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#Avian #Influenza #H7N9 in #China: Preventing the Next #SARS (@WHO, Apr. 2 ‘17)

  Title : #Avian #Influenza #H7N9 in #China: Preventing the Next #SARS. Subject : Avian Influenza, H7N9 subtype (Asian Lineage), poultry e...

28 Jun 2017

#China, #Beijing: A #pregnant woman infected with #H7N9 #influenza discharged after two months (Jun 28 ‘17)


Title: China, Beijing: A pregnant woman infected with H7N9 influenza discharged after two months.

Subject: Avian Influenza, H7N9 subtype, human case in Beijing, China.

Source: Local Media, full page: (LINK). Article in Chinese, edited.

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China, Beijing: A pregnant woman infected with H7N9 influenza discharged after two months

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Two months ago, a pregnant woman caught the H7N9 avian influenza virus; she was rushed to Beijing Ditan Hospital. At that time she was pregnant for 5 months, was treated in a number of hospitals for diagnosis and treatment without significant improvement; then she was referred to the Ditan Hospital ICU. In the past two months, the Ditan Hospital multidisciplinary joint consultation, eventually, after 17 days ECMO (life support), 50 days of ventilator support, she faced major bleeding, secondary infection, childbirth, severe liver injury and other risks, finally – step by step – went out of danger. On June 19, the patient was discharged.

More than two months ago, 36-year-old Xiao Zhen (a pseudonym) has been pregnant for 5 months, once in the free market,  pigeons call her stop. A few days later, Xiaozhen began to have fever, cough, rushed to a number of hospital for treatment, the condition gradually worsened, she began to cough blood, and developed breathing difficulties. She was initially diagnosed with type A H7N9 flu, acute respiratory failure. Xiaozhen was urgently transferred to the Ditan Hospital ICU. Night doctor admissions is a deputy chief physician Pu Lin, she found Xiaozhen body cyanosis, shock, acute renal insufficiency, in the ventilator support under the oxygen saturation was 30% -40%. Medical staff for the small use of ECMO (life support) equipment, patients with improved heart rate, blood pressure gradually stable.

Subsequently, the Department of Infectious Diseases, Obstetrics and Gynecology, Respiratory Medicine, Radiology, Medical Service, Nursing Department, Institute of Health, Medical Engineering Department and Blood Transfusion Department are all for the protection of small Jane to provide protection.

Experience 17 days ECMO support, 50 days of ventilator support, the patient has broken through the bleeding, secondary infection off, childbirth off, severe liver injury off, each off can be called "ghost gate", and ultimately one by one out of danger The June 19 afternoon, Xiaozhen husband and mother holding flowers and pennants, thanks to the altar hospital health care workers.

According to reports, Ditan Hospital ICU since ECMO in 2009 to deal with acute respiratory failure, the technology gradually mature. 2017 completely rely on their own strength for the five critically ill H7N9 influenza ECMO treatment, three patients have been successfully out of ECMO.

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Keywords: China; Beijing; H7N9; Avian Influenza; Human.

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#Lassa Fever – #Nigeria (@WHO, Jun 28 ‘17)


Title: #Lassa Fever – #Nigeria.

Subject: Lassa Fever outbreak in Nigeria, current epidemiological situation.

Source: World Health Organization (WHO), full page: (LINK).

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Lassa Fever – Nigeria

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Disease outbreak news / 28 June 2017

Lassa fever is an acute viral haemorrhagic fever illness that is known to be endemic in various West African countries including Nigeria. As of 9 June 2017, a total of 501 suspected cases including 104 deaths have been reported since the onset of the current Lassa fever outbreaks season in December 2016. Of the reported cases, 189 have been further classified, 175 laboratory-confirmed including 59 deaths and 14 probable cases (all dead).

During the current Lassa fever outbreak, 17 Nigerian states (Anambra, Bauchi, Borno, Cross-River, Ebonyi, Edo, Enugu, Gombe, Kaduna, Kano, Kogi, Nasarawa, Ogun, Ondo, Plateau, Rivers, and Taraba) have reported at least one confirmed case.

