Credit Dr. Ian Mackay – H7N9 snapdate: hotspot map
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Although I’ll have a more complete tally of China’s H7N9 cases later in the day, this morning Xinhuanet and other media sources are reporting on Beijing’s second H7N9 case of 2014, and the 4th overall (not counting the asymptomatic 4 year-old reported last April) from China’s capital city.
These reports also indicate that the last Beijing case reported on January 23rd (see Beijing, Zhejiang, Guangdong All Announce New H7N9 Cases), has died.
As an international city and the center of power for China, reports of emerging viruses in Beijing tend to have a bit more impact than those from less cosmopolitan areas. During the SARS epidemic of 2003, it wasn’t until cases began to show up in China’s capital city that the power elite really took the situation seriously.
While four cases over a year in the city is hardly an epidemic, it is a reminder that while this virus appears to have shifted further south during this second wave, it continues to circulate in poultry in the northern provinces as well.
Beijing confirmed the second case of H7N9 cases this year, the first case has died
February 6, 2014 17:34:12 Source: Beijing Municipal Health and Family Planning Commission website
Evening of 5 February 2014 22:50, CDC reviewed by the City, the city from unexplained pneumonia cases and confirmed one case of human infection with H7N9 bird flu, which is the city's second confirmed case this year. Patients in critical condition, was transferred to Ditan Hospital for isolation and treatment last night. Preliminary determination in close contact with 35 people, are under medical observation, there is no abnormal symptoms. City Health and Family Planning Commission in accordance with the deployment, the county health departments, CDC, and various medical institutions are actively and orderly implementation of the control measures.
The confirmed case is a man surnamed Fu, 73 years old, city residence, who lives in Huairou District. Patients at 10:00 on January 30, because of fever and cough, sputum, hemoptysis, Huairou District, the first hospital to give oral antimicrobial drugs Tamiflu and observing intravenous infusion therapy, throat swab specimens were sent to CDC for area Etiology of influenza test results were negative. At 9:00 on February 2, no significant improvement in symptoms, the income of Respiratory Medicine hospitalization. February 5 is still high fever, low white blood cells, hypoxia symptoms, pandemic influenza rapid test weakly positive, CT display significantly increased lung lesions, the disease progresses rapidly, expert consultation by the hospital as "unexplained pneumonia, highly suspected people infected with H7N9 avian influenza, acute respiratory distress syndrome, "the patient throat swab specimens sent to the CDC for nucleic acid detection area. 17:24, District CDC nucleic acid detection results are highly suspicious of human infection with H7N9 avian influenza virus; 22:50, CDC reviewed the results of human infection of H7N9 avian City Show influenza virus nucleic acid testing positive. Evening 19:40 Go to Ditan Hospital patients continue to be treated in isolation. Currently patients with pulmonary infection, respiratory failure, septic shock, stress ulcer, extremely critical condition, has been intubated assisted ventilation, boost, symptomatic and supportive treatment, Ditan Hospital and clinical expert working hard to treat municipal patients.
After investigation, the disease before the patient has been using caged way from home hospital feeding chickens, also conducted the sale of live poultry, slaughter and other activities. Jan. 28 to two other villages to acquire eight chickens. January 24-28 will be keeping a cumulative 20 chickens and purchase on-site slaughter, sale, slaughter, sale process failed to take effective protection, and there is cracking hand wound.
Preliminary determination that the case is currently in close contact with 35 people. Huairou District CDC has conducted medical observation at home and health monitoring of close contacts of 35, carried out missionary work in acute respiratory disease protection knowledge. Currently close contacts no abnormal symptoms.
