WHO: Further Investigation into H7N9 Infections in China Needed

   2013-04-02 20:39:17 

The knowledge on the deadly strain of avian influenza H7N9 which caused two deaths in China as of now is limited and further investigation will be needed, a spokesperson of the World Health Organization (WHO) said Tuesday.

Fadela Chaib confirmed that it's the first time that H7N9 was found in human beings.

"It has shown, for the time being, no human-to-human transmission," she said.

She told reporters that it's an important event and of concern to WHO. China will share information with WHO and WHO will share information with member states.

"We need to further investigate the extent of the outbreak, the source of the infection and the mode of transmission," she said.  http://english.cri.cn/6909/2013/04/02/2821s757367.htm

Three women among four more infected in China, WHO says 88 under surveillance

(8 mins ago)

Four more people in China have been infected with a new strain of bird flu, a local government said today, bringing the country's total to seven.
Three women and one man had contracted H7N9 avian influenza, the health bureau in the eastern province of Jiangsu said in a statement, AFP reports.
Two men have already died in Shanghai, while a woman from the eastern province of Anhui is critically ill.
Also today, the World Health Organization said 88 individuals who had been in contact with the two who died in Shanghai early last month were being monitored...
http://www.thestandard.com.hk/breaking_news_detail.asp?id=34231&icid=3&d_str=

Shanghai official denied that he had received treatment in five patients with unexplained pneumonia

Phoenix TV "the Huawen large live" broadcast on April 2 Shanghai official denied that he had received treatment in five unexplained pneumonia patients, the following is the text Record: http://news.ifeng.com/mainland/special/h7n9/content-3/detail_2013_04/02/23807685_0.shtml

Jiangsu confirmed four people,167 under watch

Reported H7N9 avian influenza, following Shanghai and Anhui, Jiangsu Province in the evening today announced confirmation province four people infected with the H7N9 avian influenza.Jiangsu Province, the official said, not currently found in the epidemiological association exists between the above four cases, 167 people had close contact with patients undergoing medical observation.Display According to IBTimes Chinese news, a person engaged in live poultry slaughter of these four patients, is currently trying to rescue. The remaining three patients, two in critical condition, also in the intensive care unit for treatment.

Times before, for the Chinese government informed the avian flu, the WHO representative in China Blue Ruiming far as WHO is aware, no association between the relevant patients, their research and treatment separate, laboratory studies need to be very careful, three cases related to whether the patient has not yet concluded. "

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. http://cn.ibtimes.com/articles/25045/20130402/bird-flu-h7n9.htm

Jiangsu 4 new H7N9 cases were males and 3 females

[20:16] 2013/04/02
an informed Jiangsu Provincial Health Department informed today confirmed four cases of infection with the H7N9 avian flu, patients were males and 3 females, aged from 32 years old to 83 years old, 4 are in critical condition, undergoing rescue efforts.One surnamed Xu 45-year-old female patient, engaged in live poultry slaughter, fever, dizziness, body aches, fatigue and other symptoms on March 19; morning of March 27, go to Nanjing, a hospital ICU treatment exacerbations; On the afternoon of March 30, the Jiangsu Provincial Center for Disease testing positive for H7N9 avian influenza virus nucleic acid; afternoon of April 2, by the China CDC influenza center laboratory for review for the H7N9 avian influenza virus nucleic acid positive. Female patient surnamed Xu microblogging exposure cases earlier today, is the province's first case of H7N9 avian influenza infection cases, close contact with her ​​a total of 49 people, medical observation, were not found to have a fever or respiratory symptoms .  http://news.on.cc/cnt/china/20130402/bkn-20130402201628195-0402_00922_001.html?ref=focus

The country has found seven cases of H7N9 bird flu in Jiangsu additional three cases

The Jiangsu government network news, the Health Department of Jiangsu Province, April 2 Bulletin, Jiangsu Province, confirmed four cases of human infection with the H7N9 avian influenza cases, three of which were outside for the first time to k....

　　Currently, no epidemiological association exists between the above four cases. The experts have warned that the face of human infection with the H7N9 avian flu, Mo panic, to be alert to. First, to maintain good personal hygiene, such as washing hands frequently, indoor Qin ventilation. The second is to pay attention to improve nutrition, enhance personal physical. The third is to avoid contact and edible disease (dead), poultry, livestock. The event of fever, cough and other symptoms of acute respiratory infections, especially high fever, breathing difficulties, you should seek immediate medical attention.

