China - Zhejiang province confirms 11 H7N9 bird flu cases & 1 death in January 2015 - 3 additional cases - February 16, 2015

[sharon sanders]

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[TD="class: title, align: center"]Zhejiang Provincial Health and Family Planning Commission announced in January 2015 the province's legal infectious diseases[/TD]
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[TD="width: 20%, align: right"]Release Date: 2015-02-06[/TD]
[TD="width: 20%, align: center"]Source: Ministry of Health and Family Planning Disease Control Department[/TD]
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January 2015 (at 0:00 on January 1 2015 to 31 January 24), the province reported a total of 27,948 cases of notifiable infectious diseases, the death of 28 people. Among them, the Group reported no cases of infectious diseases. B infectious diseases, in addition to SARS, polio, highly pathogenic avian influenza, rabies, Japanese encephalitis, dengue fever, anthrax, diphtheria, leptospirosis incidence and deaths reported In addition, the remaining 17 kinds of infectious disease cases were reported in 9369 cases, 28 deaths; reported incidence of the top five diseases were: tuberculosis, syphilis, viral hepatitis, gonorrhea, scarlet fever, the total number of reported cases of class B infectious diseases 95.8%.
The same period, the province's Class C infectious diseases were reported in 18,579 cases, with no deaths reported.The top three reported cases of diseases were other infectious diarrhea, hand-foot-mouth disease and influenza accounted for 97% of the total reported cases of class C infectious diseases.
Schedule: January 2015 in Zhejiang Province of notifiable infectious disease, mortality tables

Health and Family Planning Commission of Zhejiang Province
February 3, 2015

http://www.zjwst.gov.cn/art/2015/2/6...62_434967.html



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[sharon sanders]

We have 8 cases listed for January 2015 in Zhejiang province. I have no idea which patient died (probably not case #548):

#518 - Female, 63,[Zheng] hospitalized about January 7 in Yueqing city, Zhejiang province

#544 - Female, 49, onset January 25, hospitalized January 28, in critical condition, Jiaojiang District, Taizhou, Zhejiang province

#547 - Male, 58, hospitalized January 15 in critical condition, Tongxiang, Zhejiang province

#548 - Male, 69, [Moumou], onset January 24, hospitalized January 24, discharged February 2, Anji, Zhejiang province

#580 - Male, 65, critical condition, announced via CHP pdf February 10, Zhejiang province

#581 - Male, 74, stable condition, announced via CHP pdf February 10, Zhejiang province

#582 - Female, 62, serious condition, announced via CHP pdf February 10, Zhejiang province

#583 - Male, 60, serious condition, announced via CHP pdf February 10, Zhejiang province


I will add a line on our H7N9 cases list for the 3 additional, not previously known, cases.



A clarification from WHO would be greatly appreciated!

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[Biological100]

H7N9 One confirmed case in Xianju County ,Taizhou City, Zhejiang

Since the winter of 2014 the city found that the first three cases of H7N9 cases, February 10, 2015 week , China Taizhou net - Taizhou Evening News The first 06 edition: Civil, Excerpts News List
10
to avoid direct contact with live poultry is key to prevention and control

(Reporter Wang Yuanyuan) February 6, Taizhou Hospital found that report a case of human infection with H7N9 cases. It is understood that since the first three cases were found in the city's 2014 winter H7N9 infection cases.

The first three patients were male, 43 years old, living in Xianju perennial. Judging from history, the patient usually better physical fitness.
January 28 evening, patients with fever and other symptoms, taking antipyretics nor improve the condition. January 31 afternoon, accompanied by his family to the patient Taizhou Hospital emergency department. February 6, the hospital of the cases were detected and found that H7N9 virus nucleic acid testing positive. Taizhou review by the CDC laboratory, the cases were confirmed as H7N9 cases.

Patient wife introduced, they live year-round in Xianju countryside, every family has raised chickens, ducks and other birds, they also raise a few chickens and ducks at home a few days ago, in the backyard of their home a chicken sudden inexplicable death.

"At present, this condition is more critical patients." Dr. Lin Haijiang Taizhou CDC deputy director, said after the case confirmed cases Linhai CDC conducted a preliminary investigation of close contacts, and its one-week medical observation, and inform the contact person in the event of fever, cough and other flu-like symptoms immediately to the designated hospital, and the doctor told his contact history.

Linhai Jiang, this year January 16, Taizhou, the first case of H7N9 cases reported since 2014 winter.

As of February 9, the city had a total of three cases of H7N9 cases, there are a person discharged, two cases are still to hospital in critical condition.

. "The risk of human infection with the H7N9 remains" —?ŠC?] said, on the one hand, the recent temperature continued to drop, cold environment easy to encourage the growth and reproduction of the virus H7N9; on the other hand, the recent Taizhou around from the outside environment, including live bird droppings Monitoring results cage surface spreads and faded hair after sewage view loaded poultry, H7N9 nucleic acid positive proportion of people infected continues to increase, which means farmers market trading of live poultry and other places, such as the existence of the family backyard poultry the H7N9 virus risk. Once the crowd, as some people have underlying diseases in contact with these pollutants, it is the risk of human infection with H7N9 may occur.

Therefore, Dr. Lin Haijiang recommendations as far as possible with live birds, secretions, feces direct contact is the key to the prevention and control of H7N9. Once have had direct contact should wash their hands as soon as possible with detergent.

Spring Festival is approaching, the annual New Year's Eve, every family will inevitably eat poultry. To prevent accidents, recommended that urban residents have been slaughtered through formal channels to buy good birds. Rural residents live poultry at slaughter, must pay attention to personal protection, such as wearing masks, gloves, etc., must be promptly wash your hands with soap or hand sanitizer after contact, do not have luck.

http://paper.taizhou.com.cn/tzwb/htm...ent_603442.htm



(I mentioned this case earlier on Flu trackers!)


Tabular form: I have confirmation files on this case! Noteworthy, this case is Confirmed!

43M Xianju County (2) , Taizhou city (3), Zhejiang [18]

Age: 43

Sex: Male

Identifier:

Confirmation: 6-Feb-15 Taizhou city CDC

Onset: 28-Jan-15

Onset S&S: 28-Jan-15 evening, patients with fever and other symptoms, taking antipyretics nor improve the condition
Hx- previously healthy

28-Jan-15 evening, patients with fever and other symptoms, taking antipyretics nor improve the condition

31-Jan-15 afternoon, accompanied by his family to Taizhou Hospital ED, currently in critical condition

6-Feb-15 the hospital of the cases were detected and found that H7N9 virus nucleic acid testing positive. Taizhou CDC laboratory reviewed, the case was confirmed as H7N9 cases

Antiviral:

Outcome:

Exposure: Patient wife introduced, they live year-round in Xianju countryside, every family has raised chickens, ducks and other birds, they also raise a few chickens and ducks at home a few days ago, in the backyard of their home a chicken sudden inexplicable death.
raising three chickens, two ducks, and just recently had a duck inexplicable death.

Close contacts: LCDC conducted a preliminary investigation of close contacts, and its one-week medical observation, and inform the contact person in the event of fever, cough and other flu-like symptoms immediately to the designated hospital, and the doctor told his contact history.
Decontamination

 

[Biological100]

#519 - Male, 45, [Xu] hospitalized in Yiwu, Zhejiang province, from Guangdong province

Note.. I believe this 45M is not an imported case...but is confirmed in Yiwu, Zhejiang according to local preliminary investigation and confirmation even thou he was reported from Guangdong province