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H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013) - died

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  • Biological
    replied
    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013) - died

    Hebei to Beijing to severe human infection with H7N9 avian influenza patients due to multiple organ failure died

    Time :2013 -08-12 Source: Beijing Municipal Health Bureau Views: 106

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  • Giuseppe
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    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013) - died

    [Source: Municipality of Beijing Department of Health, full page in Chinese: (LINK). Automatic translation.]


    H7N9, Beijing: Hebei patient died of multi-organ failures

    Time :2013 -08-12 Source: Beijing Municipal Health Bureau


    After 25 days of rescue and Hebei to Beijing for medical treatment of people infected with H7N9 avian influenza in patients with severe, although once respiratory function improved, but in the end due to infection increased, died of multiple organ failure on the evening of 11 August 2013 22:00 about death.

    This case development and evolution of the disease and treatment process on the future treatment of human infection with H7N9 avian influenza severe cases have important implications.

    Patients Zhang, female, 61 years old, living in Langfang City, Hebei Province, for "five days fever, cough, dyspnea two days" on at 18:00 on July 18, 2013 by Langfang City 120 go to Beijing Chaoyang Hospital.

    The patient was admitted to hospital, his condition deteriorated rapidly, admissions doctors based on patient characteristics fever and respiratory symptoms, the hospital expert consultation, and rapidly carry out the new flu virus checks and by the Beijing-level expert consultation in July 2013 the 20th confirmed human infection of H7N9 avian influenza in severe cases.

    The patients with concomitant acute respiratory distress syndrome, severe sepsis, acute renal failure, disseminated intravascular coagulation, and other serious complications.

    Beijing Chaoyang Hospital, set up headed by a vice president of the medical treatment group of experts, to carry out treatment.

    During the period of rapid progression, unstable vital signs, repeatedly issued to the families of patients in critical condition notice.

    The full treatment, after 1 August 2013 the patient was once signs of improvement in respiratory function, August 4 from the ventilator can be intermittent after spontaneous breathing function recovery exercise, infection was part of the control, consciousness regained conscious, you can eat water.

    August 9 review H7N9 virus nucleic acid test results were negative, indicating the effect of antiviral therapy.

    Aug. 10 patients with recurrence of infection increased, August 11 quickly developed into sepsis, septic shock, leading to multiple organ failure. At 21:00 on August 11th, patients with decreased heart rate, blood pressure can not be maintained, 21:22 heart rate drops to 0, respiratory arrest, blood pressure is 0, the active rescue, breathing, heartbeat is still not restored, died at 22:01 declared clinically dead. Death diagnose human infection of avian influenza H7N9 pneumonia (severe cases), acute respiratory distress syndrome, acute renal failure, septic shock.

    August 12 morning, the Beijing Chaoyang Hospital, organize experts to death were discussed. Experts believe that: The patient's condition improved in the course of severe pneumonia increased again, the rapid development of sepsis, septic shock, leading to multiple organ failure, although the rescue, and finally failed to save lives.

    The case where the process of evolution and progression of human infection with H7N9 avian influenza on severe cases have three inspirations:

    First, anti-viral treatment for people infected with H7N9 avian influenza remains critically ill patients is necessary also effective.

    The patients with severe human infection of H7N9 avian influenza patients, but after antiviral therapy viral stock has been effectively controlled, the final test result is negative, combined with extracorporeal membrane oxygenation (artificial lung) applications, once signs of improvement in respiratory function, so human infection with H7N9 avian influenza on critically ill patients to be active antiretroviral therapy.

    Second, except for the treatment of severe cases concern the treatment of viral infection, attention should also be multi-organ protection and support to improve the overall success rate. The early onset patients with acute renal failure, have not been able to break away hemofiltration, and ultimately the development of multiple organ failure, indicating that the avian flu patients with severe multiple organ will be hit hard, with severe human infection with the H7N9 avian flu is always there life-threatening.

