The Chuzhou found case of human infection of H7N9 avian influenza

Date :2013 -04-02

January 31 State of Health and Family Planning Commission informed Chuzhou found a case of human infection of H7N9 avian influenza.

Patients Mr. Han, female, 35 years old, Chuzhou South Qiao area.Patients in 3 months 15 days, fever symptoms, the treatment has its living community health service centers, individual clinics, City of Integrative Medicine Hospital and City First People's Hospital.January 20, 2011 0:00 due to severe pneumonia transferred to the intensive care unit of the First People's Hospital of Chuzhou City. SickerTransferred to a hospital in Nanjing, on the afternoon ofJanuary 20, 2011, is still in the intensive care unit.

January 20, 2011, the City CDC received City First People's Hospital report immediately reported to the Municipal Health Bureau, the Municipal Health Bureau attaches great importance to the principal leaders in charge of the leadership to make arrangements immediately require City CDC health Ministry the unexplained pneumonia monitoring program requirements, epidemiological investigation and laboratory testing of cases quickly. After testing, the results of patient throat swab specimens for influenza Apositive.January 22 specimens were sent to the Anhui Province CDC testing, consistent test results. The specimens were subsequently sent to the national CDC genotyping.

Municipal government received the report of the Municipal Health Bureau, the main person in charge attaches great importance to, and made ​​important instructions, the main city leaders and the leaders in charge heard a work report, held an emergency meeting on January 26 , the study measures deployment of prevention and control work. City CDC to further strengthen the flow reconcile the prevention and control of the investigation a total of 26 close contacts, its medical observation; collection of family members of patients, and nearly 150 were detected in close contact and environmental specimens; municipal medical institutions to strengthen influenza active monitoring and implementation of the daily system; monitoring of the patient's residence neighboring farms, poultry wholesale market, poultry backyard farmers in the agricultural sector, not detected H7subtypes of influenza -like illness and severe pneumonia .

3 months 30 days, the National Health and Family Planning Commission expert group according to clinical manifestations, epidemiological investigation and laboratory test results confirmed human cases of infection with the H7N9 avian flu, 31 at noon informed. The municipal government again in the afternoon to hold an emergency meeting, the prevention and control work on the next phase of deployment:

 First, the establishment of the Coordination Leading Group on the prevention and control work. The mayor headed, deputy head of the vice mayor, public health, agriculture, publicity departments responsible for human members, consists of health, agriculture, publicity three working groups, a clear mandate, co-ordination, the negative of its responsibility. The second is to continue to do a good job of tracking investigation work. Continue its close contacts followed up for full 10 days) ( 26 close contacts under medical observation ;

 2 , good traceability of the source of infection;

 3 , good human influenza (focus on A -type flu) and severe pneumonia active monitoring; 

4 , good monitoring of poultry, livestock epidemics. Convene a working daily briefing, informed, and look for a solution. Is the best treatment of patients. Zhongda Hospital, Southeast University, and their family members of patients at any time, to keep abreast of patient treatment, provide the necessary humane care. The patients Mr. Han is still in the intensive care unit treatment, the National Health Planning Commission has three experts from the scene to guide therapy. 

Fourth, actively carry out prevention and control work. To strengthen the monitoring of influenza, unexplained pneumonia and other respiratory diseases, the implementation of the "zero report" system, determine the First Municipal People's Hospital, is admitted to the hospital, a city hospital medical staff, equipment and medicines ready to make the necessary work to do good infection control. Five good health education and advocacy work. Unified arrangements, according to the National Health Planning Commission to carry out public control propaganda, to the community and timely information about the prevention and treatment progress.

Currently, the flu epidemic is stable, not found in the related cases of severe pneumonia, not found in close contact with flu-like symptoms, livestock epidemics. National Health Planning Commission, experts believe, according to who is in close contact with medical observation, not suggesting that the virus has the ability of strong interpersonal transmission.http://www.chuzhou.gov.cn/art/2013/4/2/art_148_82439.html

Chuzhou 26 close contacts were not found in the flu-like symptoms

On March 31, the National Health and Family Planning Commission informed Chuzhou found a case of human infection of H7N9 avian influenza. Reporter learned that, on April 1 Chuzhou previously collected family members of patients, nearly 150 were detected close contacts and environmental specimens, including 26 close contacts under medical observation for 10 full days, were not found in the flu-like symptoms. The city now smooth influenza epidemic, found no new severe pneumonia cases. Only one patient still the Nanjing hospital where the condition is more critical.

