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Sunday, April 14, 2013

Virus still not spread by people




Updated: 2013-04-15 01:42
Virus still not spread by people
A man infected with H7N9 bird flu receives treatment at an intensive care unit in a hospital in Kaifeng, Henan province, on Sunday. Li Bo / Xinhua 
Sustained transmission among humans is concern: WHO official
There is no evidence so far of sustained human-to-human transmission of H7N9 bird flu virus, World Health Organization representative to China Michael O'Leary said at a news briefing on Sunday in Beijing.
O'Leary's comment followed reports of a married couple in Shanghai being infected with the virus.
The 56-year-old man was diagnosed with H7N9 bird flu after his wife died from the infection.
It's difficult to determine whether the man got the virus fro//

Beijing ten measures to tackle bird flu monitoring high-risk population of 500,000 people

 

April 13, informed the first case of human infection of H7N9 avian influenza confirmed cases, the city the night to make the deployment, introduced ten measures to tackle bird flu.

 Starting today, the City CDC to expand the scope of monitoring the population of the H7N9 avian flu, and change symptom monitoring for active monitoring. Reporters learned from the Beijing Center for Disease Control, Up to now, the city has a total monitoring of avian flu high-risk populations of 500,000 people

The focus groups are city people infected with the H7N9 avian flu virus monitoring close contacts of poultry, including poultry breeding, slaughtering, processing, marketing, transport and personnel are closely monitoring in health, agriculture and business sectors in So far, the city has a total monitoring avian flu risk populations of 50 million people.

  Deng Ying, patients with flu-like symptoms, all of which will carry out the monitoring of throat swab or blood, pathological screening found for the health institutions in the city's more than 421 a flu monitoring points. The detection of positive cases will be sent to 55 network laboratories recheck the H7N9 avian flu detection kit recommended by the Ministry of Health has issued to 55 network lab, which will greatly speed up the screening rate of cases. At the same time, the population of H7N9 avian influenza monitoring range expanded to a healthy population.
  The city's first case of human infection with the H7N9 avian influenza cases in children, their parents owned trading on live poultry at their parents to buy live chickens, eight birds contacts have all been found, these people are no symptoms, undergoing a week- health monitoring. Children's school classes students also undergoing a week-long health monitoring. http://nv.qianlong.com/33530/2013/04/14/6324@8629988.htm

The Guangdong public memorial H7N9 landfill pigeon

The Guangdong public memorial H7N9 landfill pigeon

[21:40] 2013/04/14
Since the outbreak of the H7N9 avian flu, has been in at least 260,000 pigeon and pigeon EGGS were buried alive abusing Meat pigeon Industry Association of Guangdong Province, before the the Gaoyao "Pigeons Cemetery" today in the traditional candles, incense, firecrackers as the pigeon and pigeon eggs memorial service in memory due to the epidemic killed. http://news.on.cc/cnt/china/20130414/bkn-20130414214008436-0414_00922_001.html

Beijing H7N9 first patient parents sent to hospital


[21:21] 2013/04/14Bulletin Beijing yesterday announced the city's first confirmed cases of H7N9 avian influenza in patients with a seven-year-old girl. Mainland MEDIA quoted Tonight Shunyi District, Beijing, the official news that the girl's mother yesterday afternoon due to body heat, had been sent to the girl was admitted to Ditan Hospital for treatment The girls father of this afternoon was also sent to the Ditan Hospital, although reported no physical Abnormalities, but the official did not disclose its reasons were sent to hospital, more mess H7N9 human-to-human transmission Supremacy. http://news.on.cc/cnt/china/20130414/bkn-20130414212153453-0414_00922_001.html

