China: Man Dies; Infected Father "Improving"; More Suspects

HenryN · Dec 7, 2007

Re: China: Man Dies in Jiangsu Province; father also infected

Re: China: Man Dies in Jiangsu Province; father also infected

niman said:
AVIAN INFLUENZA, HUMAN (155): CHINA (JIANGSU)
*********************************************
A
[This is the 27th human case of H5N1 avian influenza in China.

Notwithstanding the father-son relationship of these 2 cases in
Jiangsu province it is premature to consider this to be an instance
of human-to-human transmission in view of the lack of information on
the source of the virus, and the absence of onward transmission. - Mod.CP]

Calendar check required.

HenryN · Dec 7, 2007

Re: China: Man Dies in Jiangsu Province; father also infected

Re: China: Man Dies in Jiangsu Province; father also infected

New bird flu case in China

Posted on Fri, Dec. 07, 2007

Digg del.icio.us AIM print email

By AUDRA ANG

Associated Press Writer


BEIJING --
The father of a Chinese man who died of bird flu has been infected with the virus that causes the disease, the World Health Organization confirmed Friday, saying it could not rule out the possibility of human-to-human infection.

Joanna Brent, a Beijing-based WHO spokeswoman, said the father began showing symptoms Monday and was confirmed as having the H5N1 virus on Wednesday. She said he has been hospitalized.
Brent said there was no evidence the man had been infected by his 24-year-old son, who died on Dec. 2, but could not eliminate that possibility.
"Because the possibility of human-to-human transmission cannot be ruled out, we will be monitoring this case closely," Brent told The Associated Press. "If it is found to be easily passed between humans, we would be concerned."
She said it was also possible that the two men were infected by the same source, or that they were infected separately from different sources.
Chinese news reports gave the man's age as 52. Both he and his son, who lived in the eastern province of Jiangsu, were identified only by their surname, Lu.
Jiangsu's Provincial Disease Control and Prevention Center said the son - China's 17th official fatality from bird flu - had not had any known contact with dead poultry, and there were no reported outbreaks of the disease in the province.
Brent said health authorities were monitoring 68 people who had been in close contact with the son, and none have shown symptoms of H5N1 infection.
Sporadic human-to-human transmission of the H5N1 flu strain has been reported in Hong Kong, Vietnam and Indonesia, but none of the cases have been proven.
Dr. David Nabarro, the U.N. official coordinating the global fight against bird flu, has said the risk of a worldwide pandemic remains as great today as it was when H5N1 first gained attention in 2005.