As of 9 June 2017, the outbreak is still active in 9 states (Anambra, Bauchi, Cross-River, Edo, Taraba, Nasarawa, Ondo, Plateau, and Kano).


Public health response

The ongoing outbreak response is focused at State and federal levels and involves coordination of weekly Lassa fever review meeting in conjunction with World Health Organization, United States Centers for Disease Control and Prevention, the University of Texas Medical Branch (UTMB), and the African Field Epidemiology Network.

The following response measures are being carried out:

  • Enhanced surveillance is ongoing in all affected states and Lassa fever cases are reported to the federal level and contact tracing is ongoing in affected states with an active outbreak through the state surveillance team.
  • The line listing of cases reported across all the states is ongoing and data are uploaded in the VHF database.
  • Lassa fever treatment centers have been established in the affected states to support case management. These centers are supplied with case management as well as infection prevention and control supplies.


WHO risk assessment

Lassa fever is an acute viral haemorrhagic fever illness. Lassa fever is transmitted to humans via contact with food or household items contaminated with rodent urine or faeces.

Person-to-person infections and laboratory transmission can also occur.

Lassa fever is endemic in Nigeria and other West African countries and causes outbreaks almost every year in different parts of the region, with yearly peaks observed between December and June.

Overall, the current risk assessment for Lassa fever outbreak in Nigeria shows a declining trend of outbreaks.

Considering this, ongoing response measures remains focused on preparedness and response in general and further risk of large scale outbreaks is not very high.

However, a close follow up, active case searching, contact tracing, laboratory support and disease awareness (in the community and for health care workers) should remain ongoing.

Although there is constant population movement between these Nigerian states, a large-scale disease transmission or outbreak spread has not been reported. However, there have been sporadic cases reported in Togo and Benin originating from Nigeria.


WHO advice

Prevention of Lassa fever relies on promoting good “community hygiene” to discourage rodents from entering homes. In health-care settings, staff should always apply standard infection prevention and control precautions when caring for patients, regardless of their presumed diagnosis.

On rare occasions, travellers from areas where Lassa fever is endemic export the disease to other countries. Although other tropical infections are much more common, the diagnosis of Lassa fever should be considered in febrile patients returning from West Africa, especially if they have had exposures in rural areas or hospitals in countries where Lassa fever is known to be endemic. Health care workers seeing a patient suspected to have Lassa fever should immediately contact local and national experts for advice and to arrange for laboratory testing.

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Keywords: WHO; Updates; Lassa Fever; Nigeria.

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Middle East respiratory syndrome #coronavirus (#MERS-CoV) – #Saudi Arabia (@WHO, Jun 28 ‘17)


Title: Middle East respiratory syndrome #coronavirus (#MERS-CoV) – #Saudi Arabia.

Subject: MERS in Saudi Arabia, current epidemiological situation.

Source: World Health Organization (WHO), full page: (LINK).

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Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia

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Disease outbreak news / 28 June 2017

Between 16 and 23 June 2017, the national IHR Focal Point of Saudi Arabia reported seven additional cases of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection, including two deaths, and four deaths among previously reported cases.


Details of the cases

Detailed information concerning the cases reported can be found in a separate document (see link below).

|-- MERS-CoV cases reported between 16 and 23 June 2017. xlsx, 40kb –|

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Three of the seven newly reported cases are associated with clusters 1 and 3 as reported in the Disease Outbreak News published on 13 June 2017 and 19 June 2017.

  • Cluster 1
    • An additional two cases have been reported in this cluster in Riyadh City, Riyadh Region.
    • In total, 34 laboratory-confirmed cases reported to WHO are associated with this cluster.
  • Cluster 2
    • No newly reported cases are associated with cluster 2 as reported in the Disease Outbreak News published on 13 June 2017.
  • Cluster 3
    • An additional case has been reported in this cluster in Riyadh City, Riyadh Region.
    • Thus far, this cluster involves nine laboratory-confirmed patients.

Globally, 2036 laboratory-confirmed cases of infection with MERS-CoV including at least 710 related deaths have been reported to WHO.


