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China: 1 case from Hangzhou had "purchased and eaten quail"

Catbird

Senior Moderator
No patient identification is given except for calling it the "2nd case". But it would be either case #8 or #9 on our FT list, also reported on the Apr. 4th thread.

Machine translation of original article:

"Hangzhou second case of H7N9 avian influenza had purchased and eaten quail

2013 04 06

Relevant departments Binsheng agricultural firm put survival poultry culling and suspend trading of live poultry within the firm

On April 3, the Zhejiang Provincial Health Department released Hangzhou confirmed two cases of human infection with the outbreak of the H7N9 avian influenza. Epidemiological survey carried out by the city's second case of confirmed patients, confirm the purchase and consumption of quail is the incidence of risk factors before the disease of the patients live poultry stalls in agricultural and sideline products on the city Bin Sheng firm.

To ensure the safety of members of the public to public health, early this morning, the city authorities quickly organized forces Binsheng agricultural firm put the memory live poultry culling, and suspend trading of live poultry within the firm."
 
Re: China: 1 case from Hangzhou had "purchased and eaten quail"

we had the G1-strain from 1997 which was prevalent in quail
but this virus is from the other strain

quail have alpha 2-6 and alpha 2-3
pigeons have alpha 2-6
chickens alpha 2-3
humans alpha 2-6
(mainly)


http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/apr0513avian.html
------------------------------------------------
detected in one pigeon for sale for consumption
7 chicken, 1 envir. positive
-----------------------
1 chicken and 1 envir positive
also 2 chicken, 2 pigeon, 4 envir at another market
no symptoms
-------------------------------
H7N9 virus is probably not well adapted to pigeons,
suggesting there may well be other sources of virus," Sims said.
 
H7N9 positive Quail linked to second victim?

H7N9 positive Quail linked to second victim?

machine translated so no conclusions being drawn yet;

Hangzhou live poultry stalls quail detected H7N9 virus
April 6, 2013 10:57:02
Source: Xinhua

  HANGZHOU, April 6 (Reporter Zhang Le) reporter learned from Hangzhou, Zhejiang Provincial Health Department confirmed the second case of human infection of H7N9 avian flu premorbid buy live poultry stalls in agricultural and sideline products on the city Bin Sheng firm and consumption of quail . Hangzhou Center for Disease H7N9 virus has been detected from the the live poultry quail stalls on quail. The virus samples have been sent to a re-examination of the national CDC, and wait for the final confirmation.

  In the early morning of the 6th, Hangzhou authorities Binsheng agricultural firm put the memory live poultry culling and suspend trading of live poultry within the firm.
http://news.xinhuanet.com/local/2013-04/06/c_115281697.htm
 
Re: H7N9 positive Quail linked to second victim?

Re: H7N9 positive Quail linked to second victim?

There is a sequence for an H9N2 quail from Wuxi, Jiangsu taken on sept 2011. See ACCESSION AEO52391 in GenBank. Since the Chinese scientists state the internal segments came from H9N2, perhaps they're a connection.

.
 
Re: H7N9 positive Quail linked to second victim?

Re: H7N9 positive Quail linked to second victim?

machine translated;

Hangzhou quail detected the H7N9 avian influenza virus
At 12:05 on the April 6th, 2013 from the financial new | Comments ( 47 )

