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#13,983
For the first time in more than a year China's MOH is reporting a human infection with the H7N9 virus - this time in an elderly (82 y.o.) man living in Jiuquan, Gansu Province. Details are scant, but his condition is described as `serious'.
This is the first reported H7N9 human case since February 12, 2018, and is the 1568th confirmed case since the virus was first reported six years ago, in March of 2013.Following a horrendous 5th wave of infections (2016-2017), China deployed a new, experimental H5+H7 poultry vaccine, which has greatly subdued avian influenza activity for more than 18 months.
Over the past eight months, however, we've begun to see a few `breakthrough' events, primarily with the H5N6 virus. Last year China reported 5 human H5N6 infections, and a smattering of poultry outbreaks. Two weeks ago, we saw the first H7N9 outbreak (in poultry) reported since the summer of 2017, and three days ago, an outbreak of H5N1.
It is too soon to tell whether these are isolated incidents, or perhaps an early sign that China's vaccine may be losing some of its effectiveness.Below we have Hong Kong's announcement of their notification by the Mainland of this first case of 2019.
The Centre for Health Protection (CHP) of the Department of Health today (April 5) received notification of a human case of avian influenza A(H7N9) in Gansu from the National Health Commission, and again urged the public to maintain strict personal, food and environmental hygiene both locally and during travel.
The male patient from Jiuquan, aged 82, has been hospitalised for management and his condition is serious now. This is the first case reported in the Mainland this year.
"Travellers to the Mainland or other affected areas must avoid visiting wet markets, live poultry markets or farms. They should be alert to the presence of backyard poultry when visiting relatives and friends. They should also avoid purchasing live or freshly slaughtered poultry, and avoid touching poultry/birds or their droppings. They should strictly observe personal and hand hygiene when visiting any place with live poultry," a spokesman for the CHP said.
Travellers returning from affected areas should consult a doctor promptly if symptoms develop, and inform the doctor of their travel history for prompt diagnosis and treatment of potential diseases. It is essential to tell the doctor if they have seen any live poultry during travel, which may imply possible exposure to contaminated environments. This will enable the doctor to assess the possibility of avian influenza and arrange necessary investigations and appropriate treatment in a timely manner.
While local surveillance, prevention and control measures are in place, the CHP will remain vigilant and work closely with the World Health Organization and relevant health authorities to monitor the latest developments.
The CHP's Port Health Office conducts health surveillance measures at all boundary control points. Thermal imaging systems are in place for body temperature checks on inbound travellers. Suspected cases will be immediately referred to public hospitals for follow-up.
The display of posters and broadcasting of health messages in departure and arrival halls as health education for travellers is under way. The travel industry and other stakeholders are regularly updated on the latest information.
The public should maintain strict personal, hand, food and environmental hygiene and take heed of the advice below if handling poultry:
The public may visit the CHP's pages for more information: the avian influenza page, the weekly Avian Influenza Report, global statistics and affected areas of avian influenza, the Facebook Page and the YouTube Channel.
- Avoid touching poultry, birds, animals or their droppings;
- When buying live chickens, do not touch them and their droppings. Do not blow at their bottoms. Wash eggs with detergent if soiled with faecal matter and cook and consume the eggs immediately. Always wash hands thoroughly with soap and water after handling chickens and eggs;
- Eggs should be cooked well until the white and yolk become firm. Do not eat raw eggs or dip cooked food into any sauce with raw eggs. Poultry should be cooked thoroughly. If there is pinkish juice running from the cooked poultry or the middle part of its bone is still red, the poultry should be cooked again until fully done;
- Wash hands frequently, especially before touching the mouth, nose or eyes, before handling food or eating, and after going to the toilet, 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; and
- Wear a mask if fever or respiratory symptoms develop, when going to a hospital or clinic, or while taking care of patients with fever or respiratory symptoms.
Ends/Friday, April 5, 2019
Issued at HKT 12:59
