Shanghai: emergency room doctor among 2 new fatal cases of H7N9 bird flu in city

[tetano]

Shanghai's Pudong New District People's Hospital official micro-blog today's news


The Web, January 20 (Xinhua) The right) the shanghai municipal health and family-planning committee on 20 january, Shanghai City report new 2 human infection with H N 7 9 bird flu case, all on 18 january, death One of the man-made Shanghai Pudong New District People's Hospital 31 year-old surgeon, a politician.


It has been reported that a patient X, male, 31 years old, the city of Shanghai Household Registration, and medical personnel. patient is on January 18 at 4 PM, the rescue is invalid. On 19 January, the patient sample laboratory test results for 7 H N 9 avian influenza virus nucleic acid positive, the city-level Clinical Expert Group cases based on the clinical manifestations, Laboratory test results and epidemiological investigations, the judgment the Case Known Infection H N 7 9 bird flu case. Patient Wu X, male, 77 years old, the city of Shanghai households. farmers. Patient has been on 1, 18, 0, left and right, the rescue is invalid. On 19 January, the patient sample laboratory test results for 7 H N 9 avian influenza virus nucleic acid positive, the city-level Clinical Expert Group cases based on the clinical manifestations, Laboratory test results and epidemiological investigations, the judgment the Case Known Infection H N 7 9 bird flu case. It has been reported that Shanghai since the beginning of this year, the 7 people are infected with H N 7 9 bird flu case, are sporadic cases. All the cases of people who have close contacts with, and have been implemented health observation measures, there are no exception. In accordance with state regulations, from November 1, 2013 Shanghai City The People Infected H N 7 9 avian influenza in Category B infectious disease management.

http://society.people.com.cn/n/2014/0120/c1008-24171781.html

[tetano]

Re: Shanghai 2 men died from H7N9 avian flu - a 31-year-old surgeon

Shanghai a surgical infection H7N9 Bird Flu Death

The Shanghai a surgical infection H N 7 9 avian flu as soon as possible his death on 20 January, the Shanghai Pudong New District People's Hospital official micro-blog post messages. The Surgical Zhang Xiaodong doctors have been confirmed as infected H N 7 9 bird flu case. 1, 17 AM, Zhang Xiaodong suddenly feel their own chest, air short, The



begin mainContent
China's exclusive report (Shanghai New 2 case where people are infected with H N 7 9 died of the avian flu cases, one of the cases of medical personnel. Shanghai Municipal Health Commission report of 20, the Shanghai New 2 case where people are infected with H N 7 9 died of the avian flu cases, one of the cases to the medical staff. shanghai city since the beginning of this year, the 7 people are infected with H N 7 9 bird flu case, are sporadic cases. All the cases of close contacts have been implemented health observation measures, there are no exception. January 20, Shanghai Pudong New District People's Hospital official micro-blog post a message to the hospital surgery Zhang Xiaodong doctors have been confirmed as infected H N 7 9 bird flu case. 1, 17 AM, Zhang Xiaodong suddenly feel their own chest, air, the casualty rescue. On November 18, at around 4am, was only 32 years old, Zhang Xiaodong of acute pneumonia rescue died. shanghai municipal health and family-planning committee on 20 january, Shanghai City report new 2 people are infected with H N 7 9 bird flu case. A patient, Zhang X, male, 31 years old, the city of Shanghai, medical personnel. patient is on January 18 at 4 PM, the rescue is invalid. On 19 January, the patient sample laboratory test results for 7 H N 9 avian influenza virus nucleic acid positive, the city-level Clinical Expert Group cases based on the clinical manifestations, Laboratory test results and epidemiological investigations, the judgment the Case Known Infection H N 7 9 bird flu case. Patient 2, Wu X, male, 77 years old, the city of Shanghai Household, a farmer. Patient has been on 1, 18, 0, left and right, the rescue is invalid. On 19 January, the patient sample laboratory test results for 7 H N 9 avian influenza virus nucleic acid positive, the city-level Clinical Expert Group cases based on the clinical manifestations, Laboratory test results and epidemiological investigations, the judgment the Case Known Infection H N 7 9 bird flu case. The city since the beginning of this year, the 7 people are infected with H N 7 9 bird flu case, are sporadic cases. All the cases of people who have close contacts with, and have been implemented health observation measures, there are no exception. In accordance with state regulations, from November 1, 2013 start the city already has the infection H N 7 9 avian influenza in Category B infectious disease management.

