Re: 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)
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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%, 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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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.
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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)
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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!
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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
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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.
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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 PostIt'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.
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Originally posted by sharon sanders View Postmachine 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????
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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.
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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.
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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)
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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
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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
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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.
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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
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