Beijing Reports 2nd H7N9 Case Of 2014

Credit Dr. Ian Mackay –  H7N9 snapdate: hotspot map

 

# 8271

 

Although I’ll have a more complete tally of China’s H7N9 cases later in the day, this morning Xinhuanet and other media sources are reporting on Beijing’s second H7N9 case of 2014,  and the 4th overall (not counting the asymptomatic 4 year-old reported last April) from China’s capital city.

 

These reports also indicate that the last Beijing case reported on January 23rd (see Beijing, Zhejiang, Guangdong All Announce New H7N9 Cases), has died.

 

As an international city and the center of power for China, reports of emerging viruses in Beijing tend to have a bit more impact than those from less cosmopolitan areas. During the SARS epidemic of 2003, it wasn’t until cases began to show up in China’s capital city that the power elite really took the situation seriously.

 

While four cases over a year in the city is hardly an epidemic, it is a reminder that while this virus appears to have shifted further south during this second wave, it continues to circulate in poultry in the northern provinces as well.  

 

 

Beijing confirmed the second case of H7N9 cases this year, the first case has died

February 6, 2014 17:34:12 Source: Beijing Municipal Health and Family Planning Commission website

Evening of 5 February 2014 22:50, CDC reviewed by the City, the city from unexplained pneumonia cases and confirmed one case of human infection with H7N9 bird flu, which is the city's second confirmed case this year. Patients in critical condition, was transferred to Ditan Hospital for isolation and treatment last night. Preliminary determination in close contact with 35 people, are under medical observation, there is no abnormal symptoms. City Health and Family Planning Commission in accordance with the deployment, the county health departments, CDC, and various medical institutions are actively and orderly implementation of the control measures.

The confirmed case is a man surnamed Fu, 73 years old, city residence, who lives in Huairou District. Patients at 10:00 on January 30, because of fever and cough, sputum, hemoptysis, Huairou District, the first hospital to give oral antimicrobial drugs Tamiflu and observing intravenous infusion therapy, throat swab specimens were sent to CDC for area Etiology of influenza test results were negative. At 9:00 on February 2, no significant improvement in symptoms, the income of Respiratory Medicine hospitalization. February 5 is still high fever, low white blood cells, hypoxia symptoms, pandemic influenza rapid test weakly positive, CT display significantly increased lung lesions, the disease progresses rapidly, expert consultation by the hospital as "unexplained pneumonia, highly suspected people infected with H7N9 avian influenza, acute respiratory distress syndrome, "the patient throat swab specimens sent to the CDC for nucleic acid detection area. 17:24, District CDC nucleic acid detection results are highly suspicious of human infection with H7N9 avian influenza virus; 22:50, CDC reviewed the results of human infection of H7N9 avian City Show influenza virus nucleic acid testing positive. Evening 19:40 Go to Ditan Hospital patients continue to be treated in isolation. Currently patients with pulmonary infection, respiratory failure, septic shock, stress ulcer, extremely critical condition, has been intubated assisted ventilation, boost, symptomatic and supportive treatment, Ditan Hospital and clinical expert working hard to treat municipal patients.

After investigation, the disease before the patient has been using caged way from home hospital feeding chickens, also conducted the sale of live poultry, slaughter and other activities. Jan. 28 to two other villages to acquire eight chickens. January 24-28 will be keeping a cumulative 20 chickens and purchase on-site slaughter, sale, slaughter, sale process failed to take effective protection, and there is cracking hand wound.

Preliminary determination that the case is currently in close contact with 35 people. Huairou District CDC has conducted medical observation at home and health monitoring of close contacts of 35, carried out missionary work in acute respiratory disease protection knowledge. Currently close contacts no abnormal symptoms.

(Continue . . . )

Beijing, Zhejiang, Guangdong All Announce New H7N9 Cases

 

 

# 8212

 

Our morning round up of H7N9 case adds 10 new cases, although it is possible we’ll hear of additional cases later in the day. In addition to fresh reports Zhejiang and Guangdong provinces – both of which have reported multiple cases over the past few weeks – today Beijing announces their first case since May of last year.

 

First stop, this brief report from Xinhua News.

