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− | <h1><b>Integrated Human Practice</b></h1> | + | <p><h1><b>Integrated Human Practice</b></h1></p> |
− | <p>< | + | <p style="font-family: roboto;font-size:115%;"> |
− | <br> | + | Interview and questionnaire of different skateholders |
− | <b> | + | <br><br> |
+ | |||
+ | <b>Influenza</b> is an infectious disease caused by influenza virus, we usually simply call it "flu". There | ||
is usually an outbreak every year in the world, Hong kong is not excluded: | is usually an outbreak every year in the world, Hong kong is not excluded: | ||
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+ | <p style="font-family: roboto;font-size:115%;"> | ||
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There are 4 major potential users: medical expert, chicken farmer, government, general public. | There are 4 major potential users: medical expert, chicken farmer, government, general public. | ||
− | < | + | |
− | <p><b>1. Professor Chan Kay Sheung, Paul</b> | + | </p> |
+ | |||
+ | <p><h2><b>Medical Expert</b></h2></p> | ||
+ | <p style="font-family: roboto;font-size:115%;"> | ||
+ | <b>1. Professor Chan Kay Sheung, Paul</b> | ||
<br> | <br> | ||
We interviewed Professor Paul Chan at the department of Microbiology, Prince of Wales Hospital. Professor Paul Chan is an <b><u>Honorary Consultant in Microbiology of the Hong Kong Hospital Authority</u><b>. He is also a <b><u>member of the Global Outbreak Alert and Response Network of World Health Organization</u></b>.He is an <b><u>expert of molecular methods for rapid diagnosis and strain characterization (conducted research in?)</u></b>. | We interviewed Professor Paul Chan at the department of Microbiology, Prince of Wales Hospital. Professor Paul Chan is an <b><u>Honorary Consultant in Microbiology of the Hong Kong Hospital Authority</u><b>. He is also a <b><u>member of the Global Outbreak Alert and Response Network of World Health Organization</u></b>.He is an <b><u>expert of molecular methods for rapid diagnosis and strain characterization (conducted research in?)</u></b>. | ||
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− | Thus, we decided to package our design as | + | Thus, we decided to package our design as “point of care”, can be applied in both hospital and clinic, especially useful in nightshift and peak season. Besides, as suggested by Prof Chan,distinguishing the subtype of influenza is not very significant in tackling flu, because currently available medicine can already defeat all types of influenza. Reversely, subtyping is relatively important to be the parameter of deciding the release of chicken to the market. Thus, two directions of detection are proposed: for human, identification of the presence of influenza(Avian?) is enough; as for subtyping, it is more suitable to be applied in chicken detection. |
</p> | </p> | ||
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− | < | + | <p><h2><b>Chicken Farmer</b></h2></p> |
− | <h2><b | + | |
− | <p>Once there is one case of chicken being infected by avian influenza, government become quite reactive. More seriously, all the chicken, either imported or local fed, are | + | <p style="font-family: roboto;font-size:115%;"> |
+ | Once there is one case of chicken being infected by avian influenza, government become quite reactive. More seriously, all the chicken, either imported or local fed, are gathered and slaughter, render them the financial loss. Therefore, we thought that if chicken farmers can take initiative to detect their own chickens regularly, will it prevent a large scale outbreak and in turn reduce their loss? We have contacted an association and a chicken farmer respectively and both of them are local. (conflict of interest?) | ||
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<br> | <br> | ||
<b>1. The new territories chicken breeders association (10/7)</b> | <b>1. The new territories chicken breeders association (10/7)</b> | ||
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− | We interviewed a representative from the association. Before the interview, we guessed they may be interested a little bit as they suffer the loss of money during central slaughtering. However, out of our expectation, they were almost | + | We interviewed a representative from the association. Before the interview, we guessed they may be interested a little bit as they suffer the loss of money during central slaughtering. However, out of our expectation, they were almost acceptable to the arrangements from government </u></font>because they thought that avian influenza detection should be conducted by neutral position, ie government, which is none of chicken farmer/associations’ business. |
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<b>2. Fork Eat, a local chicken farm (29/7)</b> | <b>2. Fork Eat, a local chicken farm (29/7)</b> | ||
<br> | <br> | ||
