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H7N9, China: Cumulative number of today confirmed and suspected cases (May 4 2013): 1 cases / 0 deaths (Total 130 / 27 )

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  • H7N9, China: Cumulative number of today confirmed and suspected cases (May 4 2013): 1 cases / 0 deaths (Total 130 / 27 )

    Previous thread here

    [Source: Centre for Health Protection, Hong Kong PRC SAR, full text: (LINK).]
    No new human case of avian influenza A (H7N9) in the Mainland


    The Centre for Health Protection (CHP) of the Department of Health (DH) verified with the National Health and Family Planning Commission (NHFPC) no new human case of avian influenza A (H7N9) in the Mainland today (May 4).

    As of 9pm today, a total of 127 cases have been laboratory confirmed with avian influenza A (H7N9) in the Mainland, which included:
    1. Zhejiang (46 cases),
    2. Shanghai (33 cases),
    3. Jiangsu (27 cases),
    4. Anhui (four cases),
    5. Henan (four cases),
    6. Jiangxi (five cases),
    7. Fujian (three cases),
    8. Shandong (two cases),
    9. Beijing (one case) and
    10. Hunan (two cases).
    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 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, Beijing, Shandong, Jiangxi, Fujian and Hunan, 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, May 4, 2013
    Issued at HKT 21:26
    NNNN
    -
    --------

  • #2
    Re: H7N9, China: Cumulative number of today confirmed and suspected cases (May 4 2013): 0 cases / 0 deaths (Total 129 / 27 )

    [Source: Ifeng, full text: (LINK). Automatic translation from Chinese.]
    H7N9, Fujian: One additional birdflu confirmed case

    2013 05 04, 2011 23:53 Source: People's Daily: Lin Rong


    According to the Fujian Provincial Department of Health, the People's Daily, Fuzhou, May 4 (Reporter Lin Rong) Bulletin, as of May 20, Fujian reported one new case of human infection of H7N9 avian influenza.

    Newly discovered patients are as follows:

    Patients Wie, male, 69 years old, Fuzhou, Fuqing City, Town farmers.

    April 29 patients palpitations, chest tightness reasons unknown origin "to stay at the Fujian Provincial Hospital April 30 after cardiac surgery, recurring fever accompanied by cough, lung infection after anti-infective therapy is still progress. May 2 sample and send Fuzhou Center for Disease Control detection, re-examination by the Fujian Provincial Center for Disease Control in the afternoon of May 4, report the cases of specimens of human infection of H7N9 avian influenza virus nucleic acid positive.

    In the evening of May 4, the provincial-level expert group based on the clinical performance, results of laboratory tests and epidemiological data, the diagnosis of human infection of H7N9 avian influenza confirmed cases. At present, the case is under active treatment.

    After investigation, as of the close contacts of the cases of 9, to take timely measures of medical observation, were not unusual.

    It is understood that, as of now, Fujian province reported a total of four cases of human infection with the H7N9 avian influenza confirmed cases are in active treatment and no deaths.

    Distribution of cases (n = 3) in Fuzhou, Longyan (1) two municipalities and districts in three counties (cities, districts).

    Cases in the dissemination of state, have not yet found evidence of human-to-human transmission.

    (Lin Rong)
    -
    ------

    Comment


    • #3
      Re: H7N9, China: Cumulative number of today confirmed and suspected cases (May 4 2013): 1 cases / 0 deaths (Total 130 / 27 )

      I found all of these cases on our case list.

      Volume 19, Number 7—July 2013

      Dispatch

      Clinical Findings for Early Human Cases of Influenza A(H7N9) Virus Infection, Shanghai, China

      Shuihua Lu<sup>1</sup> , Yufang Zheng<sup>1</sup>, Tao Li<sup>1</sup>, Yunwen Hu<sup>1</sup>, Xinian Liu, Xiuhong Xi, Qingguo Chen, Qingle Wang, Ye Cao, Yanbing Wang, Lijun Zhou, Douglas Lowrie, and Jing Bao
      Author affiliations: Shanghai Public Health Clinical Center, Shanghai, China (S. Lu, Y. Zheng, T. Li, Y. Hu, X. Liu, X. Xi, Q. Chen, Q. Wang, Y. Cao, Y. Wang, L. Zhou, D. Lowrie); Henry M Jackson Foundation–Division of AIDS, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA (J. Bao)
      Main Article
      Table 1

