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H7N9, China: Cumulative number of today confirmed and suspected cases (April 16 2013):14 cases / 2 deaths (Total 78 / 16)

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  • H7N9, China: Cumulative number of today confirmed and suspected cases (April 16 2013):14 cases / 2 deaths (Total 78 / 16)

    yesterday's thread - here

    machine translated;

    April 16, Jiangsu three cases of new confirmed cases of human infection with the H7N9 avian influenza

    Published :2013-4-16

    Health Department of Jiangsu Province, April 16 Bulletin, Jiangsu newly confirmed three cases of human infection with the H7N9 avian influenza.

     Fumou, male, 56 years old, now living in Nanjing Qinhuai District. On April 16, the provincial expert group diagnosed cases of human infection of H7N9 avian influenza confirmed cases. A hospital in Nanjing, where serious condition. After investigation, the close contacts of the cases of a total of seven people, far showed no abnormality.

      Humou, female, 21 years old, now living in Kunshan City. On April 16, the provincial expert group diagnosed cases of human infection of H7N9 avian influenza confirmed cases. Kunshan City in a hospital where he is currently in serious condition. After investigation, the close contacts of the case has a total of 12 people, far showed no abnormality.

      Zhu, male, 72 years old, and now live in Suzhou Suzhou area. On April 16, the provincial expert group diagnosed cases of human infection of H7N9 avian influenza confirmed cases. Where critical condition in a hospital in Suzhou. After investigation, the close contacts of the cases of a total of six people, far showed no abnormality.

      Since human infection with the H7N9 avian influenza outbreak, the provincial government attaches great importance to the provincial leaders on many occasions given instructions, repeatedly listening to the reports, a number of thematic studies, the deployment of epidemic prevention and control work. Recently, the province's health system in accordance with the national and provincial deployment requirements, take comprehensive measures to effectively prevent and control human infection with the H7N9 avian flu.

      First, the implementation of the early examination and early treatment. For early detection of patients to reduce the incidence of severe cases, April 8, the Provincial Health Department issued Jiangsu Province, early detection and early treatment of people infected with the H7N9 avian influenza hierarchical implementation of the program (2013 edition), "clearly the province will prevention and control work sooner, center of gravity, and strive to "early discovery, early reporting, early diagnosis, early treatment. One emergency procurement related materiel. Up to now, the Provincial Health Department has issued 90,000 copies of colloidal gold, 15,000 A using primers in circulation, 20,000 boxes of Tamiflu and other human infection of H7N9 avian influenza early detection treatment supplies, especially around the key areas emergency procurement related supplies as soon as possible so that each township hospitals, community health service centers are equipped in place, so that transverse to the edge, vertical in the end, to ensure that the use of the grassroots. The second is to strengthen the training of personnel. Provincial Health Department has three batches of more than 6,000 various types of medical staff training to improve early detection and early diagnosis and treatment of grassroots level. Supervision over the implementation of prevention and control measures in place. Set up a special working group, to several grassroots supervision and guidance, to ensure the early examination and early treatment of the measures in the implementation of grassroots organizations.

      Second, do everything possible to save the patient's life. In order to improve the treatment success rate, the Provincial Health Department continue to improve and perfect the relevant treatment system. First, according to the current epidemic situation, the medical treatment experts from 19 people to 83 people, four were in charge of the province, Sunan, Su, Subei medical treatment, consultation and other work. Specially convened the plenary expert group video will conduct relevant training. The second is to establish an emergency consultation system and consultation first aid at any time, sudden severe cases. Third, the establishment of the inspection system, the formation of the inspection teams of experts to conduct inspections of key areas, guidance. The fourth is to establish a regular consultation system, remote consultation system every 2-3 days for consultation in severe cases. At present, the province every one person infected with the H7N9 bird flu, the Provincial Health Department are assigned to provincial experts to conduct a consultation and guidance to improve the treatment program.

      Third, vigorously health literacy. Provincial Health Department through newspaper special edition in order to promote greater public awareness of self-protection awareness and ability to respond to social concerns in China Jiangsu network organization "online interview"; compiled 30,000 promotional brochure, produced 15,000 leaflets wall charts issued in the country, and loop videos, medical and health institutions in the province at all levels to vigorously popularize the prevention and control knowledge.
    Twitter: @RonanKelly13
    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

  • #2
    Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 16 2013): 3 cases / 0 deaths (Total 67 / 14)

    [Source: Centre for Health Protection, Hong Kong PRC SAR, full text: (LINK).]
    Update on number of suspected human cases of Influenza A (H7) notified to CHP


    The Centre for Health Protection (CHP) of the Department of Health (DH) today (April 16) provided an update on the latest number of suspected human cases of Influenza A (H7) notified to the CHP, including suspected human cases of Influenza A (H7) fulfilling reporting criteria, as well as the remaining ones not fulfilling reporting criteria.