Public health response

The Ministry of Health is evaluating each case and their contacts and is still implementing the measures to limit further human-to-human transmission and bring these outbreaks to a control as described in the DON published on 19 June 2017.


WHO risk assessment

MERS-CoV causes severe human infections resulting in high mortality and has demonstrated the ability to transmit between humans. So far, the observed non-sustained human-to-human transmission has occurred mainly in health care settings.

The notification of additional cases does not change the overall risk assessment.

WHO expects that additional cases of MERS-CoV infection will be reported from the Middle East, and that cases will continue to be exported to other countries by individuals who might acquire the infection after exposure to animals or animal products (for example, following contact with dromedaries) or human source (for example, in a health care setting).

WHO continues to monitor the epidemiological situation and conducts risk assessment based on the latest available information.


WHO advice

Based on the current situation and available information, WHO encourages all Member States to continue their surveillance for acute respiratory infections and to carefully review any unusual patterns.

Infection prevention and control measures are critical to prevent the possible spread of MERS-CoV in health care facilities. It is not always possible to identify patients with MERS-CoV early because like other respiratory infections, the early symptoms of MERS-CoV are non-specific. Therefore, health-care workers should always apply standard precautions consistently with all patients, regardless of their diagnosis. Droplet precautions should be added to the standard precautions when providing care to patients with symptoms of acute respiratory infection; contact precautions and eye protection should be added when caring for probable or confirmed cases of MERS-CoV infection; airborne precautions should be applied when performing aerosol generating procedures.

Until more is understood about MERS-CoV, people with diabetes, renal failure, chronic lung disease, and immunocompromised persons are considered to be at high risk of severe disease from MERS-CoV infection. Therefore, these people should avoid close contact with animals, particularly camels, when visiting farms, markets, or barn areas where the virus is known to be potentially circulating. General hygiene measures, such as regular hand washing before and after touching animals and avoiding contact with sick animals, should be adhered to.

Food hygiene practices should be observed. People should avoid drinking raw camel milk or camel urine, or eating meat that has not been properly cooked.

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

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Keywords: WHO; Updates; MERS-CoV; Saudi Arabia; Nosocomial Outbreaks.

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#Human #infection with #avian #influenza #H7N9 virus – #China (@WHO, Jun 28 ‘17)


Title: #Human #infection with #avian #influenza #H7N9 virus – #China.

Subject: Avian Influenza, H7N9 subtype, human cases in China.

Source: World Health Organization (WHO), full page: (LINK).

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Human infection with avian influenza A(H7N9) virus – China

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Disease outbreak news  / 28 June 2017

On 2 June 2017, the National Health and Family Planning Commission of China (NHFPC) notified WHO of nine additional laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus in China. On 9 June 2017, the NHFPC notified WHO of 12 additional laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus in mainland China.


Details of the case patients

  • On 2 June 2017, the NHFPC reported a total of nine human cases of infection with avian influenza A(H7N9) virus.
    • Onset dates ranged from 12 to 29 May 2017.
    • Of these nine case patients, three were female.
    • The median age was 56 years (range 35 to 67 years).
    • The case patients were reported from:
      • Anhui (1),
      • Beijing (1),
      • Guangxi (1),
      • Hebei (1),
      • Hubei (1),
      • Shaanxi (1),
      • Shandong (2), and
      • Sichuan (1).
    • At the time of notification, there was one death.
    • Seven case patients were diagnosed as having either pneumonia (4) or severe pneumonia (3).
    • Eight case patients were reported to have had exposure to poultry or live poultry market, and one case patient had no known poultry exposure.
    • No case clustering was reported.
  • On 9 June 2017, the NHFPC notified WHO of 12 additional laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus in mainland China.
    • Onset dates ranged from 20 May to 3 June 2017.
    • Of these 12 cases, four were female.
    • The median age was 40.5 years (range 4 to 68 years).
    • The cases were reported from:
      • Anhui (2),
      • Beijing (3),
      • Chongqing (2),
      • Henan (2),
      • Jiangsu (1),
      • Shaanxi (1), and
      • Shandong (1).
    • At the time of notification, there were no deaths.
    • Ten cases were diagnosed as having either pneumonia (4) or severe pneumonia (6).
    • Nine cases were reported to have had exposure to poultry or live poultry market, two case patients had no known poultry exposure, and one is under investigation.
    • One cluster was reported, from Shaanxi province, involving a 68-year-old male, with symptom onset on 23 May 2017, and his wife (a 67-year-old with symptom onset on 26 May 2017 and who was included in the cases discussed above which were reported to WHO on 2 June).
      • Both had histories of exposure in Inner Mongolia Autonomous Region to chickens purchased from a market that they raised in their backyard.
      • Some of the chickens died shortly after purchase and the couple both slaughtered some of the other chickens.
      • This is the first time Inner Mongolia Autonomous Region was reported as the location of likely exposure to the avian influenza A(H7N9) virus.
      • Avian influenza A(H7N9) virus was detected recently for the first time in this region in samples from live bird markets.

