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SFH on influenza

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Following is a transcript of remarks made by the Secretary for Food and Health, Dr York Chow, at a stand-up media session at the Legislative Council Building today (March 13):

Reporter: Would you ask the schools to extend the holiday for an extra week after the Easter break until you ascertain exactly what is going on? Have you informed the World Health Organisation (WHO) or have they asked you about what is going on?

Secretary for Food and Health: We have decided that the schools should be closed for two weeks, based on the scientific recommendation that the incubation period for influenza is usually from a few days to about seven days. With a stretch of two incubation periods, the school environment should be reasonably free from the virus. If all healthy children go back to school, the chance of cross spreading would be minimised. At this moment, since we do not have any evidence that there is significant viral change in terms of the virulence and genetic make-up of the virus. We will not inform the WHO simply because of our decision. I am sure every country would ask around whether that decision is based on certain scientific facts and of course we need to respond to them. At the moment, we are working very hard on the few cases of mortality to see whether there are any significant changes or findings. Professor Yuen (Kwok-yung) and his expert committee would meet today to look at the work needed to be done. We expect that some findings may be available in the coming two or three weeks. I hope that if anything comes out, we will inform the public as early as possible.

Reporter: (on school closure)

Secretary for Food and Health: Our main concern is the infection of young children. The percentage of young children getting influenza in this coming season obviously seems higher than that of the adult group. It is not yet well substantiated that the situation is the mortality that we encounter, but we cannot wait until the figures getting bigger before we have any decision. We have to make certain assumption that if there are now two mortality cases related to influenza, even before the peak comes up, then we need to do something to minimise increase of numbers in the weeks to come. What we have decided will have certain effect in minimising the mortality and morbidity of influenza. It is a precautionary measure as I have mentioned. It is not something entirely based on public health data. I think the public will appreciate what we are doing. It may be a little bit drastic, but is reassuring to the community.

Reporter: Would you encourage people to buy Tamiflu?

Secretary for Food and Health: We have plenty of Tamiflu, but we do not encourage people to buy Tamiflu. We also do not recommend that Tamiflu be used on any ordinary flu that is without any complications. This is a very simple instruction given by the medical profession. Tamiflu should only be given to patients who have complications and any additional chronic illnesses which may increase their morbidity and their risk.

Reporter: (on Tamiflu and vaccination)

Secretary for Food and Health: In our experience, Hong Kong has always been adopting a cautious approach to the use of Tamiflu. We do not use Tamiflu in general practice, and that is why we still do not have any significant percentage of resistance to the virus in Hong Kong. Those patients admitted to the hospitals with complications are always treated with Tamiflu. At the moment, we recommend vaccination for the at-risk groups of the population, including young children below the age of two, but it is important to note that the vaccination is only effective after two or three weeks after vaccination. For this particular season, I think the vaccination may not have a very strong effect if you have vaccination now. The Government will consider whether the proposed group for vaccination should be changed in the next season or next winter. We will be looking at that.

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



Ends/Thursday, March 13, 2008
Issued at HKT 21:12

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12 Apr 2019