Thursday, January 30, 2014

#H7N9 Avian Influenza 2014 Case List








H7N9 Human Cases 2014
Numbers = case age--red=death, blue=discharged.  *=contact case

Zhejiang:  60
A.   –Shaoxing City  (66) (73)
I.      Zhuji City  (34) (75) (53)
II.    Yuecheng District (69)
III.   Shaoxing Bridge (70) (62)
IV. Paojiang (33)
B.    Ningbo City (60)
I.      Yinzhou District  (30) (34) (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)
D.   Jinhua
I.      Yiwu (78)
E.    Hangzhou (82) (63)
I.      Binjiang District (29) (72) (61)
II.    Xiaoshan District (58) (20) (62) (54) (49*) (53) (23*) (43*) (60)
III.   Yuhang (41) (71) (40)
IV. Riverside (71)
V.   Yuhang District (78)
F.    Taizhou
I.      Jiaojiang District (58) (71)
II.    Linhai City (57)
III.   Wenling City  (63)
IV. Huangyan (44)
G.   Huzhou
I.      Wuxing (66) (54)
II.    Deqing County (63) (49)(65) (63)
III.   Changxing County (81)
H.   Wenzhou City
I.      Cangnan County (71)
II.    Wencheng County (37)
I.      Fuyang City
I.      Hangzhou (80) (54)


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



Guangdong:  39
A.   Foshan: 
I.      Nanhai District  (59) (42) (48)
a.    Lishui Town  (47) (28)
b.    Jiujiang Town (51)
c.    Shishan Town  (46)
d.    Chancheng (82)

B.   Yangjiang City 1
I.      Yangdong County
a.    Yangjiang (71)

C.   Shenzhen City 
I.      Luohu District  (31) (65) (59) (82) (81)
II.    Longgang District (39) (77) (41) (31)
a.    Buji  (76) (6) (63)
III.   Futian District (62) (76)
IV. Bao’an District (43)

D.   Dongguan  1
I.      Zhangmutou (55)

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

F.    Meizhou City
I.      Xingning City (52)

G.   Jiangmen City  (68)
I.      Xinhui (67)

H.   Huaiji
I.      Zhaoqing (28) (5)

I.      Zongshan City
I.      Triangle Town (37) (2)

 

Jiangsu:  7
A.   Nanjing City  (54F) (54M) (71) (75)
B.   Suzhou (57) (74)
C.   Huai’an  City (53)


Fujian:  12
A.   Quanzhou City
I.      Hui’an County  (38) (46)
II.    Jinjiang  (50) (38)
III.   Nanan  (30)
IV. Luojiang District (60)

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)

Guizhou:  1
A.    Meitan County (38)

Hunan:  4
A.    Yueyang City
a.    Miluo City (58)
B.    Yongzhou
a.    Jiangyong County (38) (8)
C.    Loudi
a.    Louxing District (59)

Guangxi:  1
A.   Hezhou City
I.       Babu District (56)





Hong Kong:  2 (75)
A.   Sham Shui Po District 1 (65)


Beijing:  1
     A.  Changping District (58)


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  ICU Hangzhou Hospital
Confirmed:  1/11
Note:  Exposure to Poultry.

Zhejiang
Date of Report:  1/12/14
Name:  34(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.

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

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:  1/14/14
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

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
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
Adm:  Shanghai hospital
Confirmed:  1/15

Zhejiang
Date of Report:  1/17/14
Name:  66(M) Shen, retiree
From:  Wuxing, Huzhou
Adm:  ICU Hangzhou
Confirmed:  1/16

Zhejiang
Date of Report:  1/17/14
Name:  54(M) Zhu, Farmer
From:  Wuxing, Huzhou
Adm:  ICU Huzhou
Confirmed:  1/16

Zhejiang
Date of Report:  1/17/14
Name:  62(M), Farmer
From:  Xiaoshan District, Hangzhou
Adm:  ICU, Hangzhou
Confirmed:  1/16

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

Fujian
Date of Report:  1/17/14
Name:  54(M)
From:  Gutian County, Ningde
Adm:  ICU Fuzhou Hospital

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:  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:  1/14
Adm:  ICU 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:  Outpatient, Tamiflu -- Peking University Shenzhen Hospital
Adm:  Shenzhen City People’s Hospital
Adm:  1/16 People Hospital of Infectious Dis.
Onset:  1/6
Status:  Improved significantly.


