Whistle blown as bird flu toll rises

Candy Chan
Wednesday, April 03, 2013

The mainland has been hit by four more cases of a new strain of bird flu, bringing total infections to seven.
They came as a Weibo user blew the whistle on Nanjing's Gulou Hospital when he posted a photo of what appears to be a diagnosis of a patient, one of the four new cases.
The profile of user "Phoenix" says he is an administrative director at the hospital.
And in Hong Kong, Health Secretary Ko Wing-man said the government will step up temperature checks at the border, especially for people from Shanghai and Anhui province. Ko said private clinics have been alerted to keep the Department of Health informed of suspected cases.
The health bureau in Jiangsu said yesterday three women and one man have caught H7N9 avian flu. It follows Sunday's disclosure of three infections - two of them fatal - elsewhere in China, the first time the strain is known to have been passed to humans.
There is no evidence yet to link the Jiangsu four, who lived in different cities, the health bureau said.
One of the patients, from Nanjing city, worked slaughtering live poultry, but the others had no such contact. The 45-year-old butcher, a Nanjing woman named Xu, went down with a fever and cough on March 19.
Her condition worsened on March 24 when she was put in intensive care. On March 30, doctors confirmed she had H7N9 and she was quarantined.
Her case was revealed after Weibo user Phoenix revealed details.
The original Weibo post has been withdrawn, but the image has been copied and circulated by other Weibo users as well as reported by mainland media, include state-run CCTV.
Another woman, from Suqian, surnamed Sang, 48, is a sheet metal worker. She was diagnosed with H7N9 last Saturday and is in intensive care.
A third, surnamed Shen, an 83-year- old Suzhou man, fell ill with fever, cough and chest pain on March 20.
The fourth - Zhang, a 32-year-old woman from Wuxi - came down with fever and cough on March 21.
No further cases have been identified among 206 contacts in follow-up checks.
Earlier confirmed cases are an 87-year-old man who died in Shanghai on March 4 and a 35-year-old woman in Chuzhou, Anhui province, who fell ill on March 9 after coming into contact with poultry.
Shanghai's health bureau has clarified that the two sons of the 87-year- old did not test positive for H7N9.
Hong Kong's health chief said yesterday that an emergency meeting involving the Hospital Authority, the Centre for Health Protection and other departments was held to assess the risk from the new strain.
Ko said the situation is worrying because the fatality rate of the H7N9 virus is high.
He is concerned about it jumping between animal species.
The World Health Organization yesterday played down fears over the new type of bird flu, but said it is crucial to find out how the virus infected humans.
Meanwhile, the father-in-law of a 27-year-old Shanghai butcher, surnamed Wu, who died of H7N9 flu claimed Wu was infected in the No 5 People's Hospital in Minhang district. He said the hospital paid 130,000 yuan (HK$162,700) compensation.
But a doctor in charge of Wu's treatment denied the case involved human- to-human transmission of the virus. http://www.thestandard.com.hk/news_detail.asp?we_cat=11&art_id=132556&sid=39377272&con_type=1&d_str=20130403&fc=2

Rebel? Party media of H7N9 / Hong Kong Wen Wei Po blew the whistle Figure underreporting 5 last month

Of anonymity, a Shanghai Hospital Respiratory doctors accept Hong Kong's Wen Wei Po visits revealed that the recent hospital unknown to a significant increase in severe pneumonia received five cases of the disease since March, but not in the official number. Allegedly after the unknown pneumonia deaths in the beginning of last month, the Shanghai Health Bureau, on internal notice major hospitals to strengthen the monitoring of the unknown pneumonia, but did not require access to the medical staff of the hospital and the doctor who strengthen protection.Reuters

Chinese official authorities claim, in Shanghai two cases belonging to the world's first case of human infection with the H7N9 avian flu deaths, authorities also known as Shanghai influenza, pneumonia incidence was no significant increase compared with the past three years earlier, but on condition of anonymity revealed a Shanghai Hospital Respiratory doctors accept Hong Kong's Wen Wei Po access recent hospital unknown to a significant increase in severe pneumonia received five cases of the disease since March, but not in the official number.

Allegedly after the unknown pneumonia deaths in the beginning of last month, the Shanghai Health Bureau, on internal notice major hospitals to strengthen the monitoring of the unknown pneumonia, but did not require access to the medical staff of the hospital and the doctor who strengthen protection.