http://news.ifeng.com/mainland/special/h7n9/content-3/detail_2014_01/20/33175577_0.shtml

[tetano]

Re: Shanghai 2 men died from H7N9 avian flu - a 31-year-old surgeon

Emergency room doctor among 2 new fatal cases of H7N9 bird flu in city

The 31-year-old emergency room doctor who died of pneumonia and respiratory failure on Saturday morning was confirmed as having been infected with the H7N9 bird flu virus.

Shanghai Health and Family Planning Commission today reported two new, fatal cases of H7N9 infection, including the doctor surnamed Zhang who worked at the Pudong New Area People's Hospital.

It was not announced whether these are the first two deaths from H7N9 flu this season. There have been seven cases reported in the city this year, including the two most recent cases.

http://www.shanghaidaily.com/Metro/health-and-science/Emergency-room-doctor-among-2-new-fatal-cases-of-H7N9-bird-flu-in-city/shdaily.shtml

[Biological]

Re: Shanghai 2 men died from H7N9 avian flu - a 31-year-old surgeon

Shanghai Health and Family Planning Commission,

Shanghai 2 new confirmed cases of human infection with H7N9 avian influenza

Shanghai Health and Family Planning Commission January 20 briefing, Shanghai reported new confirmed cases of H7N9 avian flu two cases of human infection.

　　Patients First, Moumou, male, 31 years old, Shanghai household registration, medical personnel. Patients were around at 4:00 on January 18, after she died. January 19, samples of laboratory test results for patients with H7N9 avian influenza virus nucleic acid positive clinical expert by the municipal cases based on clinical manifestations, laboratory test results and epidemiological investigation, the overall judgment of the people infected with H7N9 avian case confirmed cases of influenza.

　　Two patients, Wu Moumou, male, 77 years old, Shanghai household registration, farmers. Patients were around at 0:00 on January 18, after she died. January 19, samples of laboratory test results for patients with H7N9 avian influenza virus nucleic acid positive clinical expert by the municipal cases based on clinical manifestations, laboratory test results and epidemiological investigation, the overall judgment of the people infected with H7N9 avian case confirmed cases of influenza.

　　Since July this year, the city reported a total of confirmed cases of human infection with H7N9 avian influenza, are sporadic cases. Close contacts of all cases, have been observed to implement health measures, the current situation is no exception.

　　According to state regulations, from November 1, 2013 the city began infected with H7N9 avian influenza has been incorporated into human B infectious management.

http://www.smhb.gov.cn/wsj/n422/n424/u1ai132448.html

[Shiloh]

Re: Shanghai: emergency room doctor among 2 new fatal cases of H7N9 bird flu in city

Source: http://www.businessweek.com/news/201...-flu-infection

hanghai Says Medical Worker Dies From H7N9 Bird Flu Infection
By Natasha Khan January 20, 2014

...The 31-year-old man died on Jan. 18, according to a statement on the Shanghai Municipal Commission of Health and Family Planning website today. The city has reported 7 cases of H7N9 infections this year, the statement said...


...?It?s always a concern when health workers die,? said Gregory Hartl, a spokesman for the World Health Organization in Geneva. ?Hospitals and other medical facilities are a flash point for human-to-human transmission. We would be very much wanting to follow up in as much detail as possible on this case.?...

...?We need more evidence before increasing our level of concern,? said Ben Cowling, an associate professor of infectious disease epidemiology at the University of Hong Kong?s school of public health on the Shanghai medical worker?s death. ?We know that there?s always potential risk for health-care workers treating cases of H7N9 to be infected, so it?s not unexpected...?

...

