H3N8 bird flu claims first human with the death of a woman in China

Chinese woman, 56, becomes first ever patient to die from H3N8 bird flu strain — but China took a MONTH to report the case

  • The woman became ill on Feb 22, but the WHO was not informed until March 27
  • The H3N8 strain is not thought to spread between humans
  • Vaccine makers say they’re ‘standing ready’ for human bird flu pandemic

A Chinese woman has become the first person to ever die from the H3N8 strain of bird flu.

The 56-year-old, from the Guangdong province, first became ill on February 22 and was admitted to the hospital with severe pneumonia on March 3. She died 13 days later on March 16. 

She is only the third person ever to officially be diagnosed with H3N8, which is one of the most common strains in birds but is poorly-adapted to infect people. 

Two young boys were struck down with the same virus in April and May last year in China in unlinked cases – but both survived.

The WHO was not informed about the case until March 27 – a month after Chinese health officials were aware of the infection. China has previously faced criticism for not making important information about Covid spread in its nation available.

It is thought the woman caught the virus from a wet market where she spent time before becoming ill, after samples taken from the market tested positive for influenza A(H3)

The woman, from the Guangdong province, first became ill on February 22. She was admitted to the hospital with severe pneumonia on March 3 and died on March 16

It comes as vaccine makers have said they are ‘standing ready’ for a human bird flu pandemic as fears mount about a zoonotic spillover.

The Chinese patient had several underlying conditions and a history of exposure to live birds prior to falling sick, as well as previous wild bird presence around her home.

It is assumed she caught the virus from a wet market where she spent time before becoming ill, after samples taken from the market tested positive for influenza A(H3).

So far, no close contacts of the woman have any symptoms of an infection.

The case was picked up through the World Health Organization’s severe acute respiratory infection (SARI) surveillance system, which tracks these types of infections.

The H3N8 variant is common in birds, horses and dogs and has even been found in seals, but it has rarely found its way into the human population.

Like other forms of bird flu, human infections can occur when enough virus gets into a person’s eyes, nose, mouth or is inhaled.

Although there have only been a limited number of cases of this strain globally, the illness is believed to be similar to other bird flus in people.  

Usual symptoms include fever, fatigue, nausea and other flu-like symptoms.

Sufferers may experience diarrhea, sickness, stomach pain, chest pain and bleeding from the nose and gums, and pink eye.

Cambodian girl, 11, dies from H5N1 bird flu,  becoming 2023’s first victim 

 

Eleven-year-old Bean Narong died on February 22 after catching Type A HN51 in the impoverished Rolaing Village in the southeastern province of Prey Veng, making her 2023’s first bird flu victim.

The WHO said: ‘Since avian influenza viruses continue to be detected in poultry populations, further sporadic human cases are expected in the future.’ 

China’s slow reporting of this infection draws parallels to the nation’s initial response to the Covid pandemic.

The country has been accused of covering up early cases and has not been compliant in the fight for the virus’s origin. 

Dr Steven Salzberg, a professor of biomedical engineering at Johns Hopkins University, told DailyMail.com: ‘Of course China should report any such cases promptly, as should any country, but occasional avian influenza cases happen every year in China. 

‘The (much) bigger problem is the continuing practice in China of selling birds and other animals for food at live animal markets. Scientists have been saying for years (decades now) that China should shut down these markets, but they don’t.

‘So a good question is whether this case originated from a live animal market. The [WHO] report is vague on that question.’

Back in 2003, China was accused of covering up details about the spread of severe acute respiratory syndrome (SARS).

The Chinese government was criticized for its slowness in releasing information about the outbreak after a Beijing hospital was shut down.

This case is among a spate of human bird flu cases that have emerged in the early parts of 2023.

Earlier this year, a Cambodian man and his daughter were diagnosed with H5N1, another strain of bird flu.

Their cases sparked international concern, with many experts fearing they signaled the virus had mutated to infect people better after tearing through the world’s bird population. 

The bird flu outbreak, which began early last year, is the biggest in history, affecting more than 200 million domestic birds globally, on top of countless wild birds. 

It has already spilled into mammals like mink, foxes, raccoons and bears, sparking fears it may soon acquire worrying new mutations that would allow it to cause a human pandemic.

Further testing found the Cambodian family did not have the H5N1 strain rapidly spreading among the world’s wild birds — but instead a variant known to spread locally in the Prey Veng province they resided in.

People with close or prolonged unprotected contact (not wearing respiratory and eye protection) with infected birds or places where sick birds or their mucous, saliva, or feces have been contaminated might be at greater risk of bird flu virus infection.

A human is unlikely to catch the virus from eating poultry and game birds because it is heat-sensitive, and properly cooking the poultry will kill the virus. 

An infected bird might appear lethargic, stop eating, have swollen body parts, and cough and sneeze. Other birds might die suddenly without any symptoms.

The symptoms in humans are high fever (often above 100 F), a cough, sore throat, muscle aches and a general feeling of malaise.

Additional early symptoms could include pain in the abdomen and chest and diarrhea.

It can quickly develop into serious respiratory illness, including shortness of breath, difficulty breathing, and pneumonia. 

People may also suffer an altered mental state or seizures. 

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