Shanghai families of patients with avian flu was traced to dye the severe pneumonia suspect its associated

1 April 2013 at 03:36　Xiaoxiang Morning 　 I want to participate in ( 49 )

Original title: of three people infected with the H7N9 avian flu two deaths

According to Xinhua News Agency Xinhua

Source: Xiaoxiang Morning News

National Health and Family Planning Commission March 31 briefing: Shanghai and Anhui found three cases of human infection with the H7N9 avian influenza, two cases of patients have died trying to rescue one cases of the Anhui patients with serious illness.

H7N9 avian influenza virus previously found only in poultry between never found human infection. Experts believe that, suggesting that the virus is currently no strong human-to-human transmission.

The cases specific source of infection is not clear, contact no abnormal

Reported that patients Shanghai Lee, 87 years old, 19 February onset actively rescue died March 4. Patients Shanghai Wu, male, 27 years old, 27 February onset actively rescue died March 10. Patients with Chuzhou City, Anhui Province Mr. Han, female, 35 years old, incidence March 9, is currently in critical condition, Nanjing, Jiangsu active treatment. 3 cases of clinical manifestations are the early symptoms of respiratory tract infection such as fever, cough, and then developed severe pneumonia and breathing difficulties.

According to reports, the afternoon of March 29, the Chinese Center for Disease Control isolated from specimens of related cases to the H7N9 avian influenza virus. On March 30, the National Health and Family Planning Organization experts, according to the clinical manifestations, laboratory testing and epidemiological findings, diagnosis three patients with confirmed cases of the H7N9 avian flu human infection. Currently, no epidemiological association between the three cases. So far, three cases of patients diagnosed with a specific source of infection is not yet clear. In addition, 3 cases of 88 close contacts were not unusual.

Observe the recent national influenza activity levels were abnormally elevated

Influenza is an acute respiratory infection caused by the influenza virus. The influenza virus can be divided into A (A), (B), C III (C). Influenza can be divided according to the characteristics of the influenza virus HxNx 135 subtypes, the H7N9 subtype of avian influenza virus is one of them, the past is only found between poultry found no extraordinary circumstances of infection.

According to the the China CDC report found no recent nationwide influenza activity level is abnormally elevated.

Experts believe that, according to who is in close contact with medical observation, the virus has not prompted a strong human-to-human transmission.

To cope no vaccine; avoid contact with the disease (dead) livestock

Experts suggest that the event of fever, cough and other symptoms of acute respiratory infections, especially high fever, breathing difficulties, you should seek immediate medical attention. Maintaining wash their hands, cover nose and mouth when coughing or sneezing and other personal hygiene habits, can effectively prevent the transmission of influenza and other respiratory diseases. Should also avoid contact and edible disease (dead), poultry, livestock.

The medical staff more contact with patients suffering from infectious diseases than the general public, experts suggest that the medical staff to take the necessary protective measures in the process of the treatment of the patients.

At home and abroad there is no vaccine against the H7N9 avian influenza virus.

Patients in early March death, why is published in the March 31 outbreak

On March 31, the National Health and Family Planning Commission in respect of human infection with the H7N9 avian flu, the question-and-answer.

Q: Shanghai a two family members of patients diagnosed with severe pneumonia occurred, whether there is an association?

A: February 20-25, in a hospital in Shanghai has treated three people suffering from severe pneumonia, surnamed Li and his son, and two people died. Mr Lee, his father was diagnosed with the H7N9 avian influenza virus infection, the diagnosis of two patients in progress. 3 patients the incidence of the family association, pending further investigation. In addition, Shanghai, Anhui diagnosed patients of all close contacts were not found in similar cases.

Q: two cases diagnosed patients died in early March, why is published in the March 31 outbreak?

A: The people infected with the H7N9 avian influenza virus, is the world's first discovery of a new subtype of influenza virus, has not been included in our statutory report infectious disease monitoring and reporting system.

Medical and health institutions in Shanghai found that the above-mentioned cases, in a timely manner to carry out the relevant laboratory screening, has ruled out the infected with seasonal H1N1 and H3N2 influenza, H1N1 flu, people infected with the highly pathogenic avian influenza (H5N1) and SARS, new Coronavirus possible. In further testing, the Shanghai Public Health Clinical Center on March 22 found that patients may be infected with the H7 influenza, after specimens were sent to the China Disease Prevention and Control Center.On the afternoon of March 29, the Chinese Center for Disease Control three H7N9 avian influenza virus isolated from the submission of cases specimens. National Health and Family Planning Organization experts further verification, according to laboratory test results, combined with the clinical manifestations, epidemiological data to conduct a comprehensive analysis to determine the patients with human cases of infection with the H7N9 avian flu virus.National Health and Family Planning Commission, in accordance with the law to the public on March 31.

Q: H7N9 virus and past H1N1, H5N1 and other seasonal influenza cases compared to its virulence and infectious?

