Saturday, February 15, 2014

Guangdong Province 2 new confirmed cases of human infection with H7N9 avian influenza

February 14, 2014 Translation

Health and Family Planning Commission of Guangdong Province on February 14 Bulletin, Guangzhou, Jiangmen City added two cases of human infection with H7N9 avian influenza confirmed cases. 

Case 1 Lee, M, 78 years old, retired people, now living in Panyu District, Guangzhou City, suffering from chronic obstructive pulmonary disease more than a decade, February 13 confirmed cases of human infection of H7N9 avian influenza, He died on February 14 date of death. Case 2 Easy A, F, 66 years old, domestic unemployment, currently residing in Heshan, Jiangmen, February 13 confirmed cases of human infection of H7N9 avian influenza, the patient is currently in critical condition, were treated at a local hospital sentinel.<

http://www.gdwst.gov.cn/a/zwxw/2014021411327.html

Hunan Province 1 new confirmed cases of human infection with #H7N9 avian influenza

Translated - February 15, 2014

 February 15 , Hunan 1 new confirmed cases of human infection with H7N9 avian influenza, as the province 10 confirmed cases. Case Yan Moumou, male, 46 years old, who lives in Loudi Lianyuan. Currently the patient is in a hospital for treatment of Loudi. (Contributed by: Office of Emergency Management Office)

http://www.21hospital.com/zwxx/wsyw2/201402/t20140215_23653.html

Fujian Province there are two cases of human infection with the #H7N9 avian flu cured

Translated - February 15, 2014

Health and Family Planning Commission of Fujian Province 2 months 14 days notification, Xiamen Tongan 2 months 1 dayconfirmed human infection with H7N9 avian flu Lin Moumou, after treatment was 2 months 12 days discharged; Quanzhou, Jinjiang City, 1 month 14 days confirmed people infected with H7N9 bird flu Lin Moumou, after treatment was 2 months 13 days discharged.
    As of 2 months 14 days , the province reported a total of sporadic human infection with H7N9 avian flu case in 15 patients have been discharged five patients died three cases. Admitted to the hospital after each active treatment, now seven cases of hospitalized cases, 400 cases of H7N9 bird flu in a row two times nucleic acid testing negative. (Emergency Management Office)

http://www.fjphb.gov.cn/show.aspx?ctlgid=246246&Id=90232 

Anhui Province added one case of human infection of bird flu #H7N9

Translation - January 15, 2014

    Anhui Provincial Health Department on February 15 briefing, the province confirmed one case of human infection with the H7N9 avian influenza. 
    Patients Jo, female, 14 years old, Huaining County, February 14 was infected with H7N9 bird flu confirmed human cases of the disease are now stable in Anqing City hospitals for treatment.

Guangdong Province 2 new confirmed cases of human infection with #H7N9 avian influenza, 1 cured

Translation - 2/15/14

 Health and Family Planning Commission of Guangdong Province on February 15 briefing, the Guangzhou new confirmed cases of H7N9 avian flu two cases of human infection. 
    Case 1 Zhou, female, 4 years old, currently residing in Baiyun District, Guangzhou City, February 14 confirmed cases of human infection of H7N9 avian influenza, the patient's condition is currently stable, the designated hospital in Guangzhou hospital. 
    Case 2 Wei, male, 79 years old, farmer, now living in Panyu District, Guangzhou City, February 14 confirmed cases of human infection of H7N9 avian influenza, the patient is currently in critical condition in hospital in Guangzhou Hospital Wards. 
    Also, Zhaoqing City, February 8 cases diagnosed LiangMou cured.
http://www.gdwst.gov.cn/a/zwxw/2014021511328.html 

Friday, February 14, 2014

WHO Risk Assessment of human infection with avian influenza A(H7N9) virus February 11, 2014

On 11 February 2014 WHO conducted a risk assessment in accordance with the WHO recommendations for rapid risk assessment of acute public health events
Taking into consideration all information available to date to WHO, it is concluded that the public health risk from avian influenza A(H7N9) virus has not changed since the previous assessment of 21 January 2014.

http://www.who.int/influenza/human_animal_interface/influenza_h7n9/Risk_Assessment/en/index.html 

Bloomberg: Pandemic Potential Seen in Gene Changes of Bird Flu #H7N9



Feb 13, 2014
Excerpts:

“Each new strain could be one that is better genetically equipped to transmit form person to person,” Ian Mackay, an associate professor of clinical virology at the University of Queensland in Brisbane, said in an e-mail today. “Without contemporary sequence analysis, such a strain could emerge from among the ‘noise’ of human infection by less efficient strains, to begin spreading rapidly and with pandemic potential.” 

The authors didn’t show why changes in the PB1 gene might be related to increased pandemic risk, said Masato Tashiro, a director at Japan’s National Institute of Infectious Diseases in Tokyo, who reviewed the Eurosurveillance report. Other genes may contribute to the risk, he said.

‘Interesting, Important’

Still, the research is “interesting and important,” Tashiro said today in an e-mail.
“The H7N9 virus has undergone many gene reassortments with different domestic H9N2 viruses in poultry in different areas in China,” he said, adding that it’s not clear when the genetic reassortments occurred.


Full article:  http://www.bloomberg.com/news/2014-02-13/pandemic-potential-seen-in-gene-changes-of-bird-flu.html

Eurosurveillance: Rapid communications POSSIBLE PANDEMIC THREAT FROM #H7N9 - Case Fatality Rate: 24%

From the Document:
Excerpt:

Discussion
Our analysis revealed dynamic reassortments between influenza A(H7N9) and A(H9N2) viruses since the outbreak of A(H7N9) virus infection in March 2013.To some extent, the continuous transmission of H7N9 in Chinese poultry has led to increasing diversity and new reassortment of A(H7N9) with local A(H9N2) strains. Our findings suggest that the re-emerged H7N9 infections may be triggered by new reassortment strains, such as those in the Guangdong/Hong Kong transmission of Cluster 3. In this regard, these infections may have implications for the traditional strategies of drug and vaccine development targeted against HA and NA genes [15].In particular, the new reassortments generated by A(H7N9) and local A(H9N2) strains may produce avian influenza virus strains that are more adaptive and have a higher pathogenicity in humans [16], emphasising the importance of continuously monitoring the A(H7N9) epidemic.

To date, 127 cases of A(H7N9) virus infections have been reported in January 2014, almost the same number as reported in the spring of 2013 (n=133) [5,6]. Notably, Zhejiang and Guangdong provinces and the Shanghai metropolitan area, where new reassortment of A(H7N9) strains is being identified, have been the worst affected regions in China in 2014 [1,17,18]. Although the case-fatality rate in January 2014 (24%, 31/127) is not higher than that seen in the spring of 2013 (29%, 39/133) [5,6], the rapidly increasing number of cases of A(H7N9) virus infection in these three regions may raise concerns as to whether there is an  association between circulation of the new A(H7N9) reassortment strains identified and accelerated transmission of A(H7N9) virus in humans. Therefore, it is of the utmost importance to monitor the risk of a potential pandemic initiated by various influenza virus strains.

POSSIBLE PANDEMIC THREAT FROM NEW REASSORTMENT OF INFLUENZA A(H7N9) VIRUS IN CHINA

Eurosurveillance, Volume 19, Issue 6, 13 February 2014
  1. Shanghai Public Health Clinical Center and Institutes of Biomedical Sciences, Key Laboratory of Medical Molecular Virology of Ministry of Education/Health, Shanghai Medical College, Fudan University, Shanghai, China
  2. Department of Cell and Molecular Physiology, Loyola University Chicago Health Sciences Division, Maywood, IL, United States
  3. State Key Laboratory for Infectious Disease Prevention and Control, China Center for Disease Control and Prevention, Beijing, China

Citation style for this article: Meng Z, Han R, Hu Y, Yuan Z, Jiang S, Zhang X, Xu J. Possible pandemic threat from new reassortment of influenza A(H7N9) virus in China. Euro Surveill. 2014;19(6):pii=20699. Available online: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20699
Date of submission: 29 January 2014
 
Avian influenza A(H7N9) virus re-emerged in China in December 2013, after a decrease in the number of new cases during the preceding six months. Reassortment between influenza A(H7N9) and local H9N2 strains has spread from China's south-east coast to other regions. Three new reassortments of A(H7N9) virus were identified by phylogenetic analysis: between A(H7N9) and Zhejiang-derived strains, Guangdong/Hong Kong-derived strains or Hunan-derived A(H9N2) strains. Our findings suggest there is a possible risk that a pandemic could develop.