Taiwan-Tong fever Wei Department: exclude H7N9


19:14:55

(Central News Agency reporters Long Ruiyun Taipei on the 14th) Central Epidemic Command Center said today that the 4-year-old boy and his mother of the Chinese mainland to Hualien Mennonite hospital, exclude infected with H7N9. Mennonite Christian Hospital in Hualien morning briefing from Zhejiang Visit a couple with a 4-year-old son fever a doctor for treatment, hospital considerations boy from H7N9 affected areas immediately activated its emergency epidemic prevention mechanism careful and to isolate and test.Disease Control, Department of Health Deputy Secretary Jih-Haw Chou said late Hualien County Health Department received notification of the hospital staff to the hospital collected specimens sent to Taipei inspection is infected with H7N9, the evening show test results came the mother and child are excluded infection H7N9...   http://www.cna.com.tw/News/aHEL/201304140213-1.aspx

few pics


Canadian Urban Network
Beijing-year-old girl diagnosed as infected with the H7N9 avian influenza. Pictured Ditan Hospital girl wards real-time monitoring screen. Xinhua News Agency
Canadian Urban Network
Little girl residential, were more than security "blockade." China news agency
Canadian Urban Network
Beijing residents, wearing masks or breathless after coop through. China news agency

Beijing first case of H7N9 mother children father today hospital to hospital yesterday afternoon


Beijing first case of H7N9, parents of children being sent to Ditan Hospital] this evening, reporters from the the Shunyi official was informed that the first case of H7N9 in children with mothers Beijing yesterday afternoon fever phenomenon, and subsequently sent to Ditan Hospital for treatment and is currently in good condition. Her husband yesterday said "we are husband and everything is normal." Reply reporters SMS. The Shunyi official introduction, this afternoon, the children with the father was sent to Ditan Hospital, no physical abnormalities, but did not give any reasons. http://news.ifeng.com/mainland/special/h7n9/content-3/detail_2013_04/14/24201664_0.shtml?_114sobiaoqian

Apr. 14, 2013 21:01

H7N9 Avian Influenza: Virus Widens Geographic Reach in China


video
Officials in Beijing confirmed today that a 7-year-old girl is infected with H7N9 avian influenza, widening the geographic spread of the virus that's already killed 11 people.
The girl, whose parents sell live poultry, was admitted to the hospital Thursday with pneumonia and is the first case reported outside eastern China, where the virus was first reported in late March.
Government officials said the total number of new bird flu infections across the country rose to 47 today as the eastern province of Jiangsu reported two fresh cases and shanghai reported one, The Associated Press reported.
What is concerning about this latest report is the distance between Shanghai and Beijing.
PHOTO: A health worker prepares to take swab samples from ducks at Meijiang poultry wholesale market, April 8, 2013, in Changde, China.
ChinaFotoPress/Getty Images
A health worker prepares to take swab samples... View Full Size
The virus was able to travel more than 750 miles without leaving a trail of dead birds.
Unlike the H5N1 bird flu that raised concerns starting in 2003, H7N9 does not seem to make birds very sick or sick at all. This makes tracking the movement of the virus and containing it to limited flocks of birds next to impossible.
You can't just test sick flocks. This case of bird flu in Beijing illustrates that clearly. This means that to understand where people might be at risk, China will have to screen a lot of healthy birds across an increasingly large area.
The epidemiologic investigations of people who were sickened by H7N9 are extremely important. In order to prevent infections, we need to understand what kind of exposures put people at risk.
Are there particular types of birds that are implicated? For those people with no apparent bird contact, how did they get infected? This information is essential if one is to begin to think about rational control strategies. 
http://abcnews.go.com/Health/h7n9-avian-influenza-virus-widens-geographic-reach-china/story?id=18948297#.UWqqHLVwe8A

Nationwide today 11 new cases of H7N9 cases for the highest single-day



 As of today 18:00, today the country have been 11 cases of newly diagnosed cases of H7N9 avian influenza, the highest calendar days. Shanghai has two cases diagnosed patients died by the rescue efforts. So far, 13 patients have died.
  Until 17:30 today, a total of 60 people diagnosed with H7N9 avian influenza infection, 11 people died. Which Beijing confirmed cases, 24 people in Shanghai confirmed nine people were killed, Anhui 2 confirmed one person was killed, 16 people in Jiangsu confirmed one person was killed, 15 people in Zhejiang confirmed two people died, Henan people diagnosed. http://news.10jqka.com.cn/20130414/c534008827.shtml

Taiwan mainland tourists fever hospital first isolation


The latest news, today Hualien from Zhejiang to the free exercise of mainland tourists, fever symptoms, was rushed to hospital has emergency isolation. === TAKE === fever is a children accompanied by parents in the morning, was sent to Hualien Mennonite Hospital, hospital chances that an emergency closure of the emergency room, guard, currently which three are first isolated specimens sent to the CDC at noon, in the end the general flu or H7N9, the CDC estimated eight hours after the test results will be released.

