Announcement

**Biological** · January 23, 2014, 01:27 AM

Re: H7N9 Cases January 23, 2014 (confirmed cases: 6, confirmed deaths: 0) (suspected cases: 0, suspected deaths:1)

Shanghai 1 new confirmed cases of human infection with H7N9 avian influenza 23 January 2014

Shanghai Health and Family Planning Commission January 23 briefing, Shanghai reported new confirmed cases of H7N9 avian influenza case of human infection.

　　Patients, Qin Moumou, female, 61 years old, the city residence. Confirmed on January 22, is now in active treatment.
　　
According to state regulations, from November 1, 2013 the city began infected with H7N9 avian influenza has been incorporated into human B infectious management

http://www.smhb.gov.cn/wsj/n422/n424/u1ai132467.html

**Biological** · January 23, 2014, 01:28 AM

Re: H7N9 Cases January 23, 2014 (confirmed cases: 6, confirmed deaths: 0) (suspected cases: 0, suspected deaths:1)

Zhejiang Province, five new cases of human H7N9 avian influenza infection 23 January 2013

Release date :2014 -01-23 Source: Ministry of Health and Family Planning Commission views 47

January 23, 2014
Zhejiang Provincial Health and Family Planning Commission January 23 briefing, the province today five new cases of human infection of H7N9 avian influenza.

1, patients Moumou, female, 66 years old, retired, Shaoxing City people. January 22 confirmed human infection of H7N9 avian influenza. Is now in critical condition, a hospital for treatment in Shaoxing.

2, patients with the surname Wang, female, 71 years old, retired, Hangzhou Riverside area people. January 22 confirmed human infection of H7N9 avian influenza. Is now in critical condition, in Hangzhou, a hospital for treatment.

3 patients Xu X, male, 71 years old, farmer, Cangnan County of Wenzhou people. January 22 confirmed human infection of H7N9 avian influenza. Now the condition is severe, treatment at a hospital in Wenzhou.

4, the patient Moumou, male, 59 years old, workers, Yinzhou District, Ningbo people. January 22 confirmed human infection of H7N9 avian influenza. Now the condition is severe, in Ningbo, a hospital for treatment.

5, the patient Hu Moumou, female, 63 years old, farmer, Huzhou, Deqing County. January 22 confirmed human infection of H7N9 avian influenza. Is now in critical condition, in Hangzhou, a hospital for treatment.

http://www.zjwst.gov.cn/art/2014/1/2...62_407037.html

**Biological** · January 23, 2014, 05:03 AM

Re: H7N9 Cases January 23, 2014 (confirmed cases: 6, confirmed deaths: 0) (suspected cases: 0, suspected deaths:1)

Planning Commission of Guangdong Province on January 23 briefing, Shenzhen 1 new confirmed cases of human infection with H7N9 avian influenza, the province there are two cases cured.

Patients Zhang, female, 34 years old, currently residing in Baoan, Shenzhen, January 23 confirmed cases of human infection of H7N9 avian influenza, the patient is currently in critical condition in Shenzhen designated hospital admission.

Also, Guangzhou City on January 18 confirmed cases Panmou and Foshan City on January 10 confirmed cases Ryu were cured and discharged on January 22. So far, the province a total of seven cases of human infection with the H7N9 avian flu cured.

http://www.gdwst.gov.cn/a/zwxw/2014012311270.html

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**Biological** · January 26, 2014, 12:18 AM

Re: H7N9 Cases January 23, 2014 (confirmed cases: 7, confirmed deaths: 0) (suspected cases: 0, suspected deaths:1)

Shenzhen New critical illness: ten days after the onset of the use of Tamiflu

According to reports, the Shenzhen Baoan Xixiang new patients Zhang, who lives in the streets, in the ten days before being diagnosed with a continuous cough and shortness of breath. Shenzhen Third People's Hospital Zhoubo Ping revealed that, due to the use of Tamiflu in patients with onset after ten days, the virus has invaded the lungs, causing severe inflammation, nine patients have been found in Shenzhen, the most serious condition. In addition to severe pneumonia , but Zhang also appeared severe ARDS and septic shock , mediastinal emphysema and other complications of the disease difficult.

