Zhejiang Province is investigating a family cluster of H7N9 bird flu virus infections (DoH, January 29 2014, edited)

[Pathfinder]

Translation Google

2014.1.29 Wednesday

Zhejiang is now a three family clusters of cases infected with H7N9

According to Xinhua News Agency Xinhua 28, 2009, cases of human infection with H7N9 avian influenza cases increased as follows: Add one case, Jiangsu, Guangdong and added three cases, Zhejiang add four cases. It is understood that this notification of cases in Xiaoshan family clusters of cases occur, a three mouths, husband, wife and daughter have the infection and disease. Currently, the health department is stepping up efforts to carry out epidemiological investigations. Experts also said that from the current clinical study found, H7N9 avian influenza in the population does not have the ability to spread efficiently.

zhttp://www.morning.sc.cn/new/html/tfzb/20140129/tfzb685400.html

[Pathfinder]

Re: 4 new cases of human infection in Zhejiang H7N9 avian influenza - January 28, 2014

Translation Google

Zhejiang infected with H7N9 had a three selling vegetables in the market

Source: Legal Evening News 2014-01-29 09:28
　　
[Zhejiang H7N9 infection have a three selling vegetables in the market] in the notification of cases this year, Zhejiang Xiaoshan family clusters of cases occur. Chinese Feng Zijian, deputy director of the CDC told the Legal Evening News reporter, the family, the husband and wife are selling vegetables at farmers' markets, and after his father fell ill daughter also help sell vegetables, poultry and therefore there could be a history of exposure, in both cases currently difficult to rule out.

(Reporter Wang Tingting)

zhttp://news.syd.com.cn/system/2014/01/29/010297136.shtml

[sharon sanders]

Re: 4 new cases of human infection in Zhejiang H7N9 avian influenza - January 28, 2014

I wonder which of the cases are in the above mentioned possible cluster?

[Biological]

Re: 4 new cases of human infection in Zhejiang H7N9 avian influenza - January 28, 2014

possible from Wukangzhen

Deqing County : 4 H7N9 case compilations (edited by writer) from Deqing News Network, (Flash reports)

According to the Zhejiang Provincial Health and Family Planning Commission January 28 briefing, the county added one case of human infection with H7N9 avian influenza.

Deqing County (4 cases), Huzhou city:
Towns = zhen i.e Wukang Town
Wukangzhen (3 cases), Los Scotia town (1 case)

1. Patient Hu Moumou, female, 63 years old, Deqing County, Los Scotia town. January 22 confirmed cases of human infection of H7N9 avian influenza in Hangzhou, a hospital for treatment (a)

2. Patient Moumou, male, 49 years old, WuKangZhen people. January 24 confirmed cases of human infection of H7N9 avian influenza, and now Hangzhou, a hospital for treatment. (b)

3.　Patient Jin Moumou, male, 65 years old, WuKangZhen people. January 25 confirmed cases of human infection of H7N9 avian influenza, and now Hangzhou, a hospital for treatment. (b)

4. Patient Xia Moumou, female, 63 years old, WuKangZhen people. January 27 confirmed cases of human infection of H7N9 avian influenza, and now Hangzhou, a hospital for treatment. (c)

a. http://dqnews.zjol.com.cn/dqnews/sys...17631767.shtml
b. http://dqnews.zjol.com.cn/dqnews/sys...17639774.shtml
c. http://dqnews.zjol.com.cn/dqnews/sys...17648713.shtml

Zhejiang Xiaoshan ?

Interesting that EMPRES reported yesterday a variance

This is the 2 reports on the 28 January 2014
28/01/2014: China - Influenza - Avian
28 January 2014, 14:55:54
Confirmed Influenza - Avian in Zhejiang Sheng, for human

http://empres-i.fao.org/empres-i/2/obd?idOutbreak=182581&rss=t

This fell into place as Xiaoshan District, Hangzhou City but was reported as Deqing! But I'm not sure!

------ This is the correct sequence report for 63 Xia!
This is the second report for the 28 Jnauary 2014
28/01/2014: China - Influenza - Avian
28 January 2014, 14:55:54
Confirmed Influenza - Avian in Zhejiang Sheng, for human

http://empres-i.fao.org/empres-i/2/obd?idOutbreak=182583&rss=t

These are all four:
http://empres-i.fao.org/empres-i/2/o...k=182581&rss=t GLEWS- EMPRES Global Animal Disease Information System ID# 182581 Confirmed Influenza - Avian in Deqing County, Huzhou City, Zhejiang Sheng, for human 28 January 2014 (variance reported as Deqing vs.Xiaoshan District, Hangzhou City)

http://empres-i.fao.org/empres-i/2/o...k=182582&rss=t GLEWS- EMPRES Global Animal Disease Information System ID# 182582 onfirmed Influenza - Avian in Changxing County, Huzhou City, Huzhou City, Zhejiang Sheng, for human 28 January 2014

http://empres-i.fao.org/empres-i/2/o...k=182583&rss=t GLEWS- EMPRES Global Animal Disease Information System ID# 182583 Confirmed Influenza - Avian in Deqing County, Huzhou City, Zhejiang Sheng, for human 28 January 2014 (correct)

http://empres-i.fao.org/empres-i/2/o...k=182584&rss=t GLEWS- EMPRES Global Animal Disease Information System ID# 182584 Confirmed Influenza - Avian in Yinzhou District, Ningbo City, Zhejiang Sheng, for human 28 January 2014