A: As found only three cases of human infection with the H7N9 avian flu virus confirmed cases of the virus, due to disease is very limited research data, experts are of the virulence of the virus and the human ability to spread further judgment.

Q: If the infection early symptoms seek immediate medical attention if you can get effective treatment?

A: The gene sequence analysis showed that the drug-sensitive virus neuraminidase inhibitor class of anti-influenza virus. Experience other type influenza antiviral treatment after the onset of the early use of the neuraminidase inhibitor class of anti-influenza virus drugs may be effective remains to be seen, but the means of specific treatment of newly discovered human H7N9 avian influenza virus infection research.

HxNx virus family

Influenza can be divided according to the characteristics of the influenza virus HxNx 135 subtypes except H7N9, brought to mankind troubled, there are several "members."

The H1N1H1N1 1918 influenza virus has triggered large outbreak. Beginning in 2009, the new influenza A (H1N1) pandemic on a global scale. The strain of the virus contains swine flu, avian and human influenza virus gene fragments. In August 2010, the WHO declared the Influenza A (H1N1) pandemic period has ended.

Discovered in China's western Guizhou H2N21957 in February for the first time, in mid-February in Guiyang isolated virus H2N2 (called A-type), spread to other provinces in March, April popular in Hong Kong, and later spread through Southeast Asia and Japan around the world. H2N2 virus disappeared in 1968 has been caused over 100 million deaths in the world.

H3N2 influenza A (H3N2) influenza virus outbreak in Hong Kong in 1968, and subsequently extended to the world, known as the "Hong Kong flu". The latest outbreak, an outbreak of H3N2 seasonal flu early 2013, several states in the eastern United States.

H5N1H5N1 for highly pathogenic avian influenza virus. Avian influenza virus, H5, H7, H9 can be transmitted to humans, which H5 highly pathogenic, H5N1 is the report of the statutory provisions in the new Ministry of Health Communicable Disease Prevention Act infectious diseases, also known as human infection of highly pathogenic avian influenza .

No sign of human transmission in new bird flu appearance-WHO

Mon, 1 Apr 2013 13:42 GMT

Source: Reuters // Reuters

BEIJING, April 1 (Reuters) - The World Health Organization says no evidence has emerged to show that a type of bird flu which has killed two Chinese men can be transmitted between people.

Two men in Shanghai, aged 87 and 27, fell sick in late February. A woman in Anhui province also contracted the virus in early March and is in critical condition.

"At this point, these three are isolated cases with no evidence of human-to-human transmission", the WHO representative in China, Dr. Michael O'Leary, told reporters on Monday.

China's National Health and Family Planning Commission confirmed on Sunday that the three cases were the H7N9 virus, which had not previously been known to infect humans.

"A new virus tends to be more virulent in the beginning. Either it is going to become a truly human virus, in which case we have to start dealing with it regularly, or it is going to be primarily an animal virus with just a rare human case," O'Leary said.

Some Chinese had complained that authorities took too long before announcing the deaths on Sunday. O'Leary said the government acted properly as the deaths needed to be investigated.

"China actually for a long time has been reporting promptly and openly. I think SARS was a turning point globally for that sort of thing. Not just in China," he said.

He was referring to the 2003 epidemic of Severe Acute Respiratory Syndrome, which caused a scandal when official numbers of cases were later dramatically revised upwards.

SARS emerged in China and killed about a tenth of the 8,000 people it infected worldwide.

People buying poultry at a Shanghai market on Monday said they were worried the incidents had been made public only weeks after the deaths and said they hoped the government would be quick to report any new cases.

"In the future, no matter what it is, the government should make it public quickly and let the people know early. That way they can prevent it themselves", said shopper Zhang Zhili, 60.

Many users of Chinese microblogs, known as "weibo", said they suspected the latest outbreak of bird flu was related to more than 16,000 pig carcasses recently found dumped in rivers around Shanghai.

O'Leary said that while the dead pigs were part of the overall investigation, there was no evidence of any connection.

It is not known how the three victims were infected. The virus does not seem highly contagious because no health abnormalities were detected among 88 of the victims' close contacts, the health commission said. (Reporting by Michael Martina and Lanhee Lee; Writing by Terril Yue Jones; Editing by Angus MacSwan)  http://www.trust.org/alertnet/news/no-sign-of-human-transmission-in-new-bird-flu-appearance-who

No sign of human transmission in new bird flu appearance: WHO

Dream on!

BEIJING (Reuters) - The World Health Organization says no evidence has emerged to show that a type of bird flu which has killed two Chinese men can be transmitted between people.

Two men in Shanghai, aged 87 and 27, fell sick in late February. A woman in Anhui province also contracted the virus in early March and is in critical condition.

"At this point, these three are isolated cases with no evidence of human-to-human transmission", the WHO representative in China, Dr. Michael O'Leary, told reporters on Monday.

