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Monday, April 8, 2013

Asia braces for spill-over of new bird flu strain


BANGKOk, 8 April 2013 (IRIN) - Officials throughout Asia are implementing measures to protect themselves from a new strain of bird flu - H7N9 - that has so far infected 21 people in China, killing six

These are the first human infections and deaths to have been recorded from this virus strain worldwide. China’s neighbours have reacted by boosting hospital capabilities and disease surveillance, strengthening border control, issuing reminders to ban illegal poultry imports, and more vigorously testing what is imported. 

Following a mass animal culling on 5 April in Shanghai - one of the Chinese cities affected - pandemic expert and virologist Yi Guan from the University of Hong Kong told IRIN he expects human cases to “drop or stop”. But he added that experts still have much to learn about the disease. 

The virus has proved to be a “low-pathogenic” virus in infected land-based birds, so it is not clear why the virus has been so severe in humans, he noted. The true spread of the disease is also still unknown. 

"We have a knowledge gap and do not know the full picture. There may be people with minor infections or who are asymptomatic among [the] population as a result of H7N9," said Yi. 
Experts have not been able to learn how or why the 21 persons became infected. While some people had contact with animals or their habitats, and infections are suspected to originate in poultry, the virus's host and source have not been lab-confirmed. 

The UN Food and Agriculture Organization has noted that knowing what species is responsible for the fatal outbreak is “essential to target response actions accordingly, including trade restrictions”. 

Indonesia 
Since the H5N1 bird flu virus first appeared in 2003, there have been 622 laboratory-confirmed human cases globally, 371 of them fatal, according to the World Health Organization (WHO). Indonesia has seen the largest number of deaths from H5N1: 160. 

"We face a similar situation to China because the high risks of the animal-human interface, and inadequate bio-security among many poultry farmers. That's why [holding a] public awareness campaign is important, and we continue to closely monitor genetic mutations of the bird flu virus,” said Emil Agustiono, the head of Indonesia’s National Zoonosis Committee. 

He said no “special measures” have been enacted as the country does not import live poultry from China. 

The WHO has not advised any travel or restrictions or any special screenings linked to the flu outbreak. 

Tjandra Yoga Aditama, director general for disease control and environmental health at Indonesia’s Health Ministry, told IRIN the call for “intensive surveillance” has been made to local health departments. They have also been called upon to immediately respond to “any cases of influenza-like illness and severe acute respiratory infection, which may be found in communities, hospitals and other health care providers, seaports and airports." 

Vietnam 

Vietnam, which does import live poultry from China, issued a government directive on 4 April reminding officials working near the border with China to be vigilant about keeping out illegal poultry imports and about inspecting all legal imports before distribution. 

Vietnam’s health ministry has designated laboratories to analyse blood samples of suspected cases. 

The Institute for Tropical Diseases in the capital, Hanoi, has ready 8,000 doses of Tamiflu (reported by Chinese authorities to be effective in treating the infection at early stages), 23 respirators and two dialysis machines. On 5 April, the Health Ministry promulgated an action plan in the case of an H7N9 outbreak 

China 

Local media reported that Hong Kong government officials have cautioned against panic-buying and confirmed the availability of 1,400 hospital beds to quarantine any patients infected with H7N9. 

Following his visit to a local poultry market on 8 April, Hong Kong’s secretary for food and health, Ko Wing-man, told reporters that officials in Hong Kong and mainland China are collaborating to boost surveillance of all poultry imports. All poultry are to receive rapid tests for H5N1 virus as well as H7N9 before being released to the markets for sales in Hong Kong.  http://www.irinnews.org/Report/97806/Asia-braces-for-spill-over-of-new-bird-flu-strain

Virtnam-Planning approval H7N9 flu prevention



Updated at: 22:06 04/08/2013
(Inspector) - Today (8/4), the Ministry of Health has approved the H7N9 flu prevention plan. Accordingly, there are four scenarios in place:
No case of human disease;
A/H7N9 flu cases in humans but not found to spread from person to person;
 detecting cases of influenza A / H7N9 spreads from person to person but in narrow or single cases; outbreaks community.

In the case when there is no case of the disease in humans, the health sector will strengthen supervision cases acute respiratory infections of unknown cause; special implementation of monitoring people, animals and goods in border and border areas; conduct screening to detect suspected cases at the border through the use of remote temperature measurement. Another important solution is to strengthen the laboratory diagnosis of influenza virus A/H7N9 in the Institute of Hygiene and Epidemiology / Pasteur, build processes tests, training for laboratory staff.

The first phase, the Ministry of Health requires 3 Institute: Institute of Hygiene and Epidemiology, Pasteur Institute in Ho Chi Minh City, Nha Trang Pasteur Institute is ready to receive samples for diagnosis of influenza A/H7N9. The medical examination and treatment prepared the drug, isolated areas; ready to organize the final solution, isolation and treatment of patients, limited mortality. Establish a network of collection units used in the treatment of patients with influenza A/H7N9.