[Pathfinder]

Re: Shanghai: emergency room doctor among 2 new fatal cases of H7N9 bird flu in city

(Now confirmed)

Doctor suspected to have died from H7N9

By Cai Wenjun | January 20, 2014, Monday | PRINT EDITION

A 31-YEAR-OLD emergency doctor who died of pneumonia and respiratory failure on Saturday morning is suspected of having had H7N9 bird flu virus.
...
The doctor, who was not named, worked at the Pudong New Area People?s Hospital. He was said to have had a fever for a week but continued working.

His condition deteriorated on Friday after a shift and he was admitted to intensive care and placed on a respirator.

But the young doctor, whose wife is pregnant, died shortly after 4:20am on Saturday.

Dr Lu Hongzhou, director of the city?s expert group for H7N9 diagnosis and treatment, told Shanghai Daily that he took part in a group diagnosis of the case on Friday.

?I received a phone call for a group consultation during the afternoon. The patient?s condition had developed very quickly and I gave guidance on the treatment,? Lu said.
...
Lu said the doctor had no history of contact with live poultry.
...

http://www.shanghaidaily.com/metro/Doctor-suspected-to-have-died-from-H7N9/shdaily.shtml

[Giuseppe]

Re: Shanghai: emergency room doctor among 2 new fatal cases of H7N9 bird flu in city

[Source: Ifeng, full page in Chinese: (LINK). Automatic translation.]


Shanghai, a young doctor died after contracting H7N9 bird flu virus


(?)

Unwilling to leave for fear of drag colleague

[After having experienced] Continuous fever two days still sits Emergency Surgery, January 17 morning, the Shanghai Pudong New Area People's Hospital, [the young doctor] suddenly felt chest tightness, shortness of breath, he was wheeled into the emergency room rescue, and subsequently transferred to the intensive care unit. On the 18th at 4 pm, the 31 years old man died due to severe pneumonia.

He graduated from Shanghai Jiaotong University School of Medicine, graduate, 4 months ago transferred to the hospital from ? hospital work.

Currently, his wife has been pregnant seven months.

In early January of this year, he had rotation to the emergency surgical work. A colleague said, emergency surgery is one of the most tired emergency department department, there was a colleague, a night made even five appendectomy surgery, tired from work, then do not say when.

Assistant People's Hospital of Pudong Sheng Chang Description: After the illness, he found colleagues opened the medicine, and then continue to work. But because there is no better, he lost in the second day of fever solution, adhere to work after the end of the infusion. 17 am, He rushed to hospital from home, and soon sent him to the hospital intensive care unit.

Because critical condition, Professor Lu Hongzhou Shanghai Pulmonary Professor Liu Jingmin, Shanghai Public Health Clinical Center and deputy director of the center, director of infection has arrived ward consultation, command and rescue, hospitals use the best drugs, but the early morning of January 18, the tragic death.

A colleague of the doctor said, he quickly deteriorated discovered too late.

"If the average person, the beginning can only prescribe medication, infusion, treatment for his illness wass timely, but the average person might carry over, because you do not ?to work, at least you can rest."

Why not leave it? According to reports, because of inadequate staffing in departments, emergency surgery on a few people, a man leave, others may have value 24 hours of classes or even longer. Therefore, nobody wants that dragged colleagues.

(?)


-
-----

[Shiloh]

Re: Shanghai: emergency room doctor among 2 new fatal cases of H7N9 bird flu in city

Source: http://www.scmp.com/news/china/artic...-h7n9-bird-flu


Shanghai doctor, 31, becomes first medical professional to die from H7N9 bird flu virus
Death raises fears of possible person-to-person transmission as source of virus not yet found
PUBLISHED : Tuesday, 21 January, 2014, 4:51am
UPDATED : Tuesday, 21 January, 2014, 4:51am


...Zhang Xiaodong, 31-year-old thoracic surgeon at the Shanghai Pudong New Area People's Hospital, died on Saturday morning, said a hospital official who declined to be identified. There was no evidence so far that he had been in contact with live poultry recently.

"Health authorities and the hospital are still trying to find the source of infection," the official said. "It could be a serious problem if no evidence is found that he had contact with live poultry."

Zhang, however, could have treated patients with pneumonia, a symptom of H7N9 infection, the official admitted...

