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Wednesday, April 10, 2013

Shipped in anti-H7N9 million full additional hand-washing the device raw chicken forbidden Ilan


Shipped in anti-H7N9 million full additional hand-washing the device raw chicken forbidden Ilan

  • 2013-04-10
  •  
  • Widely, News / by Huang Lili]
    The severe outbreak of H7N9 in mainland China debut in Ilan million people participated in the "102 years of the National Middle School Games acquired from invasion to prevent avian flu, Yilan County County poultry farms surrounding public areas to strengthen disinfection closely controlled prohibit raw chicken Ilan, and enhance the provision of hand-washing equipment, masks and thermometers for players to use the venue of the National Athletic. The crowded public places and elevator, and also increase the a dry hand washing facilities, and efforts to prevent epidemics invasion. (Reported by Huang Lili)
    Full participate in over one million players shipped in Ilan debut H7N9 epidemic was raging, Ilan County Magistrate the Lin Congxian instructions "Epidemic Story", the county government established Epidemic Command Center high alert preparedness prevention materials, including : 10000 systemic protective clothing, surgical mask 40000 110000 antiviral agent Tamiflu, and strengthen disinfection of poultry farms, the reasonable freight yard, slaughterhouse, and when the tide, Lanyang xikou, fifty dimethyl , the tailless Hong Kong waterfowl protected areas, control prohibit raw chicken into the Ilan County to eliminate blight invasion may pipeline.
    Yilan Magistrate Lin Congxian said, full during the games, the venues are equipped with hand-washing equipment, masks and thermometers for players to use, but also the coordination of the Bureau of Health and motorhome industry dry hand washing facilities, in numerous crowds elevator in a confined space, provide a comprehensive disease prevention.
    Yilan County Government pointed out that most of the county chicken farm (closed curtain-style birdhouse) by migratory birds affect the probability is lower, relatively safe, normal monitoring sampling.http://news.chinatimes.com/realtime/110112/112013041001400.html

Summary of Assessment of Public Health Risk to Canada Associated with H7N9 Avian Influenza Human Infections in China


Summary of Assessment of Public Health Risk to Canada Associated with H7N9 Avian Influenza Human Infections in China

Current as of April 10, 2013

Risk Assessment

  • The public health risk posed by H7N9 from China to Canada is considered low at this time. The cases reported to date have been limited to a particular geographic area within China, and there has been no confirmed human to human transmission of H7N9. Updated risk assessments will be made available based on any new evidence.
  • H7 viruses have not to date shown evidence of sustained human-to-human transmission, and have not evolved into pandemic strains.

Event Summary

Thousands of birds nest died of H5N1 flu


Thousands of birds nest died of H5N1 flu

More than 4,000 birds nest in flocks reared at a facility on the Thong Nhat Phan Rang - Thap Cham, has died suddenly. 2 results this bird showed positive test for H5N1 avian influenza virus. 
These birds nest in turn died since the end of March so far. They are kept at the base of Yen Viet Joint Stock Company, in a group of more than 100,000 children. 
The afternoon of 9/4, MPC Phan Rang - Thap Cham had a meeting with 54 households birds nest in the area to implement measures to prevent the spread of disease for posting. Many farms oats rejected cause birds to die from the disease, but that heat makes them exhausted.
Representatives of the provincial Department of Animal Health confirmed two times took the oat samples tested, were positive for the H5N1 bird flu virus. Then the functional to continue sampling at this facility and some other bird to test but negative results. Nguyen Duc Thanh, chairman of Ninh Thuan province said provincial opinion is not hiding disease information, confirmed influenza A/H5N1 infected bird nest information and are willing to declare the state of disease in accordance with process.
The basis of birds nest in the city of Phan Rang - Thap Cham building raising banquet space on the same floor or do farming right in the crowded residential area.Farming area of ​​50-300 m2 per household. Most of the birds on high, free bird flying in the sky, and it is very difficult to control if disease occurs.http://giadinh.vnexpress.net/tin-tuc/song-khoe/nhip-song/dan-chim-yen-hang-nghin-con-chet-vi-cum-h5n1-2654916.html