China's National Health and Family Planning Commission confirmed on Sunday that the three cases were the H7N9 virus, which had not previously been known to infect humans.

"A new virus tends to be more virulent in the beginning. Either it is going to become a truly human virus, in which case we have to start dealing with it regularly, or it is going to be primarily an animal virus with just a rare human case," O'Leary said.

Some Chinese had complained that authorities took too long before announcing the deaths on Sunday. O'Leary said the government acted properly as the deaths needed to be investigated.

"China actually for a long time has been reporting promptly and openly. I think SARS was a turning point globally for that sort of thing. Not just in China," he said.

He was referring to the 2003 epidemic of Severe Acute Respiratory Syndrome, which caused a scandal when official numbers of cases were later dramatically revised upwards.

SARS emerged in China and killed about a tenth of the 8,000 people it infected worldwide.

People buying poultry at a Shanghai market on Monday said they were worried the incidents had been made public only weeks after the deaths and said they hoped the government would be quick to report any new cases.

"In the future, no matter what it is, the government should make it public quickly and let the people know early. That way they can prevent it themselves", said shopper Zhang Zhili, 60.

Many users of Chinese microblogs, known as "weibo", said they suspected the latest outbreak of bird flu was related to more than 16,000 pig carcasses recently found dumped in rivers around Shanghai.

O'Leary said that while the dead pigs were part of the overall investigation, there was no evidence of any connection.

It is not known how the three victims were infected. The virus does not seem highly contagious because no health abnormalities were detected among 88 of the victims' close contacts, the health commission said.

(Reporting by Michael Martina and Lanhee Lee; Writing by Terril Yue Jones; Editing by Angus MacSwan)

http://news.yahoo.com/no-sign-human-transmission-bird-flu-appearance-134519044.html

avian influenza has become the most discussed topic on the Chinese Internet forums

The two cases of avian flu deaths in China caused panic

Recurrence of avian flu panic

New type of avian influenza in which two people were killed in China again after a full-blown panic caused concerns about infectious diseases.Monday (April 1), avian influenza has become the most discussed topic on the Chinese Internet forums. Sunday, the Chinese Ministry of Health said in a public announcement, early March, two 27-year-old and 87-year-old man died of the H7N9 avian influenza virus. Otherwise a 35-year-old woman in Anhui Province in serious condition.Avian influenza virus mainly infects birds, but some viruses also infect humans.

http://www.dw.de/%E4%B8%AD%E5%9B%BD%E4%B8%A4%E4%BE%8B%E7%A6%BD%E6%B5%81%E6%84%9F%E6%AD%BB%E4%BA%A1%E6%A1%88%E4%BE%8B%E5%BC%95%E8%B5%B7%E6%81%90%E6%85%8C/a-16712644

CNN's Elizabeth Cohen reports on a new strain of bird flu in China

Added On April 1, 2013

CNN's Elizabeth Cohen reports on a new strain of bird flu in China not previously found in humans.

http://edition.cnn.com/video/#/video/bestoftv/2013/04/01/exp-point-cohen-bird-flu-china-new.cnn?eref=edition&utm_source=twitterfeed&utm_medium=twitter

Experts: SARS culprit is not civet cats

Bloomberg) - the world's first piece of the three cases of human infection with the H7N9 avian influenza outbreak in mainland China, as if SARS nightmare reproduction. Hong Kong experts pointed out today, the natural host of Severe Acute Respiratory Syndrome (SARS), is named "China Rhinolophus bats, civets have been wronged.

 Mainland China Central Television reported that 10 years of painstaking research of SARS Hong Kong University School of Medicine, Infectious Diseases, Professor Yuen Kwok-yung, the natural host of SARS virus is a name of Chinese Rhinolophus bats, civet cats had been wronged. He said, civet cats just the intermediate host of the SARS virus, not a natural host, it is also contagious. Yuen Kwok-yung said the beginning that civet cats are the natural host of the SARS virus, but this is wrong. Because of civet cats in the wild and in the breeding grounds of civet cats do not have the virus, civet cats to the wildlife markets, there is the SARS coronavirus, which civets were infected by the other animals in the wildlife markets.

