Objective To understand the source of infection and dissemination of the way through the field investigation and analysis on the first family clustering avian influenza A(H7N9), in order to provide reference for avian influenza A(H7N9) prevention and control in the future. Methods Field epidemiology was conducted to investigatethe process of incidence and treatment, the history of suspected exposure, and epidemiological associationand close contact persons of 2 patients. Specimens from patients and live poultry markets were collected to carry out the nucleic acid detection of influenza virus. Results This family clustering avian influenza A(H7N9) included 2 patients as mother child relationship. First case was onset on February 4, and she had a clear live poultry market exposure history before onset. Secondary case was onset on February 15, and he had both the history of live bird markets exposure, and the close contact history with first case before onset. A total of 38 specimens were collected and tested, 13 of them were detected H7N9 positive, which all came from the live poultry markets. Conclusion Live poultry markets exposure may be the source of infection of the first case. The infection sources of the secondary case both may be exposed to the live poultry markets and a human to human transmission from the first case. In H7N9 epidemic investigation and disposal, the management of close contact persons and personal protection work should be well done.
Key words
H7N9 /
Family clustering /
Human infection with avian influenza /
Human to human transmission
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References
[1] Parry J.H7N9 avian flu infects humans for the first time[J].BMJ,2013,(346): 2151.
[2] Gao RB,Cao B,Hu YW, et al. Human Infection with a Novel Avian-Origin Influenza A (H7N9) Virus[J].The New England Journal of Medicine, 2013,368(20):1888-1897.
[3] 任瑞奇,周蕾,向妮娟,等.中国内地人感染H7N9禽流感疫情流行病学特征分析[J].中华流行病学杂志,2014,35(12):1362-1365.
[4] 安洲,程周祥,钱帮群,等.芜湖市首例人感染H7N9流感病例调查报告[J].安徽预防医学杂志,2015,21(4):249-251.
[5] 丁振涛,万俊峰,孙良,等.阜阳市首例人感染H7N9禽流感病例流行病学调查[J].安徽预防医学杂志,2014,20(5):345-347.
[6] 国家卫生计生委办公厅.关于印发人感染H7N9禽流感诊疗方案(2014年版)的通知[Z].国卫办医发(2014)6号.2014年1月24日.
[7] 国家卫生计生委办公厅.关于印发人感染H7N9禽流感疫情防控方案(第三版)的通知[Z].国卫办疾控发(2014)9号.2014年1月27日.
[8] 中国疾病预防控制中心.关于印发全国流感监测技术指南的通知[Z].中疾控疾发(2011)381号.2011年8月9日.
[9] 刘国贤,刘荣强,王正良,等. 一起家庭聚集性人感染H7N9禽流感事件调查[J].实用预防医学,2015,22(7):826-828.
[10] 李海,林玫,唐振柱,等.广西南宁市一起家庭聚集性人感染H7N9禽流感疫情的调查[J].中华流行病学杂志,2015,36(5):481-483.
[11] 杜明,刘俊华,王敏芳.1起有限人传人H7N9禽流感事件的调查[J].中国当代医药,2014,21(25):147-148.
[12] 国庆师,谢瑞谦.传染病防治的区域化合作[J].中国卫生事业管理,2006,22(6):382-383.