Tuesday, January 28, 2014

H7N9 bird flu back before Chinese NY


A vendor's child is placed between poultry cages in Wuhan, China, in this file picture.


A vendor’s child is placed between poultry cages in Wuhan, China, in this file picture.




  • H7N9 bird flu cases spike in China ahead of Lunar New Year

  • In January alone, 19 deaths and 96 humans have been infected, Xinhua says

  • Expert urges tougher bio-security measures in China’s live poultry markets

  • H7N9 has pneumonia-like symptoms, family of patients tell CNN



Hong Kong (CNN) — When Mr He, a 39-year-old furniture factory owner came down with flu symptoms late last year, he wasn’t worried.


According to his family, the man, who worked in Guangdong province in southern China, had always been healthy.


Weeks later, He was on a ventilator. Hospitalized for about 20 days, he slipped into a vegetative state and later died, his family said.


He was diagnosed as having H7N9 virus, a new strain of avian flu that jumped from birds to humans for the first time last year, said his close cousin, who requested not to be identified.




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“I couldn’t believe it,” she said. “How could this happen to him? It all came so suddenly to a healthy person.”


In recent weeks, China has seen a spike in cases and experts are worried that infections will gather pace as the country celebrates the Lunar New Year this week – a peak time for travel and for poultry sales.


MORE: Hong Kong on high alert after first human case


Fresh wave?


Since the strain was first reported in Shanghai in February 2013, it has affected 246 in mainland China, according to Hong Kong’s Department of Health. The World Health Organization says that 56 have died from the disease.


The number of cases faded after May, but returned in late 2013. Like all flu strains, H7N9 cases increase during colder months.


In January alone, 19 deaths and 96 human cases have been reported, according to figures from the Chinese Center for Disease Control cited by state news agency Xinhua on Monday — rivaling the initial wave of H7N9 cases seen in March 2013.


MORE: WHO: H7N9 virus ‘one of the most lethal so far’


Cases have also been reported in Taiwan and in Hong Kong, which on Tuesday began culling 20,000 chickens after a sample of live chicken imported from mainland China tested positive for H7 viruses.




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The H7N9 virus appears deadlier than the seasonal flu, but less virulent than another bird flu strain, H5N1, with a crude 30% mortality rate, said Yuen, who has worked on major outbreaks including Severe Acute Respiratory Syndrome and H5N1.


He said the key is to implement sanitation measures at the live poultry markets. He drew parallels of the current situation in China with the first case of H5N1, which appeared in Hong Kong in 1997.


The Hong Kong government implemented rules such as requiring regular cleaning of transport cages, mandating a rest day when no live poultry would be allowed at the marketplace and ordering all unsold birds at the market to be killed in the evening.


Yuen said such measures are crucial to avoid the spread of the virus.


“There will be an increasing number of cases in the coming February to May unless the mainland government takes more stringent measures to stop this spread,” Yuen said.


Live poultry trading has been halted in three cities in the hardest-hit province of Zhejiang in eastern China, Xinhua reported.


And in Shanghai, the live poultry trade will shut starting January 31 to April 30 to prevent spread of bird flu,



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