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SFH on influenza

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Following is the transcript of remarks (English portion) made by the Secretary for Food and Health, Dr York Chow, at a stand-up media session after attending the 60th session of the Regional Committee of the Western Pacific Region of the World Health Organisation today (September 25):

Secretary for Food and Health: The 60th session of the Regional Committee of the Western Pacific Region of the World Health Organisation just concluded this morning. In the past five days, they have passed numerous resolutions and discussed a wide variety of issues relating to public health and health services. It gives us very good guidance for what we are going to do in future, particularly issues relating to the current human swine flu pandemic, the impact of the financial crisis, the health care system and the health care financing principles for the future. It has been a very successful week for us. As far as the feedback from various delegates are concerned, so far, it has been all positive. We are very proud that we are able to organise this committee meeting with success, although we still need to do some evaluation later on.

Reporter: (about an H3 virus case)

Secretary for Food and Health: First of all, I think every time any person dies from flu, particularly a young person, is a very sad and traumatic matter. I do believe that every one of us is having the same risk when it comes to flu. More importantly, I would like to take this opportunity to appeal to the public that they should not take flu as a very mild disease although for many of us, it will be a mild one, but occasionally they could have complications. For this particular case, I do not have the details regarding whether he has other complications or illnesses or whether there is super infection as well. But every year, we have a few hundred to a thousand people dying from seasonal flu, most of them are the elderly, but I think occasionally it will also affect young children as well.

Reporter: (about human swine flu vaccine)

Secretary for Food and Health: First of all, I would like to reassure the public that we are still getting the vaccine and we are confident that we will be able to get the human swine flu vaccine. But we are also giving the elderly the vaccination of seasonal flu vaccine and pneumococcal vaccine this winter. In other words, we are having three vaccination programmes this year. We should be able to get the vaccine for human swine flu before the end of the year. The vaccination programme should be able to start before the so-called winter peak rise. The second thing, regarding primary care, we have already decided after the health care reform consultation last year, the primary care is one of the areas we need to focus on. And certainly I think we should be moving to more initiatives for primary care in the coming year. On health care financing, I have mentioned time and again that we are not shying away from this issue. But we need to find a right time to discuss and decide together with the public.

Reporter: Where are we going to get the vaccine?

Secretary for Food and Health: The tendering process is still undergoing, so it is not up to me to disclose the recommendations at this point of time. It will be decided by the Government Logistics Department and the Department of Health.

Reporter: (about vaccine)

Secretary for Food and Health: The young children are getting their pneumococcal vaccine right now. They should finish most of the required vaccination by the end of November at the latest. For the elderly, we should be able to vaccinate them with pneumococcal vaccine more or less together with the seasonal flu vaccine. For the human swine flu vaccine, we will vaccinate them when the vaccine arrives. We predict that it will be round about the end of the year.

Reporter: (HIV)

Secretary for Food and Health: We still do not have the detailed analysis of the new vaccine, but I have to stress that HIV transmission is mainly through sexual transmission in Hong Kong. The majority of them come from man-to-man type of sexual transmission, so it is something that still could be preventable in terms of behaviour modification and protection during sexual intercourse. I would like to appeal to the public, particularly to those at risk: adopt the right behaviour and protection so that they could minimise HIV. We cannot rely on HIV vaccination at the moment because we still do not have the sufficient evidence that it works. The second thing is we also cannot totally eradicate HIV because the drugs that are being used right now is only to contain and control it but not to eradicate it. The experience of many countries that have it is that the main difficulty for some parts of the world is the shortage of ICU beds and intensive care facilities. We are very lucky in Hong Kong that such facilities are available, but always there is a finite capacity. Our strategy is to ensure that we can retain certain control of the epidemic so that there will not be any sudden upsurge of requirement for such cases. And so far, we have been able to control it in that manner. According to the statistics in the last two months, we have roughly about 10 to 15 patients who are in so-called serious or critical state of human swine flu in the hospitals every day. They are scattered among different hospitals, so each hospital probably will not need to handle anything more than three or four patients at a time.

Reporter: (about the second wave of human swine flu)

Secretary for Food and Health: It is very difficult to say at the moment. But we do see that the peak is still oscillating. They are not coming down. Normally, in normal summer, we should have seen the flu season gone by now in late September and early October. So we probably will be following what some of the Northern Hemisphere countries are experiencing, that is, the second wave will still be coming, but we don't know whether this is already the second wave or there will be even a harsher second wave, but we have to prepare for the worst. That is the reason why we want to make sure we have the vaccine before our winter. According to the microbiologists, the virus should be more virulent during winter because of the temperature and because of human beings and so on.

(Please also refer to the Chinese portion of the transcript.)


Ends/Friday, September 25, 2009
Issued at HKT 16:13

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12 Apr 2019