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BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths

 
Anonymous Coward
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04/28/2013 08:07 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
 Quoting: Anonymous Coward 39030915


"For lack of a solution, they advertised that no problem existed."
Does anyone here really believe they're above doing the same again?
 Quoting: Vic-chick13


That's the norm, and until there's something they can point to as a panacea, you can bet the lid will stay on this. They were pretty open, sending out gene sequences and information until they discovered that the anti-virals don't work. Whoops. Lid back on.
 Quoting: Crazy Harriet


stay safe in japan hf
Anonymous Coward
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04/28/2013 08:12 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
This is important:

During March 28 and April 9, 2013, the patient traveled to Suzhou. On April 9, he returned to Taiwan from Shanghai. According to the case, he had not been exposed to birds and poultry during his stay in Suzhou and had not consumed undercooked poultry or eggs. On April 12, he developed fever, sweating, and fatigue, but no respiratory or gastrointestinal symptoms. On April 16, he sought medical attention at a clinic when he developed high fever and was transferred to a hospital by the physician. He was then hospitalized in a single-patient room for further treatment. On April 16, he was administered Tamiflu. On April 18, his chest x-ray showed interstitial infiltrate in the right lower lung. On the night of April 19, his conditions worsened. On April 20, he was transferred to a medical center for further treatment. He was then intubated due to respiratory failure and placed in the negative-pressure isolation room in the intensive care unit. During his stay in the hospitals, two throat swab specimens were collected and both tested negative for avian influenza A (H7N9) virus by real-time RT-PCR. On April 22, the medical center collected a sputum specimen from the patient and the specimen was tested positive for influenza A. In the morning of April 24, avian influenza A (H7N9) virus was detected in the sputum specimen using real-time RT-PCR. In the later afternoon of April 24, the National Influenza Center in Taiwan confirmed the identification and completed the genome sequencing of the virus.

[link to www.cdc.gov.tw]
 Quoting: Anonymous Coward 35496356

it seems that until the patient is close to death the samples are not 100%
as I mentioned earlier this isa n intelligent virus thats why its so deadly

The reason I posted this excerpt is that this patient was admitted on April 16, but did not test positive for H7N9 until April 24.

There were almost 12 days from the time he felt bad enough to go to a doctor to when they dx H7N9. That is way too long, and makes me concerned that there could be alot more cases of H7N9 being misdiagnosed.
 Quoting: Anonymous Coward 35496356
Anonymous Coward
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04/28/2013 08:21 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
April 21 without benefit. Chest
radiography and sonography did not
reveal pneumothorax. He was put on
extracorporeal membrane oxygenation
on April 22. This patient’s sputum
specimen was subtyped as H7N9
with the protocol provided by WHO
April 21 without benefit. Chest
radiography and sonography did not
reveal pneumothorax. He was put on
extracorporeal membrane oxygenation
on April 22. This patient’s sputum
specimen was subtyped as H7N9
with the protocol provided by WHO
Collaborating Centre in Beijing. Very
high H7N9 viral loads (4·5-51·4x107
copies per mL) were found in the
two sputum specimens and one
throat-swab specimen (collected on
April 20 and April 22, respectively)
while the viral load was undetectable
in the blood specimens collected daily
between 20 and 23 April.
H7N9 might spread to other
areas beyond Shanghai, China. Due
to the rapidly progressing lower
respiratory tract infections in infected
individuals,1,2 extensive preventive
efforts are needed to prevent further
spreading of H7N9.
throat-swab specimen (collected on
April 20 and April 22, respectively)
while the viral load was undetectable
in the blood specimens collected daily
between 20 and 23 April.
H7N9 might spread to other
areas beyond Shanghai, China. Due
to the rapidly progressing lower
respiratory tract infections in infected
individuals,1,2 extensive preventive
efforts are needed to prevent further
spreading of H7N9.


the date the high level of viral high loads should this be considered the contagious period ???

