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Thursday, April 4, 2013


Seek care in an immigration quarantine station Niigata Airport

 From the dead and that an infection due to (type H7N9) avian influenza virus in China came in quarantine stations (Higashi-ku, Niigata City) began to seek a warning to the Immigration and posters at Niigata Airport. Among companies in the prefecture that are operating in China, there are also companies that encourage expatriates to take action from the local up to four days. While calmly see "human infection has not been identified from human," the experts are encouraged to thoroughly and gargle and hand washing to prevent infection.
 Line connecting the two lines Niigata Airport and China and Harbin Shanghai line. Ministry of Health, Labour and Welfare, Niigata Quarantine Station posted a poster for an immigration counter for quarantine before. In addition to offer, when you have symptoms such as cough and fever at the time of entry if you develop within 10 days after entry I'm asked to tell you that I was staying in China to the nearest medical facility.

A close contact with H7N9 infected with the fever and other symptoms


Xinhua, Shanghai, April 4 (Xinhua Chou Yi Li Rong) reporter learned from the Shanghai Municipal Health and Family Planning Commission, ended at 11 p.m. on the 4th Shanghai were found in six cases of human infection with the H7N9avian influenza confirmed cases, 4 deaths, 2 cases are where the six cases had no relevance. Close contacts of a death case, a fever, runny nose, itchy throat, and other symptoms, has been treated in isolation.
    Patients with certain she died on April 3, 4 pm, Shanghai Municipal Center for Disease Control and Prevention report laboratory test results for the H7N9 avian influenza virus nucleic acid positive. After investigation, a total of 31 close contacts of the case, so far, a fever, runny nose, itchy throat and other symptoms, at 18:53 on the 4th isolation and treatment have been transferred to the Shanghai Public Health Clinical Center, the other close contact were not found to have a fever or respiratory symptoms.
    The date of the National Avian Influenza Reference Laboratory from ShanghaiMunicipal censorship, Songjiang District, Shanghai Huai agricultural and sideline products wholesale markets dove samples detected the H7N9 avian influenza virus. Shanghai Municipal Agricultural Commission has been the day of the urgent deployment of avian flu prevention and control measures, immediately turn off the live poultry trading of agricultural and sideline products wholesale market in Shanghai Huai, culling the trading of all birds in the region.
    According to the Shanghai Municipal Agricultural Commission said the emergency notification requirements in accordance with the General Office of the Ministry of Agriculture to prevent and control the spread of the H7N9 avian flu virus has animal infected with the H7N9 bird flu virus as an animal disease management, immediately start contingency plans. Shanghai will pause this time the detected H7 avian influenza virus Minhang Jingchuang grocer, Feng Chuang market trading of live poultry, and do a good job of on-site disinfection.
http://news.xinhuanet.com/2013-04/05/c_124541805.htm



Close Songjiang District, Shanghai Huai agricultural and sideline products wholesale market live poultry trading


Agriculture Commission: Close Songjiang District, Shanghai Huai agricultural and sideline products wholesale market live poultry trading

[Xinmin Reuters culled poultry, according to the Shanghai released, the emergency deployment H7N9 avian flu prevention and control measures 市农委, immediately turn off the Songjiang District, Shanghai Huai agricultural and sideline products wholesale market live poultry trading culled trading of all birds in the region; birds, bird droppings and other harmless treatment, thorough disinfection of the market environment. Meanwhile, the follow-up survey sample source pigeons.
  Agriculture Commission the urgent deployment of the H7N9 avian flu prevention and control measures in accordance with the requirements of the Ministry of Agriculture and the municipal government, as follows:
  Emergency notification requirements in accordance with the General Office of the Ministry of Agriculture to prevent and control the spread of the H7N9 avian flu virus, the animals were infected with the H7N9 bird flu virus as an animal disease management, immediately start contingency plans.
  Immediately turn off the Songjiang District, Shanghai Huai agricultural and sideline products wholesale market live poultry trading, culling the trading of all birds in the region. The culling of birds, birds excrement contaminated feed, litter and sewage harmless. Market environment, as well as items come into contact with birds, transport-related utensils thoroughly disinfected. Meanwhile, the follow-up survey sample source pigeons. http://shanghai.xinmin.cn/msrx/2013/04/04/19570827.html