 

Beijing reports human H7N9 bird flu case

English.news.cn   2014-01-24 18:10:32
 

BEIJING, Jan. 24 (Xinhua) -- A man in Beijing has been confirmed to have contracted H7N9 bird flu, the first case reported in the city this year, authorities confirmed on Friday.

The city's disease control and prevention center said the man tested positive for H7N9 bird flu on Thursday night.

He is receiving treatment at Ditan Hospital.

The center said the patient had bought pigeons and ate them before being admitted to the hospital.

Additional information is not available.

It is the first human H7N9 case reported in Beijing this year. Last year, a seven-year-old girl and a six-year-old boy were confirmed to have caught the flu strain in the city on April 13 and May 28. No deaths were reported.

 

Next stop is Zhejiang Province, which has seen (by far) the most reported infections from the H7N9 virus. In just the past 24 hours the decision has been made to close some of the live markets – the suspected source of many infections – in the urban areas of Hangzhou (see Xinhua report Hangzhou, Shanghai to halt live poultry trading) after 15 consecutive days of reporting new cases.

 

Today, Zhejiang’s Ministry of Health announces 7 new cases.

 

Zhejiang Province 7 new cases of human infection of bird flu H7N9

January 24, 2014

Zhejiang Provincial Health and Family Planning Commission January 24 briefing, the province today added seven cases of human infection with H7N9 avian influenza.

1, patients Yang Moumou, female, 76 years old, retired, Yuyao people. January 23 confirmed human infection of H7N9 avian influenza. Is now in critical condition, in Hangzhou, a hospital for treatment.

2, patients with a certain song, female, 44 years old, individuals, now living in Ningbo Yinzhou District. January 23 confirmed human infection of H7N9 avian influenza. Now the condition is severe, in Ningbo, a hospital for treatment.

3, the patient Yu Moumou, female, 23 years old, staff, Xiaoshan District, Hangzhou people. January 23 confirmed human infection of H7N9 avian influenza. Now the condition is severe, treatment in a hospital in Hangzhou.

4, patients Zhou Moumou, female, 82 years old, retired, Hangzhou city people. January 23 confirmed human infection of H7N9 avian influenza. Is now in critical condition, in Hangzhou, a hospital for treatment.

5, patients Zhou Moumou, male, 73 years old, retired, Shaoxing City people. January 23 confirmed human infection of H7N9 avian influenza. Is now in critical condition, a hospital for treatment in Shaoxing.

6, the patient Jiang Moumou, female, 62 years old, farmer, Shaoxing Bridge District people. January 23 confirmed human infection of H7N9 avian influenza. Is now in critical condition, a hospital for treatment in Shaoxing.

7, the patient Ren Moumou, male, 33 years old, farmer, Shaoxing Paojiang people. January 23 confirmed human infection of H7N9 avian influenza. Is now in critical condition, a hospital for treatment in Shaoxing.

 

And our last stop is Guangdong province, which reports two new cases today.

 

Province added two cases of human infection with H7N9 avian influenza cases, two cases were cured

Health and Family Planning Commission of Guangdong Province on January 24 briefing, Meizhou, Huizhou City, and were reported confirmed cases of H7N9 avian influenza case of human infection.

Case 1 Yuan Mou, female, 58 years old, currently residing in Boluo, January 24 confirmed cases of human infection of H7N9 avian influenza, the patient is currently in critical condition in the Guangzhou designated hospital admission.

Case 2 Mou, male, aged 52, now lives Xingning Meizhou City, January 24 confirmed cases of human infection of H7N9 avian influenza, the patient is currently in critical condition, in Meizhou City, the designated hospital admission.

Also, Foshan cases diagnosed January 5 and January 10 Xiemou diagnosed Ryu were cured and discharged on January 24. As of January 24, 2014, the province a total of nine cases of human infection with the H7N9 avian flu cured.

 

 

For the most complete, and continually updated list of H7N9 cases, you can’t do better than FluTrackers Linked Line Listings, which includes bulleted information on each case, plus links to the original reports.

 

While this daily parade of fresh cases is obviously a concern, thus far we haven’t seen any epidemiological evidence to indicate the virus is transmitting between humans in an efficient or sustained manner.

 

That said, there are a great many unanswered questions regarding how this virus is infecting humans, the incidence of mild or asymptomatic cases in the population, and its reservoir host.  With reports coming from multiple provinces – including the capital, Beijing – the virus is obviously widespread, and we should fully expect to see a good many more cases in the coming days and weeks.