Continued:  http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20699 

#H7N9 2014 Human Case List



H7N9 Human Cases 2014
Cases will be in Provinces that announce them.
Numbers = case age ~ red=death, blue=discharged   *=contact case

Zhejiang:  82
A.   –Shaoxing City  (66) (73) (67)
I.      Zhuji City  (34) (75) (53)
II.    Yuecheng District (69)
III.   Shaoxing Bridge (70) (62) (51) (68)
IV. Paojiang (33)
B.    Ningbo City (60)
I.      Yinzhou District  (30) (35) (55) (59) (44) (57) (75)
a.    Jiangdong District (59)
II.    Yuyao County
a.    Yuyao (76)
b.    Cixi City (41) (35) (48)
III.   Zhenhai District (76)
IV. Jiangbei  (64)
C.   Jiaxing City (51)
I.      Pinghu County 1 (79)
II.    Longyou (63)
III.   Haining (67)
D.   Jinhua
I.      Yiwu (78) (56) (84)
E.    Hangzhou (82) (63) (61)
I.      Binjiang District (29) (72) (61) (42)
II.    Xiaoshan District (58) (20) (62) (54) (49*) (53) (23*) (43*) (60) (61) (58)
III.   Yuhang (41) (71) (40) (84) (46)
IV. Riverside (71) (54)
V.   Fuyang City (80) (54) (35)
VI. Yuhang District (78)
VII.                  Gongshu (49)
VIII.                Jiande City (70)
F.    Taizhou
I.      Jiaojiang District (58) (71)
II.    Linhai City (57)
III.   Wenling City  (63)
IV. Huangyan (44)
V.   Laqiao District (76)
G.   Huzhou
I.      Wuxing (66) (54)
II.    Deqing County (63) (49)(65) (63) (39)
III.   Changxing County (81)
IV. Anji County (64)
H.   Wenzhou City
I.      Cangnan County (71)
II.    Wencheng County (37)
III.   Pingyang  (35)
IV. Yueqing (47)
I.      Lishui City
I.      Jinyun County (62)

Guangdong:  57
A.   Foshan: 
I.      Nanhai District  (59) (42) (48)
a.    Lishui Town  (47) (28)
b.    Jiujiang Town (51)
c.    Shishan Town  (46)
d.    Chancheng (82)
II.    Gaoming District (49)
III.   Sanshui District (36)

B.   Yangjiang City
I.      Yangdong County
a.    Yangjiang (71)
II.    Hailing (76)

C.   Shenzhen City 
I.      Luohu District  (31) (65) (59) (82) (81)
II.    Longgang District (77) (41) (31)
a.    Buji  (76) (6) (63)
III.   Futian District (62) (76)
IV. Bao’an District (43)
V.   Longhua (56)


D.   Dongguan 
I.      Zhangmutou (55)

E.    Guangzhou City 6
·      Haizhu (59)
·      Baiyun District  (29*) (5*) (59) (5) (65)
·      Liwan District (83) (59)
·      Tianhe  District (*17)
·      Nansha (46)
·      Panyu District (78)
    
     F  Huizhou City (52)
I.      Boluo County (58)
a.    Yuanzhou (76)

F.    Meizhou City
I.      Xingning City (52)

G.   Jiangmen City  (68)
I.      Xinhui (67)
II.    Heshan (66)

H.   Huaiji
I.      Zhaoqing (28) (5) (4) (5) (42) (48) (62) (11) (8)

I.      Zhongshan City
I.      Triangle Town (*37) (*2)



Jiangsu:  12
A.   Nanjing City  (54F) (54M) (71) (75)
B.   Suzhou (57) (74)
C.   Huai’an  City (53)
D.   Yancheng (66)
E.    Xuzhou (63)
F.    Wuxi (76) (59)
G.   Taizhou (53)


Fujian:  14
A.   Quanzhou City
I.      Hui’an County  (38) (46)
II.    Jinjiang  (50) (38)
III.   Nanan  (30)
IV. Luojiang District (60)
V.   Yongchun County (36)

B.   Ningde (aka Mindong)
I.      Gutian County (54)
C.   Xiamen  (35)
I.      Haicang District (69)
II.    Xiang’an District (2)
D.   Sanming City
I.      ShaXian (72)
E.    Zhangzhou City
I.      Zhangpu County (27)
F.    Fuzhou
I.      Minhou County (81)


Guizhou:  1
A.    Meitan County (38)

Shanghai:  8
A.   --Shanghai City   (86) (58) (56) (35) (54) (31) (77) (61)

Hunan:  9
A.    Yueyang City
a.    Miluo City (58) (61)
B.    Yongzhou
a.    Jiangyong County (38) (8)
C.    Loudi
a.    Louxing District (59*)
b.    Shuangfeng County (21*) (23)
c.    Lianyun County (19)
D.    Shaoyang
a.    Suining County (38)
Guangxi:  3
A.   Hezhou City
I.       Babu District (56)
B.   Nanning
I.      Heng (*41) (*5)

Anhui:  2
A.   Anging City
I.   Susong County (66)
A.   Fuyang City
I.      Linquan (56)



Hong Kong:  2 (75)
A.   Sham Shui Po District 1 (65)
B.   Huanggang Quarantine Guandong (6)
C.   Sha Tin (65)


Beijing:  2
A.    Changping District (58) (73)

Malaysia:  1
A.   Kuala Lumpur (67)


Detailed List:

Shanghai
Date of Report:  1/4/14
Name:  86(M) Zhou
From:  Shanghai City
Onset:  12/26/13
Adm:  1/3/14  ICU
Confirmed:  1/3/14
Notes:  Co-morbidities (chronic lung disease) went live bird market, did not slaughter birds, but closer look at side of slaughter area.

Zhejiang
Date of Report:  1/5/14
Name: 34(F) Cai
From:  Zhuji, Shaoxing City
Onset:  12/29
Adm:  1/2/14 First Affiliated Hospital, Hangzhou
1/4/14:  Zhejiang Univ. School of Medicine
Confirmation:  1/4
Status:  Critical Condition

Guangdong
Date of Report:  1/6/14
Name:  47(M) Xiemou – Poultry worker
From:  Lishui Town, Nanha Dist., Foshan City, poultry worker
Onset:  12/25
Adm:  1/3/14 ICU First Affiliated Hosp. Guangzhou
Confirmed:  1/6/14
Notes:  60 contacts
Discharged:  1/24

Guangdong
Date of Report:  1/6/14
Name:  71(M) Lee -Farmer
From:  Yangjiang City, Yangdong County
Onset:  1/1/14
Adm:  1/2/14 People’s Hospital outpatient
Adm:  1/4  ICU
Confirmed:  1/6/14
Notes:  Exposure not clear.  65 close contacts
Died:  1/15

Guangdong
Date of Report:  1/7/14
Name:  31(M) Ou
From:   Hung Wai Street, Jiefang Road, Luohu Dist, Shenzhen City
Timeline:
Onset:  12/30/13 fever, fatigue.  Self-medication
12/31:  worse
1/3:  Adm - Bao’an Dist People’s Hospital
1/5:  Transferred to ICU
1/6:  Confirmed
1/7:  Transferred to Shenzhen Third People’s Hosp.
current status 1/8:  Stable.
Notes:  No live poultry exposure.  35 contacts.  All test negative
STATUS:  discharged 1/19/14

Jiangsu
Date of Report:  1/8/14
Name:  54(F) Qu
From:  Nanjing City
Onset:  12/20/13
Adm:  12/27
Confirmed:  1/8/14
Note:  Exposure to live poultry
Status:  On adm was critical.  White lung.  1/15: off vent, stable.  leave hospital in a week.

Hong Kong
Date of Report:  1/8/14
Name:  65(M)
From:  Sham Shui Po,
Timeline:
1/1 & 1/2: Luohu Dist. Shenzhen,
Onset:  1/3/14 cough, fever, shortness of breath
Adm:  1/7 ICU Queen Mary Hospital
Confirmed:  1/8
Note:  Co-morbidities.  Been to Shenzhen Luohu District on Jan. 1-2.  (confirmed case 31M from same area.)
Visited market on January 1, did not enter.
Wife in quarantine, no symptoms. 
Update:  1/9 – 1 family member, 4 patients from same cubicle @ Queen Mary Hosp. put on Tamiflu.  90 other contacts; 5 of those developed non-specific sym’s, 3 of which were negative, 2 are pending.
DOD:  1/13/14

Guangdang
Date of Report:  1/9/14
Name:  51(F)  Choi [Cui Xing Nvzi]
From:  Jiujiang Town, Nanhai, Foshan City
Timeline:
12/31 – to vegetable market buy chickens to slaughter @ home
Markets:  Luopu, Yi Feng – closed both.
Onset:  12/31 fever 40, cough, take expectorant
Adm:  1/1 Hospital in Foshan, Jiujiang, 2nd anti-infect. treatment
Adm:  1/3 ICU First People’s Hospital Foshan City, Significant cough, shortness of breath
1/3:  intubated
1/4:  ICU
Confirmed:  1/7 Foshan City CDC
Sym’s on Adm: fever, low blood condition
Breathing more difficult after a few hours.
After 10 hours:  breathing machine
Note:  21 contacts .  Contact with poultry.

