6 suspected bf in Egypt

الاتنين April 29, 2013 2:30:15 PM

Mansura Reem Habib: received Mansoura Chest Hospital 6 cases of suspected new bird flu from several different centers in Dakahlia Governorate, and has been isolated infected within the isolation room at the hospital, taking samples to be sent to the central laboratories to prove the presence of the disease and received the necessary treatment. were suspected in both of Mohamed El Sayed Mahmoud 30 years from the village of Albramn Center Mansoura, باشتباه bird flu temperature 39 and a half, and Maram Alaa two years and a half, and faith Mr. 25 years from the center of Dekernes, and Rowan Ramadan 3 years from the village of Kafr Arabs Talkha, Mohammed Kamal Siraj 29 years 

Belqas Center, Ibtisam lamp 35 years of Belqas center. 

http://elbashayeronline.com/news-261858.html

Hong Kong bird flu alert as tourists pour in

video

April 30, 2013 12:00AM

HONG Kong immigration and hospital officials are stepping up efforts to stop the spread of H7N9 bird flu, which surfaced outside China for the first time last week, as floods of mainland Chinese tourists descend on Hong Kong for the Labour Day holiday.

The government is deploying greater manpower at the border at the mainland Chinese city of Shenzhen, one of the busiest border crossings in the world, to screen travellers for elevated body temperatures, and tour operators are being urged to monitor the condition of individual tourists.

Some 4.2 million people are expected to cross Hong Kong's borders during the holiday, which runs from April 27 to May 1, most crossing via Shenzhen.

On Friday, government officials grabbed mops and rubber gloves to help scrub down markets in the city as part of a three-day campaign to promote good hygiene. To control H7N9 outbreaks, the city had stepped up patrols in poultry markets, Chief Secretary for Administration Carrie Lam said.Hong Kong has long been ground zero in the fight against infectious disease. In 1997, after bird flu first jumped the species barrier, Hong Kong was the first city to be badly affected. The densely populated city was also ravaged by severe acute respiratory syndrome in the 2003 outbreak.

Although not nearly as contagious as SARS, in some ways the latest H7N9 outbreak was more worrisome than the H5N1 outbreak that started in 1997, said Malik Peiris, a virologist at the University of Hong Kong.

He said it appeared to be more easily contracted by humans when exposed to diseased birds.

Another challenge is containing the virus's spread among birds, which have no apparent symptoms, researchers say. http://www.theaustralian.com.au/business/wall-street-journal/hong-kong-bird-flu-alert-as-tourists-pour-in/story-fnay3ubk-1226631836014

No need to ban Chinese tourists over H7N9: expert

2013/04/29 17:55:22

Taipei, April 29 (CNA) Taiwan does not need to ban Chinese tourists from visiting due to the H7N9 bird flu outbreak in China, as the World Trade Organization (WHO) has not recommended any travel restrictions over the virus, a local health expert said Monday.

Although the WHO said there is currently no evidence of H7N9 human-to-human transmission, Taiwan is still concerned that an anticipated influx of Chinese tourists in the coming week over the Labor Day holiday might impact Taiwan's H7N9 epidemic control and prevention work.

Based on International Health Regulations (IHR), the WHO has maintained its global advisory for combating the disease, urging against contact with live poultry but not recommending any restrictions against travel to China.

Under such circumstances, Ho Mei-shang, a research fellow at Academia Sinica's Institute of Biomedical Sciences, said there is no need to ban Chinese tourists from Taiwan.

Ho said that travel restrictions for Chinese tourists to the country could violate human rights.

Chou Jih-haw, deputy director-general of the Centers for Disease Control (CDC) under the Department of Health, called on guides and leaders of Chinese tour groups to dissuade their charges from visiting Taiwan if they are detected to have a fever before departing from China. He also suggested that their Taiwanese counterparts adopt the same measures.

