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WHO On Guangzhou H7N9 Nosocomial Cluster
@WHO on Guangdong HFPC on Nosocomial #H7N9 #birdflu in
Panyu Guangzhou? 79M 78M 81M #H5N1 #H10N8 #H6N1 #H9N2 #flu 79M fluboard.rhizalabs.com/forum/viewtopi… - 20 Feb
@hniman Please see Disease Outbreak News: goo.gl/3Vxmte
09:33 AM - 20 Feb 14
Six of the nine cases are male. The age range is 4 to 84 years. Cases were reported from Anhui (2), Guangdong (5), Hunan (1), and Jiangsu (1). 2 cases are in a critical condition, 3 cases are in a severe condition and the condition of 3 cases are unknown at this point in time. Three cases are reported to have had a history of exposure to live poultry. Investigations are ongoing.
Details of the cases notified on 14 February are as follows:
A 78 year-old man from Guangzhou City, Guangdong Province, who became ill on 7 February and was admitted to hospital the same day. He died on 14 February.
Details of the cases notified on 15 February are as follows:
A 79 year-old farmer from Guangzhou City, Guangdong Province, who became ill on 4 February and was admitted to hospital the same day. He is currently in a critical condition.
The above tweets (in red) and the latest WHO H7N9 bird flu update (February 18 in blue) raise concerns of a nosocomial cluster in Panyu, Guangzhou (see map). The two cases (78M and 79M) were hospitalized on day zero, raising concerns that they were already hospitalized or under long term care when they developed flu-like symptom. In spite of hospitalization on day zero, one patient has already died, while the other is in critical condition.
On February 20 the Guangdong Health and Family Planning Committee announced a third Panyu case who was also elderly (81M) and had a history of chronic disease. The growing cluster from Panyu raises concerns that these cases are linked and represent an institutional outbreak.
More detail on these cases would be useful.