Thursday, April 11, 2013

H7N9 China Confirmed Human Case List

[list is located on the right side-bar for future reference]

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H7N9 Human Cases 2013

Date of Report:  3/8/13
Name:  Li Family – Father & 2 Sons
Ages:  55 & 69 (below)

55(M)  Son of 87(M)
Adm:  yes between Feb 14-24 w/pneumonia
Confirmation:  no
DOD:  2/28
Note:  Under investigation.

69(M) Eldest son of 87(M)
Adm:  Between Feb 14-24 w/pneumonia
Confirmation:  no
Note:  Recovered and discharged.

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Shanghai
Date of Report 3/31/13
Name:  Lee 87(M) Father of 2 above
From:  Min-hang District, Shanghai
Adm:  2/25 Shanghai No. 5 People’s Hospital
Onset:  2/19 Cough and sputum at onset.  High fever & dyspnea 1 week later.
Preexisting Conditions:  COPD, Hypertension.
Notes: No mutual infections among the 3 cases.  88 contacts are fine.  H7N9 has never been contracted to humans before. 1st Reported Human Case.
No contact w/poultry before onset.
Date Specimen Collected:  2/26
Confirmation:  3/30/13
Virus Isolation:  A/Shanghai/1/2013 (H7N9)
Oxygen Therapy:  Mask
Extracorporeal Membrane Oxgenation:  No
Antiviral Agent:  Oseltamivir on day 7
Length of stay @ Hospital:  6 days
DOD:  3/4

Shanghai
Date of Report:  3/31/13
Name:  Wu 27(M)  Butcher
From:  Min-hang District, Shanghai
Onset:  2/27
Preexisting Condition:  Hepatitis B
Adm:  Small clinic
Adm:  3/4  Shanghai No. 5 People’s Hospital, diag: pneumonia
3/6:  ICU, critical condition.
Date of Specimen Collected:  3/5
Viral Isolation:  A/Shanghai/2/2013 (H7N9)
Notes: No mutual infections among the 3 cases.  88 contacts are fine.
Contact with Pork.  Contact with Chicken market in last 7 days.
Confirmation:  3/30/13
Oxygen Therapy:  Mechanical ventilation
Extracorporeal Membrane Oxgenation:  No
Antiviral Agent:  Oseltamivir  & Amantadine on day 7
Length of stay @ Hospital:  6 days
DOD:  3/10


Anhui Province
Date of Report:  3/31/13
Name:  Mr. Han 35(F) - Housewife
From:  Chuzhou City, Anhui Province
Onset:  3/9 High fever and cough at the onset.
Preexisting Condition:  Hepatitis B, Obesity, Depression.
Onset:  3/13 fever   
3/15 Comm. Clinic.
Than another Clinic.  No relief.
Adm:  3/19 – Chinese & Western Medicine, Chuzhou
Adm:  3/20 – First People’s Hospital, Chuzhou City
Adm:  3/20 – Nanjing Zhongshan Univ. Hospital, Jiangsu, ICU
Date of Specimen Collected:  3/20/13
Viral Isolation:  A/Anhui/1/2013 (H7N9)
Notes:  Critical Condition @ time of report.  Contact w/chicken in last 7 days.  88 contacts monitored.
Confirmation:  3/30/13
Oxygen Therapy:  Mechanical ventilation
Extracorporeal Membrane Oxgenation:  Yes
Continuous renal-replacement therapy:  Yes
Antiviral Agent:  Oseltamivir on day 8.
Length of stay @ Hospital:  19 days
DOD:  4/9/13


Jiangsu Province
Date of Report:  4/2/13
Name:  Xu - 45(F)
From:  Jiangning District, Nanjing,  Jiangsu Province
Onset:  3/19, dizzy, fever, aches, fatigue
Adm:  3/27, ICU Nanjing Drum Tower Hospital
Confirmed:  3/30 – Prov. Ctr for Disease Detection
Confirmed:  4/2 – China CDC
Notes:  Critical Condition @ time of report.    49 contacts being monitored.  Worked as poultry butcher at local market.

Jiangsu Province
Date of Report:  4/2/13
Name:  Sang a 48(F) – sheet metal processing
From:  Suqian, Jiangsu Province
Onset:  3/19, fever, dizzy, cough
Adm:  3/30, Nanjing Hospital ICU
Confirmed:  3/30 Jiangsu Provinial Ctr for Dis. Detection
Confirmed:  4/2  China CDC
Notes:  Critical Condition @ time of report.   60 contacts monitored.