However, Huang Li-min, head of National Taiwan University (NTU) Hospital's division of pediatric infectious diseases, suggested that the government impose restrictions on individual Chinese tourists visiting the country.

Asked about who will pay for isolating foreign tourists discovered to have H7N9, CDC Director-General Chang Feng-yee said the fees are currently paid by the government, in accordance with the law.

Chang made the comments in the face of public concern that a sharply increasing number of Chinese tourists to Taiwan could cause significant spending increases in this area and pose difficulties in H7N9 epidemic control and prevention.  http://focustaiwan.tw/news/aall/201304290022.aspx

The Truth About Bird Flu Is We Don't Know the Truth — but It's Getting Worse

8:45 AM ET

:45 AM ET

The horror of the H7N9 strain of bird flu isn't just that it's deadly — it's killed at least 23 people, it's definitely chicken-to-human, it has a chance of "going human-to-human," and it might be on the move. Another grim reality is that China might not be telling everyone just how bad the disease has become, even as it becomes clear we don't know how to stop it: Following concerns about a SARS-like "cover up," China's Center of Disease Control has stopped publishing its figures in English, just as the first new case of H7N9 popped up in the massive Hunan province — and on the verge of mainland holiday exodus. Indeed, if Chinese health officials aren't being completely transparent about "the first truly urban influenza in history," it won't take long for the rest of the world to find out.

"The center has halted the publication of English-language figures about the spread of the disease since last Thursday," Forbes's Russell Flannery reported last night of the bizarre move by Beijing's CDC. "It didn't give a reason." Whether it's a clerical consideration or another sign of hesitance on communicating everything beyond Chinese borders, that H7N9 is lost in translation cannot hide that reports of human infection kept pouring in over the weekend — even if the total number of human cases remains confusing. According to Shanghai Daily, 115 people are infected, and 23 are dead.Forbes puts the total at 125. Other counts put the total at 121.

But those numbers may balloon as H7N9 makes its way beyond the mainland Saturday: "Hunan cases come a day after the eastern province of Fujian reported its first case and during the same week that a man in Taiwan become the first case of the flu outside mainland China," Reuters reports. Here's what the trail of those three main regions — Fujian, Jiangxi, and Hunan — looks like, with millions of human beings in between: 

Jiangxi, the province in the middle, reported its first suspected case on Thursday, Xinhua reported. Regardless of where the cases started, the disease has been spotted in both directions now. And on the horizon looms a gigantic mainland exodus. "Around 4.2 million people are expected to cross to Hong Kong from Shenzhen between April 27 and May 1 to celebrate the Labor Day holiday," reports Jake Maxwell Watts at Quartz, our sister publication. Hong Kong reported its first case earlier this month, but if you thought the first case in Taiwan was bad, 4.2 million people coming in from mainland is a lot of people, and it could mean a ripe opportunity for the disease to spread. 

Meanwhile, in the labs, precious little is known about the strain. There's the good news: "Chinese scientists confirmed on Thursday that chickens had transmitted the flu to humans," reported Reuters. But that still does not explain the cases where people who didn't come in contact with poultry still caught the disease. At Foreign Policy, Laurie Garrett points to trouble:

There is a missing link. For the new virus to have acquired these key mutations, it must be infecting a mammalian species of some kind, besides human beings. It had to have picked up those mutations inside a mammalian host. But to date no infected pigs or other mammals have been found, according to the Chinese CDC.

This is a mystery. And here is another: Nearly all known bird-to-human flu jumps have occurred in rural settings, unfolding on and around farms. But not this H7N9: This may well be the first truly urban influenza in history. No infected rural flocks or farmers have been found in China. This outbreak started in one of the most modern, densely populated metropolises in the world: Shanghai.

