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China - 14 confirmed cases of human infection with H7N9 avian influenza - Five fatalities March 31 - April 4

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Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

The World Health Organization is "closely monitoring the situation" in China, regional agency spokesman Timothy O'Leary said in Manila.

"There is apparently no evidence of human-to-human transmission, and transmission of the virus appears to be inefficient, therefore the risk to public health would appear to be low," O'Leary said.:tiphat:http://www.cbsnews.com/8301-202_162-57577161/china-downplays-new-bird-flu-fears/
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

... The early onset of both influenza-like symptoms, a week after symptoms develop into pneumonia and was progressively increased, two patients had chronic underlying disease history. Lee before the onset of his two sons are also due to similar symptoms to the hospital for treatment, the eldest son was diagnosed with a lung infection, pneumonia, has been cured; youngest son was diagnosed with severe pneumonia after she died. They were not detected in the H7N9 avian influenza...:tiphat:http://www.jfdaily.com/a/5647816.htm
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Taiwan on alert against H7N9 bird flu
2013/03/31 22:22:13

Taipei, March 31 (CNA) Taiwan heightened its vigilance at its entry ports and alerted the medical professionals to be on the look out for unknown pneumonia patients after China reported two dea:tiphat:http://focustaiwan.tw/ShowNews/WebNews_Detail.aspx?Type=aALL&ID=201303310020
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

[Source: Centre for Health Protection, Hong Kong PRC SAR, full text: (LINK).]

Notification of three human cases of H7N9 in Shanghai and Anhui



(...)

A CHP spokesman said the two cases in Shanghai were two men aged 87 and 27, who passed away on March 4 and 10 respectively.

As regards the case in Anhui, the 35-year-old female patient is now in critical condition.

Laboratory tests on the three patients' specimens by the Mainland health authorities yielded a positive result for H7N9.

According to the Commission, the 27-year-old man was a butcher while the 35-year-old woman had exposure history to poultry before the onset of symptoms.
No epidemiological link between the three cases was identified.

So far, no abnormality was detected among the 88 close contacts of three cases.

(...)


This is the only piece of news that suggests a contact with poultry among the three patients infected with H7N9.

All other outlets, included authoritative sources, do not cite poultry or other animals as possible exposure of patients.

This point needs clarification.
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Apparently the WHO does know about this situation:

hat tip Mixin


A/Anhui/1/2013
EPI_ISL_138739
Submitted by WHO Chinese National Influenza Center

A/Shanghai/2/2013
EPI_ISL_138738
Submitted by WHO Chinese National Influenza Center

A/Shanghai/1/2013
EPI_ISL_138737
Submitted by WHO Chinese National Influenza Center


We would like to remind our posters that GISAID does not allow any public posting of any information about data from their database.

Our thread for sequence analysis is developing:

China - H7N9 Human Isolates on Deposit at GISAID
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Translation error? Do they mean to say that the H7N9 was found on the 22nd of March?

Shanghai found the world's first two cases of human infection with the H7N9 avian flu death
Updated March 31, 2013, Greenwich Mean Time 06:54

http://www.bbc.co.uk/zhongwen/trad/china/2013/03/130331_china_new_bird_flu.shtml

[snip]

Announced after weeks of delay in these cases, the Ministry of Health announced the interpretation of the Shanghai municipal authorities in the detection process has excluded the seasonal influenza H1N1 and H3N2, commonly known as swine flu (H1N1) influenza, H5N1 highly pathogenic avian influenza, SARS and the possibility of the new type of coronavirus, was found in 22 patients may be infected with the H7 influenza.

The virus samples transferred to the China Disease Prevention and Control Center, the center isolated H7N9 virus, and the final diagnosis.

The Chinese Ministry of Health stressed that did not have a strong human-to-human transmission, H7N9 virus, according to who is in close contact with medical observation. The Ministry of Health called on the public to maintain personal hygiene habits, and to avoid contact and edible disease, dead livestock.

The Ministry of Health said that the authority has informed the World Health Organization the three cases.

---

Word-by-word translation:

at day 22 current patients could be infected by...