high H7N9 viral loads (4·5-51·4x107
copies per mL) were found in the
two sputum specimens and one
throat-swab specimen (collected on
April 20 and April 22, respectively)
while the viral load was undetectable
in the blood specimens collected daily
Anonymous Coward
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04/28/2013 08:21 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
This is important:

During March 28 and April 9, 2013, the patient traveled to Suzhou. On April 9, he returned to Taiwan from Shanghai. According to the case, he had not been exposed to birds and poultry during his stay in Suzhou and had not consumed undercooked poultry or eggs. On April 12, he developed fever, sweating, and fatigue, but no respiratory or gastrointestinal symptoms. On April 16, he sought medical attention at a clinic when he developed high fever and was transferred to a hospital by the physician. He was then hospitalized in a single-patient room for further treatment. On April 16, he was administered Tamiflu. On April 18, his chest x-ray showed interstitial infiltrate in the right lower lung. On the night of April 19, his conditions worsened. On April 20, he was transferred to a medical center for further treatment. He was then intubated due to respiratory failure and placed in the negative-pressure isolation room in the intensive care unit. During his stay in the hospitals, two throat swab specimens were collected and both tested negative for avian influenza A (H7N9) virus by real-time RT-PCR. On April 22, the medical center collected a sputum specimen from the patient and the specimen was tested positive for influenza A. In the morning of April 24, avian influenza A (H7N9) virus was detected in the sputum specimen using real-time RT-PCR. In the later afternoon of April 24, the National Influenza Center in Taiwan confirmed the identification and completed the genome sequencing of the virus.

[link to www.cdc.gov.tw]
 Quoting: Anonymous Coward 35496356

it seems that until the patient is close to death the samples are not 100%
as I mentioned earlier this isa n intelligent virus thats why its so deadly

The reason I posted this excerpt is that this patient was admitted on April 16, but did not test positive for H7N9 until April 24.

There were almost 12 days from the time he felt bad enough to go to a doctor to when they dx H7N9. That is way too long, and makes me concerned that there could be alot more cases of H7N9 being misdiagnosed.
 Quoting: Anonymous Coward 35496356

 Quoting: Anonymous Coward 39030915


It seems that throat swabs don't always catch the virus, but sputum collected from deeper in the lungs does. Maybe that's why they are getting so many neg.results.
Anonymous Coward
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04/28/2013 08:26 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
[link to www.taipeitimes.com]

according to this they have raised the incubation period from7 days to 10 days after this case
Anonymous Coward
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04/28/2013 08:37 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
[link to translate.google.com]
Anonymous Coward
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04/28/2013 08:43 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
[link to download.thelancet.com]
Anonymous Coward
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04/28/2013 08:44 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
the date the high level of viral high loads should this be considered the contagious period ???

high H7N9 viral loads (4·5-51·4x107
copies per mL) were found in the
two sputum specimens and one
throat-swab specimen (collected on
April 20 and April 22, respectively)
while the viral load was undetectable
in the blood specimens collected daily
 Quoting: Anonymous Coward 39030915


With regular flu you can be contagious during the incubation period, even before you really have symptoms, so I would think the same is true here.

This is one reason people over the years have pushed for closing borders to countries where there is a pandemic outbreak or schools etc. when an outbreak is nearby, because if you wait until it's in your country, or in your schools wait until a certain percentage is sick (like they do now) it is too late. I mention schools because that is key means of community transmission.
Anonymous Coward
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04/28/2013 08:46 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
[link to www.uq.edu.au]
Anonymous Coward
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04/28/2013 08:52 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
With regular flu you can be contagious during the incubation period, even before you really have symptoms, so I would think the same is true here.

This is one reason people over the years have pushed for closing borders to countries where there is a pandemic outbreak or schools etc. when an outbreak is nearby, because if you wait until it's in your country, or in your schools wait until a certain percentage is sick (like they do now) it is too late. I mention schools because that is key means of community transmission.