Jiangsu Province
Date of Report:  4/2/13
Name:  Shen  83(M)
From:  Suzhou Wujiang District, Jiangsu Province
Onset:  3/20, fever, cough, sputum production
Adm:  3/29 Transferred  Wujiang Area Hospital
Confirmed:  4/1 Jiangsu Provincial Ctr for Disease Detection
Notes: Critical condition @ time of report.  15 contacts monitored.
DOD:  4/9

Jiangsu Province
Date of Report:  4/2/13
Name:  Zhang  32(F)  unemployeed
From:  Wuxi City, Jiangsu Province
Onset:  3/21
Adm:  3/28 Wuxi ICU
Confirmed:  3/31 Jiangsu Prov. Ctr for Dis. Detection
Confirmed:  4/2 – China CDC
Notes:  Critical Condition @ time of report.  43 contact monitored.  Lives alone, rural area.  No large-scale farms or famers’ markets, but habit of backyard poultry & livestock in rural areas.

Zhejiang Province
Date of Report:  4/3/13
Name:  Hong (38) – Cook, worked in Taicang City, Jiangsu Province
From:  Hangzhou Jiande, Zhejiang Province
Onset:  3/7
Adm:  3/18
DOD:  3/27
Confirmed:  4/1 Zhejiang Province CDC
Confirmed:  4/3 China CDC
Notes:  125 contacts monitored.

Zhejiang Province
Date of Report:  4/3/13
Name:  Yang  Taibo (67)M, Retired, unemployed
From:  Hangzhou, Zhejiang Prov.
Onset:  3/25
Adm:  3/25 Hangzhou Hospital (Univ. School of Medicine)
Adm:  4/2 Zhejiang Univ. School of Med Hospital
Confirmed:  4/2 Zhejiang Province CDC
Confirmed:  4/3  China CDC
Notes:  Critical Condition @ time of report.  58 contacts monitored
Update:  Yang’s condition improved to stable reported 4/9.  4/11 report he’s been on a ventilator for more than a week.  4/11: gets tracheotomy, starts bedside rehab.


Zhejiang Province
Date of Report 4/4/13
Name:  Zhang Zheda 64(M) Farmer
From:  Wuxing district, Huzhou City, Zhejiang Province
Onset:  3/29 fever, sent to dr. 
Adm:  3/31 taken by ambulance.  Soon after adm. severe pneumonia, medication no effet.
4/2 – xrays showed white lung.
4/3 – ventilator, can’t maintain normal blood pressure
Confirmed:  4/3
Notes:  55 contacts monitored
DOD:  4/4/13

Shanghai
Date of Report:  4/4/13
Name:  Chu 48(M) Transported Chickens & Ducks
From:  Shanghai
Onset:  3/28 cough, sputum, fever
Adm:  4/1 private clinic
Adm:  4/3 Tongji Hospital (deteriorated sharply)
Confirmed:  4/4 Shanghai CDC
Note:  Died 3 hours after admission.  8 contacts monitored.
DOD:  4/3/13

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Shanghai – Confirmed Cluster
Date of Report:  4/4/13
Name:  52(F)
From:  Shanghai
3/27: Emer. Rm -fever, chills, X-ray showed small patchy shadow in lower lob of right lung.  Antibiotics intravenously for 3 days.
Emer. Rm again (date ?) – shortness of breath.  Put on vent.  Diag: sev. flu, pneumonia, hypoxia.  Treated w/methylprednisolone, antibiotics, immune globulin treatment.
Adm:  Huashan Hospital
DOD:  4/3/13
Confirmed:  4/4/13
Note:  Husband developed fever and runny nose.  Husband later tested negative.  Case had no contact with poultry.  Poultry conf. at local market near her.
Group said animal-to-human transmission and human-to-human transmission are both being considered in her case.
Update 4/13:  Husband Tests Positive - See Report 4/13/13  Gumou (56)M
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Shanghai
Date of Report:  4/4/13
Name:  4(M)
From:  Shanghai
Confirmed:  yes
Note:  Recovering from mild illness. Satisfactory.
4/8/13:  Discharged, outpatient therapy.
Discharged 4/11

Shanghai
Date of Report:  4/4/13
Name:  67(F)
From:  Shanghai
Onset:  3/22 sore throat, cough fever
Adm:  Ruijin Hospital
Confirmed:  Yes
Note: Critical Condition @ time of report.