http://www.miamiherald.com/news/world/AP/story/336389.html

Sally Furniss · Dec 8, 2007

Re: China: Man Dies in Jiangsu Province; father also infected

Re: China: Man Dies in Jiangsu Province; father also infected

Human Source of Bird Flu Infection Can't Be Ruled Out, WHO Says
By Jason Gale and Belinda Cao
  Dec. 8 (Bloomberg) -- Human-to-human transmission can't be ruled out as the source of bird flu in a man whose son died of the infection in eastern China six day ago, a World Health Organization official said today.
The WHO was informed of the case late yesterday and is ``hoping to arrange a meeting with China's Ministry of Health to offer support and to get more details'' on the case, said Joanna Brent, a Beijing-based spokeswoman for the United Nations agency.
The 52-year-old man from Nanjing in Jiangsu province was confirmed to have the H5N1 avian influenza strain on Dec. 6, the health ministry said yesterday in a statement on its Web site. He developed a fever on Dec. 3, a day after his 24-year-old son died. An initial investigation found no evidence the younger man had contact with sick birds prior to becoming unwell.
``We are not ruling anything in or out'' in determining the source of the father's infection, Brent said in a telephone interview. He may have been infected by a common virus source, a separate source, or from his son's respiratory secretions, she said.
At least 336 people in a dozen countries have contracted the virus since 2003. Three of every five cases were fatal and most were caused by contact with infected poultry, such as children playing with them or adults butchering them or plucking feathers, according to the Geneva-based WHO.
Disease trackers monitor clusters of two or more linked cases to gauge whether the virus is becoming adept at infecting humans not just birds. Millions of people could die if H5N1 develops the characteristics of seasonal flu and begins spreading easily between humans through coughing and sneezing.
Inefficient Transmission
The WHO ``would be concerned'' if the H5N1 virus had been passed between family members in China's latest case, Brent said. In the event that it did, it's unlikely that it would represent the ``efficient'' human-to-human transmission that could signal the start of a pandemic, she said. ``No further medical abnormalities have been detected'' by Chinese authorities in the 70 or more people in close contact with either man, she said.
Excluding the two most recent cases, China has reported 25 human H5N1 infections, 16 of which were fatal. The previous case had occurred in May in a 19-year-old male soldier serving in Fujian province. There had been no initial indication to suggest he had contact with sick birds prior to becoming unwell, the WHO said in a May 30 statement.
A study by researchers in China in June found that so- called wet markets where fresh meat and vegetables are sold might be an important host of avian flu viruses in urban centers.
Researchers led by the Chinese Center for Disease Control and Prevention in Beijing looked for the source of H5N1 avian influenza infection in six patients who lived in cities and had no known exposure to sick or dead birds. They found all had visited so-called wet markets before becoming ill, and may have touched contaminated surfaces or inhaled virus-containing dust.
To contact the reporters on this story: Jason Gale in Singapore at j.gale@bloomberg.net ; Belinda Cao in Beijing at lcao4@bloomberg.net
Last Updated: December 7, 2007 23:42 EST

http://www.bloomberg.com/apps/news?pid=20601087&sid=aVbDhWQkg4s4&refer=home

Theresa42 · Dec 8, 2007

Re: China: Man Dies in Jiangsu Province; father also infected

Re: China: Man Dies in Jiangsu Province; father also infected

Hat-tip, pugmom!

Google-translated from Chinese:

Jiangsu has a father and son were diagnosed with bird flu
"Financial" network version
Dec 7, 2007

Son 陆某on December 2 of the death and morbidity at home, before pro forma "upgraded" and the meals provided by the family, there is no history of exposure to poultry; December 3, his father was that the symptoms are fever

"Financial" net Roundup: December 3, December 7, the Ministry of Health Web site has information, Jiangsu Province, were confirmed human infection with the highly pathogenic avian influenza, and the relationship between father and son duo to. According to the Ministry of Health saying, Jiangsu Province, Nanjing of a 24-year-old male with陆某, November 24 fever, chills and other symptoms, November 27 "lower left pneumonia" hospital treatment, his condition deteriorated rapidly, with full rescue invalid, December 2 deaths. After the epidemic occurred, the local all 69 close contacts implement strict medical observation, was not unusual clinical manifestations.

According to local health departments for investigation, the deceased had been at home prior to the onset of preparations for "upgraded" examinations, meals provided by the family, there is no history of exposure to poultry. Another fact is, Jiangsu Province, Animal Husbandry and Veterinary Bureau said that the province has not occurred so far this year poultry highly pathogenic avian flu epidemic. According to the province's forestry sector in Jiangsu Province birds sentinel monitoring, the province's birds are also found no abnormal mortality.

Jiangsu has two more hospitals sub-standard pre-consultation

But in陆某disease die the next day, that is, December 3 evening, the 52-year-old father has fever symptoms, which was to "double pneumonia under" hospital treatment. December 5, Jiangsu Province, the Center for Disease Control and Prevention in patients with respiratory tract samples detected that the avian flu virus H5N1 nucleic acid positive. December 6, the Chinese Center for Disease Control and Prevention to review samples of patients with respiratory tract, the results of the avian flu virus H5N1 nucleic acid positive.

The Ministry of Health said that according to WHO of human infection with the highly pathogenic avian influenza confirmed case definition and diagnostic criteria in China, Jiangsu Province human avian influenza prevention and control expert group found cases of people infected with the highly pathogenic avian influenza confirmed cases.

Jiangsu Province, the local recently issued an urgent circular calling for further strengthening the province's human avian flu prevention and control work, actively deal with the possible outbreak. Over the province's two hospitals should standardize the creation outpatient infectious diseases (including fever clinics), sub-standard pre-consultation work carried out to strengthen influenza cases and cases of pneumonia of unknown causes monitoring; Up to the present and found no abnormal clinical manifestations.

