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Sunday, April 21, 2013

Shenzhen first case is a rumor


Network transmission Shenzhen is the first case of H7N9 avian influenza city health department rumor

Human infection with the H7N9 avian influenza still increasing, never eliminate the tension. Yesterday, a Shenzhen found the first case of human infection with the H7N9 avian influenza message appeared on the Internet, and have been forwarded microblogging and Internet chat groups, to arouse public doubt. Yesterday afternoon, the City Commission Wei said that as of 4 pm, after verification, Shenzhen yet found infected with H7N9 avian influenza, if found, will be promptly informed members of the public can feel at ease.
Southern reporter saw this message on the microblogging has been forwarded, some or certification, the content of the message, April 19, at 2:25 today, confirmed by experts, Cui has become the first in Shenzhen case of H7N9 virus influenza patients, the cause is personal diet, recognized by experts contains a large number of H7N9 virus in the ingestion of pickled chicken feet, alert you to a healthy diet. "
This message appears, qui..

National guard Planning Commission and the WHO joint mission continues today in Shanghai


visits the city of human infection of H7N9 avian influenza epidemic joint prevention and control work

Published :2013-04-21 19:45:29 Author:
[National guard Planning Commission and WHO joint mission continues today in Shanghai to examine the city human infection with the H7N9 avian flu joint prevention and control] # # This morning, the joint study group to understand the situation came to the Shanghai Municipal Center for Disease Control Next key research projects, and some typical cases exchanges. Afternoon, the joint study group to visit the Sanguantang egg wholesale market, understand the market before the birds temporarily closed transactions. http://shanghai.kankanews.com/shgov/2013-04-21/1220558.shtml

Zhejiang new cases of human infection of H7N9 avian influenza cases new two deaths



According to CCTV news, the Zhejiang Provincial Health Department reported today that, as of 15:00, Zhejiang new five cases of human infection with the H7N9 avian influenza, and two cases have been confirmed cases of death.   Up to now, the country reported a total of 102 cases of human infection of H7N9 avian influenza confirmed cases, of which 21 people died. Distribution of cases (1 case) in Beijing, Shanghai (33 cases and 11 deaths), Jiangsu (23 patients, 4 patients died), Zhejiang (38 cases, 5 cases died), Anhui (3 cases, 1 death), Henan (3 cases), Hunan (1) 7 provinces and cities. http://www.kaixian.tv/R1/n1986365c7.shtml

Zhejiang new cases of human infection of H7N9 avian influenza cases two new deaths


Zhejiang new cases of human infection of H7N9 avian influenza cases two new deaths

According to CCTV news, the Zhejiang Provincial Health Department reported today that, as of 15:00, Zhejiang new five cases of human infection with the H7N9 avian influenza, and two cases have been confirmed cases of death.
  Up to now, the country reported a total of 102 cases of human infection of H7N9 avian influenza confirmed cases, of which 21 people died. Distribution of cases (1 case) in Beijing, Shanghai (33 cases and 11 deaths), Jiangsu (23 patients, 4 patients died), Zhejiang (38 cases, 5 cases died), Anhui (3 cases, 1 death), Henan (3 cases), Hunan (1) 7 provinces and cities..

Saturday, April 20, 2013

AVIAN INFLUENZA, HUMAN (54): H7N9 UPDATE



A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

In this update:



[1] Now 96 cases and 18 deaths

[2] Age and gender profile




******

[1] Now 96 cases and 18 deaths

Date: Sat 20 Apr 2013
Source: English new, Xinhua report [edited]
http://news.xinhuanet.com/english/health/2013-04/20/c_132326162.htm


During the 24-hour period ending at 4 p.m. on Sat 20 Apr 2013, China confirmed 5 new cases of human H7N9 avian influenza, including one in Shanghai, one in Jiangsu and 2 in Zhejiang. The National Health and Family Planning Commission said in its daily update on H7N9 cases that a total of 96 H7N9 cases have been reported in China, including 18 that have ended in death. Of the total, 9 H7N9 patients have been discharged from hospitals after receiving treatment, and the other 69 patients are being treated in designated hospitals, according to the commission.

A total of 33 cases, including 11 that have ended in death, have been reported in Shanghai. 22 cases, including 2 deaths, have been reported in Jiangsu Province, and 33 cases, including 2 deaths, in Zhejiang Province. Anhui Province has reported 2 cases, with one ending in death. Beijing has reported one case, and 2 have been reported in Henan Province.

China officially confirmed the occurrence of humans infected with the H7N9 virus late last month [March 2013]. According to the commission, China's confirmed H7N9 cases are isolated, and there has been no sign of human-to-human transmission.

