China - HFPC announces 11 H7N9 cases including 7 deaths for April 2016 - May 11, 2016

[sharon sanders]

April 2016 National Notifiable Infectious Diseases Overview​

National Health and Family Planning Commission People's Republic of China2016-05-11 ​

[FONT=&#20223]　　April 2016 (at 0:00 on April 1, 2016 to April 30 24), the country (excluding Hong Kong, Macao and Taiwan, the same below) reported a total of 653,680 cases of legal infectious diseases, died 1285 people.Wherein, the CPI infectious plague incidence and deaths have been reported, the reported incidence of cholera in 2 cases, no deaths. B infectious SARS, polio, highly pathogenic avian influenza and diphtheria morbidity, mortality reports, the remaining 22 infectious diseases were reported incidence of 303,684 cases, 1259 people died. Before the reported incidence of the top five diseases were viral hepatitis, tuberculosis, syphilis, gonorrhea, and bacillary and amoebic dysentery, accounting for 92% of the total reported cases of class B infectious diseases.
　　Over the same period, the country reported a total of 349,994 cases of Class C infectious disease incidence, death of 26 people, no incidence of filariasis, deaths have been reported. Before the reported incidence of the three diseases were hand-foot-mouth disease, other infectious diarrhea and influenza, accounting for 95% of the total reported cases of class C infectious diseases.[/FONT]
[FONT=&#20223] [/FONT]




[FONT=&#20223]http://www.nhfpc.gov.cn/jkj/s3578/20...e36f3553.shtml[/FONT]

 

[sharon sanders]

We have accounted for 12 cases including 5 deaths. The HFPC announced data excludes cases in Hong Kong (#780):


#777 - Female, 43, [Hwang], mother of case #778, works in Fujian province, lives and hospitalized in Jiangxi province

#778 - Male, 23, [Xaiomou], son of case #777, works in Fujian province, lives and hospitalized in Jiangxi province

#779 - Male, 62, [Zhu}, hospitalized in critical condition, Ma'anshan City, Anhui province

#780 - Male, 80, hospitalized in stable condition in Hong Kong, exposure to wet market & slaughtered chicken in Dongguan, Guangdong province WHO rpt 26/4/16

#781 - Male. 58, announced by Xinhua April 30, confirmed by FAO, hospitalized in critical condition, Laizhou, Shandong Province

#782 - Zhejiang province HFPC announced 1 case for April 2016, Zhejiang province

#783-788 - Jiangsu province HFPC announced 6 cases including 5 deaths for April 2016 Jiangsu province 5 Death


Source: FluTrackers H7N9 cumulative case list link

 

[tetano]

CHP notified of 11 additional human cases of avian influenza A(H7N9) in Mainland

The Centre for Health Protection (CHP) of the Department of Health (DH) today (May 17) received notification of 11 additional human cases of avian influenza A(H7N9) from the National Health and Family Planning Commission and again urged the public to maintain strict personal, food and environmental hygiene both locally and during travel. The cases comprise: 1. A man aged 64 in Wuhu, Anhui, who had poultry exposure and died;
2. A man aged 86 in Zhangzhou, Fujian, who had poultry exposure and is in serious condition;
3. A female farmer aged 60 in Yancheng, Jiangsu, who had poultry exposure and is in serious condition;
4. A man aged 84 in Wuhu, Anhui, who had poultry exposure and is in serious condition;
5. A woman aged 85 in Hangzhou, Zhejiang, who shared the same hospital ward with two previously confirmed cases and died;
6. A male farmer aged 67 in Jiaxing, Zhejiang, who had poultry exposure and is in serious condition;
7. A female farmer aged 58 in Longyan, Fujian, who had poultry exposure and is in serious condition;
8. A man aged 63 in Nantong, Jiangsu, who had poultry exposure and is in serious condition;
9. A man aged 53 in Suzhou, Jiangsu, who had poultry exposure and died;
10. A man aged 26 in Jianou, Fujian, who had poultry exposure and is in serious condition; and
11. A male farmer aged 80 in Huai'an, Jiangsu, who had poultry exposure and is in serious condition.
From 2013 to date, 758 human cases of avian influenza A(H7N9) have been reported by the Mainland health authorities.

http://www.chp.gov.hk/en/view_content/44720.html

 

[sharon sanders]

WHO report - I will be updating our list to include some of these case details but the overall case number does not increase. Mid-month to mid-month reporting does not add clarity. The China HFPC announces cases per a traditional monthly calendar basis.


