??????(Avian Influenza)

1
?????

• ??????????
• ???
• ? ?

2
??????(Avian Influenza)

• ???????????
• ?A??????????????????????????????????,???????????
• ???????????,????????,??????41?,?????????????,?????
  ???????????,????????????

3
???????

• ????????????
• ????(highly pathogenic AI)?H5N1
• ????(low-pathogenic AI),?H5N2
• ???????????????????????H5N2????

4
???????

• ???,?56 ?3???60 ?30???100 ?1???????????????????
  ??,????
• ???,?????????????????????
• ????????????????????????? (from WHO)
• ???????????,?22??????4?,0?????30?????????????

5
?????

• ??????5?9?
• ????????????????,????????????????????????????,????
  ?????????????????????????
• ??????????????????????????????????????????????????
  ?????????????????

6
???????

• ??????????,????????????????????????????????,??????
  ???????????????????????????,??????????????????
• ???????????H5N1????

7
??????
?????,?????
???B
8
?????

• ??????????????????????
• ??????????????,?????????,???????????24-48????,????
  ????
• ???(amantadine)??A?????,?????????????,????,?????
• Rimantadine??A?????,????,?????
• ???(tamiflu)?A?B??????,?????

9
????

• 1918-1919????A?(H1N1),?????2??????
• 1956-1957????A?(H2N2),?????????
• 1968-1969????A?(H3N2),???70?????

10
1918 Spanish flu H1N1 killed 20-50 millions!
young people and happened in 3 days
11
????????
???? ???????????? WHO ??????
12
????????
????(???????????????????)
?? ?????? ?????????
??? 93.01.05 ??????(H5N2)???,??????,???2????
??? 93.01.17 ??????(H5N2)???,1?21??4000????,???3?5????
??? 93.01.26 ??????(H5N2)???,?????,???????????
??? 93.01.30 ????????????????????,???????H5N2???????????,???????????,??????????????,??????????
?? 93.02.01 ?????????H5N1????????,????????????????????H5N1???,????96???
??? 93.02.05 ?????????(H5N2)??????
??? 93.02.05 ???????10???????,???????????????,????????(H5N2)????
??? 93.02.24 ??H5N2??3400??
??? 93.03.11 ??H5N2??12000??
????????????(H5N1)????,??????????????(H5N1)?????,?????(H2N1)???????????? ????????????(H5N1)????,??????????????(H5N1)?????,?????(H2N1)???????????? ????????????(H5N1)????,??????????????(H5N1)?????,?????(H2N1)????????????
13
???????

• ???????????????,????
• ?????,?????????
• ????????????????????
• ?,?????????????
• ??
• ??????,???????
• ???????????,???????

14
????????????(Flu Pandemic)

• ?????????????,?????????????
• ????????????????,?????????(????)?????????,????????
  ,??????,???????
• ??????????,???????,???????????????,??????????,????
  ????????,????????????
• ????????????????????
• ?????????,?H5N1??????

15
(No Transcript)
16
??????????????
17
(No Transcript)
18
(No Transcript)
19
Neurologic signs
20
(No Transcript)
21
????????????
????
????
????
??????(??)
????
???????(??)
????
??????(??)
??????
22
???????????
23
??????

• ???????????
• ??????????????????????????????????????,??????
  ?????????????????,?????????,????????????????????,?
  ???????,??????????????????

24
??????

• ????????????
• ?????????????????????
• ???????????????,?????
• ??????
• ?????????????
• ???????
• ?????????
• ??????????????????
• ??????????????????????

25
??????QA

• Q?????????
• ???????????????,??????????27206301lt????????gt
• ??????????????lt10???gt,??????????27256589
• ????????????lt10???gt,?????????--??87897158
• ????????H5?H7??,????????????-??23259190?18
• ?????????,?????????????????1922

26
??????QA

• Q????????
• ????????????????????,???????????
• ???????????????????????????????????????????,?????
  ????????????????????????? (???)???(?)?????????
  ????(??)???????????????????????????????????????
  ???????????????????????

27
??????QA

• Q???????? (?)
• ????????????(???????? ?)???????????????????
• ???????????????????,???????????????????????????
  ?????????,56???3 ???60???30 ???100???1
  ??????,??????????????????????????????????????????
  ????????,?????,???,????????

28
??????QA

• Q?????????????? 1. ????????,??????????????2.
  ???????????????,???????? 3. ????????(????)???????
  ,??? ??,????????????4. ??????,???????????????
  5. ?????,???????????????,????SARS
  ????????????,??????????????????????????????????,??
  ????????????????

29
??????QA

• Q????SARS ????????????SARS ???????,??????SARS
  ???????????????,???????,?????????,???????????,????
  ?????? WHO ??????????,????200 ?700
  ????,?????????????CDC ???????,????????????????????
  ??,???????530 ??????,7 ?????,14,000
  ????,????????????SARS ???10 ????

30
???????? ??????????
?????????
31
???? ????

• ????