To date, a total of 1533 laboratory-confirmed human infections with avian influenza A(H7N9) virus have been reported through IHR notification since early 2013.


Public health response

The Chinese governments at national and local levels are taking further measures which include:

  • Continuing to guide the provinces to strengthen assessment, and prevention and control measures.
  • Continuing to strengthen control measures focusing on hygienic management of live poultry markets and cross-regional transportation.
  • Conducting detailed source investigations to inform effective prevention and control measures.
  • Continuing to detect and treat human infections with avian influenza A(H7N9) early to reduce mortality.
  • Continuing to carry out risk communication and issue information notices to provide the public with guidance on self-protection.
  • Strengthening virology surveillance to better understand levels of virus contamination in the environment as well as mutations, in order to provide further guidance for prevention and control.


WHO risk assessment

The number of human infections with avian influenza A(H7N9) and the geographical distribution in the fifth epidemic wave (i.e. onset since 1 October 2016) is greater than earlier waves. This suggests that the virus is spreading, and emphasizes that further intensive surveillance and control measures in both human and animal health sector are crucial.

According to the epidemiological curve, the number of reported cases on a weekly basis seems to have peaked in early February and is slowly decreasing.

The peak in cases this year corresponds to the timing of the peak in cases in previous years.

Most human cases are exposed to avian influenza A(H7N9) virus through contact with infected poultry or contaminated environments, including live poultry markets.

Since the virus continues to be detected in animals and environments, and live poultry vending continues, further human cases can be expected.

Although small clusters of cases of human infection with avian influenza A(H7N9) virus have been reported including those involving patients in the same ward, current epidemiological and virological evidence suggests that this virus has not acquired the ability of sustained transmission among humans. Therefore the likelihood of further community level spread is considered low.

Close analysis of the epidemiological situation and further characterization of the most recent viruses are critical to assess associated risk and to adjust risk management measures in a timely manner.


WHO advice

WHO advises that travellers to countries with known outbreaks of avian influenza should avoid, if possible, poultry farms, contact with animals in live poultry markets, 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, and 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 in 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 influenza-like illness (ILI) and to carefully review any unusual patterns, ensure reporting of human infections under the IHR 2005, and continue national health preparedness actions.

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Keywords: WHO; Updates; China; Avian Influenza; H7N9; Human.

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#Avian #Influenza #H7N9 – #Situation #update as of 28 June 2017 (#FAO, edited)


Title: #Avian #Influenza #H7N9 – #Situation #update as of 28 June 2017.

Subject: Avian Influenza, H7N9 subtype, poultry enzootic and human cases in China.

Source: Food and Agriculture Organization (FAO), full page: (LINK).

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Avian Influenza H7N9 – Situation update as of 28 June 2017

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The next update will be issued on 12 July 2017


Disclaimer

Information provided herein is current as of the date of issue. Information added or changed since the last H7N9 situation update appears in red. Human cases are depicted in the geographic location of their report. For some cases, exposure may have occurred in one geographic location but reported in another. For cases with unknown onset date, reporting date was used instead. FAO compiles information drawn from multiple national (Ministries of Agriculture or Livestock, Ministries of Health, Provincial Government websites; Centers for Disease Prevention and Control [CDC]) and international sources (World Health Organization [WHO], World Organisation for Animal Health [OIE]) as well as peer-reviewed scientific articles. FAO makes every effort to ensure, but does not guarantee, accuracy, completeness or authenticity of the information. The designation employed and the presentation of material on the map do not imply the expression of any opinion whatsoever on the part of FAO concerning the legal or constitutional status of any country, territory or sea area, or concerning the delimitation of frontiers.