    From noon yesterday (April 15) to noon today, the CHP received no notifications of cases which fulfilled the reporting criteria of suspected human cases of Influenza A (H7), and four cases which did not fulfil the reporting criteria. Please see case details in the attachment.

    This brings the total number of notifications received by the CHP since March 31, 2013, of cases which fulfill the reporting criteria of suspected human cases of Influenza A (H7) to 11, and the total number of notifications which do not fulfil the reporting criteria to 31.

    "Influenza A (H7) is a statutorily notifiable infectious disease in Hong Kong and no confirmed human cases of Influenza A (H7N9) have been recorded so far," a spokesman for the DH stressed.

    The spokesman also reminded doctors to report any suspected cases of Influenza A (H7) to the CHP, and the Public Health Laboratory Services Branch of the CHP is ready to receive and test specimens whenever necessary.

    The public may visit the Avian Influenza page of the CHP (www.chp.gov.hk/en/view_content/24244.html) for further information.


    Ends/Tuesday, April 16, 2013
    Issued at HKT 17:58
    NNNN
    - ------

    Comment


    • #3
      Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 16 2013): 3 cases / 0 deaths (Total 72 / 14)

      Source: http://www.zjwst.gov.cn/art/2013/4/1...62_227574.html

      Additional five cases of human infection with the H7N9 avian flu cases in Zhejiang province
      Date :2013 -04-16 Source: Health Department Views: 50 Font Size: [medium and small]

      Zhejiang Provincial Health Department

      April 16, 2013

      Zhejiang Provincial Health Department informed that, as of April 16, 2011 16:00 April 16, Zhejiang new cases of human infection with H7N9 avian influenza.

      Patients Humou, male, 56 years old, engaged in meat pigeon breeding, sale, who lives in Hangzhou, incidence on April 12, now a hospital treatment.

      The patients Qianmou, male, 57 years old, unemployed, who lives in Hangzhou, the onset on April 10, now a hospital treatment.

      Patients Sohn, female, 58-year-old farmer, who lives in Hangzhou, the incidence on April 11, now a hospital treatment.

      Patients with Kim, female, 72 years old, retired, who lives in Hangzhou, the incidence on April 10, now a hospital treatment.

      Patients Yemou, male, 62 years old, retired, who lives in Hangzhou, the onset on April 10, now a hospital treatment.

      Testing by the provincial CDC, more than 5 patients specimens are people infected with the H7N9 avian influenza virus nucleic acid positive. I Office Organization expert on the clinical manifestations, epidemiological data and laboratory test results to discuss the diagnosis of human infection confirmed cases of the H7N9 avian flu. Currently, five patients were seriously ill, hospitals are active treatment.

      Comment


      • #4
        Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 16 2013): 8 cases / 0 deaths (Total 72 / 14)

        Gregory H?rtl ‏<s>@</s>HaertlG <small class="time"> 37m </small> .<s>@</s>HelenBranswell It is premature to dismiss the possibility of an <s>#</s>H7N9 pandemic or to say the outbreak is under control. <s>@</s>WHO

        Comment


        • #5
          Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 16 2013): 8 cases / 0 deaths (Total 72 / 14)

          Shanghai reporting additional H7N9 cases and deaths
          New confirmed cases of human infection of H7N9 avian influenza cases in Shanghai
          Off five cases the city today, new cases of human infection with the H7N9 avian influenza confirmed cases: Zhang, male, 47 years old, the people of Shanghai; retrospective diagnosis of five cases of human infection with confirmed cases of the H7N9 avian flu confirmed cases of human infection with the H7N9 avian influenza] three of them recovered and two people died. As of 17:00 today, a total of 30 confirmed cases, including 11 deaths, 15 cases being treated in isolation, four patients have been discharged.
          Phoenix Information 2013-04-16 22:16:55
          http://news.ifeng.com/mainland/speci...286924_0.shtml
          http://novel-infectious-diseases.blogspot.com/

