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H7N9 Cases Feb - August 2013

by: AlohaOR

Sun Mar 31, 2013 at 11:29:18 AM EDT


This diary is a place to collect information about H7N9 cases in humans.

Last updated August 12, 2013.

Big hat-tip to FluTrackers for helping to keep the details straight.

The case table for cases from September 2013 forward is here.

AlohaOR :: H7N9 Cases Feb - August 2013
Confirmed H7N9 Cases in CHINA
# Location Age/
Gender
Symptom Onset Outcome Notes
1 Shanghai 87M Feb 19, 2013 Died Mar 4, 2013 Surname Li (Lee); Minhang District; 2 adult sons (see Cases 73 & 74) also hospitalized with pneumonia; patient had not been out of the house for 2 weeks before becoming ill; treated at Shanghai No 5 People's Hospital in Minhang District
2 Shanghai 27M Feb 19, 2013 Died Mar 10, 2013 Surname Wu, a pork butcher & vendor in wet market; very little exposure to poultry; treated at Shanghai No 5 People's Hospital in Minhang District while case #1 was a patient, beginning Mar 1.  Father-in-law reports the patient was infected at the hospital.
3 Anhui 35F Mar 9, 2013 Died Apr 9, 2013 Surname Han; housewife from Chuzhou City; had exposure to poultry; treated at 2 clinics & 3 hospitals, finally at Zhongda Hospital, Southeast University; acute renal failure
4 Jiangsu 45F Mar 19, 2013 In critical condition Poultry butcher from Jiangning, Nanjing
5 Jiangsu 48F Mar 19, 2013 Recovered From Shuyang, Suqian; no known poultry exposure; discharged May 15
6 Jiangsu 83M Mar 20, 2013 Died Apr 9, 2013 Surname Shen; from Suzhou Wujiang; no known poultry exposure
7 Jiangsu 32F Mar 21, 2013 Died Apr 24, 2013 Surname Zhang; unemployed from Binhu, Wuxi; lives alone, rural area; no large-scale farms or farmer's markets, but habit of backyard poultry livestock in rural areas
8 Zhejiang 38M Mar 7, 2013 Died Mar 27, 2013 Surname Hung, from Hangzhou Jiande; worked as a chef in Taicang City, Jiangsu
9 Zhejiang 67M Mar 22, 2013 Condition improving Surname Yang; retiree from City of Hangzhou
10 Zhejiang 64M Mar 29, 2013 Died Apr 4, 2013 Surname Zhang; farmer from Wuxing, Huzhou
11 Shanghai 48M Mar 28, 2013 Died Apr 3, 2013 Surname Chu, a poultry transporter from Rugao; treated at Tongji Hospital
12 Shanghai 67F Mar 22, 2013 Died Apr 13, 2013 Surname Cao
13 Shanghai 4M Mar 31, 2013 Recovered Mild case; discharged from at Fudon University Children's Hospital on Apr 10; no infection found in the family's poultry
14 Shanghai 52F Mar 27, 2013 Died Apr 3, 2013 Surname Yu; treated at Changning District Central Hospital; died at Huashan Hospital; wife of Case #47
15 Jiangsu 61F Mar 20, 2013 In critical condition Surname Yin; from a retirement home in Qinhuai District, Nanjing
16 Jiangsu 79M Mar 21, 2013 Recovering Surname Lu; from a retirement home in Qinhuai District in Nanjing; originally reported in critical condition, now recovering
17 Shanghai 74M Mar 28, 2013 Died Apr 11, 2013 Surname Zhou
18 Shanghai 66M Mar 29, 2013 Recovered Surname Yang; retiree; mild case; released from the hospital Apr 18
19 Shanghai 59M Mar 25, 2013 Died May 31, 2013 Surname Shen; retiree from Anhui; at Yan Chai Hospital Pudong Branch
20 Shanghai 67M Mar 29, 2013 Recovered Surname Lee; treated at First People's Hospital; discharged Apr 21, 2013
21 Anhui 55M Mar 28, 2013 Recovered Surname Lee (Li); in the live poultry trade; hospitalized in Bozhou City; moved out of ICU Apr 17; discharged on Apr 19
22 Shanghai 64M Apr 1, 2013 Died Apr 7, 2013 Retiree
23 Jiangsu 85M Mar 28, 2013 In critical condition Retiree from Nanjing
24 Jiangsu 25F Mar 30, 2013 Recovering Pregnant; from Zhenjiang City; moved out of negative pressure room to general ICU on Apr 23; delivered her baby July 17; the mother's cardiopulmonary function is still recovering (link)
25 Shanghai 62M Apr 1, 2013 In stable condition Surname Lin
26 Shanghai 77M Apr 3, 2013 Died Apr 14, 2013 Surname Wang; retiree
27 Zhejiang 51F Rep Apr 9, 2013 Recovered Surname Jia;, from Huzhou City; moved out of quarantine Apr 12; discharged Apr 19
28 Zhejiang 79M Rep Apr 9, 2013 In critical condition Surname Tu, from Hangzhou
29 Jiangsu 70M Mar 29, 2013 In critical condition Surname Chen; lives in Wuxi Huishan
30 Jiangsu 74M Apr 2, 2013 In serious condition Surname Xu, from Jiangyin City, Wuxi City
31 Zhejiang 65M Apr 3, 2013 In stable condition Surname Hu, farmer from Hangzhou
32 Shanghai 76F Apr 1, 2013 Recovered Surname Ma, retired; discharged May 3, 2013
33 Shanghai 81F Apr 4, 2013 Hospitalized Farmer
34 Jiangsu 31M Mar 31, 2013 Recovered Surname Yin; chef in Yangzhou; discharged May 14
35 Jiangsu 56M Apr 3, 2013 In critical condition Surname Qian; teacher in Suzhou
36 Shanghai 74M Mar 31, 2013 Died Apr 11, 2013 Surname Jeong, retiree
37 Shanghai 83F Apr 2, 2013 Died May 10, 2013 Surname Kang (or Jiang), retiree
38 Shanghai 68M Apr 4, 2013 Recovered Surname Tang; discharged Apr 21, 2013
39 Shanghai 53M Apr 3, 2013 Hospitalized Surname Shen
40 Shanghai 86M Apr 3, 2013 Died Apr 22, 2013 Surname Duan; previously reported in stable condition
41 Zhejiang 66M Apr 8, 2013 Hospitalized From Hangzhou
42 Zhejiang 74M Apr 6, 2013 Hospitalized From Hangzhou
43 Zhejiang 54F Apr 6, 2013 Hospitalized From Huzhou
44 Beijing 7F Apr 11, 2013 Recovered Surname Yao; treated at Ditan Hospital; from Shunyi suburb; parents are poultry traders; the mother had a fever on Apr 13 & tested positive once(?), but 2 follow-up tests were negative; neighbor child (Case #61) tested positive Apr 15 but is asymptomatic
45 Jiangsu 77F Rep Apr 13, 2013 Died Apr 15, 2013 Surname Gu, from Nanjing
46 Jiangsu 72M Rep Apr 13, 2013 In critical condition Surname Ma, from Changsu
47 Shanghai 56M Apr 1, 2013 Died Jun 26, 2013 Surname Gu; husband of Case #14
48 Zhejiang 65M Apr 3, 2013 In critical condition      
49 Zhejiang 38M Apr 6, 2013 Recovered Surname Cao; admitted in critical condition; discharged from the First Affiliated Hospital of Zhejiang University in Hangzhou on May 3, 2013
50 Henan 34M Apr 6, 2013 In critical condition Surname Ma; chef from Kaifeng Weishi
51 Henan 65M Apr 8, 2013 Recovered Surname Zhang; farmer from Zhoukou City; discharged Apr 23
52 Zhejiang 64F Apr 6, 2013 In serious condition Surname Xu; farmer from Huzhou
53 Zhejiang 62F Mar 29, 2013 Died Apr 20, 2013 Surname Wang; retired from Huzhou
54 Zhejiang 75M Apr 6, 2013 In serious condition Surname Chen; native of Wenzhou, now retired in Nanjing
55 Zhejiang 79M Apr 6, 2013 In serious condition Retired in Hangzhou
56 Jiangsu 50M Rep Apr 14, 2013 Condition not rep From Qixia district
57 Jiangsu 26M Rep Apr 14, 2013 Recovered From Yancheng City; discharged Apr 26
58 Shanghai 73M Apr 5, 2013 Hospitalized Surname Zhu, retiree
59 Shanghai 54M Apr 8, 2013 Recovered Surname Song, from Jiangxi; discharged Apr 21, 2013
60 Shanghai 78M Apr 5, 2013 Recovered Surname Chen, retiree; discharged May 5
* Beijing 4M No symptoms     Neighbor of Case #44; asymptomatic but tested positive Apr 15
61 Jiangsu 60M Rep Apr 15, 2013 Died Apr 16, 2013 From Kunshan City
62 Zhejiang 68F Rep Apr 15, 2013 In critical condition From Huzhou
63 Anhui 60M Rep Apr 15, 2013 In critical condition From Tianchang
64 Jiangsu 56M Rep Apr 16, 2013 In critical condition Surname Fu; from Nanjing
65 Jiangsu 21F Rep Apr 16, 2013 Recovered Surname Hu; from Kunshan City; discharged May 16
