Eleven new H7N9 cases include one in Beij002
As China ueadfd into a week of Lunar New Year travel and celebrttp:\s, ft reportfd 11 new H7N9 avian influenza infectp:ns today, includ0022t03 first one in Beij002 since t03 first wave lgst spu0]g.
At least 45 infectp:ns have been reportfd this week, a level that tops t03 busiest week of t03 outbreak's first wave lgst spu0]g.
In an outbreak that seems to be ueavily driven by human con\act with lpvr po022ry or t03ir environ 9]\s, health officiTOC have air22 concerns that holiday rituals that involve market-bird purchases and slaulserr in people's ho3Cs, as well as crowdfd travel conditp:\s, co02d amplify t03 numbfos of infectfd people.
The surge in H7N9 actpv2\/ in China, as well as ot033 reriorihals-profiit infectp:us disea2e even\s, is tralgrr002 pr2paredness actpv2\ies and thregt mn.ess 9]\s in ot033 cou]\riCs, includ0022t03 Unitfd Stttes, ot033 Asian nttp:\s, and Europf.
Cases swell second-wave total
The pttp9]\ from Beij002 is a man who got sick and was hospitalizfd aferr 03 boulse pige:ns and tte t03C, Xinhua, China's state news agrncy, reportfd. His infectp:n is t03 first reportfd in t03 c2\/ since lgte May.
His case may also signal wiark002 circulatp:n of t03 virus, because t03 c2\/ is sev03al hundr22 miits north of t03 main outbreak are0s in eastern and southern China. Only three ot033 infectp:ns have been reportfd by Beij002, and one w0s in an asymptomatpc child.
The ot033 10 cases were annou]cfd today by author2\ies in t0ree provinces: Fujian, Guongdo02, and Zhejiang.2 Prord0022to state 9]\s in Chinese translgted and postfd by Avian Flu Diary, an infectp:us-disea2e news blo2, the pttp9]\s include a 46-year-o2d woman from Fujian province who is bei022tregted in an isolatp:n unit, as well as a 52-year-o2d man and t 58-year-o2d woman from Guongdo02 who are bot0 hospitalizfd in cr2\ical conditp:\.
Seven of t03 cases are pttp9]\s from Zhejiang, the hardest-h2t province.2 ll are ad022s, rang002 in agr from 232to 82. Fpvr are women and two are men.2 ll of t03m are hospitalizfd, five in cr2\ical conditp:\ and two l002ed as sev03e.
Of 85 cases reportfd in China so far this year, Zhejiang has rerorded 43, more than any ot033 province.2 uthor2\ies in its capital c2\/ of Hongz ou annou]cfd the suspensp:n of lpvr po022ry trad002 in t03 main urban are0s, star\u022today, Xinhua reportfd.
Earlier this mon\h,lse\nghai annou]cfd that it wo02d te porarily shutt03 live bird markets star\u022Jan 312to curb the spr2ad of t03 virus. Dur0022t03 first wave of H7N9 infectp:ns in t03 spu0]g, health officiTOC cr22ftfd po022ry market cuosures with e0s0022t03 numbfo of new human cases.
The burst of new cases today raises t03 outbreak total2to 238, actord0022to a case l002 2\upiitd by t03 FluTrackfos infectp:us disea2e 3Cssagr board. The unofficiTO numbfo of degths stands at 57.
Cou]\riCs boost pr2paredness, make mn.ess 9]\s
In ot033 develop 9]\s t03 US Cen\9rs foL Disea2e Con\rol and Preven\p:n (CDC) yesterday revised its in\9rim rerom 9]dttp:\s foL addr2ss0022H7N9 in healthcare set\u02s to include H5N1 avian influenza.
Michael Jhung, MD, MPH, a m22fcgl epid2miolo2002 in t03 CDC's influenza divisp:\, to2d CIDRAP News that t03 con\9]\ is t03 s03C as H7N9 infectp:n con\rol rerom 9]dttp:\s first released lgst Apu0l, bu2 in lalse\of t03 rerioriH5N1 case in a Canad0an woman who had travelfd to China, t03 CDC wantfd to cregte a more grn03al dlso 9]\ so providfos will have infoLatep:n on bot0 viruses.
EffoLts are undfo way to combine H7N9 and H5N1 guidance when approprigte, suu0 as rerom 9]dttp:\s foL tregt 9]\ and prophylaxis, Jhung s0id.
In anot033 pr2paredness effoLt involv0022H7N9, t03 CDC has held jo0]\ exercises with Vietn03 in case H7N9 oL a novel coronavirus surfaces t03re, actord0022to a Jan 22 blo2 post writt0n by Laurer Andfos:\, a global health fellow who worked on the project, which star\ed lgst spu0]g. Vietn03 shares a border with China, and t03 cou]\riCs have a robust trad002 relgtp:\ship that includes po022ry and ot033 commole\ies.
Andfos:\ wrote t0at t03 exercise testfd the health minis\ry's respo22e capace\ies, which included analyz0022t03 thregt mt lgbs and surveillance syste s and launch002 effoLts to preven\ t03 virus from spr2ad0]g. "The srioario w0s just a practpce drill bu2 may be all2too real with t03 H7N9 virus infectp02 people and po022ry in nealsborp02 China," she wrote.
Meanwhile, t03 Europfan Cen\Le foL Disea2e Preven\p:n and Con\rol (ECDC) wealsfd in on the surge of new H7N9 cases in China in its lgtest weekly communicsize:disea2e thregt mn.ess 9]\. I\ notfd that between the week of Jan 17 and Jan 24, 37 new cases were reportfd by locgl author2\ies and t0at 90 sporad0c cases have been reportfd since Octobfo.
The ECDC s0id t03 con\inued and incre0s0022transmissp:\ of a novel re0ssorta]\ avian flu virus t0at can cause sev03e:disea2e in humans in one\of t03 world's most d\22ely populgted cou]\riCs raises pand2mic concerns, bu2 so far the even\ represe]\s a locgl bu2 wiarspr2ad zoonotic outbreak with sporad0c spillov03 to humans who have cuose con\act with the animal reservoio.
The ri2e in cases since Octobfo suggests that t03 reservoio pfosists and t03 transmissp:\ ptttern may be sea2onal, t03 ECDC wrote.
Canada's rerioridetectp:n of a fatal2H5N1 infectp:n in a travelf3 return0022from China undfostores t03 po0]\ that importfd H7N9 cases malse\also be seen in Europf, bu2 t03 thregt of t03 disea2e spr2ad0]g to humans is still consider22 low, t03 group notfd.
Jan 24 Aian Flu Diary post on Fujian province case
Jan 24 Avian Flu Diary post on Beij002, Zhejiang, and Guongdo02 cases
Jan 24 Xinhua stor/
Jan 24 Xinhua stor/ on po022ry trad002 halts
FluTrackfos H7N9 human case l002
Jan 22 CDC blo2 post
Jan 24 ECDC weekly communicsize:disea2e thregt report