--
Communicated by:
Ryan McGinnis


******

[2] Age and gender profile
Date: Fri 19 Apr 2013
Source: CIDRAP News [edited]
http://www.cidrap.umn.edu/cidrap/content/influenza/h7n9/news/apr1913ageh7.html


One of the odd mysteries posed by the H7N9 influenza virus emerging in China is why most of the patients are on the older side, a fact that stands in sharp contrast to the pattern seen with that other deadly crossover avian virus, H5N1. An analysis by Nicholas Kelley, PhD, at the University of Minnesota's Center for Infectious Disease Research and Policy (CIDRAP), shows that the median age of H7N9 case-patients thus far is 61.5 years, with a range of 2 to 89 years. For comparison, Kelley examined the ages of the 45 H5N1 case-patients in China over the past 10 years and found a median age of only 27. And when he looked only at H5N1 cases in the same provinces where H7N9 cases have turned up, the median age was even younger: 24. The European Centre for Disease Prevention and Control (ECDC), in an epidemiological update released today [19 Apr 2013], but based on cases as of yesterday, put the median age of H7N9 patients even higher: 64, with a range of 4 to 89.

A related puzzle is the gender balance, or rather imbalance, among H7N9 cases. The ECDC report says just 25 of 82 patients with available information have been female. For H5N1, the gender balance has been much more even. Looking at H5N1 cases in the same provinces as the H7N9 cases, Kelley found that 11 were female and 9 were male.

So far, authorities on influenza generally seem stumped by these differences, much as they are stumped on exactly how the virus is getting into humans. The suspected source is poultry, but Chinese authorities reported this week that only 39 of about 48 000 samples from more than 1000 poultry markets, farms, and other sites were found to contain the virus. Further, they said about 40 percent of H7N9 patients had no clear history of exposure to poultry.

Timothy Uyeki, MD, MPH, a flu expert at the US Centers for Disease Control and Prevention, said this week that any suggested reasons for the age distribution would be only speculation, because there's just not enough information to offer any answers. Likewise, experts at the ECDC didn't have any answers. "They said we just don't have information at this point, so prefer not to speculate," said Romit Jain, an ECDC communication officer.

Yuelong Shu, PhD, director of the Chinese National Influenza Center in Beijing, suggested this week that older people may have more exposure to H7N9 because of greater contact with poultry, compared with younger people. "Usually the retired older people take care of the family food in China," and thus are more likely to visit poultry markets, he commented by e-mail. "But the exact reason [for the age distribution], we really don't know."

Michael T. Osterholm, PhD, MPH, director of CIDRAP, ticked off several variables that might be considered in the search for an explanation of the different age and gender distributions but said none of them offers an answer at this point. For example, is there a difference between H5N1 and H7N9 in how cases are detected, such that younger people infected with H7N9 would tend to be missed? "If you look at H5N1 cases just from the same provinces where we see H7N9 cases, it would be hard to hypothesize what the major differences would be in detection and treatment of cases," Osterholm said.

Another possibility, he said, would be age-related differences in underlying conditions between H5N1 and H7N9 case-patients. "Again, if you look at the same provinces, it's unclear what that would be," he said. 

Underlying immunologic factors in older people who are exposed to H7N9 might be another thing to consider. "That could be the case if the illnesses [with H5N1 and H7N9] were very different," Osterholm said. "But we don't have any evidence of that here. The descriptions of the illness are very similar to what we see with H5N1." For example, he added that the median time from onset to death in fatal H7N9 cases is 13 days, very similar to the time in H5N1 cases.

As for exposure to poultry at live-bird markets or elsewhere, Osterholm said that that risk factor clearly operates with H5N1 so doesn't explain the different demographics of the 2 viruses. Another possibility might be some inherent difference between the 2 viruses, he said. But he ruled that out too: "It's never just the virus. It's the virus-human relationship."

The age and gender patterns are just 2 of multiple H7N9 mysteries waiting to be cleared up. Another is why more than 80 [now 96] H7N9 cases have popped up in just a few weeks in China versus just 45 H5N1 cases in the country in about 10 years. Still another puzzle is why the virus seems to cause little or no sickness in birds but makes humans seriously ill. "We don't know what we're dealing with here, because this is the 1st time we've seen a virus causing serious illness in humans but having low pathogenicity in birds," Osterholm said.