The Ministry of Health also requires local testing organization, direct and supervise the implementation of local flu. The reserve unit, treatment and communication in the area to strengthen surveillance, early detection; ready solution of treated patients; strengthen propaganda about the disease and preventive measures for people.
 
The Ministry of Health has established five Missions inspect, supervise and direct the prevention of A/H7N9 flu in the province / city: Hanoi, Hai Phong, Quang Ninh, Ho Chi Minh City, Lao Cai, Lang Son, Quang Tri, Da Nang, Tay Ninh, Ha Tinh.

 On 9/4, Deputy Minister of Health Nguyen Thanh Long and representatives of a number of departments under the Ministry of Health, the Pasteur Institute in Ho Chi Minh City will inspect the international medical quarantine at the international airport gate Tan Son Nhat Airport, Ho Chi Minh City. The same day, the delegation inspected the ready a final solution, the treatment of patients with influenza A/H5N1 and A/H7N9 at the Hospital for Tropical Diseases in Ho Chi Minh City. http://www.thanhtra.com.vn/tabid/77/newsid/66238/temidclicked/34/seo/Phe-duyet-Ke-hoach-phong-chong-dich-cum-H7N9/Default.aspx

Da Nang prepares H7N9 flu



(TNO) PM 8.4, the Department of Health Da Nang chaired the emergency meeting with concerned units preparing to establish the Steering Committee and the measures against H7N9 flu .

According to Nguyen Ut, Deputy Director of the Da Nang Department of Health, local implementation of H7N9 flu in the context of April, five more as the International Fireworks Festival (each drive welcome hundreds of thousands of visitors) , holidays 30.4 and 1.5 last 5 days, so many potential risk visitors carry pathogens to Danang and disease outbreaks.
Ms. Ngo Thi Kim Yen, deputy director of Da Nang City Department of Health, said while not identify the source of infection of H7N9 flu, it is necessary to strictly control the food source from China imported about local now people are using a lot.
In addition, Da Nang is the pick of the country from China with about 20 flights, or 2,000 to 2,500 visitors per week, with 1 - 2 trains travel the ocean, not to mention road ahead, the Department of Health focus at the gate control air and seaports....

Five patients infected with type 1 flu virus in Siu Lam Hospital


(04-08 19:53)

Five patients, aged 33 to 56, in a male ward for the severe mentally handicapped had presented with respiratory symptoms since April 5, Siu Lam Hospital said today.
Appropriate viral tests were arranged for the patients and their test results were positive for Parainfluenza Virus Type 1. The patients concerned are being treated under isolation and are in stable condition.
Admission to the ward has been suspended and restricted visiting has been imposed. Infection control measures have already been stepped up according to established guidelines. All other patients in the ward concerned are under close surveillance. 
http://www.thestandard.com.hk/breaking_news_detail.asp?id=34498&icid=a&d_str=20130308

Shanghai H7N9 the dead death records: shredded virus life (full text)


Shanghai H7N9 the dead death records: shredded virus life (full text)

2013-04-08 09:59:54 Source: China Youth Network (Beijing) 46,540 people
Quickly post
Core Tip: March 10, Wu Liang Liang, an H7N9 avian flu died only 12 days away from his illness. Wu Liang Liang initially high fever, followed by cough to spit bloody sputum and other symptoms. After admission, the whole body was filled catheter, hands tied in bed until it died a death.Family members learned that the cause of death after his death, said Wu had little contact with poultry, may be infected in the hospital....

Japan- Government deal with bird flu = expansion to Special Measures Law enforcement, even 12 days



 8 days, the government and he decided to bring forward from May that was originally planned, the enforcement of the Act on Special Measures for receiving the spread of bird flu in China, was established measures the spread of swine flu virulent. Approved by the Cabinet on April 12, be implemented immediately. (2013/04/08-23: 35)http://www.jiji.com/jc/c?g=soc_30&k=2013040800923

Some funny statements for you

"There is no possibility of spreading the infection overseas," Wu told a press conference.

Read more: http://www.news.com.au/breaking-news/world/china-reports-fifth-h7n9-bird-flu-death/story-e6frfkui-1226612916941#ixzz2Pdnt46pM


The state-run China Daily on Friday quoted the ministry of health in Beijing as pledging "open and transparent exchanges with the WHO and other countries and regions".