    Three for severe cases, conventional mechanical ventilatory support in difficult circumstances, the timely application of extracorporeal membrane oxygenation (artificial lung) therapy is effective measures.


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  • tetano
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    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013) - died

    H7N9 patient dies in Beijing


    BEIJING, Aug. 12 (Xinhua) -- A [wo]man infected with the H7N9 avian influenza died of multiple organ failure on Monday, local authorities said.

    The 61-year-old patient was transferred from the city of Langfan in north China's Hebei Province to Beijing Chaoyang Hospital for treatment on July 18. He tested positive for the H7N9 virus on July 20.

    A single human infection of H7N9 was confirmed in south China's Guangdong Province on Friday, bringing the total number of infections on the Chinese mainland to 134 this year. Forty-four of the infections have resulted in death.

    Authorities halted their emergency response to the H7N9 outbreak in late May. However, a spokesman for the National Health and Family Planning Commission said authorities have been monitoring the situation and are preparing for possible outbreaks in the coming fall and winter.

    Earlier this month, researchers in east China's Jiangsu Province said the H7N9 virus may be capable of human-to-human transmission. However, they added that such transmissions are limited and non-sustainable.


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  • tetano
    replied
    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

    Hebei to Beijing H7N9 avian flu patients brought rescue died

    The Hebei to Beijing have been infected with H N 7 9 bird flu patients brought rescue died as soon as possible after 25 days of full rescue, from Hebei to Beijing for treatment of persons infected with H N 7 9 avian influenza to patients. Although the respiratory function better, but in the end the infection, multiple organ failure rescue invalid last night when 22 deaths.

    微博截图。【河北来京人感染H7N9禽流感重症患者抢救无效死亡】经过25天的全力抢救,从河北来北京就医的人感染H7N9禽流感重症患者,虽一度出现呼吸系统功能好转,

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  • Giuseppe
    replied
    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

    [Source: Ifeng, full page in Chinese: (LINK). Automatic translation.]


    H7N9, Beijing: Hebei patient showing further improvements, still critical

    At 00:00 on August 6, 2013 Source: Beijing Youth Daily


    Original title: Hebei Langfang H7N9 patient is conscious can eat

    Reporters learned yesterday from the Chaoyang Hospital, Beijing from Hebei Langfang Aunt Zhang treated H7N9 patient condition improved markedly, she can be break off the ventilator. She currently conscious, and can eat water.

    Yesterday, the hospital released the latest news, Aunt Zhang can be interrupted in patients from the ventilator, lung function has been restored, the infection has been partially controlled, conscious, she can eat drink, but renal function has not been restored.

    Yesterday morning, in order to Tong Zhaohui, vice president, head of the School of expert consultation conducted her again, that Aunt Zhang "H7N9 avian influenza with severe pneumonia," her condition improved, but still heavy. 17:00 yesterday, the Beijing Municipal Health Bureau to the British Secretary dedicated to the Chaoyang Hospital Respiratory Care Unit visited Aunt Zhang and condolences to the fighting in the front line of medical personnel.

    As of yesterday, Aunt Zhang Chaoyang Hospital has been in hospital emergency respiratory intensive care unit for 17 days. She just has happened multiple organ failure at admission, deep coma, no spontaneous breathing, relying on "artificial lung" breathing, dying, hospital several times to the family issued a critical condition. But after careful treatment of persistent hospital, Zhang aunt's condition gradually improved, last week, her eyes pupillary light reflex sensitivity, from the "artificial lung", relying on ventilator to breathe.


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  • Giuseppe
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    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

    [Source: Ifeng, full page in Chinese: (LINK). Automatic translation.]


    H7N9, Beijing: Hebei patient removed from ECMO, improved

    At 00:00 on August 3, 2013 Source: Beijing Youth Daily

    Original title: Hebei H7N9 critically ill patients removed "artificial lung"


    After 16 days of treatment Chaoyang Hospital, Langfang H7N9 patients Aunt Zhang finally got better, the first time the temperature dropped to 37 ℃ or less, no longer swollen limbs, eyes pupillary light reflex sensitivity.

