New Chikungunya Fever Case Reported in Hong Kong; Public Urged to Enhance Mosquito Control Measures.

Update on chikungunya fever

The Centre for Health Protection (CHP) of the Department of Health (DH) announced that as of 5pm today (August 15), one new imported case of chikungunya fever (CF) had been recorded. The CHP reminded members of the public to take proper mosquito control and personal protective measures, especially upon returning to Hong Kong from regions where mosquito-borne diseases are endemic. Individuals experiencing symptoms such as fever or acute joint pain should seek medical advice promptly and inform their doctors of their travel history. Do not attempt self-testing, as this may lead to delays in diagnosis and treatment.

Latest case information

The new case involves a 23-year-old male who lives in Sai Kung District. An initial investigation revealed that he travelled to Shunde District, Foshan, in Guangdong Province, on August 1. During his stay, he was bitten by mosquitoes. He returned to Hong Kong on August 3 and developed a fever, joint pain and a rash on August 8. He attended the Accident and Emergency Department of Tsueng Kwan O Hospital yesterday (August 14) and was admitted for treatment in a mosquito-free environment. He is now in stable condition. His blood sample tested positive for the CF virus upon laboratory testing.

Since the patient stayed in Foshan during the incubation period, the CHP considered that he was infected during travel. The case was classified as an imported case. The patient has no travel collateral and household contacts. The CHP's epidemiological investigation is ongoing and it has reported the case to the health authority of Guangdong Province.

So far this year, Hong Kong has recorded a total of nine confirmed CF cases. All are imported cases. From 2016 to 2019, Hong Kong recorded between one and 11 imported cases annually.

Continuously strengthening prevention and control

The Food and Environmental Hygiene Department (FEHD) is conducting vector investigations and targeted mosquito control operations and will intensify mosquito prevention and control measures at the residence of the two patients, as well as locations visited after the onset of symptoms. These measures include:

carrying out intensive fogging in the scrubby areas within a 250-metre radius of the relevant locations to kill adult mosquitoes;

carrying out inspectionof the locations, removing stagnant water, applying insecticides and disposing of abandoned water containers every week with a view to preventing mosquito breeding; and

enhancing public education efforts through organising health talks, setting up mobile education stations, and distributing publicity leaflets.

​Separately, the CHP's Port Health Division continues to step up inspections at boundary control points and to remind cross-boundary public transport operators and other relevant parties to ensure good environmental hygiene and effective implementation of anti-mosquito measures. Furthermore, staff members of the Port Health Division distribute leaflets to travellers, conduct temperature screenings for inbound travellers, conduct health assessments for travellers with fever or related symptoms, and refer them to hospitals for follow ups when necessary.

To raise awareness among the elderly about preventing CF, the Visiting Health Teams under the Elderly Health Service of the DH have been advising the elderly on CF prevention and travel health at health talks conducted at District Elderly Community Centres and Neighbourhood Elderly Centres. They have also reminded residential care homes for the elderly to enhance mosquito control measures. The DH's Maternal and Child Health Centres, Student Health Service Centres and Special Assessment Centres also advise pregnant women, infant carers and students on symptoms and preventive measures of CF.

To strengthen support for ethnic minority communities, essential information on CF has also been translated into 10 ethnic minority languages (namely Hindi, Nepali, Urdu, Thai, Bahasa Indonesia, Tagalog, Vietnamese, Punjabi, Sinhala and Bengali) and uploaded to the CHPwebsite.

The Controller of the CHP, Dr Edwin Tsui, reminded members of the public that currently, there are no rapid test products on the market that have been certified by international health authorities for public use in self-testing for CF. People should promptly seek medical advice if they suspect they are infected with CF and should not conduct testing on their own as this may delay proper clinical treatment. He also urged the public not to self-medicate, particularly with aspirin or non-steroidal anti-inflammatory drugs (such as ibuprofen), as these drugs may cause serious side effects, for example, increasing the risk of haemorrhage. In general, children should not take medications containing aspirin to relieve fever or other symptoms because it may lead to Reye's syndrome, a serious and potentially fatal complication.

He also added that members of the public should adopt precautions during the rainy season against mosquito-borne diseases. Proper use of DEET-containing insect repellents or other effective active ingredients can prevent mosquito bites, but the following precautions should be taken when using them:

read the label instructions carefully first;

apply right before entering an area with a risk of mosquito bites;

apply on exposed skin and clothing;

use DEET of up to 30 per cent for pregnant women and up to 10 per cent for children (For children who travel to countries or areas where mosquito-borne diseases are endemic or epidemic and where exposure is likely, those aged 2 months or above can use DEET-containing insect repellents with a DEET concentration of up to 30 per cent);

apply sunscreen first, then insect repellent;

reapply only when needed and follow the instructions; and

in addition to DEET, there are other insect repellents available on the market containing different active ingredients, such as IR3535 andpicaridin. When using any insect repellent, the public should follow the usage instructions and precautions on the product label.