 Of human infection with the SARS epidemic in Shunde, Guangdong, China, in November 2002 the first outbreak, but it was the mainland authorities to conceal the epidemic from spreading to neighboring Hong Kong, Taiwan and Singapore, and then spread to Canada, Europe and other places, according to the World Health Organization (WHO) 2003 figures released by the global total of 8069 people infected, 775 people died. 
Mainland the Guangdong SARS prevention, scientific and technological group of experts in studying how SARS is transmitted to humans that Cantonese addicted to food game Cantonese table dishes of civet cats, and generally become the main carrier of the SARS coronavirus, and thus identified the SARS virus may Guangdong farmers breeding of civet cats and cause human disease.

http://www.cna.com.tw/News/aCN/201304010150-1.aspx

China Bird Flu 2

http://www.youtube.com/watch?v=t9cQXbDSoRo&feature=youtu.be&a

H7N9 avian flu more virulent and more deadly

2013-04-01
Shanghai is the world's first human cases confirmed to have been infected with the H7N9 avian flu deaths sounded from all walks of life and epidemic prevention alarm appears. A number of infectious diseases in Hong Kong and microbiological experts believe that the cases are unusual, based on observation, viruses are highly pathogenic, does not rule out the virus gene shuffling. World Health Organization yesterday, there is no evidence of human-to-human transmission of the virus will spread efficiency does not seem high, is closely monitoring the situation. Hong Kong Centre for Health Protection yesterday means by developm..  http://paper.wenweipo.com/2013/04/01/CH1304010006.htm

Thailand-Alert for H7N9 birdflu virus after deaths in China

April 1, 2013 4:30 pm

The Public Health Department has set up nationwide surveillance for H7N9 bird-flu virus after three people in China were infected and two of them died.

The system includes a lab test for confirmation, Surveillance Rapid Response Teams (SRRTs) and a check at hospitals around the country for patients with symptoms similar to severe pneumonia and flu, Public Health Minister Pradit Sinthawanarong said Monday. 

So... http://www.nationmultimedia.com/breakingnews/Alert-for-H7N9-birdflu-virus-after-deaths-in-China-30203140.html

Suspect Shanghai H7N9 Familial Cluster

Recombinomics Commentary 03:00
April 1, 2013

The 87-year-old's two sons have gone to hospital with similar symptoms. 
According to Shanghai No. 5 People's Hospital, the three members of the Li family were admitted between February 14 and 24 for symptoms including a high fever and coughing. All three were diagnosed as having pneumonia. The 69-year-old son recovered and was discharged but the 55-year-old died from severe pneumonia and respiratory failure in late February. The father died of multi-organ failure.

The above comments describe family members of the first confirmed case (87M, A/Shanghai/1/2012) who developed pneumonia.  The confirmed case, as well as one of his sons, died.  The cluster raises concerns that H7N9 is transmitting human to human (H2H) which is not being identified with current testing procedures.  It is likely that all three were H7N9 infected.  The sequence for A/Shanghai/1/2013 was more diverse than A/Shanghai/2/2013 and Anhui/1/2013, but all three had PB2 E627K as well as the 15 BP deletion in N9, signaling human adaptation.

Disease onset dates for the sons would be useful.  H7 has also been identified in horses, supporting mammalian transmission, and other human cases have been associated with symptomatic contacts.  Serological studies had also signaled human transmission, although prior clusters have been mild.  The only prior fatal H7 case (H7N7 in Netherlands in in 2003) had PB2 E627K, which was present in all three 2013 confirmed H7N9 cases, which were severe or fatal.

Chinese avian flu deaths in the South Korean government to increase inspection efforts

According to Yonhap April 1 news, South Korean Agriculture and Forestry Livestock Food Ministry on the 1st said, recently China has three people infected with H7N9 avian flu virus, two of whom died, on this South Korean government will strengthen inspection and quarantine work.

Reported that Prior H7N9 avian flu found in birds between human infection of H7N9 avian influenza is the first time. So far, the cause of human infection and lethal avian influenza H5N1 virus.

The South Korean government decided to strengthen the occurrence of cases of livestock diseases tourists inspection visit and tourists to visit these countries try to avoid visiting livestock farms, livestock farmers will have to do the prevention work and limit external persons or vehicles entering and leaving. Korea Agro Food Ministry official asked, if the cattle suspected to be infected with avian flu, should immediately reporting to the relevant livestock epidemic prevention institutions.

Questions in China on how H7N9 flu strain killed 2

Apr. 1, 2013 7:34 AM ET

BEIJING (AP) — Health officials say they still don't understand how a lesser-known bird flu virus was able to kill two men and seriously sicken a woman in China, but that it's unlikely that it can spread easily among humans.

Two men in Shanghai became the first known human fatalities from the H7N9 bird flu virus after contracting it in February. A woman in the eastern city of Chuzhou remains in serious condition, China's National Health and Family Planning Commission said.

It was unclear how the three patients became infected, the health agency said. It sought to calm fears about the virus but provided few details about each case. Authorities have not described the patients' occupations or said whether they had come into contact with birds or other animals.

The health authority noted, however, that two sons of one of the Shanghai men also suffered from acute pneumonia, and the source of their infection is still unknown. The Chinese health agency said other people who were in close contact with the victims have not become sick, indicating that the virus is not easily transmitted between humans.

"We don't know yet the causes of illness in the two sons, but naturally, if three people in one family acquire severe pneumonia in a short period of time, it raises a lot of concern," the World Health Organization's China representative, Michael O'Leary, said at a briefing in Beijing late Monday.