Official so far announced number of confirmed and suspected human infection of H7N9 avian flu deaths all occurred in the Minhang District of Shanghai Fifth People's Hospital (hereinafter referred to as the "Court"). But reporters in Shanghai, Hong Kong's Wen Wei Po reported that patients with similar symptoms, another large hospital with the five branches of the same at the Minhang District, also appeared. The above Hospital Respiratory infections departments a doctor since mid-March of this year, the hospital has treated five patients with ordinary pneumonia, 5 patients the day after admission condition deteriorated sharply, "X-light show admission check When only one side of the lung infection, but the second day of the X-ray and found the bilateral pulmonary All serious infection. "

The report quoted the doctor said, five patients are not relatives, there is no other contact between each other. Four of them are male and one is female, between the ages of 60 to 70-year-old. Alleged that the hospital was on five patients with symptoms suspicious, take sputum submission was not found to have SARS and other viruses , and the moment can not confirm exactly which virus infection, so they will be classified as "unexplained severe pneumonia. " It has been revealed that, in previous years, the hospital throughout the year only two to three unexplained severe pneumonia, but this year only half a month to the already dense appear 5.

The report refers to the five patients still in the hospital hospitalized senior antibiotics with hormone therapy, the condition is temporary stability. The doctor pointed out that the drug treatment of this "unexplained severe pneumonia four generations of cephalosporins and carbapenem antibiotics, the high level of antibiotics for the treatment of serious bacterial infection, per person per day, with the price of antibiotics over 1000 not more than 200 yuan, and antibiotics for the treatment of ordinary pneumonia. "Allegedly, these drugs may be the liver, kidney damage, but if the weekday normal metabolism of the body, the side effects should not be great. In addition, because these patients have symptoms of respiratory failure soon, so they have to wear breathing counseling machines.

The report also quoted the doctor said, must find out the multi-resistant bacteria is still in line with isolation conditions, these five patients has not been isolated, but admitted in the wards of ordinary infection, the course of the disease is estimated at least will last more than two weeks, while the ordinary pneumonia The general course of one to two weeks. Nor doctor and nurse to take special protective measures, no gowns, only wear ordinary masks and were asked to wash his hands, and the current SARS outbreak, the medical staff to prevent a completely different level.

At the same time, the Secretary for the Hong Kong Food and Health Bureau, high-Yong Wen said, the most worried about the mutation of the virus, or even human-to-human transmission, and therefore think that is most important to determine the continent where a male deceased's two famous people whether the same by infection, currently with the mainland authorities close contact, obtain a copy of the suspected cases of gene sequencing, and local checkpoints also stepped up security, and suspected cases at any time isolation, but only distributing leaflets to visitors.

More decisive measures in Taiwan, the Department of Health, Centers for Disease Control, Deputy Secretary Jih-Haw Chou said that the continent the world's first case of human infection of H7N9 avian influenza, the three cases deaths, the Department of Health has strengthened against the mainland, Hong Kong and Macao travelers quarantine and monitoring, and fever within 10 days of travel to the mainland, birds history of exposure to passengers sent to hospital for inspection and examination, and to exclude travelers non-infected with avian influenza so far.

http://www.aboluowang.com/2013/0403/296027.html?utm_source=dlvr.it&utm_medium=twitter

Beijing Prepares For Avian Flu

By Christina Larson on April 02, 2013

A decade after the deadly SARS virus wrought havoc in Beijing, hospitals in China’s capital are gearing up in the event that another pandemic begins to spread. Following news that at least two men in Shanghai have died from the H7N9 avian flu virus—the first known human deaths from the virus—the Beijing Municipal Bureau of Public Health released a statement that medical facilities in China’s capital are now taking extra precautions to screen for the virus, as Xinhua News reported on Tuesday.

Beijing hospitals are already stocking up on relevant medical equipment, stepping up screenings, and preparing for the possibility of avian flu-related emergencies. No cases of avian flu in humans have been confirmed in Beijing as of Tuesday, according to state media.

In the age of social media, however, rumors that bird flu has come to Beijing are flying fast and thick, setting off a wave of popular panic. In particular, a widely circulated post on Tencent’s social-media platform Weixin suggests that avian-flu victims may have already been admitted to Beijing’s Dongzhimen Hospital. Some anxious workers in Beijing are opting to work from home, ingest Vitamin C supplements, and take other precautions believed to minimize the risk of becoming infected. In a climate where citizens have learned to routinely distrust official media, it is hard to contain public fear. And those fears may just turn out to be justified.

Meanwhile, separately, public health authorities in Shanghai are trying to unravel whether there is any link between the avian flu deaths there and the 16,000 dead pigs recently discovered floating down a nearby river. On Tuesday, Malik Peiris, a virologist at the University of Hong Kong’s School of Public Health, told Sciencemagazine, “It is not expected that any form of influenza would lead to such a huge die-off in pigs.” At the moment, pig carcasses in Shanghai are still being tested for avian flu. http://www.businessweek.com/articles/2013-04-02/beijing-prepares-for-avian-flu

Korea strictly prevent!

