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Calendar Event: Hong Kong BF ? Posted: June 13 2006 at 5:14pm |
Yan Chai Hospital vomiting & diarrhoea cases ********************************************
A Yan Chai Hospital (YCH) spokesperson made the following announcement today (June 13):
Five patients (aged 54 to 91) and two staff members of a female surgical ward have presented with vomiting and diarrhoea symptoms since June 8. The patients are in a stable condition and they have been transferred to isolation rooms for further management. The staff are now on sick leave. The hospital has arranged appropriate tests for the patients concerned and the results are pending.
Admission to this ward has been suspended while visiting arrangements remains normal. Infection control measures have been stepped up in the ward concerned. All patients are under close surveillance.
The YCH Infection Control Team has reported the cases to the Hospital Authority and the Centre for Health Protection.
Ends/Tuesday, June 13, 2006 Issued at HKT 18:59
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Posted: June 13 2006 at 5:17pm |
Republic of Hungary poultry meat imports suspended **************************************************
The Food and Environmental Hygiene Department's Centre for Food Safety announced today (June 13) that the processing of applications for importing poultry meat from the Republic of Hungary would be suspended with immediate effect.
"The decision was made following the confirmation of an outbreak of avian influenza H5 in a poultry farm in the Republic of Hungary," a spokesman for the centre said.
"We are seeking further information from the relevant authorities concerning the case," he said.
Hong Kong imported some 2,200 tonnes of frozen poultry meat/offal from the Republic of Hungary in 2005.
Ends/Tuesday, June 13, 2006
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Posted: June 13 2006 at 5:19pm |
Notification of a suspected human avian flu case in Shenzhen received ************************************************************
The Centre for Health Protection (CHP) of the Department of Health today (June 13) received notification from the Health Department of Guangdong Province and Ministry of Health concerning a suspected human case of avian influenza H5N1 in Shenzhen.
A CHP spokesman said the patient was a 31-year-old man who lived in Shenzhen. He developed fever and pneumonia on June 3. He is now under treatment in a local hospital. His condition is critical.
It was reported that the patient had visited a local wet market where live chickens were on sale.
The CHP is maintaining close liaison with the Ministry of Health and the Health Department of Guangdong Province to obtain more information on the case.
Even though Hong Kong has been free from human avian influenza case since early 2003, members of the public should be vigilant given the large volume of population flow between Guangdong and Hong Kong.
The spokesman said the departmentˇ¦s Port Health Office has remained vigilant and maintained temperature screening for inbound travellers at all immigration control points. Health education for travellers will be enhanced at all immigration control points through distribution of leaflets and displaying of health messages.
The Centre for Food Safety of Food and Environmental Hygiene Department will also step up inspection on the health and hygiene conditions of the chickens imported from the Mainland. The spokesman reminded members of the public to remain vigilant against avian influenza infection and to observe the following measures:
* Avoid direct contact with poultry and birds or their droppings; if contacts have been made, they should wash hands thoroughly with soap and water; * Poultry and eggs should be thoroughly cooked before eating; * Wash hands frequently; * Cover nose and mouth while sneezing or coughing, hold the spit with tissue and put it into covered dustbins; * Avoid crowded places and contact with sick people with fever; * Wear a mask when you have respiratory symptoms or need to take care of patients with fever; * When you have fever and influenza-like illnesses during a trip or when coming back to Hong Kong, you should consult doctors promptly and reveal your travel history.
For further information on avian influenza, please visit the CHP website: http://www.chp.gov.hk.
Ends/Tuesday, June 13, 2006 Issued at HKT 19:30
NNNN
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Posted: June 13 2006 at 5:22pm |
Initial symptoms include a high fever, usually with a temperature higher than 38oC, and influenza-like symptoms. Diarrhoea, vomiting, abdominal pain, chest pain, and bleeding from the nose and gums have also been reported as early symptoms in some patients. Watery diarrhoea without blood appears to be more common in H5N1 avian influenza than in normal seasonal influenza. The spectrum of clinical symptoms may, however, be broader, and not all confirmed patients have presented with respiratory symptoms. In two patients from southern Viet Nam, the clinical diagnosis was acute encephalitis; neither patient had respiratory symptoms at presentation. In another case, from Thailand, the patient presented with fever and diarrhoea, but no respiratory symptoms. All three patients had a recent history of direct exposure to infected poultry.
