Shandong Province – Credit Wikipedia
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The two-month lull in H7N9 cases reported out of China has been broken today with the announcement of a case in Zhejiang province – that of a 35-year-old man surnamed Liu who was admitted to a local hospital on October 8th. He is currently in critical condition and receiving treatment at a Shaoxing county hospital.
Zhejiang Province reported the most H7N9 cases during the spring outbreak (n=46), which was just over 1/3rd of the total reported by China’s CDC, followed by Shanghai with 33 cases, and Jiangsu with 29 cases.
H7N9 by Municipalities (Does not include today’s case)
Chart by Dr. Ian Mackay Virology Down Under H7N9 Blog
Hong Kong’s Centre For Health Protection, which has maintained a heightened state of vigilance over the summer for H7N9 and MERS-CoV (see Hong Kong: Avian Influenza Drill & Hong Kong’s Response To Guangdong H7N9 Case), has issued the following statement:
Notification of additional human case of avian influenza A(H7N9) in Zhejiang
The Centre for Health Protection (CHP) of the Department of Health (DH) was notified today (October 15) by the National Health and Family Planning Commission (NHFPC) of a human case of avian influenza A(H7N9) in Zhejiang.
The case involves a 35-year-old man who is receiving treatment in hospital. His current condition is serious.
The sample from the patient tested positive for the avian influenza A(H7N9) virus in testing by the Centre for Disease Control and Prevention of Zhejiang Province and the case was subsequently confirmed by the Health Bureau of Zhejiang Province.
To date, a total of 135 human cases of avian influenza A(H7N9) have been laboratory confirmed in the Mainland, including Zhejiang (47 cases), Shanghai (33 cases), Jiangsu (28 cases), Jiangxi (six cases), Fujian (five cases), Anhui (four cases), Henan (four cases), Shandong (two cases), Hunan (two cases), Beijing (two cases), Hebei (one case) and Guangdong (one case).
A DH spokesman remarked that the CHP is closely monitoring the situation and maintaining close liaison with the Mainland health authorities for case details, as well as keeping a close eye on the latest advice from the World Health Organization (WHO).
"Locally, no confirmed human cases of avian influenza A(H7N9) have been recorded so far," the spokesman stressed.
Travellers, especially those returning from Shanghai, Jiangsu, Zhejiang, Anhui, Henan, Beijing, Shandong, Jiangxi, Fujian, Hunan, Hebei or Guangdong, with fever or respiratory symptoms are reminded to immediately wear facial masks, seek medical attention, and reveal their travel history to doctors. Health-care professionals should also pay special attention to patients who might have had contact with birds, poultry or their droppings in affected areas.
In response to the human cases of avian influenza A(H7N9) in the Mainland, port health measures have been implemented at all border control points (BCPs) and health information is being disseminated to travellers through various means including display of posters on avian influenza A(H7N9) in departure and arrival halls, distribution of health education pamphlets, in-flight announcements, enhanced environmental health inspection, provision of regular updates to travel industries via meetings and correspondence, surveillance of sick travellers and referral of suspected cases to public hospitals for further investigation.
The DH will continue to maintain its port health measures at all BCPs and keep a close eye on the latest advice from the WHO and the measures of the Mainland inspection and quarantine authorities to strengthen its work in disease prevention and control according to the latest situation.
The spokesman urged travellers not to visit wet markets with live poultry in the affected areas and to avoid direct contact with poultry, birds and their droppings. If contact has been made, they should thoroughly wash their hands with soap and water.
Members of the public should remain vigilant and are reminded to take heed of the following preventive advice against avian influenza:
- Poultry and eggs should be thoroughly cooked before eating;
- Wash hands frequently with soap, especially before touching the mouth, nose or eyes, handling food or eating; after going to the toilet or touching public installations or equipment such as escalator handrails, elevator control panels or door knobs; or when hands are dirtied by respiratory secretions after coughing or sneezing;
- Cover the nose and mouth while sneezing or coughing, and hold the spit with a tissue and put it into a covered dustbin;
- Avoid crowded places and contact with fever patients; and
- Wear a mask when respiratory symptoms develop or when taking care of fever patients.
The public may visit the CHP's avian influenza page (www.chp.gov.hk/en/view_content/24244.html) for further information.
Ends/Tuesday, October 15, 2013
Obviously, one case does not an outbreak make. But this is a reminder that the H7N9 virus continues to circulate in China, and with cooler weather at hand – which is thought more conducive to transmission - a repeat of last spring’s outbreak is certainly a possibility.
Stay tuned.