April 2, South Korea's Incheon International Airport to strengthen immigration temperature monitoring measures, strict avian influenza epidemic.Informed by the World Health Organization in Geneva, Switzerland, China appeared to three cases of human infection with confirmed cases of the H7N9 avian flu. http://finance.qq.com/a/20130403/000674.htm

Pic of H7N9 Victim ..and his story..Take with salt...

Yes, I am aware of this newspapers slant, am also aware that they were influental in reporting the first h5n1 reports back in the day. Take with salt...

Hong Kong media eyxplosion Shanghai youth insider appalling lethal avian influenza infection in the hospital

According to Hong Kong media reports, Wu Liang Liang's relatives the hospital completely off guard, leading to Wu Liang Liang infected with the avian flu virus killed. (Pictured diagnosed died of H7N9 Wu shiny wedding.) (Network picture)

The Epoch Times, April 2, 2013 A few days ago, the Chinese Communist authorities informed Shanghai and Anhui human infection with the H7N9 avian influenza virus has caused three deaths, the news has aroused great concern.According to Hong Kong media recently reported infected with the H7N9 avian flu death in Shanghai during hospitalization, Wu Liang Liang, dies without contacting live poultry, their relatives, said the Shanghai Fifth Hospital completely off guard, leading to Wu was infected with the deadly."Apple Daily" reported, the official confirmed that the young people suffering from H7N9 avian flu deaths Wu Liang Liang is March 3 to hospitals for treatment, was diagnosed as ordinary pneumonia. Wu Liang Liang 4th ward stay with the same due to the H7N9 avian flu died patient, surnamed Li is a floor, in the afternoon of the same day, Mr Lee, a family of three died two.

Wu Liang Liang wife Wu Xiaoya questioned the hospital did not take quarantine measures. Wu Xiaoya, March 6 issued by the hospital in critical condition, the doctor personally told of her husband's illness "infectious", no protective isolation, the same ward there are three, four elderly patients.

Reported that Wu Xiaoya father Wude Mao also said that the son-in-law and two deceased did not know before his death did not come into contact with live chickens poultry, it was suspected that Wu Liang Liang is a pig transmission of avian flu, but he and his daughter are selling pork is also all right.

The Wu family means, isolation measures, the hospital did not do a good job so Wu is contagious and caused the death.

Wu Liang Liang, a 27-year-old dead, Jiangsu Yancheng, chilled pork file helper to the father-in Minhang Jingchuang market open only two months ago.

Wu Xiaoya after the death of her husband and his family to the hospital theory, but the hospital refused to recognize the responsibility to protest the 17 days, the hospital had just grounds of "humanitarian grants to pay 130,000 yuan.

The report said another report, Mr Lee and his son's death, within the hospital once cause SARS panic, but the hospital blocked messages. The healthcare private call friends and relatives account, be sure to wear a mask if to the hospital.

H7N9 avian influenza has been human to human transmission. "

Communist authorities have been concealing live new avian flu, had announced that Shanghai and Anhui occurred three cases belong to the world's first case of human infection with the H7N9 avian influenza, Shanghai 2 deaths. Of anonymity, a Shanghai Hospital Respiratory doctor said, the hospital recently unknown to a significant increase in severe pneumonia received five cases of the disease since March, but not in the official data.

According to reports, the Vaccine Research Institute of Infectious Diseases of the National Institutes of Health in Taiwan Ih-Jen Su announced the H7N9 outbreak in China, Shanghai, two cases of death, Anhui, one in critical condition, are severe, and between the cases do not have relatives working relationship epidemic "very unusual", on behalf of "spread". These cases should be just the tip of the iceberg.

Taiwan's Department of Health, Centers for Disease Control, influenza virus H7N9 originally a infect only birds, humans completely antibodies, resulting in the patient's condition menacing, even in a short period of time expired.

Li-Min Huang, Director of the National Taiwan University Hospital, Pediatric Infectious Diseases, said that, all of a sudden appear from infection case, really is not a coincidence that the epidemic has expanded to a certain range, just do not know at this stage is the avian-human transmission, or has been human to human transmission.

Female patients with evidence of avian influenza in poultry slaughter poultry descendant

April 2, Jiangsu Provincial Health Department Bulletin, Jiangsu Province, confirmed four cases of human infection with the H7N9 avian influenza. These four people, three of whom were women. 4 people are in critical condition.

Taiwan's Department of Health, Centers for Disease Control Secretary Zhang Fengyi, this is the first H7N9 human deaths occurred, on behalf of human transmission of H7N9 from birds. The Jiangning District of Nanjing in poultry slaughter of female patients, evidence of human transmission of avian influenza from birds. http://www.epochtimes.com/gb/13/4/2/n3837553.htm

Vietnam-Prohibiting consumption of poultry through the northern border

Prohibiting consumption of poultry through the northern border

(VOV) - To proactively prevent the avian influenza virus H7N9 from abroad into Vietnam.

