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**Giuseppe** · April 20, 2013, 04:24 AM

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 20 '13): 1 cases / 0 deaths (Total 93 / 17 )

See also: http://www.flutrackers.com/forum/sho...960#post493960

H7N9, Zhejiang: Three additional birdflu cases

2013 04 20, 2011 17:09 Source: China News

BEIJING, April 20 According to the Zhejiang Daily "official microblogging message, Zhejiang Provincial Health Department briefing on April 20, as of April 20 at 15:00, Zhejiang three new cases of human infection of H7N9 avian influenza.

Earlier, the Health Department of Jiangsu Province, Jiangsu one new confirmed case of human infection of H7N9 avian influenza, and published the information of the patient.

As of press time, the Chinese mainland had been diagnosed 95 cases.

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**sharon sanders** · April 20, 2013, 05:42 AM

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 20 '13): 4 cases / 0 deaths (Total 96 / 17 )

<table class="tborder" id="post493958" align="center" border="0" cellpadding="6" cellspacing="1" width="100%"><tbody><tr><td class="thead"> Today, 02:11 AM
</td> </tr> <tr> <td class="alt2" style="padding:0px"> <table border="0" cellpadding="0" cellspacing="6" width="100%"> <tbody><tr> <td nowrap="nowrap"> tetano
Editor, Senior Moderator
</td> <td width="100%"> </td> <td nowrap="nowrap" valign="top"> Join Date: Dec 2009
Posts: 17,436

</td> </tr> </tbody></table> </td> </tr> <tr> <td class="alt1" id="td_post_493958"> Zhejiang diagnoses 2 cases of people infected by H7N9 bird flu
<hr style="color:#CCCCCC; background-color:#CCCCCC" size="1"> Patient Shen, female, 54 years old, the individual operator, the Jiaxing person, was taken bad on April 13, now some Jiaxing hospital treats. Patient Xu, male, 69 years old, retire, the Hangzhou person, was taken bad on April 11, now some Hangzhou hospital treats. Was examined by Zhejiang CSC, the above 2 cases of patient specimen even manners infect the H7N9 bird flu virus nucleic acid masculine gender. Zhejiang Health department organizes expert's clinical performance to the patient, the epidemiology material and laboratory test result discussed that diagnoses the manner to infect the H7N9 bird flu confirmed case. At present, 2 cases of patients are seriously ill, the hospital is treating and curing positively. Ma, female, 80 years old. The patients on April 9 appeared give off heat, accompany cough, headache, asthma and other symptoms, went to the dawn hospital east court to receive a medical examination; On April 16 was diagnosed with the critically ill pneumonia, admitting was hospitalized. On April 17, after the city Centers for Disease Control and Prevention test result was the H7N9 bird flu virus nucleic acid masculine gender. The city hygienic birth control committee organizes the municipal clinical expert group to carry on the consultation to this case, diagnoses this case manner to infect the H7N9 bird flu confirmed case. The patients the condition is stable at present, is treating positively. After the investigation, the close contact of this case altogether has 7 people, the operational medicine observation, up to now has not discovered unusually.

http://money.jrj.com.cn/2013/04/20143515244492.shtml

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**Giuseppe** · April 20, 2013, 05:47 AM

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 20 '13): 4 cases / 0 deaths (Total 96 / 17 )

h / t Mike Coston AFD

Source: Zhejiang Health Dept.: (in Chinese): http://wst.zj.gov.cn/art/2013/4/20/art_362_228314.html - Automatic translation.

Zhejiang new cases of human infection of H7N9 avian influenza cases

Date :2013 -04-20 Sources: Health Department Views: 325 Font Size: big middle small ]

Zhejiang Provincial Health Department

April 20, 2013

Zhejiang Provincial Health Department Bulletin, as of April 20, 2011 15:00 April 20, Zhejiang Province, add three cases of human infection with the H7N9 avian influenza.

Patients Wangmou, male, 56 years old, farmers, Hangzhou, onset on April 11, now Hangzhou, a hospital for treatment.

Patients Gan, female, 35 years old, workers now live in Hangzhou, onset on April 14, now a hospital for treatment.

Patients Sohn, male, 37 years old, drivers, Hangzhou, incidence on March 30, during the purchase of medicines to take their own, the first visit on April 18, now a hospital for treatment.

By the provincial CDC testing, specimens of these three patients were infected with the H7N9 avian influenza virus nucleic acid positive. My Office experts on the patient's clinical manifestations, epidemiological data and laboratory test results are discussed, and diagnosis of human infection of H7N9 avian influenza confirmed cases.

Currently, three patients were seriously ill, the hospital is under active treatment.