      Clinical characteristics and treatment outcomes for 4 patients with early cases of influenza A(H7N9) virus infection, Shanghai, China*
      <table> <thead> <tr> <th rowspan="2" scope="col" class="cell-underline" style="vertical-align:bottom;text-align:left;">Characteristic/treatment</th> <th colspan="4" scope="colgroup" class="cell-underline" style="vertical-align:bottom;text-align:center;">Case-patient no.</th> </tr> <tr> <th colspan="1" scope="colgroup" class="cell-underline" style="vertical-align:bottom;text-align:center;">1</th> <th scope="col" class="cell-underline" style="vertical-align:bottom;text-align:center;">2</th> <th scope="col" class="cell-underline" style="vertical-align:bottom;text-align:center;">3</th> <th scope="col" class="cell-underline" style="vertical-align:bottom;text-align:center;">4</th> </tr> </thead> <tbody> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Age, y/sex</td> <td style="vertical-align:top;text-align:center;">73/M</td> <td style="vertical-align:top;text-align:center;">65/M</td> <td style="vertical-align:top;text-align:center;">67/M</td> <td style="vertical-align:top;text-align:center;">58/M</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Occupation</td> <td style="vertical-align:top;text-align:center;">Farmer</td> <td style="vertical-align:top;text-align:center;">Retiree</td> <td style="vertical-align:top;text-align:center;">Retiree</td> <td style="vertical-align:top;text-align:center;">Retiree</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Location (district) in Shanghai</td> <td style="vertical-align:top;text-align:center;">Fengxian</td> <td style="vertical-align:top;text-align:center;">Baoshan</td> <td style="vertical-align:top;text-align:center;">Songjiang</td> <td style="vertical-align:top;text-align:center;">Pudong</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Disease history</td> <td style="vertical-align:top;text-align:center;">Coronary heart disease; chronic hepatic schistosomiasis</td> <td style="vertical-align:top;text-align:center;">Hypertension; articular gout; benign prostatic hyperplasia</td> <td style="vertical-align:top;text-align:center;">None</td> <td style="vertical-align:top;text-align:center;">Hypertension</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">History of poultry exposure</td> <td style="vertical-align:top;text-align:center;">At home</td> <td style="vertical-align:top;text-align:center;">At live poultry markets</td> <td style="vertical-align:top;text-align:center;">At live poultry markets</td> <td style="vertical-align:top;text-align:center;">At live poultry markets</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Date of last visit to live poultry market</td> <td style="vertical-align:top;text-align:center;">NA</td> <td style="vertical-align:top;text-align:center;">2013 Mar 29</td> <td style="vertical-align:top;text-align:center;">2013 Mar 28</td> <td style="vertical-align:top;text-align:center;">2013 Mar 19</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Date of symptom onset</td> <td style="vertical-align:top;text-align:center;">2013 Mar 31</td> <td style="vertical-align:top;text-align:center;">2013 Apr 1</td> <td style="vertical-align:top;text-align:center;">2013 March 30</td> <td style="vertical-align:top;text-align:center;">2013 Mar 20</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Date of infection confirmation</td> <td style="vertical-align:top;text-align:center;">2013 Apr 6</td> <td style="vertical-align:top;text-align:center;">2013 Apr 6</td> <td style="vertical-align:top;text-align:center;">2013 Apr 7</td> <td style="vertical-align:top;text-align:center;">2013 Apr 7</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Date admitted to SHPHCC</td> <td style="vertical-align:top;text-align:center;">2013 Apr 6</td> <td style="vertical-align:top;text-align:center;">2013 Apr 6</td> <td style="vertical-align:top;text-align:center;">2013 Apr 7</td> <td style="vertical-align:top;text-align:center;">2013 Apr 7</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Clinical symptoms present when admitted SHPHCC</td> <td style="vertical-align:top;text-align:center;">6 d of fever (maximum temperature 39.3&#176;C) and shortness of breath</td> <td style="vertical-align:top;text-align:center;">6 d of fever (maximum temperature 39.3&#176;C), and 2 d of cough</td> <td style="vertical-align:top;text-align:center;">8 d of fever (maximum temperature 39.7&#176;C) and cough</td> <td style="vertical-align:top;text-align:center;">18 d of cough, 10 d of fever (maximum temperature 