That (scary stuff) said, a visiting team from the World Health Organization insists there exists no hard evidence sustained human-to-human transmission, even if they did call it "one of the most lethal" flu viruses ever. "One of the things we need to be concerned about is this might gain the capability of going human-to-human which up to this point has not happened and is somewhat encouraging news," Anthony Fauci, the head of the National Institute of Allergy and Infectious Diseases (NIAID) and a top U.S. virologist, told the Agence France-Presse in an interview. "But we still need to be very prepared for the eventuality of that happening." http://www.theatlanticwire.com/global/2013/04/bird-flu-spread/64670/

Chinese visitors pour into Sri Lanka

(2 hrs 50 mins ago)

Sri Lanka is continuing to draw foreign visitors to its tropical shores with numbers increasing by 11.6 percent in February when compared with the same month in 2012 along with a marked increase in Chinese tourists, official data show.
Sri Lanka Tourism Development Authority said today that 93,232 tourists arrived compared with 83,549 in February 2012, which is an 11.6 percent increase, Xinhua reports.
Arrivals recorded a 12.5 percent increase in the first two months of this year with numbers reaching 190,643. Chinese tourists recorded an impressive 89.1 percent increase in February 2013 when co..'
http://www.thestandard.com.hk/breaking_news_detail.asp?id=35496&icid=a&d_str=20130308

Zhengzhou new cases of avian flu patients in critical condition residential corridor hanging bird cage

　

Published: 2013-04-29 20:50

□ reporter Li Xiaomin Liu Rui toward

Yesterday, Zhengzhou confirmed case of avian flu, bringing the Henan human infection of H7N9 avian influenza confirmed cases increased to 4. Of Zhoukou patients recovered and were discharged, Kaifeng and Zhengzhou avian influenza patient's condition also improved.

Provincial Health Department reported that newly diagnosed patients Choi, 56 years old, Zhongyuan District, is currently in critical condition, close contact with per capita measures have been taken under medical observation and found no abnormalities.

The departments informed: Zhengzhou another people are suffering from H7N9 avian influenza

Choi, Zhongyuan District, residential road workers in a district.

April 17, Choi cold symptoms, fever, chills, the maximum temperature had reached 39.7 ℃. After that, he went to the Central Hospital of Zhengzhou and forest cottage community health service centers for treatment, but no significant improvement in symptoms. April 20, the intensifying cold symptoms and a cough, itchy throat and other symptoms.

April 22, Choi Check Zheng sophomore Affiliated Hospital for treatment. "He was hospitalized on 11:00 in the afternoon we took his chest CT." Said hospital Respiratory Medicine Professor Xia Xi Zheng, CT, Choi lung in the lower part of a large area of ​​infection, when Choi serious condition to start difficulty in breathing symptoms.

Subsequently, the hospital quickly organized hospital expert consultation, the patient reports no history of exposure to poultry in the week, but still did not rule out the H7N9 avian influenza virus infection.

hospital while their treatment, while the application of the H7N9 avian influenza virus detection. The provincial and municipal disease control departments H7N9 avian influenza nucleic acid detection, the result is positive. 5 o'clock yesterday afternoon, Choi was diagnosed as "human infection with the H7N9 avian influenza patients.

Expert analysis: a variety of complications, increased the patient's condition

April 22, Choi admitted to hospital for treatment, the afternoon of April 24, Choi admission to the intensive care unit, the use of a breathing machine.

Noon yesterday, the Zheng sophomore Affiliated Hospital inpatient department, Professor Xia Xizheng told reporters that at present, Choi critical condition, most worried about is breathing problems.

Mr. Choi Age is not great, so fast, why the progression of the disease so serious?

And his own physical condition of a relationship. "Said Professor Xia Xizheng, Choi poor physical basis, its own eight-year history of hypertension, a 6-year history of cerebral infarction, six-year history of coronary heart disease, while life habits are not very healthy, smoking, drinking up to 30 years of history.