Read more: http://www.news.com.au/breaking-news/world/china-reports-fifth-h7n9-bird-flu-death/story-e6frfkui-1226612916941#ixzz2PdnzDxKb


a 7-year-old girls respiratory samples for influenza A H7 virus negative reaction.
http://news.sdchina.com/show/2599155.html

WHO said that there is no indication that there is a link between the confirmed cases reported in China, while there is no evidence that the virus is spread from person to person.
http://news.cn.yahoo.com/ypen/20130406/1691815.html

Victims have included 15 adults and a 4-year-old child, all of whom appeared to have clear ties to live poultry markets http://vitals.nbcnews.com/_news/2013/04/05/17618253-dont-panic-over-new-bird-flu-outbreak-cdc-cautions?lite

Two of the 16 had other people in their families fall ill, but whether it was related is still being assessed 
http://vitals.nbcnews.com/_news/2013/04/05/17618253-dont-panic-over-new-bird-flu-outbreak-cdc-cautions?lite
CDC is working with vaccine manufacturers to develop a seed strain to produce a vaccine to protect against the H7N9 virus, but that would only occur if there appeared to be widespread transmission. If that were necessary, it would not disrupt production of the seasonal vaccine http://vitals.nbcnews.com/_news/2013/04/05/17618253-dont-panic-over-new-bird-flu-outbreak-cdc-cautions?lite

WHO: screening is not recommended in the various ports and trade measures

 2013-04-08 21:38 


http://news.dayoo.com/china/57400/201304/08/57400_109965899.htm
With H7N9, “there is absolutely no evidence of any sustained human-to-human transmission,” Hartl says.http://www.theprovince.com/news/world/China+test+entire+country+deadly/8210802/story.html

Watch people infected with the H7N9 bird flu treatment process [HD Photo]



April 8, 2013 Source: Xinhua
, (Xinhua Watch) (1) Watch human infection of H7N9 avian influenza patients during the treatment
  April 8 in Bozhou City People's Hospital, a paramedic for the treatment of infection of H7N9 avian influenza patients. The same day, the reporter walked into the Bozhou City, Anhui Province, People's Hospital intensive care unit, used the camera to record cases of human infection with the H7N9 avian influenza confirmed cases during the treatment. Patients Lee, male, 55 years old, Bozhou Qiaocheng engaged in live poultry sales and slaughter. The onset of March 28, April 1 to Bozhou City People's Hospital for treatment due to exacerbations. April 6, Anhui Province CDC laboratory test results for the H7N9 avian influenza virus nucleic acid positive, April 7, the Chinese Center for Disease Control laboratory for review results for the H7N9 avian influenza virus nucleic acid positive. Currently, the patient is stable. Xinhua News Agency reporters Liu Jun and Xi She

China to test entire country for deadly new flu



 

 

The World Health Organization says China is broadening its search for human cases of the new H7N9 flu.
A spokesperson for the Geneva-based global health agency says China is starting to test for the new strain across the country.
To date cases have been found only in four provinces in eastern China, near Shanghai.
But Gregory Hartl says Chinese authorities are starting to test for the virus through the country’s surveillance network for influenza-like illnesses.
That means people sick with flu-like illnesses who seek care at sites in the network across China could be tested for H7N9.
SEVEN DEATHS SO FAR
To date China have confirmed 24 infections, with seven deaths.
It’s not clear whether the clustering of cases in the four provinces means that those are the only places where infections are occurring, or whether broadening testing will turn up cases in more far-flung parts of the vast country.
ANIMALS TESTED
Hartl said the work to find the animal reservoirs of the virus is also continuing. China’s Agriculture Ministry and the UN Food and Agriculture Organization are collaborating, he said, and have collected more than 11,000 samples from various animal types to look for where the virus is hiding in nature.
So far H7N9 has been found in pigeons, quails and chickens.
Finding the virus in animals has been challenging because it currently doesn’t sicken or kill poultry.
H7 flu viruses, like the better known H5 viruses, can come in two forms. They can be highly pathogenic, killing poultry, or can come in a low pathogenicity form. The new virus is the latter, meaning it can spread in a virtually invisible manner among poultry flocks.
However, low path H7 and H5 viruses will typically evolve to become high path viruses, if they circulate among poultry for long enough. (The designations of low path or high path relate to how the viruses act in poultry, and not how deadly — or not — these viruses are for people who become infected with them.)
HUMAN INFECTIONS CONTINUE
Hartl says human infections continue to accumulate at a rate of two or three a day, but the WHO believes the cases are still sporadic, with “almost no evidence of human-to-human transmission of any type.”
He explained he used the word “almost” because among the more than 600 contacts of cases that China is investigating, a few have shown signs of illness and need to be followed up.
HUMAN TRANSMISSION
At this point there may have been rare occasions of limited human-to-human spread, of the type that is occasionally seen with H5N1 bird flu, he acknowledged. Small clusters of H5N1 cases have occurred, but only among people who have had close contact with someone ill with the virus.
With H7N9, “there is absolutely no evidence of any sustained human-to-human transmission,” Hartl says.
Experts trying to determine whether a flu virus is on the verge of breaking out to cause a pandemic look for easy and sustained spread from person to person, the type of transmission one sees with seasonal flu viruses.