66 Jiangsu 72M Rep Apr 16, 2013 In critical condition Surname Zhu; from Suzhou
67 Zhejiang 56M Apr 12, 2013 In critical condition Surname Hu, from Hangzhou; engaged in meat pigeon breading, sales
68 Zhejiang 57M Apr 10, 2013 In critical condition Surname Qian, from Hangzhou
69 Zhejiang 58F Apr 11, 2013 In critical condition Surname Sun; farmer from Hangzhou
70 Zhejiang 72F Apr 10, 2013 In critical condition Surname Jin; retiree from Hangzhou
71 Zhejiang 62M Apr 10, 2013 In critical condition Surname Ye; retiree from Hangzhou
72 Shanghai 47M Apr 10, 2013 Hospitalized Surname Zhang
73 Shanghai 55M Feb 14-24, 2013 Died Mar 4, 2013 Son of Case #1; died of multiple organ failure;  treated at Shanghai No 5 People's Hospital in Minhang District; retrospectively diagnosed
74 Shanghai 69M Feb 14-24, 2013 Recovered Son of Case #1;  treated at Shanghai No 5 People's Hospital in Minhang District; retrospectively diagnosed
75 Shanghai ??? Late March, 2013 Died, date n/r Reported Apr 16;  treated at Shanghai No 5 People's Hospital in Minhang District; retrospectively diagnosed
76 Shanghai ??? Late March, 2013 Recovered Reported Apr 16;  treated at Shanghai No 5 People's Hospital in Minhang District; retrospectively diagnosed
77 Shanghai 2yo March 16, 2013 Recovered Name Meng Moumou; reported Apr 16; retrospectively diagnosed; child was from Anhui, now living in Shanghai; traveled with parents to Hunan, where the child developed symptoms, then returned to Shanghai for treatment
78 Shanghai 89M Apr 12, 2013 Died Apr 29, 2013 Surname Chen; native of Jiangsu Province, was hospitalized at the Pudong New Area People's Hospital
79 Zhejiang 37F Apr 11, 2013 In critical condition Surname Liao; farmer from Hangzhou
80 Zhejiang 74M Apr 8, 2013 In critical condition Surname Niu; retiree from Hangzhou
81 Zhejiang 86M Apr 13, 2013 Died Apr 23, 2013 Surname Zhao; retiree from Hangzhou
82 Zhejiang 41M Apr 14, 2013 Recovered Surname Zhang, from Huzhou; mild case, discharged Apr 22, 2013
83 Henan 38M Rep Apr 18, 2013 Hospitalized Poultry seller from Guancheng Dist.
84 Jiangsu 26F Rep Apr 18, 2013 Hospitalized Surname Wang, from Nanjing
85 Zhejiang 54F Apr 13, 2013 In serious condition Surname Shen
86 Zhejiang 69M Apr 11, 2013 Died Apr 19, 2013 Surname Xu, from Hangzhou
87 Shanghai 80F Apr 8, 2013 In stable condition Surname Ma
88 Jiangsu 54M Apr 9, 2013 Recovered Surname Chen, from Xuanwu District, Nanjing; discharged May 15
89 Zhejiang 43M Apr 12, 2013 In critical condition Surname Ding; unemployed, from Hangzhou
90 Zhejiang 48M Apr 11, 2013 In critical condition Surname Shu; from Hangzhou
91 Zhejiang 66F Apr 10, 2013 In critical condition Surname Xu, from Huzhou; had a history of exposure to live poultry
92 Zhejiang 56M Apr 11, 2013 In critical condition Surname Wang; from Hangzhou
93 Zhejiang 35F Apr 14, 2013 In critical condition Surname Gan; from Hangzhou
94 Zhejiang 37M Mar 30, 2013 In critical condition Surname Sun; from Hangzhou
95 Jiangsu 43M Rep Apr 20, 2013 In critical condition Surname Zhang, from Xuanwu District, Nanjing
96 Shanghai 75F Apr 13, 2013 Recovered Surname Li; discharged May 5
97 Jiangsu 68M Apr 13, 2013 Hospitalized Surname Yang; retiree from Jiangsu, being treated in Shanghai
98 Zhejiang 68F Apr 12, 2013 In serious condition Surname Wang; farmer from Hangzhou
99 Zhejiang 76M Apr 8, 2013 Died Apr 21, 2013 Surname Luo; farmer from Jiaxing
100 Zhejiang 81F Apr 12, 2013 In serious condition From Huzhou; reported as male by WHO but female by Zhejiang Provincial Health Dept
101 Zhejiang 58M Apr 16, 2013 In serious condition Surname Kim; unemployed from Hangzhou
102 Zhejiang 79F Apr 13, 2013 In serious condition Surname Shen; farmer from Hangzhou
103 Zhejiang 54F Apr 16, 2013 Hospitalized Surname Ye; office clerk from Hangzhou
104 Zhejiang 32M Apr 14, 2013 Hospitalized Farmer from Jiangxi province
105 Shandong 36M Apr 15, 2013 Improving Surname Zhang, from Zaozhuang City; father of Case #124
106 Zhejiang 84M Apr 15, 2013 In critical condition Surname Hong; retired, from Hangzhou
107 Zhejiang 62M Apr 15, 2013 In critical condition Surname Song; farmer, from Hangzhou
108 Anhui 91M Apr 14, 2013 In critical condition Surname Wang; from Tianchng, Chuzhou City
109 Jiangxi 69M Apr 19, 2013 In critical condition Surname Xiong, from Nanchang City; retiree with no history of poultry exposure
110 Henan 56M Apr 17, 2013 Died May 8, 2013 Surname Cui; from Zhongyuan Dist., Zhengzhou City; patient had multiple pre-existing medical conditions
111 Zhejiang 60F Apr 17, 2013 In critical condition Surname Wang
112 Zhejiang 50F Apr 18, 2013 In critical condition Surname Yu
113 Fujian 65M Apr 18, 2013 Recovered Surname Luo, from Gaopo township, Yongding County, Longyan City; discharged May 10, 2013
114 Jiangsu 36M Apr 19, 2013 Recovered Surname Zhou, from Xuzhou Xinyi City; hospitalized in Nanjing; discharged May 15
115 Jiangsu 49M Apr 17, 2013 Mild case Surname Qian, from the Lishui area; hospitalized in Nanjing
116 Jiangsu 60M Mar 8, 2013 In critical condition Surname Zhang, from Binhu District; hospitalized in Wuxi
117 Zhejiang 38M Apr 17, 2013 In serious condition Surname Li; farmer
118 Jiangxi 76F Apr 19, 2013 In critical condition Surname Xiong; a farmer from Nanchang county (no relation or connection to Case #109; related to Case #122?)
119 Hunan 64F Apr 14, 2013 Died May 14, 2013 Surname Guan, from Shaoyang city; had contact with poultry
120 Jiangxi 54M Apr 15, 2013 Died Apr 26, 2013 Surname Jiao; pork seller from Ichun city Tonggu County; treated at a hospital in Hunan province
121 Zhejiang 38M Apr 18, 2013 In serious condition Surname Xu; at the First Affiliated Hospital at Zhejiang University
122 Jiangxi 80M Apr 21, 2013 In stable condition Surname Xiong, a farmer from Nanchang (related to Case #118?)
123 Jiangxi 31F Apr 23, 2013 In serious condition Surname Xu
124 Shandong 4M Apr 27, 2013 Recovered Surname Zhang; son of Case #105; from Zaozhuang City; discharged May 6, 2013
125 Fujian 80M Apr 17, 2013 In critical condition Surname You, farmer from Yangxia Township in Fuqing, Fuzhou
126 Fujian 58M Apr 21, 2013 In critical condition Surname Xu, from Cangshan District, Fuzhou
127 Hunan 69M Apr 23, 2013 In critical condition Surname Zhao; farmer, from Wugang, Shaoyang
128 Fujian 69M Apr 29, 2013 In critical condition Surname Wie; from Fuzhou, Fuqing City; symptoms developed after heart surgery(?)
129 Fujian 9M Apr 26, 2013 Recovered Discharged May 6, 2013
130 Jiangxi 79F May 3, 2013 In stable condition Surname Lu; farmer from Nanchang County
131 Beijing 6M May 21, 2013 In good condition Surname Xu; from Junan County, Linyi City, Shandong Province, now living in Haidian district; was sent to a hospital for medical treatment on May 21; temperature returned to normal on May 23; returned to kindergarten May 24; confirmed positive May 28 and was admitted to Ditan Hospital for observation.
132 Jiangsu 15M Apr 25, 2013 Recovered Discharged on 2 May 2013. Identified through retrospective screening; tested positive for both H3N2 and H7N9 (link)
133 Hebei 61F Jul 10, 2013 Died Aug 12, 2013 From the city of Langfang (link and link)
134 Guangdong 51F Jul 27, 2013 Recovered Surname Chen; poultry slaughtering worker from Boluo County; hospitalized in Guangzhou (link and link)

