Emergencies preparedness, response

Human infection with avian influenza A(H7N9) virus – China

Disease outbreak news
17 December 2015

On 11 December 2015, the National Health and Family Planning Commission (NHFPC) of China notified WHO of 2 additional laboratory-confirmed cases of human infection with avian influenza A (H7N9) virus.

Details of the cases

  • The first case is a 74-year-old male from Meizhou City, Guangdong Province, with onset date of 19 November. He purchased poultry from a market and raised poultry at home. At the time of report, the case was in severe condition.
  • The second case is a 60-year-old male from Hangzhou City, Zhejiang Province, with onset date of 20 November. He has a history of slaughtering domestic poultry. At the time of report, the case was in severe condition.

Public health response

The Chinese Government has taken the following surveillance and control measures

  • strengthening outbreak surveillance and situation analysis;
  • reinforcing all efforts on medical treatment; and
  • conducting risk communication with the public and dissemination of information.

WHO is assessing the epidemiological situation and conducting further risk assessment based on the latest information. Based on the information received thus far, the overall public health risk from avian influenza A(H7N9) viruses has not changed.

If the pattern of human cases follows the trends seen in previous years, the number of human cases may rise over the coming months. Further sporadic cases of human infection with avian influenza A(H7N9) virus are expected in affected and possibly in the neighboring areas. Should human cases from affected areas travel internationally, their infection may be detected in another country during travels or after arrival. If this were to occur, community level spread is considered unlikely as the virus has not demonstrated the ability to transmit easily among humans.

WHO advice

WHO advises that travelers to countries with known outbreaks of avian influenza should avoid poultry farms, or contact with animals in live bird markets, or entering areas where poultry may be slaughtered, or contact with any surfaces that appear to be contaminated with faeces from poultry or other animals. Travellers should also wash their hands often with soap and water. Travellers should follow good food safety and good food hygiene practices.

WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend any travel or trade restrictions. As always, a diagnosis of infection with an avian influenza virus should be considered in individuals who develop severe acute respiratory symptoms while travelling or soon after returning from an area where avian influenza is a concern.

WHO encourages countries to continue strengthening influenza surveillance, including surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns, in order to ensure reporting of human infections under the IHR (2005), and continue national health preparedness actions.