China - Beijing: Confirms 10 total H7N9 avian flu cases this season - 9 are previously known - April 14, 2017

[tetano]

According to CCTV reported on April 14, the Beijing Municipal Health Commission reported that on April 6, Beijing, two new cases of people infected with H7N9 cases of avian influenza, two patients have a common exposure to the history of sick birds, of which one in 4 Died on the 8th, the relevant departments have taken preventive measures. At present, Beijing does not rule out the incidence of a small amount of avian influenza aggregation, the risk of imported cases is still high. Beijing CDC recommends that members of the public avoid contact with dead animals and avoid private poultry trading. Up to now, Beijing has reported 5 cases of human infection with H7N9 cases this year.

http://news.sina.com.cn/o/2017-04-14...x6344669.shtml

 

[Miyamoto Masakazu]

Following info is what Beijing city's HFPC reported.
Maybe this is the original info.

CHP has just reported three(3) cases in Beijing suddenly on its "CHP_rpt_7/4/2017"

Since many media in Mainland China is reporting these two cases are this year's fourth and fifth cases, they may not be the cases reported on CHP on Apr. 7th.

http://www.bjchfp.gov.cn/bmfw/wxts/201704/t20170413_214096.htm

 

[sharon sanders]

from Beijing CDC:

• • [FONT=&#23435]Prevention of H7N9, emphasis on self-protection[/FONT]
  • [FONT=&#23435][FONT=&#24494]Posted: 2017-04-14[/FONT][/FONT]
  • [FONT=&#23435][FONT=&#24494]Source: Publicity Center - City CDC[/FONT][/FONT]
  • [FONT=&#23435][FONT=&#24494]Views: 13[/FONT][/FONT]

• 
  

  • [FONT=&#23435]This year, China has more cases of H7N9.
    As of April 13, 2017, the city reported a total of 6 cases of H7N9 avian influenza epidemic, involving 7 cases. 3 cases of local cases, 4 cases for the field to Beijing treatment of imported cases. [/FONT]
  • [FONT=&#23435]Among them, 2 cases reported on April 5 were investigated as a clustering epidemic, is the city's first local aggregation epidemic, 2 cases of common exposure history, of which 1 case has died, and the other one is in hospital , The condition is basically stable. [/FONT]
  • [FONT=&#23435]Of the 4 cases imported from other provinces, 2 were from Langfang, Hebei Province, and one native was in Hebei, Qinhuangdao, and one in Shandong province. [/FONT]
  • [FONT=&#23435]In the same period in 2016, the city did not report H7N9 avian influenza cases.
    There were 3 cases of native H7N9 avian influenza cases in Beijing, and the survey found that the sources of infection were from these cases to purchase mobile traders or live poultry. The final sources of these live birds were directed at mobile traders in Hebei Province. In view of this situation, the city may also appear in the future distribution of local cases, do not rule out the emergence of a small amount of aggregation of the epidemic. Combined with the city to outsource to Beijing, the large number of cases, so the risk of imported cases still remain at a high level....[/FONT]

  
  [FONT=&#23435]http://www.bjcdc.org/article/44564/2017/4/1492170179126.html
  
  
  ------------------------------------------------------------------------
  
  We have the following 5 cases listed for Beijing so far this year, including a case not mentioned above who was confirmed as transferred from Liaoning province:
  
  #1065 - Male, 68, [Zhang], treatment January 29, hospitalized February 6 in Beijing, Hebei Province CHP rpt 13/2/17
  
  #1069 - Male, 48, [Miao], onset January 31, hospitalized initially February 3, transferred to Beijing hospital February 8, from Xingcheng city, Liaoning Province CHP rpt 21/2/17
  
  #1382 - Male, 59, severe pneumonia, in Beijing, Hebei Province CHP rpt 11/4/17
  
  #1386 - Male, 52, pneumonia, Yanqing, Beijing CHP rpt 11/4/17
  
  #1388 - Male, 66, severe pneumonia, Huairou, Beijing CHP rpt 11/4/17[/FONT]​

 

[sharon sanders]

There is apparently 1 local case and 2 imported cases from Hebei that we do not have listed and is not detailed so far by Hong Kong CHP - for a total of 8 cases this year.

It appears the China NHFPC has reported an imported case for Beijing (from Liaoning) that Beijing health authorities do not report. I am going to wait for the next Hong Kong Avian Flu report (due April 18) to see if more cases from Beijing are listed before I add to our case list.

The case situation in Beijing is very unclear.


