Huaiji H7N9 Geographic Cluster Of Familial Clusters

Tuesday, February 11, 2014
By Paul Martin

Recombinomics.com
February 10, 2014

Oi Family
A 4 year-old girl from Zhaoqing City, Guangdong Province, who became ill on 26 January and was admitted to hospital on 3 February. She is currently in a mild condition. The patient has a history of exposure to live poultry.

A 5-year old boy from Zhaoqing City, Guangdong Province, who became ill on 29 January and admitted to hospital on the same day. He is in a stable condition. The patient has a history of exposure to a live poultry market.

Li Family
A 48 years old man from Zhaoqing City, Guangdong Province, who became ill on 28 January. He was admitted to hospital on 30 January and then transferred to a hospital in Guangzhou City on 5 February 2014. He is currently in a severe condition. The patient has a history of exposure to live poultry.

A 5 year-old girl from Zhaoqing City, Guangdong Province, who became ill on 30 January and was admitted to hospital on the same day. She currently has a mild illness. The patient has a history of exposure to live poultry.

Liang Family
A 42 year-old man from Zhaoqing City, Guangdong Province, who became ill on 27 January and was admitted to hospital on 28 January and transferred to another hospital on 4 February. He is currently in a critical condition. The patient has a history of exposure to live poultry.

Yijun, male, 11 years old, student, now living Huaiji County, Zhaoqing City, February 8 confirmed cases of human infection of H7N9 avian influenza, the patient’s condition is currently stable, treated at a local hospital sentinel.

The WHO February 10 H7N9 birdflu update provides additional information on the Huaiji cluster, which has grown to 8. The WHO update provides additional information on clinical presentation and disease onset dates, which strongly suggest the cluster includes at least three sets of familial clusters. The geographic clusters include four children, and all four are in these three clusters. Neither the WHO updates (in red above) nor the Guangdong Ministry of Health (GD MoH) reports (in blue above) cite the familial relationships, but the withholding of this information has become standard in this outbreak.

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