"These chronic complications will be worse." Professor Xia Xizheng, Choi was diagnosed, because of their critical condition, it is not appropriate referral site treatment. http://i.dayoo.com/news/v2-news-society/201304/29/61961_110021805.htm?pageID=2

3 children return to Hong Kong, Fujian, Henan card without stain of H7N9

[18:13] 2013/04/29

 informed CHP announced since 12:00 yesterday afternoon at 12:00 pm, received three reporting criteria suspected human infection with avian influenza A H7 cases, and one does not meet the reporting criteria case. 3 suspected cases fulfilling the reporting criteria involving 1 male and 2 female, and have made ​​contact with birds record, is now in stable condition, the H7 virus was negative. Admitted to Alice Ho Miu Ling Nethersole Hospital six months old girl and 3-year-old boy went to Henan, stay at Pamela Youde Nethersole Eastern Hospital, 3-year-old girl went to Fujian. As for the cases do not meet the reporting criteria involving a 35-year-old man went to Shanghai, is to stay in the North District Hospital in stable condition, the H7 virus was also found negative. http://news.on.cc/cnt/news/20130429/bkn-20130429181302970-0429_00822_001.html

Dongguan chickens H7N9 test material within 2 days results

2013/04/29

Dongguan Wholesale Market a Doubt tested positive for H7N9 Avian influenza virus, the Secretary for Food and Health Bureau, Mr Ko Wing-man said, is waiting for test Results, IT is expected that there will be a message in 1-2 days He also Said that Guangdong and Hong Kong has never had live birds WERE POSitive for the H7 virus, the Dongguan samples were found with the the H7 virus samples were detected N9 OPPORTUNITIES is also very high, the authorities have ASSUMED that the sample was infected with H7N9 Avian Influenza High added that the sample sites are not supplied to Hong Kong farms, THE AUTHORITIES HAVE taken Measures to prevent epidemics, and closely monitor the developments of Guangdong Province. http://news.on.cc/cnt/news/20130429/bkn-20130429203545606-0429_00822_001.html

OIE Reports Avian Influenza A(H7N9) in Zhejiang

CHINA - The Chinese veterinary authorities have reported an outbreak of low pathogenic avian influenza A(H7N9) in Zhejiang.

The World Organisation for Animal Health (OIE) received follow-up report no. 6 on 26 April. 

According to the report, three birds were found affected. 

Gene sequencing performed at the Harbin Veterinary Research Institute, Chinese Academy of Agricultural Sciences (national reference laboratory for avian influenza) showed that it is low pathogenic avian influenza virus (LPAI).

The source of the outbreak remains inconclusive. http://www.thepoultrysite.com/poultrynews/28794/oie-reports-avian-influenza-ah7n9-in-zhejiang

WHO Reports Six Human H5N1 Avian Influenza Cases During Past Six Weeks

According to a World Health Organization (WHO) summary and assessment Friday, from March 12 to April 26, 2013, there were a total of six new laboratory confirmed human cases with avian influenza A(H5N1) virus infection.

The cases were from the following countries: Bangladesh (1), Cambodia (1), Egypt (2 ) and Vietnam(2). The UN agency says that afterinvestigation, the six cases are considered sporadic; however, more cases are likely in the future.

So far this year, Cambodia has reported 10 cases of the lethal virus in humans, resulting in eight fatalities. Health authorities say cases do not seem to be linked directly, and most had contact with sick poultry in their villages.

Since 2003, there have been 628 laboratory-confirmed human cases with avian influenza A(H5N1) virus infection have been officially reported to WHO from 15 countries, of which 374 died (approximately 60 %).

According to the WHO, the H5N1 virus subtype  (different from the H7N9 strain circulating in the current China outbreak)   – a highly pathogenic AI virus- first infected humans in 1997 during a poultry outbreak in Hong Kong SAR, China. Since its widespread re-emergence in 2003 and 2004, this avian virus has spread from Asia to Europe and Africa and has become entrenched in poultry in some countries, resulting in millions of poultry infections, several hundred human cases, and many human deaths.