Human infection with avian influenza A(H7N9) virus ? China

Disease outbreak news
17 May 2016

On 10 May 2016, the National Health and Family Planning Commission (NHFPC) of China notified WHO of 11 additional laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus, including 4 deaths.
Onset dates range from 23 March to 21 April. The cases range in age from 23 to 69 years, with a median age of 52 years. Of these 11 cases, 7 (64%) are male. The majority (10 cases, 91%) reported exposure to live poultry, slaughtered poultry or live poultry markets. One (1) case has a history of selling pork in a market.
Cases were reported from 5 provinces and municipalities: Jiangsu (6), Jiangxi (2), Anhui (1), Shandong (1) and Zhejiang (1).
One cluster was reported. It includes:

• A 23-year-old male from Jiangxi Province who developed symptoms on 1 April and was admitted to hospital on 8 April. He purchased poultry at a live poultry market. The patient is currently in critical condition.
• A 43-year-old female case from Jiangxi Province who developed symptoms on 5 April and was admitted to hospital on 15 April. She was exposed to slaughtered poultry at a market and was also exposed to the 23-year-old male. She is currently in critical condition.

Human to human transmission between the two patients cannot be ruled out, even though they both have a history of poultry exposure. Further information is awaited.
more...

http://www.who.int/csr/don/17-may-2016-ah7n9-china/en/


---------------------------------------------------

We have the cluster already identified:

#777 - Female, 43, [Hwang], mother of case #778, works in Fujian province, lives and hospitalized in Jiangxi province

#778 - Male, 23, [Xaiomou], son of case #777, works in Fujian province, lives and hospitalized in Jiangxi province

 

[sharon sanders]

The above WHO and CHP reports do not match on the 11 cases. I am not adding any cases to our case list. We have already accounted for all past cases per China HFPC monthly reports.

 

[sharon sanders]

The Centre for Health Protection (CHP) of the Department of Health (DH) today (May 17) received notification of 11 additional human cases of avian influenza A(H7N9) from the National Health and Family Planning Commission and again urged the public to maintain strict personal, food and environmental hygiene both locally and during travel. The cases comprise: 1. A man aged 64 in Wuhu, Anhui, who had poultry exposure and died;
2. A man aged 86 in Zhangzhou, Fujian, who had poultry exposure and is in serious condition;
3. A female farmer aged 60 in Yancheng, Jiangsu, who had poultry exposure and is in serious condition;
4. A man aged 84 in Wuhu, Anhui, who had poultry exposure and is in serious condition;
5. A woman aged 85 in Hangzhou, Zhejiang, who shared the same hospital ward with two previously confirmed cases and died;
6. A male farmer aged 67 in Jiaxing, Zhejiang, who had poultry exposure and is in serious condition;
7. A female farmer aged 58 in Longyan, Fujian, who had poultry exposure and is in serious condition;
8. A man aged 63 in Nantong, Jiangsu, who had poultry exposure and is in serious condition;
9. A man aged 53 in Suzhou, Jiangsu, who had poultry exposure and died;
10. A man aged 26 in Jianou, Fujian, who had poultry exposure and is in serious condition; and
11. A male farmer aged 80 in Huai'an, Jiangsu, who had poultry exposure and is in serious condition.
From 2013 to date, 758 human cases of avian influenza A(H7N9) have been reported by the Mainland health authorities.

http://www.chp.gov.hk/en/view_content/44720.html

There are FAO reports published today which are cases included in the above report. They are FAO disease id numbers: 212551 (#6 above), 212550 (#5 above), 212549 (#2 above), 212538 (#11 above), 212537 (#9 above), 212536 (#8 above), 212535 (#3 above).

All of these cases are previously known.