H7N9: Beijing Orders Hospital Surveillance For Flu-Like Illnesses

Credit The Weather Channel

 

# 7807

 

 
A day after the autumnal equinox, temperatures and humidities in Northern China are beginning to lower, conditions that are more conducive for the survival, and transmission, of flu viruses. This week, with temperatures dropping into the mid-40s at night, level II hospitals and above in Beijing are on the alert for increases in respiratory infections – and for the return of the H7N9 virus.

 

Hospitals in China are ranked as either level I, level II, or level III (with level 3 at the top and level 1 at the bottom).  Each level is further divided into sub-ranks of A, B, or C. 

 

Today’s advisory (h/t Gert van der Hoek on FluTrackers) appeared earlier today in the Chinese media, but is now available in an English language version from europe.chinadaily.com

 

China / Society

Hospitals asked to monitor flu-like cases

Updated: 2013-09-24 17:29

(chinadaily.com.cn)

The health bureau of Beijing has asked all hospitals at level two or above in the city to monitor flu-like cases for two weeks in an attempt to keep down a possible epidemic of H7N9 as it gets colder, Beijing News reported on Tuesday.

All flu-likes cases coming to these hospitals and patients hospitalized for severe acute respiratory infections must be monitored for two weeks, the bureau said in its plan to combat H7N9 in the coming months.

A person is considered to have flu-like symptoms if his or her temperature exceeds 38 C with symptoms of a cough or a sore throat.

Children under 5 years old don't have to be running a fever before being monitored, the bureau said. They should be closely monitored if they show acute symptoms of coughing or difficulty breathing, or other signs such as refusing to eat, severe vomiting or sleepiness.

 

 

Unlike H5N1 – which causes heavy mortality in poultry -  birds infected with H7N9 generally show no symptoms.  The first indication we may get of this virus circulating again will likely come from human cases.  Hence the call for enhanced hospital surveillance.

 

Although we’ve seen very little H7N9  (or H5N1) activity over the summer, two weeks ago in the FAO Warns On Bird Flu, concerns were raised over the return of cooler fall weather, and the seasonality of avian flu viruses.

 

 

Bird flu viruses could re-emerge in upcoming flu season

International experts recommend vigilance and promote targeted surveillance, market restructuring to fight H7N9, H5N1 and other threats

Bird flu viruses continue to circulate in poultry.

16 September 2013, Rome – FAO has issued a new warning to the international community that the H7N9 and H5N1 avian influenza viruses continue to pose serious threats to human and animal health, especially in view of the upcoming flu season.

“The world is more prepared than ever before to respond to bird flu viruses in light of a decade of work on H5N1 and the recent response to H7N9,” said FAO Chief Veterinary Officer Juan Lubroth at a joint meeting with United States Agency for International Development (USAID), the World Health Organization (WHO) and the World Organisation for Animal Health (OIE).

(Continue . . .)

Hebei H7N9 Patient Dies In Beijing

Hebei Province  – Credit Wikipedia

 

 

# 7565

 

 

The 61-year-old H7N9 patient hospitalized last month in Langfang City in Hebei Province - and transferred to Beijing Chaoyang Hospital on July 18th (see July 21st WHO GAR Update On New Chinese H7N9 Case) - has died after more than a month of illness.

 

This patient’s condition was reported as improving a little more than a week ago (see Hebei H7N9 critically ill patients removed the "artificial lung").  Although she was removed from ECMO support early in the month, she reportedly succumbed to sepsis and multiple organ failure.

 

While a bit syntax challenge, we’ve a long, detailed, and reasonably readable (machine translated) report on this patient’s course of treatment, brief period of improvement, followed by deteriorating condition from Beijing’s Municipal Health Bureau.

 

Hebei to Beijing to severe human infection with H7N9 avian influenza patients due to multiple organ failure died

 

Time :2013 -08-12 Source: Beijing Municipal Health Bureau Views: 0

After 25 days of rescue and Hebei to Beijing for medical treatment of people infected with H7N9 avian influenza in patients with severe, although once respiratory function improved, but in the end due to infection increased, died of multiple organ failure on the evening of 11 August 2013 22:00 about death. This case development and evolution of the disease and treatment process on the future treatment of human infection with H7N9 avian influenza severe cases have important implications.