• 
  

Today (2/4) The Minister of Agriculture and Rural Development, Head of the National Steering bird flu Cao Duc Phat has urgent request the President of the People's Committees of provinces and cities directly under the Central Government; ministries, branches and members of the National Steering Committee against bird flu on strengthening the control of movement of poultry, poultry products across the northern border.

Chinese Chicken transported from the northern border forces capture function

The content of the phone said: On 31/03/2013, Family Planning Commission and National Health China confirm discovered 3 people infected with avian influenza virus H7N9 in the city of Shanghai and the provinces of An Chinese commanders. These are the world's first cases of this new strain of influenza virus infection and had two deaths.

So, in order to proactively prevent the avian influenza virus H7N9 from abroad into Vietnam to be effective, not to spread the disease to humans and poultry, the Ministry of Agriculture and Rural Development proposal Chairman of the People's Committees of provinces and cities directly under the Central Government, especially the northern border and the ministries of members of the National Steering Committee against bird flu urgently direct the implementation of the Message:

1. Prohibits all forms of transport, trade and consumption of poultry and poultry products across the northern border, including form of donation poultry and poultry products across the borders of the organizations, individuals and residents of border areas.

2. Steering Committees of all levels, the local departments of the most relevant forces and border guards, customs, police, market management forces work closely with veterinary organizations closely monitored in the village, gathering areas, trade in poultry and poultry products, in order to promptly detect and treat serious and thorough manner for the case of transport, trade in poultry and poultry products smuggled across the border, of unknown origin.

3. Strengthening institutions and forth on the propaganda media about risk strain of avian influenza H7N9 virus to cause death and disease spread to domestic poultry; mobilize farmers buy poultry breeds from reputable establishments in the country, originating corrosion evident through veterinary quarantine; promote people only buy poultry, poultry products of dubious origin, that have been of veterinary inspection for use as food.

4. The ministries, branches and members of the National Steering bird flu basis functions assigned to direct the force function enhance the implementation of measures to prevent bird flu prescribed.

5. Continue to apply other preventive measures active power according to the spirit of No. 04 and 07 of the Ministry of Agriculture and Rural Development to strengthen bird flu prevention.

Ministry of Agriculture and Rural Development proposed Chairman of the People's Committees of provinces and cities directly under the Central Government, the ministries of National Steering Committee for prevention of avian influenza direction strict implementation of the above. In the course of direction if any problems arise, please notify the Ministry of Agriculture and Rural Development to coordinate, timely.  http://vov.vn/Xa-hoi/Nghiem-cam-tieu-thu-gia-cam-qua-cac-tinh-bien-gioi-phia-Bac/256276.vov

Hong Kong media: H7N9 deceased son survived Insider

of H7N9 avian flu in mainland China, according to official notification, the two cases of H7N9 avian flu death, which is a 87-year-old surnamed Li patients . In February of this year, and his son Lee admitted to hospital for treatment, early March, surnamed Li patients died, but the Shanghai authorities kept secret. Lee's second son, Hong Kong media disclosure of some of the inside story.20 days ago: the Shanghai Municipal Health Bureau, Shanghai Municipal Hospital had "rumor"

March 7, 2013 (when the Chinese Communist Party during the two sessions), Post said someone on the network, Shanghai Fifth Hospital of a four sudden onset, unexplained deaths, initially diagnosed as influenza, respiratory failure symptoms and hope the hospital publish the truth, but then the original post is deleted.

March 8, the Shanghai Municipal Health Bureau, the Municipal Hospital in succession through the official microblogging "clarification" deny network legend.

Shanghai Hospital claimed, City Hospital has treated a family of three. 3 patients aged 55,69,87 years old, has to hospital between February 14 -24 Date. Confirm the three patients are pneumonia, expert consultation, and inspection by the Shanghai Public Health Clinical Center, has been ruled out SARS, avian flu, novel coronavirus highly pathogenic infectious diseases.

Then Shanghai media reported that lightly, died, 3 out of 55-year-old and 87-year-old patients have died. The 69-year-old patient is still hospitalized.

More than 20 days (March 31) The official informed that the "Shanghai two people infected with the H7N9 avian influenza deaths, which patients Lee, male, 87 years old, February 19 incidence, died March 4.

The official notification also said that the eldest son of the deceased have been recovered and were discharged.

Deceased son: Big Brother is still coughing chest tightness media reports "distortion"

Hong Kong's Wen Wei Po, recently linked to the relatives of the dead in Shanghai Fifth Hospital surnamed Li and his son - 66-year-old Li son. He said that the family had consumed prior to the onset of the supermarket purchase Beggar Chicken.

Mr. Lee said he is in the February 26, heard the home of three opt the message hospitalized, arrived in Shanghai from Jinan, Shandong.