..."If the diagnosis is confirmed and no [bird] exposure history is elicited, this does point slightly more to the possibility that H7N9 may be more transmissible between humans than H5N1," said Yuen Kwok-yung, a University of Hong Kong microbiologist.

Yuen said limited first-generation transmission from person to person was known for the H7N9 strain when it was first reported in Shanghai in March...

[Pathfinder]

Re: Shanghai: emergency room doctor among 2 new fatal cases of H7N9 bird flu in city

Translation Google

Shanghai doctors infected with bird flu died in a hospital: nonhuman successor due

2014年01月20日12:50

Reporter interviewed rescue expert consultation

Turn severe pneumonia with fever two days, 24 hours rescue invalid, the hospital said is not human to human transmission
　　
"Pudong People's Hospital Dr. Zhang Xiaodong died of severe pneumonia, diagnosed with avian influenza H7N9, he was 31 years old, Jiaotong University School of Medicine, 01 4 Taipan graduation, leaving his pregnant wife. Turned away from us so close to death! "
　　
Yesterday, the news, in my circle of friends is fast forwarded spread. Doctors, H7N9, died a few words, people feel particularly shocking. This online news soon confirmed by the Shanghai Municipal Health and Family Planning Commission: Shanghai add two cases of human infection with H7N9 bird flu deaths, one case of medical staff, said that Zhang Xiaodong.
　　
Reporters from the Shanghai Pudong New Area People's Hospital learned that the hospital surgery Dr. Zhang Xiaodong was diagnosed with human H7N9 avian influenza infection confirmed cases. This is the year of the first doctors to be diagnosed with H7N9 avian influenza.
　　
Doctors SARS patient admissions that year, many people infected, reminiscent, the doctors infected with bird flu, and it was infected patients do? The first time yesterday, reporters interviewed the hospital where Zhang Xiaodong, confirmed: no hospital admissions over bird flu, he is not human to human infection. Zhang Xiaodong experts when ill, to participate in the consultation, and direct rescue is Professor Lu Hongzhou, deputy director of the Center of Infectious Diseases director of the Shanghai Public Health Clinical Center, yesterday, he told reporters about the part after the rescue.
　　
Fever two days
　　
Has been at work
　　
According to Shanghai media reports, Dr. Zhang Xiaodong about 1.7 meters tall, fat face, rigorous work - this is a colleague's description of Zhang Xiaodong. Zhang Xiaodong graduated from the School of Medicine, Shanghai Jiaotong University graduate degree. 4 months ago transferred to the hospital from 川沙南 hospital. Currently, his wife has been pregnant seven months.
　　
January 17 morning, Zhang Xiaodong at home suddenly feel chest tightness, shortness of breath, was admitted to the hospital emergency room rescue, and subsequently transferred to the intensive care unit. On the 18th at 4 pm, one day, only 31-year-old Zhang Xiaodong died due to severe pneumonia.
　　
Earlier this month, Zhang Xiaodong rotation to the emergency surgical work. A colleague said, emergency surgery is one of the most tired emergency department department, there was a colleague, a night made even five appendectomy surgery, tired from work, then do not say when.
　　
Assistant People's Hospital of Pudong Sheng Chang Description: After the first day fever, Zhang Xiaodong is to find drugs prescribed by my colleagues, and then continue to work. But because there is no better, he lost in the second day of fever solution, adhere to work after the end of the infusion. 17 am, Zhang Xiaodong family was sent to the hospital, the hospital soon, he transferred to the intensive care unit.
　　
Only 24 hours to rescue
　　
Disease mutation died
　　
According to Professor Lu Hongzhou come to consultation, said he rushed to the Pudong consultation on Friday afternoon from the city. Zhang Xiaodong sent to the emergency room this time from more than 10 hours.
At that time, the doctor reflected to him, has given Zhang Xiaodong done H7N9 avian influenza virus detection, the results show a negative.
　　
"But I do not believe." Lu Hongzhou told reporters that he saw from the chest CT slices Zhang Xiaodong, lungs on both sides have become "white lung", the patient is breathing failure state, had to rely on ventilator.