[Laidback Al]

Re: 4 new cases of human infection in Zhejiang H7N9 avian influenza - January 28, 2014

Since January 4, there have been 8 reported H7N9 cases from Xiaoshan District. The youngest two women are 20 and 23 year old (respectively FT case #185 and #231). Based on the reports the 20-year-old is a farmer; most likely the reported daughter in this family cluster from this district. Of the remaining six cases only one is a female (FT #253), 43 years old and also reported as a farmer, and is most likely the mother/wife in this cluster. The husband/father in this cluster could be any of the remaining 5 males reported from Xiaoshan District. Most are reported to be farmers.

[Biological]

Re: 4 new cases of human infection in Zhejiang H7N9 avian influenza - January 28, 2014

Hangzhou together on the progress of the investigation of human infection of avian influenza H7N9 cases in family aggregation

Release date :2014-01-29 Source: Views: 247 Font size: [ big middle small ]

　　January of this year, I appointed people infected announced confirmed cases of H7N9 avian influenza, there is Hangzhou Xiaoshan District, a family clusters of cases occur, three people sick. Before the onset of three patients in the presence of a common environmental exposure, there are close contacts, the exact cause of the infection, the national and provincial experts are studying, one [ edt.once) has the final official results announced immediately to the public.

http://www.zjwst.gov.cn/art/2014/1/29/art_362_407436.html

[Giuseppe]

Zhejiang Province is investigating a family cluster of H7N9 bird flu virus infections (DoH, January 29 2014, edited)

[Source: Zhejiang Province Health Department, full page in Chinese: (LINK). Automatic translation.]


Zhejiang Province is investigating a family cluster of H7N9 bird flu virus infections

Release date :2014-01-29


January of this year, it has been announced confirmed cases of H7N9 avian influenza, in Hangzhou Xiaoshan District, where a family clusters of cases occur, three people sick.

Before the onset of three patients in the presence of a common environmental exposure, there are close contacts, the exact cause of the infection, the national and provincial experts are studying, one has the final official results announced immediately to the public.


-
-------

[Gert van der Hoek]

Re: Zhejiang Province is investigating a family cluster of H7N9 bird flu virus infections (DoH, January 29 2014, edited)

Three H7N9 cases in same family

(01-29 12:36)

Three members of the same Chinese family have contracted H7N9 bird flu in the province worst-affected by the current spike in cases, the official Xinhua news agency reported.

A couple and their daughter in Hangzhou, the capital of the eastern province of Zhejiang, were infected one after another, Xinhua said late Tuesday, without giving further details, AFP reports.

Health authorities are investigating, it added.

The Standard

[Shiloh]

Re: Zhejiang Province is investigating a family cluster of H7N9 bird flu virus infections (DoH, January 29 2014, edited)

Source: http://english.cri.cn/6909/2014/01/29/2702s810786.htm

Chinese Family of Three Infected with H7N9
2014-01-29 21:33:12 Xinhua Web Editor: Mao

Chinese health authorities on Wednesday disclosed details of a family of three who were infected with the H7N9 bird flu in east China's Zhejiang Province.

A 49-old-man surnamed Yu from Hangzhou City was confirmed on Jan. 20 to have been infected with the bird flu virus. His 23-year-old daughter, who accompanied him at the hospital, was confirmed to have caught the flu three days later, according to the provincial health and family planning commission.

Yu's wife, who also accompanied him, was confirmed to have caught the virus on Jan. 27, according to the commission.

Yu has died. His daughter is in serious condition and his wife is slightly ill.

Experts so far have no final conclusion on how the virus spread among family members. Some think they all had contact with poultry, and others think the father transmitted the flu to his wife and daughter.

Even if the case is confirmed to be a person-to-person transmission, there is no need to panic, said Li Lanjuan, an academician at the Chinese Academy of Engineering and a specialist in H7N9 prevention...