Read more: http://www.theprovince.com/news/world/China+test+entire+country+deadly/8210802/story.html#ixzz2PsiQyE9M

Read more: http://www.theprovince.com/news/world/China+test+entire+country+deadly/8210802/story.html#ixzz2Pshunnmu

Nanjing woman infected with the H7N9 avian influenza H7N9 avian flu crises


Nanjing woman infected with the H7N9 avian influenza H7N9 avian flu crises

Published: 2013.04.08 21:50 source: dimension females Network of: dimensions women

  Crises Nanjing woman infected with the H7N9 avian influenza H7N9 avian flu patients suspected for a farmers market livestock slaughter workers, closing date, the patient's condition is very critical, has further deteriorated, has more than H7N9 avian flu infection, causing some people panic, Nanjing woman infected with H7N9 avian influenza H7N9 avian flu crises
  Nanjing woman infected with H7N9 avian influenza H7N9 avian flu crises
Nanjing woman infected with H7N9 avian influenza H7N9 avian flu crises
 Patients suspected of Jiangning a farmers market poultry slaughter workers
  According to @ Nanjing is happening microblogging screenshots, the evening of March 30, Jiangning District residents are provincial and municipal disease control, health department diagnosis of patients with suspected cases of Influenza A H7N9 influenza virus, the patient is Gulou Hospital for medical treatment. The patient is a 45-year-old woman in Jiangning District, East New farmers market in the poultry slaughter. First appeared in patients with symptoms such as fever, cough, sicker to jiangning Chinese medicine hospital treatment, further deterioration in the 24th, go to the Drum Tower Hospital ICU in critical condition.
  29, 2009, the City CDC preliminary detection of influenza virus were positive, and 30, the positive outcome of the review of the provincial CDC, initially identified as H7N9 positive. Preliminary view that the cases of human infection with influenza A H7N9 influenza, at present, to be reported to the State Health and Family Planning Commission confirmed.

The Gulou Hospital staff: patients treated in isolation do not need to panic
  Around 10:00 am today microblogging official certification of the Administrative Department of the Nanjing Gulou Hospital, Gulou Hospital Honker core members "@ Phoenix phoenix" said the patient is in a state of complete isolation and treatment, we do not need to panic, Admission in active treatment rescue, has not yet been officially confirmed, do not eat poultry products in the near future or cooked food again. Subject to cold and fever phenomenon timely medical treatment. http://miit.ccidnet.com/art/32559/20130408/4849157_1.html

Secret H7N9 avian flu isolation were treated area





April 8 this Watch Nanchang (Reporter Shi Yukun) recently with the development of the H7N9 avian flu disease, Nanchang City Health Bureau confirmed the five family members infected with the H7N9 avian flu treatment sentinel. On April 8, the reporter walked into the H7N9 avian flu were treated area of ​​Nanchang City Ninth Hospital netizens uncover the veil of mystery here.It is reported in the April 3, Nanchang ninth hospital was identified as the the municipal people infected with the H7N9 avian flu treatment designated day emergency start people infected with the H7N9 avian influenza where four response.
http://news.jxgdw.com/jszt/hdphotogallery/hd100183.htm#p=1


Shanghai is avian influenza designated hospitals Watch the scene: two H7N9 patients admitted