　　Jiangsu Provincial Health Department will continue to make every effort to epidemic prevention and control work, and take effective measures to effectively protect public health. http://finance.qq.com/a/20130402/008070.htm

4 new cases in Jiangsu Province

Jiangsu Province, confirmed four cases of human infection with the H7N9 avian flu cases

2013 04 02, 2010 19:50 

　　Health Department of Jiangsu Province, Nanjing, BEIJING, April 2 (Reporter ZHU Xiao-ying) Bulletin, April 2, Jiangsu Province, diagnosed four cases of human infection with the H7N9 avian influenza.

　　Patients Xu, female, 45 years old, Jiangning District, engaged in live poultry slaughter. March 19, fever, dizziness, body aches, fatigue and other symptoms. In the morning of March 27, go to Nanjing sicker ICU treatment in a hospital. Currently, patients in critical condition, is to rescue. On the afternoon of March 30, the Jiangsu Provincial Center for Disease testing positive for H7N9 avian influenza virus nucleic acid. In the afternoon of April 2, review by China CDC influenza center laboratory for the H7N9 avian influenza virus nucleic acid positive. In accordance with the relevant requirements, the afternoon of April 2, the provincial Health Department organized experts, according to the clinical manifestations, laboratory testing and epidemiological findings, the diagnosis of the cases human infection confirmed cases of the H7N9 avian flu. The patients for the province's first cases of infection with the H7N9 avian flu. After investigation, the close contacts of the cases of 49 people. Medical observation, so far, all close contacts of the cases were not found to have a fever or respiratory symptoms.

　　Patients with a mulberry, female, 48 years old, Suqian Shuyang engaged in sheet metal processing. March 19, fever, dizziness, coughing and other symptoms. March 30, sicker patients transferred to a Nanjing hospital ICU treatment. Currently, patients in critical condition, is to rescue. On March 30, the Jiangsu Provincial Center for Disease Detection H7N9 avian influenza virus nucleic acid weakly positive. In the afternoon of April 2, review by China CDC influenza center laboratory for the H7N9 avian influenza virus nucleic acid positive. In accordance with the relevant requirements, the afternoon of April 2, the provincial Health Department organized experts, according to the clinical manifestations, laboratory testing and epidemiological findings, the diagnosis of the cases human infection confirmed cases of the H7N9 avian flu. After investigation, the close contacts of the cases of a total of 60 people. Medical observation, until now, were not found to have a fever or respiratory symptoms.

　　Patients Shen, male, 83 years old, Suzhou Wujiang District. March 20 fever, cough, sputum production, accompanied by symptoms such as chest tightness, shortness of breath and chest pain. March 29, sicker patients, treatment to a hospital in Wujiang. Currently, patients in critical condition, is to rescue. On April 1, the Jiangsu Provincial Center for Disease Detection identified as the H7N9 avian influenza virus nucleic acid positive. In accordance with the relevant requirements, the afternoon of April 2, the provincial Health Department organized experts, according to the clinical manifestations, laboratory testing and epidemiological findings, the diagnosis of the cases human infection confirmed cases of the H7N9 avian flu. After investigation, the close contacts of the cases of a total of 15 people. Medical observation, until now, were not found to have a fever or respiratory symptoms.

　　The patients Zhang, female, 32 years old, Changzhou, now lives in Wuxi city, unemployed. March 21, fever, cough, and other symptoms.On March 28, the sicker patients transferred to a hospital in Wuxi ICU treatment. Currently, patients in critical condition, is to rescue. March 31, identified as the H7N9 avian influenza virus nucleic acid positive by the Jiangsu Provincial Center for Disease Detection. In accordance with the relevant requirements, the afternoon of April 2, the provincial Health Department organized experts, according to the clinical manifestations, laboratory testing and epidemiological findings, the diagnosis of the cases human infection confirmed cases of the H7N9 avian flu. After investigation, the close contacts of the cases of a total of 43 people. Medical observation, until now, were not found to have a fever or respiratory symptoms. http://www.chinanews.com/gn/2013/04-02/4699295.shtml

Shanghai started the Level III response meaning: the epidemic of human-to-human transmission has not occurred

..Based on the "contingency plans" in public health emergencies of national public health emergencies grading provisions, in accordance with a new subtype of influenza virus outbreak incidence and prevalence of the nature of the degree of harm and spread to the scope of the outbreak of the new influenza virus subtype is divided into general (Ⅳ), larger (Ⅲ), major (Ⅱ) and particularly significant (Ⅰ), followed by blue, yellow, orange and red warning implement grade Ⅳ, Ⅲ, Ⅱ grade Ⅰ level emergency response.

Ⅲ level emergency response phase to take the epidemic: human infection with a new subtype of influenza virus and the disease, but no human-to-human transmission occurred.

