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Chin Med J (Engl). 2014 May;127(10):1973-6.
Human infection with avian influenza A(H7N9) virus in Shanghai: current status and future trends.
Shen Y1, Lu H2.
Author information
Re: Human infection with avian influenza A(H7N9) virus in Shanghai: current status and future trends
Conclusion
Current epidemiologic trends indicate that a large-scale H7N9 epidemic in Shanghai, or other regions of China is unlikely. However, it is likely that sporadic H7N9 cases will continue in Shanghai in the future.
Though the H7N9 virus doesn't appear to have the capacity for efficient human-to-human spread, new reassortants with seasonal influenza strains could confer the ability to transmit more easily, a situation that requires close monitoring.
The move to close poultry markets appears necessary and effective in reducing the risk contact with infected live poultry. Early diagnosis and antiviral treatment are essential in improving survival rates. Strict surveillance is a continuing requirement and a cross-sector effort will be needed to reduce H7N9?s threat. Shanghai?s experience could provide reference for other provinces in China and other countries to control and prevent human infection with avian influenza A (H7N9) virus. We need to learn more about the prevalence of H7N9 virus among animal reservoirs, specific animal-to-human modes of transmission, improve both public and healthcare professional response to suspected infection, and ensure hospitals institute prompt antiviral, antibacterial and supportive critical care.