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Adding this statement from the Beijing Municipal Bureau of Agriculture which denies poultry infected with H7N9 in Beijing:

[TABLE="class: normal, border: 0, cellpadding: 3, cellspacing: 1"]
[TR]
[TD="align: center"] [h=1]Poultry monitoring results show that the city is not infected with H7N9[/h]
[/TD]
[/TR]
[TR]
[TD="align: center"]Source: Beijing Suburb Daily News Published: February 14, 2014[/TD]
[/TR]
[TR]
[TD="class: conzt"] (Reporter Liu Feifei) reporter learned yesterday from the Municipal Bureau of Agriculture, the city has just completed the coverage of all 16 areas of poultry H7N9 influenza special monitoring results show that the city has not found poultry infection H7N9 situation. Reporters learned from the Municipal Bureau of Agriculture, the city on February 11 reported a case of imported human infection H7N9 flu cases. In accordance with the unified arrangements of the municipal government, the Municipal Bureau of Agriculture held an emergency meeting on February 12 to judge the epidemic form and prevention and control strategies. According to the Municipal Bureau of Agriculture, at this meeting, the city informed of the completion of a complete coverage of all 16 districts of poultry H7N9 influenza special monitoring results, in 610 samples, were not found in the infection. In view of the current form, the city will increase the intensity of prevention and control, and the deployment of eight measures. The eight measures mainly include the organization of the district and the city of major animal and plant epidemic emergency headquarters members of the prevention and control work deployment; the establishment of five municipal inspection team, supervision and inspection of the implementation of the prevention and control work; continue to do a good job monitoring , To timely detection of foci, so that monitoring does not stay dead; strengthen the farms (households) closed management, to guide the epidemic prevention and disinfection; good transport quarantine supervision, to prevent unauthorized quarantine of animals into the city; strengthen prevention and control knowledge, Public health consumption concept; the relevant functional departments to strictly investigate and control the market of live poultry trade; the relevant departments to do wild birds observation.
[/TD]
[/TR]
[/TABLE]

http://www.bjny.gov.cn/nyj/232120/300286/485704/5865446/index.html

 

[Miyamoto Masakazu]

As for the Beijing H7N9 status-quo,

Yiwang reported an interesting article.

Beijing's six H7N9 reports, seven patients:
Since the beginning of this year China has so many H7N9 cases found in so many areas.
Up to Apr. 13, 2017, Beijing city had 6 H7N9 AVI reports, where 7 cases are involved. 3 cases are inside Beijing city, 4 cases are imported from outside of the city. Among them, reported two cases of Apr. 5 are judged as an aggregate epidemic ones. 2 had a common exposition; one of them has already died and another one is now in a hospital for treatment, he is basically stable.
Among 4 imported cases, 2 are from Langfang city of Hebei, 1 is from Qinhuangdao city of Hebei (though his registered address is Liaoning province), the last 1 is from Qingdao city of Shandong. If compared to the same period of 2016, Beijing city, at that moment, had no cases.
Among Beijing city?s 3 domestic cases, everyone had contacts to the live poultry(s). Our investigation found the source is from Langfang (Hebei province) city?s mobile trader(s) or from live poultry(s) which they fed. These live poultry(s) are all from the Henan provincial mobile traders. From these factors, we Beijing will have some sporadic cases in the future and we cannot exclude the risk of few aggregate epidemic. Further, we Beijing has not a few cases imported from outside of Beijing city, which shows the risk of imported cases is still in high level.



http://news.163.com/17/0414/20/CI0SRJNF00018AOR.html

 

[sharon sanders]

Government update:

Now reporting a total of 10 cases inside Beijing: 4 local cases and 6 transferred from other areas (imported).

Bejiing is surrounded by Hebei province so it is likely (& customarily) some of the Hebei cases are hospitalized in Beijing after diagnosis. There is one recent Hebei case that may be one of the two new transfers into Bejing:

#1401 - Male, 69, hospitalized, from Dacheng county, Hebei Province


also there is a recent case in Tiangin. It is possible this case is also transferred to Beijing city proper:

#1400 - Female, 58, hospitalized with severe pneumonia, from Wuqing district of Tianjin city


So we can track the 6 transfers into Beijing:


#1065 - Male, 68, [Zhang], treatment January 29, hospitalized February 6 in Beijing, Hebei Province CHP rpt 13/2/17