The Ministry of Health has the World Health Organization, Hong Kong, Macao and some countries in Case informed of the situation.

In 2007, China has a total of least three people died of human infection with the highly pathogenic avian influenza. Apart from December 2 death陆某, May 24, 2007, a 19-year-old People's Liberation Army noncommissioned officer surnamed Cheng was diagnosed as infected with human avian influenza, after the condition deteriorated, the rescue void in the June 3 death. Earlier, on March 27 a force of a certain Anhui patients also died of bird flu infected people.

On August 8, 2006, the Information Office of the Ministry of Health confirmed a statement, China's first case of human bird flu cases occurred in 2003 (see "financial" net previously reported, "China retrospective first human avian influenza").

Vigilance "family Poly," [cluster] phenomenon

China is not the only threat to national avian flu virus. According to the Chinese Ministry of Health in June between the published data show that since 2003, the global total of 12 countries found that the 313 cases were reported infected with highly pathogenic avian influenza, which killed 191 cases.

Existing medical research results show that bird flu is a bird of people suffering from infectious diseases, people infected with highly pathogenic avian influenza primarily by contact with dead poultry or migratory birds spread of the current bird flu has not yet been found infected person phenomenon.

But in the international community, human avian flu "family of poly (more than two family members)" phenomenon has drawn widespread attention. In the past two years, Indonesia has replaced Vietnam as the H5N1 avian flu hardest hit. Not only human infections and deaths from the head of the largest in the world, but at least 10 have been reported so far from the family Poly [cluster] case. One of the eight people infected, seven people were killed and all national reports so far of the biggest cases of Poly [cluster].

On June 20, 2006, from the family Poly [cluster] infections of the last three weeks after the death, the WHO reiterated that, a month ago, the family of viruses Poly, "and not mutated into a can or in sustained or effective interpersonal communication between the new influenza virus. (See "Financial" net previously reported, "Indonesian bird - to-human transmission of disputes touching") to this conclusion, for those who worry that the H5N1 outbreak has been imminent finally easing slightly.

In July 2006, the latest scientific research scientists in the United States, "National Bureau学院院刊" published that the highly pathogenic avian influenza virus H5N1 and the human influenza virus gene recombination, and will not easily be interpersonal communication capacities. This does not mean that H5N1 turned into a huge disaster warning had been lifted.

http://www.caijing.com.cn/home/cjkx/2007-12-07/40763.shtml

Sally Furniss · Dec 8, 2007

Re: China: Man Dies in Jiangsu Province; father also infected

Re: China: Man Dies in Jiangsu Province; father also infected

China says father of bird flu victim recovering

The father of a Chinese man who died from the H5N1 strain of bird flu this month was recovering on Saturday after he was infected with the same virus, the official Xinhua news agency said.

The 52-year-old man surnamed Lu from Nanjing, capital of the eastern coastal province Jiangsu, was feverish with the H5N1 strain on Monday but "showed signs of improvement", Xinhua said, quoting unidentified bird flu prevention experts.

This latest case raises troublesome questions about how the man was infected.

Humans can contract H5N1 from close contact with infected birds, but scientists fear the disease could mutate into a version that spreads from person-to-person, risking wider outbreaks or even a global pandemic.

Lu's 24-year-old son died last Sunday from the same disease, making the question of how these two infections occurred especially important.

Xinhua had earlier reported that the son had had no contact with dead poultry and there had been no reported poultry outbreak in Jiangsu province.

It was unknown whether contact with infected poultry had been confirmed in either of the infections.

The 24-year-old man's death was the first case in China since June and brought the death toll from the disease to 17.

The Ministry of Health said the World Health Organisation had been notified of the latest case.