Zhejiang
Date of Report:  1/18/14
Name:  35(M) Xiao, Farmer
From:  Cixi, Ningbo
Adm:   ICU Ningbo
Confirmed:  1/16

Zhejiang
Date of Report:  1/18/14
Name:  72(F)
From:  Binjiang District Hangzhou
Adm:  ICU Hangzhou
Confirmed:  1/17

Zhejiang
Date of Report:  1/18/14
Name:  69(M) Zong Farmer
From: Paojiang area,Yuecheng District, Shaoxing
Adm:  ICU Shaoxing
Confirmed:  1/17

Zhejiang
Date of Report:  1/19/14
Name:  53(M)
From:  Shaoxing Zhuji
Adm:  Hangzhou severe
Confirmed:  1/18

Zhejiang
Date of Report:  1/18/14
Name:  54(M) Shao
From:  Xiaoshan District, Hangzhou
Adm:  ICU Hangzhou
Confirmed:  1/18

Zhejiang
Date of Report:  1/18/14
Name:  61(F) Wu
From:  Binjiang District, Hangzhou
Adm:  Hangzhou Severe
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

Guangdong
Date of Report:  1/21/14
Name:  39(F) Kongmou
From:  Longgang District, Shenzhen City
Onset:  1/13
Adm:  1/19 Shenzhen, Serious
Confirmed:  1/21
Discharged:  1/31

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
Date of Report:  1/22/14
Name:  53(M) Lin, Farmer
From:  Xiaoshan District Taizhou City
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:  76(F) Yang
From:  Yuyao, retired
Onset:  1/17
Adm:  1/20
Adm:  Transferred 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.


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

Guangdong
Date of Report:  1/27/14
Name:  77(F) Cantonese
From:  Longgang District, South Bay, Shenzhen
Adm:  ICU Shenzhen


Guangdong
Date of Report:  1/27/14
Name:  68(M) Zhu, Farmer
From:  Jiangmen
Adm:  1/25
DOD:  1/26


Fujian
Date of Report:  1/27/14
Name:  69(M) Lai
From:  Xiamen Haicang District
Adm:  ICU Xiamen

Fujian
Date of Report:  1/27/14
Name:  72(F) Huang
From:  Sanming City,  Shaxian County
Adm:  ICU ShaXian



Hunan
Date of Report:  1/27/14
Name:  58(F) Yang
From:  Miluo, Yueyang City
Adm:  Changsha Hospital
Note:  Exposure to poultry

Jiangsu
Date of Report:  1/27/14
Name:  74 or 76(F) Zhou
From:  Wuxi City, Suzhou
Onset:  1/18
Adm:  1/21 ICU Suzhou

Guangdong
Date of Report:  1/28/14
Name:  43(F) Zengmou
From:  Bao’an District, Shenzhen City
Adm:  Shenzhen, stable
Confirmed:  1/27


Guangdong
Date of Report:  1/28/14
Name:  41(F) Cai
From:  Longgang District
Adm:  ICU Shenzhen

Guangdong
Date of Report:  1/28/14
Name:  31(F) Lin
From:  Longgang District
Adm:  ICU Shenzhen
Confirmed:  1/27

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
Adm:  ICU, Huzhou
Confirmed:  1/27

Zhejiang
Date of Report:  1/28/14
Name:  63(F) Xia, Farmer
From:  Deqing County, Huzhou
Adm:  Hangzhou, Severe
Confirmed:  1/27

Zhejiang
Date of Report:  1/28/14
Name:  57(M) Wang, retired
From:  Yinzhou District, Ningbo
Adm:  Ningbo, mild
Confirmed:  1/27

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

Guangdong
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.

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
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



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
Adm:  ICU Guangzhou
Confirmed:  1/30
Note:  worked in bamboo material processing
Geographical Cluster:  Case 5(M), Reported on 2/1 is from Zhaoqing Huaiji, Huai Town also.