#1069 - Male, 48, [Miao], onset January 31, hospitalized initially February 3, transferred to Beijing hospital February 8, from Xingcheng city, Liaoning Province CHP rpt 21/2/17

#1382 - Male, 59, severe pneumonia, in Beijing, Hebei Province CHP rpt 11/4/17

#1399 - Patient, hospitalized in Beijing, from Qingdao, Shandong Province note

#1401 - Male, 69, hospitalized, from Dacheng county, Hebei Province (probably transferred into Beijing)

#1400 - Female, 58, hospitalized with severe pneumonia, from Wuqing district of Tianjin city (probably transferred into Beijing)


As for the local cases. We know of the 3 following cases:


#1386 - Male, 52, pneumonia, Yanqing, Beijing CHP rpt 11/4/17

#1388 - Male, 66, severe pneumonia, Huairou, Beijing CHP rpt 11/4/17

+ a case from CHP today which I haven't listed yet: Male, 81, with a mild case. link


So there is apparently one new local case.


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• • [FONT=&#23435]Beijing CDC 2017 years 15 weeks of the epidemic weekly report[/FONT]
  • [FONT=&#23435][FONT=&#24494]Posted: 2017-04-18[/FONT][/FONT]
  • [FONT=&#23435][FONT=&#24494]Source: Publicity Center - City CDC[/FONT][/FONT]
  • [FONT=&#23435][FONT=&#24494]Views: 95[/FONT][/FONT]
  • [FONT=&#23435][FONT=&#24494][ Tai Zhong small ][/FONT][/FONT]
  • [FONT=&#23435][FONT=&#24494]share to:[/FONT][/FONT]

• 
  

  • [FONT=&#23435]First, the epidemic situation
    2017 years 15 weeks (April 10, 2017 to April 16, 2017), the city reported a total of 17 kinds of legal infectious diseases in 1608 cases, 3 cases of death. The incidence of Class B infectious diseases increased 51.72% over the previous week, of which the tuberculosis increased by 91.13%. The incidence of C infectious diseases decreased by 3.33% compared with the previous week, of which influenza 34.48%, hand, foot and mouth disease increased 111.54%. The top five reported cases were: other infectious diarrhea, tuberculosis, influenza, dysentery and hand, foot and mouth disease, accounting for 76.24% of the reported incidence of infectious diseases. Compared with the previous week, the incidence of infectious diseases increased by 15.02%.
    Second, focus on the epidemic
    Since entering in April, the city reported more than H7N9 epidemic. As of April 16, 2017, the city reported a total of 9 cases of H7N9 avian influenza epidemic, involving 10 cases. 4 cases of local cases, 6 cases for the field to visit the case in Beijing.
    In the H7N9 avian flu cases in Beijing, there was a history of live birds. The survey found that the source of the infection was from these cases to purchase migrant traffickers or live poultry. The final sources of these live birds were directed at mobile traders in Hebei Province. In view of this situation, the city may also appear in the future distribution of local cases, combined with the city to Beijing to visit a large number of cases, so the risk of imported cases is still high.
    Prevention of H7N9, the most important thing is to reduce exposure, do personal protection, to develop good health habits. In this remind you:
    1, to avoid contact with poultry;
    2, buy chilled poultry meat from the formal channels, to be eaten when fully cooked poultry eggs, and pay attention to separate raw and cooked;
    3, try to avoid contact with sick or dead poultry, in 5, wash their hands, pay attention to personal hygiene; reasonable diet, to ensure adequate nutrition and sleep; pay attention to timely (
    4), especially to avoid the need to live in the market and mobile vendors to buy live poultry;
    Increase clothes.
    
    http://www.bjcdc.org/article/44603/2...500495339.html[/FONT]

 

[sharon sanders]

WHO issued a report late today stating that 2 of the cases are related:

#1386 - Male, 52, symptom onset April 1, hospitalized April 5, poultry exposure, brother of case #1388, pneumonia, Yanqing, Beijing CHP rpt 11/4/17 WHO rpt 18/4/17

#1388 - Male, 66, symptom onset April 1, hospitalized April 5, poultry exposure, brother of case #1386, severe pneumonia, Huairou, Beijing CHP rpt 11/4/17 WHO rpt 18/4/17


I have a "hint and tip" that the brothers might be deceased but I can not confirm this.

 

[sharon sanders]

Also please see earlier denials of H7N9 in Hebei. 50% of the reported transferred H7N9 cases into Beijing are from Hebei.



China - State media tells people not to believe H7N9 avian flu rumors - February 22, 2017 link