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India - Media reports bird flu death (H5N1); AIIMS-Delhi staff placed under isolation - July 20, 2021 - sample confirmed positive for A/H5 and Type B Victoria lineage

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  • India - Media reports bird flu death (H5N1); AIIMS-Delhi staff placed under isolation - July 20, 2021 - sample confirmed positive for A/H5 and Type B Victoria lineage

    An 11-year-old boy who was undergoing treatment for Avian Influenza has died at the All India Institute of Medical Sciences (AIIMS) in New Delhi. This is the first bird flu death recorded in the country since the beginning of this year.

    The entire staff at AIIMS, New Delhi, has been placed in isolation as a preventative measure.

    According to the World Health Organisation (WHO), human cases of bird flu (Avian Influenza) occur " occasionally" but when they do happen, the mortality rate is about 60 per cent.

    Bird flu outbreaks were reported across the country earlier this year, including in Haryana where experts detected the H5N8 subtype of the Avian Influenza virus. This strain is not known to infect humans.

    The central government had sounded an alert when cases of bird flu were confirmed in Delhi and at least ten states, including Kerala, Rajasthan, Madhya Pradesh, Himachal Pradesh, Gujarat, Maharashtra and Haryana. Culling of birds was carried out in large numbers across the country in a bid to counter the spread of infection.

  • #2

    Bird flu death at AIIMS: 11-year-old is first recorded casualty this year

    People who have come in close contact with infected birds, dead or alive, can contract the H5N1 flu but according to the WHO, it does not usually spread from person to person.(This is wrong. It can spread person-to-person. This is why staff is isolated. ss)

    An 11-year-old boy died of H5N1 avian influenza Tuesday, making this the first recorded death due to the bird flu in India this year.

    An AIIMS official stated that the boy had been admitted to the hospital on July 2 and that he died on Tuesday. The official added that all staff who had been in contact with the patient are under isolation.



    • #3
      I added this case to our list because there are two generally reliable media reporting it:

      FluTrackers 2016+ Global H5N1 Human Cases List (with link to previous years)


      W.H.O. case list

      Click image for larger version  Name:	whoh5n1cumlist.JPG Views:	2 Size:	149.8 KB ID:	919880


      • #5
        12-year-old boy suffering from bird flu succumbs at AIIMS in Delhi

        Human-to-human transmission of bird flu rare, no need to panic: AIIMS chief
        ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
        Richard Horton, Editor-in-Chief The Lancet

        ~~~~ Twitter:@GertvanderHoek ~~~ ~~~


        • #6
          Ministry of Health and Family Welfare

          IDSP State Surveillance Unit (SSU), Haryana to initiate an epidemiological investigation into the first documented human case of Bird Flu

          Close contacts of the patient under surveillance for any symptoms

          No suspected case of bird flu in the area

          Awareness building activities being carried out to report any other symptomatic case

          Posted On: 21 JUL 2021 8:10PM by PIB Delhi

          An 11 year old child has been reported as the first human case of H5Nx from Gurugram, Haryana.

          The male child was diagnosed with AML in Paediatrics department, AIIMS, Delhi on June 2021. He developed symptoms of fever, cough, coryza, and breathing difficulty, soon after induction therapy for AML. He was diagnosed as AML with febrile neutropenia with pneumonia and shock, which progressed to ARDS. He was admitted to AIIMS, New Delhi on 2nd July, 2021. The boy suffered from multi organ dysfunction and died on 12 July 2021.

          Department of Microbiology AIIMS received the Bronchoalveolar lavage (BAL) for respiratory panel testing on 7 and 11 July 2021. The sample has tested Positive for both Influenza A and Influenza B. It was also negative for SARS COV-2 and other respiratory viruses. Subtyping for Influenza A remained inconclusive with available reagents for H1N1 and H3N2 at AIIMS. So, the samples were sent to NIV on 13 July, 2021

          At NIV, both the samples were tested for Influenza A and Influenza B along with Influenza A seasonal (H1N1, H1N1 pdm09 and H3N2), non-seasonal avian subtypes (H5, H7, H9 and H10) by Real time PCR. The result showed that the sample is positive for A/H5 and Type B Victoria lineage. Whole genome sequencing and Virus isolation is in process.

          NCDC, Delhi received information on Friday July 16th, 2021 from AIIMS, Delhi along with a lab report from NIV Pune. The information was communicated to the IDSP State Surveillance Unit (SSU), Haryana to initiate an epidemiological investigation into the case. The matter was also reported to the Animal Husbandry Department. A team from NCDC composed of Epidemiologists & Microbiologists was constituted and the team immediately visited AIIMS, New Delhi and Gurugram for undertaking an epidemiological assessment. The State health department and the animal husbandry department officials are also involved in the investigation.

          Based on the available information, the team of doctors and nurses treating the patient are being monitored since 16th July 2021 for development of any influenza like illness with no one reported symptomatic till date. Contact tracing was undertaken and family members, close contacts and health care workers are under close surveillance. None of the close contacts have any symptoms. Contact tracing, an active search for any symptomatic case has been carried out in the hospital and area where the case resided. IEC activities carried out for the general public with an advice to report any symptomatic case to the health authorities. There are no symptomatic individuals in the area at present.

          The Animal Husbandry Department has not found any suspected cases of bird flu in the area and has enhanced surveillance in a 10 km zone as a precautionary measure. Further, epidemiological investigation by NCDC, involving animal husbandry department and State government surveillance unit, is underway and appropriate public health measures have been instituted.



          HFW-Bird Flu case/21st July2021-5

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          • #7
            The boy had acute myloid leukemia:


            • #8
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