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

Guangdong
Date of Report:  1/31/14
Name:  81(F) Tang
From:  Wong Pui St., Luohu District, Shenzhen
Adm:  Shenzhen, Stable
Confirmed:  1/30

Hunan
Date of Report:  1/31/14
Name:  38(M) Yang
From:  Jiangyong County, Yongzhou City
Adm:  Yongzhou
Confirmed:  1/30

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
Adm:  Shenzhen, stable
Confirmed:  2/1

Guangdong – Geographical Cluster
Date of Article:  2/1/14
Name:  5(M)
From:  Zhaoquing, Huaiji County, Guai town
Adm:  Zhaoqing City, stable
Confirmed:  2/1
Note:  Geographical Cluster:  Case 28(M) Reported on 1/31 is from Zhaoqing Huaiji County, Huai Town also.


Zhejiang
Date of Article:  2/1/14
Name:  80(M) Yang
From:  Fuyang City, Hangzhou
Adm:  ICU Hangzhou
Confirmed:  1/31

Zhejiang
Date of Article:  2/1/14
Name:  54(M) Xu
From:  Hangzhou City
Adm:  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:  Xiamen, Severe
Confirmed:  2/1
Note:  Exposure to live poultry, slaughter, cooking


Guangdong
Date of Article:  2/2/14
Name:  37(M) Liang Yijun
From:  Triangle Town, Zhongshan City
Adm:  ICU Zhongshan City
Confirmed:  2/1
Note:  Case reported 1/29 (discharged) is from Huangpu, town in Zhongshan City.

Guangdong
Date of Article:  2/2/14
Name:  63(M) Yijun
From:  Buji District
Adm:  ?
Confirmed:  2/1/14
DOD:  2/1/14

Zhejiang
Date of Article:  2/2/14
Name:  44(M) You, farmer
From:  Taizhou, Huangyan
Adm:  Taizhou, Severe
Confirmed:  2/1

Hunan
Date of Article:  2/2/14
Name:  8(F) Yang
From:  Jiangyong County, Yongzhou City
Adm:  Yongzhou, Stable
Confirmed:  2/2
Note:  Exposure live poultry markets

Guangong
Date of Article:  2/3/14
Name:  2(F) Liang Yijun
From:  Triangle Town, Zhongshan City
Adm:  Zhongshan, Stable
Confirmed:  2/2

Guangdong
Date of Article:  2/3/14
Name:  76(F)
From:  Boluo Yuanzhou
Adm:  Yuanzhou, Stable
Confirmed:  2/2

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
Date of Article:  2/3/14
Name:  59(M)
From:  Loudi Louxing
Adm:  ICU
DOD:  2/3/14
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Zhejiang Province, four new cases of human infection of bird flu #H7N9

2014 On January 30, the date
Zhejiang Provincial Health and Family Planning Commission Jan. 30 date of notification, the province today added four cases of human infection with H7N9 avian influenza.
　　1 , water certain patients, male, 75 years old, farmer, Yinzhou District, Ningbo people. 1 month 29days confirmed human infection of H7N9 avian influenza. Is now in critical condition , a hospital for treatment in Ningbo.
　　2 , patients Lin Moumou, male, 76 years old, retired, Zhenhai District, Ningbo people. 1 month 29days confirmed human infection of H7N9 avian influenza. Now the condition is severe , in Ningbo, a hospital for treatment.
　　3 , in certain patients, male, 78 years old, farmer, Yuhang District of Hangzhou people. 1 month 29days confirmed human infection of H7N9 avian influenza. Is now in critical condition , in Hangzhou, a hospital for treatment.
　　4 , the patient Moumou, male, 64 years old, retired, Jiangbei District, Ningbo people. 1 month 29days confirmed human infection of H7N9 avian influenza. Is now in critical condition , a hospital for treatment in Ningbo.

http://wst.zj.gov.cn/art/2014/1/30/art_362_407592.html 
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#H7N9 Guangdong Province 1 New Case (which died) and 1 Previous Case which Died

I believe the previous case that just died is:

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
It is also very interesting that I have 2 cases in Jiangmen City, that are recent, close in age, and dead.