http://news.pts.org.tw/detail.php?NEENO=237789

Pig carcasses found floating in Hunan river


Pig carcasses found floating in Hunan river

Updated: 2013-04-09 07:28
Scores of dead pigs have been retrieved from a Central China waterway, just weeks after thousands were discovered in Shanghai's Huangpu River.
Authorities have been pulling the carcasses from Liuyang River in Hunan province since Saturday. More than 70 pigs had been retrieved as of Sunday, but an official figure has yet to be released.
The carcasses were probably dumped by pig farmers upstream and were carried along the river due to recent rainstorms, the Xiaoxiang Morning Herald reported on Monday, quoting an unnamed agriculture, forestry and water resources official for Changsha's Kaifu district.
"We have to immediately remove them in a sanitary way to avoid water pollution and contamination," the official said.
Wu Guohua, another official, said it is rare to see such a large amount of dead pigs in the river.
The district environmental protection bureau said it will closely monitor the river's water quality to guarantee residents' safety.
"No bird flu virus was detected on the dead pigs," Tan Jingming, deputy director of the Changsha animal disease prevention and control center, said.
A series of similar discoveries have been reported across China since residents started complaining on March 5 about finding dead pigs in Huangpu River.
There has been an abnormally high number of dead hogs following an outbreak of porcine circovirus, a common disease, plus changeable weather this winter, the Ministry of Agriculture said on its website.
"Authorities should seriously investigate where the dead pigs come from and harshly punish the pig dumpers," said a resident surnamed Zhang, who said the situation posed a great threat to people's safety, especially after a new and deadly strain of bird flu was detected.
The discovery of tens of thousands of pig carcasses nationwide has raised concerns about how the country deals with numerous dead pigs every year.
The National Bureau of Statistics said China had about 700 million pigs in 2012, of which 18 million died of disease.
According to the Ministry of Agriculture, pig farmers can get a subsidy of 80 yuan ($12) for each pig dead of disease. Regulations require animals that died in this way to be disposed of in a sanitary way, such as burial at least 1.5 meters deep or cremated.
But because the subsidy application process is complicated, many pig farmers choose to sell the dead pigs to illegal buyers, said Li Waiguang, a farmer in Yingtan, Jiangxi province.
"If authorities crack down on dead pig transactions, farmers will dump the dead into the nearest rivers," he added.
Li suggested authorities establish sanitary treatment stations for dead animals to help farmers. http://europe.chinadaily.com.cn/china/2013-04/09/content_16385319.htm

interview with WHO Representative in China


interview with WHO Representative in China http://english.cntv.cn/program/newshour/20130414/102874.shtml

Wenzhou treated one cases of H7N9 patients was sent today


Wenzhou treated one cases of H7N9 patients was sent today to the provincial capital treatment