Zhejiang
Date of Report:  1/9/14
Name:  51(F)
From:  Jiaxing City, Zhejiang
Onset:  12/28
Adm:  1/6 ICU Hangzhou Hospital

Guangdang
Date of Report:  1/10/14
Name:  42(F) Liu/Ryu
From:  Yanbu, Nanhai District, Foshan City
Onset:  1/5
Adm:  1/8, local hospital given tamiflu
Adm:  1/9 Hospital, mild case
Confirmed:  1/10
Note:  20 conacts.  Poultry worker.
Discharged:  1/23

Guangdang
Date of Report:  1/10/14
Name:  59(F) Liu
From:  Nanhai District, Foshan (retirement home)
Onset:  12/29
Adm:  1/2 , tamiflu, mild case
Confirmed:  1/10
Note:  No poultry contact.  5 contacts.

Zhejiang
Date of Report:  1/10/14
Name:  79(F) Huang Moumou
From:  Pinghu County, Jiaxing City, Zhejiang
Onset:  1/2
Confirmed:  1/9
Adm:   1/5 ICU Jiaxing
Note:  Farmer

Zhejiang
Date of Report:  1/10/14
Name:  30(M) Liu
From:  Yinzhou District, Ningbo City,  Zhejiang
Confirmed:  1/9
Onset:  1/2  fever, cough
Adm:  1/7 ICU Ningbo
Note:  Food Sales

Fujian
Date of Report:  1/10/14
Name:  38(M) Zeng
From:  Hui’an County, Quanzhou City
Onset:  1/3 coughing, wheezing & other sym’s.
Adm:  1/8
Confirmed:  1/10/14
DOD:  1/10
Note:  Co-morbidities

Jiangsu
Date of Report:  1/10/14
Name:  54(M) Xuan
From:  Nanjing City
Onset:  12/18
Adm:  1/9 Nanjing Serious condition (WHO 1/5)
Confirmed:  1/9
Note:  2nd case this year.  Found within 2 days. 
Status:  1/15:  Upgraded to stable, can communicate.


Guangdong
Date of Report:  1/11/14
Name:  29(M) Panmou [contact case w/5 yo reported on 1/18]
From:  Baiyun District, Guangzhou City
Timeline:
Onset:  1/3, malaise, aches
1/4:  sym’s continue
1/5:  fever 41, treatment at nearest hospital
1/9:  fever, back pain, sore throat, to ER.  Samples taken.
Adm:  1/9 ICU  tamiflu
Note:  Father of 5 yo reported on 1/18.  Sha East market Vendor selling Bean Curd in Tianhe District.  39 Contacts, all neg.
Works 10 meters away from live poultry stall.


Guangdang
Date of Report:  1/11/14
Name:  76(M) Zhao
From:  Buji, Longgang District, Shenzhen City
Onset:  1/3
Adm:  1/9 ICU, Third People’s Hospital, tamiflu
Note:  no poultry exposure.  Co-morbidities.  37 contacts.

Shanghai
Date of Report:  1/11/14
Name:  58(F)
From:  Shanghai
Onset:  1/1 ICU
Adm:  1/8
Confirmed:  1/10
Note:  Poultry contact

Shanghai
Date of Report:  1/11/14
Name:  56(M)
From:  Shanghai
Onset:  1/6
Adm:  1/9 ICU
Confirmation:  1/11/14
Note:  Poultry contact

Zhejiang
Date of Report:  1/11/14
Name:  75(F) Li
From:  Zhuji, Shaoxing
Onset:  1/1
Adm:  1/5 Hangzhou
DOD:  1/9
Confirmed:  1/10
Note:  Poultry contact

Zhejiang
Date of Report:  1/12/14
Name:  78(M)  Zong
From: Yiwu City, Jinhua
Onset:  1/3
Adm:  1/3
Adm:  1/9 Transferred ICU Hangzhou Hospital
Confirmed:  1/11
Note:  Exposure to Poultry.

Zhejiang
Date of Report:  1/12/14
Name:  35(M) Meng
From:  Yinzhou District, Ningbo City
Confirmed:  1/12/14
Timeline:
Onset:  1/1 fever, headache
1/8:  local hospital, outpatient
Adm:  1/10 ICU Ningbo Hospital
Note:  No link with earlier case from Ningbo. History poultry exposure.
Discharged:  1/29

Guangdong
Date of Report:  1/13/14
Name:  28(F) Po
From:  Nanhai, Lishui, Foshan
Onset:  1/8
Adm:  1/9 Outpatient, Tamiflu - Nanhai District 5th People’s Hosp.
Adm:  1/12 Local Hospital
Confirmation:  1/12
Note:  Poultry seller.  Stable Condition.
Status:  Discharged 1/19

Guangdong
Date of Report:  1/13/14
Name:  46(M)
From:  EU, Shishan Town, Nanhai District,  Foshan
Onset:  1/6
Adm:  1/9 ICU Local Hospital
Note:  home of live poultry rearing

Zhejiang
Date of Report:  1/13/14
Name:  41(F)
From:  Cixi City, Ningbo City
Onset: 1/7 temperature
Adm:  1/11 ICU
Confirmed:  1/13
Note:  Poultry farm sales.

Zhejiang
Date of Report:  1/13/14
Name:  59(F)
From:  Jiangdong District, Ningbo City
Onset:  1/5
Adm:  1/9 ICU
Note:  Catering svcs.  Poultry exposure.

Guizhou imported to Zhejiang  
Date of Report:  1/13/14
Name:  38(M)
From:  Worked in Wenzhou City, Meitan  County, Zhejiang
Onset:  1 month ago
Timeline:
1/2:  Local Hospital, cough, sputum, paroxysmal cough
1/3:  Return to Guizhou
1/4:  Adm: Meitan County Hospital
1/8:  Transferred to 1st People’s Hospital Zunyi City
DOD:  1/9
Confirmed:  1/9 deep lung lavage specimens
Confirmed:  1/16
Note:  Worked as steel pipe factory in Ruian City, Zhejiang.

Fujian
Date of Report:  1/14/14
Name:  50(M) Lin 
From:  Jinjiang City, Quanzhou City
Onset:  1/5
Adm:  1/11 ICU Hospital in Quanzhou
Note:  Exposure to Poultry
Update:  2/8 out of ICU


Zhejiang
Date of Report:  1/14/14
Name:  29(M) Lin
From: Binjiang District, Hangzhou,  Farmer
Adm:  1/12 Severe Hanghou Hospital
Onset:  1/2
Confirmed:  1/13

Zhejiang
Date of Report:  1/20/14
Name:  61(M)
From:  Hangzhou City
Onset:  1/10
Adm:  1/10
Adm:  1/12 Transferred ICU

Zhejiang – Geographical Cluster
Date of Report:  1/14/14
Name:  58(M)
From:  Xiaoshan District, Hangzhou
Onset:  1/6
Adm:  1/12 ICU Hangzhou hospital
Confirmed:  1/13
Note:  Exposure to poultry.

Fujian
Date of Report:  1/15/14
Name:  30(M)
From:  Nanan, Quanzhou
Onset:  1/9
Adm:  1/14 ICU Quanzhou
Note:  Worked in stone processing
DOD:  2/10

Guangdong
Date of Report:  1/15/14
Name:  48(M) Xie
From:  Nanhai District, Foshan City
Onset:  1/2 
Adm:  1/12 ICU Foshan Hospital
Confirmed:  1/15
DOD:  2/2/14

Guangdong
Date of Report:  1/15/14
Name:  55(M) Wang
From:  Zhangmutou, Dongguan.  Originally from Shenzhen.
Onset:  1/1
Adm:  1/9 ICU Shenzhen
Confirmed:  1/15
Note:  Exposure to poultry.


Zhejiang
Date of Report:  1/15/14
Name:  41(M) Hou
From:  Yuhang District, Hangzhou City, Farmer
Onset:  1/5
Adm:  1/9 ICU Hangzhou Hospital, then transferred
Confirmed:  1/14

Shanghai Imported From Zhejiang
Date of Report:  1/15/14
Name:  35(M) Wu
From:  Ningbo City Zhejiang Province
Onset:  1/1
Adm:  1/11  ICU Shanghai Hospital
Confirmed:  1/4
Note:  Exposure to poultry.