The evening of April 19, critically ill patients diagnosed in the 18th Xu (male, 69 years old, retired, Hangzhou) due to further deterioration, she died.

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**sharon sanders** · April 20, 2013, 06:05 AM

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 20 '13): 4 cases / 1 deaths (Total 96 / 18 )

April 20 Jiangsu new case of human infection of H7N9 avian influenza confirmed cases

Published :2013-4-20

　　Health Department of Jiangsu Province, April 20 Bulletin, Jiangsu newly confirmed case of human infection with H7N9 avian influenza.

　　Patients Zhang, male, 43 years old, live in Xuanwu District, Nanjing. On April 20, the provincial expert group diagnosed cases of human infection of H7N9 avian influenza confirmed cases. Treatment in a hospital in Nanjing, in critical condition. After investigation, the close contacts of the cases of a total of 23 people, up to now no abnormality.

http://www.jswst.gov.cn/gb/jsswst/wsyw/snxw/userobject1ai32393.html

**Giuseppe** · April 20, 2013, 06:06 AM

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 20 '13): 4 cases / 1 deaths (Total 96 / 18 )

[Source: Ifeng, full text: (LINK). Automatic translation from Chinese.]

H7N9, Shanghai: One additional birdflu case

2013 04 20, 2007 18:47 Source: China News Network

BEIJING, Shanghai, April 20 (Reporter Chen Jing) new cases of human infection of H7N9 avian influenza confirmed cases.

Shanghai were found in 33 cases of human infection with the H7N9 avian influenza confirmed cases, of which 11 died, 17 cases being treated in isolation, five patients have been discharged.

New patients Lee, 75-year-old lady. On (April) 13 developed symptoms, the 18th Shanghai Sixth People's Hospital diagnosed with pneumonia and admitted to hospital. 19, the Shanghai Municipal Center for Disease Control test results for the H7N9 avian influenza virus nucleic acid positive. Expert Group final diagnosis of human infection of H7N9 avian influenza.

Shanghai Wei Planning Commission said today, 15 people have been in close contact with Li Po implementation of medical observation and found no abnormalities.

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**sharon sanders** · April 20, 2013, 06:32 AM

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 20 '13): 5 cases / 1 deaths (Total 97 / 18 )

hat tip Ronan Kelly

Anhui - H7N9 patient recovers & is discharged
This is patient #21 from this list; http://www.flutrackers.org/forum/showthread.php?t=55

Bozhou human infection with the H7N9 avian influenza patients recovered and discharged from hospital

Published :2013-04-19 Source: Read 271 times
4 May 7, 2011, the province of Bozhou City, confirmed cases of human infection of H7N9 avian influenza cases. Under the guidance of the province of experts, after careful treatment of Bozhou City People's Hospital, 4 months 17 days, the patient is transferred from the hospital intensive care unit to a general ward, officially recovered and was discharged this afternoon.
Patients Lee, male , Bozhou City Qiaocheng, engaged in the sales and slaughter of live chickens. 2013 3 28 disease, self-medication does not get better and then to the individual clinic, still no improvement in symptoms, then 4 1 evening to the city People's Hospital emergency department visits, night to severe pneumonia admitted to the respiratory Second Division.
After admission, the hospital expert group consultation, diagnosis: severe pneumonia, I respiratory failure, hypertension. Given the isolation and treatment, levels of care, oxygen, monitoring of vital signs; given anti-viral, anti-infective, traditional Chinese medicine injections, hormones, improve immunity, nutritional support, psychological counseling, and expectorant, asthma, fever, blood pressure and other symptomatic treatment.
6 April, my Office has sent four batches of the Group of Experts to the hospital to guide the rescue work.
4 12 , the daily patient's condition improved markedly. 4 May 15, 2009 to stop the intravenous infusion and oral medication; 4 16 early morning stop oxygen, the patient may get out of bed with minimal activity; May 17, the patient transferred to the general ward continue to observe and rehabilitation therapy.
As of today, the patient has three consecutive influenza virus nucleic acid tested negative by the hospital expert consultation and referrals to the Provincial Expert Group opinions, the discharged condition, officially recovered and were discharged.
My Office will sum up the experience of treatment, provide a useful reference for the effective treatment of other cases.

http://www.ahwst.gov.cn/chn200909261...cleId=85884281

**sharon sanders** · April 20, 2013, 06:49 AM

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 20 '13): 5 cases / 1 deaths (Total 97 / 18 )

hat tip Michael Coston

H7N9: The Riddle Of The Ages

# 7169

Were it not killing people, and imbued with a worrisome (but as yet, undetermined) potential to spread further, I suspect that many flu researchers’ reaction would be to peer Spock-like at this emerging H7N9 avian flu virus, arch an eyebrow and mutter, `Fascinating’.