Ⅲ level emergency response requirements to do the work of the six areas, including the patient's treatment and contact processing, epidemiological investigation, monitoring and reporting, the Ministry of Health of the epidemic to the public in a timely manner, monitoring, and prevention and control work, vaccines and drugs  http://money.163.com/13/0402/18/8RFQ6P6V00254TFQ.html

Shanghai official denied that he had received treatment in five patients with unexplained pneumonia

Phoenix TV "the Huawen large live" broadcast on April 2 Shanghai official denied that he had received treatment in five unexplained pneumonia patients, the following is the text Record:

Xie Yafang: Shanghai municipal government also H7N9 avian flu held a press conference to introduce the relevant circumstances, we immediately want to connect to is the conference site reporter Deng Lingli to our reports, I know that the press conference has just ended, so the meeting announced what kind of information?

Deng Lingli: Today conference just concluded at the press conference on the new spokesman of the Shanghai Municipal Government announced in Shanghai starting today officially launched three prevention and control of influenza pandemic contingency plans, and then to take a number of favorable measures flu outbreak, including the will to form a mechanism for joint prevention and control of influenza by Shanghai Health Planning Commission and the Information Office departments.

Changed to daily reporting mechanism is also included to the original weekly report, 43 Influenza Surveillance 130 outpatient medical institutions should take the initiative to report also includes track and home medical observation for medical records and close contacts to strengthen , then the person in charge is the flu run plan is divided into a total of four, one regarded as the highest and the four lowest, today launched a three run plan, his goal is to prevent and delay in interpersonal related to the spread of the disease, caused the attention of the public, they are in fact to control the spread of disease in a wide range, then the conference today, everyone is very concerned about a situation we know Shanghai confirmed two cases of H7N9 avian influenza Minhang District in Shanghai, and two of the distance is not far away, a 27-year-old patient he had a pork vendors addition to their family of three have similar symptoms, then during epidemic the association, as well as humans and pigs as well as poultry like what relevance this responsible understanding for the H7N9 cases because Shanghai only two cases, so the understanding is very limited, so far not yet clear in the end people are infected with the avian virus or avian virus by a gene mutation into a human influenza virus between two cases, however, have not found an association of epidemiological In addition, we know that There are rumors the same in the Minhang District of Shanghai, but also in addition to a hospital is Shanghai Minhang District Central Hospital since March succession received treatment in 5 patients with unexplained pneumonia, then this spokesman, said Shanghai has started daily reporting mechanism, until now, Shanghai did not receive any new unexplained pneumonia. http://www.kaixian.tv/R1/n1632470c11.shtml

Shanghai to start a daily report of the three influenza contingency plans for medical institutions

Recently, the occurrence of human infection of H7N9 avian influenza virus and the emergence of the two cases of deaths. In this regard, the Shanghai municipal government decided to start from April 2 Shanghai influenza pandemic contingency plans grade response, the relevant departments of the city, the city's medical and health institutions will be fully operational monitoring and prevention and control of influenza outbreaks. 　　April 2, will be held in the Shanghai Municipal Government Information Office press conference, Xu Wei, spokesman of the Shanghai Municipal Government, broke the news. 　　Xu Wei, Shanghai immediate effect will establish influenza joint prevention and control work leading mechanism under the Municipal Health and Family Planning Commission, Agriculture Commission, the Municipal Food and Drug Supervision Bureau, the Municipal Industrial and Commercial Bureau, the Municipal Commission of Commerce, Municipal Government Information Office commissioned Board composed of eight working group and an integrated office, the establishment of the Office of the City Health and Family Planning Commission, is responsible for the coordination, management of joint prevention and control of influenza.

Shanghai started an influenza pandemic contingency plans in grade Ⅲ response

Shanghai started an influenza pandemic contingency plans in grade Ⅲ response 17:15 convening conference

---

2013-4-2 19:09:15 Source: Daily

---

    According to the Shanghai Municipal Government Information Office official microblogging "Shanghai," the latest news, the Shanghai municipal government decided to start from April 2 the response level III of the Shanghai influenza pandemic contingency plans.　　According to the release, today 17:15, the Municipal Government Information Office held a press conference, municipal guard Planning Commission, the City CDC, Agriculture Commission and other departments responsible person to introduce Shanghai H7N9 avian flu prevention and control work, and answer The reporter's question. http://www.sh.chinanews.com.cn/PageUrl/2013421910197.html

4th bird flu case traced in Nanjing

A fourth case of H7N9 bird flu has been initially confirmed in Nanjing, the capital of east China’s Jiangsu province.