English version of BBC story does not mention ''22'' cases or date: http://www.bbc.co.uk/news/world-asia-china-21988423
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Published Date: 2013-03-31 12:12:36
Subject: PRO/AH/EDR> Avian influenza, human (14): China (Shanghai, Anhui) H7N9, fatal
Archive Number: 20130331.1612370
AVIAN INFLUENZA , HUMAN (14): CHINA (SHANGHAI, ANHUI) H7N9, FATAL


..Communicated by:
Gert van der Hoek
<gertvanderhoek@gmail.com>


[Two of the first three known human case of the relatively rare avian H7H9 serotype avian influenza A virus have died. The condition of the third patient has not been disclosed. The three cases are unrelated, of different ages, and not known to have any predisposing medical conditions. The two fatal cases were resident in Shanghai and the surviving case is resident in Chuzhou City, Anhui Province. None of the immediate contacts of theses patients have contracted the infection. The extent of the three victims contact with diseased or normal poultry is not revealed, nor any contact with wild birds.

While these facts do not indicate any imminent threat of a human epidemic, the situation is novel and alarming, particularly as the human population has not been exposed to influenza viruses of H7 or N9 antigenicity in the past, and can bassumed to have no innate immunity. Further information is awaited.

A map of China showing the locations of Shanghai and Anhui province ca be accessed at:
http://www.sacu.org/provmap.html. - Mod.CP]..




:tiphat: http://www.promedmail.org/direct.php?id=20130331.1612370
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Some are speculating that this event is connected to the Hogs and Pigs found this month in some rivers in China.

We have no idea if these events are connected, or not.

Here is our ongoing thread:

China - A report of 15,000 dead pigs found floating in Shanghai river

The last information we have posted on this event is that the FAO has become involved to help ascertain what killed the animals.

http://www.flutrackers.com/forum/showthread.php?p=489757#post489757
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Translation error? Do they mean to say that the H7N9 was found on the 22nd of March?

Shanghai found the world's first two cases of human infection with the H7N9 avian flu death
Updated March 31, 2013,
Greenwich Mean Time 06:54

http://www.bbc.co.uk/zhongwen/trad/china/2013/03/130331_china_new_bird_flu.shtml

[snip]

Announced after weeks of delay in these cases, the Ministry of Health announced the interpretation of the Shanghai municipal authorities in the detection process has excluded the seasonal influenza H1N1 and H3N2, commonly known as swine flu (H1N1) influenza, H5N1 highly pathogenic avian influenza, SARS and the possibility of the new type of coronavirus, was found in 22 patients may be infected with the H7 influenza.

The virus samples transferred to the China Disease Prevention and Control Center, the center isolated H7N9 virus, and the final diagnosis.

The Chinese Ministry of Health stressed that did not have a strong human-to-human transmission, H7N9 virus, according to who is in close contact with medical observation. The Ministry of Health called on the public to maintain personal hygiene habits, and to avoid contact and edible disease, dead livestock.

The Ministry of Health said that the authority has informed the World Health Organization the three cases.

---

Word-by-word translation:

at day 22 current patients could be infected by...


Yes, it is a date.

Jennifer Yang ‏@jyangstar 15m
@HelenBranswell Yup, translation glitch. Have only limited Chinese skills, but "22" refers to the date on which they confirmed H7N9
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

A few years ago, I read a paper which said that only H5 and H7 have the physical space beside their cleavage sites that would allow for a polybasic cleavage site. So this increase in infectivity of an H7 really worries me.

Here they discuss HP H7:

http://www.ncbi.nlm.nih.gov/pubmed/8790895

http://www.ncbi.nlm.nih.gov/pubmed/8503786

.
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

It might be possible that some cases in Shanghai were hospitalized as early as February 26?

China - 2 family members died of pneumonia, 1 hospitalized in stable condition - Government denies SARS, H5N1, NCoV and H1N1pdm09 - Shanghai
machine translation


Minhang currently unknown death "? Department of health departments to identify rumors
March 8, 2013 08:52

Source: LONDON author: white feather election is issued: intern Gu Yiqin
  LONDON, March 8: i Times newspaper reported yesterday net transfer to Minhang now unexplained deaths, rumors verification department by the health department.   Microblogging yesterday said the sudden onset of Minhang District, "a family of four, just two days from discovery to respiratory failure, respiratory failure associated with circulatory failure death of two, in the end is so far not clear what kind of flu".   In response, the city health department verification microblogging preaching wrong. According to reports, the city and five hospitals from 14 to 24, has a family of three admitted due to fever, cough treatment, the hospital started in the early morning of the 26th plan reported Minhang District Center for Disease Control sampling and epidemiological investigation. After consultation, the three patients are pneumonia, inspection by the Shanghai Public Health Clinical Center, exclude SARS, bird flu, novel coronavirus and swine flu and other infectious diseases.

