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China - A report of 5 additional people tested positive for H7 - 3 possibly dead, 2 released from hospital - Shanghai

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  • China - A report of 5 additional people tested positive for H7 - 3 possibly dead, 2 released from hospital - Shanghai

    This is a machine translation and my appraisal of what it says. I could be incorrect but it is my opinion at this time. I gladly welcome corrections and/or illuminations.

    Apparently there were 8 people who tested positive for H7 type flu. 3 were confirmed as H7N9 and the other 5 are still pending. It appears that 2 have been discharged and the rest died. So that would be a total of 5 deaths: 2 deaths out of the 3 cases that we have documented in the above linked thread and then 3 more deaths out of the remaining 5.


    City people infected with H7N9 avian flu deaths
    The specific source of infection is unclear close contact with those who did not are now extremely high fever and breathing difficulties should seek medical treatment as soon as possible
    2013-04-01 06:48:15 Source: Liberation cattle Network Morning News

    □ Morning News reporters Zhuguo Rong Xinhua News Agency reported
    Shanghai Municipal Health Bureau to inform the media last night: the morning of March 30, the experts of the National Health and Family Planning Commission, Shanghai, Anhui, eight cases of unexplained pneumonia cases discussed diagnosed,

    Shanghai and Anhui Province found three cases of human infection with the H7N9 avian influenza. Medical observation, it is learned, the influenza virus subtype previously in Europe, the Americas and Asia, Mongolia, South Korea in birds, which is at home and abroad for the first time found that human infections.
    Medical observation, so far, all close contacts of the cases were not found similar symptoms and morbidity. This year the city of influenza, pneumonia, the overall incidence of stable and no significant increase compared with the same period in the last three years the incidence signs. The city health department has to further strengthen the monitoring of respiratory infectious diseases prevention and control.
    The Minhang and his son has the incidence of death
    February 19, February 27, Lee, Wu, Minhang a father and son in the city among the two patients, respectively, due to the occurrence of symptoms such as fever, cough treatment in the Fifth People's Hospital of Shanghai. Among them, 87-year-old father and 27-year-old son was diagnosed with severe pneumonia, respectively, on March 4, after she died on March 10. Dead early onset of both influenza-like symptoms, a week after symptoms develop into pneumonia and was progressively increased, two patients had chronic underlying disease history. Lee before the onset of his two sons are also due to similar symptoms to the hospital for treatment, the eldest son was diagnosed with a lung infection, pneumonia, has been cured; youngest son was diagnosed with severe pneumonia after she died.
    In the early morning of February 26, Minhang District Health Bureau then City Hospital reported a 3 District Disease Prevention and Control Center after the pneumonia admission "news, immediately organized to carry out epidemiological investigation, laboratory testing and expert consultation, to carry out the treatment job. Municipal Health Bureau immediately organized the Municipal Center for Disease Control and Minhang District Health Bureau and other units rushed to the City Hospital to conduct on-site investigations, rule out infectious atypical pneumonia, avian influenza H5N1 and novel coronavirus might.
    Since mid-February to 5 March, City Hospital has public health to the City Center and the City of clinical disease prevention and control center for inspection seven cases of pneumonia cases (including the family of three cases) specimens.

    Have seven cases of pneumonia cases early onset of flu-like symptoms, including six cases of severe cases a week after the onset of symptoms develop pneumonia and was progressively increased, five cases of rapid development of acute respiratory distress syndrome (ARDS) and respiratory failure and death. deaths have chronic underlying disease history of alcoholism, smoking and other unhealthy habits, in some cases. The remaining 2 cases were discharged.

    Hospital has public health to the City Center and the City of clinical disease prevention and control center for inspection Lee Wu from patients, the Municipal Public Health Clinical Center for Disease Prevention and Control Center in a timely manner to carry out the relevant laboratory screening, has ruled out infection seasonal flu, H1N1, people infected with the highly pathogenic avian influenza (H5N1) and SARS, novel coronavirus might further testing, found that patients may be infected can not be sub-type of influenza virus.

    According to City Public Health Center and the City CDC test results in censorship cases samples detected five cases of suspected influenza virus H7 gene fragment.

