Today the Beijing Department of Health announced the detection of their 2nd lab-confirmed H7N9 case – this time in a 6 year-old-boy who fell ill and was seen at a local hospital on May 21st, and was treated for three days for fever, sore throat, headache and enlarged tonsils.
It appears that H7N9 was not suspected, and he recovered sufficiently enough to return to a daycare facility on May 24th.
Samples taken from the child were analyzed on May 28th, and found to be positive for the H7N9 virus. The child was subsequently returned to the hospital for observation, and surveillance of his contacts is underway.
Currently none have shown signs of illness.
This machine translation from the Beijing Municipal Health Bureau.
May 28, 2013 morning, the Beijing Center for Disease Control reported that in Beijing large-scale conventional ILI pathogen monitoring, from the Peking University People's Hospital for treatment of influenza-like illness found in one case of human infection with the H7N9 avian influenza. At 16:00 on May 28th, Beijing clinical expert confirmed that the case.
Children Xu, male, 6 years old, Junan County, Linyi City, Shandong Province, household, now living in the Haidian District. May 21 children with fever and sore throat, headache, Peking University People's Hospital for treatment, family history of exposure to poultry denied, visiting doctors examination showed bilateral tonsil enlargement and purulent secretions III degree, given anti-inflammatory, symptomatic other treatment; May 22 to 24, patients in the hospital receiving daily infusion therapy; May 23 afternoon, the body temperature returned to normal, the symptoms disappeared; May 24 afternoon back to nursery reopened.
Children in the treatment period, the Peking University People's Hospital, according to "national influenza surveillance program" collected specimens were sent to CDC centralized testing. According to urban levels of testing and retesting results, May 28 children with a diagnosis of human infection with the H7N9 avian flu after being sent to the Beijing Ditan Hospital for further observation and treatment.
Children currently in good health, have normal body temperature for 5 days. The case is the second in Beijing reported cases of human infection of H7N9 avian influenza confirmed cases.
In accordance with the National Health and Family Planning Commission issued the "human infection with H7N9 avian influenza prevention and control program (2nd Edition)" provides an initial verification of their close contact with 50 people, all the staff have all been implemented medical observation measures currently no abnormality symptoms.
The detection of another mild H7N9 case – once again in a child – is a reminder of how little we actually know about how this virus is being acquired, and transmitted in China.