Circulation of Reassortant Influenza A(H7N9) Viruses in Poultry and Humans,Guangdong Province,China, 2013 |
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| Authors: | Changwen Ke Jing Lu Jie Wu Dawei Guan Lirong Zou Tie Song Lina Yi Xianqiao Zeng Lijun Liang Hanzhong Ni Min Kang Xin Zhang Haojie Zhong Jianfeng He Jinyan Lin Derek Smith David Burke Ron AM Fouchier Marion Koopmans Yonghui Zhang |
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| Institution: | Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China (C. Ke, J. Lu, J. Wu, D. Guan, L. Zou, T. Song, L. Yi, X. Zeng, L. Liang, H. Ni, M. Kang, X. Zhang, H. Zhong, J. He, J. Lin, Y. Zhang); ;University of Cambridge, Cambridge, UK (D. Smith, D. Burke); ;Erasmus MC, Rotterdam, the Netherlands (R.A.M. Fouchier, M. Koopmans); ;National Institute of Public Health and the Environment, Bilthoven, the Netherlands (M. Koopmans) |
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| Abstract: | Influenza A(H7N9) virus emerged in eastern China in February 2013 and continues to circulate in this region, but its ecology is poorly understood. In April 2013, the Guangdong Provincial Center for Disease Control and Prevention (CDC) implemented environmental and human syndromic surveillance for the virus. Environmental samples from poultry markets in 21 city CDCs (n = 8,942) and respiratory samples from persons with influenza-like illness or pneumonia (n = 32,342) were tested; viruses isolated from 6 environmental samples and 16 patients were sequenced. Sequence analysis showed co-circulation of 4 influenza A(H7N9) virus strains that evolved by reassortment with avian influenza A(H9N2) viruses circulating in this region. In addition, an increase in human cases starting in late 2013 coincided with an increase in influenza A H7 virus isolates detected by environmental surveillance. Co-circulation of multiple avian influenza viruses that can infect humans highlights the need for increased surveillance of poultry and potential environmental sources. |
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| Keywords: | influenza H7N9 H9N2 emergence reassortment human poultry influenza A H3N2 viruses respiratory infections Guangdong Province China |
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