Jiangsu Province
Date of Report:  4/5/13
Name:  Yin (61)F – Retirement Home
From:  Qinhuai District, Nanjing City Retirement Home
Onset:  3/20
Adm:  4/2 Nanjing Hospital
Confirmed:  4/3 Jiangsu Province CDC
Confirmed:  4/5 China CDC
Note:  12 contacts monitored.  Critical condition @ time of report.

Jiangsu Province
Date of Report:  4/5/13
Name:  Lu (79)M – Retired
From:  Qinhuai District, Nanjing, Jiangsu Province
Onset:  3/21
Adm:  3/31
Confirmed:  4/2 Jiangsu Province CDC (Weak result, nucleic acid)
Confirmed:  4/5, Test Again – Weak Positive, nucleic acid
Confirmed:  4/5  China CDC  - lung aspirate
Note:  53 contacts monitored.  Serious condition.

Shanghai
Date of Report:  4/6/13
Name:  Zhou (74)M - Farming
From: Shanghai
Onset:  3/28 fatigue, fever, shortness of breath
Adm:  3/31 Fengxian Dist. Chinese Med. Hosp.
Confirmed:  4/6
Note:  Diag. pneu. on 4/5.  5 contacts monitored.  Critical Condition @ time of report.
DOD:  4/11

Shanghai
Date of Report:  4/6/13
Name:  Yang (66)M
From:  Shanghai retirement home personnel
Onset:  3/29 chills
Adm:  4/2 10th People’s Hosp.  Diag: UPPA
Confirmed:  4/6
Notes:  Stable condition.  6 Contacts monitored.

Shanghai
Date of Report:  4/7/13
Name:  Shen (59)M
From:  Anhui
Onset:  3/25 fever, cough
Adm:  4/4 Yan Chai Hospital
Confirmed:  4/6
Note:  Retiree.  2 contacts monitored. Critical Condition @ time of report.

Shanghai
Date of Report:  4/7/13
Name:  Lee (67)M
From:  Shanghai
Onset:  3/29  body aches, fever
Adm:  3/29  First People’s Hosp. (Southern Branch)
Confirmed:  4/7
Note:  2 contacts monitored.  Mild Case.

Anhui Province
Date of Report:  4/7/13
Name:  Li (55)M – Poultry Sales & Slaughter
From:  Bozhou Qiaocheng, Anhui Province
Onset:  3/28
Adm:  4/1 Bozhou City
Confirmed:  4/6  Anhui Province CDC
Confirmed:  4/7  China CDC nucleic acid
Note:  12 contacts monitored.  Stable Condition.

Jiangsu Province
Date of Report:  4/8/13
Name:  Shumou (85)M – Retirement home
From:  Nanjing, Jiangsu Province
Onset:  3/28
Adm:  4/1 Nanjing Hospital
Confirmation:  4/8 Jiangsu Province CDC
Notes:  34 contacts monitored.  Severe Condition @ time of report.

Jiangsu Province
Date of Report:  4/8/13
Name:  Qiumou (25)F  Pregnant, unemployeed
From:  Zhenjiang City, Runzhou Dist., Jiangsu Province
Onset:  3/30
Adm:  3/30  Jhenjiang City Hospital
Confirmed:  4/8 Jiangsu Province CDC
Notes:  18 people monitored. Severe Condition @ time of report.

Shanghai
Date of Report:  4/8/13
Name:  (64)M  Retiree
From:  Shanghai
Onset:  4/1  chills, temp not taken
4/3 temp 39.
Adm:  4/3 no. Ruijin Hospital diag: pneumonia.
Adm:  4/7 .Ruijin Hospital diag: severe pneumonia.  Isolation.
Confirmation:  4/7 Shanghai CDC
Notes:  4 contacts monitored.  Total cases in Shanghai:  11.
DOD:  4/7/13
Shanghai
Date of Report:  4/9/13
Name:  Lin (62)M Retiree
From:  Shanghai
Onset:  4/1 fever 36.
4/1 – Go First People Hospital North, Diag: UPPA
4/5 – First Municipal People’s Hospital North, Diag: Pneumonia
Confirmed:  4/8 Shanghai CDC
Note:  Stable Condition.  5 Contacts monitored. 