Other strains of the H7 family of bird flu viruses have caused mostly mild human infections in the past, said University of Hong Kong microbiologist Malik Peiris, with cases reported in the Netherlands, Canada, the U.S. and Britain — mostly following outbreaks in poultry.

Experts say the deaths in China might indicate that the H7N9 strain has morphed to become more lethal to humans, although it's not possible to make any conclusions yet about its mortality rate because many mild cases may go undetected. A thorough tracing of the virus is critical.

"I would guess that given the severity of the human disease it is likely that these particular viruses have undergone the change to become highly pathogenic but obviously that remains to be ascertained," Peiris said. "The crucial question is the source of this virus, where is it."

Scientists have long feared that another bird flu strain, H5N1, might mutate to spread more easily. But while it has decimated poultry stocks mostly in Southeast Asia, it has only occasionally sickened people — mostly after close contact with infected poultry. It can be deadly when it does infect humans, though, killing about 60 percent of the time.

"At the moment, there has been not much evidence of human-to-human transmission (of H7N9) so to that extent it is similar to the H5N1 situation, but it is early days and so there's a lot more to be understood," Peiris said.

More than 16,000 pig carcasses were fished out of the river system that supplies some of Shanghai's water supply in March, apparently dumped by farmers after they were sickened, and some observers have wondered whether there might be a link between the sickened pigs and the bird flu deaths.

However, O'Leary said the H7N9 infections pointed to an avian flu, not a pig disease, so he said he thought the timing of the pig deaths was coincidental. But he said that epidemiologists were looking at any possible avenue of infection.

Scientists classify flus based on the proteins on the surface of the virus: There are 17 varieties of hemagluttinin, the H in a flu's name, and 10 varieties of neuraminidase, the N component. Any combination of those Hs and Ns could crop up and potentially mutate into a form that's spread easily from person to person, making it dangerous enough to produce a pandemic.

Health authorities are monitoring 88 people who came into contact with the H7N9 patients and have not found any additional infections so far, China's health agency said. Experts say that indicates that the chance of human-to-human transmission is low.

"It is very unlikely, because the virus has to break the species barrier and this is usually quite a difficult event. There has to be a lot of significant mutation," said David Hui, an infectious disease expert at the Chinese University of Hong Kong.

Many epidemiologists regard densely populated parts of China and Southeast Asia, where farmers often live in close quarters with pigs and poultry, as regions where conditions are ideal for nurturing infectious diseases that jump from animals to humans. An earlier deadly outbreak of SARS, or severe acute respiratory syndrome, was linked to wild animals that infected animals, which in turn infected people in that region.

One of the male victims of H7N9, who was 87, became ill on Feb. 19 and died on Feb 27. The other man, 27, became ill on Feb. 27 and died on March 4, the Chinese health commission said. A 35-year-old woman in the Anhui city of Chuzhou became ill on March 9.

Timothy O'Leary, the World Health Organization's regional spokesman in Manila, said the risk to public health appears low because there is no evidence of human-to-human transmission, but that WHO is closely monitoring the situation.

"Obviously we're very concerned about the evidence that humans have not only become infected with H7N9, but also have died as a result of it," O'Leary said. "So we're taking it seriously." http://hosted2.ap.org/APDEFAULT/bbd825583c8542898e6fa7d440b9febc/Article_2013-04-01-China-Bird%20Flu/id-415cf6848dfc40679168f4c88c41baf3

Shanghai Municipal Health Bureau to inform the media last night: the morning of March 30, the experts of the National Health and Family Planning Commission, Shanghai, Anhui, eight cases of unexplained pneumonia cases discussed diagnosed, Shanghai and Anhui Province found three cases of human infection with the H7N9 avian influenza. Medical observation, it is learned, the influenza virus subtype previously in Europe, the Americas and Asia, Mongolia, South Korea in birds, which is at home and abroad for the first time found that human infections.

    Medical observation, so far, all close contacts of the cases were not found similar symptoms and morbidity. This year the city of influenza, pneumonia, the overall incidence of stable and no significant increase compared with the same period in the last three years the incidence signs. The city health department has to further strengthen the monitoring of respiratory infectious diseases prevention and control.

The Minhang and his son has the incidence of death

    February 19, February 27, Lee, Wu, Minhang a father and son in the city among the two patients, respectively, due to the occurrence of symptoms such as fever, cough treatment in the Fifth People's Hospital of Shanghai. Among them, 87-year-old father and 27-year-old son was diagnosed with severe pneumonia, respectively, on March 4, after she died on March 10. Dead early onset of both influenza-like symptoms, a week after symptoms develop into pneumonia and was progressively increased, two patients had chronic underlying disease history. Lee before the onset of his two sons are also due to similar symptoms to the hospital for treatment, the eldest son was diagnosed with a lung infection, pneumonia, has been cured; youngest son was diagnosed with severe pneumonia after she died.