Like H5N1 before it – and to a lesser extent the H1N1 pandemic strain of 2009 - this new virus is challenging conventional wisdom on how novel flu viruses should behave.

Last night, Robert Roos – Editor of CIDRAP NEWS – wrote on an analysis performed by Nick Kelley, PhD on the unusual age and gender demographics of the 90+ patients identified to date.

Thus far, we’ve seen a skewing of age and gender in H7N9 patients towards elderly males, something which has been an ongoing topic of speculation both publicly and privately in the flu world for a couple of weeks.

It’s a good report, with extended remarks from Michael Osterholm, director of CIDRAP. Follow the link, and I’ll have more when you return.

H7N9 mystery: Why does age profile tilt older?
Robert Roos News Editor
Apr 19, 2013 (CIDRAP News) – One of the odd mysteries posed by the H7N9 influenza virus emerging in China is why most of the patients are on the older side—a fact that stands in sharp contrast to the pattern seen with that other deadly crossover avian virus, H5N1.

An analysis by Nicholas Kelley, PhD, at the University of Minnesota's Center for Infectious Disease Research and Policy (CIDRAP), publisher of CIDRAP News, shows that the median age of H7N9 case-patients thus far is 61.5 years, with a range of 2 to 89 years.

For comparison, Kelley examined the ages of the 45 H5N1 case-patients in China over the past 10 years and found a median age of only 27. And when he looked only at H5N1 cases in the same provinces where H7N9 cases have turned up, the median age was even younger: 24.

The European Centre for Disease Prevention and Control (ECDC), in an epidemiological update released today, but based on cases as of yesterday, put the median age of H7N9 patients even higher: 64, with a range of 4 to 89.
(Continue . . . )

The following chart shows the stark contrast between the age groups impacted by H5N1 and H7N9, both avian flu viruses.
The predilection of the H5N1 virus for younger patients has evoked a number of theories, but has never been adequately explained.

Another chart, this time from Dr. Ian MacKay’s excellent Avian influenza A virus H7N9 webpage, illustrates the pronounced trend towards male patients as well.

This graph shows the proportion of males (blue bars) and females (violet bars) contributing to total cases (including deaths) and to fatal cases alone.

There are other mysteries with this virus as well, for which answers (thus far) have been few. Among them:

Why would a low pathogenic avian virus produce such severe symptoms in humans?
With so few birds testing positive, what are the primary (or hosts) for this virus?
How is this virus currently spilling over into humans?
Are there substantial numbers of mild, or asymptomatic infections going uncounted?
Geographically, how widespread is this virus?
Is human-to-human transmission taking place?
How rapidly is this virus mutating? How many clades exist?
What is this virus’ pandemic potential?

Over the past 24 hours Gregory Hartl, spokesperson for the World Health Organization, has been fielding a number of these questions on Twitter. While solid answers remain elusive, a few of his responses below.

Sometimes the hardest answer to give is, “We don’t know yet.” It may disappoint, but it has the virtue of honesty.

Yet, when you consider that scientists have been studying the H5N1 avian flu virus for more than 15 years – with many questions still unanswered - the amount of information we’ve learned about H7N9 over the past 3 weeks is actually quite impressive.

With yesterday’s announcement that WHO: H7N9 Team Lands In China, hopefully we’ll be getting an even better idea of how this virus behaves – and how much of a threat it poses – over the next couple of weeks.

Stay tuned.

Posted by Michael Coston at <a class="timestamp-link" href="http://afludiary.blogspot.com/2013/04/h7n9-riddle-of-ages.html" rel="bookmark" title="permanent link"><abbr class="published" title="2013-04-20T07:43:00-04:00">7:43 AM</abbr>

**Treyfish** · April 20, 2013, 06:58 AM

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 20 '13): 5 cases / 1 deaths (Total 97 / 18 )

The Patient WOMAN was a 75-year-old, surnamed Li, the 13th of this month, cough, shortness of the BREATH and Other SYMPTOMS, positive for H7N9 Avian Influenza Illness Nucleic acid Detection by the Municipal Center for Disease Prevention and Control Center yesterday, the patients currently in stable Condition,

http://news.on.cc/cnt/china/20130420...00922_001.html

**Treyfish** · April 20, 2013, 08:22 AM

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 20 '13): 5 cases / 1 deaths (Total 97 / 18 )

Chinese people infected with the H7N9 avian flu in 96 cases

April 20, 2013 21:00:47Xinhua Beijing, April 20 (Lvnuo the Sun Tiexiang) National Health and Family Planning Bulletin 20, 2009, and ended at 4:00 p.m. on the 20th, the country reported a total of 96 cases of confirmed cases of human infection with the H7N9 avian influenza. Which killed 18 people, rehabilitation of nine people, and the remaining 69 are each designated medical unit for treatment.