Shanghai
Date of Report:  4/9/13
Name:  Wang (77)M Retiree
From:  Shanghai
Onset:  4/3
Adm:  Go to Putuo Dist. People’s Hospital, Diag: UPPA
Adm:  4/7:  Go to Jing’an Dist. Ctrl Hosp, Diag:  pneumonia
Confirmed:  4/9 Shanghai CDC
Note:  Stable Condition.  5 Contacts monitored.   13 confirmed cases.

Zhejiang Province
Date of Report:  4/9/13
Name:  Jiamou (51)F  Retiree
From:  Huzhou City, Zhejiang Province
Onset:  3/13
Adm:  yes
Confirmed:  4/9 Zhejiang Province CDC
Notes:  Severe condition 4/9.  4/11 seroconversion (developed antibodies in response to infection).  Best condition of all their cases.  Tested negative twice for H7N9.  4/11 trans. to general ward.

Zhejiang Province
Date of Report:  4/9/13
Name:  Shentu (79)M  Retiree
From:  Hangzhou, Zhejiang Province
Onset:  3/29
Adm:  yes
Confirmed:  4/9 Zhejiang Province CDC
Note:  Critical Condition @ time of report.

Jiangsu Province
Date of Report:  4/10/13
Name:  Chen (70)M
From:  Wuxi Huishan
Onset:  3/29
Confirmed:  4/10 Jiangsu CDC
Note:  18 contacts monitored.  Critical Condition @ time of report.



Jiangsu Province
Date of Report:  4/10/13
Name:  XU (74)M
From:  Jiangyin City, Wuxi City.
Onset:  4/2
Confirmed:  4/10 Jiangsu CDC
Note:  13 contacts monitored.  Serious condition.

Zhejiang Province
Date of Report:  4/10/13
Name:  Hu Dabo (65)M  - Farmer
From:  Hangzhou
Onset:  4/3, nausea, poor appetite
4/5 local hospital, nausea severity, choleystitis,  cholelithiasis
4/6:  Began fever, gave digestive tract, cholecystitis, cholelithiasis to rule.
4/8:  Go to Second Hospital of Zhejiang.  Asked if he had exposure to poultry.  Fever of 39, and CT showed heavy pneumonia, rushed to Zhejiang Univ. Hosp.
Adm:   4/11 Zhejiang University Hospital; CT showed heavy pneumonia
Confirmed:  4/10 Zhejiang Province CDC
Notes:  Stable condition.

Shanghai
Date of Report:  4/10/13
Name:  Ma (76)F
From:  Shanghai
Onset:  4/1
Adm:  4/5 Huasham Hospital, Diag: Pneumonia
Confirmed:  4/9 Shanghai CDC
Note:  Stable condition.  4 contacts monitored.

Shanghai
Date of Report:  4/10/13
Name:  Kim (81)F – Farmer
From:  Shanghai
Onset:  4/4 -fever, Pudong Hosp., Diag: acute enteritis
Adm:  Referral from Pudong Hosp., Diag: pneumonia (rt lower)
Confirmed:  4/9 Shanghai CDC
Note:  Stable condition.  5 contacts monitored.

Jiangsu Province
Date of Report:  4/11/13
Name:  Yin (31)M - Chef
From:  Yangzhou
Onset:  3/31
Adm:  Hospital in Nanjing
Confirmation:  4/11 Jiangsu CDC
Note: Critical condition @ time of report.  19 contacts monitored





Jiangsu Province
Date of Report:  4/11/13
Name:  Qianmou (56)M – teacher
From:  Suzhou, Jiangsu Province
Onset:  4/3
Adm:  Hospital in Suzhou
Confirmation:  4/11 Jiangsu CDC
Note:  Critical condition @ time of report.   Total cases 35.

Shanghai
Date of Report 4/11/13
Name:  Jeong (74)M – retiree
From:  Shanghai
Onset:  3/31 weakness, drowsy, dizzy
Adm:  4/5 Putuo Dist. Ctrl Hosp., Diag: inflammation left upper lobe
4/10  Diag:  severe pneumonia
Confirmed:  4/10 Shanghai CDC
Note:  7 contacts monitored.
DOD:  4/11

Shanghai
Date of Report:  4/11/13
Name:  Kang (83)F – retiree
From:  Shanghai
Onset:  4/2 fev. cough, sputum
4/2:   Yangpu Dis. City East Hosp, no improvement
Adm:  4/7 Changhai Hosp fever (3 days), cough, sputum
Confirmed:  4/10  Shanghai CDC
Note:  44 contacts monitored.  Stable condition.

