China - Researchers say two H7N9 bird flu cases announced in February are a health care worker cluster - Shantou, Guangdong province

[sharon sanders]

The Third Wave: H7N9 Endemic Reassortant Viruses and Patient Clusters

snip

.A recent cluster of infections in a hospital setting in Shantou, China, is worth discussing (Table 1). Two attending physicians in a respiratory unit at a local hospital developed pneumonia like symptoms on the same day in early February. One of them was subsequently diagnosed with H7N9 and developed ARDS. The other physician did not develop ARDS and had a milder course of illness. Repeated testing for H7N9 remains equivocal and sero conversion will be used to determine H7N9 infection status of this patient. Both patients had no known recent exposure to live poultry. A third patient who also spent time in the same respiratory unit in early February has tested positive for H7N9 and had no known recent exposure to live poultry.

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partial Table 1 view:




http://www.jidc.org/index.php/journa.../25699485/1244

[sharon sanders]

Here are the recent confirmed cases in Shantou, Guangdong province:


#522 - Male, 68, [Houmou], hospitalized, Shantou, Guangdong province

#584 - Male, 33, [Moumou] diagnosed February 9, in critical condition, Shantou, Guangdong province

#588 - Male, 60, [Daimou], diagnosed February 11, hospitalized in critical condition, Shantou, Guangdong province

#600 - Female, 48, [Hwang], hospitalized in critical condition, Shantou, Guangdong province

#601 - Male, 51, [Shimou], hospitalized in critical condition, Jinping, Shantou, Guangdong province


Most likely cases #584 and #588 are the doctors.

[Laidback Al]

It is unlikely these two HCWs are in the FT list. According to the table in the article, these two individuals experienced symptom onset on February 16, 2015.

[sharon sanders]

I would believe anything at this point. If #584 and #588 are not the doctors referred to above then either Guangdong province is missing cases or the researchers have the date wrong.

[Pathfinder]

Translation Google

Shantou deployment of H7N9 prevention and control

2015-02-24 11:46:39 Source: Shantou Daily Author: Xinrui Ling

As of February 22, this year, Shantou City, five cases were reported cases of human infection with H7N9, which killed one case, cases have occurred in Jinping District. Currently, with these five patients had close contact with the relevant personnel had no abnormal situation...

It is understood that this year found that H7N9 cases since, Shantou deploy the most capable medical technology to do all the work of patient treatment. In addition to the first case of patients with septic shock, multiple organ failure death, the remaining four hospitals ICU patients are still receiving treatment. It is reported that five cases reported this year, Shantou Jinping District occurred in, but five cases belong to four different streets, was sporadic distribution. Expert analysis, market Jinping District densely distributed, operating a live bird market in the area of about 41, poor sanitation conditions surrounding the market, market traffic, population density, increasing the chance of exposure. In addition, during the live bird area closed, the prevalence of the phenomenon of transfer of live poultry, expanding the scope of pollution.

This year, the municipal government attaches great importance to H7N9 epidemic prevention and control work, give full play to the role of joint prevention and control mechanism, the city's epidemic prevention and control work carried out scientific and orderly. According to the unified deployment of the provincial government, the city's live poultry markets unified management, temporary closed during the Spring Festival; at the same time, medical units at all levels and strengthen sentinel hospitals unexplained pneumonia and H7N9 surveillance case investigation and emergency monitoring efforts. As of February 16 this year, the city's total of 92 cases of investigation fever pneumonia cases currently reported cases were from pneumonia investigation found. In addition, this year, Shantou to six batches of 19 counties conducted market monitoring, were monitored integrated market 12, 268 live poultry stalls in environmental samples collected, seven markets in which five areas seized a total of 20 samples a nucleic acid H7 positive rate was 7.5%. Monitoring results indicate that the presence of the H7N9 virus infection in certain foreign markets Shantou environment.
...

http://st.southcn.com/content/2015-0..._118779976.htm