WHO representatives in Beijing could not be contacted for comment. (Reporting by Li Jiansheng and Benjamin Kang Lim; Editing by Sanjeev Miglani)

http://www.alertnet.org/thenews/newsdesk/PEK74804.htm

Theresa42 · Dec 8, 2007

Re: China: Man Dies in Jiangsu Province; infected father "improving"

Re: China: Man Dies in Jiangsu Province; infected father "improving"

A conflicting report from The Epoch Times. Hat-tip, pugmom @ FW. Apparently, some reports have it that the father has died and two other people -- girlfriend and mother -- have flu-like symptoms.

Google-translated from Chinese:

Bird flu kills people - Nanjing father who died also failed emergency treatment

Dec. 8 (CNA Taipei 8 Dec) 2 at Nanjing this month due to the highly pathogenic avian flu infection died 陆某 father, also infected with highly pathogenic avian influenza, Nanjing brain Hospital sources today to the Hong Kong "Ta Kung Pao" said 陆某 father has died, but the news was official denied.

Reports also pointed out that close contact with the deceased persons and two others in varying degrees of suspected bird flu symptoms.

"Ta Kung Pao" Comprehensive Several sources said that following 陆某 death, the first symptoms of the avian flu is his father, had died on December 6.

According to reports,陆某 girlfriend and the mother appeared one after another suspected bird flu symptoms, the severity of which is currently being girlfriend rescue, 陆某 mother has been a quarantine check.

The Chinese Ministry of Health informed the evenings website, the new confirmed case of human infection with the highly pathogenic avian influenza.

The circular, 52-year-old patient surnamed Lu, is December 2nd confirmed human infection with the highly pathogenic avian flu cases father, in the December 3 night fever symptoms, which was to "double pneumonia under" hospital treatment.

The Jiangsu Provincial Center for Disease Control and Prevention on the 5th of patients with respiratory tract samples detected that the avian flu virus H5N1 nucleic acid positive; the Chinese Center for Disease Control and Prevention for further testing in patients with respiratory specimens review results for the avian flu virus H5N1 nucleic acid positive.

According to the World Health Organization human infection with the deadly bird flu confirmed case definition and diagnostic criteria in China, Jiangsu Province human avian influenza prevention and control expert group, decide this case was infected with the highly pathogenic avian influenza confirmed cases.

"Ta Kung Pao" to the afternoon of 7 verify Jiangsu Province Health Department, the Office of Comprehensive Health deny the news.

A Jiangsu Province health department officials insisted that, in addition to the current avian flu case reported deaths, Jiangsu will not have a recurrence of any deaths due to bird flu cases.

Health Department said 陆某 father is a suspected bird flu symptoms, the etiology is diagnosed, the current treatment has emerged recent encouraging signs, patients increasingly stable condition, while the other deceased family members are closely monitoring isolation, not physical any abnormal.

http://epochtimes.com/gb/7/12/8/n1934963.htm

Info on The Epoch Times:
http://en.wikipedia.org/wiki/The_Epoch_Times

HenryN · Dec 8, 2007

Re: China: Man Dies; Infected Father "Improving"; More Suspects

AVIAN INFLUENZA, HUMAN (156): CHINA (JIANGSU)
*******************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Thu 6 Dec 2007
Source: Health Times (translated from Chinese by Dan Silver) [edited]
<http://society.people.com.cn/GB/37454/6619905.html>

Human Avian Influenza, Jiangsu Province, Dog Bite
-----------------------------------------------------------------
The Jiangsu Provincial Health Bureau announced on the night of Sun 2
Dec 2007 that the Ministry of Health had confirmed a human case of
highly pathogenic avian influenza in Jiangsu, and that [the patient]
had died in hospital that day due to multiple organ failure.

In an exclusive interview with Health Times, Professor Yin Kaisheng,
attending physician for the fatal Nanjing avian influenza case,
Ministry of Health national public health emergency response
specialist, and official in charge of the Jiangsu Province Health
Bureau's Human Highly Pathogenic Avian Influenza Prevention Medical
Treatment Team, stated that, for the moment, it is not possible for a
SARS-like super-spreader to emerge, transmitting avian influenza from
one person to the masses. Residents don't need to panic.