    In the early morning of February 26, Minhang District Health Bureau then City Hospital reported a 3 District Disease Prevention and Control Center after the pneumonia admission "news, immediately organized to carry out epidemiological investigation, laboratory testing and expert consultation, to carry out the treatment job. Municipal Health Bureau immediately organized the Municipal Center for Disease Control and Minhang District Health Bureau and other units rushed to the City Hospital to conduct on-site investigations, rule out infectious atypical pneumonia, avian influenza H5N1 and novel coronavirus might.

    Since mid-February to 5 March, City Hospital has public health to the City Center and the City of clinical disease prevention and control center for inspection seven cases of pneumonia cases (including the family of three cases) specimens. Have seven cases of pneumonia cases early onset of flu-like symptoms, including six cases of severe cases a week after the onset of symptoms develop pneumonia and was progressively increased, five cases of rapid development of acute respiratory distress syndrome (ARDS) and respiratory failure and death. deaths have chronic underlying disease history of alcoholism, smoking and other unhealthy habits, in some cases. The remaining 2 cases were discharged.

    Hospital has public health to the City Center and the City of clinical disease prevention and control center for inspection Lee Wu from patients, the Municipal Public Health Clinical Center for Disease Prevention and Control Center in a timely manner to carry out the relevant laboratory screening, has ruled out infection seasonal flu, H1N1, people infected with the highly pathogenic avian influenza (H5N1) and SARS, novel coronavirus might further testing, found that patients may be infected can not be sub-type of influenza virus. According to City Public Health Center and the City CDC test results in censorship cases samples detected five cases of suspected influenza virus H7 gene fragment. After the China Disease Prevention and Control Center further testing to confirm the two deaths have been diagnosed as infected with influenza A H7N9 avian influenza virus, the remaining five cases diagnosed and troubleshoot the need for further support of the pathogen detection.

The city closely monitoring respiratory infectious diseases

    It is understood that since the beginning of this year, the city of influenza, pneumonia incidence is generally stable, compared with the same period in the last three years, the incidence was no significant increase. The health sector has been further strengthened monitoring prevention and control of infectious diseases of the respiratory tract.

Continental avian flu strengthen quarantine mini three links

 cases of H7N9 avian influenza in mainland China CDC Golden Gate offices of the Department of Health to strengthen the mini three links, inbound travelers fever checks, but also to strengthen the departing passengers propaganda. Mini three links pier-head pier infrared temperature monitor immigration usually start, and body temperature of inbound travelers, such as an alert tone more than the normal body temperature, Golden Gate offices quarantine officers asked the mainland has contact with birds, mosquitoes bites;, if any send DOH Kinmen Hospital to take specimens for examination;, notify local health bureaus track travelers domicile of seven days, no abnormal as set forth.
 Famous morning immigrants mainland Zhangzhou the Taiwan businessmen temperature Celsius 38.3 degrees by the CDC of Kinmen offices quarantine officers stopped seized; Taiwan businessmen in mainland China Zhangzhou, Xiamen during no contact with birds or mosquitoes bites, body temperature may be caused due to diarrhea rise. CDC Kinmen Office release and notify the the Taiwan businessmen domicile Health Bureau column tube 7 days. 

Golden Gate offices erection of signage at the exit boarding, the Director Wang Heshun with quarantine officers also distributed flyers to departing passengers to remind travelers to the mainland to pay attention to health, do not touch the birds; return, such as fever or influenza-like symptoms, should be informed airline personnel, airport and port quarantine officers; After returning to China, such as fever or influenza-like symptoms should wear a mask to quickly seek medical treatment, and told the doctor that travel history, so that physicians provide appropriate diagnosis and treatment. 

Ministry of Foreign Affairs refers to the preventive measures, according to the H7N9 outbreak

[16:10] 2013/04/01 for a reporter asked about the H7N9 avian flu death cases recently found in Shanghai, why the lapse of one month before published. Foreign Ministry spokesman Hong Lei said at a press conference to respond today, the National Health and Family Planning Commission will pay close attention to the epidemic progress and the epidemic situation of the epidemic to take effective measures to protect public health.

Hong Kong issues warning on new bird flu strain

HONG KONG: The Hong Kong government is stepping up inspection at border checkpoints, as news of at least two deaths from a new strain of avian flu in mainland China reverberates in the city.

Health Secretary Ko Wing Man on Monday issued warnings about H7N9, saying he is concerned that the virus had mutated and could be spread between humans.He also said that he is seeking more information from mainland health authorities about the strain which has been found in humans for the first time.

The Chinese government said over the weekend that two men, one aged 87 and the other 27, had died in Shanghai after being infected with H7N9. A 35-year-old woman in the eastern province of Anhui, near Shanghui, is in critical condition.