Overview

  • Situation:
    • Influenza A(H7N9) virus with pandemic potential.
  • Country:
    • China; three human cases originated in China and were reported in Malaysia (1) and Canada (2).
  • Number of human cases:
    • 1568 confirmed;
    • 599 deaths (since February 2013).
  • Number of new findings in birds or the environment since last update (14 June 2017):
    • 74
  • Number of new human cases since last update (14 June 2017):
    • 16
  • Provinces/municipalities:
    • [China]
      1. Beijing,
      2. Chongqing,
      3. Shanghai and
      4. Tianjin Municipalities;
      5. Anhui,
      6. Fujian,
      7. Gansu,
      8. Guangdong,
      9. Guizhou,
      10. Hebei,
      11. Heilongjiang,
      12. Henan,
      13. Hubei,
      14. Hunan,
      15. Jiangsu,
      16. Jiangxi,
      17. Jilin,
      18. Liaoning,
      19. Qinghai,
      20. Shaanxi,
      21. Shanxi,
      22. Shandong,
      23. Sichuan,
      24. Yunnan and
      25. Zhejiang Provinces;
      26. Hong Kong SAR;
      27. Macao SAR,
      28. Guangxi,
      29. Inner Mongolia,
      30. Ningxia Hui,
      31. Tibet and
      32. Xinjiang Uyghur Autonomous Regions
    • [Taiwan];
    • [Malaysia]
      • Sabah
    • [Canada]
      • British Columbia.
  • Animal/environmental findings:
    • around 2,500 virological samples from the environment, chickens, pigeons, ducks and a tree sparrow tested positive; positives mainly from live bird markets, vendors and some commercial or breeding farms.
  • Highly pathogenic virus findings:
    • The H7N9 highly pathogenic avian influenza virus was detected in a total of 48 poultry or environmental samples (37 chickens, 1 duck and 10 environmental samples) from 23 live bird markets (LBMs) in:
      • Fujian (Longyan City),
      • Guangdong (Dongguan, Guangzhou, Huizhou, Lufeng, Meijiang, Meizhou, Zhongshan Cities and Haifeng County),
      • Hunan (Chenzhou City) and
      • Guangxi (Guilin City) Provinces;
    • and from 10 farms in:
      • Guangxi (Guilin City),
      • Hebei (a chicken layer farm [reference]),
      • Henan (a chicken layer farm in Pingdingshan City [reference]),
      • Hunan (backyard in Chenzhou City and a large chicken layer farm in Yongzhou City [reference]),
      • Shaanxi (a chicken layer farm [reference]),
      • Tianjin (a chicken layer farm [reference]),
      • Inner Mongolia (two chicken layer farms [reference 1, reference 2] and
      • Heilongjiang (a chicken layer farm [reference]) Provinces.
    • Out of the 1568 confirmed human cases, H7N9 virus isolates from 6 human cases (two from Guangdong and one from Taiwan Provinces) were found to be highly pathogenic for chickens.
  • FAO actions:
    • liaise with China and partners, monitor situation, monitor virus evolution, conduct market chain analysis, risk assessment, surveillance guidance and communication.


Map 1. Human cases and positive findings in birds or the environment

Human cases and positive findings in birds or the environment

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|-- Click to enlarge –|

Note: Human cases are depicted in the geographic location where they were reported; for some cases, exposure may have occurred in a different geographic location. Precise location of 25 human cases in Anhui (2), Beijing (2), Guangdong (1), Guangxi (1), Hebei (3), Hunan (1), Hubei (2), Jiangsu (2), Jiangxi (6), Sichuan (2) and Zhejiang (3) Provinces are currently not known, these cases are therefore not shown on the map.