− | We also interviewed | + | We also interviewed two local chicken farmers Mr. Joe Lit and Mr. Charles Lam. They are the founder of the local chicken farm and restaurant “Fork Eat”. Similar to the attitudes of chicken breeders association, they agreed that the role they play in avian flu detection is very passive. The decision, whether slaughter or not, absolutely depends on government. Moreover, they indicated that chicken farms in Hong Kong are undergone regular inspection frequently (approximately 2-3 times per month), which is more than enough in their opinions, so they can’t find any incentive to detect by themselves. (Self check?) |
<br> | <br> | ||
<br> | <br> | ||
− | Previously we have proposed government (eg department of health) and chicken farmers will be the | + | Previously we have proposed government (eg department of health) and chicken farmers will be the major customers in our second direction, avian influenza subtyping, after collecting the chicken farmers’ opinions, we laid the proposal of targeting chicken farmer aside, but confirmed to mainly focus on the market of hospitals/ government/ clinics. |
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</p> | </p> | ||
</div> | </div> | ||
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<h2><b><u>Government</u></b></h2> | <h2><b><u>Government</u></b></h2> | ||
− | <p>At the beginning, we hoped to have face-to-face interview, along with laboratory visit, unfortunately, due to the government’s policies and instructions, they | + | <p style="font-family: roboto;font-size:115%;">At the beginning, we hoped to have face-to-face interview, along with laboratory visit, unfortunately, due to the government’s policies and instructions, they refused our visit requirement</u></font>, in alternative, we interviewed them, Department of Health, Centre for Health Protection and Agriculture, Fisheries and Conservation Department (AFAD) through email. |
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<b>1. Department of health</b> | <b>1. Department of health</b> | ||
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− | We | + | We interviewed (consulted) Dr. Au Ka-wing, Director of Health. He admitted early treatment for patients infected with avian influenza viruses may reduce the mortality rate and higher speed of laboratory confirmation may help fasten the initiation of medical treatment, although the time lag between onset of illness and initiation of medical treatment for avian influenza infection is affected by many factors, which is also consistent with what Prof Chan said. Nonetheless, targeted treatment for avian influenza may already be initiated for suspected cases before any laboratory confirmation. <br> |
The influenza viruses test for human specimens mainly provided by the Public Health Laboratory Services Branch under the Centre for Health Protection of the Department of Health. Thus, we further contacted the Centre for Health Protection for more details. | The influenza viruses test for human specimens mainly provided by the Public Health Laboratory Services Branch under the Centre for Health Protection of the Department of Health. Thus, we further contacted the Centre for Health Protection for more details. | ||
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<b>3. Agriculture, Fisheries and Conservation Department (AFAD)</b> | <b>3. Agriculture, Fisheries and Conservation Department (AFAD)</b> | ||
<br> | <br> | ||
− | Unlike Centre for Health Protection, Agriculture, Fisheries and Conservation Department (AFAD) is responsible to avian specimen inspection. They described some methods of detection and their procedures, for instance, haemagglutination inhibition test and direct RNA detection by PCR. In Hong Kong, there is only one veterinary laboratory (Tai Lung Veterinary Laboratory) in Hong Kong, while the <font face="cursive;"><u>detections approximately take at least 4 hours | + | Unlike Centre for Health Protection, Agriculture, Fisheries and Conservation Department (AFAD) is responsible to avian specimen inspection. They described some methods of detection and their procedures, for instance, haemagglutination inhibition test and direct RNA detection by PCR. In Hong Kong, there is only one veterinary laboratory (Tai Lung Veterinary Laboratory) in Hong Kong, while the <font face="cursive;"><u>detections approximately take at least 4 hours, while the size of sanitary testing and inspecting team <font face="cursive;"><u>is not big enough, 46 people in total. It is not difficult to imagine that the workloads of veterinary laboratory will be very large when handling a large amount of avian specimens during flu peak season. |
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<h2><b><u>Citizen</u></b></h2> | <h2><b><u>Citizen</u></b></h2> | ||
− | + | <p style="font-family: roboto;font-size:115%;"> | |
− | <p>We interviewed xxx publics by questionnaires…………………. | + | We interviewed xxx publics by questionnaires…………………. |
<br> | <br> | ||
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1 USD =22,732.09VND | 1 USD =22,732.09VND | ||
<br> | <br> | ||
− | <b | + | <b>Integration and design</b> |
<br> | <br> | ||
We integrated the idea of xxx from xxxx into our project…. | We integrated the idea of xxx from xxxx into our project…. |
Revision as of 07:07, 29 October 2017