 

Patients Zhang, female, 61 years old, living in Langfang City, Hebei Province, for "five days fever, cough, dyspnea two days" on at 18:00 on July 18, 2013 by Langfang City 120 go to Beijing Chaoyang Hospital. The patient was admitted to hospital, his condition deteriorated rapidly, admissions doctors based on patient characteristics fever and respiratory symptoms, the hospital expert consultation, and rapidly carry out the new flu virus checks and by the Beijing-level expert consultation in July 2013 20 confirmed human infection of H7N9 avian influenza in severe cases. The patients with concomitant acute respiratory distress syndrome, severe sepsis, acute renal failure, disseminated intravascular coagulation, and other serious complications.

 

Beijing Chaoyang Hospital, set up headed by a vice president of the medical treatment group of experts, to carry out treatment. During the period of rapid progression, unstable vital signs, repeatedly issued to the families of patients in critical condition notice.

The full treatment, after 1 August 2013 the patient was once signs of improvement in respiratory function, August 4 from the ventilator can be intermittent after spontaneous breathing function recovery exercise, infection was part of the control, consciousness regained conscious, you can eat water. August 9 review H7N9 virus nucleic acid test results were negative, indicating the effect of antiviral therapy.

 

Aug. 10 patients with recurrence of infection increased, August 11 quickly developed into sepsis, septic shock, leading to multiple organ failure. At 21:00 on August 11th, patients with decreased heart rate, blood pressure can not be maintained, 21:22 heart rate drops to 0, respiratory arrest, blood pressure is 0, the active rescue, breathing, heartbeat is still not restored, died at 22:01 declared clinically dead. Death diagnose human infection of avian influenza H7N9 pneumonia (severe cases), acute respiratory distress syndrome, acute renal failure, septic shock.

 

August 12 morning, the Beijing Chaoyang Hospital, organize experts to death were discussed. Experts believe that: The patient's condition improved in the course of severe pneumonia increased again, the rapid development of sepsis, septic shock, leading to multiple organ failure, although the rescue, and finally failed to save lives.

The case where the process of evolution and progression of human infection with H7N9 avian influenza on severe cases have three inspirations:

First, anti-viral treatment for people infected with H7N9 avian influenza remains critically ill patients is necessary also effective. The patients with severe human infection of H7N9 avian influenza patients, but after antiviral therapy viral stock has been effectively controlled, the final test result is negative, combined with extracorporeal membrane oxygenation (artificial lung) applications, once signs of improvement in respiratory function, so human infection with H7N9 avian influenza on critically ill patients to be active antiretroviral therapy.

Second, except for the treatment of severe cases concern the treatment of viral infection, attention should also be multi-organ protection and support to improve the overall success rate. The early onset patients with acute renal failure, have not been able to break away hemofiltration, and ultimately the development of multiple organ failure, indicating that the avian flu patients with severe multiple organ will be hit hard, with severe human infection with the H7N9 avian flu is always there life-threatening.

Three for severe cases, conventional mechanical ventilatory support in difficult circumstances, the timely application of extracorporeal membrane oxygenation (artificial lung) therapy is effective measures.

WHO GAR Update On New Chinese H7N9 Case

Hebei Province  – Credit Wikipedia

 

#7501

 

 

From the World Health Organization’s Global Alert & Response (GAR) page, we’ve details on China’s first new H7N9 case reported since the end of May (note: we learned of a retrospective case from April earlier this month). 

 

After the @WHO update, we have a brief report from China’s official news agency, Xinhua.

 

 

Human infection with avian influenza A(H7N9) virus – update 20 July 2013

20/07/2013

20 JULY 2013 - The National Health and Family Planning Commission, China notified WHO of an additional laboratory-confirmed case of human infection with avian influenza A(H7N9) virus. This is the first new confirmed case of human infection with Influenza A(H7N9) since 29 May 2013.

 

The patient is a 61 year-old woman from Langfang City in Hebei Province who became ill on 10 July 2013. She was admitted to a local hospital from 10-15 July and transferred to a hospital in Beijing on 18 July . She is in a critical condition. On 20 July 2013, Beijing Municipal Center for Disease Control (CDC) confirmed H7N9 by nucleic acid detection.