--
Communicated by:
Ryan McGinnis 


[Maybe the prefix "Avian" is unjustified? - Mod.CP

Zhejiang new cases of H7N9 infection in which a pregnant


2013-04-21 06:32

Zhejiang Provincial Health Department reported yesterday, as of April 20 at 15:00, Zhejiang Province, add three cases of human infection with the H7N9 avian influenza.
Patients Wangmou, male, 56 years old, farmers, Hangzhou, onset on April 11, now Hangzhou, a hospital for treatment.
Patients Gan, female, 35 years old, workers now live in Hangzhou, onset on April 14, now a hospital for treatment.
Patients Sohn, male, 37 years old, drivers, Hangzhou, incidence on March 30, during the purchase of medicines to take their own, the first visit on April 18, now a hospital for treatment.On the evening of April 19, critically ill patients diagnosed in the 18th Xu (male, 69 years old, retired, Hangzhou) due to further deterioration, she died.
Two nights ago, Zhejiang University hospital, an H7N9 avian flu Ms. Gan, for pregnant women, nine weeks of pregnancy.Currently being treated.
Reporter learned that Ms. Gan 14 start coughing, fever, fever clinics to go to the hospital examination, screening H7N9 virus nucleic acid positive, the night before were immediately transferred to the hospital in Zhejiang University. http://www.kaixian.tv/R1/n1976959c9.shtml

Human infection with the H7N9 avian influenza Expedition arrived there today



2013 04 20, 2011 23:57   Shanghai, April 20 (Reporter Wang Youjia) 20, jointly established by the National Health and Family Planning Commission, and the world health organizations, human infection with the H7N9 avian influenza joint mission arrived there, a three-day inspection.
Afternoon, Vice Mayor Shen Xiaoming, when glorious vice mayor and Shanghai prevention and control of human infection of H7N9 avian influenza epidemic joint prevention and control mechanism relevant department heads to the Joint Expedition of the city of human infection of H7N9 avian influenza treatment and joint prevention and control work Overall, the study group experts exchange, and answered questions.
Joint study group also inspected the Shanghai Public Health Clinical Center to learn more about human infection with the H7N9 avian influenza confirmed cases of rescue work and exchange with the experts of the center.
According to reports, the joint study group comprises the epidemiological, laboratory and clinical management and other related experts http://medicine.people.com.cn/n/2013/0420/c135395-21215022.html

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


20/04/2013



As of 20 April 2013 (17:00CET), the National Health and Family Planning Commission notified WHO of an additional 5 laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus. Of the latest laboratory confirmed cases, three are from Zhejiang Province, one is from Shanghai Municipality, and one is from Jiangsu Province.


The patients include:


·       a 75 year-old male from Shanghai Municipality who became ill on 13 April 2013;


·       a 43 year-old male from Jiangsu Province who became ill on 7 April 2013;


·       a 56 year- old male from Zhejiang Province who became ill on 11 April 2013;


·       a 35 year-old female  from Zhejiang Province who became ill on 14 April 2013;


·       a 37 year-old male from Zhejiang Province who became ill on March 30 2013.


Additionally, 1 patient earlier reported from Zhejiang Province has died.


To date, there are a total of 96 laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus in China; including 18 deaths. Contacts of the confirmed cases are being closely monitored. Currently, 69 patients are being treated in hospital and 9 patients have been discharged.


National authorities continue to implement prevention and control measures which include: strengthened epidemic monitoring and analysis and enhanced public risk communication and information dissemination.


Investigations into the possible sources of infection and reservoirs of the virus are ongoing. Until the source of infection has been identified, it is expected that there will be further cases of human infection with the virus in China. So far, 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.


At the invitation of the National Health and Family Planning Commission of China, WHO has convened a team of experts who will visit areas affected by avian influenza A(H7N9) in China in order to provide recommendations on the prevention and control of the disease. For more information, please see:  Transcript of the media briefing by Dr Michael O'Leary , WHO Representative in China: Situation update on avian influenza A(H7N9) http://www.wpro.who.int/china/topics/h7n9_influenza/20130419/en/index.html.

AVIAN INFLUENZA (41): (CHINA) ZOONOTIC LPAI H7N9, ANIMAL, REQUEST FOR INFORMATION



In this update:

[1] Infection source sought

[2] Wetlands closed, birdwatching suspended

[3] Compensation for poultry farmers

[4] Duck catering affected




******

[1] Infection source sought

Date: Sat 20 Apr 2013
Source: Shanghai Daily [edited]
http://tinyurl.com/cuzxvpr


Health officials are raising further questions about the source of the new strain of bird flu infecting humans in China after data indicated that more than half of the patients had no contact with poultry.

The H7N9 virus has been found [as of 19 Apr 2013] in 91 people, including one reported in Jiangsu Province and 3 in Zhejiang Province yesterday [19 Apr 2013], and 17 of them have died.