Bird flu strain 'may have mutated'

01-04-2013

Health Secretary Ko Wing-man. File photo. The Secretary for Health, Ko Wing-man, has said he is seeking more information from mainland health authorities about a deadly strain of avian flu that has been found in humans for the first time.This follows the deaths of at least two people in Shanghai after they contracted the H7N9 bird flu virus. Dr Ko said he was concerned about whether the virus had mutated and could be spread between people. The Centre for Health Protection said it was stepping up surveillance for suspected cases. The former health chief, York Chow, warned it was very likely that the virus had mutated, as H7 itself is a low pathogenic form. He said the government must not take the matter lightly because of the high fatality rate.

Shanghai infected with the H7N9 avian influenza family of the deceased had similar symptoms

87-year-old Lee and his two sons, in mid-February, has similar symptoms such as fever, cough, and was sent to Shanghai Fifth People's Hospital of Respiratory Medicine diagnosis and treatment.

Mr Lee, father and 55-year-old son was diagnosed with severe pneumonia, after she died, the 69-year-old son for a lung infection, has been cured. Father surnamed Li was diagnosed with the H7N9 avian influenza virus infection, and his two sons have not yet detected the H7N9 avian flu. For a family of three similar symptoms before whether contact with poultry, the hospital said hospital fever has set a special pre-screening at patients with symptoms associated with respiratory tract infection and fever, epidemiological history questionnaire will focus on and fill .

Was reported that another 27-year-old H7N9 avian flu patients pork vendors Nanjing involved in the consultation Anhui H7N9 avian flu patients, public health experts Lu Hongzhou this station, Anhui patients Mr. Han has contact with birds and pigs, there had been a history of exposure to poultry and pigs,

For this contact with people infected with the association between the avian flu, and swine may carry the H7N9 avian flu virus, the deputy director of the Shanghai Public Health Clinical Center Lu Hongzhou being investigated.

The world's first human-to-human transmission of H7N9 avian flu in Anhui dead a crisis now

First identified human infection with the H7N9 avian flu cases in the world .National Health and Family Planning Commission informed yesterday (March 31), Shanghai City and Anhui Province, found three cases of human infection with the H7N9 avian flu cases. Two patients died, Anhui Ji patients in critical condition, Nanjing stay in the hospital for rescue. But informed sources, the TheShanghai total of four patients died, including a father and son from the same family. The experts pointed out that there is no targeted vaccine, no obvious indication that the virus with human-to-human transmission capacity.

Hong Kong Wen Wei Po reported, a notification from the National Health Committee, said Shanghai Municipal patients Lee, 87 years old, 19 February onset actively rescue died March 4. Patients Wu, Shanghai City, 27 years old, the incidence February 27, to actively rescue died on March 10. Patients Chuzhou City, Anhui Province, Mr. Han, female, 35 years old, March 9 incidence is currently in critical condition, Nanjing, Jiangsu active treatment. It is reported that the three cases the clinical manifestations are the early symptoms of respiratory tract infection such as fever, cough, and then developed severe pneumonia and breathing difficulties.

Informed sources, So far, Shanghai has a total of 4 patients with similar symptoms to death, four dead were in the period from February to March this year, admitted in Minhang District of Shanghai, Shanghai Fifth People's Hospital.The hospital internal sources, before and after the Lunar New Year, one surnamed Li patients to the hospital, since there are two named Li patients to see a doctor, the three patient relationship as father and son, respectively a doctor's time apart from each other two or three days. 3 among the oldest 87-year-old (communications consistent with the National Health Committee), the other two are 69 years old and 55 years old. Since then, the hospital has admitted another 27-year-old Wu, patients (in line with the National Health Committee communications), but not a kinship with the foregoing surnamed Li.

Allegedly, several patients initially are fever, cough, but her condition all the way to nosedive until the final due to severe pneumonia, respiratory failure and death. The basis of this one surnamed Li family of three all sick to death of this argument is different from the official statement yesterday.

During the several patients sick, the hospital and the Health Bureau, the CDC and other organizations the many consultation, but the test results are not pointing to a known infectious diseases. For insurance purposes, the hospital-level measures to deal with SARS "(SARS), and isolated these several patients in the hospital, the medical staff of all incoming and outgoing, are armed to prevent infection. That time, the hospital is up and down, the atmosphere was very tense.

The aforementioned hospital internal sources, these four patients are ordinaryShanghai locals, surnamed Li, a family of three, has retired. As for the patients with the death of a 27-year-old Wu, rumored career pork street vendors.

National Health Commission means belonging to the avian influenza virus , theH7N9 influenza virus infection from the virus biology, three cases of patients diagnosed with the specific source of the infection is not clear, but so far, the epidemic was not found between the three cases Diseases associated. In addition, 3 cases of 88 close contacts were not unusual. Currently, the Group has been rushed to a local guide emergency response work, Shanghai , Anhui , Jiangsu provincial and municipal health departments to track patients and close contacts and medical observation.