Notes:
There are 2 additional reported (but unidentified) deaths in Jiangsu.  
On May 6, Xinhua reported 4 additional (unidentified) deaths: 2 in Jiangsu, 1 each in Zhejiang and Anhui.
On May 13, Xinhua reported 3 additional (unidentified) deaths, 1 of which was in Jiangxi.
On May 17, 4 additional (unidentified) deaths were reported.
There are 16 additional reported (but unidentified) recovered cases in Zhejiang, 3 additional reported (but unidentified) recovered cases in Shanghai, and 6 additional reported (but unidentified) recovered cases with no location given.
*Government news sources have confirmed that this boy tested positive for H7N9, but they are not including him in the tally of confirmed infected persons.

Confirmed H7N9 Cases in REST OF WORLD
# Location Age/
Gender
Symptom Onset Outcome Notes
T1 Taiwan/ 53M Apr 12, 2013 Recovered Had been working in Suzhou (Jiangsu), showed symptoms 3 days after returning to Taiwan via Shanghai; no poultry contact; patient is a hepatitis B carrier with history of hypertension; 3 healthcare workers have URI symptoms but tested negative for H7N9; ECMO discontinued May 3; discharged May 24

Notes:

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Is this a recent mutation?
From the guardian article above it says

H7N9 bird flu is considered a low pathogenic strain that cannot easily be contracted by humans. The overwhelming majority of human deaths from bird flu have been caused by the H5N1 strain.

obviously something has changed, both in terms of its virulence (not exactly low path, at least not in humans now) and in its new ability to jump to humans, including apparent human to human transmission. Interesting that China is immediately admitting to the H to H situation rather than B to H...and giving no data on any initial contact with birds that I can see.


Always have a plan B.


[ Parent ]
History of H7 infections in humans
Michael Coston has posted a good summary of previous H7 outbreaks in humans at Avian Flu Diary, including:

H7N3 in Mexico (2012) - 2 mild cases

H7N2 in the UK (2007)- 4 cases

H7N3 in the UK (2006) - 1 case

H7N3 in Canada (2004) - 2 cases, conjunctivitis and mild influenza-like illness

H7N7 in the Netherlands (2003) - 89 mostly mild cases (conjunctivitis); 1 death

H7N3 in the US (NY) (2003) - 1 case

H7N2 in the US (VA) (2002) - 1 case

H7N7 in the UK (1996) - 1 case



Possible (unconfirmed) family cluster
(Cross-posted from the News Reports for March 31)

From Avian Flu Diary - dead man's sons also hospitalized

The two identified cases are an 87-year-old (Li) who fell ill on February 19 and died on March 4, and a 27-year-old (Wu) who fell ill on February 27 and died on March 10....
At the time, two sons in the Li family were also hospitalized with similar symptoms. One died, while the other one recovered.

"The hospital said three members of the Li family had been admitted between February 14 and 24 for symptoms including a high fever and coughing.
All three, aged 55, 69 and 87, were diagnosed as having pneumonia....While suspicious, there are no confirmatory lab tests on the other family members, so they are not currently considered as part of this cluster."  


More details
(Posted by bgw on News Reports for March 31)

(Snip) The 87-year-old's two sons have gone to hospital with similar symptoms.

According to Shanghai No. 5 People's Hospital, the three members of the Li family were admitted between February 14 and 24 for symptoms including a high fever and coughing. All three were diagnosed as having pneumonia. The 69-year-old son recovered and was discharged but the 55-year-old died from severe pneumonia and respiratory failure in late February. The father died of multi-organ failure.

Neither son had the H7N9 virus, the bureau said.

It has ordered local hospitals to step up monitoring and supervision on cases involving flu, pneumonia and other respiratory diseases.

http://www.shanghaidaily.com/a...


[ Parent ]
hmmm. some sanitization appears to be happening.
This story and the one posted just above clearly state that three members of the Li family were hospitalized and two died, all with similar symptoms. This one now claims that neither son had H7N9, just highly coincidental exact symptoms severe enough to cause hospitalization and, in one case death.

starting to get a little control over press leaks?

Then the official versions given as news links at the top of todays page all state that there were no cases of illness among any of the 88 contacts of the 3 known cases, not even mentioning the 2 sick sons of Li. Hmmm. ,magically erased from memory...nothing to worry about here folks, just move along.

I hope they don't pull a SARS on us and suppress information...this could be serious.

Always have a plan B.


[ Parent ]
We've seen this kind of word game before.
Neither son had H7N9.
Which they say because it is true that:
Neither son had tested positive for H7N9.
Which they can say because it is likely true that:  Neither son was tested for H7N9.

Which is something quite different from "Neither son had H7N9."  

Governments should really learn how counterproductive it is to issue the supposedly 'comforting lie'.
 

ITW(Joel J)
Courage is resistance to fear, mastery of fear - not absence of fear.
- Mark Twain
 


[ Parent ]
That's how we've learned to read between the lines.n/t


United we stand: Divided we fall
www.flunewsnetwork.com


[ Parent ]
I suppose
there are a number of possiblities:-

By the time anyone thought to check these guys, they really didn't have H7N9 and only antibody testing would answer the question if they'd had it. How hard is it to test for antibodies of a new disease? We're only talking about a timescale of a few months.

I'm beginning to wonder if infection with one illness (eg cold, flu, etc) can make you more vulnerable to a new disease (H7N9 or cronavirus). We're seeing co-infections in some of these cases. All three of them might have has something non fatal but the father may have then caught H7N9 while his immune system was already working flat out. Worryingly that might have been when he went for treatment for the first condition.

As an asthmatic I know that each successive cold/flu makes me react more violently to the next one. The longer I go between illnesses the better I fare. Does inflamed or damaged lung/throat lining accept new viruses more readily?


[ Parent ]
China: Four human cases of Influenza A (H7N9) in Jiangsu verified by NHFPC
Hong Kong: The Centre for Health Protection (CHP) of the Department of Health tonight (April 2) verified with the National Health and Family Planning Commission (NHFPC) four confirmed human cases of Influenza A (H7N9) in Jiangsu, involving one man and three women, aged from 32 and 83, all of whom currently in critical condition.
Laboratory tests on the patients' specimens by the Mainland health authorities yielded positive results for H7N9.

(Snip) the 45-year-old female patient is a poultry worker and no epidemiological links were identified among the four cases at this stage. So far, the 167 close contacts of the four patients are asymptomatic.

(Snip)

The spokesman also advised travellers especially those returning from Shanghai, Anhui and Jiangsu with respiratory symptoms to wear facial masks and seek medical attention and reveal their travel histories to doctors. Health-care professionals should also pay special attention to those travellers who might have contact with birds or poultry in the three places. Continued: http://www.chp.gov.hk/en/view_...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


State media: Man dies of H7N9 bird flu in China
http://thestar.com.my/news/sto...

A man in the Chinese province of Zhejiang has died of the H7N9 strain of bird flu, state media said Wednesday, bringing the total deaths attributed to the virus to three since the first human cases.