    After the China Disease Prevention and Control Center further testing to confirm the two deaths have been diagnosed as infected with influenza A H7N9 avian influenza virus, the remaining five cases diagnosed and troubleshoot the need for further support of the pathogen detection.

    The city closely monitoring respiratory infectious diseases
    It is understood that since the beginning of this year, the city of influenza, pneumonia incidence is generally stable, compared with the same period in the last three years, the incidence was no significant increase. The health sector has been further strengthened monitoring prevention and control of infectious diseases of the respiratory tract.
    Municipal Health Bureau has made tight arrangements, the city at all levels of medical and health institutions to further strengthen the city influenza epidemic monitoring of unexplained cases of pneumonia and other respiratory diseases, and further strengthen the standardized management of fever clinics of medical institutions, strictly implement the pre-screening triage system highly concerned about unexplained pulmonary severe pneumonia, a timely manner once found similar cases, according to specifications case reports, sample collection, laboratory testing and medical treatment, and effectively protect public health.
    There is no vaccine at home and abroad
    According to the Xinhua News Agency reported, at home and abroad there is no vaccine against the H7N9 avian flu virus.
    According to the experts, according to who is in close contact with medical observation, is not suggesting that the virus has strong interpersonal communication skills. The experts suggest that the event of fever, cough and other symptoms of acute respiratory infections, especially high fever, breathing difficulties, you should seek immediate medical attention. Keep wash their hands, cover your nose and mouth when coughing or sneezing and other personal hygiene can be effective in preventing influenza and other respiratory diseases. Should also try to avoid contact and consumption of the disease (dead) livestock.
    Municipal Health Bureau said, according to the instructions of the National Health and Family Planning Commission, will strongly with the good work and risk communication to the public informed.
    Anhui 1 female patient in critical condition
    According to the Xinhua News Agency reported, Chuzhou City, Anhui Province, Mr. Han, female, 35 years old, March 9 incidence, is currently in critical condition, Nanjing, Jiangsu active treatment in patients.
    Currently, no epidemiological association between Shanghai, Anhui cases. So far, three cases of patients diagnosed with a specific source of infection is not yet clear. In addition, 3 cases of 88 close contacts were not unusual.
    Epidemic
    Patients Shanghai Lee, 87 years old, 19 February onset actively rescue died March 4.
    Patients Shanghai Wu, male, 27 years old, 27 February onset actively rescue died March 10.
    Mr. Han, Chuzhou patients 35 years of age, incidence March 9 to March 30 confirmed human infection of H7N9 avian influenza. Currently in critical condition, where Nanjing, Jiangsu.
    Question and Answer
    Q: two cases diagnosed patients died in early March, and why the state Health and Family Planning Commission, released March 31, the epidemic?
    A: The people infected with the H7N9 avian influenza virus, is the world's first discovery of a new subtype of influenza virus, has not been included in our statutory report infectious disease monitoring and reporting system.
    Medical and health institutions in Shanghai found that the above-mentioned cases, in a timely manner to carry out the relevant laboratory screening, has ruled out the infected with seasonal H1N1 and H3N2 influenza, H1N1 flu, people infected with the highly pathogenic avian influenza (H5N1) and SARS, new Coronavirus possible. In further testing, the Shanghai Public Health Clinical Center on March 22 found that patients may be infected with the H7 influenza, after specimens were sent to the China Disease Prevention and Control Center. On the afternoon of March 29, the Chinese Center for Disease Control three H7N9 avian influenza virus isolated from the submission of cases specimens. National Health and Family Planning Organization experts further verification, according to laboratory test results, combined with the clinical manifestations, epidemiological data to conduct a comprehensive analysis to determine the patients with human cases of infection with the H7N9 avian flu virus. National Health and Family Planning Commission, in accordance with the law to the public on March 31.
    Q: H7N9 virus and past H1N1, H5N1 and other seasonal influenza cases compared to its virulence and infectious?
    A: As found only three cases of human infection with the H7N9 avian flu virus confirmed cases of the virus, due to disease is very limited research data, experts are of the virulence of the virus and the human ability to spread further judgment.
    Q: If the infection early symptoms seek immediate medical attention if you can get effective treatment?
    A: The gene sequence analysis showed that the drug-sensitive virus neuraminidase inhibitor class of anti-influenza virus. Experience other type influenza antiviral treatment after the onset of the early use of the neuraminidase inhibitor class of anti-influenza virus drugs may be effective remains to be seen, but the means of specific treatment of newly discovered human H7N9 avian influenza virus infection research.
    (Or more, according to the National Health and Family Planning Commission website)

    zhttp://www.jfdaily.com/a/5653871.htm

  • #2
    Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

    Machine translation of original article:

