HK authorities have confirmed their thermal travel checkpoints, and an additional reported case of H7N9 in Zhejiang affecting a 67 year old man who became ill on October 16th. This is the same province where a 35 year old man also recently became deathly ill with H7N9 Bird Flu (it has been reported that he traveled overseas). It is important to note that significant parts of Zhejiang province are a disaster area from a Typhoon which came through on October 7th; as such, high levels of population displacement / travel are to be expected, some of which may be infected by H7N9 bird flu.
One additional pandemic harbinger we have noticed is the initial infection in a younger individual followed by later infection in an older individual, this may be indicative of undetected Human to Human H7N9 transmission in the population.
For these reasons this we have elevated the situation to one of high vigilance / alert.