世卫报告翻译：禽流感——中国的情况——最新简报41

注：世界卫生组织有中文的疫情简报，但是比英文的要慢一天到几天不等。所以今天就先翻译出来了。
世卫组织：禽流感——中国的情况——最新简报41
中国卫生部首次确诊了该国2人感染了H5N1型禽流感。病例1是南方省份湖南的9岁男孩。他因呼吸道症状于10月17日住院治疗，现在已经完全康复，出院回家。病例2是东南省份安徽的24岁女性，在养鸡场工作。他于11月1日出现症状，11月7日由于严重的肺炎住院治疗，11月10日死亡。
经位于北京的中国疾病控制中心进行实验室检验，以上病例确诊为人感染H5N1型禽流感。
湖南省另有2例人类感染的可能病例正在进行调查。其中之一是确诊男孩12岁的姐姐。她与10月16日入院，后来由于严重的双侧肺炎和呼吸窘迫综合征死亡。该病例身上采集的样本不足，无法进行检测，因此她的病因可能永远无法确诊。虽然中国专家认为，已经有证据表明她感染了H5N1病毒，但是世界卫生组织只报告经过实验室确诊的病例。
另一个正在调查中的病例是36岁的教师。他于10月24日因肺炎入院。实验室检验的最终结果尚未获得。一支由世界卫生组织的病毒学专家和实验室检测专家组成的小组正在和中国专家一起，在湖南调查这两个病例。
过去几个月，中国家禽中的H5N1型禽流感疫情再次爆发，中国对人类感染的监控也随之加强。从10月19日起，中国一共在6个省份报告了11处动物禽流感疫情，从东北的辽宁省到最西部的新疆都有疫情报告。湖南和安徽——这两个有人类感染确诊病例报告的省份——都是动物感染的疫区。
（完）
附：世界卫生组织17日报告原文：禽流感——中国、印尼的情况，最新简报41
Avian influenza – situation in China, Indonesia – update 41
17 November 2005
China
The Ministry of Health in China has confirmed the country’s first two human cases of infection with the H5N1 avian influenza virus. The first case is a 9-year-old boy from the southern province of Hunan. He was hospitalized with respiratory symptoms on 17 October and has since returned home, fully recovered.
The second case is a 24-year old woman who worked as a poultry farmer in the south-eastern province of Anhui. She developed symptoms on 1 November, was hospitalized with severe pneumonia on 7 November, and died on 10 November.
Testing was conducted by the Chinese Centre for Disease Control and Prevention in Beijing.
An additional two possible human cases have been investigated in Hunan Province. The first is the boy’s 12-year-old sister. She was hospitalized on 16 October and died the following day of severe bilateral pneumonia and acute respiratory distress syndrome. Samples from the girl are inadequate for testing, and the cause of her death will probably never be known with certainty. Although evidence pointing to H5N1 infection is considered substantial by Chinese experts, WHO reports only laboratory-confirmed cases.
The additional case under investigation in Hunan is a 36-year-old schoolteacher. He was hospitalized with pneumonia on 24 October. Definitive test results are pending. A WHO team with expertise in virology and laboratory diagnosis has collaborated with national experts in the investigation of the cases in Hunan.
Surveillance for human cases in China intensified over the past month following a recurrence of highly pathogenic H5N1 avian influenza in poultry. Since 19 October, China has reported 11 fresh outbreaks of the disease in six provinces, from Liaoning in the northeast of the country to Xinjiang in the far west. Hunan and Anhui – the two provinces with confirmed cases – are among the recently affected provinces.
Indonesia
The Ministry of Health in Indonesia has today confirmed a further two cases of human infection with the H5N1 avian influenza virus. Both cases were fatal.
The first newly confirmed case was a 16-year-old girl from Jakarta. She developed symptoms on 4 November, was hospitalized on 6 November, and died on 8 November.
The second case was a 20-year-old woman from Jakarta. She developed symptoms on 5 November, was hospitalized on 9 November, and died on 12 November.
Both cases were confirmed by a WHO reference laboratory in Hong Kong. Field investigations are under way.
The newly confirmed cases bring the total in Indonesia to 11. Of these, 7 have been fatal.
http://www.who.int/csr/don/2005_11_17/en/print.html