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Posted: June 13 2006 at 5:42pm |
It looks like WHO has some updating to its list of cases (IE., COLDEA ROMANIA etc). And if the boobs at WHO would like me to come work for them feel free to contact me. As folks here and I seem to be able to keep track of global outbreaks better than they can!
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Posted: June 13 2006 at 5:44pm |
If, indeed, we are dealing with H5N1 as an intestinal flu, it has flown
full circle from an intestinal flu in birds to a respiratory flu in
pigs and humans (and other mammals) to an intestinal virus again in
humans.
Perhaps it always has been an intestinal irritant but not reported as
much? That would probably be the most logical conclusion. After
all if people are dying of pneumonia does it matter that much if they
have the runs as well?
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Posted: June 13 2006 at 5:51pm |
it has flown full circle from an intestinal flu in birds to a respiratory flu in pigs and humans (and other mammals) to an intestinal virus again in humans.
Yes that is the implication. But this is pure speculation at this point.
Am very good at inferring and a couple of things jump out at me. Isolation room: per guidelines established in dealing with BF patients. And also the same day these cases are found the govt in HK issues two other reports one on ban on imported poultry and the other on traveling to China where the suspected case today is from. It sounds like they are trying to establish a source of infection Joe.
Am also pretty darn sick of the stale old rhectoric that is coming from WHO. And my gut instinct with them is that this thing has already blown out of their control and they know it. They are under political pressure to keep economies rolling until the whole thing blows full throttle and it is unable to be disguised anymore. (IE., Niman Phase 3/6)
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seesthelight
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Posted: June 13 2006 at 6:17pm |
SInce my son died of influenza in Japan in 2005...which i believe was not a normal seasonal influenza and one which killed him without it causing a bacterial pneumonia...his symptoms were as you described above before he came down with the high fever and the autopsy showed brain inflammation and myocarditis, multiple organ failure and of course all of this presented with the pulmonary signs and symptoms. I do not think it has changed much since his death. I agree with you ponygirl on the fact that this thing has already gone out of WHO's control and also that there is alot of the political pressure steering the ship on this. I have been on to them since 2005 when this happened to my son.
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Posted: June 13 2006 at 6:18pm |
First two gut reactions, it's too long for a stomach virus, could be food poisoning, or early symptoms of bird flu. Food poisoning should be easy to rule out quickly. If it's bird flu.............we need to watch this one very carefully...
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Posted: June 13 2006 at 6:25pm |
Potential cluster of BF; female surgical ward
Five patients (aged 54 to 91) and two staff members of a female surgical ward
And this is similiar to how they would do infection control in SARS cases.
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Posted: June 13 2006 at 6:35pm |
Hi PonyGirl Do you have the link to the first article, or did I miss it?
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Posted: June 13 2006 at 6:37pm |
Sorry, I did miss the link, but they also think food poisoning....
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Posted: June 13 2006 at 6:43pm |
Am very sorry for your troubles and to hear of your son's passing. Am glad you found this site. What was determined the cause of death if you dont mind me asking ?
There were similiar reports to this from HK issued in May. Am suspicious of a cluster here because of the surgical ward proximity closeness to patients.
We all have to be vigilant with our eyes and ears open. Have no faith that the UN, WHO or CDC are going to put pressure on Asia and these 3rd world countries. Am afraid they have been lying ALL ALONG.
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Posted: June 13 2006 at 6:43pm |
Sadly, I think there have been thousands of casualties that have gone
unreported. They could (should) have produced a vaccine that
might have provided some immune capacity but have stalled.
Granted, the Qinghai Strain is so lethal that perhaps no vaccine that
predated it could have been effective; but, at least, they could have
tried. Instead, what we have seen is a poorly orchestrated coverup from
most governments and agencies (including the WHO).
