Wednesday, June 07, 2017

Shaanxi: Yulin City Reports 2nd Imported H7N9 Case ex Inner Mongolia


One week ago we saw a report from Shaanxi Province: Yulin City Reports Imported H7N9 Case ex Inner Mongolia of Inner Mongolia's first announced H7N9 case - a female farmer from Ordos, Inner Mongolia, about 90 miles north of Yulin. 
Later that same day, a 2nd - unrelated case - was announced from Wuyuan County, about 100 miles north of the first case (see Inner Mongolia Now Reporting An H7N9 Case). The male patient was currently hospitalized in Beijing.
The husband of the first Yulin City case was described as having similar symptoms to his wife (coughing & fever) - and was apparently hospitalized for observation - but did not test positive for the virus at the time (May 29th).
Today, however, we learn that a third test (taken on June 6th) has finally come back positive for H7N9, making him the second imported case to Yulin City, and the third case known to originate from Inner Mongolia. 
While a  cluster, with a full week between diagnosis - these family members plausibly shared a common poultry exposure - making human-to-human transmission a difficult case to make. 

 This (translated) statement from the Yulin Bureau of Health & Family Planning website
The city confirmed the second case of imported human infection H7N9 cases
Yulin City Health Bureau Post Time: 2017-06-07 

June 6, 2017, the city CDC detection, the city hospital admitted to patients Guo Moumou, was diagnosed with human infection H7N9 cases. The patient is Inner Mongolia Wushenqi Tuke town farmers, male, 67 years old, the Department of the city's first case of imported Yang Moumou husband. The patient is also infected in Inner Mongolia, the city was diagnosed, is the second case of the city of imported human infection H7N9 cases. 

Before the onset of contact with the dead bird history, followed by two couples have fever, cough and other symptoms, in the local village health room after treatment ineffective, at 9:00 pm on May 29 came to the city of Yuyang District Star Yuan hospital treatment, 22:30 or so suspected H7N9 cases into the city hospital in the southern suburbs hospital treatment.

City CDC were on May 29, June 4, June 6, Guo Moumou samples of nucleic acid detection, June 6 test results for the positive was diagnosed. After admission, the hospital has been in patients with highly suspected cases to take isolation measures for treatment. Provincial medical treatment expert group during the treatment of consultation several times, the patient has taken targeted treatment. At the same time, the city health and family planning bureau to strengthen the city more than two medical institutions fever clinic, respiratory specialist influenza monitoring, strengthen the sense of prevention and control, the prevention and control work in an orderly manner.

Remind the masses again, try to avoid direct contact with live birds, birds or their feces. Do not buy live poultry to kill yourself, nor buy fresh, live, frozen poultry and their products without quarantine certificates. Raw poultry, eggs, etc., must be cooked and cooked after eating, processing raw poultry meat and eggs, to thoroughly wash their hands. Pay attention to food hygiene, develop a healthy lifestyle, strengthen physical exercise. If you have fever and respiratory symptoms, should bring a mask, as soon as possible treatment, remember to tell the doctor before the onset of bird contact history.
Meanwhile, according to the Inner Mongolia Autonomous Region Health and Family Planning Commission website, numerous hospital drills and emergency meetings are being conducted (see links below) across the region.
Baotou City, north of the hospital held an emergency H7N9 control arrangement will work
Hulun Buir City Health and Family Planning Commission held a scheduled deployment of human infection with H7N9 avian influenza prevention and control emergency meeting
Bayannao'er Chinese Medicine Hospital to carry out human infection with H7N9 avian influenza prevention and control of medical knowledge and staff training

Finally, from Ordos City - the home of the two exported cases - we get the following statement:
Ordos city area to actively carry out human infection H7N9 avian influenza prevention and control work supervision exercise

Posted: 2017-06-06  

To enhance human infection H7N9 avian flu prevention and control work to enhance the city's public health emergency response capacity. June 2, the Ordos City, the flag area has been carried out H7N9 avian influenza prevention and control and medical treatment supervision and organization of human infection H7N9 avian influenza prevention and control emergency drills.

Supervision of the main check the hospital fever clinic opening, whether the implementation of 24-hour duty system, pre-examination points set up and work to carry out; fever patients history registration and outpatient log is complete, the epidemic report channel is smooth and hospital protection, prevention and treatment of drugs Reserves, contingency plans to implement, prevention and control of knowledge training, medical waste control and so on. On the inspection found in the problem, the inspection team called for immediate rectification, and effectively infected with H7N9 avian influenza prevention and treatment of medical work in place.

The training team also set up a number of working groups, such as emergency drill command group, drill evaluation group, site flow group, fire killer group, inspection group, logistics support and publicity group, and exercise simulation to receive a hospital suspected H7N9 avian influenza epidemic After the report, the epidemic report officer immediately reports to the center leader. Arrangements of personnel, vehicles, materials to the post in place, the fastest speed to the higher health department reported that the staff arrived, immediately after the scene kill, epidemiological investigation and treatment, sample collection, to determine the close contact, to guide the hospital The isolation of suspected patients, and close contact with the observation, the epidemic control in the smallest range. After the exercise of the emergency drill to conduct a careful summary of the simulation exercises and comments on all aspects of the proposed problems.

Through the supervision and training to improve the city's infection with H7N9 avian influenza prevention and control of the work level, and enhance the effective response to possible human infection H7N9 avian influenza outbreak and emergency public health emergency response capacity. (Commented on Wang Yanlin)

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