Hong Kong reports a suspected novel coronavirus case


According to the SAR Government Information Services Department news, the Centre for Health Protection of the Department of Health of the Hong Kong SAR Government on the evening received a novel coronavirus caused severe respiratory disease suspected cases. Initial investigations revealed that the suspected infection in March 24 to 31, traveled to Turkey and Dubai Tourism.
  It is reported that the suspected infection is a 37-year-old woman, previously healthy, presented with fever, headache and shortness of breath symptoms since April 1, Queen Elizabeth Hospital, Hong Kong is currently being treated in isolation in a stable condition. The patient's lung X-ray examination showed her lobes bottom left of pneumonia. CHP has collected respiratory samples for laboratory tests, expected Laboratory test results are in the 5th.
  SAR Government Department of Health spokesman said the CHP will continue through established with public and private hospitals, medical practitioners and airport monitoring mechanism to monitor any new coronavirus caused severe respiratory disease suspected cases.
  According to statistics, since last year's discovery of class SARS (SARS) virus, a new type of coronavirus, the world has been informed of 17 cases of the novel coronavirus infections, including 11 deaths. (Reporter Lin Chien Yang)

Hong Kong-visited Dubai, woman suspected new SARS



Dye visited Dubai woman suspected new SARS

[21:41] 2013/04/04

Interactive Newsletter on the [on.cc Oriental] CHP tonight received the Queen Elizabeth Hospital, reported serious respiratory disease caused by a novel coronavirus suspected cases. Own health, the 37-year-old woman, with fever, headache and shortness of breath symptoms this week, doctors in Iraq are being treated in isolation and in stable condition.Initial investigations revealed that the patient had traveled to Turkey and Dubai last month from 24 to 31 days. X-ray examination of the lungs of patients with their lobar pneumonia in the lower left portion of the extracted respiratory samples for testing, Laboratory test results are expected tomorrow. The Centre for Health Protection, Hong Kong has no cases of human infection with the virushttp://news.on.cc/cnt/news/20130404/bkn-20130404214116533-0404_00822_001.html?ref=focus

Public Health Notice: H7N9 avian flu in China

HATTIP TO PATHFINDER!

Released: 4 April 2013

Why you should take note

On March 31, 2013, the World Health Organization (WHO) confirmed that three people in the People’s Republic of China were infected by a new type of avian influenza virus identified as A(H7N9). All cases developed severe pneumonia and breathing difficulties, resulting in the death of two of the three cases. To date, the total number of confirmed cases of human infection with this H7N9 virus in China is nine including three deaths. Additional cases are likely to continue to be reported.

Risk to Canadians

The H7N9 flu virus causing illness in people in China has not been identified in birds in Canada.

There have been no reports of human illness in Canada associated with the H7N9 flu virus currently causing illness in China.

The risk posed to humans by avian influenza in birds is generally very low. Avian influenza does not transmit easily from birds to infect humans.

While there is no risk of catching the flu virus by eating affected poultry, Canada, in fact, does not import raw poultry or raw poultry products from China.

Canadians should protect themselves and their fellow citizens from seasonal/annual influenza by:
  • Getting an annual flu shot;
  • Washing hands frequently;
  • Covering coughs and sneezes;
  • Keeping common surfaces clean; and
  • Staying home when sick.
What the Public Health Agency of Canada is doing

The Agency works closely with its national and international partners, including the WHO, to track all types of flu activity in Canada and around the world.

An Agency medical expert is based in Beijing and is liaising with the Chinese infectious disease prevention authorities on this outbreak.

The Agency's National Microbiology Laboratory (NML) has access to the H7N9 whole genome sequence through the Global Initiative on Sharing Avian Influenza Data (GISAID). This information allows the NML to rapidly detect the H7N9 flu virus.

The NML is also working closely with provincial laboratories to ensure they are also able to test for the H7N9 flu virus.

Additional information
...
http://www.phac-aspc.gc.ca/phn-asp/2...9-0403-eng.php

H7N9 epidemic ferocious officials reported 14 cases in five deaths Kunming startling news of eight cases



The outbreak of H7N9 avian flu in mainland China, the Chinese Communist Party official to conceal the truth, the Hong Kong media have the front page of a major newspaper. (Network picture)
Epoch Times, April 4, 2013 (Epoch Times reporter FANG Xiao coverage) severity of the H7N9 avian flu in the Chinese mainland, according to the official notification, Shanghai confirmed deaths increased sharply. Mainland as of April 21, 2013 a total of 14 cases of H7N9 avian flu patients, five of whom died. Shanghai 6 cases (4 deaths), 1 cases in Anhui, Jiangsu four cases, Zhejiang 3 cases (1 death). Official Journal of secretive, news media tracking and network rebellion often true. It is rebellion, Kunming, Yunnan, found that the number of people infected....
Biography Kunming confirmed eight cases no official notification
Epoch receive rebellion noon on April 4, Kunming, Yunnan's classmate's mother called from the bedroom, Kunming Chenggong District Hospital diagnosed seven patients with avian flu, more than an hour after a phone call confirmed a bird flu.
The Outgoing Epoch Times reporter Kunming Chenggong District the hospital Yuanban, was told that the situation is not clear. A duty officer of the hospital emergency department, fever patients to see a doctor more recently, but can not be determined is the H7N9 avian flu.
WHO: H7N9 avian flu virus mutation
A spokesman for the World Health Organization, Hartle said the organization has found that the H7N9 avian flu virus mutate to become susceptible to infection with the human body.
Guangdong Shantou one people said that it is only the beginning, the nightmare is yet to come ...