Zhejiang – Geographical Cluster
Date of Report:  1/16/14
Name:  20(F)
From:  Xiaoshan District, Hangzhou
Adm:  1/11 
Adm:  Transferred 1/14 ICU Hangzhou
Onset:  1/7
Confirmed:  1/15
Note:  Farmer, poultry exposure.

Zhejiang
Date of Report:  1/16/14
Name:  58(M)
From:   Taizhou City, Jiaojiang
Onset:  1/7
Adm:  1/14 ICU Taizhou
Confirmed:  1/16/14
Note:  Farmer, poultry exposure

Guangdong
Date of Report:  1/16/14
Name:  59(M) Fu, Retiree
From:  Haizhu District, Guangzhou City
Onset:  1/6
Adm:  1/13 Stable, Guangzhou City
Confirmed:  1/16/14
Status:  1/20:  Serious

Guangdong
Date of Report: 
Name:  76(F) Wan Xing, Retiree
From:  Foshan City
Onset:  1/12
Adm:  1/12 ICU Foshan City Hospital
Confirmed:  1/16/14
Note:  Retired

Fujian
Date of Report:  1/16/14
Name:  60(M) Xu
From: Luojiang District , Quanzhou City
Onset:  1/10
Adm:  1/13  Quanzhou serious
Note:  self-employed.  Exposure to live poultry market.

Shanghai imported from Anhui Province
Date of Report:  1/16/14
Name:  54(M) Yang
From:  Wuhu City, Anhui Province
Onset:  1/3
Adm:  1/13 ICU Shanghai hospital
Confirmed:  1/15
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/17/14
Name:  66(M) Shen, retiree
From:  Wuxing, Huzhou
Onset:  1/7
Adm:  1/11
Adm:  1/15 Transferred ICU Hangzhou
Confirmed:  1/16
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/17/14
Name:  54(M) Zhu, Farmer
From:  Wuxing, Huzhou
Onset:  1/6
Adm: 1/9 ICU Huzhou
Confirmed:  1/16
Note:  Exposure to poultry

Zhejiang – Geographical Cluster
Date of Report:  1/17/14
Name:  62(M), Farmer
From:  Xiaoshan District, Hangzhou
Onset:  1/4
Adm:  1/11
Adm:  1/15 Transferred ICU, Hangzhou
Confirmed:  1/16
Note:  Exposure to poultry

Fujian
Date of Report:  1/17/14
Name:   38(F) Wu, self-employeed
From:   Quanzhou, Jinjiang City
Onset:  1/9
Adm:  1/15 ICU Jinjiang Hospital
Discharged:  2/11

Fujian
Date of Report:  1/17/14
Name:  55(M)
From:  Gutian County, Ningde, Shishi City
Onset:  1/11
Adm:  1/16 ICU Fuzhou Hospital
Note:  Exposure to poultry
Discharged:  2/11

Guangdong
Date of Report:  1/18/14
Name:  5(F) Panmou [contact case with 29yo reported on 1/11]
From:  Baiyun District, Guangzhou City
Onset:  1/14
Adm:  1/15 Guangzhou, mild
Confirmed:  1/18/14
Note:  Daughter of 29 yo reported on 1/11.
Discharged:  1/23


Guangdong
Date of Report:  1/18/14
Name:  83(F) Yang
From:  Liwan District, Guangzhou City
Onset:  1/2
Adm:  1/10
Adm:  1/16 TransferredICU Guangzhou
Confirmed:  1/18/14
Note:  Exposure to poultry.
DOD:  1/19


Guangdong
Date of Report:  1/18/14
Name:  62(M) Zhou
From:  Futian District, Shenzhen
Adm:  1/7 Outpatient, Tamiflu -- Peking University Shenzhen Hospital
Adm:  1/17 Shenzhen City People’s Hospital
Onset:  1/6
Status:  Improved significantly.


Zhejiang
Date of Report:  1/18/14
Name:  35(M) Xiao, Farmer
From:  Cixi, Ningbo
Onset:  1/7
Adm:   1/11
Adm:  1/14 Transferred ICU Ningbo
Confirmed:  1/16
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/18/14
Name:  72(F)
From:  Binjiang District Hangzhou
Onset:  1/9
Adm:  1/15
Adm:  1/16 ICU Hangzhou
Confirmed:  1/17
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/18/14
Name:  69(M) Zong Farmer
From: Paojiang area,Yuecheng District, Shaoxing
Onset:  1/13
Adm:  1/17 Transferred ICU Shaoxing
Confirmed:  1/17
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/19/14
Name:  53(M)
From:  Shaoxing Zhuji
Onset:  1/10
Adm:  1/17 Transferred Hangzhou severe
Confirmed:  1/18
Note:  Exposure to poultry

Zhejiang – Geographical Cluster
Date of Report:  1/18/14
Name:  54(M) Shao
Onset:  1/5
From:  Xiaoshan District, Hangzhou
Adm:   1/16 Transferred ICU Hangzhou
Confirmed:  1/18
Note:  Exposure to poultry.

Zhejiang
Date of Report:  1/18/14
Name:  61(F) Wu
From:  Binjiang District, Hangzhou
Onset:  1/10
Adm:  1/10
Adm:  1/12 Transferred ICU Hangzhou
Confirmed:  1/19/14

Shanghai
Date of Report:  1/20/14
Name:  31(M) Zhang Xiaodong, Hospital Doctor
From:  Pudong
Onset:  1/11
Adm:  1/15
Adm:  1/17 ICU Pudong People’s Hospital transferred
Note:  Been looking after a sick colleague.  Worked in hospital’s emergency surgical ward.
No contact with poultry.  Stayed overnight @ parents on 1/4 where they kept pigeons.  Also a wet market selling live poultry opposite the hospital where he worked.
Confirmed:  1/19
DOD:  1/18

Shanghai
Date of Report:  1/20/14
Name:  77(M) Wu, Farmer
From: Shanghai City
Onset:  1/10
Adm:  1/14
Adm:  1/17 transferred
Confirmed:  1/19
DOD:  1/18
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/20/14
Name:  71(F) Jin, Farmer
From:  Yuhang District, Hangzhou City
Onset:  1/12
Adm:  1/15
Adm:  Transferred 1/18 ICU Hangzhou
Confirmed:  1/19
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/20/14
Name:  63(M) Fang, Farmer
From:   Longyou County, Jiaxing County
Onset:  1/12
Adm:  1/17
Adm:  1/18 transferred Hangzhou, Severe
Confirmed:  1/19
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/20/14
Name:  55(M) Cao
From:  Yinzhou Distrtict, Ningbo
Onset:  1/11
Adm:  1/17 ICU Ningbo
Confirmed:  1/19
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/21/14
Name:  57(M), Lee, Farmer
From:  Linhai City, Taizhou City
Onset:  1/8
Adm:  1/10 ICU Taizhou
Confirmed:  1/19
Note:  Exposure to poultry


Zhejiang – Contact Case
Date of Report:  1/21/14
Name:  49(M) Yu, Farmer
From:  Xiaoshan District, Hangzhou
Onset:  1/13
Adm:  1/17 Hangzhou, Serious
Adm:  1/19 transferred
Confirmed:  1/20
Note:  Exposure to poultry
Confirmed contacts:  Daughter & Wife
Daughter:
Date of Report:  1/24/14
Name:  23(F) Yu
Wife:


Zhejiang
Date of Report:  1/21/14
Name:  70(M) F, Farmer
From:  Shoaxing City, Shaoxing Bridge District
Onset:  1/10
Adm:  1/14 Hangzhou, Severe
Adm:  1/17 transferred
Confirmed:  1/20

Guangdang
Date of Report:  1/11/14
Name:  76(M) Zhao
From:  Buji, Longgang District, Shenzhen City
Onset:  1/3
Adm:  1/9 ICU, Third People’s Hospital, tamiflu
Note:  no poultry exposure.  Co-morbidities.  37 contacts.

Guangdong
Date of Report:  1/21/14
Name:  59(F) Ku
From:  Luohu District, Shenzhen City
Onset:  1/13
Adm:  1/19 ICU Shenzhen
Confirmed:  1/21
Note:  Exposure to live poultry markets

Guangdong
Date of Report:  1/21/14
Name:  76(M) Jeong
From:  Futian District, Shenzhen
Onset:  1/9
Adm:  1/20 ICU Shenzhen
Confirmed:  1/21
Note:  Exposure to live poultry markets

Jiangsu
Date of Report:  1/21/14
Name:  71(M)
From:  Jiangsu
Onset:  1/10
Adm:  1/16 ICU Nanjing
Confirmed:  1/21
Note:  Exposure to poultry.