According to the briefing, at 16:00 on the the 19th at 4:00 p.m. on the 20th, the national reports new human infection with the H7N9 avian influenza five cases. Among them, Shanghai, Jiangsu Province and Zhejiang Province three cases.

At present, the distribution of cases in Beijing (1) Shanghai (33 cases and 11 deaths), Jiangsu (23 patients, 3 patients died), Zhejiang (33 patients, 3 patients died), Anhui (3 cases, 1 death) , Henan (3) 6 provinces and cities. Cases in the dissemination of state, have not yet found evidence of human-to-human transmission.

http://news.xinhuanet.com/2013-04/20/c_115469316.htm

**Giuseppe** · April 20, 2013, 10:50 AM

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 20 '13): 5 cases / 1 deaths (Total 97 / 18 )

[Source: Centre for Health Protection, Hong Kong PRC SAR, full text: (LINK).]

Five more human cases of avian influenza A(H7N9) verified by NHFPC

The Centre for Health Protection (CHP) of the Department of Health (DH) verified with the National Health and Family Planning Commission (NHFPC) today (April 20) one human case of avian influenza A(H7N9) in Jiangsu, one in Shanghai and three in Zhejiang.

The case in Jiangsu involves a 43-year-old man who is receiving treatment in hospital. His current condition is critical. The 23 close contacts of him are asymptomatic so far.

The case in Shanghai involves a 75-year-old woman who is receiving treatment in hospital. Her current condition is stable. The 15 close contacts of her are asymptomatic so far.

The three cases in Zhejiang involve a woman aged 35 and two men aged 37 and 56 respectively. They are receiving treatment in hospital and their condition is serious.

As of 9pm today, a total of 96 cases have been laboratory confirmed with avian influenza A(H7N9) in Shanghai (33 cases), Zhejiang (33 cases), Jiangsu (23 cases), Anhui (three cases), Henan (three cases) and Beijing (one case).

A spokesman for the DH stressed that the CHP is closely monitoring the situation and will continue to maintain close liaison with the Mainland health authorities for more case information as well as to keep a close eye on the latest advice from the World Health Organization.

The spokesman also reminded travellers, especially those returning from Shanghai, Jiangsu, Zhejiang, Anhui, Henan and Beijing, with fever or respiratory symptoms to wear facial masks immediately, seek medical attention, and reveal their travel history to doctors. Healthcare professionals should also pay special attention to those who might have had contact with birds, poultry or their droppings in the affected areas.

"No human case of avian influenza A(H7N9) has been identified so far in Hong Kong," the spokesman reiterated.

"We would like to reassure the public that the Government will be as transparent as possible in the dissemination of information on human cases of avian influenza A(H7N9).

Whenever there is a suspected case, the CHP will release information to the public as soon as possible," the spokesman added.

The spokesman urged travellers not to visit wet markets with live poultry in the affected areas and avoid direct contact with poultry, birds or their droppings. If contacts have been made, they should thoroughly wash hands with soap and water.

Members of the public should remain vigilant and are reminded to take heed of the following preventive advice against avian influenza:

Poultry and eggs should be thoroughly cooked before eating;
Wash hands frequently with soap, especially before touching the mouth, nose or eyes, handling food or eating, after going to toilet, touching public installations or equipment such as escalator handrails, elevator control panels or door knobs, or when hands are dirtied by respiratory secretions after coughing or sneezing;
Cover the nose and mouth while sneezing or coughing, hold the spit with tissue and put it into covered dustbins;
Avoid crowded places and contact with fever patients; and
Wear a mask when respiratory symptoms develop or you need to take care of fever patients.

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

Ends/Saturday, April 20, 2013
Issued at HKT 21:13
NNNN

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**Ronan Kelly** · April 21, 2013, 08:08 AM

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 20 '13): 5 cases / 1 deaths (Total 97 / 18 )

Link to April 21st http://www.flutrackers.com/forum/sho...d.php?t=204336

Announcement

H7N9, China: Cumulative number of today confirmed and suspected cases (April 20 '13): 5 cases / 1 deaths (Total 97 / 18 )

H7N9, China: Cumulative number of today confirmed and suspected cases (April 20 '13): 5 cases / 1 deaths (Total 97 / 18 )

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