Patients with Mr. Han, female, 35 years old, Chuzhou South Qiao District, symptoms of fever on March 15, the doctor has to its the living community health service center, two private clinics, City Hospital and the First Municipal People Integrative hospital. Transferred to the First Municipal People's Hospital intensive care unit at 0 o'clock on March 20th. Go to a hospital in Nanjing in the afternoon treatment.

Chuzhou CDC received City Hospital report in the morning of March 20, immediately carry out epidemic prevention and control. The sample patient throat swab specimens results for influenza A positive. Sent to the provincial CDC and the national CDC testing concluded human infection of H7N9 avian influenza confirmed cases.

Chuzhou municipal government emergency deployment of prevention and control. Chuzhou municipal medical institutions strengthen active surveillance of influenza-like illness and severe pneumonia, and daily system; monitoring of the patient's residence neighboring farms, poultry wholesale market, poultry backyard farmers in the agricultural sector, not detected H7 Asia influenzae type.  http://news.luaninfo.com/ahxw/2013/04/02/092752427266.html

The possibility of avian-human transmission is high"

"

　　Zhang Fengyi stressed not yet found of human infection with H7N9, and the border, the hospital has been full alert, "avian flu epidemic prevention staff nervous, like, people do not have to panic." CDC director Jih-Haw Chou said yesterday airports, ports intercept 23 fever passengers to return to Taiwan from China, Hong Kong, Macau, asking no birds history of exposure to avian flu initially ruled dye without hospital inspection.

　　Domestic experts are more cautious about the epidemic. National Taiwan University Hospital, director of infection in children, Li-Min Huang said, China on 3 patients with full-stained Hu severe respiratory tract judgments Shanghai, Anhui, there are quite a number of birds, animals with H7N9 virus, avian descendant of a high probability. Ih-Jen Su, director of the National Institutes of Health, Infectious Diseases and Vaccine Institute, believes that the analysis of 3 people associate and communicate location, the epidemic fear has spread, does not rule out limited human-human transmission.

　　Do not to   http://www.aboluowang.com/2013/0402/295803.html?utm_source=dlvr.it&utm_medium=twitter

Anhui H7N9 avian flu before the onset of the farmers market to buy chicken

Anhui H7N9 avian flu before the onset of the farmers market to buy chicken
2013-04-02 09:15
People infected with h7n9 avian influenza has diagnosed cases, 87-year-old Lee and 27-year-old Wu by actively died in Nanjing, Jiangsu, Anhui, Mr. Han treatment.
The reporters visited three of the patient's disease process and more details. Lee, 87-year-old did not come into contact with poultry, and also do not have to go out history.27-year-old Wu in the vegetable market sales of pork, no contact with poultry. Mr. Han had bought a chicken at the farmers market the week before onset.
http://www.qzwb.com/gb/content/2013-04/02/content_4358724.htm

WHO: do not rule out the H7N9 avian influenza pathogen from pigs and other animals

..World Health Organization

　　Does not rule out the source of the disease from pigs and other animals

　　Last night, the World Health Organization representative in China Blue Ruiming (TimothyO'Leary) Dr. released in Beijing, the H7N9 avian flu, said WHO will provide all possible help. Earlier, there were reports that a 27-year-old patients who died during his lifetime for pork traders Blue Ruiming in an interview, said that does not rule out the source of the disease from pigs and other animals.

　　Blue Ruiming said that, so far as is known to the WHO, 3 patients during no association, "For their study and treatment are carried out separately, laboratory studies need to be very careful, three cases related to whether the patient there is no conclusion. "

　　Shanghai, a death in patients pork traders, usually far more than normal contact with the pork. Also reported that the experts involved in the consultation Anhui H7N9 avian influenza patients in Nanjing, Anhui patients Mr. Han has come into contact with poultry and swine. When asked about the H7N9 qualified may contact the non-inspection and quarantine dead pig, Blue Core said, according to past experience, most of the source of the disease from birds poultry, but do not rule out the pigs and other animals may be related to.