Situation update

  • Animals
    • 26 June, Guangdong:
      • the Ministry of Agriculture approved to carry out the first pilot vaccination in Guangdong, to explore its use for national H7N9 prevention and control.
      • Guangdong province will strive for a vaccination coverage of up to 100%, and an immunity level of at least 70%.
      • The effect of immunization will be monitored [reference].
    • 23 June, Heilongjiang:
      • The first H7N9 outbreak was observed in the province in Baoqing County, Shuangyashan City on 10 June in a chicken layer farm (20,150 sick, 19,500 deaths) and confirmed to be due to a HPAI strain; 16,610 poultry have been culled on 16 June [reference 1, reference 2].
    • 13 June, Inner Mongolia:
      • The two previously reported H7N9 outbreaks that occurred in Hohhot and Baotou Cities were confirmed to be due to the HPAI strain [reference 1, reference 2].
  • Humans
    • Since the last update (14 June 2017), 16 new human cases have been reported in:
      • Beijing (3),
      • Guizhou (2),
      • Hebei (2),
      • Sichuan (2),
      • Anhui (1),
      • Guangxi (1),
      • Hunan (1),
      • Inner Mongolia (1),
      • Jiangsu (1),
      • Tianjin (1),
      • Zhejiang (1).
    • For detailed information on human cases, please refer to WHO's Disease Outbreak News.


Figure 1. Number of positive virological samples from birds or the environment, by province and origin as of 28 June 2017. Information provided corresponds to both high and low pathogenic H7N9 viruses.

Number of positive virological samples from birds or the environment, by province* and origin

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|-- Click to enlarge –|


Figure 2. Number of officially reported human cases since February 2013 as of 28 June 2017. Information provided corresponds to both high and low pathogenic H7N9 viruses.

Number of officially reported human cases since February 2013

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|-- Click to enlarge –|


Figure 3. Incidence of officially reported human cases by month, based on onset date as of 28 June 2017. Information provided corresponds to both high and low pathogenic H7N9 viruses.

Incidence of officially reported human cases by week, based on onset date

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|-- Click to enlarge –|

Note: For cases with unknown onset dates from wave 1 (n=7), wave 2 (n=2), wave 3 (n=146), wave 4 (n= 27) and wave 5 (n=177) reporting dates were used instead.


Publications

  • In addition to the surveillance findings by MoA and MoH, 1,728 virologically positive samples have also been reported in 12 peer-reviewed articles (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12). A total of 71,920 samples have been collected in these studies since April 2013, of which 1,728 (2.4%) were positive for H7N9 (1,215 environmental samples, 501 chickens, 1 goose and 1 tree sparrow).
  • Mutation analyses were conducted to determine if the H7 HA was capable of acquiring human-type receptor specificity. Remarkably, three amino acid mutations conferred a switch in specificity for human-type receptors that resembled the specificity of the 2009 human H1 pandemic virus, and promoted binding to human trachea epithelial cells [reference].


FAO’s support to countries

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Keywords: FAO; Updates; Avian Influenza; H7N9; Human; Poultry; China.

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#China, Four #human cases of #H7N9 #influenza reported in #Yunnan (Xinhua, Jun 28 ‘17)


Title: #China, Four #human cases of #H7N9 #influenza reported in #Yunnan.

Subject: Avian Influenza, H7N9 subtype, cluster of human cases in the Yunnan province of China.

Source: Xinhua, full page: (LINK).

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China, Four H7N9 cases reported in Yunnan

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KUNMING, June 28 (Xinhua) -- Southwest China's Yunnan Province reported four cases of human infection of the H7N9 bird flu virus, local health authorities said Wednesday. The cases were discovered in Wenshan Zhuang and Miao Autonomous Prefecture. Of the four patients, one has fully recovered and three others are still in hospital for treatment, said a statement of the Yunnan provincial health and family planning commission.

Live poultry trading has been suspended since Sunday across the prefecture.

(…)

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Keywords: China; Yunnan; H7N9; Avian Influenza; Human.