          Comment


          • #6
            H7N9, China: Cumulative number of today confirmed and suspected cases (April 16 2013): 8 cases / 0 deaths (Total 72 / 14)

            [Source: Ifeng, full text: (LINK). Automatic translation from Chinese.]
            H7N9, Shanghai: One new acute birdflu case; four retrospectively diagnosed cases


            Apr. 16, 2013 10:13 Source: Xinmin Net - Original title: Shanghai confirmed human infection with the H7N9 avian flu increased to 30 cases of four people have been recovered and 11 people were killed
            [Xinmin network exclusive reports] City Health and Family Planning Commission informed today (April 16), the city new confirmed cases of human infection of H7N9 avian influenza cases, retrospective diagnosis of five cases of human infection of H7N9 avian influenza confirmed cases.

            As of today (April 16) 17:00, Shanghai were found in 30 cases of human infection of H7N9 avian influenza confirmed cases, including 11 deaths, 15 cases are being treated in isolation, four patients have been discharged.

            The new confirmed cases are as follows:

            Patients Zhang, male, 47 years old, the people of Shanghai. The patients body aches, fatigue, fever, April 10 and self-medication. Symptoms and no relief to the April 11 City Hospital for treatment, April 15, was diagnosed with pneumonia and admitted to hospital. April 15, City CDC test results for the H7N9 avian influenza virus nucleic acid positive.

            In accordance with the relevant requirements, the City Health and Family Planning Commission to discuss the cases, the organization of municipal clinical expert diagnosis of the cases of human infection of H7N9 avian influenza confirmed cases.

            Patients are under active treatment. After investigation, the close contacts of cases of a total of 21 people, have been implemented under medical observation, up to now, were not unusual.

            The retrospective diagnosis confirmed cases are as follows:

            On April 15, the City Health and Family Planning Commission, then the national CDC letter informed case samples submitted to the national CDC Shanghai Fifth People's Hospital in late March, detected four cases of human infection with the H7N9 avian influenza virus-positive cases.

            Isolated from samples of which 2 cases of human infection with the H7N9 avian influenza virus, 2 cases of convalescent serum antibody titers were more than four times higher.

            City Health and Family Planning Organization of municipal clinical expert group to discuss these cases, the diagnosis of human infection confirmed cases of the H7N9 avian flu.

            In these four cases, two patients died, two patients have been cured.

            After investigation, the close contacts of the confirmed cases of 34 people, according to epidemiological retrospective survey were not unusual.
            April 15, the City-guard Planning Commission for a letter from the health department of Hunan Province Bulletin, March 16, a child with his parents from Shanghai to Changsha City, Hunan Province, March 17 flu-like symptoms, and treatment at a local hospital and sampling send the national CDC detect the results of human infection with the H7N9 avian influenza virus nucleic acid positive. Clinical expert group organized by the local health administrative departments to discuss the cases, the diagnosis of the cases of human infection of H7N9 avian influenza confirmed cases. The children took place on March 19 to return to Shanghai with his parents and has recovered.

            Notification of pick Hunan Province, the Shanghai Health and Family Planning Organization experts to discuss, confirm that the cases for the city retrospective of confirmed cases of the H7N9 avian influenza virus infection. After investigation, the close contacts of the confirmed cases, according to the epidemiological retrospective survey, were not unusual.

            (Xinmin Network reporter Li Xin)
            - -------

            Comment


            • #7
              Re: H7N9, Shanghai: One new acute birdflu case; four retrospectively diagnosed cases (Ifeng, April 16 2013)

              machine translation

              The city new cases retrospective diagnosis of five cases of confirmed cases of human infection with the H7N9 avian influenza
              ****City new confirmed cases of human infection of H7N9 avian influenza cases, retrospective diagnosis of five cases of human infection with the H7N9 avian influenza confirmed cases. As of today (April 16) 17:00, Shanghai were found in 30 cases of human infection of H7N9 avian influenza confirmed cases, including 11 deaths, 15 cases are being treated in isolation, four patients have been discharged.
              ****The new confirmed cases are as follows:
              ****Patients Zhang, male, 47 years old, the people of Shanghai. The patients body aches, fatigue, fever, April 10 and self-medication. Symptoms and no relief to the April 11 City Hospital for treatment, April 15, was diagnosed with pneumonia and admitted to hospital. April 15, City CDC test results for the H7N9 avian influenza virus nucleic acid positive. Organization of municipal clinical expert group in accordance with the relevant requirements, the City Health and Family Planning Commission to discuss the cases, the diagnosis of the cases of human infection of H7N9 avian influenza confirmed cases. Patients are under active treatment. After investigation, the close contacts of cases of a total of 21 people, have been implemented under medical observation, up to now, were not unusual.

