The first imported human infection with avian influenza A(H7N9) confirmed in
Travelers visiting areas affected by H7N9 advised to practice good personal hygiene, avoid touching and feeding live poultry, and avoid visiting traditional markets with live poultry
In the late afternoon of 24 Apr 2013, the Central Epidemic Command Center (CECC) confirmed the first imported case of H7N9 avian influenza in a 53-year-old male Taiwanese citizen who worked in
Minister of Health, Dr. Wen-Ta Chiu, and Commander of CECC, Dr. Feng-Yee Chang, have full knowledge of the situation and have instructed implementation of subsequent prevention and control measures. In addition, CECC has reported the case to the World Health Organization through the IHR Focal Point. Furthermore, according to the Cross-strait Cooperation Agreement on Medicine and Public Health Affairs, CECC has also reported the case to the contact point in
CECC indicated that the case is a hepatitis B carrier with history of hypertension. Due to the fact that he worked in
On 9 April, he returned to
On 12 April, he developed fever, sweating, and fatigue, but no respiratory or gastrointestinal symptoms.
On 16 April, he sought medical attention at a clinic when he developed high fever and was transferred to a hospital by the physician. He was then hospitalized in a single-patient room for further treatment. On 16 April, he was administered Tamiflu.
On 18 April, his chest x-ray showed interstitial infiltrate in the right lower lung.
On the night of 19 April, his conditions worsened.
On April 20, he was transferred to a medical center for further treatment. He was then intubated due to respiratory failure and placed in the negative-pressure isolation room in the intensive care unit. During his stay in the hospitals, 2 throat swab specimens were collected and both tested negative for avian influenza A (H7N9) virus by real-time RT-PCR.
On 22 April, the medical center collected a sputum specimen from the patient and the specimen was tested positive for influenza A.
In the morning of 24 April, avian influenza A (H7N9) virus was detected in the sputum specimen using real-time RT-PCR. In the later afternoon of April 24, the
At the time of writing, CECC has obtained the list of 139 people who have come into contact with the confirmed case, including 3 close contacts, 26 regular contacts (past the 7-day incubation period), and 110 healthcare workers, for investigation and follow-up activities. Of the 110 healthcare workers, 4 have passed the 7-day incubation period and shown no symptoms. Only 3 contacts failed to put on appropriate personal protective equipment when the contact occurred. Thus far, the 3 have not developed symptoms, but they will be followed up until 27 Apr 2013.
On the other hand, while delivering healthcare services, 3 healthcare workers who were geared with appropriate personal protective equipment developed symptoms of upper respiratory infection. The public health authority have conducted thorough health education activities for all contacts, issued them with "Self-Health Management Advice for H7N9 Influenza", and will be following up with them closely until the period of voluntary contact tracing is lifted. When a contact develops influenza-like illness symptoms such as fever and cough, the public health authority will voluntarily assist the individual in seeking medical attention.
CECC has continued to strengthen surveillance and fever screening of travelers arriving from
Before the infection is confirmed, please manage the case according to the following: a suspect case-patient with severe respiratory infections should be hospitalized in isolation for treatment. A suspect case-patient with mild symptoms should be asked to conduct self-health management and put on a surgical mask, and provided with thorough health education. Further, specimens should be collected from the patient for laboratory testing and the need for administering antivirals should be determined. If human infection with avian influenza A (H7N9) is later confirmed, an appropriate hospital for isolation and treatment will be determined by the Regional Commander of CECC.
CECC once again urges travelers visiting China to practice good personal hygiene such as washing hands frequently and putting on a mask, take preventive measures such as avoiding direct contact with poultry and birds or their droppings, avoiding visiting traditional markets with live poultry, consuming only thoroughly cooked poultry and eggs. If symptoms such as fever and cough develop after returning to
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This case was infected in the
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