He was one of two more H7N9 avian influenza infections reported in Zhejiang, in the east of the country, the official Xinhua news agency said citing local authorities, bringing the total number of cases to nine.

The latest fatality was a 38-year-old man who worked as a chef, Zhejiang media reported. The province's other case was a 67-year-old retiree who was being treated in hospital, the Zhejiang Daily newspaper said.

cont.


Infected in hospital?
...the father-in-law of a 27-year-old Shanghai butcher, surnamed Wu, who died of H7N9 flu claimed Wu was infected in the No 5 People's Hospital in Minhang district. He said the hospital paid 130,000 yuan (HK$162,700) compensation.

http://www.thestandard.com.hk/...


This level of "compensation" would be an extraordinary claim to make if it were untrue.


Minhang

Hongqiao International Airport on its boundary

Minhang is a transportation hub linking Shanghai with the outer world.

http://www.shanghaidaily.com/m...


[ Parent ]
Same hospital as case #1?
Is there any evidence that this is the same hospital where the 87M or his 2 sons were treated?

[ Parent ]
???
The two Shanghai patients, aged 87 and 27, became ill in late February and died in early March. Both lived in Minhang District and had gone to the Shanghai No. 5 People's Hospital for treatment, but otherwise there was no connection.

[ Parent ]
Sure sounds like hospital transmission to me (n/t)


[ Parent ]
so

3 fatal cases, all male, all from Minhang district, all died in No. 5 Hospital but there is no connection.... ?!

[ Parent ]
Sorry, can someone delete that comment above?
2 men, but no connection. Other than where they lived and the hospital where they died.

[ Parent ]
Hi Ruby Murray~
That would be pogge. I'm sure he'll be around here soon.

cottontop

United we stand: Divided we fall
www.flunewsnetwork.com


[ Parent ]
Google Map:
https://maps.google.co.uk/maps...

I've left it open access for anyone to contribute, if you would like to.

The surprising thing, to me, was the geographical distance between the cases. It's very hard to imagine a common contact between any but the Shanghai residents.


Useful site
Molecular Epidemiology and Evolution of Viral Pathogens

http://epidemic.bio.ed.ac.uk/i...


10th case
(Cross-posted from Apr 4 daily news diary

HANGZHOU, April 4 (Xinhua) -- Another H7N9 infection case has been confirmed in east China's Zhejiang Province, the provincial health department said Thursday.

The patient is a 64-year-old man from Huzhou City. He became ill on March 29 and was admitted to a hospital in Huzhou on March 31.

http://www.shanghaidaily.com/a...


11th case
(Cross posted from Apr 4 daily news diary)

A middle-aged man who transported poultry for a living has died from a new strain of bird flu, the fourth death among 11 confirmed cases in China, the government and state media reported Thursday.

The 48-year-old man, who died in Shanghai, is one of several among the infected believed to have had direct contact with fowl, which may carry the virus.

http://www.biosciencetechnolog...


Of the 11 confirmed cases...
7 male / 4 female

All 4 deaths were male

Mean (average) age: 52
Median age: 48
High: 87
Low: 27


Ages
What I also find interesting (but not in a good way) is the age range of the victims. Of course, perhaps the younger victims had other health issues that would make flu more serious, but it keeps reminding me of the Spanish Flu pandemic. Doesn't plain, old seasonal flu tend to kill the very young, such as infants, and the very old, and those with cancer, AIDS, etc. of the younger age group?  I seem to remember that the Spanish flu did what this strain seems to be doing--felling all ages indiscriminately (though I believe with the Spanish flu, wasn't there a higher survival rate for those 40+, and the 14-24 age group had a higher ratio of deaths? I read that the theory is that perhaps a milder strain went through a decade before, thereby providing the older group with some natural immunity.)

[ Parent ]
This is likely evidence that it's not H2H... or not much,
rather than any other effect. The problem cases are those without known poultry or meat connections. Until they find more H2H cases you won't know if any age group is safer than any other.

[ Parent ]
Variations on Previous Flu - Higher Probability of Immunity
But given that this particular flu virus has never before infected humans, our defenses are less likely to recognize it as a danger no matter what our age.  The partial, residual immunity that might have resulted from our previous exposure to something a bit more familiar is more likely to not be present.  

ITW(Joel J)
Courage is resistance to fear, mastery of fear - not absence of fear.
- Mark Twain
 


[ Parent ]
Bird flu: New strain causes fifth death among 14 confirmed cases in China
BEIJING- A middle-aged man who transported poultry for a living and another unidentified person have died from a new strain of bird flu, bringing the death toll to five among 14 confirmed cases in China, the government and state media reported Thursday.

(Snip)

The 48-year-old man, who died in Shanghai, is one of several among the infected believed to have had direct contact with fowl. (Snip)

The official Xinhua News Agency did not identify the fifth fatality, but said that person also died in Shanghai on Wednesday.

(Snip)

It said the Ministry of Agriculture confirmed on Thursday that the H7N9 virus had been detected in pigeons at a market selling agricultural products in Shanghai.

It is not known how people are becoming sick with the virus, and health officials and scientists caution that there are no indications it can be transmitted from one person to another. Scientists who have studied the virus's genetic sequence said this week that the virus may have mutated, spreading more easily to other animals and potentially posing a bigger threat to humans.

Guidelines issued Wednesday by the national health agency identify butchers, breeders and sellers of poultry, and those in the meat processing industry as at higher risk.

Experts only identified the first cases on Sunday. Some among the 14 confirmed cases fell ill several weeks ago but only now are being classified as having H7N9.

(Snip) six cases have been confirmed in Shanghai, four in Jiangsu, three in Zhejiang and one in Anhui. http://www.thestar.com/news/wo...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


China reports 5th death from H7N9 bird flu
SHANGHAI, April 4 (Xinhua) -- Authorities in Shanghai said Thursday night that another person has died from H7N9 bird flu, bringing the death toll from the new deadly strain to five around the country.

The city has reported six infections to date, and four have died, said the Shanghai Municipal Health and Family Planning Commission.

Of the rest two, there was a four-year-old, the agency said. The baby was recovering from mild illness, it added.

The person died at Huashan Hospital on Wednesday and was confirmed infected with the H7N9 strain on Thursday. The commission gave no further information on the latest case.

Also on Thursday, the commission reported the city's third death from the H7N9 bird flu.

The case involved a 48-year-old man surnamed Chu, a poultry transporter from Rugao in neighboring Jiangsu Province.

...

China's Ministry of Agriculture said Thursday the H7N9 avian flu virus has been detected from pigeon samples collected at a marketplace in Songjiang District of Shanghai.

After gene sequence analysis, the national avian flu reference laboratory concluded that the strain of the H7N9 virus found on pigeons was highly congenetic with those found on persons infected with H7N9 virus.

...

The Chinese Center for Disease Control and Prevention said Wednesday that no human-to-human transmission of H7N9 has been discovered and no epidemiological connection between these cases has been found.


(New province: Hunan Province) Map Shows The Spread Of Deadly New Bird Flu Strain Terrifying Everyone In China
(Note: Hunan Province - The blue marker to the west gives this information:  50-year-old patient, gender unknown. Hospitalised on March 26. Diagnosed as having been infected with the new H1N1 strain of avian flu virus, not the H7N9 strain. Died on April 1.)

In China, people are dying from bird flu. Worryingly, it's not the H5N1 bird flu that we'd heard of before - it's a new strain, H7N9, that hasn't infected humans before.

(Snip) The Google Map below shows all the known cases of the spread of the new strain.

The map comes via George Chen, an editor at the South China Morning Post:

Map is here: http://www.businessinsider.com...

The scope of the map is worrying in itself, but what's more worrying is what's not on it.

H7N9 is almost certainly under-reported - the symptoms described by the World Health Organization ("severe pneumonia" and "fever, cough, and shortness of breath") are far from unique, and those who suspect themselves of having it may have economic reasons for not going to authorities, as China expert Victor Shih tweets: "Chinese hospitals still charging patients of suspected H7N9 steep fees, so patients are deterred from going to hospitals."

Continued: http://www.businessinsider.com...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


(New - suspect) Shanghai 1 contact with H7N9 infection symptoms
(Note: This suspect is a contact of a patient that died. It won't surpise me to start to see more contacts with symptoms.)

Translated

According to the Shanghai authorities (Snip), Shanghai were found in six cases of human infection of H7N9 avian influenza confirmed cases, 4 deaths, two cases where the six cases had no relevance. Close contacts of a death case, a fever, runny nose, itchy throat, and other symptoms, has been treated in isolation.