Yin Kaisheng revealed that during this patient's hospitalization
there was no way to confirm [he had] avian influenza. It was the
Jiangsu Center for Disease Control's laboratory that detected that
the infection was H5N1 type avian influenza virus. Moreover, the
patient always maintained that he had no way [to contract] this
infection, and had no history of contact with poultry. It is only
known that 20 days before becoming ill [he] had been bitten by a dog,
and 20 days later [he] developed fever after drinking a little alcohol.

[Byline: Sun Weili]

--
Communicated by:
ProMED-mail Rapporteur Dan Silver

[The patient who died on Sun 2 Dec 2007 is presumed to be the
24-year-old man who had developed a fever and pneumonia symptoms on
Mon 3 Dec 2007. Later this man's 52-year-old father was was admitted
to hospital and was also confirmed H5N1-positive. He remains alive.
Neither father nor son are known to have had contact with diseased
fowl, but the matter is still being investigated.

Notwithstanding the father-son relationship of these 2 cases in
Jiangsu province it is premature to consider this to be an instance
of human-to-human transmission in view of the lack of information on
the source of the virus, and the absence of onward transmission. The
suggestion that the 24-year-old man's infection might be relate to a
dog bite (and/or alcohol!) is intriguing. Although domestic and wild
felines are know to be highly susceptible to H5N1 virus infection,
dogs are less so (see: Current outbreak of H5N1 in birds and other animals;
<http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/biofacts/avflu_huma
n.html#_Summary_of_Avian_Influenza_in_Human>).

However it is possible that dogs in their role as scavengers could
mechanically transmit bird flu virus by biting. The 20-day lapse
between bite and onset of illness in this case makes this route of
transmission of disease unlikely, and there would still have to
reservoir of infected wild birds or domestic poultry in the area.
Further information is awaited. - Mod.CP]

sharon sanders · Dec 8, 2007

Re: China: Man Dies; Infected Father "Improving"; More Suspects

Hat tip Dr. Modesto - Report of H5N1 in a Dog -

October 12, 2006

Bird flu case in Thai dog raises questions about infection

http://www.theglobeandmail.com/servl...andHealth/home
Canadian Press

Thai scientists have reported a case of H5N1 influenza infection in a dog, a finding that lengthens the unusually long list of mammals this avian flu virus can infect.

The report, which suggests the dog became infected by eating ducks killed by the virus, also underscores a need to figure out whether the virus can be transmitted through consumption of infected animals, a World Health Organization scientist said Wednesday.

“This is the third species or fourth species that has been infected by eating carcasses. So I think we really have to think about the risk of oral ingestion,” said Michael Perdue, an avian flu expert with the WHO's global influenza program.....

Con't here:

http://www.flutrackers.com/forum/showthread.php?t=11533

Treyfish · Dec 8, 2007

Re: China: Man Dies; Infected Father "Improving"; More Suspects

..more like he ate a contaminated dog

HenryN · Dec 8, 2007

Re: China: Man Dies; Infected Father "Improving"; More Suspects

Commentary at

http://www.recombinomics.com/News/12080702/H5N1_Jiangsu_H2H.html

AlaskaDenise · Dec 8, 2007

Re: China: Man Dies; Infected Father "Improving"; More Suspects

niman said:
Commentary at

http://www.recombinomics.com/News/12080702/H5N1_Jiangsu_H2H.html

Commentary

Likely Human to Human H5N1 Transmission in Jiangsu China

Recombinomics Commentary
December 8, 2007

Joanna Brent, a Beijing-based WHO spokeswoman, said the father began presenting symptoms on Monday and was confirmed as having the virus on Wednesday. She said he was being monitored in hospital.

'Because the possibility of human to human transmission cannot be ruled out, we will be monitoring this case closely,' Brent told reporters.

'If it is found to be easily passed between humans, we would be concerned,' Ms Brent said.

Ms Brent said there was no evidence that the man had been infected by his 24-year-old son, who died on Dec 2, but said the possibility could not yet be eliminated.

Ms Brent said it was also possible that both men were infected by the same bird, or that they were infected separately from different sources.

The above comments by WHO offer multiple possibilities for transmission within the Jiangsu cluster, but the transmission is likely to be human-to-human because the son infected his father.

