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On 4 February 2015, the National Health and Family Planning Commission of China notified WHO of 83 new laboratory-confirmed human cases (including 19 deaths) of avian influenza A (H7N9) virus infection. The cases were reported between 20 December 2014, and 27 January 2015, as listed below:
20 December 2014: 2 cases
22–28 December: 8 cases
29 December–4 January 2015: 16 cases
5-11 January: 21 cases
12–18 January: 20 cases
19–25 January: 13 cases
26-27 January 2015: 3 cases
Cases were reported from 8 provinces: Fujian (30), Guangdong (30), Jiangsu (7), Jiangxi (1), Shandong (1), Shanghai (2), Xinjiang (1), and Zhejiang (11).
Cases ranged between 1-88 years-of-age; 60 out of 83 cases were male. The majority of cases reported exposure to live poultry or live poultry markets.
The government is taking steps to strengthen surveillance, reinforce case management and medical treatment and inform and communicate risk with the public.
(Via WHO Global Alert and Response - accessed 09/02/15)
Travellers experiencing severe flu like symptoms within 10 days of returning from China, should contact their GP and inform them of their recent travel to China.
• Further information on avian influenza and travel.
Health Protection Scotland has produced algorithms (H5N1) and (H7N9) for the management of returning travellers from countries affected by avian influenza presenting with febrile respiratory illness: recognition, investigation and initial management.
Public Health England has produced clinical guidance for health professionals in England on the assessment and investigation of patients with severe flu-like illness who have recently returned from China.
