PRO/PORT> Febre amarela - China (05) (ex-Angola), casos confirmados, importados, atualização, OMS/WHO

FEBRE AMARELA - CHINA (05) (EX-ANGOLA), CASOS CONFIRMADOS, IMPORTADOS,
ATUALIZAÇÃO, OMS/WHO
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Data: Segunda-feira, 25 de abril de 2016
Fonte: OMS/WHO [22/04/2016] [editado]
<http://www.who.int/csr/don/22-april-2016-yellow-fever-china/en/>

Yellow Fever - China
---------------------------
Between 4 and 12 April 2016, the National IHR Focal Point of China
notified WHO of 2 additional imported cases of yellow fever (YF). To
date, a total of 11 laboratory-confirmed YF cases imported from Angola
have been reported in China.

The tenth imported case is an 18-year-old male from Fujian Province,
China, who had been living in Angola. On 12 March [2016], he had onset
of fever and other symptoms, and visited a local hospital in Angola.
On 27 March 2016, the patient travelled to Fuzhou City, Fujian
Province, China via Dubai, United Arab Emirates and Beijing, China. He
was afebrile on arrival in China. On 28 March [2016], the patient
sought medical care. Yellow fever infection was confirmed by
polymerase chain reaction (PCR) at the Fujian International Travel
Health Centre. Test results were corroborated by the Fujian Centers
for Disease Control (CDC). The patient was hospitalised in Fuzhou and
remains under treatment.

The eleventh imported case is a 29-year-old male from Jiangsu
Province, China, who had been working in Angola. On 5 April [2016], he
had onset of fever and other symptoms, and sought medical care at a
local hospital in Angola. On 9 April [2016], the patient was reported
to have tested positive for YF in Angola by PCR. He flew back to China
via Dubai, arriving in Beijing on 10 April [2016]. On arrival, the
patient was transferred by ambulance to a hospital. His sample was
tested at Beijing CDC and found to be positive for YF by PCR. On 12
April [2016], expert consultation organised by the Beijing Health and
Family Planning Commission confirmed the patient as an imported YF
case based on the epidemiological history, clinical manifestations and
laboratory findings. The case is currently stable.

Public health response
----
The Chinese government has taken the following measures:
- intensifying multi-sectoral coordination and collaboration,
- strengthening surveillance, vector monitoring and risk assessment,
- enhancing clinical management of yellow fever cases,
- conducting vector control activities,
- carrying out public risk communication activities,
- deploying a medical team to Angola to provide yellow fever
vaccination to unvaccinated Chinese nationals.

WHO risk assessment
----
The report of yellow fever infection in non-immunized travellers
returning from a country where vaccination against the disease is
mandatory underlines the need to reinforce the implementation of
vaccination requirements, in accordance with the International Health
Regulations (2005).

Furthermore, this report highlights the risk of international spread
of yellow fever through non-immunized travellers. However, the risk of
establishment of a local cycle of transmission in China is low due to
the current climatic condition, which is unfavourable for the
competent vector, the Aedes aegypti mosquito. WHO continues to monitor
the epidemiological situation and conduct risk assessment based on the
latest available information.

WHO advice
----
WHO urges Members States especially those where the establishment of a
local cycle of transmission is possible (i.e. where the competent
vector is present) to strengthen the control of immunisation status of
travellers to all potentially endemic areas. WHO does not recommend
any travel or trade restriction to China based on the current
information available.

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Comunicado por: ProMED-PORT <http://www.promedmail.org/pt>

[Veja também:
Febre amarela - China (04) (ex-Angola), casos confirmados, importados,
OMS/WHO http://promedmail.org/post/20160410.4150951
Febre amarela - China (03) (BJ, ex-Angola), caso confirmado,
importado, OMS/WHO http://promedmail.org/post/20160330.4129426
Febre amarela - China (02) (BJ, ex-Angola), novos casos confirmados,
importados http://promedmail.org/post/20160322.4110717
Febre amarela - China, ex-Angola, caso confirmado, importado
http://promedmail.org/post/20160313.4090479

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