[Biological]

Re: Zhejiang Province is investigating a family cluster of H7N9 bird flu virus infections (DoH, January 29 2014, edited)

Most Likely Probable Cluster results:

Father: Yu (Confirmed 20-Jan-14)
#212 - Man, 49, onset date January 13, hospitalized January 17 in serious condition, farmer w/poultry contact , Xiaoshan District, Hangzhou. treatment in a hospital in Hangzhou. Zhejiang province

http://www.zjwst.gov.cn/art/2014/1/21/art_362_406898.html

Daughter: Yu
#231 - Woman, 23, staff, Xiaoshan District, Hangzhou. Confirmed on January 23, now in severe condition, treatment in a hospital in Hangzhou. Zhejiang province

http://www.zjwst.gov.cn/art/2014/1/24/art_362_407098.html

Mother: Wang
#253 - Woman, 43, farmer, Xiaoshan District, Hangzhou. Confirmed on January 27, the disease is mild, in a Hangzhou hospital for treatment. Zhejiang province

http://www.zjwst.gov.cn/art/2014/1/28/art_362_407377.html

Please see:
FluTrackers - View Single Post - FluTrackers 2013/14 Human Case List of Provincial/Ministry of Health/Government Confirmed Influenza A(H7N9) Cases with Links

http://www.flutrackers.com/forum/showpost.php?p=489904&postcount=1

If this is the cluster #212 - Man, 49, would be the fatal case according to the post by "Story"!

[Pathfinder]

Re: Zhejiang Province is investigating a family cluster of H7N9 bird flu virus infections (DoH, January 29 2014, edited)

Translation Google


Hangzhou, a three stained H7N9 deaths in which a determined person to person

2014-01-30 06:43 Source: Xinhua News Agency
　　
According to Xinhua News Agency yesterday, Hangzhou City, Zhejiang Province, Wei Planning Commission informed of human infection with H7N9 avian influenza cases family aggregation progress of the investigation. In January, a family Xiaoshan District, Hangzhou clusters of cases occur, three human cases, the exact cause of infection national and provincial experts are studying.
　　
His wife and daughter after the onset of men infected
　　
Previously, Zhejiang Province, Wei Planning Bulletin, January 20, 49-year-old Yu Moumou Hangzhou Xiaoshan patient was diagnosed with human cases of avian influenza H7N9 infection. Three days later, the 23-year-old daughter was diagnosed. Both were diagnosed as severe. 27, the hospital again diagnosed, the patient's wife surname Wang Yu Moumou also infected with the H7N9 bird flu, the disease is mild.
　　
According to experts in the diagnosis and treatment of avian influenza H7N9, Professor Liang Weifeng, deputy director of the School of Medicine, Division of Infectious Diseases, First Affiliated Hospital, Zhejiang University, introduced in a three-mouth, his father first onset. From 21, had chaperoned daughter began to appear over 俞某某 throat, fever appears from the 22nd, after the hospital virus detection, diagnosis of human infection of H7N9 avian influenza. 22, accompanying her husband's surname Wang had also appeared throat discomfort associated with cough, sputum, etc., and on the 27th was diagnosed human cases of avian influenza H7N9 infection. Currently, Yu Moumou have died due to ineffective treatment.
　　
Gathered undetermined etiology
　　
The reason for the gathering of disease, some experts believe that there are three common poultry exposure history; while some experts think that the existence of interpersonal secondary transmission between them, the first onset husband passed more likely his wife and daughter. Currently, no clear conclusion of experts.
　　
Chinese Academy of Engineering, said Li Lanjuan, even if it is from the family clusters of cases ultimately recognized as limited human to human transmission, we do not have to panic. Issued by the State from the current perspective, sustained human to human transmission has not yet appeared, but simply do not rule out limited non-sustained human-to-human transmission. "The so-called 'limited' refers to the limited scope of infection is the case in nature, rather than the breadth of human to human transmission; while the so-called 'non-sustainable' means that there is no continuous passage of the situation, there is only a mass of individual B, but found no ethylene propylene re-transmission of three generations of cases. "Li Lanjuan academician said.
　　
H7N9 prevention and control expert, Zhejiang Chen Zhi Ping, deputy director of the CDC also said that limited human to human transmission is divided into two successor and efficient human to human transmission. Limited human to human transmission is the probability of infection is very low viral interpersonal phenomenon. In this outbreak, some people are predisposed, it is easy to be infected with the virus, but generally does not appear multiple generations of infection, is transmitted up to a person and complete stop after infection.

zhttp://www.dzwww.com/xinwen/guoneixinwen/201401/t20140130_9595931.htm

-------------------------------------------------------------
Translation Google


Avian influenza, limited human to human transmission: the provincial CDC expert Q & A Reporter

January 30, 2014 07:22:21 Hangzhou Network
　　
Prevention and control of avian influenza in the province at present the situation is very serious, and have been found to have limited non-sustained human-to-human transmission cases. Experts said that from the current study to see, this particular case showed only a limited non-sustained human-to-human transmission, the virus mutates from the situation, not yet widespread phenomenon of human transmission, the public need not panic too much. However, there are still questions about people's minds: How to understand a limited human to human transmission? As at 12:00 on January 27, the province of human infection with H7N9 avian influenza increased the death toll to 12 people, why the sudden increase in the number of cases of death? Suffering from the flu during the Spring Festival, how doctor? To this end, the reporter interviewed the deputy director of the Center for Disease Control and Prevention Province Chen Zhi Ping, to answer them.