A.   Jiangmen City  (68)
I.      Xinhui (67)




Translation
1/30/14

Ministry of Health and Family Planning Commission January 30 briefing, Jiangmen add one case of human infection with H7N9 avian influenza. Daimou cases, female, 67 years old, live in Jiangmen City Xinhui District towns. January 24 the incidence of rescue in Jiangmen designated hospital January 28 died. January 29, the provincial CDC to review its throat swabs, the result is positive for H7N9 avian influenza virus nucleic acid.

Also, Meizhou City, January 24 confirmed cases of Hemou, on at 9:00 on January 30 after she died.

http://www.gdwst.gov.cn/a/zwxw/2014013011300.html 
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Wednesday, January 29, 2014

Guangxi confirmed one case of human infection with the #H7N9 avian flu

Translation from the Guangxi Health Department
hat-tip Ironorehopper

January 28, 2014, Hezhou report one case of severe acute respiratory infections, at 21:30 on the 29th, the autonomous regional Centers for Disease Control and Prevention, China CDC and testing and review, the nucleic acid sample results were positive for H7N9. The regional health department expert group of patients based on the history of epidemiology, clinical manifestations and laboratory test results to determine human infection of H7N9 avian flu, which is the first case of human infection with the H7N9 Guangxi confirmed bird flu cases.
Patients Su Moumou, female, 56 years old, a farmer living in the town Lingfeng Hezhou Babu District. Patients with fever, cough six days, shortness of breath increased one day, worked in two private clinics, no improvement after the 27th to Lingfeng hospitals for treatment, hospital doctors consider the patient's condition serious immediately be transferred to the People's Hospital of Hezhou treatment. Currently, patients in the ICU rescue Hezhou People's Hospital in a critical condition. Autonomous medical expert group is being organized to rescue. The epidemiological investigation of live poultry before the onset of patient exposure history. The case of the 19 who have been in close contact with medical observation to take timely measures, has not yet found an exception.
Expert Tip: human infection with H7N9 avian influenza, preventable, controllable and treatable, the masses to achieve the "Fifth": To ground ventilation , to wash their hands, cover mouth to cough, sneeze to their noses, once the fever, cough such as acute respiratory infection symptoms, to timely medical treatment; to do "three not": Do not eat sick (dead) birds, do not touch sick (dead) bird droppings , do not buy withoutquarantine certificates for poultry.
http://www.gxws.gov.cn/wskx/2014/0129/3988.html
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Fujian Province 2 year old infected with the #H7N9 #birdflu


Health and Family Planning Commission of Fujian Province 29 days notification, the province 29 Nisshin diagnosed a case of human infection with H7N9 avian influenza.
    Patients Moumou, male, 2 Suiyu, now living Xiang'an District. Currently patients with mild disease, in recovery, isolation and treatment at a hospital in Xiamen. The case for the province routine influenza surveillance sentinel hospitals found cases.(Emergency Management Office)
http://www.fjphb.gov.cn/show.aspx?ctlgid=246246&Id=90164
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China: Health and Family Planning Commission recommends #H7N9 outbreak shut down the live bird markets

