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https://hk.news.yahoo.com/大鼠戊型肝炎傳人-港大揭全球首宗-221117064.html
大鼠戊型肝炎傳人 港大揭全球首宗
星島日報
14.7k 人追蹤
2018年9月29日 上午6:11
■港大醫學院發現全球首宗由大鼠傳染人類的戊型肝炎個案，袁國勇（左）稱不排除將來會有社區爆發。
【星島日報報道】（星島日報報道）香港大學醫學院昨公布，發現全球首宗由大鼠傳染人類的戊型肝炎個案，估計傳播途徑為進食有大鼠糞便污染的食物引致。該名去年接受肝臟移植手術後染病的五十六歲男病人，居於黃大仙彩雲邨，經服藥後已康復。港大醫學院微生物學系教授袁國勇表示，在該病人身上驗出由大鼠感染人類的「C物種戊型肝炎」，暫未能確定是否該名患者的免疫系統較差而染病，還是老鼠帶有的病毒基因變異而感染人類，但此個案已響起警號，不排除將來會有社區爆發，呼籲市民不能掉以輕心，保持家居及街道清潔。
一名五十六歲住在彩雲邨的男子，患有乙型肝炎，去年五月接受屍肝移植手術，七月肝功能出現異常，肝酵素指數持續上升，測試發現他並非患有較常見的「A物種戊型肝炎」（HEV-A）。瑪麗醫院再為他檢驗，九月確診他對「C物種戊型肝炎」（HEV-C）呈陽性反應，該物種病毒一直只在大鼠身上，從未發現可感染人類，今次是全球首宗發現。男病人隨即服用「利巴韋林」藥物，肝功能漸回復正常，今年三月身體亦再無該物種病毒。
港大醫學院微生物學系教授袁國勇昨稱，檢驗過捐肝者組織及手術用具，均沒有戊型肝炎病毒，病人手術後亦沒有出現排斥，故排除由移植手術感染，相信他是進食有老鼠糞便的食物所致。袁補充，患者居於低層單位沒有發現老鼠，但其單位鄰近垃圾房，不時有老鼠出沒，但暫未發現該處的老鼠帶有「C物種戊型肝炎」，反而瑪麗醫院在覆檢二○一二至一七年間，在黃大仙收集的二十七個老鼠樣本中，發現其中一隻帶有該病毒，但基因排序跟患者所染的病毒稍有不同，未能確定是否同一源頭。
袁國勇說，以往從未發現「C物種戊型肝炎」可感染人類，但難以確定是因為該病人身體虛弱、病毒基因改變，導致更容易感染人類，還是以往已有感染個案但從未發現。他解釋，以往只有「A物種戊型肝炎」感染人類，故全港均無對「C物種戊型肝炎」病毒進行測試，今次也是瑪麗醫院專門為是次個案制定相關檢驗，建議醫管局在不同醫院也發展該類測試。
袁國勇又稱，戊型肝炎患者病徵通常為食欲不振、嘔吐等，潛伏期一般達五至六個星期，大部分人服藥便可康復，但有肝藏問題、免疫系統較差及孕婦等人士感染，可致死亡。他補充，戊型肝炎主要透過飲用遭到糞便污染的食水而傳播，其他則為食用未經煮熟的受病毒污染肉類、透過輸入受感染的血液製品，以及由孕婦傳給胎兒等。衞生防護中心亦建議，市民要保持良好衞生習慣，如進食前及如廁後洗手，避免飲用不明的及進食未煮熟食物等。
他強調，應採取謹慎態度，因為或許個案是病毒「大爆發前的訊號」，更直言「香港老鼠數目未必低過香港人口」，僅在隱藏位置不常見。袁又指，○三年沙士，特別留意街道清潔，但近年後巷十分骯髒，市民不能全依賴食環署人員清潔街道，每人亦有責任保持地方乾淨。
睇更多
Rat Hepatitis E passed down Hong Kong University revealed the world's first
[Sing Tao Daily]
Sing Tao Daily
14.7k person tracking
September 29, 2018, 6:11 am
■ The University of Hong Kong Medical School found the world's first case of hepatitis E infection from rats. Yuan Guoyong (left) said that there would be no community outbreaks in the future.