China reports 5th death from H7N9 bird flu



Source: XINHUA  |   2013-4-4
SHANGHAI, April 4 (Xinhua) -- Authorities in Shanghai said Thursday night that another person has died from H7N9 bird flu, bringing the death toll from the lesser known strain to five around the country.

a 4-year-old child is mild


The reporter learned from the Shanghai Municipal Population and Family Planning Commission, and ended at 21 o'clock on the the 4th diagnosed three cases of human infection with the H7N9 avian influenza. The city of 6 patients 4 deaths, a 4-year-old children in the other two patients, the disease is mild recovering.
  April 3, 2 patients were Tongji Hospital, Huashan Hospital, died a death, and 4 has been confirmed human infection of H7N9 avian influenza.http://china.zjol.com.cn/05china/system/2013/04/04/019258301.shtml

 Bulletin confirmed three cases of H7N9 avian influenza as of 21:00, 3 new cases including one death, the remaining two patients had a 4-year-old children with mild illness, The city currently has six cases, four of whom died. http://news.on.cc/cnt/china/20130404/bkn-20130404215128408-0404_00922_001.html

Fuyang netizens spread of the H7N9 avian flu rumors detained



Reporters this afternoon is from Fuyang police was informed that a man in the city due to the spread of the H7N9 avian flu rumors administrative detention for eight days.
3 am, a network called "Mr. Xiaodong OK" netizens Bo eyeball actually concocted Fuyang, Anhui Province and one case of H7N9 avian influenza for the content of the post, the deliberate spread of the Internet, causing a certain impact. Fuyang City Development Zone Branch of the Public Security Bureau immediately investigate, and found that evening Posted Lee, Lee publish false information regret it.http://365jia.cn/news/2013-04-04/498FDAA1B0A1DA7A.html

14 people across the country suffering from the H7N9


As of the evening of April 4, 14 people across the country suffering from the H7N9 avian flu five people were killed
Publicly reported, according to media consolidation, by 2013, the 4th 21 am nationwide found 14 cases of H7N9 avian flu patients, five of whom died. Shanghai 6 cases (4 deaths), 1 cases in Anhui, Jiangsu four cases, Zhejiang 3 cases (1 death).
Shanghai confirmed six cases (4 deaths)
As at 21 o'clock on the 4th Shanghai has confirmed three cases of human infection with the H7N9 avian influenza. The city of 6 patients 4 deaths, a 4-year-old children in the other two patients, condition minor recovering. 3, 2 patients were Tongji Hospital, Huashan Hospital, died a death, and the 4th has confirmed human cases of infection with the H7N9 avian flu.
Patients Lee, male, 87 years old, incidence of February 19, to actively rescue died on March 4. (Its 69-year-old son was discharged, and the death of 55-year-old son "pneumonia")
Patients Wu, male, 27 years old, the onset of February 27, died March 10 actively rescue.
Patients with a reservoir, male, 48 years old, Rugao, occupational waders staff incidence March 28, died on April 3.
April 4 New 3 people unknown
Zhejiang confirm the deaths of three people (1)
Patients, Mr. Hong, male, 38 years old, Hangzhou Jiande person, cooks, Jiangsu Taicang work of the disease, died on the 27th March 7.
Patients Yang, male, 67 years old, Hangzhou people, retirement home.
Patients Zhang, male, 64 years old, Huzhou Wuxing people, the peasants.
Jiangsu diagnosed 4 people (no deaths)
Patients Xu, female, 45 years old, Jiangning District, engaged in live poultry slaughter.
Patients with a mulberry, female, 48 years old, Suqian Shuyang engaged in sheet metal processing.
Patients Shen, male, 83 years old, Suzhou Wujiang District.
Patients Zhang, female, 32 years old, Changzhou, now lives in Wuxi city
Anhui confirm 1 (no deaths)
Patients Mr. Han, female, 35 years old, Chuzhou, Nanjing treatment:tiphat:
http://news.qq.com/a/20130404/001083.htm