The case fatality rate for H5N1 virus infections in people is much higher compared to that of seasonal influenza infections.

Clinically, in many patients, the disease caused by the H5N1 virus follows an unusually aggressive clinicalcourse, with rapid deterioration and high fatality. Like most emerging disease, H5N1 influenza in humans is poorly understood.

The incubation period for H5N1 avian influenza may be longer than that for normal seasonal influenza, which is around two to three days. Current data for H5N1 infection indicate an incubation period ranging from two to eight days and possibly as long as 17 days. WHO currently recommends that an incubation period of seven days be used for field investigations and the monitoring of patient contacts.

Initial symptoms include a high fever, usually with a temperature higher than 38oC, and other influenza-like symptoms. Diarrhoea, vomiting, abdominal pain, chest pain, and bleeding from the nose and gums have also been reported as early symptoms in some patients.

One feature seen in many patients is the development of lower respiratory tract early in the illness. Onpresent evidence, difficulty in breathing develops around five days following the first symptoms. Respiratory distress, a hoarse voice, and a crackling sound when inhaling are commonly seen. Sputum production is variable and sometimes bloody. http://www.theglobaldispatch.com/who-reports-six-human-h5n1-avian-influenza-cases-during-past-six-weeks-60184/

Chinese Premier calls for 'high alert' as number of bird flu infections continues to rise

CHINESE Premier Li Keqiang has called on health officials and residents to remain vigilant against the bird flu as the lethal virus continues to spread.

Premier Li Keqiang is urging caution against the deadly new strain of bird flu that has so far killed 24 people.

Mr Li insisted efforts to tackle the virus have so far been effective.

"We need to stay on high alert as this is a new virus, and we don't have all the information," Li said Sunday during a visit to the nation's disease control agency in Beijing, according to a report posted on China National Radio's website. 

A leading American virologist has said there is no evidence the deadly H7-N9 bird flu has yet spread between humans, but he has warned that health authorities must be ready for the virus to mutate at any time.

"It looks preventable and controllable now, and there is no evidence showing human-to-human transmission," Li said.

However, China reported 10 more cases of the avian influenza in the space of just three days, bringing the total number to 122 including 24 deaths, according to reports.

Li urged health officials to lower the rate of fatalities from the disease and to continue releasing information to the public, it emerged.

He spoke with officials from Zhejiang province, which has had 45 cases, as well as those from Lushan county in Sichuan province, the epicenter of the 6.6-magnitude earthquake on April 20.

In a study published online in The Lancet medical journal, Chinese scientists confirmed the H7N9 virus is transmitted to humans from chickens, confirming that up to now no evidence of human-to-human transmission has been found.

Last week, the World Health Organization described the virus as "one of the most lethal", and said it is more easily transmitted than an earlier strain that has killed hundreds globally since 2003. http://www.express.co.uk/news/world/395665/Chinese-Premier-calls-for-high-alert-as-number-of-bird-flu-infections-continues-to-rise

..CHINA'S Premier Li Keqiang yesterday urged authorities to be vigilant against the new strain of bird flu that has killed 23 people, while saying that efforts to tackle the virus have so far been effective.

Speaking during a visit to the Chinese Center for Disease Control and Prevention in Beijing, the premier warned people to prepare for new developments amid fears H7N9 could mutate into a form easily transmissible between humans.

"Countermeasures have been effective so far, but the situation is still developing as new cases turn up," Li said. 

"We cannot afford to take it easy or relax, as we are facing a new virus," he said. "We should be prepared for any possible development." 

He said more effort was needed to diagnose and treat people as early as possible.

Li pledged to spare no efforts in treating infected patients and reducing casualties.

"We will make sure no patients have to deal with delayed treatment because of costs," he said.