April 3, according to the official Xinhua News Agency reported, patients (Snip) died the afternoon of the 4th, the Shanghai Municipal Center for Disease Control and Prevention report laboratory test results for the H7N9 avian influenza virus nucleic acid positive.

After investigation, a total of 31 close contacts of the case, so far, a fever, runny nose, itchy throat and other symptoms, on the 4th, isolation and treatment have been transferred to the Shanghai Public Health Clinical Center, the other close contact were not found to have a fever or respiratory symptoms.

The date of the National Avian Influenza Reference Laboratory the censorship from Shanghai Songjiang District, Shanghai Huai agricultural and sideline products wholesale markets dove samples detected the H7N9 avian influenza virus.

Shanghai Municipal Agricultural Commission has been the day of the urgent deployment of avian flu prevention and control measures, immediately turn off the live poultry trading of agricultural and sideline products wholesale market in Shanghai Huai, culling the trading of all birds in the region.

Stepped up security

Increase in the number of people infected with the H7N9 avian influenza in China, the Chinese authorities announced spending of national resources to deal with avian flu, neighboring countries also are trying to step up preventive measures.

So far, China has 14 people were confirmed infected with the H7N9 avian influenza virus, in which five people were killed, mainly in the eastern region. Japan, Hong Kong, strengthened security and preparedness. Vietnam (3) to prohibit imports of poultry from China.

(Snip)

Hong Kong authorities also closely monitor the chicken farm, and to suspend imports of live chickens from mainland China.

(Snip)

Tracking analysis

Flu experts from around the world also are removed from the patient's virus samples were analyzed to determine whether there is a possibility of the evolution of the adult classes massive flu outbreak.

At the same time, China also need to find out whether there is any animal infected with the H7N9 virus, to figure out how this virus is transmitted to humans.

Influenza virus experts say that this new type of avian influenza have occurred some genetic variation, and then mutate, it is possible to develop into interpersonal infection. Continued: http://www.bbc.co.uk/zhongwen/...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


(New death) More deaths in China from new bird flu; U.S., Japan on guard
(death #6 - CFR is now 42%)

SHANGHAI/HONG KONG (Reuters) - China said it was mobilizing resources nationwide to combat a new strain of bird flu that has killed six people, as Japan and Hong Kong stepped up vigilance and the United States said it was closely monitoring the situation.

All of the 14 reported infections from the H7N9 bird flu strain have been in eastern China and at least four of the six dead are in the financial hub of Shanghai, a city of 20 million people.

The strain does not appear to be transmitted from human to human but authorities in Hong Kong raised a preliminary alert and said they were taking precautions at the airport. Vietnam banned imports of Chinese poultry. In Japan, airports have put up posters at entry points warning all passengers from China to seek medical attention if they have flu-like symptoms.

A total of 14 people in China have been confirmed to have contracted H7N9, all in the east of the country. One of the cases was a four-year-old child, who was recovering, (Snip). Hong Kong authorities said six people had died.

Authorities in Shanghai also discovered the H7N9 virus in a pigeon sample taken from a traditional wholesale market, Xinhua added, believed to be the first time the virus has been discovered in an animal in China since the outbreak began.

(Big Snip)

SHADOW OF SARS

With the fear that a SARS-like epidemic could re-emerge, China said it was pulling out the stops to combat the virus.

"(China) will strengthen its leadership in combating the virus ... and coordinate and deploy the entire nation's health system to combat the virus," the Health Ministry said in a statement on its website (www.moh.gov.cn).

Continued: http://www.reuters.com/article...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


Careful With CFR Until We Have a Better Handle on Both Case and Fatality #
This early, it will be tough to know how many 'cases' are out there.  If they are not severe enough to require hospital care, they may fly under the radar and not be counted.  Even many that recieve hospital care might not be counted as H7N9 (or be tested to 'establish' it.)

That said, any time we start with figure this high (based on the cases we know of) there is a long way to fall before they can be said to be reassuring (or not be quite scary.)

The 1918 Flu Pandemic gives us a standard of the 'hope like heck it's worst case' level:

"...An estimated one third of the world's population (or ≈500 million persons) were infected and had clinically apparent illnesses (1,2) during the 1918-1919 influenza pandemic. The disease was exceptionally severe. Case-fatality rates were >2.5%, compared to <0.1% in other influenza pandemics (3,4). Total deaths were estimated at ≈50 million (5-7) and were arguably as high as 100 million (7). ..."

Given that the population has I think tripled (or more) since then, even a CFR of 2.5% could produce hundreds of millions of deaths IF it was as wide spread as that pandemic (1/3 of all the people on earth.)

Lots we still don't know.  

ITW(Joel J)
Courage is resistance to fear, mastery of fear - not absence of fear.
- Mark Twain
 


[ Parent ]
More details of reported cases
From a news story posted by bgw in MT:

According to the health bureau, the 64-year-old man surnamed Zhang, who is a peasant farmer of Huzhou City, died at hospital after rescue efforts failed on Thursday night and it was confirmed he was infected with the H7N9 strain.  So far, 55 people who had a close contact with Zhang have shown no abnormal symptoms.

A 48-year-old man surnamed Chu from Jiangsu Province began coughing on March 28, developed a fever on Monday and was admitted to the Tongji Hospital in Putuo District on Wednesday morning for emergency treatment. But he died three hours later after his condition suddenly deteriorated, the Shanghai Health and Family Planning Commission said.  Chu had been making a living as a poultry transporter. He had gone to a private clinic for treatment but was transferred to the Tongji Hospital after showing no signs of getting better.  Eight people who had been in close contact with him had no symptoms of fever or respiratory illness, the Shanghai Health Bureau said.

The other fatality, a 52-year-old local retired worker surnamed Yu. went to the Changning District Central Hospital with a fever on March 29. When her condition got worse she was transferred to Huashan Hospital but died on Wednesday. One of the 31 people who had close contact with Yu developed a fever and is under quarantine at the Shanghai Public Health Clinical Center last night.

One of the other two confirmed cases in Shanghai was a four-year-old boy who is said to have exhibited only slight symptoms and is recovering. The other case, a 67-year-old retiree identified by officials by her surname Cao, was in a critical condition last night.  None of their close contacts had fevers or respiratory problems.  


China: Two more H7N9 bird flu cases confirmed
NANJING, April 5 (Xinhua) -- Two new H7N9 bird flu cases have been confirmed in east China's Jiangsu Province on Friday, the provincial health authorities announced.

That brings the total number of infections to 16 nationwide.

A 61-year-old woman, surnamed Yin, became ill on March 20 and was sent to a hospital on Tuesday after her condition worsened. She was confirmed to be infected with the H7N9 bird flu strain after the provincial disease control and prevention center said she tested positive for the virus.

A 79-year-old man, surnamed Lu, fell ill on March 21 and was sent to a hospital for treatment ten days later. It was also confirmed Friday morning that he has been infected with the H7N9 virus.

http://www.shanghaidaily.com/a...


Number of cases of bird flu in China rises to 18
http://www.ctvnews.ca/world/nu...

Shanghai has reported two more cases of human infection of a new bird flu virus strain that has killed six people in eastern China. The virus has so far sickened 12 other people in the country.

Health officials believe people are contracting the H7N9 virus through direct contact with infected fowl and say there's no evidence the virus is spreading easily between people.

Shanghai's government said Saturday that the latest victims are a 74-year-old peasant and a 66-year-old retiree. The city has been ordered by the agriculture ministry to halt its live poultry trade and slaughter all fowl in markets where the virus has been found.


More details from Avian Flu Diary
The patients are listed as:

   Zhou, age 74, M, Farmer, Onset March 28th

   Yang, age 66, M, Retiree, Onset March 29th


[ Parent ]
Additional details added to table
...thanks to ProMed & Cottontop.

Is there any way to find out if the critical cases have died or recovered?
How does one sleuth out such info, especially in a foreign country. It would seem by now that some of these critical cases might have succumbed (or begun improving towards recovery) but this is not being reported in the news. I'm sure WHO would keep abreast of this, but do we have access to their data files?

Always have a plan B.

WHO are announcing updates on Twitter first
and then updating their website - I've just posted one on today's diary, which says:

"WHO is in contact with national authorities and is following the event closely. The WHO-coordinated international response is also focusing on work with WHO Collaborating Centres for Reference and Research on Influenza and other partners to ensure that information is available and that materials are developed for diagnosis and treatment and vaccine development."