    July 18 this year, 61-year-old rural patients Langfang Aunt Zhang was transferred to Beijing Chaoyang Hospital for treatment and was soon diagnosed with H7N9 severe cases, respiratory intensive care unit and was admitted to the isolation ward. At that time, the hospital to the community after expert consultation, the patient's condition is extremely critical, heart, lung, kidney, liver and other organ failure began to appear.

    Aunt Zhang hospital to spend the best treatment of respiratory failure in the instrument?? Artificial lung, while also undergoing hemodialysis, drug antiviral therapy and strengthening the immune system therapy.

    Yesterday, the Chaoyang Hospital, spread the good news, Zhang aunt's condition has improved, has removed the artificial lung, but still use the ventilator.

    Binocular pupillary light reflex sensitivity by a slow turn, the temperature dropped to 37 ℃ the following first, limb edema disappeared, these are signs of improvement in the condition. Aunt Zhang disease experts will level from "extremely critical" reduced "critical."

    Hospital said Aunt Zhang still stable condition, and some organs began to improve, but some organs yet to see improved, is still in need of antiviral treatment and strengthening the immune system therapy.


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  • tetano
    replied
    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

    Langfang terminated H7N9 avian flu four-level response to public health emergencies


    CNS, Langfang, August 1 (reporters Song Mintao and Makoshi and Wang Ying)-official 1st revealed in Langfang city, Hebei province, Langfang human infection H7N9 avian influenza terminated on July 31, four-level response to public health emergencies, work to business as usual. according to reports, Langfang 1 informed the Beijing visit Beijing, July 20 after the diagnosis in patients with confirmed cases of human infection H7N9 avian influenza, Langfang city on July 21, the Government launched a four-level emergency response to public health emergencies, carry out epidemic prevention and control work. on July 10 after the onset of confirmed cases, 21 consecutive days without a new case, and 27th all close contacts were all released from medical observation. According to national related emergency plans, and Hebei province, with provincial, municipal and district level joint expert group assessment, agreed by the Government of Langfang city, July 31, 2013, ending human infection H7N9 avian flu four-level response to public health emergencies, the conversion of the working normal. according to the outbreak situation in Langfang city, Hebei province, city and district level analysis argues that the joint expert group, this human infection H7N9 avian influenza outbreak in Langfang spread epidemic risk rating is lower, but do not exclude the possibility of recurrence of cases. According to reports, there is currently no evidence that H7N9 avian flu virus was transmitted from, the epidemic in the anti-controlled state. 1807: press the page drew _acK ({aid:1807,format:0,mode:1,GID:1,serverbaseurl:'me .AFP.chinanews.com/'}); prevention and control experts suggest that after termination of response, we will continue to adhere to the intensification of surveillance, case investigation, joint defense measures such as control, establishing long-term mechanism, a solid job in normalizing prevention and control work. (End


    河北省廊坊市官方1日透露,廊坊于7月31日24时起终止人感染H7N9禽流感突发公共卫生事件四级响应,工作转为常态。

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  • Giuseppe
    replied
    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

    The above news about two Hebei confirmed birdflu patient died of late stage terminal cancer appeared firstly on July 21 '13, http://www.flutrackers.com/forum/sho...3&postcount=20

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  • tetano
    replied
    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

    Langfang H7N9 infection close contact 2 people died of terminal cancer

    Finally released from medical observation as specified in 3 close contacts news network, July 27 in Langfang, Hebei (Hebei daily reporter Sun Ya reporter Sun Zhanwen) to today, widely H7N9 avian influenza infection in patients with a final 3 close contacts, expiry of medical observation, no abnormal symptoms, released from medical observation, as required. on July 20, Langfang City got a provincial health department about a Beijing doctor was diagnosed in patients with confirmed cases of human infection H7N9 avian influenza report, prompt start of the four-level emergency response to public health emergencies, some close contacts were placed under investigation. After epidemiological investigations, were identified 30 close contacts, management in Beijing, Langfang management 26, 4. Among them, Langfang died of terminal cancer has two close contacts, close contacts of all remaining 28 according to the provisions under medical observation for 7 days. as of today, patients with a final expiry of 3 close contacts are under medical observation, no abnormal symptoms, released from medical observation, as required. at 9 o'clock in the morning today, Langfang is not newly discovered suspected and confirmed cases of human infection H7N9 avian influenza.