Shanghai-Additional three cases of human 6 patients 4 deaths,INCLUDES A 4-year-old


Additional three cases of human infection with the H7N9 avian flu cases in Shanghai

【Additional three cases of human infection with the H7N9 avian flu cases in Shanghai] As at 21:00 on the 4th, diagnosed three cases of human infection with the H7N9 avian influenza. The city of 6 patients 4 deaths, a 4-year-old children in the other two patients, condition minor recovering. 3, 2 patients were Tongji Hospital, Huashan Hospital, died a death, and the 4th has confirmed human cases of infection with the H7N9 avian flu. http://news.qq.com/a/20130404/001131.htm

Q226L Signals Recent H7N9 Human Adaptation


Recombinomics Commentary 07:00
April 4, 2013
Webby said the H7N9 viruses are showing changes that are hallmarks of adaptation to mammals, the same types of mutations that have been seen when other flu viruses — which all have their origins in water birds like ducks — learn to infect mammalian species.

One of the changes is in what's know as the receptor binding site. Bird viruses use a different receptor to latch on and trigger infection than flu viruses that have adapted to infect humans and other mammals. And the genetic sequences of the H7N9 viruses show they have started to make that change, Webby said.

As well there are a couple of other mutations seen in these H7N9 sequences that are known to be indicators of viruses that have switched to mammalian hosts from avian hosts, he said.


The above comments describe the receptor binding domain change Q226L.  Although multiple media reports are beginning to cite genetic changes, none actually say the name of the change (and some, like the ECDC risk assessment completely ignore it)
 
The change is well known and all three studies on H5N1 transmission introduced this change prior to ferret infections.  Moreover the 1957 pandemic, which involved H2N2 had the change, as did the H3N2 in the 1968 pandemic.  When new H5N1 bird flu cases were reported, agencies would claim that the H5N1 couldn’t transmit human to human (H2H) because the two key changes, Q226L and G228S, were not present.  Neither of the changes have been reported previously in H5N1 or H7 isolates from any species.
Thus, the presence of Q226L in the two most recent sequences has caused considerable concern, although media reports, like the one cited above just discuss Q226L in general terms, in contrast to prior reports on H5N1 transmission studies, which commonly cited the two key changes by name.
However, the appearance of Q226L is very recent.  The first isolate, A/Shanghai/1/2012 had PB2 E627K and the 5 amino acid deletion in the N9 stalk, but Q226L was not present.  This isolate was from the first confirmed case (87M) who was part of a suspect cluster.  Q226L was in the two subsequent isolates, A/Shanghai/2/2013 from the second confirmed case (27M) and A/Anhui/1/2013 from the third confirmed case (35F).
This recent development has been followed by an explosion of cases.  There have been six additional confirmed cases ringing Shanghai (seemap).  Like the first 3 cases, all have been severe (fatal or hospitalized in the ICU).  There have also been two recent suspect deaths (see map) and more cases are being cited on twitter (see map).
The recent appearance of Q226L, as well as D225G on H7 and E627K on PB2 raises concerns that the number of severe and fatal cases will spike higher.
Release of sequences from the recent cases would be useful.  The presence of Q226L in most recent cases is expected, and the appearance of additional receptor binding domain changes, such as G228S would be catastrophic.

The virus now mutations Experts: H7N9 fear a pandemic



Canada homes iask.ca 2013-04-03 15:34 Source: Central News Agency of:
 The scientists pointed out that the first discovery of the H7N9 avian influenza virus gene sequence data, this virus has certain mutations may will form a human pandemic.

  There is no evidence of infection killing nine people including 3 people sick to death of the H7N9 infection between people, known in mainland China. This virus may gradually disappear, without complete mutation adult influenza-like illness. Canada homes
  The mainland authorities announced that a number of H7N9 confirmed cases only after a few days, flu experts have laboratories around the world in search DNA sequence data of the patient samples to assess the possibility of a pandemic.
  Aust House (Ab Osterhaus), one of the world's top flu expert, Netherlands, Erasmus Medical Center (Erasmus Medical Centre) pointed out that this virus gene sequences revealed that certain mutations, it is worth authorities alert The need to strengthen the monitoring of animal and human.
  Aust House said in a telephone interview, "in a way, the virus has to adapt to mammals and human, for that matter, is worrying,"; "We should be really high degree of attention to this situation".
  Kyodo News from the mainland reported that the H7N9 virus previously been regarded as a "weak toxicity" low public health risk, but the continent diagnosed infections are severe. Genetic Analysis results show that the patients found in the body of the virus as "strong toxicity.
  Quoted Tashiro, Director of the Research Center of Japan's National Institute of Infectious Diseases influenza virus real argument that the H7N9 virus may occur genetic variation becomes accessible to human transmission.But the mainland of South China Agricultural University poultry disease research team, veterinary science, vice president Ren Tao has said from past experience to deal with the bird flu virus, H7N9 outbreak in interpersonal diffusion unlikely.
  "Nanfang Dushi Bao" reported, Tao Ren, H7N9, although not in the human-to-human infection, but the H7 subtype influenza viruses from 1996 to 2009 in the Netherlands, South Korea and other countries has undergone human infection, the case of highly pathogenic avian influenza virus , but the range is very small. This article from their homes network
  He said, the public emergence of this new virus does not require too panic, previously infected with human H5N1 avian influenza virus, the number of incident cases in epidemiological history is minimal. http://www.iask.ca/news/china/2013/0404/190942.html