The father and son duo in the death of the five branches of his father and his younger brother, his older brother survived, by him to take care of.

Mr. Lee said that his big brother's condition has not been recovered, and was discharged not like the news reports said. "So far, the big brother is still cough, no fever, chest stuffy, cough white phlegm." Side of the Big Brother added: "before discharge is."

Asked before the onset come into contact with live poultry class or pork, Mr. Lee said, "my brother on New Year's Day does not feel, just remember previously bought in the supermarket a vacuum packaging Beggar Chicken, but my father because teeth bad, already do not eat any meat, and almost not to go out. "

Shanghai, Anhui, Jiangsu burst H7N9 avian flu

Communist authorities released before the three cases of human infection with the H7N9 avian flu cases in Shanghai and Anhui, Shanghai, 2 patients died, Anhui patients in critical condition, Jiangsu Province, April 2, informed four cases of patients. 4 patients were critically ill. A female patients in Jiangning District of Nanjing East new farmers market engaged in the poultry slaughtered work.

According to a Shanghai Hospital Respiratory doctors said, recently the hospital with severe pneumonia of unknown increased significantly, but not in the official data.

Shanghai Minhang another large hospital increased in patients with severe pneumonia of unknown

Hong Kong media reported that two cases belonging to the world's first case of human infection with the H7N9 avian flu death cases in Shanghai to trigger panic among the people. Released by China's official number of cases of confirmed or suspected human infection with the H7N9 avian flu deaths, all occurred in the the Shanghai Minhang fifth hospital.

Minhang District and the the fifth hospital with at another large hospital, recently unknown to a significant increase in severe pneumonia. The above Hospital Respiratory infections departments a doctor since mid-March of this year, the hospital has treated five patients with ordinary pneumonia, 5 patients the day after admission condition deteriorated sharply, "X-light show admission check When only one side of the lung infection, but the second day of the X-ray and found all bilateral lung infection serious. "However, these figures are not the official number. http://www.epochtimes.com/gb/13/4/2/n3837549.htm?utm_source=twitterfeed&utm_medium=twitter

Vietnam "closed" poultry from China

Tuesday, 02/04/2013, 06:28 PM (GMT +7)

After China's two deaths from avian influenza H7N9, the Ministry of Agriculture and Rural Development prohibit all forms of transportation, trade, and consumption ... even forms of cross-border donation poultry.

On 2/4, MARD has urgent send Committees of provinces and cities, especially in the border provinces of northern require increased control movement of poultry, poultry products. Industry Power stated, on 31/03/2013, Family Planning Commission and the Chinese National Health said recently found 03 people infected with avian influenza virus H7N9 in the city of Shanghai and China's Anhui province Korea. This is the world's first cases of this new strain of influenza virus infection and had 2 deaths (the first case is 87 year-old man in Shanghai, dated 19/2/2013 disease and died on 04.03.2013; second case is 27-year-old men in Shanghai, dated 17/2/2013 disease and died on 03.10.2013). third case is 35-year-old female in Chuzhou City of Anhui Province are in distress. Currently in China and other countries in the world can not be produced vaccines avian influenza strain H7N9 to vaccinate poultry. MARD said, the last few days, the authorities in Lang Son Quang Ninh arrested, destroyed tens of thousands of chickens, and tons of chicken waste smuggled across the border. To proactively prevent the avian influenza virus H7N9 from abroad into Vietnam effective, not to spread the disease to humans and poultry, MARD proposed:prohibited all forms of transport, trade and consumption of poultry and poultry products across borders the northern provinces, including form of donation poultry and poultry products across the borders of organizations, individuals and residents of border areas. supervision organizations in the village, gathering areas , trade in poultry and poultry products in order to promptly detect and treat seriously and thoroughly for the case of transport, trade in poultry and poultry products smuggled across the border, of unknown origin . the same time propaganda and guide farmers to buy poultry from prestigious institutions in the country, is derived explicitly and veterinary quarantine ...

http://us.24h.com.vn/tin-tuc-trong-ngay/viet-nam-dong-cua-gia-cam-tu-trung-quoc-c46a532287.html

Port checkpoints strict precautions against avian suspect that isolation

2013-04-02

 human cases of H7N9 avian influenza in Mainland checkpoints in Hong Kong have stepped up security, and Taiwan Taoyuan International Airport (see Figure) visitor arrivals to strengthen quarantine, to prevent the virus from entering the Miss Hong Kong and Macao and other places. CNA

- Ko Wing-man worries virus variants obtained from suspect cases of gene sequencing

　Hong Kong's Wen Wei Po (Reporter Liu Yayan), Shanghai, Anhui, found the world's first three human infection of H7N9 avian influenza cases. In view of the Mainland and Hong Kong residents intersection frequently, if the event of a high degree of human-to-human transmission of the disease, there will be the spread of the crisis. SAR Food and Health Bureau, high-Yong Wen yesterday in Hong Kong, said, the most worried about the mutation of the virus, or even human-to-human transmission, and therefore think that is most important to determine which one male deceased's two famous people whether the same subject to infection, currently with the Mainland authorities in close contact, Request suspected cases of gene sequencing, while Hong Kong's mark also stepped up security, suspected cases at any time isolation.