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  • Giuseppe
    replied
    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

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


    H7N9, Beijing: No improvements for the first Hebei birdflu patient, still critical

    At 17:03 on July 27, 2013 Source: CCTV


    CCTV News [Hebei discovered H7N9 bird flu "any time of danger"]

    Last weekend, one of the patients from Langfang City in Beijing confirmed human cases of avian influenza H7N9 infection.

    Currently, all close contacts of the patient has been discharged under medical observation, Langfang No new cases of newly discovered H7N9, but has confirmed the patient, physical condition is still not optimistic, any time of danger.

    (CCTV reporter Cai Li)


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  • tetano
    replied
    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

    Hebei H7N9 no change in patients with life-threatening infection

    Reporter from the Beijing Chaoyang hospital learned, Hebei to Beijing visit H7N9 avian flu patients compared with yesterday, no significant change in condition, remains a critical, life-threatening. content Hong Beijing July 24 News reporter from the Beijing Chaoyang hospital learned, Hebei to Beijing visit H7N9 avian flu patients compared with yesterday, no significant change in condition, remains a critical, life-threatening. this year, in the morning (July 24), Vice President of the Beijing Chaoyang hospital Tong ZhaoHui as leader of Group consultation, compared with yesterday, patients with no significant changes, is still critically ill, in danger. Continued monitoring cycle, in vital organs such as gastrointestinal function, maintain the current plasma support, enhance immunity and protection of gastric mucosa in the treatment of thymus peptide, nutrition support, and strict isolation, focus on medical staff protection. it is understood that certain, female, 61 years old, as it '5 days of fever, cough, difficulty breathing 2 day' on July 18, 2013 income Beijing Chaoyang hospital respiratory intensive care units. Hospital 7th days, RICU 7th day 7th day tracheal intubation. Patients currently live ward for respiratory intensive care unit in a negative pressure isolation ward. Current diagnosis: human infection H7N9 avian influenza viral pneumonia (severe cases), acute respiratory distress syndrome, infection toxic shock, acute renal failure, and disseminated intravascular coagulation, low protein blood syndrome, after cholecystectomy.



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  • Giuseppe
    replied
    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

    [Source: Ifeng, full page in Chinese: (LINK). Automatic translation.]


    H7N9, Beijing: Hebei bird flu patient suffers for septic shock

    At 02:34 on July 24, 2013 Source: Beijing Morning News

    Original title: H7N9 is now critically ill patients with septic shock


    Morning News (Reporter Xu Jingjing Xiao Dan) Municipality reports of severe H7N9 bird flu first appeared Zhang septic shock, and because organ failure, the gallbladder has been removed. Yesterday, the Chaoyang Hospital, announced his Tong Zhaohui, vice president, head of the School of expert consultation results. Compared with the day before, the patient slightly elevated body temperature at night is still "extremely severe."

    Reporters in the patient's medical records report that the patients with bilateral miosis, light reflex slow, did not respond to the call. Lung breath sounds very low heart rate, Qi, limb edema. It is reported that, at present, Zhang still using ECMO "artificial lung" plus mechanical ventilation.

    After the diagnosis, the patient infected with human H7N9 avian influenza viral pneumonia with severe, with acute respiratory distress syndrome, septic shock, acute renal failure, disseminated intravascular coagulation, hypoalbuminemia.

