Via Yangcheng Evening News: Dongguan bird flu had farmhouse chicken patients with multiple organ damage. This is the second Google-translated part of a long report (see the first part just below):
Question 1 Two cases are related?
As early as November 5, Dongguan City Health Bureau reported the first case of human infection with H7N9 this year, bird flu, the patient was 3 years old and 5-month-old boy, Suining, Sichuan, living Changping Yuanshanbei village. After more than a month, Fenggang town appeared in the second case of human infection of H7N9 avian influenza cases between the two cases whether there is some correlation it?
Zhang Qiao-li denied the claim, she said, often flat case is October 29 incidence, epidemiological point of view, than the longest incubation period of the virus, and Chang Ping, Fong distance between the two places.
"Avian flu is now found in sporadic incidence related with individual-specific, not every person will contact with poultry disease. Currently this season in favor of the spread of avian influenza virus, although there is no evidence that the H7N9 avian Influenza viruses can infect people, but there is always the risk of dissemination."
The first case of human infection of H7N9 avian influenza in Dongguan cases, Children with live poultry trade had been there the farmers market stalls, Zhang Qiao-li remind the public that many now live poultry slaughter will be used when hair removal machine, academics have reached consensus that hair removal machine is a risk factor, after the chicken in hot water burns, turn easily produce aerosol hair removal machine, if the virus could spread through airborne aerosols.
Question 2 Cases diagnosed too late?
Fenggang Town of cases occur after the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Respiratory Diseases, and the first time to send experts to evaluate Dongguan consultation, feedback, information display, the patient's condition is serious, is not optimistic. Guangzhou Institute of Respiratory Diseases 陈荣昌 has said, is mainly found in the time interval from the onset to long, serious impact on the post-treatment.
Does this mean that H7N9 avian influenza surveillance and diagnosis of Dongguan, there is a certain "time vacuum" mean? Zhang Ping said in response, the patient started on the 6th of this month showed only fever, headache, and other flu-like symptoms, patients with dyspnea, hypoxia and other changes, the hospital would be highly suspected human infection with H7N9 avian influenza confirmed in nucleic acid detection before the 13th of this month the patient had to use Tamiflu.
Zhang Qiao-li said, Dongguan, and now people infected with H7N9 bird flu monitoring two systems, one for influenza-like illness surveillance system, the city's total of 13 sentinel hospitals, before the first case of human infection with the H7N9 avian flu is in sentinel Changping Hospital discovered; Another is unexplained severe pneumonia monitoring system should be to detect people infected with H7N9 avian influenza occurs after severe.
Two cases illustrate the monitoring system is sensitive and effective in Dongguan.