Report the case is HAFF disease

Report the case is HAFF disease
Report the case is HAFF disease
It is reported ' Reporter Meng QingPu) In the afternoon of September 7, the government of Nanjing notifies " the little lobster doubts that causes the skin to dissolve disease " The investigation result of the incident: Incident this pass whom a few individual that correlated with eating the little lobster appear striated muscle dissolve syndrome. Through comprehensive analysis, the expert panel thinks these cases are basically identical with HAFF disease that is reported occasionally in the world. According to notify up to September 7, Nanjing market accepts the striated muscle correlated with eating the little lobster for medical treatment and dissolves the syndrome case and reaches 23 altogether, age is distributed at 17 years old to 26 years old, women are 17 among them. The epidemiology investigation reveal, 23 people has dinner the place is highly dispersed, 15 patients among them are distributed in 8 families; 8 people have eaten the little lobster in 4 restaurants separately. Through treating, 22 people have cured and left hospital already, a person is still hospital treatment, the situation is steady at present. Open to report, after the incident happens, Ministry of Public Health sent expert to market and local expert of Nanjing to launch the work of investigating and gathering live, launching laboratory inspection, the relevant expert still holds the special topic to discuss. The expert panel thinks, the striated muscle correlated with eating the little lobster found in Nanjing dissolves a syndrome patient, possess the characteristics of epidemiology similar to HAFF disease and clinical manifestation, until 4 have, eat little the intersection of lobster and history more in 13 hour hour before the disease, it has pained, had neural paralysis with the joint that main symptom has ached, generated heat for muscles, one or two people appear sick symptom only, clinical test find patient creatine kinase pass rise. In the investigation, China disease accuse of central nutrition and food security, disease in Beijing accuses of centre's and Jiangsu Province disease's accusing of carrying on the relevant chemical materials of 900 multi-type to the blood and urine sample from little lobster and patient of the market of Nanjing in the centre Sift and check, have made 6 kinds of polyether antibiotic, measure antibiotic of 10 kinds of big intra-annular esters, 23 kinds of �� - receptor excited pharmaceutical, 15 kinds of sedative, 3 kinds of aniline and passive aniline compound, 2 kinds of heavy metal one, have not found that has already known that can cause the striated muscle to dissolve the chemical material of syndrome in the little lobster that the market gathers. Epidemiology characteristic and clinical manifestation and laboratory of the comprehensive case measure the result, the expert panel thinks: This Nanjing reports the case is HAFF disease, have something to do with with eating the little lobster. Cause the cause of disease to be plain specifically, need further research, exploration. According to the introduction of expert, HAFF disease area, the intersection of Mediterranean and district, U.S.A., Brazil, China Beijing report in the Baltic Sea, the patient have more history of aquatic products such as edible buffalo's fish, silver pomfret or little lobster. The aquatic products is suspected to contain a certain biological toxin. HAFF disease patients reporting so far are mostly that the edible aquatic products present the striated muscle of the unidentified reason to dissolve syndrome within 24 hours, clinical manifestation aches for muscles, and companion serum creatine phosphokinase and myoglobin are raised, some patients present the color urine of soy sauce, most prognosis are good, specific the serious one will present acute renal failure. Understand, need, further investigate, take little lobster to the intersection of HAFF and disease, why some people have illness coming on, are but some people free? What kind of physique causes HAFF disease? Take little lobster this thing happen, why appear this year in the past? Unless it take by a lot of too little lobster, why have illness coming on Nanjing someone,Shanghai but? At yesterday's news notification conference, questioned in the face of a succession of of the reporter's, the expert said, ill to HAFF at present we understand few, needs further investigating. Materials reveal HAFF disease rush down lake region (KonigsbergHaffshores, today Russia Kaliningrad along the bank by fort in Nice Ke on 1924, known as the lagoon) Break out for the first time. For over 80 years, the whole world has reported several over thousand people of case. It is the high-incidence season of HAFF diseases in summer and autumn, it causes the cause of disease to be plain and unidentified so far specifically, only know and take in the aquatic products to have something to do with. Chief physician of the People's Hospital of Jiangsu Province Xing Chang win, say, according to the foreign report of relevant the intersection of HAFF and disease, the serious meeting causes the renal function to be depleted. By the look of case of the report of Nanjing at present, the condition should be a little lighter compared with foreign report, patient's prognosis is better too. Researcher Wu YongNing say, the expert panel thinks after demonstration in China CDC nutrition and food security, also need further investigating causing the cause of disease to be plain specifically of this incident. The expert panel has already proposed tentatively case definition and case of HAFF disease monitor the scheme, propose eating the small lobster area to measure voluntarily after Ministry of Public Health sanctions, further explore the precise cause of disease. Meanwhile, propose other food security supervision departments further arrange and look into the work the relevant cause of disease, once find the potential safety hazard should take the control measure actively, and notify the Ministry of Health in time. Does the little lobster initiate HAFF disease risk bring by the little lobster more than the low unknown toxin which initiates HAFF disease to eat? Is it safe to eat the little lobster? Wu YongNing says: "We have sifted and checked 900 outside materials with most likely pathogenic multi-type, have basically got rid of. If it is problematic, it should be that the little lobster bring. " The little such lobster may have relations with a certain material in a certain water areas, but some materials in some water areas, somewhere, specifically, there is no evidence at present. Chief physician Ni Da's new statement of epidemiology of the office of meeting an urgent need in China CDC, according to existing survey materials and domestic and foreign situation, the risk of HAFF disease takes place after eating the little lobster. But generally speaking, this kind of risk is very low.


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