2013-04-08

Click on the picture to share on the beach microblogging
Figure: City Public Health Clinical Center supplies ready in place, health care workers armed. Newspaper reporter Sun Zhongqin photo
  [Xinmin Evening News Xinmin net] Shanghai Public Health Clinical Center, according to the requirements of human infection of H7N9 avian influenza admitted to the hospital, make proper preparations and begin rescue work. Reporters yesterday afternoon visits, found that in addition to the south side of the A3 floor of the emergency ward for H7N9 patients admitted an isolation cordon identified, the entire center of all medical treatment is still running, orderly.
  Two patients stable condition
  Professor Zhang Zhiyong, director of the Municipal Public Health Clinical Center, said the afternoon of April 6, the center admitted two H7N9 nucleic acid-positive patients with confirmed human infection of H7N9 avian influenza expert consultation. A 65-year-old patients with mild lung some inflammation, into the ward; another 74-year-old patient is relatively critical, severe pneumonia, respiratory failure, and accompanied by a variety of basic diseasesCenter expert group to take on two patients with active treatment measures to improve the relevant checks, and the anti-infective, non-invasive mechanical ventilation, symptomatic and supportive therapy. The serious condition of the patient is conscious, admitted that night that hunger, they immediately arranged a nutritious meal.
  Two patients stable condition. April 4 and 5, 2009, the City Public Health Clinical Center also admitted subject to relevant checks and anti-infection treatment two close contacts. Two samples tested for H7N9 avian flu the nucleic negative, treatment and follow-up testing is still in progress.
  Hospital staff 24 hours a day
  Zhang Zhiyong said, to build the city after the 2003 SARS Public Health Clinical Center covers an area of ​​about 500 acres, the periphery of the park nearly 500 acres of shelterbelts with the outside world, "cut off". Since the opening of the center, every year organization several times emergency drills, sensitivity and a sense of urgency to strengthen front-line staff; hospital more than 800 medical staff all in a 24-hour phone on standby, once the "instructions" issued from the requirements of the "real" "build-up" in the outpatient department of urban water circuit to drive to Jinshan Center headquarters out emergency treatment channel, and usually require only two hours.
  Personnel entering and leaving the strict disinfection
  Currently, the City Public Health Clinical Center for the the H7N9 epidemic prevention and control by the materiel readiness, including invasive ventilator, non-invasive ventilator, defibrillator units, infusion pumps 2, ECG, ECG Miriam 17 units, as well as the treatment of human infection with the H7N9 avian flu drug Tamiflu "150 people.
  A3 floor of the emergency ward admitted confirmed cases and close contacts as a separate layer ward, a total of 88 beds. The design and construction of the building in accordance with the isolation of respiratory diseases need medical personnel, patients and medical waste have their own entrances and exits, personnel access to be strict disinfection procedures. Building ground floor has eight of the world's most advanced negative pressure wards, wards air collected by dedicated pipelines, strict disinfection before discharge to the external. Admitted to the H7N9 avian flu were arranged to live in a the underlying negative pressure wards.
  Professor Lu Hongzhou, Public Health Clinical Center City party secretary stressed in an interview with reporters yesterday, all close contacts, including doctors and nurses, including one from the information available, the H7N9 avian flu-related symptoms, only one case the patient's family found influenza symptoms and lung infection, has been ruled out H7N9 avian flu positive, the lifting of a medical isolation. http://shanghai.xinmin.cn/msrx/2013/04/08/19618003.html

China ‘Exemplary’ in Communicating on Flu, WHO Says

video

April 8 (Bloomberg) -- Gregory Hartl, a spokesman for the World Health Organization, discusses the outbreak of H7N9 avian influenza in China. He speaks from Geneva with Francine Lacqua and Guy Johnson on Bloomberg Television's "The Pulse." (Source: Bloomberg)

http://www.bloomberg.com/video/china-exemplary-in-communicating-on-flu-who-says-4iOpAmgBRBK3XBBvZ3L6Qw.html

Hangzhou, Zhejiang Hospital outpatients increased by 3-5 times longer than usual



The time :2013 -04-08 18:59:41

April 8, members of the public attending the First Affiliated Hospital, Zhejiang University School of Medicine. Recently, the Zhejiang hospital outpatients increased 3-5 times more than usual. China news agency issued photo Li Chen Yun
  It is reported that, as of the 7th, Zhejiang Province, a total of confirmed cases of H7N9 avian flu cases, 2 patients died of his wounds, the other patients were improved by the rescue. http://news.cnwest.com/content/2013-04/08/content_8913067.htm

Avian influenza Ko Wing Man: So far, seven suspected cases of infection of H7N9 to be assessed


"The news agency of the economy through the 8th Newsletter" in the special session of the Legislative Council Panel on Health Services, Ko Wing-man, the Secretary for Food and Health revealed that HA has so far received nine of H7N9 reported cases, of which two have been announced, and the exclusion of infection cases the rest CHP has yet to be further evaluated.
He stressed that, even though the cases do not fully comply with the standard of the suspected cases, if you can not find the cause, the authorities will carry out the inspection. He also said that authorities everywhere this week will inspect imported poultry quick H7 virus test, four hours there will be results. Ko Wing-man, he said, be premature to issue a travel alert for other places, there is no intention to limit the number of entrants, Once the epidemic upgrade, for example in Hong Kong birds tested H7N9 will consider adjustment the strain progression and require travelers from all provinces for health declaration. (Eh)
http://finance.qq.com/a/20130408/006414.htm

Across the country reported a total of 24 cases of H7N9 avian influenza


People's Daily, Beijing, April 8 (Reporter Li Ye) According to the Shanghai Municipal People's Government Information Office official microblogging "publish" news, as of 17:00 today, the Shanghai newly confirmed cases of human infection of H7N9 avian influenza, has died.
   According to another, the Health Department of Jiangsu Province, April 8 briefing, Jiangsu Province, newly confirmed two cases of human infection with the H7N9 avian flu cases confirmed human cases of infection with the H7N9 avian flu to eight cases.
    At this point, the country is currently reported a total of 24 cases of H7N9 avian influenza, which, 11 cases (5 deaths), 8 cases of Jiangsu, Anhui, Zhejiang 3 cases (2 deaths).http://society.people.com.cn/n/2013/0408/c1008-21059689.html

Two cases of new confirmed cases of human infection with the H7N9 avian influenza in Jiangsu Province