Apr. 14, 2013 3:10   
Last night, reporters wearing masks came to the the Wenzhou Central Hospital West Branch, Building 2Last night, reporters wearing masks came to the the Wenzhou Central Hospital West Branch, Building 2
  Recently, urban hospitals to strengthen prevention and pre-screening of patients with fever. Last night, reporters wearing masks came to the the Wenzhou Central Hospital West Branch, Building 2, the city admitted to one case of H7N9 of censorship cases patients in this isolation and treatment.The fourth floor of H7N9 avian flu treatment area was brightly lit, the dedicated channel has been one way or another iron sliding door, non-unrelated to enter. Another report this morning, the cases of censorship cases patients were rushed to the provincial capital of treatment, once the latest information will be released to the public in a timely mannerWang Xiao / King Wen Wang / photo
  According to the Zhejiang Provincial Health Department informed that, in the 13th Zhejiang add two cases of human infection with the H7N9 avian influenza, Zhejiang Province confirmed human cases of infection with the H7N9 avian flu, as of now, a total of 11 cases, 2 deaths. 13, 2009, the First Affiliated Hospital, Zhejiang University School of Medicine BEIJING reporters informed condition receiving treatment in the hospital, eight cases of human infection with the H7N9 cases, which have been transferred to a general ward patients virus was negative, the condition of two patients more severe, two patients critically ill, three were in stable condition.
  According to the Zhejiang Provincial Health Department Bulletin, 8 patients in the First Affiliated Hospital, Zhejiang University School of Medicine (hereinafter referred to as the "Zhejiang First") treatment.
  It is reported that on April 3, Zhejiang first diagnosed two cases of human infection with the H7N9 avian flu cases, deaths, one case of Yang in Zhejiang, a medical treatment; Zhejiang 4 new cases of human infection of H7N9 avian influenza Zhang; 9th additional two cases of human infection with the H7N9 avian flu cases in Zhejiang Huzhou City, Miss Jia and the Shentu, Mr.; 10, 2009, Zhejiang new case of human infection of H7N9 avian influenza Humou; 12th, Zhejiang 3 cases new cases of infection with the H7N9 avian flu, Lee, Hemou, Wu; 13, 2009, the additional two cases of human infection with the H7N9 avian flu cases in Zhejiang, Kwak, Jo.
  13, 2009, the First Affiliated Hospital, Zhejiang University School of Medicine infected with H7N9 patient's condition in the hospital introduced where celebrity to inform the media. H7N9 avian flu virus was negative, Huzhou City, Miss Jia has been transferred to a general ward observation and treatment.
  It is reported that Zhejiang's first confirmed human infection of H7N9 avian influenza patients Yang illness aggravated clinical symptoms of cough and sputum, fever, chills, bloody sputum, a preliminary diagnosis of pneumonia, now using immune globulin, albumin, The Zadaxin support methylprednisolone anti-inflammatory nasal feeding liquid and mechanical ventilation (PC mode) therapy.
  Patients with the Humou stable disease, clinical symptoms of cough and sputum, bloody sputum, abdominal pain, fatigue, diarrhea, fever, initial diagnosis of the situation of severe pneumonia, now Tamiflu antiviral immunoglobulin support Mucosolvan phlegm treatment of Mia to adjust microecological and Losec Huwei way.
  The patients Shentu a stable condition, the clinical symptoms of fever, cough, initial diagnosis of severe pneumonia, diabetes, high blood pressure, cerebral infarction, now Tamiflu antiviral Tazocin anti-inflammatory, immune globulin, albumin support methylprednisolone anti-inflammatory nasal feeding liquid and mechanical ventilation (PC mode) treatments.
  The Hemou patients sicker, and clinical symptoms as chills, fever, the initial diagnosis of severe pneumonia, now Tamiflu doubling dose antiviral immune globulin and Mia adjust microecological to treatment.
  Patients with Lee in stable condition, the clinical symptoms of cough, sputum, bloody sputum, fever, diarrhea, initial diagnosis of severe pneumonia, now Tamiflu doubling dose IVIG, Mia adjust microecology therapy.
  Jo in critical condition in patients with clinical symptoms of fever, shortness of breath, the initial diagnosis of the situation of severe pneumonia, now Tamiflu redouble, Tazocin anti-inflammatory, ECMO (cardiopulmonary alternative) of CVVH-Artificial Liver way. Treatment.
  Patients Kwak critical condition, clinical symptoms of cough, chest tightness, the initial diagnosis of severe pneumonia, now Tamiflu redouble, Tazocin anti-inflammatory and ECMO (cardiopulmonary alternative) CRRT way treatment.

H7N9, China: Total number of birdflu cases rises to 60 with 13 deaths



Apr. 14, 2013 6:33 Source: People's Daily


Jiangsu - 2 new cases of human infection with the H7N9 avian flu cases in the country has increased to the Health Department of Jiangsu Province, 11 cases] - April 14 briefing, patients Ryu, male, 50 years old; patients with a single, male, 26 years old. Are the 14th confirmed case. So far today, the country has 11 new confirmed cases, the highest for the calendar day. This weekend, H7N9 spread to the north from the Yangtze River Delta. The situation is grim, point to Enlarge tell you how in life, prevention. (…)

[Shanghai added three cases and two cases previously confirmed death in patients with a total of 60 cases confirmed] as of 16:00, Shanghai, newly confirmed cases of human infection with the H7N9 avian flu cases: Zhu, male, 73 years old, retired personnel; Song Male, 54 years old, freelance; Chen, male, 78 years old, retired personnel. 