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Posted: June 13 2006 at 6:47pm |
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Posted: June 13 2006 at 6:47pm |
There have been no new news stories out of Brazil about that "pneumonia" outbreak. Government censorship?
Why won't any governmental agency answer questions in Iowa about the animal deaths in that state? Government censorship or just stupidity?
What happened in Arkansas two months ago that nobody will talk about?
There was a song out about ten years ago that asked the question, "Hey, what's goin' on?"
Perhaps we need to start singing it?
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Posted: June 13 2006 at 6:51pm |
And also...where the heck is the media in all this ? Obviously they are not mandated to report news from other countries but am thinking there must be a few investigative journalists with a pulse still out there.
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Posted: June 13 2006 at 6:55pm |
http://www.chp.gov.hk/view_content.asp?lang=en&info_id=6797
8 June 2006
Suspected food poisoning case under investigation
The Centre for Health Protection (CHP) of the Department of Health is investigating a case of suspected food poisoning involving at least 13 people.
The affected persons, comprising four men and nine women aged between 20 and 31, were members of a tour to Saba , Malaysia from May 31 to June 4.
It was reported that they had developed diarrhea, abdominal pain, fever and vomiting since June 3.
Sorry, this is a different situation.
Or is something else going on.
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Posted: June 13 2006 at 6:55pm |
Jiang, a cargo truck driver, had no contacts with birds before the disease. However, his wife bought a live-slaughtered chicken from a local market two weeks ago, and cooked it for dinner for five family members, including Jiang.
None of the rest of Jiang's family showed similar symptoms. They and other close contacts are under medical observation.
The man would become China's 19th reported human case if he is confirmed as having the deadly H5N1 strain of bird flu.
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Posted: June 13 2006 at 6:58pm |
seesthelight, I'm so sorry about your son.
Ruth
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Posted: June 13 2006 at 7:05pm |
seesthelight,
I am very sorry for your loss. I am sorry for the intrusion but would you provide us with more details regarding his illness? Perhaps your insight could help many.......
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zipporah
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Posted: June 13 2006 at 7:44pm |
It has occured to me that the governments (as we call them) or the powers that be do have a treatment, but the world is so over crowded that it needs thinning. I don't think any government will try and save
it's people, not for 18 months or so. I know this sounds like the ole conspiracy thing, but I don't think of it as that, just a knowledge that has passed from ruler to ruler.
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Faith is being sure of what we hope for
and certain of what we do not see.
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farfoodle
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Posted: June 13 2006 at 7:53pm |
The staff are now on sick leave. The hospital has arranged
appropriate tests for the patients concerned and the results are
pending.
Why would the staff be on sick leave? Are they affraid and sent home? Are they feeling ill and are also being tested?
It just seems like a strange statement.
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Posted: June 13 2006 at 7:56pm |
They may be in the hospital admitted and on sick leave or sent home for quarantine etc. Did not understand that either.
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grey_whiskers
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Posted: June 13 2006 at 9:38pm |
My condolences.
My hope and prayer (which I am sure is echoed my many on this forum)
is that we can prevent this occurrence from being replicated worldwide.
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Posted: June 14 2006 at 5:21am |
It may not make sense only because of a language change. We may call it one thing in the U.S. they may call it another. Sort of like a soda on the east coast, pop in parts of the midwest.
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Posted: June 14 2006 at 5:24am |
HONG KONG TODAY:
United Christian Hospital vomiting & diarrhoea cases ****************************************************
A United Christian Hospital (UCH) spokesperson made the following announcement today (June 14):
Three patients (two male and one female, aged 71 to 84) of a medical ward have presented with vomiting and diarrhoea symptoms since June 7. The patients are in a stable condition and are subject to appropriate isolation precautions. The hospital has arranged appropriate tests for the patients concerned and the results are pending.
Admission to this ward has been suspended while visiting arrangements remains normal. Infection control measures have been stepped up in the ward concerned. All patients are under close surveillance.