They do not want business to suffer , or people to panic understandable .... but they are already saying this is worse than 1918 virus , that should be enough to start closing boarders ..
If i see positive moves to see the international spread of this virus I would e more inclined to relax , how ever the last minute closing the door after the horse has bolted is alarming
Anonymous Coward
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04/28/2013 08:56 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
If i see positive moves to see the international spread of this virus I would e more inclined to relax , how ever the last minute closing the door after the horse has bolted is alarming
 Quoting: Anonymous Coward 39030915


Exactly. This is the very thing that worries me.
Anonymous Coward
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04/28/2013 09:01 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
[link to www.forbes.com]
Anonymous Coward
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04/28/2013 09:05 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
If i see positive moves to see the international spread of this virus I would e more inclined to relax , how ever the last minute closing the door after the horse has bolted is alarming
 Quoting: Anonymous Coward 39030915


Exactly. This is the very thing that worries me.
 Quoting: Anonymous Coward 35496356


the only thing to do is get your self in the best position you can , fill up your tank ,a reserve and get prepared to hunker down when it hits , almost impossible as most people need to work ,
Though saying that ...hopefully they will ban gatherings as soon as it hits europe ,
Schools will close and probably most government offices,I think a lot of people do not realise how much this could impact there lives
Vic-chick13

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Canada
04/28/2013 09:07 PM

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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
[link to www.forbes.com]

Cases rise by five, four provinces report illness in one day.

*I think this includes the new cases posted earlier.
Anonymous Coward
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04/28/2013 09:11 PM
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[link to www.forbes.com]

Cases rise by five, four provinces report illness in one day.

*I think this includes the new cases posted earlier.
 Quoting: Vic-chick13


losing count ...right now
Anonymous Coward
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04/28/2013 09:18 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
If i see positive moves to see the international spread of this virus I would e more inclined to relax , how ever the last minute closing the door after the horse has bolted is alarming
 Quoting: Anonymous Coward 39030915


Exactly. This is the very thing that worries me.
 Quoting: Anonymous Coward 35496356


the only thing to do is get your self in the best position you can , fill up your tank ,a reserve and get prepared to hunker down when it hits , almost impossible as most people need to work ,
Though saying that ...hopefully they will ban gatherings as soon as it hits europe ,
Schools will close and probably most government offices,I think a lot of people do not realise how much this could impact there lives
 Quoting: Anonymous Coward 39030915


Yep, very true. We stocked masks/gloves/hand sanitizer for our employees years ago as a "just in case". I bet this isn't even on the radar for most employers.
Anonymous Coward
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04/28/2013 10:17 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
If i see positive moves to see the international spread of this virus I would e more inclined to relax , how ever the last minute closing the door after the horse has bolted is alarming
 Quoting: Anonymous Coward 39030915


Exactly. This is the very thing that worries me.
 Quoting: Anonymous Coward 35496356


the only thing to do is get your self in the best position you can , fill up your tank ,a reserve and get prepared to hunker down when it hits , almost impossible as most people need to work ,
Though saying that ...hopefully they will ban gatherings as soon as it hits europe ,
Schools will close and probably most government offices,I think a lot of people do not realise how much this could impact there lives
 Quoting: Anonymous Coward 39030915


Yep, very true. We stocked masks/gloves/hand sanitizer for our employees years ago as a "just in case". I bet this isn't even on the radar for most employers.
 Quoting: Anonymous Coward 35496356

Unless you pull your kids out of school, don't go to work, don't go shopping, stay home and live on supplies you already have, there is no way to avoid a pandemic flu outbreak, no way, you will be exposed sooner or later.
Anonymous Coward
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04/28/2013 10:21 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
If i see positive moves to see the international spread of this virus I would e more inclined to relax , how ever the last minute closing the door after the horse has bolted is alarming
 Quoting: Anonymous Coward 39030915


Exactly. This is the very thing that worries me.
 Quoting: Anonymous Coward 35496356


the only thing to do is get your self in the best position you can , fill up your tank ,a reserve and get prepared to hunker down when it hits , almost impossible as most people need to work ,
Though saying that ...hopefully they will ban gatherings as soon as it hits europe ,
Schools will close and probably most government offices,I think a lot of people do not realise how much this could impact there lives
 Quoting: Anonymous Coward 39030915


If it goes human to human it will travel everywhere planes do- Europe and the US will get it at the same time.
Sorry to be so negative, but they don't call it pandemic for nothing.
Anonymous Coward
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04/28/2013 10:27 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
[link to www.forbes.com]

Cases rise by five, four provinces report illness in one day.