Macao Health Bureau to exclude an H7N9 avian influenza suspected cases

Macau Health Bureau to the Kiang Wu Hospital Bulletin, a suspect by the Jiangsu Suqian to O patients infected with influenza A H7N9 avian flu, the Health Bureau has been ruled out after testing, and urged members of the public need not panic...Suspected of being infected with influenza A H7N9 avian flu man two days ago to Australia, his symptoms of fever, chest pain and breathing is not smooth to the Kiang Wu Hospital for treatment, was diagnosed with pneumonia.
  Exclude influenza H7N9 avian flu, the Health Bureau immediately collected patient samples for testing, the results negative for influenza A, influenza A H7N9 avian influenza has been ruled out. Patients after healing, no longer fever symptoms, in good condition.
http://news.youth.cn/gn/201304/t20130404_3060495.htm

China announced to mobilize all resources to fight bird flu



Updated April 4, 2013
Increase in the number of people infected with the H7N9 avian influenza in China, the Chinese authorities announced spending of national resources to deal with avian flu, neighboring countries also are trying to step up preventive measures.
So far, China has four people died of the H7N9 avian flu, 11 people were confirmed to be infected with this virus, and these people are mainly concentrated in the eastern region.
The latest of a deceased person who died Thursday in Shanghai. This 48-year-old man during his lifetime had poultry contact.

Prevention

Japan, Hong Kong, strengthened security and preparedness. Vietnam (3) to prohibit imports of poultry from China.
H7N9 seems not contagious from person to person, but the Hong Kong authorities to be on the safe side, at the airport increased vigilance. All inbound and outbound travelers must notice air service if you feel unwell.
Hong Kong authorities also closely monitor the chicken farm, and to suspend imports of live chickens from mainland China.
In Japan, the airport at the entrance to put up a billboard, prompted China to travelers, are sick or suspected of being infected with avian flu to seek medical help immediately.
Open and transparent
China's Ministry of Health said on its website on Wednesday (3), to mobilize the resources and strength of the country's health, to deal with avian flu.
The Beijing government learn from the lessons of previous treatment, Texas, committed to the rapid exchange of information with domestic and foreign.
But the number of Internet users in China, and newspapers have questioned why the Government so long before announcing the new cases, especially the two fell ill in February already infected. However, the Chinese government said it will take time to correctly identify the virus.
The Ministry of Health of China, will continue to be open and transparent with the World Health Organization and relevant countries to maintain communication and exchanges, and to strengthen the monitoring and prevention measures.
Flu experts from around the world also are removed from the patient's virus samples were analyzed to determine whether there is a possibility of the evolution of the adult classes massive flu outbreak.
At the same time, China also need to find out whether there is any animal infected with the H7N9 virus, to figure out how this virus is transmitted to humans.
Influenza virus experts say that this new type of avian influenza have occurred some genetic variation, and then mutate, it is possible to develop into interpersonal infection. http://translate.google.com/translate?sl=zh-CN&tl=en&js=n&prev=_t&hl=en&ie=UTF-8&eotf=1&u=http%3A%2F%2Fwww.bbc.co.uk%2Fzhongwen%2Fsimp%2Fchina%2F2013%2F04%2F130404_birdflu_latest.shtml

RUMOUR-2 medical personnel infected ?