But it is not clear how people are becoming infected and the World Health Organization [WHO] says there is no evidence of the most worrying scenario -- sustained transmission between people.


The WHO's China representative, Michael O'Leary, issued data yesterday [19 Apr 2013] showing that half of the cases analyzed had no known contact with poultry, the most obvious potential source, but he said it appeared human-to-human transmission was rare.

"This is still an animal virus that occasionally infects humans," he said. "With rare exceptions, we know that people are not getting sick from other people."

Experts say it may be premature to rule in or rule out whether people sick with the virus have been in contact with poultry, and note that contact with wild birds is even more difficult to establish.

A scientific study published last week showed the H7N9 strain was a so-called "triple reassortant" virus with a mixture of genes from 3 other flu strains found in birds in Asia. One of those 3 strains is thought to have come from a brambling, a type of small wild bird [see ProMED-mail postings 20130418.1655718, 20130418.1655610, and 20130417.1652959].

An international team of epidemiologists and other experts led by the WHO and Chinese government officials will visit live chicken markets and hospitals over the next several days in Shanghai and Beijing.

Some bird samples have tested positive and China has culled thousands of birds and shut down some live poultry markets.

China's poultry sector has recorded losses of more than 10 billion yuan (USD 1.6 billion) since reports of the new flu surfaced 2 weeks ago.

Chinese experts have so far found no H7N9 virus on wild birds in places where human infections have been reported.

Laboratory tests showed 861 of the 1300 samples collected in Shanghai, Beijing, and the eastern provinces of Jiangsu, Zhejiang, and Anhui were negative, while the rest are still being examined.

--
Communicated by:
ProMED-mail



[Some questions arise:
1. From which animal species/locations have the mentioned 1300 samples been collected?
2. What kind(s) of samples were collected?
3. Which tests were performed?
4. Have samples been collected also from other parts of China apart from the 5 territories mentioned? Where from?

Details will be gratefully welcomed. - Mod.AS]


******

[2] Wetlands closed, birdwatching suspended
Date: Fri 19 Apr 2013
Source: Xinhua News Agen/...  http://www.promedmail.org/direct.php?id=20130420.1659952

Brace for bird flu in the U.S.


Centers for Disease Control issues "interim guidance" about H7N9 flu so Americans aren't caught off guard

Brace for bird flu in the United States, authorities told health-care workers on Thursday, as China announced 92 confirmed cases of the new, mysterious H7N9 strain of the illness.
Hospitals and clinics should be vigilant for people exhibiting flu-like symptoms who have traveled from China, the Centers for Disease Control and Prevention said.
The CDC also issued on Thursday “interim guidance” regarding the use of antiviral drugs in treating the disease.
There is no vaccine available for this strain of H7N9 avian flu, the CDC said, although it cautioned that the measures it is taking are routine.
While there is little evidence the disease is easily transmitted from poultry to humans, experts are watching the new strain closely because of its sudden arrival.
Because the strain is considered “novel,” or non-human, the threat of pandemic remains high should the disease mutate and spread between people.
“So far, this virus has not been determined to have that capability. However, influenza viruses constantly change and it’s possible that this virus could gain that ability,” the CDC says.
According to Chinese media, 17 people have died after contracting the illness.
Xinhua news agency also reports four new cases between Thursday and Friday at 5 p.m. Chinese doctors have released seven of those who contracted bird flu while 67 continue to receive treatment.
Meanwhile, the World Health Organization has launched an investigation into H7N9.

Minnesota issues health alert for new H7N9 flu strain


  • Updated: April 20, 2013 - 7:11 AM

Minnesota doctors have been alerted to a new strain of influenza circulating in China and are urged to notify state health authorities if they have patients who traveled to the Asian nation and have flu-like symptoms.
An alert sent by the Minnesota Department of Health April 5 has already resulted in doctors finding a couple of patients who fit the profile and submitting lab samples to the state for testing...
..Ehresmann said it was a relief that doctors reported a couple of potential cases, even if they turned out to be negative, because it means they are heeding the state’s health alerts. http://www.startribune.com/lifestyle/203854571.html