　　Shanghai case worthy of study, but there is no evidence directly demonstrated. "Blue Core confessed, ongoing research, including the investigation of patients who had contact, which animals to investigate all the possible source of the disease...

http://news.cjn.cn/gnxw/201304/t2242952.htm

New Shanghai a butcher died of avian flu experts recommended laboratory dead pig

a butcher died of the new avian flu experts recommend tests dead pig ]

600,450

　　According to the news website for the National Health and Family Planning Commission, the National Health and Family Planning Commission, Bulletin, March 31, Shanghai and Anhui Province, found three cases of human infection with the H7N9 avian influenza. It is understood that the people infected with the H7N9 bird flu virus, is the world's first discovery of a new subtype of influenza A virus, have not been included in our statutory report infectious disease monitoring and reporting system.

　　According to reports, the Shanghai patients Lee, male, 87 years old, the onset of February 19, to actively rescue died on 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.

　　Up to now, 88 close contacts of the three cases were not unusual. According to experts, according to who is in close contact with medical observation, is not suggesting that the virus has a strong human-to-human transmission.

　　The experts are to further determine the virulence of the virus, and interpersonal communication ability, home and abroad there is no vaccine against the H7N9 avian influenza virus.

　　Local concern

　　Kunming hospital has not yet received such patients

　　An outpatient clinic, a doctor of the Second People's Hospital of Yunnan Province, told reporters, the recent Kunming weather is relatively dry, coupled with changeable weather in the past two days in Kunming, patients with an increase of the cold, but few in number."Mainly because of the weather cold." First Affiliated Hospital of Kunming Medical outpatient clinic doctor on duty said that the hospital does not have received because of the avian flu illness from a doctor's patients, the majority of patients are generally cold symptoms. He suggested that acute respiratory tract infection symptoms such as fever, cough, fever, difficulty breathing, should seek immediate medical attention.

　　Experts suggest

　　Exists avian flu virus the dead pigs sample tests should be collected Huangpu River

　　University of Hong Kong, Director of the Centre for Infectious Disease Ho Pak-leung, The past human infection with avian influenza type Mainland, mainly belonging to the H5 category. "This is transmitted to humans are special varieties of avian flu virus is likely to show epidemiological changes have occurred in the relevant areas."

　　As to whether Shanghai Huangpu River appears to a large number of dead pigs, Ho Pak-leung said there is not enough evidence base comment whether the two, but in view of the 27-year-old dead man was a pork traders, the relevant mainland authorities need collecting dead pig samples, testing whether the presence of the avian flu virus.

http://news.sohu.com/20130401/n371376475.shtml

Bird Flu Deaths Spark Cover-up Fears

File photo of a child looking at a chicken in a fowl market in Nanjing, east of China's Jiangsu province.

EyePress News

T

2013-04-01\

Two men in Shanghai were confirmed to have died from a new strain of bird flu, official media reported on Monday, prompting fears that Chinese health authorities were trying to play down a public health threat.

The two men died from the H7N9 avian influenza strain in early March, while a woman in Nanjing remains in critical condition, but Beijing waited nearly three weeks before making an announcement.

One of the men was 87 years old, and died on March 4 after being taken ill on Feb. 19, while the second died on March 10 after becoming ill on Feb. 27, the official China Daily newspaper quoted health officials as saying.

The Geneva-based World Health Organization (WHO) said it was monitoring the situation.

"There is apparently no evidence of human-to-human transmission, and transmission of the virus appears to be inefficient, therefore the risk to public health would appear to be low," regional agency spokesman Timothy O'Leary told reporters.

Experts are still unsure of how the three people contracted the virus, although officials don't believe they caught it from each other.

An employee who answered the phone at the Shanghai No. 5 People's Hospital declined to comment on the cases, as did an official in the press office of the health and family planning ministry.

"You can keep looking at our official website," she said. "Right now we don't have any relevant information to announce."

'No common source of infection'

Hong Kong's secretary for food and health, Ko Wing Man, said the Special Administrative Region (SAR) government had already been officially informed of the new bird flu cases.

"So far, there is no common source of infection for these three cases," Ko said. "It could be pigs, but it could also be poultry."

"It seems that there wasn't a single source of infection, which is worrying and a cause for concern," he said.

Meanwhile, Hong Kong University infectious disease expert P.L. Ho said it was unusual for a virus without the H5 prefix to infect humans.

"These are special circumstances, in which the virus has not only infected humans, but has resulted in fatalities," Ho said.

"From a virological point of view, there is a possibility that the virus will mutate further," he said.