    It is reported that, in the treatment program, the hospital stepped up anti-infection treatment, continue to breathe and ECMO support treatment. Meanwhile, in order to prevent secondary infection, strengthen ECMO puncture wound dressing desiccant and closely monitoring loop, gastrointestinal and other vital organ functions.

    In addition, the reporter learned that, due to close contacts are observed in isolation, so I did not have relatives to accompany Zhang side.

    Yesterday, the Beijing Municipal Health Bureau said the city will not change the norm for the H7N9 avian influenza management strategies, but will be emphasized to all medical institutions to increase vigilance against H7N9 avian influenza.

    For July 21, Langfang, Hebei confirmed human cases of avian influenza H7N9 infection, the Beijing Municipal Bureau of Agriculture animal disease prevention and control center yesterday on the border with Hebei Langfang two neighboring towns to carry out emergency monitoring of poultry were detected in 480 samples , of which 240 parts of etiology, serology 240 copies, serology and pathogen monitoring results were negative, the city has not yet found H7N9 avian influenza infection in animals.


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  • Pathfinder
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    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

    Translation Google

    News News> Local News> Text
    News

    Langfang H7N9 patients in critical condition two cases observed contacts lifted

    At 23:30 on July 23, 2013 Hebei Youth Daily, I have something to say (two participants)

    In response to H7N9, Langfang City area all 12 live poultry slaughter market have been closed.

    The two confirmed cases of close contacts under medical observation for seven days, yesterday released medical observation.

    Treated patients in Beijing yesterday, no significant change in the condition, remains extremely critical.

    Currently, not yet found infected with H7N9 avian bird flu situation.

    Two cases of close contacts discharged medical observation

    After the outbreak, Langfang implement zero for the epidemic reporting system daily newspaper.

    While requiring daily reports of human infection with H7N9 avian influenza in close contacts of the very fact of observation conditions.

    Reporter yesterday from the Langfang Municipal Health Bureau, the first two close contacts under medical observation full seven days (from the last calculation in contact with Miss Zhang), has been released under medical observation, you can work and live normally.

    Close contact with the rest of health monitoring well, the temperature is normal, not fever, cough and other flu-like illness symptoms.

    Langfang Municipal Health Bureau will further strengthen the close contacts under medical observation, abnormal, and immediately disposed of.

    No significant changes were still very critical

    Yesterday, the Beijing Chaoyang Hospital, news release, people infected with H7N9 avian influenza (severe cases) the very fact that yesterday's disease patients with no significant change, remains extremely critical.

    Compared with 22, in addition to viral pneumonia, acute respiratory distress syndrome, acute renal failure, disseminated intravascular coagulation, the patients also appear hypoalbuminemia, septic shock, and removal of the gallbladder.

    Treatment, anti-infective therapy have not been adjusted, hospitals continue to strengthen the anti-infection, enhance immunity and other targeted therapies.

    Meanwhile, the close monitoring of circulation, gastrointestinal and other important organs, continue to protect the gastric mucosa treatment.
    Been found infected with H7N9 bird

    Reporters learned yesterday from the Health Department of Hebei Province, as of now, all 12 Langfang City area of ​​live poultry slaughter market all closed, and has completed hygiene and disinfection treatment.

    Provincial Forestry Department, as of now, the province was not found infected with H7N9 avian bird flu epidemic.

    Provincial Forestry Department, Wildlife Conservation station Zhang said most of the migratory birds in the province currently has basically ended, only a small part of the summer breeding birds stay in the province.

    In accordance with the Provincial Forestry Department urged all localities to strengthen the wetlands, reservoirs, parks, nature reserves and bird market, zoos and other wildlife domestication and breeding places of monitoring and inspections.

    Provincial Forestry Department in coordination with the Health Department of the eight national wild animal epidemic sources and disease monitoring stations for deployment, the current sampling task has been completed, is being detected.

    Zhang warned that the public should stay away from wild animals, do not pick up, do not touch dead wild animals, abnormal timely report to the local forestry department.

