Saturday, December 31, 2011

From fever to death 11 days, hospital 7 days #H5N1 #BIRDFLU

Shenzhen man died of bird flu patients (Figure) My Sohu
At 04:05 on January 1st, 2012

出现严重呼吸衰竭和多脏器功能衰竭 感染疑与候鸟有关

Severe respiratory failure and multiple organ failure and migratory birds infected with the suspected
39-year-old professional bus drivers, to live the democratic village, Baoan manhole. Caused by highly pathogenic avian influenza virus caused severe respiratory failure and multiple organ failure, has been developing the disease, because they can not control the disease died.
From fever to death 11 days, hospital 7 days
Yesterday confirmed human infection of highly pathogenic avian influenza
Wetland birds more often to the morning walkers
Yesterday afternoon, the Guangdong Provincial Health Department confirmed that the bus driver surnamed Bao manhole has been confirmed infected with highly pathogenic avian influenza, and was killed yesterday 13:33. This is the first report in 2011 China's human bird flu cases, also in Guangdong since 2006, first reported human infection of highly pathogenic avian influenza cases diagnosed since the fourth patient. Yesterday afternoon, the Provincial Health Department issued a "strengthen bird flu prevention and control of emergency" which called for increased surveillance around the efforts to make bird flu prevention and control preparations.
The whole process of disease
December 21, 2011    had no incentive to fever, self-medication and outpatient emergency treatment did not improve.
December 25, 2011     Check Bao'an District People's Hospital, appeared in respiratory failure, heart, kidney and other organ failure, shock, disseminated intravascular coagulation.
December 26, 2011    the development of "severe pneumonia", transferred to the intensive care unit treatment.
December 30, 2011     Guangdong Expert Group on the diagnosis of suspected human cases of highly pathogenic avian influenza infection.
December 31, 2011     bird flu prevention and control of the Ministry of Health expert group to determine the cases of human infection of highly pathogenic avian influenza confirmed cases.
11 am, Guangdong human avian influenza medical care members of the Group, Shenzhen City, the medical treatment of human avian influenza team leader Zhou Boping said in an interview with reporters, the patient's condition is very critical, life-threatening at any time. It is reported that the day the patient's condition continued to increase, heart, lung, liver damage increase, increased shock, pulmonary fibrosis, effusion increased.
At 13:33 on December 31, 2011, the patient's condition rapidly worsened after she died.
Source of infection: more dead birds Morning Park
Reporters learned from the Guangdong Provincial Center for Disease Control, surnamed Chen last December 21 fever after five days and then rest at home because of a sprained foot. "Chen's wife during the day, Mr. Chen alone at home." Guangdong Provincial Disease Control and Prevention Director Dr. Jianfeng, director, said Chen's wife said he usually does not eat birds, the last month has not eaten poultry at home geese and other birds. Mahan Wu, deputy director of Shenzhen CDC, told reporters the month before the onset of patients with no history of exposure to poultry, there is no history to go out.How he was infected with bird flu virus it? It is reported that patients living in the village democracy Baoan manhole, manhole sea idyllic lake and wetland area is the habitat of wild birds, patients usually have the habit of morning exercise in the vicinity.
Jianfeng said that the park more migratory birds, disease control experts suspect that he was a high degree of contact with infected birds droppings. Zhoubo Ping told reporters, often think it would be a clear source of infection of avian influenza virus is direct contact with patients birds and their excrement, "but there are some source of infection is not clear, for example, first appeared in 2006 in Shenzhen bird flu patients no contact with poultry before the onset of, and has yet to find the source of infection. "
But Zhoubo Ping also said that in theory there are bird droppings evaporate into the air to be inhaled and drinking water contaminated bird droppings possibility of infection, but the likelihood is minimal, and the patient's home near the wetland did not find the death of infected a bird.It is not to determine the patient's condition and the Hong Kong outbreak of migratory birds. According Jianfeng introduction, there are two migratory routes through Guangdong, one from Shantou to Shenzhen, Shanwei, the other is from Jiangxi Province to Guangzhou via Nanxiong, and New Year's Day is around the peak of wild bird migration.
Close contacts: 120 people under observation showed no abnormality
The Shenzhen CDC laboratory testing of patient samples positive for the H5N1 virus results, Bao'an District, Shenzhen Center for Disease Control and Hospital Epidemiology immediately investigate, and ultimately recognized the 120 close contacts, including in the absence of any protective admissions of patients under the health care measures, the patient's family and close contact with co-workers.
Mahan Wu introduced, all close contacts are currently under medical observation or home observation, as usual, no one appears the same symptoms with the patient, not isolation, "CDC will be followed a day, the body will not be
segregation arrangements to the designated location. "
Patients as a bus driver, and a large number of passengers per day in the car with a dense public transport, passenger count is the close contact it? Mahan Wu explained that bus passengers are not classified as close contacts, just follow the usual approach to the prevention of influenza, there is not a doctor immediately.
Disease control experts: Avian influenza is not transmitted person to person
"So far, the world's people infected with highly pathogenic avian influenza fatality rate as high as 53%." Guangdong Provincial Disease Control and Prevention Director Dr. Jianfeng, director, said Guangdong had previously in 2006, respectively (Guangzhou, Shenzhen in 1 case), 2008 (Shanwei 1 case) reports human infection of highly pathogenic avian influenza confirmed cases, in addition to Shenzhen patients, other patients died.
Jianfeng said, according to WHO's research report, currently the world in hundreds of cases of human infection are sporadic cases of avian influenza virus source of both birds. "There is no definite evidence of human-human transmission of avian influenza viruses have the ability, the public need not panic."http://roll.sohu.com/20120101/n330933583.shtml

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