Translation
1/29/14
    Xinhua Beijing January 29 (Reporter Lvnuo) 29th National Health and Family Planning Commission published the third edition of human infection with H7N9 avian flu epidemic prevention and control program proposed in an outbreak in the city, it is recommended to take the live bird markets are closed and disinfected measures; in the conditional cities, measures to encourage seasonal closed.
    Prevention and control programs proposed health administrative departments at all levels of planning should be based on the epidemic situation, progress and timely pathogen monitoring the epidemic situation be judged by experts, to suggest that the local government to take targeted prevention measures based on the epidemic situation. Epidemic did not occur in cities, it is recommended to take the live bird market, "1, cleaning, disinfecting a week, January closed" measures.
    Program definitions, suspected clusters of cases refers to 7 days found one case of confirmed cases in a small area (such as a family, a community, etc.), and also found one case and more suspected cases, suggesting that there may be interpersonal communication or by common exposure and infection . Under these conditions, found two confirmed cases, the determination of clusters of cases.
    In epidemiology, the proposed scheme, the suspected clusters of cases and clusters of cases, on the basis of the above work, the investigation of suspected cases immediately, and focus on the investigation of cases associated with exposure history and epidemiology between cases of isolated from patients and environmental specimens viruses homology analysis, interpersonal communication clear whether co-exist or because of exposure and infection. Clusters of cases is confirmed, it shall within two hours by public health emergency management information system reports direct reporting network, and progress reports and a final report in a timely manner in accordance with the progress of events.
    For the timely detection of cases, program requirements for the treatment of various medical institutions at all levels of ILI ask their exposure history poultry or live poultry markets, focusing on engaging in live poultry breeding, slaughtering, sale, transportation and other sectors of the crowd. For exposure to H7N9 avian influenza virus in birds tested positive for the environment, and has not taken effective protection when exposed to breeding, slaughtering, sale, transportation and other personnel who suspect exposure, health organizations to inform, instruct his fever and cough and other acute respiratory When symptoms of infection should seek immediate medical attention.
    Program clear, the National Health and Family Planning Commission published monthly national human infection with H7N9 avian influenza morbidity and the number of deaths, the provincial health administrative departments of Health and timely release of information on cases of administrative areas. External environmental specimens positive results briefing sibling agricultural sector. Virus mutates, and other important information from person to person epidemic appears to be published by the National Audit Group of Experts on joint prevention and control mechanism for evaluation.
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Zhejiang Province, three new cases of human infection of bird flu H7N9

January 29, 2014
      Zhejiang Provincial Health and Family Planning Commission January 29 briefing, the province today added three cases of human infection with H7N9 avian influenza. 
      1, patients Moumou, male, farmer, aged 37, Wencheng County of Wenzhou. January 28 confirmed human cases of avian influenza H7N9 infection. Is now in critical condition at a hospital in Wenzhou treatment. 
      2, patients Zhu Moumou, male, individuals, aged 60, Xiaoshan District, Hangzhou people. January 28 confirmed human cases of avian influenza H7N9 infection. Now the condition is severe, treatment in a hospital in Hangzhou. 
      3, the patient Gu Moumou, male, retired, 63 years old, Hangzhou City people. January 28 confirmed human cases of avian influenza H7N9 infection. Now the condition is severe, treatment in a hospital in Hangzhou.
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Guangdong Province adds 17yo case of #H7N9

 Health and Family Planning Commission of Guangdong Province on January 29 briefing, the Guangzhou new case of human infection of H7N9 avian influenza. 
    Patients Zhang, male, 17 years old, high school student, who now lives in Tianhe District, Huangpu Road Street Village Street. January 29 confirmed cases of human infection of H7N9 avian influenza, the patient's condition is currently stable in Guangzhou City, the designated hospital admission.
http://www.gdwst.gov.cn/a/zwxw/2014012911296.html
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Tuesday, January 28, 2014

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

Translation
1/28/14
Provincial Health Department, the province added a case of human infection of H7N9 avian influenza confirmed cases.
Patient named Ma, male, 53 years old. 1 month 27 day and was diagnosed with human infection Huaian H7N9 avian influenza.Currently in Huai'an a hospital for treatment, serious condition.

http://www.jswst.gov.cn/fbts/yqgb/2014/01/28105737859.html 
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Comments: #H7N9 Bao'an District borders Longgang District, in Shenzhen City, Guangdong

I was curious about Bao'an District.  Of the three cases reported today, 2 were from Longgang.  As it end up, Bao'an borders Longgang

Bao'an District (Chinese: 宝安区; pinyin: Bǎo'ān Qū) is one of the seven districts comprising Shenzhen, a major economic city in Guangdong, People's Republic of China. It is one of three districts lying outside the Shenzhen Special Economic Zone, alongside Longgang. With 5 million people, Bao'an is Shenzhen's largest district...Bao'an is an industrial center with many electronics factories.


http://en.wikipedia.org/wiki/Bao%27an_District
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Beijing CDC: #H7N9 Tidbits