In face of bird flu H7N9, Vietnam starts temperature screenings at airports



Last Updated: Saturday, April 06, 2013 10:45:00
Vietnam’s health authorities have set up body temperature screening systems at its main airports as a safety measure against an outbreak of bird flu that has killed six people in China.
The screening procedures were started at Noi Bai International Airport in Hanoi on Friday and at Tan Son Nhat International Airport in Ho Chi Minh City on Saturday.
Vietnam made the move after China reported that influenza A (H7N9) – a strain of bird flu previously unknown in humans – infected 16 people, including six deaths, since early last month.
Nguyen Nhat Cam, vice director of Hanoi’s Preventive Health Center, said any person who enters the capital city through Noi Bai must go through screening upon entry.
Suspicious cases will be put under health observation and tested for the virus at the National Institute of Hygiene and Epidemiology, he said.
Meanwhile, Dr. Nguyen Hoai Nam from the HCMC Department of Health was quoted by VnExpress as saying that 100 percent of foreign visitors, especially those from areas with flu outbreaks, must be “strictly” checked at the point of their entry.
Previously, also in an effort to stop the flu’s spread from China, the Ministry of Agriculture and Rural Department issued bans on the import and trade of poultry over the country’s borders with China.
At a meeting in Hanoi on Friday, Vietnamese health officials and experts issued more warnings and recommendations regarding H7N9, which Tran Dac Phuc, deputy chief of the health ministry’s Department of Preventive Health, said is very likely to enter Vietnam.
Prof. Trinh Quan Huan, an expert with the health ministry, urged related agencies that all smuggled poultry should be tested because it probably carries the virus despite the absence of the disease’s symptoms.If the birds do carry the virus, they are likely to infect humans with it, he warned.
Agencies must also warn people about the deaths of any poultry or wild birds found at or nearby their homes, and ask them to immediately report any discovery of such deaths to authorities, Huan said.
In the meantime, the Department of Preventive Health recommended that people eat meat from quarantined poultry only.
It said people who return from areas with outbreaks need to watch their health and inform local health agencies if they have a cough or fever. 
Nguyen Van Kinh, director of the National Hospital of Tropical Diseases, said all hospitalized patients had difficulties breathing, while the functions of their lungs and livers were found to be deteriorating.
The H7N9 virus is considered highly fatal by world health experts, he said.
How the virus has been transmitted from poultry to humans, however, remains unknown.
The World Health Organization previously announced that it was investigating the outbreak in China, and that so far there has been no evidence that the virus is transmitted between people. http://www.thanhniennews.com/index/pages/20130406-in-face-of-h7n9-vietnam-sets-temperature-screenings-at-airports.aspx?

Bird flu cases confirmed in two Chitwan farms

 Sat, 20.04.13 11:31

Chitwan livestock officials have confirmed that two poultry farms in the district have been affected by avian influenza, five days after samples from the farms were referred to the Central veterinary lab in Kathmandu.
According to RSS, the local officials have confirmed bird flu cases at a farm each in Bharatpur-9 and Mangalpur VDC- 7. The Avian Disease Research Laboratory, Bharatpur, had referred the cases to the centre on April 15, the state-owned news agency reported.
Local officials have started culling all 60,000 fouls in the farm in Bhartapur and 4,000 chickens in the Mangalpur farm, said District Livestock Office Chitwan chief Ram Kumar Karki.
Chitwan is considered as one of the major livestock centres in the country. According to government figures, local entrepreneurs have invested more than Rs. 25 billion in the business.
Avian influenza cases, which were only seen in the winter season in the past, have now started surfacing even in the summer, officials said adding that this might signal towards the flu virus' improved ability to survive in higher temperatures.
Although, there have been no reports of human population being infected with the disease in Nepal, officials have time and again urged the general public to take protective measures.  http://www.nepalnews.com/archive/2013/apr/apr20/news04.php?

,,,Test was delayed as Rana prohibited the entry of lab employees in the farm to acquire information after it was known that chickens died on April 8. 

There were some 60,000 layers species of chickens in Rana´s farm and 4,000 in the farm of Hamal.

Culling is underway in the farms, said District Livestock Office Chitwan Chief Ram Kumar Karki.

A large number of chickens were said to have died in Rana´s farm.

More than Rs. 25 billion has been invested in poultry in this district regarded as a leading district for poultry.

However, farmers and consumers alike are terrorized from it.
 
Published on 2013-04-20 10:20:33  

http://www.myrepublica.com/portal/index.php?action=news_details&news_id=53426

10 days ago was an outbreak..
http://www.kantipuronline.com/2013/04/10/national/jhapa-bird-flu-in-2-more-places/369758.html

Chinese people infected with the H7N9 avian flu in 96 cases


April 20, 2013 
21:00:47Xinhua Beijing, April 20 (Lvnuo the Sun Tiexiang) National Health and Family Planning Bulletin 20, 2009, and ended at 4:00 p.m. on the 20th, the country reported a total of 96 cases of confirmed cases of human infection with the H7N9 avian influenza. Which killed 18 people, rehabilitation of nine people, and the remaining 69 are each designated medical unit for treatment.