Experts believe that two people died (age 87,57 years old) suffering from a number of basic diseases, and lung of severe infections caused by. Another patient (69 years old) is still hospitalized in stable condition. Health care workers in close contact with the patient and family members had no disease.
  
http://www.flutrackers.com/forum/showthread.php?t=201633


hat tip Michael Coston

More Details Emerge On Shanghai H7N9 Case



image_thumb%25255B1%25255D.png

Site of recent H7N9 infections

# 7046

A few more details are beginning to emerge regarding at least one of the fatal H7N9 cases in Shanghai.

The two identified cases are an 87-year-old (Li) who fell ill on February 19 and died on March 4, and a 27-year-old (Wu) who fell ill on February 27 and died on March 10.
At the time, two sons in the Li family were also hospitalized with similar symptoms. One died, while the other one recovered.

FluTrackers carried the story back on March 8th.

SARS ruled out in death cases

By Cai Wenjun | 2013-3-8
HEALTH authorities have ruled out SARS, bird flu or a new SARS-like virus in the deaths of two people from the same family at Shanghai No. 5 People's Hospital.


The hospital said three members of the Li family had been admitted between February 14 and 24 for symptoms including a high fever and coughing.
All three, aged 55, 69 and 87, were diagnosed as having pneumonia.


Since they were from the same family, the hospital reported the case to the Minhang District Center for Disease Control and Prevention for investigation. The pneumonia diagnosis was confirmed.

Now we learn that the 87 year-old in the above story is one of the two men that have tested positive for H7N9 in Shanghai.

While suspicious, there are no confirmatory lab tests on the other family members, so they are not currently considered as part of this cluster.
This from the Shanghai Daily.

New bird flu strain kills 2 patients in Shanghai

By Cai Wenjun
TWO men suffering from a lesser-known type of bird flu have died in Shanghai and a woman in eastern Anhui Province is in a critical condition, health authorities said yesterday.

The three cases of H7N9 avian influenza infection are the first time the virus has been detected in humans, the National Health and Family Planning Commission said yesterday.


<SNIP>
The 87-year-old's two sons have gone to hospital with similar symptoms.

According to Shanghai No. 5 People's Hospital, the three members of the Li family were admitted between February 14 and 24 for symptoms including a high fever and coughing.

All three were diagnosed as having pneumonia.

The 69-year-old son recovered and was discharged but the 55-year-old died from severe pneumonia and respiratory failure in late February. The father died of multi-organ failure.

Neither son had the H7N9 virus, the bureau said.

It has ordered local hospitals to step up monitoring and supervision on cases involving flu, pneumonia and other respiratory diseases.

Experts say there is no evidence to indicate the virus is spreading but patients with symptoms such as fever, coughing and breathing difficulties are being urged to visit their doctors, ensure good hygiene, such as by washing their hands, and avoid contact with diseased poultry and livestock.
Posted by Michael Coston at <a class="timestamp-link" href="http://afludiary.blogspot.com/2013/03/more-details-emerge-on-shanghai-h7n9.html" rel="bookmark" title="permanent link"><abbr class="published" title="2013-03-31T14:07:00-04:00">2:07 PM</abbr>
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

machinetranslation from Chinese

Jiangsu, Anhui transferred to treat the cases of human infection with the H7N9 avian flu cases


http://www.youth.cn 2013-03-31 22:54:43 China Youth Network

Jiangsu Province, is to treat the organizational strength into by Anhui cases of human infection of H7N9 avian influenza.

Nanjing, Xinhua, March 31

(Reporter Zhu Xudong) reporter learned from the Jiangsu Provincial Health Department on the evening of 31, Jiangsu Province, is to treat the organizing forces transferred from Anhui cases of human infection of H7N9 avian influenza. At present, the critical condition of the patient.

It is understood that, on March 20, Nanjing, Jiangsu Province, admitted one cases by of Chuzhou turn to severe cases of pneumonia. Patients Mr. Han, female, 35 years old. March 25, detected by the Jiangsu Provincial Center for Disease Control, the cases of specimens for influenza virus nucleic acid positive. On March 30, the National Health and Family Planning Commission, the diagnosis of the cases of human infection of H7N9 avian influenza confirmed cases.

Jiangsu Provincial Health Department immediately set up a human infection with the H7N9 avian flu prevention and control work leading group and the group of experts, organized several expert consultation province Department of Respiratory Medicine, Department of Infectious Diseases and ICU, emergency rescue operations. 31, 2009, the National Health and Family Planning Commission sent a group of experts to guide clinical treatment work to the Nanjing site.