Zhejiang – Geographical Cluster
Date of Report:  1/22/14
Name:  53(M) Lin, Farmer
From:  Xiaoshan District
Onset:  1/9
Adm:  1/12 ICU Hangzhou
Adm:  1/16 Transferred ICU
Confirmed:  1/21
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/22/14
Name:  71(M) Ruan, Farmer
From:  Taizhou Jiaojiang
Onset:  12/31/13
Adm:  12/31/13
Adm:  1/8 Transferred ICU Taizhou
Confirmed:  1/21

Zhejiang
Date of Report:  1/22/14
Name:  63(F), Farmer
From:  Wenling, Taizhou City
Onset:  1/9
Adm:  1/13 ICU Hangzhou
Adm:  1/18 Transferred ICU
Confirmed:  1/21
Note:  History of poultry exposure.

Zhejiang
Date of Report:  1/23/14
Name:  66(F)
From:  Shaoxing City
Adm:  ICU Shaoxing
Confirmed:  1/22

Zhejiang
Date of Report:  1/23/14
Name:  71(F) Wang
From:  Hangzhou Riverside
Adm:  ICU Hangzhou
Confirmed:  1/22

Zhejiang
Date of Report:  1/23/14
Name:  71(M) Xu X
From:  Cangnan County, Wenzhou
Adm:  Wenzhou, Severe
Confirmed:  1/22

Zhejiang
Date of Report:  1/23/14
Name:  59(M)
From:  Yinzhou District, Ningbo
Adm:  Ningbo, Severe
Confirmed:  1/22

Zhejiang
Date of Report:  1/23/14
Name:  63(F)
From:  Huzhou, Deqing County
Adm:  ICU Hangzhou
Confirmed:  1/22

Shanghai
Date of Report:  1/23/14
Name:  61(F) Qin
From:  Shanghai City
Adm:  Shanghai
Confirmed:  1/11

Guangdong
Date of Report:  1/24/14
Name:  58(F) Yuan
From:  Boluo, Huizhou City
Onset:  1/10
Adm:  1/16
Adm:  1/23 Transferred ICU Guangzhou
Confirmed:  1/24
Note:  Exposure to poultry


Guangdong
Date of Report:  1/24/14
Name:  52(M)
From:  Meizhou Xingning, Meizhou City
Onset:  1/14
Adm:  1/20 ICU Meizhou City
Confirmed:  1/24/14
DOD:  1/30

Zhejiang
Date of Report:  1/24/14
Name:  78(F) Yang
From:  Yuyao, retired
Onset:  1/17
Adm:  1/20
Adm:  Transferred 1/23 ICU Hangzhou
Confirmed:  1/23

Zhejiang
Date of Report:  1/24/14
Name:  44(F)
From:  Ningbo, Yinzhou District
Onset:  1/17
Adm:  1/20 Ningbo, Severe
Confirmed:  1/23
Note:  Exposure to poultry

Zhejiang – Contact Case
Date of Report:  1/24/14
Name:  23(F) Yu- Daughter of Confirmed
From:  Xiaoshan District, Hangzhou
Onset:  1/20
Adm:   1/22 Hangzhou, Severe
Confirmed:  1/23
Note:  Exposure to live poultry market.
3 Family Cluster:
Father is: Date of Report:  1/21/14
Name:  49(M) Yu, Farmer
Mother is: 
Date of Report:  1/28/14
Name:  43(F) Wang, Farmer

Zhejiang
Date of Report:  1/24/14
Name:  82(F) Zhou
From:  Hangzhou City
Onset:  1/16
Adm:  1/17  ICU Hangzhou
Confirmed:  1/23
Note:  Exposure to live poultry market


Zhejiang
Date of Report:  1/24/14
Name:  73(M)
From:  Shaoxing City
Onset:  1/18
Adm:  1/21 ICU Shaoxing
Confirmed:  1/23

Zhejiang
Date of Report:  1/24/14
Name:  62(F) Jiang
From:  Shaoxing Bridge District
Onset:  1/15
Adm:  1/20
Adm:  1/21 Transferred ICU Shaoxing
Confirmed:  1/23
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/24/14
Name:  33(M) Ren
From:  Shaoxing Paojiang
Onset:  1/17
Adm:  1/19 ICU Shaoxing
Confirmed:  1/23
Note:  Exposure to poultry

Fujian
Date of Report:  1/24/14
Name:  46(F) Wang
From:  Hui’an, Quanzhou
Onset:  1/18
Adm:  1/22 ICU Hoi’an Hospital
Confirmed:  1/24/14
Note:  Exposure to poultry.

Zhejiang
Date of Report:  1/25/14
Name:  49(M)
From:  Huzhou Deqing County
Onset:  1/16
Adm:  1/20
Adm:  Transferred 1/23 Hangzhou, Severe
Confirmed:  1/24
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/25/14
Name:  60(F), Luomou, Farmer
From:  Ningbo City
Onset:  1/19
Adm:  1/23 Ningbo, Severe
Confirmed:  1/24

Zhejiang
Date of Report:  1/25/14
Name:  48(F), Yao, Farmer
From:  Cixi, Ningbo
Onset:  1/20
Adm:  1/23 Ningbo, Severe
Confirmed:  1/24
Note:  Exposure to poultry.


Jiangsu
Date of Report:  1/25/14
Name:  57(M) Qianmou, Farmer
From:  Suzhou
Onset:  1/16 fever, dry cough, chills
Adm:  1/19
Adm:  1/22 Transferred Suzhou, Serious
Confirmed:  1/24
Note:  Exposure to live poultry market

Guangdong
Date of Report:  1/25/14
Name:  82(M) Zhongmou
From:  Luohu District, Shenzhen
Onset:  1/11
Adm:  1/21 ICU Shenzhen, Serious
Confirmed:  1/24
Note:  Exposure to live poultry market



Beijing
Date of Report:  1/25/14
Name:  58(M)
From:  Changping District, Beijing
Onset:  1/12
Adm:  1/16
Adm:  Transferred 1/24 ICU Ditan Hospital
Note:  Exposure to poultry.
DOD:  2/5/14


Zhejiang
Date of Report:  1/26/14
Name:  40(M)
From:  Yuhang District, Hangzhou
Onset:  1/19
Adm:  1/23
Adm:  Transferred  1/25 ICU Hangzhou
Confirmed:  1/25
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/25/14
Name:  65(M)
From:  Deqing County, Huzhou
Onset:  1/16
Adm:  1/22
Adm:  Transferred 1/23 Hangzhou, Severe
Confirmed:  1/25
Note:  Exposure to live poultry market

Jiangsu
Date of Report:  1/26
Name:  76(M) Martin
From:  Wuxi
Adm:  ICU, Wuxi
Confirmed:  1/26
DOD:  2/1


Guangdong
Date of Report:  1/27/14
Name:  77(F) Cantonese
From:  Longgang District, South Bay, Shenzhen
Onset:  1/17
Adm:  1/23 ICU Shenzhen
Note:  Exposure to live poultry


Guangdong
Date of Report:  1/27/14
Name:  68(M) Zhu, Farmer
From:  Jiangmen
Onset:  1/18
Adm:  1/2
DOD:  1/25


Fujian
Date of Report:  1/27/14
Name:  69(M) Lai
From:  Xiamen Haicang District
Onset:  1/17
Adm: 1/24 ICU Xiamen
Note:  Exposure to poultry

Fujian
Date of Report:  1/27/14
Name:  72(F) Huang
From:  Sanming City,  Shaxian County
Onset:  1/21
Adm:  1/23 ICU ShaXian
Note:  Exposure to poultry.

Hunan
Date of Report:  1/27/14
Name:  58(F) Yang
From:  Miluo, Yueyang City
Onset:  1/20
Adm:  1/25 ICU Changsha Hospital
Note:  Exposure to poultry
DOD:  Reported on 2/7

Jiangsu
Date of Report:  1/27/14
Name:  74(F) Zhou
From:  Wuxi City, Suzhou
Onset:  1/15
Adm:  1/21
Adm:  1/24 Transferred ICU Suzhou
Note:  Exposure to poultry

Guangdong
Date of Report:  1/28/14
Name:  43(F) Zengmou
From:  Bao’an District, Shenzhen City
Onset:  1/17
Adm:  1/26 Shenzhen, serious
Confirmed:  1/27
Discharged:  2/9
Note:  Exposure to live poultry market.


