Sunday, October 04, 2015

Media: Shengzhou Reports 1st H7N9 Case Of The Fall


Zhejiang Province – Credit Wikipedia




Although I can find nothing on the Zhejiang Provincial MOH website, we’ve an unusually detailed report in the local state media ( of what is reportedly China’s first H7N9 case of the fall. China’s H7N9 season doesn’t usually get started in earnest until winter, but this is still a rather late date for the first report of the fall.


H7N9, which spreads silently and asymptomatically in birds, can produce a wide spectrum of illness in humans.  While fewer than 700 human infections have been identified since 2013, this is likely just a subset of the total – the `sickest of the sick’.


Mild or even asymptomatic cases have been detected, and it is assumed that there may have been thousands of such cases that have gone unidentified (see Lancet: Clinical Severity Of Human H7N9 Infection).   Perhaps even tens of thousands.


Worth noting, over the past few weeks Sharon Sanders of FluTrackers, who scours the Chinese and Arabic media every day, has posted a number of media reports of heightened respiratory virus activity in Zhejiang province.  While there is no evidence that any of them have anything to do with H7N9, heavy flu activity may increase the chances that mild H7N9 cases go undetected.


China - 20% growth in pediatric outpatient visits in last 2 weeks at a Hangzhou hospital, Zhejiang province - September 23, 2015

China - Flu, respiratory patients up 3% "more than normal" - Hangzhou, Zhejiang province - September 16, 2015


While we wait for an `official’ confirmation, we have the following media report on the Zhejiang’s first H7N9 case of the fall.


Shaoxing Shengzhou confirmed one case of H7N9 cases has started contingency plans Ningbo, China   2015-10-04 14:32:09 Manuscript Source: Zhejiang News

October 2, Shaoxing Shengzhou confirmed one case of H7N9 cases, this is the first case since the autumn of this year in the city appear.

According to CDC epidemiological investigation, the patient Moumou, female, 62 years old, who lives in the town of Shengzhou three realms. It has purchased two weeks before the onset of breeding, slaughter poultry history. Currently serious condition, is in active treatment.

After the outbreak, Shengzhou people infected with H7N9 government to immediately start working mechanism of joint prevention and control and relevant emergency plans, held a special conference, a clear focus on the prevention and control tasks: First, to strengthen surveillance, diagnosis and treatment of patients with fever specification, unexplained pneumonia patient investigation and Early antiviral treatment work; the second is to do poultry "slaughtering, killing white listing" to regulate the live bird market transaction management; third, to conduct joint special rectification, investigate and punish the illegal trading of live poultry behavior.

Experts advise consumers to ban live poultry trading, the implementation kill white marketed not only the government's requirements, but also to prevent bird flu, pay attention to science healthy lifestyle inevitable choice. We hope that the public changes in consumer attitudes, consumption of chilled poultry products set to kill white listed healthier and more secure scientific ideas.

Meanwhile, the current time when respiratory diseases high season, the public should pay attention to personal hygiene, indoor ground ventilation, fewer trips to places with poor ventilation, do not contact with sick / dead poultry category, careful contact with live poultry, fever, cough, symptoms should go directly to medical institutions fever clinic as soon as possible, and be sure to tell the doctor if there is a history of exposure before the onset of poultry.

(Continue . . . )


A final note:  Official reporting on H7N9 in China degraded significantly last season, with some provinces only reporting aggregate totals in their monthly epidemiological reports.   Recent WHO DON Updates – which are based on information provided by the Chinese MOH – have been disappointingly light on epidemiological data.


While we still continue to see some excellent scientific papers coming out of China on H7N9, our day-to-day feel for what is going on there with the virus is significantly less than what we had during the first two waves.

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