A man is in critical condition after testing positive for the deadly H5N1 bird flu virus in the southern Chinese city of Shenzhen, state media said Saturday.
The city borders Hong Kong, which has already culled thousands of chickens and ordered a suspension of live poultry imports from China after three birds tested positive with the strain mid-December.
The man, a bus driver surnamed Chen, was hospitalised with a fever earlier this month and tested positive for the H5N1 avian influenza virus in Shenzhen, the provincial health department said, according to Xinhua news agency.
The report said the 39-year-old was taken to hospital on December 21, but the Hong Kong health department said in a statement he developed symptoms that day and was hospitalised on December 25 because of "severe pneumonia."
He remains in a critical condition and is receiving emergency treatment. Authorities say the man had apparently had no direct contact with poultry in the month before he was taken ill nor had he left the city.
"We will heighten our vigilance and continue to maintain stringent port health measures in connection with this development," a spokesman for the Hong Kong health department said.
Chinese and Hong Kong authorities have been working closely together since December 21 after live poultry supplies were suspended to the glitzy financial hub following the discovery of infected birds.
Health authorities in China vowed to stay in "close contact and work together" with Hong Kong and "jointly step up measures in controlling the epidemic", the report said.
China is considered one of the nations most at risk of bird flu epidemics because it has the world's biggest poultry population and many chickens in rural areas are kept close to humans.
In the last reported fatal case in China, a young pregnant woman died of bird flu in June last year in the central province of Hubei.
Her death brought to 26 the number of people who have died in China since the virus re-emerged in 2003, out of 39 reported human cases, based on previous World Health Organization figures.
Authorities in Hong Kong have raised the bird flu alert level to "serious" since they discovered infected chickens, resulting in major disruptions to poultry supplies over the busy Christmas period.
Two schools were ordered to close after dead birds infected with the virus were found on their premises.
Hong Kong was the site of the world's first major outbreak of bird flu among humans in 1997, when six people died. Millions of birds were then culled.
The virus, which does not pass easily from human to human, has killed more than 330 people around the world, with Indonesia the worst-hit country. Most human infections are the result of direct contact with infected birds.
In people it can cause fever, coughing, a sore throat, pneumonia, respiratory disease and, in about 60 percent of cases, death.
Scientists fear H5N1 will mutate into a form readily transmissible between humans, with the potential to cause millions of deaths.
Hong Kong is particularly nervous about infectious diseases after an outbreak of deadly respiratory disease SARS in 2003 killed 300 people in the city and a further 500 worldwide.
A 59-year-old woman tested positive for bird flu in 2010 in Hong Kong's first human case of the illness since 2003.