, April 8
Health Department of Jiangsu Province, April 8 Bulletin, Jiangsu Province, the new confirmed cases of human infection of H7N9 avian influenza.
Patients Shumou, male, 85 years old, Nanjing Shimonoseki area retirement home. March 28 incidence, diagnosis and treatment to a hospital in Nanjing on April 1. April 8 at noon, the provincial expert group diagnosed cases of human infection of H7N9 avian influenza confirmed cases. Currently, patients in critical condition. After investigation, the 34 close contacts of the cases, no abnormality.
Patients Qiumou, female, 25 years old, the Zhenjiang City Runzhou district people, unemployed. March 30 incidence, diagnosis and treatment to a hospital in Zhenjiang City. April 8 at noon, the provincial expert group diagnosed cases of human infection of H7N9 avian influenza confirmed cases. Currently, patients in critical condition. After investigation, the close contacts of the case has a total of 18 people currently no abnormality.
In addition, at noon on April 8, the provincial expert group consultation, exclude one cases ( Suzhou Wujiang District Zhao) human infection with the H7N9 avian flu suspected cases.http://news.ifeng.com/mainland/special/h7n9/content-3/detail_2013_04/08/23983135_0.shtml

Shanghai today to add a person infected with the H7N9 avian flu has died



, Apr. 08, 2013 5:15City Health and Family Planning Commission today (8th) informed that as of April 8, 2011 17:00 city new confirmed cases of human infection of H7N9 avian influenza cases after she died.
The new cases are as follows:
Patients celebrate a male, 64 years old, the people of Shanghai, retirees. On the morning of April 1, patients with symptoms of chills, body temperature was not measured, self-serving pharmaceutical treatment. On April 3, the patient self-test body temperature of 39.0 ℃, to the Ruijin hospital pneumonia diagnosis of right, given symptomatic treatment. Patients with shortness of breath in the morning of April 7, 9:15 and went to the Ruijin Hospital for treatment, a diagnosis of severe pneumonia, isolation and treatment of income wards. Rescue invalid by the hospital, the patient died at 18:45 on the 7th. On the evening of April 7, the case samples by the Shanghai Municipal Center for Disease Control laboratory testing, the results for the H7N9 avian influenza virus nucleic acid positive. In accordance with the relevant requirements, the Shanghai Municipal Health and Family Planning Commission organized municipal clinical expert group to discuss the deaths of experts based on the clinical performance of laboratory testing and epidemiological data, the diagnosis of the cases of human infection of H7N9 avian flu in cases. After investigation, the close contacts of cases of a total of four people have been implemented under medical observation, until now, were not unusual.

Anhui start IV level response to pandemic influenza contingency plans


Published: 2013-04-08 18:02 Source: China News   
China news agency, Hefei, April 8 (Reporter Wu Lan) - 8, 2011, has confirmed two cases of human infection with the H7N9 avian influenza Anhui officially launched a level IV response of an influenza pandemic contingency plans.
Anhui Provincial Health Department informed the Bozhou City, Anhui Province, the newly discovered cases of human infection of H7N9 avian influenza patients in stable condition. Far Anhui were found in two cases, which first patient Mr. Han still Jiangsu, where the persons in close contact with the patient had clinical abnormalities were not there.
Anhui provincial government decided officially launched since April 8, level IV response to an influenza pandemic contingency plans, to strengthen the monitoring of the epidemic, in particular, to strengthen the monitoring and troubleshooting of key areas, places, and high-risk areas. Affected the poultry industry production dynamic close attention to in order to protect the healthy development of the aquaculture industry.
Visits found news agency reporter in the city of Hefei, Anhui Province, part of the vegetable market on the 8th, poultry sales bleak, lack of public cares. The daily turnover of thirty or forty thousand birds a large live poultry wholesale market in Hefei is temporarily closed, the staff called "play safe".
According to the Anhui Provincial Health Department news, to play to the advantage of the role of Chinese medicine prevention and control of epidemic diseases, to prevent and treat people infected with the H7N9 avian flu, the establishment of the Anhui Provincial Traditional Chinese Medicine the prevention and control of human infection of H7N9 avian influenza Work Leading Group and the Group of Experts, which experts is composed of Anhui Province, 20 well-known Chinese medicine experts, according to the people infected with the H7N9 bird flu epidemic nature of the situation, and other changes proposed in the pharmaceutical prevention strategies and measures recommended.http://www.qianhuaweb.com/content/2013-04/08/content_3928769.htm