[Sing Tao Daily Report] (Sing Tao Daily reported) The University of Hong Kong Medical School announced yesterday that it found the world's first case of hepatitis E infection from rats. It is estimated that the route of transmission is caused by eating food contaminated with rat feces. The 56-year-old male patient who was infected with a liver transplant last year, lives in Caiyun Village, Wong Tai Sin, and has recovered after taking the drug. Yuan Guoyong, a professor of microbiology at the University of Hong Kong Medical School, said that the "C-type hepatitis E" infected by rats in rats was detected in this patient. It is not yet possible to determine whether the patient's immune system is poor and infected, or is it carried by mice. The virus has been genetically mutated to infect humans. However, this case has already sounded a warning. It is not ruled out that there will be community outbreaks in the future. The public is urged not to take it lightly and keep the home and the streets clean.
A 56-year-old man living in Caiyun Village, suffering from hepatitis B, received a liver transplant in May last year. His liver function was abnormal in July, and the liver enzyme index continued to rise. He was found to be not more common. "A species hepatitis E" (HEV-A). Mary Hospital tested him again. He was diagnosed with "C-type hepatitis E" (HEV-C) in September. The virus has been found only in rats and has never been found to infect humans. This is the world's first. Zong found. The male patient immediately took the "ribavirin" drug, and the liver function gradually returned to normal. In March this year, the body no longer had the virus.
Yuan Guoyong, a professor of microbiology at the University of Hong Kong Medical School, said yesterday that he had no hepatitis E virus in the tissues and surgical instruments of the donors. He did not have any rejection after surgery. Therefore, he was excluded from the infection. He believed that he was eating mouse feces. Caused by food. Yuan added that the patient did not find the mouse in the lower-level unit, but his unit was adjacent to the garbage room. From time to time, there were mice, but the mouse was not found to have "C-type hepatitis E". Instead, the hospital was inspected by the Queen Mary Hospital. In the two-to-seventh year, one of the twenty-seven mouse samples collected in Wong Tai Sin was found to carry the virus, but the genetic sequencing was slightly different from the virus infected by the patient and it was not possible to determine whether it was the same source.
Yuan Guoyong said that "C-type hepatitis E" has never been found to infect humans, but it is difficult to determine whether the patient is weak and the viral genes are altered, which makes it more likely to infect humans, or has been infected in the past but has never been discovered. He explained that in the past, only "A-type hepatitis E" was infected with humans. Therefore, no "C-type hepatitis E virus" virus was tested in Hong Kong. This is also the case for the Queen Mary Hospital to conduct relevant tests for this case. This type of test is also developed in different hospitals.
Yuan Guoyong also said that the symptoms of hepatitis E patients are usually loss of appetite, vomiting, etc., the incubation period is generally five to six weeks, most people can take medicine to recover, but there are liver problems, poor immune system and pregnant women and other infections, To death. He added that hepatitis E is mainly transmitted by drinking water contaminated with feces. Others are eating uncooked virus-contaminated meat, importing infected blood products, and passing it on to the fetus. The CHP also recommends that members of the public should maintain good hygiene practices, such as washing their hands before eating and after going to the toilet, avoiding unclear drinking and eating uncooked food.
He stressed that caution should be taken because perhaps the case was a "signal before the outbreak of the virus" and it was even more blunt that "the number of Hong Kong mice is not necessarily lower than the population of Hong Kong". It is not common in hidden places. Yuan also pointed out that in the past three years, SARS paid special attention to the cleanliness of the streets. However, in the past few years, the lanes were very dirty. The public could not rely on the staff of the Food and Environmental Hygiene Department to clean the streets. Everyone was also responsible for keeping the premises clean.