Translation
1/28/14
1, What is bird flu? Bird flu, is a subtype of influenza A virus-induced acute infectious diseases. In addition to poultry infected with avian influenza viruses, can also infect humans, pigs, horses, mink and marine mammals.Can infect human avian influenza virus subtypes currently found as H5N1, H9N2, H7N7, H7N2, H7N3, H7N9, etc. 2, what is the H7N9 bird flu?Influenza virus, H and N respectively represent the viral envelope hemagglutinin (H) and neuraminidase (N), based on their outer membrane hemagglutinin (H) and neuraminidase (N) protein antigen of the type , is currently divided into 16 H subtypes (H1 ~ H16) and 9 N subtypes (N1 ~ N9). The reports of human infection with H7N9 avian influenza virus is new reassortant virus encoding the HA gene from H7N3, NA is derived from the gene encoding H7N9, its six internal genes from the H9N2 avian influenza virus. 3, with the H1N1 influenza virus and the H5N1 avian influenza virus H7N9 flu virus What's the difference? The three viruses are influenza A virus, but is significantly different between them. H7N9 and H5N1 influenza viruses are animals, and occasionally infect humans. H1N1 influenza virus infection in humans and is usually divided into infected animals usually two types of the virus. 4, how people are infected with the H7N9 bird flu? Now its secretions or excreta in poultry and live bird markets in environmental samples to detect and separate the H7N9 avian influenza virus, and people infected with H7N9 avian influenza virus is highly homologous. Source of infection may carry H7N9 avian influenza virus in poultry. Specific ways to spread through the respiratory tract or close contact with infected poultry infected secretions or excretions obtained; or spread to humans exposed to the virus through environmental contamination; does not exclude limited non-sustained person to person. 5 people infected with H7N9 bird flu incubation period for how long? According to the incubation period of influenza and human infection with H7N9 avian influenza existing case findings, the incubation period is generally 3 to 4 days. 6, the avian flu to humans harm big? According to previous information, bird flu are distributed. Currently, the majority of sporadic cases, there are some families were gathered onset phenomenon, but there is no evidence of sustained human-to-human transmission between, suggesting that the virus is spread in the population is not strong. However, previous human infection of highly pathogenic avian influenza mortality is very high, about 60%. The H7N9 avian influenza virus, also has a high mortality rate. As of January 27, 2014, confirmed human infection with H7N9 avian influenza 240 cases, including 68 deaths, the mortality rate was 28%. 7, who needs more attention to prevent H7N9 avian flu? This stage is mainly engaged in poultry breeding, slaughtering, marketing, transportation, processing industry, as well as one week before the onset of contact with birds or those who have been to live bird markets (especially the elderly). If this population, such as cough, fever symptoms, please seek immediate medical attention, and told the doctors recent activities. 8, had H7N9 avian influenza, early What are the symptoms? Patients generally showed flu-like symptoms such as fever, cough, sputum less, may be associated with headache, muscle aches, diarrhea and other symptoms. The rapid development of the disease in patients with severe, mostly in 3 to 7 days of onset of severe pneumonia occurred, mostly sustained temperature above 39 ℃, difficulty in breathing, may be associated with hemoptysis sputum. Often rapidly progress to acute respiratory distress syndrome, sepsis, septic shock, multiple organ dysfunction and even, in some patients, there may be other symptoms of pleural effusion. 9, it is not to eat poultry recently the? Avian influenza viruses in general are sensitive to heat, low temperature resistant to heat 65 ℃ 30 minutes or boiling (100 ℃) 2 minutes inactivated. Thus, fully cooked poultry / pork is edible. However, the virus can survive in the lower temperature for 1 week at 4 ℃ for the presence of water or in case of glycerol remains active over 1 year. It is best to minimize the purchase, handling live poultry or fresh poultry meat and so on. 10, the average person should be how to prevent avian influenza? (1) pay attention to personal hygiene, washing hands frequently to keep indoor ventilation diligence, attention to nutrition, to ensure adequate sleep and rest, increasing physical activity. (2) to minimize unnecessary contact with livestock, with special attention to avoid contact with dead poultry. After contact with livestock timely and thorough hand washing. When eating poultry eggs to fully cooked. (3) handling raw and cooked food separately, when the hands are damaged meat processing, it is recommended to wear gloves. (4) sneezing, coughing and other symptoms of respiratory