CHINA TO SUSPEND LIVE POULTRY SALES



eggs
As China’s bird flu death toll rises to nine, the country has to decided to suspend the sales of live poultry in large commercial cities. This includes Shanghai and surrounding markets.
Infected birds and even caged pigeons are being slaughtered to prevent the H7N9 virus from spreading.
Indonesia is also suspending poultry imports from China. It is a temporary ban that will be lifted as soon as Chinese health officials deem the country free of the bird flu.
The World Health Organization and Chinese officials say the outbreak is still considered to be at a manageable level.
So far, China health officials have confirmed 31 cases of the H7N9 bird flu in eastern China.
There is still no word on whether the W.H.O. will send a team of experts to track the virus.

Pigs to be tested for virus


Updated
: 2013-04-11 

China's agriculture authority has expanded the monitoring for the H7N9 strain of bird flu to pigs in order to have a better understanding of the virus that had infected at least 33 people by Wednesday.
Monitoring pigsin addition to poultry and wild birdsmay provide a deeper understanding of H7N9, including its originhost rangeroute of transmission and the degree of harmaccording to the Ministry of AgricultureThe ministry issuedan emergency monitoring plan this week in response to the outbreak of H7N9.
Experts said that pigs have been included in the plan in an effort to better explore the transmission routesince it is still unknown why and how the bird flu virus infects human beings.
The World Health Organization said on its website that its analyses of the genes of influenza A H7 viruses have shown signs of adaptation to grow in mammalian species.
"These adaptations include an ability to bind to mammalian cells and to grow at temperatures close to the normal body temperature of mammals (which is lower than that of birds)," it said.
The monitoring plan is trying to find evidence of adaptation if there is anysaid Sun Quanhuia science adviser at the World Society for the Protection of Animals.
"By expanding the exclusion range of virus infectionthe authorities will provide more scientific evidence that will help control and prevent human infection of H7N9," said Sun.
Yao Jiezhanga veterinarian and spokesman for the Beijing Bureau of Agriculture's animal husbandry and veterinary stationsaid that if pigs were found carrying the viruspeople would get infected more easily.
"Since we share more similarities in cells and body temperature with pigs than poultrythe likeliness of receiving the virus from pigs is larger than from birds," he added.
According to the plan, the animal disease control and prevention center of the Agriculture Ministry will take samples nationwide from live bird markets, slaughterhouses, poultry farms and wild bird habitats, and test them for viruses.01:37
http://www.chinadaily.com.cn/china/2013-04/11/content_16391615.htm

Zhejiang Province, the sixth cases of H7N9 avian flu in less than 24 hours to be confirmed


April 11, 2013 06:50:14 

Zhejiang Online April 11 hearing yesterday, the province confirmed the sixth case of H7N9 avian influenza virus infection, Yuhang 65-year-old Huda Bo.
  And compared to the previous five cases, Huda Bo from entering the hospital for treatment to the diagnosis of H7N9, with less than 24 hours, called the rapid.
  Why the start due to gastrointestinal disease treatment, has not yet appeared in patients with fever, so soon was diagnosed? The rapid behind, what experiences other hospitals and readers learn? Yesterday, the reporter also found responsible for the outbreak of the Second Hospital of Zhejiang Medical are answered.
  All must antipyretics fever clinics
  Noon yesterday, reporters rushed http://news.66wz.com/system/2013/04/11/103603187.shtml

Human infection with influenza A(H7N9) virus in China–update (WHO, April 10 2013, edited)