 

To date, WHO has been informed of a total of 134 laboratory-confirmed human cases with avian influenza A(H7N9) virus including 43 deaths. Four cases are hospitalized and 87 have been discharged. So far, there is no evidence of sustainable human to human transmission.

 

The Chinese government continues to take strict monitoring, prevention and control measures, including: Strengthening of epidemic surveillance and analysis; deployment of medical treatment; conducting public risk communication and information dissemination; strengthening international cooperation and exchanges; and is continuing to carry out scientific research.
WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend any travel or trade restrictions.

 

 

The following Xinhua reports suggests a potential point of contact with the virus (a farmer’s market), and mentions that 9 close family contacts have shown no symptoms of infection.

 

 

New H7N9 patient in critial condition in Beijing

Xinhua, July 20, 2013

A woman from north China's Hebei Province Saturday became the latest confirmed case of the H7N9 strain of bird flu, said health authorities in Beijing.

 

The 61-year-old from the city of Langfang, Hebei, developed symptoms including cough and fever on July 10 and was diagnosed as suffering from severe pneumonia four days later, the Beijing municipal health bureau said in a statement.

 

Her condition did not turn better after treatment and she was therefore transferred to an intensive care unit in Beijing Chaoyang Hospital on Thursday.

 

She was confirmed positive of the deadly H7N9 bird flu strain on Saturday and is currently under emergency treatment.

 

Before developing the illness, the woman often bought vegetables from a local farm produce market near her home where live poultry are sold, the statement said.

 

Nine family members who have had close contacts with her have not shown any flu symptoms.

 

Earlier 132 human cases of H7N9 avian flu were reported on the Chinese mainland, including 43 that have ended in death, after the virus was first discovered in March, according to updates released by the National Health and Family Planning Commission on July 10.

Beijing Reports 2nd H7N9 Case

Credit Wikipedia

 

# 7329

 

 

Today the Beijing Department of Health announced the detection of their 2nd lab-confirmed H7N9 case – this time in a 6 year-old-boy who fell ill and was seen at a local hospital on May 21st, and was treated for three days for fever, sore throat, headache and enlarged tonsils.  

 

It appears that H7N9 was not suspected, and he recovered sufficiently enough to return to a daycare facility on May 24th.

 

Samples taken from the child were analyzed on May 28th, and found to be positive for the H7N9 virus. The child was subsequently returned to the hospital for observation, and surveillance of his contacts is underway.  

 

Currently none have shown signs of illness.

 

This machine translation from  the Beijing Municipal Health Bureau.

  

City people infected with H7N9 avian influenza into the routine monitoring strategy effective proactive monitoring found the city the second case of human infection with H7N9 avian influenza

Time :2013-05-28

May 28, 2013 morning, the Beijing Center for Disease Control reported that in Beijing large-scale conventional ILI pathogen monitoring, from the Peking University People's Hospital for treatment of influenza-like illness found in one case of human infection with the H7N9 avian influenza. At 16:00 on May 28th, Beijing clinical expert confirmed that the case.

 

Children Xu, male, 6 years old, Junan County, Linyi City, Shandong Province, household, now living in the Haidian District. May 21 children with fever and sore throat, headache, Peking University People's Hospital for treatment, family history of exposure to poultry denied, visiting doctors examination showed bilateral tonsil enlargement and purulent secretions III degree, given anti-inflammatory, symptomatic other treatment; May 22 to 24, patients in the hospital receiving daily infusion therapy; May 23 afternoon, the body temperature returned to normal, the symptoms disappeared; May 24 afternoon back to nursery reopened.

 

Children in the treatment period, the Peking University People's Hospital, according to "national influenza surveillance program" collected specimens were sent to CDC centralized testing. According to urban levels of testing and retesting results, May 28 children with a diagnosis of human infection with the H7N9 avian flu after being sent to the Beijing Ditan Hospital for further observation and treatment.

 

Children currently in good health, have normal body temperature for 5 days. The case is the second in Beijing reported cases of human infection of H7N9 avian influenza confirmed cases.

 

In accordance with the National Health and Family Planning Commission issued the "human infection with H7N9 avian influenza prevention and control program (2nd Edition)" provides an initial verification of their close contact with 50 people, all the staff have all been implemented medical observation measures currently no abnormality symptoms.