H5N1 clusters give rise to to main possibilities, infection from a common source or human-to-human transmission. These two possibilities are largely decided by the disease onset dates. Since confirmed H5N1 human cases are very rare, it is likely that two infections within one household are linked.

If a common source (bird or human) is involved, both family members will develop symptoms at a similar time. If the index case infects the family member, there will be a gap in the disease onset dates. In this cluster, the son developed symptoms on November 24, while the father developed symptoms on December 3. This gap would make human-to-human transmission likely.

This likelihood is increased because the index case has no known contact with infected poultry, decreasing the likelihood that the father and son were infected by a common source.

This cluster has attracted significant attention in the popular press, in part because of the gap in disease onset dates. However, there are additional reports in the Chinese press indicating the father died on Thursday and the mother and girlfriend of the index case have symptoms. If H5N1 confirmed, the likelihood of human-to-human transmission would increase markedly.

.

HenryN · Dec 8, 2007

Re: China: Man Dies; Infected Father "Improving"; More Suspects

From Hong Kong yesterday

<TABLE cellSpacing=0 cellPadding=5 width="100%" border=0><TBODY><TR><TD>Hong Kong seeks more information on latest H5N1 bird flu outbreak

</TD><TD vAlign=top rowSpan=5></TD></TR><TR><TD>[FONT=Arial, Helvetica, sans-serif]2007-12-07 [FONT=Arial,]HKT[/FONT] 23:23[/FONT]
</TD></TR><TR><TD></TD></TR><TR><TD><TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD vAlign=top>The father of a 24-year-old man who died from bird flu last Sunday in Jiangsu Province is confirmed to have also been infected with the deadly H5N1 virus. The 52-year-old man is said to have fallen ill on Monday. The Centre for Health Protection says it was notified of the new case by the Ministry of Health. Officials said on Monday that the son had not had any known contact with dead poultry, and that no bird flu outbreaks had been reported recently in Jiangsu. Legco's medical representative, Dr Kwok Ka-ki, wants the mainland to provide more information to Hong Kong. ↓ </TD></TR></TBODY></TABLE>

http://www.rthk.org.hk/rthk/news/englishnews/news.htm?englishnews&20071207&56&452443
</TD></TR></TBODY></TABLE>

HenryN · Dec 8, 2007

Re: China: Man Dies; Infected Father "Improving"; More Suspects

From Hong Kong Today

http://www.rthk.org.hk/rthk/news/englishnews/news.htm?englishnews&20071208&56&452446

<TABLE cellSpacing=0 cellPadding=5 width="100%" border=0><TBODY><TR><TD>Father of bird flu victim sickened by same H5N1 virus

</TD><TD vAlign=top rowSpan=5></TD></TR><TR><TD>[FONT=Arial, Helvetica, sans-serif]2007-12-08 [FONT=Arial,]HKT[/FONT] 00:25[/FONT]
</TD></TR><TR><TD></TD></TR><TR><TD><TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD vAlign=top>The father of a 24-year-old man who died from bird flu last Sunday in Jiangsu Province is confirmed to have also been infected with the deadly H5N1 virus. The 52-year-old man is said to have fallen ill on Monday. The Centre for Health Protection says it was notified of the new case by the Ministry of Health. Officials said on Monday that the son had not had any known contact with dead poultry, and that no bird flu outbreaks had been reported recently in Jiangsu. Legco's medical representative, Dr Kwok Ka-ki, wants the mainland to provide more information to Hong Kong. ↓ </TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>

HenryN · Dec 8, 2007

Re: China: Man Dies; Infected Father "Improving"; More Suspects

Commentary at

http://www.recombinomics.com/News/12080703/H5N1_Jiangsu_Cluster_Grows.html

AlaskaDenise · Dec 9, 2007

Re: China: Man Dies; Infected Father "Improving"; More Suspects

niman said:
Commentary at

http://www.recombinomics.com/News/12080703/H5N1_Jiangsu_Cluster_Grows.html

Commentary

H5N1 Jiangsu Cluster Grows?

Recombinomics Commentary
December 8, 2007

Nanjing brain Hospital sources today to the Hong Kong "Ta Kung Pao" said 陆某 father has died, but the news was official denied.