Human infection with influenza A(H7N9) virus in China – update
10 April 2013
As of 10 April 2013 (18:00 CET), the National Health and Family Planning Commission notified WHO of an additional four laboratory-confirmed cases of human infection with influenza A(H7N9) virus. Of the laboratory-confirmed cases, two are from Shanghai and two from Zhejiang.
The first patient is a 62-year-old man from Shanghai who became ill on 1 April 2013, the second patient is a 77 year-old man from Shanghai who became ill on 3 April 2013, the third patient is a 51 year-old woman from Zhejiang who became ill on 13 March, and the fourth patient is a 79 year-old man from Zhejiang who became ill on 29 March 2013.
In addition, two patients earlier reported from Jiangsu (83-year-old man) and Anhui (35-year-old woman) have died.
To date, a total of 28 cases have been laboratory confirmed with influenza A(H7N9) virus in China, including nine deaths, 14 severe cases and five mild cases.
More than 600 close contacts of the confirmed cases are being closely monitored. In Jiangsu, investigation is ongoing into a contact of an earlier confirmed case who developed symptoms of illness.
The Chinese government is actively investigating this event and has heightened disease surveillance.
Retrospective testing of recently reported cases with severe respiratory infection may uncover additional cases that were previously unrecognized.
An inter-government task force has been formally established, with the National Health and Family Planning Commission leading the coordination along with the Ministry of Agriculture and other key ministries.
The animal health sector has intensified investigations into the possible sources and reservoirs of the virus.
WHO is in contact with national authorities and is following the event closely.
The WHO-coordinated international response is also focusing on work with WHO Collaborating Centres for Reference and Research on Influenza and other partners to ensure that information is available and that materials are developed for diagnosis and treatment and vaccine development.
No vaccine is currently available for this subtype of the influenza virus.
Preliminary test results provided by the WHO Collaborating Centre in China suggest that the virus is susceptible to the neuraminidase inhibitors (oseltamivir and zanamivir).
At this time there is no evidence of ongoing human-to-human transmission.
WHO does not advise special screening at points of entry with regard to this event, nor does it recommend that any travel or trade restrictions be applied.

About this Disease Outbreak News
  1. WHO is currently publishing information on laboratory confirmed cases received through the official notification from the Chinese National International Health Regulations (IHR) Focal Point once a day. This formal notification and publication follows verification of the information, and may therefore come after, or not include, some cases reported through public media and other sources.
  2. To date, there is limited information to determine whether the reported number of cases represents some or all of the cases actually occurring. As some relatively mild cases of illness have now been reported, it is possible that there are other such cases that have not been identified and reported.
  3. If the current pattern of sporadic infections continues, WHO will cease frequent reporting of case numbers, and focus its Disease Outbreak News on new developments or changes in the pattern or presentation of infections.

The death of retired professor at Wuhan University survey: Shanghai to H7N9 patients?