(Continue . . .)

 

The detection of another mild H7N9 case – once again in a child – is a reminder of how little we actually know about how this virus is being acquired, and transmitted in China.

 

FluTrackers has an ongoing thread on this case, and new reports will probably show up there first.

Newshounds On The Trail Of The Latest Beijing H7N9 Report

Google Translate - One of the tools of the trade

UPDATED (See Xinhua News Update at bottom)

 

 

# 7137

 

About two hours ago Crof over at Crofsblog picked up a (machine translated) syntax-challenged press statement (see H7N9: Another case in Beijing?) on Beijing’s Health Department website that appeared to say another child –  a four year-old neighbor of the case reported yesterday – had tested positive for the H7N9 Virus.

 

While a murky translation, it also intimated that the child was asymptomatic. 

 

The past couple of hours has seen a concerted effort by the newshounds on FluTrackers, and elsewhere, to pin down this story. And while not completely clear as to the details, there are now several corroborating reports.

 

The FluTrackers thread China - Child, 4, 2nd H7N9 case in Beijing confirmed - asymptomatic now has several translated reports (h/t Diane Morin, Giuseppe Michieli, Sharon Sanders), including:

 

H7N9, Beijing: An asymptomatic boy infected with birdflu virus

Beijing case of human infection with H7N9 avian influenza virus carriers

2013 04 15, 2011 03:36 Source: Xinhua News Agency
Xinhua Viewpoint: Beijing case of human infection of H7N9 avian influenza virus carriers] reporters from the Beijing Municipal Health Bureau was informed that at 3:00 on the 15th, father in Beijing first case of human infection of H7N9 avian influenza confirmed cases of trafficking in the poultry population monitoring, found a 4-year-old boy with H7N9 avian influenza virus nucleic acid positive.

 

Beijing clinical expert group overall judgment that the boy's human infection of H7N9 avian influenza virus carriers without clinical symptoms.

 

The translated term `father’ often refers to immediate surroundings or neighborhood, not a biological parent.

 

Obviously, we are all looking forward to an English-language press statement that will help clear up exactly what the status of this 4-year-old is, and how this case was identified.

 

But this story offers a good opportunity to try to explain what the Newshounds of Flublogia do, and how they do it.

 

It’s an exacting, sometimes mind-numbing job, that dozens of volunteers on the flu forums (I rely primarily on those on FluTrackers & The Flu Wiki) – and from countries all around the world - have been doing without compensation for years.

 

And I would be quick to say they do it on slow news days (which are by far, the majority) with just as much devotion and gusto as we are seeing during this H7N9 crisis.

 

The must first figure out what terms in other languages to search on, and while H7N9 these past couple of weeks has been the most common search term, it isn’t always that easy.

 

 

As you can see, just finding the articles that need to be translated is a major undertaking.

 

They then use a variety of translation programs to turn Bahasan, or Arabic, or Chinese into some semblance of English.  Often, they will use more than one translation system, to try to get the most readable result.

 

Sometimes they are even forced to do a word-by-word translation using a foreign language dictionary. The result isn’t always the King’s English, but it is usually decipherable, and frequently of value.

 

Even then, it takes experience and knowledge of idioms and local customs to properly interpret these stories - skills that many of these newshounds have developed over these many months (and sometimes years) of volunteer work.

 

Research posted on one site soon propagates (with attribution) to the other flu sites,  and often shows up here in this blog and in others as well.   Many of the newshounds post to multiple venues.

 

As I’ve said before, the amount of work these folks put in is simply staggering. And they serve as a 24/7 early warning system for disease outbreaks around the world.

 

Be glad you don't have to pay for it.

 

I certainly couldn’t do what I do without their acumen, generosity, and dedication. And so I try to hat tip (h/t) them as often as I can in this blog.

They have my thanks, and admiration.

 

UPDATE:

A few hours after this blog post was made, Xinhua News released the following report that confirms the earlier translated story.

Beijing reports H7N9 flu virus carrier

English.news.cn   2013-04-15 11:00:52

BEIJING, April 15 (Xinhua) -- Beijing municipal health authorities said Monday that a four-year-old boy, who was tested positive for H7N9 flu virus, was determined to be a H7N9 flu virus carrier.