Zhejiang and Shanghai add another two cases of H7N9 avian influenza net exposure of medical personnel infected
Epoch Times, April 4, 2013] (Epoch Times reporter Xiao-Hua Gu roundup)
 A few days ago, the continent of the H7N9 avian flu patients is increasing. April 4, Zhejiang and Shanghai has added 2 patients, the Shanghai one cases have died. At the same time, the network has exposed Zhejiang Xiaoshan Hospital medical staff of the two contact H7N9 avian flu two cases of fever are in isolation. At present, the confirmed infections reached 11 cases, 4 deaths. The people lament too terrible, and questioned the accuracy of the figures of the Official Journal of.
...
Net exposure Xiaoshan a hospital medical staff infected are isolated in
April 3 at 6 pm, the people "chain strip" microblogging postings, said: "Our hospital patients finally burst out of contact with medical staff, two cases of fever are in isolation.
8:00 that night, "the chain of small bars again posting said:" I am referring to a hospital in Xiaoshan one case, the patient was chef livestock history of exposure to our house the couple, the two hospitals, one each in contact The medical personnel fever, I hope to be a false alarm. "
This microblogging immediately caused panic, to pray two medical staff will not have a major event. At the same time, the official has publicly referred to can not be human-to-human transmission of the H7N9 avian flu, this immediately so that the people questioned, said the words of the experts tend to oppose understand medical personnel are isolated is illustrative, it seems not to be optimistic, and if it is confirmed H7N9 can be human-to-human transmission.
Panic questioned official figures
According to mainland media reports, the mainland H7N9 avian flu reached 11 people, four of whom died. However, people panic, and questioned the accuracy of the official figures.
Some people said, it's horrible, do not go out. Seems to increase in the number, and in expanding the scope. There are people that the number is not so little, the official said later coupled with several zero before they can.
Some people said that a repeat of 2003, Texas's footsteps, ten years ago, feeling so terrible.  http://www.epochtimes.com/gb/13/4/4/n3838982.htm

Network transmission 100 people infected with the H7N9 avian flu, Feng Zijian, director of the of the China CDC health emergency center last night categorically denied.



  Ping Zijian: it does not happen, this is a rumor, no such findings in our monitoring system.
  In addition, the Internet has emerged rumors to the Dongzhimen Hospital infection Office and Union Hospital leadership "on behalf of the two hospitals were released a statement denying.
  Dongzhimen Hospital: ah! We have infected do, but the infection do not yet released.http://health.sohu.com/20130404/n371732892.shtml

Shanghai new cases of human infection of H7N9 avian influenza confirmed cases and three suspected cases



Xiamen net 2013-04-04 20:22
  Xinhua Shanghai, April 4 (Chou Yi) Shanghai Health and Family Planning Commission April 4 briefing ended at 17:30 on the 4th Shanghai new case of human infection of H7N9 avian influenza confirmed cases, the patients fully He died the death. Up to now, Shanghai were found in three cases of human infection with the H7N9 avian influenza confirmed cases, 3 died.
  Newly discovered reservoir certain of one patient, male, 48 years old, Rugao, occupational waders personnel, mainly engaged in transporting chickens and ducks.On March 28, the patients cough, sputum symptoms of fever on April 1, go to private clinics. After sicker patients in at 4:55 on April 3 to Tongji Hospital emergency medical treatment. Whose condition had deteriorated sharply, died, date of death 7:53. At 10:30 on April 4, the the Shanghai CDC report laboratory test results for the H7N9 avian influenza virus nucleic acid positive. In accordance with the relevant requirements, the afternoon of April 4, the Shanghai Municipal Health and Family Planning Commission organized municipal clinical expert group to discuss the death cases , the experts based on the clinical manifestations, laboratory testing and epidemiological data to diagnose the cases human infection of H7N9 avian influenza. After investigation, the close contacts of the cases of a total of eight people, so far, no abnormal situation.
  Shanghai there are three cases of suspected cases, the group is investigation and diagnosis. http://news.xmnn.cn/a/gnxw/201304/t20130404_3222656.htm

HK-The deepwater  Pokfulam found the dead bird

The deepwater  Pokfulam found the dead bird (local news) 
2013-04-04 (13:46)
Deepwater Shui Po and Pok Fu Lam were found in the carcasses of dead birds. Seven o'clock in the morning, was found Hai Tan Street, a white dove body, 235 rear lane immediately to the police very nervous. Police arrived at the scene to investigate, notify AFCD staff seized laboratory pigeons corpse. Nearly 9:00 in the morning, Pokfulam Chloranthus Street No. 33 roadside, some passers-by found the bodies of two birds, AFCD officers arrived at the scene to go bird autopsy, spray disinfectant liquid at the scene the road. http://www.singtao.com/breakingnews/20130404a134936.asp

