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Wednesday, April 17, 2013

Experts: H7N9 avian influenza still no human-to-human transmission evidence of


 prevention and control measures not changed

2013 04 17, 20:18International Online reports (Reporter Pan Ying): human infection with the H7N9 avian flu, the National Health and Family Planning Commission on the 17th organized experts answering questions from reporters. The experts said that the current route of transmission of the virus from birds to humans, there is no formation of an effective human-to-human transmission, will not change the existing prevention and control strategies.
  17, 2009, media reported that the Hong Kong Centre for Health Protection wrote Dr. Xiang Quangang that this virus may be limited human-human transmission occurs. Feng Zijian, director of the Chinese Center for Disease Control Health Emergency Center, said, This is mainly for family clusters of cases made earlier speculated. Family clusters of cases, whether it is caused by infection due to each other, or due to exposure to common environmental cause is still under investigation. Infection continues from birds to people, there is no formation of an effective human-to-human transmission.
  And poultry contact number, but very few people incidence, indicating that the H7N9 virus does not easily infect occasionally infect humans from birds, can lead to the specific susceptible population, which is the basis of limited human-to-human transmission is not a transmission of a few people, or the spread of multi-generational, three generations of cases of secondary cases, do not have this phenomenon. "
  Feng Zijian example, H5N1 avian influenza have been many incidents of family clusters of cases, but in 15 years, the H5N1 virus is still maintained route of transmission from birds to people around the world in hundreds, only 45 cases.
  Discharged from the first confirmed cases in Beijing in the afternoon of the 17th, but the vast majority of patients are still in a severe state.According to the Beijing Ditan infectious diseases treatment center director Li Xingwang In order to improve the success rate of treatment of cases, medical institutions body temperature more than 38 degrees in patients with flu-like symptoms will be screening found that nucleic acid testing positive patients, Tamiflu as soon as possible antiviral therapy.
  Treatment in advance to influenza stage (development) pneumonia (Tamiflu) drug treatment is effective, but this drug, usually within 36 hours, up to more than 48 hours effective all influenza symptoms, the first to be collected specimens for screening, early drug treatment, the risk of such severe development. "
  At present, H7N9 avian influenza, health and disease control departments to take active screening strategy, found a human infection with the H7N9 avian influenza virus carriers, but in other cases areas has not started active screening. Feng Zijian, director of Chinese Center for Disease Control Emergency Office said that this prevention and control measures should be encouraged, but at the national level, it will not change the existing prevention and control strategies.
  "Did not carry out the national screening program, there is no evidence that you want to change the prevention and control measures taken around the active surveillance measures, it is difficult as the national measures deployment, but the place of work or should be encouraged, our understanding of disease limited screening for future work, but it is not national measures. "
  According to reports, the burden of medical expenses for human infection with the H7N9 avian influenza patients, Health and Family Planning Commission recently issued a notice requirements the H7N9 medical expenses included in the new rural cooperative medical reimbursement, to effectively reduce the burden on patients medicine. The relevant person in charge of Health and Family Planning Commission, Zhu said Hiroaki never allowed to be affected due to cost issues and give up the treatment of the phenomenon.
  "Designated medical institutions, has made it clear to those who bear the H7N9 clinics tasks fully integrated into the designated medical institutions, the scope of reimbursement, if they meet the treatment program, all the drugs included in the scope of the new rural cooperative reimbursement proportion disease needs for treatment at the provincial level, we require reference to the county level of reimbursement of treatment as soon as possible and to avoid delay treatment due to cost issues. "http://news.sina.com.cn/o/2013-04-17/201826857758.shtml