Li said the government will continue to cooperate with international organizations, release information openly and increase public awareness...
http://www.shanghaidaily.com/nsp/National/2013/04/29/Premiers%2Bwarning%2Bover%2BH7N9%2Bvirus/

H7N9 Carries Genes from Rare H9N2, H7N3, H4N9, H11N9 Bird Flu Viruses

Apr 29, 2013 by Sci-News.com

A team of microbiologists led by Prof Chen Hualan of the Harbin Veterinary Research Institute investigated the origins of a new influenza A (H7N9) virusby testing samples collected from live poultry markets and poultry farms located in Shanghai and Anhui Province, China.

Image of the H7N9 virus (Cynthia S. Goldsmith / Thomas Rowe)

The H7N9 influenza virus was isolated from humans in China in March, 2013. A total of 109 laboratory-confirmed cases of human infection with the virus have been reported as of April 25, 2013.

According to recent studies of H7N9 collected from live poultry markets, these viruses are reassortants in which the six internal genes were derived from avian H9N2 viruses. However, the origins of their hemagglutinin (HA) and neuraminidase (NA) genes have been unclear.

The team collected 970 samples (drinking water, feces, contaminated soil, and cloacal and tracheal swabs) from live poultry markets and poultry farms located in China. 20 samples were positive for the presence of H7N9 influenza viruses. All of the positive samples originated from live poultry markets in Shanghai. Ten of them were isolated from chickens, three from pigeons, and seven were from environmental samples.

The scientists sequenced the complete genome of three H7N9 isolates – from a chicken, pigeon, and environmental sample. Genetic analysis of these isolates revealed high homology across all eight gene segments. Phylogenetic analysis of these novel H7N9 influenza virus isolates showed that that the six internal genes were derived from avian H9N2 viruses.

According to the GenBank database, the HA genes of the novel isolated viruses were most similar to those from duck H7N3 influenza viruses, sharing 95.2-95.8 per cent homology at the nucleotide level. The NA gene of the virus isolates shared highest homology (97.3-97.9 per cent) with NA genes from H4N9, H11N9 influenza viruses isolated from ducks, and environmental samples from duck farms.

“It is clear that the novel H7N9 viruses are the product of gene reassortment, with the internal genes from one donor, and HA and NA genes from one or several other donors.”

HA receptor-binding specificity is a major molecular determinant for the host range of influenza viruses. Amino acids at positions 226 and 228 of HA are critical for specificity of receptor-binding in influenza viruses. Within the HA protein of novel H7N9 viruses, there was a leucine residue at position 226, which is characteristic of the HA gene in human influenza viruses.

“This finding implies that H7N9 viruses have partially acquired human receptor-binding specificity. All of the H7N9 human isolates examined contained a lysine residue at position 627 in the PB2 protein. It is well known that this lysine residue contributes to the replication and transmission of avian influenza viruses in mammalian hosts. It is likely that the acquisition of this lysine in H7N9 viruses during their replication in human hosts has significantly contributed to their virulence and lethality in humans.”

The findings appear online in an open access paper published in Chinese Science Bulletin.

______

Bibliographic information: Shi JZ et al. 2013. Isolation and characterization of H7N9 viruses from live poultry markets – Implication of the source of current H7N9 infection in humans. Chin Sci Bull, 58; doi: 10.1007/s11434-013-5873-4  http://www.sci-news.com/genetics/article01039.html

EGYPT 6 new suspected cases of bird flu in Dakahlia 4 new farms

His hospital Mansoura Chest Day 6 suspected cases new flu birds from several different centers province Dakahleya , was booked all of theMohammed Mahmoud 30-year-old from the village of Albramn Center Mansoura, باشتباه avian  influenza  temperature 39 and a half, Maram Alaa two and a half year, and the faith of Mr. 25-year-old from the center of Dekernes , and Rowan Ramadan 3 years from the village of Kafr El Arab Center Talkha, and Mohammed Kamal Siraj 29 years of center Belqas, and Ibtisam lamp 35 years of center Belqas. been isolated infected within the isolation room at the hospital , taking samples to be sent to the central laboratories to prove how the presence of the disease and received the necessary treatment. http://www.vetogate.com/296383#.UX5g77Vwe8A