The news prompted concerns among residents of Shanghai, who are still reeling after tens of thousands of dead pigs were pulled out of a river that supplies their drinking water.

"Now, everyone is joking around that when you go out to eat, you can't eat poultry now, either," said a resident surnamed Yao. "We also had the dead pigs in the Huangpu river, and now they're saying that some of the diseased pigs were used to make steamed rice parcels."

The Hong Kong Oriental Daily News ran an editorial on Monday calling on Chinese health officials to provide people with timely and accurate information on the disease.

"The authorities waited more than 20 days before they announced this," the paper said. "It makes you wonder whether it was because they were holding the parliamentary sessions in Beijing at that time, and they wanted to cover up the truth at that time."

Announcement delayed?

Guangzhou-based rights lawyer Tang Jingling said the authorities had probably delayed the announcement out of concerns over social stability.

"The main reason is the 'stability maintenance' thinking of the authorities," Tang said. "They figure that if they announce it, the job of maintaining social stability will get a lot harder."

"Staying in power matters more to the [ruling] Chinese Communist Party than the safety of its people or their property," he said. "A lot of the information they do put out has been toned down; so they might for example cut the number of people infected and the true geographical extent of the infections."

"I don't think they would be open about these things."

Chinese public health procedures have come under intense scrutiny and suspicion since an official attempt to cover up the extent of the SARS epidemic of 2003 was exposed by a military doctor in Beijing.

The doctor was detained for several months in 2004 at an undisclosed location, while editors at a newspaper in the southern province of Guangdong that broke news about the deadly SARS virus were also harassed and detained. http://www.rfa.org/english/news/china/flu-04012013143236.html

Experts warn bird flu likely to have spread widely

By Joy Lee ,The China Post
April 2, 2013, 12:16
TAIPEI, Taiwan -- Health experts said yesterday that the H7N9 bird flu epidemic might have spread widely, judging from the recent confirmed H7N9 cases from different areas in China.

H7N9, a sub-type that had not previously been transmitted to humans, has killed two people in Shanghai and left a third in a critical condition in the eastern province of Anhui, according to a Chinese government announcement on March 31.

Su Ih-jen (蘇益仁) of the National Health Research Institutes said that the current H7N9 bird flu epidemic is not normal, as the virus has appeared in two different areas at the same time.

“There is no connection between all the reported cases of H7N9 bird flu,” Su said, “which might suggest that the epidemic has spread to many different areas.

“Because the symptoms connected to the first stage of H7N9 are not obvious, it might be hard to prevent the epidemic from spreading to Taiwan,” said Su.

Centers for Disease Control (CDC) Deputy Director-General Chou Chih-hau (周志浩) said health inspection of travelers entering and leaving the country at airports and ports has been enhanced.

“Travelers who have touched birds in China, Hong Kong and Macau and suffer from fever after returning from those areas within 10 days will be sent to hospital for further examinations until it is confirmed that they do not have H7N9 bird flu,” said Chou.

Dr. Huang Li-min (黃立民), chief physician at the National Taiwan University Hospital Department of Pediatric Infectious Diseases, said that judging from the known H7N9 cases, the epidemic has spread to more than one area.

According to the AFP, the World Health Organization (WHO) said in an email statement that there was no evidence of human-to-human transmission in the three reported cases, and that the WHO will continue to monitor the situation.

Publicly Funded Tamiflu Available until End of April

Chang Feng-yih (張峰義), director-general of the CDC, said yesterday that in response to the H7N9 bird flu epidemic, the CDC decided to extend the end date for publicly funded Tamiflu shots to the end of April.

“Even though people do not need to worry too much about the H7N9 bird flu for now,” Chang said, “everyone still has to be careful when being in touch with all kinds of animals, especially birds.”