Guangdong
Date of Report:  1/28/14
Name:  41(F) Cai
From:  Longgang District, Shenzhen City
Onset:  1/17
Adm:  1/26 ICU Shenzhen, serious
Note:  Exposure to live poultry market

Guangdong
Date of Report:  1/28/14
Name:  31(F) Lin
From:  Longgang District
Onset:  1/16
Adm:  1/23 ICU Shenzhen
Confirmed:  1/27
Note:  Exposure to live poultry market

Zhejiang – Contact Case
Date of Report:  1/28/14
Name:  43(F) Wang, Farmer – Husband & Daughter Confirmed
From:  Xiaoshan District, Hangzhou
Adm:  Hangzhou, mild
Confirmed:  1/27
Note:  A 3 family Cluster:
Husband: Date of Report:  1/21/14
Name:  49(M) Yu, Farmer
Daughter: Date of Report:  1/24/14
Name:  23(F) Yu-

Zhejiang
Date of Report:  1/28/14
Name:  81(M) Shen, Farmer
From:  Changxing County, Huzhou
Onset:  1/22
Adm:  1/23 ICU, Huzhou
Confirmed:  1/27
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/28/14
Name:  63(F) Xia, Farmer
From:  Deqing County, Huzhou
Onset:  1/22
Adm:  1/24
Adm:  1/26 Transferred Hangzhou, Severe
Confirmed:  1/27
Note:  Exposure to poultry

Zhejiang
Date of Report:  1/28/14
Name:  57(M) Wang, retired
From:  Yinzhou District, Ningbo
Onset:  1/15
Adm:  1/23 Ningbo, mild
Confirmed:  1/27
Note:  Exposure to poultry

Jiangsu
Date of Report:  1/28/14
Name:  53(M) Ma
From:  Huai’an
Adm:  Huai’an, serious
Confirmed:  1/27

Guangdong – geographical cluster
Date of Report:  1/29/14
Name:  17(M) Zhang
From:   Huangpu Road, Tianhe District, Guangzhou
Onset:  1/22
Adm:  1/27 Guangzhou City, Stable
Confirmed:  1/29
Discharged:  1/30 (not in WHO Update)
http://www.who.int/csr/don/2014_01_31/en/index.html
Note:  Possible contact with case reported on 2/2 from Zhongshan.  Huangpu is a town in Zhongsham City.

Zhejiang
Date of Report:  1/29/14
Name:  37(M) farmer
From:  Wencheng County, Wenzhou
Onset:  1/19
Adm:  1/27
Adm:   1/28 ICU Wenzhou
Confirmed:  1/28
Note:  Exposure to live poultry market

Zhejiang – Geographical Cluster
Date of Report:  1/29/14
Name:  60(M) Zhu
From:  Xiaoshan District, Hangzhou
Onset:  1/23
Adm:  1/28  Hangzhou, Severe
Confirmed:  1/28
Note:  Exposure to poujtry

Zhejiang
Date of Report:  1/29/14
Name:  63(M) Gu
From:  Hangzhou City
Onset  1/24
Adm:  1/27 Hangzhou, Severe
Confirmed:  1/28
Note:  Exposure to live poultry market

Fujian
Date of Report:  1/29/14
Name:  2(M) Suiyu
From:  Xiamen City, Xiang’an District
Onset:  1/26
Adm:  1/28 Xiamen, mild
Confirmed:  1/29
Note:  Family slaughters & sells Ducks

Guangxi
Date of Report:  1/29/14
Name:  56(F) Su, Farmer
From:  Lingfeng,  Babu District, Hezhou City
Onset:  1/22
Adm:  2 private clinics
Adm:  1/27 Lingfeng, Serious
Adm:  1/27 Transferred ICU Hezhou People’s Hospital
Confirmed:  1/29
Note:  Exposure to poultry

Jiangsu
Date of Article:  1/30/14
Name:  75(F) Qinmou
From:  Nanjing
Adm:  ICU Nanjing
Confirmed:  1/30
DOD:  2/8

Guangdong
Date of Report:  1/30/14
Name:  67(F) Daimou
From:  Xinhui District, Jiangmen City
Onset:  1/24
Adm:  1/24 Jiangmen
Confirmed:  1/29
DOD:  1/28
Note:  Exposure to live poultry

Zhejiang
Date of Report:  1/30/14
Name:  75(M)
From:  Yinzhou District, Ningbo City
Onset:  1/21
Adm:  1/24 ICU Ningbo
Confirmed:  1/29
Note:  Exposure to live poultry market

Zhejiang
Date of Report:  1/30/14
Name:  76(M) Lin
From:  Zhenhai District, Ningbo
Onset:  1/21
Adm:  1/24 Ningbo, Severe
Adm:  1/27 ICU
Confirmed:  1/29
Note:  Exposure to live poultry market

Zhejiang
Date of Report:  1/30/14
Name:  78(M) Farmer
From:  Yuhang District Hangzhou City
Onset:  1/25
Adm:  1/27 
Adm:  1/29 ICU Hangzhou
Confirmed:  1/29
Note:  Exposure to live poultry market

Zhejiang
Date of Report:  1/30/14
Name:  64(M)
From:  Jiangbei District, Ningbo
Onset:  1/13
Adm:  1/16 ICU Ningbo
Confirmed:  1/29
Note:  Exposure to live poultry market

Guangdong – Geographical Cluster
Date of Report:  1/31/14
Name:  28(M) Kong
From:  Zhaoqing Huaiji County, Huai Town
Onset:  1/24
Adm:  1/26 ICU Guangzhou
Confirmed:  1/30
Note:  worked in bamboo material processing
Exposure to live poultry market.

Guangdong
Date of Report:  1/31/14
Name:  82(M) tan
From:  Chancheng Foshan
Onset:  1/22
Adm:  1/26 ICU Foshan
Confirmed:  1/30
DOD:  1/31

Guangdong
Date of Report:  1/31/14
Name:  59(M) Deng, unemployed
From:  Lingnan St., Liwan District, Guangzhou City
Onset:  1/22
Adm:  1/26 ICU Foshan City
Confirmed:  1/30
DOD:  1/30
Note:  Exposure to live poultry market.

Guangdong
Date of Report:  1/31/14
Name:  81(F) Tang
From:  Wong Pui St., Luohu District, Shenzhen City
Onset:  1/25
Adm:  1/29 Shenzhen, Serious
Confirmed:  1/30
Note:  Exposure to live poultry market


Hunan
Date of Report:  1/31/14
Name:  38(M) Yang
From:  Jiangyong County, Yongzhou City
Onset:  1/24
Adm:  1/30 ICU Yongzhou
Confirmed:  1/30
Note:  Exposure to live poultry market.
2/7 Update:  Improved, moved to general ward.
Discharged:  2/13/14

Jiangsu
Date of Report:  1/31/14
Name:  75(F)
From:  Nanjing
Onset:  1/18
Adm:  1/25 ICU Jiangsu
Confirmed:  1/30
Note:  Exposure to live poultry market


Hong Kong
Date of Report:  1/31/14
Name:  75(M)
From: Hong Kong
Onset:  1/26 in Shenzhen
Adm:  1/28 Hong Kong
DOD:  1/29
Timeline:
1/20-26 visited alone in Shenzhen
Note:  Stayed with relative in Shenzhen.  Close to live poultry market.

Guangdong
Date of Article:  2/1/14
Nam:  6(M) Lee,
From:  Buji Street, Shenzhen City
Onset:  1/27
Adm:  Shenzhen, stable.  Mild case.
Confirmed:  2/1
Note:  Detected on 1/28 by Shenzhen Entry-Exit Quarantine Bureau when traveling through Huanggang Port. 
Discharged:  2/13/14

Guangdong – Geographical Cluster
Date of Article:  2/1/14
Name:  5(M)
From:  Zhaoqing, Huaiji County, Huai town
Onset:  1/29
Adm:  1/29 Zhaoqing City, stable
Confirmed:  2/1
Note: Exposure to live poultry market.


Zhejiang
Date of Article:  2/1/14
Name:  80(M) Yang
From:  Fuyang City, Hangzhou
Onset:  1/19
Adm:  1/30 ICU Hangzhou
Confirmed:  1/31
Note:  Exposure to poultry.

Zhejiang
Date of Article:  2/1/14
Name:  54(M) Xu
From:  Hangzhou City
Onset:  1/23
Adm:  1/26 ICU Hangzhou
Confirmed:  1/31

Fujian
Date of Article:  2/1/14
Name:  35(M) Chef, Lin
From:  Xiamen City, returned from Shanghai on 1/26
Onset:  1/27
Adm:  2/1 Xiamen, Serious
Confirmed:  2/1
Note:  Exposure to live poultry, slaughter, cooking


Guangdong – Zhongshan geographical cluster
Date of Article:  2/2/14
Name:  37(M) Liang Yijun
From:  Triangle Town, Zhongshan City
Onset:  1/26
Adm:  1/29
Adm:  1/30 Transferred ICU Zhongshan City
Confirmed:  2/1
Note:  Case reported 1/29 (discharged) is from Huangpu, town in Zhongshan City.
Exposure to live poultry market

Guangdong – Shenzhen geographical cluster
Date of Article:  2/2/14
Name:  63(M) Yijun
From:  Buji District, Longgang District, Shenzhen City
Onset:  1/27
Adm:  2/1
Confirmed:  2/1/14
DOD:  2/1/14

Zhejiang
Date of Article:  2/2/14
Name:  44(M) You, farmer
From:  Taizhou, Huangyan
Onset:  1/28
Adm:  1/31 Taizhou, Severe
Confirmed:  2/1
Note:  Exposure to live poultry.