Zhoubo Ping said, after the onset of symptoms the patient did not seek immediate medical attention, as exacerbations, although there are treatment, but the hospital did not suspect that the first diagnosis of human infection with avian influenza H 7N 9, resulting in missed treatment opportunities, the current rapid spread of the virus. After last night's rescue, the patient's condition is currently stable initially, but still extremely critical.

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http://health.sohu.com/20140124/n394103207.shtml

**Biological** · January 29, 2014, 02:24 AM

Re: H7N9 Cases January 23, 2014 (confirmed cases: 7, confirmed deaths: 0) (suspected cases: 0, suspected deaths:1)

Cangnan County Health Department

Cangnan three initiatives to deal with people infected with H7N9 bird flu

Release Date: January 24, 2014 Views: 64

1 month 22 days Cangnan one case of H7N9 human case of bird flu. To prevent the spread of the epidemic spread of the county actively implement three major initiatives.

One is to strengthen institutions "full" cooperation. Convened 12 townships and health, business, agriculture, forestry, food and drug supervision and management 15 months relevant departments held H7N9 human infection with bird flu prevention and control of a special meeting, in accordance with the business of various departments under the jurisdiction of a clear mandate and asked all units to specify a Liaisons build Internet information contact platform, the implementation of information sharing. Each unit to develop appropriate contingency plans and work programs, improve internal compartmentalization coordination mechanism, to achieve "comprehensive" joint prevention and control. At present, has identified 27 name information liaisons.

Second, the implementation of the virus, "seamless" surveillance. Timely close contacts of confirmed cases were blood tests, strengthen urban and rural live animal markets, poultry scale farms ( households ) , poultry backyard farmers concentrated poultry slaughtering and processing areas and other key places occupational exposure and outside environment active surveillance, strict implementation of pre-triage system. Patients diagnosed now completed 28 close contacts sampling inspection, including medical personnel 22 names. Meanwhile, the acquisition of the farmers market where patients diagnosed 19 months outside environmental samples and medical tests.

Third, market forces arrested "normal" management. Comprehensively strengthen the regulation of live animal markets, the implementation of sanitation and disinfection live animal markets, sound processing and other normal management system. Urge farmers market strictly enforce the "Daily cleaning and disinfection, closed for at least a month 3 days' provisions and retention of live poultry "kill white" system, and effectively "hold live birds, but the night."

Focused lingxizhen ( H7N9 human case of bird flu occurred) 26 farmers market supervision and management to ensure that all measures are in place and achieve tangible results.
Chen Qiwei Cangnan County Health Department

http://www.wzswsj.gov.cn/zwgk/wsxx/bddt/20140124/53684_1.htm

**Giuseppe** · January 30, 2014, 12:41 PM

H7N9 Cases January 23, 2014 (confirmed cases: 7, confirmed deaths: 0) (suspected cases: 0, suspected deaths:1)

[Source: World Health Organization, full page: (LINK). Edited.]

Human infection with avian influenza A(H7N9) virus ? update

Disease outbreak news / 30 January 2014

On 29 January 2014, the National Health and Family Planning Commission of China notified WHO of 15 additional laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus.

Of these 15 cases, 10 are females. The age range among the cases is 31 to 81 years old. The cases are reported from Guangdong (4), Jiangsu (1), Shanghai (1) and Zhejiang Province (9).

Thirteen of the cases are currently in a critical or serious condition.

Fourteen of the cases are reported to have had exposure to poultry or a live poultry market/environment.

Details of 15 additional cases are as follows:

