# 7200
It’s now been a (very long) month since we first learned of the emerging avian H7N9 virus which killed two men from Shanghai in early March. Since then – while the case count has skyrocketed past 120 and our knowledge of this virus has increased - our understanding of how it spreads remains incomplete.
Over the past couple of days, the number of new cases has dropped, which some are attributing to live-market control efforts. At the same time the number of provinces reporting the virus continues to increase.
As everything we learn must be filtered through a state sponsored media, or gleaned from often kludgy machine translations of provincial health department postings, it is impossible to know how much of the `big picture’ we are actually seeing.
Confusing matters, Beijing announced on the 24th that China To Update H7N9 `Case Information’ On Weekly Basis, yet we continue to see sporadic cases reported by individual provinces.
That said, we have reports of three new cases so far this morning - two in Jiangxi province, and one in Zhejiang – bringing China’s official count to 124 cases (+1 asymptomatic case in Beijing).
First stop, this report from Xinhua News, which unfortunately lacks crucial details, such as onset dates.
Jiangxi new cases of human infection of H7N9 avian influenza confirmed cases
April 28, 2013 12:48:40
Source: XinhuaXinhua Nanchang, April 28 (Reporter Hao Liang)
Jiangxi Provincial Health Department Bulletin, 28, Jiangxi Province, two cases of new confirmed cases of human influenza H7N9 avian influenza.
Patient Xiong, male, 80 years old, Nanchang, Jiangxi, farmers, home raising chickens poultry. Now Nanchang a hospital for treatment. Patients are in stable condition, close contacts have been implemented under medical observation, yet found an exception.
Xu patients, female, 31 years old, Nanchang County, individual vegetable vendors, stalls next to chicken and poultry sales pitch. Now Nanchang a hospital for treatment. Patients are seriously ill, 11 close contacts have been implemented under medical observation, yet found abnormal.
<SNIP>
Up to now, Jiangxi Province, a total of five cases of confirmed cases of human infection with the H7N9 avian influenza are in the hospital receiving treatment, all close contacts of the patient's medical observation are not yet found an exception.
From the Zhejiang Provincial Health Department, which has reported the most cases to date (n=46), we get this report on a single new case.
Zhejiang new case of human infection of H7N9 avian influenza cases
Date :2013-04-28
Sources: Health Department
Zhejiang Provincial Health Department Bulletin, April 28 as of April 28 at 15:00, Zhejiang new case of human infection with H7N9 avian influenza.
Patient Xu, male, 38 years old, farmers, and now lives in Hangzhou, onset on April 18, Hangzhou, a hospital for treatment.
Detected by the provincial CDC, the patient specimens of human infection of H7N9 avian influenza virus nucleic acid positive. My Office experts on the patient's clinical manifestations, epidemiological data and laboratory test results are discussed, and diagnosis of human infection of H7N9 avian influenza confirmed cases. Currently, the patient is seriously ill, the hospital is under active treatment.
Present, the province a total of 46 cases of human infection with the H7N9 avian influenza confirmed cases, 6 cases died of his wounds, 9 patients recovered and discharged from hospital, the existing 31 patients in hospitalization, my Office will fully organize the rescue work.
Our last stop is a recap by Xinhua news, that provides running counts for each province.
A total of 124 diagnosed with the H7N9 avian influenza which 23 people died
2013-04-28 17:23 Source: China National Radio
Network Beijing on April 28, Zhejiang Provincial Health Department informed today (28), as of 15:00 today, Zhejiang new case of human infection with H7N9 avian influenza. Patients Xu, male, 38 years old, onset on April 18. Currently, the patient is seriously ill, the hospital is under active treatment.
So far, Zhejiang Province, a total of 46 cases of human infection with the H7N9 avian influenza confirmed cases, 6 deaths, nine cases of rehabilitation.
According to the Jiangxi Provincial Health Department reported today, Jiangxi new cases of human influenza H7N9 confirmed cases of avian influenza.
As of April 28 at 17, a total of confirmed H7N9 avian influenza 124, in which 23 people died, the cases were distributed in Beijing (1) Shanghai (33 cases, 12 patients died), Jiangsu (27 patients, 4 patients died ), Zhejiang (46 cases, 6 died), Anhui (4 cases, 1 death), Henan (4 cases), Shandong (1), the Jiangxi (4), Hunan (2 cases), Fujian (n = 1 ), Taiwan (1). The case is still in the dissemination of state, have not yet found evidence of human-to-human transmission.
Since this is the weekend, and it is still early evening in China as I write this post, it is possible we’ll see additional cases reported by some of the other provinces later in the day.
