China - Yunnan province announced a new H7N9 avian flu case - possible human transmission - imported from Jiangxi province - February 15, 2017 - died

[sharon sanders]

The second case of imported H7N9 was diagnosed in Yunnan Province

[Index No: 01510047-20170215-6818]Release Date: 2017-02-15

Yunnan Province Health Committee on February 15 informed the Yunnan Provincial Health and Health Committee from 1 case from Jiangxi back to Yunnan severe cases detected H7N9 virus nucleic acid positive. According to the national and provincial expert consultation, combined with the patient's clinical manifestations, laboratory test results and epidemiological investigation, diagnosed as input H7N9 cases, Yunnan Province, the second case of imported H7N9 cases, the case and the first case of input Sexual H7N9 cases are mother-daughter relationship, there is a common history of live birds.
Patients Yang XX, female, 23 years old, on January 21 a three people to Jiangxi Spring Festival, live bird contact history, February 4 return to Kunming, fever symptoms, self-inductance fatigue, self-medication, The female was diagnosed with H7N9 cases of human infection, as a close contact, at 1:00 on February 8 by the provincial emergency center negative pressure car into the Yunnan Provincial Infectious Diseases isolation treatment. Admission test H7N9 negative, after admission, the disease progress quickly, after repeated testing, confirmed as H7N9 avian influenza virus nucleic acid positive.
After the outbreak, the Yunnan provincial party committee and government leaders to make important instructions, requiring full treatment of patients, the provincial health workers set up treatment group, mobilize the province to carry out the work of the experts, and invited three national experts from Beijing, Guangdong To participate in the treatment of Yunnan. By the state, the provincial experts to rescue invalid, at 20:03 on February 14 death. At present, the rest of the close contacts did not appear abnormal, did not find people to pass the situation.
According to the Yunnan Provincial Center for Disease Control on the province's external environmental monitoring, at present, the province outside the environment did not find H7N9 virus.

http://www.pbh.yn.gov.cn/wjwWebsite/...15163861451540

[sharon sanders]

I believe the other person in contact with this patient is:

a11. Female, 3, onset January 29 in Jiangxi and treated there February 1, hospitalized in Yunnan province February 5, died February 7 in Yunnan province, Jiangxi province Death CHP rpt 10/2/17


The onset dates are a week apart (January 29 for the daughter and February 4 for the mother) so human-to-human transmission is a possible explanation.

[Miyamoto Masakazu]

Got following info:


China: Yunnan reported second imported human H7N9 case from Jiangxi (mother of the first case)

Yunnan reported the second imported H7N9 case.

Official Reported date: Feb. 15, 2917
Age: 23 years old
Sex: Female
Mother of the first imported case (3 years old baby Already died)
Surname: Yang
Exposure to Birds: Yes
Travel history: Went to Shangrao city of Jiangxi provinge for lunar new year on Jan. 21, 2017 where they had contact with live poultry same as her daughter.
Onset: Feb. 4 (after coming back to Kunming: fever and fatigue)
Though took some medicine by herself, there was no improvement.
As she was a close contact of her daughter who was diagnosed as H7N9 imported case, she was transferred to Yunnan provincial infectious diseases hospital via negative pressure ambulance car on 01:00 of Feb. 8, 2017
Though she was negative for H7N9 testing at the first timing, her condition became worse quickly and tested H7N9 positive afterward.
She DIED on 20:03 of Feb. 14, 2017

Link in 1st post.