged to check for bird flu on Pearl River
Carcasses with H5 found on Lantau may be from mainland
Mary Ann Benitez, Ng Yuk-hang and Ng Kang-chung Feb 02, 2009
Guangdong will be asked to check if there has been a recent undetected bird flu outbreak along the Pearl River after strong indications that the carcasses of three birds with H5 bird flu found on Lantau Island may have drifted ashore from the mainland....
1 of 1
Environmental hygiene workers clean the area around Sha Lo Wan football pitch after finding two dead ducks in the village.
【New Tang Dynasty February 2, 2009 hearing in Hunan Province of China on Saturday confirmed a human infection with H5N1 avian influenza.
The same day, the Hong Kong Agriculture, Fisheries and Conservation Department also confirmed that over the past few days in a local beach found the bodies of three ducks, suspected of carrying the H5 bird flu virus. Infectious disease experts have pointed out that mainland China within one month occurred in eight cases of human infection with bird flu, the situation is extremely unusual. He also stated that it found the body of the virus from ducks in mainland China.
Hong Kong's Agriculture, Fisheries and Conservation Department on Saturday, confirmed on Thursday (January 29) and Saturday, Sha Lo Wan on Lantau Island has found the bodies of three ducks and geese, according to preliminary tests, suspected of carrying the H5 bird flu virus. University of Hong Kong Director of the Center for infections and communicable diseases Dr al believe that the bodies of ducks and geese from mainland China.
University of Hong Kong Director of the Center for infections and communicable diseases Dr al: Because in Hong Kong are currently no H5 avian influenza virus, I have good opportunities for those from the Mainland into Hong Kong Chuan, in the end how the mode of transmission, there is a demand for further investigation.
Sha Lo Wan, the villagers have said that there have been a lot of poultry from the body with the water flow passes to the mainland. However, the Guangdong authorities, in the media inquiry, denied that the body of ducks and geese from the province.
Entered the Chinese mainland since 2009 has 8 individuals infected with H5N1 highly pathogenic avian influenza cases, and in place of the disease is not unusual outbreak of poultry infections, although the mainland authorities have repeatedly claimed to be sporadic cases, but that the situation is highly al Ho unusual.
University of Hong Kong Director of the Center for infections and communicable diseases Dr al: 8 within a month since 2003 (China) discovered the first case of human infection of bird flu cases the highest, why in the beginning of the year when all of a sudden sporadic cases will be rising? This time being it's too early to draw any conclusion, it should be a multi-virology and epidemiology to do in-depth research and analysis.
Al Ho also stressed that the mainland authorities whether or not truthfully reported the outbreak to the World Health Organization, will be the world's largest outbreak of avian flu to prevent the key.
Legislative Council Panel on Food Safety and Environmental Affairs Committee Chairman Fred also pointed out that the spread of bird flu mainland very broad, very worrying.
Hong Kong Legislative Council Fred: the mainland province of so many scattered bird flu, while more than half of mortality, it is fear, not just children, young people will die.
Fred called on WHO concerned about the incident to determine whether there is a variant of the virus and whether the mainland authorities to conceal the epidemic in order to avoid repetition of SARS (SARS) mistakes. Secretary for Food and Health York Chow mode of transmission of the virus has changed, expressed concern.
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Hong Kong - 18 Under Surveillance after Contact with Dead Birds
Fords examines the dead birds and beasts driver to assume the negative reaction to the virus 
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