Reports also pointed out that close contact with the deceased persons and two others in varying degrees of suspected bird flu symptoms.

"Ta Kung Pao" Comprehensive Several sources said that following 陆某 death, the first symptoms of the avian flu is his father, had died on December 6.

According to reports,陆某 girlfriend and the mother appeared one after another suspected bird flu symptoms, the severity of which is currently being girlfriend rescue, 陆某 mother has been a quarantine check.

The above translation indicates that the father of the deceased Jiangsu patient has also died. Both patients have been confirmed H5N1 positive, but media reports indicate the father is improving.

The time interval between son and father onset dates strongly suggests the father was infected by his son. Earlier media reports had indicated contacts had no symptoms, but the above translation raises additional questions about the mother and girl friend of the index case.

If H5N1 confirmed, these additional contacts would extend the transmission change and provide compelling evidence for human-to-human-to-human transmission.

More information on the status of the father, mother, and girl friend would be useful.

.

HenryN · Dec 9, 2007

Re: China: Man Dies; Infected Father "Improving"; More Suspects

China bird flu patient recovering: report

A 52-year-old Chinese man whose son died recently from bird flu and who himself has been infected with the highly dangerous virus is gradually recovering, state media reported Sunday.

The patient, identified by his surname Lu, showed signs of improvement on Saturday, five days after he developed fever and pneumonia symptoms, Xinhua news agency said, citing medical officials in east China's Jiangsu province.

His son died last Sunday from the H5N1 avian flu strain, which has killed more than 200 people worldwide since 2003.

Xinhua did not say whether it was a case of human-to-human transmission, a possibility that had immediately set off alarm bells in the global health community.

The Jiangsu provincial health authorities merely said in a statement on their website that the two had been "in close contact." Health authorities were not immediately available for comment Sunday morning.

The new case brings to at least 27 the number of infections in China, where 17 people have died from bird flu.

The deadly H5N1 strain has passed from human to human only in very rare cases but scientists fear that such transmission could become more efficient and widespread through mutation, causing a global pandemic.

http://www.physorg.com/news116401522.html

HenryN · Dec 9, 2007

Re: China: Man Dies; Infected Father "Improving"; More Suspects

printable version

Avian influenza ? situation in China - update 5

9 December 2007
The Ministry of Health in China has reported a new case of human infection with the H5N1 avian influenza virus in Jiangsu Province. The case was confirmed by the national laboratory on 6 December.
The 52-year old male is the father of the 24-year old man who died from H5N1 infection on 2 December 2007. He is one of the close contacts placed under medical observation by national authorities. He developed symptoms on 3 December and was sent immediately to hospital for treatment.
Of the 27 cases confirmed to date in China, 17 have been fatal.

http://www.who.int/csr/don/2007_12_09/en/index.html

HenryN · Dec 9, 2007

Re: China: Man Dies; Infected Father "Improving"; More Suspects

Center □□□2007.12.09 preventing and controlling birds and beasts flu Nanjing issues an order □□to live □Central News Agency Center Qi Jiang □province □fathers and sons infect the birds and beasts flu to direct □the epidemic situation to be panic, □□□, Nanjing □bureau □low □□principle event, but also □the wrist control epidemic situation, issues an order all domesticated fowls city □not to be able to remain lives □□the night, □□only has the following night □□to change □Leng??. Hong Kong "□Fang Ri?" □□, Nanjing many □courtyards □event all three □its, the Nanjing resident generally did not know explodes □the epidemic situation. □, the Nanjing □bureau yesterday did not issue an order all domesticated fowls city □prohibition to live □"□the night", will not be able to remain to the next day, otherwise □□□□, some small cities □is forbidden □to sell lives □. Among them, Huimin □□city □tube committee □□, □□instruction under yesterday afternoon □, whole city all food markets □all □□□□line. □□□woman last night then □□□fell 50 □to live □, □loses not slightly, because □Leng?? demand was not big. Jiang? is many Hong Kong travels □□□the travel □□, the port □aviation □□□goes to Nanjing passenger "health direction". Hong Kong many travel agencies all pointed out that, the travel □mostly not □to □□or □the village, □the guest □does not have □□meets □the birds and beasts □, but □the reminder □□attention □person □lives.
http://news.chinatimes.com/2007Cti/...Content/0,4526,110109+112007120900372,00.html

