Credit Wikipedia
# 7936
From Hong Kong’s Centre for Health Protection (CHP) this morning we’ve a notification of a confirmed H7N9 case in neighboring Guangdong Province. The case involves a 3-year old who presented with mild symptoms (no fever) and subsequently tested positive for the avian virus.
Seven close contacts are being monitored – three of whom have already developed flu-like symptoms – but none have tested positive for the virus. Unusually, onset dates, and a more precise location for this case are not given.
Admittedly, not everyone who develops flu-like symptoms in China goes to the hospital and gets tested for the H7N9 virus, but it is encouraging to see a `mildly ill’ patient successfully screened for the virus.
Like H5N1 (and MERS-CoV), we should not be surprised to see additional cases popping up over the next few months. The close proximity of Guangdong Province to Hong Kong will no doubt spur an even greater level of vigilance and surveillance among Hong Kong’s Public Health sector.
5 November 2013
Notification of confirmed human case of avian influenza A(H7N9) in Guangdong
The Centre for Health Protection (CHP) of the Department of Health (DH) has been notified by the Health and Family Planning Commission of Guangdong Province of a confirmed human case of avian influenza A(H7N9) today (November 5) affecting a 3-year-old boy in Dongguan, Guangdong Province.
The patient is currently receiving treatment under isolation in hospital. He presented with minor symptoms without fever and is now in stable condition. His sample tested positive for the avian influenza A(H7N9) virus by the relevant health authority of Guangdong Province and the diagnosis was confirmed today.
Seven close contacts of the patient have been put under medical surveillance by the relevant health authority of Guangdong Province. Three of them developed influenza-like symptoms but none of them tested positive for avian influenza A(H7N9).
To date, a total of 137 human cases of avian influenza A(H7N9) have been laboratory confirmed in the Mainland, including Zhejiang (48 cases), Shanghai (33 cases), Jiangsu (28 cases), Jiangxi (six cases), Fujian (five cases), Anhui (four cases), Henan (four cases), Shandong (two cases), Hunan (two cases), Beijing (two cases), Guangdong (two cases) and Hebei (one case).
A spokesman for the DH remarked that the CHP is closely monitoring the situation and maintaining close liaison with the Mainland health authorities for case details, as well as keeping a close eye on the latest advice from the World Health Organization (WHO).
The CHP will send letters to doctors and private hospitals to update them on the latest situation of human infection of avian influenza A(H7N9).
"Locally, no confirmed human cases of avian influenza A(H7N9) have been recorded so far," the spokesman stressed.
Travellers, especially those returning from avian influenza A(H7N9)-affected areas, with fever or respiratory symptoms are reminded to immediately wear facial masks, seek medical attention, and reveal their travel history to doctors. Health-care professionals should also pay special attention to patients who might have had contact with birds, poultry or their droppings in affected areas.
In response to the human cases of avian influenza A(H7N9) in the Mainland, port health measures have been implemented at all border control points (BCPs) and health information is being disseminated to travellers through various means including display of posters on avian influenza A(H7N9) in departure and arrival halls, distribution of health education pamphlets, in-flight announcements, enhanced environmental health inspection, provision of regular updates to travel industries via meetings and correspondence, surveillance of sick travellers and referral of suspected cases to public hospitals for further investigation.
The DH will continue to maintain its port health measures at all BCPs and keep a close eye on the latest advice from the WHO and the measures of the Mainland inspection and quarantine authorities to strengthen its work in disease prevention and control according to the latest situation.
The spokesman urged travellers not to visit wet markets with live poultry in the affected areas and to avoid direct contact with poultry, birds and their droppings. If contact has been made, they should thoroughly wash their hands with soap and water.
Members of the public should remain vigilant and are reminded to take heed of the following preventive advice against avian influenza:
- Poultry and eggs should be thoroughly cooked before eating;
- Wash hands frequently with soap, especially before touching the mouth, nose or eyes, handling food or eating; after going to the toilet or touching public installations or equipment such as escalator handrails, elevator control panels or door knobs; or when hands are dirtied by respiratory secretions after coughing or sneezing;
- Cover the nose and mouth while sneezing or coughing, and hold the spit with a tissue and put it into a covered dustbin;
- Avoid crowded places and contact with fever patients; and
- Wear a mask when respiratory symptoms develop or when taking care of fever patients.
The public may visit the CHP's webpage (www.chp.gov.hk/en/view_content/24244.html and www.chp.gov.hk/files/pdf/global_statistics_avian_influenza_e.pdf) for further information on avian influenza and avian influenza-affected areas.
Ends/Tuesday, November 5, 2013