Close liaison with the Mainland authorities

　The world's first case of human infection with the H7N9 avian flu cases in the Mainland, the three confirmed infection of H7N9 patients and not on any public health school, Ko Wing-man, a radio interview yesterday, said that this virus does not come from a single source of the disease, anxiety some places the poultry animals already epidemic popular not rule out the possibility that the virus gene "shuffle". "We will be closely linked with the mainland CDC and the National Quality Supervision and Inspection and Quarantine to obtain further details of several patients and the other two not currently confirmed to have been infected with H7N9 patient information, including illness and symptoms how, even H7N9 situation and gene sequencing of the virus. "

Measured virus 6 hours to complete

　A CHP spokesman said the interview with our inquiries only humans infected with H5, H7 and H9 avian influenza cases in Hong Kong also quick test on these viruses, "If in doubt H7 cases, will be of influenza A and H1 , H3, H5 and H7 test, usually six hours after the sample is received, there will be results. ".. http://paper.wenweipo.com/2013/04/02/YO1304020002.htm

Department of Respiratory Medicine Doctors: unknown the severe pneumonia Shanghai hospital increase in cases

2013-04-02

Shanghai Municipal Health Bureau has ordered the hospital, the daily reported cases of pneumonia. Hong Kong's Wen Wei Po Shanghai bureau reporter Shen dream Alexandra Photo

- Confirmed H7N9 in the same district hospitals to charge the five cases of patients with symptoms similar to

　Hong Kong's Wen Wei Po (Reporter Zhang Luo Lan in Shanghai) Shanghai two cases belonging to the world's first case of human infection with the H7N9 avian flu death cases in the printing of panic. Despite the official Shanghai influenza, pneumonia incidence compared with the same period of last three years was no significant increase, but a Shanghai Hospital Respiratory doctor on condition of anonymity, revealed in an interview with this exclusive interview yesterday, the recent hospital with severe pneumonia of unknown increased significantly since March received five cases of the disease, but not in the official number.

 Allegedly after the unknown pneumonia deaths in the beginning of last month, the City Health Bureau, on internal notice major hospitals to strengthen monitoring of unknown pneumonia, but did not require access to the medical staff of the hospital and the doctor who strengthen protection.

　The official number of cases of confirmed and suspected human infection with the H7N9 avian flu deaths all occurred in the Minhang District of Shanghai Fifth People's Hospital (hereinafter referred to as the "Court"). But with the five branches of the same at the Minhang District, another large hospital, patients with similar symptoms. The above Hospital Respiratory infections departments a doctor since mid-March of this year, the hospital has treated five patients with ordinary pneumonia, 5 patients the day after admission condition deteriorated sharply, "X-light show admission check When only one side of the lung infection, but the second day of the X-ray and found the bilateral pulmonary All serious infection. "

Past full year twenty-three the this year half months five

　The doctor said, five patients are not unrelated to each other there is no other contact. Four of them are male and one is female, between the ages of 60 to 70-year-old. Alleged that the hospital was on five patients with symptoms suspicious, take sputum submission was not found to have SARS and other viruses, and the moment can not confirm exactly which virus infection, so they will be classified as "unexplained severe pneumonia. " It has been revealed that, in previous years, the hospital throughout the year only two to three unexplained severe pneumonia, but this year only half a month to the already dense appear 5.

High-level antibiotic treatment side effects daily thousand Yuan

　5 patients still in the hospital hospitalized senior antibiotics with hormone therapy, the condition is stable for the time being. The doctor pointed out that the drug treatment of this "unexplained severe pneumonia four generations of cephalosporins and carbapenem antibiotics, the high level of antibiotics for the treatment of serious bacterial infection, per person per day, with the price of antibiotics over 1000 not more than 200 yuan, and antibiotics for the treatment of ordinary pneumonia. "Allegedly, these drugs may be the liver, kidney damage, but if the weekday normal metabolism of the body, the side effects should not be great. In addition, because these patients have symptoms of respiratory failure soon, so they have to put on a ventilator.

When isolation precautions level of ordinary pneumonia is not much worse off than SARS

　The doctor said, must find out the multi-resistant bacteria is still in line with the isolation conditions of these five patients has not been isolated, but admitted in the wards of ordinary infection, the course of the disease is estimated to be at least more than two weeks, the course of ordinary pneumonia one to two weeks. Nor doctor and nurse to take special protective measures, no gowns, only wear ordinary masks and were asked to wash his hands, and the current SARS outbreak, the medical staff to prevent a completely different level.