              ****The retrospective diagnosis confirmed cases are as follows:
              ****On April 15, the City Health and Family Planning Commission, then the national CDC letter informed case samples submitted to the national CDC Shanghai Fifth People's Hospital in late March, detected four cases of human infection with the H7N9 avian influenza virus-positive cases. Isolated from samples of which 2 cases of human infection with the H7N9 avian influenza virus, 2 cases of convalescent serum antibody titers were more than four times higher. City Health and Family Planning Organization of municipal clinical expert group to discuss these cases, the diagnosis of human infection confirmed cases of the H7N9 avian flu. In these four cases, two patients died, two patients have been cured. After investigation, the close contacts of the confirmed cases of 34 people, according to epidemiological retrospective survey were not unusual.

              ****April 15, the City-guard Planning Commission for a letter from the health department of Hunan Province Bulletin, March 16, a child with his parents from Shanghai to Changsha City, Hunan Province, March 17 flu-like symptoms, and treatment at a local hospital and sampling send the national CDC detect the results of human infection with the H7N9 avian influenza virus nucleic acid positive. Clinical expert group organized by the local health administrative departments to discuss the cases, the diagnosis of the cases of human infection of H7N9 avian influenza confirmed cases. The children took place on March 19 to return to Shanghai with his parents and has recovered. Notification of pick Hunan Province, the Shanghai Health and Family Planning Organization experts to discuss, confirm that the cases for the city retrospective of confirmed cases of the H7N9 avian influenza virus infection. After investigation, the close contacts of the confirmed cases, according to the epidemiological retrospective survey, were not unusual.

              Comment


              • #8
                Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 16 2013): 8 cases / 0 deaths (Total 72 / 14)

                It's getting difficult to keep track, but by my count, that is 6 more cases and 2 more deaths than are listed in the case tracking thread, for a total of 78 confirmed and 16 deaths.
                "I know God will not give me anything I can't handle. I just wish that He didn't trust me so much." - Mother Teresa of Calcutta

                Comment


                • #9
                  Originally posted by sharon sanders View Post
                  machine translation

                  The city new cases retrospective diagnosis of five cases of confirmed cases of human infection with the H7N9 avian influenza
                  ****City new confirmed cases of human infection of H7N9 avian influenza cases, retrospective diagnosis of five cases of human infection with the H7N9 avian influenza confirmed cases. As of today (April 16) 17:00, Shanghai were found in 30 cases of human infection of H7N9 avian influenza confirmed cases, including 11 deaths, 15 cases are being treated in isolation, four patients have been discharged.
                  ****The new confirmed cases are as follows:
                  ****Patients Zhang, male, 47 years old, the people of Shanghai. The patients body aches, fatigue, fever, April 10 and self-medication. Symptoms and no relief to the April 11 City Hospital for treatment, April 15, was diagnosed with pneumonia and admitted to hospital. April 15, City CDC test results for the H7N9 avian influenza virus nucleic acid positive. Organization of municipal clinical expert group in accordance with the relevant requirements, the City Health and Family Planning Commission to discuss the cases, the diagnosis of the cases of human infection of H7N9 avian influenza confirmed cases. Patients are under active treatment. After investigation, the close contacts of cases of a total of 21 people, have been implemented under medical observation, up to now, were not unusual.

                  ****The retrospective diagnosis confirmed cases are as follows:
                  ****On April 15, the City Health and Family Planning Commission, then the national CDC letter informed case samples submitted to the national CDC Shanghai Fifth People's Hospital in late March, detected four cases of human infection with the H7N9 avian influenza virus-positive cases. Isolated from samples of which 2 cases of human infection with the H7N9 avian influenza virus, 2 cases of convalescent serum antibody titers were more than four times higher. City Health and Family Planning Organization of municipal clinical expert group to discuss these cases, the diagnosis of human infection confirmed cases of the H7N9 avian flu. In these four cases, two patients died, two patients have been cured. After investigation, the close contacts of the confirmed cases of 34 people, according to epidemiological retrospective survey were not unusual.