21st Century Business Herald Zhong -liang; Zhou Hui; Zeng-hui Guangdong, Wuhan reports the bar anywhere to see news of 2013-04-11 00:14:58   Comments (0) 
Core Tip: In the consultation, a doctor suspected patients infected with H7N9, but other experts do not support this assertion. I also repeatedly asked whether Dr. Xiang Zhuzhi exclude H7N9 infection, why not report detection, the doctor first vague, then said it was not his personal decision, but the hospital from a political point of view to consider the decision. "Huang Chunwei said.Peter Wong Shiu Qi, 33, 85-year-old retired professor of Wuhan University, People's Hospital of Wuhan University (Hubei Provincial People's Hospital), passed away in the evening of 11 April 8.
"My father is sick in Shanghai by the end of March the hospital, previously every three days will go live poultry market to buy chicken. After reversal of Wuhan medical treatment, the prevalence of symptoms of suspected H7N9 virus infection, hospital consultation only experience conclude that has nothing to do with this, and refused to do a special test. "Peter Wong Shiu-chi's son Huangchun Wei, said the reporter, reminded by the kindly doctor friend, he was asked to do the pathological examination to rule out H7N9 hospital, but was refused.Then successively CDC to Wuhan City, Hubei Province, the CDC and the National Center for Disease called to report the height suspected H7N9 cases, but are subject to each other to push Wei, said that should the hospital report.
"Special period, should do such suspected H7N9 cases confirmed (exclude) detection. Huangchun Wei told this newspaper that the remains of his father to stay in the morgue, and pathology detection does not understand the hospital refused.
"My father's death, in the end associated with H7N9 or without, this is not only related to the safety of my family, because they are in close contact, in addition also related to public safety." Huangchun Wei said.
According to official sources, so far, Hubei no confirmed or suspected cases of H7N9, April 10, the reporter contacted the Information Office of the Health Department of Hubei Province, a Chus deputy director, responded that the expert group has been established, the ongoing The survey, the results will be published on the official website.
3 o'clock in the afternoon of the 10th, the Office network responds by displaying: Hubei Province Health Department has sent 4 Hubei Province of human infection of H7N9 avian influenza members of the Group, in conjunction with the relevant the urban expert group members to the hospital, on the death of the patients medical records After treatment the survey. The investigation concluded that the cases of severe pneumonia, bacterial sepsis, multiple organ failure; coronary heart disease, acute myocardial infarction, left ventricular failure, cardiogenic shock; under human infection with the H7N9 avian flu prevention and control program (the first Edition), claimed that the patients with non-human infection of H7N9 avian influenza surveillance case.
The Shanghai patients: incidence to go through the live bird markets
The evening of April 8, severe Branch of the People's Hospital of Wuhan University, 85-year-old Peter Wong Shiu Qi is pronounced dead, but so far, Huangchun Wei did not receive the death notice issued by the hospital, also said the hospital's electronic medical records has not been to get. Although the hospital that Peter Wong Shiu-chi's disease has nothing to do with H7N9, Huang Chunwei think, do not rule out this possibility.
"My father is hospitalized for a total of eight days, the father long live Wuhan early March, his parents received Shanghai sojourn after March 25, the father of the sudden high fever, Shanghai hospital diagnosed as pneumonia." Huang Chunwei introduced his father Body temperature was maintained at about 39 ℃, each time after eating antipyretics effective short-term, but eight hours after the rebound. Fever fifth day, Wong Shiu Qi began mild cough, sputum with bloodshot eyes, a bit of asthma, the condition is deteriorating. "
Shanghai hospital beds Huang Chunwei father returned to Wuhan treatment. April 1, Wong Shiu Qi in the People's Hospital of Wuhan University hospitalization procedure.
April 2, Peter SH Wong Qi deteriorated emergency sent to the ICU. After the disease continued to increase the lungs petrochemical, totally dependent on the ventilator, and cause left ventricular failure, myocardial infarction, liver and kidney damage, the night of April 8, 11:33 invalid died due to heart failure rescue.
Nothing to say for the People's Hospital of Wuhan University, Peter Wong Shiu the chi's condition with H7N9, Huang Chunwei misgivings: "My father is sick suddenly, usually in good health, but also not too the cardiopulmonary aspects and any other disease."
"While living in Shanghai, the parents every day will go to the bazaars to buy food, live poultry market trading. Every 35 days, the parents will buy back in the market is to kill the chicken if the H7N9 virus in the market, he fully likely to come into contact with. "Huang Chunwei suspect that the father may be infected with the avian flu is not totally unfounded.
Huang Chunwei said there is a speculation that is provided by the hospital as his father is in negative pressure rooms as the prevention and control of highly infectious cases. Chaperoned during the family in the hospital, medical staff also dissuaded stranded, said "your patients come from the affected areas (Shanghai)."
Asked to do the H7N9 detection is refused
"On the day hospital consultation participate doctors highly suspected H7N9 avian influenza infection into the negative pressure rooms as the height of the prevention and control of infectious cases, provisional diagnosis of unknown severe pneumonia, and requested that the family would like to buy Tamiflu treatment, during which the hospital more than entry of bacteria and virus detection had no found, but has not been reported to the CDC and the H7N9 virus test but the the consultation conclusion that has nothing to do with H7N9. asking that, in the consultation, a doctor suspected in patients infected with H7N9 from within, but other experts do not support this assertion. Dr. Xiang Zhuzhi repeatedly asked whether to exclude H7N9 infection, why not report detected, the doctor first vague, then said it was not his personal decision, but the hospital is considered from the political point of view decision. "Huangchun Wei said.
"Father onset, H7N9 outbreak has not been announced, the family no talent think." Huangchun Wei said, "after the announcement of the epidemic, we suspect t..