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Seven additional cases of #MERS #Coronavirus reported by #Saudi Arabia (#Macao SAR DoH, Jun 28 ‘17)


Title: Seven additional cases of MERS Coronavirus reported by Saudi Arabia.

Subject: Middle East Respiratory Syndrome in Saudi Arabia, current situation.

Source: Department of Health, Macao PRC SAR, full page: (LINK). Article in Portuguese, edited.

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Confirmados 7 casos de infecção por novo tipo de Coronavírus na Arábia Saudita

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Informações divulgadas pela Organização Mundial da Saúde confirmam o surgimento de sete (7) novos casos de infecção da Síndrome Respiratória do Médio Oriente-Mers-Cov na Arábia Saudita.

De acordo com as informações divulgadas, foram detectados 3 casos na cidade de Riyadh, e 4 casos na cidade de Al Bahah, de Yanbu, de Al Hafoof e de Thadiq.

As infecções foram confirmadas em seis (6) homens e uma mulher, com idades compreendidas entre os 22 e 85 anos, sendo a idade média de 57 anos, um dos casos é um profissional de saúde.

As informações clínicas disponíveis confirmam duas (2) mortes, duas (2) pessoas em estado crítico, uma pessoa em estado clínico considerado estável e duas (2) sem sintomas aparentes.

Pelo menos três (3) pacientes estiveram em contacto com casos confirmados antes de apresentaram sintomas.

Até ao dia 26 de Junho, a Organização Mundial da Saúde tinha registado, em todo o mundo, 2.036 casos de infecção pelo Coronavírus da Síndroma Respiratória do Médio Oriente, dos quais resultaram 710 mortes.

(…)

Para mais detalhes sobre o coronavírus da Síndroma Respiratória do Médio Oriente, podem consultar a página electrónica dos Serviços de Saúde (em chinês: http://www.ssm.gov.mo/portal/csr/ch/main.aspx; em português: http://www.ssm.gov.mo/Portal/csr/pt/main.aspx), ou ligar para a linha aberta dos Serviços de Saúde n.º 2870 0800.

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Keywords: MERS-CoV; Updates; Macao SAR; Saudi Arabia.

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South #Korea reported thirty-two cases of #SFTS so far this year according to the Ministry of #Health (Jun 28 ‘17)


Title: South Korea reported thirty-two cases of SFTS so far this year according to the Ministry of Health.

Subject: Severe Fever with Thrombocytopenia Syndrome (SFTS) in South Korea, current epidemiological situation.

Source: Ministry of Health of South Korea, full page: (LINK). Article in Korean, edited.

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South Korea reported thirty-two cases of SFTS so far this year according to the Ministry of Health

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SFTS cases are showing an increasing Trends, take care during Outdoor Activities

  • Severe fever with thrombocytopenia syndrome (SFTS) is showing an Increase in cases’ incidence, strict prevention of insects bites
  • Wearing work clothes during agriculture work, wearing long clothing for outdoor activities and bathing after going out
  • Clinical symptoms such as high fever and vomiting within 2 weeks after outdoor activity


Surveillance

  • The Disease Control Headquarters (head of the Division) recently requested the prevention of ticks in high-risk groups such as farmers due to the increased incidence of severe febrile thrombocytopenic syndrome (SFTS).
  • This year, 32 SFTS patients were reported, up more than 50% from the same period last year, and deaths increased by more than 160% compared to the same period last year.
  • SFTS: 4-11 month old mites (mainly small sphygmoid ticks) are affected and show symptoms such as high fever, digestive symptoms (nausea, vomiting, diarrhea), platelet reduction, etc.
  • Number of patients:
    • 36 ('13)
    • 55 ('14)
    • 79 ('15)
    • 165 ('16)
    • 32 (provisional statistics based on June 27, 2006)
  • Deaths:
    • 17 ('13)
    • 16
    • ('14 )
    • 21 ('15)
    • 19 ('16)
    • 8 ('17, provisional statistics)

(…)

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Keywords: South Korea; Updates; SFTS.

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27 Jun 2017

#Cholera in #Somalia–Weekly #update: 27 June 2017 (@WHO EMRO, edited)


Title: #Cholera in #Somalia–Weekly #update: 27 June 2017.