　Despite the official announcement in Shanghai 2 infected with the H7N9 avian flu deaths, but in fact the Shanghai Health Bureau already has begun to strengthen monitoring of unexplained severe pneumonia. According to reports, the Minhang District Hospital in the beginning of last month, received instructions to take one day a reporting system "fever", "pneumonia", "fever and pneumonia. In accordance with the time to project should begin after the Fifth People's Hospital of Shanghai Minhang cases of unknown pneumonia deaths. http://paper.wenweipo.com/2013/04/02/YO1304020001.htm

The Binhu area contact with 43 of the first case of H7N9 avian influenza

2013-04-02 22:15

The 2nd learned from the National Health and Family Planning Commission of Jiangsu Province confirmed four cases of human infection with the H7N9 avian influenza.Currently, patients in critical condition, is to rescue. Binhu District is the first confirmed cases of H7N9 avian influenza.

According to the Health Department of Jiangsu Province, April 2 briefing patients Zhang, female, 32 years old, Changzhou, now lives in Wuxi city, unemployed. March 21, fever, cough, and other symptoms. On March 28, the sicker patients transferred to a hospital in Wuxi ICU treatment. March 31, identified as the H7N9 avian influenza virus nucleic acid positive by the Jiangsu Provincial Center for Disease Detection. In accordance with the relevant requirements, the afternoon of April 2, the provincial Health Department organized experts, according to the clinical manifestations, laboratory testing and epidemiological findings, the diagnosis of the cases human infection confirmed cases of the H7N9 avian flu. After investigation, the close contacts of the cases of a total of 43 people. Medical observation, so far, were not found to have a fever or respiratory symptoms.

Patients Xu, female, 45 years old, Jiangning District, engaged in live poultry slaughter. March 19, fever, dizziness, body aches, fatigue and other symptoms. In the morning of March 27, go to Nanjing sicker ICU treatment in a hospital. On the afternoon of March 30, the Jiangsu Provincial Center for Disease testing positive for H7N9 avian influenza virus nucleic acid. In the afternoon of April 2, review by China CDC influenza center laboratory for the H7N9 avian influenza virus nucleic acid positive. In accordance with the relevant requirements, the afternoon of April 2, the Jiangsu Provincial Health Department organized experts, according to the clinical manifestations, laboratory testing and epidemiological findings, diagnosis of the cases of human infection of H7N9 avian influenza confirmed cases. The patient was the first case of human infection of H7N9 avian influenza in Jiangsu Province. After investigation, the close contacts of the cases of 49 people. Medical observation, so far, all the close contacts of the cases were not found to have a fever or respiratory symptoms.

Patients with a mulberry, female, 48 years old, Suqian Shuyang engaged in sheet metal processing. March 19, fever, dizziness, coughing and other symptoms. March 30, sicker patients transferred to a Nanjing hospital ICU treatment. On March 30, the Jiangsu Provincial Center for Disease Detection H7N9 avian influenza virus nucleic acid weakly positive. In the afternoon of April 2, review by China CDC influenza center laboratory for the H7N9 avian influenza virus nucleic acid positive. In accordance with the relevant requirements, the afternoon of April 2, the Jiangsu Provincial Health Department organized experts, according to the clinical manifestations, laboratory testing and epidemiological findings, diagnosis of the cases of human infection of H7N9 avian influenza confirmed cases. After investigation, the close contacts of the cases of a total of 60 people. Medical observation, so far, were not found to have a fever or respiratory symptoms.

Patients Shen, male, 83 years old, Suzhou Wujiang District. March 20 fever, cough, sputum production, accompanied by symptoms such as chest tightness, shortness of breath and chest pain. On March 29, the sicker patients to Wujiang Area hospital treatment. On April 1, the Jiangsu Provincial Center for Disease Detection identified as the H7N9 avian influenza virus nucleic acid positive. In accordance with the relevant requirements, the afternoon of April 2, the Jiangsu Provincial Health Department organized experts, according to the clinical manifestations, laboratory testing and epidemiological findings, diagnosis of the cases of human infection of H7N9 avian influenza confirmed cases. After investigation, the close contacts of the cases of a total of 15 people. Medical observation, so far, were not found to have a fever or respiratory symptoms.