According to the briefing, at 16:00 on the the 19th at 4:00 p.m. on the 20th, the national reports new human infection with the H7N9 avian influenza five cases. Among them, Shanghai, Jiangsu Province and Zhejiang Province three cases.

At present, the distribution of cases in Beijing (1) Shanghai (33 cases and 11 deaths), Jiangsu (23 patients, 3 patients died), Zhejiang (33 patients, 3 patients died), Anhui (3 cases, 1 death) , Henan (3) 6 provinces and cities. Cases in the dissemination of state, have not yet found evidence of human-to-human transmission.

Guangdong and Hong Kong, Shenzhen and Zhuhai stepped prevention work



April 19, 2013
   In order to prevent avian influenza A H7N9 virus and novel coronavirus, the Department of Health and Guangdong, Shenzhen and Zhuhai Entry-Exit Inspection and Quarantine Bureau has launched a series of prevention work.Guangdong, Shenzhen and Zhuhai authorities have been implemented in various ports to-exit temperature screening arrangements, and to the traveling public and the tourism industry to strengthen health promotion and education, raise their awareness of disease prevention.    Constance Chan, Director of Health of Hong Kong today (April 19) and health and quarantine supervision Secretary of the General Administration of Quality Supervision, Inspection and Quarantine of the People's Republic of China international cultural meeting in Shenzhen, Guangdong Entry-Exit Inspection and Quarantine Bureau, deputy director of Chen Xiaofan, Shenzhen Entry-Exit Inspection and Quarantine Bureau deputy Secretary Fei Hu and and Pan Zhaosi Zhuhai Entry-Exit Inspection and Quarantine Bureau, deputy director of officials to discuss various ports in Guangdong and Hong Kong, Shenzhen and Zhuhai to enhance visitors' health and quarantine measures to prevent avian influenza A H7N9 virus and novel coronavirus infection.    Department of Health and Guangdong, Shenzhen and Zhuhai Entry-Exit Inspection and Quarantine Bureau has launched a series of prevention work, and mutual ex..

Beware of deadly new virus


Saturday, April 20, 2013 - STATE and health officials have been warned about a deadly virus which has so far killed 8 of 14 infected people in the Middle East and the United Kingdom. The CDC (Centers for Disease Control and Prevention) explained that this virulent coronavirus is part of the same family of viruses as the common cold and SARS.

Experts believe this new coronavirus comes from the Middle East. Of the four confirmed infections in the United Kingdom, three occurred among people who had travelled to the Middle East, one of whom was a family member of an infected person, he had no history of recent traveland had never been to the Middle East. This means that it has become human-transmissible; infected humans can pass it on to other people...
http://pakobserver.net/detailnews.asp?id=204343

H7N9 death toll rises to 18

English.news.cn   2013-04-20 19:22:39

April 20 (Xinhua) -- Another death from H7N9 bird flu was announced in China on Saturday, bringing the nationwide death toll to 18.
The Department of Health of east China's Zhejiang Province reported that a 69-year-old man surnamed Xu, who had previously tested positive for the H7N9 virus, died on Friday night after emergency treatment failed.
The province also reported three new infection cases.
A 56-year-old man surnamed Wang, a 35-year-old woman surnamed Gan, and a 37-year-old man surnamed Sun all tested positive for H7N9 and are being treated at the First Affiliated Hospital of the College of Medicine, Zhejiang University in Hangzhou. All three are in critical condition.
A man surnamed Zhang also tested positive for the new strain of bird flu in neighboring Jiangsu Province, according to a statement issued by the provincial health department on Saturday. Of the 23 people who had been in close contact with the 43-year-old man, none have exhibited any abnormal symptoms.
A total of 95 H7N9 cases have been reported across China.  http://news.xinhuanet.com/english/health/2013-04/20/c_132325883.htm

Singapore Ministry of Health to the airport arrival distribution of anti-H7N9 Flyer