睇More
大鼠戊型肝炎傳人 港大揭全球首宗
星島日報
14.7k 人追蹤
2018年9月29日 上午6:11
■港大醫學院發現全球首宗由大鼠傳染人類的戊型肝炎個案，袁國勇（左）稱不排除將來會有社區爆發。
【星島日報報道】（星島日報報道）香港大學醫學院昨公布，發現全球首宗由大鼠傳染人類的戊型肝炎個案，估計傳播途徑為進食有大鼠糞便污染的食物引致。該名去年接受肝臟移植手術後染病的五十六歲男病人，居於黃大仙彩雲邨，經服藥後已康復。港大醫學院微生物學系教授袁國勇表示，在該病人身上驗出由大鼠感染人類的「C物種戊型肝炎」，暫未能確定是否該名患者的免疫系統較差而染病，還是老鼠帶有的病毒基因變異而感染人類，但此個案已響起警號，不排除將來會有社區爆發，呼籲市民不能掉以輕心，保持家居及街道清潔。
一名五十六歲住在彩雲邨的男子，患有乙型肝炎，去年五月接受屍肝移植手術，七月肝功能出現異常，肝酵素指數持續上升，測試發現他並非患有較常見的「A物種戊型肝炎」（HEV-A）。瑪麗醫院再為他檢驗，九月確診他對「C物種戊型肝炎」（HEV-C）呈陽性反應，該物種病毒一直只在大鼠身上，從未發現可感染人類，今次是全球首宗發現。男病人隨即服用「利巴韋林」藥物，肝功能漸回復正常，今年三月身體亦再無該物種病毒。
港大醫學院微生物學系教授袁國勇昨稱，檢驗過捐肝者組織及手術用具，均沒有戊型肝炎病毒，病人手術後亦沒有出現排斥，故排除由移植手術感染，相信他是進食有老鼠糞便的食物所致。袁補充，患者居於低層單位沒有發現老鼠，但其單位鄰近垃圾房，不時有老鼠出沒，但暫未發現該處的老鼠帶有「C物種戊型肝炎」，反而瑪麗醫院在覆檢二○一二至一七年間，在黃大仙收集的二十七個老鼠樣本中，發現其中一隻帶有該病毒，但基因排序跟患者所染的病毒稍有不同，未能確定是否同一源頭。
袁國勇說，以往從未發現「C物種戊型肝炎」可感染人類，但難以確定是因為該病人身體虛弱、病毒基因改變，導致更容易感染人類，還是以往已有感染個案但從未發現。他解釋，以往只有「A物種戊型肝炎」感染人類，故全港均無對「C物種戊型肝炎」病毒進行測試，今次也是瑪麗醫院專門為是次個案制定相關檢驗，建議醫管局在不同醫院也發展該類測試。
袁國勇又稱，戊型肝炎患者病徵通常為食欲不振、嘔吐等，潛伏期一般達五至六個星期，大部分人服藥便可康復，但有肝藏問題、免疫系統較差及孕婦等人士感染，可致死亡。他補充，戊型肝炎主要透過飲用遭到糞便污染的食水而傳播，其他則為食用未經煮熟的受病毒污染肉類、透過輸入受感染的血液製品，以及由孕婦傳給胎兒等。衞生防護中心亦建議，市民要保持良好衞生習慣，如進食前及如廁後洗手，避免飲用不明的及進食未煮熟食物等。
他強調，應採取謹慎態度，因為或許個案是病毒「大爆發前的訊號」，更直言「香港老鼠數目未必低過香港人口」，僅在隱藏位置不常見。袁又指，○三年沙士，特別留意街道清潔，但近年後巷十分骯髒，市民不能全依賴食環署人員清潔街道，每人亦有責任保持地方乾淨。
睇更多
Rat Hepatitis E passed down Hong Kong University revealed the world's first
[Sing Tao Daily]
Sing Tao Daily
14.7k person tracking
September 29, 2018, 6:11 am
■ The University of Hong Kong Medical School found the world's first case of hepatitis E infection from rats. Yuan Guoyong (left) said that there would be no community outbreaks in the future.
