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H7N9 Spreads Southwest To Wugang Hunan
Recombinomics Commentary 13:15
May 1, 2013

the patient Zhao, male, aged 69, the Shaoyang City Wugang people, farming. Patients no obvious incentive on the afternoon of April 23, chills, fever, cough, Wugang City, a village health treatment in April 24 -26, 2011, the body temperature of 39 ° C -39.5 ° C. Treatment in Wugang City People's Hospital on April 27, temperature 41 ° C, "lobar pneumonia" admitted Wugang City People's Hospital. 29 April sicker patients, of Wugang City People's Hospital "unexplained pneumonia Wugang CDC report.

Wugang City CDC immediately carry out epidemiological investigations, and samples were collected swabs, serum specimens were sent to the Shaoyang City CDC detected. At 12 o'clock on the April 30, Shaoyang City CDC test results for people infected with the H7N9 avian influenza virus nucleic acid positive.

The above translation describes the latest confirmed H7N9 bird flu case (69M).  The Hunan case is the furthest west (see map) and signals a marked slowdown in reported cases.  In recent days virtually all confirmed cases have been outside of the Shanghai metropolitan are (Shandong, Fujian, and Hunan Provinces (see map).

The cause of reduction in reported cases is unclear.  Some agencies may have shifted from daily to weekly reporting, although Shanghai announces an absence of new cases on a daily basis.

Rumors have cited full hospitals in Jiangsu, which would raise concerns that the slowdown is linked to limited testing and/or reporting. 

More information on the status of confirmed or suspect H7N9 cases in Jiangsu would be useful.

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