                  ****April 15, the City-guard Planning Commission for a letter from the health department of Hunan Province Bulletin, March 16, a child with his parents from Shanghai to Changsha City, Hunan Province, March 17 flu-like symptoms, and treatment at a local hospital and sampling send the national CDC detect the results of human infection with the H7N9 avian influenza virus nucleic acid positive. Clinical expert group organized by the local health administrative departments to discuss the cases, the diagnosis of the cases of human infection of H7N9 avian influenza confirmed cases. The children took place on March 19 to return to Shanghai with his parents and has recovered. Notification of pick Hunan Province, the Shanghai Health and Family Planning Organization experts to discuss, confirm that the cases for the city retrospective of confirmed cases of the H7N9 avian influenza virus infection. After investigation, the close contacts of the confirmed cases, according to the epidemiological retrospective survey, were not unusual.

                  http://wsj.sh.gov.cn/website/b/104107.shtml

                  This appears to be:

                  1 new case, a man 47, onset date of April 10 and currently hospitalized,

                  4 new retrospective cases in Shanghai: 2 dead and 2 cured, 2 PCR test confirmed and 2 antibody titers confirmed,

                  And....

                  a PCR positive child, onset date March 17, treated in Hunan province while traveling, returned to Shanghai March 19 and is now recovered????

                  Comment


                  • #10
                    Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 16 2013): 8 cases / 0 deaths (Total 72 / 14)

                    Originally posted by Jim Oliveros View Post
                    It's getting difficult to keep track, but by my count, that is 6 more cases and 2 more deaths than are listed in the case tracking thread, for a total of 78 confirmed and 16 deaths.
                    Yes, I agree. We probably won't get much more information on the retrospectively confirmed cases to determine how they fit in to the overall pattern of this outbreak.
                    http://novel-infectious-diseases.blogspot.com/

                    Comment


                    • #11
                      Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 16 2013): 8 cases / 0 deaths (Total 77 or 78 / 16)

                      Source: http://www.kaixian.tv/R1/n1886555c9.shtml

                      Google translation:

                      The national H7N9 confirmed 77 cases, experts say the number of cases likely to continue to increase
                      2013-04-16 23:43 Source: Xinhua: Lvnuo Sun Tiexiang edit: spider

                      Xinhua Beijing, April 16 China National Health and Family Planning Commission, announced on the evening of 16, As of now, the country reported a total of 77 cases of human infection confirmed cases of the H7N9 avian flu, which killed 16 people.

                      According to the briefing, at 6 p.m. on the 15th at 8:00 p.m. on the 16th, the new report on the country in 14 cases, including six cases of Shanghai, Zhejiang, Jiangsu, three cases of human infection confirmed cases of the H7N9 avian flu. Currently, the cases were distributed in Beijing (1) Shanghai (30 cases, 11 deaths), Jiangsu (20 cases and 2 deaths), Zhejiang (21 cases and 2 deaths), Anhui (3 cases, 1 death) , Henan (two cases), 6 provinces and cities. The cases in the dissemination of the state, has not yet found evidence of human-to-human transmission.


                      On the morning of the 16th, the National Health and Family Planning Organization the defense joint control mechanism expert group conducted a risk assessment of the recent epidemic situation. Experts believe that human infection with the H7N9 avian influenza virus to poultry-borne human infection with the H7N9 avian influenza virus from the infected poultry or contaminated environment, contact with infected poultry or exposure to live poultry markets are important risk factors for human infection . Not been effectively controlled at the source of infection, the number of cases is still likely to continue to increase.

                      Comment


                      • #12
                        Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 16 2013): 13 or 14 cases / 2 deaths (Total 77 or 78 / 16)

                        [Source: RTHK, full page: (LINK). Automatic translation from Chinese.]


                        14 new cases of H7N9 avian influenza in the Mainland

                        2013-04-16 HKT 23:43


                        Mainland more 14 people infected with the H7N9 avian influenza, six in Shanghai, five in Zhejiang, three in Jiangsu. The national cases increased to 77, including 16 deaths.

                        Shanghai accumulated, bringing the total up to 30 people, 11 of them where he died.

                        In addition, the Beijing First 7-year-old girl infected with H7N9 avian influenza, is expected to be discharged tomorrow to go home.

                        Beijing Ditan Hospital spokesman said the girls, after six days in hospital treatment, temperature is normal, and has 3 consecutive tests negative for H7N9 virus.