 With the gradual expansion of the H7N9 avian flu in China, coupled with the school holidays approaching, the Singapore Ministry of Health from now on further introduction of additional measures to distribute health alert to travelers from the H7N9 bird flu to come to Singapore and to return people notice to improve cognitive avian flu, but also to remind the arrival to pay close attention to their own health, and if you feel unwell, seek medical advice immediately.
  " Lianhe Zaobao "website reported that until the day before yesterday, a total of four age between 18 to 73-year-old Singapore women, from China back to new contracting respiratory diseases, but fortunately did not infected with the H7N9 avian influenza virus.
  Singapore Ministry of Health by the advisory said the four, one was found infected with H1N1, the other three are not influenza virus.
  Monitoring system to identify when they go to public hospitals for treatment. The test result is negative, that is not affected by the H7N9 avian influenza virus infection.
  The proclamation of the Singapore Ministry of Health in cooperation with the Civil Aviation Authority of Singapore and Changi Airport Group, from noon today from the H7N9 bird flu, as well as the arrival of the areas affected by the new lethal coronavirus (novel the coronavirus, referred to as NCoV) by one by one distribution of health alert notice (Health Advisory Notices).
  Flights flight attendants from the relevant areas in the machine, or in the boarding bridge aerobridge to arrival by distributing health alert notice.
  Areas affected by H7N9 avian influenza, including Shanghai, Jiangsu, Zhejiang, Anhui, Henan and Beijing. New lethal coronavirus impact countries, including Saudi Arabia, Qatar, Jordan and the United Arab Emirates.
  Singapore Ministry of Health from the 15th of this month, the Immigration & Checkpoints in Changi Airport Terminal hall, asking counters and transfer desks put up healthy to remind posters....

Bird flu alert in Europe


ROME, April 20, 2013 - Avian flu: the EU agency for the prevention and control of diseases does not mean that there are individual human cases imported into Europe. The countries should be prepared for the detection and diagnosis of such cases. Screening people at airports to prevent the geographical spread of the virus

 Very few talk about it, but the "Door of Rights" continues to spread the information on the dangerous spread of a virus classified as "H7N9" that even the European center for disease prevention and Control (ECDC) is keeping close monitoring. This time, the alarm bell is sounded for Europe. The EU agency does not exclude that there are individual human cases imported into Europe and for these reasons, the countries need to prepare for its detection and diagnosis. The critical factor is that the new virus is capable of infecting birds and men in Europe. Occurred on 'jump' from birds to humans, and it is feared that 'now the next step: the ability' to be transmitted from human to human. For experts of the 'ECDC once you learn the ability' to be transmitted from human to human, the virus H7N9 could expand rapidly on a global scale. 

The avian influenza virus variant was identified March 31, 2013, when the Chinese health authorities announced that a virus had infected three patients classified H7N9. Since that date, eighty-seven 87 cases of human infection with influenza A (H7N9) were reported in six provinces in eastern China with a population of about 330 million. The onset of the disease was between February 19 and April 14, 2013 in Shanghai (32), (21) Jiangsu, Zhejiang (27), Anhui (3), Henan (3) and Beijing (1). The date of onset of the disease is currently unknown for sixteen patients. Most of the cases have developed serious respiratory diseases. Seventeen patients died. The average age is 64 years between the ages 4 to 89 years, 25 of the 82 patients are female. Chinese health authorities are responding to this public health event with enhanced surveillance, epidemiological and laboratory investigations with continuous analysis. The health sector has intensified investigations into the possible sources and reservoirs of the virus. 

Authorities have reported the world organization for animal health (OIE) that the avian influenza A (H7N9) was detected in samples from pigeons, chickens and ducks and in environmental samples where live birds such as the markets in Shanghai, Jiangsu, Anhui and Zhejiang. The authorities have closed markets and slaughtered birds in the affected areas. The Chinese Ministry of Agriculture said that 47,801 tests were carried out by taking samples of live animals in the markets, on farms and in slaughterhouses. Of these, only 39 samples were positive for the H7N9 avian influenza virus, of which 38 were in Shanghai, Anhui, and in the provinces of Zhejiang and Jiangsu. It was identified a specimen of wild pigeon positive in Jiangsu. The origin and mode of transmission have not yet been confirmed. The outbreak is caused by an avian influenza virus with low pathogenicity to birds, so it does not cause mass deaths.Genetic analysis of the isolates showed changes which suggest that the H7N9 virus may have a greater ability to infect mammalian species, including humans, compared to many other avian influenza virus. Pathogenicity for human beings seems to be high and l ' advanced age appears to be a risk factor for the disease. The most likely scenario is that the influenza A (H7N9) is that the spread unnoticed in the bird populations have occasionally infected humans who have close contact with poultry or poultry products, but this will have to be validated as will be available additional data..

http://www.infooggi.it/articolo/aviaria-allerta-in-europa/40915/

Zhejiang new cases of human infection of H7N9 avian influenza cases of 95 patients


 According to the Zhejiang Daily "official microblogging message, Zhejiang Provincial Health Department Bulletin, as of April 20, 2011 15:00 April 20, Zhejiang Province, add three cases of human infection with the H7N9 avian influenza.