The unknown H7N9 pneumonia fear dyed severe death into two or three


Shanghai official claimed, did not receive the unknown new cases of pneumonia, but the information from the hospital came opposite. Shanghai, a well-known tertiary hospitals the respiratory department director of the doctors yesterday told this reporter, the hospital treated pneumonia and severe pneumonia increased compared with previous years, the unknown severe pneumonia mortality up to two to three percent, "Of course, there may be" poultry influenza, and sent these highly doubt sample submission. In avian flu designated hospitals, located in Jinshan District of Shanghai Public Health Clinical Center embattled require medical personnel around the clock to open the phone, waiting to receive patients notice at any time.
 The respiratory department medical director pointed out that, usually, even ordinary pneumonia also half not find the cause of severe pneumonia can not find the cause of it more, rather the unknown severe pneumonia mortality rate two to three percent. According to his observation, pneumonia and severe pneumonia patients this year than the same period last year. He revealed that, though there are no blood samples for inspection of all unknown severe pneumonia, but highly suspected samples have been sent to the Shanghai Municipal Center for Disease Control.
 Although I do not know the unknown with severe pneumonia in what "hidden" with the number of cases of the avian flu, admitted to the hospital has been embattled. The Shanghai government announced the day before the influenza pandemic contingency plans started three response set to the designated medical institutions, and is located in Shanghai Jinshan District of Shanghai Public Health Clinical Center, isolation and treatment of patients.
Clinical Center, Building A3 structures of beds
 Reporters yesterday afternoon came to Shanghai Public Health Clinical Center, perhaps it is because the Government has set this the designated hospitals sake, between few patients. The door of the emergency room around 15:30 Close, respiratory and fever clinics at just an ordinary patient in a clinic for medical treatment, and no patients in addition to the hall.
 It is understood that the avian flu patients admitted to the ward settings, Building A3 in the hospital. Reporter saw through A3 floor windows in the ground floor of the ward, several staff members were being set up and finishing of beds, and prepare medicines and other personal protective equipment.
Health care phone 24 hours "on-call"
 A3 floor, a medical staff told reporters that a total of 3 layers A3 upstairs can accommodate about 40 patients, the hospital medical staff phone 24 hours must be kept clear, wait for the notification of the admitted patients.
 Shanghai printing is real or imagined. The official release of information is slow, more and more gossip. Yesterday afternoon, the microblogging ID Blues silk language made micro-Bo said: "just a avian flu died in our hospital emergency!" Microblogging address is displayed as "Tongji University Tongji Hospital. Since then, this micro-Bo "disappeared", but the shots still crazy mass. However, Shanghai Tongji University Affiliated Hospital response to reporters confirmation, repeatedly said "this patient".

Agriculture monitor the H7N9 avian influenza positive samples



2013-04-04 19:59


Screenshot
Screenshot
Original title: Department of Agriculture in Shanghai's Songjiang District, a market monitoring to the positive samples of the H7N9 avian influenza
LONDON reporter Yuan Songlu reported on April 4: Reporters learned from the official website of the Ministry of Agriculture, Office of the Ministry of Agriculture news release, April 4 recent cases of human infection with the H7N9 avian influenza in some provinces, the Ministry of Agriculture, rapid deployment, organize animal influenza centralized monitoring. April 4, agricultural and sideline products wholesale markets for inspection by the National Avian Influenza Reference Laboratory, Shanghai Songjiang District, Shanghai Huai pigeons samples detected the H7N9 avian influenza virus gene sequence analysis showed that the strains of low pathogenicity avian The influenza virus is highly homologous with the H7N9 avian influenza virus isolates.,,

Shanghai: there are still three cases of suspected H7N9 bird flu cases to be diagnosed



[City new confirmed case of human infection of H7N9 avian influenza] # latest # City Health and Family Planning Commission, informed, 17:30 As of today, the Shanghai confirmed case of human infection of H7N9 avian influenza, has died, 48-year-old patients engaged in the work of transporting chickens and ducks.
So far confirmed three cases of human infection with the H7N9 avian flu cases in Shanghai, and 3 died. The city there are three suspected cases, the expert group under investigation and diagnosis.