Currently, no epidemiological association exists between the above four cases. The experts have warned that the face of human infection with the H7N9 avian flu, Mo panic, to be alert to. First, it is necessary to maintain good personal hygiene, such as washing hands frequently, indoor Qin ventilation; Second, it is necessary to pay attention to improve nutrition, enhance personal physical; Third, it is necessary to avoid contact and edible disease (dead), poultry, livestock; Fourth fever cough and acute respiratory infection symptoms, especially high fever, breathing difficulties, you should seek immediate medical attention. http://news.wuxi.soufun.com/2013-04-02/9833808.htm

Jiang Premier: ready to start the defense system of the avian flu

• 
  2013-04-02 18:39
 
• News nowcasts
 
• [CNA]

    　Executive Yuan Jiang Yi Hua, the Chinese mainland outbreak of human infection with the H7N9 avian influenza, avian influenza and SARS experience, ready to start the defense system will be based on the past to prevent.

    　Afternoon in the Legislative Yuan, the Chinese KMT Legislator Lee Ching-hua said that the outbreak of human infection with the H7N9 strain of bird flu cases in mainland China, Executive Yuan, how to respond? Frequent cross-strait exchanges, whether to strengthen border management?

    　Jiang Yi Hua said answering a question, start to appear more cases, not only in Taiwan, the full World Health Organization will be kept strictly preparedness. The Executive Yuan will guard against avian flu and SARS (Severe Acute Respiratory Syndrome) based on past experience, "probably to be ready to start the defense system".

    　The border management part, he said, as long as detected by the temperature detection or otherwise, will be done, but the fear is newly infected with no fever or other symptoms, would be more tricky.

    　Jiang Yi Hua said he never heard of farms in Taiwan have similar cases, but is OK in the end there is no precedent, will ask the Department of Health and the Council of Agriculture report explicitly; migratory birds have monitoring mechanisms, with two days before the Chinese mainland outbreak, the COA has already started to rise level. http://news.chinatimes.com/politics/130502/132013040201354.html

The Taiwan DOH open meeting of experts in response to the avian

 flu

For this wave of avian flu, the Department of Health, Centers for Disease Control, Deputy Secretary Jih-Haw Chou said, does not exclude the possibility of any human-to-human transmission, will be the worst response. (Epoch database)
Epoch Times, April 2, 2013 (Epoch reporter Shi Chi Yin Taiwan Taipei) in mainland China a new wave of H7N9 avian flu traumatic panic, Disease Control, Department of Health does not rule out this wave of bird flu virus may , dishing out four strategies, five lines of defense "epidemic prevention, is already in place and more than 500 million copies of anti-flu drugs, emergency needs in response to the epidemic, in addition to the" avian flu expert consultation meeting will also be held, recruit advice.

China is the world's first human H7N9 avian flu, health units taut nerves, to the early detection of infection denial means, influenza antiviral agent, influenza vaccine four strategies, and containment abroad, border control, community prevention care system security, personal and family protection "five defense stepped up security, including Pharmacy is already in place and 23% of the population (about 500 million copies).
Outsiders questioned the effectiveness of the resistance problem, CDC director Jih-Haw Chou said, does not exclude the possibility of any human-to-human transmission, will be the worst deal with, but whether to further improve disease control level, must, as the follow-up development given; CDC will also be invited today (3) the domestic epidemic prevention experts convened the "avian flu expert consultation meeting to solicit opinions.
2, 2009, invited the participating experts C. Chang pointed out that China's outbreak is unusual. He said, the birds - H7 Asian avian influenza virus of low pathogenicity, rarely poultry successor even if infection also rarely incidence, or just mild infection; Today, China is an outbreak of three cases of people dye H7N9 serious cases of avian flu, and located in different areas, really unusual unusual. "◇

The outgoing human infection of H7N9 avian influenza, Taiwan on high alert. Pictured Kaohsiung chicken farm industry to the canvas surrounded coop, and look forward to restrain the birds fly into. http://www.epochtimes.com/gb/13/4/2/n3837472.htm

China has confirmed seven cases of H7N9 avian influenza infection source is not yet clear

 Health Department of Jiangsu Province, Jiangsu Province, four cases of human infection with the H7N9 avian flu cases have been confirmed.China confirmed H7N9 avian influenza cases have been seven cases.

China April 2 The News (the reporter Tang Jialei) today, the Health Department of Jiangsu Province Bulletin, Jiangsu Province, four cases of human infection with the H7N9 avian flu cases have been confirmed. Previously, the Shanghai and Anhui Province also found three cases of human infection with the H7N9 avian influenza.China confirmed H7N9 avian influenza cases have been seven cases.

Jiangsu Province, confirmed four cases of human infection with the H7N9 avian flu cases

Jiangsu Provincial Health Department Bulletin, April 2, Jiangsu Province, diagnosed four cases of human infection with the H7N9 avian influenza.

After the outbreak, the provincial government attaches great importance to the health sector in accordance with the relevant plans and programs to rapidly launch epidemic prevention and control work...

http://www.nbd.com.cn/articles/2013-04-02/728986.html