tract infection, use a paper towel, handkerchief to cover your nose and mouth to prevent infection of others; fever, cough, sore throat, general malaise and other symptoms when you should wear a mask. (5) If exacerbations should wear a mask to hospital outpatient fever, and told the doctors whether the recent contact with poultry, and went bird flu epidemic. (6) when they go out, you should try to avoid contact with wild birds or wild birds into the habitat. (7) the elderly and infirm, especially residents suffering from underlying diseases, in the period of high incidence of respiratory diseases, should be minimized to air circulation and crowded places. To the hospital should wear a mask. 11 employees on how to prevent H7N9 avian bird flu?(1) contact with poultry during the course of work activities, should wear protective clothing, wearing masks and gloves, and proper personal protective reduce direct contact with poultry. (2) When cleaning the poultry house, to strictly enforce the cleaning and disinfection procedures; After cleaning, be timely and thorough hand washing and sanitizing; dirt when physical contact with poultry, but also a thorough cleaning. (3) When they find dead birds, and notify the local animal quarantine department. (4) When the fever, cough, sore throat, general malaise and other symptoms when you should wear a mask, and as soon as the fever outpatient, and told the doctors and their professional activities before the onset. (5) Wash your hands frequently to keep indoor ventilation diligence, attention to nutrition, to ensure adequate sleep and rest, increasing physical activity; 12 poultry processing workers how to prevent H7N9 avian flu? (1) Regular cleaning and disinfection for all workstations, equipment and utensils to prepare poultry, wash your hands often. (2) separate raw and cooked. (3) ensure that the food is cooked to the proper temperature, the temperature of the food in all parts have reached 70 ℃ or clear broth, or the flesh is no longer pink. (4) When a damaged hand meat processing, it is recommended to wear gloves.13, how to prevent H7N9 avian bird flu lover? (1) strengthen management, improve the body resistance to disease of poultry; attention cage hygiene; guarantee cage ventilation; lofts, Birdcage pay special attention to health, focusing on the daily disinfection. (2) keep birds at home, they should avoid contact with wild birds. Once in contact, in a timely manner to disinfect the cage, but also to the animal epidemic prevention departments when necessary immunization. (3) in the aviculture or birding as possible to avoid contact with poultry and their droppings, manure handling them should wear gloves; after contact with them or their droppings, you must use soap and water thoroughly clean hands. (4) Birding process does not pick up dead birds, wild birds do not eat. 14, with or without targeted drug treatment programs or vaccine? According to the National Health and Family Planning Commission issued under the scheme should be applied as soon as possible anti-influenza drugs. For people infected with H7N9 avian influenza is mainly symptomatic treatment and antiviral therapy, has not yet developed a vaccine. 15, if the symptoms of high fever cough how to do? If there is fever, headache, nasal congestion, cough, malaise and other respiratory symptoms should wear a mask fever clinic to the hospital as soon as possible, and be sure to tell the doctor whether to own too early onset of bird flu, is in contact with sick birds, etc. conditions and treatment and the use of drugs under medical guidance.


http://www.bjcdc.org/news.php?id=38932
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Zhejiang Province, four new cases of human infection of bird flu H7N9

Translation
January 28, 2014
      Zhejiang Provincial Health and Family Planning Commission January 28 briefing, the province today added four cases of human infection with H7N9 avian influenza. 
      1, the patient surname Wang, female, farmer, aged 43, Xiaoshan District, Hangzhou people. January 27 confirmed human cases of avian influenza H7N9 infection. Now the disease is mild, in Hangzhou, a hospital for treatment. 
      2, Shen certain patients, male, farmer, aged 81, Changxing County. January 27 confirmed human cases of avian influenza H7N9 infection. Is now in critical condition at a hospital in Huzhou treatment. 
      3, the patient Xia Moumou, female, farmer, aged 63, Huzhou, Deqing County. January 27 confirmed human cases of avian influenza H7N9 infection. Now the condition is severe, treatment in a hospital in Hangzhou. 
      4, the patient surname Wang, male, retired, 57 years old, Yinzhou District, Ningbo people. January 27 confirmed human cases of avian influenza H7N9 infection. Now the disease is mild, treatment in a hospital in Ningbo.

http://wst.zj.gov.cn/art/2014/1/28/art_362_407377.html
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