"Bird flu" new up to 4 farms in Dakahlia
http://www.almesryoon.com/permalink/127339.html

The country has confirmed 126 people infected with the H7N9 avian flu killed 24 people

CCTV News [the death of a confirmed H7N9 patients in Shanghai] Shanghai Wei Planning Commission today informed today no new human infection with the H7N9 avian flu cases.April 17 patients diagnosed Chen He died, died this morning. Shanghai accumulated confirmed human H7N9 avian influenza infection in 33 cases, 9 cases of treatment, 11 patients have been discharged from hospital, 13 patients died. As of 17:00 today, the country has confirmed 126 people, 24 people were killed, 14 were cured.

Secret mainland experts has long been human-to-human transmission of avian influenza

Reuters April 28 guide cut-off at 17:00 on the 28th, Shandong new case of human infection of H7N9 avian influenza confirmed cases, the father of Shandong Province, the first case of human infection with the H7N9 avian influenza confirmed cases. Zhejiang new case of human infection with H7N9 avian influenza, Jiangxi has also added two cases, the Chinese mainland's total of confirmed cases rose to 123, in which 23 people died. Sporadic cases still in the state.Mainland experts Secret has long been human-to-human transmission of avian influenza.

Shandong Province, 28 new cases of human infection of H7N9 avian influenza confirmed cases, the father of Shandong Province, the first case of human infection with the H7N9 avian influenza confirmed cases. Up to now, Shandong Province reported a total of human infection with the H7N9 avian influenza confirmed cases of two cases.

Fujian new case of human infection of H7N9 avian influenza confirmed cases. As of April 28, 18, ​​Fujian Province, were found in two cases of human infection with the H7N9 avian influenza confirmed cases. Newly discovered patients were as follows: patients travel a male, aged 80, Fuzhou,, Yang Fuqing City, the town of farmers. At 9:40 on April 27 patients chief complaint of "repeated coughing for 10 days, two days of fever, wheezing, shortness of breath long time" treatment in Fuqing City Hospital. 28 afternoon, the confirmed cases of human infection of H7N9 avian influenza confirmed cases. At present, the case is in critical condition. Jiangxi Province, April 28 briefing, Jiangxi new cases of human flu confirmed cases of H7N9 avian influenza. Patient Xiong, male, 80 years old, Nanchang, Jiangxi, farmers, home raising chickens poultry. Xu patients, female, 31 years old, Nanchang County, individual vegetable vendors, stalls next to chicken and poultry sales pitch, a serious condition. Up to now, the province has found five cases of confirmed cases of human infection with the H7N9 avian influenza.
　

Hunan Province, at 18 o'clock on the 27th announced the news, reporting cases of human infection of H7N9 avian influenza cases. Which confirmed the first case of human infection with the H7N9 avian flu cases, 1 patient admitted Tonggu County in Jiangxi Province of human infection with the H7N9 avian influenza confirmed cases.

According to the continent's major media reported on April 27, the Chinese Academy of Engineering, to national guard Planning Commission of Infectious Diseases Key Laboratory Director the Li Lanjuan the team in the H7N9 avian influenza virus obtained two major breakthrough, the first confirmed human infection source of infection of H7N9 virus for chicken and other poultry; H7N9 virus positive for infection of mammals direction, which makes the virus more susceptible to the people. The thesis of this study, published in the official website of the world-renowned medical journal "The Lancet".

In this regard, a continent CDC vaccine expert Zhao Dahai (a pseudonym) said, from Li Lanjuan revealed information can be analyzed H7N9 virus not only human-to-human transmission and infectivity of human-to-human transmission should be enhanced, and has covered not live, or the official results of this study will not be made public.