Currently, the Jiangsu provincial health department has started a related contingency plan, and orderly conduct of the health emergency response work, continue to organize experts to rescue the patients, their best efforts to save the lives of patients; starts in the province-wide emergency monitoring, early detection of suspected cases; development of Jiangsu Province, people infected with H7N9 avian influenza monitoring the investigation and management solutions, to strengthen business training and emergency supplies reserve, to carry out a risk assessment of the public health; strengthen the hospital infection prevention and control, to prevent cross-infection in hospitals.

Baidu
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Machine translation

Extract:

The Mainland which an infected cases, 27-year-old man from Shanghai dead pork stall tenants, can not be ruled out in patients infected with the virus in poultry meat stalls near Ho Pak-leung said, while earlier the Shanghai Huangpu River found a large number of dead pigs floating, He believes that the mainland authorities have a responsibility to investigate the case whether it is related with the avian flu cases.

http://hk.news.yahoo.com/內地3人染h7n9-全球首次人類感染-071200095.html
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Machine translation

Extract:

The Mainland which an infected cases, 27-year-old man from Shanghai dead pork stall tenants, can not be ruled out in patients infected with the virus in poultry meat stalls near Ho Pak-leung said, while earlier the Shanghai Huangpu River found a large number of dead pigs floating, He believes that the mainland authorities have a responsibility to investigate the case whether it is related with the avian flu cases.

http://hk.news.yahoo.com/內地3人染h7n9-全球首次人類感染-071200095.html

[Source: Centre for Health Protection, Hong Kong PRC SAR, full text: (LINK).]

Notification of three human cases of H7N9 in Shanghai and Anhui


The Centre for Health Protection (CHP) of the Department of Health received notification from the National Health and Family Planning Commission (the Commission) today (March 31) concerning three confirmed human cases of influenza A (H7N9).

A CHP spokesman said the two cases in Shanghai were two men aged 87 and 27, who passed away on March 4 and 10 respectively.

As regards the case in Anhui, the 35-year-old female patient is now in critical condition.

Laboratory tests on the three patients' specimens by the Mainland health authorities yielded a positive result for H7N9.

According to the Commission, the 27-year-old man was a butcher while the 35-year-old woman had exposure history to poultry before the onset of symptoms.
(...)

-
------
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

hat tip Crof

March 31, 2013

A rough chronology of H7N9 so far

From the very sketchy information we have, and drawing on information from Mike Coston and FluTrackers, I've cobbled together a chronology of the three cases. Here's what I get:

Thursday, February 14: First of three admissions to Shanghai No. 5 Hospital of men in the Li family in Shanghai. Two are sons aged 55 and 69; one is their father, aged 87, who reportedly falls ill on Tuesday, February 19. All three are diagnosed with pneumonia. The younger of the two sons dies in late February; the other recovers. Neither son tests positive for H7N9.

Wednesday, February 27: A 27-year-old Shanghai butcher, Mr. Wu, falls ill.

Monday, March 4: Mr. Li, the 87-year-old, dies 14 days after falling ill.

Saturday, March 9: A 35-year-old woman in Chuzhou City, Anhui province, falls ill. Chuzhou is 322 km (200 miles) from Shanghai.

Sunday, March 10: Mr. Wu, the butcher, dies 11 days after falling ill.

Sunday, March 31: The woman in Chuzhou City is in critical condition but still alive after 23 days. News of the H7N9 cases is made public and goes worldwide.

I'll update this chronology as more information becomes available.

March 31, 2013 at 03:53 PM

http://crofsblogs.typepad.com/h5n1/2013/03/a-rough-chronology-of-h7n9-so-far.html
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

A bit of new (ETA: I think) data:

Machine translation of original article:

"The shocking H7N92 dead a crisis

2013-04-01

...The H7N9 bird flu cases were frightening, three patients were from China, two male deceased in Shanghai, and in critical condition female patients who are in Anhui. 87-year-old surnamed Li male deceased in February found that the number of H7N9 symptoms, was sent to Shanghai Fifth People's Hospital for treatment, the hospital said the cause of death was "old age appears to multiple organ failure, where he died March 4 killed; living with his two sons, aged 55 and 69 years old respectively likewise treated, the former due to "severe pneumonia, respiratory failure, and to rescue invalid passed away on February 28, the latter being the diagnosis, there in stable condition, the unknown has been infected...".
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

http://news.cn.yahoo.com/ypen/20130401/1684985.html

[snip]

[Authoritative released]

Wei Planning Commission: three cases of patients diagnosed with a specific source of infection is unclear

The Guardian Planning Commission website announced on March 31, to respect the people infected with the H7N9 avian flu Question and Answer.