Subject: Cholera outbreak in Somalia, current situation.

Source: World Health Organization (WHO), Office for the Eastern Mediterranean Region, full page: (LINK).

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Cholera in Somalia - Weekly update: 27 June 2017

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27 June 2017

The Ministry of Health of Somalia has reported 1979 AWD/ cholera cases and 13 deaths for week 24 (12 - 18 June 2017). Of these, 337 cases (17% of the total cases) were reported from Wadajir district in Banadir region. This is a 19% decrease in the number of new cases from week 23, and can be attributed to timely and effective intervention efforts over the past months.

A cumulative total of 53 015 cases including 795 deaths have been reported since the cholera outbreak started in January 2017.

The case-fatality rate of 1.5% remains above the emergency threshold of 1%.

Of the reported cases, 53% affected children under 5 years of age.

Most of the cases were reported in in Wadajir in Banadir region, Harfo in Mudug, Dusamareb in Galgadud and Markka in Lower Shebelle region.

The health cluster, led by WHO, is working collaboratively with the Ministry of Health, partners and health authorities to respond to the outbreak.

WHO trained 54 health workers in AWD/ cholera surveillance, case management, infection control and prevention.

Integrated Emergency Response Teams (IERTs) provided medical assistance to 1140 AWD/ cholera patients including 75 patients who received further care at cholera treatment facilities and hospitals in the South Central region.

More than 62 tonnes of emergency supplies and interagency diarrhoeal disease kits have been prepositioned in high-risk areas in all regions.

Lack of rains for consecutive seasons and poor rainfall in Somalia has led to a severe drought that has killed livestock and crops and displaced hundreds of thousands of Somalis, leaving around 6.7 out of 12.3 million people in urgent need of humanitarian assistance. Nearly 5.5 million people are at risk of contracting water-borne diseases like cholera.

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Keywords: WHO; Updates; Cholera; Somalia.

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Highly pathogenic #avian #influenza #H5N8, #Belgium [two captive #birds #outbreaks] (#OIE, Jun 27 ‘17)


Title: Highly pathogenic #avian #influenza #H5N8, #Belgium [two captive #birds #outbreaks].

Subject: Avian Influenza, H5N8 subtype, poultry and wild birds epizootics in Belgium.

Source: OIE, full page: (LINK).

Code: [     ]

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Highly pathogenic influenza A viruses (infection with) (non-poultry including wild birds) H5N8, Belgium

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Information received on 27/06/2017 from Dr Jean-François Heymans, Director, Animal Health and Safety of Products of Animal Origin, Federal Agency for the Safety of the Food Chain (FASFC), Bruxelles, Belgium

  • Summary
    • Report type    Follow-up report No. 4
    • Date of start of the event    22/05/2017
    • Date of confirmation of the event    01/06/2017
    • Report date    27/06/2017
    • Date submitted to OIE    27/06/2017
    • Reason for notification    Recurrence of a listed disease
    • Date of previous occurrence    28/03/2017
    • Manifestation of disease    Clinical disease
    • Causal agent    Virus de l'influenza A hautement pathogène
    • Serotype    H5N8
    • Nature of diagnosis    Clinical, Laboratory (advanced), Necropsy
    • This event pertains to    a defined zone within the country
  • Summary of outbreaks   
    • Total outbreaks: 2
      • Total animals affected: Species    - Susceptible    - Cases    - Deaths    - Killed and disposed of – Slaughtered
        • Birds    - 86    - 57    - 57    - 29    - 0
      • Outbreak statistics: Species    - Apparent morbidity rate    - Apparent mortality rate    - Apparent case fatality rate    - Proportion susceptible animals lost*
        • Birds    - 66.28%    - 66.28%    - 100.00%    - 100.00%
          • *Removed from the susceptible population through death, destruction and/or slaughter
  • Epidemiology
    • Source of the outbreak(s) or origin of infection   
      • Introduction of new live animals

(...)

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Keywords: OIE; Updates; Avian Influenza; H5N8 ; Poultry; Wild Birds; Belgium.

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