Comments on Severity of Latest Cases of #H7N9: Merely Days From Onset to ICU

When observing and updating my list tonight, I have noticed a few cases which seem to be very extreme.

For example, below the onset set was 3 days before being admitted, and 6 days before being admitted to the ICU.

A 78 year old woman from Ningbo City,Zhejiang Province, who became ill on 17 January. She was admitted to hospital on 20 January and transferred to another hospital on 23 January. She is currently in a critical condition.

Below are two cases of exposure to a poultry market.  So we know they got their source from there.  We do not know when they were there last.   Either way, the time span from onset to severity is only a short few days.

 A 23 year old woman from Hangzhou City, Zhejiang Province, who became ill on 20 January. She was admitted to hospital on 22 January and is currently in a serious condition. The patient has a history of exposure to live poultry market.

·          A 82 year old woman from Hangzhou City, Zhejiang Province, who became ill on 16 January. She was admitted to hospital on 17 January and is currently in a critical condition. The patient has a history of exposure to a live poultry market.

Like the first case above (78F),  this 73 yo case also has no explanation of exposure.  And again, only a few days from onset to admission: 2 days.  And then only 4 days to ICU.  A total of 6 days from onset to ICU. 

   A 73 year old man from Shaoxing City, Zhejiang Province, who became ill on 18 January. He was admitted to hospital on 21 January and is currently in a critical condition.

A fairly young person (33 years old) with only 2 days from onset to admisson, and currently in ICU.  You can't get to the hospital much sooner than that.

A 33 year old farmer from Shaoxing City, Zhejiang Province, who became ill on 17 January. He was admitted to hospital on 19 January and is currently in a critical condition. The patient has a history of exposure to poultry.

And lastly, I believe the WHO has made a type in their update listing.  Specifically, the case below should be 76 years old, as the Ministry of Health out of Zhejiang Province has stated.

 A 78 year old woman from Ningbo City,Zhejiang Province, who became ill on 17 January. She was admitted to hospital on 20 January and transferred to another hospital on 23 January. She is currently in a critical condition.

    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. 
http://wst.zj.gov.cn/art/2014/1/24/art_362_407098.html