39.7&#176;C), and 5 d with shortness of breath</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Chest radiograph or CT findings</td> <td style="vertical-align:top;text-align:center;">Bilateral GGO</td> <td style="vertical-align:top;text-align:center;">Bilateral GGO</td> <td style="vertical-align:top;text-align:center;">GGO in left lingular lobe and left inferior lobe</td> <td style="vertical-align:top;text-align:center;">Extensive infiltrates, with pleural effusion, in lung (bilateral)</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Antiviral drug treatment</td> <td style="vertical-align:top;text-align:center;">Oseltamivir (150 mg/bid) on days 7–12 of illness</td> <td style="vertical-align:top;text-align:center;">Oseltamivir (75 mg/bid) on days 4–17 of illness</td> <td style="vertical-align:top;text-align:center;">Oseltamivir (75 mg/bid) on days 6–21 of illness</td> <td style="vertical-align:top;text-align:center;">Oseltamivir (75 mg/bid) on days 16–23 of illness; oseltamivir (150 mg/bid) on days 17–32 of illness</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Antibacterial drug treatment</td> <td style="vertical-align:top;text-align:center;">Moxifloxacin on days 7–12 of illness</td> <td style="vertical-align:top;text-align:center;">Ceftriaxone on days 4–5 of illness; moxifloxacin on days 6–17 of illness</td> <td style="vertical-align:top;text-align:center;">Azithromycin on days 5–9 of illness; cefaclor on days 1–5 of illness; moxifloxacin on days 14–21 of illness</td> <td style="vertical-align:top;text-align:center;">Moxifloxacin on days 18–21 of illness; piperacillin and tazobactam on days 18–21 of illness; meropenem on days 21–34 of illness; linezolid on days 25–32 of illness</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Glucocorticoid treatment</td> <td style="vertical-align:top;text-align:center;">Methylprednisolone (40 mg/d) on days 7–12 of illness</td> <td style="vertical-align:top;text-align:center;">No</td> <td style="vertical-align:top;text-align:center;">Methylprednisolone (40 mg/d) on days 5–12 of illness</td> <td style="vertical-align:top;text-align:center;">Methylprednisolone (40 mg/bid) on days 16–37 of illness</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Immunoglobulin treatment</td> <td style="vertical-align:top;text-align:center;">Yes, on days 7–12 of illness</td> <td style="vertical-align:top;text-align:center;">Yes, on days 6–12 of illness</td> <td style="vertical-align:top;text-align:center;">Yes, on days 5–8 of illness</td> <td style="vertical-align:top;text-align:center;">Yes, on days 16–37 of illness</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">ECMO treatment</td> <td style="vertical-align:top;text-align:center;">No</td> <td style="vertical-align:top;text-align:center;">No</td> <td style="vertical-align:top;text-align:center;">No</td> <td style="vertical-align:top;text-align:center;">On day 25 of illness</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Oxygen use</td> <td style="vertical-align:top;text-align:center;">Noninvasive ventilation on days 6–12 of illness</td> <td style="vertical-align:top;text-align:center;">Oxygen inhalation through nasal tube on days 4–17 of illness</td> <td style="vertical-align:top;text-align:center;">Oxygen inhalation through nasal tube on days 7-20 of illness</td> <td style="vertical-align:top;text-align:center;">Noninvasive ventilation on days 17–19 of illness</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Endotracheal intubation and mechanical ventilation</td> <td style="vertical-align:top;text-align:center;">Yes, on day 12 of illness</td> <td style="vertical-align:top;text-align:center;">No</td> <td style="vertical-align:top;text-align:center;">No</td> <td style="vertical-align:top;text-align:center;">Yes, on days 19–32 of illness</td> </tr> <tr> <td scope="row" style="vertical-align:top;text-align:left;">Status as of 2013 Apr 21</td> <td style="vertical-align:top;text-align:center;">Died on day 12 of illness</td> <td style="vertical-align:top;text-align:center;">Recovered, discharged on day 18 after illness onset</td> <td style="vertical-align:top;text-align:center;">Recovered, discharged on day 21 after illness onset</td> <td style="vertical-align:top;text-align:center;">Condition worsened, receiving invasive breath machine and ECMO treatment</td> </tr> </tbody> </table>
      *NA, not applicable; SHPHCC, Shanghai Public Health Clinical Center; CT, computed tomography scan; GGO, ground-glass opacity; bid, 2 times a day; ECMO, extracorporeal membrane oxygenation.