Sunday, April 7, 2013

Blowing smoke up your a$$


WHO: H7N9 avian influenza and the East China dead pig not linked

At 10:34 on April 8th 2013
BEIJING, April 8, Blue Ruiming, World Health Organization Representative in China, said today that the dead pig in the Huangpu River factors may not be dead pig and human influenza cases linked to the clinical manifestations of the swine influenza does not meet performance.
The National Health and Family Planning Commission and the World Health Organization (WHO) today held a joint news conference, informed people infected with the H7N9 bird flu prevention and control. Blue Ruiming at the meeting, said that China recently reported case is the first time in human cases of H7N9 virus infection. Although the source of infection is not clear, but No show someone interpersonal communication.
East China dead pig, avian influenza and human cases may exist between the associated speculation, blue Ruiming factors may have a lot of dead pig in the Huangpu River, we have not linked the dead pig and human influenza cases. In pigs has been detected, the influenza virus is detected as negative; pig clinical performance does not meet the performance of influenza.
The data published on the conference, Shanghai, Jiangsu, Anhui, Zhejiang provinces and the recent occurrence of the people infected with the H7N9 bird flu. As of April 7, the National Health and Family Planning Commission received a total of 21 cases of human infection with the H7N9 avian flu case reports, 10 cases (10 deaths), six cases of Jiangsu, Anhui two cases, Zhejiang three cases (two cases death).   SMOKE  The above-mentioned diseases were sporadic and found no epidemiological association. Investigation of close contacts of the current total of 621 people, has not yet found an exception. http://news.ifeng.com/mainland/special/h7n9/content-3/detail_2013_04/08/23967693_0.shtml

meeting news or lack of it


21 deaths in six cases of human infection of H7N9 avian influenza found no epidemiological association
April 8 the the message National Health and Family Planning Commission and the World Health Organization (WHO) today (8) jointly held a news conference, informed people infected with the H7N9 bird flu prevention and control.
  Liang Wannian, infected with the H7N9 bird flu prevention and control work leading group director of the Office of National Health and Family Planning Commission, Shanghai, Jiangsu, Anhui, Zhejiang provinces and the recent occurrence of the people infected with the H7N9 bird flu. 24 as of April 7, the Commission received a total of 21 cases of human infection with the H7N9 avian flu case reports, of which, the Shanghai 10 cases (4 deaths), six cases of Jiangsu, Anhui, Zhejiang 3 cases (2 deaths) . These cases were sporadic and found no epidemiological association. Investigation of close contacts of the current total of 621 people, has not yet found an exception.http://www.cnr.cn/gundong/201304/t20130408_512311697.shtml

The following is a conference Record


Wei Planning Commission: our country six work of prevention and control of H7N9 avian influenza

At 10:17 on April 8th 2013   China I have something to say
  At 10 o'clock on April 8, the National Health and Family Planning Commission and the World Health Organization (WHO) held a joint news conference, informed people infected with the H7N9 bird flu prevention and control. The following is a conference Record:
  Liang years:
  Major work has been carried out: First, the approval of the State Council, the establishment of the Committee led by me, multisectoral participation deal with people infected with the H7N9 bird flu joint prevention and control mechanism to coordinate and guide all sectors and regions to implement various anti- control measures and organize the supervision and inspection of the prevention and control work. I appointed to set up a leading group of human infection with the H7N9 avian flu epidemic prevention and control work, coordinating the deployment of the national health system, epidemic prevention and control work.
  2013-04-08 10:04:45
  Liang years:
  The second is to make every effort to Case-treatment work. I appointed formulating the next cases clinics, hospital infection control program, sent experts to guide local work to carry out the training of medical personnel, to guide clinical first-line do case diagnosis and treatment.Outbreak local health department set up a group of experts of medical treatment, the concentration of superior medical resources, the implementation of the designated hospitals, strengthen case for treatment.
  2013-04-08 10:05:09
  Liang years:
  The third is to actively carry out the investigation of the source of infection and situation judged. Organize experts to strengthen the etiology and epidemiological studies to track the virus mutates. Coordination of the agricultural sector to strengthen animal disease surveillance. According to the Ministry of Agriculture informed the agricultural sector from the pigeons, chickens and environmental samples detected the H7N9 avian influenza virus. The same time, through a variety of channels, extensive collection epidemic and related information, has organized experts to carry out the epidemic judged and public health risk assessment, prevention and control work and made recommendations.
  2013-04-08 10:05:31
  Liang years:
  Fourth, the practical implementation of the prevention and control measures. Focused and guidance principles in a targeted manner to strengthen unexplained pneumonia surveillance and influenza-like illness monitoring, epidemiological investigation, prevention and control of management of the patient and close contacts, hospital infection control measures. China Disease Prevention and Control Center emergency preparation to the provincial Center for Disease Control, and the avian influenza virus epidemic occurred municipal CDC issued diagnostic reagents. At the same time, strengthen the emergency duty, the implementation of the epidemic reporting system. April 5, I appointed a working group which went to Shanghai, Jiangsu, Zhejiang, Anhui provinces and cities to guide local implementation of prevention and control measures.
  Law timely release of information, and actively promote health knowledge. Outbreaks to the public in a timely manner. Organization expert interviews, published epidemic prevention and control knowledge quiz, give full play to the role of 12320 health hotline universal epidemic prevention and control knowledge for the public to dispel misunderstanding.
  Sixth, to strengthen international cooperation and exchange. In accordance with the International Health Regulations (2005) provides timely informed of the disease to the World Health Organization, Hong Kong, Macao and Taiwan regions and relevant countries to accept the exchange of site visits of foreign experts to the World Health Organization, the H7N9 avian influenza virus strains.