Yi Ren Ping the person in charge of the the mainland public health charities Army: "These public health problem, the usual style of the competent authority is withheld, his logic is the maintenance of stability, as long as the public does not know, without the knowledge, and then he used his hands all resources situation to be brought under control, the impact of this situation under control, and that is in line with his interests. "

In addition, Zhao Dahai also revealed a shocking piece of news, he said, already know the characteristics of human-to-human transmission of H7N9, H7N9 prevention and control has come to the point of real or imagined, all major hospitals fever clinics, regardless of any heating problem, consolidated in accordance with the H7N9 avian influenza virus set to be examined, resulting in the part of the patient's condition was delayed or even death.

http://soundofhope.org/node/340888

H7N9 Zaozhuang Shandong Cluster Raises Concerns

Recombinomics Commentary 03:15
April 29, 2013

Patients Zhang, male, 36 years old, who lives in Zaozhuang City, and engaged in the work of building materials wholesale. Fever, cough 6 days, hold breath after 1 day the Zaozhuang City hospital on the evening of April 21, admitted to hospital with severe pneumonia
 
In Shandong, experts confirmed an H7N9 bird flu case in the city of Zaozhuang on Sunday. The patient, a four-year-old boy surnamed Zhang, developed a fever on Saturday.

The above translation (in red) describes the first confirmed H7N9 case(36M) in Zaozhuang, Shandong Province, who developed symptoms on April 15 (see map).  The comments (in blue) describe the confirmation of H7N9 in his son (4M), who developed symptoms on April 27.  The 12 day gap in disease onset dates strongly signals human to human transmission.  Similar time gaps exist for family members in other H7N9 bird flu clusters, including the Minghan familial cluster where disease onset dates between son and father was 8 days (both cases died).

Although the disease onset date gaps provided compelling evidence of human yo human (H2H) transmission, the evidence for sustained H2H transmission is the identity in three genes found on A/Hangzhou/1/2013 and A/Jiangsu/01/2013, which included L226I

The dramatic spread of confirmed cases in recent days (see map) also supports widespread H 2 H transmission.

Taiwan DOH deliberation foreign cases in isolation to be at their own expense

• 2013-04-29
 
• [The Canton News / Rong Huayi]

    China has been the first case of the imported H7N9 avian influenza, the epidemic continued to spread to the mainland. The legislators worried mainland tourists may enter Taiwan tourism in the incubation period of the disease, caused by the epidemic out of control, requiring the Department of Health as soon as possible deliberation to amend the relevant way to reduce the opportunity of mainland tourists to Taiwan caused by the spread of the epidemic, the CDC also said that to change the Act needs to be studied.

    Communicable Disease Control Act after the establishment of the epidemic command center, the commander permission can determine whether publicly funded medical expenses for the isolation of patients cope. Legislators worried mainland upcoming May Day holiday, the influx of mainland tourists to guests may be in the incubation period of the virus the incoming H7N9 virus, resulting in the spread of the epidemic in Taiwan, the Legislative Yuan Economic Commission for the 29th through the main resolutions require the CDC to amend the law to do immigration screening, and the flexibility to adjust the use of public funds to pay medical expenses isolation foreign patients permission.

    CDC director Zhang Fengyi, said that the Department of Health is communication, and the Executive Yuan intends to amend the law, are not covered by the nationalities of the non-epidemic isolated medical expenses.

    Zhang Fengyi: "infected Prevention Act forced isolation, the budget was, the thing is no matter what is thy people, even stateless, too, as long as it is because of legal obligations to his isolation, fear lest it spread, but when the epidemic The command center set up to the commander's authority how much there is no space, we now make haste deliberation. "

    However, for screening patients at immigration checkpoints, Zhang Fengyi, H7N9 There is no conclusive evidence of human-to-human transmission, the World Health Organization recommended that countries do not travel control and immigration screening. http://news.chinatimes.com/realtime/110101/112013042900829.html