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CHP investigates case of Legionnaires’ disease in hospital

     The Centre for Health Protection (CHP) of the Department of Health is today (October 15) investigating a case of Legionnaires’ disease (LD) in Tung Wah Group of Hospitals Fung Yiu King Hospital (FYKH), and stressed the importance of using and maintaining properly designed man-made water systems, and that susceptible groups should strictly observe relevant precautions.
      
     The male patient, aged 92 with underlying illness, developed chest discomfort and shortness of breath since early September. He attended the Accident and Emergency Department of Queen Mary Hospital (QMH) on September 16 and was admitted on the same day. The clinical diagnosis was pneumonia and he was later transferred to FYKH on September 26 for convalescent management when his clinical condition becomes stabilised.
      
     His urine sample tested positive for Legionella pneumophila serogroup 1 antigen. Initial enquiries revealed that the patient had no travel history in the incubation period.
      
     “Epidemiological investigations with FYKH are ongoing to identify potential sources of infection, high-risk exposure and clusters, if any. Relevant water samples and environmental swabs will be collected from potential sources for laboratory testing,” a spokesman for the CHP said.
      
     Tracing of contacts including staff and in-patients in the relevant ward is ongoing and those identified will be put under medical surveillance. The CHP has provided health advice against LD to staff and in-patients, including those with weakened immunity who should use sterile or boiled water for drinking, tooth brushing and mouth rinsing. Investigation is ongoing.
      
     Legionellae are found in various environmental settings and grow well in warm water (20 to 45 degrees Celsius). They can be found in aqueous environments such as water tanks, hot and cold water systems, cooling towers, whirlpools and spas, water fountains and home apparatus which support breathing. People may become infected when they breathe in contaminated droplets (aerosols) and mist generated by artificial water systems, or when handling garden soil, compost and potting mixes.
           
     Immunocompromised persons should:
 

  • Use sterile or boiled water for drinking, tooth brushing and mouth rinsing;
  • Avoid using humidifiers, or other mist- or aerosol-generating devices. A shower may also generate small aerosols; and
  • If using humidifiers, or other mist- or aerosol-generating devices, fill the water tank with only sterile or cooled freshly boiled water, and not water directly from the tap. Also, clean and maintain humidifiers/devices regularly according to manufacturers’ instructions. Never leave stagnant water in a humidifier/device. Empty the water tank, wipe all surfaces dry, and change the water daily.
      
     The public should observe the health advice below:
 
  • Observe personal hygiene;
  • Do not smoke and avoid alcohol consumption;
  • Strainers in water taps and shower heads should be inspected, cleaned, descaled and disinfected regularly or at a frequency recommended by the manufacturer;
  • If a fresh-water plumbing system is properly maintained, it is not necessary to install domestic water filters. Use of water filters is not encouraged as clogging occurs easily, which can promote growth of micro-organisms. In case water filters are used, the pore size should be 0.2 micrometres (µm) and the filter needs to be changed periodically according to the manufacturer’s recommendations;
  • Drain and clean water tanks of buildings at least quarterly;
  • Drain or purge for at least one minute infrequently used water outlets (e.g. water taps, shower heads and hot water outlets) and stagnant points of the pipework weekly or before use;
  • Seek and follow doctors’ professional advice regarding the use and maintenance of home respiratory devices and use only sterile water (not distilled or tap water) to clean and fill the reservoir. Clean and maintain the device regularly according to the manufacturer’s instructions. After cleaning/disinfection, rinse the device with sterile water, cooled freshly boiled water or water filtered with 0.2 µm filters. Never leave stagnant water in the device. Empty the water tank, keep all surfaces dry, and change the water daily; and
  • When handling garden soil, compost and potting mixes:
  1. Wear gloves and a face mask;
  2. Water gardens and compost gently using low pressure;
  3. Open composted potting mixes slowly and make sure the opening is directed away from the face;
  4. Wet the soil to reduce dust when potting plants; and
  5. Avoid working in poorly ventilated places such as enclosed greenhouses.
 
     The public may visit the CHP’s LD page, the Code of Practice for Prevention of LD and the Housekeeping Guidelines for Cold and Hot Water Systems for Building Management of the Prevention of LD Committee, and the CHP’s risk-based strategy for prevention and control of LD. read more

CHP investigates case of Legionnaires’ disease in hospital

     The Centre for Health Protection (CHP) of the Department of Health is today (October 15) investigating a case of Legionnaires’ disease (LD) in Tung Wah Group of Hospitals Fung Yiu King Hospital (FYKH), and stressed the importance of using and maintaining properly designed man-made water systems, and that susceptible groups should strictly observe relevant precautions.
      
     The male patient, aged 92 with underlying illness, developed chest discomfort and shortness of breath since early September. He attended the Accident and Emergency Department of Queen Mary Hospital (QMH) on September 16 and was admitted on the same day. The clinical diagnosis was pneumonia and he was later transferred to FYKH on September 26 for convalescent management when his clinical condition becomes stabilised.
      