We were informed yesterday when one of the critical patients died so I think we are being kept pretty well informed :-)


[ Parent ]
Can also go direct to the WHO website for daily updates.
http://www.who.int/csr/don/201...

6 April 2013 As of 6 April 2013 (16:45 CET), the Chinese health authorities notified WHO of an additional two laboratoryconfirmed cases of human infection with influenza A(H7N9) virus.

To date, a total of 18 cases have been laboratory confirmed with influenza A(H7N9) virus in China, including six deaths, ten severe cases and two mild cases.
More than 530 close contacts of the confirmed cases are being closely monitored. In Jiangsu, investigation is ongoing into a contact of an earlier confirmed case who developed symptoms of illness.

The Chinese government is actively investigating this event and has heightened disease surveillance. Retrospective testing of recently reported cases with severe respiratory infection may uncover additional cases that were previously unrecognized.

However, as you can see from this, WHO apparently depends on the Chinese authorities to report their confirmed cases and deaths. So data from WHO is only as accurate as their source allows

Always have a plan B.


[ Parent ]
We should all keep that in mind when reading articles from China. n/t


United we stand: Divided we fall
www.flunewsnetwork.com


[ Parent ]
I must protest!
I really wonder how anyone thinks TPTB would behave if this were happening in the USA or the UK? I do not think that my government is under any obligation to keep the great British public informed of every development just as a matter of principle, especially where public order is at stake.

[ Parent ]
not saying they should or shouldn't keep public informed
Just saying if we/I/you want to know what's going on in order to protect those we love, some degree of healthy skepticism and reading between lines, private sleuthing etc is going to be necessary.

However I will say that the underlying opinion that the general public is a herd animal prone to panic, riot, and rampant misbehavior under threat is not necessarily true. Sometimes we actually behave rather well when given credit for having some basic humanity, moral and ethical grounding. I think the "general public" panic more when truth is withheld and they are left to cope in a state of emergency for which they are unprepared. That's when the riots over food and water and supplies occur.

Really, the main thing people might do if they thought a deadly pandemic was coming is to hunker down and not go to work, which then would have economic repercussions for the money brokers of the world.

Always have a plan B.


[ Parent ]
LOL I just wrote the same thing about the public
In a major pandemic, the money brokers won't expect business as usual. The problem is a lack of any plan for a major pandemic.

[ Parent ]
I agree. If they could be honest from the start and let the truth
sink in, we have a chance to live with it, cope with it, and plan for it. There will always be people who will panic no matter what.  

United we stand: Divided we fall
www.flunewsnetwork.com


[ Parent ]
Information sources
WHO (probably) and ProMed (more likely) will report this if/when they get the information.

I expect that we'll get this information first through Sina Weibo (the equivalent of Twitter) via local media stories and the trusty newshounds in flubogia (e.g. here and FluTrackers) and bloggers (especially Avian Flu Diary).

It's unlikely that the Chinese government will be able to respond quickly enough to completely censor all H7N9 stories on Sina Weibo, unless they completely shut it down.  If Sina Weibo suddenly goes dark, then that will be a very bad sign.


[ Parent ]
It's still very early days but if this pace keeps
up, Sina Weibo will go dark. :-(

United we stand: Divided we fall
www.flunewsnetwork.com


[ Parent ]
Keep an eye open for slang 'code' replacing key words that otherwise might be censored
Grass-Mud Horse lexicon, it is sometimes referred to.  

http://chinadigitaltimes.net/s...  

ITW(Joel J)
Courage is resistance to fear, mastery of fear - not absence of fear.
- Mark Twain
 


[ Parent ]
glossary
Some of the 'slang' is in this list:

http://chinadigitaltimes.net/s...

ITW(Joel J)
Courage is resistance to fear, mastery of fear - not absence of fear.
- Mark Twain
 


[ Parent ]
Shanghai reports two more H7N9 cases
SHANGHAI, April 7 (Xinhua) -- Two more people were confirmed infected with the deadly H7N9 bird flu strain in Shanghai, local authorities said Sunday.

One of them is a Shanghai inhabitant. And another is from the neighboring Anhui Province. As of 5 p.m. on Sunday, Shanghai has confirmed 10 H7N9 cases and four of them died.

http://news.xinhuanet.com/engl...


More details from Avian Flu Diary
http://networkedblogs.com/K2Vwr

Patients Shen, male, 59 years old, Anhui, retirees. Patients March 25, recurrent fever, cough, and themselves to a nearby pharmacy to buy medication, did not improve the patient to Tang town, Pudong New Area Community Health Center and Pudong New Area People's Hospital on March 30-April 1, has treatment. April 4, patients go to Yan Chai Hospital Pudong Branch of treatment, diagnosis of severe pneumonia, in being active treatment. On the evening of April 6, Shanghai Municipal Center for Disease Control laboratory test results for the H7N9 avian influenza virus nucleic acid positive. (snip) After investigation, the close contacts of cases total of four people, until now, were not unusual.

Patients Lee, male, 67 years old, the people of Shanghai. Patients March 29, body aches, fever, South hospital on March 30 to the First People's Hospital, the diagnosis of the upper left pneumonia. In the early morning of April 7, Shanghai Disease Prevention and Control Center laboratory test results for the H7N9 avian influenza virus nucleic acid positive. (snip) The patient's condition is stable and under active treatment. After investigation, the close contacts of the cases total of 2 people, until now, were not unusual.


[ Parent ]
Anhui newly confirmed cases of human infection with the H7N9
April 7 briefing, Anhui Provincial Health Department, Anhui Province, the newly confirmed cases of human infection of H7N9 avian influenza. Patients Lee, male, 55 years old, Bozhou Qiaocheng engaged in live poultry sales and slaughter. March 28 onset. April 1 to Bozhou City, a hospital for treatment due to exacerbations. Currently, the patient is stable.

http://news.sina.com.cn/c/2013...


Purportedly, X-rays and CT scans of cases
Knowing their names and other personal details, this feels really intrusive. However, in the belief that we will eventually get to the bottom of this thing:

http://ww4.sinaimg.cn/large/48...


Death number 9 a 35 year old
possibly the woman listed at number 3.

From the front paege of South China Post - subscription.

http://www.scmp.com/


Almost certainly the woman case number 3
because the death was from Anhui Province.

http://fox6now.com/2013/04/09/...


[ Parent ]
Sorry, IS pregnant. n/t


[ Parent ]
Stats as of 4/10/2013
All locations:
  • Confirmed cases: 33
  • Confirmed deaths: 9
  • Median age: 59.6
  • Male/female # & %:
    • Male 22 cases (67% of cases), 7 deaths (78% of deaths)
    • Female 11 cases (33% of cases), 2 deaths (22% of deaths)

Shanghai:

  • Confirmed cases: 15
  • Confirmed deaths: 5
  • Median age: 60.7
  • Male/female #:
    • Male 11 cases, 4 deaths
    • Female 4 cases, 1 death

Jiangsu:

  • Confirmed cases: 10
  • Confirmed deaths: 1
  • Median age: 60.2
  • Male/female #:
    • Male 5 cases, 1 death
    • Female 4 cases, 0 deaths

Zhejiang:

  • Confirmed cases: 6
  • Confirmed deaths: 2
  • Median age: 60.7
  • Male/female #:
    • Male 5 cases, 2 deaths
    • Female 1 cases, 0 deaths

Anhui:

  • Confirmed cases: 2
  • Confirmed deaths: 1
  • Median age: 45
  • Male/female #:
    • Male 1 case, 0 deaths
    • Female 1 case, 1 death


One more
Average age of female cases: 52
Average age of male cases: 63

[ Parent ]
Very useful, thanks. n/t


[ Parent ]
At the moment the age breakdown of deaths
seems not disimilar to seasonal flu but that might be that it's not yet able to infect healthy immune systems at all. Only compromised systems are falling prey to the disease. Alternatively there are many more non severe cases out there. Or the elderly are doing something that the younger people aren't - home butchery? Visiting the park?

[ Parent ]
China reports 10th bird flu death, five new cases
http://www.nationmultimedia.co...

The eastern commercial hub of Shanghai, the area worst-hit by the virus, reported three new infections including a 74-year-old man who died on Thursday afternoon. (case 17?)