Another two cases diagnosed patients died by the rescue efforts. http://news.ifeng.com/mainland/special/h7n9/content-3/detail_2013_04/14/24201064_0.shtml
hattip to Giuseppe Michieli


Currently, Shanghai found 24 cases, of which 9 died, a total of 60 cases confirmed.

Saturday, April 13, 2013

Henan human infection of H7N9 avian influenza which one person in critical condition


male, 34 years old, Kaifeng Weishi County Bridge countryman, chef. April 6, chest tightness, anorexia patients with fever, cough, sputum, etc., to the Weishi County People's Hospital for treatment and hospitalization. April 9, the patient's symptoms aggravated Huaihe Hospital, Kaifeng, go to "severe pneumonia", a 3-year history of hypertension patients. The patient in critical condition, the the Huaihe Hospital ICU ward active treatment.
  Patients × ×, male, 65 years old, current address Zhoukou City Chuanhui farmers, more opportunities for contact with poultry. April 8 patients with no obvious incentive fever, cough, sputum, April 10 to Zhoukou City hospital for infectious diseases treatment, admission body temperature of 39 ° C, and a cough, sputum, muscle pain and other symptoms. Active treatment, the patient's condition improved, stable condition.http://society.stnn.cc/minsheng/201304/t20130414_1880348.html

Henan two cases of new confirmed cases

Henan two cases of new confirmed cases of human infection with the H7N9 avian influenza] Henan Health Department briefing today: Henan Add two cases of human infection with confirmed cases of the H7N9 avian flu. The patients named Ma and Zhang are adult men, one is Kaifeng Weishi County, the chef de cuisine. The other, who now lives in Zhoukou City Chuanhui farmers, more opportunities for contact with poultry.http://health.xinmin.cn/jkzx/2013/04/14/19720711.html

Henan Province, found two cases of human in

BEIJING, Zhengzhou, April 14 (Reporter Li Zhiquan) Henan Health Department informed the province Zhoukou, Kaifeng day each confirmed case of human infection of H7N9 avian influenza. Two patients Henan Province for the first time found that people infected with confirmed cases of the H7N9 avian fluCurrently, Henan Province, the city health department is organizing the active treatment, epidemic prevention and control work orderly manner.   The patients named Ma, male, 34 years old, Kaifeng Weishi County Bridge countryman, chef. April 6, chest tightness, anorexia patients with fever, cough, sputum, etc., to the Weishi County People's Hospital for treatment and hospitalization. April 9, the patient's symptoms aggravated Huaihe Hospital, Kaifeng, go to "severe pneumonia", a 3-year history of hypertension patients. The patient in critical condition, the the Huaihe Hospital ICU ward active treatment.   Patients Zhang, male, 65 years old, current address Zhoukou City Chuanhui farmers, more opportunities for contact with poultry. April 8 patients with no obvious incentive fever, cough, sputum, April 10 to Zhoukou City hospital for infectious diseases treatment, admission body temperature of 39 ° C, and a cough, sputum, muscle pain and other symptoms.Active treatment, the patient's condition improved, stable condition.   On the evening of April 11, Henan CDC two cases specimens positive for H7N9 avian influenza virus nucleic acid. April 12, in accordance with the provisions of the National Health and Family Planning Commission, the specimens were sent to CDC review of detection. At 6:00 on April 14th, the Chinese Center for Disease Control Feedback reviewing test results, identified as positive for H7N9 avian influenza virus nucleic acid. Based on the patient's clinical manifestations, laboratory testing and epidemiological findings, provincial-level expert group, the overall judgment of human infection of H7N9 avian influenza confirmed cases.   The survey of 19 close contacts of the two cases, has to take timely measures of medical observation, all close contacts were not unusual.   Henan provincial government requirement to treat the patients closely to strengthen epidemic prevention and control. Henan Health Department sent a provincial-level expert group, while stationed in Zhoukou, Kaifeng guide patient treatment work again on April 14 of the province's people infected with the H7N9 bird flu prevention and control arrangements for the full deployment of either continue to strengthen around the unexplained cases of pneumonia and influenza-like illness monitoring, active search, and strive to early discovery, early reporting, early diagnosis, early treatment; urged all localities admitted to the hospital in accordance with the "concentrated heavy suffering, a pool of experts, pooling resources, centralized treatment principle, make every effort to medical treatment, efforts to reduce the mortality; strengthen the hospital infection prevention and control, strict precautions against the spread of the epidemic hospital; fourth is to strengthen the department information communication and common good of the epidemic prevention and control work.   Currently, not found an epidemiological association between the above two cases.  http://roll.sohu.com/20130414/n372612702.shtml