Hunan
Date of Article:  2/2/14
Name:  8(F) Yang
From:  Jiangyong County, Yongzhou City
Onset:  1/30
Adm:  1/31 Yongzhou, Serious
Confirmed:  2/2
Note:  Exposure live poultry markets
Discharged:  2/7

Guangdong
Date of Article:  2/3/14
Name:  2(F) Liang Yijun, mild case
From:  Triangle Town, Zhongshan City
Onset:  1/31
Adm:  1/31 Zhongshan, Stable
Confirmed:  2/2
Note:  Exposure to live poultry market

Guangdong
Date of Article:  2/3/14
Name:  76(F)
From:  Boluo Yuanzhou, Huizhou City
Onset:  1/27
Adm:  2/1 Yuanzhou, Stable
Confirmed:  2/2
Note:  Exposure to live poultry.

Fujian
Date of Article:  2/3/14
Name:  27(M) Sculptor
From:  Zhangzhou City, Zhangpu County
Onset:  1/21 cough, 1/24 get worse
Adm:  ICU Zhangzhou
Note:  Returned from Hangzhou on 1/26.  Exposure to farmers market.

Hunan – Contact Case
Date of Article:  2/3/14
Name:  59(M)
From:  Louxing District, Loudi
Onset:  1/23
Adm:  1/31  ICU
DOD:  2/3/14
Contact:  Daughter is 21(F) reported on 2/7

Guangdong – Geographical Cluster
Date of Article:  2/4/14
Name:  4(F) – mild case
From:  Huaiji County, Zhaoqing City
Onset:  1/26
Adm:  2/3 Zhaoqing, Stable
Confirmed:  2/3/14
Note:  Exposure to live poultry
Discharged 2/12

Guangdong
Date of Article:  2/4/14
Name:  76(M) Daimou
From:  Yangjiang, Hailing
Onset:  1/27
Adm:  2/1
Confirmed:  2/3/14
DOD:  2/3/14
Note:  Exposure to live poultry


Guangdong
Date of Article:  2/4/14
Name:  52(M) Yao, Farmer
From:  Huizhou City
Onset:  1/25
Adm:  2/2
Confirmed:  2/3/14
DOD:  2/3/14
Note:  Exposure to live poultry

Zhejiang
Date of Article:  2/4/14
Name:  42(M) Mo
From:  Binjiang District, Hangzhou
Onset:  1/25
Adm:  1/30 Hangzhou, severe
Confirmed:  2/3/14
Note:  Exposure to poultry

Zhejiang
Date of Article:  2/4/14
Name:  84(M) Han
From:  Yuhang District, Hangzhou
Onset:  1/24
Adm:  1/28  ICU Hangzhou
Confirmed:  2/3/14
Note:  Exposure to poultry

Zhejiang
Date of Article:  2/4/14
Name:  56(M) Wu
From:  Jinhua
Onset:  1/24
Adm:  2/1 Hangzhou, severe
Confirmed:  2/3/14
Note:  Exposure to live poultry market

Zhejiang
Date of Article:  2/4/14
Name:  51(M)
From:  Shaoxing Bridge District, Hangzhou
Onset:  1/27
Adm:  I2/1 CU, Hangzhou
Confirmed:  2/3/14
Note:  Exposure to live poultry market




Guangxi – Contact case- Imported from Guangdong
Date of Article:  2/4/14
Name:  41(F) Li Xing Nvzi
From:  Heng County, Nanning City
Onset:  1/27 in Zhongsham City
Adm:  2/3 ICU Heng Hospital
Confirmed:  2/4/14 thru CDC inspection
Note:  Worked & Returned from Zhongshan City, Guangdong on 1/27.
Contact Case:  Son 5(M) date of article: 2/5/14.

Jiangsu
Date of Article:  2/4/14
Name:  59(F) Gumou
From:  Wuxi
Onset:  1/26
Adm:  1/29 ICU Wuxi
Confirmed:  2/3
Note:  Exposure to live poultry market.

Guangdong – Geographical Cluster
Date of Article:  2/5/14
Name:  5(F) Lee
From:  Huaiji County, Zhaoqing City
Onset:  1/30
Adm:  1/30 Zhaoqing, mild case
Confirmed:  2/4/14
Note:  Exposure to live poultry
Discharged:  2/9

Guangdong – Geographical Cluster
Date of Article:  2/5/14
Name:  42(M) Yijun
From:  Huaiji, Zhaoqing City
Onset:  1/27
Adm:  1/28
Adm:  2/4 Transferred ICU Zhaoqing
Confirmed:  2/4/14
Note:  Exposure to live poultry

Guangdong
Date of Article:  2/5/14
Name:  49(M) Yan
From:  Gaoming District, Foshan City
Onset:  1/26
Adm:  1/30
Adm:  2/2 Transferred Foshan, Severe
Confirmed:  2/4/14

Guangdong
Date of Article:  2/5/14
Name:  56(M) Deng
From:  Longhua District
Onset:  1/29
Adm:  2/2
Adm:  2/3 Transferred, ICU
Confirmed:  2/4/14
Note:  Exposure to live poulty

Zhejiang
Date of Article:  2/5/14
Name:  67(M) Lin
From:  Shaoxing City
Onset:  1/28
Adm:  2/2
Adm:  Transferred 2/4 Shaoxing, severe
Confirmed:  2/4
Note:  Exposure to live poultry


Zhejiang
Date of Article:  2/5/14
Name:  35(F) Wu
From:  Pingyang County, Wenzhou
Onset:  1/23
Adm:  1/30
Adm:  2/3  Transferred, Hangzhou, Severe
Confirmed:  2/4
Note:  Exposure to live poultry

Zhejiang
Date of Article:  2/5/14
Name:  59(F) Ma
From:  Fuyang City, Hangzhou
Onset:  1/21
Adm:  1/30
Adm:  2/4 Transferred, Hangzhou, Severe
Confirmed:  2/4/14
Note:  Exposure to live poultry market

Zhejiang
Date of Article:  2/5/14
Name:  49(M)  Xu X
From:  Gongshu, Hangzhou City
Onset:  1/21
Adm:  1/28
Adm:  2/4 Transferred, ICU Hangzhou
Confirmed:  2/4/14
Note:  Exposure to live poultry market


Guangxi – Contact Case
Date of Article:  2/5/14
Name:  5(M)  Gan – mild case
From:  Heng, Nanning City
Onset:  2/3
Adm:  Stable
Confirmed:  2/5
Contact Case:  Mother 41(F) Date of Article:  2/4/14

Fujian
Date of Article:  2/4/14
Name:  36(M) Wu, Mechanic
From: Yongchun County, Quanzhou City
Onset:  1/30
Adm:  2/2
Adm:  2/4, ICU Quanzhou
Confirmation:  2/4/14
Note:  Exposure to live poultry

Guangdong
Date of Article:  2/6/14
Name:  36(F) Zhang self-employed
From:  Sanshui District, Foshan City
Onset:  1/25
Adm:  1/30
Adm:  2/2 Transferred ICU Guangzhou
Confirmed:  2/5
Note:  Exposure to live poultry

Zhejiang
Date of Article:  2/6/14
Name:  64(M) Jiang
From:  Anji County, Huzhou
Onset:  1/27
Adm:  1/30
Adm:  2/4 ICU Hangzhou
Confirmed:  2/5
Note:  Exposure to live poultry

Zhejiang
Date of Article:  2/6/14
Name  39(M) Zheng
From:  Deqing County, Huzhou
Onset:  1/26
Adm:  1/28
Adm:  1/31 Hangzhou, severe
Confirmed:  2/5
Note:  Exposure to live poultry

Jiangsu
Date of Article:  2/6/14
Name:  66(M) Qinmou
From:  Yancheng City
Onset:  1/22
Adm:  2/4 ICU Yancheng
Confirmed:  2/6
Note:  Exposure to live poultry

Jiangsu
Date of Article:  2/6/14
Name:  63 (M) Huan
From:  Xuzhou City
Onset:  1/20
Adm:  2/1 ICU Xuzhou
Confirmed:  2/6
Note:  Exposed to live poultry market
Note:  Exposure to live poultry

Hunan
Date of Article:  2/6/14
Name:  61(F) Wu
From: Miluo City, Yueyang City
Onset:  1/29
Adm:  1/31
Adm:  2/3 Transferred Changsha
Confirmed:  2/6
Note:  Exposure to live poultry