The experts pointed out that the H7N9 subtype of avian influenza virus previously only found in poultry between never found human cases, the people infected with the H7N9 avian influenza virus, is the world's first discovery of a new subtype of influenza virus. No targeted vaccine.

It is reported that the situation of the above cases timely notification to the World Health Organization, Hong Kong, Macao and Taiwan regions and countries concerned.
 http://www.cnyes.com/life/Content/20130401/KH77KRUEUUQY.shtml

Land H7N9 avian flu alert

2013/04/01 07:16:00
(Central News Agency reporter Chen Qingfang Taipei on the 31st) three cases of H7N9 avian influenza in mainland China resulted in 2 dead.New subtype of influenza A virus, the Department of Health to improve airports, ports and quarantine notice of the medical community to pay attention to the unknown cases of pneumonia. Xinhua reported today, the the mainland National Health and Family Planning Commission confirmed, Shanghai and Anhui 3 infected with H7N9 avian flu cases were found, two of whom were killed in early March. This is the world for the first time found a new subtype of influenza A virus. Disease Control, Department of Health 7 o'clock in the evening, mainland China CDC received notice of the H7N9 avian flu cases, the CDC and the notice explained previously twice but did not get in touch. The CDC has already replied to but have not yet obtained a further message, hope the mainland authorities to inform the latest news as soon as possible. CDC director Jih-Haw Chou said, has released the medical community to Circular Note unidentified cases of pneumonia, pneumonia cluster, health care workers infected with unexplained pneumonia and other events, strengthening infection control. Airport harbors another pay attention to the health status of Hong Kong and Macao mainland travelers, to strengthen the fever screening, to questioning patients travel history, please fever patients leave contact information CDC message display, mainland China 3 infected with H7N9 avian influenza virus, Shanghai, a 87-year-old and 27-year-old male patient, on February 19 and February 27 respectively the disease, died on March 4 and March 10; Chuzhou City, Anhui Province, and another 1, 35-year-old female, March 9 day incidence, critically ill. Jih-Haw Chou said, to mainland China CDC H7N9 avian influenza virus isolated from specimen cases on March 29. The three cases have symptoms of fever, cough and other respiratory tract infections, and thus appear to severe pneumonia and breathing difficulties. 3 of the world is not found epidemiological association, only knew one of whom had contact with birds. In addition, a case home relatives also unknown pneumonia death, the cause until the investigation is.  http://www.cna.com.tw/News/FirstNews/201304010003-1.aspx

Notification of three human cases of H7N9 in Shanghai and Anhui

     The Centre for Health Protection (CHP) of the Department of Health received notification from the National Health and Family Planning Commission (the Commission) today (March 31) concerning three confirmed human cases of influenza A (H7N9).

     A CHP spokesman said the two cases in Shanghai were two men aged 87 and 27, who passed away on March 4 and 10 respectively. As regards the case in Anhui, the 35-year-old female patient is now in critical condition.

     Laboratory tests on the three patients' specimens by the Mainland health authorities yielded a positive result for H7N9.

     According to the Commission, the 27-year-old man was a butcher while the 35-year-old woman had exposure history to poultry before the onset of symptoms. No epidemiological link between the three cases was identified. So far, no abnormality was detected among the 88 close contacts of three cases.

     The spokesman said that influenza A (H7) is a statutorily notifiable infectious disease in Hong Kong. The CHP is maintaining close liaison with the Mainland health authorities to obtain more information on the cases.

     "We will heighten our vigilance and continue to maintain stringent port health measures in connection with this development," the spokesman said.

     The spokesman reminded members of the public to remain vigilant against avian influenza infection and to observe the following measures:

* Avoid direct contact with poultry and birds or their droppings; if contacts have been made, they should wash hands thoroughly with soap and water;
* Poultry and eggs should be thoroughly cooked before eating;
* Wash hands frequently;
* Cover nose and mouth while sneezing or coughing, hold the spit with tissue and put it into covered dustbins;
* Avoid crowded places and contact with sick people with fever;
* Wear a mask when you have respiratory symptoms or need to take care of patients with fever; and
* When you have fever and influenza-like illnesses during a trip or when coming back to Hong Kong, you should consult doctors promptly and reveal your travel history.

     For further information on avian influenza, please visit the CHP's website (www.chp.gov.hk).

Ends/Sunday, March 31, 2013
Issued at HKT 13:47

In accordance with the law reasonably Yes, but this may not dispel the concerns of the public. Health and Family Planning Commission to answer his own question, it is aware of public concerns where possible. Shanghai's first case is the onset of February 19, after she died on March 4; another example of incidence on February 27, March 10 death. As long as 42 days from the onset to the announcement, a gap of 27 days from the first deaths to the announcement, people's concerns: the epidemic to the public why not a little earlier?
http://news.163.com/13/0401/03/8RBJ1F5Q00014AED.html