  •   2013-4-14 9:07:55   
  "Symposium on the tenth anniversary of the battle against SARS, the 12th was held in Guangzhou, the director of the National Key Laboratory of Respiratory Diseases, Zhong Nanshan, and other experts talk about the H7N9 avian flu poultry phobia" for the recent public interpretation: does not appear people The human transmission characteristics of the public do not need to panic, you can continue the healthy consumption of poultry and eggs without looting "Banlangen other drugs.
  Human-to-human transmission of the virus does not appear characteristic public not to panic
  Zhong Nanshan acute viral respiratory infectious diseases with high fatality, H5N1 and H7N9, experimental virus to target cells in vivo propagation caused immune dysfunction, resulting in the release of a large number of cytokines in lung tissue and multi- kinds of organ damage, so it is a virus trigger immune inflammatory process. "
  How the virus to humans, the scientific community is being carefully evaluated.GAO Fu, a professor at Beijing Institute of Life Sciences, Chinese Academy of Sciences: "At present, the virus does not have the characteristics of human-to-human transmission. Whether it is transmitted to humans, the key to see there is no evidence of respiratory and aerosol spread scientific community is now very cautious assessment of this thing. "

Henan new confirmed cases of human infection with the H7N9 avian influenza in two cases

Henan new confirmed cases of human infection with the H7N9 avian influenza in two cases

Henan two cases of new confirmed cases of human infection with the H7N9 avian influenza] Henan Health Department briefing today: Henan Add two cases of human infection with confirmed cases of the H7N9 avian flu. The patients named Ma and Zhang are adult men, one is Kaifeng Weishi County, the chef de cuisine.The other, who now lives in Zhoukou City Chuanhui farmers, more opportunities for contact with poultry.http://news.qq.com/a/20130414/000242.htm

Yingtan, Jiangxi rivers due to the hundreds of dead chickens were found to detect non-H7N9



http://translate.googleusercontent.com/translate_c?depth=1&langpair=auto%7Cen&rurl=translate.google.com&u=http://news.ifeng.com/mainland/special/h7n9/content-3/detail_2013_04/13/24186012_0.shtml%3F_from_ralated&usg=ALkJrhgA3MMy4Qmxq3z2lWlwnXKorEBEHgApr. 13, 2013 17:18 [Yingtan, Jiangxi rivers has been tested and found hundreds of dead chickens is not H7N9 caused Recently, Yingtan City, Jiangxi Province, May Lake District, hundreds of dead chickens found in a river. Month Lake District animal quarantine station after the investigation, these dead chickens discarded near a livestock market of individual traders. These dead chickens have been salvaged and implemented a harmless treatment. After testing, these dead chickens are not caused by the H7N9 avian influenza.