 

The boy, surnamed Zhu, was tested positive for H7N9 flu virus by the Beijing Center for Disease Control and Prevention Sunday evening.

 

Zhu has so far shown no flu symptoms and is receiving medical observation in Beijing Ditan Hospital.

 

Local health officials said a neighbor of the boy had bought chicken from the family whose seven-year-old girl became Beijing's first H7N9 case.

 

The carrier was discovered after local disease control authorities tested 24 people who raise poultry in a village of Cuigezhuang township, Chaoyang District.

 

Chinese health authorities said on Sunday the new form of flu is spreading but no evidence showed it can be transmitted through human-to-human contact.

Beijing Confirms First H7N9 Case

 

Location of Beijing (red) to Affected Provinces

 

# 7124

 

 

While I was away from my desk for a few hours this evening, confirmation of the suspected case in Beijing (see  H7N9: Watching A Suspect Case In Beijing and FluTrackers Thread ) was announced by Beijing’s Department of Health – bringing the current total of infected to 44 – and considerably expanding the known geographic range of the virus.

 

We have a report from CIDRAP, an article from Xinhua News, and lastly excerpts from the Health Department Statement (machine translated), which is quite lengthy.

 

Burning the midnight oil, and making some sense of all of this, is Lisa Schnirring of CIDRAP NEWS who has the details, along with some reactions from Michael T. Osterholm, CIDRAP’s Director regarding what this might signify.

 

 

Beijing reports first H7N9 infection

Lisa Schnirring Staff Writer

Apr 13, 2013 (CIDRAP News) – Beijing health authorities today confirmed an H7N9 infection in a 7-year-old girl who lives in the city, the first case to be detected outside of eastern China, according to Chinese media sources.

 

All of the earlier cases were reported from Shanghai and surrounding provinces. Beijing is more than 650 miles in a straight line north and slightly west of Shanghai. The event raises more questions about the virus in birds and the threat it poses to humans.

(Continue . . . )

 

From the Chinese State News agency Xinhua:

 

Beijing reports first case of H7N9 infection

English.news.cn   2013-04-13 09:22:36
 

• A 7-year-old girl in Beijing was infected with the H7N9 strain of bird flu, the first such case in Beijing.

• The child is being treated at the Beijing Ditan Hospital, and is in stable condition.

• The new case raised the number of H7N9 infections in China to 44.

BEIJING, April 13 (Xinhua) -- A seven-year-old girl in Beijing was infected with the H7N9 strain of bird flu, the first such case in the Chinese capital, local health authorities said Saturday.

 

The case was confirmed following a test by the Chinese Center for Disease Control and Prevention early on Saturday.

 

The child is being treated at the Beijing Ditan Hospital, and is in stable condition, Zhong Dongbo, deputy director of the Beijing Municipal Health Bureau, said in a press briefing.

 

The girl developed flu symptoms, including fever, cough, sore throat and headache, Thursday morning. She was brought to the Beijing Ditan Hospital to seek medical treatment around noon and was then hospitalized for lung infection.

 

The child received the drug Tamiflu as well as intravenous drips on Thursday night and later was transferred to an intensive care unit after condition worsened. After an oxygen therapy and other treatment, her suffocation and coughing symptoms eased markedly and body temperature fell to 37 degrees Celsius from 40.2 degrees Celsius, a spokesman with the Beijing Ditan Hospital said.

 

Two people who have had close contact with the child have not shown any flu symptoms, a spokesman said. He added that the girl's parents were engaged in live poultry trading in a township of Shunyi District in Beijing's northeastern suburbs.

 

The new case raised the number of H7N9 infections in China to 44, with all the other 43 in the eastern parts of the country. The first known human infections have claimed the lives of 11 people, according to the National Health and Family Planning Commission.

 

 

 

And lastly, from Beijing’s Health Department website, excerpts from their press release:

 

Beijing with a day and a half time confirmed case of human infection of H7N9 avian influenza patient's condition continued cases of stability not found

The time :2013 -04-13 Source: Beijing Municipal Health Bureau views: 281

In the early morning of April 13, the China CDC review, the city comprehensive judgment first case of human infection with the H7N9 avian influenza confirmed cases. The patients are in stable condition, two close contacts found no abnormalities. The case, the situation is as follows:

 

The patients Yaomou, female, 7 years old, living in the old village center of Houshayu Town Street, Shunyi District. The patients parents live engaged in the live birds trafficking work. Children symptoms such as fever, sore throat, cough, headache in the morning of April 11, 11:00 to Ditan Hospital emergency department visits, admitted to the hospital for lung infection in 13:00.

