FIRST CASE OF H7N9 WITHIN TAIWAN SUCCUMBS|台商染H7N9搶救27天不治 首例國人死亡

A 69-year old Taiwan business person who contracted the H7N9 virus in China last month passed away yesterday after 27 days of close medical attention. [J] The Centers for Disease Control confirmed the death as the first FROM H7N9 among Taiwanese nationals, and the second in Taiwan. In 2014, an 86 year old Chinese man died of the virus after entering Taiwan. The first confirmed death from the H7N9 virus within Taiwan, is that of a 69 year old man who contracted the virus whilst in China. He returned to Taiwan from Guangdong with symptoms including a fever and lung infection and sought hospital treatment. Three days after treatment started it was confirmed that he had H7N9. Although anti-viral medication, and extra-corporeal membrane oxygenation were used in his treatment, his condition steadily worsened and he succumbed on Feb. 27. He is the fifth person to enter Taiwan with the virus, and the first Taiwanese death from it. ==LUO YI-JUN Dir-Gen. CDC== When he was over 60 he had high blood pressure, he had a serious lung infection, sustained high oxygen content and so on these risk factors are known in medical literature to be associated with a high risk of mortality in H7N9. The CDC said the first case of H7N9 was an 86 year old Chinese who died in 2014. The most recent Taiwanese case had a history of high blood pressure and during treatment which included ECMO and anti-viral drugs, he had an adverse reaction to the anti-virals. Although new anti-virals were imported specially from Japan for him, in the end he died from multiple organ failure. The CDC emphasized that recently China announced a 40 percent death rate from H7N9, however, one third of the cases had no hsitory of contact with poultry, therefore it is probable that disease was transmitted from general environmental contamination. ==LUO YI-JUN Dir-Gen. CDC== From the figures that China announced this year, the death rate is about 40 percent. Whether this is due to of H7N9 suddenly becoming more easily transmissable, or because it is a more lethal strain, needs continued monitoring. The CDC said that it is the high season for H7N9 in China, and anyone traveling there should take extra precautions against infection, such as frequent hand washing, avoiding contact with poultry, and thoroughly cooking duck, goose and chicken eggs. TRANSLATED BY：CLARE LEAR 這個月初在中國感染H7N9返台治療的69歲台商，經過27天搶救後，衛福部疾管署今天證實，這名台商因病情惡化、多重器官衰竭，昨天中午不幸病逝，這是國內歷年來H7N9個案中，第二例死亡，也是第一個因感染H7N9死亡的本國籍人士。 H7N9流感、再添死亡病例！69歲男性台商在這個月1號，從中國廣東返台後，因為發燒、肺炎等症狀住院治療，並在三天後確診為H7N9病例，雖然陸續使用抗病毒藥物、呼吸器、葉克膜等方式治療，但病情持續惡化，在27號不幸病逝，成為國內歷年5例H7N9境外移入個案中，第二例死亡，也是第一位因H7N9病逝的本國籍人士。 ==疾管署副署長 羅一鈞== 他本身有60歲以上 高血壓 還有嚴重肺炎 持續含氧量高等等 這些危險因素 這個也是已知在醫學文獻上 跟H7N9死亡高風險 相關的一些因子 疾管署表示，第一例H7N9死亡個案，是一名86歲男性陸客，在2014年1月病逝；而這名台商有高血壓病史，而且治療期間，對抗病毒藥物「克流感」出現抗藥性，雖然緊急從日本引進新型的抗病毒藥物，最後還是因多重器官衰竭死亡，疾管署特別提醒，中國大陸近期公布的H7N9致死率約四成，但有三分之一個案、沒有禽鳥接觸史，因此推測很可能是、染病禽鳥的排泄物，在環境中擴散傳染給人類。 ==疾管署副署長 羅一鈞== 今年中國大陸所報告出來的數字 看起來大概是四成左右 那會不會因為這個 突變出來的(H7N9)病毒 有沒有更加流行 或者是會更容易導致死亡 這個還有待觀察 疾管署再次呼籲，目前中國大陸仍處於H7N9流感高峰期，前往的民眾一定要提高警覺，並落實勤洗手、避免和禽鳥接觸，而且雞、鴨、鵝及蛋類、務必要熟食再吃，才能降低感染機會。 記者賴淑敏 蔣龍祥 台北報導