A 61-year-old woman cook from Shanghai City who became ill on 6 January. She was admitted to hospital on 20 January. She is currently in a critical condition. The patient has a history of exposure to poultry.
A 66-year-old woman from Shaoxing City, Zhejiang Province, who became ill on 15 January. She was admitted to hospital on 17 January. She is currently in a critical condition. The patient has a history of exposure to a live poultry market.
A 71-year-old woman from Hangzhou City, Zhejiang Province, who became ill on 12 January. She was admitted to hospital on 18 January. She is currently in a critical condition. The patient has a history of exposure to a live poultry market.
A 71-year- old farmer from Wenzhou City, Zhejiang Province, who became ill on 13 January. He was admitted to hospital on 19 January, and was transferred to another hospital on 21 January 2014. He is currently in a serious condition. The patient has a history of exposure to a live poultry market.
A 59-year- old man from Ningbo City, Zhejiang Province, who became ill on 18 January. He was admitted to hospital on 20 January and was transferred to another hospital on 22 January. He is currently in a serious condition. He has a history of exposure to poultry.
A 63-years-old woman farmer from Huzhou City, Zhejiang Province, who became ill on 11 January. She was admitted to hospital on 15 January and was transferred to another hospital on 18 January 2014. She is currently in a critical condition. The patient has a history of exposure to poultry.
A 34-year- old woman from Shenzhen City, Guangdong Province, who became ill on 10 January. She was admitted to hospital on 20 January 2014, and was transferred to another hospital on 21 January 2014. She is currently in a critical condition.
A 53-year- old man from Huai'an City, Jiangsu Province, who became ill on 22 January. He was admitted to hospital on 26 January. He is currently in a serious condition. The patient has a history of exposure to a live poultry market.
A 43-year-old woman farmer from Hangzhou City, Zhejiang Province, who became ill on 23 January. She was admitted to hospital on the same day. She has a mild illness. The patient has a history of exposure to a live poultry market.
An 81-year-old farmer from Huzhou City, Zhejiang Province, who became ill on 21 January. He was admitted to hospital on 23 January. He is currently in a critical condition. The patient has a history of exposure to poultry.
A 63-year-old woman farmer from Huzhou City, Zhejiang Province, who became ill on 22 January. She was admitted to hospital on 24 January and was transferred to another hospital on 26 January 2014. She is currently in a serious condition. The patient has a history of exposure to a live poultry environment.
A 57-year-old man from Ningbo City, Zhejiang Province, who became ill on 15 January. He was admitted to hospital on 23 January. He has a mild illness. The patient has a history of exposure to poultry.
A 43-year-old woman from Shenzhen City, Guangdong Province, who became ill on 17 January. She was admitted to hospital on 26 January. She is currently in a serious condition. The patient has a history of exposure to a live poultry market.
A 41-year-old woman from Shenzhen City, Guangdong Province, who became ill on 20 January. She was admitted to hospital on 26 January. She is currently in a critical condition. The patient has a history of exposure to a live poultry market.
A 31-year-old woman from Shenzhen City, Guangdong Province, who became ill on 16 January. She was admitted to hospital on 23 January 2014. She is currently in a critical condition. The patient has a history of exposure to a live poultry market.

So far, there is no evidence of sustained human-to-human transmission.

The Chinese government continues to take the following measures:

strengthen surveillance and situation analysis;
reinforce case management and treatment;
conduct risk communication with the public and release information;
strengthen international collaboration and communication; and
conduct scientific studies.

Sporadic human cases

While the recent report of avian influenza A(H7N9) virus being detected in live poultry imported from the mainland to Hong Kong SAR, shows the potential for the virus to spread through live poultry, at this time there is no indication that international spread of avian influenza A(H7N9) has occurred through humans or animals.

Further sporadic human cases of A(H7N9) infection are expected in affected and possibly neighbouring areas, especially given expected increases in the trade and transport of poultry associated with the upcoming Lunar New Year.

WHO advice

WHO advises that travellers to countries with known outbreaks of avian influenza should avoid poultry farms, or contact with animals in live bird markets, or entering areas where poultry may be slaughtered, or contact with any surfaces that appear to be contaminated with faeces from poultry or other animals. Travellers should also wash their hands often with soap and water. Travellers should follow good food safety and good food hygiene practices.

WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend any travel or trade restrictions.

As always, a diagnosis of infection with an avian influenza virus should be considered in individuals who develop severe acute respiratory symptoms while travelling or soon after returning from an area where avian influenza is a concern.

WHO encourages countries to continue strengthening influenza surveillance, including surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns, in order to ensure reporting of human infections under the IHR (2005), and continue national health preparedness actions.

Current technical information as well as guidance related to avian influenza A(H7N9) can be found at the WHO web site:

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Announcement

H7N9 Cases January 23, 2014 (confirmed cases: 7, confirmed deaths: 0) (suspected cases: 0, suspected deaths:1)

H7N9 Cases January 23, 2014 (confirmed cases: 7, confirmed deaths: 0) (suspected cases: 0, suspected deaths:1)

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