 

Based on further examination results and the progression of the disease after admission, the hospital on 12 May 0100: 50 cases of influenza surveillance reported to the Chaoyang District CDC, 3:00 specimens sent to Chaoyang District CDC. At 10:00 on the 12th Chaoyang District CDC confirmed influenza A universal primer nucleic acid testing positive, and the specimens were sent at 11:00 Beijing CDC review detection. At 15:30 on the 12th Beijing Municipal Center for Disease Control detected the H7N9 avian influenza virus nucleic acid in accordance with the provisions of the National Health and Family Planning Commission, and suspected cases of the samples sent to China CDC review of detection.

 

In the early morning of the 13th, the Chinese Center for Disease Control feedback the outcome of the review. Clinical expert in Beijing, according to the Chinese Center for Disease Control and the Beijing CDC pathogen detection and review results, combined with the patient's clinical manifestations, epidemiological investigation, in accordance with the National Health and Family Planning Commission to develop the people infected with the H7N9 avian flu clinics program (2013, second edition) ", the overall judgment of the cases of human infection of H7N9 avian influenza confirmed cases.

 

The children admitted to hospital, hospital to be anti-infection and symptomatic treatment. Confirmed cases of influenza surveillance, hospital give children Tamiflu antiviral rehydration supportive care, after given ECG are too sick to go to the ICU ward, give suck in at 23:50 on the 11th (15 hours from the time of onset) oxygen therapy; same time, Chinese proprietary Yinqiao the Powder Plus White Tiger Decoction given in Chinese medicine services. After active treatment, children with cough hold your breath symptoms improved, body temperature down to 37 ° C from the highest of 40.2 ℃, lung wet rales disappeared. The patient's condition is stable.

 

Recognized as suspected cases, the Beijing Municipal Center for Disease Control, Shunyi District and Chaoyang District CDC disposal to investigate the scene, confirmed that two close contacts and medical observation measures. As of now, the two close contacts found no abnormalities.

 

The first case of human infection with the H7N9 avian influenza diagnosis and treatment process, from the first visit to the diagnosis process, only a day and a half's time, children with the disease will soon be effectively controlled, fully display the city early prevention and control work results.

(Continue . . . )

 

 

The discovery of a confirmed case in the nation’s capital - hundreds of kilometers away from the other cases - raises the stakes in this outbreak.

 

The critical step at this stage is nailing down the source (or sources) of infection, and stopping this spillover into humans before it gives the virus an opportunity to mutate into a more easily spread pathogen.

 

Stay tuned.

H7N9: Watching A Suspect Case In Beijing

Location of Beijing (red) to Affected Provinces

# 7122

 

With the caveat that this is merely a `suspected’ case, the press release posted on the Beijing Health Dept’s website today (http://www.bjhb.gov.cn/) - announcing that a 7 year-old in Beijing is in isolation and being tested for the new bird flu virus - is causing a bit of a stir this afternoon.

 

A big hat tip to Shiloh on Flutrackers for posting this – and several other news items referencing it, on this thread.

 

Beijing found the first case of human infection with the H7N9 avian flu suspected cases

Time :2013 -04-13 Source: Beijing Municipal Health Bureau Views: 176

 

In the afternoon of April 12, 2013, the Beijing CDC laboratory testing to confirm the Ditan Hospital treated a 7-year-old children with human infection of H7N9 avian influenza suspected cases.

This is the first case of human infection of H7N9 avian influenza in Beijing found suspected cases. Currently, Beijing Ditan Hospital is taking active measures to treat children, children in stable condition.

City CDC has implemented two close contacts under medical observation, flu-like symptoms is not found. In accordance with the provisions of the National Health and Family Planning Commission, Beijing Municipal Health Bureau specimens were sent to the Chinese Center for Disease Control for review, so that the final diagnosis.

 

Beijing is about 800 miles from Shanghai (although there is a high speed rail service between the two cities). We are not informed if this child has any epidemiological links to the four provinces where the H7N9 virus has already been detected.

 

Stay tuned.