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CHP investigates local cases of dengue fever
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     The Centre for Health Protection (CHP) of the Department of Health is investigating today (August 14) four local cases of dengue fever (DF) and again urged the public to maintain strict environmental hygiene, mosquito control and personal protective measures both locally and during travel.

     The first case involves a 17-year-old male patient with good past health, who developed fever, sore throat, myalgia and arthralgia since August 7. He was admitted to Hong Kong Baptist Hospital on August 12 and has developed skin rash over left lower limb after admission. He has all along been in a stable condition and his blood sample tested positive for dengue virus upon laboratory testing.

     Initial enquiries revealed that the patient lives in Highland Park in Kwai Tsing District. The patient had no travel history during the incubation period. He frequently visited Sai Tso Wan Recreation Ground in Lam Tin for baseball game and claimed that a lot of mosquitos were present at the site. However, he did not recall any mosquito bites.

     His home contacts have remained asymptomatic and have been put under medical surveillance.

     Officers of the CHP have conducted site visit and field investigations by questionnaire surveys at the patient's residence. A health talk has been held jointly with the Food and Environmental Hygiene Department (FEHD) today at the Property Management Office of Highland Park to deliver health advice.

     The second case involves a 78-year-old male patient with underlying illnesses, who developed fever, headache, cough and shortness of breath since August 2. He was admitted to Princess Margaret Hospital on August 4. He has all along been in a stable condition and his blood sample tested positive for dengue virus upon laboratory testing.

     Initial enquiries revealed that the patient lives in Kwai Shing West Estate in Kwai Tsing District. The patient had no travel history during the incubation period. He frequently visited Clear Water Bay Second Beach for swimming and recalled mosquito bites there.

     His home contact has remained asymptomatic and has been put under medical surveillance.

     The third case involves an 84-year-old female patient with underlying illnesses, who developed dizziness, fever, headache and arthralgia since August 7. She was admitted to St John Hospital on August 8 and was subsequently transferred to Pamela Youde Nethersole Eastern Hospital for further management on August 10. She has all along been in a stable condition and her blood sample tested positive for dengue virus upon laboratory testing.

     Initial enquiries revealed that the patient lives in Hill Side Road in Cheung Chau. The patient had no travel history during the incubation period. She mainly stayed at home and did not recall any mosquito bites.

     Her home contacts have remained asymptomatic and have been put under medical surveillance.

     The fourth case involves a 76-year-old female patient with underlying illness, who developed dizziness, myalgia and unsteady gait since August 8. She was admitted to Queen Elizabeth Hospital on August 10 and was noted to have fever and skin rash after admission. She has all along been in a stable condition and her blood sample tested positive for dengue virus upon laboratory testing.

     Initial enquiries revealed that the patient lives in Tsui Chuk Garden in Wong Tai Sin. She did not recall any mosquito bites. Separately, the patient went hiking at Lion Rock Park and a market near Fung Wong San Tsuen daily.

     Her home contacts have remained asymptomatic and have been put under medical surveillance.

     "We are working closely with the FEHD to assess and prevent any possible spread of infection. The FEHD's vector investigations, surveillance and control will follow. The Leisure and Cultural Services Department, Home Affairs Department and Hong Kong Baseball Association have also been informed for follow-up. Epidemiological investigations are ongoing," a spokesman for the CHP said.

     "In addition, the CHP will conduct site visits to the patients' home and carry out active case finding for the second to fourth cases tomorrow. Joint health talks will also be arranged with the FEHD near the residence of the three cases," the spokesman said.

     Persons who have been to the vicinity of Sai Tso Wan Recreation Ground, Highland Park, Kwai Shing West Estate, Clear Water Bay Second Beach, Hill Side Road, Tsui Chuk Garden, Fung Wong San Tsuen and Lion Rock Park with DF symptoms should call the CHP's hotline (2125 1122) operating from 6pm to 9pm today and 9am to 5.45pm tomorrow onwards for laboratory investigation or referral as appropriate.

     "We have informed the Guangdong and Macau health authorities and will issue letters to local doctors and hospitals to alert them to the latest situation," the spokesman added.

     These are the first four local cases recorded this year. Excluding these cases, as of August 9, 55 imported cases had been recorded in 2018, including 25 from Thailand, 10 from the Philippines and seven from Cambodia.

     In the rainy season, the public should take heed of the following advice on mosquito control:
 
  • Thoroughly check all gully traps, roof gutters, surface channels and drains to prevent blockage;
  • Scrub and clean drains and surface channels with an alkaline detergent compound at least once a week to remove any deposited mosquito eggs;
  • Properly dispose of refuse, such as soft drink cans, empty bottles and boxes, in covered litter containers;
  • Completely change the water of flowers and plants at least once a week. The use of saucers should be avoided if possible;
  • Level irregular ground surfaces before the rainy season;
  • Avoid staying in shrubby areas; and
  • Take personal protective measures such as wearing light-coloured long-sleeved clothes and trousers and apply insect repellent containing DEET to clothing or uncovered areas of the body when doing outdoor activities.

     To reduce the risk of infections spread by mosquitoes, apart from general measures, travellers returning from affected areas should apply insect repellent for 14 days (DF) or at least 21 days (Zika Virus Infection) upon arrival in Hong Kong. If feeling unwell, seek medical advice promptly and provide travel details to the doctor. DEET-containing insect repellents are effective and the public should take heed of the tips below:
 
  • Read the label instructions carefully first;
  • Apply right before entering an area with risk of mosquito bites;
  • Apply on exposed skin and clothing;
  • Use DEET of up to 30 per cent for pregnant women and up to 10 per cent for children*;
  • Apply sunscreen first, then insect repellent; and
  • Re-apply only when needed and follow the instructions.

* For children who travel to countries or areas where mosquito-borne diseases are endemic or epidemic and where exposure is likely, those aged 2 months or above can use DEET-containing insect repellents with a DEET concentration of up to 30 per cent.

     The public should call 1823 in case of mosquito problems and may visit the DF pages of the CHP and its Travel Health Service, the latest Travel Health Newstips for using insect repellents, the CHP Facebook Page and YouTube Channel, and the FEHD's Guidebook on Control and Prevention of Mosquito Breeding for more information.
 
Ends/Tuesday, August 14, 2018
Issued at HKT 23:19
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