"From the onset of the process, the oncoming very fierce urgency, fever two days turn into severe pneumonia, renal failure also will occur, which is very typical of H7N9 bird flu symptoms, I recommend immediately targeted to take rescue measures and sampling monitoring H7N9 avian influenza virus again. "Lu Hongzhou said.
　　
When consultation, Professor Lu Hongzhou also proposed to use the opportunity, if necessary, artificial lung (ECMO) support life, get rescued. At that time, the People's Hospital of Pudong without this device.
　　
Professor Lu Hongzhou, said Dr. Zhang's heavier weight, the amount of oxygen the body needs relatively large change, when failure occurs when the lungs, the body burden heavier than lighter weight, and this may also be caused by deterioration of the reasons Dr. Zhang one.
　　
Many patients with H7N9 bird flu, like Zhang Xiaodong's condition deteriorated very quickly. 18 am, Professor Lu got the news, Zhang Xiaodong tragic death, he went into the hospital from less than a day. Then detected, Zhang Xiaodong H7N9 avian influenza virus test result is positive.
　　
Families have repeatedly identified
　　
Doctors no recent contact with poultry
　　
So Dr. Zhang Xiaodong before onset of fever patient admissions over it?
　　
The hospital said in an interview, said: "Hospitals do not have H7N9 cases, so Zhang Xiaodong not be (patient) infection to death." Insiders said the bird flu fever symptoms usually triggered by fever clinic or medical treatment, surgical resection is the surgical repair of the main treatment means professional departments.
　　
Zhang Xiaodong before the onset of the recent contact with birds do?
　　
Professor Lu Hongzhou, told reporters that he is also very concerned that he had repeatedly asked Zhang Xiaodong families, Zhang Xiaodong whether the recent history of exposure to poultry, said Dr. Zhang family very busy and have no contact with poultry.
　　
Then there are delays Zhang Xiaodong condition treated?
　　
According to Zhang Xiaodong colleagues, Dr. Zhang is still sick with fever for two days Zuozhen not leave to rest. Why not leave? The reason is not enough manpower in the department, emergency surgery on a few people, a man leave, others may have value 24 hours of classes, or even longer. Therefore, nobody wants that dragged colleagues.
　　
Professor Lu believes that if just ordinary viral influenza, the beginning can only prescribe medication, infusion, Zhang Xiaodong treatment for their illness is timely. But for H7N9 avian influenza, the early use of antiviral drugs is very important. And wait until the outbreak of the disease, medication and rescue are like walking a tightrope edge of the cliff, too dangerous.
　　
"It's the same with all of the viral infection, it is recommended after the fever has flu-like symptoms, adequate rest and timely medical treatment." Lu Hongzhou said.

zhttp://dailynews.sina.com/bg/chn/chnpolitics/phoenixtv/20140120/12505386095.html

[Emily]

Re: Shanghai: emergency room doctor among 2 new fatal cases of H7N9 bird flu in city

http://sinosphere.blogs.nytimes.com/...ype=blogs&_r=0

January 21, 2014, 12:53 am
Shanghai Doctor Dies of Bird Flu
By THE NEW YORK TIMES
Shanghai health officials say that a doctor has died of H7N9 bird flu, adding to concerns about a recent upturn in the disease?s spread in China.

Dr. Zhang Xiaodong, a 31-year-old surgeon at the Shanghai Pudong New Area People?s Hospital, died on Saturday, and tests a day later showed he had contracted the H7N9 strain of avian influenza, the Shanghai Municipal Commission of Health and Family Planning said Monday.

Worries about bird flu have been exacerbated by the approaching Lunar New Year, which falls on Jan. 31 this year. Over the holiday period, hundreds of millions of people travel to be with their families, raising the potential of H7N9 being spread more widely among the population.

...
The Shanghai health authorities said Dr. Zhang had no direct interaction with influenza patients in the 10 days before he fell ill on Jan. 15. None of the people he was in close contact with, including hospital colleagues, has shown signs of a cough, fever or breathing problems. Likewise, patients the surgeon saw before falling ill have also shown no ?abnormal circumstances,? the health commission reported.

