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                                                                                                                                            ECDC Portal > English > Media Centre > News




Epidemiological update of 10 April: novel influenza A virus A(H7N9) in
China
10 Apr 2013

On 31 March 2013, the Chinese health authorities announced that they identified a novel influenza A(H7N9) virus in three           ECDC
seriously ill patients.
As of 9 April 2013, 26 human cases of infection with influenza A(H7N9) virus have been reported in four provinces of China:
Shanghai (13), Jiangsu (8), Zhejiang (3) and Anhui (2). Of these patients, 8 people have died, 15 are severe cases and 3 are mild
cases. No epidemiological link has been identified among cases.
The source of these infections and the mode of transmission are yet to be determined. This is the first time that human infection
with influenza A(H7N9) virus has been identified.
No vaccine is currently available for this subtype of the influenza virus. Preliminary test results suggest that the virus is susceptible
to the neuraminidase inhibitors (oseltamivir and zanamivir).
At this time, there is no evidence of on-going human-to-human transmission. More sporadic cases are expected to be reported.
The risk of disease spread to Europe is considered low, although individual cases coming from China cannot be ruled out.
ECDC is working closely with WHO and the European Commission and will continue to monitor the situation.
ECDC agrees with the position of WHO and other Centres for Disease Control (the United States and Chinese CDC) that there is no
need to change travel plans for persons going to or coming from China because of the recent appearance of a novel avian

However, ECDC is repeating its standing advice to European citizens living in or visiting China that because of the presence of the
novel influenza viruses, other avian influenza and zoonotic infections in live bird and animal markets (so called wet markets ) in
China and other countries in Asia should avoid visiting these markets. Direct contact with bird and animal faeces, untreated bird
feathers and other animal and bird waste should also be avoided. In addition, basic rules of hand hygiene should be followed
including regular hand-washing and use of alcohol-based hand rubs. This is the same advice ECDC has had in place since 2006.
This epidemiological update does not change the conclusions and recommendations of ECDC s Rapid Risk Assessment of 2 April
2013.
Figure 1: Distribution of influenza A(H7N9) cases by date of onset of symptoms, age, gender, status and province
in China, as of 9 April 2013 (n=26).

Date of
                                Age            Sex          Status              Severity                  Province
onset

  19/02/2013                        87         M            dead                severe                    Shanghai

  27/02/2013                        27         M            dead                severe                    Shanghai

  07/03/2013                        38         M            dead                severe                    Zhejiang

  15/03/2013                        35         F            alive               severe                    Anhui

  19/03/2013                        45         F            alive               severe                    Jiangsu

  19/03/2013                        48         F            alive               severe                    Jiangsu

  20/03/2013                        83         M            dead                severe                    Jiangsu

  20/03/2013                        61         F            alive               severe                    Jiangsu

  21/03/2013                        32         F            alive               severe                    Jiangsu

  21/03/2013                        79         M            alive               severe                    Jiangsu

  22/03/2013                        67         F            alive               severe                    Shanghai

  25/03/2013                        67         M            alive               severe                    Zhejiang

  25/03/2013                        59         M            alive               severe                    Shanghai

  27/03/2013                        52         F            dead                severe                    Shanghai

  28/03/2013                        48         M            dead                severe                    Shanghai

  28/03/2013                        74         M            alive               severe                    Shanghai

  28/03/2013                        55         M            alive               severe                    Anhui

  28/03/2013                        85         M            alive               severe                    Jiangsu

  29/03/2013                        64         M            dead                severe                    Zhejiang

  29/03/2013                        66         M            alive               mild                      Shanghai

  29/03/2013                        67         M            alive               mild                      Shanghai

  30/03/2013                        25         F            alive               severe                    Jiangsu

  31/03/2013                          4        M            alive               mild                      Shanghai

  01/04/2013                        64         M            dead                severe                    Shanghai
01/04/2013                  62        M          alive           severe                 Shanghai

 01/04/2013                  77        M          alive           severe                 Shanghai


Figure 2: Distribution of influenza A(H7N9) cases in China by week of onset of symptoms, as of 9 April 2013 (n=26).




February to 9 April 2013.