  Earlier, the Health Department of Jiangsu Province, Jiangsu new confirmed case of human infection of H7N9 avian influenza, and published the information of the patient.
  As of press time, the Chinese mainland had been diagnosed 95 cases.http://news.hsw.cn/system/2013/04/20/051650806.shtml

N.S. doctors urged to watch for new bird flu strain



Though health officials say it's unlikely new bird flu strain H7N9 will appear in province "BS"

Posted: Apr 19, 2013 10:22 PM



The provincial health department is urging doctors in Nova Scotia to be on the lookout for a new form of bird flu.
Health officials are saying it's unlikely the new strain of influenza will show up here in the province, but they're not taking any chances.
Dr. Robert Strang, the province’s chief public health officer, issued a memo on April 12, advising Nova Scotia physicians to look for anyone with flu-like symptoms who has recently travelled to China or anyone with severe respiratory symptoms.
The H7N9 avian influenza virus has infected 87 people in several regions of China and caused 17 deaths.
Though the World Health Organization said Friday there’s no evidence a new bird flu strain is spreading easily among people in China, even though there may be sporadic cases of the virus spreading to people who have close contacts with infected patients.
The source of the virus remains unclear because only a handful of birds — out of tens of thousands that have been tested — have been found to carry the H7N9 virus. Also, many of the patients have no reported history of contact with birds.
Still, Chinese health and agricultural authorities have closed live poultry markets and slaughtered birds as preventive measures based on suspicion that sick people had contact with infected fowl.
Dr. Todd Hatchette, the service chief of microbiology at Halifax’s Victoria General Hospital, said there is a limited chance the virus will show up here in Nova Scotia.
However, he said that medical officials are busy ensuring protocols are in place, just in case a strange flu appears.
Hatchette has experience with new strains of influenza. His laboratory was the first in the country to confirm H1N1 during the last pandemic in 2009.
"I remember the day vividly. It was a Saturday afternoon when we identified an unusual strain. We had to transport the virus by police escort to the national lab in Winnipeg," said Hatchette.
He said the H1N1 strain was identified within 24 hours and he said he is confident that if a new strain of flu appears in Nova Scotia, the right protocols are in place for a swift identification of the virus.

New virus unusual, does not make birds sick

Health officials in China are still trying to determine where this new strain of flu has come from and whether the strain can spread by human-to-human contact.
"We know that this it is an avian virus," said Hatchette. But he said this avian virus is unusual in that it doesn't make birds sick, only humans.
Not being able to visually identify sick birds means that the virus can silently spread for a longer period of time amongst the human population.
"At this point it doesn't look as though there has been any human-to-human infection," said Hatchette.
But since some of the people infected with the virus in China haven't had any contact with birds, so there are still a lot of unanswered questions, he said.
Diane Dafoe, owner of Dafoe Travel Group in Dartmouth, specializes in corporate global travel. She said addressing health concerns is an important part of travel for international clients.
Along with government websites, she has travel health experts who she relies upon to keep her informed.
Hatchette said he wonders if we are seeing the tip of the iceberg in China or are there a lot of other less severe or even asymptomatic cases that don't show any signs at all.
These are all questions, he said, that he is discussing with health officials on a daily basis.
Health Canada has issued an assessment saying the H7N9 health risk from China to Canada is currently low.
Hatchette said testing in China has shown the avian influenza is sensitive to antivirals and said Canada has a stockpile of the medication. http://www.cbc.ca/news/canada/nova-scotia/story/2013/04/19/ns-bird-flu-lookout.html?
GOOD LUCK WITH THAT..

H7N9 Bird Flu Cases In China Rise By Four To 91; Half Have Had No Contact With Poultry


4/19/2013 @ 10:10PM |11,598 views

The number of confirmed H7N9 bird flu cases in China increased by four to 91 on Friday.  Jiangsu province reported one new case, and Zhejiang province reported three, the state-run Shanghai Daily reported today.  The number of dead was unchanged at 17.
An increasing focus among public health officials and the media is prospect that transmission of the disease is not only animal-to-animal but also human-to-human. More than half of the victims have had no contact with poultry, the newspaper said, citing agencies and its own reporting.  “This is still an animal virus that occasionally infects humans,” the newspaper quoted World HealthOrganization’s China leader Michael O’Leary as saying. “With rare exceptions, we know that people are not getting sick from other people.”
Beijing and major eastern Chinese cities have closed live poultry markets and are taking other precautions to limit the spread of the new virus.  Chinese media this week estimated that the poultry industry has lost 17 billion yuan, or $2.7 billion.  Officials are concerned about the livelihoods and future source of bird supply from chicken farmers...