Deceased policeman was the flu



A police officer from the district of Rendsburg-Eckernförde whose disease had doctors initially abandoned mystery, died from the effects of flu. This was announced by the University Medical Center Hamburg-Eppendorf (UKE), the district spokesman Martin Schmedtje on Wednesday. The 49-year-old police officer from Bay Audorf had been hospitalized in the past week the UKE and died there on Tuesday.
Doctors and experts from the health department had been looking for the origin of his disease - was first mentioned by an unknown virus. Do not give a connection with other illnesses in the community well-Audorf it emphasized Schmedtje.

Second policeman lies further UKE

A second officer, who should also come from well-Audorf lies further in the UKE.He is now on the road to recovery, it said. He came in last week with the same symptoms as the deceased at the Hamburg University Hospital. Schaucht-Audorfs Mayor Eckhard Reese warned against scaremongering. "We are experiencing not only in our city, that the flu disease has increased over the normal number out. Therefore we should keep quiet at this stage," he said. http://www.ndr.de/regional/schleswig-holstein/polizist171.html

UKE denies deadly virus VIDEO


UKE denies deadly virus VIDEO
Policeman dies probably of pneumonia
The University Hospital Eppendorf, has denied rumors of a hitherto indentifiziertes killer virus. The tabloid reported that a policeman had died in such a yesterday.According to the Public Health Department of the policeman had only a severe pneumonia.This is not notifiable. Allegedly by five other infected neither the health department nor the UKE is somewhat known. http://www.hamburg1.de/aktuell/UKE_dementiert_toedlichen_Virus-16195.html

Clear cause of death policeman from Schleswig-Holstein died of flu


10.04.2013, 19:54

A virus has a policeman from Schleswig-Holstein were killed.Authorities were initially puzzled by which pathogens are involved.From other infected people were talking about.According to a media report should now be clear what the man died.
The policeman from the circle Rendensburg-Eckernförde died from the effects of flu, NDR reports citing the Hamburg University Hospital Eppendorf (UKE).

Total failure of all organs

Andreas Breitner, interior minister of Schleswig-Holstein, confirmed the "Schleswig-Holstein newspaper" the death of the 49-year-old policeman.The man died on Tuesday after the total failure of all the institutions in the University Hospital Hamburg-Eppendorf (UKE).Moreover, it was officially announced that another policeman is in danger.The 38-year-old has symptoms similar to his colleague, among other things, severe pneumonia.The authorities initially saw no parallels between the two cases, said the spokesman of the Health Department in Rendsburg-Eckernförde against FOCUS Online.reports that five other people were floating in danger, did not confirm the speaker.According to him, both the slain policeman as the ill suffered from a non-notifiable disease.




It could be a "degenerate virus" be

Authorities and physicians were groping in the origin of the virus initially in the dark.A district spokesman said the "Schleswig-Holstein newspaper": "It could be a virus degenerate." Schmedtje further: "The two police officers showed the same clinical picture.We do not yet know whether there is a pathogen or a pathogen that was the cause of all. "According to initial findings suggested no one connections between the two colleagues."The two officers are not working at the same department, were not together in use, do not live in the same place.There is no apparent connection, "a police spokesman said the" Schleswig-Holstein newspaper ".The policeman is already on the road to recovery, reports the NDR.