Urgent Warning On New Bird Flu H7N9: Could Pose Global Threat


As new death
reports come in, a team of experts from China published a scary report yesterday in the New England Journal of Medicine (NEJM) suggesting that the new H7N9 avian flu virus is even more deadly than previously believed.
The conclusions: H7N9 causes unusually severe respiratory infection, sepsis and brain damage, and appears to be resistant to vaccination and treatment.
But here’s where it gets really worrisome. In a commentary on “global concerns” pertaining to H7N9, also in the NEJM, influenza experts Timothy Uyeki, MD and Nancy Cox discuss the potential of H7H9 to cause a pandemic (a fast-moving global epidemic) and warn that this possibility is real.
Given the severity and speed with which H7N9 is infecting and killing people, Uyeki and Cox write, “It is possible that these severely ill patients represent the tip of the iceberg and that there are many more as-yet-undetected mild and asymptomatic infections.”
With today’s toll now at 11 deaths and 43 people infected, the threat is getting real.
Previously, concerns about H7N9 centered primarily around whether the virus was capable of human-to-human transmission. Because cases were limited to one area of China and because this type of avian flu appeared to be transmitted solely from bird to human, experts were telling us not to worry, that it should be possible to contain.
However, as early as last week, the CDC warned about the possibility of the virus continuing to mutate in ways that could make it more and more dangerous.What the Researchers Found
In an analysis of the virological data and circumstances surrounding the first three fatalities, a large team of Chinese researchers found that the patients became ill quickly, developed very severe pneumonia and upper respiratory distress, and their condition deteriorated very quickly with sepsis and failure of multiple organs. Particularly worrying is that two of the three developed encephalopathy, or infection of the membrane surrounding the brain.
Some of the background information in the report also offers reason for concern. Yes, all three of the victims had previously existing health conditions; one had COPD, and two had hepatitis B. One was obese. But while one patient was 87, the other two were only 27 and 35. And while two of the three had had contact with poultry in the weeks before falling ill (one was a butcher, the other had been in a poultry shop), one had no record of contact with birds.
Why Experts Are So Worried
The NEJM report contained extensive data and analysis of the genetic sequence of H7N9 and the history of development of H7 viruses. Here are just a few of the conclusions that might make your hair stand on end:
1. Infected chickens and other birds don’t show symptoms. The H7N9 virus will infect chickens with asymptomatic illness, so that it spreads widely through poultry flocks without farmers’ knowledge. Quote: “H7N9 viruses are a low-pathogenic avian influenza A virus and that infection of wild birds and domestic poultry would therefore result in asymptomatic or mild avian disease, potentially leading to a “silent” widespread epizootic in China and neighboring countries.”
2. The H7N9 spreads more easily to people than similar viruses.Quote: “The gene sequences also indicate that these viruses may be better adapted than other avian influenza viruses to infecting mammals.”
3. Vaccines developed for other H7 viruses aren’t effective. Clinical trials so far have shown that vaccines developed against other H7 strains of influenza are showing extremely limited response against H7N9.
4. Existing flu tests in the U.S. won’t detect the H7N9 virus. Quote: “Since available diagnostic assays used in clinical care (e.g., rapid influenza diagnostic tests) may lack sensitivity to identify H7N9 virus and since existing molecular assays will identify H7N9 virus as a nonsubtypeable influenza A virus, critical public health issue is the rapid development, validation, and deployment of molecular diagnostic assays that can specifically detect H7N9 viral RNA.”
Reassuringly, the researchers go on to say that such a test has already been developed in China and is hopefully on the way here.
5. No Vaccine for months. While news reports have optimistically touted efforts to create a vaccine against H7N9, Cox and Uyeki warn that this will take many months to do. Chinese officials announced yesterday they expect to have a vaccine ready in 7 months. 
http://www.forbes.com/sites/melaniehaiken/2013/04/12/new-bird-flu-danger-worse-than-believed-says-urgent-report/

CPS took control of the passengers on the border of Russia because of the "bird flu" in China


Special attention will be paid to the Far East region, where the flow of passengers from China up
Beijing, April 14, PrimaMedia. Rospotrebnadzor head Gennady Onishchenko ordered to establish control of the passengers on the Russian-Chinese border because of "bird flu." It is possible that this situation will lead to restrictions on the entry of China, reports ITAR-TASS.
"In particular, it is now affected by Beijing, which caught the 7-year-old girl," - informed Onishchenko. "We have information that the Chinese government strengthen the restrictive measures," - he added.
According to the latest data, China bird flu infected 43 people, 11 of them died. "I gave today directed that at the border, especially in the Far East, where the intensity of the higher flights, took control of the arriving passengers. Least thermometry performed using frames" - said Onishchenko.
As he said, "because the situation is constantly changing, we will conduct an escalation of measures aimed at limiting". "Up to the possible restriction of entry of China and the importation of food," - he said, noting that it was a meat chickens. "While this matter is being studied," - said the head of Rospotrebnadzor.
According to Onishchenko, Russian scientists want to be able to get a sample of the virus from China. "We would like to get a virus, as it should be studied from all points of view," - Onishchenko said, adding that while the official request of the Russian Federation did not direct.
"I would like to remind our citizens that if you can not to go to China, it is better to do it" - called Onishchenko.
Chinese doctors continue to search for sources of infection and methods of transmission.We observed 760 people who had contact with infected people.
According to the World Health Organization (WHO), the first case of the virus occurred in China during the period from 19 February to 15 March. While WHO specialists are unable to confirm that the new H7N9 flu virus is transmitted from person to person.
Earlier, in the world there were no facts H7N9 virus and the vaccine against this disease does not exist.
As previously reported RIA PrimaMedia, to prevent the epidemic in China was mass slaughter of poultry . Closed markets where birds. Transmissions of the virus from human to human is still unknown, also found no epidemiological link between all the cases. There are no posts about the cases of mass influenza H7N9 in poultry.