*I think this includes the new cases posted earlier.
 Quoting: Vic-chick13


Hey Vic-chick13, I beleive you are correct.

What a well done thread you have all made today! Thanks everyone, goodnight.applause2
Vic-chick13

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Canada
04/28/2013 10:51 PM

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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
[link to www.forbes.com]

Cases rise by five, four provinces report illness in one day.

*I think this includes the new cases posted earlier.
 Quoting: Vic-chick13


Hey Vic-chick13, I beleive you are correct.

What a well done thread you have all made today! Thanks everyone, goodnight.applause2
 Quoting: SpiderJones


Hey Spider, don't forget to include yourself in there! hf
talkstory

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04/28/2013 11:44 PM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
Yes, great thread, but don't forget to get your MMS along with your other supplies.

It can also be used as a water purifier, so serves a dual purpose. Two for the price of one. lol ts
talkstory
Vic-chick13

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04/28/2013 11:57 PM

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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
Yes, great thread, but don't forget to get your MMS along with your other supplies.

It can also be used as a water purifier, so serves a dual purpose. Two for the price of one. lol ts
 Quoting: talkstory


Thanks Talkstory! I've only done a small amount of investigation on mms so far, but it does seem a worthwhile addition to my preps.
Anonymous Coward
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04/29/2013 12:22 AM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
And now for the really scary statistics, that will strike fear into the heart of the bravest of us.

Falling out of bed kills 450 people annually in the U.S

Dogs kill 34 people per year in the U.S.

Ants kill 30 people per year

Icicles kill 100 people per year in Russia

Approximately 150 people are killed each year by coconuts

Every year lightning kills 1000 people.

Pen caps cause 100 deaths a year. These deaths occur when people play with pen caps in their mouths and the cap slips in too far, creating a choking hazard.

In 2008, more than 36,000 people died from drug overdoses, and most of these deaths were caused by prescription drugs

Seasonal Influenza and Pneumonia kill 50,097 people a year in the USA alone.


And folks if you really want a reason to be afraid or panic, then its cancer. I won't even tell you the figure, you dont want to know, and i dont wish to cause panic.
 Quoting: Anonymous Coward 38443210


What about cars? The number I've heard is 36,000 annually.

That's a whale of a lot more than flu, terrorism, hurricanes, and tornados combined.
Vic-chick13

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04/29/2013 12:29 AM

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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
And now for the really scary statistics, that will strike fear into the heart of the bravest of us.

Falling out of bed kills 450 people annually in the U.S

Dogs kill 34 people per year in the U.S.

Ants kill 30 people per year

Icicles kill 100 people per year in Russia

Approximately 150 people are killed each year by coconuts

Every year lightning kills 1000 people.

Pen caps cause 100 deaths a year. These deaths occur when people play with pen caps in their mouths and the cap slips in too far, creating a choking hazard.

In 2008, more than 36,000 people died from drug overdoses, and most of these deaths were caused by prescription drugs

Seasonal Influenza and Pneumonia kill 50,097 people a year in the USA alone.


And folks if you really want a reason to be afraid or panic, then its cancer. I won't even tell you the figure, you dont want to know, and i dont wish to cause panic.
 Quoting: Anonymous Coward 38443210


What about cars? The number I've heard is 36,000 annually.

That's a whale of a lot more than flu, terrorism, hurricanes, and tornados combined.
 Quoting: Anonymous Coward 6493463


If cars killed 20% of the people who drove them, they'd be baned!
talkstory

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04/29/2013 01:42 AM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
Yes, great thread, but don't forget to get your MMS along with your other supplies.