The health department will turn on

To prevent a possible spread, the competent health authority in Rendsburg-Eckernförde Friday was turned on.According to the "Bild" newspaper has been made in the police Neumünster hygiene instructions issued to the officials.In addition, voluntary blood tests were offered, some officials have allegedly been used. http://www.focus.de/panorama/welt/angst-vor-epidemie-in-schleswig-holstein-mysterioeses-virus-toetet-polizisten-weitere-personen-infiziert_aid_957378.html

Mysterious illness in Germany


HAMBURGKiller-Virus tötet Polizisten

Another policeman is in danger! A total of five people diagnosed

Radford man dies following brief, mysterious illness


Radford man dies following brief, mysterious illness
The 19-year-old originally suspected pneumonia. He died within 48 hours after first saying he was ill.

by
MATT CHITTUM | 981-3331
Tuesday, April 9, 2013

An apparently healthy 19-year-old Radford man died Tuesday after a brief and mysterious illness friends and family initially thought was pneumonia.
Dustin Hayth had lived in Roanoke and attended Patrick Henry High School before attending school in Franklin County and finally graduating from Christiansburg High School, said Tammy Cupp, mother of Hayth’s girlfriend.
Hayth and Breigh Cupp had spent a week at the beach with her aunt, uncle and nephew and returned over the weekend with the young nephew suffering from pneumonia, according to Tammy Cupp.
Soon, Hayth began to feel poorly and suspected he had pneumonia, too. His girlfriend took him to an urgent care facility, and from there he was ta..Hayth and Breigh Cupp had spent a week at the beach with her aunt, uncle and nephew and returned over the weekend with the young nephew suffering from pneumonia, according to Tammy Cupp...

Jiangsu first case of bird flu family records



2013-04-11  Source: Peninsula Morning  
    Primer 
first case of H7N9 cases in Jiangsu characteristics obvious 
    April 2, lying in the Nanjing Gulou Hospital intensive care unit (ICU) Xu Li (pseudonym), Jiangsu Province, confirmed the province's first case of human infection with the H7N9 avian influenza. On the same day, Xu Li's husband Yip Ying (a pseudonym) received a notice in critical condition. 
    As of April 8, the National Health Planning Commission received a total of 24 cases of H7N9 confirmed cases report. Rapid onset, poultry history of exposure to critically ill or even death cure absence period, which is a common feature of many infected. Xu Lai experience, perhaps from health emergencies, has a typical reference significance. 
    March 19, 45-year-old Xu Li body feels pain, who could have guessed that the dramatic development of the disease, four days after that was admitted to the ICU due to severe. H7N9 sudden attacks, the industry home like a broken-legged table, struggling to support industry in British father and son had.     The onset symptoms     before the o..http://news.gmw.cn/newspaper/2013-04/11/content_1220454.htm

U K Foreign travel advice-China


Updated: 10 April 2013
Cases of Avian Influenza (Bird Flu) type H7N9 were reported in Shanghai, Jiangsu, Zhejiang and Anhui Provinces in March 2013. See Health.

There are occasional incidents of influenza transmitted to humans from birds and pigs. Outbreaks are usually confined to rural areas and infection is believed to arise from close contact with infected birds or animals. An outbreak of Avian Influenza (bird flu) type H7N9 occurred in Shanghai, Jiangsu, Zhejiang and Anhui Provinces in March 2013: there has been no evidence of human-human transmission of H7N9. https://www.gov.uk/foreign-travel-advice/china/health

RI Hospital: Co-infections not associated with worse outcomes during H1N1 pandemic


April 10, 2013


More research needed to measure impact of co-infections on hospital admission

PROVIDENCE, R.I. - A study at Rhode Island Hospital has found that despite complications, patients co-infected with the pandemic 2009-2010 influenza A H1N1 (pH1N1) and a second respiratory virus were not associated with worse outcomes or admission to the hospital's intensive care unit. The study is published online in the journal PLOS ONE.