AVIAN INFLUENZA (36): VIET NAM, H5N1, SWALLOW

Nearly 5000 salangane birds, which are raised by local people in Viet Nam's central Phan Rang city, were found dead and said to be infected with the avian flu strain H5N1, the local Tuoi Tre newspaper reported on Friday [13 Apr 2013].

According to Vice Chairwoman of Phan Rang City People's Committee Nguyen Thi Hue, from 28 Mar 2013 to 11 Apr 2013, about 4900 salangane birds out of the flock's 10 000 head raised by the Yen Viet Company Limited were found dead in Phan Rang City of Ninh Thuan province. Among the dying birds to be tested at the local Veterinary Department No. 6, 8 samples were found positive to the avian flu strain H5N1. http://news.xinhuanet.com/english/health/2013-04/12/c_132304553.htm
http://paper.wenweipo.com/2013/04/14/YO1304140001.htm

Beijing Has reserves of 200 million doses of Tamiflu


 
  Zhongdong Bo said the Drug Administration Department has started the dynamic monitoring of drug sales market, drugs reserve and well according to demand, at the same time, the medical institutions has reserves of 200 million doses of Tamiflu dose. Meanwhile, the Commerce Department led the establishment of a the material reserve group, good reserves of the prevention and control of protective materials.http://news.cntv.cn/2013/04/14/ARTI1365877990673872.shtml


Beijing Ditan Hospital, the children admitted to hospital, hospital to be anti-infection and symptomatic treatment. Recognized as influenza surveillance case, the hospital at 23:50 on the April 11 ( 15 hours) from the onset time to give children Tamiflu antiviral rehydration supportive care, and after seriously ill given ECG, go to the ICU ward , give oxygen treatment. After aggressive treatment, the patient's condition steadily .
Recognized as suspected cases, the Beijing Municipal Center for Disease Control, Shunyi District and Chaoyang District CDC disposal to investigate the scene, confirmed that two close contacts and medical observation measures. As of now, the two close contacts found no abnormalities.
http://news.0751.in/html/%E5%8C%97%E4%BA%AC%E7%8E%B0%E9%A6%96%E4%BE%8B%E4%BA%BA%E6%84%9F%E6%9F%93h7n9%E7%97%85%E4%BE%8B_54068.html

Thursday, April 11, 2013

Human infection with influenza A(H7N9) virus in China - update


Human infection with influenza A(H7N9) virus in China - update

 As of 11 April 2013 (17:00 CET), the National Health and Family Planning Commission notified WHO of an additional 10 laboratory-confirmed cases of human infection with influenza A(H7N9) virus.
The patients include:
  • A 70-year-old man from Jiangsu who became ill on 29 March 2013,
  • A 74-year-old man from Jiangsu who became ill on 2 April 2013,
  • A 65-year-old man from Zhejiang who became ill on 3 April 2013,
  • A 76-year-old woman from Shanghai who became ill on 1 April 2013,
  • An 81-year-old woman from Shanghai who became ill on 4 April 2013,
  • A 74-year-old man from Shanghai who became ill on 31 March 2013 and died on 11 April 2013,
  • An 83-year-old woman from Shanghai who became ill on 2 April 2013,
  • A 68-year-old man from Shanghai who became ill on 4 April 2013,
  • A 31-year-old man from Jiangsu who became ill on 31 March 2013, and
  • A 56-year-old man from Jiangsu who became ill on 3 April 2013.
To date, a total of 38 patients have been laboratory confirmed with influenza A(H7N9) virus in China; including 10 deaths, 19 severe cases and nine mild cases.
More than 760 close contacts of the confirmed cases are being closely monitored.
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 infectionshttp://www.who.int/csr/don/2013_04_11/en/index.html