(intern the reporter Yang Jiaqiu reporter Wang Su) , Hangzhou, announced today (April 6), Hangzhou Center for Disease detection of H7N9 virus samples have been sent from the live poultry stalls quail The national CDC retest and wait for the final confirmation.
  According to the briefing, Zhejiang second case of human infection with the H7N9 avian flu patients had the disease before purchase agricultural and sideline products on city Binsheng firm and eaten quail, Hangzhou Center for Disease Control in the 5th detection of H7N9 virus in this firm stalls. In the early morning of the 6th, Hangzhou this agricultural by-products firm stowage live poultry culling and suspend trading of live poultry within the firm.
  Up to now, the national CDC positive samples of H7N9 avian influenza have been detected from Shanghai, chickens, pigeons, and environmental samples, detected the H7N9 virus samples from agricultural and sideline products wholesale markets, Songjiang District, Shanghai Huai, Minhang District Jingchuang market and the Minhang Feng Chuang market. Shanghai has been suspended from today, the trading activities of live poultry, wild birds, and prohibit foreigners live poultry Ruhu.
  The World Health Organization said on the 5th, there is no evidence that the H7N9 strain of bird flu from pigs.
  Zhejiang has found that people infected with the H7N9 avian flu patients diagnosed three cases, two of whom have died. Yesterday, the 125 close contacts of patients Jiande, Zhejiang Province, the first case of human infection with the H7N9 avian flu, Mr. Hong medical observation after seven days have all been lifted under medical observation, Hong Mousheng former chef. According to the Zhejiang Provincial Health Department had informed the patients of the Hangzhou public Yang, aged 67, retired at home. March 25 admitted to hospital because of cough, fever and other symptoms. Prior to that, he could not find the epidemiological history of contact with poultry. At present, the Yang still receiving treatment at the First Affiliated Hospital of Zhejiang University. Close contact with those who have not yet discovered the unusual circumstances. Patients Huzhou Zhang was died on April 4, for local farmers, family memories, Zhang contact with chickens and ducks live poultry before the onset.
  As of now, in addition to Shanghai in the 4th contact with an ill confirmed case of human infection of H7N9 avian influenza in patients who have a fever and other flu-like symptoms, were not found in the other provinces and cities close contacts of patients diagnosed abnormal situations. The Shanghai municipal government announced yesterday, the symptoms close contacts has been tested for H7N9 avian influenza virus negative, not infected with the H7N9 virus.
  Yesterday was found a 7-year-old girl influenza illness such as high fever, and immediately sent to hospital for isolation and treatment, and after a quick test confirmed that the negative reaction of the H7 virus. Ko Wing-man, the Secretary of the Hong Kong Food and Health Bureau said yesterday that if the poultry found to be infected, and will be fully culling, and stop poultry imports from the Mainland.
  People infected with the H7N9 avian flu epidemic information released yesterday by the Ministry of Health website said all close contacts of the cases have been taken to the medical observation measures, the report confirmed cases found no epidemiological link between the current outbreak in the dissemination of state, has not been found human-to-human transmission.
  China has confirmed 16 cases of H7N9 avian influenza infection, of whom six have died.
http://china.caixin.com/2013-04-06/100510100.html
 
Re: China: 1 case from Hangzhou had "purchased and eaten quail"

hat tip Michael Coston

CCTV: Quails Test Positive For H7N9 In Hangzhou


image%25255B4%25255D.png

Culling Poultry - Photo Credit CCTV


# 7085

After finding H7N9 positive chickens and pigeons at a live market in Shanghai two days ago, authorities 100 km to the Southwest in Hangzhou are now reporting positive tests among quail as well.

Quails test positive for H7N9

04-06-2013 14:27 BJT

Chinese health authorities say they?ve detected the new H7N9 virus in quails, at a live poultry market in eastern city of Hangzhou. One of the people infected with the new bird flu strain is thought to have eaten quails brought from the same market. Health officials have now sent the virus sample to China?s Center for Disease Control and Prevention, for further analysis. The local government carried out a cull of all live birds at the market early on Saturday, and the market has now been banned from trading in live birds.


Interestingly, the history of H5N1 bird fluinfection among pigeons, doves, and quail (all family Columbidae) has been mixed, and not without controversy.

I've written about the fear that pigeons might be vectors for the bird flu virus several times, including in The Origins Of The Feces in December of 2006, and a year later in The Latest Poop On Pigeons.
Around the world, opinions vary over the threat these city dwellers present. In Bangladesh pigeons, along with ducks and chickens, are routinely culled in their fight against bird flu. While in Saudi Arabia, they?ve claimed that pigeons are immune to the disease.

That may be a bit optimistic, since in May of 2007, in the CDC's EID Journal , a dispatch appeared called Avian Influenza (H5N1) Virus in Waterfowl and Chickens, Central China, where scientists deliberately infected a variety of birds to determine their susceptibility to the H5N1 virus.

Their study suggested that pigeons may be asymptomatic carriers of the H5N1 avian flu virus.

Another study, from later that year, titled Role of Terrestrial Wild Birds in Ecology of Influenza A Virus (H5N1) found that:


Least susceptible were pigeons, which had no deaths and very low levels of virus in oropharyngeal and cloacal swabs.