UCH Infection Control Team has reported the cases to the Hospital Authority and the Centre for Health Protection.
Ends/Wednesday, June 14, 2006 Issued at HKT 19:14
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Posted: June 14 2006 at 5:26am |
Hospital Authority activates Enhanced Surveillance Programme************************************************************
The Hospital Authority announced today (June 14) that it would implement the Enhanced Surveillance Programme as recommended by the Central Committee on Infectious Disease (CCID) during an urgent meeting today.
The decision follows notification from the Health Department of Guangdong Province of a suspected human case of avian influenza H5N1 in Shenzhen, Meanwhile, all infection control measures under the current Yellow Alert are still in effect and Hong Kong people are encouraged to wash hands before and after visiting public hospitals and to put on masks when necessary.
An authority spokesman said that public hospital experts in various disciplines and representatives from the Centre for Health Protection (CHP) discussed in detail the authority's Infection Control Plan for Avian Influenza in view of the latest situation. The CCID decided to implement a three-week Enhanced Surveillance Programme from tomorrow (June 15).
Public hospitals should report to the authority's e-Flu system all patients fulfilling the case definition of having pneumonia (all types) of unidentified etiology and who had travelled in the seven days before the onset of symptoms, to affected areas/ countries with confirmed human cases of avian influenza infection in the past six months. This special Enhanced Surveillance Programme will be reviewed in three weeks' time.
At the same time, public hospitals will be reminded to set up segregated zone in high-risk clinical areas, such as Accident & Emergency Departments and general out-patient clinics, to monitor and manage patients with infection symptoms.
Meanwhile, two specialists from the authority, Dr Lai Sik-to, Consultant In-charge of Infection Control Team of Princess Margaret Hospital and Dr Thomas Mok, Chief of Service of Department of Respiratory Medicine of Kowloon Hospital, joined the CHP delegates to visit Shenzhen this afternoon (June 14) to collect more information about the suspected case. The authority will continue to co-operate with the CHP to keep the public and professionals posted on the most updated situation and relevant information.
Ends/Wednesday, June 14, 2006 Issued at HKT 16:15
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Posted: June 14 2006 at 5:27am |
Above is also a press release today from the HK govt. HONG KONG watch as there may be something going on over there.
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Posted: June 14 2006 at 5:30am |
Transcript of remarks by SHWF on avian influenza ************************************************
Following is a transcript (English portion) of remarks made by the Secretary for Health, Welfare and Food, Dr York Chow, at a stand-up media session at the Legislative Council Building today (June 14):
Reporter: (on the overall bird flu situation)
Dr Chow: I think in general you can expect that the virus always evolve with time. So in the case of H5N1, you see that it is affecting more and more birds and in more and more areas, it's spreading to Europe, Africa and the Middle East and so on. This is a sign that it is getting more significant in terms of human health. So that is the reason why we have put in place a lot of mechanisms to detect the first case, to ensure that we are also monitoring the situation around Hong Kong. In a way, I think we have done whatever we can at the moment. We should not be panic but at the same time we should always be cautious.
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pugmom
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Posted: June 14 2006 at 5:42am |
could be Norovirus, as that can ravage institutions, like hospitals, cruise ships, nursing homes, etc.
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Posted: June 14 2006 at 6:51am |
The Hospital Authority announced today (June 14) that it would implement the Enhanced Surveillance Programme as recommended by the Central Committee on Infectious Disease (CCID) during an urgent meeting today.
Could be but why the Enhanced Surveillance Programme and the CCID URGENT MEETING TODAY ?
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Posted: June 14 2006 at 6:56am |
Hong Kong people are encouraged to wash hands before and after visiting public hospitals and to put on masks when necessary.
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Posted: June 14 2006 at 7:18am |
Anyone, how long does it take to culture for food poisoning or test for norovirus?
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Posted: June 14 2006 at 7:43am |
Different poisoning would require diff tests. A lot of them take a stool sample for culture which a physician would request. A person would usually recover from mild foood poisoning in 2 - 5 days with fluids and antibiotics.