According to Chang, current stocks of Tamiflu is enough for about 15 percent of the population in Taiwan, so people do not need to worry about running out of Tamiflu stock. 

http://www.chinapost.com.tw/taiwan/national/national-news/2013/04/02/374885/Experts-warn.htm

WHO Says Notified by H7N9 Bird Flu Infections in China

   2013-04-02 02:35:01    Xinhua      Web Editor: Mao Yaqing

China's National Health and Family Planning Commission on Sunday notified the World Health Organization (WHO) of three cases of human infection with H7N9 bird flu in China, the WHO stated Monday. The WHO's statement said that the cases were confirmed on Friday by Chinese Center for Disease Control and Prevention (CDC). Laboratory testing for influenza A (H3N2), A (H1N1) pdm09 and A (H5N1), as well as for novel corona virus were negative. According to WHO, the cases were reported from Shanghai and Anhui province. Respiratory tract infection with progression to severe pneumonia and breathing difficulties has been found in all three cases. Disease onset was between 19 February and 15 March 2013. The two patients in Shanghai did not survive, and the third one from Anhui is currently in critical condition. The WHO said there was so far no epidemiological link between the cases that have been identified. Up till now, no further cases have emerged among the 88 identified contacts under follow-up. The source of infection and the mode of transmission are under investigation. The health organization said the Chinese government was engaged in an active investigation and had instituted enhanced surveillance, laboratory strengthening and training of healthcare professionals for detection, reporting and treatment. WHO said it was in close contact with the national authorities to follow up the event, and updates would be issued as soon as new information becomes available.  http://english.cri.cn/6909/2013/04/02/2702s757214.htm

Land of avian flu in Hong Kong experts: variant is high

Chinese mainland official has announced the world's first discovery of human infection of H7N9 avian influenza three cases, and more than two people were killed, according to the Central News Agency reported, Hong Kong infectious disease experts think this shows a high probability of the mutation of the virus, human cases of infection may also occur in the future. Kong medical experts said Ho Pak-leung, more H5 strain of H7N9 in Asia rare, fatal cases had occurred for the first time now, showing the virus virulent special circumstances, I believe that a high chance of virus variants still need to learn more about the virus gene.

Ho Pak-leung said the avian influenza H5, H7, H9 branch likely descendant. Present, the most important to trace the source of the disease from birds or other animals, and the prevalence of widespread in animals, will have a serious impact.

As to whether this outbreak and the Shanghai Huangpu River, a large number of dead pigs, Ho Pak-leung of the view that there is no sufficient evidence to show that both relations, but a N7N9 cases pork butcher, to appeal to the relevant mainland departments need to collect dead pig samples, laboratory whether the presence of the avian influenza virus. The number of mainland Internet users speak mainland official action shall be taken quickly.

The mainland netizens in the microblogging Post said: "Shanghai drift to the dead pig, the official said that the water is not contaminated, but now some people infected with the H7N9 avian flu, although the earliest onset of the March 4, which also have to let the public doubt. "," Shanghai has confirmed the death case of avian flu patients pork butcher, continues to neglect, the consequences could be disastrous. "

The H7N9 subtype of avian influenza virus is a 135 subtypes of the influenza A virus, not previously found extraordinary infection; Currently, there is no vaccine against the H7N9 avian influenza virus.http://www.epochtimes.com/gb/13/4/1/n3836626.htm

Closely monitor the mainland of confirmed human cases of infection with influenza H7N9 in Hong Kong

　

2013 04 01 20:51The news agency in Hong Kong, April 1 the mainland confirmed human infection with influenza H7N9 cases, CHP spokesman of the Hong Kong SAR Government Department of Health said on the 1st, and will strengthen the monitoring of suspected infection H7 cases.

　　Influenza A (H7) is a Hong Kong statutory notifiable infectious diseases. CHP will the doctor sent a letter informing them of the latest situation, and remind them to report suspected cases. CHP will continue to keep in close contact with the health authorities in the Mainland, and pay close attention to the latest recommendations of the World Health Organization.

　　The day, the Hong Kong SAR Government and the Food and Environmental Hygiene Department spokesman said that the Centre for Food Safety will maintain close liaison with the relevant Mainland authorities to monitor whether there is an unusual situation in the mainland chickens, pigs supplied to Hong Kong farms, and to take appropriate action when necessary to protect public health.

　　CFS spokesman said, all live chickens from the Mainland to Hong Kong, pigs and chilled and frozen poultry meat or meat must come from the inspection and quarantine authorities of the Mainland registration record live livestock farms and poultry meat or meat processing enterprise, accompanied by an animal health certificate issued by the relevant Mainland authorities before they can be imported.

CFS spokesman said that each batch of imported live chickens, the center will conduct random sampling to test for avian flu; imported from the aspects required after ante-mortem and post-mortem inspection and quarantine, which pass the inspection before supply market for public consumption. http://www.chinanews.com/ga/2013/04-01/4695484.shtml

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