Q: patients from the means by which the people infected with the H7N9 avian influenza infection?

Answer: the people infected with the H7N9 influenza virus from the virus biology belonging to the avian influenza virus, previously found in the international human infection H7 subtypes of influenza virus are mostly from birds, but so far, three cases of diagnosed patients The specific source of infection is not clear.

According to the relevant provisions of unexplained pneumonia Management, Shanghai, Anhui and Jiangsu, the health sector (1 patient in Anhui where Nanjing) all close contacts of patients implemented under medical observation. The Shanghai patients diagnosed patients before the onset of its two family members with severe pneumonia, the cause is still under investigation and detection. 3 patients the incidence of the family association, pending further investigation. In addition, Shanghai, Anhui diagnosed patients of all close contacts were not found in similar cases.

Q: two cases diagnosed patients died in early March, and why the state Health and Family Planning Commission, released March 31, the epidemic?

A: The people infected with the H7N9 avian influenza virus, is the world's first discovery of a new subtype of influenza virus, has not been included in our infectious disease surveillance reporting system.

Discovery of the above cases, the medical and health institutions in Shanghai to carry out the relevant laboratory screening, has ruled out the infected with seasonal H1N1 and H3N2 influenza, H1N1 flu, people infected with the highly pathogenic avian influenza (H5N1) and SARS, new coronavirus The virus might be. On March 22, the Shanghai Public Health Clinical Center patients may be infected with the H7 influenza, after specimens were sent to the China Disease Prevention and Control Center. On the afternoon of March 29, the Chinese Center for Disease Control three H7N9 avian influenza virus isolated from the submission of cases specimens. Wei Planning Commission the experts further verification, the determination of the patients with human infection of H7N9 avian influenza virus. National Health and Family Planning Commission, in accordance with the law to the public on March 31.

Q: Earlier media reported that a family of three infection pneumonia of unknown causes, two of whom died, whether related to the reported cases?

A: February 20-25, in a hospital in Shanghai has treated three people suffering from severe pneumonia, surnamed Li and his son, and two died. Mr Lee, his father was diagnosed with the H7N9 avian influenza virus infection, the diagnosis of two patients in progress.

Q: H7N9 virus and past H1N1, H5N1 and other seasonal influenza cases compared to its virulence and infectious?

A: Because the virus caused disease research data is limited, experts are of the virulence of the virus and the human ability to spread further judgment.

Q: If the infection early symptoms seek immediate medical attention if you can get effective treatment?

A: The gene sequence analysis showed that the drug-sensitive virus neuraminidase inhibitor class of anti-influenza virus. Experience other type influenza antiviral treatment after the onset of the early use of the neuraminidase inhibitor class of anti-influenza virus drugs may be effective remains to be seen, but the means of specific treatment of newly discovered human H7N9 avian influenza virus infection research. At home and abroad there is no vaccine against the H7N9 avian influenza virus.

Q: how to prevent H7N9 avian flu? Are there any other special precautions?

A: According to the the China CDC report found no recent nationwide influenza activity level is abnormally elevated. Experts believe that, according to who is in close contact with medical observation, the virus has not prompted a strong human-to-human transmission.

Experts suggest that the event of fever, cough and other symptoms of acute respiratory infections, especially high fever, breathing difficulties, you should seek immediate medical attention.
Maintaining wash their hands, cover nose and mouth when coughing or sneezing and other personal hygiene habits, can effectively prevent the transmission of influenza and other respiratory diseases. Should also avoid contact and edible disease (dead), poultry, livestock.
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Thank you everyone for all of the work today.

A Great Team.

:tiphat: :applause:
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

The Hong Kong based Wen Wei Po News website is reporting some different info from "informed sources", namely that the death of one of the sons is now included in the case count, making it 4.

