BREAKING UPDATE August 11, 2015 / 591 cases / 300 deaths from H7N9 . MERS CoV 1352 Cases, 479 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]

How many have survived and are out of the hospital?

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.

I don't know.

u tel me

I caught that, but why didn't it show up on real-time, if he already had lung infiltrates when they took the sample?

Nine people have left hospital so far.

Yes, the way people can be infected, ill, and still be negative is really messed-up. This has been reported in a few other instances. This is a stealth virus, which makes it even more frightening.

I don't know - either the test is inadequate or the viral load was not heavy enough to catch.

Because they were doing an upper throat swab, or blood tests, both have given false negatives! This sucks.

Thanks

stay safe in japan

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

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.

[link to www.taipeitimes.com]

according to this they have raised the incubation period from7 days to 10 days after this case

[link to translate.google.com]

[link to download.thelancet.com]

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.

[link to www.uq.edu.au]

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

Exactly. This is the very thing that worries me.

[link to www.forbes.com]

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

[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.

losing count ...right now

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.

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.

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.

Hey Vic-chick13, I beleive you are correct.

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

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