     His urine sample tested positive for Legionella pneumophila serogroup 1 antigen. Initial enquiries revealed that the patient had no travel history in the incubation period.
      
     “Epidemiological investigations with FYKH are ongoing to identify potential sources of infection, high-risk exposure and clusters, if any. Relevant water samples and environmental swabs will be collected from potential sources for laboratory testing,” a spokesman for the CHP said.
      
     Tracing of contacts including staff and in-patients in the relevant ward is ongoing and those identified will be put under medical surveillance. The CHP has provided health advice against LD to staff and in-patients, including those with weakened immunity who should use sterile or boiled water for drinking, tooth brushing and mouth rinsing. Investigation is ongoing.
      
     Legionellae are found in various environmental settings and grow well in warm water (20 to 45 degrees Celsius). They can be found in aqueous environments such as water tanks, hot and cold water systems, cooling towers, whirlpools and spas, water fountains and home apparatus which support breathing. People may become infected when they breathe in contaminated droplets (aerosols) and mist generated by artificial water systems, or when handling garden soil, compost and potting mixes.
           
     Immunocompromised persons should:
 

  • Use sterile or boiled water for drinking, tooth brushing and mouth rinsing;
  • Avoid using humidifiers, or other mist- or aerosol-generating devices. A shower may also generate small aerosols; and
  • If using humidifiers, or other mist- or aerosol-generating devices, fill the water tank with only sterile or cooled freshly boiled water, and not water directly from the tap. Also, clean and maintain humidifiers/devices regularly according to manufacturers’ instructions. Never leave stagnant water in a humidifier/device. Empty the water tank, wipe all surfaces dry, and change the water daily.
      
     The public should observe the health advice below:
 
  • Observe personal hygiene;
  • Do not smoke and avoid alcohol consumption;
  • Strainers in water taps and shower heads should be inspected, cleaned, descaled and disinfected regularly or at a frequency recommended by the manufacturer;
  • If a fresh-water plumbing system is properly maintained, it is not necessary to install domestic water filters. Use of water filters is not encouraged as clogging occurs easily, which can promote growth of micro-organisms. In case water filters are used, the pore size should be 0.2 micrometres (µm) and the filter needs to be changed periodically according to the manufacturer’s recommendations;
  • Drain and clean water tanks of buildings at least quarterly;
  • Drain or purge for at least one minute infrequently used water outlets (e.g. water taps, shower heads and hot water outlets) and stagnant points of the pipework weekly or before use;
  • Seek and follow doctors’ professional advice regarding the use and maintenance of home respiratory devices and use only sterile water (not distilled or tap water) to clean and fill the reservoir. Clean and maintain the device regularly according to the manufacturer’s instructions. After cleaning/disinfection, rinse the device with sterile water, cooled freshly boiled water or water filtered with 0.2 µm filters. Never leave stagnant water in the device. Empty the water tank, keep all surfaces dry, and change the water daily; and
  • When handling garden soil, compost and potting mixes:
  1. Wear gloves and a face mask;
  2. Water gardens and compost gently using low pressure;
  3. Open composted potting mixes slowly and make sure the opening is directed away from the face;
  4. Wet the soil to reduce dust when potting plants; and
  5. Avoid working in poorly ventilated places such as enclosed greenhouses.
 
     The public may visit the CHP’s LD page, the Code of Practice for Prevention of LD and the Housekeeping Guidelines for Cold and Hot Water Systems for Building Management of the Prevention of LD Committee, and the CHP’s risk-based strategy for prevention and control of LD. read more

CHP investigates case of Legionnaires’ disease in hospital

     The Centre for Health Protection (CHP) of the Department of Health is today (October 15) investigating a case of Legionnaires’ disease (LD) in Tung Wah Group of Hospitals Fung Yiu King Hospital (FYKH), and stressed the importance of using and maintaining properly designed man-made water systems, and that susceptible groups should strictly observe relevant precautions.
      
     The male patient, aged 92 with underlying illness, developed chest discomfort and shortness of breath since early September. He attended the Accident and Emergency Department of Queen Mary Hospital (QMH) on September 16 and was admitted on the same day. The clinical diagnosis was pneumonia and he was later transferred to FYKH on September 26 for convalescent management when his clinical condition becomes stabilised.
      
     His urine sample tested positive for Legionella pneumophila serogroup 1 antigen. Initial enquiries revealed that the patient had no travel history in the incubation period.
      
     “Epidemiological investigations with FYKH are ongoing to identify potential sources of infection, high-risk exposure and clusters, if any. Relevant water samples and environmental swabs will be collected from potential sources for laboratory testing,” a spokesman for the CHP said.
      
     Tracing of contacts including staff and in-patients in the relevant ward is ongoing and those identified will be put under medical surveillance. The CHP has provided health advice against LD to staff and in-patients, including those with weakened immunity who should use sterile or boiled water for drinking, tooth brushing and mouth rinsing. Investigation is ongoing.
      