    "Department of Respiratory Medicine Doctors: unknown the severe pneumonia Shanghai hospital increase in cases

    2013-04-02

    Hong Kong's Wen Wei Po (Reporter Zhang Luo Lan in Shanghai) Shanghai two cases belonging to the world's first case of human infection with the H7N9 avian flu death cases in the printing of panic. Despite the official Shanghai influenza, pneumonia incidence compared with the same period of last three years was no significant increase, but a Shanghai Hospital Respiratory doctor on condition of anonymity, revealed in an interview with this exclusive interview yesterday, the recent hospital with severe pneumonia of unknown increased significantly since March received five cases of the disease, but not in the official number. Allegedly after the unknown pneumonia deaths in the beginning of last month, the City Health Bureau, on internal notice major hospitals to strengthen monitoring of unknown pneumonia, but did not require access to the medical staff of the hospital and the doctor who strengthen protection.

    The official number of cases of confirmed and suspected human infection with the H7N9 avian flu deaths all occurred in the Minhang District of Shanghai Fifth People's Hospital (hereinafter referred to as the "Court"). But with the five branches of the same at the Minhang District, another large hospital, patients with similar symptoms. The above Hospital Respiratory infections departments a doctor since mid-March of this year, the hospital has treated five patients with ordinary pneumonia, 5 patients the day after admission condition deteriorated sharply, "X-light show admission check When only one side of the lung infection, but the second day of the X-ray and found the bilateral pulmonary All serious infection. "

    Past full year twenty-three the this year half months five

    The doctor said, five patients are not unrelated to each other there is no other contact. Four of them are male and one is female, between the ages of 60 to 70-year-old. Alleged that the hospital was on five patients with symptoms suspicious, take sputum submission was not found to have SARS and other viruses, and the moment can not confirm exactly which virus infection, so they will be classified as "unexplained severe pneumonia. " It has been revealed that, in previous years, the hospital throughout the year only two to three unexplained severe pneumonia, but this year only half a month to the already dense appear 5.

    High-level antibiotic treatment side effects daily thousand Yuan

    5 patients still in the hospital hospitalized senior antibiotics with hormone therapy, the condition is stable for the time being. The doctor pointed out that the drug treatment of this "unexplained severe pneumonia four generations of cephalosporins and carbapenem antibiotics, the high level of antibiotics for the treatment of serious bacterial infection, per person per day, with the price of antibiotics over 1000 not more than 200 yuan, and antibiotics for the treatment of ordinary pneumonia. "Allegedly, these drugs may be the liver, kidney damage, but if the weekday normal metabolism of the body, the side effects should not be great. In addition, because these patients have symptoms of respiratory failure soon, so they have to put on a ventilator.

    When isolation precautions level of ordinary pneumonia is not much worse off than SARS

    The doctor said, must find out the multi-resistant bacteria is still in line with the isolation conditions of these five patients has not been isolated, but admitted in the wards of ordinary infection, the course of the disease is estimated to be at least more than two weeks, the course of ordinary pneumonia one to two weeks. Nor doctor and nurse to take special protective measures, no gowns, only wear ordinary masks and were asked to wash his hands, and the current SARS outbreak, the medical staff to prevent a completely different level.

    Despite the official announcement in Shanghai 2 infected with the H7N9 avian flu deaths, but in fact the Shanghai Health Bureau already has begun to strengthen monitoring of unexplained severe pneumonia. According to reports, the Minhang District Hospital in the beginning of last month, received instructions to take one day a reporting system "fever", "pneumonia", "fever and pneumonia. In accordance with the time to project should begin after the Fifth People's Hospital of Shanghai Minhang cases of unknown pneumonia deaths."



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