Health authorities in nearby Jiangsu province said they had confirmed two more infections in a 31-year-old chef, who was in critical condition, and a 56-year-old teacher.

The new cases brought the nationwide total to 38 confirmed infections, including 10 deaths, in Shanghai, Jiangsu and the neighbouring provinces of Anhui and Zhejiang.//DPA



Not case 17, a new case - see Ruby's post n/t


[ Parent ]
As these numbers go up....
is it worth keeping this thread just for notifications of numbers and case details so that Aloha doesn't have to scroll too far to find them?

Mods: would it be possible to start a H7N9 discussion thread for analysis and links to data that is updated such as crofsblog and avianfludiary? It seems a shame when these get lost in the daily diaries.


[ Parent ]
Good idea, it doesn't need a moderator to create one.
Though they need to stcky it to the front page.

[ Parent ]
Cases 36, 37 and 38, (1 fatal) Shanghai
Shanghai today, three cases of new confirmed cases of human infection with the H7N9 avian influenza
As of 17:00, the city newly diagnosed cases of human infection of H7N9 avian influenza, including the rescue died. Currently, a total of 18 cases of human infection with the H7N9 avian influenza confirmed cases, including 6 deaths, 11 cases are being treated in isolation, the patients have been discharged.

3 new cases are as follows:
Patients Jeong, male, 74 years old, the people of Shanghai, retirees. Patients with generalized weakness, drowsiness, dizziness, March 31. April 5 to Putuo District Central Hospital for treatment, diagnosis of the left upper lobe inflammation, anti-infection treatment. April 9 was diagnosed with severe pneumonia, the evening of April 10, the H7N9 avian influenza virus nucleic acid positive test results by the Shanghai Municipal Center for Disease Control. The rescue invalid, died on the afternoon of April 11.
...

Patients Kang, female, 83 years old, the people of Shanghai, retirees. Apr. 2 patients with fever, cough, sputum symptoms to Yangpu District City East hospital without improvement after anti-infective therapy. April 7 patients went Changhai hospital because of cough, sputum with fever three days to be admitted to hospital. Patients are medically stable, in being active treatment. April 10, by the Shanghai Municipal Center for Disease Control test results for the H7N9 avian influenza virus nucleic acid positive.
...

Patients Tangmou, male, 68 years old, the people of Shanghai, retirement back recruits. Patients April 4 fever, body aches, symptoms, and self-serving "Tylenol" drugs did not improve. On April 6, the patients go Jiading District Central Hospital for treatment, the symptoms without remission after treatment. April 9 patients go Ruijin Hospital North hospital, diagnosed with a right lower pneumonia. Patients are medically stable, in being active treatment. April 10, by the Shanghai Municipal Center for Disease Control test results for the H7N9 avian influenza virus nucleic acid positive.

http://wsj.sh.gov.cn/website/b...


[ Parent ]
Cases 34 and 35, Jiangsu province
Two new H7N9 bird flu cases in Jiangsu Province
A thirty-one-year-old man surnamed Yin, a restaurant chef in the city of Yangzhou, suffered flu symptoms on March 31 and was diagnosed with H7N9 avian influenza on Thursday at noon, according to a statement issued by the health department of the province.

Yin, who is receiving treatment in the provincial capital of Nanjing, is in a critical condition, said the statement.

Another man surnamed Qian, 56, and a teacher in the city of Suzhou, was suffering flu symptoms on April 3. He also tested positive for the H7N9 bird flu virus on Thursday at noon, it said.

He is also in a critical condition and is being treated in a hospital of Suzhou.

A total of 52 people who have been in contact with the two men have so far shown no abnormal symptoms.

http://english.peopledaily.com...


[ Parent ]
Thank you, Ruby Murray
The table has been updated.

[ Parent ]
WHO update: Human infection with influenza A(H7N9) in China
http://www.who.int/csr/don/201...

(Table of 10 most recent cases)

To date, a total of 38 patients have been laboratory confirmed with influenza A(H7N9) virus in China; including 10 deaths, 19 severe cases and nine mild cases.

More than 760 close contacts of the confirmed cases are being closely monitored.  


(2 New cases & 1 new death) City newly diagnosed two cases of human infection with the H7N9 avian influenza
Translated

City Health and Family Planning Commission the 19:30 briefing today (April 12), the city newly diagnosed cases of human infection of H7N9 avian influenza. Another patient was confirmed on April 6 patients who were to treat the invalid died on the evening of April 11. Up to now, a total of 20 cases of human infection with the H7N9 avian influenza confirmed cases, of which 7 died, 12 cases are being treated in isolation, and patients have been discharged.

2 new cases as follows:

Patients Shen, male, 53 years old, the people of Shanghai, freelance. Feels unwell patients on April 3, chills, fever on April 5, Go to Jiading District Nanxiang hospital, the diagnosis of upper respiratory tract infection. April 10 patients sicker, Ruijin Hospital North hospital, diagnosed with severe pneumonia. April 11, City CDC test results for the H7N9 avian influenza virus nucleic acid positive. Organization of municipal clinical expert group in accordance with the relevant requirements, the City Health and Family Planning Commission to discuss the cases, the diagnosis of the cases of human infection of H7N9 avian influenza confirmed cases. Patients are under active treatment. After investigation, the close contacts of the cases and a total of three, have been implemented under medical observation, up to now, were not unusual.

Patients with a certain segment, male, 86 years old, the people of Shanghai, retirees. Patients with symptoms on April 3, April 6 to Yangpu District, East hospital doctor diagnosed as right lower pneumonia day, admitted to the hospital by the City East. April 11, City CDC test results for the H7N9 avian influenza virus nucleic acid positive. Organization of municipal clinical expert group in accordance with the relevant requirements, the City Health and Family Planning Commission to discuss the cases, the diagnosis of the cases of human infection of H7N9 avian influenza confirmed cases. Patients are medically stable, in being active treatment. After investigation, the close contacts of the cases there were 13 people, have been implemented under medical observation, up to now, were not unusual.

In addition, human infection with the H7N9 avian flu patients Zhou was confirmed on April 6, after rescue invalid death last night (April 11). http://wsj.sh.gov.cn/website/b...

Life is not measured by the number of breaths we take, but by the moments that take our breath away. --Unknown

     


Is Zhou one of the two new cases?


[ Parent ]
I think it was case 17, UK-Bird
Hospitalised 5th April in critical condition. That would tie up with confirmation the next day.

[ Parent ]
Ah, yes. I was confused by the date
it was confirmed on the 6th, but the onset was march 28th. Occupation farmer.

Thanks.


[ Parent ]
Beijing Confirms Child's H7N9 Case, First in North China
http://www.bloomberg.com/news/...

[snip]

Beijing has halted live poultry trading as part of its measures to step up prevention of the disease, Zhong Dongbo, a spokesman with the Beijing Municipal Health Bureau, said in a press conference broadcast live on China Central Television this morning.

The child, surnamed Yao, was taken to Beijing Ditan Hospital Capital Medical University for treatment on April 11 with symptoms including a fever, headache and sore throat. She was confirmed with the virus at midnight last night, Zhong said.

The girl is recovering and her body temperature has dropped to about 36.8 degrees Celsius (98 degrees Fahrenheit), Zhong said. Yao's parents, who have been placed under medical monitoring, have not yet shown symptoms of infection, the official said.

Shunyi is a suburb on the northern edge of the city near the Beijing Capital International Airport. It is a popular residential area among expatriates and some international schools are located there.

cont.


Jiangsu Province reports two new cases of H7N9 infection
http://www.shanghaidaily.com/n...

TWO more people in east China's Jiangsu Province were confirmed infected with a new strain of bird flu, the provincial health authorities said Saturday.

The number of H7N9 infections in China has been raised to 46 to date

[snip]

The two, a 77-year-old woman from Nanjing and a 72-year-old man from Changshu, are in critical condition and are under emergency treatment at hospitals in Nanjing and Suzhou, the provincial health department said in a statement.

A total of 16 people who have had close contact with the two have not shown signs of flu symptoms.  


Henan Province, found two cases of human infection with confirmed cases of the H7N9 avian flu
Henan Province, found two cases of human infection with confirmed cases of the H7N9 avian flu
Henan Health Department informed the 14th province, Zhoukou, Kaifeng same day each confirmed case of human infection of H7N9 avian influenza. Two patients Henan Province for the first time found that people infected with confirmed cases of the H7N9 avian flu.

...