The surgeon had stayed with his parents, who live next to a man who raises pigeons, on Jan. 4. And the hospital where he worked is near a market where live poultry is sold. However, he denied having contact with poultry, Lu Hongzhou, the head of Shanghai?s H7N9 expert group, told the Shanghai Daily newspaper...

[Shiloh]

Re: Shanghai: emergency room doctor among 2 new fatal cases of H7N9 bird flu in city

Source: http://www.globaltimes.cn/content/83...l#.Ut6lwvZOmhc

No human-to-human spread of H7N9 after doctor?s death
Global Times | 2014-1-22 0:43:01
By Jiang Yabin
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There is no evidence of human-to-human spread of the resurgent H7N9 bird flu virus after a doctor in Shanghai was confirmed to have died from the infection, Chinese health authorities said Tuesday.

Shanghai's health commission confirmed Monday that two men died Saturday from the H7N9 strain of bird flu, including Zhang Xiaodong, a 31-year-old emergency room surgeon at Shanghai Pudong New Area People's Hospital.

Zhang is the first doctor who is reported to have contracted the virus, causing concern that the virus could be transmitted from human to human. The second victim was a 77-year-old farmer, whose name was not given.

According to the Chinese Center for Disease Control and Prevention (China CDC), more than 200 human cases of H7N9 infection have been reported nationwide since March 2013, with an intensive outbreak from December 2013 to January 2014, most found in East China.

Feng Zijian, vice director of the China CDC, told the Global Times on Tuesday that there is no evidence that H7N9 is contagious enough to pass from human to human.

"The danger posed by the virus and its capacity to be transmitted has not changed since the first H7N9 case was reported last year. The current H7N7 strain is no more virulent when it comes to infections or causing death," Feng said.

H7N9 poses more threat to a victim than those with a dose of normal seasonal flu, as it mimics the symptoms of regular flu for the first three to five days, but does not respond to normal flu treatment, experts said.

The patient could then suddenly deteriorate between the fifth and ninth day of infection, and it was often too late when doctors realized it was an H7N9 infection and tried to use the right medication...

[Biological]

Re: Shanghai: emergency room doctor among 2 new fatal cases of H7N9 bird flu in city

Shanghai Health and Family Planning Commission, Shanghai, City Health and Family Planning Commission informed the city an infection of H7N9 avian influenza medical personnel experts pointed out that the current situation is still sporadic cases 21 January 2014

Shanghai, City Health and Family Planning Commission informed the city an infection of H7N9 avian influenza medical personnel experts pointed out that the current situation is still sporadic cases 21 January 2014

City Health and Family Planning Commission informed patient Moumou, Pudong general surgery in a hospital emergency room doctor. January 11, 2014 the disease, self-medication. January 15, patients with symptoms do not improve, surgery to the hospital emergency department visits, I anti-infection treatment. At 3:00 on January 17, the patient continued to increase because of the symptoms to the hospital emergency room for treatment, the symptoms are not alleviated to symptomatic treatment. Day 8:47, income and be actively ICU treatment. At 4:59 on January 18, the hospital to the patient died.

At 20:52 on January 18, the hospital people infected with H7N9 bird flu suspected cases of direct reporting network. At 21:00 on January 18, Pudong New Area, the patient throat swab specimens sent to CDC CDC for review testing. At 2:30 on January 19 test results for the H7N9 avian influenza virus nucleic acid positive.

Clinical expert municipal cases based on clinical manifestations, laboratory test results and epidemiological investigation, comprehensive judgment confirmed cases of the H7N9 bird flu human cases of infection.

According to the survey, the patient was on the evening of January 4th stay at home parents, their next-door neighbor has a case of keeping pigeons; hospital patients where there is a diagonally opposite the main entrance of the road with a live bird markets transactions. No history of exposure before the onset of influenza-like illness within 10 days straight. Currently, all close contacts of the patient (including with hospital medical staff) no fever, cough and other respiratory symptoms. Before the onset of patient admissions to carry out a preliminary investigation, also found no abnormalities. CDC is currently being carried out further investigation and follow-up.

