Zhejiang H7N9 case reported - 64-year-old woman - nov 6 2013

[Gert van der Hoek]

Zhejiang H7N9 case reported

November 06, 2013

The National Health & Family Planning Commission today notified the Centre for Health Protection of another confirmed case of avian influenza A (H7N9) affecting a 64-year-old woman in Zhejiang.

The woman became ill on October 30 and is in hospital in critical condition.

A total of 138 human cases of H7N9 have been confirmed in the Mainland.

No confirmed human cases of the disease have been recorded in Hong Kong.

http://www.news.gov.hk/en/categories/health/html/2013/11/20131106_111338.shtml

 

[Giuseppe]

Re: Zhejiang H7N9 case reported - 64-year-old woman - nov 6 2013

[Source: Taipei Centre for Disease Control and Prevention, full page in Chinese: (LINK). Automatic translation.]


Taipei CDC advice for China Mainland travelers after notification of two new H7N9 human cases

Zhejiang Province in China and then add one case H7N9 influenza cases, suggested the province tourism epidemic level in the secondary level: Warning (Alert), command centers abroad urged people to pay attention to prevent, and calls upon physicians to be vigilant (2013-11-06)


Mainland China Center for Disease Control yesterday (11/5) evening to the H7N9 influenza Central Epidemic Command Center, Zhejiang add one case reported confirmed cases of H7N9 flu, Guangdong Province, has also confirmed the same day a three-year-old five-month-old boy was infected with H7N9 flu.

At present, Guangdong and Zhejiang provinces Tourism epidemic Recommended level is maintained at the second level: Warning (Alert), remaining provinces (excluding Hong Kong and Macau) as the first stage:
Note (Watch), the command center to remind people planning to travel to affected areas, Be sure to maintain good health habits, avoid contact with birds.

The new cases living in Jiaxing, Zhejiang Province, 64-year-old farm woman, with a history of exposure to live poultry market.

10/30 incidence, 11/4 by the Center for Disease Control, Jiaxing examination diagnosed, currently in serious condition, hospital treatment.

Mainland China has accumulated a total of 138 confirmed cases, distributed in 10 provinces and 2 cities, including 45 known cases of death.

Domestic H7N9 influenza surveillance, since April 3 so far, H7N9 influenza cases reported 448 cases, including one case of imported cases, 447 cases rule out infection; border quarantine starting from June 1 date, returning from endemic areas of the epidemic guest on Immigration symptoms when 1,406 cases were excluded from H7N9 infection.

Command Center pointed out that this new cases in mainland China since the first three cases, Zhejiang autumn H7N9 flu, H7N9 flu virus persistence display environment, H7N9 flu threat has not been lifted, should remain vigilant. In addition to continuing to strengthen national implementation and monitoring of mainland China as a quarantine for 14 days of fever and had to travel in China, especially those with a history of exposure to poultry, quarantine officers will be sent to hospital for help after treatment.

Also, remind physicians that meet the definition of H7N9 flu reported in patients, health authorities should be notified promptly. Another command center for the strengthening of human avian interface management, and also to determine if the detection of domestic poultry and China highly homologous H7N9 avian influenza virus, it will happen farm animals for slaughter and clear canceled. In addition, the COA has continued to strengthen domestic birds and birds monitored.

Command center to remind people, travel to mainland China, should avoid contact with poultry category, in particular not to pick up dead birds; edible chickens, ducks, geese (including eggs) should pay attention to is completely cooked; and personal hygiene such as washing hands should implement measures to avoid infection.

When returning as fever or flu-like symptoms, they should inform the airline personnel and airport and port quarantine officers; After returning as the above symptoms, you should wear a mask doctor immediately and tell your doctor travel history, lodged by physicians to provide appropriate medical services.

Recent outbreaks of infectious diseases and other tourism-related information can refer to the CDC website ( http://www.cdc.gov.tw ) the "H7N9 flu zone" and the "International Travel Information" area, or call toll-free public Disease Reporting and Care Line 1922 contact, such as phone can not make simple code phone number, please dial 0800-001922 prevention hotline.


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[Giuseppe]

Re: Zhejiang H7N9 case reported - 64-year-old woman - nov 6 2013

[Source: Ifeng, full page in Chinese: (LINK). Automatic translation.]


H7N9, China: Zhejiang case still in critical condition

At 20:29 on November 8th, 2013 - Source: CCTV


Zhejiang new case of human infection of H7N9 avian influenza] today, Zhejiang Province, appeared this fall since the first three cases of human infection with the H7N9 avian influenza.

Patients were female, 64 years old, currently living in Jiaxing City Hospital.

Expert consultation is in critical condition, oxygen saturation is relatively poor, the current condition has improved.