Doctor: H7N9 flu cases on average after 13 days from the onset to death


 Dean Forum, jointly organized by the Johns Hopkins University and Fudan University School of Public Health, to be held in Shanghai from April 5 to 7. Johns Hopkins University Bloomberg School of Public Health, is the oldest institution of higher learning in the world's public health and health science history, the professional ranked first among the nation for many years, has a significant influence in the U.S. government and the World Health Organization.


  April 6, Professor Michael Klag, dean of the Bloomberg School of Public Health, Johns Hopkins University to participate in the forum, speaking on a common understanding of human infection with the H7N9 avian influenza virus: human infection of H7N9 avian influenza virus, the incubation period is about 7 days.
  Earlier, the Chinese Academy of Engineering and director of the diagnosis and treatment of infectious diseases, State Key Laboratory of Li Lanjuan City Express and other media interviews, also said, according to the findings of the incubation period for influenza and the existing H7N9 avian influenza virus infection, the incubation period is generally 7 days or less.
  LEUNG Wai Fung, chief physician of the disease, deputy director of the First Affiliated Hospital of Zhejiang University School of Medicine infection, the doctor in charge of Hangzhou confirmed H7N9 patients Yang. Liangzhu Ren Statistics domestic death cases: from the onset to the time of death to see, after 13 days on average; experienced average time of 7.2 days from onset to aggravate; from aggravating to death, and an average of only 5.6 days.
  Plus the incubation period, that is, people infected with the H7N9 virus, just about 20 days possibly death!
  Express again remind everyone to pay attention this time: 7 days ago!
  If you or your family flu-like symptoms such as fever, cough, be sure to take recall, seven days ago, you or your family has no history of bird contact, visited, or passing the farmers market live poultry stalls? If there is, to get to the hospital with fever clinics at or above the county level investigation whether infected with H7N9.
  Once the delay in the first 13 days of your infection, ie fever, cough three days, the virus will invade your lungs, evolved into pneumonia ...
  Zhejiang Province of human infection of H7N9 avian influenza prevention and control expert group of experts, the Second Affiliated Hospital, Zhejiang University School of Medicine infection management Koko, Professor Wang Xuanding,, also warned that within 48 hours of onset of people infected with the H7N9 avian influenza treatment Tamiflu is effective .
  "I would like to emphasize the event of a flu-like symptoms, headache, fever, malaise, poor appetite, sore throat, muscle aches and other symptoms, fever clinic to go above the county level must be timely if just a runny nose , stuffy nose, sputum, no fever, may be just ordinary respiratory infection. "
  To sum up, the exclusion of themselves and their families H7N9 suspect these points:
  First, look at yourself there is no fever, no fever, can be excluded temporarily.
  Second, ask yourself and your family seven days ago, there is no history of birds contact or been to a farmers market.
  Third, within 48 hours of fever, fever clinics, the hospital must go above the county level. Do not forget to tell the doctor, you have no history of bird contact.

New bird flu strain most likely to spread between humans


New bird flu strain most likely to spread between humans

Monday, 08/04/2013
One of Australia's top infectious diseases specialists is warning that a new strain of bird flu in China is be more likely to transferred between humans than previous strains.
The H7N9 outbreak has killed six people so far and forced Chinese authorities to cull more than 100,000 birds in China's eastern provinces.
So far, all of the 21 people confirmed to be infected with the virus have contracted it directly from animals.
But chairman of the Influenza Specialist Group, Alan Hampson, says the strain has traits which will make it transferable between humans.
"It does appear to have some of the adaptive changes that might make it a humanised virus," he said.
"Another concern is that it's a virus which, unlike a lot of other viruses and the H5 virus, doesn't appear to be making people sick.
"So it can be there in the poultry and not recognised until you start to get the human cases."http://www.abc.net.au/rural/news/content/201304/s3731956.htm

Jiangsu Zhenjiang treated patients with severe cases of pneumonia were receiving active treatment


The time :2013 -04-08 05:25:04
Yesterday, users on microblogging rumors: Zhenjiang City found a case of suspected H7N9 bird flu cases.Zhenjiang Municipal Health Bureau yesterday informed that the afternoon of April 6, Zhenjiang City, treated patients with severe cases of pneumonia, the cases are receiving active treatment.Disease control departments are stepping up the monitoring of the epidemic, and pay close attention to the dynamics of the epidemic, collected the sample of cases sent to the provincial departments detection and follow-up of the situation will be announced.http://news.cnwest.com/content/2013-...nt_8904761.htm