Sunday, February 02, 2014

H7N9: When Case Reports Collide

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Credit CDC

 

# 8259

 

 

Our daily tally of H7N9 cases today contains at least one suspect entry, a case reported by Xinhua News from Guangxi province that just yesterday was identified as having H5N1 (see China: Guangxi Reports H5N1 Infection).  A check of the Guangxi MOH website still finds the H5N1 notification online, and no mention of a new H7N9 case.

 

First, a recap of four cases from Xinhua News:

 

Four new H7N9 cases in China

Feb 02,2014

CHANGSHA, Feb. 2 (Xinhua) -- A girl in central China's Hunan Province was confirmed to have been infected with the H7N9 bird flu, the fourth case China reported on Sunday.

Local health authorities said the eight-year-old girl has previously been to a live poultry market and is the third H7N9 cases Hunan Province reported this year.

The girl is being treated in a local hospital and is in stable condition, authorities said.

Of the three other cases reported Sunday, a 63-year-old man died of the disease on Saturday in Shenzhen of south China's Guangdong Province, a 37-year-old man from the city of Zhongshan is in critical condition and a 75-year-old man from the city of Liuzhou became the first human case of the bird flu in south China's Guangxi Zhuang Autonomous Region.

China has reported more than 100 human H7N9 cases this year, including over 20 deaths, with Zhejiang and Guangdong most affected.

Health authorities have strengthened H7N9 prevention and control measures including the closure of live poultry markets in some affected cities.

 

Also curious in this report is the statement that this 75-year-old is the first `bird flu’ case in Guangxi, since they reported a previous H5N1 case in 2009, and just last week reported on their first H7N9 case – that of a 56-year old farmer living in the town Lingfeng Hezhou Babu District (see Guangxi Province Reports Their First H7N9 Case).

 

So, H5N1 or H7N9? At this point, your guess is as good as mine. 

 

Moving on to less ambiguous reports, Guangdong province announced two new cases today.

 

 

New confirmed cases of H7N9 province two cases of human infection

2014-02-02 10:43:21 Ministry of Health and Family Planning Commission

Health and Family Planning Commission of Guangdong Province on February 2 briefing, Zhongshan and Shenzhen were reported confirmed cases of H7N9 avian influenza case of human infection.

Case 1 Liang Yijun, male, 37 years old, currently residing in Triangle Town, Zhongshan City. February 1 confirmed human cases of avian influenza H7N9 infection. Currently patients in critical condition, were treated at a local hospital sentinel.

Case 2 Yijun, male, 63 years old, currently residing in Buji Street. February 1 confirmed human cases of avian influenza H7N9 infection, Feb. 1 after she died.

Also, on January 26 confirmed cases in Shenzhen Liang Yijun, have been cured.

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This Xinhua story above does not include this Zhejiang case.

 

Zhejiang Province, one case of human infection with the H7N9 new bird flu cases

Release date :2014 -02-02
Source: Ministry of Health and Family Planning Commission

Zhejiang Provincial Health and Family Planning Commission Feb. 2 briefing, the province added one case of human infection with the H7N9 avian influenza.

Patients You Moumou, male, 44 years old, farmer, Taizhou Huangyan people. February 1 confirmed human cases of avian influenza H7N9 infection. Now the condition is severe, in Taizhou, a hospital for treatment.

 

And our last stop (h/t Sharon Sanders on FluTrackers), an 8 year-old girl from Hunan Province is reported in stable condition with the virus.

 

Add one case of H7N9 cases in Hunan


Time :2014 -02-02 Author:


February 2, Hunan 1 new confirmed cases of human infection with H7N9 avian influenza. Case Yang Moumou, female, 8 years old, student, who lives in Jiangyong County, Yongzhou City, Hunan Province, have live bird markets exposure history. Now stable condition in a hospital for treatment Yongzhou.

Given the New Year’s Holiday weekend, it is possible additional case reports will straggle in later in the day.