Patients chickens at home, in close contact with poultry.

(CCTV reporter Zhao Yi)


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[Giuseppe]

Re: Zhejiang H7N9 case reported - 64-year-old woman - nov 6 2013

[Source: Ifeng, full page in Chinese: (LINK). Automatic translation.]


H7N9, China: More details on latest Zhejiang human case

At 02:44 on November 9, 2013 / Source: Youth Times Author: Zheng Qi


Times News yesterday, the reporter learned from the Provincial Health Department, Jiaxing City, also found one case of H7N9 avian influenza. This is the province this fall, a third case of human infection with H7N9 avian influenza patients.

The name of female patients, aged 64, farmer, now living in Xiuzhou, on October 30 the disease, confirmed on November 4, in critical condition and is currently living in Jiaxing City Hospital intensive care unit for treatment.

According to the Provincial Institute for Communicable Disease Control and Prevention deputy director CHEN En-fu revealed that this new cases of infection in patients with previous second H7N9 patients in Jiaxing, a town of the same person, but not the same village.

"Two patients with a place to live, not the printing of said separated by only a river, they are not the same Murakami, separated by seven or eight kilometers, it takes about 15 minutes by car." CHEN En-fu, deputy director, said, "These two cases belong to the sporadic cases, the CDC is the band collect samples for testing, has not yet found a sample of other infections. "

CHEN En-fu, deputy director, said sporadic cases can not be completely eliminated, which the majority of farmers and rural long-term farming, live birds for exposure. "Compared to the city, you can prohibit the sale or strengthen monitoring of live poultry to control is more difficult in rural areas, after all, so that farmers are not touching live poultry or farmed, is impossible. It is due to this reason, sporadic cases in rural areas more. "

Long-term exposure of live poultry for rural populations, CHEN En-fu, deputy director, said, usually have to do cleaning work, and not direct contact with live poultry droppings, feathers and so on.

"For the people who raise their own chickens and ducks to be vigilant, because such a relatively high incidence of people from the previous patient point of view, relatively poor resistance to older people, but also prone to infection, so be sure to do less contact with live poultry, wash hands and other basic work. "

For Hangzhou city currently live animal recovery situation, CHEN En-fu, deputy director, said some from the countryside to urban areas for sale of live poultry stalls, the virus must undergo risk assessment and monitoring.

"While the province's live animal recovery, but have a different than before and the first is asking them to do cleaning work, so daily cleaning sales venue, place poultry cages, blood, feces and other poultry, the implementation date clean systems. Additionally, live poultry markets were closed three days a month at least, to be cleared during the closed-type disinfectant. "

Currently, the province reported a total of three cases of human infection with H7N9 avian influenza.

The first case of H7N9 infection in Shaoxing patients, the virus has been negative, but the current situation is still more critical, is still receiving treatment in Shaoxing. Liu said his brother, his brother this time the most important indicator is the oxygen saturation always go up, the lungs are almost no function is called the "stone lungs", similar to rotten perforation, can only rely on artificial lung to breathe.

The second case in Jiaxing patient's condition has been greatly improved, has been out of danger.


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[Pathfinder]

Re: Zhejiang H7N9 case reported - 64-year-old woman - nov 6 2013

Translation Google

Zhejiang new case of human infection of H7N9 avian influenza

November 9, 2013 10:00:03
　　
Yesterday, the Health Department of Zhejiang Province, Zhejiang add one case H7N9 avian influenza. Patients Ren Moumou, female, 64 years old, farmer, now living in Xiuzhou District, October 30 incidence, November 4 confirmed in a critical condition.
　　
At this point, the second half of this year, Zhejiang Province reported a total of three cases of human infection with H7N9 avian influenza. Liu XX first patients remained in critical condition, and the second patients Moumou has been out of danger, removed the ventilator.
　　
Added the patient's condition has improved, increased permeability of the lungs. The patient at home, chicken, poultry history of close contact with her family and on one case Jiaxing separated by only a river patient's home. Experts believe that the two home near Jiaxing patients may have a virus in poultry, to actively carry out quarantine and epidemic prevention disinfection.
　　
In addition, on October 28 the National Health and Family Planning Commission issued a document, the inclusion of human infection with H7N9 avian influenza B infectious legal. From November 1, 2013 people have been infected with H7N9 began Zhejiang inclusion B infectious avian flu be managed in accordance with regulation B infectious mid-month in the provincial health department announced last month portal timely outbreak.
　　
Risk assessment based on expert opinion, the next period of time, Zhejiang people infected with H7N9 bird flu still sporadic cases based, must continue to do all the preventive and control measures.
　　
At present, a time when the fall and winter seasons, respiratory diseases began to enter the high incidence of experts reminded the public to timely add clothes according to temperature changes, pay attention to the ventilation window, flu-like symptoms seek immediate medical attention.

