Eight More Cases of Human Infection with H7N9 Virus are Reported to WHO

On Feb. 4, 2014, the National Health and Family Planning Commission (NHFPC) of China notified the World Health Organization (WHO) of eight additional laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus, including two deaths. 

Details of the cases are as follows:

A 42-year-old man from Hangzhou City, Zhejiang Province, who became ill on January 25 and was admitted to the hospital on January 30. He is currently in severe condition. The patient has a history of exposure to poultry.

An 84-year-old man from Hangzhou City, Zhejiang Province, who became ill on Januar 24 and was admitted to the hospital on January 28. He is currently in critical condition. The patient has a history of exposure to poultry.

A 56-year-old man from Jinhua City, Zhejiang Province, who became ill on January 24 and was admitted to the hospital on February 1. He is currently in severe condition. The patient has a history of exposure to a live poultry market.

A 51-year-old man from Shaoxing City, Zhejiang Province, who became ill on January 27 and was admitted to the hospital on February  1. He is currently in critical condition. The patient has history of exposure to a live poultry market.

A 4-year-old girl from Zhaoqing City, Guangdong Province, who became ill on January 26 and was admitted to the hospital on February 3. She currently has a mild illness. The patient has a history of exposure to live poultry.

A 76-year-old man from Yangjiang City, Guangdong Province, who became ill on January 27 and was admitted to the hospital on February 1. He died on February 3. The patient had a history of exposure to live poultry.

A 52-year-old man from Huizhou City, Guangdong Province, who became ill on January 25 and was admitted to the hospital on February 2. He died on February 3. The patient had a history of exposure to live poultry.

A 59-year-old woman from Wuxi City, Jiangsu Province, who became ill on January 26 and was admitted to the hospital on January 29. She is currently in critical condition. The patient has history of exposure to a live poultry market.
 
So far, there is no evidence of sustained human-to-human transmission.

The Chinese government continues to take the following surveillance and control measures: strengthen surveillance and situation analysis; reinforce case management and treatment; conduct risk communication with the public and release information; strengthen international collaboration and communication; and conduct scientific studies.

While the recent report of avian influenza A(H7N9) virus being detected in live poultry imported from the mainland to Hong Kong SAR, shows the potential for the virus to spread through live poultry, at this time there is no indication that international spread of avian influenza A(H7N9) has occurred through humans or animals.

Further sporadic human cases of A(H7N9) infection are expected in affected and possibly neighboring areas, especially given expected increases in the trade and transport of poultry associated with the Lunar New Year.

WHO advises that travelers to countries with known outbreaks of avian influenza should avoid poultry farms, or contact with animals in live bird markets, or entering areas where poultry may be slaughtered, or contact with any surfaces that appear to be contaminated with faeces from poultry or other animals. Travellers should also wash their hands often with soap and water. Travellers should follow good food safety and good food hygiene practices.

WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend any travel or trade restrictions.

As always, a diagnosis of infection with an avian influenza virus should be considered in individuals who develop severe acute respiratory symptoms while travelling or soon after returning from an area where avian influenza is a concern.

WHO encourages countries to continue strengthening influenza surveillance, including surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns, in order to ensure reporting of human infections under the IHR (2005), and continue national health preparedness actions.

Source: WHO