Pneumonal Cluster
In China - H5N1 Breakout?

From Patricia Doyle, PhD
Hello, Jeff - Another report that indicates there is a big problem in China. Of course, hosptials will take the brunt of infection as they will here.
There has been a news blackout regarding conditions of outbreak in China. Reports have managed to get smuggled out under Chinese radar. The situation does not look good.
A ProMED-mail post ProMED-mail is a program of the International Society for Infectious Diseases
We have heard from a reliable source about a report of a cluster of pneumonia cases in Tashan Hospital, leading to the isolation of patient(s) and hospital healthcare workers for "viral infection."
Tashan is located 600 km from the capital city of Xinjiang Province and is the area where an outbreak of H5N1 among migratory birds (see ProMED-mail postings below) was reported to the OIE by the Ministry of Agriculture recently.
To date, reports are that influenza was ruled out in these patients, and a diagnosis of "lobar pneumonia secondary to streptococcal A infection" was made.
[ProMED-mail does not have further detailed information on this cluster (such as number of patients, ages, outcomes) or specific information on the laboratory testing that was performed. We are posting this report, as the report of isolation of patients and hospital staff is curious in the face of a bacterial pneumonia cluster and begs the question of why this was implemented. More information from knowledgeable sources would be appreciated. - Mod.MPP]
Patricia A. Doyle, PhD
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