The patient is a 45-year-old woman who slaughters poultry in a local farmers’ market. She first detected symptoms of a fever and coughing early last week and then rapidly deteriorated into critical condition. She is now hospitalized in Nanjing’s Gulou hospital.

http://english.cntv.cn/program/newsupdate/20130402/104418.shtml

Mainland burst four cases of female workers slaughtered in Nanjing infected with H7N9 in critical condition

1 new case

Jiangning District, a female slaughter workers infected with influenza A H7N9 avian flu virus, live in Gulou Hospital ICU (intensive care unit), in critical condition. (Internet Pictures)
Epoch Times, April 2, 2013 the morning of April 2, people infected with influenza A H7N9 avian influenza virus in exposed female workers slaughtered in Jiangning District, a microblogging micro official documents, screenshots and hospital Bo confirmed this, adding that the patient has been isolated to the people not to eat poultry products. Mainland China, following Shanghai and Anhui fourth bird flu cases, broke the micro-Bo said, the patients are in critical condition.

People "Nanjing is happening microblogging broke the news that on the morning of the 2nd, Jiangning District, a 45-year-old female, engaged in poultry slaughtered work infected with influenza A H7N9 influenza virus, currently living in Gulou Hospital ICU (intensive care unit ), in critical condition. Jiangning District Government together with the General Duty submit them to the the Municipal General Duty screenshot file. 10 am, Nanjing Gulou Hospital official microblogging Phoenix phoenix "to confirm the matter, said the patient has been completely isolated, and to remind people not to eat poultry products in the near future.

Jiangning District Government General Duty screenshot file submitted to the Municipal Government General Duty. (Network picture)


Nanjing Gulou Hospital official microblogging Phoenix phoenix "to confirm the matter, said the patient has been completely isolated. (Network picture)
"Nanjing is happening" microblogging screenshot shows the patients named Xu Wenqin, symptoms first fever, cough, 23 sicker treatment, disease progression in the 24th, the 29th, the City CDC testing positive for influenza virus, 30 provincial CDC identified as H7N9 positive. The man infected with influenza caused by the H7N9 avian flu virus.
February to now, the Chinese mainland has found four cases of Influenza A H7N9 avian influenza virus in patients infected were Shanghai, a 87-year-old and 27-year-old male patient, on February 19 and February 27 respectively incidence in death on March 4 and March 10; another person Chuzhou City, Anhui Province, 35-year-old female, onset of March 15, is currently in critical condition; 3 cases showed symptoms of fever, cough and other respiratory tract infections, and then severe pneumonia and respiratory difficult. Jiangning District of cases, with the above three symptoms very similar to the current critical condition.
Shanghai two patients died in the Chinese Communist Party during the two sessions, which is the world's first human infection of H7N9 avian influenza virus fatal cases, the Chinese Communist Party official in the patient's death nearly 20 days before announcing the epidemic, induce the public to question the Communist authorities intent to conceal or delay informed of the disease.
Taiwan's Department of Health, Centers for Disease Control Secretary Zhang Fengyi, this is the first H7N9 human deaths occurred, on behalf of human transmission of H7N9 from birds. The Jiangning District of Nanjing in poultry slaughter of female patients, evidence of human transmission of avian influenza from birds.
Ih-Jen Su, director of the Taiwan's National Health Research Institute of Infectious Diseases and Vaccine Institute, the mainland informed Cases are severe, do not have relatives to each other, working relationship, the epidemic is very unusual, on behalf of the epidemic is feared to have spread to. If the will of human-to-human transmission of H7N9 avian flu, "serious" situation, only quickly develop a vaccine.
For such a major outbreak, the Chinese Communists health sector, at home and abroad there is no vaccine against the H7N9 avian influenza virus. Yet found no cases of Taiwan, said the view of the continent quite a number of people infected with the H7N9 avian flu virus cases, the Taiwan vaccine plant ADImmune Co., Ltd., Zhan Qixian ability necessary emergency mode of production in two month to hand over five million H7N9 avian influenza vaccine. http://www.epochtimes.com/gb/13/4/2/n3837162.htm

Is This a Pandemic Being Born?

China's mysterious pig, duck, and people deaths could be connected. And that should worry us.

BY LAURIE GARRETT | APRIL 1, 2013

Here's how it would happen. Children playing along an urban river bank would spot hundreds of grotesque, bloated pig carcasses bobbing downstream. Hundreds of miles away, angry citizens would protest the rising stench from piles of dead ducks and swans, their rotting bodies collecting by the thousands along river banks. And three unrelated individuals would stagger into three different hospitals, gasping for air. Two would quickly die of severe pneumonia and the third would lay in critical condition in an intensive care unit for many days. Government officials would announce that a previously unknown virus had sickened three people, at least, and killed two of them. And while the world was left to wonder how the pigs, ducks, swans, and people might be connected, the World Health Organization would release deliberately terse statements, offering little insight...READ ALL 4 PAGES http://www.foreignpolicy.com/articles/2013/04/01/is_this_a_pandemic_being_born_china_pigs_virus?page=0,0

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