Shanghai
Date of Report:  4/11/13
Name:  Tangmou (68)M
From:  Shanghai
Onset:  4/4 fever, aches, took tylenol
4/6 :  Jiading ist. Ctr Hospital
Adm:  4/9 Ruijin Hosp. N. – diag: pneumonia right lower
Confirmed:  4/10 Shanghai CDC
Note: 19 contacts monitored.  Stable Condition.  Total Shanghai cases 18.

Shanghai
Date of Report:  4/12/13
Name:  Shen (53)M
From:  Shanghai
Onset:  4/3  chills
4/5:  fever – go Jiading Dist. Nanxiang Hosp.: Diag: UPP
Adm:  4/10 Ruijin Hosp. N.  Diag: severe pneumonia
Confirmed:  4/11 Shanghai CDC
Note:  3 contacts monitored.

Shanghai
Date of Report:  4/12/13
Name:  86(M)
From:  Shanghai
Onset:  4/3
Adm:  4/11 Yangpu Dist. East Hospital – diag: pneumonia right lower lobe
Confirmation:  4/11 Shanghai CDC
Notes:  13 contacts monitored.  Stable condition.  Shanghai total cases: 20 Total Deaths:  7

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Zhejiang Province
Date of Report:  4/12/13
Name:  Lee (66)M
From:  Hangzhou
Onset:  4/8
Adm:  4/9
Confirmed:  4/12 Zhejiang CDC



Zhejiang Province
Date of Report:  4/12/13
Name:  Hemou (74)M
From:  Hangzhou, Zhejiang Province
Onset:  4/6
Adm:  4/11 Hospital Hangzhou
Confirmed:  4/12 Zhejiang CDC

Zhejiang Province
Date of Report:  4/12/13
Name:  Wu (54)F - Farmer
From:  Huzhou, Zhejiang Province
Onset:  4/6
Adm:  4/12 Huzhou Hospital
Confirmed:  4/12/13 Zhejiang CDC

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Shanghai – Confirmed Cluster
Date of Report:  4/13/13
Name:  Gumou (56)M
From:  Shanghai
Onset:  4/1
4/2 & 4/3:  2 trips to Huashan Hospital
4/4:  Shanghai Public HCC
4/5:  Shanghai CDC throat swab sample nucleic acid negative
4/10:  Shanghai CDC sampled again + lower resp. tract secretions.
Confirmed:  4/11 Shanghai CDC nucleic acid
Notes:  4 contacts monitored. 
Update:  4/13:  Wife Tests Positive – See Report 4/4/13 52(F)
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Shanghai
Date of Report:  4/13/13
Name:  Wife Gumou
From:  Shanghai
Onset:  3/27 fever
Confirmed:  4/4 nucleic acid
Note:  Municipal clinical expert consultation diagnosis confirmed

Beijing
Date of Report:  4/13/13
Name:  Yaomou (7)F
From:  Shunyi District, Houshayu Town St.
Onset:  4/11 fever, sore throat, cough, headache
Adm:  Ditan Hosp – Diag: lung infection
Confirmed:  4/12:  Chaoyang District CDC & Beijing CDC
Antiviral Agent: Oseltamivir
Oxygen Therapy: 11th for 15 hours
Notes:  After treatment condition improved, temp 37 (highest 40.2), stable ondition 4/13.
2 contacts monitored. 

Jiangsu Province
Date of Report 4/13/13
Name:  Gumou (77)F
From:  Nanjing
Onset:  4/5
Adm:  Nanjing Hospital
Confirmed:  4/13/13
Note:  7 contacts monitored.  Critical Condition @ time of report.

Jiangsu Province
Date of Report:  4/13/13
Name:  Ma (72)M
From:  Changshu
Onset:  4/1
Adm:  Suzhou City Hospital
Confirmed:  4/13/13
Note:  Critical Condition @ time of report.  9 contacts monitored.

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Zhejiang Province
Date of Report:  4/13/13
Name:  Kwak (65)M
From:  Hangzhou, Zhejiang Province
Onset:  4/3
Adm:  4/9
Confirmed:  4/13 Zhejiang CDC

Zhejiang Province
Date of Report:  4/13/13
Name;  Jo (38)M
From:  Hangzhou, Zhejiang Province
Onset:  4/6
Adm:  4/11
Confirmed:  4/13 Zhejiang CDC

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