Friday, January 31, 2014

#H7N9 Zhejiang Family of 3 Cluster

According the the ProMed article posted directly before this, and the posts at Flutrackers:  http://www.flutrackers.com/forum/showthread.php?t=217682
there is a 3 family confirmed cluster.  Index case is the Father, followed by the Daughter and then the Mother.  Because I cannot find specific information confirming the death of the 49 yo index case, I have registered him as approximately 1/27/14.

A 49-old-man in Hangzhou City was confirmed on January 20 to have been infected with the virus. His wife and daughter who accompanied him to the hospital, were later confirmed to also have flu, according to the provincial health and family planning commission. The man has since died, his daughter is in a serious condition and his wife is comfortable.
http://www.chinadaily.com.cn/china/2014-01/30/content_17265525.htm 
From the Zhejiang Health Department Website:
2014-01-29 January of this year, I appointed people infected announced confirmed cases of H7N9 avian influenza, there is Hangzhou Xiaoshan District, a family clusters of cases occur, three people sick. Before the onset of three patients in the presence of a common environmental exposure, there are close contacts, the exact cause of the infection, the national and provincial experts are studying, one has the final official results announced immediately to the public.
http://wst.zj.gov.cn/art/2014/1/29/art_362_407436.html 

These are the cases - from my list:

Zhejiang – Contact Case
Date of Report:  1/21/14
Name:  49(M) Yu, Farmer
From:  Xiaoshan District, Hangzhou
Onset:  1/13
Adm:  1/17 Hangzhou, Serious
Adm:  1/19 transferred
Confirmed:  1/20
Note:  Exposure to poultry
Confirmed contacts:  Daughter & Wife
Daughter:
Date of Report:  1/24/14
Name:  23(F) Yu
Wife is:
Date of Report:  1/28/14
Name:  43(F) Wang, Farmer 
DOD:  Approx 1/27 




Zhejiang – Contact Case
Date of Report:  1/24/14
Name:  23(F) Yu- Daughter of Confirmed
From:  Xiaoshan District, Hangzhou
Onset:  1/20
Adm:   1/22 Hangzhou, Severe
Confirmed:  1/23
Note:  Exposure to live poultry market.
3 Family Cluster:
Father is: Date of Report:  1/21/14
Name:  49(M) Yu, Farmer
Mother is: 
Date of Report:  1/28/14
Name:  43(F) Wang, Farmer



Zhejiang – Contact Case
Date of Report:  1/28/14
Name:  43(F) Wang, Farmer – Husband & Daughter Confirmed
From:  Xiaoshan District, Hangzhou
Adm:  Hangzhou, mild
Confirmed:  1/27
Note:  A 3 family Cluster:
Husband: Date of Report:  1/21/14
Name:  49(M) Yu, Farmer
Daughter: Date of Report:  1/24/14
Name:  23(F) Yu-

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