Niko · Dec 9, 2007

Re: China: Man Dies; Infected Father "Improving"; More Suspects

Father of bird flu victim recovering, China says

[FONT=Verdana, Arial, Helvetica, sans-serif]Posted : Sun, 09 Dec 2007 11:47:01 GMT[/FONT]
[FONT=Verdana, Arial, Helvetica, sans-serif]
Beijing - The father of a Chinese man who died from avian influenza is recovering in hospital, but health experts still do not know how the two men were infected with the virus, state media said on Sunday. The 52-year-old father, identified only by the surname Lu, had shown "signs of improvement" under treatment fro H5N1 bird flu at a hospital in the southern city of Nanjing, the Xinhua news agency quoted local health officials as saying.

[/FONT][FONT=Verdana, Arial, Helvetica, sans-serif]Lu's infection was diagnosed while he was under observation along with other people who had close contact with his son. [/FONT][FONT=Verdana, Arial, Helvetica, sans-serif]

Experts said the signs of improvement proved Lu's his treatment was "timely and effective," the agency said. [/FONT][FONT=Verdana, Arial, Helvetica, sans-serif]

His son died last week from H5N1 bird flu but had no known contact with infected poultry.

[/FONT][FONT=Verdana, Arial, Helvetica, sans-serif]None of the other people who were in close contact with the two men had shown signs of infection, the health ministry said. [/FONT][FONT=Verdana, Arial, Helvetica, sans-serif]

No infections were reported in birds in the area around Nanjing. [/FONT][FONT=Verdana, Arial, Helvetica, sans-serif]

The World Health Organization said it would closely monitor the Nanjing cases because of the possibility that person-to-person infection could have occurred. [/FONT][FONT=Verdana, Arial, Helvetica, sans-serif]

Experts have warned that a mutation of the virus to make human-to-human transmission easier could fuel a major epidemic that would threaten millions of people worldwide. [/FONT][FONT=Verdana, Arial, Helvetica, sans-serif]

China has reported 27 human cases of H5N1 bird flu since 2003. Lu's son was the 17th Chinese person to die from an infection.

http://www.earthtimes.org/articles/show/155634.html
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HenryN · Dec 9, 2007

Re: China: Man Dies; Infected Father "Improving"; More Suspects

Father infected by bird flu recovering

 Nishika Patel and agencies

Monday, December 10, 2007

A 52-year-old mainland man whose son died recently from bird flu and who himself has been infected with the highly dangerous virus is gradually recovering. The patient showed signs of improvement on Saturday, five days after he developed fever and pneumonia symptoms, according to medical officials in Jiangsu province.

His son died Sunday last week from the H5N1 avian flu strain, which has killed more than 200 people worldwide since 2003.

It is unknown whether this was a case of human-to-human transmission, a possibility that had immediately set off alarm bells in the global health community. Jiangsu health authorities merely said in a statement on their website that the two had been "in close contact."

The new case brings the number of infections in China to at least 27 - 17 of them fatal. The deadly H5N1 strain has passed from human to human only in very rare cases but scientists fear that such transmission could become more efficient and widespread through mutation, causing a global pandemic.

Lo Wing-lok, a specialist in infectious diseases in Hong Kong, said there were two possibilities in the case - that the father was infected through close contact with the son or that both had bought poultry from the same source. Lo said there had been 30 family clusters so far where the infection had been contracted due to a blood relationship.

"The critical factor is whether these two men had been in close proximity for an extended period rather than the blood relationship, although blood relatives are more likely to be affected" Lo said.

"The father's recovery could be because the infected dose from the poultry to the son may have been higher than the dose from the son to the father."

http://www.thestandard.com.hk/news_...2&sid=16675140&con_type=1&d_str=20071210&fc=1

China: Man Dies; Infected Father "Improving"; More Suspects

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