"There is scant data in the literature regarding the incidence and impact of simultaneous infection by two respiratory viruses, particularly in adults," said senior investigator Leonard Mermel, D.O., medical director of the department of epidemiology and infection control at Rhode Island Hospital. "We compared 617 people hospitalized with respiratory infection due to a single virus to 49 people hospitalized with such infections due to two viruses (co-infection). Those with viral co-infection were younger, more often had fever/chills and shortness o..
http://www.brightsurf.com/news/headlines/85069/RI_Hospital_Co-infections_not_associated_with_worse_outcomes_during_H1N1_pandemic.html?

Avian influenza virus to change into them dangerous



(TNO) On 10.4, the Ministry of Health has officially issued "Guidelines for diagnosis, treatment and prevention of influenza A/H7N9 infection in humans." And continue to warn about the risk of infection pathogenic avian virus strong.

Treatment regimen, new A/H7N9 flu issue, the patient should be taken specimens, confirmed by tests, genetic analysis to determine definitely the flu. Need to distinguish influenza caused by the H7N9 flu, such as influenza A/H5N1, H1N1, pneumonia caused by viruses.

 Avian influenza virus to change into them dangerous
Hospital for Tropical Diseases TU ready to receive cases dangerous virus - Photo: Duong Ngoc


The Ministry of Health recommends the suspect needs to be examined at the hospital, isolated and specific diagnostic tests.Patients should be used antiviral drugs oseltamivir or zanamivir as soon as possible. Patients can be severe: respiratory failure, multiple organ failure. Was discharged after only 3-5 days of good health.
"After discharge the patient should continue to monitor body temperature for 12 hours / times. If the temperature is over 38 degrees C in two consecutive measurements or other unusual signs wants to see now, "said Dr. Nguyen Van Kinh, Director of the Tropical Disease Hospital Surgeons (Hanoi) note.

According to Phan Trong Lan, Deputy Director, Department of Preventive Medicine, the A/H7N9 flu virus is a new strain of influenza virus gene derived from poultry and some birds, capable of causing human infection leads to inflammation severe pneumonia and rapid progression and high mortality.
Ministry of Health recommends measures to prevent A/H7N9 influenza infection include increased communication, transportation trade, slaughter poultry not use quarantine regulations; cover your mouth and nose when coughing, sneezing, blowing your nose with a tissue or clean hands; protective use, wash hands with soap when exposed poultry; avoid close contact with people with respiratory disease.

Beware of breeding birds
Professor Trinh Quan Huan, a senior Health Ministry's note, in Vietnam have not recorded any case of influenza A/H7N9 infection. However, with the arrival back of the A/H5N1 flu virus in humans (the most recent cases of child 4 years of age), the existence of influenza A/H1N1, increase the risk of recombinant influenza virus outbreak spread to humans.
Origin influenza virus from poultry have high adaptability, are constantly changing their genetic makeup to avoid resistance of the body.
"The return of the A/H5N1 flu, the existence of the pandemic influenza A/H1N1 and A/H7N9 influenza risk invade our country is really worrying for the transformation of the virus is difficult to anticipate. It is especially dangerous because humans do not have antibodies against the new virus ", Prof. Huan note.
According to Professor Trinh Quan Huan, ominous birds carrying the virus status without signs of the disease, similar to pathogenic avian waterfowl without manifest disease remains a source of infection for humans. 
According to his Magisterium, the H7N9 flu virus, the H5N1 virus is known to exist in wild birds. The migration can spread germs make people concerned about the outbreak of a flu pandemic. They may also exist in breeding birds: pigeons, birds.
To limit dangerous viral strains from birds, the family birds for breeding birds in cages and in separate areas.http://www.thanhnien.com.vn/pages/20130410/vi-rut-cum-gia-cam-de-bien-doi-thanh-chung-nguy-hiem.aspx