Zhejiang Province – Credit Wikipedia
* UPDATED*
The World Health Organization has tweeted the following update, which adds 6 cases today and verifies the 102 case total in the China Daily story.
The 6th case is described on the Shanghai Health Department Website:
The city found an exception later onset of infection Shanghai for treatment of people infected with the H7N9 avian influenza confirmed cases, in the city for medical treatment.
Cases as follows:
Patients Yang, male, 68 years old, Jiangsu, retirees. On April 13 patients with fever, cough, sputum, April 16-April 19 treatment in Liyang City, Jiangsu Province, People's Hospital, the diagnosis of pneumonia in the lower left, symptomatic treatment without improvement. April 19 by the local 120 transferred to the Shanghai Pulmonary Hospital for treatment, a diagnosis of severe pneumonia admitted to hospital. Patients currently active treatment. April 20, Shanghai Municipal Center for Disease Control laboratory test results for the H7N9 avian influenza virus nucleic acid positive.
# 7172
With the caveat that case counts between news sources are slightly out of sync, and the asymptomatic (but PRC positive case) in Beijing isn’t currently included in the official count, we’ve reports of 5 new cases that push the totals over the 100 mark.
China Daily is reporting 102 cases and 21 fatalities while Xinhua has the total as 101 cases and 20 deaths. (see update above)
Although we tend to focus heavily on keeping track of these cases, in truth, we know that these numbers are – at best - representative of some fraction of the total number of cases.
The proverbial `tip of the iceberg’.
Right now, we have no idea just how big, or small, the hidden portion of that iceberg might be. Perhaps we are seeing the bulk of the cases, or perhaps there are many mild cases fluing under the `radar’.
Frankly, we many not have a good answer to that until seroprevalence studies can be done.
In the absence of data certain, we can only keep track as best we can. This from Xinhua News.
Two more H7N9 bird flu deaths in Zhejiang
2013-04-21 20:14:43
HANGZHOU, April 21 (Xinhua) -- Two people have died of H7N9 bird flu in east China's Zhejiang Province, bringing total number of the deaths from the disease to 20 nationwide, health authorities said Sunday.
A 76-year-old farmer surnamed Luo died on Sunday morning after he came down with flu symptoms on April 8, and 62-year-old woman surnamed Wang, a native of Huzhou City, died despite medical efforts on Saturday evening, after she was diagnosed with H7N9 avian influenza on April 14, said a statement of the provincial health department.
The department also reported five more cases of H7N9 bird flu infections, including Luo, in the statement, bringing total number of infection cases to 101 in the country.
The other four patients, including a 68-year-old female, a 58-year-old male, a 79-year-old female and a 81-year-old male, were in critical conditions, it said.
These details from Zhejiang Province Health Department.
Zhejiang new cases of human infection of H7N9 avian influenza cases
Date :2013 -04-21
Zhejiang Provincial Health DepartmentApril 21, 2013
Zhejiang Provincial Health Department Bulletin, as of April 21, 2011 15:00 April 21, Zhejiang new five cases of human infection with the H7N9 avian influenza.
Patients Wang, female, 68 years old, farmers, Hangzhou, onset on April 12, Hangzhou, a hospital for treatment.
The Luomou patients, male, 76 years old, farmers, Jiaxing, onset on April 8, the morning of April 21, due to further deterioration, died.
Patients with a tube, female, 81 years old, unemployed, Huzhou, onset on April 12, now a hospital for treatment.
Patients with Kim, Male, 58 years old, unemployed, Hangzhou, onset on April 16, now a hospital for treatment.
Patients Shen, female, 79 years old, farmers, Hangzhou, onset on April 13, Hangzhou, a hospital for treatment.
Detected by the provincial Center for Disease Control, more than 5 patients specimens are infected with the 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. Luomou death, the remaining four patients were seriously ill, the hospital is under active treatment.
The evening of April 20, the 14th in critically ill patients diagnosed Wang (female, 62 years old, retired, Huzhou), due to further deterioration, she died.