It can also be used as a water purifier, so serves a dual purpose. Two for the price of one. lol ts
 Quoting: talkstory


Thanks Talkstory! I've only done a small amount of investigation on mms so far, but it does seem a worthwhile addition to my preps.
 Quoting: Vic-chick13

Yes, if for nothing else its great for purifying water without the harmful side effects of Chlorine. Which can create carcinogens in the water its purifying due to its interactions with the agents its killing. Sodium chorite (mmS) does not have this side effect and is a better water purifying agents. Many camping stores sell it for back packing water purification in a tablet form. It is expensive that way. Check ebay, I got some for $13 a bottle and have used it for over a year. Although not purifying large quantities of water with it. But just a few drops (2 or 3) with a few drops of citric acid (50% by volume) will purify a quart of water in about five minutes
talkstory
prodlikegod

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04/29/2013 04:12 AM

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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
Chinese health officials say the 4-year-old son of a man infected with a new strain of bird flu has also caught the virus.
Shandong province's
[link to www.etaiwannews.com]
prodlikegod

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04/29/2013 04:16 AM

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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
Hundreds of pigs and dozens of dogs died overnight in central China's Henan Province, apparently victims of a chemical gas leak from an under-fire factory after local authorities excluded the possibility of H7N9 infection, local media reported.

A total of 238 pigs and 89 dogs have been confirmed dead after local villagers found the carcasses and reported the deaths on Monday morning, a government official in Shanhua Town in Yanshi City said.
[link to www.whatsonxiamen.com]
Everything's dropping dead very worrying
Luisport

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04/29/2013 04:57 AM

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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
nhua News Agency‏@XHNews6 h
More H7N9 cases reported in China
[link to xhne.ws]
Anonymous Coward
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04/29/2013 05:04 AM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
If i see positive moves to see the international spread of this virus I would e more inclined to relax , how ever the last minute closing the door after the horse has bolted is alarming
 Quoting: Anonymous Coward 39030915


Exactly. This is the very thing that worries me.
 Quoting: Anonymous Coward 35496356


the only thing to do is get your self in the best position you can , fill up your tank ,a reserve and get prepared to hunker down when it hits , almost impossible as most people need to work ,
Though saying that ...hopefully they will ban gatherings as soon as it hits europe ,
Schools will close and probably most government offices,I think a lot of people do not realise how much this could impact there lives
 Quoting: Anonymous Coward 39030915


Yep, very true. We stocked masks/gloves/hand sanitizer for our employees years ago as a "just in case". I bet this isn't even on the radar for most employers.
 Quoting: Anonymous Coward 35496356

Its great to see an employer who cares enough for there workers to think aead like this ....well done
Anonymous Coward
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04/29/2013 05:08 AM
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Re: BREAKING UPDATE April 21st, 2014 / 421st case / 145 deaths from H7N9 . MERS CoV 228 Cases, 92 deaths
...


Exactly. This is the very thing that worries me.
 Quoting: Anonymous Coward 35496356


the only thing to do is get your self in the best position you can , fill up your tank ,a reserve and get prepared to hunker down when it hits , almost impossible as most people need to work ,
Though saying that ...hopefully they will ban gatherings as soon as it hits europe ,
Schools will close and probably most government offices,I think a lot of people do not realise how much this could impact there lives
 Quoting: Anonymous Coward 39030915


Yep, very true. We stocked masks/gloves/hand sanitizer for our employees years ago as a "just in case". I bet this isn't even on the radar for most employers.
 Quoting: Anonymous Coward 35496356

Unless you pull your kids out of school, don't go to work, don't go shopping, stay home and live on supplies you already have, there is no way to avoid a pandemic flu outbreak, no way, you will be exposed sooner or later.
 Quoting: SpiderJones


Thank fully my children have been out of school for some time now ,
as we tend to relocate quite ofton

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