<snip>

Because pigeons shed only low amounts of virus upon infection and they did not transmit to contact birds, their role in the ecology of influenza (H5N1) virus may be minor.
Up until now, we haven't seen more than a few pigeon, dove, or quail related bird flu stories.




The fact that pigeons and quail are being looked at as possible vectors of the H7N9 virus is another example of how this new flu differs from its more famous bird flu cousin.

Posted by Michael Coston at <a class="timestamp-link" href="http://afludiary.blogspot.com/2013/04/cctv-quails-test-positive-for-h7n9-in.html" rel="bookmark" title="permanent link"><abbr class="published" title="2013-04-06T07:36:00-04:00">7:36 AM</abbr>
 
Re: China: 1 case from Hangzhou had "purchased and eaten quail"

This article confirms that it was our case #9 (case list) that purchased the quail. He's identified as Yang, male, 67 in our April 4th thread.

Machine translation of original article:

"2013 04 06

From Hangzhou Husbandry and Veterinary Bureau was informed that the council has the city's poultry wholesale market and some live poultry sales point of sample collection and submission. Hangzhou disease control departments had from Hangzhou people infected with the H7N9 bird flu H7N9 virus nucleic acid detection Yang share poultry stalls outside environment, but the current censorship of live poultry body yet detected associated virus.

The Hangzhou CDC epidemiological investigations found that the disease this stalls before purchase and eaten quail Zhejiang Province confirmed the second case of human infection with the H7N9 avian flu Yang. According to the Animal Husbandry and Veterinary Bureau of Hangzhou, the council has the live poultry stalls dove and quail blood samples and pharynx anal swab sampling, investigation and the animals themselves carry the virus. These samples has been sent to the provincial authorities to detect, drawn after the final results will be sent to the Ministry of Agriculture, the National Avian Influenza Reference Laboratory confirmed.

Cui mighty, director of the Office of Hangzhou Municipal Health Bureau, told reporters that, from the firm of live poultry stalls in the city on the city Binsheng agricultural collected 12 samples test results, a total of five copies of the H7N9 avian flu virus nucleic acid was found to contain. 5 were detected in the sample were pigeon feathers and foot spreads, poultry manure, cages and console spreads and faded hair sewage. Hangzhou Health Bureau confirmed to reporters later, the the Hangzhou CDC previously detected containing samples of the virus effectively.

Cui the mighty and told reporters, Hangzhou disease control in the 2nd and the 3rd of the live poultry stalls sampling and testing. Sampling 12 samples, throat swab detection of chicken, duck, pigeon feathers and foot spreads, the live poultry manure and spreads, and faded hair sewage. But in addition to the the the aforementioned samples H7N9 avian influenza virus nucleic acid testing positive throat swab specimens in the of live quail body and chickens and ducks yet detected positive.

Was informed of the preliminary test results on the evening of 5, the Hangzhou municipal government night meeting to convene the relevant departments, emergency deployment related measures. Provincial Committee and Party Secretary Huang Kunming requirements, rapidly organize forces to the maximum extent of blocking a possible source of infection, to protect the health of the people. At 2:00 on the 6th, the meeting ended, Hangzhou authorities on Binsheng agricultural firm put the memory live poultry culling, and suspend trading of live poultry within the firm. It is understood that the live poultry trading stalls within the agricultural and sideline products firm only live poultry sales stalls.

Epidemiological investigations, Hangzhou Center for Disease to the live poultry stalls to buy quail behavior Hangzhou patients Yang incidence of risk factors. "As part of the positive samples, such as bird faeces, spreads and faded hair sewage is still unable to determine from a certain kind of specific birds, so there can not be determined Yang purchase of quail with H7N9 avian influenza virus." Cui mighty said, "There could be patient buy quail carrying the H7N9 avian influenza virus may quail itself is not a problem, patients inhaled substances with the H7N9 avian flu virus."

Animal Husbandry and Veterinary Bureau in Hangzhou, Yang Hua told reporters that withdrawal, the detection of the H7N9 avian flu virus, even if not in the batch of live poultry, but as long as the detection of the virus from the environment, environment pollution risk taken measures necessary because practitioners and surrounding personnel protection will help. "

Currently, none of the close contacts of patients with Yang found that clinical abnormalities, two of the live poultry stalls practitioners serum and throat swab specimens of influenza A virus (Universal) nucleic acid test results were negative."
 
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