                        - ------

                        April 17th thread here

                        Comment


                        • #13
                          Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 16 2013):14 cases / 2 deaths (Total 78 / 16)

                          I hate seeing a linelist not complete but here it goes;
                          My take on the retrospective cases from Minhang District of Shanghai Cluster described by:
                          Shi J, Xie J, He Z, Hu Y, He Y, et al. (2013) A Detailed Epidemiological and Clinical Description of 6 Human Cases of Avian-Origin Influenza A
                          (H7N9) Virus Infection in Shanghai. PLoS ONE 8(10): e77651. doi:10.1371/journal.pone.0077651



                          #75 - No details. Retrospective cases discovered by testing samples. Shanghai 1 Death

                          #77 - No details. Retrospective cases discovered by testing samples. Shanghai 1 Death

                          #78 - No details. 1 of 4 retrospective cases identified on April 16. Shanghai

                          Minhang District of Shanghai Cluster

                          Confirmed cases of H7N9 referred to the Fifth People’s Hospital of Shanghai during the period from February to March 2013 were enrolled in this study. H7N9 infection was confirmed by the Public Health Clinical Center Affiliated with Fudan
                          University as well as the Chinese Center for Disease Control and Prevention

                          ------
                          Shi et al.2013 case 3
                          Table 1. Demographic characteristics of 6 H7N9 Cases.
                          Case 3 [I have it as Shanghai (27th)- 13-Apr-13 PCR confirmed, Viral isolation]
                          Age: 74
                          Sex: Male
                          Nationality: Han
                          Occupation: Retired
                          Place of Residence: Minhang District of Shanghai
                          Smoking index (packyears): 30
                          History of alcohol intake: No
                          Underlying conditions: Hypertension, diabetes mellitus, coronary heart disease

                          See table: Table 2. Date of disease onset, admission, confirmed infection, and discharge of 6 H7N9 cases
                          Date of illness onset: 24-Feb-13
                          Date of admission: 27-Feb-13
                          ICU: Yes
                          Confirmed infection: 13-Apr-13
                          Method of confirmation: Viral isolation
                          LOS: 5
                          Family aggregation: No
                          Recent exposure to poultry: No
                          Date of death: 3-Mar-13

                          Clip:
                          The time course of case identification, treatment, and diagnosis
                          Cases 3 and 4 were admitted to the intensive care unit (ICU) because of disease progression on the first and second day of
                          hospitalization, respectively.



                          -----

                          Shi et al.2013 case 6
                          Table 1. Demographic characteristics of 6 H7N9 Cases.
                          Case 6 [I have it as Shanghai (28th)- 14-Apr-13 PCR confirmed, Viral isolation)]
                          Age: 63
                          Sex: Male
                          Nationality: Han
                          Occupation: Retired
                          Place of Residence: Minhang District of Shanghai
                          Smoking index (packyears): 15
                          History of alcohol intake: Alcoholism
                          Underlying conditions: COPD, hypertension, gastric ulcer

                          See table: Table 2. Date of disease onset, admission, confirmed infection, and discharge of 6 H7N9 cases
                          Date of illness onset: 5-Mar-13
                          Date of admission: 9-Mar-13
                          ICU: No
                          Confirmed infection: 14-Apr-13
                          Method of confirmation: Viral isolation
                          LOS: 3
                          Family aggregation: No
                          Recent exposure to poultry: No
                          Date of death or discharge: no date (appears to be 12-Apr-13)

                          also see

                          12-Apr-13* convalescent serum antibody titers were more than four times, Virus specific antibodies (1:40) or (HAI titer <10 and 80, respectively) paired serum samples on day 7 and 46

                          -----

                          Shi et al.2013 case 2*
                          Table 1. Demographic characteristics of 6 H7N9 Cases.
                          Case 2 (12-Apr-13* convalescent serum antibody titers were more than four times, Virus specific antibodies (1:40) or (HAI titer <10 and 80, respectively) paired serum samples on day 7 and 46)
                          -
                          Age: 69 (Shanghai (26th))
                          Sex: Male
                          Nationality: Han
                          Occupation: Retired
                          Place of Residence: Minhang District of Shanghai
                          Smoking index (packyears): No
                          History of alcohol intake: No
                          Underlying conditions: hypertension

                          See table: Table 2. Date of disease onset, admission, confirmed infection, and discharge of 6 H7N9 cases
                          Date of illness onset: 19-Feb-13
                          Date of admission: 26-Feb-13
                          ICU: No
                          Confirmed infection: 12-Apr-13
                          Method of confirmation: Virus specific antibodies (1:40)
                          LOS: 15
                          Family aggregation: yes (b)
                          Recent exposure to poultry: Suspect (a)
                          Date of discharge: 13-Mar-13


                          (a) Case 2 had no history of direct contact with birds, but had gone to the market several times 1 week before disease onset and passed by stalls selling poultry.