Beijing
Date of Article:  2/6/14
Name:  73(M) Fu
From:  Huairou District
Onset:  1/30
Adm:  2/2  1st Hospital
Adm:  2/5 ICU Ditan Hospital
Confirmed:  2/5
Note:  Exposure to live poultry slaughter

Zhejiang
Date of Article:  2/7/14
Name:  76(F) Cia
From:  Taizhou City,  Luqiao
Onset:  1/24
Adm:  1/31 ICU Taizhou
Confirmed:  2/6

Zhejiang
Date of Article:  2/7/14
Name:  54(M) Zheng
From:  Hangzhou Riverside
Onset:  2/1
Adm:  2/4 Hangzhou, severe
Confirmed:  2/6
Note:  Exposure to live poultry

Hunan – Contact Case
Date of Article:  2/7/14
Name:  21(F) Pengmou
From:  Loudi City, Shuangfeng
Onset:  1/30
Adm:  2/1
Adm:  2/2 Transferred ICU Changsha
Confirmed:  2/6
Note:  Exposure to live poultry
Contact:  Father is 59(M) Reported on 2/3

Fujian
Date of Article:  2/7/14
Name:  81(M) Huang
From:  Fuzhou Minhou County
Onset:  1/30
Adm:  2/2
Confirmed:  2/7
Discharged:  2/6 @ request of family.  Died @ home.
DOD:  2/6
Note:  Exposure to live poultry

Guangdong – Geographical Cluster
Date of Article:  2/7/14
Name:  48(M) Lee
From:  Huaiji County, Zhaoqing City
Onset:  1/28
Adm:  1/30
Adm: 2/5 Transferred Guangzhou City, severe
Confirmed:  2/6
Note:  Exposure to live poultry

Guangdong – Geographical Cluster
Date of Article:  2/7/14
Name:  62(M) Lin
From:  Huaiji County, Zhaoqing City
Onset:  2/1
Adm:  2/2, Severe
Confirmed:  2/6
Note:  Exposure to live poultry

Guangdong
Date of Article:  2/7/14
Name:  59(F) Yijun
From:  Baiyun District, Guangzhou City
Onset:  1/27
Adm:  2/1 ICU, Hospital
Confirmed:  2/6
Note:  Exposure to live poultry

Zhejiang – Geographical Cluster
Date of Report:  2/8/14
Name:  61(M)
From:  Xiaoshan District, Hangzhou
Onset:  1/29
Adm:  2/2 ICU Hangzhou
Confirmed:  2/7


Hunan
Date of Report:  2/8/14
Name:  38(M) Tang
From:  Suining County, Shaoyang City
Onset:  1/27
Adm:  2/2 ICU Shaoyang
Confirmed: 2/8 
Note:  Exposure to live poultry

Jiangsu
Date of Report:  2/8/14
Name:  53(M) Zhu
From:  Taizhou City
Onset:  2/1
Adm:  2/8 Taizhou, serious
Confirmed:  2/8

Guangdong
Date of Report:  2/9/14
Name:  81(F) Yumou
From:  Luohu District, Shenzhen
Onset:  1/31
Adm:  2/7
Confirmed:  2/8
DOD:  2/7
Note:  Exposure to poultry

Guangdong – Geographical Cluster
Date of Report:  2/9/14
Name:  11(M) Yijun
From:  Huaiji County, Zhaoqing City
Onset:  2/5
Adm:  2/5 Stable
Confirmed:  2/8
Note:  Exposure to poultry

Zhejiang
Date of Report:  2/9/14
Name:  68(M)
From:  Shaoxing Bridge District
Onset:  2/5
Adm:  2/7 Shaoxing, severe
Confirmed:  2/9
Note:  Exposure to poultry

Anhui
Date of Report:  2/9/14
Name:  66(M) Wang
From:  Susong County
Onset:  2/1 Suffered upper respiratory tract infection
Adm:  2/7 ICU Anqing City
Confirmed:  2/8
Note:  Danmou Wife is Live Poultry Trader.

Guangdong
Date of Article:  2/10/14
Name:  5(F) Luomou
From:  Baiyun District, Guangzhou City
Adm:  ? mild case
Confirmed:  2/8/14

Zhejiang
Date of Article:  2/10/14
Name:  67(M)
Onset:  2/3
From:  Jiaxing, Haining
Adm:  2/8 ICU Hangzhou
Confirmed:  2/10

Zhejiang
Date of Article:  2/10/14
Name:  47(F) Liu XX
From:  Yueqing, Wenzhou
Onset:  2/3
Adm:  2/7 Hangzhou, severe
Confirmed:  2/10
Note:  Exposure to live poultry market

Zhejiang
Date of Article:  2/10/14
Name:  62(M) Lv
From:  Jinyun County, Lislhui City
Onset:  1/29
Adm:  2/6 ICU Lishui
Confirmed:  2/10
Note:  Exposure to live poultry market

Anhui
Date of Report:  2/10/14
Name:  56(M) Chen
From:  Linquan County, Fuyang City
Onset:  2/3
Adm:  2/7
Confirmed:  2/9
DOD:  2/7
Note:  Exposure to live poultry

Hong Kong – Imported into Guangdong
Date of Report:  2/11/14
Name:  6(M)
From:  Entering Huanggang, Shenzhen
Note:  January 28, Traveling into HK at Lo Wu thru Inspection & Quarantine Bureau
Detected thru infrared temperature measurement.  Temp:  38.1C
Confirmed: 
http://hainan.ifeng.com/news/jujiao/detail_2014_02/11/1828303_0.shtml

Zhejiang
Date of Report:  2/11/14
Name:  70(M) Hong
From:  Jiande City, Hangzhou
Onset:  2/4
Adm:  2/5
Adm:  2/9 Transferred ICU Hangzhou
Confirmed:  2/11
Note:  Exposure to live poultry

Hunan – Geographical Cluster
Date of Report:  2/11/14
Name:  23(M) Ryu
From:  Loudi, Shuangfeng
Onset:  2/8
Adm:  2/9 Changsha, severe
Confirmed:  2/8
Note:  Exposure to live poultry

Malaysia – Imported from Guangdong
Date of Report:  2/12/14
Name:  67(F) Sumou
From:  Guangdong, Jiangmen Xinui
Timeline:
2/3Arrived in Kuala Lumpur from Guangdong
2/4 Sandakan, Sabah
2/6 Kota Kinabalu, Sabah
Adm:  2/7 ICU Private Hospital in Kota Kinabalu
Confirmed:  2/11

Guangdong – Geographical Cluster
Date of Report:  2/12/14
Name:  8(M) Hwang
From:  Huaiji County
Adm:  Stable
Confirmed:  2/11

Guangdong
Date of Report:  2/12/14
Name:  46(M) Yijun, farmer
From:  Nansha District, Guangzhou City
Adm:  ICU Guangzhou
Confirmed:  2/11

Guangdong
Date of Report:  2/12/14
Name:  65(M) Zhou, farmer
From:  Baiyun District, Guangzhou City
Adm:  ICU Guangzhou
Confirmed:  2/11

Zhejiang
Date of Report:  2/12/14
Name:  84(M) Jin, farmer
From:  Wu Jinhua City
Adm:  ICU Jinhua
Confirmed:  2/11

Zhejiang – Geographical Cluster
Date of Report:  2/12/14
Name:  59, farmer
From:  Xiaoshan District, Hangzhou
Adm:  Hangzhou, severe
Confirmed:  2/11

Zhejiang
Date of Report:  2/12/14
Name:  46(Shen), farmer
From:  Yuhang District, Hangzhou
Adm:  Hanghou, severe
Confirmed:  2/11

Hunan
Date of Report:  2/12/14
Name:  19(M) Shao
From:  Loudi Lianyun
Adm:  Loudi
Confirmed:  2/12

Hong Kong – Imported from Guangdong
Date of Report:  2/12/14
Name:  65(M)
From:  Sha Tin
Onset:  2/8
2/9:  Private medical Dr.
Adm:  2/11 ICU Kwong Wah Hospital
Note:  Had been to Kaiping, Jiangmen, from 1/24 to 2/9.  Family bought a slaughered chicken from a village in Kaiping on 1/29.  Returned to HK 2/9.
5 of 7 family members to be adm. to Hosp. for observ. & testing.
Confirmed:  2/8

Guangdong
Date of Report:  2/14/14
Name:  78(M) Lee
From:  Panyu District, Guangzhou City
Confirmed:  2/13
DOD:  2/14

Guangdong
Date of Report:  2/14/14
Name:  66(F)
From:  Heshan, Jiangmen
Adm:  ICU local hospital
Confirmed:  2/13