Machine translation from original article:

"The the first now people in the world is dyed H7N9 avian flu Shanghai emblem, 2 dead 1 crisis

[2013-04-01]



Hong Kong's Wen Wei Po News (Reporter Ge Chong, Chapter Luolan, Xu of Di Wen Jing Huning, connection reports) the world's first human infection of H7N9 avian influenza cases. National Health and Family Planning Commission (National Health Committee) informed yesterday (31 May), Shanghai and Anhui Province, found three cases of human infection with the H7N9 avian influenza. Death in patients with two Shanghai, Anhui membership in patients in critical condition, in Nanjing to stay in the hospital for rescue. However, informed sources told this newspaper revealed that a total of four patients died, including a father and son from the same family...

The notification from the National Health Committee, said the Shanghai patients Lee, male, 87 years old, 19 February onset actively rescue died on March 4. Patients Shanghai Wu, male, 27 years old, 27 February onset actively rescue died March 10. Patients with Chuzhou City, Anhui Province Mr. Han, female, 35 years old, incidence March 9, is currently in critical condition, Nanjing, Jiangsu active treatment. It is reported that the three cases the clinical manifestations are the early symptoms of respiratory tract infection such as fever, cough, and then developed severe pneumonia and breathing difficulties.

Informed sources told us that, so far, Shanghai has a total of four patients with similar symptoms to death, four dead were in the period from February to March this year, admitted in the Fifth People's Hospital of Shanghai Minhang District, Shanghai. The hospital internal sources, before and after the Lunar New Year, one surnamed Li patients to the hospital, since there are two named Li patients to see a doctor, the three patient relationship as father and son, respectively a doctor's time apart from each other two or three days. 3 among the oldest 87-year-old (communications consistent with the National Health Committee), the other two are 69 years old and 55 years old. Since then, the hospital has admitted another 27-year-old Wu, patients (in line with the National Health Committee communications), but not a kinship with the foregoing surnamed Li.

Allegedly, several patients initially are fever, cough, but her condition all the way to nosedive until the final due to severe pneumonia, respiratory failure and death. The basis of this one surnamed Li family of three all sick to death of this argument is different from the official statement yesterday.

During the several patients sick, the hospital and the Health Bureau, the CDC and other organizations the many consultation, but the test results are not pointing to a known infectious diseases. Hospitals to deal with SARS level measures for insurance purposes, these isolated several patients in the hospital, all the access of health care workers, are armed to prevent infection. That time, the hospital is up and down, the atmosphere was very tense.

The aforementioned hospital insiders, these four patients are ordinary Shanghai native, surnamed Li, a family of three who have retired. As for the patients with the death of a 27-year-old Wu, rumored career pork street vendors...".
 
Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Re: China - Three confirmed cases of human infection with H7N9 avian influenza - Two fatalities

Another article from Wen Wei Po News. It reports that there is a crackdown on any info being given to the media. It also describes the situation at Shanghai Hospital #5.

Machine translation of original article:

"Watch the scene: on-site interviews with the five branches of the academy tight-lipped

2013-04-01

Official Journal of the three cases have been confirmed infected with the H7N9 bird flu cases, including two cases occurred in Shanghai Fifth People's Hospital (hereinafter referred to as the "Court"). Reporters yesterday came the five branches located in the Minhang District of Shanghai, Quanyuanshangxia almost all staff, are tight-lipped about the matter.

Reporter first came to the office of the five branches of the administration building, I saw Dean's Office closed the door to questions from reporters, the duty officer in the medical office with a few emphatic "no knowledge", he gave the reporter "please" out of the office .

The cashier then command sealing

In desperation, the reporter had to staff all sight of "cotton", in order to get the word mentioned "intelligence", but all population Wind tight unexpectedly. Emergency counter the nurse on duty to answer: "This thing that I do not know, specifically, you can find the office to ask" skillfully reporter "kick" back to the official channels. Even the hospital nurses, cleaning staff are quite alert to "inquire" message, and have sent reporters "do not know", "heard".

The hospital no raise alert

Hard to find a small supermarket cashier in the hospital, before opening events chatted avian flu, The cashier's phone suddenly rang, and then she said apologetically: "Excuse me, just received competent phone, let us not The external many people talking about the matter. "

The the hardware protection level view of the hospital seems to have been from an alert "mode. At the entrance, there is no medical staff for the patient to measure the body temperature, and there is no sign of the temperature screening at. Reporters noticed in the emergency room, the hospital's medical staff did not strengthen disinfection and isolation measures. In addition, the emergency hall duty staff dress no special protection. Open five emergency room, only an emergency doctor in the treatment of patients wear masks, hats and gloves. The nurse on duty in the emergency counter only two wearing masks, the rest of the medical staff and some masks hung around the neck, and most of the medical staff, no hats and masks."
 
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