Read more:

         ECDC Rapid Risk Assessment Severe respiratory disease associated with a novel influenza A
      virus, A(H7N9) China, 2 April 2013
      Epidemiological update 9 April 2013: Novel influenza A virus A(H7N9) in China
      Epidemiological update 5 April 2013: Seven new confirmed cases of novel influenza A virus, A
      (H7N9) in China
      Epidemiological update 3 April 2013: Six new confirmed cases of novel influenza A virus, A
      (H7N9) in China
External links:

       WHO: question and answers on human infection with influenza A(H7N9) virus, China (updated
       5 April 2013)
       Chinese Center for Disease Control and Prevention: question and answers about human
       infection with A(H7N9) avian influenza virus (published 31 March 2013)



               Share

   European Center for Disease Prevention and Control (ECDC) 2005-2013
http://www.ecdc.europa.eu

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Update H7N9 AI outbreak in China, ECDC, April 10, 2013

  • 1. http://www.ecdc.europa.eu/en/press/news ECDC Portal > English > Media Centre > News Epidemiological update of 10 April: novel influenza A virus A(H7N9) in China 10 Apr 2013 On 31 March 2013, the Chinese health authorities announced that they identified a novel influenza A(H7N9) virus in three ECDC seriously ill patients. As of 9 April 2013, 26 human cases of infection with influenza A(H7N9) virus have been reported in four provinces of China: Shanghai (13), Jiangsu (8), Zhejiang (3) and Anhui (2). Of these patients, 8 people have died, 15 are severe cases and 3 are mild cases. No epidemiological link has been identified among cases. The source of these infections and the mode of transmission are yet to be determined. This is the first time that human infection with influenza A(H7N9) virus has been identified. No vaccine is currently available for this subtype of the influenza virus. Preliminary test results suggest that the virus is susceptible to the neuraminidase inhibitors (oseltamivir and zanamivir). At this time, there is no evidence of on-going human-to-human transmission. More sporadic cases are expected to be reported. The risk of disease spread to Europe is considered low, although individual cases coming from China cannot be ruled out. ECDC is working closely with WHO and the European Commission and will continue to monitor the situation. ECDC agrees with the position of WHO and other Centres for Disease Control (the United States and Chinese CDC) that there is no need to change travel plans for persons going to or coming from China because of the recent appearance of a novel avian However, ECDC is repeating its standing advice to European citizens living in or visiting China that because of the presence of the novel influenza viruses, other avian influenza and zoonotic infections in live bird and animal markets (so called wet markets ) in China and other countries in Asia should avoid visiting these markets. Direct contact with bird and animal faeces, untreated bird feathers and other animal and bird waste should also be avoided. In addition, basic rules of hand hygiene should be followed including regular hand-washing and use of alcohol-based hand rubs. This is the same advice ECDC has had in place since 2006. This epidemiological update does not change the conclusions and recommendations of ECDC s Rapid Risk Assessment of 2 April 2013. Figure 1: Distribution of influenza A(H7N9) cases by date of onset of symptoms, age, gender, status and province in China, as of 9 April 2013 (n=26). Date of Age Sex Status Severity Province onset 19/02/2013 87 M dead severe Shanghai 27/02/2013 27 M dead severe Shanghai 07/03/2013 38 M dead severe Zhejiang 15/03/2013 35 F alive severe Anhui 19/03/2013 45 F alive severe Jiangsu 19/03/2013 48 F alive severe Jiangsu 20/03/2013 83 M dead severe Jiangsu 20/03/2013 61 F alive severe Jiangsu 21/03/2013 32 F alive severe Jiangsu 21/03/2013 79 M alive severe Jiangsu 22/03/2013 67 F alive severe Shanghai 25/03/2013 67 M alive severe Zhejiang 25/03/2013 59 M alive severe Shanghai 27/03/2013 52 F dead severe Shanghai 28/03/2013 48 M dead severe Shanghai 28/03/2013 74 M alive severe Shanghai 28/03/2013 55 M alive severe Anhui 28/03/2013 85 M alive severe Jiangsu 29/03/2013 64 M dead severe Zhejiang 29/03/2013 66 M alive mild Shanghai 29/03/2013 67 M alive mild Shanghai 30/03/2013 25 F alive severe Jiangsu 31/03/2013 4 M alive mild Shanghai 01/04/2013 64 M dead severe Shanghai
  • 2. 01/04/2013 62 M alive severe Shanghai 01/04/2013 77 M alive severe Shanghai Figure 2: Distribution of influenza A(H7N9) cases in China by week of onset of symptoms, as of 9 April 2013 (n=26). February to 9 April 2013. Read more: ECDC Rapid Risk Assessment Severe respiratory disease associated with a novel influenza A virus, A(H7N9) China, 2 April 2013 Epidemiological update 9 April 2013: Novel influenza A virus A(H7N9) in China Epidemiological update 5 April 2013: Seven new confirmed cases of novel influenza A virus, A (H7N9) in China Epidemiological update 3 April 2013: Six new confirmed cases of novel influenza A virus, A (H7N9) in China
  • 3. External links: WHO: question and answers on human infection with influenza A(H7N9) virus, China (updated 5 April 2013) Chinese Center for Disease Control and Prevention: question and answers about human infection with A(H7N9) avian influenza virus (published 31 March 2013) Share European Center for Disease Prevention and Control (ECDC) 2005-2013 http://www.ecdc.europa.eu