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.
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
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
-->
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
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)
-->
Update: 4/13: Wife Tests Positive – See Report 4/4/13 52(F)
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.
-->
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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