January 20 afternoon, the Municipal Health and Family Planning Commission to convene experts on the city infected with H7N9 avian influenza human conduct judged, comprehensive analysis, people infected with H7N9 Shanghai found bird flu cases are sporadic cases of transmission of the virus from the bird is still to the people, touching live poultry and live bird markets exposure history is infected with H7N9 bird flu risk factors. May still sporadic cases continue to occur in the future, but the possibility of a popular small. Experts urged the public to do their own protection, to develop a "stay away from live poultry, wash their hands, wash their hands properly," the good hygiene practices. Health departments continue to closely monitor the incidence of bird flu, and further strengthen the city's human H7N9 avian influenza infection in the prevention and control work

http://www.smhb.gov.cn/wsj/n422/n424/u1ai132455.html

[Pathfinder]

Re: Shanghai: emergency room doctor among 2 new fatal cases of H7N9 bird flu in city

Disease expert addresses H7N9 questions

By Hu Min | January 22, 2014, Wednesday |

Wu Fan, director of the Shanghai Center for Disease Control and Prevention, took part in an online Q&A session on H7N9 bird flu yesterday after a young doctor with the virus died.
...
Q: Why weren?t Zhang?s parents and the neighbor infected?

A: Like other flu viruses, the H7N9 virus is transmitted by contact or by air.

Contact with live poultry, both directly and indirectly, can lead to infection with the virus.

However, an individual?s health conditions can determine whether they become infected or ill. This means that even if someone has contact with the virus, they might not be infected. And even if infected, they might not develop symptoms.

Q: Why are most live poultry sellers not infected?

A: There are a variety of bird flu virus subtypes and these subtypes have cross-protection from each other.

Generally speaking, if someone has been in contact with a certain subtype for a long time, their immune system may develop to prevent them from being infected, not only from that virus subtype, but also from the H7N9 bird flu virus.

Q: How long is the incubation period? What are the symptoms?

A: The incubation period between infection with the H7N9 virus and the onset of symptoms can be up to seven days.

However, most patients begin to show symptoms within three to four days.

People who have been infected with the H7N9 virus will not have serious symptoms of an infection of the upper respiratory tract. And someone who is infected won?t have running nose, although they may well have a sore throat and a cough.
...

http://www.shanghaidaily.com/Metro/health-and-science/Disease-expert-addresses-H7N9-questions/shdaily.shtml

[Pathfinder]

Re: Shanghai: emergency room doctor among 2 new fatal cases of H7N9 bird flu in city

Translation Google

Avian influenza / Shanghai Mayor: H7N9 No human transmission

2014-01-23 23:58:42
Wang Pengjie / finishing 　

Shanghai Mayor Yang Xiong said 23 afternoon, the Shanghai H7N9 epidemic is no person to person; He added that Shanghai will be the first time to announce the outbreak to the outside world, but also do not want the outside world to listen to unconfirmed information, causing unnecessary concern and panic . 　
...
Shanghai two sessions (NPC, CPPCC sessions) 23 afternoon news conference held after the closing, the above said Yang Xiong answer media questions. 　

He said medical personnel have died recently H7N9, Shanghai, said "very sorry"; According to expert studies, "He (the name of the medical staff) really is not human to human transmission of the infection," but the specific infection is still under investigation. 　

Yang Xiong stressed that Shanghai will be released officially for the first time to the public accurately epidemic would "very responsibly, without reservation," "but I hope you do not listen to the information has not been confirmed, causing unnecessary concern and panic." 　

outside attention whether Shanghai will close live poultry market transactions in advance. Yang Xiong said that, if the live animal markets closed mixed reactions Shanghai public opinion; Shanghai has developed live animal markets management approach to progressive manner, including local time off, reducing the transaction point and promotion of frozen chicken. 　

He said that Shanghai in the first lunar month every year to the national calendar April 30 will suspend trading of live poultry will be adjusted based on the epidemic situation, the current point of live poultry trade has been reduced over the past, but also improve the environmental health of live poultry trade points requirements and testing standards.

http://www.cdnews.com.tw/cdnews_site/docDetail.jsp?coluid=109&docid=102621944