Ministry of Agriculture, in Shanghai a pigeon samples detected the H7N9 avian influenza virus


Ministry of Agriculture, in Shanghai a pigeon samples detected the H7N9 avian influenza virus


Office of the Ministry of Agriculture news release, April 4 for the recent occurrence of human infection of H7N9 avian influenza in some provinces, the Ministry of Agriculture, rapid deployment, centralized monitoring organized animal influenza. Department of Agriculture requires the expansion of the H7N9 avian flu virus monitoring range, according to the monitoring results, to take further precautions.
  WASHINGTON, April 4, according to the news website of the Ministry of Agriculture, Ministry of Agriculture office April 4, for the recent occurrence of human infection of H7N9 avian influenza in some provinces, the Ministry of Agriculture, rapid deployment, centralized monitoring organized animal influenza. April 4, agricultural and sideline products wholesale markets for inspection by the National Avian Influenza Reference Laboratory, Shanghai Songjiang District, Shanghai Huai pigeons samples detected the H7N9 avian influenza virus gene sequence analysis showed that the strains of low pathogenicity avian The influenza virus is highly homologous with the H7N9 avian influenza virus isolates.
  In view of the fact that the virus is a threat to the safety of human life, the Ministry of Agriculture decided to animals infected with the H7N9 bird flu virus temporarily into an animal disease management. Requirements of the relevant market in Shanghai to take strict measures for the prevention and control of animal diseases. Department of Agriculture requires the expansion of the H7N9 avian flu virus monitoring range, according to the monitoring results, to take further precautions.

Cambodia's health minister urges children to stay away from poultry to prevent bird flu

English.news.cn   2013-04-04 19:17:36
PHNOM PENH, April 4 (Xinhua) -- Cambodia's Health Minister Mam Bunheng on Thursday appealed to parents to distance their children from poultry in order to prevent the spread of bird flu from poultry to humans, said a joint statement by the Health Ministry and the World Health Organization.
"Avian Influenza H5N1 remains a serious threat to the health of all Cambodians, and kids also seem to be most vulnerable and are at high risk because they like to play where poultry are found," the minister said in the statement.
"I'd like to appeal to parents and guardians to keep children away from sick or dead poultry and prevent them from playing with chickens and ducks," he said.
He added that parents and guardians must also make sure children wash their hands with soap and water after any contact with poultry.
"If they have fast or difficult breathing, they should seek medical attention at the nearest health facility and attending physicians must be made aware of any exposure to sick or dead poultry," he added.
The minister's appeal was made after a six-year-old boy from Southwestern Kampot province was confirmed on Wednesday as the 10th person who contracted with Avian Influenza H5N1 in 2013.
The boy developed fever, convulsions and dyspnea (shortness of breath) on March 27, and his mother had bought some medicines from a local pharmacy for him until his condition worsened. The boy was sent to the Kantha Bopha Hospital in Phnom Penh on March 31.
"Currently, the boy is in a critical condition," the statement said Thursday, adding that it is not known whether the boy had direct contact with poultry.
The country records the worst outbreak of the virus this year since the disease was first identified in 2004. To date, the country has reported 31 human cases of the virus, with 27 people killed.
H5N1 influenza is a flu that normally spreads between sick poultry, but it can sometimes spread from poultry to humans, said the statement. Human H5N1 Avian Influenza is a very serious disease that requires hospitalization.
Globally since 2003, there have been 623 laboratory confirmed human cases of H5N1 Avian Influenza with 371 related deaths, it said. http://news.xinhuanet.com/english/health/2013-04/04/c_132284971.htm

More than 200 Chinese students hospitalized due to diarrhea



04.04.2013
The provincial government of Sichuan, China, on 4/4 that 203 primary school students in this province was hospitalizeddue to high fever, vomiting and diarrhea.Complete these pediatric patients are city ​​elementary school students from the scattered and taken to the hospital from 7 am-10 am and 30 am local time. According to the initial diagnosis, children with acute appendicitis but health has stabilized . Of these, 50 children are being treated at a hospital town, the remaining 153 children were moved up three district hospitals. authorities are to clarify the cause of this condition. http://www.vietnamplus.vn/Home/Hon-200-hoc-sinh-Trung-Quoc-nhap-vien-do-tieu-chay/20134/191048.vnplus

After Chitwan‚ bird flu hits Nawalparasi hard


NAWALPARASI: After the poultry capital Chitwan was hit by bird flu on Wednesday another incident has been reported in the Mukundaupr, Nawalparasi on Thursday.According to Dr Bodhraj Adhikari of the National Bird Disease Research Laboratory, they sent a crew to Mekh Bahadur Ale’s farm in Nawalparsai after they received information about the suspicious deaths of more than 600 fowls.


The sample after being tested in the Bird Disease Research Laboratory showed positive results of the virus (H5N1).

The crew under Adhikari culled all 1600 fowls in the farm and buried them under the earth, and assured the farmers about the disposal since the farmers were not allowed to do so on their own.

The team then cleaned the farm, destroyed all bird food and dumped bird waste to avoid the virus transmission to other places.http://www.thehimalayantimes.com/fullNews.php?headline=After+Chitwan%E2%80%9A+bird+flu+hits+Nawalparasi+hard+&NewsID=371620