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Posted: June 14 2006 at 7:49am |
The latest case threatened to be a repeat of events in March, when Hong Kong temporarily banned bird imports from Guangdong following the death there of a 32-year-old man from bird flu.
Hong Kong was the scene of the world's first reported major bird flu outbreak among humans in 1997, when six people died and more than two million poultry were culled.
But it has remained free of bird flu since early 2003 with stringent border control and a reduction in the number of poultry imports from China.
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Cygnet
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Posted: June 14 2006 at 8:13am |
For what it's worth, the Hong Kong response both to the stomach crud in the hospital and 1 case of bird flu does not seem unusual if you understand how Hong Kong treats public health matters.
They are, umm, obsessive. They have a public health system that makes the US look like Indonesia in comparison. Used to have a coworker who grew up there; among other things that he told me was that chewing gum required a doctor's prescription (because spitting chewing gum out could spread disease) and spitting on the sidewalk could get you jail time and possibly corporal punishment (caning!).
One case of bird flu? Yeah, they're going to react rather aggressively and treat it as a public health emergency even if there's no sign of H2H. This would be the same island that completey killed every single chicken on the entire island in the late 90's when H5N1 first appeared. They GET bird flu and I'm sure they've got a few epidemiologists working very hard to identify the source.
As far as the stomach crud in the hospital goes -- there are quite a few infectious stomach "viruses" and a few bacteria that can be spread person to person. Noro's the most common, but everything from salmonella to typhus can be spread by contact. In a hospital, where you have very sick people, a stomach bug could kill.
Makes perfect sense to me to isolate the sick people so they can't spread it further & send the sick staff members home until they're no longer potentially infectious. (Besides, sending a sick staff member home -- they said there were two sick -- just makes sense from the standpoint of, it would probably upset the patients if a nurse puked on a patient's shoes.)
Leva
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Posted: June 14 2006 at 8:42am |
As far as the nursing home patients, if it were bf it would be the first reported cases of bf in elderly, would it not? I don't know for sure, but in racking my brain I cannot remember any confirmed or highly suspect cases in elderly patients. There is one case I can think of and that is the grandfather of a child in Indonesia, Medan hospital I think, but the official word on that was it was seasonal flu and the child survived.
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cap1
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Posted: June 14 2006 at 9:18am |
Does anyone think it is of particular concern that we have 2 separate hospitals in Hong Kong (Yan Chai and United Christian) both with a group of patients presenting possible BF symptoms and being isolated within a 24-hour period, or am I being over-nervous?
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Posted: June 14 2006 at 9:20am |
Good point.
Now I'm a little nervous.
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Posted: June 14 2006 at 11:03am |
The annoucements on the Hospital Survallience Program and from the Secretary of Health Welfare and Food memos on the same day also.
A lot of people from Hong Kong come to the US.
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seesthelight
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Posted: June 14 2006 at 4:13pm |
thank you for all of your posts re: my son
BTW ..for those that want to know:
it was viral influenza /viral pneumonia, testing for the virus became almost impossible because he wasn't found for days past his death(he was in his dorm room /school in Japan when this happened). Some testing was attempted with what Japan provided CDC here in the USA re: viral sample but this was inadequate. Nothing was indicative of precisely what it was that killed himexcept they all agreed it was viral influenza type . Bird flu could not be ruled out ,that much I do know and the reports we got back post mortem indicated a virus like H5N1 due to cause of death signs/symptoms. Of course this was not reported as bird flu.
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Posted: June 14 2006 at 4:16pm |
that much I do know and the reports we got back post mortem indicated a virus like H5N1 due to cause of death signs/symptoms (Japan 2005)
Am starting to think these gov'ts and WHO have been complicit in the coverup of these cases all along. That is why they are able to predict the coming pandemic with such accuracy.
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steve 101
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Posted: June 14 2006 at 4:33pm |
Hi Rodin
egypt lost a 75 yr old woman to Bf
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Posted: June 14 2006 at 5:24pm |
Thanks Steve 101
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