     Legionellae are found in various environmental settings and grow well in warm water (20 to 45 degrees Celsius). They can be found in aqueous environments such as water tanks, hot and cold water systems, cooling towers, whirlpools and spas, water fountains and home apparatus which support breathing. People may become infected when they breathe in contaminated droplets (aerosols) and mist generated by artificial water systems, or when handling garden soil, compost and potting mixes.
           
     Immunocompromised persons should:
 

  • Use sterile or boiled water for drinking, tooth brushing and mouth rinsing;
  • Avoid using humidifiers, or other mist- or aerosol-generating devices. A shower may also generate small aerosols; and
  • If using humidifiers, or other mist- or aerosol-generating devices, fill the water tank with only sterile or cooled freshly boiled water, and not water directly from the tap. Also, clean and maintain humidifiers/devices regularly according to manufacturers’ instructions. Never leave stagnant water in a humidifier/device. Empty the water tank, wipe all surfaces dry, and change the water daily.
      
     The public should observe the health advice below:
 
  • Observe personal hygiene;
  • Do not smoke and avoid alcohol consumption;
  • Strainers in water taps and shower heads should be inspected, cleaned, descaled and disinfected regularly or at a frequency recommended by the manufacturer;
  • If a fresh-water plumbing system is properly maintained, it is not necessary to install domestic water filters. Use of water filters is not encouraged as clogging occurs easily, which can promote growth of micro-organisms. In case water filters are used, the pore size should be 0.2 micrometres (µm) and the filter needs to be changed periodically according to the manufacturer’s recommendations;
  • Drain and clean water tanks of buildings at least quarterly;
  • Drain or purge for at least one minute infrequently used water outlets (e.g. water taps, shower heads and hot water outlets) and stagnant points of the pipework weekly or before use;
  • Seek and follow doctors’ professional advice regarding the use and maintenance of home respiratory devices and use only sterile water (not distilled or tap water) to clean and fill the reservoir. Clean and maintain the device regularly according to the manufacturer’s instructions. After cleaning/disinfection, rinse the device with sterile water, cooled freshly boiled water or water filtered with 0.2 µm filters. Never leave stagnant water in the device. Empty the water tank, keep all surfaces dry, and change the water daily; and
  • When handling garden soil, compost and potting mixes:
  1. Wear gloves and a face mask;
  2. Water gardens and compost gently using low pressure;
  3. Open composted potting mixes slowly and make sure the opening is directed away from the face;
  4. Wet the soil to reduce dust when potting plants; and
  5. Avoid working in poorly ventilated places such as enclosed greenhouses.
 
     The public may visit the CHP’s LD page, the Code of Practice for Prevention of LD and the Housekeeping Guidelines for Cold and Hot Water Systems for Building Management of the Prevention of LD Committee, and the CHP’s risk-based strategy for prevention and control of LD. read more

Two women sentenced for breaching compulsory quarantine order

     Two women were sentenced by Kowloon City and West Kowloon Magistrates’ Courts today (October 15) for violating the Compulsory Quarantine of Certain Persons Arriving at Hong Kong Regulation (Cap. 599C) and the Compulsory Quarantine of Persons Arriving at Hong Kong from Foreign Places Regulation (Cap. 599E) respectively.

     The first case involved a woman aged 57, who was earlier issued a compulsory quarantine order stating that she must conduct quarantine at home for 14 days. Before the expiry of the quarantine order, she left the place of quarantine twice in March 2021 without reasonable excuse nor permission given by an authorised officer. She was charged with two counts of contravening sections 8(1) and 8(5) of Cap. 599C and was sentenced by the Kowloon City Magistrates’ Courts today to imprisonment for 14 days, suspended for 24 months for each of the two charges, with the sentences to run concurrently.

     The second case involved a woman aged 37, who was earlier issued a compulsory quarantine order stating that she must conduct quarantine at a hotel for 21 days. Before the expiry of the quarantine order, she left the place of quarantine on April 11, 2021, without reasonable excuse nor permission given by an authorised officer. She was charged with contravening sections 8(1) and 8(5) of Cap. 599E and was sentenced by the West Kowloon Magistrates’ Courts today to imprisonment for four weeks, suspended for twelve months.

     Breaching a compulsory quarantine order is a criminal offence and offenders are subject to a maximum fine of $25,000 and imprisonment for six months. A spokesman for the Department of Health said the sentence sends a clear message to the community that breaching a quarantine order is a criminal offence that the Government will not tolerate, and solemnly reminded the public to comply with the regulations. As of today, a total of 192 persons have been convicted by the courts for breaching quarantine orders and have received sentences including immediate imprisonment for up to 14 weeks or a fine of up to $15,000. The spokesman reiterated that resolute actions will be taken against anyone who has breached the relevant regulations. read more