      http://wwwnc.cdc.gov/eid/article/19/7/13-0612-t1.htm
      Last edited by sharon sanders; May 4, 2013, 01:12 PM. Reason: edited top remark after finding all cases already announced on our case list

      Comment


      • #4
        Re: H7N9, China: Cumulative number of today confirmed and suspected cases (May 4 2013): 1 cases / 0 deaths (Total 130 / 27 )

        I believe case #4 above is case #19 on our case list:

        #19 - Man, 58/59, retiree, onset on March 25, hospitalized on March 30 (possibly from Anhui province and a visitor to Pudong)Shanghai Added note.


        I believe case #1 above is case #17 on our case list:

        #17 - Man, 73/74, farmer, onset date March 28, hospitalized March 31, died April 11 Shanghai Death note Added note.


        Case #2 above is case #18:

        #18 - Man, 65/66, retiree, onset date March 29, hospitalized April 2, in treatment - discharged April 18 Shanghai note Added note.


        Case #3 above is case #20:

        #20 - Man, 67 - onset on March 29. Hospitalized on March 30 - in treatment - Shanghai
        Last edited by sharon sanders; May 4, 2013, 01:11 PM. Reason: added 4th remark

        Comment


        • #5
          Re: H7N9, China: Cumulative number of today confirmed and suspected cases (May 4 2013): 1 cases / 0 deaths (Total 130 / 27 )

          Yes! I agree... that's what I have..

          Now... how about?

          Mei Z, Lu S, Wu X, Shao L, Hui Y, Wang J, et al. Avian influenza A(H7N9) virus infections, Shanghai, China [letter]. Emerg Infect Dis.2013 Jul [3 April 2013) table but missing some indicators....

          Table - Avian Influenza A(H7N9) Virus Infections, Shanghai, China - Vol. 19 No. 7 - July 2013 - Emerging Infectious Disease journal - CDC
          http://wwwnc.cdc.gov/eid/article/19/7/13-0523-t1.htm

          Comment


          • #6
            Re: H7N9, China: Cumulative number of today confirmed and suspected cases (May 4 2013): 1 cases / 0 deaths (Total 130 / 27 )

            Fujian new case of human infection of H7N9 avian influenza confirmed cases
            same as above
            http://www.fjphb.gov.cn/show.aspx?ct...46246&Id=87400
            Last edited by Biological; May 4, 2013, 03:13 PM. Reason: same as above

            Comment


            • #7
              Re: H7N9, China: Cumulative number of today confirmed and suspected cases (May 4 2013): 1 cases / 0 deaths (Total 130 / 27 )

              One more human case 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 (May 5) a human case of avian influenza A (H7N9) in Fujian.

              This case involves a 69-year-old man who is receiving treatment in hospital. The nine close contacts of him are asymptomatic so far.

              As of 9pm today, a total of 128 cases have been laboratory confirmed with avian influenza A (H7N9) in the Mainland, which included Zhejiang (46 cases), Shanghai (33 cases), Jiangsu (27 cases), Anhui (four cases), Henan (four cases), Jiangxi (five cases), Fujian (four cases), Shandong (two cases), Beijing (one case) and Hunan (two cases).

              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 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, Beijing, Shandong, Jiangxi, Fujian and Hunan, 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/Sunday, May 5, 2013
              Issued at HKT 21:24

              http://www.info.gov.hk/gia/general/2...1305040594.htm

              Comment

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