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Government continues to refine strategy against human swine flu

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The Secretary for Food and Health, Dr York Chow, said today (May 19) that the Government would continue to review and refine the strategy to fight against human swine flu taking into account local experience and global developments.

Dr Chow, who attended the World Health Organisation's annual assembly and a roundtable meeting on the pandemic in Geneva yesterday, said the views shared by various countries at the meetings gave a better understanding of the new disease and the global situation.

"Based on my communication with various delegates at the World Health Assembly, I am confident that our current objective of containment to delay community transmission for as long as it takes is the right course to take.

"But we must continue to refine our strategy and measures to make it sustainable, focusing on close contacts and their early tracing and identification, and adjusting our measures to ensure that they are effective and proportionate in achieving our containment objective, especially whether close medical surveillance with chemoprophylaxis can also achieve effectively the containment objective vis-a-vis quarantine, before the first confirmed local transmission case emerges in Hong Kong," Dr Chow said.

Enhanced measures include:

* To call upon all concerned to strengthen pre-flight health education, appeals and warnings to passengers coming from affected countries including North America and Japan;
* To prepare for closure of schools for young children and opening of designated clinics of the Hospital Authority in anticipation of community transmission;
* To further step up cleaning and environmental hygiene measures, and engage different sectors and stakeholders in the community to prepare for the mitigation phase.

Dr Chow said that in view of the recent development of the disease around the world, the transition from the containment to mitigation phase looked imminent in Hong Kong.

"We have therefore reviewed together with local experts in Hong Kong the strategy and measures for control and management of human swine flu and fine-tuned our strategy against pandemic.

"We have taken into account the latest global trend, the latest information about the disease from the World Health Assembly, and local experience with the effectiveness of chemoprophylaxis," he said.

At the roundtable meeting on the pandemic, various countries had shared their experience in the fight against the disease. It was noted that:

* Almost all countries, except Mexico, still see an upsurge in cases;
* All cases outside Mexico are clinically mild, with a low hospitalisation rate (usually related to severe respiratory symptoms), affecting the younger age group (20-50), and all deaths (including those of Mexico) are related to co-morbidity of chronic diseases;
* The critical success factor for most countries is still early diagnosis with treatment and isolation, and early tracing of close contacts to be put under medical surveillance or some sort of supervision, ideally with prophylaxis with oseltamivir.

The meeting also identified areas which required more research and deliberation, including the virulence of the virus, the possibility of its mutation, the ability to develop a vaccine before this winter and the need to revise the WHO's current pandemic alert system to also reflect the severity of the virus.



Ends/Tuesday, May 19, 2009
Issued at HKT 14:57

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12 Apr 2019