                          (b) Case 2 was the son of case 1, whose other son (age, 55 years) developed severe pneumonia
                          on February 11 and died on February 28. However, the H7N9 virus was not detected in respiratory specimens from the
                          deceased son by RT-PCR or viral isolation.

                          --
                          Table 4. Laboratory findings in the early stage of H7N9 infection in 6 cases.
                          see: article:
                          Table 5. Treatment, complications, and outcome of H7N9 infection in 6 cases.
                          Antibiotic: yes
                          Antiviral:
                          Oseltamivir: 75 mg bid d7–12a (a Days from disease onset [edt. started 26-Feb-13)
                          Amantadine: No
                          Anti-inflammatory: Methylprednisolone
                          Globulin: yes
                          Thymic peptide: yes
                          Albumin: no
                          Oxygen therapy: Mechanical ventilation

                          Complications
                          ARDS: no
                          Secondary Infection: yes
                          Pleural effusion: no
                          Encephalopathy:no
                          Left heart failure: no
                          Rhabdomyolysis: no

                          Outcome: survived

                          ----
                          Shi et al.2013 case 5
                          Table 1. Demographic characteristics of 6 H7N9 Cases.
                          Case 5 [Shanghai (29th)- 13-Apr-13 convalescent serum antibody titers were more than four times; Virus specific antibodies (1:40)]
                          Age: 41
                          Sex: Male
                          Nationality: Han
                          Occupation: Worker
                          Place of Residence: Minhang District of Shanghai
                          Smoking index (packyears): 4
                          History of alcohol intake: No
                          Underlying conditions: No

                          See table: Table 2. Date of disease onset, admission, confirmed infection, and discharge of 6 H7N9 cases
                          Date of illness onset: 3-Mar-13
                          Date of admission: 6-Mar-13
                          ICU: No
                          Confirmed infection: 13-Apr-13
                          Method of confirmation: Virus specific antibodies (1:40)
                          LOS: 12
                          Family aggregation : No
                          Recent exposure to poultry: Yes
                          Date of discharged: 18-Mar-13

                          -----

                          Shanghai (30th) is the 2 year old

                          Shanghai (31st) is #79 - Man, 89, ex-Jiangsu (?). onset date: April 12. Hospitalized on April 16. Date of confirmation April 17. Shanghai Death


                          My spreadsheet is slightly different in numbers but this is the background... where you want to use it, is up to FluTrackers!

                          Hope this helps!

                          It's open access, it can be attached or maybe not! I'll leave that up to you at Flu trackers!

                          Comment


                          • #14
                            Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 16 2013):14 cases / 2 deaths (Total 78 / 16)

                            Thanks Biological. WHO has never identified the mystery Shanghai cases.

                            The 74 year old we have as case #17.

                            The 63 year old is not have listed as a specific case. Could be one of the mystery Shanghai cases.

                            The 69 year old we have as case #74.

                            The 41 is not listed on our list as a specific case. Could be one of the mystery Shanghai cases.

                            Comment


                            • #15
                              Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 16 2013):14 cases / 2 deaths (Total 78 / 16)

                              Shanghai (7th) is the 17 case decribed in S, Zheng Y, Li T, Hu Y, Liu X, Xi S, et al. Clinical findings for early human cases of influenza A(H7N9) virus infection, Shanghai, China. Emerg Infect Dis. 2013 Vol. 19 No. 7 - July 2013 DOI: 10.3201/eid1907.130612

                              Case-patient 1 was receiving noninvasive ventilator-assisted breathing when he arrived at SHPHCC. His oxygen saturation remained at ≈95&#37;, and he was given continuous intravenous dopamine infusion. He had acute respiratory failure, coronary heart disease (stage 2 heart failure), and renal function insufficiency at admission. On April 11, 11 days after the onset of the symptoms and 2 hours after endotracheal intubation and mechanical ventilation began, he died from respiratory failure. (Fatal- 11-Apr-13)



                              I believe this is a different case!

                              69 is already described earlier! I just happened to put it in for mete data assistance!

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