http://cs.zjol.com.cn/system/2013/11/09/019695567.shtml

 

[Giuseppe]

Re: Zhejiang H7N9 case reported - 64-year-old woman - nov 6 2013

Source: ProMedMail.org, full page: http://www.promedmail.org/direct.php?id=2049326


Published Date: 2013-11-11 12:40:11
Subject: PRO/AH/EDR> Avian influenza, human (138): China (ZJ) H7N9 new case
Archive Number: 20131111.2049326

AVIAN INFLUENZA, HUMAN (138): CHINA (ZHEJIANG) H7N9 NEW CASE
************************************************************
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: Sat 9 Nov 2013

Source: Xinhua News Agency [edited]
http://news.xinhuanet.com/english/china/2013-11/09/c_132874143.htm


A 64-year-old farmer in east China's Zhejiang Province has been confirmed to have contracted H7N9 avian influenza virus infection, bringing the total number of [human] avian influenza cases in China to 4 this autumn, local health authorities said on Saturday [9 Nov 2013].

The farmer from Jiaxing City was confirmed as having the disease on Mon 4 Nov 2013 after she began showing symptoms on 30 Oct 2013. She is now in a serious condition, according to the Zhejiang Provincial Health Department.

This case follows 2 others also in Zhejiang Province confirmed on 15 and 23 Oct 2013, and another in southern Guangdong Province confirmed on 5 Nov 2013.

China had reported 134 cases by the end of August [2013], with 45 fatalities, according to the National Health and Family Planning Commission. No new cases were reported on the Chinese mainland in September [2013].
--
Communicated by:

ProMED-mail Rapporteur Mary Marshall

[As yet little information is available about either of the 2 new cases in Zhejiang province, other than that the most recent case patient is a female farmer. It is apparent that the H7N9 virus still lingers in the environment despite the apparent eradication of the disease by control of poultry markets and poultry sales to the general public.

It seems unlikely that seasonal factors are involved in the reappearance of the H7N9 virus as normal seasonal influenza outbreaks have so far not occurred in China. More information is awaited.

Maps of China can be accessed at http://www.maps-of-china.net/province_map.html and http://healthmap.org/r/7AX6. - Mod.CP]

(...)

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[Pathfinder]

Re: Zhejiang H7N9 case reported - 64-year-old woman - nov 6 2013

Translation Google

Avian influenza viruses do not stand the cold, but not worry too much as long as the protection in place

Excerpt:

Unfortunately, the patient died in Jiaxing

Since the second half of this year, Zhejiang H7N9 bird flu to the four cases. Jiaxing one case in which the patients have been died. Patient surnamed Ren, female, 64 years old, farmer, the incidence on October 30, November 4 confirmed.

http://big5.xinhuanet.com/gate/big5...wscenter/headlines/2013-11/29/c_118347691.htm

 

[tetano]

Re: Zhejiang H7N9 case reported - 64-year-old woman - nov 6 2013

Zhejiang new H7N9 avian influenza patient is not out of danger

Yesterday, the Zhejiang Provincial Health Department notify 27th 1 H7N9 avian flu cases of human infection cases were confirmed, as of 28th, the patient has not yet out of danger. Patient is not yet out of danger, 6 chickens raised at home informed the provincial health department said, patients with newly diagnosed H7N9 avian flu, men, aged 57, is Anji who because of physical symptoms such as malaise, fever by family members rushed to the first affiliated hospital of Zhejiang University School of medicine, and the 27th has been confirmed as human infection H7N9 avian influenza cases. According to Deputy Director of the Zhejiang Medical Institute of infectious diseases described LEUNG Wai Fung, two white lung the Lung in patients with high exudate, poor oxygenation and symptoms of respiratory failure, shock, Lung failure and other symptoms. At present, the medical staff is to save patients, treatment with artificial lungs and patients. As of press time, the patient has not yet out of danger. How Uncle H7N9 avian flu infections? Xinhua learned from relevant departments, epidemiological investigations, uncle 6 chickens are raised in the House. In consequence, his H7N9 virus is very likely to come from these birds, currently, CDC personnel have the chickens to be culled. Autumn first patients with avian flu viruses have become negative after October 15, informed the Health Department of Zhejiang Province, Zhejiang H7N9 added 1 new case of human infection cases of bird flu, which is after the autumn of this year, Zhejiang's first bird flu case occurred, after 1 month, the 35-year old patient so what cheer? Journalists on Twitter to find the patient's brother 'red Flash 413,517' micro-blog.




http://www.qzwb.com/gb/content/2013-11/29/content_4737714.htm