A&E and GOPC Triage Assessment for Febrile Patient for SARS / Avian Influenza (H5) Infection
Hospital Authority & Department of Health (last updated 6 Feb 2006)
1.
SARS
H5
Fever
F
Fever ≥38°C in the past 48 hours; +/- respiratory symptoms; and NO other obvious cause
of fever e.g. cellulitis, cholangitis
2.
Recent travel outside HK
2.a
Recent (10 days) travel history to SARS area
T
(Please refer to epidemiology table)
2.b
Recent (7 days) travel outside HK with history of visiting poultry farm / zoo /wild birds in
areas* known to have outbreak of Avian Influenza (H5)
NA
NA
(Please refer to epidemiology table)
3.
3.a
O
Occupational exposure
Working in laboratory with SARS / Avian Influenza (H5) virus specimen(s)
3.b
Contact with risky animals, e.g. civet cats 果子狸
3.c
Contact with wild bird, poultry or other animals in areas/cities known to have Avian
Influenza (H5)#
4.
Contact history
4.a
Unprotected close contact with (suspected) SARS patient in the past 10 days
NA
Hospitalized or as visitor in a facility with known SARS patients in the past 10 days
NA
4.b
NA
NA
C
4.c
Unprotected contact with human case(s) of Avian Influenza (H5) in the past 1 week
NA
4.d
Unprotected contact with diseased wild bird/ poultry or their carcasses in areas known to
have animal Avian Influenza (H5) or in areas with report of indigenous human H5 case
NA
5.
Any association or contact with
5.a
Cluster of persons with fever and pneumonia symptoms of recent onset
5.b
Known cluster with high attack rate (during time with outbreak)
C
Notes:
* An area shall be considered as infected with Avian Influenza (H5) until:
1) at least 21 days have elapsed after the confirmation of the last case and the completion of a
stamping-out policy and disinfection procedures,
# “In contact with” means "handling" the dead poultries, "working", "slaughtering", or
"transporting" poultries in the affected areas.
Consider as high risk if patient has fever as above (1), together with any one out of (2) – (5).

Allocate the patient to designated screening area of the Accident & Emergency Department or
General Outpatient Clinic according to individual hospital and clinic setting.

Ensure speedy consultation and management.
NA – not applicable