CHP investigates probable case of botulism
The Centre for Health Protection (CHP) of the Department of Health (DH) is today (November 12) investigating a probable case of botulism after a patient received injections of botulinum toxin on the Mainland. The CHP again reminded the public that botulinum toxin injections should only be prescribed and performed by registered doctors.
The case involves a female patient aged 38 with good past health. According to information provided by the patient, she received injections that were claimed to be botulinum toxin from a person at a premises in Dongguan on October 27. However, the patient was unable to confirm the professional qualifications of the person who performed the injections. She has presented with symptoms including limbs weakness, swallowing difficulty and bilateral partial ptosis since October 29. She attended a hospital in Dongguan on November 3 and was admitted the same day. The patient attended the North District Hospital on November 8 due to persistent symptoms and was admitted the same day. She is still hospitalised and is in stable condition. She was clinically suspected to have botulism caused by botulinum toxin injection.
The CHP has reported the case to the relevant authority on the Mainland. Epidemiological investigations are ongoing.
"In Hong Kong, botulinum toxin injections should only be performed by a locally registered doctor. Customers should verify the doctor's full name against thelist of registered doctorsof the Medical Council of Hong Kong as well as their professional qualifications and relevant experience. When receiving injections outside Hong Kong, pay special attention to ensure the provider is qualified or registered with relevant jurisdictions for practice. In case of injections offered from suspicious sources, refrain from receiving them. If feeling unwell, seek medical advice from eligible medical professionals as soon as possible," a spokesman for the DH said.
Due to the weakening of associated muscles and the fact that botulinum toxin may spread and affect other areas beyond the injection site, affected patients may have drooping eyelids, double or blurred vision, problems with chewing, hoarseness, or even difficulties in swallowing, speaking or breathing, which may happen hours, days or weeks after the injection.
The DH urged the public to observe the health advice below before receiving botulinum toxin injections:
Injections in Hong Kong should only be performed by locally registered doctors;
Understand the procedure, potential risks and complications before receiving injections. Consult a doctor for an informed decision;
Do not receive injectionsfrom suspicious sources;
Do not receive an injection in the case of a history of allergy tobotulinum toxin, or if there is an infection or inflammation on the injection site;
Request the full name of the doctor in writing if referred by a beauty service provider for the procedure, as well as the professional qualifications and relevant experience; and
If symptoms develop, such as a fever or feeling unwell, seek medical attention immediately.
The public may visit the DH's webpage on thedifferentiation between medical procedures and beauty services, theDrug Databaseof the Drug Office and the CHP'sbotulism pagefor more information.
Meeting attendance of members of District Councils in 2024
The Home Affairs Department (HAD) made the following clarifications today (January 2) regarding certain media reports on the meeting attendance of the current-term members of the District Councils (DCs) in 2024:
(1) The current-term DC members were diligent in their work, with over 98 per cent of 470 members having attended all DC meetings or were only absent with the DC's consent; over 90 per cent having attended all committee/working group meetings or were only absent with the DC's consent. Aside from attending DC meetings, each DC member on average attended 28 committee/working group meetings;
(2) all DC members fulfilled the requirement under the Performance Monitoring Guidelines for Members of the DCs (the Guidelines), i.e. attendance rate of not lower than 80 per cent and no DC members were in violation of the requirement; certain reports were incorrect in stating that some DC members were in violation of the Guidelines due to their absence at meetings since absence at an individual meeting was not a violation in itself; and
(3) for the purpose of calculating attendance, the Guidelines stipulate certain reasons for absence that would be consented by the DCs, including sickness and attendance at another meeting or an activity on behalf of the DCs etc. If a DC member were absent from meetings due to the aforementioned reasons with the DC's consent, the absence would not affect his/her attendance rate. If a DC member were absent from meetings due to other reasons (i.e. personal matters), the absence would be counted towards his/her attendance rate.
The HAD hoped that media outlets and members of the public would have an accurate understanding of DC members' attendance situation at meetings. The current-term DC members' attendance rate at meetings was the highest amongst all previous terms, which fully demonstrated DC members' efforts and work in improving governance at the district level.