    ■ text / reporter Chen Xue Zhang Lei

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  • Giuseppe
    replied
    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

    Despite the questions raised by this new case of H7N9 in Hebei, until the infected chickens continue to be around, and taken into account the avian-like preference for warmer temperature, human cases are anticipated to occur in future.

    In addition, the summer seasonal influenza peak may contribute to alter the immune response of people against the novel strain, as suggested by some researchers (the so called A.D.E. theory).

    Essentially, the most Dangerous factor behind human cases is the persistence of infected chickens in the market, and the lack of a enhanced surveillance (or the results of it) among industrial farmed chickens.

    GM

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  • Pathfinder
    replied
    Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

    Translation Google

    Confusion flu: H7N9 virus span afraid of heat?

    2013-07-22 Source: China News Network

    In the spring of this year, h7n9 bird flu high-fat period, there have been many experts predict that as temperatures rise, h7n9 bird flu will be slow, but recently went to Beijing for treatment of another example of h7n9 bird flu triggered again public panic. Experts believe that it is temporarily unable to clear the peak incidence of the specific relationship with the seasons, as the virus has variation requires further study.

    Spring sick?

    Why summer again h7n9 virus?

    China CDC deputy director of the virus ﹑ National Influenza Center Director Shu Yuelong said: "The possibility of the occurrence of new cases has always been there, I have always said that the virus will not disappear for no reason, does not disappear, then people infected will be generated. "

    Chaoyang Hospital Respiratory experts Tong Zhaohui said that this spring, there are experts on the causes of morbidity and infection h7n9 laws have carried out a series of studies, that the disease may be more inclined to take place in spring and autumn, but now, there have been cases in the summer . As h7n9 virus now lack a sufficient amount of epidemiological study sample size and therefore temporarily unable to clarify its peak incidence of the specific relationship with the seasons. As to whether the virus in about half the time variations appear, needs further study compared.

    Has variation?

    Influenza viruses are not generally considered suitable in the summer there, Hebei new cases mean that the virus mutates?

    Chinese Feng Zijian, director of CDC health emergency, "said the case did not find the mutation, because the virus is not isolated, we have to do the analysis of the sequence of the virus, so as to know whether it is what happens."

    Grasping prevention?

    After the summer, has been gradually discontinued over h7n9 bird flu prevention and control, emergency response, whether it is now necessary to restart?

    Feng Zijian said, you can clearly see that in the past this time to take these measures, to control the outbreak of epidemic-prone areas have a significant effect. Is still necessary to strengthen surveillance of poultry and found that the new virus outbreaks continue to take place to be relevant measures, including temporary closure of poultry live bird markets, restriction interregional flows.

    Person to person?

    h7n9 virus can spread efficiently among humans occurred?

    This is the h7n9 virus research focus. National Avian Influenza Reference Laboratory director Chen Hua-lan said, h7n9 virus non-pathogenic for poultry, allow it to exist in poultry not easily found, increasing the h7n9 virus transmitted to humans and the occurrence of more opportunities for genetic mutations, which may get the h7n9 virus spread efficiently between humans ability. She appealed to the global nature should be monitored closely, especially the crowd h7n9 virus variation.

    Large outbreak?

    Studies have shown h7n9 virus may spread by droplet "efficient communication", which would mean that a wide range of h7n9 infection?

    Respiratory disease experts ﹑ Chinese Academy of Engineering, Zhong Nanshan, analysts say, in general, laboratory studies not mean the epidemic can not be equated, human epidemiological data transmission must be able to prove. Laboratory studies have shown that there is this possibility. In addition, there are several variations of amino acids that may be converted to human bird flu, so to draw attention. "But from February to now, there is not a very clear evidence of human to human transmission, so I think the laboratory work gives us a wake-up call, but we also need to epidemiological evidence." Reporters on behalf of Lili

    Original title [flu confusion: H7N9 virus span afraid of heat? ]

    Above from: China News Network

    [Editor: Li Shuai]

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