​In addition, the FEHD appeals to members of the public to continue to stay alert and work together to carry out mosquito prevention and control measures early, including inspecting their homes and surroundings to remove potential breeding grounds, changing water in vases and scrubbing their inner surfaces, removing water in saucers under potted plants at least once a week, and properly disposing of containers such as soft drink cans and lunch boxes. The FEHD also advises members of the public and estate management bodies to keep drains free of blockage and level all defective ground surfaces to prevent the accumulation of water. They should also scrub all drains and surface sewers with an alkaline detergent at least once a week to remove any mosquito eggs.

The public should call 1823 in case of mosquito problems and may visit the following pages for more information: the CF page of theCHPand theTravel Health Service, the latestTravel Health News,tips for using insect repellents, and the CHPFacebook Page,Instagram AccountandYouTube Channel, and also theMosquito Prevention and Control dedicated pageof the FEHD.

Source: AI-found images

Seven persons arrested during anti-illegal worker operation

The Immigration Department (ImmD) mounted an anti-illegal worker operation codenamed "Contribute" today (January 15).During the operation, ImmD Task Force officers raided premises under renovation in a newly built public housing estate in Sheung Shui district.A total of six suspected illegal workers and one suspected employer were arrested. Thearrested suspected illegal workers comprise six men, aged 22 to 41. Furthermore, one man, aged 45, suspected of employing the illegal workers, was also arrested. An investigation into the suspected employers is ongoing, and the possibility of further arrests is not ruled out.

Apart from mounting the enforcement operation, ImmD officers and a promotional vehicle have been deployed to distribute "Don't Employ Illegal Workers" leaflets and convey the message in the estate.

An ImmD spokesman said, "Any person who contravenes a condition of stay in force in respect of him or her shall be guilty of an offence. Also, visitors are not allowed to take employment in Hong Kong, whether paid or unpaid, without the permission of the Director of Immigration. Offenders are liable to prosecution and upon conviction face a maximum fine of $50,000 and up to two years' imprisonment. Aiders and abettors are also liable to prosecution and penalties."

The spokesman stressed that it is a serious offence to employ people who are not lawfully employable. Under the Immigration Ordinance, the maximum penalty for an employer employing a person who is not lawfully employable, i.e. an illegal immigrant, a person who is the subject of a removal order or a deportation order, an overstayer or a person who was refused permission to land, has been significantly increased from a fine of $350,000 and three years' imprisonment to a fine of $500,000 and 10 years' imprisonment to reflect the gravity of such offences. The director, manager, secretary, partner, etc, of the company concerned may also bear criminal liability. The High Court has laid down sentencing guidelines that the employer of an illegal worker should be given an immediate custodial sentence.

According to the court sentencing, employers must take all practicable steps to determine whether a person is lawfully employable prior to employment. Apart from inspecting a prospective employee's identity card, the employer has the explicit duty to make enquiries regarding the person and ensure that the answers would not cast any reasonable doubt concerning the lawful employability of the person. The court will not accept failure to do so as a defence in proceedings. It is also an offence if an employer fails to inspect the job seeker's valid travel document if the job seeker does not have a Hong Kong permanent identity card. Offenders are liable upon conviction to a maximum fine of $150,000 and to imprisonment for one year. In that connection, the spokesman would like to remind all employers not to defy the law by employing illegal workers. The ImmD will continue to take resolute enforcement action to combat such offences.

Under the existing mechanism, the ImmD will, as a standard procedure, conduct an initial screening of vulnerable persons, including illegal workers, illegal immigrants, sex workers and foreign domestic helpers, who are arrested during any operation with a view to ascertaining whether they are trafficking in persons (TIP) and/or forced labour victims. When any TIP and/or forced labour indicator is revealed in the initial screening, the ImmD officers will conduct a full debriefing and identification by using a standardised checklist to ascertain the presence of TIP and/or forced labour elements. Identified TIP and/or forced labour victims will be provided with various forms of support and assistance, including urgent intervention, medical services, counselling, shelter or temporary accommodation and other supporting services. The ImmD calls on TIP and/or forced labour victims to report crimes to the relevant departments immediately.

For reporting illegal employment activities, please call the dedicated hotline 3861 5000, by fax at 2824 1166, email to anti_crime@immd.gov.hk, or submit "Online Reporting of Immigration Offences" form at www.immd.gov.hk.

Seven persons arrested during anti-illegal worker operation Source: HKSAR Government Press Releases

Seven persons arrested during anti-illegal worker operation Source: HKSAR Government Press Releases