The patients named Ma, male, 34 years old, Kaifeng Weishi County Bridge countryman, chef. April 6, chest tightness, anorexia patients with fever, cough, sputum, etc., to the Weishi County People's Hospital for treatment and hospitalization. April 9, the patient's symptoms aggravated Huaihe Hospital, Kaifeng, go to "severe pneumonia", a 3-year history of hypertension patients. The patient in critical condition, the the Huaihe Hospital ICU ward active treatment.

Patients Zhang, male, 65 years old, current address Zhoukou City Chuanhui farmers, more opportunities for contact with poultry. April 8 patients with no obvious incentive fever, cough, sputum, April 10 to Zhoukou City hospital for infectious diseases treatment, admission body temperature of 39 ° C, and a cough, sputum, muscle pain and other symptoms. Active treatment, the patient's condition improved, stable condition.

http://news.qq.com/a/20130414/...


5 new cases. Looking for details of the deaths.
Mainland China reported the number of cases of infection with the H7N9 avian flu is continuing to increase. As of now, the mainland reported a total of 77 confirmed cases, of which 16 people died. New cases from Shanghai, Zhejiang and Jiangsu.

Zhejiang, the day of new cases of human infection of H7N9 avian influenza patients are over the age of 55 residents, including a 56-year-old men are engaged in meat pigeon breeding, sales. Currently, five patients were seriously ill, the hospital is active treatment.

Jiangsu newly diagnosed three cases of two men and a woman, female patients under the age of 21, and two male patients were aged 56 and 72 years old. Close contact with a total of 25 people, three patients have not yet found an exception.

A 47-year-old male the Shanghai newly diagnosed cases, 21 close contacts of the cases have been implemented under medical observation, up to now, were not unusual. At the same time, the city also retrospectively diagnosed five confirmed cases.

http://www.cnr.cn/gundong/2013...


5 patients from Zhejiang province
Reporters on the 16th from the Zhejiang Provincial Health Department was informed that, as of 16:00 the same day, Zhejiang new five cases of human infection with the H7N9 avian influenza. So far, Zhejiang Province were diagnosed 21 cases, in addition to early deaths, the remaining patients were previously treated showed a better therapeutic effect.

   According to the health department, five new patients were 56-year-old male patient Humou, 57-year-old unemployed male patients Qianmou, 58-year-old female farmer Sohn, a 72-year-old female retirees Kim, and a 62-year-old man retirees Yemou. These five patients, who lives in Hangzhou, time of onset ranging from the 10th to the 12th. , Humou in meat pigeon breeding and sales.

http://www.gov.cn/jrzg/2013-04...


[ Parent ]
Thank you, Ruby (n/t)


[ Parent ]
Human infection with avian influenza A(H7N9) virus in China - update
http://www.who.int/csr/don/201...

As of 19 April 2013 (18:00 CET), the National Health and Family Planning Commission of China notified WHO of an additional four laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus from Jiangsu 1 (0) and Zhejiang 3 (0). No additional death has been reported.

Details of these four cases are as follows:

   A 54 year old male, from Jiangsu Province, became ill on 9 April 2013 and was hospitalized on 15 April 2013. He is currently in critical condition. On 17 April 2013, he was laboratory confirmed.
   A 43 year old male, unemployed, from Zhejiang Province, became ill on 12 April 2013 and was hospitalized on 15 April 2013. He was laboratory confirmed on 18 April 2013.
   A 48 year old male, from Zhejiang Province, became ill on 11 April 2013 and was hospitalized on 17 April 2013. He was laboratory confirmed on 19 April 2013.
   A 66 year old female, from Zhejiang Province, with history of exposure to live poultry had onset of illness on 10 April 2013. She was hospitalized on 17 April 2013 and was laboratory confirmed on 19 April 2013.

To date, there are a total of 91 laboratory confirmed human cases with influenza A(H7N9) virus including seventeen fatalities in China reported from four Provinces: Anhui 3 (1), Henan 3 (0), Jiangsu 22 (3) and Zhejiang 30 (2) and two Municipalities: Beijing 1 (0) and Shanghai 32 (11). Currently, 67 patients are hospitalized and seven have been discharged.

So far, there is no evidence of ongoing human-to-human transmission. (continued)


Third family cluster mentioned
http://www.wpro.who.int/china/...

Transcript of media briefing by Dr Michael O'Leary, WHO Representative in China

[...] we know about another cluster of a parent and a child, where the daughter was caring for the parent who was very sick, and became sick herself with the H7N9.

From this comments it sounds like this cluster was not in Shanghai, and it may be that only the daughter was confirmed positive for H7N9.  Can anyone figure out which non-Shanghai case(s) this refers to?


Another 2 H7N9 cases reported in Zhejiang
http://news.xinhuanet.com/engl...

54-year-old female office clerk surnamed Ye from the provincial capital of Hangzhou

32-year-old farmer from the neighboring Jiangxi Province

Both are hospitalized

A 41-year-old patient surnamed Zhang, who was tested positive for H7N9 on April 17, recovered and left hospital on Monday morning, according to the department.

To date in Zhejiang, 5 people have died of H7N9 bird flu and two have been discharged.

Meanwhile, a 36-year-old man suspected of being infected with H7N9 was found in Zaozhuang City of east China's Shandong Province on Monday, the first case discovered in the province, according to the provincial health department.


First H7N9 bird flu case confirmed in Jiangxi
http://news.xinhuanet.com/engl...

(snip) A 69-year-old man surnamed Xiong, a local retiree in the provincial capital of Nanchang, showed symptoms of high fever, tight chest and diarrhea, and was admitted to the No. 3 Hospital in Nanchang, according to a statement issued by the provincial health department.

Xiong is in critical condition, said the statement.(continued)


5 cases confirmed on Sunday

A 38-year-old man surnamed Xu tested positive for the bird flu in Zhejiang's capital of Hangzhou, according to the provincial health department. He exhibited flu symptoms on April 18 and is now hospitalized at the First Affiliated Hospital at Zhejiang University.

"Few of the newly confirmed patients are in critical condition, " said Li Lanjuan, who is in charge of H7N9 treatment at the First Affiliated Hospital, Zhejiang University

...

An 80-year-old man surnamed Xiong and a 31-year-old woman surnamed Xu in Jiangxi province tested positive for H7N9 bird flu on Sunday as well, according to the provincial health department.

...

On Sunday afternoon, health authorities confirmed an H7N9 bird flu case in Fujian, marking the coastal province's second case. The patient, an 80-year-old man whose surname was given as You, is a farmer from Yangxia Township in Fuqing, a county-level city in Fujian's capital of Fuzhou. You is in critical condition, according to a statement from the province's public health department. The man developed a cough and fever before he sought treatment at a local hospital on Saturday, it said.

http://usa.chinadaily.com.cn/c...


One bird flu death reported in central China
CHANGSHA, May 2 (Xinhua) -- A 55-year-old man died Wednesday morning in central China's Hunan Province due to an infection of H7N9 avian flu, local health authorities said.

...

Jiao, a native of neighboring Jiangxi Province, tested positive for the flu and was transferred from the Liuyang Municipal People's Hospital to the Changsha Municipal Center for Disease Control and Prevention on April 26 after eleven days of exhibiting symptoms.

One unrelated bird flu infection was reported in the province's city of Shaoyang on Wednesday.

http://news.xinhuanet.com/engl...


case table
Thanks for the table.  While trying to analyse the data regarding age of infection vs sex, I discovered that the table will go into Excel fine, but when I wanted to do histograms, I had to separate the age from the sex data. Pain In the A**!
I havent done this kind of thing for a long time so there may be a clever way, and I dont know it.  But from what I remember from my databasing days, it is very bad form to put more than one type of data (age and sex) into the same field. But then I suppose you weren't doing it just for data analysis!
I finally got some interesting histograms, which basically said the infection rates for age 60 - 80 and above is 2.5 times (250%) the infection rates of lower age ranges.  And there are 2 times more males infected than females.

H7N9 cases in China rise to 128
The number of deaths from the avian flu virus infection also increased from 26 to 27 that same day, according to the Chinese Center For Disease Control And Prevention.

The new fatality was reported in Jiangxi Province, in southeast China, it said.

According to a Xinhua news agency report, the new case is a 69-year-old farmer who developed chest tightness and palpitations on April 29.

He underwent heart surgery the following day and later developed flu-like symptoms that tested positive for the virus, the report said, making him the fourth case reported in Fujian.

http://focustaiwan.tw/news/aal...


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