[Sing Tao Daily Report] (Sing Tao Daily reported) The University of Hong Kong Medical School announced yesterday that it found the world's first case of hepatitis E infection from rats. It is estimated that the route of transmission is caused by eating food contaminated with rat feces. The 56-year-old male patient who was infected with a liver transplant last year, lives in Caiyun Village, Wong Tai Sin, and has recovered after taking the drug. Yuan Guoyong, a professor of microbiology at the University of Hong Kong Medical School, said that the "C-type hepatitis E" infected by rats in rats was detected in this patient. It is not yet possible to determine whether the patient's immune system is poor and infected, or is it carried by mice. The virus has been genetically mutated to infect humans. However, this case has already sounded a warning. It is not ruled out that there will be community outbreaks in the future. The public is urged not to take it lightly and keep the home and the streets clean.
A 56-year-old man living in Caiyun Village, suffering from hepatitis B, received a liver transplant in May last year. His liver function was abnormal in July, and the liver enzyme index continued to rise. He was found to be not more common. "A species hepatitis E" (HEV-A). Mary Hospital tested him again. He was diagnosed with "C-type hepatitis E" (HEV-C) in September. The virus has been found only in rats and has never been found to infect humans. This is the world's first. Zong found. The male patient immediately took the "ribavirin" drug, and the liver function gradually returned to normal. In March this year, the body no longer had the virus.
Yuan Guoyong, a professor of microbiology at the University of Hong Kong Medical School, said yesterday that he had no hepatitis E virus in the tissues and surgical instruments of the donors. He did not have any rejection after surgery. Therefore, he was excluded from the infection. He believed that he was eating mouse feces. Caused by food. Yuan added that the patient did not find the mouse in the lower-level unit, but his unit was adjacent to the garbage room. From time to time, there were mice, but the mouse was not found to have "C-type hepatitis E". Instead, the hospital was inspected by the Queen Mary Hospital. In the two-to-seventh year, one of the twenty-seven mouse samples collected in Wong Tai Sin was found to carry the virus, but the genetic sequencing was slightly different from the virus infected by the patient and it was not possible to determine whether it was the same source.
Yuan Guoyong said that "C-type hepatitis E" has never been found to infect humans, but it is difficult to determine whether the patient is weak and the viral genes are altered, which makes it more likely to infect humans, or has been infected in the past but has never been discovered. He explained that in the past, only "A-type hepatitis E" was infected with humans. Therefore, no "C-type hepatitis E virus" virus was tested in Hong Kong. This is also the case for the Queen Mary Hospital to conduct relevant tests for this case. This type of test is also developed in different hospitals.
Yuan Guoyong also said that the symptoms of hepatitis E patients are usually loss of appetite, vomiting, etc., the incubation period is generally five to six weeks, most people can take medicine to recover, but there are liver problems, poor immune system and pregnant women and other infections, To death. He added that hepatitis E is mainly transmitted by drinking water contaminated with feces. Others are eating uncooked virus-contaminated meat, importing infected blood products, and passing it on to the fetus. The CHP also recommends that members of the public should maintain good hygiene practices, such as washing their hands before eating and after going to the toilet, avoiding unclear drinking and eating uncooked food.
He stressed that caution should be taken because perhaps the case was a "signal before the outbreak of the virus" and it was even more blunt that "the number of Hong Kong mice is not necessarily lower than the population of Hong Kong". It is not common in hidden places. Yuan also pointed out that in the past three years, SARS paid special attention to the cleanliness of the streets. However, in the past few years, the lanes were very dirty. The public could not rely on the staff of the Food and Environmental Hygiene Department to clean the streets. Everyone was also responsible for keeping the premises clean.
睇More