How to understand the limited human to human transmission
　　
Reporter: How to correctly understand the limited human to human transmission?
　　
Chen Zhi Ping: From the perspective of epidemiological analysis, human to human transmission is divided into two limited human to human transmission of and effective people. Limited human to human transmission is the probability of infection is very low viral interpersonal phenomenon. In this outbreak, some people are predisposed, it is easy to be infected with the virus, but generally does not appear multiple generations of infection, is transmitted up to a person and complete stop after infection, the patient will not be three generations or more on behalf of patients, it does not happen in the school, in the workplace or party. This is the concept of limited human to human transmission.
　　
And effective human transmission is different. Such as seasonal flu, influenza, etc. belong to this category. A patient can infect a number of patients, the patients will find even second-generation multi-generational phenomenon patient. Chain of transmission of the virus is also very clear that such phenomena, especially in crowds gathering area, such as schools, communities, units occur.
　　
From the current research worldwide, the experts were unable to come up with valid evidence of H7N9 virus from person to person.

Reporter: there is more from our family clustering of cases, how to explain this phenomenon?
　　
Chen Zhi Ping: For the family clustering of cases occurred in the province of view, I think it causes more complex cases, including both common exposure, there are factors that limited human to human existence. After careful analysis of these cases found that patients often have blood relations, and are in the process too intimate care on the infection.

Why the sudden increase in deaths
　　
Reporter: Zhejiang previously reported one case of deaths, why would the recent report of 11 new cases of deaths?
　　
Chen Zhi Ping: This is for a reason. First B infectious H7N9 is legal, according to the Communicable Disease Control Act and people infected with H7N9 prevention and control programs, the situation H7N9 is by the local health administrative departments regularly published on the website of the community each month. Our province is in strict accordance with the national prevention and control programs to outside information published and will be released on April 15th of each month epidemic, the middle will be the time difference. So please be concerned about the circumstances of the province H7N9 epidemic users keep an eye Provincial Health and Family Planning Commission's official website to understand the situation.
　　
From January 1 to play Jan. 27, the province a total of 49 cases of human infection with H7N9 avian influenza cases, 12 cases of which died, the mortality of 24.4%. The same time period, the national mortality rate was 28.33%. And this value is compared to slightly lower mortality in our province, but that does not mean that people can relax their vigilance, hope the general public must do individual preventive work.

zhttp://health.hangzhou.com.cn/new_4107962.html

[Biological]

Re: Zhejiang Province is investigating a family cluster of H7N9 bird flu virus infections (DoH, January 29 2014, edited)

Hangzhou announced a three infected with H7N9 cases: a common environmental exposure _ News _ Tencent 2014-01-29 21:53

BEIJING, Hangzhou, January 29 (Reporter Zhao Ye Jiao), Xiaoshan family aggregation H7N9 cases now, the news triggered a three onset of social concern. Today, the official news release Xiaoshan District, introduced the basic situation of this family of three. According to reports, three cases of patients before the onset of the existence of a common environmental exposure, there are close contacts, the exact cause of the infection, the national and provincial experts are studying.

According to reports, from clusters of cases have occurred in a rural family three members, namely Yu Moumou father, 49-year-old farmer, has a history of diabetes; mother, surname Wang, aged 43, farmer; daughter, Yu Moumou , company staff.

Father and mother engaged in vegetable trafficking work (the farmer's market live poultry stalls) at the farmers market, the daughter of company employees, usually to help parents take care of the farmers market stalls.

Father on January 13 disease, died Jan. 20; daughter on January 20 disease, currently in Hangzhou, a hospital, in stable condition. Mother on January 23 throat feeling unwell, with a slight cough, no fever, after testing found positive for H7N9 avian influenza virus nucleic acid present in Hangzhou, a hospital, in stable condition.

After the outbreak, the disease control department for investigation of cases of contact for four follow-up of close contacts management, until now no abnormality was found.

According to reports, three cases of patients before the onset of the existence of a common environmental exposure, there are close contacts, the exact cause of the infection, the national and provincial experts are studying, one has the final official results, the Zhejiang Provincial Health and Family Planning Commission will immediately announced to the public.

(End)
(China News Network)

http://news.qq.com/a/20140129/010783.htm